Therapists in 29401

Photo of Markie Quillen, Licensed Professional Counselor, LPC
Markie Quillen
Licensed Professional Counselor, LPC
1 Endorsed
Online Only
“You are your best thing.” These words, from one of my favorite novels, Beloved, by Toni Morrison, I believe define the power of therapy. Therapy is a journey of self discovery that aims to help clients achieve a sense of inner peace by enhancing awareness and strength. It isn’t without its challenges, though, and my goal is to be a safe and supportive companion on your journey.
“You are your best thing.” These words, from one of my favorite novels, Beloved, by Toni Morrison, I believe define the power of therapy. Therapy is a journey of self discovery that aims to help clients achieve a sense of inner peace by enhancing awareness and strength. It isn’t without its challenges, though, and my goal is to be a safe and supportive companion on your journey.
(864) 732-4305 View (864) 732-4305
Photo of Elizabeth Trembley, Licensed Professional Counselor, MA, LPC
Elizabeth Trembley
Licensed Professional Counselor, MA, LPC
4 Endorsed
Charleston, SC 29401
As a licensed therapist, I believe effective psychotherapy fosters the path towards wholeness and connection and am committed to the healing process. Past hurts, societal and familial programming, the voice of the inner critic, emotional dysregulation, and traumatic experiences can fragment the self and break away our inner strengths and resources. I aim to relocate those strengths and inner resiliencies by facilitating connection, exploration, and implementing appropriate best-practice tools. I hope to navigate the psychological barriers that create disconnection and establish new patterns in a collaborate process.
As a licensed therapist, I believe effective psychotherapy fosters the path towards wholeness and connection and am committed to the healing process. Past hurts, societal and familial programming, the voice of the inner critic, emotional dysregulation, and traumatic experiences can fragment the self and break away our inner strengths and resources. I aim to relocate those strengths and inner resiliencies by facilitating connection, exploration, and implementing appropriate best-practice tools. I hope to navigate the psychological barriers that create disconnection and establish new patterns in a collaborate process.
(843) 594-2736 View (843) 594-2736
Photo of Sanford Cassel, Psychologist, PhD
Sanford Cassel
Psychologist, PhD
Charleston, SC 29401
I am committed to helping children, adolescents and adults clarify, and remove impediments to realizing, their dreams and desires. My goal is to help you feel heard and respected. I work with you to develop your unique, effective voice. We work together to agree upon, and implement, techniques aimed at achieving your goals. When necessary, we also create, and practice, concrete strategies to advocate for your own interests, within the context of family, relationship and/or work conflict.
I am committed to helping children, adolescents and adults clarify, and remove impediments to realizing, their dreams and desires. My goal is to help you feel heard and respected. I work with you to develop your unique, effective voice. We work together to agree upon, and implement, techniques aimed at achieving your goals. When necessary, we also create, and practice, concrete strategies to advocate for your own interests, within the context of family, relationship and/or work conflict.
(843) 790-5815 View (843) 790-5815
Photo of Nancy Lloyd, Licensed Professional Counselor, LPC
Nancy Lloyd
Licensed Professional Counselor, LPC
Charleston, SC 29401
I am a Licensed Professional Counselor specializing in relationship issues, grief and loss, life transitions, depression, eating disorders, trauma, recovery from substance abuse, anxiety, gender issues, and symptom management for chronic problems. Since graduating from The Citadel Graduate College in 2010, I have gained experience in both private practice and community mental health services. While I primarily work with adults, I also have significant experience working with adolescents and children, particularly when providing interventions for families.
I am a Licensed Professional Counselor specializing in relationship issues, grief and loss, life transitions, depression, eating disorders, trauma, recovery from substance abuse, anxiety, gender issues, and symptom management for chronic problems. Since graduating from The Citadel Graduate College in 2010, I have gained experience in both private practice and community mental health services. While I primarily work with adults, I also have significant experience working with adolescents and children, particularly when providing interventions for families.
(843) 202-4659 View (843) 202-4659
Photo of Liz Sullivan, Licensed Professional Counselor, LPC, LMHC, MEd, YRT
Liz Sullivan
Licensed Professional Counselor, LPC, LMHC, MEd, YRT
5 Endorsed
Charleston, SC 29401
Waitlist for new clients
I specialize in helping stressed out, busy achievers, like you, get control over anxiety, overthinking, and find their joy in life. My clients are often outwardly successful, hardworking, and the type of person who "has it all together", but underneath it all, they aren't happy. They may be going through a big change, navigating a divorce, grieving, or simply feeling dull and disappointed with what their current version of success actually feels like. Their mind never seems to quiet, they live in doubt, and are realizing that the current status quo is is derailing their relationships, health, and ability to actually enjoy life.
I specialize in helping stressed out, busy achievers, like you, get control over anxiety, overthinking, and find their joy in life. My clients are often outwardly successful, hardworking, and the type of person who "has it all together", but underneath it all, they aren't happy. They may be going through a big change, navigating a divorce, grieving, or simply feeling dull and disappointed with what their current version of success actually feels like. Their mind never seems to quiet, they live in doubt, and are realizing that the current status quo is is derailing their relationships, health, and ability to actually enjoy life.
(843) 894-7065 View (843) 894-7065
Photo of David Johnsen, Licensed Professional Counselor, LPC
David Johnsen
Licensed Professional Counselor, LPC
Charleston, SC 29401
I am a Licensed Professional Counselor Associate with 10 years of experience in the mental health field. I am passionate about helping adults of all ages and backgrounds navigate their unique challenges and live more fulfilled lives. I specialize in supporting individuals dealing with anxiety, depression, trauma, men's issues, relationship challenges, substance use disorders, and major life transitions.
I am a Licensed Professional Counselor Associate with 10 years of experience in the mental health field. I am passionate about helping adults of all ages and backgrounds navigate their unique challenges and live more fulfilled lives. I specialize in supporting individuals dealing with anxiety, depression, trauma, men's issues, relationship challenges, substance use disorders, and major life transitions.
(843) 920-3277 View (843) 920-3277
Photo of Adriana Mattingly, Clinical Social Work/Therapist, LISW-CP
Adriana Mattingly
Clinical Social Work/Therapist, LISW-CP
Charleston, SC 29401
Feeling stuck in what seems to be a never-ending cycle of self-doubt, anxiety, sadness, depression, or stress? Unsure of how to move forward in a purposeful and meaningful way? I am passionate about helping individuals and couples navigate the complexities of life, loss and trauma. I value the unique strengths, life experiences, and insights that encompass you and your story. While I have specific expertise in treating sexual trauma, I am also skilled in working with individuals and couples who are experiencing a variety of difficulties, including anxiety, depression, grief, and life transitions.
Feeling stuck in what seems to be a never-ending cycle of self-doubt, anxiety, sadness, depression, or stress? Unsure of how to move forward in a purposeful and meaningful way? I am passionate about helping individuals and couples navigate the complexities of life, loss and trauma. I value the unique strengths, life experiences, and insights that encompass you and your story. While I have specific expertise in treating sexual trauma, I am also skilled in working with individuals and couples who are experiencing a variety of difficulties, including anxiety, depression, grief, and life transitions.
(843) 896-6290 View (843) 896-6290
Photo of Laura Sabatini, Clinical Social Work/Therapist, LCSW
Laura Sabatini
Clinical Social Work/Therapist, LCSW
Charleston, SC 29401
As a Psychotherapist or Life Coach, our collaboration is rigorous, productive and fun. Often I ask questions, implement exercises or give homework with some outcomes in mind. Other times I am just excited to discover what else we learn. Then together we can develop action steps based on the best information. I enjoy saying that my specialty is working with anyone who chooses to walk in my door! I am always impressed with my clients' willingness to trust, and engage, in our work together to achieve their goals, make important changes, decrease pain, and expand understanding, happiness and passion.
As a Psychotherapist or Life Coach, our collaboration is rigorous, productive and fun. Often I ask questions, implement exercises or give homework with some outcomes in mind. Other times I am just excited to discover what else we learn. Then together we can develop action steps based on the best information. I enjoy saying that my specialty is working with anyone who chooses to walk in my door! I am always impressed with my clients' willingness to trust, and engage, in our work together to achieve their goals, make important changes, decrease pain, and expand understanding, happiness and passion.
(843) 491-0342 View (843) 491-0342
Photo of Jessie Rae Luttrell, Licensed Professional Counselor Associate, MA, LPCA, NCC
Jessie Rae Luttrell
Licensed Professional Counselor Associate, MA, LPCA, NCC
8 Endorsed
Online Only
Welcome! I’m Jessie Luttrell, founder of Ray of Hope Therapy, LLC. I’m dedicated to creating a safe, supportive environment where healing and personal growth can truly take place. As a Licensed Professional Counselor Associate I work with adolescents and adults, tailoring therapy to honor each person’s unique story. My experience spans a wide range of concerns, from academic stress and life transitions to complex trauma, with additional focus on grief, identity development, and relationships. I believe in a collaborative, empowering approach where clients have a space to build insight, learn new skills, and rediscover hope.
Welcome! I’m Jessie Luttrell, founder of Ray of Hope Therapy, LLC. I’m dedicated to creating a safe, supportive environment where healing and personal growth can truly take place. As a Licensed Professional Counselor Associate I work with adolescents and adults, tailoring therapy to honor each person’s unique story. My experience spans a wide range of concerns, from academic stress and life transitions to complex trauma, with additional focus on grief, identity development, and relationships. I believe in a collaborative, empowering approach where clients have a space to build insight, learn new skills, and rediscover hope.
(843) 604-5924 View (843) 604-5924
Photo of Mary Nicole Cook - Thriveworks Counseling & Psychiatry Charleston, Clinical Social Work/Therapist
Thriveworks Counseling & Psychiatry Charleston
Clinical Social Work/Therapist
Charleston, SC 29401
At Thriveworks, we're dedicated to providing top-tier mental health services that are easily accessible to everyone. With over 340 locations nationwide and flexible online therapy options, our professional therapists are equipped to assist you through any stress, life transitions, or ongoing mental health concerns. We prioritize your convenience and needs by offering flexible scheduling, including evening and weekend appointments, ensuring that you can start your therapy journey as early as this week. Plus, we accept most major insurance plans, making your path to mental health support smoother and more affordable.
At Thriveworks, we're dedicated to providing top-tier mental health services that are easily accessible to everyone. With over 340 locations nationwide and flexible online therapy options, our professional therapists are equipped to assist you through any stress, life transitions, or ongoing mental health concerns. We prioritize your convenience and needs by offering flexible scheduling, including evening and weekend appointments, ensuring that you can start your therapy journey as early as this week. Plus, we accept most major insurance plans, making your path to mental health support smoother and more affordable.
(843) 603-8677 View (843) 603-8677
Photo of Kimberly Comeau, Licensed Professional Counselor, LPC
Kimberly Comeau
Licensed Professional Counselor, LPC
Online Only
I help Christian women unravel the confusion of emotionally and spiritually abusive marriages-whether you're still unsure, just beginning to question, or already walking away. There's space here for your story, your faith, and your healing. You don’t need another professional voice telling you how to heal. You need someone who knows—someone who has walked through the fire, crawled through the ashes, and fought to reclaim her own life. That’s why I’m here.
I help Christian women unravel the confusion of emotionally and spiritually abusive marriages-whether you're still unsure, just beginning to question, or already walking away. There's space here for your story, your faith, and your healing. You don’t need another professional voice telling you how to heal. You need someone who knows—someone who has walked through the fire, crawled through the ashes, and fought to reclaim her own life. That’s why I’m here.
(854) 300-2593 View (854) 300-2593
Photo of C. Kirven Weekley, Psychologist, PhD
C. Kirven Weekley
Psychologist, PhD
Charleston, SC 29401
The exquisitely personal work we do in psychotherapy is one of the most challenging, and most richly rewarding efforts we can undertake. Seeking a deeper understanding of ourselves, healing pain from past relationships and pursuing a more energetic life are essential journeys to take. It is a privilege for me to accompany clients on this journey, holding the lantern that lights the way ahead and sharing in their struggle to find an invigorated life. This relationship is the foundation of healing and healthy change; a relationship with a therapist who is genuine, respectful, resourceful, compassionate, humorous and nonjudgmental.
The exquisitely personal work we do in psychotherapy is one of the most challenging, and most richly rewarding efforts we can undertake. Seeking a deeper understanding of ourselves, healing pain from past relationships and pursuing a more energetic life are essential journeys to take. It is a privilege for me to accompany clients on this journey, holding the lantern that lights the way ahead and sharing in their struggle to find an invigorated life. This relationship is the foundation of healing and healthy change; a relationship with a therapist who is genuine, respectful, resourceful, compassionate, humorous and nonjudgmental.
(843) 612-6461 View (843) 612-6461
Photo of Chandi Chapman, Psychologist, PsyD
Chandi Chapman
Psychologist, PsyD
5 Endorsed
Charleston, SC 29401
I enjoy working collaboratively with clients to help them find greater fulfillment within the various aspects of their lives, whether it's their sense of self, interpersonal relationships, or professional life. A strong therapeutic relationship has the ability to heal, to empower, and to initiate lasting change. It can help guide you through life's challenges so that you emerge stronger and wiser. I work with adults, couples and adolescents, many of whom seek therapy simply because they are feeling "stressed out" or "not as happy" as they'd like, while others may be experiencing more significant symptoms of depression and anxiety.
I enjoy working collaboratively with clients to help them find greater fulfillment within the various aspects of their lives, whether it's their sense of self, interpersonal relationships, or professional life. A strong therapeutic relationship has the ability to heal, to empower, and to initiate lasting change. It can help guide you through life's challenges so that you emerge stronger and wiser. I work with adults, couples and adolescents, many of whom seek therapy simply because they are feeling "stressed out" or "not as happy" as they'd like, while others may be experiencing more significant symptoms of depression and anxiety.
(843) 417-9275 View (843) 417-9275
Photo of Luciana Smalls, Licensed Professional Counselor, LPC
Luciana Smalls
Licensed Professional Counselor, LPC
Online Only
I am a Licensed Professional Counselor (LPC) with 7 years of experience in the mental health field. I enjoy working with individuals, families, and couples dealing with stress, life challenges, grief, and communication challenges. I have diverse experience working with individuals and families facing addiction, self-esteem issues, anxiety, foster care, kinship care, military families, medical challenges, stress, and time management.
I am a Licensed Professional Counselor (LPC) with 7 years of experience in the mental health field. I enjoy working with individuals, families, and couples dealing with stress, life challenges, grief, and communication challenges. I have diverse experience working with individuals and families facing addiction, self-esteem issues, anxiety, foster care, kinship care, military families, medical challenges, stress, and time management.
(843) 428-5579 View (843) 428-5579
Photo of Monica Marchant-Silva, Clinical Social Work/Therapist, LCSW, LISW-CP
Monica Marchant-Silva
Clinical Social Work/Therapist, LCSW, LISW-CP
Online Only
Life can be difficult to manage, whether you are going through a temporary rough patch in your life or you struggle with anxiety or depression. Emotions are a natural occurrence in our everyday life. However, some of us have more trouble dealing with these emotions, which, at times, can prove to be unbearable for some.
Life can be difficult to manage, whether you are going through a temporary rough patch in your life or you struggle with anxiety or depression. Emotions are a natural occurrence in our everyday life. However, some of us have more trouble dealing with these emotions, which, at times, can prove to be unbearable for some.
(843) 588-1772 View (843) 588-1772
Photo of Adam Sachs, Licensed Professional Counselor, LPC
Adam Sachs
Licensed Professional Counselor, LPC
Charleston, SC 29401
I am Adam Sachs, a Licensed Professional Counselor (LPC) and Nationally-Certified Counselor (NCC) with more than 6 years of experience. I work with adults, couples, families, and children age 12 and older who are dealing with issues such as depression, anxiety, AD/HD, anger, substance abuse, relationship struggles, work challenges, parenting, and stress management. I particularly enjoy working with individuals and couples who are committed to their treatment and goals, who show courage and persistence in their journey, and who aim to see the bigger picture of their lives and feel fully alive in the process.
I am Adam Sachs, a Licensed Professional Counselor (LPC) and Nationally-Certified Counselor (NCC) with more than 6 years of experience. I work with adults, couples, families, and children age 12 and older who are dealing with issues such as depression, anxiety, AD/HD, anger, substance abuse, relationship struggles, work challenges, parenting, and stress management. I particularly enjoy working with individuals and couples who are committed to their treatment and goals, who show courage and persistence in their journey, and who aim to see the bigger picture of their lives and feel fully alive in the process.
(843) 203-9851 View (843) 203-9851
Photo of Leah Donatelli, Counselor, LCMHCA, NCC
Leah Donatelli
Counselor, LCMHCA, NCC
7 Endorsed
Online Only
Are you the "golden child" who is great at taking care of and attuning to everyone but yourself? Would you like to explore how to rest, what you want for your life, and how to trust yourself? My specialities include anxiety, stress, creating healthy relationships with food, body image, self-care, and boundaries in relationships. Perhaps you're pretty good at discipline but maybe you've gotten a bit too good and now binge eating is taking over or an overall sense of loss of control. Let's listen to the lived experience of your body in this world and hear what it's asking for. It is time to find what you need to be well.
Are you the "golden child" who is great at taking care of and attuning to everyone but yourself? Would you like to explore how to rest, what you want for your life, and how to trust yourself? My specialities include anxiety, stress, creating healthy relationships with food, body image, self-care, and boundaries in relationships. Perhaps you're pretty good at discipline but maybe you've gotten a bit too good and now binge eating is taking over or an overall sense of loss of control. Let's listen to the lived experience of your body in this world and hear what it's asking for. It is time to find what you need to be well.
(828) 547-4972 View (828) 547-4972
Photo of Susan M McClure, Psychologist, PsyD
Susan M McClure
Psychologist, PsyD
Charleston, SC 29401
In my forty plus years of clinical practice I have worked with individuals, couples, families and business associates. Having treated many clients ages 18 to 89, I appreciate both the challenges and the opportunities that go with each life stage. I offer dream work and intensive depth psychotherapy for those who are committed to a deep process. : Visit my website: susanmcclurepsyd.com for a more thorough description of my approach to psychotherapy.
In my forty plus years of clinical practice I have worked with individuals, couples, families and business associates. Having treated many clients ages 18 to 89, I appreciate both the challenges and the opportunities that go with each life stage. I offer dream work and intensive depth psychotherapy for those who are committed to a deep process. : Visit my website: susanmcclurepsyd.com for a more thorough description of my approach to psychotherapy.
(843) 970-0012 View (843) 970-0012
Photo of Anthony Mallia, Licensed Professional Counselor Associate, LPCA
Anthony Mallia
Licensed Professional Counselor Associate, LPCA
1 Endorsed
Online Only
Does something feel off? Are you stressed, angry, or feeling disconnected from the people around you? Maybe you’re stuck in patterns that don’t make sense, or holding onto things you don’t feel comfortable talking about. You don’t have to do this alone. As a U.S. Army veteran, I bring a straightforward, no-nonsense approach to therapy. I focus on helping men face what’s really going on, without judgment and without fluff. Whether you’re dealing with relationship stress, anxiety, substance use, trauma, or just feeling lost, we’ll confront it head-on.
Does something feel off? Are you stressed, angry, or feeling disconnected from the people around you? Maybe you’re stuck in patterns that don’t make sense, or holding onto things you don’t feel comfortable talking about. You don’t have to do this alone. As a U.S. Army veteran, I bring a straightforward, no-nonsense approach to therapy. I focus on helping men face what’s really going on, without judgment and without fluff. Whether you’re dealing with relationship stress, anxiety, substance use, trauma, or just feeling lost, we’ll confront it head-on.
(843) 900-1728 View (843) 900-1728
Photo of Maureen L Porter, Psychologist, PhD
Maureen L Porter
Psychologist, PhD
1 Endorsed
Charleston, SC 29401
Not accepting new clients
I am a clinical psychologist with 35 years of experience. Relationship issues are my primary area of specialization. I offer comprehensive assessment and treatment to couples in all stages of relationship: premarital, transition to parenthood, issues unique to the blended family, separation, divorce and recovery after an affair. I have experience working with gay and lesbian couples. I've obtained advanced training in marital therapy at The Washington School of Psychiatry and at the Gottman Institute in Seattle.
I am a clinical psychologist with 35 years of experience. Relationship issues are my primary area of specialization. I offer comprehensive assessment and treatment to couples in all stages of relationship: premarital, transition to parenthood, issues unique to the blended family, separation, divorce and recovery after an affair. I have experience working with gay and lesbian couples. I've obtained advanced training in marital therapy at The Washington School of Psychiatry and at the Gottman Institute in Seattle.
(843) 639-5873 View (843) 639-5873

See more therapy options for 29401

How does your Therapist compare?

Number of Therapists in 29401

400+

Average cost per session

$150

Therapists in 29401 who prioritize treating:

96% Anxiety
88% Depression
78% Relationship Issues
76% Self Esteem
73% Coping Skills
73% Stress
69% Trauma and PTSD

Average years in practice

10 Years

Top 3 insurances accepted

77% Aetna
65% Cigna and Evernorth
63% BlueCross and BlueShield

How Therapists in 29401 see their clients

55% In Person and Online
45% Online Only

Gender breakdown

84% Female
15% Male
1% Non-Binary
FAQs - About Therapy and Counseling

How can I find a therapist in 29401?

Search for nearby therapists or counselors by inputting your city, town, or suburb; or zip code; or a provider’s name into the search bar. From there, you can filter providers by the issues they treat, cost, insurance, gender, and other factors to find providers who are well-suited to your needs. To navigate between locations within the same country, enter a new city or zip code into the search bar.

Learn more about how to find a therapist

Is everyone in the Psychology Today Therapy Directory a licensed therapist?

The Psychology Today directory lists providers who offer legitimate mental health services to the public, including psychologists, psychiatrists, social workers, and counselors.

Many have been licensed by the country or state where they practice; providers whose license or primary credential has been verified by Psychology Today are signified by a “Verified” symbol. Some clinicians or organizations provide services for which their state or country does not offer licenses, such as pastoral counseling. They may be selectively included without the “Verified” seal.

What’s the difference between a psychologist, a therapist, and a counselor?

Therapists, psychologists, and counselors are all licensed mental health professionals. In the US, psychologists have earned a doctoral degree. The terms “therapist” and “counselor” are used somewhat interchangeably, but generally therapists offer longer-term, mental health care, while counselors offer shorter-term care that may focus on one domain, such as marriage, career, or academic challenges.

Clients should consider factors such as insurance coverage and their primary reason(s) for seeking therapy to determine the type of professional best suited to their needs. Someone struggling with mental health challenges such as depression or anxiety, for example, may wish to seek out a clinical psychologist or therapist, while someone navigating career obstacles or marital upheaval may benefit from seeing a counselor who can offer short-term, targeted support.

What type of therapy is right for me?

The type of therapy best suited to a particular individual depends on several factors, including their primary reason for seeking therapy, their preferred timeline (some therapy types last for a set number of sessions, while others are open-ended), and their personality and preferences—some may prefer a more structured approach. For many individuals, multiple types of therapy could provide a good fit.

How much does therapy cost?

The cost of therapy depends on a number of variables, including location and the therapist’s experience and training. On average, a therapy session in the United States could cost between $100 and $200 or more. If you have insurance, the expense of mental health care is typically lower, but it varies based on your insurance plan details and whether you choose an in-network or out-of-network mental healthcare provider.

What are more affordable or low cost therapy solutions?

Many therapists offer sliding scale payments, usually on a limited number of slots, which consists in an agreement between the therapist and a client to pay a reduced rate. Therapists who provide such arrangements often consider the client's income or ability to pay, but the extent of the discount is ultimately at the therapist's discretion. Furthermore, while group therapy may have different goals and benefits compared to individual therapy, it can be a more affordable solution to address certain types of issues.

Is online therapy cheaper than in-person therapy?

Many therapists charge the same amount for online therapy as they do for in-person therapy—though clients may still find this cost-effective if it cuts down on their transportation costs. Health insurance plans often offer equivalent coverage for online and in-person therapy; indeed, in many places, they are legally required to do so. Text-based or on-demand therapy apps may be cheaper than traditional one-on-one psychotherapy; however, the practice may be less effective and is not likely to be covered by insurance.

Is online therapy a good option?

Therapy conducted online can be just as effective as in-person therapy, as long as there is a strong alliance between the client and the therapist. To find a therapist who provides telehealth services to clients in your area, click “Online Therapy” on the directory homepage and search by your city or town or your zip code.

Are therapy sessions confidential?

Confidentiality is a crucial part of the therapeutic relationship. Therapists in the United States are bound by the regulations set out by the Health Insurance Portability and Accountability Act of 1996 (HIPAA), which aims to protect sensitive health information. With very few exceptions, a therapist will only discuss their client with others when the client has given their written permission. The instances in which a therapist would be required to disclose personal information are: if a client poses a danger to themselves or others, if the therapist suspects the abuse of a child or an elderly or otherwise dependent adult, or if they are legally forced to by court order. These exceptions to the confidentiality agreement are usually discussed with a client before their first session.