Photo of Christina Hayes-Bradham, Licensed Professional Counselor in 29406, SC
Christina Hayes-Bradham
Licensed Professional Counselor, LPC, AADC
Verified Verified
North Charleston, SC 29406  (Online Only)
The relationship between a clinician and client is one that involves working together to accomplish a desired goal. My principle roll is to provide the client with accurate information about their condition or diagnosis and create a trusting, healthy, working relationship that produces individualized goals and objectives that address the specific needs of each client. The philosophy that guides my work with clients is person centered treatment.
The relationship between a clinician and client is one that involves working together to accomplish a desired goal. My principle roll is to provide the client with accurate information about their condition or diagnosis and create a trusting, healthy, working relationship that produces individualized goals and objectives that address the specific needs of each client. The philosophy that guides my work with clients is person centered treatment.
(843) 281-7954 View (843) 281-7954
Photo of Kylie Gorbsky, Pre-Licensed Professional in 29406, SC
Kylie Gorbsky
Pre-Licensed Professional, MA, LPC-A
Verified Verified
1 Endorsed
Children and adolescents whom are in need of navigating emotional/social/behavioral difficulties. Whether it be depression, anxiety, troubles in school or at home, I want to help guide and talk through any trying time. My businesses name is Bloom Into You because when we start therapy we are starting at our lowest point and over time, growing, evolving, and blooming into the best version of ourselves!
Children and adolescents whom are in need of navigating emotional/social/behavioral difficulties. Whether it be depression, anxiety, troubles in school or at home, I want to help guide and talk through any trying time. My businesses name is Bloom Into You because when we start therapy we are starting at our lowest point and over time, growing, evolving, and blooming into the best version of ourselves!
(843) 326-4368 View (843) 326-4368
Photo of Renee Floer, Licensed Professional Counselor in 29406, SC
Renee Floer
Licensed Professional Counselor, MS, LPC, NCC
Verified Verified
3 Endorsed
North Charleston, SC 29406  (Online Only)
If you're new to therapy or having reservations about trying it, you’re exactly who I’d love to meet! I offer a non-judgmental and relatable space to explore and make changes to the places in life you're feeling stuck. The most common issues I help people with are; anxiety, relationship transitions, mood instability, negative self-talk, guilt & shame, codependent behaviors such as 'people pleasing', feelings of inadequacy, and substance misuse. Many of my clients have experienced childhood trauma, sexual trauma, PTSD, or CPTSD. I have a particular passion for helping folks in the music & hospitality industries.
If you're new to therapy or having reservations about trying it, you’re exactly who I’d love to meet! I offer a non-judgmental and relatable space to explore and make changes to the places in life you're feeling stuck. The most common issues I help people with are; anxiety, relationship transitions, mood instability, negative self-talk, guilt & shame, codependent behaviors such as 'people pleasing', feelings of inadequacy, and substance misuse. Many of my clients have experienced childhood trauma, sexual trauma, PTSD, or CPTSD. I have a particular passion for helping folks in the music & hospitality industries.
(985) 241-7911 View (985) 241-7911
Photo of Lisa Fracica, Licensed Professional Counselor in 29406, SC
Lisa Fracica
Licensed Professional Counselor, MA, MFA, LPC
Verified Verified
Charleston, SC 29406  (Online Only)
Are you struggling with anxiety, depression, the effects of trauma, or relationship challenges? I provide a safe nonjudgmental space to facilitate your healing and growth. As a counselor, art therapist, and Ph.D. Mind Body Medicine degree candidate, I view clients holistically. When someone is experiencing anxiety or other mental health issues I work with them to make positive changes that reduce symptoms and lead to greater overall well-being. In addition, I help clients identify and change patterns of interacting with others that are causing challenges in their relationships.
Are you struggling with anxiety, depression, the effects of trauma, or relationship challenges? I provide a safe nonjudgmental space to facilitate your healing and growth. As a counselor, art therapist, and Ph.D. Mind Body Medicine degree candidate, I view clients holistically. When someone is experiencing anxiety or other mental health issues I work with them to make positive changes that reduce symptoms and lead to greater overall well-being. In addition, I help clients identify and change patterns of interacting with others that are causing challenges in their relationships.
(854) 204-4835 View (854) 204-4835
Photo of Monique Stinson, Clinical Social Work/Therapist in 29406, SC
Monique Stinson
Clinical Social Work/Therapist, LISW-CP, EAS-C, SAP
Verified Verified
2 Endorsed
Life is a journey that wasn't meant to be done alone. No matter the circumstances that led you here, I look forward to partnering with you through the process. I work to meet people where they are in their phase of life. My goal is to assist you in identifying your strengths, goals and passion to empower change. The name of my practice comes from the gem, Amethyst. Known as a meditative and calming stone that works in the emotional, spiritual, and physical planes to promote calm, balance and peace. That sums up my ultimate therapeutic goal.
Life is a journey that wasn't meant to be done alone. No matter the circumstances that led you here, I look forward to partnering with you through the process. I work to meet people where they are in their phase of life. My goal is to assist you in identifying your strengths, goals and passion to empower change. The name of my practice comes from the gem, Amethyst. Known as a meditative and calming stone that works in the emotional, spiritual, and physical planes to promote calm, balance and peace. That sums up my ultimate therapeutic goal.
(843) 647-7415 View (843) 647-7415
Photo of Golden Care Solutions LLC in 29406, SC
Golden Care Solutions LLC
MA, CPE
Verified Verified
I have been working as a therapist for 7 years but in the helping profession for 10 years. I enjoy working with couples, families, and individual's. I believe that many of the issues we deal with come from unhealthy relational boundaries.
I have been working as a therapist for 7 years but in the helping profession for 10 years. I enjoy working with couples, families, and individual's. I believe that many of the issues we deal with come from unhealthy relational boundaries.
(843) 604-1925 View (843) 604-1925
Photo of Melissa Sue Soule, Pre-Licensed Professional in 29406, SC
Melissa Sue Soule
Pre-Licensed Professional, MA, MEd
Verified Verified
1 Endorsed
Are you ready to make your tomorrow better than today? Do you need someone to listen and help you make that happen? Come spend some time with me and let's see how we can do that.
Are you ready to make your tomorrow better than today? Do you need someone to listen and help you make that happen? Come spend some time with me and let's see how we can do that.
(843) 890-3674 View (843) 890-3674
Photo of Emily Ritchie, Licensed Professional Counselor Associate in 29406, SC
Emily Ritchie
Licensed Professional Counselor Associate, LPCA, MA
Verified Verified
North Charleston, SC 29406  (Online Only)
It is my goal to provide an empathic and nonjudgmental environment for you to come as you are and share whatever is on your mind. My office is a safe space for you. I am here to come alongside you in your journey and give you tools that can help you along the way. I can help you work through things that have happened in your life that you can’t seem to move past, learn more effective cope strategies, establish healthy boundaries, develop a better understanding of yourself and why you do the things you do, and discover how to manage your emotions in a way that is helpful to you.
It is my goal to provide an empathic and nonjudgmental environment for you to come as you are and share whatever is on your mind. My office is a safe space for you. I am here to come alongside you in your journey and give you tools that can help you along the way. I can help you work through things that have happened in your life that you can’t seem to move past, learn more effective cope strategies, establish healthy boundaries, develop a better understanding of yourself and why you do the things you do, and discover how to manage your emotions in a way that is helpful to you.
(843) 326-4577 View (843) 326-4577
Photo of Mekensi Voss, Licensed Professional Counselor Associate in 29406, SC
Mekensi Voss
Licensed Professional Counselor Associate, LPCA
Verified Verified
It takes courage to begin the healing journey. Choosing to start therapy is a scary and brave step towards walking that path, and I truly believe we are not meant to do this journey alone. As a therapist, I consider this a sacred part of my job to help you reconnect to your most authentic self. Often times, that core self gets lost under the weight of stressors, personal issues, anxieties, etc. Let's find a way to help you tackle these together! I also have a special interest in working with individuals interested in incorporating spirituality into their therapy sessions.
It takes courage to begin the healing journey. Choosing to start therapy is a scary and brave step towards walking that path, and I truly believe we are not meant to do this journey alone. As a therapist, I consider this a sacred part of my job to help you reconnect to your most authentic self. Often times, that core self gets lost under the weight of stressors, personal issues, anxieties, etc. Let's find a way to help you tackle these together! I also have a special interest in working with individuals interested in incorporating spirituality into their therapy sessions.
(843) 507-5498 x9 View (843) 507-5498 x9
Photo of Dominique Darby, Licensed Professional Counselor in 29406, SC
Dominique Darby
Licensed Professional Counselor, LPC
Verified Verified
Dominique Darby is a Licensed Professional Counselor (LPC) with 11 years of experience in the mental health field. Dominique is intentional about helping others live the life they've imagined. She demonstrates compassion throughout her work with adolescents and adults, and actively supports them as they address their unique challenges. Dominique specializes in depression, anxiety, relationship issues, major life problems, women's issues, ADHD/ADD, and parenting issues.
Dominique Darby is a Licensed Professional Counselor (LPC) with 11 years of experience in the mental health field. Dominique is intentional about helping others live the life they've imagined. She demonstrates compassion throughout her work with adolescents and adults, and actively supports them as they address their unique challenges. Dominique specializes in depression, anxiety, relationship issues, major life problems, women's issues, ADHD/ADD, and parenting issues.
(843) 905-2258 View (843) 905-2258
Photo of Jacqueline Robinson, Licensed Professional Counselor Associate in 29406, SC
Jacqueline Robinson
Licensed Professional Counselor Associate, LPC-A
Verified Verified
1 Endorsed
North Charleston, SC 29406  (Online Only)
When you break your leg, you go to a doctor. Your car starts making a noise you see a mechanic. You start feeling stressed, angry or sad, who do you call? You should call me. Mental health is health care. Counseling with me is like talking to your closest friend. I take a person-centered approach, which allows you to live your experiences. I am just here to help you along the way to identify and dispute any life challenges you face. I have a non-judgmental approach when working with my clients. Currently, I do not accept insurance. Schedule a 15 min free pre-consultation visit, to see we are a good fit.
When you break your leg, you go to a doctor. Your car starts making a noise you see a mechanic. You start feeling stressed, angry or sad, who do you call? You should call me. Mental health is health care. Counseling with me is like talking to your closest friend. I take a person-centered approach, which allows you to live your experiences. I am just here to help you along the way to identify and dispute any life challenges you face. I have a non-judgmental approach when working with my clients. Currently, I do not accept insurance. Schedule a 15 min free pre-consultation visit, to see we are a good fit.
(843) 890-8273 View (843) 890-8273
Photo of Patricia Costilla, Licensed Professional Counselor in 29406, SC
Patricia Costilla
Licensed Professional Counselor, MS, LPC
Verified Verified
Life stressors can be overwhelming and life changing. And change is not always easy. Stress can be overwhelming and quickly take over our lives. Stress is often the start pointing of depression and anxiety. Stress makes it difficult to set boundaries, participate in self-care, communicate, and several other factors that drive our life forward. We often find ourselves with a deficit in more than one area of life. It is important to identify and process out the source of the stress be it physical health, trauma, spiritual, family, social, career, finances, or romantic relationships.
Life stressors can be overwhelming and life changing. And change is not always easy. Stress can be overwhelming and quickly take over our lives. Stress is often the start pointing of depression and anxiety. Stress makes it difficult to set boundaries, participate in self-care, communicate, and several other factors that drive our life forward. We often find ourselves with a deficit in more than one area of life. It is important to identify and process out the source of the stress be it physical health, trauma, spiritual, family, social, career, finances, or romantic relationships.
(843) 695-9997 View (843) 695-9997
Photo of Mandy Carr, Counselor in 29406, SC
Mandy Carr
Counselor, MA, LPC
Verified Verified
7 Endorsed
Waitlist for new clients
A healthy mind leads to a happier life. Seeking therapy can be the most challenging yet rewarding step towards healing. As a licensed professional counselor, I am dedicated to providing a safe and nurturing environment to help you work through any challenges you may be experiencing and establish and achieve the goals you have for your life. My approach is client-centered in nature, focusing on providing compassion, understanding, and support; while helping you work through any current or past challenges you may have. I've worked in residential, in-home and outpatient settings, utilizing a variety of research based techniques.
A healthy mind leads to a happier life. Seeking therapy can be the most challenging yet rewarding step towards healing. As a licensed professional counselor, I am dedicated to providing a safe and nurturing environment to help you work through any challenges you may be experiencing and establish and achieve the goals you have for your life. My approach is client-centered in nature, focusing on providing compassion, understanding, and support; while helping you work through any current or past challenges you may have. I've worked in residential, in-home and outpatient settings, utilizing a variety of research based techniques.
(843) 326-4613 View (843) 326-4613
Photo of Shanta Barron-Millan, Clinical Social Work/Therapist in 29406, SC
Shanta Barron-Millan
Clinical Social Work/Therapist, LISW-CP
Verified Verified
North Charleston, SC 29406  (Online Only)
Shanta Barron-Millan is a Licensed Independent Social Worker-Clinical Practice (LISW-CP) in the state of South Carolina who has over 20 years experience working with diverse populations and in various settings. She completed her Bachelor of Science degree in Sociology at Voorhees College in Denmark, South Carolina. She furthered her education at the University of Pittsburgh where she received her Master of Social Work degree with a specialization in Direct Practice – Children, Youth and Families. She also completed the Home School Visitor (HSV) and the Child Welfare Certificate Program (CWCP).
Shanta Barron-Millan is a Licensed Independent Social Worker-Clinical Practice (LISW-CP) in the state of South Carolina who has over 20 years experience working with diverse populations and in various settings. She completed her Bachelor of Science degree in Sociology at Voorhees College in Denmark, South Carolina. She furthered her education at the University of Pittsburgh where she received her Master of Social Work degree with a specialization in Direct Practice – Children, Youth and Families. She also completed the Home School Visitor (HSV) and the Child Welfare Certificate Program (CWCP).
(843) 632-5941 View (843) 632-5941
Photo of Timothy W Latsko, Licensed Professional Counselor in 29406, SC
Timothy W Latsko
Licensed Professional Counselor, MA, LPC , LMFT
Verified Verified
Charleston, SC 29406  (Online Only)
Psychotherapy is a lifelong arduous learning and self exploration process that will improve the quality of life. I approach therapy with genuineness, unconditional positive regard, accurate empathy, and respect. I will competently employ techniques in which I have received training to assist you in reaching your goals. Technics I may use are EMDR, hypnosis, confrontation, desensitization, homework, humor, imagery, 'I' statements, modeling, psychodrama, journal writing and role-playing. If through the course of psychotherapy an acceptable degree of progress is not reached, I will refer you to another licensed professional.
Psychotherapy is a lifelong arduous learning and self exploration process that will improve the quality of life. I approach therapy with genuineness, unconditional positive regard, accurate empathy, and respect. I will competently employ techniques in which I have received training to assist you in reaching your goals. Technics I may use are EMDR, hypnosis, confrontation, desensitization, homework, humor, imagery, 'I' statements, modeling, psychodrama, journal writing and role-playing. If through the course of psychotherapy an acceptable degree of progress is not reached, I will refer you to another licensed professional.
(843) 281-7622 View (843) 281-7622
Photo of Brett Leach - Ellie Mental Health (Summerville-Trident), Licensed Professional Counselor Associate in 29406, SC
Brett Leach - Ellie Mental Health (Summerville-Trident)
Licensed Professional Counselor Associate, MA, LPC-A
Verified Verified
1 Endorsed
My graduate studies at The Citadel & service in the USAF have provided me with unique perspective, skills, & knowledge that I can utilize to continue serving others in a worthwhile endeavor. Cognitive Behavioral Therapy & ACT serve as my fundamental evidence-based approaches to counseling. I have experience in treating anxiety; depression; panic attacks; trauma and PTSD; substance use disorders; anger management; grief; identity & self-esteem issues; couples counseling; and I am continuously expanding my knowledge and experience as a counselor.
My graduate studies at The Citadel & service in the USAF have provided me with unique perspective, skills, & knowledge that I can utilize to continue serving others in a worthwhile endeavor. Cognitive Behavioral Therapy & ACT serve as my fundamental evidence-based approaches to counseling. I have experience in treating anxiety; depression; panic attacks; trauma and PTSD; substance use disorders; anger management; grief; identity & self-esteem issues; couples counseling; and I am continuously expanding my knowledge and experience as a counselor.
(843) 890-0462 View (843) 890-0462
Photo of Denise Walker, Licensed Professional Counselor Associate in 29406, SC
Denise Walker
Licensed Professional Counselor Associate, LPCA
Verified Verified
Imagine feeling capable even in times of stress, knowing you are enough. You show up for people day in and day out. But now is the time to learn how to care for yourself with long-term results. I love working with adolescents and adults to better manage their lives, emotions, and levels of distress which result from depression, anxiety, low self-esteem, past trauma, relational discord and significant life challenges/transitions. Coming from a Latino background, I understand that mental health is not customarily acknowledged, and my goal is to create a safe space to learn about generational maladaptive influences and heal from them.
Imagine feeling capable even in times of stress, knowing you are enough. You show up for people day in and day out. But now is the time to learn how to care for yourself with long-term results. I love working with adolescents and adults to better manage their lives, emotions, and levels of distress which result from depression, anxiety, low self-esteem, past trauma, relational discord and significant life challenges/transitions. Coming from a Latino background, I understand that mental health is not customarily acknowledged, and my goal is to create a safe space to learn about generational maladaptive influences and heal from them.
(843) 287-9467 View (843) 287-9467
Photo of Jennifer S Brown, Licensed Professional Counselor in 29406, SC
Jennifer S Brown
Licensed Professional Counselor, LPC
Verified Verified
Jennifer will equip you with the skills you need through a cooperative and collaborative relationship that focuses on your strengths that already exist. Her approach is that of a wellness model as she believes most people hold their own answers and solutions to their challenges but simply need a safe place in which to share experiences, improve insight and self-awareness and explore solutions. She recognizes that everyone has a story. She doesn’t believe in putting clients where she thinks they need to be but, rather, in meeting them where they are. She serves as a guide to help you discover your own solutions.
Jennifer will equip you with the skills you need through a cooperative and collaborative relationship that focuses on your strengths that already exist. Her approach is that of a wellness model as she believes most people hold their own answers and solutions to their challenges but simply need a safe place in which to share experiences, improve insight and self-awareness and explore solutions. She recognizes that everyone has a story. She doesn’t believe in putting clients where she thinks they need to be but, rather, in meeting them where they are. She serves as a guide to help you discover your own solutions.
(843) 620-1170 View (843) 620-1170
Photo of Dena M Ewing, Licensed Professional Counselor in 29406, SC
Dena M Ewing
Licensed Professional Counselor, LPC, ATR-BC
Verified Verified
If you have had trouble communicating with your therapist/others or with traditional talk therapy approaches, you have come to the right place. My name is Dena Ewing and I am a board certified art therapist that specializes in trauma therapy and somatic practices to resolve emotional pain and suffering. Many people I treat have often tried different therapies in the past with limited success. My approach to resolving long standing anxiety, trauma and/or depression is by taking a "bottom up" approach, meaning we work with gently connecting to the body first to let it inform the next steps in healing.
If you have had trouble communicating with your therapist/others or with traditional talk therapy approaches, you have come to the right place. My name is Dena Ewing and I am a board certified art therapist that specializes in trauma therapy and somatic practices to resolve emotional pain and suffering. Many people I treat have often tried different therapies in the past with limited success. My approach to resolving long standing anxiety, trauma and/or depression is by taking a "bottom up" approach, meaning we work with gently connecting to the body first to let it inform the next steps in healing.
(843) 612-6366 View (843) 612-6366
Photo of Jeannelle Perkins-Muhammad, Marriage & Family Therapist in 29406, SC
Jeannelle Perkins-Muhammad
Marriage & Family Therapist, PhD, LMFT-S, EMDR
Verified Verified
Charleston, SC 29406
Dr. Perkins has more than 20 years of experience counseling individuals and families, I empower clients to be authentic. You'll immediately feel at ease as I focus on helping you discover your value; work to become fully inspired to achieve a deeper connection from a place of compassion, balance, and wholeness as you create healthy and happy relationships in life overall. We can work through trauma, communication, anger, relationship, sex, finance, parenting, anxiety, depression, addiction concerns, and more.
Dr. Perkins has more than 20 years of experience counseling individuals and families, I empower clients to be authentic. You'll immediately feel at ease as I focus on helping you discover your value; work to become fully inspired to achieve a deeper connection from a place of compassion, balance, and wholeness as you create healthy and happy relationships in life overall. We can work through trauma, communication, anger, relationship, sex, finance, parenting, anxiety, depression, addiction concerns, and more.
(843) 732-4334 View (843) 732-4334

How does your Therapist compare?

Number of Therapists in 29406

70+

Average cost per session

$135

Therapists in 29406 who prioritize treating:

92% Anxiety
90% Depression
76% Stress
72% Trauma and PTSD
71% Self Esteem
69% Relationship Issues
68% Coping Skills

Average years in practice

8 Years

Top 3 insurances accepted

78% Cigna and Evernorth
76% Aetna
70% BlueCross and BlueShield

How Therapists in 29406 see their clients

68% In Person and Online
32% Online Only

Gender breakdown

82% Female
16% Male
2% Non-Binary
FAQs - About Therapy and Counseling

How can I find a therapist in 29406?

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.