Therapists in Matthews, NC

Photo of Kelly Callahan, Clinical Social Work/Therapist in Matthews, NC
Kelly Callahan
Clinical Social Work/Therapist, LCSW
Verified Verified
Matthews, NC 28105
Kelly Callahan, LCSW Kelly Callahan is a Licensed Clinical Social Worker in North Carolina who has been practicing since 2018. She received her MSW from Florida State University. Kelly believes that therapy should be approached from a holistic perspective, emphasizing all aspects of the individual and fostering the therapeutic relationship. She utilizes a combination of modalities with a primary focus on cognitive behavioral therapy to achieve these goals. In her spare time, Kelly enjoys painting, yoga, and spending time with her family.
Kelly Callahan, LCSW Kelly Callahan is a Licensed Clinical Social Worker in North Carolina who has been practicing since 2018. She received her MSW from Florida State University. Kelly believes that therapy should be approached from a holistic perspective, emphasizing all aspects of the individual and fostering the therapeutic relationship. She utilizes a combination of modalities with a primary focus on cognitive behavioral therapy to achieve these goals. In her spare time, Kelly enjoys painting, yoga, and spending time with her family.
(704) 313-1658 View (704) 313-1658
Photo of John Hartline, Clinical Social Work/Therapist in Matthews, NC
John Hartline
Clinical Social Work/Therapist, LCSW, MDiv
Verified Verified
1 Endorsed
Matthews, NC 28105  (Online Only)
Most of my life has been devoted to professional counseling. I bring passion and dedication to my clients. I work with both adults and adolescents. I experience my greatest joy as they achieve their goals and experience healing.I use an integrative approach to therapy inspired by a variety of evidence based practices, including, but not limited to, cognitive behavioral therapy (CBT), solution focused therapy, and mindfulness. I've received advanced training in CBT, having successfully completed a cognitive behavioral therapy certificate course led by Dr. John Ludgate, who trained under Dr. Aron Beck, founder of cognitive therapy.
Most of my life has been devoted to professional counseling. I bring passion and dedication to my clients. I work with both adults and adolescents. I experience my greatest joy as they achieve their goals and experience healing.I use an integrative approach to therapy inspired by a variety of evidence based practices, including, but not limited to, cognitive behavioral therapy (CBT), solution focused therapy, and mindfulness. I've received advanced training in CBT, having successfully completed a cognitive behavioral therapy certificate course led by Dr. John Ludgate, who trained under Dr. Aron Beck, founder of cognitive therapy.
(412) 275-5130 View (412) 275-5130
Photo of Walgren Counseling, PLLC in Matthews, NC
Walgren Counseling, PLLC
MSW, LCSW, LISW-CP
Verified Verified
Matthews, NC 28105
At Walgren Counseling, PLLC we have 20 therapists. Although each has a unique set of training & experience, our approach to working with you is similar. We all have a holistic, client-centered, and tailored approach. Rather than identifying an ideal client, we believe in developing a relationship with you that will be most helpful to you. Our therapists strive to bring out each person's ability to find balance and healing from within. Our entire office, from office staff to clinician, is committed to making you feel well-cared for.
At Walgren Counseling, PLLC we have 20 therapists. Although each has a unique set of training & experience, our approach to working with you is similar. We all have a holistic, client-centered, and tailored approach. Rather than identifying an ideal client, we believe in developing a relationship with you that will be most helpful to you. Our therapists strive to bring out each person's ability to find balance and healing from within. Our entire office, from office staff to clinician, is committed to making you feel well-cared for.
(704) 312-4364 View (704) 312-4364
Photo of Jim Cress, Licensed Professional Counselor in Matthews, NC
Jim Cress
Licensed Professional Counselor, MA, LPC, CSAT, CMAT
Verified Verified
1 Endorsed
Matthews, NC 28105
Waitlist for new clients
"We have more help than you have problems." I have been walking with people in their life stories for many years. My office is a shame-free, safe place for my clients to be vulnerable, open, and to take a deeper look at what is hindering them from being the best version of themselves. Counseling is an important investment of a person's time and money. I listen actively and work hard for my clients in their sessions to help them experience the life change and healing they are looking for. Most of my therapy work is done in 3 day Counseling Intensives for individuals and couples. My Intensive fee is $7500 for 3 days.
"We have more help than you have problems." I have been walking with people in their life stories for many years. My office is a shame-free, safe place for my clients to be vulnerable, open, and to take a deeper look at what is hindering them from being the best version of themselves. Counseling is an important investment of a person's time and money. I listen actively and work hard for my clients in their sessions to help them experience the life change and healing they are looking for. Most of my therapy work is done in 3 day Counseling Intensives for individuals and couples. My Intensive fee is $7500 for 3 days.
(704) 707-3959 View (704) 707-3959
Photo of Bill Stewart, Counselor in Matthews, NC
Bill Stewart
Counselor, MA, LCMHCA, NCC
Verified Verified
Matthews, NC 28105
I firmly believe in two core tenets to therapy: no judgment and confidentiality. I strive to make you feel comfortable enough to share your challenging experiences and thoughts. I see a variety of clients with a focus on depression, anxiety, PTSD, moral injury, and gender dysphoria. I have a passion for working with the military community as I am a veteran. Additionally, I have a passion for supporting marginalized and vulnerable communities to include the LGBTQ+ communities.
I firmly believe in two core tenets to therapy: no judgment and confidentiality. I strive to make you feel comfortable enough to share your challenging experiences and thoughts. I see a variety of clients with a focus on depression, anxiety, PTSD, moral injury, and gender dysphoria. I have a passion for working with the military community as I am a veteran. Additionally, I have a passion for supporting marginalized and vulnerable communities to include the LGBTQ+ communities.
(704) 850-9629 View (704) 850-9629
Photo of Patrick Balsley, Drug & Alcohol Counselor in Matthews, NC
Patrick Balsley
Drug & Alcohol Counselor, CADC
Verified Verified
4 Endorsed
Matthews, NC 28105
Patrick Balsley is a North Carolina Addiction Specialists Professional Practice Board Certified Alcohol and Drug Counselor and Structured Family Recovery® Counselor who has dedicated his life to serving individuals and families struggling with addiction.
Patrick Balsley is a North Carolina Addiction Specialists Professional Practice Board Certified Alcohol and Drug Counselor and Structured Family Recovery® Counselor who has dedicated his life to serving individuals and families struggling with addiction.
(704) 385-7319 View (704) 385-7319
Photo of Caroline Cotto/Progress to Peace, Clinical Social Work/Therapist in Matthews, NC
Caroline Cotto/Progress to Peace
Clinical Social Work/Therapist, MSW, LCSW, LCAS, CCS
Verified Verified
Matthews, NC 28105
Seeking a counselor can be hard, even scary. I provide a welcoming place that is quiet, safe and relaxing. This is your time to decide what you most want, what changes you can make, and how to do it. At your initial visit you get to tell your story and discuss your goals. Within our first meeting we create a plan for how to make the changes you want. There's no rush and no pressure. I believe everyone has the power to get the life they want. It will take some work, and you now have a partner to guide you there.
Seeking a counselor can be hard, even scary. I provide a welcoming place that is quiet, safe and relaxing. This is your time to decide what you most want, what changes you can make, and how to do it. At your initial visit you get to tell your story and discuss your goals. Within our first meeting we create a plan for how to make the changes you want. There's no rush and no pressure. I believe everyone has the power to get the life they want. It will take some work, and you now have a partner to guide you there.
(704) 594-8047 View (704) 594-8047
Photo of Liz Hatzispiros, Licensed Professional Counselor in Matthews, NC
Liz Hatzispiros
Licensed Professional Counselor, MA, LCMHC, RPT
Verified Verified
12 Endorsed
Matthews, NC 28105
Anxiety, stress, and sadness are a normal part of life, but when these feelings start to take over and inhabit multiple area's of life in a profoundly negative way, something needs to change. You're tired of people telling you it will get better, but with no real support of how. You're afraid of expressing these thoughts to your friends or family because of them sticking a label or diagnosis on you, but you really want to talk to someone about it. You're worried it's something you've done and are not sure how to grow or change.
Anxiety, stress, and sadness are a normal part of life, but when these feelings start to take over and inhabit multiple area's of life in a profoundly negative way, something needs to change. You're tired of people telling you it will get better, but with no real support of how. You're afraid of expressing these thoughts to your friends or family because of them sticking a label or diagnosis on you, but you really want to talk to someone about it. You're worried it's something you've done and are not sure how to grow or change.
(704) 741-8018 View (704) 741-8018
Photo of Paige Shaw, Clinical Social Work/Therapist in Matthews, NC
Paige Shaw
Clinical Social Work/Therapist, LCSW
Verified Verified
Matthews, NC 28105
Paige Shaw is a Licensed Clinical Social Worker in North Carolina who has been practicing since 2019. She earned a BSW and MSW at The University of Kentucky. Paige can help a client by holding a space for them to come and share what has been on their mind, work through a specific challenge, help them learn how to regulate emotions, and/or improve communication. She offers different perspectives, coping skills, and a safe space to process. Paige meets the client where they are at with what they want to work on. This looks different for each age and individual, and she adapts to each client she is working with.
Paige Shaw is a Licensed Clinical Social Worker in North Carolina who has been practicing since 2019. She earned a BSW and MSW at The University of Kentucky. Paige can help a client by holding a space for them to come and share what has been on their mind, work through a specific challenge, help them learn how to regulate emotions, and/or improve communication. She offers different perspectives, coping skills, and a safe space to process. Paige meets the client where they are at with what they want to work on. This looks different for each age and individual, and she adapts to each client she is working with.
(704) 610-0240 View (704) 610-0240
Photo of Jackie Quartuccio, Clinical Social Work/Therapist in Matthews, NC
Jackie Quartuccio
Clinical Social Work/Therapist, LCSW
Verified Verified
1 Endorsed
Matthews, NC 28105
My counseling experience includes working with children, adolescents, adults, couples, and families. I have provided counseling assistance for various issues including depression, anxiety, adoption, pregnancy, women's issues, parenting skills, pre-marital counseling, and issues related to domestic violence. I have expertise in Christian counseling and can incorporate faith to whatever degree you are comfortable.
My counseling experience includes working with children, adolescents, adults, couples, and families. I have provided counseling assistance for various issues including depression, anxiety, adoption, pregnancy, women's issues, parenting skills, pre-marital counseling, and issues related to domestic violence. I have expertise in Christian counseling and can incorporate faith to whatever degree you are comfortable.
(980) 294-3779 View (980) 294-3779
Photo of Chelsea Brianne Carman in Matthews, NC
Chelsea Brianne Carman
MA
Verified Verified
Matthews, NC 28105
Throughout my career (so far) I have witnessed many individuals struggle and wrestle with their mental health and their faith. There is a stigma that rests within the church and mental health that is still present today so many Christians are faced with masking their mental health. I am here to say that this should not be. You can struggle with mental health concerns and remain a believer and child of God. I am here to meet you where you are at and work through your symptoms, one step at a time. I also have found that people forego their mental health due to financial strains. You don't have to do that with me. Give me a call.
Throughout my career (so far) I have witnessed many individuals struggle and wrestle with their mental health and their faith. There is a stigma that rests within the church and mental health that is still present today so many Christians are faced with masking their mental health. I am here to say that this should not be. You can struggle with mental health concerns and remain a believer and child of God. I am here to meet you where you are at and work through your symptoms, one step at a time. I also have found that people forego their mental health due to financial strains. You don't have to do that with me. Give me a call.
(704) 981-6370 View (704) 981-6370
Photo of Ed Nissen, Clinical Social Work/Therapist in Matthews, NC
Ed Nissen
Clinical Social Work/Therapist, MSW, LCSW
Verified Verified
7 Endorsed
Matthews, NC 28105
“For scientific discovery, give me Scott; for speed and efficiency of travel, give me Amundsen; but when you are in a hopeless situation, when you are seeing no way out, get down on your knees and pray for Shackleton.” —Sir Raymond Priestley. Ernest Shackleton, best known for his Antarctic expeditions, in which during the 1914-1916 Endurance expedition, heroically led his crew to safety after their ship was trapped and crushed by Antarctic ice, exemplifying leadership skills in navigating extreme hardships.
“For scientific discovery, give me Scott; for speed and efficiency of travel, give me Amundsen; but when you are in a hopeless situation, when you are seeing no way out, get down on your knees and pray for Shackleton.” —Sir Raymond Priestley. Ernest Shackleton, best known for his Antarctic expeditions, in which during the 1914-1916 Endurance expedition, heroically led his crew to safety after their ship was trapped and crushed by Antarctic ice, exemplifying leadership skills in navigating extreme hardships.
(704) 766-8640 View (704) 766-8640
Photo of Abdo Counseling and Consulting, PLLC, Clinical Social Work/Therapist in Matthews, NC
Abdo Counseling and Consulting, PLLC
Clinical Social Work/Therapist, LCSW, ACSW
Verified Verified
3 Endorsed
Matthews, NC 28105
Perfection and anxiety can make you feel overwhelmed and out of control. The anxious feeling can make you feel constantly scattered, not having a relaxing moment. Your brain is always on go. The desire to be perfect is a struggle to reach, and not obtainable. Therapy can help your brain slow down, calm down, and stop having a escalating desire to panic. You can turn your life around and enjoy it the way you want.
Perfection and anxiety can make you feel overwhelmed and out of control. The anxious feeling can make you feel constantly scattered, not having a relaxing moment. Your brain is always on go. The desire to be perfect is a struggle to reach, and not obtainable. Therapy can help your brain slow down, calm down, and stop having a escalating desire to panic. You can turn your life around and enjoy it the way you want.
(980) 404-2251 View (980) 404-2251
Photo of Erica Kerr Sued, Lic Clinical Mental Health Counselor Associate in Matthews, NC
Erica Kerr Sued
Lic Clinical Mental Health Counselor Associate, LCMHCA
Verified Verified
Matthews, NC 28104
I have counseling experience working with a diverse clientele within the adult population. I serve adults in different stages of life, as well as religions backgrounds. I believe that all people have an innate desire to have a fulfilling and purposeful life. Inevitable stress, anxiety, crisis, trauma, and sadness that accompany life can leave unhealed wounds and drive human beings to develop healthy and unhealthy coping mechanisms, as well as perceptions about life that serve to protect them against future hardships. However, unhealthy coping strategies can continue to cause problems in our lives.
I have counseling experience working with a diverse clientele within the adult population. I serve adults in different stages of life, as well as religions backgrounds. I believe that all people have an innate desire to have a fulfilling and purposeful life. Inevitable stress, anxiety, crisis, trauma, and sadness that accompany life can leave unhealed wounds and drive human beings to develop healthy and unhealthy coping mechanisms, as well as perceptions about life that serve to protect them against future hardships. However, unhealthy coping strategies can continue to cause problems in our lives.
(704) 981-8267 View (704) 981-8267
Photo of Sonja Buckles-Smith in Matthews, NC
Sonja Buckles-Smith
MA, LCMHCS
Verified Verified
2 Endorsed
Matthews, NC 28105
Waitlist for new clients
I strive to help people discover their purpose, increase self-awareness, and empower them to be the outstanding individuals they are capable of being. By discarding emotional baggage, often years of hurt, pain, guilt and shame; you can rediscover your purpose, live a more fulfilling life, and regain your natural balance.
I strive to help people discover their purpose, increase self-awareness, and empower them to be the outstanding individuals they are capable of being. By discarding emotional baggage, often years of hurt, pain, guilt and shame; you can rediscover your purpose, live a more fulfilling life, and regain your natural balance.
(704) 251-6025 View (704) 251-6025
Photo of Rose M LeDay, Psychologist in Matthews, NC
Rose M LeDay
Psychologist, PhD
Verified Verified
5 Endorsed
Matthews, NC 28105
I am a clinician who believes in meeting you where you are in an effort to help you get where you'd like to be. I am comfortable working with a variety of emotional and behavioral challenges, as well as a myriad of mental health diagnoses. I believe that growth and change are possible with time, effort, and commitment. I look forward to helping you reach your goals and participating in your journey to wellness.
I am a clinician who believes in meeting you where you are in an effort to help you get where you'd like to be. I am comfortable working with a variety of emotional and behavioral challenges, as well as a myriad of mental health diagnoses. I believe that growth and change are possible with time, effort, and commitment. I look forward to helping you reach your goals and participating in your journey to wellness.
(704) 659-0330 View (704) 659-0330
Photo of Jenica Cannella, Clinical Social Work/Therapist in Matthews, NC
Jenica Cannella
Clinical Social Work/Therapist, MSW, LCSWA
Verified Verified
Matthews, NC 28105
Are you navigating neurodivergence, anxiety, or life transitions as a woman? I specialize in late-diagnosed ADHD and autism. Being late diagnosed neurodivergent myself, I deeply understand the complexities of juggling parenting, family, career, and social aspects of life. I'm here to help you work through these challenges, empowering you towards growth and healing. I also work with children ages 5-12 in the areas of ADHD, emotional regulation, anxiety, and going between split households. I am an adoption competent therapist and work with adoptees and adoptive parents.
Are you navigating neurodivergence, anxiety, or life transitions as a woman? I specialize in late-diagnosed ADHD and autism. Being late diagnosed neurodivergent myself, I deeply understand the complexities of juggling parenting, family, career, and social aspects of life. I'm here to help you work through these challenges, empowering you towards growth and healing. I also work with children ages 5-12 in the areas of ADHD, emotional regulation, anxiety, and going between split households. I am an adoption competent therapist and work with adoptees and adoptive parents.
(704) 360-5405 View (704) 360-5405
Photo of Maris Williams, Counselor in Matthews, NC
Maris Williams
Counselor
Verified Verified
Matthews, NC 28105
Maris Williams is a Licensed Clinical Mental Health Counselor Associate who earned her master's degree in Counselor Education from Georgia Southern University. She has over 20 years of experience helping children, youth, and adults as a mentor and in leadership positions prior to becoming a counselor. Maris specializes in helping youth and adults with anxiety, depression, identity issues, life transitions, trauma, and grief. She believes the heart of counseling is welcoming and accepting people as they are, helping them reach their personal goals, and guiding them towards more peaceful, authentic, and joy-filled lives.
Maris Williams is a Licensed Clinical Mental Health Counselor Associate who earned her master's degree in Counselor Education from Georgia Southern University. She has over 20 years of experience helping children, youth, and adults as a mentor and in leadership positions prior to becoming a counselor. Maris specializes in helping youth and adults with anxiety, depression, identity issues, life transitions, trauma, and grief. She believes the heart of counseling is welcoming and accepting people as they are, helping them reach their personal goals, and guiding them towards more peaceful, authentic, and joy-filled lives.
(704) 255-4468 View (704) 255-4468
Photo of Mariel Arru, Counselor in Matthews, NC
Mariel Arru
Counselor, MA, LCMHC, NCC, RN
Verified Verified
4 Endorsed
Matthews, NC 28105
You feel like you should be happy and fulfilled with the life you've built. You only wish you were as happy on the inside as you look on the outside. Many of my clients are seen as "having it together," however, inside they've grown numb, tired, restless, and empty. They feel stuck in behavior and thought patterns that they can't seem to change. Their relationships have become unsatisfying. The demands of life feel increasingly heavy. They long for something or someone to help them move in a new direction.
You feel like you should be happy and fulfilled with the life you've built. You only wish you were as happy on the inside as you look on the outside. Many of my clients are seen as "having it together," however, inside they've grown numb, tired, restless, and empty. They feel stuck in behavior and thought patterns that they can't seem to change. Their relationships have become unsatisfying. The demands of life feel increasingly heavy. They long for something or someone to help them move in a new direction.
(704) 272-2390 View (704) 272-2390
Photo of Lola Sanford, Licensed Professional Counselor in Matthews, NC
Lola Sanford
Licensed Professional Counselor, LCMHC, LCAS
Verified Verified
8 Endorsed
Matthews, NC 28105
Ideally, you would like to live a life that is fulfilling and authentic. Maybe there have been roadblocks that have slowed you down or perhaps brought you to a dead stop. I am committed to seeing people move from emotional limitations into freedom, able to maximize potential and walk in their full destiny. You are not a victim! Be brave and address anger, self-esteem, grief, emptiness. It is important to deal with painful issues of the past. We will work creatively to address the distinct areas of your life that may be hurting.
Ideally, you would like to live a life that is fulfilling and authentic. Maybe there have been roadblocks that have slowed you down or perhaps brought you to a dead stop. I am committed to seeing people move from emotional limitations into freedom, able to maximize potential and walk in their full destiny. You are not a victim! Be brave and address anger, self-esteem, grief, emptiness. It is important to deal with painful issues of the past. We will work creatively to address the distinct areas of your life that may be hurting.
(704) 869-2635 View (704) 869-2635

How does your Therapist compare?

Number of Therapists in Matthews, NC

300+

Average cost per session

$135

Therapists in Matthews, NC who prioritize treating:

95% Anxiety
90% Depression
74% Self Esteem
73% Coping Skills
68% Relationship Issues
65% Trauma and PTSD
61% Grief

Average years in practice

10 Years

Top 3 insurances accepted

83% BlueCross and BlueShield
76% Aetna
64% UnitedHealthcare UHC | UBH

How Therapists in Matthews, NC see their clients

72% In Person and Online
28% Online Only

Gender breakdown

83% Female
16% Male
1% Non-Binary
FAQs - About Therapy and Counseling

How can I find a therapist in Matthews?

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.