Therapists in Ruckersville, VA

Photo of Carol Nelson, LCSW, LLC, Clinical Social Work/Therapist in Ruckersville, VA
Carol Nelson, LCSW, LLC
Clinical Social Work/Therapist, MSW, LCSW, CCTP
Verified Verified
1 Endorsed
Ruckersville, VA 22968
I feel the client is the expert on themselves, thus, I believe in a client centered approach. My passion is guiding those with trauma to heal whether the trauma is a simple trauma or complex. I utilize various modalities depending on the individual and the circumstances. I have treated severe trauma, PTSD, mood disorders, dual diagnosed patients, families, couples, and other client centered issues.
I feel the client is the expert on themselves, thus, I believe in a client centered approach. My passion is guiding those with trauma to heal whether the trauma is a simple trauma or complex. I utilize various modalities depending on the individual and the circumstances. I have treated severe trauma, PTSD, mood disorders, dual diagnosed patients, families, couples, and other client centered issues.
(434) 990-4163 View (434) 990-4163
Photo of Jordan Wilson, Pre-Licensed Professional in Ruckersville, VA
Jordan Wilson
Pre-Licensed Professional, M Ed, LPC-R
Verified Verified
Ruckersville, VA 22968
Waitlist for new clients
I enjoy working with children, adolescents, young adults & families of many backgrounds. I work with those wanting to learn more about themselves, gain insight into their thinking patterns and behavior, and to build their own confidence. I work with folks to help them get in touch with their story- to help empower the ability to tell it, to share it, or to change it. If you have found yourself or your child lost, distracted, anxious, devastated, or angry, together we can connect to a sense of meaning and create a tailored therapeutic experience. Our work together is collaborative, empathetic, and integrative of best-fit approaches.
I enjoy working with children, adolescents, young adults & families of many backgrounds. I work with those wanting to learn more about themselves, gain insight into their thinking patterns and behavior, and to build their own confidence. I work with folks to help them get in touch with their story- to help empower the ability to tell it, to share it, or to change it. If you have found yourself or your child lost, distracted, anxious, devastated, or angry, together we can connect to a sense of meaning and create a tailored therapeutic experience. Our work together is collaborative, empathetic, and integrative of best-fit approaches.
(434) 722-3712 View (434) 722-3712
Photo of Tiffani Ashland LCSW, Clinical Social Work/Therapist in Ruckersville, VA
Tiffani Ashland LCSW
Clinical Social Work/Therapist, MSW, LCSW
Verified Verified
2 Endorsed
Ruckersville, VA 22968
The decision to pursue therapy is an important step. Working with the right therapist can be a valuable investment in yourself, and your relationships. As a psychotherapist, I believe the best results come from establishing a therapeutic relationship by getting to know you as a person - not simply as a cluster of symptoms - then tailoring interventions to fit your unique needs & strengths. I've been in the mental health field 25 years, and have worked with individuals, couples & families, treating a wide variety of clinical issues. I invite you to contact me with any questions, or to discuss your specific needs for therapy.
The decision to pursue therapy is an important step. Working with the right therapist can be a valuable investment in yourself, and your relationships. As a psychotherapist, I believe the best results come from establishing a therapeutic relationship by getting to know you as a person - not simply as a cluster of symptoms - then tailoring interventions to fit your unique needs & strengths. I've been in the mental health field 25 years, and have worked with individuals, couples & families, treating a wide variety of clinical issues. I invite you to contact me with any questions, or to discuss your specific needs for therapy.
(434) 337-3931 View (434) 337-3931
Photo of Crystal D. Myers, Licensed Professional Counselor in Ruckersville, VA
Crystal D. Myers
Licensed Professional Counselor, EdS, LPC
Verified Verified
Ruckersville, VA 22968
Are you struggling with treatment resistant depression, anxiety, or complex PTSD? You may have tried different therapists, therapy approaches, and medications, which allowed you to sometimes experience improvement to then have serious symptoms return. Or maybe you've never really had any significant relief and find yourself stuck in loops of avoidance, withdrawal, isolation, low mood, not enjoying anything, hyper arousal, disrupted sleep, panic, and struggling to connect with others. Ketamine Assisted Psychotherapy may help you to make significant gains and maintain improvement longer.
Are you struggling with treatment resistant depression, anxiety, or complex PTSD? You may have tried different therapists, therapy approaches, and medications, which allowed you to sometimes experience improvement to then have serious symptoms return. Or maybe you've never really had any significant relief and find yourself stuck in loops of avoidance, withdrawal, isolation, low mood, not enjoying anything, hyper arousal, disrupted sleep, panic, and struggling to connect with others. Ketamine Assisted Psychotherapy may help you to make significant gains and maintain improvement longer.
(434) 231-2208 View (434) 231-2208
Photo of Kristen Kern, Clinical Social Work/Therapist in Ruckersville, VA
Kristen Kern
Clinical Social Work/Therapist, LCSW
Verified Verified
Ruckersville, VA 22968
It takes courage and strength to reach out for support in life. I believe providing a caring professional environment where individuals feel comfortable and can be themselves is key to healing and growth. I am a welcoming, supportive, and empathetic therapist who collaborates with each client to help them make positive changes in their lives.
It takes courage and strength to reach out for support in life. I believe providing a caring professional environment where individuals feel comfortable and can be themselves is key to healing and growth. I am a welcoming, supportive, and empathetic therapist who collaborates with each client to help them make positive changes in their lives.
(434) 204-8122 View (434) 204-8122
Photo of Derik Rice, Pre-Licensed Professional in Ruckersville, VA
Derik Rice
Pre-Licensed Professional, MSSW
Verified Verified
Ruckersville, VA 22968
A guiding tenet in my practice is the belief that you are the expert on your own life. It's my job to help you discover your strengths and empower you to face and overcome whatever dilemmas, problems, or situations you are facing. I work with individuals ranging from teenagers to older adults who are experiencing anxiety, depression, emotional dysregulation, trauma, substance abuse, relationship issues, and family and career transitions. As a master’s level social worker who entered the profession midlife, my depth and breadth of lived-life experiences enable me to support you from a place of empathy, compassion, and understanding.
A guiding tenet in my practice is the belief that you are the expert on your own life. It's my job to help you discover your strengths and empower you to face and overcome whatever dilemmas, problems, or situations you are facing. I work with individuals ranging from teenagers to older adults who are experiencing anxiety, depression, emotional dysregulation, trauma, substance abuse, relationship issues, and family and career transitions. As a master’s level social worker who entered the profession midlife, my depth and breadth of lived-life experiences enable me to support you from a place of empathy, compassion, and understanding.
(434) 290-4207 View (434) 290-4207
Photo of Tabitha Woodson, Licensed Professional Counselor in Ruckersville, VA
Tabitha Woodson
Licensed Professional Counselor, LPC
Verified Verified
Ruckersville, VA 22968
I have over ten years of working in community mental health. I have enjoyed working with a diverse population of people to include children and adolescents with emotional and behavioral challenges, adults with serious mental illness, and substance abuse problems. I provide individual and group therapy for children, adolescents, and adults. I do believe that some of the suffering experienced in life oftentimes results from faulty thinking which eventually leads to unwanted emotions and behaviors. I provide a safe, warm and welcoming atmosphere that allows for self exploration, discovery, and healing of the mind and heart.
I have over ten years of working in community mental health. I have enjoyed working with a diverse population of people to include children and adolescents with emotional and behavioral challenges, adults with serious mental illness, and substance abuse problems. I provide individual and group therapy for children, adolescents, and adults. I do believe that some of the suffering experienced in life oftentimes results from faulty thinking which eventually leads to unwanted emotions and behaviors. I provide a safe, warm and welcoming atmosphere that allows for self exploration, discovery, and healing of the mind and heart.
(434) 608-0923 View (434) 608-0923
Photo of Christian Pasian Geye, Marriage & Family Therapist in Ruckersville, VA
Christian Pasian Geye
Marriage & Family Therapist, MA, LMFT, CHT
Verified Verified
2 Endorsed
Ruckersville, VA 22968  (Online Only)
Finding the right therapist is an essential step in your journey towards a happier, healthier, more successful you. I work collaboratively with patients to create treatment goals that are realistic and achievable, so they can make the positive changes necessary to become the person they intend to be. My therapeutic style is direct and solution-focused, while maintaining compassion and empathy for the challenges one must face to make long-lasting change. My approach is holistic and, often includes, interdisciplinary care and collaboration with medical professionals to provide the best possible care for my patients.
Finding the right therapist is an essential step in your journey towards a happier, healthier, more successful you. I work collaboratively with patients to create treatment goals that are realistic and achievable, so they can make the positive changes necessary to become the person they intend to be. My therapeutic style is direct and solution-focused, while maintaining compassion and empathy for the challenges one must face to make long-lasting change. My approach is holistic and, often includes, interdisciplinary care and collaboration with medical professionals to provide the best possible care for my patients.
(703) 884-8649 View (703) 884-8649
Photo of Kate Scales, Counselor in Ruckersville, VA
Kate Scales
Counselor, LPC
Verified Verified
Ruckersville, VA 22968
Not accepting new clients
I am a Licensed Professional Counselor with seven years experience in the mental health field. I provide one on one psychotherapy for adults and adolescents who are struggling with anxiety or depression, working to manage life changes and healing from trauma.
I am a Licensed Professional Counselor with seven years experience in the mental health field. I provide one on one psychotherapy for adults and adolescents who are struggling with anxiety or depression, working to manage life changes and healing from trauma.
(434) 990-1744 View (434) 990-1744
Photo of Matthew Tolman, Psychologist in Ruckersville, VA
Matthew Tolman
Psychologist, PsyD
Verified Verified
Ruckersville, VA 22968
I am a licensed Clinical Psychologist who specializes in treating children, young adults, and adults using an approach that integrates classic and modern psychodynamic theory with contemporary approaches including family systems, cognitive-behavioral, and mindfulness-based treatment. Therapy can be an invaluable part of helping individuals to overcome life's challenges. Whether our struggle is related to life transitions, loss, trauma or interpersonal difficulties, painful feelings commonly arise such as depression and anxiety. My goal is to provide a therapeutic environment and a collaborative partnership to individuals that seek relief from these painful symptoms and hope to achieve growth and positive change in their lives.
I am a licensed Clinical Psychologist who specializes in treating children, young adults, and adults using an approach that integrates classic and modern psychodynamic theory with contemporary approaches including family systems, cognitive-behavioral, and mindfulness-based treatment. Therapy can be an invaluable part of helping individuals to overcome life's challenges. Whether our struggle is related to life transitions, loss, trauma or interpersonal difficulties, painful feelings commonly arise such as depression and anxiety. My goal is to provide a therapeutic environment and a collaborative partnership to individuals that seek relief from these painful symptoms and hope to achieve growth and positive change in their lives.
(434) 442-4561 View (434) 442-4561
Photo of Amy Carter, Counselor in Ruckersville, VA
Amy Carter
Counselor
Verified Verified
1 Endorsed
Ruckersville, VA 22968  (Online Only)
Waitlist for new clients
I welcome clients with a wide range of needs and goals. I can assist individuals and couples presenting with a variety of concerns, such as: ADHD, addiction, mood disorders, depression, anxiety, behavioral issues, obsessive-compulsive disorder, personality disorders, relationship conflicts, and trauma related disorders. I offer services in the evenings and weekends to accommodate those needing a more flexible schedule.
I welcome clients with a wide range of needs and goals. I can assist individuals and couples presenting with a variety of concerns, such as: ADHD, addiction, mood disorders, depression, anxiety, behavioral issues, obsessive-compulsive disorder, personality disorders, relationship conflicts, and trauma related disorders. I offer services in the evenings and weekends to accommodate those needing a more flexible schedule.
(540) 452-9627 View (540) 452-9627
Photo of Heather Dumas, Licensed Professional Counselor in Ruckersville, VA
Heather Dumas
Licensed Professional Counselor, M Ed, LPC
Verified Verified
Ruckersville, VA 22968
Are you struggling to manage your emotions or behavior? I can help you learn how to better regulate your emotions so that you can feel better and have healthier relationships. I offer in person sessions in Stanardsville, as well as teletherapy sessions. My schedule allows me to offer evening and weekend appointments, so you won’t need to miss work.
Are you struggling to manage your emotions or behavior? I can help you learn how to better regulate your emotions so that you can feel better and have healthier relationships. I offer in person sessions in Stanardsville, as well as teletherapy sessions. My schedule allows me to offer evening and weekend appointments, so you won’t need to miss work.
(434) 216-3421 View (434) 216-3421
Photo of CavCity Counseling Inc./Kevin Carter, Licensed Professional Counselor in Ruckersville, VA
CavCity Counseling Inc./Kevin Carter
Licensed Professional Counselor, LPC
Verified Verified
4 Endorsed
Ruckersville, VA 22968
At times life seems overwhelming and out of control. Do you feel stuck, unsure of yourself and/or your situation, do you wish to have your life be different, is this the vision you had for yourself, your relationship, or your family. I am here to help, you are not alone. Let’s work together to bring the change you desire. I believe that honesty, trust and respect are necessary to establish a strong therapeutic alliance. I am committed to facilitating an environment of acceptance, hope, and encouragement. I'm currently accepting new clients with limited availability to include evening hours.
At times life seems overwhelming and out of control. Do you feel stuck, unsure of yourself and/or your situation, do you wish to have your life be different, is this the vision you had for yourself, your relationship, or your family. I am here to help, you are not alone. Let’s work together to bring the change you desire. I believe that honesty, trust and respect are necessary to establish a strong therapeutic alliance. I am committed to facilitating an environment of acceptance, hope, and encouragement. I'm currently accepting new clients with limited availability to include evening hours.
(434) 277-2163 View (434) 277-2163
Photo of Amanda A Storvick, Licensed Professional Counselor in Ruckersville, VA
Amanda A Storvick
Licensed Professional Counselor, MA, LPC
Verified Verified
Ruckersville, VA 22968  (Online Only)
Not accepting new clients
Not accepting new clients at this time (Dec 2023). Everything seems complicated and difficult. You know what you “should” be feeling about your life, but you just can’t seem to get there. You can’t shake that feeling of not being good enough, and not being in control of yourself and your relationships. You’re using perfectionism to control your feelings of shame and fear.
Not accepting new clients at this time (Dec 2023). Everything seems complicated and difficult. You know what you “should” be feeling about your life, but you just can’t seem to get there. You can’t shake that feeling of not being good enough, and not being in control of yourself and your relationships. You’re using perfectionism to control your feelings of shame and fear.
(540) 413-0757 View (540) 413-0757
Photo of Kamilla Schenck, Supervisee in Clinical Social Work in Ruckersville, VA
Kamilla Schenck
Supervisee in Clinical Social Work, MSW
Verified Verified
1 Endorsed
Ruckersville, VA 22968
I am passionate about helping individuals on their healing journey, and believe we all have the capacity to heal. My role is to be your guide, build on your strengths, and help you expand your self-compassion. I have experience working with individuals who are struggling with issues such as life transitions, anxiety, depression, grief/loss, disconnection, stress, trauma, and relationship issues.
I am passionate about helping individuals on their healing journey, and believe we all have the capacity to heal. My role is to be your guide, build on your strengths, and help you expand your self-compassion. I have experience working with individuals who are struggling with issues such as life transitions, anxiety, depression, grief/loss, disconnection, stress, trauma, and relationship issues.
(434) 608-9395 View (434) 608-9395
Photo of Samantha Shifflett, Resident in Counseling in Ruckersville, VA
Samantha Shifflett
Resident in Counseling, MS
Verified Verified
Ruckersville, VA 22968
As both a therapist and a dog trainer, it would be my honor to guide you in your journey towards healing and self-discovery. I work with clients who feel lost and are unsure of who they really are. Many of dog lovers. Our journey together includes a focus on self-discovery and inner healing, incorporating the positive influence and unconditional love of the bond between humans and dogs. We'll explore your unique strengths, values, and aspirations, fostering a sense of self-love and authenticity with the support of this special connection.
As both a therapist and a dog trainer, it would be my honor to guide you in your journey towards healing and self-discovery. I work with clients who feel lost and are unsure of who they really are. Many of dog lovers. Our journey together includes a focus on self-discovery and inner healing, incorporating the positive influence and unconditional love of the bond between humans and dogs. We'll explore your unique strengths, values, and aspirations, fostering a sense of self-love and authenticity with the support of this special connection.
(540) 579-5503 View (540) 579-5503
Photo of Sue Wood, Licensed Professional Counselor in Ruckersville, VA
Sue Wood
Licensed Professional Counselor, LPC, CPT, MS, MEd
Verified Verified
1 Endorsed
Ruckersville, VA 22968
We all have a lot going on in our lives, and are struggling with getting by. Whether you have experienced a trauma, struggle with anxiety or depression, or just feel like the world is a little overwhelming, I am here to help. I work within a person centered approach and try to help clients make and achieve their personal mental wellbeing goals.
We all have a lot going on in our lives, and are struggling with getting by. Whether you have experienced a trauma, struggle with anxiety or depression, or just feel like the world is a little overwhelming, I am here to help. I work within a person centered approach and try to help clients make and achieve their personal mental wellbeing goals.
(540) 299-1691 View (540) 299-1691
Photo of Mindful Innovations, Counselor in Ruckersville, VA
Mindful Innovations
Counselor, MA, LPC, CSOTP
Verified Verified
Ruckersville, VA 22968  (Online Only)
I support a broad range of individuals, such as those with self regulation and impulse control, that impact their functioning and stability. I want to help you or your loved one in stabilization of mood, thinking, and behavior to live more freely without the burdens of past experiences. I believe strongly in one's motivation to change, and I will support you while you build belief in yourself and your goals. I can help you work through barriers that may inhibit your success or hold you back from taking the steps forward in your life. While the treatment journey can be a challenging one, I can help guide your path to stability.
I support a broad range of individuals, such as those with self regulation and impulse control, that impact their functioning and stability. I want to help you or your loved one in stabilization of mood, thinking, and behavior to live more freely without the burdens of past experiences. I believe strongly in one's motivation to change, and I will support you while you build belief in yourself and your goals. I can help you work through barriers that may inhibit your success or hold you back from taking the steps forward in your life. While the treatment journey can be a challenging one, I can help guide your path to stability.
(434) 478-3048 View (434) 478-3048
Photo of Mecca Antonia Burns, Licensed Professional Counselor in Ruckersville, VA
Mecca Antonia Burns
Licensed Professional Counselor, LPC, RDT, BCT
Verified Verified
Ruckersville, VA 22968
What dreams will you make come true? What barriers exist, inside you or outside of you? For 30 years I've used drama therapy, music and art for personal healing and social change in PERSON or ONLINE. Through dialogue, gesture, image, rhythm, collage, diagrams, or enactments, we'll find ways to foster awareness, acceptance and action, to improve the WORLD you live in. I've worked with people in east Africa, Spain, Romania and Virginia. I'll help you grow the SOUL force needed to love even the shyest, shadowy-est elements of your personality.
What dreams will you make come true? What barriers exist, inside you or outside of you? For 30 years I've used drama therapy, music and art for personal healing and social change in PERSON or ONLINE. Through dialogue, gesture, image, rhythm, collage, diagrams, or enactments, we'll find ways to foster awareness, acceptance and action, to improve the WORLD you live in. I've worked with people in east Africa, Spain, Romania and Virginia. I'll help you grow the SOUL force needed to love even the shyest, shadowy-est elements of your personality.
(434) 505-4951 View (434) 505-4951

More Therapists Nearby

Photo of Caledonia Counseling, Clinical Social Work/Therapist in Ruckersville, VA
Caledonia Counseling
Clinical Social Work/Therapist, LCSW
Verified Verified
Stanardsville, VA 22973
I believe that life is magic, and hard! The more support we have the better we can navigate its ups and downs. Growing up in rural Arkansas gave me a unique perspective that has evolved as I have relocated to Virginia, Philadelphia, Ireland and Connecticut, and most recently, back to the beautiful Blue Ridge Mountains of Virginia. I believe that being a parent is one of life's biggest challenges as well as one of its greatest joys. Whether trying to handle the effects of our own parents' parenting of us, or navigating the sometimes stormy waters as a parent of your own children, the more support you have, the better job you can do.
I believe that life is magic, and hard! The more support we have the better we can navigate its ups and downs. Growing up in rural Arkansas gave me a unique perspective that has evolved as I have relocated to Virginia, Philadelphia, Ireland and Connecticut, and most recently, back to the beautiful Blue Ridge Mountains of Virginia. I believe that being a parent is one of life's biggest challenges as well as one of its greatest joys. Whether trying to handle the effects of our own parents' parenting of us, or navigating the sometimes stormy waters as a parent of your own children, the more support you have, the better job you can do.
(434) 505-4822 View (434) 505-4822

See more therapy options for Ruckersville

How does your Therapist compare?

Number of Therapists in Ruckersville, VA

10+

Average cost per session

$140

Therapists in Ruckersville, VA who prioritize treating:

100% Anxiety
95% Depression
84% Trauma and PTSD
68% Self Esteem
68% Stress
63% Relationship Issues
58% Coping Skills

Average years in practice

10 Years

Top 3 insurances accepted

87% Anthem | Elevance
80% Aetna
67% Optima

How Therapists in Ruckersville, VA see their clients

79% In Person and Online
21% Online Only

Gender breakdown

82% Female
18% Male
FAQs - About Therapy and Counseling

How can I find a therapist in Ruckersville?

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.