Therapists in Asheville, NC
Molly Caldwell
Counselor, LCMHC, MA, NCC
Verified Verified
Asheville, NC 28801
I believe everyone deserves a space to process, heal, and grow no matter the circumstance. My therapeutic approach is rooted in collaboration, resiliency, and compassion. I believe healing is a nonlinear process and unique to each individual. I am passionate about facilitating a safe environment in which individuals can explore their own path of self-discovery. I use experiential, expressive arts, body-based, cognitive, and behavioral approaches in my work with clients. I work with teens and adults who have experienced trauma, loss, and eating disorders.
I believe everyone deserves a space to process, heal, and grow no matter the circumstance. My therapeutic approach is rooted in collaboration, resiliency, and compassion. I believe healing is a nonlinear process and unique to each individual. I am passionate about facilitating a safe environment in which individuals can explore their own path of self-discovery. I use experiential, expressive arts, body-based, cognitive, and behavioral approaches in my work with clients. I work with teens and adults who have experienced trauma, loss, and eating disorders.
Elaine Roche
Clinical Social Work/Therapist, LCSWA
Verified Verified
1 Endorsed
Asheville, NC 28803
When you or your adolescent have an eating disorder it impacts almost every moment. Hopelessness, insecurity, frustration, anxiety, and grief become a part of every day. I work with people in various stages of eating disorder recovery- from the newbies to those wanting to maintain their progress. As one of only two clinicians in Asheville trained in best practices for adolescents, I am able to help clients and families using the latest research and make impacts that have lasting change. My adult clients are motivated. They've had enough of their life ruined by this condition and are done with suffering, they just need a path out.
When you or your adolescent have an eating disorder it impacts almost every moment. Hopelessness, insecurity, frustration, anxiety, and grief become a part of every day. I work with people in various stages of eating disorder recovery- from the newbies to those wanting to maintain their progress. As one of only two clinicians in Asheville trained in best practices for adolescents, I am able to help clients and families using the latest research and make impacts that have lasting change. My adult clients are motivated. They've had enough of their life ruined by this condition and are done with suffering, they just need a path out.
Lottie Cooper
LPC Intern, MA
Verified Verified
Asheville, NC 28803
Are you feeling stuck and want a breakthrough? I can facilitate releasing your physical, emotional, spiritual pain that is stored in the body. Are you ready to commit to yourself ? I am committed to supporting you in creating a joyful & fulfilling life. I use many modalities to individualize sessions to meet your needs to heal your pain mentally, emotionally, physically, and spiritually. Learn sensitive ways of thinking and communicating to support your relationships, create new perspectives, inner wisdom, and self-love, for a more fulfilling life. Learn skills to easily release stress, and explorations to track your progress.
Are you feeling stuck and want a breakthrough? I can facilitate releasing your physical, emotional, spiritual pain that is stored in the body. Are you ready to commit to yourself ? I am committed to supporting you in creating a joyful & fulfilling life. I use many modalities to individualize sessions to meet your needs to heal your pain mentally, emotionally, physically, and spiritually. Learn sensitive ways of thinking and communicating to support your relationships, create new perspectives, inner wisdom, and self-love, for a more fulfilling life. Learn skills to easily release stress, and explorations to track your progress.
Kathleen C Patten
Counselor, MA, LCMHCA, NCC
Verified Verified
Asheville, NC 28801
Not accepting new clients
Insomnia, OCD, difficult life transitions, and anxiety and mood disorders are Kathleen’s main focus. She enjoys working with adults who need additional support in tackling issues that are getting in the way of the life they would like to lead.
Insomnia, OCD, difficult life transitions, and anxiety and mood disorders are Kathleen’s main focus. She enjoys working with adults who need additional support in tackling issues that are getting in the way of the life they would like to lead.
Kevin Waller
Licensed Professional Counselor, LCMHCS, LCAS, CCS
Verified Verified
2 Endorsed
Asheville, NC 28806
If you’re like me, you want to feel connected; connected to self, friends, family, significant others, work, and even fun. Though we want connection, at times life gets in the way, with anxiety, depression, avoidance, a good Netflix show, a bad Netflix show, and the perception of failure. Even the idea of vulnerability in relationship can send us running. I wish I could tell you that if you just do A, B, and C then the pain, fear, discomfort, conflict, and insecurities will all go away and you will have the rich, full, meaningful life that you deserve. Unfortunately, this isn’t the reality that we live in.
If you’re like me, you want to feel connected; connected to self, friends, family, significant others, work, and even fun. Though we want connection, at times life gets in the way, with anxiety, depression, avoidance, a good Netflix show, a bad Netflix show, and the perception of failure. Even the idea of vulnerability in relationship can send us running. I wish I could tell you that if you just do A, B, and C then the pain, fear, discomfort, conflict, and insecurities will all go away and you will have the rich, full, meaningful life that you deserve. Unfortunately, this isn’t the reality that we live in.
Kelly Wagner
Clinical Social Work/Therapist, LCSWA
Verified Verified
1 Endorsed
Asheville, NC 28801 (Online Only)
Not accepting new clients
Therapy can be hard, regardless if this is your first time seeking help or if you’ve had some experience in treatment. Sometimes we may feel our lives are so complicated that we don’t even know where to start. If you’re finding yourself overwhelmed or lost, it might be time to allow yourself to be supported and prioritized. I’d be honored to help you identify and initiate action towards the valuable life you strive to live. I have three years of experience helping teens and adults identify and adopt healthier patterns of thinking and feeling to improve their quality of life and relationships.
Therapy can be hard, regardless if this is your first time seeking help or if you’ve had some experience in treatment. Sometimes we may feel our lives are so complicated that we don’t even know where to start. If you’re finding yourself overwhelmed or lost, it might be time to allow yourself to be supported and prioritized. I’d be honored to help you identify and initiate action towards the valuable life you strive to live. I have three years of experience helping teens and adults identify and adopt healthier patterns of thinking and feeling to improve their quality of life and relationships.
Christen Taylor
Counselor, LCMHC, LPC(SC), LCAS, CCS, CCTP
Verified Verified
2 Endorsed
Asheville, NC 28801
Do you want to discover not only how to help yourself for the here and now but build a foundation that can sustain you for a future? The goal is to help you learn how to help yourself by providing you tools and coping skills while processing the impact that life and others may have had on you. Do you struggle with feeling empty, unfulfilled, and lost? Maybe you are using substances to mask or cope with the emotional pain. Maybe shame, guilt, or grief is holding you back from feeling like yourself. Maybe life just feels too difficult or not worth it?
Do you want to discover not only how to help yourself for the here and now but build a foundation that can sustain you for a future? The goal is to help you learn how to help yourself by providing you tools and coping skills while processing the impact that life and others may have had on you. Do you struggle with feeling empty, unfulfilled, and lost? Maybe you are using substances to mask or cope with the emotional pain. Maybe shame, guilt, or grief is holding you back from feeling like yourself. Maybe life just feels too difficult or not worth it?
Thrive Mental Health Center PLLC
LCSW Associate , LCSWA
Verified Verified
Asheville, NC 28801
We are a diverse group of therapists, trained in different theoretical models that aim to provide person centered quality care therapy services. We serve all age groups, all gender identities, different cultural backgrounds and a wide arrow of mental health problems.We are bio-psycho-social beings, and an imbalance in one area affects the others. Therapy is a process that can enable you to identify what is making you struggle in your relationships, in your physical body and with your mental health. It can help you find unique ways to make the changes that will empower you to become more resilient and capable of healthy copying.
We are a diverse group of therapists, trained in different theoretical models that aim to provide person centered quality care therapy services. We serve all age groups, all gender identities, different cultural backgrounds and a wide arrow of mental health problems.We are bio-psycho-social beings, and an imbalance in one area affects the others. Therapy is a process that can enable you to identify what is making you struggle in your relationships, in your physical body and with your mental health. It can help you find unique ways to make the changes that will empower you to become more resilient and capable of healthy copying.
Kevin Thomas Hall
Licensed Professional Counselor, LCMHC, LCAS
Verified Verified
Asheville, NC 28803 (Online Only)
The mass of men (and women) lead lives of quiet desperation (Henry David Thoreau). But do we have to? As children we are often not allowed to make important decisions about our life and some suffer attachment issues and other forms of trauma that are outside of our control. Therapy is an active choice we can make as adults. It provides a sacred place where you can feel safe to ask yourself the most important questions: who am I? what do I want? who and what do I love? how do I want to spend my precious life? Change is not easy. Growth and learning is a life long process. It is never too late to become your authentic self.
The mass of men (and women) lead lives of quiet desperation (Henry David Thoreau). But do we have to? As children we are often not allowed to make important decisions about our life and some suffer attachment issues and other forms of trauma that are outside of our control. Therapy is an active choice we can make as adults. It provides a sacred place where you can feel safe to ask yourself the most important questions: who am I? what do I want? who and what do I love? how do I want to spend my precious life? Change is not easy. Growth and learning is a life long process. It is never too late to become your authentic self.
Kaity Horseman
Clinical Social Work/Therapist, LCSW, LCAS
Verified Verified
1 Endorsed
Asheville, NC 28801
Therapy comes in many different flavors. So, it is important to find a therapist that has training and experience in addressing your goals, that can relate to you, and that you feel good about working with. I work with individuals seeking to let go of behavior that no longer serve them, those who are seeking greater self-awareness and the root cause of any pain or distress they are experiencing, and are motivated to learn and implement skills to improve their lives. Through collaboration, I offer an unbiased perspective, curiosity, and accountability. Change is the only constant and everyday is an opportunity to embrace it!
Therapy comes in many different flavors. So, it is important to find a therapist that has training and experience in addressing your goals, that can relate to you, and that you feel good about working with. I work with individuals seeking to let go of behavior that no longer serve them, those who are seeking greater self-awareness and the root cause of any pain or distress they are experiencing, and are motivated to learn and implement skills to improve their lives. Through collaboration, I offer an unbiased perspective, curiosity, and accountability. Change is the only constant and everyday is an opportunity to embrace it!
Brittany Soltani
Occupational Therapist, OTR/L, MA
Verified Verified
Asheville, NC 28803
Are you seeking a more hands-on, how-to, and solutions-based type of therapy? Are you trying to navigate challenges related to executive functioning, sensory processing, or just feeling burned out by all the demands of daily life? As an Occupational Therapist specializing in mental health and neurodiversity, I help people develop concrete strategies for the 'doing of life.'
Are you seeking a more hands-on, how-to, and solutions-based type of therapy? Are you trying to navigate challenges related to executive functioning, sensory processing, or just feeling burned out by all the demands of daily life? As an Occupational Therapist specializing in mental health and neurodiversity, I help people develop concrete strategies for the 'doing of life.'
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Licensed Professional Counselor, MA, LCMHC, MAC
Verified Verified
1 Endorsed
Asheville, NC 28801
It’s not necessary to be in crisis to seek counseling, but it’s often the push that we need to go deeper. Something wakes us from our auto pilot existence and we feel a hunger for self-examination. Whatever made you take this next step, I believe I can help. I know this can feel overwhelming...but its just another part of the journey. A search for your authentic self or for a balanced, healthy space to challenge yourself to grow and be more. You can be changed by this experience. You will find answers and more questions... But nothing changes & no discoveries are made without beginning...Read more at www.createamindfullife.com
It’s not necessary to be in crisis to seek counseling, but it’s often the push that we need to go deeper. Something wakes us from our auto pilot existence and we feel a hunger for self-examination. Whatever made you take this next step, I believe I can help. I know this can feel overwhelming...but its just another part of the journey. A search for your authentic self or for a balanced, healthy space to challenge yourself to grow and be more. You can be changed by this experience. You will find answers and more questions... But nothing changes & no discoveries are made without beginning...Read more at www.createamindfullife.com
Tina Harrold
Clinical Social Work/Therapist, MSW, LCSW
Verified Verified
2 Endorsed
Asheville, NC 28801
Waitlist for new clients
Marriage is fucking hard. I heard a quote recently where someone asked the secret to making marriage work. The response was, “We never wanted to get divorced at the same time.” Marriage can feel like a roller coaster. Then add the obstacles of children, work schedules and stress, and daily ups and downs and you may find yourself miles apart from your partner. What happened to the fun? What happened to the intimacy and connection? Where the hell did it go? It’s time to make your marriage the priority. It’s time to reconnect and reignite the fire that was once there. It is possible to salvage and repair what has been broken.
Marriage is fucking hard. I heard a quote recently where someone asked the secret to making marriage work. The response was, “We never wanted to get divorced at the same time.” Marriage can feel like a roller coaster. Then add the obstacles of children, work schedules and stress, and daily ups and downs and you may find yourself miles apart from your partner. What happened to the fun? What happened to the intimacy and connection? Where the hell did it go? It’s time to make your marriage the priority. It’s time to reconnect and reignite the fire that was once there. It is possible to salvage and repair what has been broken.
Star Rose Bond, Trauma Specialist - LCSW
Clinical Social Work/Therapist, MSSW, LCSW
Verified Verified
Asheville, NC 28801
Seasoned trauma specialist & psychotherapist dedicated to co-creating a meaningful healing journey for individuals and couples who are feeling stuck, lost and trapped in dysfunctional patterns. I offer a variety of different modalities including Ketamine Assisted Psychotherapy (KAP) to aid in the recovery of many common mental health issues such as anxiety, depression, trauma/PTSD, addiction, etc. Additionally, I am committed to providing innovative programing as well as a practical skillset, specially designed to address personal limitations that often manifest in low self-esteem, relationship challenges and declined mental health.
Seasoned trauma specialist & psychotherapist dedicated to co-creating a meaningful healing journey for individuals and couples who are feeling stuck, lost and trapped in dysfunctional patterns. I offer a variety of different modalities including Ketamine Assisted Psychotherapy (KAP) to aid in the recovery of many common mental health issues such as anxiety, depression, trauma/PTSD, addiction, etc. Additionally, I am committed to providing innovative programing as well as a practical skillset, specially designed to address personal limitations that often manifest in low self-esteem, relationship challenges and declined mental health.
Anne Jacobe
Clinical Social Work/Therapist, LCSW
Verified Verified
Asheville, NC 28801 (Online Only)
Welcome to this page and thank you for visiting. I see my role as a therapist to be a witness and guide on your journey towards healing and wholeness. I connect with those who are seeking to find themselves, dealing with a life transition, and seeking a supportive presence from a holistic foundation. I hold the space for change to occur as you move you closer to your goals. I creatively adjust to the unique needs of clients that come and see me.
Welcome to this page and thank you for visiting. I see my role as a therapist to be a witness and guide on your journey towards healing and wholeness. I connect with those who are seeking to find themselves, dealing with a life transition, and seeking a supportive presence from a holistic foundation. I hold the space for change to occur as you move you closer to your goals. I creatively adjust to the unique needs of clients that come and see me.
Zachary Kampf
Clinical Social Work/Therapist, MSW, LCSW, PhD
Verified Verified
Asheville, NC 28801 (Online Only)
Are you looking for something deeper out of therapy than feeling emotionally validated or learning to change your thought patterns? If you're like many people I've talked with, you don't want band-aids. You don't want coping skills for your depression, mindfulness exercises for your anxiety or panic - you want to know WHY you're experiencing those challenges in the first place. If you're asking these deeper questions, there's some part of you that is longing for more than just the immediate relief from your symptoms. There is a part of you that desires serious personal growth and transformation. And I want to help you achieve it!
Are you looking for something deeper out of therapy than feeling emotionally validated or learning to change your thought patterns? If you're like many people I've talked with, you don't want band-aids. You don't want coping skills for your depression, mindfulness exercises for your anxiety or panic - you want to know WHY you're experiencing those challenges in the first place. If you're asking these deeper questions, there's some part of you that is longing for more than just the immediate relief from your symptoms. There is a part of you that desires serious personal growth and transformation. And I want to help you achieve it!
Cullen Sprague
Clinical Social Work/Therapist, LCSW
Verified Verified
Asheville, NC 28801
Are you questioning your sexual, gender, racial, or family identity? Are you struggling to make peace with the past while staying in the present? Are your behaviors not in alignment with your values? Regardless, you are refusing to minimize the issues you face by initiating therapy and prioritizing yourself. This courage will be the foundation for our work. I am a warm and engaging therapist that has success addressing symptoms of anxiety, depression, and anger. I have a psychodynamic framework, utilize EMDR to address trauma, IFS, and mindfulness for mood management. I provide individual counseling for ages 18 and above.
Are you questioning your sexual, gender, racial, or family identity? Are you struggling to make peace with the past while staying in the present? Are your behaviors not in alignment with your values? Regardless, you are refusing to minimize the issues you face by initiating therapy and prioritizing yourself. This courage will be the foundation for our work. I am a warm and engaging therapist that has success addressing symptoms of anxiety, depression, and anger. I have a psychodynamic framework, utilize EMDR to address trauma, IFS, and mindfulness for mood management. I provide individual counseling for ages 18 and above.
Kristin Mamrack
Counselor, MA, LCMHCA, NCC
Verified Verified
Asheville, NC 28803
You're worried and irritable, thinking of worst-case scenarios for everything. Are you constantly questioning yourself? Or afraid if you drop your guard, you'll lose control of yourself? You're probably exhausted and worry it will always be like this. You need a change. Constant stress and fear is so overwhelming and can have a chilling effect both on your relationship with others and with yourself. You want to be able to enjoy your life, without worrying about what comes next. You want to let go of the struggle for perfection. You deserve some peace. I can help you get there.
You're worried and irritable, thinking of worst-case scenarios for everything. Are you constantly questioning yourself? Or afraid if you drop your guard, you'll lose control of yourself? You're probably exhausted and worry it will always be like this. You need a change. Constant stress and fear is so overwhelming and can have a chilling effect both on your relationship with others and with yourself. You want to be able to enjoy your life, without worrying about what comes next. You want to let go of the struggle for perfection. You deserve some peace. I can help you get there.
Ron Pallick
Drug & Alcohol Counselor, LCAS, LCSW
Verified Verified
Asheville, NC 28801
Hearing from the heart and seeking help with paralyzing personal challenges can be a daunting experience. Finding someone to connect with in the process of personal healing is half the battle to a solution. Keeping the person at the center of the therapeutic process is a goal for me. I have employed this approach for over 16 years of practice in Western NC. While this majestic mountain setting is a place of unique beauty it is not free of personal challenges that may need a calm and skilled approach to navigating life' s challenges.
Hearing from the heart and seeking help with paralyzing personal challenges can be a daunting experience. Finding someone to connect with in the process of personal healing is half the battle to a solution. Keeping the person at the center of the therapeutic process is a goal for me. I have employed this approach for over 16 years of practice in Western NC. While this majestic mountain setting is a place of unique beauty it is not free of personal challenges that may need a calm and skilled approach to navigating life' s challenges.
Nell Corry
Clinical Social Work/Therapist, LCSW, NCGC, MBACP
Verified Verified
Asheville, NC 28801
Are you feeling anxious, depressed, stressed? Overwhelmed by relationship, work issues, addictions? Congratulations for taking the first step to change your life. Reaching out for help takes courage at a time when we are not feeling very brave. No matter how overwhelming things seem now, all of your problems have solutions. I provide a safe, private environment where we work together to help you feel empowered, at peace, good about yourself and excited about living. I offer a free 20 minute consultation so you can ask questions and decide if you feel comfortable working with me. I look forward to hearing from you soon!
Are you feeling anxious, depressed, stressed? Overwhelmed by relationship, work issues, addictions? Congratulations for taking the first step to change your life. Reaching out for help takes courage at a time when we are not feeling very brave. No matter how overwhelming things seem now, all of your problems have solutions. I provide a safe, private environment where we work together to help you feel empowered, at peace, good about yourself and excited about living. I offer a free 20 minute consultation so you can ask questions and decide if you feel comfortable working with me. I look forward to hearing from you soon!
See more therapy options for Asheville
Nearby Searches for Asheville
How does your Therapist compare?
Number of Therapists in Asheville, NC
1,000+
Average cost per session
$140
Therapists in Asheville, NC who prioritize treating:
92% | Anxiety |
86% | Depression |
78% | Relationship Issues |
78% | Self Esteem |
75% | Trauma and PTSD |
69% | Coping Skills |
69% | Stress |
Average years in practice
11 Years
Top 3 insurances accepted
86% | BlueCross and BlueShield |
70% | Aetna |
50% | UnitedHealthcare UHC | UBH |
How Therapists in Asheville, NC see their clients
68% | In Person and Online | |
32% | Online Only |
Gender breakdown
76% | Female | |
22% | Male | |
2% | Non-Binary |
FAQs - About Therapy and Counseling
How can I find a therapist in Asheville?
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
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.
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.
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.