Therapists in Charlotte, NC

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Photo of Keeshma Richardson, Counselor in Charlotte, NC
Keeshma Richardson
Counselor, MS, LCMHCA, NCC
Verified Verified
2 Endorsed
Charlotte, NC 28202
Welcome to my profile! I would like to introduce you to my integrative holistic work where healing is an adventure and self-discovery is the compass guiding us. As a firm believer in the mind-body-spirit connection to wholeness, I'm here to help you integrate all aspects of yourself into your healing journey. My passion lies in working with Gen-Z and Millennials who are spiritually inclined or seeking a deeper connection with themselves. I'm also proud to be an LGBTQI+ affirming therapist, providing a safe and supportive space for everyone.
Welcome to my profile! I would like to introduce you to my integrative holistic work where healing is an adventure and self-discovery is the compass guiding us. As a firm believer in the mind-body-spirit connection to wholeness, I'm here to help you integrate all aspects of yourself into your healing journey. My passion lies in working with Gen-Z and Millennials who are spiritually inclined or seeking a deeper connection with themselves. I'm also proud to be an LGBTQI+ affirming therapist, providing a safe and supportive space for everyone.
(980) 533-0856 View (980) 533-0856
Photo of Diane L Payne, Psychologist in Charlotte, NC
Diane L Payne
Psychologist, PhD
Verified Verified
1 Endorsed
Charlotte, NC 28226
Are you stressed, anxious, depressed, plagued by self-doubt,problematic relationships, or simply feeling that something is missing in your life? Are you stuck in a self-defeating cycle that you can't seem to break? I believe that every person has the right and the potential to live a happy fulfilling life- a life with meaning and purpose, vitality, and positive relationships. If you are not, I invite you to contact me to explore the possibility of working together to help you move towards the life you truly want.
Are you stressed, anxious, depressed, plagued by self-doubt,problematic relationships, or simply feeling that something is missing in your life? Are you stuck in a self-defeating cycle that you can't seem to break? I believe that every person has the right and the potential to live a happy fulfilling life- a life with meaning and purpose, vitality, and positive relationships. If you are not, I invite you to contact me to explore the possibility of working together to help you move towards the life you truly want.
(704) 750-8269 View (704) 750-8269
Photo of Krystal Gutierrez-Avila, Clinical Social Work/Therapist in Charlotte, NC
Krystal Gutierrez-Avila
Clinical Social Work/Therapist, LCSW
Verified Verified
Charlotte, NC 28202  (Online Only)
My name is Krystal and I focus on helping autistic adults reach their goals, whatever they may be. Whether you are formally diagnosed or not, I understand the challenges that many autistic adults face - our practice works with clients experiencing burnout, having social or communication issues, processing a recent or suspected diagnosis, struggling with masking, and more. We take the time to understand whatever it is that you need, and we personalize our care.
My name is Krystal and I focus on helping autistic adults reach their goals, whatever they may be. Whether you are formally diagnosed or not, I understand the challenges that many autistic adults face - our practice works with clients experiencing burnout, having social or communication issues, processing a recent or suspected diagnosis, struggling with masking, and more. We take the time to understand whatever it is that you need, and we personalize our care.
(980) 375-5795 View (980) 375-5795
Photo of Heather A Chizmadia in Charlotte, NC
Heather A Chizmadia
MS
Verified Verified
2 Endorsed
Charlotte, NC 28277
I offer individualized sessions for clients who struggle with planning, prioritization, task initiation, time management, organization, and work completion. I help clients to become independent, accountable and confident achievers. I work with clients with autism, anxiety, ADHD, and OCD. As an educational consultant, executive functioning coach, and health and wellness coach, I truly enjoy working with individuals at various levels to help them learn and develop in their surroundings.
I offer individualized sessions for clients who struggle with planning, prioritization, task initiation, time management, organization, and work completion. I help clients to become independent, accountable and confident achievers. I work with clients with autism, anxiety, ADHD, and OCD. As an educational consultant, executive functioning coach, and health and wellness coach, I truly enjoy working with individuals at various levels to help them learn and develop in their surroundings.
(704) 459-1342 View (704) 459-1342
Photo of Holley Mosher, Licensed Clinical Mental Health Counselor in Charlotte, NC
Holley Mosher
Licensed Clinical Mental Health Counselor, LCMHC, NCC
Verified Verified
3 Endorsed
Charlotte, NC 28209
Not accepting new clients
I’m glad you're here. Asking for help is a brave step! I understand opening up to a stranger is difficult. As your therapist, I will meet you with acceptance, compassion, and understanding. My goal is to create a safe and non-judgmental space for you to come as you are and support you throughout your healing journey. There is hope and relief in your future!
I’m glad you're here. Asking for help is a brave step! I understand opening up to a stranger is difficult. As your therapist, I will meet you with acceptance, compassion, and understanding. My goal is to create a safe and non-judgmental space for you to come as you are and support you throughout your healing journey. There is hope and relief in your future!
(704) 445-3591 View (704) 445-3591
Photo of Maxine Valencia, Clinical Social Work/Therapist in Charlotte, NC
Maxine Valencia
Clinical Social Work/Therapist, BA, MSW, LCSW
Verified Verified
Charlotte, NC 28211  (Online Only)
I believe one of the bravest things you can do is to begin to understand your own story. Reaching out for support is often the hardest step and I commend you for being here. Together, we will explore the layers of your life that have caused burden, stress, or sadness and work together to release you from their hold. I provide a virtual space of safety, connection, open expression, autonomy, authenticity, and collaboration. With compassion and understanding, I work with each person to help them build on their strengths and attain the personal growth they are committed to accomplishing.
I believe one of the bravest things you can do is to begin to understand your own story. Reaching out for support is often the hardest step and I commend you for being here. Together, we will explore the layers of your life that have caused burden, stress, or sadness and work together to release you from their hold. I provide a virtual space of safety, connection, open expression, autonomy, authenticity, and collaboration. With compassion and understanding, I work with each person to help them build on their strengths and attain the personal growth they are committed to accomplishing.
(704) 387-3939 View (704) 387-3939
Photo of Amber Peel, Licensed Professional Counselor in Charlotte, NC
Amber Peel
Licensed Professional Counselor, MS, LCMHC
Verified Verified
Charlotte, NC 28262  (Online Only)
I can understand how intimidating therapy can seem. To be vulnerable with someone who does not share a personal relationship with you can seem challenging and for some, scary. If you are someone who feels like they are slightly ready to take that step in healing their past traumas, present challenges, or preparing for their future, I can be there to help you along the way. I currently work with teens, adults, and families where I focus on building a strong rapport with each client that I see. My goal as your therapist is to guide you on your journey of healing and to help bring light and comfort in those hard times.
I can understand how intimidating therapy can seem. To be vulnerable with someone who does not share a personal relationship with you can seem challenging and for some, scary. If you are someone who feels like they are slightly ready to take that step in healing their past traumas, present challenges, or preparing for their future, I can be there to help you along the way. I currently work with teens, adults, and families where I focus on building a strong rapport with each client that I see. My goal as your therapist is to guide you on your journey of healing and to help bring light and comfort in those hard times.
(980) 737-7661 View (980) 737-7661
Photo of Tonya Taylor, Licensed Clinical Mental Health Counselor in Charlotte, NC
Tonya Taylor
Licensed Clinical Mental Health Counselor, LCMHC
Verified Verified
Charlotte, NC 28202  (Online Only)
Hello. Are you stressed, stuck, and struggling? Do you feel disconnected from others and as if your life is just passing you by? Have you recently gone through a life transition that literally almost took you out mentally? I'm Tonya T, a Licensed Clinical Mental Health Counselor with a passion for helping individuals break free from the shadows of depression and anxiety, navigate life's challenging transitions, and discover their path to personal growth and fulfillment.
Hello. Are you stressed, stuck, and struggling? Do you feel disconnected from others and as if your life is just passing you by? Have you recently gone through a life transition that literally almost took you out mentally? I'm Tonya T, a Licensed Clinical Mental Health Counselor with a passion for helping individuals break free from the shadows of depression and anxiety, navigate life's challenging transitions, and discover their path to personal growth and fulfillment.
(704) 270-5395 View (704) 270-5395
Photo of Cedric P. L. Steele, Lic Clinical Mental Health Counselor Associate in Charlotte, NC
Cedric P. L. Steele
Lic Clinical Mental Health Counselor Associate, LCMHCA
Verified Verified
Charlotte, NC 28215
We all come to a point in our journey where “Life” just happens. It is at these points where we often wrestle with many feelings and emotions. Often times we feel that we may have no one to turn to at our most vulnerable points. It is part of my life’s purpose to provide you with a safe place to deal with “Life” as you know it. We will build together a therapeutic environment that will be free from judgment and safe for you to explore ways to cope, adapt to change, and to challenge yourself to reach your self-actualization.
We all come to a point in our journey where “Life” just happens. It is at these points where we often wrestle with many feelings and emotions. Often times we feel that we may have no one to turn to at our most vulnerable points. It is part of my life’s purpose to provide you with a safe place to deal with “Life” as you know it. We will build together a therapeutic environment that will be free from judgment and safe for you to explore ways to cope, adapt to change, and to challenge yourself to reach your self-actualization.
(704) 812-5761 View (704) 812-5761
Photo of William Etheridge, Counselor in Charlotte, NC
William Etheridge
Counselor, LCMHC
Verified Verified
Charlotte, NC 28210  (Online Only)
Hello there! I am a licensed clinical mental health counselor (LCMHC) from North Carolina. I received my masters in 2019, and have been working in the field since 2020 professionally. I primarily work with adults 18+ but I do have experience working with teens and couples as well.
Hello there! I am a licensed clinical mental health counselor (LCMHC) from North Carolina. I received my masters in 2019, and have been working in the field since 2020 professionally. I primarily work with adults 18+ but I do have experience working with teens and couples as well.
(980) 372-8781 View (980) 372-8781
Photo of Sarah Honald, Clinical Social Work/Therapist in Charlotte, NC
Sarah Honald
Clinical Social Work/Therapist, LCSW
Verified Verified
1 Endorsed
Charlotte, NC 28202  (Online Only)
Sarah is a licensed clinical social worker, earning her undergraduate degree in psychology from Georgia State University and her graduate degree in social work from the University of Southern California. She previously served in the military and is a combat veteran.
Sarah is a licensed clinical social worker, earning her undergraduate degree in psychology from Georgia State University and her graduate degree in social work from the University of Southern California. She previously served in the military and is a combat veteran.
(704) 741-6087 View (704) 741-6087
Photo of Christine F Simpson, Clinical Social Work/Therapist in Charlotte, NC
Christine F Simpson
Clinical Social Work/Therapist, MSW, LCSW, LISW-CP, PMH-C, CIMHP
Verified Verified
2 Endorsed
Charlotte, NC 28211
For over 30 yrs I have worked to bring healing to people of all ages. I provide individual & family therapy for adolescents & adults. My specialties are the treatment of anxiety, depression, life transition issues, relationship issues & parenting challenges. I am a Certified Integrative Mental Health Practitioner & I believe in the importance of the mind/body connection. I especially enjoy working with highly sensitive persons (HSP). You will experience my authentic self in therapy sessions, a warm, nurturing & direct approach as I help you achieve your goals. I am honored to be part of a client's journey to wellness.
For over 30 yrs I have worked to bring healing to people of all ages. I provide individual & family therapy for adolescents & adults. My specialties are the treatment of anxiety, depression, life transition issues, relationship issues & parenting challenges. I am a Certified Integrative Mental Health Practitioner & I believe in the importance of the mind/body connection. I especially enjoy working with highly sensitive persons (HSP). You will experience my authentic self in therapy sessions, a warm, nurturing & direct approach as I help you achieve your goals. I am honored to be part of a client's journey to wellness.
(704) 870-0215 View (704) 870-0215
Photo of Rachel Kitson, Psychologist in Charlotte, NC
Rachel Kitson
Psychologist, PhD
Verified Verified
2 Endorsed
Charlotte, NC 28210
I work with female and male teens, young adults, and adults who are struggling with meeting their goals, maintaining healthy relationships, identity issues, and navigating the transitions and stressors life throws. I also enjoy working with couples who have hit road blocks and need guidance and a third party perspective. My approach is interpersonal and I offer a space for clients to gain feedback and accountability through the development of a strong therapeutic alliance. I lead an adult Dialectical Behavior Therapy (DBT) group and incorporate skills training into my practice.
I work with female and male teens, young adults, and adults who are struggling with meeting their goals, maintaining healthy relationships, identity issues, and navigating the transitions and stressors life throws. I also enjoy working with couples who have hit road blocks and need guidance and a third party perspective. My approach is interpersonal and I offer a space for clients to gain feedback and accountability through the development of a strong therapeutic alliance. I lead an adult Dialectical Behavior Therapy (DBT) group and incorporate skills training into my practice.
(704) 325-4763 View (704) 325-4763
Photo of Lourdes Anduiza, Clinical Social Work/Therapist in Charlotte, NC
Lourdes Anduiza
Clinical Social Work/Therapist, MSW, LCSW
Verified Verified
1 Endorsed
Charlotte, NC 28203
You’re feeling tired, anxious, and empty, hoping to find balance in your life. You want to change how you approach your daily stressors, but you don’t know how to even start. Finding your path through difficult challenges feels overwhelming most of the time. Regardless of the reason, you feel disconnected, lonely, and anxious. Are you hoping to find someone who will not only listen to you but also your story?
You’re feeling tired, anxious, and empty, hoping to find balance in your life. You want to change how you approach your daily stressors, but you don’t know how to even start. Finding your path through difficult challenges feels overwhelming most of the time. Regardless of the reason, you feel disconnected, lonely, and anxious. Are you hoping to find someone who will not only listen to you but also your story?
(704) 631-9282 View (704) 631-9282
Photo of Christi S Brunson, Counselor in Charlotte, NC
Christi S Brunson
Counselor, MS, LCMHC
Verified Verified
Charlotte, NC 28262  (Online Only)
Do you need dedicated time and a healing space to focus on your wellbeing? Are you an expert in taking care of everyone around you, but struggle to prioritize your own needs? Maybe you have been neglecting yourself to the point where your physical and mental health has been impacted. If this resonates with you, trust me, you are not alone, nor should you have to figure this out on your own. Hi, I’m Christi Brunson. I am a Licensed Clinical Mental Health Counselor with over 8 years of experience providing Holistic Psychotherapy, Dialectical Behavior Therapy (DBT), and Cognitive Behavioral Therapy (CBT).
Do you need dedicated time and a healing space to focus on your wellbeing? Are you an expert in taking care of everyone around you, but struggle to prioritize your own needs? Maybe you have been neglecting yourself to the point where your physical and mental health has been impacted. If this resonates with you, trust me, you are not alone, nor should you have to figure this out on your own. Hi, I’m Christi Brunson. I am a Licensed Clinical Mental Health Counselor with over 8 years of experience providing Holistic Psychotherapy, Dialectical Behavior Therapy (DBT), and Cognitive Behavioral Therapy (CBT).
(704) 389-5780 View (704) 389-5780
Photo of Dr. Heather Wright, Psychologist in Charlotte, NC
Dr. Heather Wright
Psychologist, MS, PsyD
Verified Verified
Charlotte, NC 28210
Meet Tinkerbell, my 5 lb. Maltese and Hunter, my 115 lb. German Shepherd. I grew up on a farm and animals are incredibly important to me. They teach us so much about ourselves and have the capacity to unconditionally love us and at times, they can really challenge us. That's what therapy is all about - unconditional positive regard and pushing us to be our best selves. I work with females; teens to adulthood and their families. Anxiety, depression, trauma, self-harm behaviors, relational issues, and emotional challenges are among my specialties. I love helping those find their purpose, path, and inspiration!
Meet Tinkerbell, my 5 lb. Maltese and Hunter, my 115 lb. German Shepherd. I grew up on a farm and animals are incredibly important to me. They teach us so much about ourselves and have the capacity to unconditionally love us and at times, they can really challenge us. That's what therapy is all about - unconditional positive regard and pushing us to be our best selves. I work with females; teens to adulthood and their families. Anxiety, depression, trauma, self-harm behaviors, relational issues, and emotional challenges are among my specialties. I love helping those find their purpose, path, and inspiration!
(704) 703-2728 View (704) 703-2728
Photo of Triumph Therapeutic Services PLLC, Licensed Professional Counselor in Charlotte, NC
Triumph Therapeutic Services PLLC
Licensed Professional Counselor, MA, LCMHC
Verified Verified
Charlotte, NC 28262
The bright promising world we once knew can grow dark through our perceived negative experiences in life. It is hard to get out of a dark or chaotic place if we cannot see our way out. Mental health or Substance abuse counseling helps us to identify the incidents in life that may have influenced our current behavior, process it, and then restructure our thoughts and lives so that we can recapture a view of that light we once lost sight of. We can then set goals with intentional actions to help move forward to a more fulfilling version of ourselves through positive thought, constructive choices, and healthy relationships.
The bright promising world we once knew can grow dark through our perceived negative experiences in life. It is hard to get out of a dark or chaotic place if we cannot see our way out. Mental health or Substance abuse counseling helps us to identify the incidents in life that may have influenced our current behavior, process it, and then restructure our thoughts and lives so that we can recapture a view of that light we once lost sight of. We can then set goals with intentional actions to help move forward to a more fulfilling version of ourselves through positive thought, constructive choices, and healthy relationships.
(704) 368-4354 View (704) 368-4354
Photo of Jessica S Johnson, Licensed Clinical Mental Health Counselor in Charlotte, NC
Jessica S Johnson
Licensed Clinical Mental Health Counselor, MACM, LCMHC, LPCC
Verified Verified
1 Endorsed
Charlotte, NC 28216  (Online Only)
Everyday life brings a variety of situations that can cause us to feel unsure. We can be left feeling mentally or emotionally exhausted. Like most of us you want to make positive changes in your life and improve your relationships, but you just don’t know how to effectively make it happen. I know what it’s like to feel stuck, trying to navigate the waters of life filled with anxiety, depression, self-sabotage, substance misuse, relationship issues, an existential or spiritual crisis, and more. You want to show up for yourself, but you just don’t know how. Which is why I’ve dedicated my life to helping people get unstuck .
Everyday life brings a variety of situations that can cause us to feel unsure. We can be left feeling mentally or emotionally exhausted. Like most of us you want to make positive changes in your life and improve your relationships, but you just don’t know how to effectively make it happen. I know what it’s like to feel stuck, trying to navigate the waters of life filled with anxiety, depression, self-sabotage, substance misuse, relationship issues, an existential or spiritual crisis, and more. You want to show up for yourself, but you just don’t know how. Which is why I’ve dedicated my life to helping people get unstuck .
(704) 810-2380 View (704) 810-2380
Photo of Kristen Piscitelli, Pre-Licensed Professional in Charlotte, NC
Kristen Piscitelli
Pre-Licensed Professional
Verified Verified
Charlotte, NC 28210
We’re a good fit if... you experience anxiety, depression, disordered eating, grief or loss, difficult family relationships or parental concerns, or are looking to better your overall mental well-being. I am passionate about working with individuals, couples, families, and adolescents. My goal is to help you navigate life's challenges and empower you to lead a happier, healthier, and more fulfilling life. My ideal client is someone who wants to collaborate in order to empower themselves to achieve their goals while leveraging their strengths for change and finding healthy ways of coping with life's challenges.
We’re a good fit if... you experience anxiety, depression, disordered eating, grief or loss, difficult family relationships or parental concerns, or are looking to better your overall mental well-being. I am passionate about working with individuals, couples, families, and adolescents. My goal is to help you navigate life's challenges and empower you to lead a happier, healthier, and more fulfilling life. My ideal client is someone who wants to collaborate in order to empower themselves to achieve their goals while leveraging their strengths for change and finding healthy ways of coping with life's challenges.
(704) 368-3972 View (704) 368-3972
Photo of Jennifer McConnell, Psychological Associate in Charlotte, NC
Jennifer McConnell
Psychological Associate, MA, EdS
Verified Verified
Charlotte, NC 28277
I work with children of all ages and their families by being passionate about promoting their academic, social, and emotional success. I strive to provide a greater understanding of a child's learning strengths and weaknesses through comprehensive assessments. Through counseling, I utilize an approach that teaches coping skills to help children in navigating strong emotions.
I work with children of all ages and their families by being passionate about promoting their academic, social, and emotional success. I strive to provide a greater understanding of a child's learning strengths and weaknesses through comprehensive assessments. Through counseling, I utilize an approach that teaches coping skills to help children in navigating strong emotions.
(704) 270-8402 View (704) 270-8402

How does your Therapist compare?

Number of Therapists in Charlotte, NC

3,000+

Average cost per session

$135

Therapists in Charlotte, NC who prioritize treating:

93% Anxiety
87% Depression
77% Self Esteem
73% Relationship Issues
72% Coping Skills
69% Stress
65% Trauma and PTSD

Average years in practice

10 Years

Top 3 insurances accepted

80% BlueCross and BlueShield
73% Aetna
61% UnitedHealthcare UHC | UBH

How Therapists in Charlotte, NC see their clients

61% In Person and Online
39% Online Only

Gender breakdown

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

How can I find a therapist in Charlotte?

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.