Therapists in Asheville, NC

Photo of EO Mendelsohn, Marriage & Family Therapist Associate in Asheville, NC
EO Mendelsohn
Marriage & Family Therapist Associate, LMFTA
Verified Verified
2 Endorsed
Asheville, NC 28801  (Online Only)
Relationships can be painful and frustrating. Sometimes, it might feel like you’ve gotten on an emotional roller coaster you didn’t sign up for. You’re so tired of having the same fights over and over. Maybe you’re looking for a therapist to help you and your partner(s) learn how to communicate, regulate your emotions, and be vulnerable with each other. Maybe you're considering opening your relationship and you want support talking about boundaries and expectations. Or you need help repairing after you or one of your partners damaged the trust of your relationship. You don’t have to do this alone.
Relationships can be painful and frustrating. Sometimes, it might feel like you’ve gotten on an emotional roller coaster you didn’t sign up for. You’re so tired of having the same fights over and over. Maybe you’re looking for a therapist to help you and your partner(s) learn how to communicate, regulate your emotions, and be vulnerable with each other. Maybe you're considering opening your relationship and you want support talking about boundaries and expectations. Or you need help repairing after you or one of your partners damaged the trust of your relationship. You don’t have to do this alone.
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Photo of Claudia M McGrath, Counselor in Asheville, NC
Claudia M McGrath
Counselor, LPCC, NCC
Verified Verified
Asheville, NC 28803  (Online Only)
An ideal client would be someone who has possibly done some therapy work in the past, and still feels stuck in the area of relationships, addictions, trauma, grief or loss or someone who has never been to therapy previously. There are many places to get stuck in life, I find it interesting to find ways out of that place.
An ideal client would be someone who has possibly done some therapy work in the past, and still feels stuck in the area of relationships, addictions, trauma, grief or loss or someone who has never been to therapy previously. There are many places to get stuck in life, I find it interesting to find ways out of that place.
(701) 261-4472 View (701) 261-4472
Photo of Jeff Beers, LMFT, PLLC, Marriage & Family Therapist in Asheville, NC
Jeff Beers, LMFT, PLLC
Marriage & Family Therapist, LMFT
Verified Verified
Asheville, NC 28803
I offer lively, growth-oriented consultation for people ready for change in their personal, professional, and creative lives. My years in practice have sharpened my abilities in close listening, flexible thinking, problem solving and effective communication. I’ve helped my clients address challenging dilemmas, accept difficult realities, enhance creative thinking and access their emotional intelligence. My clients most often find fresh perspective, new language, useful insight and direction to further develop their efforts and themselves. I’m not easily overwhelmed by strong feelings or complex issues, and I don’t judge.
I offer lively, growth-oriented consultation for people ready for change in their personal, professional, and creative lives. My years in practice have sharpened my abilities in close listening, flexible thinking, problem solving and effective communication. I’ve helped my clients address challenging dilemmas, accept difficult realities, enhance creative thinking and access their emotional intelligence. My clients most often find fresh perspective, new language, useful insight and direction to further develop their efforts and themselves. I’m not easily overwhelmed by strong feelings or complex issues, and I don’t judge.
(828) 518-2570 View (828) 518-2570
Photo of Liz Boulos, Clinical Social Work/Therapist in Asheville, NC
Liz Boulos
Clinical Social Work/Therapist, LCSW, LCAS
Verified Verified
Asheville, NC 28801
Perhaps right now you feel empty, dissapointed in yourself, detached or just plain sad. Maybe it is that you have made some bad decisions that brought you down a path you never imagined for yourself. Maybe your mood feels out of control, you can not stop crying or perhaps it is the opposite and you are feeling on top of the world and you do not know why. I have been there and I want to use my experiences to help. Because I approach client goals with a team mentality you will be in the drivers seat from day one.
Perhaps right now you feel empty, dissapointed in yourself, detached or just plain sad. Maybe it is that you have made some bad decisions that brought you down a path you never imagined for yourself. Maybe your mood feels out of control, you can not stop crying or perhaps it is the opposite and you are feeling on top of the world and you do not know why. I have been there and I want to use my experiences to help. Because I approach client goals with a team mentality you will be in the drivers seat from day one.
(828) 332-5804 View (828) 332-5804
Photo of Jessie Phillips, Psychological Associate in Asheville, NC
Jessie Phillips
Psychological Associate, LPA
Verified Verified
1 Endorsed
Asheville, NC 28803
I offer psychological testing for a variety of areas including ADHD, autism, learning difficulties, and mood disorders. I have worked with toddlers, children, teens, and adults to help them to gain the knowledge and develop the skills to cope with their diagnoses, and set goals for treatment planning.
I offer psychological testing for a variety of areas including ADHD, autism, learning difficulties, and mood disorders. I have worked with toddlers, children, teens, and adults to help them to gain the knowledge and develop the skills to cope with their diagnoses, and set goals for treatment planning.
(828) 929-0811 View (828) 929-0811
Photo of Rachael James, Psychologist in Asheville, NC
Rachael James
Psychologist, PhD
Verified Verified
1 Endorsed
Asheville, NC 28801
We all need support sometimes to cope with life’s challenges. I am here to help. My top priority is to provide a safe and nonjudgmental space for you to feel connected and understood. Together we will explore what you hope to get out of therapy, identify strengths and barriers, and actively develop solutions. I will help you to take manageable risks to live authentically, process painful thoughts and feelings, and achieve your goals for a healthy and fulfilling life. I take an integrative approach, drawing from cognitive-behavioral and contemporary psychodynamic and attachment based approaches.
We all need support sometimes to cope with life’s challenges. I am here to help. My top priority is to provide a safe and nonjudgmental space for you to feel connected and understood. Together we will explore what you hope to get out of therapy, identify strengths and barriers, and actively develop solutions. I will help you to take manageable risks to live authentically, process painful thoughts and feelings, and achieve your goals for a healthy and fulfilling life. I take an integrative approach, drawing from cognitive-behavioral and contemporary psychodynamic and attachment based approaches.
(828) 528-7887 View (828) 528-7887
Photo of Peyton Kinnaird, Counselor in Asheville, NC
Peyton Kinnaird
Counselor, MA, LCMHCS, SEP
Not Verified Not Verified
Asheville, NC 28801
I am encouraged by the resilience of the human spirit. We have an incredible ability to heal and make meaning out of our lives. Within a comfortable therapeutic relationship that is built on trust, the power of telling ones story is transformative and can provide the fuel for making courageous life changes. I work with a range of issues and disorders, including depression, grief, anxiety,attachment and relationship struggles. I have years of experience in trauma recovery work with survivors of violence and sexual abuse. In my work I offer authenticity and direct communication as a compliment to my knowledge base.
I am encouraged by the resilience of the human spirit. We have an incredible ability to heal and make meaning out of our lives. Within a comfortable therapeutic relationship that is built on trust, the power of telling ones story is transformative and can provide the fuel for making courageous life changes. I work with a range of issues and disorders, including depression, grief, anxiety,attachment and relationship struggles. I have years of experience in trauma recovery work with survivors of violence and sexual abuse. In my work I offer authenticity and direct communication as a compliment to my knowledge base.
(828) 705-1157 View (828) 705-1157
Photo of Becca Odom, Clinical Social Work/Therapist in Asheville, NC
Becca Odom
Clinical Social Work/Therapist, LCSW, E-RYT
Verified Verified
Asheville, NC 28801  (Online Only)
My style with clients is warm, compassionate, heart-centered, solution-focused & collaborative. As a clinical therapist & yoga teacher, my approach is rooted in somatic therapy, using the body to help us regulate & manage our emotions, symptoms and triggers more effectively in our daily life. I use embodiment practices combined with EMDR to help people heal from past experiences & live a life we love. My goal in working with clients is to help them cultivate a greater sense of compassion, connection, & mindful awareness with themselves & others.
My style with clients is warm, compassionate, heart-centered, solution-focused & collaborative. As a clinical therapist & yoga teacher, my approach is rooted in somatic therapy, using the body to help us regulate & manage our emotions, symptoms and triggers more effectively in our daily life. I use embodiment practices combined with EMDR to help people heal from past experiences & live a life we love. My goal in working with clients is to help them cultivate a greater sense of compassion, connection, & mindful awareness with themselves & others.
(828) 575-0152 View (828) 575-0152
Photo of Cade Yanowski, Marriage & Family Therapist in Asheville, NC
Cade Yanowski
Marriage & Family Therapist, LMFT
Verified Verified
1 Endorsed
Asheville, NC 28801
Where do you even begin? How do you sort through the clutter of endless therapy websites while you’re feeling overwhelmed and stuck? How do you find the right therapist when it feels like no one will understand you anyways? Just getting through the day is already tiresome enough. You have big feelings that you're ashamed of having around others. Your thoughts are self-critical, making you think you’re not good enough or like you don’t belong. You’re juggling relationships and responsibilities, all while trying to hide that you feel insecure and lost. And all you want is to just feel happy and live a stable life again.
Where do you even begin? How do you sort through the clutter of endless therapy websites while you’re feeling overwhelmed and stuck? How do you find the right therapist when it feels like no one will understand you anyways? Just getting through the day is already tiresome enough. You have big feelings that you're ashamed of having around others. Your thoughts are self-critical, making you think you’re not good enough or like you don’t belong. You’re juggling relationships and responsibilities, all while trying to hide that you feel insecure and lost. And all you want is to just feel happy and live a stable life again.
(828) 618-4104 View (828) 618-4104
Photo of Helping You Heal in Asheville, NC
Helping You Heal
LCSW
Verified Verified
Asheville, NC 28803
At Helping You Heal our mission is to deliver the highest quality of behavioral health care to those in our communities empowering and supporting them through their recovery in order to live their best lives. We operate from a client focused perspective, treating all with dignity and valuing diverse perspectives. By working together, sharing knowledge, and moving forward we achieve the best outcomes for individuals, communities and society. The staff here have ten plus years working with those with SPMI, Bipolar, Depression, and Anxiety. If you, or someone you love, are struggling please give us a call to find out how we can help.
At Helping You Heal our mission is to deliver the highest quality of behavioral health care to those in our communities empowering and supporting them through their recovery in order to live their best lives. We operate from a client focused perspective, treating all with dignity and valuing diverse perspectives. By working together, sharing knowledge, and moving forward we achieve the best outcomes for individuals, communities and society. The staff here have ten plus years working with those with SPMI, Bipolar, Depression, and Anxiety. If you, or someone you love, are struggling please give us a call to find out how we can help.
(828) 408-0075 View (828) 408-0075
Photo of Kara Catrelle, Clinical Social Work/Therapist in Asheville, NC
Kara Catrelle
Clinical Social Work/Therapist, MSW, LCSW, CVA, CAP
Verified Verified
Asheville, NC 28805  (Online Only)
With over 25 years in the mental health field and 13 years in private practice, I offer a multitude of personal and professional experience. Much of our suffering is due to dissatisfaction in relationships. Sadly, many relationships end prematurely when we are most hurt and emotionally vulnerable. However, this is the time when the very intimacy we were lacking prior has the potential to finally break through. I give you tools and insight to heal old wounds that are holding you back from experiencing the love you seek within yourself and others. Together we address the intrapsychic conflicts and longings of the soul.
With over 25 years in the mental health field and 13 years in private practice, I offer a multitude of personal and professional experience. Much of our suffering is due to dissatisfaction in relationships. Sadly, many relationships end prematurely when we are most hurt and emotionally vulnerable. However, this is the time when the very intimacy we were lacking prior has the potential to finally break through. I give you tools and insight to heal old wounds that are holding you back from experiencing the love you seek within yourself and others. Together we address the intrapsychic conflicts and longings of the soul.
(828) 782-3435 View (828) 782-3435
Photo of Darcy M Jones, Clinical Social Work/Therapist in Asheville, NC
Darcy M Jones
Clinical Social Work/Therapist, MSW, LCSW, SEP
Verified Verified
Asheville, NC 28805
I work with my clients’ innate resilience, providing support to people as they discover this resilience for themselves. This process can support reconnection with ourselves, each other, and our world.
I work with my clients’ innate resilience, providing support to people as they discover this resilience for themselves. This process can support reconnection with ourselves, each other, and our world.
(910) 920-9968 View (910) 920-9968
Photo of Qendresa “Dresa” Pacolli, Counselor in Asheville, NC
Qendresa “Dresa” Pacolli
Counselor, M Ed, LCMHCA, LCASA
Verified Verified
Asheville, NC 28805  (Online Only)
I want to help you find and create new meaning, as well as shed old narratives connected to your cultural background that no longer serve you. I enjoy working individually with adults who are ready to dive into a journey of self-exploration. I have worked with clients who have experienced various types of traumas, including early childhood trauma, abandonment, and parentification. We will explore childhood experiences through inner child work, process addiction and unresolved grief experiences, and focus on managing anxiety, and depression. I hope you find a new understanding of yourself and develop a new appreciation of who you are
I want to help you find and create new meaning, as well as shed old narratives connected to your cultural background that no longer serve you. I enjoy working individually with adults who are ready to dive into a journey of self-exploration. I have worked with clients who have experienced various types of traumas, including early childhood trauma, abandonment, and parentification. We will explore childhood experiences through inner child work, process addiction and unresolved grief experiences, and focus on managing anxiety, and depression. I hope you find a new understanding of yourself and develop a new appreciation of who you are
(828) 540-2567 View (828) 540-2567
Photo of Page D. Albright, Licensed Clinical Mental Health Counselor in Asheville, NC
Page D. Albright
Licensed Clinical Mental Health Counselor, MA, LCMHC
Verified Verified
1 Endorsed
Asheville, NC 28801
I have been a Licensed Clinical Mental Health Counselor (LCMHC) for the past 30 years serving diverse/multicultural populations that include adults and older adolescents My goal is to provide a safe and accepting environment where you feel comfortable to explore. discover and remove the blocks that have kept you trapped/struck from moving in the direction you desire. In my "toolbox," I employ various tech/strategies some of which you will learn to use on your own. I have been trained in a variety of modalities CBT, EMDR, Mindfulness Based Cognitive Therapy, IFS, and family systems therapy.
I have been a Licensed Clinical Mental Health Counselor (LCMHC) for the past 30 years serving diverse/multicultural populations that include adults and older adolescents My goal is to provide a safe and accepting environment where you feel comfortable to explore. discover and remove the blocks that have kept you trapped/struck from moving in the direction you desire. In my "toolbox," I employ various tech/strategies some of which you will learn to use on your own. I have been trained in a variety of modalities CBT, EMDR, Mindfulness Based Cognitive Therapy, IFS, and family systems therapy.
(828) 615-8240 View (828) 615-8240
Photo of Dina Rose, Clinical Social Work/Therapist in Asheville, NC
Dina Rose
Clinical Social Work/Therapist, LCSW
Verified Verified
Asheville, NC 28805  (Online Only)
I am currently accepting new clients. It is my personal and professional experience that change is always possible. I am optimistic and enthusiastic about life and my profession. It gives me great joy to help a person affect positive change. On a personal note, my interests include holistic health, positivity and fresh air.
I am currently accepting new clients. It is my personal and professional experience that change is always possible. I am optimistic and enthusiastic about life and my profession. It gives me great joy to help a person affect positive change. On a personal note, my interests include holistic health, positivity and fresh air.
(828) 202-5342 View (828) 202-5342
Photo of Leah S Madamba, Licensed Professional Counselor in Asheville, NC
Leah S Madamba
Licensed Professional Counselor, MS, NCC, LCMHC, CPC
Verified Verified
1 Endorsed
Asheville, NC 28805  (Online Only)
As a seasoned therapist and Certified Parent Coach, I bring over two decades of expertise in supporting teens and their families. Throughout my career, I've engaged in individual and group therapy with both adults and teens, led parent support groups, and developed parent education programs within a residential facility for adolescents. On a personal note, as a parent to teenagers myself, I understand the joys and challenges that come with parenting. I'm here to assure you that you're not alone. My mission is to provide you with tools and guidance to help you navigate the complexities of parenting with confidence and resilience.
As a seasoned therapist and Certified Parent Coach, I bring over two decades of expertise in supporting teens and their families. Throughout my career, I've engaged in individual and group therapy with both adults and teens, led parent support groups, and developed parent education programs within a residential facility for adolescents. On a personal note, as a parent to teenagers myself, I understand the joys and challenges that come with parenting. I'm here to assure you that you're not alone. My mission is to provide you with tools and guidance to help you navigate the complexities of parenting with confidence and resilience.
(828) 501-0770 View (828) 501-0770
Photo of Joyce Hones, Counselor in Asheville, NC
Joyce Hones
Counselor, LCMHCA, RYT200
Verified Verified
1 Endorsed
Asheville, NC 28801  (Online Only)
Waitlist for new clients
Have you been experiencing pain that interferes with your daily functioning, feeling like you have to put on a brave face to get by, but suffering inside? Are you a young adult who previously led a vibrant, active life, now struggling to adjust to a diagnosis and figure out what that means for your present and future? Do you struggle with patterns of thoughts and emotions that heighten your pain and leave you feeling hopeless about ever escaping this cycle? Maybe you are starting to consider that traumatic events in the past have contributed to your current experience of pain and suffering.
Have you been experiencing pain that interferes with your daily functioning, feeling like you have to put on a brave face to get by, but suffering inside? Are you a young adult who previously led a vibrant, active life, now struggling to adjust to a diagnosis and figure out what that means for your present and future? Do you struggle with patterns of thoughts and emotions that heighten your pain and leave you feeling hopeless about ever escaping this cycle? Maybe you are starting to consider that traumatic events in the past have contributed to your current experience of pain and suffering.
(828) 415-5826 View (828) 415-5826
Photo of Reese Wells, Counselor in Asheville, NC
Reese Wells
Counselor, LCMHC, NCC, MA
Verified Verified
Asheville, NC 28806
Waitlist for new clients
I work with adults and young adults struggling with stress, anxiety, depression, relationship issues, and emotional management, especially anger. As a clinically trained body-mind therapist, my focus is on mindfulness and present-moment awareness. I believe in growth within safe, non-judgmental relationships where you feel empowered to experience new perspectives, opportunities, and healing. In session I am present-focused, transparent, and relational. My approach is rooted in trust and collaboration. I value authenticity and bring my authentic self into our sessions.
I work with adults and young adults struggling with stress, anxiety, depression, relationship issues, and emotional management, especially anger. As a clinically trained body-mind therapist, my focus is on mindfulness and present-moment awareness. I believe in growth within safe, non-judgmental relationships where you feel empowered to experience new perspectives, opportunities, and healing. In session I am present-focused, transparent, and relational. My approach is rooted in trust and collaboration. I value authenticity and bring my authentic self into our sessions.
(828) 373-2106 View (828) 373-2106
Photo of Holly Testerman Neumann, Counselor in Asheville, NC
Holly Testerman Neumann
Counselor, LCAS, LCMHC, CTT- II
Verified Verified
2 Endorsed
Asheville, NC 28801
Are you struggling? Life shows up and things get difficult. Maybe there are behaviors you want to change or a relationship you would like to see improve. Is there something in your past you would like to let go of? There is no reason to be alone in your pain. Pain is often a motivating factor for change.
Are you struggling? Life shows up and things get difficult. Maybe there are behaviors you want to change or a relationship you would like to see improve. Is there something in your past you would like to let go of? There is no reason to be alone in your pain. Pain is often a motivating factor for change.
(828) 415-5480 View (828) 415-5480
Photo of Perry Lavin, Lic Clinical Mental Health Counselor Associate in Asheville, NC
Perry Lavin
Lic Clinical Mental Health Counselor Associate, LCMHC
Verified Verified
1 Endorsed
Asheville, NC 28803
All humans are equipped with the capacity for healing and transformation. I believe that everyone deserves the chance to undergo this process of change. Everyone deserves to create a life that is worth living and is full of meaning. Unfortunately, we are often left feeing disconnected, detached, depressed, or anxious. As a clinician, I am passionate about helping change these patterns. It is a gift to be with people as they find deeper meaning and a more fulfilling life. I love going deep with people so that we may find the roots of your problem and create the change that leads to a truer, more vital version of yourself.
All humans are equipped with the capacity for healing and transformation. I believe that everyone deserves the chance to undergo this process of change. Everyone deserves to create a life that is worth living and is full of meaning. Unfortunately, we are often left feeing disconnected, detached, depressed, or anxious. As a clinician, I am passionate about helping change these patterns. It is a gift to be with people as they find deeper meaning and a more fulfilling life. I love going deep with people so that we may find the roots of your problem and create the change that leads to a truer, more vital version of yourself.
(828) 332-5403 View (828) 332-5403

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

69% In Person and Online
31% 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

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.