Therapists in Charlotte, NC

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Photo of Natasha Pemberton-Todd, Licensed Professional Counselor in Charlotte, NC
Natasha Pemberton-Todd
Licensed Professional Counselor, MS, MA, LPC, LPCS
Verified Verified
1 Endorsed
Charlotte, NC 28262  (Online Only)
Waitlist for new clients
**NOW ACCEPTING NEW APPOINTMENTS ** Women often suffer in silence. Do you feel as if you are suffering in silence? Is the burden of expectations from your spouse, children and your career overwhelming? Do you feel empty, lost, depressed and anxious? Do you feel like you would have been further in life than where you are now. I know these problems are real and I want to help. There is a way to a brighter day.
**NOW ACCEPTING NEW APPOINTMENTS ** Women often suffer in silence. Do you feel as if you are suffering in silence? Is the burden of expectations from your spouse, children and your career overwhelming? Do you feel empty, lost, depressed and anxious? Do you feel like you would have been further in life than where you are now. I know these problems are real and I want to help. There is a way to a brighter day.
(704) 413-6813 View (704) 413-6813
Photo of Lindsay Patlewicz, Clinical Social Work/Therapist in Charlotte, NC
Lindsay Patlewicz
Clinical Social Work/Therapist, LCSW
Verified Verified
Charlotte, NC 28202  (Online Only)
Hi There. I am Lindsay. Do you ever feel stuck? Do you find it hard to get motivated? We all need support at some point in our lives. I employ a holistic approach to help others heal from life transitions, grief, anxiety, depression, and trauma. Counseling can provide you with that support, a greater understanding of yourself and an opportunity to grow.
Hi There. I am Lindsay. Do you ever feel stuck? Do you find it hard to get motivated? We all need support at some point in our lives. I employ a holistic approach to help others heal from life transitions, grief, anxiety, depression, and trauma. Counseling can provide you with that support, a greater understanding of yourself and an opportunity to grow.
(704) 766-8874 View (704) 766-8874
Photo of Courtney D Leak, Clinical Social Work/Therapist in Charlotte, NC
Courtney D Leak
Clinical Social Work/Therapist, MSW, LCSW, LISW-CP
Verified Verified
9 Endorsed
Charlotte, NC 28211  (Online Only)
I believe in empowering others to make the life changes that move them towards fulfillment. I have over nine years of experience working with people in Human Services and Mental Health. I approach therapy with a kind honesty that allows people to see themselves clearly and accept themselves for who they are while building the strength to move into who they want to become. I believe that the healing process is interactive and therefore I use an eclectic, creative, and experiential approach to my treatment.
I believe in empowering others to make the life changes that move them towards fulfillment. I have over nine years of experience working with people in Human Services and Mental Health. I approach therapy with a kind honesty that allows people to see themselves clearly and accept themselves for who they are while building the strength to move into who they want to become. I believe that the healing process is interactive and therefore I use an eclectic, creative, and experiential approach to my treatment.
(704) 228-4668 View (704) 228-4668
Photo of Daniel Miles, Counselor in Charlotte, NC
Daniel Miles
Counselor, MA, MDiv, LCMHC
Verified Verified
Charlotte, NC 28210
Waitlist for new clients
It has been a trying few years, and it just seems to get worse. The world is still filled with anxiety, uncertainty, and confusion. If you need some human connection in these frightening times, I am available to you. Whether you're anxious about the country and world, struggling to maintain relationships, or feeling lonely and isolated, I can help you.
It has been a trying few years, and it just seems to get worse. The world is still filled with anxiety, uncertainty, and confusion. If you need some human connection in these frightening times, I am available to you. Whether you're anxious about the country and world, struggling to maintain relationships, or feeling lonely and isolated, I can help you.
(704) 586-9363 View (704) 586-9363
Photo of Stephanie Washington, Licensed Clinical Mental Health Counselor in Charlotte, NC
Stephanie Washington
Licensed Clinical Mental Health Counselor, LCMHC
Verified Verified
Charlotte, NC 28216  (Online Only)
My experience encompasses 12 years of assisting others with working through life transitions and learning to live and experience life in a more successful pleasurable way. My area of special interest is working with adolescents and adults who face a variety of problems ranging from emotional adjustment, school, peer, and family relationships to serious difficulties with trauma, anxiety and depression.
My experience encompasses 12 years of assisting others with working through life transitions and learning to live and experience life in a more successful pleasurable way. My area of special interest is working with adolescents and adults who face a variety of problems ranging from emotional adjustment, school, peer, and family relationships to serious difficulties with trauma, anxiety and depression.
(704) 312-7605 x28216 View (704) 312-7605 x28216
Photo of GPS Counseling, Counselor in Charlotte, NC
GPS Counseling
Counselor, MA, LCMHC, NCC
Verified Verified
Charlotte, NC 28203
Thank you for visiting my profile. My name is Greg St. Martin. I provide counseling to children, adolescents, adults and families. My theoretical approach is Person Centered. Person-Centered Therapy utilizes the approach that each person is unique, valued, and worthy of unconditional acceptance. I received a Master of Arts in Clinical Mental Health Counseling and Play Therapy at the University of North Carolina at Charlotte in 2017. I am a Licensed Clinical Mental Health Counselor in North Carolina (LCMHC, 13814) and a National Certified Counselor.
Thank you for visiting my profile. My name is Greg St. Martin. I provide counseling to children, adolescents, adults and families. My theoretical approach is Person Centered. Person-Centered Therapy utilizes the approach that each person is unique, valued, and worthy of unconditional acceptance. I received a Master of Arts in Clinical Mental Health Counseling and Play Therapy at the University of North Carolina at Charlotte in 2017. I am a Licensed Clinical Mental Health Counselor in North Carolina (LCMHC, 13814) and a National Certified Counselor.
(704) 837-1638 View (704) 837-1638
Photo of Monique Cox Waithe, Clinical Social Work/Therapist in Charlotte, NC
Monique Cox Waithe
Clinical Social Work/Therapist, LCSW, LISW-CP, CPLC
Verified Verified
Charlotte, NC 28273
Are you feeling “stuck”in your life? Are you just going through the motions? Are you carrying emotional baggage from your past? Are you in transition in your career, marriage, or relationships and need some direction? Are you feeling lost in this life's journey and need help navigating the next level in your life? Coaching may be the key needed to help you move to that next level and as a Emotional Transformation coach I am here to guide you.
Are you feeling “stuck”in your life? Are you just going through the motions? Are you carrying emotional baggage from your past? Are you in transition in your career, marriage, or relationships and need some direction? Are you feeling lost in this life's journey and need help navigating the next level in your life? Coaching may be the key needed to help you move to that next level and as a Emotional Transformation coach I am here to guide you.
(704) 343-6511 View (704) 343-6511
Photo of Sarah Currie, Counselor in Charlotte, NC
Sarah Currie
Counselor, PhD, LCMHC
Verified Verified
Charlotte, NC 28204
Hello and welcome. I’m Sarah, a therapist committed to guiding you through life’s challenges, be it grief, relationship issues, depression, anxiety, or life transitions. Your journey towards healing and self-discovery is a courageous step. You are ready to be curious about yourself, to cultivate self-awareness, and begin the fulfilling work of becoming more whole and healed. Together, we can unlock the freedom and new paths that await you on the other side of this process.
Hello and welcome. I’m Sarah, a therapist committed to guiding you through life’s challenges, be it grief, relationship issues, depression, anxiety, or life transitions. Your journey towards healing and self-discovery is a courageous step. You are ready to be curious about yourself, to cultivate self-awareness, and begin the fulfilling work of becoming more whole and healed. Together, we can unlock the freedom and new paths that await you on the other side of this process.
(704) 826-3285 View (704) 826-3285
Photo of Calissa's Counseling Services, LLC, Clinical Social Work/Therapist in Charlotte, NC
Calissa's Counseling Services, LLC
Clinical Social Work/Therapist, LCSW
Verified Verified
Charlotte, NC 28215
Like many journeys, therapy begins with where you are now, factors in where you have been, and builds a plan for where you want to go. It is a collaborative process. You are the expert on your life and with the right supports in place, you can discover your strengths and begin the healing process. I have found a diverse therapeutic approach to be most effective in assisting my clients coping with life challenges such as depression, anxiety, relationship issues, trauma, grief, parenting and anger management. This approach utilizes my training in psychodynamic, cognitive, behavioral, solution focused and mindfulness techniques.
Like many journeys, therapy begins with where you are now, factors in where you have been, and builds a plan for where you want to go. It is a collaborative process. You are the expert on your life and with the right supports in place, you can discover your strengths and begin the healing process. I have found a diverse therapeutic approach to be most effective in assisting my clients coping with life challenges such as depression, anxiety, relationship issues, trauma, grief, parenting and anger management. This approach utilizes my training in psychodynamic, cognitive, behavioral, solution focused and mindfulness techniques.
(704) 389-2274 View (704) 389-2274
Photo of Leia Charnin, Psychologist in Charlotte, NC
Leia Charnin
Psychologist, PhD, LP
Verified Verified
1 Endorsed
Charlotte, NC 28211
You're over it. Feeling sad and heartbroken about what you've endured in life. You don't want to continue struggling to get through the day. Your nervous system feels like it's in survival mode to cope and it's affecting your relationships, self-worth, and work. It's time for that black cloud over your head to stop controlling you. Whether you're struggling with identity, sexuality, relational trauma, grief, anxiety, or burnout, you have options to grow beyond this quicksand keeping you stuck.
You're over it. Feeling sad and heartbroken about what you've endured in life. You don't want to continue struggling to get through the day. Your nervous system feels like it's in survival mode to cope and it's affecting your relationships, self-worth, and work. It's time for that black cloud over your head to stop controlling you. Whether you're struggling with identity, sexuality, relational trauma, grief, anxiety, or burnout, you have options to grow beyond this quicksand keeping you stuck.
(980) 280-1324 View (980) 280-1324
Photo of Kelsey Cuomo, Clinical Social Work/Therapist in Charlotte, NC
Kelsey Cuomo
Clinical Social Work/Therapist, MSW, LCSW-A
Verified Verified
1 Endorsed
Charlotte, NC 28203
Not accepting new clients
You are not "too much." No matter your struggles, you deserve to take up space, and I am here to help you find your joy. You may notice that you feel numb or helpless from a broken relationship or a new diagnosis (mental or physical). Or you may feel trapped reliving a traumatic experience. Maybe you recently lost a loved one and are grieving the life that was and could have been. Whatever it is, I'm here to support you on this journey.
You are not "too much." No matter your struggles, you deserve to take up space, and I am here to help you find your joy. You may notice that you feel numb or helpless from a broken relationship or a new diagnosis (mental or physical). Or you may feel trapped reliving a traumatic experience. Maybe you recently lost a loved one and are grieving the life that was and could have been. Whatever it is, I'm here to support you on this journey.
(704) 396-5976 View (704) 396-5976
Photo of Laurel Ann Meine, Counselor in Charlotte, NC
Laurel Ann Meine
Counselor, MA, LMHC, NCC
Verified Verified
Charlotte, NC 28277  (Online Only)
Do you want to make changes in your life? I want to help you explore your options. I want to help you become the person you want to be. We live in a very complicated and changing world having to navigate many different situations and experiences; that we don't always feel equipped to handle emotionally. I believe we are all here on this earth to help each other and my goal is to help you become the best you can be.
Do you want to make changes in your life? I want to help you explore your options. I want to help you become the person you want to be. We live in a very complicated and changing world having to navigate many different situations and experiences; that we don't always feel equipped to handle emotionally. I believe we are all here on this earth to help each other and my goal is to help you become the best you can be.
(704) 318-4755 View (704) 318-4755
Photo of Tania Marie Bialeck, Licensed Professional Counselor in Charlotte, NC
Tania Marie Bialeck
Licensed Professional Counselor, MA, LCMHC
Verified Verified
1 Endorsed
Charlotte, NC 28210
You’re always exhausted. The alarm clock buzzes, and you struggle to open your eyes. The blanket feels like it’s made of lead as you attempt to get out of bed. It’s the same every morning, and things only worsen from there. You sleepwalk through each day in a thick, hazy fog. You’re not fully present, but you go through the motions because you’re supposed to. It’s getting difficult to remember a time when you actually felt good, and you can’t imagine ever feeling happy again. You've tried fixing your problems, but no solution lasts for long. You know that something needs to change, but you don’t know how. It feels hopeless!
You’re always exhausted. The alarm clock buzzes, and you struggle to open your eyes. The blanket feels like it’s made of lead as you attempt to get out of bed. It’s the same every morning, and things only worsen from there. You sleepwalk through each day in a thick, hazy fog. You’re not fully present, but you go through the motions because you’re supposed to. It’s getting difficult to remember a time when you actually felt good, and you can’t imagine ever feeling happy again. You've tried fixing your problems, but no solution lasts for long. You know that something needs to change, but you don’t know how. It feels hopeless!
(704) 666-4560 View (704) 666-4560
Photo of Megan Montgomery Clark, Licensed Professional Counselor in Charlotte, NC
Megan Montgomery Clark
Licensed Professional Counselor, LCMHC
Verified Verified
2 Endorsed
Charlotte, NC 28226
I believe the therapeutic relationship is the primary ingredient to successful therapy so I work hard to create a warm, trusting relationship with each client and go at their pace. I enjoy working with individuals (21+). Particular areas of interest for me include trauma healing, creating healthy attachment relationships, emotionally healthy spirituality (including deconstruction/reconstruction), body image, parenting support, and women's issues. I welcome and value people from all religious backgrounds, sexual orientations and ethnicities. I see clients from 9 a.m.- 1 p.m. Tuesday through Friday, both in-person and virtually.
I believe the therapeutic relationship is the primary ingredient to successful therapy so I work hard to create a warm, trusting relationship with each client and go at their pace. I enjoy working with individuals (21+). Particular areas of interest for me include trauma healing, creating healthy attachment relationships, emotionally healthy spirituality (including deconstruction/reconstruction), body image, parenting support, and women's issues. I welcome and value people from all religious backgrounds, sexual orientations and ethnicities. I see clients from 9 a.m.- 1 p.m. Tuesday through Friday, both in-person and virtually.
(704) 387-5211 View (704) 387-5211
Photo of J. Michelle Daley, Counselor in Charlotte, NC
J. Michelle Daley
Counselor, LCMHCA
Verified Verified
1 Endorsed
Charlotte, NC 28209
Therapy can feel like a scary step to take. Even more it can be a struggle to just share one's needs/stories. Which is why Diego and I work with each of our Clients in making that fear go away and assisting everyone in feeling comfortable and at ease. One of the first priorities I focus on is working with that fear, that uncomfortable feeling--It Gets Better. Diego is an amazing asset to this team as he will provide comfort to those who experience anxiety during therapy. He can provide decompression for those working through trauma or those experiencing sensory challenges.
Therapy can feel like a scary step to take. Even more it can be a struggle to just share one's needs/stories. Which is why Diego and I work with each of our Clients in making that fear go away and assisting everyone in feeling comfortable and at ease. One of the first priorities I focus on is working with that fear, that uncomfortable feeling--It Gets Better. Diego is an amazing asset to this team as he will provide comfort to those who experience anxiety during therapy. He can provide decompression for those working through trauma or those experiencing sensory challenges.
(980) 270-2140 View (980) 270-2140
Photo of Dr. Dalia Biller-Nicoletti Psy D, Psychologist in Charlotte, NC
Dr. Dalia Biller-Nicoletti Psy D
Psychologist, PsyD
Verified Verified
Charlotte, NC 28277
Learn how to create the “You” and the "Life" you want! Dr Biller is an expert clinical psychologist with 20+ years in private practice. Her compassion and skill are unmatched. Using a combination of proven therapy styles/techniques, Dr Biller and her team of highly trained professional counselors can help. Whether you are seeking solutions to problems, coping with a loss or major stressor, feeling “stuck” in life or in a bad relationship, want to learn how to replace negative thoughts and behavior patterns with healthier and more successful ones, or if you want to explore how past experiences impact you today, help is within reach.
Learn how to create the “You” and the "Life" you want! Dr Biller is an expert clinical psychologist with 20+ years in private practice. Her compassion and skill are unmatched. Using a combination of proven therapy styles/techniques, Dr Biller and her team of highly trained professional counselors can help. Whether you are seeking solutions to problems, coping with a loss or major stressor, feeling “stuck” in life or in a bad relationship, want to learn how to replace negative thoughts and behavior patterns with healthier and more successful ones, or if you want to explore how past experiences impact you today, help is within reach.
(704) 481-6842 View (704) 481-6842
Photo of Rebecca Blankenship, Counselor in Charlotte, NC
Rebecca Blankenship
Counselor, MA, LCMHC
Verified Verified
2 Endorsed
Charlotte, NC 28277  (Online Only)
Are racing thoughts and worrying keeping you up at night? Do you struggle with low self-esteem? Do you feel overwhelmed with emotional disturbance and have a hard time coping in a healthy way? Is your past trauma holding you back? It may be hard for you to relax. You may find it challenging to trust yourself or others. Relationships seem difficult to navigate. However, you don’t have to live with severe anxiety and unhappiness. You don’t have to be held back by what happened to you. Therapy can be a helpful way to learn healthy and effective coping skills, process emotions, get support, and work through trauma.
Are racing thoughts and worrying keeping you up at night? Do you struggle with low self-esteem? Do you feel overwhelmed with emotional disturbance and have a hard time coping in a healthy way? Is your past trauma holding you back? It may be hard for you to relax. You may find it challenging to trust yourself or others. Relationships seem difficult to navigate. However, you don’t have to live with severe anxiety and unhappiness. You don’t have to be held back by what happened to you. Therapy can be a helpful way to learn healthy and effective coping skills, process emotions, get support, and work through trauma.
(704) 869-2183 View (704) 869-2183
Photo of Gabrielle Eryn Hazan, Counselor in Charlotte, NC
Gabrielle Eryn Hazan
Counselor, LCMHC, LMHC, LPC
Verified Verified
Charlotte, NC 28212  (Online Only)
At an early age, I knew that my path in life was to become a therapist. This goal has driven both my education and clinical experiences over the past decade. Over the years, I have worked in clinics serving children, adolescents, adults, and families struggling with depression, anxiety, trauma, substance misuse, ADHD, parenting challenges, and life transitions. My experiences have shaped who I am as an individual and has directly impacted my therapeutic style.
At an early age, I knew that my path in life was to become a therapist. This goal has driven both my education and clinical experiences over the past decade. Over the years, I have worked in clinics serving children, adolescents, adults, and families struggling with depression, anxiety, trauma, substance misuse, ADHD, parenting challenges, and life transitions. My experiences have shaped who I am as an individual and has directly impacted my therapeutic style.
(585) 378-4108 View (585) 378-4108
Photo of SHINE Counseling, PLLC, Clinical Social Work/Therapist in Charlotte, NC
SHINE Counseling, PLLC
Clinical Social Work/Therapist, LCSW
Verified Verified
6 Endorsed
Charlotte, NC 28262
Asking for help is an act of strength, courage, and resilience. If you or a loved one suffers from trauma, anxiety, and depression, contact us. For a faster response, please email. Negative thoughts, feelings, and self-defeating behaviors get in the way of us realizing our full potential. We facilitate the healing process needed to recover. We know that with adequate support, compassion, and insight, one can have a new lease on life. We believe in the power we have to transform and overcome minor mistakes to the most significant obstacles to live the life that we want to live, enabling peace to surface and calmness to be present.
Asking for help is an act of strength, courage, and resilience. If you or a loved one suffers from trauma, anxiety, and depression, contact us. For a faster response, please email. Negative thoughts, feelings, and self-defeating behaviors get in the way of us realizing our full potential. We facilitate the healing process needed to recover. We know that with adequate support, compassion, and insight, one can have a new lease on life. We believe in the power we have to transform and overcome minor mistakes to the most significant obstacles to live the life that we want to live, enabling peace to surface and calmness to be present.
(704) 327-0132 View (704) 327-0132
Photo of Rosalba Mendoza, Counselor in Charlotte, NC
Rosalba Mendoza
Counselor, LCMHCA
Verified Verified
3 Endorsed
Charlotte, NC 28273
Sometimes we can become overwhelmed and start to struggle with just being able to simple day-to-day things. It is ok to ask for help and it is ok to not be ok. If you feel you need to talk to someone that is ok, I am here to help you get things back in order.
Sometimes we can become overwhelmed and start to struggle with just being able to simple day-to-day things. It is ok to ask for help and it is ok to not be ok. If you feel you need to talk to someone that is ok, I am here to help you get things back in order.
(704) 389-5897 View (704) 389-5897

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
76% 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
62% 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.