Therapists in Beaufort County, NC

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Photo of Deb Pomeroy, Clinical Social Work/Therapist, RN, LCSW, LCASA
Deb Pomeroy
Clinical Social Work/Therapist, RN, LCSW, LCASA
1 Endorsed
Bath, NC 27808
Waitlist for new clients
I'm a licensed clinical therapist working with adolescents and adults in individual therapy. I have extensive training in treating perinatal mental health, depression, anxiety, trauma, and grief. I specialize in treating individuals managing relationship difficulties, chronic stress and burnout, perfectionism, parenting, and finding personal balance. I have expertise in helping clients improve self-esteem and navigate change of life events, such as graduating school, job/career changes, breakups, and parenthood status changes. I am here to support you.
I'm a licensed clinical therapist working with adolescents and adults in individual therapy. I have extensive training in treating perinatal mental health, depression, anxiety, trauma, and grief. I specialize in treating individuals managing relationship difficulties, chronic stress and burnout, perfectionism, parenting, and finding personal balance. I have expertise in helping clients improve self-esteem and navigate change of life events, such as graduating school, job/career changes, breakups, and parenthood status changes. I am here to support you.
(252) 477-4883 View (252) 477-4883
Photo of Courtney Howard - Riverside Therapy Services, PLLC, Pre-Licensed Professional, MS, LCMHCA
Riverside Therapy Services, PLLC
Pre-Licensed Professional, MS, LCMHCA
Washington, NC 27889
Life can be…a bit of a rollercoaster at times and can often feel unmanageable. If you find yourself becoming bogged down by life’s twists and turns, I’m here to help! My name is Courtney Howard and I am a Licensed Clinical Mental Health Counselor Associate in the state of North Carolina. My mission is to provide a safe space for you to explore, repair, and grow. Taking the steps to begin a counseling journey isn’t easy and I’m proud of you for searching for a therapist to fit your needs. Are you stressed, depressed, anxious, suffering with illness, grieving, or struggling with mood? Then I may be the perfect fit for you!
Life can be…a bit of a rollercoaster at times and can often feel unmanageable. If you find yourself becoming bogged down by life’s twists and turns, I’m here to help! My name is Courtney Howard and I am a Licensed Clinical Mental Health Counselor Associate in the state of North Carolina. My mission is to provide a safe space for you to explore, repair, and grow. Taking the steps to begin a counseling journey isn’t easy and I’m proud of you for searching for a therapist to fit your needs. Are you stressed, depressed, anxious, suffering with illness, grieving, or struggling with mood? Then I may be the perfect fit for you!
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Photo of Angela austin Mccoy, Licensed Professional Counselor, MS, LCMHC
Angela austin Mccoy
Licensed Professional Counselor, MS, LCMHC
Online Only
My ideal client is a client who knows the value of emotional intelligence, self love, and self awareness. When we understand ourselves, we can better understand others. We extend grace and empathy to ourselves; therefore we extend grace and empathy to others. We begin to understand the value of pursuing excellence not perfection. There is such freedom when we realize the power within ourselves to move away from the idea of perfectionism and pursue excellence in only the way we can.
My ideal client is a client who knows the value of emotional intelligence, self love, and self awareness. When we understand ourselves, we can better understand others. We extend grace and empathy to ourselves; therefore we extend grace and empathy to others. We begin to understand the value of pursuing excellence not perfection. There is such freedom when we realize the power within ourselves to move away from the idea of perfectionism and pursue excellence in only the way we can.
(252) 376-8070 View (252) 376-8070
Photo of Grayce Lake Bunch, Clinical Social Work/Therapist, LCSWA
Grayce Lake Bunch
Clinical Social Work/Therapist, LCSWA
1 Endorsed
Online Only
I would not say I have an ideal client. I believe everyone comes to therapy at different times and places in their recovery so I approach each person differently. I enjoy, and have experience working with all ages, races, sexes, and socioeconomic statuses. My goal is to create a welcoming and supportive environment for anyone I have the opportunity to work with.
I would not say I have an ideal client. I believe everyone comes to therapy at different times and places in their recovery so I approach each person differently. I enjoy, and have experience working with all ages, races, sexes, and socioeconomic statuses. My goal is to create a welcoming and supportive environment for anyone I have the opportunity to work with.
(252) 418-3761 View (252) 418-3761
Photo of Loretta T Ebison, Licensed Clinical Mental Health Counselor, LCMHC
Loretta T Ebison
Licensed Clinical Mental Health Counselor, LCMHC
Washington, NC 27889
Hi, My name is Loretta Ebison. Thank you for visiting my Psychology Today profile! I look forward to talking with you and helping you come up with a plan that works in your life. Your sessions are all about you. For one hour you are the most important person in the room. Your safety and well-being are the most important things to me, for this reason I am currently seeing patients via teletherapy. I use CBT and Reality Therapy as my Therapeutic Modalities, but also use others as needed. I promise that I will be understanding of your situation and help you feel comfortable decompressing to me.
Hi, My name is Loretta Ebison. Thank you for visiting my Psychology Today profile! I look forward to talking with you and helping you come up with a plan that works in your life. Your sessions are all about you. For one hour you are the most important person in the room. Your safety and well-being are the most important things to me, for this reason I am currently seeing patients via teletherapy. I use CBT and Reality Therapy as my Therapeutic Modalities, but also use others as needed. I promise that I will be understanding of your situation and help you feel comfortable decompressing to me.
(252) 542-2840 View (252) 542-2840
Photo of Lynn E Piersall, Clinical Social Work/Therapist, LCSW
Lynn E Piersall
Clinical Social Work/Therapist, LCSW
1 Endorsed
Washington, NC 27889
Waitlist for new clients
I am a psychotherapist licensed in North Carolina and Virginia. In my career I have worked mainly in an in-office outpatient setting. I also have experience offering individual therapy in Assisted Living and Skilled Nursing facilities throughout North Carolina.
I am a psychotherapist licensed in North Carolina and Virginia. In my career I have worked mainly in an in-office outpatient setting. I also have experience offering individual therapy in Assisted Living and Skilled Nursing facilities throughout North Carolina.
(252) 410-2664 View (252) 410-2664
Photo of Martha T Early, Clinical Social Work/Therapist, PhD, LCSW, LCAS
Martha T Early
Clinical Social Work/Therapist, PhD, LCSW, LCAS
1 Endorsed
Washington, NC 27889
If you or someone you care about is dealing with stress, anxiety, depression or any other mental health issues or addiction problems, the safety of therapy is a wonderful place to begin the change process to make things better. In today's world there are many factors contributing to personal struggles and having a place to lay out your concerns and receive feedback and guidance for improvement can be a rewarding process. As a licensed clinical social worker my focus is on each person and their individual environment. It is an honor to share your life story and motivate change.
If you or someone you care about is dealing with stress, anxiety, depression or any other mental health issues or addiction problems, the safety of therapy is a wonderful place to begin the change process to make things better. In today's world there are many factors contributing to personal struggles and having a place to lay out your concerns and receive feedback and guidance for improvement can be a rewarding process. As a licensed clinical social worker my focus is on each person and their individual environment. It is an honor to share your life story and motivate change.
(252) 680-1576 View (252) 680-1576
Photo of Courtney Howard - Courtney H -Deep Connections Counseling contractor, Lic Clinical Mental Health Counselor Associate, MS, LCMHCA
Courtney H -Deep Connections Counseling contractor
Lic Clinical Mental Health Counselor Associate, MS, LCMHCA
3 Endorsed
Washington, NC 27889
Life can be…a bit of a rollercoaster at times and can often feel unmanageable. If you find yourself becoming bogged down by life’s twists and turns, I’m here to help! My name is Courtney Howard and I am a Licensed Clinical Mental Health Counselor Associate in the state of North Carolina. My mission is to provide a safe space for you to explore, repair, and grow. Taking the steps to begin a counseling journey isn’t easy and I’m proud of you for searching for a therapist to fit your needs. Are you stressed, depressed, anxious, suffering with illness, grieving, or struggling with mood? Then I may be the perfect fit for you!
Life can be…a bit of a rollercoaster at times and can often feel unmanageable. If you find yourself becoming bogged down by life’s twists and turns, I’m here to help! My name is Courtney Howard and I am a Licensed Clinical Mental Health Counselor Associate in the state of North Carolina. My mission is to provide a safe space for you to explore, repair, and grow. Taking the steps to begin a counseling journey isn’t easy and I’m proud of you for searching for a therapist to fit your needs. Are you stressed, depressed, anxious, suffering with illness, grieving, or struggling with mood? Then I may be the perfect fit for you!
(252) 486-5072 View (252) 486-5072
Photo of Katie Paul, Clinical Social Work/Therapist, MSW, LCSW, CDP
Katie Paul
Clinical Social Work/Therapist, MSW, LCSW, CDP
1 Endorsed
Washington, NC 27889
Hello, and welcome. I understand how overwhelming life can feel at times, and it’s my privilege to provide a safe space where you can process, heal, and grow. For over twenty years, I’ve worked with individuals, couples, families, and groups to navigate challenges such as caregiver burnout, stress, anxiety, depression, grief, and issues adjusting to life changes. As a Certified Dementia Practitioner, I also bring specialized knowledge regarding the unique needs of those caring for someone with a cognitive impairment. I believe therapy is a collaborative journey, and I tailor my approach to meet your unique needs.
Hello, and welcome. I understand how overwhelming life can feel at times, and it’s my privilege to provide a safe space where you can process, heal, and grow. For over twenty years, I’ve worked with individuals, couples, families, and groups to navigate challenges such as caregiver burnout, stress, anxiety, depression, grief, and issues adjusting to life changes. As a Certified Dementia Practitioner, I also bring specialized knowledge regarding the unique needs of those caring for someone with a cognitive impairment. I believe therapy is a collaborative journey, and I tailor my approach to meet your unique needs.
(252) 659-4698 View (252) 659-4698
Photo of Rozetta P Davis - Heartfelt Therapeutic Services NC, Counselor, MA-ED, MA-PC, LCASA
Heartfelt Therapeutic Services NC
Counselor, MA-ED, MA-PC, LCASA
Edward, NC 27821
My ideal client is any individual or family that needs help. That desires change to their current life situations. An individual who is goal oriented that is willing to explore what is needed to improve life function.
My ideal client is any individual or family that needs help. That desires change to their current life situations. An individual who is goal oriented that is willing to explore what is needed to improve life function.
(910) 469-1554 View (910) 469-1554
Photo of Erin Ness Roberts, Marriage & Family Therapist, PhD, LMFT
Erin Ness Roberts
Marriage & Family Therapist, PhD, LMFT
Washington, NC 27889
Empowering change comes from within and is supported by the community of healthy individuals that we choose to have around us. We live in a world that can often feel frenetic, disengaged and lacking empathy. Clients and I work together to bring about that inner change and outward connection, to connect back to what lights them up, discover barriers that keep us from connecting, and work to reignite that passionate self. Since 2008 I have worked with those that are navigating tough life transitions and are in a stage of sometimes painful but restorative growth.
Empowering change comes from within and is supported by the community of healthy individuals that we choose to have around us. We live in a world that can often feel frenetic, disengaged and lacking empathy. Clients and I work together to bring about that inner change and outward connection, to connect back to what lights them up, discover barriers that keep us from connecting, and work to reignite that passionate self. Since 2008 I have worked with those that are navigating tough life transitions and are in a stage of sometimes painful but restorative growth.
(252) 877-2118 View (252) 877-2118
Photo of Jessica Carter, Clinical Social Work/Therapist, MSW, LCSWA
Jessica Carter
Clinical Social Work/Therapist, MSW, LCSWA
Washington, NC 27889
My mission as a therapist is to create a safe, validating, and supportive environment where you can explore and address the challenges you face. Life can feel overwhelming, especially when you're dealing with mental health concerns. This is true for individuals of any age. I will provide a warm, inviting space for you to process these feelings, empowering you to develop coping strategies and regain a sense of control. I specialize in working with children as well as addressing "Mother Wounds" helping you communicate your needs and establish boundaries to safeguard your mental and physical health.
My mission as a therapist is to create a safe, validating, and supportive environment where you can explore and address the challenges you face. Life can feel overwhelming, especially when you're dealing with mental health concerns. This is true for individuals of any age. I will provide a warm, inviting space for you to process these feelings, empowering you to develop coping strategies and regain a sense of control. I specialize in working with children as well as addressing "Mother Wounds" helping you communicate your needs and establish boundaries to safeguard your mental and physical health.
(252) 541-9095 View (252) 541-9095
Photo of Lynn C Bassett, Clinical Social Work/Therapist, MSW, LCSW
Lynn C Bassett
Clinical Social Work/Therapist, MSW, LCSW
Online Only
Hello! I am glad you found your way here. I am a Licensed Clinical Social Worker/Psychotherapist. I have extensive training in treating depression, anxiety, trauma and grief. I specialize in treating individuals with life stressors/transitions, loss/traumatic events, infidelity and relationship issues. I work with adults 18 and over.
Hello! I am glad you found your way here. I am a Licensed Clinical Social Worker/Psychotherapist. I have extensive training in treating depression, anxiety, trauma and grief. I specialize in treating individuals with life stressors/transitions, loss/traumatic events, infidelity and relationship issues. I work with adults 18 and over.
(252) 651-5822 View (252) 651-5822
Photo of Heather Herman - Joy Spring Mental Health, PMHNP-C, PMH-C, ADHD-CP
Joy Spring Mental Health
Verified Verified
2 Endorsed
Washington, NC 27889
Does it feel like you’re holding everything together—but just barely? You’re not alone. At Joy Spring Mental Health, we understand how exhausting it can be to push through stress, burnout, or overwhelm while trying to keep up with the demands of life. If your best never feels like enough, it’s time for support that goes beyond quick fixes. We believe healing starts with being truly heard. That’s why we take a whole-person, root-cause approach to mental health. Whether you're dealing with anxiety, depression, trauma, OCD, or just a sense that something’s off—we’ll work with you to figure out why and what to do next.
Does it feel like you’re holding everything together—but just barely? You’re not alone. At Joy Spring Mental Health, we understand how exhausting it can be to push through stress, burnout, or overwhelm while trying to keep up with the demands of life. If your best never feels like enough, it’s time for support that goes beyond quick fixes. We believe healing starts with being truly heard. That’s why we take a whole-person, root-cause approach to mental health. Whether you're dealing with anxiety, depression, trauma, OCD, or just a sense that something’s off—we’ll work with you to figure out why and what to do next.
(336) 485-4668 View (336) 485-4668
Photo of Charlotte Windley, Licensed Clinical Mental Health Counselor, LCMHC
Charlotte Windley
Licensed Clinical Mental Health Counselor, LCMHC
Online Only
Are you constantly navigating through a maze of overwhelming thoughts? Dealing with anxiety over daily decisions? Or perhaps seeking a way to live more fully, beyond the shadows of worry and uncertainty? It's a common human experience to face such mental challenges, but when they start to dominate your life, finding effective strategies to manage them becomes essential. I am passionately devoted to supporting individuals of all ages—children, adolescents, and adults alike—as they navigate the complexities of life, including anxiety, depression, PTSD, and behavioral challenges.
Are you constantly navigating through a maze of overwhelming thoughts? Dealing with anxiety over daily decisions? Or perhaps seeking a way to live more fully, beyond the shadows of worry and uncertainty? It's a common human experience to face such mental challenges, but when they start to dominate your life, finding effective strategies to manage them becomes essential. I am passionately devoted to supporting individuals of all ages—children, adolescents, and adults alike—as they navigate the complexities of life, including anxiety, depression, PTSD, and behavioral challenges.
(980) 550-8153 View (980) 550-8153
Photo of Yalonda Hines, Clinical Social Work/Therapist, MSW, LCSW, C-DBT
Yalonda Hines
Clinical Social Work/Therapist, MSW, LCSW, C-DBT
8 Endorsed
Online Only
What if therapy could be the safe space where you feel heard, understood, and supported? I provide a that space to someone who may feel overwhelmed by anxiety, past trauma, depression, or difficulty regulating emotions, yet carries a deep desire for change, healing, and self-awareness. I am passionate about working with individuals who are navigating life transitions, emotional struggles, identity development, and more. As a therapist, my goal is to meet these individuals where they are by honoring their unique stories while helping them move toward the life they envision.
What if therapy could be the safe space where you feel heard, understood, and supported? I provide a that space to someone who may feel overwhelmed by anxiety, past trauma, depression, or difficulty regulating emotions, yet carries a deep desire for change, healing, and self-awareness. I am passionate about working with individuals who are navigating life transitions, emotional struggles, identity development, and more. As a therapist, my goal is to meet these individuals where they are by honoring their unique stories while helping them move toward the life they envision.
(984) 324-7103 View (984) 324-7103
Photo of Mitchell Peele, Clinical Social Work/Therapist, MSW, LCSWA
Mitchell Peele
Clinical Social Work/Therapist, MSW, LCSWA
1 Endorsed
Serves Area
Using active listening and meeting clients where they are is critical to providing good therapy. Allow me to help you process through issues and gain an understanding of the power of therapy!
Using active listening and meeting clients where they are is critical to providing good therapy. Allow me to help you process through issues and gain an understanding of the power of therapy!
(980) 341-2397 View (980) 341-2397
Photo of Kim McIntyre - Kim McIntyre, MS, LCMHCS, NCC, Licensed Clinical Mental Health Counselor, LCMHCS, NCC
Kim McIntyre, MS, LCMHCS, NCC
Licensed Clinical Mental Health Counselor, LCMHCS, NCC
2 Endorsed
Serves Area
Life can be hard sometimes. You may be dealing with depression, anxiety, relationship difficulties, or perhaps something has happened in your life that you're having a difficult time coping with. If you're in need of compassionate care from a licensed counselor, please call for a free phone consultation or to schedule an appointment. I work with individuals 18 years of age and older who are looking for a safe, non-judgmental place to work through various types of concerns. I look forward to working with you!
Life can be hard sometimes. You may be dealing with depression, anxiety, relationship difficulties, or perhaps something has happened in your life that you're having a difficult time coping with. If you're in need of compassionate care from a licensed counselor, please call for a free phone consultation or to schedule an appointment. I work with individuals 18 years of age and older who are looking for a safe, non-judgmental place to work through various types of concerns. I look forward to working with you!
(252) 375-8946 View (252) 375-8946
Photo of Laurel Boone Gowen, Lic Clinical Mental Health Counselor Associate, MA, LCMHCA
Laurel Boone Gowen
Lic Clinical Mental Health Counselor Associate, MA, LCMHCA
4 Endorsed
Serves Area
Accepting new clients! Have you been feeling ready for a change but find yourself repeating old behaviors and patterns? We've all been there! Whether you're struggling with stress of academic life, managing anxiety and depression, relationship difficulties, or navigating life changes, I am here to offer support. I have a passion working with college students, teens and adolescents, and adults who may struggle with symptoms such as anxiety, depression, OCD, low self-esteem, relationship/family concerns, life transitions, and stress.
Accepting new clients! Have you been feeling ready for a change but find yourself repeating old behaviors and patterns? We've all been there! Whether you're struggling with stress of academic life, managing anxiety and depression, relationship difficulties, or navigating life changes, I am here to offer support. I have a passion working with college students, teens and adolescents, and adults who may struggle with symptoms such as anxiety, depression, OCD, low self-esteem, relationship/family concerns, life transitions, and stress.
(252) 306-3051 View (252) 306-3051
Photo of David Bell, Marriage & Family Therapist, PhD, LMFT, LCAS, ADHDCSP
David Bell
Marriage & Family Therapist, PhD, LMFT, LCAS, ADHDCSP
Serves Area
As a potential client, know that your courage to face personal vulnerabilities and uncertainties is acknowledged from the start. To realize and understand the efforts you've made already affords us early opportunities to consider possibilities in therapy. Your desired outcome is the goal. The process of sharing, reflecting, and adjusting any internal and relational patterns is our therapy means to this end. The clinical approaches perhaps most reflective in therapy are cognitive-behavioral, inter-personal and family systems, and acceptance/commitment. Interventions are based on your child/family, couple, and individual needs.
As a potential client, know that your courage to face personal vulnerabilities and uncertainties is acknowledged from the start. To realize and understand the efforts you've made already affords us early opportunities to consider possibilities in therapy. Your desired outcome is the goal. The process of sharing, reflecting, and adjusting any internal and relational patterns is our therapy means to this end. The clinical approaches perhaps most reflective in therapy are cognitive-behavioral, inter-personal and family systems, and acceptance/commitment. Interventions are based on your child/family, couple, and individual needs.
(252) 207-0604 View (252) 207-0604

See more therapy options for Beaufort County

How does your Therapist compare?

Number of Therapists in Beaufort County, NC

40+

Average cost per session

$125

Therapists in Beaufort County, NC who prioritize treating:

84% Anxiety
82% Depression
78% Self Esteem
76% Trauma and PTSD
73% Stress
71% Coping Skills
67% Life Transitions

Average years in practice

6 Years

Top 3 insurances accepted

88% BlueCross and BlueShield
86% Aetna
57% MedCost

How Therapists in Beaufort County, NC see their clients

82% In Person and Online
18% Online Only

Gender breakdown

91% Female
9% Male
FAQs - About Therapy and Counseling

How can I find a therapist in Beaufort County?

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.