Therapists in Blowing Rock, NC

Photo of Dwane Wynne, Lic Clinical Mental Health Counselor Supervisor, MEd, LCMHCS
Dwane Wynne
Lic Clinical Mental Health Counselor Supervisor, MEd, LCMHCS
Blowing Rock, NC 28605
I am a North Carolina Licensed Clinical Mental Health Counselor (license #S3106) with more than 30 years of training and experience working with adults and adolescents in the fields of mental health, employee assistance, vocational and psychosocial rehabilitation, and workplace training and consultation. I have extensive experience working with medical, psychological/emotional, substance abuse/chemical dependency, relationship, and career issues. I have been in private practice for 20 years. I am also a Licensed Clinical Mental Health Counselor Supervisor.
I am a North Carolina Licensed Clinical Mental Health Counselor (license #S3106) with more than 30 years of training and experience working with adults and adolescents in the fields of mental health, employee assistance, vocational and psychosocial rehabilitation, and workplace training and consultation. I have extensive experience working with medical, psychological/emotional, substance abuse/chemical dependency, relationship, and career issues. I have been in private practice for 20 years. I am also a Licensed Clinical Mental Health Counselor Supervisor.
(828) 332-5392 View (828) 332-5392
Photo of Heather Cameron, Counselor, MA, NCC, LCMHC
Heather Cameron
Counselor, MA, NCC, LCMHC
Blowing Rock, NC 28605
Are you feeling overwhelmed, stuck, or emotionally drained? Traditional talk therapy isn’t the only path to healing. Discover a more creative, compassionate approach with Expressive Arts Therapy — where words aren’t the only way to tell your story.
Are you feeling overwhelmed, stuck, or emotionally drained? Traditional talk therapy isn’t the only path to healing. Discover a more creative, compassionate approach with Expressive Arts Therapy — where words aren’t the only way to tell your story.
(603) 945-4175 View (603) 945-4175
Photo of Dr. Lauren Power, Marriage & Family Therapist, LMFT
Dr. Lauren Power
Marriage & Family Therapist, LMFT
2 Endorsed
Online Only
I’m Dr. Lauren Power, a Licensed Marriage and Family Therapist rooted in Boone, NC, offering virtual therapy sessions for clients across North Carolina. While I specialize in sexuality and couples work, I welcome individuals, couples, and families from all walks of life seeking support and growth. As a Marriage and Family Therapist, I view mental health through the lens of relationships. How we connect with others shapes how we feel and navigate life. By exploring patterns in your relationships alongside your personal experiences, therapy becomes a space for deeper understanding, stronger connections, and real, lasting, change.
I’m Dr. Lauren Power, a Licensed Marriage and Family Therapist rooted in Boone, NC, offering virtual therapy sessions for clients across North Carolina. While I specialize in sexuality and couples work, I welcome individuals, couples, and families from all walks of life seeking support and growth. As a Marriage and Family Therapist, I view mental health through the lens of relationships. How we connect with others shapes how we feel and navigate life. By exploring patterns in your relationships alongside your personal experiences, therapy becomes a space for deeper understanding, stronger connections, and real, lasting, change.
(828) 263-6430 View (828) 263-6430
Photo of Nichole Merritt Mcfarland, Marriage & Family Therapist, MA, LMFT
Nichole Merritt Mcfarland
Marriage & Family Therapist, MA, LMFT
Serves Area
Welcome! I'm so glad you're here! Life can be overwhelming, and struggling with anxiety, depression, or major life transitions can feel isolating. If you’re feeling stuck, exhausted, or unsure of how to move forward, you don’t have to figure it out alone. I specialize in helping individuals understand their emotions, develop practical coping skills, and regain a sense of control and confidence in their lives. With nearly 15 years of experience as a licensed therapist, I take an approachable, down-to-earth style in therapy.
Welcome! I'm so glad you're here! Life can be overwhelming, and struggling with anxiety, depression, or major life transitions can feel isolating. If you’re feeling stuck, exhausted, or unsure of how to move forward, you don’t have to figure it out alone. I specialize in helping individuals understand their emotions, develop practical coping skills, and regain a sense of control and confidence in their lives. With nearly 15 years of experience as a licensed therapist, I take an approachable, down-to-earth style in therapy.
(919) 533-4719 View (919) 533-4719
Photo of Lisbette R Lundgren, Marriage & Family Therapist, MA, LMFT
Lisbette R Lundgren
Marriage & Family Therapist, MA, LMFT
Serves Area
Over 19 years of practice. Working with people is a privilege & a humbling experience. I work with individuals of all ages and backgrounds, couples, and families. I concentrate on clients' strengths, and addressing dysfunctional thinking and behaviors that creates mental unrest. A great percentage of our happiness is felt in response to having healthy relationships. When we experience distress in relationships with others we feel a sense of betrayal and loss. In therapy, you will learn to identify and regulate feelings to communicate your needs in a non-defensive manner. It is my privilege to walk that journey with you.
Over 19 years of practice. Working with people is a privilege & a humbling experience. I work with individuals of all ages and backgrounds, couples, and families. I concentrate on clients' strengths, and addressing dysfunctional thinking and behaviors that creates mental unrest. A great percentage of our happiness is felt in response to having healthy relationships. When we experience distress in relationships with others we feel a sense of betrayal and loss. In therapy, you will learn to identify and regulate feelings to communicate your needs in a non-defensive manner. It is my privilege to walk that journey with you.
(828) 604-6569 View (828) 604-6569
Photo of Bonnie Kelley Perkins, Marriage & Family Therapist, MEd, MA, LMFT
Bonnie Kelley Perkins
Marriage & Family Therapist, MEd, MA, LMFT
Serves Area
I approach my work with deep compassion for those who have been affected and shaped by the struggles of an addicted loved one. Like many in the mental health profession, my passion springs from my own painful experiences in a family with generational addictions. I am committed to bringing my authentic self to each therapy session. It is an honor to be fully present and to hold your trust as you discover the strengths and courage to address the obstacles that are preventing you from living a meaningful, values-based life.
I approach my work with deep compassion for those who have been affected and shaped by the struggles of an addicted loved one. Like many in the mental health profession, my passion springs from my own painful experiences in a family with generational addictions. I am committed to bringing my authentic self to each therapy session. It is an honor to be fully present and to hold your trust as you discover the strengths and courage to address the obstacles that are preventing you from living a meaningful, values-based life.
(828) 471-4299 View (828) 471-4299
Photo of Brady Yocom, Psychologist, PhD
Brady Yocom
Psychologist, PhD
6 Endorsed
Online Only
—Accepting new clients January 2026— I view clients as whole people in the context of their lives. You are more than a diagnosis. My typical client is smart, hard on themselves, anxious, experiencing change or loss, dealing with interpersonal conflict, and/or just going through it. I also specialize in relationship counseling for committed partners who want to improve communication, feel more loved, work as a team instead of against each other, or finally get unstuck from an old issue or dynamic. I'm LGBTQ+/hetero/poly/monog/ENM/ace/kink-friendly and am ever-working to recognize and overcome my racial blindspots to support BIPOC.
—Accepting new clients January 2026— I view clients as whole people in the context of their lives. You are more than a diagnosis. My typical client is smart, hard on themselves, anxious, experiencing change or loss, dealing with interpersonal conflict, and/or just going through it. I also specialize in relationship counseling for committed partners who want to improve communication, feel more loved, work as a team instead of against each other, or finally get unstuck from an old issue or dynamic. I'm LGBTQ+/hetero/poly/monog/ENM/ace/kink-friendly and am ever-working to recognize and overcome my racial blindspots to support BIPOC.
(828) 202-8605 View (828) 202-8605
Photo of Lynette Stewart, Licensed Professional Counselor, NCC, LPC, LCMHC
Lynette Stewart
Licensed Professional Counselor, NCC, LPC, LCMHC
Serves Area
It can feel like distress, vulnerability, or loss are all that bring us to counseling. With these, though, I see courage & strength. Maybe you’ve been around the therapy block before and know exactly what you’re looking for. Maybe this is all new for you. Either way, courage brought you here and Fortitude Counseling is all about honoring that courage and partnering with you to strengthen identity, process trauma, and gain momentum where you’re stuck. I believe we all have courage and the "stuff of fortitude" in us. Sometimes we need someone to come alongside us and help us dig deep, find our courage, & let it take root.
It can feel like distress, vulnerability, or loss are all that bring us to counseling. With these, though, I see courage & strength. Maybe you’ve been around the therapy block before and know exactly what you’re looking for. Maybe this is all new for you. Either way, courage brought you here and Fortitude Counseling is all about honoring that courage and partnering with you to strengthen identity, process trauma, and gain momentum where you’re stuck. I believe we all have courage and the "stuff of fortitude" in us. Sometimes we need someone to come alongside us and help us dig deep, find our courage, & let it take root.
(803) 266-1769 View (803) 266-1769
Photo of Christina M Howell, Licensed Professional Counselor, LCMHC, MA, E-RYT
Christina M Howell
Licensed Professional Counselor, LCMHC, MA, E-RYT
Serves Area
I believe we have the innate ability to heal our selves. We all have times when we feel separate, disconnected and unworthy. This can cause stress, frustration, anger, vulnerability, isolation, confusion, and being overwhelmed by life. We often need a light at the end of the tunnel to navigate through the confusion and gain perspective. My role is a guide on this personal journey to assist with that perspective and gain self acceptance. My work is an integration of my background in yoga, Buddhist practices and somatic movement that I call "Integrative Yoga Counseling".
I believe we have the innate ability to heal our selves. We all have times when we feel separate, disconnected and unworthy. This can cause stress, frustration, anger, vulnerability, isolation, confusion, and being overwhelmed by life. We often need a light at the end of the tunnel to navigate through the confusion and gain perspective. My role is a guide on this personal journey to assist with that perspective and gain self acceptance. My work is an integration of my background in yoga, Buddhist practices and somatic movement that I call "Integrative Yoga Counseling".
(828) 536-4068 View (828) 536-4068
Photo of Westin Gillis, Licensed Professional Counselor
Westin Gillis
Licensed Professional Counselor
1 Endorsed
Serves Area
I work with individuals using evidence-based practices and a warm, person centered approach. Relying on an assortment of modalities and approaches, I never forget to treat each client as a new person with warmth, curiosity, and empathy. Life can be difficult and making the decision to work through old patterns or create a new frame can be daunting. My mission is to help with that work while simultaneously following the lead of my clientele towards their goals and with their needs in mind. I am always in interested in how you think and feel and will flex my approach to meet your strengths and needs.
I work with individuals using evidence-based practices and a warm, person centered approach. Relying on an assortment of modalities and approaches, I never forget to treat each client as a new person with warmth, curiosity, and empathy. Life can be difficult and making the decision to work through old patterns or create a new frame can be daunting. My mission is to help with that work while simultaneously following the lead of my clientele towards their goals and with their needs in mind. I am always in interested in how you think and feel and will flex my approach to meet your strengths and needs.
(828) 521-0991 View (828) 521-0991
Photo of Karen Caldwell, Marriage & Family Therapist, PhD, LMFT, REAT
Karen Caldwell
Marriage & Family Therapist, PhD, LMFT, REAT
Serves Area
Not accepting new clients
My practice focuses on late adolescence and adult development issues and other problems of living including stress, anxiety, and depression. I believe everyone has struggles, and my goal is to help you to access your courage and resilience to reestablish balance and improve your quality of life. I often integrate the arts in service of an individual's path towards healing, recovery and positive change.
My practice focuses on late adolescence and adult development issues and other problems of living including stress, anxiety, and depression. I believe everyone has struggles, and my goal is to help you to access your courage and resilience to reestablish balance and improve your quality of life. I often integrate the arts in service of an individual's path towards healing, recovery and positive change.
(828) 332-5711 View (828) 332-5711
Photo of Kate Fishman Finnegan, Psychologist, PhD, LP, HSP, RYT-200
Kate Fishman Finnegan
Psychologist, PhD, LP, HSP, RYT-200
Serves Area
Hello, and thank you for considering me to be your therapist! I believe that change happens through connection with others, and I approach therapy as a collaborative space to practice building trust and sharing your story. I look forward to getting to know you as an individual, including your strengths, successes, and support systems. My goal is to help you identify aspects of your life that you would like to change and help you to use the strengths you already possess to craft a meaningful, authentic life.
Hello, and thank you for considering me to be your therapist! I believe that change happens through connection with others, and I approach therapy as a collaborative space to practice building trust and sharing your story. I look forward to getting to know you as an individual, including your strengths, successes, and support systems. My goal is to help you identify aspects of your life that you would like to change and help you to use the strengths you already possess to craft a meaningful, authentic life.
(828) 268-3959 View (828) 268-3959
Photo of Karen Hammond Brown - Standing Stones Therapy, Licensed Professional Counselor, MA, LCMHCS
Standing Stones Therapy
Licensed Professional Counselor, MA, LCMHCS
Online Only
Although we can't change difficult situations of the past, we can move toward greater self understanding and more fulfilling relationships in the present. I engage with you based on a relationship of two people coming together as equals within the safety of the therapeutic container. My focus is on interpersonal relationship, however, I include art, music, movement, play, and guided imagery as another means to connect with each other and to free the imagination for self discovery.
Although we can't change difficult situations of the past, we can move toward greater self understanding and more fulfilling relationships in the present. I engage with you based on a relationship of two people coming together as equals within the safety of the therapeutic container. My focus is on interpersonal relationship, however, I include art, music, movement, play, and guided imagery as another means to connect with each other and to free the imagination for self discovery.
(828) 303-2095 View (828) 303-2095
Photo of Jo Ann Orr, Clinical Social Work/Therapist, LCSW
Jo Ann Orr
Clinical Social Work/Therapist, LCSW
Serves Area
Waitlist for new clients
*Wait list only* I enjoy working with and supporting individuals who are curious and motivated to move through the "stuck places" we all find ourselves in from time to time. I believe that our bodies have an inherent wisdom that, when listened to through mindfulness, will help direct and focus the therapy. I enjoy working with a wide variety of clients and presenting issues including anxiety, depression, relationship/personal growth challenges, as well as people dealing with unresolved overwhelming experiences. I find great joy in walking with people on their journeys towards a more authentic, vibrant self...your own "True North"!
*Wait list only* I enjoy working with and supporting individuals who are curious and motivated to move through the "stuck places" we all find ourselves in from time to time. I believe that our bodies have an inherent wisdom that, when listened to through mindfulness, will help direct and focus the therapy. I enjoy working with a wide variety of clients and presenting issues including anxiety, depression, relationship/personal growth challenges, as well as people dealing with unresolved overwhelming experiences. I find great joy in walking with people on their journeys towards a more authentic, vibrant self...your own "True North"!
(828) 394-2417 View (828) 394-2417
Photo of Suzette Patterson, Licensed Professional Counselor, MA, LCMHC
Suzette Patterson
Licensed Professional Counselor, MA, LCMHC
Serves Area
My counseling style is a compassionate, cognitive-behavioral approach to problem-solving and self-discovery. I believe therapy is a dynamic process that involves active engagement for both the therapist and the client. My goal is to provide a nonjudgmental atmosphere for you to share your life, relationships, and concerns. Honesty on your part will help me understand your thoughts, feelings, and concerns.
My counseling style is a compassionate, cognitive-behavioral approach to problem-solving and self-discovery. I believe therapy is a dynamic process that involves active engagement for both the therapist and the client. My goal is to provide a nonjudgmental atmosphere for you to share your life, relationships, and concerns. Honesty on your part will help me understand your thoughts, feelings, and concerns.
(828) 319-2206 View (828) 319-2206
Photo of Jesse Lile, Marriage & Family Therapist, PhD, LCMHC, LMFT
Jesse Lile
Marriage & Family Therapist, PhD, LCMHC, LMFT
Serves Area
I work with both individuals and couples, empowering people to cultivate their relationships into the source of strength, hope, and life that is needed. In individual work I focus on cultivating resilience, emotional girth, and strategic approaches to difficult circumstances and relationships. In couples work my goal is to preserve and expand relationships, helping couples to grow together through life challenges in a way that is mutually beneficial and supportive. As a Christian, I also integrate matters of faith with these goals appropriate to the unique needs of each client.
I work with both individuals and couples, empowering people to cultivate their relationships into the source of strength, hope, and life that is needed. In individual work I focus on cultivating resilience, emotional girth, and strategic approaches to difficult circumstances and relationships. In couples work my goal is to preserve and expand relationships, helping couples to grow together through life challenges in a way that is mutually beneficial and supportive. As a Christian, I also integrate matters of faith with these goals appropriate to the unique needs of each client.
(828) 538-4233 View (828) 538-4233
Photo of Lisa Trahan, Psychologist, PhD
Lisa Trahan
Psychologist, PhD
Serves Area
Hello, and welcome. I'm glad you're here. You may be wondering what therapy is like and whether you and I would be a good fit. Broadly, my specialties include the treatment of stress and anxiety in college students and in adults. My clients also seek support and guidance on coping well with the psychological aspects of living with a chronic health condition, including cancer, chronic pain, and diabetes. Grief and loss may also be a focus of treatment. We will meet for an initial evaluation and feedback, then collaborate on goals for treatment and discuss approaches we can take to meet your goals.
Hello, and welcome. I'm glad you're here. You may be wondering what therapy is like and whether you and I would be a good fit. Broadly, my specialties include the treatment of stress and anxiety in college students and in adults. My clients also seek support and guidance on coping well with the psychological aspects of living with a chronic health condition, including cancer, chronic pain, and diabetes. Grief and loss may also be a focus of treatment. We will meet for an initial evaluation and feedback, then collaborate on goals for treatment and discuss approaches we can take to meet your goals.
(828) 330-9352 View (828) 330-9352
Photo of Kristen Skulicz, Clinical Social Work/Therapist, LCSW
Kristen Skulicz
Clinical Social Work/Therapist, LCSW
Serves Area
Waitlist for new clients
Hello, I have been working in therapy, or mental health and addictions recovery, for the past 20 years. I enjoy working with adults who are going through a transition, change, need extra support, or are dealing with on-going struggles. Some areas I specialize in include managing symptoms of depression, anxiety, anger, bi-polar, past trauma, parenting struggles, pregnancy and postpartum mood disorders, relationship issues, coping with a loved one's mental health or addiction, and addictions recovery.
Hello, I have been working in therapy, or mental health and addictions recovery, for the past 20 years. I enjoy working with adults who are going through a transition, change, need extra support, or are dealing with on-going struggles. Some areas I specialize in include managing symptoms of depression, anxiety, anger, bi-polar, past trauma, parenting struggles, pregnancy and postpartum mood disorders, relationship issues, coping with a loved one's mental health or addiction, and addictions recovery.
(716) 271-5208 View (716) 271-5208
Photo of Lauren Ashley Harrelson, Clinical Social Work/Therapist, MSW, LCSW-A
Lauren Ashley Harrelson
Clinical Social Work/Therapist, MSW, LCSW-A
Serves Area
I enjoy working with a wide range of individuals, and feel honored to be able to navigate with you through life's challenges. You are not alone, and being able to talk with you through your sensitive time in a trusting, safe environment is what we will be doing together.
I enjoy working with a wide range of individuals, and feel honored to be able to navigate with you through life's challenges. You are not alone, and being able to talk with you through your sensitive time in a trusting, safe environment is what we will be doing together.
(828) 518-2955 View (828) 518-2955
Photo of Bec Long - Beck Long Counseling, PLLC, Licensed Clinical Mental Health Counselor, LCMHC, LCAS, NBCC
Beck Long Counseling, PLLC
Licensed Clinical Mental Health Counselor, LCMHC, LCAS, NBCC
Serves Area
Welcome. I am an LGBTQAI+ centered clinical mental health counselor and addictions specialist providing trauma informed care. I use an eclectic approach suited for a range of ages centering on rebuilding trust in yourself, reducing shame, shifting moods and attitudes towards better understanding of self and others. Working collaboratively with you to formulate treatment using the arts, ecotherapy, DBT and EMDR. These evidence based treatments facilitate self expression, emotional regulation, and are centered around your needs in our rural area and are catered to your interests for a body-mind-hands-heart-spirit connection.
Welcome. I am an LGBTQAI+ centered clinical mental health counselor and addictions specialist providing trauma informed care. I use an eclectic approach suited for a range of ages centering on rebuilding trust in yourself, reducing shame, shifting moods and attitudes towards better understanding of self and others. Working collaboratively with you to formulate treatment using the arts, ecotherapy, DBT and EMDR. These evidence based treatments facilitate self expression, emotional regulation, and are centered around your needs in our rural area and are catered to your interests for a body-mind-hands-heart-spirit connection.
(828) 332-5512 View (828) 332-5512

See more therapy options for Blowing Rock

How does your Therapist compare?

Number of Therapists in Blowing Rock, NC

40+

Average cost per session

$140

Therapists in Blowing Rock, NC who prioritize treating:

98% Anxiety
88% Depression
85% Coping Skills
85% Stress
80% Relationship Issues
80% Grief
75% Self Esteem

Average years in practice

15 Years

Top 3 insurances accepted

97% BlueCross and BlueShield
89% Aetna
33% UnitedHealthcare UHC | UBH

How Therapists in Blowing Rock, NC see their clients

85% In Person and Online
15% Online Only

Gender breakdown

74% Female
23% Male
3% Non-Binary
FAQs - About Therapy and Counseling

How can I find a therapist in Blowing Rock?

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.