Therapists in Gastonia, NC

Photo of Michelle Hartis, LCSW, Clinical Social Work/Therapist
Michelle Hartis
Clinical Social Work/Therapist, LCSW
Verified Verified
Gastonia, NC 28054
Hi, My practice is focused on teen girls, and emerging adults/ aging adults who are learning to navigate the transitions of life. With a background in CBT and EMDR training most clients come with a variety of concerns related to trauma, anxiety and depression. I often incorporate super heroes, Star Wars and current events in sessions to create an environment where clients are able to identify feelings and improve relationships without feeling awkward or embarrassed. I have recently earned level one certification in Gottman Method to build Relationships Therapy for couples.
Hi, My practice is focused on teen girls, and emerging adults/ aging adults who are learning to navigate the transitions of life. With a background in CBT and EMDR training most clients come with a variety of concerns related to trauma, anxiety and depression. I often incorporate super heroes, Star Wars and current events in sessions to create an environment where clients are able to identify feelings and improve relationships without feeling awkward or embarrassed. I have recently earned level one certification in Gottman Method to build Relationships Therapy for couples.
(704) 850-6406 View (704) 850-6406
Photo of Poletta ' Shay' Cunningham, LCSW, Clinical Social Work/Therapist
Poletta ' Shay' Cunningham
Clinical Social Work/Therapist, LCSW
Verified Verified
1 Endorsed
Gastonia, NC 28054
I've practiced in mental health for more than 15 years and I still have the same passion I did when I started. I trust that part of the reason that I remain committed to this work is because I practice what I preach. I constantly have to remind myself that I can do hard things and I wake up every day manifesting my purpose. The most rewarding part of my job is watching you grow into the person you've set out to be. I pride myself on true social work values; which include integrity, ethical practices, and quality services. I have specialized certification and training in trauma and a long work history in family systems therapy.
I've practiced in mental health for more than 15 years and I still have the same passion I did when I started. I trust that part of the reason that I remain committed to this work is because I practice what I preach. I constantly have to remind myself that I can do hard things and I wake up every day manifesting my purpose. The most rewarding part of my job is watching you grow into the person you've set out to be. I pride myself on true social work values; which include integrity, ethical practices, and quality services. I have specialized certification and training in trauma and a long work history in family systems therapy.
(704) 480-3437 View (704) 480-3437
Photo of Monica Hart - Aligned Wellness Therapy, PLLC, LCSW, Clinical Social Work/Therapist
Aligned Wellness Therapy, PLLC
Clinical Social Work/Therapist, LCSW
Verified Verified
Gastonia, NC 28052  (Online Only)
Welcome! I’m Monica Hart, a licensed clinical social worker and owner of Aligned Wellness Therapy, PLLC. As a therapist, my goal is to create a space where you feel safe, seen, and understood—without all the clichés like lying on a couch or overly formal setups. I strive to have sessions feel like a conversation to discuss what is going on while identifying your strengths and current barriers. Whether you’re feeling overwhelmed by the constant pressures of daily life, dealing with difficult emotions, or trying to figure out your next steps, I'm here to help you navigate it all with compassion, creativity, and a little humor.
Welcome! I’m Monica Hart, a licensed clinical social worker and owner of Aligned Wellness Therapy, PLLC. As a therapist, my goal is to create a space where you feel safe, seen, and understood—without all the clichés like lying on a couch or overly formal setups. I strive to have sessions feel like a conversation to discuss what is going on while identifying your strengths and current barriers. Whether you’re feeling overwhelmed by the constant pressures of daily life, dealing with difficult emotions, or trying to figure out your next steps, I'm here to help you navigate it all with compassion, creativity, and a little humor.
(980) 303-3739 View (980) 303-3739
Photo of Michelle M Watkins, LMFT, LCAS, Marriage & Family Therapist
Michelle M Watkins
Marriage & Family Therapist, LMFT, LCAS
Verified Verified
2 Endorsed
Gastonia, NC 28054
Waitlist for new clients
When life presents challenges that can feel overwhelming, counseling can help to provide you with a safe, non-judgmental place where hope and healing can begin. Whether you are faced with an addiction, marital crisis, family issues, anxiety, depression, or even just day to day stress, I am here to help you through. I am a marriage and family therapist and a licensed clinical addictions specialist. Since 2009, I have worked with individuals, couples, and families from all different walks of life. I enjoy helping my clients to improve their lives.
When life presents challenges that can feel overwhelming, counseling can help to provide you with a safe, non-judgmental place where hope and healing can begin. Whether you are faced with an addiction, marital crisis, family issues, anxiety, depression, or even just day to day stress, I am here to help you through. I am a marriage and family therapist and a licensed clinical addictions specialist. Since 2009, I have worked with individuals, couples, and families from all different walks of life. I enjoy helping my clients to improve their lives.
(980) 223-3204 View (980) 223-3204
Photo of Alisha Hall, LCMHCA, LCASA, Counselor
Alisha Hall
Counselor, LCMHCA, LCASA
Verified Verified
Gastonia, NC 28054
I use a collaborative approach of therapy. I find this method to be very effective in the treatment of my clients. My clients and I work together to achieve the desired goal, which has been proven to empower the individual. I ensure therapy is conducted in a supportive, safe, and non-judgmental environment. I believe everyone is capable of change and can overcome any life obstacle.
I use a collaborative approach of therapy. I find this method to be very effective in the treatment of my clients. My clients and I work together to achieve the desired goal, which has been proven to empower the individual. I ensure therapy is conducted in a supportive, safe, and non-judgmental environment. I believe everyone is capable of change and can overcome any life obstacle.
(704) 237-6632 View (704) 237-6632
Photo of Jasmine Goode, MEd, LCMHCA
Jasmine Goode
Lic Clinical Mental Health Counselor Associate, MEd, LCMHCA
Verified Verified
1 Endorsed
Gastonia, NC 28054
My passion for counseling started when one of my loved ones was diagnosed with an Anxiety Disorder. Seeing a family member suffer on a daily basis made me want to help other individuals facing similar struggles. I know that when times get hard, you may start to feel alone, but you no longer have to feel that way. As a therapist, I hope to guide and support you through the challenges that you may be facing. My role is to assist you in reaching your therapy goals by providing non-judgmental support and helping to facilitate your journey.
My passion for counseling started when one of my loved ones was diagnosed with an Anxiety Disorder. Seeing a family member suffer on a daily basis made me want to help other individuals facing similar struggles. I know that when times get hard, you may start to feel alone, but you no longer have to feel that way. As a therapist, I hope to guide and support you through the challenges that you may be facing. My role is to assist you in reaching your therapy goals by providing non-judgmental support and helping to facilitate your journey.
(704) 237-6533 View (704) 237-6533
Photo of Robert Edward Gorlach, LCSW, Clinical Social Work/Therapist
Robert Edward Gorlach
Clinical Social Work/Therapist, LCSW
Verified Verified
1 Endorsed
Gastonia, NC 28054
My ideal client is anyone who is in distress. I was struck recently by the assertion that all manner of psychological disturbance has its roots in trauma. With that in mind, their issues condense to navigating their life challenges in a relaxed body with intentions focused on where they would like to be, rather than where they are.
My ideal client is anyone who is in distress. I was struck recently by the assertion that all manner of psychological disturbance has its roots in trauma. With that in mind, their issues condense to navigating their life challenges in a relaxed body with intentions focused on where they would like to be, rather than where they are.
(704) 270-3693 View (704) 270-3693
Photo of Alisha Begrin, LCSW, LISW-CP, CFRC, Clinical Social Work/Therapist
Alisha Begrin
Clinical Social Work/Therapist, LCSW, LISW-CP, CFRC
Verified Verified
Gastonia, NC 28056  (Online Only)
I love working with clients who have experienced trauma—whether it’s big t or little t—who are ready to process those events and reclaim control over their lives. It’s empowering to acknowledge the challenges we’ve faced and to leverage the skills we’ve gained from those experiences. While I have a background of working with first responders, I’m open to, and enjoy, working with adults (18+) of various backgrounds who are looking for a supportive partner in their mental wellness journey.
I love working with clients who have experienced trauma—whether it’s big t or little t—who are ready to process those events and reclaim control over their lives. It’s empowering to acknowledge the challenges we’ve faced and to leverage the skills we’ve gained from those experiences. While I have a background of working with first responders, I’m open to, and enjoy, working with adults (18+) of various backgrounds who are looking for a supportive partner in their mental wellness journey.
(980) 577-6126 View (980) 577-6126
Photo of April Dawn Grimes, LCSWA, Clinical Social Work/Therapist
April Dawn Grimes
Clinical Social Work/Therapist, LCSWA
Verified Verified
Gastonia, NC 28054
Trying to juggle marriage, kids, work, home and so much more leaves very little time for yourself. Trying to balance it all when it all seems to be falling apart can be difficult. It can feel like you are being pulled in all directions. But all hope is not lost….
Trying to juggle marriage, kids, work, home and so much more leaves very little time for yourself. Trying to balance it all when it all seems to be falling apart can be difficult. It can feel like you are being pulled in all directions. But all hope is not lost….
(704) 208-1865 View (704) 208-1865
Photo of Roberta Mason, LCMHC, MA, EdS
Roberta Mason
Licensed Clinical Mental Health Counselor, LCMHC, MA, EdS
Verified Verified
1 Endorsed
Gastonia, NC 28054
Do you find yourself struggling to understand why life seems so hard at times? Do you want to enjoy life instead of bearing it? If so we need to talk. I see clients from 5 years of age to adults who are struggling to move through life in a joyful and meaningful way. I help children struggling in academic, social, and familial settings; while frequently working with their schools to develop academic accommodations to best suit the individual's needs.
Do you find yourself struggling to understand why life seems so hard at times? Do you want to enjoy life instead of bearing it? If so we need to talk. I see clients from 5 years of age to adults who are struggling to move through life in a joyful and meaningful way. I help children struggling in academic, social, and familial settings; while frequently working with their schools to develop academic accommodations to best suit the individual's needs.
(704) 802-1248 View (704) 802-1248
Photo of Veronda Bellamy Supervisor, LCMHCS, NCC, MS, LPC
Veronda Bellamy Supervisor
Licensed Clinical Mental Health Counselor, LCMHCS, NCC, MS, LPC
Verified Verified
Gastonia, NC 28056
I am honored to be of service to you. I know that trauma and substance abuse and addiction can wreak havoc in one's life. Many of client's find themselves faced with challenges of having to restart their lives during mental challenges and addiction; some may have to fight to regain custody of their children; many of them have co-occurring mental illness that has lead to substance abuse and/or addiction. For some, addiction comes by way of biological, environmental, and social influences, but from my experience, I have learned that mental illness was present before addiction became a factor. Take Control Today!
I am honored to be of service to you. I know that trauma and substance abuse and addiction can wreak havoc in one's life. Many of client's find themselves faced with challenges of having to restart their lives during mental challenges and addiction; some may have to fight to regain custody of their children; many of them have co-occurring mental illness that has lead to substance abuse and/or addiction. For some, addiction comes by way of biological, environmental, and social influences, but from my experience, I have learned that mental illness was present before addiction became a factor. Take Control Today!
(704) 243-9316 View (704) 243-9316
Photo of Zainab Khan - Carolinas Institute for Neurology and Psychology, Licensed Professional Counselor
Carolinas Institute for Neurology and Psychology
Licensed Professional Counselor
Verified Verified
Gastonia, NC 28054
Carolinas Institute for Neurology and Psychology offers full service neurological and psychological consults, medication management, and behavioral/emotional health therapies. Therapy services include multi-modal treatment for ASD, ADHD, Depression, Anxiety, OCD, and trauma. We do offer pediatric play, expressive, emotional, and behavioral therapies.
Carolinas Institute for Neurology and Psychology offers full service neurological and psychological consults, medication management, and behavioral/emotional health therapies. Therapy services include multi-modal treatment for ASD, ADHD, Depression, Anxiety, OCD, and trauma. We do offer pediatric play, expressive, emotional, and behavioral therapies.
(980) 485-5920 View (980) 485-5920
Photo of Jennifer Pennington, MA,  EDS, LCMHCS, NCC, RPT, Licensed Professional Counselor
Jennifer Pennington
Licensed Professional Counselor, MA, EDS, LCMHCS, NCC, RPT
Verified Verified
Gastonia, NC 28054
Waitlist for new clients
I am passionate about working with children, adolescents, and their families. I specialize in play therapy and solution focused therapy. I look forward to helping you or your child work through the every day struggles and sometimes overwhelming struggles of everyday life. I approach counseling from a holistic perspective and feel the child will benefit more from counseling if the family unit is healthy. This is why I invite the family to be a part of therapy and work to make the family a healthy place for the child/teen to grow and mature.
I am passionate about working with children, adolescents, and their families. I specialize in play therapy and solution focused therapy. I look forward to helping you or your child work through the every day struggles and sometimes overwhelming struggles of everyday life. I approach counseling from a holistic perspective and feel the child will benefit more from counseling if the family unit is healthy. This is why I invite the family to be a part of therapy and work to make the family a healthy place for the child/teen to grow and mature.
(980) 430-6897 View (980) 430-6897
Photo of Cyd McDaniel-McGee - Essential Journey Counseling P.L.L.C, LCSW, LCMHCQS, Clinical Social Work/Therapist
Essential Journey Counseling P.L.L.C
Clinical Social Work/Therapist, LCSW, LCMHCQS
Verified Verified
8 Endorsed
Gastonia, NC 28054
Are you feeling like you lack motivation? Do you feel sad or angry most of the time? Do you sometimes feel a lack of purpose or your life has been interrupted? If so, you are not alone. We, at Essential Journey understand and are here to support you as you begin your healing. The journey may not be easy, but it will be insightful and life changing. Isn't it time to let the pain go and start your healing? Come on, let's get started! I have extensive experience working with couples, single parents, blended families, divorce, interracial relationships, and emotional trauma.
Are you feeling like you lack motivation? Do you feel sad or angry most of the time? Do you sometimes feel a lack of purpose or your life has been interrupted? If so, you are not alone. We, at Essential Journey understand and are here to support you as you begin your healing. The journey may not be easy, but it will be insightful and life changing. Isn't it time to let the pain go and start your healing? Come on, let's get started! I have extensive experience working with couples, single parents, blended families, divorce, interracial relationships, and emotional trauma.
(704) 908-0740 View (704) 908-0740
Photo of Steve D Wright, MA , LCMHCA, Licensed Professional Counselor
Steve D Wright
Licensed Professional Counselor, MA , LCMHCA
Verified Verified
Gastonia, NC 28056
Are you feeling stuck and in need of answers and support? I understand that reaching out for help can be intimidating, but as your counselor, my main objective is to meet you where you are. Through counseling, you can learn to cultivate hope and establish healthy thinking patterns. Do you often feel powerless, unable to take control of your life? Are negative thoughts blocking your path to happiness and joy? Are you tired of the irrational thinking patterns that affect your relationships?
Are you feeling stuck and in need of answers and support? I understand that reaching out for help can be intimidating, but as your counselor, my main objective is to meet you where you are. Through counseling, you can learn to cultivate hope and establish healthy thinking patterns. Do you often feel powerless, unable to take control of your life? Are negative thoughts blocking your path to happiness and joy? Are you tired of the irrational thinking patterns that affect your relationships?
(704) 751-1967 View (704) 751-1967
Photo of Dania Alshafei, MA, LCMHC
Dania Alshafei
Licensed Clinical Mental Health Counselor, MA, LCMHC
Verified Verified
1 Endorsed
Gastonia, NC 28054  (Online Only)
Waitlist for new clients
Looking for a counselor can be a stressful experience, so let me start by saying congratulations on taking the first step. I believe life is a series of transitions & adaptations to our environment, & sometimes we find it difficult to deal with those changes. I enjoy my work as a therapist and strive to help my clients reach their highest potential & to live a life that they value, free of the symptoms that come along with things like anxiety & depression. I aspire to create an environment that will allow my clients to gain greater clarity, acceptance, courage, hope, balance, & serenity.
Looking for a counselor can be a stressful experience, so let me start by saying congratulations on taking the first step. I believe life is a series of transitions & adaptations to our environment, & sometimes we find it difficult to deal with those changes. I enjoy my work as a therapist and strive to help my clients reach their highest potential & to live a life that they value, free of the symptoms that come along with things like anxiety & depression. I aspire to create an environment that will allow my clients to gain greater clarity, acceptance, courage, hope, balance, & serenity.
(704) 842-9152 View (704) 842-9152
Photo of Jerry Wayne Guy, MA, LCMHC, LCAS
Jerry Wayne Guy
Licensed Clinical Mental Health Counselor, MA, LCMHC, LCAS
Verified Verified
1 Endorsed
Gastonia, NC 28052
Whether you are facing struggles in your marriage, dealing with anxiety, depression, divorce or want to learn how to communicate more effectively. Together we will help you grow and overcome the issues and barriers that are holding you back from the life you want. I specialize in working with couples and adults to identify and create solutions for the obstacles you face. At the Groves Counseling Center, we focus on providing a space for you to explore the life you have and work towards the life you want. I look forward to partnering with you and your loved ones to help you thrive, not just survive.
Whether you are facing struggles in your marriage, dealing with anxiety, depression, divorce or want to learn how to communicate more effectively. Together we will help you grow and overcome the issues and barriers that are holding you back from the life you want. I specialize in working with couples and adults to identify and create solutions for the obstacles you face. At the Groves Counseling Center, we focus on providing a space for you to explore the life you have and work towards the life you want. I look forward to partnering with you and your loved ones to help you thrive, not just survive.
(980) 434-0019 View (980) 434-0019
Photo of Wendy L. Johnston, MA, LCMHC, Licensed Professional Counselor
Wendy L. Johnston
Licensed Professional Counselor, MA, LCMHC
Verified Verified
1 Endorsed
Gastonia, NC 28054
Not accepting new clients
Are you struggling with anxiety and stress, depression, or past trauma or abuse? Do you need support to move forward and reclaim your life? If so, you're not alone. Because I've fought through my own issues in therapy, I understand that it takes courage to ask for help. As your therapist, it's my pledge to be non-judgmental, present, and authentic as I join with you, support you, and provide effective tools and strategies for change.
Are you struggling with anxiety and stress, depression, or past trauma or abuse? Do you need support to move forward and reclaim your life? If so, you're not alone. Because I've fought through my own issues in therapy, I understand that it takes courage to ask for help. As your therapist, it's my pledge to be non-judgmental, present, and authentic as I join with you, support you, and provide effective tools and strategies for change.
(980) 276-2417 View (980) 276-2417
Photo of Tequila Sanford, LCSW, LCAS, CSI, Clinical Social Work/Therapist
Tequila Sanford
Clinical Social Work/Therapist, LCSW, LCAS, CSI
Verified Verified
Gastonia, NC 28056
I believe in exploration and facilitating an understanding of the connection between mind, body and soul to achieve deep healing with my clients. I will incorporate humor, as appropriate, which has yielded great results, as it allows my clients to feel more relaxed. Serious challenges don’t have to be addressed in a stringent, cold manner. I am accepting new clients for telehealth sessions and am available for early morning, mid-day evenings and weekend appointments. Please reach out to Oasis Therapeutic Services PLLC to schedule. You may call 980-352-8228 or go to our website and complete the "contact us" form to get started.
I believe in exploration and facilitating an understanding of the connection between mind, body and soul to achieve deep healing with my clients. I will incorporate humor, as appropriate, which has yielded great results, as it allows my clients to feel more relaxed. Serious challenges don’t have to be addressed in a stringent, cold manner. I am accepting new clients for telehealth sessions and am available for early morning, mid-day evenings and weekend appointments. Please reach out to Oasis Therapeutic Services PLLC to schedule. You may call 980-352-8228 or go to our website and complete the "contact us" form to get started.
(980) 352-8228 View (980) 352-8228
Photo of Samantha Gingles, MS, LCMHCA, NCC
Samantha Gingles
Lic Clinical Mental Health Counselor Associate, MS, LCMHCA, NCC
Verified Verified
2 Endorsed
Gastonia, NC 28052  (Online Only)
Finding balance between managing life, relationships, and responsibilities and working on healing and personal growth can be incredibly challenging. When trying to adjust to demands and transitions it is often stressful and even scary. You may also feel uncertain about making important decisions during this phase of life. You do not have to be discouraged or afraid. I want to help you get back in control of your life, by planting seeds to better improve communication, confidence, and growth.
Finding balance between managing life, relationships, and responsibilities and working on healing and personal growth can be incredibly challenging. When trying to adjust to demands and transitions it is often stressful and even scary. You may also feel uncertain about making important decisions during this phase of life. You do not have to be discouraged or afraid. I want to help you get back in control of your life, by planting seeds to better improve communication, confidence, and growth.
(704) 859-2108 View (704) 859-2108

How does your Therapist compare?

Number of Therapists in Gastonia, NC

100+

Average cost per session

$125

Therapists in Gastonia, NC who prioritize treating:

91% Anxiety
86% Depression
75% Coping Skills
75% Self Esteem
74% Relationship Issues
67% Trauma and PTSD
66% Stress

Average years in practice

9 Years

Top 3 insurances accepted

91% BlueCross and BlueShield
78% Aetna
63% UnitedHealthcare UHC | UBH

How Therapists in Gastonia, NC see their clients

76% In Person and Online
24% Online Only

Gender breakdown

83% Female
17% Male
FAQs - About Therapy and Counseling

How can I find a therapist in Gastonia?

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.