Therapists in Hampstead, NC

Photo of Dawn M Gesualdi, Counselor, MS, LCMHCA, NCC
Dawn M Gesualdi
Counselor, MS, LCMHCA, NCC
2 Endorsed
Hampstead, NC 28443
I am passionate about working with trauma and abuse survivors and helping clients with issues of self-worth and not feeling “enough”. I have experience working with many concerns including anxiety, depression, coping with chronic illness, grief and loss, life transitions, women's issues such as menopause and relationship issues. I specialize in working with children and families who are navigating challenges such as divorce, re-marriage, co-parenting, blending families, and understanding and utilizing behavior management strategies. I also do couples counseling and utilize an Emotionally Focused Therapy (EFT) approach.
I am passionate about working with trauma and abuse survivors and helping clients with issues of self-worth and not feeling “enough”. I have experience working with many concerns including anxiety, depression, coping with chronic illness, grief and loss, life transitions, women's issues such as menopause and relationship issues. I specialize in working with children and families who are navigating challenges such as divorce, re-marriage, co-parenting, blending families, and understanding and utilizing behavior management strategies. I also do couples counseling and utilize an Emotionally Focused Therapy (EFT) approach.
(910) 830-8548 View (910) 830-8548
Photo of Nancy McKean, Psychologist, PhD, LP, HSPP
Nancy McKean
Psychologist, PhD, LP, HSPP
Hampstead, NC 28443
I am so glad you are taking the step to pursue therapy! I take a collaborative approach to therapy that prioritizes the development of a safe, affirming, and trusting therapeutic relationship. As safety and trust grow, I work to help individuals make sense of their life stories, connect with their emotional experience, unravel unhelpful patterns, nurture self-compassion, and develop meaningful paths forward. I tailor my approach to each unique individual and view our work together as a partnership.
I am so glad you are taking the step to pursue therapy! I take a collaborative approach to therapy that prioritizes the development of a safe, affirming, and trusting therapeutic relationship. As safety and trust grow, I work to help individuals make sense of their life stories, connect with their emotional experience, unravel unhelpful patterns, nurture self-compassion, and develop meaningful paths forward. I tailor my approach to each unique individual and view our work together as a partnership.
(910) 606-5575 View (910) 606-5575
Photo of Nicole A Radcliff, Counselor, MA, LCMHCA, NCC
Nicole A Radcliff
Counselor, MA, LCMHCA, NCC
1 Endorsed
Online Only
Not accepting new clients
As a Marine Corps veteran and spouse, and a parent, I understand life throws curve balls that we sometimes need help navigating. Counseling is a journey we take together as a team. I am committed to helping you improve your situation. I want the best for you. I want to help you obtain what you want to accomplish in counseling. I want to help you be happier and more satisfied with yourself and your life. Therapy is a process where you and I engage in conversation to help you resolve your problem/issue and move them forward. My job is not to fix you, but to guide you towards the goals you wish to achieve.
As a Marine Corps veteran and spouse, and a parent, I understand life throws curve balls that we sometimes need help navigating. Counseling is a journey we take together as a team. I am committed to helping you improve your situation. I want the best for you. I want to help you obtain what you want to accomplish in counseling. I want to help you be happier and more satisfied with yourself and your life. Therapy is a process where you and I engage in conversation to help you resolve your problem/issue and move them forward. My job is not to fix you, but to guide you towards the goals you wish to achieve.
(910) 390-8047 View (910) 390-8047
Photo of Kelly Knapp McCray, Lic Clinical Mental Health Counselor Associate, MA, LCMHCA
Kelly Knapp McCray
Lic Clinical Mental Health Counselor Associate, MA, LCMHCA
1 Endorsed
Hampstead, NC 28443
Whether you select traditional therapy or reiki sessions, you will receive a nonjudgmental space to explore your emotions and connect with your authentic self. Learn coping skills and process difficult experiences while connecting with nature on a walk, or through releasing negative energy through reiki. Moonstone Counseling was established in 2023 to provide a holistic approach to healing.
Whether you select traditional therapy or reiki sessions, you will receive a nonjudgmental space to explore your emotions and connect with your authentic self. Learn coping skills and process difficult experiences while connecting with nature on a walk, or through releasing negative energy through reiki. Moonstone Counseling was established in 2023 to provide a holistic approach to healing.
(910) 541-5734 View (910) 541-5734
Photo of Holly Giarratano, Lic Clinical Mental Health Counselor Associate
Holly Giarratano
Lic Clinical Mental Health Counselor Associate
Hampstead, NC 28443
Feeling Stuck? You're Not Alone. Are negative thoughts, self-doubt, or unhealthy habits keeping you from living the life you want? Maybe you're struggling with self-sabotaging behaviors, low self-esteem, or turning to substances more than you'd like. You might feel overwhelmed, uncertain, or just not like yourself lately. If any of this sounds familiar, let’s talk. I work with teens and adults who are ready to break free from unhelpful patterns and start feeling more confident, clear, and in control. Whether you’re navigating anxiety, substance use, or just feeling off-track, I’m here to support you.
Feeling Stuck? You're Not Alone. Are negative thoughts, self-doubt, or unhealthy habits keeping you from living the life you want? Maybe you're struggling with self-sabotaging behaviors, low self-esteem, or turning to substances more than you'd like. You might feel overwhelmed, uncertain, or just not like yourself lately. If any of this sounds familiar, let’s talk. I work with teens and adults who are ready to break free from unhelpful patterns and start feeling more confident, clear, and in control. Whether you’re navigating anxiety, substance use, or just feeling off-track, I’m here to support you.
(910) 541-9961 View (910) 541-9961
Photo of Marki Brooke Sulzbach, Counselor, MA, LCMHCA, BC-TMH, NCC
Marki Brooke Sulzbach
Counselor, MA, LCMHCA, BC-TMH, NCC
3 Endorsed
Online Only
Not accepting new clients
The everyday stressors of life can become overwhelming. Emotions and behaviors often are too much and it feels like what has worked before isn't working anymore. As your therapist, you and I will seek to discover attainable goals, strive after a healthier, more grounded sense of self, and work towards finding a more fulfilling and hopeful future. I would be honored to help you manage whatever life throws your way. Life is hard, but it doesn't have to be. Together, we will discover the root of the problem and face it head-on. You don't have to be alone in this anymore. Allow me (and my in-office service dog ZIGGY) to help.
The everyday stressors of life can become overwhelming. Emotions and behaviors often are too much and it feels like what has worked before isn't working anymore. As your therapist, you and I will seek to discover attainable goals, strive after a healthier, more grounded sense of self, and work towards finding a more fulfilling and hopeful future. I would be honored to help you manage whatever life throws your way. Life is hard, but it doesn't have to be. Together, we will discover the root of the problem and face it head-on. You don't have to be alone in this anymore. Allow me (and my in-office service dog ZIGGY) to help.
(910) 460-3834 View (910) 460-3834
Photo of Jacob Averill, Clinical Social Work/Therapist, LCSW, LCAS, CCS
Jacob Averill
Clinical Social Work/Therapist, LCSW, LCAS, CCS
2 Endorsed
Online Only
Feeling more anxious or less motivated lately? Turning to substances or other distractions to cope? If you answered yes, I may be the right therapist for you. I bring a sense of humor, a non-judgmental attitude, and a calming presence to our sessions, helping you feel safe and comfortable. My person-centered approach to therapy is grounded in the belief that you have the answers within you. My role is to guide you toward self-discovery and empowerment by asking the right questions. In addition to therapy, I provide clinical supervision to clinicians working towards their LCSWs, LCASs, CADCs, and/or CCS-Is through Just Swell PLLC.
Feeling more anxious or less motivated lately? Turning to substances or other distractions to cope? If you answered yes, I may be the right therapist for you. I bring a sense of humor, a non-judgmental attitude, and a calming presence to our sessions, helping you feel safe and comfortable. My person-centered approach to therapy is grounded in the belief that you have the answers within you. My role is to guide you toward self-discovery and empowerment by asking the right questions. In addition to therapy, I provide clinical supervision to clinicians working towards their LCSWs, LCASs, CADCs, and/or CCS-Is through Just Swell PLLC.
(910) 713-1441 View (910) 713-1441
Photo of Patricia Ann Geel, Marriage & Family Therapist, LMFT, CCTHP, CCTP
Patricia Ann Geel
Marriage & Family Therapist, LMFT, CCTHP, CCTP
Online Only
I am licensed as a marriage and family therapist (LMFT) in North Carolina, Oklahoma and Virginia. I have over 25 years of experience working with individuals, couples and families presenting with concerns including but not limited to relationship difficulties, parenting challenges, depression, anxiety, PTSD and adjustment problems. I have extensive experience working with military couples and families as well as in assisting clients who have experienced domestic violence or childhood abuse or neglect. I hold certifications as a clinical trauma professional and also as a clinical telemental health professional.
I am licensed as a marriage and family therapist (LMFT) in North Carolina, Oklahoma and Virginia. I have over 25 years of experience working with individuals, couples and families presenting with concerns including but not limited to relationship difficulties, parenting challenges, depression, anxiety, PTSD and adjustment problems. I have extensive experience working with military couples and families as well as in assisting clients who have experienced domestic violence or childhood abuse or neglect. I hold certifications as a clinical trauma professional and also as a clinical telemental health professional.
(910) 773-4102 View (910) 773-4102
Photo of Kristen Dewberry, Clinical Social Work/Therapist, LCSW
Kristen Dewberry
Clinical Social Work/Therapist, LCSW
1 Endorsed
Online Only
Change is possible—even if it hasn’t felt that way in a long time. Whether you're facing ADHD symptoms, anxiety, relationship struggles, or just trying to make sense of life, therapy can be a space to breathe, feel, and begin to heal. My approach is warm, nonjudgmental, and collaborative. I’ll meet you where you are and walk alongside you as you move toward clarity, growth, and deeper self-compassion. Together, we can work toward practical strategies and meaningful insights to empower you to thrive, even in the face of challenges.
Change is possible—even if it hasn’t felt that way in a long time. Whether you're facing ADHD symptoms, anxiety, relationship struggles, or just trying to make sense of life, therapy can be a space to breathe, feel, and begin to heal. My approach is warm, nonjudgmental, and collaborative. I’ll meet you where you are and walk alongside you as you move toward clarity, growth, and deeper self-compassion. Together, we can work toward practical strategies and meaningful insights to empower you to thrive, even in the face of challenges.
(910) 841-2212 View (910) 841-2212
Photo of Kim Gililland, Clinical Social Work/Therapist, LCSW
Kim Gililland
Clinical Social Work/Therapist, LCSW
Online Only
Welcome! My name is Kim Gililland. I am here to offer you an amazing therapy experience. Join me in a client centered, warm and compassionate therapeutic setting. I have 22 years of experience providing therapy in a non-judge mental atmosphere. I am here to help you explore areas in your life that may be causing you stress and discomfort.
Welcome! My name is Kim Gililland. I am here to offer you an amazing therapy experience. Join me in a client centered, warm and compassionate therapeutic setting. I have 22 years of experience providing therapy in a non-judge mental atmosphere. I am here to help you explore areas in your life that may be causing you stress and discomfort.
(910) 535-9404 View (910) 535-9404
Photo of Joden Ford, Clinical Social Work/Therapist, LCSW
Joden Ford
Clinical Social Work/Therapist, LCSW
4 Endorsed
Hampstead, NC 28443
I am Joden Ford a Licensed Clinical Social Worker based out of Hamstead, North Carolina. My main goal is to help clients with eating disorders or individuals struggling to heal their relationship with food and/or body. I make it a priority to assist clients through their recovery from an eating disorder by building new habits, embracing self compassion, and understanding how certain eating habits developed. I started working with eating disorders in 2017 and became passionate about this population. My goal is to help clients take control of their lives and prioritize their mental/physical health.
I am Joden Ford a Licensed Clinical Social Worker based out of Hamstead, North Carolina. My main goal is to help clients with eating disorders or individuals struggling to heal their relationship with food and/or body. I make it a priority to assist clients through their recovery from an eating disorder by building new habits, embracing self compassion, and understanding how certain eating habits developed. I started working with eating disorders in 2017 and became passionate about this population. My goal is to help clients take control of their lives and prioritize their mental/physical health.
(910) 356-9088 View (910) 356-9088
Photo of Madison Paladino, LCSW Associate , LCSW-A
Madison Paladino
LCSW Associate , LCSW-A
2 Endorsed
Hampstead, NC 28443
Life is chaotic but that does not mean your healing should be held back. Growth begins when you are ready for it, and I would love to help honor that decision you have made for yourself and provide support. Choosing healthy change can be hard and deserves the right environment to protect, nurture, and expand what all is in store for you in achieving your most authentic self. Through time together, my clients are able to receive a safe environment free of judgment, and a genuine assistance . My goal is to create a space for you to be fully open and to find support, positive affirmation, and safety of your feelings in each session.
Life is chaotic but that does not mean your healing should be held back. Growth begins when you are ready for it, and I would love to help honor that decision you have made for yourself and provide support. Choosing healthy change can be hard and deserves the right environment to protect, nurture, and expand what all is in store for you in achieving your most authentic self. Through time together, my clients are able to receive a safe environment free of judgment, and a genuine assistance . My goal is to create a space for you to be fully open and to find support, positive affirmation, and safety of your feelings in each session.
(910) 469-4881 View (910) 469-4881
Photo of Beth L. Hauser, Counselor, LCMHC
Beth L. Hauser
Counselor, LCMHC
10 Endorsed
Online Only
No one knows your narcissistic partner or your family the way you do. They’re charming in public… but cut you down behind closed doors. You love them and want this relationship to work, but the toxicity and pain keep you on edge. You’ve tried to keep the peace, only to be blamed, belittled, or stonewalled – or gaslit into a realm where you don’t know what’s true and what’s not anymore. The constant push-pull has left you exhausted, anxious, and unsure of who you are. You walk on eggshells, second-guess your every move, and wonder if the chaos is your fault. It’s hard to know what’s true anymore when you feel like you’re going crazy.
No one knows your narcissistic partner or your family the way you do. They’re charming in public… but cut you down behind closed doors. You love them and want this relationship to work, but the toxicity and pain keep you on edge. You’ve tried to keep the peace, only to be blamed, belittled, or stonewalled – or gaslit into a realm where you don’t know what’s true and what’s not anymore. The constant push-pull has left you exhausted, anxious, and unsure of who you are. You walk on eggshells, second-guess your every move, and wonder if the chaos is your fault. It’s hard to know what’s true anymore when you feel like you’re going crazy.
(910) 541-5330 View (910) 541-5330
Photo of Marty Hernandez, Clinical Social Work/Therapist, LCSW
Marty Hernandez
Clinical Social Work/Therapist, LCSW
Online Only
I help people cope with challenge and see new possibilities. Building relationships with clients where there is mutual respect and trust is a cornerstone of my practice.
I help people cope with challenge and see new possibilities. Building relationships with clients where there is mutual respect and trust is a cornerstone of my practice.
(910) 877-8309 View (910) 877-8309
Photo of Tabitha Cox, Clinical Social Work/Therapist, MSW, LCSW
Tabitha Cox
Clinical Social Work/Therapist, MSW, LCSW
1 Endorsed
Hampstead, NC 28443
I genuinely love people and thrive when I am able to help them overcome the unthinkable. I believe in deep conversations and digging deep inside to find what works and what hurts. I work with clients to develop healthy resources and practical strategies to overcome traumatic experiences, anxiety, depression, and negative thoughts about self.
I genuinely love people and thrive when I am able to help them overcome the unthinkable. I believe in deep conversations and digging deep inside to find what works and what hurts. I work with clients to develop healthy resources and practical strategies to overcome traumatic experiences, anxiety, depression, and negative thoughts about self.
(910) 636-6661 View (910) 636-6661
Photo of Patti L Cain, Clinical Social Work/Therapist, LCSW, LCAS
Patti L Cain
Clinical Social Work/Therapist, LCSW, LCAS
3 Endorsed
Hampstead, NC 28443
Waitlist for new clients
Are you having difficulty with your relationships? When you understand how important you are and how valuable your life is, I believe you will make better choices when it comes to the people you allow into your life. My hope is that you recognize the unique things you offer the world and be vulnerable enough to share them. Connection to people is something we all need and it is often determined through the love we hold for ourselves.
Are you having difficulty with your relationships? When you understand how important you are and how valuable your life is, I believe you will make better choices when it comes to the people you allow into your life. My hope is that you recognize the unique things you offer the world and be vulnerable enough to share them. Connection to people is something we all need and it is often determined through the love we hold for ourselves.
(910) 335-8686 View (910) 335-8686
Photo of Anna Hampton, Lic Clinical Mental Health Counselor Associate, MEd, LCMHCA, NCC
Anna Hampton
Lic Clinical Mental Health Counselor Associate, MEd, LCMHCA, NCC
1 Endorsed
Hampstead, NC 28443
Feeling burnt out and overwhelmed? If you’re finding it hard to manage daily responsibilities, struggling with persistent exhaustion, or feeling emotionally drained, you're not alone. These feelings are often signs that you need support and care. Therapy can be a safe space to explore the root causes of your burnout, develop coping strategies, and regain a sense of balance and control in your life. If you’re ready to take the first step towards healing and reclaiming your well-being, let's tackle it together.
Feeling burnt out and overwhelmed? If you’re finding it hard to manage daily responsibilities, struggling with persistent exhaustion, or feeling emotionally drained, you're not alone. These feelings are often signs that you need support and care. Therapy can be a safe space to explore the root causes of your burnout, develop coping strategies, and regain a sense of balance and control in your life. If you’re ready to take the first step towards healing and reclaiming your well-being, let's tackle it together.
(910) 991-0362 View (910) 991-0362
Photo of Mary M Godin, Psychological Associate, MA, LPA, LCMHC
Mary M Godin
Psychological Associate, MA, LPA, LCMHC
3 Endorsed
Hampstead, NC 28443
I work with children, adolescents, and adults utilizing cognitive-behavioral therapy and cognitive interpersonal therapy. I strive to develop a trusting and nonjudgmental atmosphere in which clients can grow to reach their potential and work through difficult times. I have worked in outpatient mental health for over 20 years with a variety of mental disorders including anxiety, depression, bipolar disorder, PTSD, attachment disorders, autistic spectrum disorders, ADHD and other childhood behavioral disorders.
I work with children, adolescents, and adults utilizing cognitive-behavioral therapy and cognitive interpersonal therapy. I strive to develop a trusting and nonjudgmental atmosphere in which clients can grow to reach their potential and work through difficult times. I have worked in outpatient mental health for over 20 years with a variety of mental disorders including anxiety, depression, bipolar disorder, PTSD, attachment disorders, autistic spectrum disorders, ADHD and other childhood behavioral disorders.
(910) 447-9914 View (910) 447-9914
Photo of Amy Riecken, Clinical Social Work/Therapist, MSW, LCSW
Amy Riecken
Clinical Social Work/Therapist, MSW, LCSW
Hampstead, NC 28443
Hello, I’m so glad you are here! Reaching out for help can be a difficult decision whether it’s for yourself or a loved one. I commend you on your choice to work towards a healthier life. I provide an accepting and comfortable environment where you feel safe to discuss difficult topics. As a clinical social worker, I am client-focused and realize that you are the expert in your life. I want to support you in working through difficulties and enhancing your strengths as you prepare for a brighter future.
Hello, I’m so glad you are here! Reaching out for help can be a difficult decision whether it’s for yourself or a loved one. I commend you on your choice to work towards a healthier life. I provide an accepting and comfortable environment where you feel safe to discuss difficult topics. As a clinical social worker, I am client-focused and realize that you are the expert in your life. I want to support you in working through difficulties and enhancing your strengths as you prepare for a brighter future.
(910) 507-7352 View (910) 507-7352
Photo of Whitney Graves, Clinical Social Work/Therapist, MSW, LCSW
Whitney Graves
Clinical Social Work/Therapist, MSW, LCSW
2 Endorsed
Hampstead, NC 28443
Not accepting new clients
For those with anxiety, OCD, and trauma, there are unique challenges that come with these experiences. Whether you're struggling with intrusive thoughts, flashbacks, or obsessive-compulsive behaviors, it’s hard to go at it alone! You may feel like it's you against the world and that nobody truly understands the experience you’ve had. Together, we'll work towards creating a future that is filled with hope, resilience, and strength.
For those with anxiety, OCD, and trauma, there are unique challenges that come with these experiences. Whether you're struggling with intrusive thoughts, flashbacks, or obsessive-compulsive behaviors, it’s hard to go at it alone! You may feel like it's you against the world and that nobody truly understands the experience you’ve had. Together, we'll work towards creating a future that is filled with hope, resilience, and strength.
(910) 665-7981 View (910) 665-7981

See more therapy options for Hampstead

How does your Therapist compare?

Number of Therapists in Hampstead, NC

90+

Average cost per session

$125

Therapists in Hampstead, NC who prioritize treating:

92% Anxiety
81% Depression
77% Coping Skills
74% Relationship Issues
73% Self Esteem
71% Life Transitions
70% Trauma and PTSD

Average years in practice

10 Years

Top 3 insurances accepted

95% BlueCross and BlueShield
87% Aetna
63% UnitedHealthcare UHC | UBH

How Therapists in Hampstead, NC see their clients

80% In Person and Online
20% Online Only

Gender breakdown

95% Female
5% Male
FAQs - About Therapy and Counseling

How can I find a therapist in Hampstead?

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.