Therapists in Mcdowell County, NC

View cities in Mcdowell County
Photo of Essential Waters Counseling and Consulting, PLLC, Counselor in Mcdowell County, NC
Essential Waters Counseling and Consulting, PLLC
Counselor, LCMHC, LCAS, CSI
Verified Verified
Marion, NC 28752  (Online Only)
Not accepting new clients
Some of the most important personality traits that I bring to my practice include being Genuine, Kind, Realistic, and Detail Oriented. My clinical strengths include the skills to help build social connections and insight into choices, rapport building, harm reduction, accountability and consistency. I also provide educational resources for you to explore and expand your understanding. My main objective is to make sure you feel heard, understood, empowered; and to support your connections with others as well as within yourself.
Some of the most important personality traits that I bring to my practice include being Genuine, Kind, Realistic, and Detail Oriented. My clinical strengths include the skills to help build social connections and insight into choices, rapport building, harm reduction, accountability and consistency. I also provide educational resources for you to explore and expand your understanding. My main objective is to make sure you feel heard, understood, empowered; and to support your connections with others as well as within yourself.
(828) 332-5388 View (828) 332-5388
Photo of Payton Saine, Counselor in Mcdowell County, NC
Payton Saine
Counselor, LCMHCA
Verified Verified
Marion, NC 28752  (Online Only)
I have experience working with children (ages 8+), adolescents, adults, and the elderly, as well as couples and families. I deal primarily with clients who have mood and anxiety disorders or issues such as depression, anxiety, trauma, PTSD, anger, grief, and body image issues, and work collaboratively with these clients to create clear goals that will provide them with a brighter, happier future.
I have experience working with children (ages 8+), adolescents, adults, and the elderly, as well as couples and families. I deal primarily with clients who have mood and anxiety disorders or issues such as depression, anxiety, trauma, PTSD, anger, grief, and body image issues, and work collaboratively with these clients to create clear goals that will provide them with a brighter, happier future.
(828) 373-2824 View (828) 373-2824
Photo of Natalie Wolfe Hollenback, Counselor in Mcdowell County, NC
Natalie Wolfe Hollenback
Counselor, LCMHC
Verified Verified
2 Endorsed
Old Fort, NC 28762  (Online Only)
I am hoping to help those searching to get unstuck, reconnect with themselves and better their relationships. I also enjoy working with adolescents who are struggling in school, with friendships and communicating their needs. I primarily work with autism and ADHD diagnoses, helping kid and adults with everyday strategies by helping build their support systems and helping learn about their diagnosis. I also offer equine therapy as a way to work on break throughs and relationship building skills. I offer a safe space for LGBTQIA+ exploring their identity and seeking supportive resources.
I am hoping to help those searching to get unstuck, reconnect with themselves and better their relationships. I also enjoy working with adolescents who are struggling in school, with friendships and communicating their needs. I primarily work with autism and ADHD diagnoses, helping kid and adults with everyday strategies by helping build their support systems and helping learn about their diagnosis. I also offer equine therapy as a way to work on break throughs and relationship building skills. I offer a safe space for LGBTQIA+ exploring their identity and seeking supportive resources.
(828) 522-9461 View (828) 522-9461
Photo of Lisa Ripperton, Clinical Social Work/Therapist in Mcdowell County, NC
Lisa Ripperton
Clinical Social Work/Therapist, LCSW, LCAS
Verified Verified
1 Endorsed
Marion, NC 28752
Are you haunted by your past? Do you struggle with anxiety and stress? You can heal and thrive: I believe that change is possible, even in the most challenging circumstances. You can move past old wounds and into your present for a full and fulfilling life. You will learn to embrace change and growth without unnecessary fear, and find your passions and gifts in life. If you are ready to start this process, call me for a free phone consultation on how you can change your life. We are currently accepting intakes with Healthy Blue and Vaya Health Medicaid.
Are you haunted by your past? Do you struggle with anxiety and stress? You can heal and thrive: I believe that change is possible, even in the most challenging circumstances. You can move past old wounds and into your present for a full and fulfilling life. You will learn to embrace change and growth without unnecessary fear, and find your passions and gifts in life. If you are ready to start this process, call me for a free phone consultation on how you can change your life. We are currently accepting intakes with Healthy Blue and Vaya Health Medicaid.
(919) 892-6585 View (919) 892-6585
Photo of Joy Molina, Counselor in Mcdowell County, NC
Joy Molina
Counselor, MA, LCMHC, LCAS
Verified Verified
Old Fort, NC 28762
You feel guilty because you should be happy. You are ashamed that although everyone thinks you have it together, you are crying your eyes out when no one is around. You want to stop feeling sad. You want to stop being scared and anxious that the next shoe is about to drop and you can't handle one more thing. If these are some of the thoughts you have, you are not alone and there is a way to find a place of peace and calm. If you want to figure out how to love your life and yourself again, please call.
You feel guilty because you should be happy. You are ashamed that although everyone thinks you have it together, you are crying your eyes out when no one is around. You want to stop feeling sad. You want to stop being scared and anxious that the next shoe is about to drop and you can't handle one more thing. If these are some of the thoughts you have, you are not alone and there is a way to find a place of peace and calm. If you want to figure out how to love your life and yourself again, please call.
(828) 445-1807 View (828) 445-1807
Photo of Chrissy Holiday, Licensed Professional Counselor in Mcdowell County, NC
Chrissy Holiday
Licensed Professional Counselor, MDiv, MA/EdS, NCC, LCMHC
Verified Verified
Marion, NC 28752
Waitlist for new clients
I believe that change is hard but not impossible. I work especially well with people who are struggling with anxiety, depression, life transitions, and spirituality. I work mainly through trauma-informed therapy, reality therapy, EMDR, and internal family systems therapy, though I am open to other approaches to counseling. Individuals and families are welcome in my office to receive empathetic and intentional mental health care. Although I am not able to prescribe medication, I understand it is often a major part of mental wellness and I can coordinate with any prescribing doctors who may already be part of your wellness team.
I believe that change is hard but not impossible. I work especially well with people who are struggling with anxiety, depression, life transitions, and spirituality. I work mainly through trauma-informed therapy, reality therapy, EMDR, and internal family systems therapy, though I am open to other approaches to counseling. Individuals and families are welcome in my office to receive empathetic and intentional mental health care. Although I am not able to prescribe medication, I understand it is often a major part of mental wellness and I can coordinate with any prescribing doctors who may already be part of your wellness team.
(980) 404-2360 x4 View (980) 404-2360 x4
Photo of Life Shine Counseling, Licensed Clinical Mental Health Counselor in Mcdowell County, NC
Life Shine Counseling
Licensed Clinical Mental Health Counselor, MA, LCMHC
Verified Verified
Marion, NC 28752
The gift of therapy is that it is a safe place for self-exploration and self-expression. I believe in the possibility of healing and that individuals have answers within. Therapy is a tool that can help one find meaning. I enjoy taking this journey with my clients and it is my goal to support others in their growth and expansion. I aim to utilize the creativity and imagination of my clients so that they have a fulfilling experience. I am open to incorporating various traditions and spiritual philosophies. I have a background in health and wellness education and promotion which benefits my clients on their path to wellness.
The gift of therapy is that it is a safe place for self-exploration and self-expression. I believe in the possibility of healing and that individuals have answers within. Therapy is a tool that can help one find meaning. I enjoy taking this journey with my clients and it is my goal to support others in their growth and expansion. I aim to utilize the creativity and imagination of my clients so that they have a fulfilling experience. I am open to incorporating various traditions and spiritual philosophies. I have a background in health and wellness education and promotion which benefits my clients on their path to wellness.
(828) 373-6832 View (828) 373-6832
Photo of Beth A. Bell, Counselor in Mcdowell County, NC
Beth A. Bell
Counselor, MA, LPCC-S, LCMHC, RPT-S, NCC ACS
Verified Verified
1 Endorsed
Marion, NC 28752  (Online Only)
Not accepting new clients
I am looking forward to meeting with you to help you write a new chapter in your story. I am available to work with children, adolescents and adults (any gender) from 8 to eighty plus. I would like to help you or your child explore new strategies for healthy living if you are struggling with behavior and impulse issues, depression, anxiety, self-harming, suicidal thoughts, relationship and infidelity issues, abuse and trauma, and life change concerns.
I am looking forward to meeting with you to help you write a new chapter in your story. I am available to work with children, adolescents and adults (any gender) from 8 to eighty plus. I would like to help you or your child explore new strategies for healthy living if you are struggling with behavior and impulse issues, depression, anxiety, self-harming, suicidal thoughts, relationship and infidelity issues, abuse and trauma, and life change concerns.
(828) 445-1806 View (828) 445-1806
Photo of Travis Woodruff in Mcdowell County, NC
Travis Woodruff
MA, LCMHC, LCAS, CCS, NCC
Verified Verified
2 Endorsed
Marion, NC 28752
Often those things in life that are most difficult are natural parts of life, known as givens – Freedom, Death, Isolation, Meaninglessness. Being confronted with these givens can create anxiety, which can lead to significant consequences. Everyone who looks for a therapist does it because there is something that is blocking their happiness. It might be something external that caused you to look, but you have it within you to set yourself free. Waiting for the world, your boss, your significant other to make things better for you gives someone else control over your happiness.
Often those things in life that are most difficult are natural parts of life, known as givens – Freedom, Death, Isolation, Meaninglessness. Being confronted with these givens can create anxiety, which can lead to significant consequences. Everyone who looks for a therapist does it because there is something that is blocking their happiness. It might be something external that caused you to look, but you have it within you to set yourself free. Waiting for the world, your boss, your significant other to make things better for you gives someone else control over your happiness.
(828) 414-2448 View (828) 414-2448
Charley Brown
Drug & Alcohol Counselor, MA, LCAS-A
Verified Verified
1 Endorsed
Marion, NC 28752
My ideal client presents with low self-esteem and struggles with understanding their values and self worth. The need to learn self empowerment and self-love. Their goal is to understand their self more deeply. They want to find balance with their mental wellness.
My ideal client presents with low self-esteem and struggles with understanding their values and self worth. The need to learn self empowerment and self-love. Their goal is to understand their self more deeply. They want to find balance with their mental wellness.
(828) 656-5067 View (828) 656-5067
Photo of Brandi Harris, Licensed Clinical Mental Health Counselor in Mcdowell County, NC
Brandi Harris
Licensed Clinical Mental Health Counselor, MA, LCMHCS, LCAS, CSI, NCC
Verified Verified
Marion, NC 28752
Waitlist for new clients
If you are looking for support on your journey of self-discovery or dealing with some stressors, I would love to help! I enjoy working with individuals who may be struggling and need an empathetic ear. I believe everyone can improve their sense of well-being with some support. I enjoy doing in person sessions as well as telemedicine.
If you are looking for support on your journey of self-discovery or dealing with some stressors, I would love to help! I enjoy working with individuals who may be struggling and need an empathetic ear. I believe everyone can improve their sense of well-being with some support. I enjoy doing in person sessions as well as telemedicine.
(828) 360-8217 View (828) 360-8217
Photo of Domestic Appeal & Neural ~Synergistic ~ Network ®, Clinical Social Work/Therapist in Mcdowell County, NC
Domestic Appeal & Neural ~Synergistic ~ Network ®
Clinical Social Work/Therapist, LCSW, LISW, CSW, EEG, IFS
Verified Verified
Marion, NC 28752
My "ideal client" knows to provide loved ones the very best, he or she must also be at an individual best. Short-changing the "self" depletes the ability to offer abundance to others. Whereas prospering in heart, health, mind, and body lead to connections of premium value. My clients look beyond the ordinary, knowing possibilities are endless and will be found with concerted effort and bravery. Keeping life fresh, free and filled with potential, elevates us all. When my clients depart they have renewed joy and gratitude because they are awakened to the gifts that were once just beyond their reach but now part their life scripts.
My "ideal client" knows to provide loved ones the very best, he or she must also be at an individual best. Short-changing the "self" depletes the ability to offer abundance to others. Whereas prospering in heart, health, mind, and body lead to connections of premium value. My clients look beyond the ordinary, knowing possibilities are endless and will be found with concerted effort and bravery. Keeping life fresh, free and filled with potential, elevates us all. When my clients depart they have renewed joy and gratitude because they are awakened to the gifts that were once just beyond their reach but now part their life scripts.
(828) 575-0148 View (828) 575-0148
Photo of Nikki Hughes, Licensed Professional Counselor in Mcdowell County, NC
Nikki Hughes
Licensed Professional Counselor, LCMHC, LCAS
Verified Verified
1 Endorsed
Marion, NC 28752
I have great respect for individuals willing to engage in the therapy. It is not an easy process, but it does provide an opportunity for real change and healing. I have spent much of my career working with individuals struggling with issues of addiction, depression and anxiety, and other severe and persistent mental illness and personality disorders. Much time has also been spent working with those recovering from a history of trauma or history of physical, verbal, and sexual abuse.
I have great respect for individuals willing to engage in the therapy. It is not an easy process, but it does provide an opportunity for real change and healing. I have spent much of my career working with individuals struggling with issues of addiction, depression and anxiety, and other severe and persistent mental illness and personality disorders. Much time has also been spent working with those recovering from a history of trauma or history of physical, verbal, and sexual abuse.
(828) 808-8543 View (828) 808-8543
Photo of Margaret Huss, Licensed Professional Counselor in Mcdowell County, NC
Margaret Huss
Licensed Professional Counselor, MA, NCC, LCMHC
Verified Verified
Marion, NC 28752
Life transitions are a part of our journey and, while some are rewarding, some are a challenge. Whether you are struggling with something personally or professionally, you could benefit from working with a therapist who understands and can help guide you through the work to initiate change in your life. My approach is holistic, honest, and interactive with a little humor thrown in when needed. Clients appreciate my authenticity and ability to “be real” with them regarding how best to tackle current issues and concerns. I encourage my clients to start with small steps and move toward what speaks to their heart and their values.
Life transitions are a part of our journey and, while some are rewarding, some are a challenge. Whether you are struggling with something personally or professionally, you could benefit from working with a therapist who understands and can help guide you through the work to initiate change in your life. My approach is holistic, honest, and interactive with a little humor thrown in when needed. Clients appreciate my authenticity and ability to “be real” with them regarding how best to tackle current issues and concerns. I encourage my clients to start with small steps and move toward what speaks to their heart and their values.
(828) 554-7720 View (828) 554-7720
Photo of Nancy Arsenault, Licensed Professional Counselor in Mcdowell County, NC
Nancy Arsenault
Licensed Professional Counselor, MA, LCMHC
Verified Verified
Old Fort, NC 28762
Not accepting new clients
I love that there is always room for discovery in life. I see therapy as an avenue for self-exploration, creating movement, healing and growth. Life challenges and hardship can stall movement. This often leads to feeling anxious, afraid, angry, shameful, depressed and stuck. Therapy can be an effective tool in creating healthy resolution to issues that create suffering, deepening your awareness and self-acceptance, allowing you to experience more joy, peace, pleasure and authenticity in your life. My approach is person centered, creative, down to earth and often playful, respecting uniqueness and honoring the vulnerability necessary to be genuine.
I love that there is always room for discovery in life. I see therapy as an avenue for self-exploration, creating movement, healing and growth. Life challenges and hardship can stall movement. This often leads to feeling anxious, afraid, angry, shameful, depressed and stuck. Therapy can be an effective tool in creating healthy resolution to issues that create suffering, deepening your awareness and self-acceptance, allowing you to experience more joy, peace, pleasure and authenticity in your life. My approach is person centered, creative, down to earth and often playful, respecting uniqueness and honoring the vulnerability necessary to be genuine.
(828) 358-1832 View (828) 358-1832
Photo of Vanessa Pickett, Licensed Professional Counselor in Mcdowell County, NC
Vanessa Pickett
Licensed Professional Counselor, EdS, LCMHC
Verified Verified
Old Fort, NC 28762
Not accepting new clients
Hello and welcome! My counseling practice focuses primarily on work with women, including teens. I specialize in counseling with women who are experiencing eating disorders and body image issues, pregnancy and postpartum mental health concerns, anxiety, depression, life transitions, parenting difficulties, and relationship concerns.
Hello and welcome! My counseling practice focuses primarily on work with women, including teens. I specialize in counseling with women who are experiencing eating disorders and body image issues, pregnancy and postpartum mental health concerns, anxiety, depression, life transitions, parenting difficulties, and relationship concerns.
View
Photo of Lisa M Wasoski, Clinical Social Work/Therapist in Mcdowell County, NC
Lisa M Wasoski
Clinical Social Work/Therapist, LCSW, LISW-CP
Verified Verified
Marion, NC 28752  (Online Only)
Waitlist for new clients
Do you have racing thoughts, sleepless nights? Is your thinking stuck in anxious patterns of what-ifs making it hard to focus? Do you have feelings of sadness that interfere with daily life? **NEW CLIENTS** I will be providing all new clients with telehealth sessions including video and phone counseling. Insurances now cover teletherapy. Researchers have found that teletherapy is just as effective as face-to-face care and provides a practical opportunity for those with limited time or access to counselors.
Do you have racing thoughts, sleepless nights? Is your thinking stuck in anxious patterns of what-ifs making it hard to focus? Do you have feelings of sadness that interfere with daily life? **NEW CLIENTS** I will be providing all new clients with telehealth sessions including video and phone counseling. Insurances now cover teletherapy. Researchers have found that teletherapy is just as effective as face-to-face care and provides a practical opportunity for those with limited time or access to counselors.
(828) 237-4347 View (828) 237-4347
Photo of Appalachian Counseling and Psychological Services in Mcdowell County, NC
Appalachian Counseling and Psychological Services
MA
Verified Verified
Marion, NC 28752  (Online Only)
Appalachian Counseling and Psychological Services is a full service testing center providing psychological and neuropsychological testing. We provide diagnostic testing for assessments for mood disorders, anxiety, depression, personality disorders, learning disabilities, giftedness, parental fitness evaluations, assessments for cognitive functioning, and post-concussion cognitive assessments.
Appalachian Counseling and Psychological Services is a full service testing center providing psychological and neuropsychological testing. We provide diagnostic testing for assessments for mood disorders, anxiety, depression, personality disorders, learning disabilities, giftedness, parental fitness evaluations, assessments for cognitive functioning, and post-concussion cognitive assessments.
(828) 372-0432 View (828) 372-0432
Photo of Patrick Sullivan Counseling, Licensed Clinical Mental Health Counselor in Mcdowell County, NC
Patrick Sullivan Counseling
Licensed Clinical Mental Health Counselor, MA, LCMHC
Verified Verified
1 Endorsed
Old Fort, NC 28762
Not accepting new clients
I am currently not accepting new clients, please check back in August/2024. The motives for someone seeking therapy are as unique as the person seeking therapy. Some people desire to process past unresolved issues. Sometimes, people feel like they repeat patterns or are stuck in a situation and don't know how to do something different. Therapy can help a person process troubling and traumatic events that occurred in the past. Counseling can help a person cope with recent upsetting events, such as the death of a loved one, or a sudden transition/loss, such as a relationship breakup.
I am currently not accepting new clients, please check back in August/2024. The motives for someone seeking therapy are as unique as the person seeking therapy. Some people desire to process past unresolved issues. Sometimes, people feel like they repeat patterns or are stuck in a situation and don't know how to do something different. Therapy can help a person process troubling and traumatic events that occurred in the past. Counseling can help a person cope with recent upsetting events, such as the death of a loved one, or a sudden transition/loss, such as a relationship breakup.
(828) 743-8831 View (828) 743-8831
Photo of Asheville Marriage Counseling, Clinical Social Work/Therapist in Mcdowell County, NC
Asheville Marriage Counseling
Clinical Social Work/Therapist, MS, LCSW
Verified Verified
Marion, NC 28752
For the past 15 years I've worked exclusively assisting couples in understanding and correcting missteps in their marriage or primary relationship - and helping them to discover how to establish rich, fulfilling, and solid connections and communication. If your marriage isn't feeling as stable as you'd like, you're likely experiencing some heartache, worry, or some resentment. Having intense emotions in this situation is certainly normal, but they also make effective communication even more difficult... right when it's most needed. Using the expertise of a couples counselor in these times can be a very worthwhile investment.
For the past 15 years I've worked exclusively assisting couples in understanding and correcting missteps in their marriage or primary relationship - and helping them to discover how to establish rich, fulfilling, and solid connections and communication. If your marriage isn't feeling as stable as you'd like, you're likely experiencing some heartache, worry, or some resentment. Having intense emotions in this situation is certainly normal, but they also make effective communication even more difficult... right when it's most needed. Using the expertise of a couples counselor in these times can be a very worthwhile investment.
(828) 686-9601 View (828) 686-9601

See more therapy options for Mcdowell County

How does your Therapist compare?

Number of Therapists in Mcdowell County, NC

30+

Average cost per session

$150

Therapists in Mcdowell County, NC who prioritize treating:

94% Anxiety
87% Trauma and PTSD
84% Depression
81% Relationship Issues
81% Self Esteem
68% Life Transitions
65% Coping Skills

Average years in practice

15 Years

Top 3 insurances accepted

96% BlueCross and BlueShield
74% Aetna
59% UnitedHealthcare UHC | UBH

How Therapists in Mcdowell County, NC see their clients

81% In Person and Online
19% Online Only

Gender breakdown

85% Female
15% Male
FAQs - About Therapy and Counseling

How can I find a therapist in Mcdowell 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.