Therapists in Pilot Mountain, NC

Photo of Lexie Daniels, Licensed Clinical Mental Health Counselor Associate, LCMHCA
Lexie Daniels
Licensed Clinical Mental Health Counselor Associate, LCMHCA
Online Only
I aim to empower clients to explore their thoughts and feelings, to provide a safe space for self-paced introspection, healing, and cognitive/behavioral change. My parents were military, I married into the military, served 20 years myself in the military and believe in the power of resilience, adaptability, and the importance of connection! I understand therapy to be a collaborative experience, where the client is the expert on themselves, just needing help navigating current issues in life. The therapist isn’t an enlightened being! We are all climbing mountains in life.
I aim to empower clients to explore their thoughts and feelings, to provide a safe space for self-paced introspection, healing, and cognitive/behavioral change. My parents were military, I married into the military, served 20 years myself in the military and believe in the power of resilience, adaptability, and the importance of connection! I understand therapy to be a collaborative experience, where the client is the expert on themselves, just needing help navigating current issues in life. The therapist isn’t an enlightened being! We are all climbing mountains in life.
(252) 486-6443 View (252) 486-6443
Photo of Rachel Smith, Clinical Social Work/Therapist, LCSW
Rachel Smith
Clinical Social Work/Therapist, LCSW
Serves Area
You didn't expect life to look this way. Are you paralyzed by anxiety? Overwhelmed with the state of the world and our country? Feeling disconnected from others? Feeling unseen and unheard? Are you struggling to meet the high expectations of yourself and the expectations of what the modern woman is? Have you found yourself thinking; these are supposed to be the happiest days of my life, why am I not happy? Am I a good Mom? Am I being too controlling? ​ Everyone else seems to be able to do it all. Why can't I? Am I making the "right" decisions with my children? Life does not have to stay this way.
You didn't expect life to look this way. Are you paralyzed by anxiety? Overwhelmed with the state of the world and our country? Feeling disconnected from others? Feeling unseen and unheard? Are you struggling to meet the high expectations of yourself and the expectations of what the modern woman is? Have you found yourself thinking; these are supposed to be the happiest days of my life, why am I not happy? Am I a good Mom? Am I being too controlling? ​ Everyone else seems to be able to do it all. Why can't I? Am I making the "right" decisions with my children? Life does not have to stay this way.
(336) 360-5713 View (336) 360-5713
Photo of Alan Gregory Bagshaw, Clinical Social Work/Therapist, LCSW, LCAS
Alan Gregory Bagshaw
Clinical Social Work/Therapist, LCSW, LCAS
1 Endorsed
Serves Area
I work with individuals who just want to be human. There's no special formula - just want to work towards something better.
I work with individuals who just want to be human. There's no special formula - just want to work towards something better.
(336) 443-6715 View (336) 443-6715
Photo of Jessica Cooper, Licensed Clinical Mental Health Counselor, MA Ed, LCMHC, NCC
Jessica Cooper
Licensed Clinical Mental Health Counselor, MA Ed, LCMHC, NCC
Serves Area
Waitlist for new clients
I am a Licensed Clinical Mental Health Counselor in NC, and provide individual counseling services. I specialize in Cognitive Behavioral Therapy (CBT) and Eye Movement Desensitization and Reprocessing (EMDR), and include other interventions as needed.
I am a Licensed Clinical Mental Health Counselor in NC, and provide individual counseling services. I specialize in Cognitive Behavioral Therapy (CBT) and Eye Movement Desensitization and Reprocessing (EMDR), and include other interventions as needed.
(743) 212-7155 View (743) 212-7155

More Therapists Nearby

Photo of Kelly Hamilton, Licensed Clinical Mental Health Counselor, LMHC
Kelly Hamilton
Licensed Clinical Mental Health Counselor, LMHC
Online Only
I have been a Licensed Clinical Mental Health Counselor (LCMHC) and Licensed Clinical Addictions Specialist (LCAS) since 2001. I have a broad range of experience working with adults of all ages on mental health issues and substance use disorders. My expertise is working with PTSD, acute stress, and medical, developmental, and complex trauma. I incorporate Cognitive Behavioral (CBT), Eclectic, EMDR, and Strength-Based modalities in my therapies. I believe that transformation is an active process and can be uncomfortable while learning new skills and strategies to better life experiences.
I have been a Licensed Clinical Mental Health Counselor (LCMHC) and Licensed Clinical Addictions Specialist (LCAS) since 2001. I have a broad range of experience working with adults of all ages on mental health issues and substance use disorders. My expertise is working with PTSD, acute stress, and medical, developmental, and complex trauma. I incorporate Cognitive Behavioral (CBT), Eclectic, EMDR, and Strength-Based modalities in my therapies. I believe that transformation is an active process and can be uncomfortable while learning new skills and strategies to better life experiences.
(980) 268-3942 View (980) 268-3942
Photo of Ashlyn Nelson, LCSW Associate, LCSW
Ashlyn Nelson
LCSW Associate, LCSW
2 Endorsed
Mount Airy, NC 27030
I am an LCSW-A with over three years of experience as a social worker, having graduated from Salem College and the University of North Carolina at Chapel Hill. My background includes working with individuals and families affected by violence, including adults, teenagers, and children. This experience has equipped me to address challenges such as grief, depression, anxiety, substance use, panic, self-esteem issues, suicidality, and trauma. Additionally, I have worked with veterans, providing support for medical issues, family struggles, aging, and end-of-life care. I also have specialized training in substance use and addiction.
I am an LCSW-A with over three years of experience as a social worker, having graduated from Salem College and the University of North Carolina at Chapel Hill. My background includes working with individuals and families affected by violence, including adults, teenagers, and children. This experience has equipped me to address challenges such as grief, depression, anxiety, substance use, panic, self-esteem issues, suicidality, and trauma. Additionally, I have worked with veterans, providing support for medical issues, family struggles, aging, and end-of-life care. I also have specialized training in substance use and addiction.
(336) 234-3956 View (336) 234-3956
Photo of Whitney B Smith, Licensed Clinical Mental Health Counselor, LCMHC, LPC
Whitney B Smith
Licensed Clinical Mental Health Counselor, LCMHC, LPC
1 Endorsed
Mount Airy, NC 27030
I am currently a licensed clinical mental health counselor (LCMHC) in North Carolina and a licensed professional counselor (LPC) in Virginia. To date, my clinical experience includes community mental health as a site supervisor of a school-based mental health program, a clinical trainer at the Center for Counselor Education and Family Studies at Liberty University, and as an outpatient therapist in two different practice. My experience in the community, private, and academic sectors has allowed me to work with a variety of clinical issues.
I am currently a licensed clinical mental health counselor (LCMHC) in North Carolina and a licensed professional counselor (LPC) in Virginia. To date, my clinical experience includes community mental health as a site supervisor of a school-based mental health program, a clinical trainer at the Center for Counselor Education and Family Studies at Liberty University, and as an outpatient therapist in two different practice. My experience in the community, private, and academic sectors has allowed me to work with a variety of clinical issues.
(336) 347-4538 View (336) 347-4538
Photo of Tabatha Nikki - Open Hearts Healing Minds Corporation, Licensed Clinical Mental Health Counselor, LCMHC, LCAS, CCS, NCC
Open Hearts Healing Minds Corporation
Licensed Clinical Mental Health Counselor, LCMHC, LCAS, CCS, NCC
Winston Salem, NC 27105
We believe in the client being the expert on what they need and the power of the therapeutic relationship. We believe in partnering with the client to foster healing, introspection, and growth. We are enthusiastically committed to helping people holistically—integrating mind, body, and spirit. We will work together to develop your short and long-term goals and to continue this collaboration throughout our work together. We utilize an eclectic approach to meet the therapeutic needs of each client. We serve adolescents (15-17), adults (18+), couples, and families. We bring an array of experience to ensure your needs are met.
We believe in the client being the expert on what they need and the power of the therapeutic relationship. We believe in partnering with the client to foster healing, introspection, and growth. We are enthusiastically committed to helping people holistically—integrating mind, body, and spirit. We will work together to develop your short and long-term goals and to continue this collaboration throughout our work together. We utilize an eclectic approach to meet the therapeutic needs of each client. We serve adolescents (15-17), adults (18+), couples, and families. We bring an array of experience to ensure your needs are met.
(336) 568-8101 View (336) 568-8101
Photo of Mark Waddell, Counselor, LCMHC, LCAS
Mark Waddell
Counselor, LCMHC, LCAS
1 Endorsed
Online Only
Not accepting new clients
ACCEPTING NEW PATIENTS in Ronda. Aspen is enabling individuals, from all walks of life, to accomplish mental health, wellness, educational, spiritual and career goals. We specialize in helping individuals and families during the tough times. We have extensive training in the treatment of PTSD and trauma associated disorders for adults, adolescents, and children (including pre-school age). In addition to trauma, we specialize in ADHD, Depression, Anxiety, Panic, OCD, and chronic childhood behaviors. VISIT ASPENMENTALHEALTH.COM FOR MORE INFORMATION
ACCEPTING NEW PATIENTS in Ronda. Aspen is enabling individuals, from all walks of life, to accomplish mental health, wellness, educational, spiritual and career goals. We specialize in helping individuals and families during the tough times. We have extensive training in the treatment of PTSD and trauma associated disorders for adults, adolescents, and children (including pre-school age). In addition to trauma, we specialize in ADHD, Depression, Anxiety, Panic, OCD, and chronic childhood behaviors. VISIT ASPENMENTALHEALTH.COM FOR MORE INFORMATION
Photo of Samantha J Cole, Counselor, MA, LCMHCA
Samantha J Cole
Counselor, MA, LCMHCA
Ronda, NC 28670
I believe that meaningful change happens through a trusting therapeutic relationship, and I strive to meet each of my clients with empathy, curiosity, and respect. I am a Licensed Clinical Mental Health Counselor Associate (LCMHCA) with a Master’s Degree in Clinical Mental Health Counseling. I provide both in-person and online therapy, offering a relaxed, supportive environment where clients can feel safe, seen, and understood.
I believe that meaningful change happens through a trusting therapeutic relationship, and I strive to meet each of my clients with empathy, curiosity, and respect. I am a Licensed Clinical Mental Health Counselor Associate (LCMHCA) with a Master’s Degree in Clinical Mental Health Counseling. I provide both in-person and online therapy, offering a relaxed, supportive environment where clients can feel safe, seen, and understood.
(336) 571-9614 View (336) 571-9614
Photo of Ami Silva, Licensed Clinical Mental Health Counselor, LCMHC
Ami Silva
Licensed Clinical Mental Health Counselor, LCMHC
2 Endorsed
Serves Area
Ami is experienced with child and adolescent disorders, trauma, anxiety, depression and mood disorders, and is passionate about enhancing healthy family and relationship dynamics. She provides an engaging and supportive environment to motivate clients to achieve their individual treatment goals. She integrates cognitive behavioral therapy, trauma-informed, resiliency and strengths-based approaches. She also utilizes play and expressive arts interventions and is EMDR Basic Trained.
Ami is experienced with child and adolescent disorders, trauma, anxiety, depression and mood disorders, and is passionate about enhancing healthy family and relationship dynamics. She provides an engaging and supportive environment to motivate clients to achieve their individual treatment goals. She integrates cognitive behavioral therapy, trauma-informed, resiliency and strengths-based approaches. She also utilizes play and expressive arts interventions and is EMDR Basic Trained.
(828) 415-5334 View (828) 415-5334
Photo of Michelle J Bell, Licensed Professional Counselor, LCMHC, MS
Michelle J Bell
Licensed Professional Counselor, LCMHC, MS
Online Only
Hi, and welcome! Life can be challenging but navigating it alone is not required. I specialize in helping individuals, couples, and families work through the dynamics of life and the mental health challenges that come from just simply living life.... I'm here to help you sort and work through those challenges. Your journey and your story are both unique, and I believe in meeting you where you are while offering a blend of compassionate listening and practical strategies to help you heal, grow, and thrive. I provide you with a safe space while listening and responding with empathy, understanding, and unconditional positive regard.
Hi, and welcome! Life can be challenging but navigating it alone is not required. I specialize in helping individuals, couples, and families work through the dynamics of life and the mental health challenges that come from just simply living life.... I'm here to help you sort and work through those challenges. Your journey and your story are both unique, and I believe in meeting you where you are while offering a blend of compassionate listening and practical strategies to help you heal, grow, and thrive. I provide you with a safe space while listening and responding with empathy, understanding, and unconditional positive regard.
(336) 815-5594 View (336) 815-5594
Photo of Robyn Widelo, PMHNP
Robyn Widelo
Verified Verified
Mount Airy, NC 27030
Robyn is a board certified Psychiatric Mental Health Nurse Practitioner (PMHNP-BC) with 35 years of nursing experience ranging from oncology, hospice, psychiatry and community health setting. She received her Bachelor of Science of Nursing at Radford University and Master of Science in Nursing from Walden University.
Robyn is a board certified Psychiatric Mental Health Nurse Practitioner (PMHNP-BC) with 35 years of nursing experience ranging from oncology, hospice, psychiatry and community health setting. She received her Bachelor of Science of Nursing at Radford University and Master of Science in Nursing from Walden University.
(336) 502-2869 View (336) 502-2869
Photo of Jessie Cockerham, Clinical Social Work/Therapist, MSW, LCSW
Jessie Cockerham
Clinical Social Work/Therapist, MSW, LCSW
Dobson, NC 27017
Hello, I'm Jessie Cockerham, LCSW. With 7 years of experience as a social worker, I've had the privilege of supporting individuals through life's challenges. My training in DBT, EMDR, and Ecotherapy informs my approach, which emphasizes the importance of our therapeutic relationship. Together, we'll navigate life's curveballs, whether that means coping with transitions, grief, or overwhelming stress. I'm particularly passionate about helping individuals understand and heal from trauma, and I strive to create a decolonized, safe space for all individuals. Let's work together to find strength and resilience in the face of adversity.
Hello, I'm Jessie Cockerham, LCSW. With 7 years of experience as a social worker, I've had the privilege of supporting individuals through life's challenges. My training in DBT, EMDR, and Ecotherapy informs my approach, which emphasizes the importance of our therapeutic relationship. Together, we'll navigate life's curveballs, whether that means coping with transitions, grief, or overwhelming stress. I'm particularly passionate about helping individuals understand and heal from trauma, and I strive to create a decolonized, safe space for all individuals. Let's work together to find strength and resilience in the face of adversity.
(336) 753-2329 View (336) 753-2329
Photo of Catie McMillian, Lic Clinical Mental Health Counselor Associate, MA, LCMHCA, NCC
Catie McMillian
Lic Clinical Mental Health Counselor Associate, MA, LCMHCA, NCC
1 Endorsed
Mount Airy, NC 27030
I am a Licensed Clinical Mental Health Counselor Associate at The Calming Center of Mount Airy. I have experience working with children, adolescents, and families. I am interested in working with those who have or are currently experiencing concerns with substance use/misuse. I truly believe and have witnessed that change and growth are not just possible but probable.
I am a Licensed Clinical Mental Health Counselor Associate at The Calming Center of Mount Airy. I have experience working with children, adolescents, and families. I am interested in working with those who have or are currently experiencing concerns with substance use/misuse. I truly believe and have witnessed that change and growth are not just possible but probable.
(336) 920-8537 View (336) 920-8537
Photo of Melissa Kerekes, LCSW Associate, MSW, LCSW-A
Melissa Kerekes
LCSW Associate, MSW, LCSW-A
2 Endorsed
Mount Airy, NC 27030
Melissa is a Licensed Clinical Social Worker Associate dedicated to helping individuals navigate life’s challenges and achieve personal growth. With a Master of Social Work degree from the University of North Carolina at Charlotte, she brings a deep understanding of human behavior and a holistic approach to mental health. Melissa specializes in providing compassionate, evidence-based support for anxiety, depression, trauma, and relationship issues. Her therapeutic techniques include cognitive-behavioral therapy (CBT), solution-focused therapy, and mindfulness practices.
Melissa is a Licensed Clinical Social Worker Associate dedicated to helping individuals navigate life’s challenges and achieve personal growth. With a Master of Social Work degree from the University of North Carolina at Charlotte, she brings a deep understanding of human behavior and a holistic approach to mental health. Melissa specializes in providing compassionate, evidence-based support for anxiety, depression, trauma, and relationship issues. Her therapeutic techniques include cognitive-behavioral therapy (CBT), solution-focused therapy, and mindfulness practices.
(828) 977-8424 View (828) 977-8424
Photo of Misty L Cooke, Licensed Professional Counselor, LCMHC
Misty L Cooke
Licensed Professional Counselor, LCMHC
1 Endorsed
Mount Airy, NC 27030
I believe each client is an individual, created by a loving God, with individual needs and responses. With respect to your unique beliefs, temperament, learning style, strengths, and cultural history, I use an eclectic approach using primarily Cognitive-Behavioral Therapy, EMDR (trauma focused). I use play therapy when working with children because play is the medium for expressing feelings and exploring relationships. I believe in a partnership between client and therapist where we collaborate.
I believe each client is an individual, created by a loving God, with individual needs and responses. With respect to your unique beliefs, temperament, learning style, strengths, and cultural history, I use an eclectic approach using primarily Cognitive-Behavioral Therapy, EMDR (trauma focused). I use play therapy when working with children because play is the medium for expressing feelings and exploring relationships. I believe in a partnership between client and therapist where we collaborate.
(336) 203-9858 View (336) 203-9858
Photo of Bethany Oberg, Licensed Professional Counselor, LCMHC, LPC, QS
Bethany Oberg
Licensed Professional Counselor, LCMHC, LPC, QS
1 Endorsed
Mount Airy, NC 27030
In every session, my goal is to help clients discover their inner strength, navigate their challenges, and achieve meaningful growth. I am privileged to walk alongside individuals on their path to healing, providing guidance, hope, and unwavering support. Healing is a collaborative journey. As a counselor, my role is to guide, support, and empower my clients and work toward their goals. Whether through individual sessions, group counseling, or community outreach, my mission remains the same: to provide compassionate care and promote mental well-being for all.
In every session, my goal is to help clients discover their inner strength, navigate their challenges, and achieve meaningful growth. I am privileged to walk alongside individuals on their path to healing, providing guidance, hope, and unwavering support. Healing is a collaborative journey. As a counselor, my role is to guide, support, and empower my clients and work toward their goals. Whether through individual sessions, group counseling, or community outreach, my mission remains the same: to provide compassionate care and promote mental well-being for all.
(336) 360-5251 View (336) 360-5251
Photo of Amber Glasco Dillard - Upward Call Counseling PLLC, Clinical Social Work/Therapist, MSW, LCSW
Upward Call Counseling PLLC
Clinical Social Work/Therapist, MSW, LCSW
1 Endorsed
Online Only
Amber is a compassionate Christian counselor who helps individuals struggling with anxiety, depression, trauma, grief, stress, and life transitions. Many of her clients feel overwhelmed by relationship challenges, past wounds, or personal struggles and seek a safe, faith-based therapy approach to healing. Through a combination of evidence-based techniques and Christian counseling, Amber helps clients build resilience, regain confidence, and find peace in their personal and relational lives. She provides individual therapy tailored to each person's needs, fostering growth, emotional well-being, and healing.
Amber is a compassionate Christian counselor who helps individuals struggling with anxiety, depression, trauma, grief, stress, and life transitions. Many of her clients feel overwhelmed by relationship challenges, past wounds, or personal struggles and seek a safe, faith-based therapy approach to healing. Through a combination of evidence-based techniques and Christian counseling, Amber helps clients build resilience, regain confidence, and find peace in their personal and relational lives. She provides individual therapy tailored to each person's needs, fostering growth, emotional well-being, and healing.
(980) 577-2687 View (980) 577-2687
Photo of Jake Lamers, Licensed Clinical Mental Health Counselor, LCMHC
Jake Lamers
Licensed Clinical Mental Health Counselor, LCMHC
Serves Area
I am Jake Lamers, a Licensed Clinical Mental Health Counseling, and I am passionate about fostering positive change by working collaboratively with each client to identify and achieve their unique goals. I work with clients to enhance self-esteem, navigate difficult life transitions, and cope with depression and anxiety. Together, we’ll develop and practice tools in therapy to prepare and empower you to live a more fulfilling life even after therapy concludes.
I am Jake Lamers, a Licensed Clinical Mental Health Counseling, and I am passionate about fostering positive change by working collaboratively with each client to identify and achieve their unique goals. I work with clients to enhance self-esteem, navigate difficult life transitions, and cope with depression and anxiety. Together, we’ll develop and practice tools in therapy to prepare and empower you to live a more fulfilling life even after therapy concludes.
(984) 300-3779 View (984) 300-3779

See more therapy options for Pilot Mountain

How does your Therapist compare?

Number of Therapists in Pilot Mountain, NC

< 10

Therapists in Pilot Mountain, NC who prioritize treating:

100% Coping Skills
100% Stress
75% Depression
75% Anxiety
75% Trauma and PTSD
75% Self Esteem
75% Life Transitions

Average years in practice

9 Years

Top 3 insurances accepted

100% Aetna
75% BlueCross and BlueShield
75% UnitedHealthcare UHC | UBH

How Therapists in Pilot Mountain, NC see their clients

75% In Person and Online
25% Online Only

Gender breakdown

75% Female
25% Male
FAQs - About Therapy and Counseling

How can I find a therapist in Pilot Mountain?

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.