Therapists in Pitt County, NC

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Photo of Kim Cove, Marriage & Family Therapist, MS, LMFT
Kim Cove
Marriage & Family Therapist, MS, LMFT
Greenville, NC 27858
I am a compassionate therapist concerned with empowering you to embrace your strengths and manage your woundedness. Personal growth and developing authenticity, whether personally or in relationship, are ways I help you to become the best "you" you can be. I use an eclectic diversity of counseling theories, tailoring to your needs and strengths. Life is a heroic journey. You are the hero of your story. I can help you begin to heal the woundedness of your past and embrace the adventures in your future.
I am a compassionate therapist concerned with empowering you to embrace your strengths and manage your woundedness. Personal growth and developing authenticity, whether personally or in relationship, are ways I help you to become the best "you" you can be. I use an eclectic diversity of counseling theories, tailoring to your needs and strengths. Life is a heroic journey. You are the hero of your story. I can help you begin to heal the woundedness of your past and embrace the adventures in your future.
(704) 490-4543 View (704) 490-4543
Photo of Brandon Price, Licensed Clinical Mental Health Counselor, MS, MBA, LCMHC, NCC
Brandon Price
Licensed Clinical Mental Health Counselor, MS, MBA, LCMHC, NCC
Greenville, NC 27834
Brandon is dedicated to making clients feel comfortable and engaged in talk therapy, fostering an environment where they can freely guide the direction of their treatment. He utilizes a person-centered approach, tailoring each treatment plan to meet the specific needs of his clients. Guided by his faith, Brandon incorporates a spiritual perspective into his practice. I have amassed over 15 years of experience in the mental health field, working with diverse populations. A significant portion of my career has been dedicated to community mental health, child mental health, adult mental health, family therapy and substance abuse.
Brandon is dedicated to making clients feel comfortable and engaged in talk therapy, fostering an environment where they can freely guide the direction of their treatment. He utilizes a person-centered approach, tailoring each treatment plan to meet the specific needs of his clients. Guided by his faith, Brandon incorporates a spiritual perspective into his practice. I have amassed over 15 years of experience in the mental health field, working with diverse populations. A significant portion of my career has been dedicated to community mental health, child mental health, adult mental health, family therapy and substance abuse.
(252) 421-6764 View (252) 421-6764
Photo of Robin Wall, Licensed Professional Counselor, MS, LCMHC
Robin Wall
Licensed Professional Counselor, MS, LCMHC
Greenville, NC 27858
Are you feeling stuck, depressed, anxious, or overwhelmed? Do you feel ready for change but find yourself repeating old patterns of relating and behaving? I would like the opportunity to help you achieve the changes that you desire. I have a client-centered approach and I see each person as a unique individual. Together, we can work on a plan to help you reach your goals. I work with a wide variety of issues including anxiety, stress management, depression, addiction, grief and loss, trauma, relationship difficulties, eating disorders, and adjusting to life changes.
Are you feeling stuck, depressed, anxious, or overwhelmed? Do you feel ready for change but find yourself repeating old patterns of relating and behaving? I would like the opportunity to help you achieve the changes that you desire. I have a client-centered approach and I see each person as a unique individual. Together, we can work on a plan to help you reach your goals. I work with a wide variety of issues including anxiety, stress management, depression, addiction, grief and loss, trauma, relationship difficulties, eating disorders, and adjusting to life changes.
(252) 377-4115 View (252) 377-4115
Photo of Trevor Simpson, Lic Clinical Mental Health Counselor Associate, MS, LCMHC-A, LCAS-A
Trevor Simpson
Lic Clinical Mental Health Counselor Associate, MS, LCMHC-A, LCAS-A
Online Only
For teens and adults feeling stuck by anxiety, stress, burnout, or big life transitions: you want relief from racing thoughts, overwhelm, and strained relationships. You need a steady guide who listens without judgment and offers clear, doable skills. I’m Trevor Simpson, LCMHC-A, LCAS-A. My style is calm, direct, and practical. Together we’ll turn chaos into a plan. Clients report fewer panic spikes, better sleep, healthier boundaries, and steadier school/work. Your goal: relief you can feel.
For teens and adults feeling stuck by anxiety, stress, burnout, or big life transitions: you want relief from racing thoughts, overwhelm, and strained relationships. You need a steady guide who listens without judgment and offers clear, doable skills. I’m Trevor Simpson, LCMHC-A, LCAS-A. My style is calm, direct, and practical. Together we’ll turn chaos into a plan. Clients report fewer panic spikes, better sleep, healthier boundaries, and steadier school/work. Your goal: relief you can feel.
(252) 888-1352 View (252) 888-1352
Photo of Jeannette Farmer, Licensed Clinical Mental Health Counselor, MAEd, LCMHC
Jeannette Farmer
Licensed Clinical Mental Health Counselor, MAEd, LCMHC
Greenville, NC 27858
Do you find yourself putting the needs of others before your own? Has life become so overwhelming because you are carrying your stuff and everyone else's? You don't have to tackle these issues alone. Allow me to help. I will walk alongside you and together we can figure it out. We all need help from time to time. This doesn’t make us weak, it makes us human. Sometimes a little help is needed to bring answers we already possess to the surface.
Do you find yourself putting the needs of others before your own? Has life become so overwhelming because you are carrying your stuff and everyone else's? You don't have to tackle these issues alone. Allow me to help. I will walk alongside you and together we can figure it out. We all need help from time to time. This doesn’t make us weak, it makes us human. Sometimes a little help is needed to bring answers we already possess to the surface.
(252) 618-7280 View (252) 618-7280
Photo of Julie Beck, Licensed Professional Counselor Associate
Julie Beck
Licensed Professional Counselor Associate
2 Endorsed
Online Only
Healing can come in various shapes and forms-and brings a complex mixture of change that can be dysregulating. With that change we can work together to map out a path that allows you stability and ability to regulate within it. All clients come from various lived experiences that develop into various symptoms. The space we create is one that allows you to feel comfortable and goes at the pace you feel most comfortable with.
Healing can come in various shapes and forms-and brings a complex mixture of change that can be dysregulating. With that change we can work together to map out a path that allows you stability and ability to regulate within it. All clients come from various lived experiences that develop into various symptoms. The space we create is one that allows you to feel comfortable and goes at the pace you feel most comfortable with.
(252) 582-7286 View (252) 582-7286
Photo of Cheryl Fehr-Banks, Clinical Social Work/Therapist, MSW, LCSW
Cheryl Fehr-Banks
Clinical Social Work/Therapist, MSW, LCSW
Greenville, NC 27858
As a Licensed Clinical Social Worker, I have worked in home health/hospice/bereavement, health department, major universities, medical clinics and V.A. Being a foster child during my adolescent years inspired me to work in the helping field. In my practice, I acknowledge that you are the expert of your story so we build on your strengths. I believe in a holistic approach-focus on how mental affects physical, social, and spiritual-our whole person. I offer evening and some Saturday sessions. I now offer marriage/couples counseling using the Gottman Method.
As a Licensed Clinical Social Worker, I have worked in home health/hospice/bereavement, health department, major universities, medical clinics and V.A. Being a foster child during my adolescent years inspired me to work in the helping field. In my practice, I acknowledge that you are the expert of your story so we build on your strengths. I believe in a holistic approach-focus on how mental affects physical, social, and spiritual-our whole person. I offer evening and some Saturday sessions. I now offer marriage/couples counseling using the Gottman Method.
(252) 494-5748 View (252) 494-5748
Photo of Dedra Gregory, Licensed Clinical Mental Health Counselor, LCMHC
Dedra Gregory
Licensed Clinical Mental Health Counselor, LCMHC
Greenville, NC 27858
Waitlist for new clients
Let's be honest! Parenting is tough and life goes on if you're ready or not! It would be great if life came with an instruction guide and even better if parenting included a manual. Although there is no roadmap to life or no secret sauce for parenting, there are various ways to achieve a happy life and countless opportunities to be a great parent. Life is a personal journey and therapy offers support and guidance for wherever your journey takes you. I am not here to be an expert on your life but I am here to listen and offer support whenever it's needed.
Let's be honest! Parenting is tough and life goes on if you're ready or not! It would be great if life came with an instruction guide and even better if parenting included a manual. Although there is no roadmap to life or no secret sauce for parenting, there are various ways to achieve a happy life and countless opportunities to be a great parent. Life is a personal journey and therapy offers support and guidance for wherever your journey takes you. I am not here to be an expert on your life but I am here to listen and offer support whenever it's needed.
(252) 397-5501 View (252) 397-5501
Photo of Michael J. Sisley, Licensed Clinical Mental Health Counselor, MSRC, CRC, LCMHC
Michael J. Sisley
Licensed Clinical Mental Health Counselor, MSRC, CRC, LCMHC
1 Endorsed
Greenville, NC 27858
Overthinking? Overwhelmed? Underwhelmed (lacking motivation or drive)? Self-doubt? Guilt? Feeling misunderstood? Lacking purpose? Feeling unappreciated or under-appreciated at home, at work, or socially? These and other issues are the types of challenges I may be able to assist you to make desired changes.
Overthinking? Overwhelmed? Underwhelmed (lacking motivation or drive)? Self-doubt? Guilt? Feeling misunderstood? Lacking purpose? Feeling unappreciated or under-appreciated at home, at work, or socially? These and other issues are the types of challenges I may be able to assist you to make desired changes.
(252) 550-4597 View (252) 550-4597
Photo of Kia Glosson, Clinical Social Work/Therapist, LCSWA
Kia Glosson
Clinical Social Work/Therapist, LCSWA
1 Endorsed
Greenville, NC 27858
Life can be overwhelming, leaving you feeling anxious and disconnected from yourself and those around you. If you find yourself struggling with difficult emotions, know that seeking support from a therapist is an empowering choice. Therapy offers a safe space to let the pain and frustration out. A chance to find acceptance, connection, and healing. Trusting another person can be unfamiliar and scary. But the insight and strength you’ll discover can gradually transform your relationships and lead to inner peace.
Life can be overwhelming, leaving you feeling anxious and disconnected from yourself and those around you. If you find yourself struggling with difficult emotions, know that seeking support from a therapist is an empowering choice. Therapy offers a safe space to let the pain and frustration out. A chance to find acceptance, connection, and healing. Trusting another person can be unfamiliar and scary. But the insight and strength you’ll discover can gradually transform your relationships and lead to inner peace.
(252) 888-3411 View (252) 888-3411
Photo of Chelsea McGhee, LCSW Associate, LCSW-A
Chelsea McGhee
LCSW Associate, LCSW-A
Greenville, NC 27858
You’re driven to improve your situation, but something’s holding you back—unclear direction, inconsistent results, or feeling overwhelmed by where to start. You want clarity, confidence, and a plan that actually works for your life. More than anything, you want progress you can see and feel, without wasting time on trial and error.
You’re driven to improve your situation, but something’s holding you back—unclear direction, inconsistent results, or feeling overwhelmed by where to start. You want clarity, confidence, and a plan that actually works for your life. More than anything, you want progress you can see and feel, without wasting time on trial and error.
(252) 440-0793 View (252) 440-0793
Photo of Kim Harris, Counselor, MS, LCMHC, CRC
Kim Harris
Counselor, MS, LCMHC, CRC
1 Endorsed
Greenville, NC 27858
Feeling overwhelmed by life circumstances? Having difficulty adjusting to change? Life often presents challenges that can seem impossible and I would love to help you navigate through the storm. I am a Licensed Clinical Mental Health Counselor who enjoys working with teens, college students, and adults. I work with those experiencing issues related to depression, anxiety, and mood disorders, as well as problems related to adjusting to life changes. I can also help with issues related to substance abuse and dependence. Currently I am available for in person and virtual sessions and would love the opportunity to help!
Feeling overwhelmed by life circumstances? Having difficulty adjusting to change? Life often presents challenges that can seem impossible and I would love to help you navigate through the storm. I am a Licensed Clinical Mental Health Counselor who enjoys working with teens, college students, and adults. I work with those experiencing issues related to depression, anxiety, and mood disorders, as well as problems related to adjusting to life changes. I can also help with issues related to substance abuse and dependence. Currently I am available for in person and virtual sessions and would love the opportunity to help!
(252) 656-2008 View (252) 656-2008
Photo of Shamesa N Teel - ReNewed Life Therapeutic & Supportive Svcs, PLLC, Clinical Social Work/Therapist, MA, MSW, LCSWA, LCASA
ReNewed Life Therapeutic & Supportive Svcs, PLLC
Clinical Social Work/Therapist, MA, MSW, LCSWA, LCASA
1 Endorsed
Greenville, NC 27834
With over 8 years of experience in social work, substance abuse and mental health, I recognize that everyone has a story. I believe that all experiences - the good, the bad and the ugly, all contribute to how we view ourselves and provides essential meaning to our existence. I truly enjoy empowering clients to learn the skills necessary to live their best lives, by helping them work towards becoming the most authentic version of themselves. With a fervent zeal for helping people heal and develop in a holistic way, I aim to address the whole person through their physical, emotional, mental, social, and spiritual health-related needs.
With over 8 years of experience in social work, substance abuse and mental health, I recognize that everyone has a story. I believe that all experiences - the good, the bad and the ugly, all contribute to how we view ourselves and provides essential meaning to our existence. I truly enjoy empowering clients to learn the skills necessary to live their best lives, by helping them work towards becoming the most authentic version of themselves. With a fervent zeal for helping people heal and develop in a holistic way, I aim to address the whole person through their physical, emotional, mental, social, and spiritual health-related needs.
(252) 616-0627 View (252) 616-0627
Photo of Carly Fields, Lic Clinical Mental Health Counselor Associate, LCMHCA
Carly Fields
Lic Clinical Mental Health Counselor Associate, LCMHCA
Greenville, NC 27858
My ideal client may be struggling with anxiety, depression, adjustment challenges, or substance use. They want relief from distressing emotions, a better understanding of their thoughts and behaviors, and practical tools to feel more in control. Their goal is to build healthier habits, create balance, and move toward a life that feels more fulfilling—all while feeling supported and understood along the way.
My ideal client may be struggling with anxiety, depression, adjustment challenges, or substance use. They want relief from distressing emotions, a better understanding of their thoughts and behaviors, and practical tools to feel more in control. Their goal is to build healthier habits, create balance, and move toward a life that feels more fulfilling—all while feeling supported and understood along the way.
(252) 589-6916 View (252) 589-6916
Photo of Christy Joyner, Clinical Social Work/Therapist, MSW, LCSW
Christy Joyner
Clinical Social Work/Therapist, MSW, LCSW
Greenville, NC 27834
I am a 2011 graduate of East Carolina University with over a decade of experience in the mental health field. Although I have a broad clinical history working across the lifespan, I currently specialize in adult psychotherapy. My expertise is rooted in grief work and hospice care, treating complex issues such as depression, chronic anxiety, and bereavement.
I am a 2011 graduate of East Carolina University with over a decade of experience in the mental health field. Although I have a broad clinical history working across the lifespan, I currently specialize in adult psychotherapy. My expertise is rooted in grief work and hospice care, treating complex issues such as depression, chronic anxiety, and bereavement.
(252) 832-8267 View (252) 832-8267
Photo of Dayna Lorraine Farrington, Clinical Social Work/Therapist, MSW, LCSW, LCAS, CCS
Dayna Lorraine Farrington
Clinical Social Work/Therapist, MSW, LCSW, LCAS, CCS
Winterville, NC 28590
Are you or one of your loved ones feeling stuck, lost, lonely? Unable to break free from negative thought patterns or feel the peace in life that comes from knowing your authentic self? It takes a lot of strength to seek wellness! We all want to be heard and validated. I believe recovery is possible for everyone even if the pathway is unique. I would love to partner with you to achieve the freedom and wellness you deserve! I am passionate about seeing those who are struggling with depression, anxiety, trauma, transitions in life, and mood instability learn ways to live boldly.
Are you or one of your loved ones feeling stuck, lost, lonely? Unable to break free from negative thought patterns or feel the peace in life that comes from knowing your authentic self? It takes a lot of strength to seek wellness! We all want to be heard and validated. I believe recovery is possible for everyone even if the pathway is unique. I would love to partner with you to achieve the freedom and wellness you deserve! I am passionate about seeing those who are struggling with depression, anxiety, trauma, transitions in life, and mood instability learn ways to live boldly.
(252) 651-5703 View (252) 651-5703
Photo of Christina Witmer, Licensed Clinical Mental Health Counselor, MA, LCMHC, NCC
Christina Witmer
Licensed Clinical Mental Health Counselor, MA, LCMHC, NCC
1 Endorsed
Greenville, NC 27834
Here you are considering therapy. Welcome! If you are wondering about sessions, they will be Person-Centered, neurodiverse affirming, and unique to your specific goals. Our work together may be based in Cognitive-Behavioral Therapy, Mindfulness and Internal Family Systems. Your needs and well-being will always be the focus, in a safe and non-judgmental space for exploring, learning, and fostering a deeper authentic connection with yourself and others. In our world of increasing AI use, this is 100% written and constructed by me, a real human (as far as I know). I stand by the importance and value of human expression in all forms.
Here you are considering therapy. Welcome! If you are wondering about sessions, they will be Person-Centered, neurodiverse affirming, and unique to your specific goals. Our work together may be based in Cognitive-Behavioral Therapy, Mindfulness and Internal Family Systems. Your needs and well-being will always be the focus, in a safe and non-judgmental space for exploring, learning, and fostering a deeper authentic connection with yourself and others. In our world of increasing AI use, this is 100% written and constructed by me, a real human (as far as I know). I stand by the importance and value of human expression in all forms.
(252) 300-0916 View (252) 300-0916
Photo of Crystal D. Gavin, Clinical Social Work/Therapist, MSW, LCSW
Crystal D. Gavin
Clinical Social Work/Therapist, MSW, LCSW
2 Endorsed
Greenville, NC 27834
Welcome to your Wellness Journey, Your Way! I am Crystal Gavin, MSW, LCSW. An outcome-focused clinician who serves adults ages 18-65. Specializing in helping people who are struggling with gaining control over their feelings & thoughts. In result, improving the connection between emotional health, spiritual health, and physical health. Your mental health impacts your physical health so it is important to evaluate yourself in a safe space. Do you agree? Use the link to schedule your initial session today!
Welcome to your Wellness Journey, Your Way! I am Crystal Gavin, MSW, LCSW. An outcome-focused clinician who serves adults ages 18-65. Specializing in helping people who are struggling with gaining control over their feelings & thoughts. In result, improving the connection between emotional health, spiritual health, and physical health. Your mental health impacts your physical health so it is important to evaluate yourself in a safe space. Do you agree? Use the link to schedule your initial session today!
(252) 542-5641 View (252) 542-5641
Photo of Shamika Hawkins, Clinical Social Work/Therapist, LCSW
Shamika Hawkins
Clinical Social Work/Therapist, LCSW
1 Endorsed
Online Only
If you’re reading this, something in you is already reaching for change and that matters. Therapy isn’t about having everything figured out. It’s about giving yourself permission to slow down, breathe, and be supported while you sort through the parts of life that feel heavy, confusing, or overwhelming. In our work together, you’ll have a space where your story is honored, your emotions are valid, and your healing is possible at your own pace.
If you’re reading this, something in you is already reaching for change and that matters. Therapy isn’t about having everything figured out. It’s about giving yourself permission to slow down, breathe, and be supported while you sort through the parts of life that feel heavy, confusing, or overwhelming. In our work together, you’ll have a space where your story is honored, your emotions are valid, and your healing is possible at your own pace.
(252) 588-6037 View (252) 588-6037
Photo of Kayla Bullard, Clinical Social Work/Therapist, MSW, LCSW
Kayla Bullard
Clinical Social Work/Therapist, MSW, LCSW
Greenville, NC 27858
I work primarily with women, neurodivergent clients, LGBTQIA+ individuals, and teens and adults (ages 13+) navigating trauma, emotional overwhelm, identity shifts, and relationship difficulties. I have a special interest in perinatal mental health, the season of life that includes pregnancy, postpartum recovery, birth trauma, and the emotional complexity of stepping into (or deepening) motherhood. This transition can be beautiful, disorienting, grief-filled, and everything in between. You deserve support that holds all of it.
I work primarily with women, neurodivergent clients, LGBTQIA+ individuals, and teens and adults (ages 13+) navigating trauma, emotional overwhelm, identity shifts, and relationship difficulties. I have a special interest in perinatal mental health, the season of life that includes pregnancy, postpartum recovery, birth trauma, and the emotional complexity of stepping into (or deepening) motherhood. This transition can be beautiful, disorienting, grief-filled, and everything in between. You deserve support that holds all of it.
(252) 600-2859 View (252) 600-2859

See more therapy options for Pitt County

How does your Therapist compare?

Number of Therapists in Pitt County, NC

300+

Average cost per session

$140

Therapists in Pitt County, NC who prioritize treating:

91% Anxiety
91% Social Anxiety
91% Health Anxiety
91% Driving Anxiety
84% Depression
76% Stress
75% Self Esteem

Average years in practice

9 Years

Top 3 insurances accepted

95% Aetna
89% BlueCross and BlueShield
54% Cigna and Evernorth

How Therapists in Pitt County, NC see their clients

63% In Person and Online
37% Online Only

Gender breakdown

85% Female
14% Male
1% Non-Binary
FAQs - About Therapy and Counseling

How can I find a therapist in Pitt 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.