Therapists in Tobaccoville, NC

Jenifer K Shadrick
Licensed Professional Counselor, MA, LCMHC
Online Only
Currently accepting new telehealth clients. I am a Licensed Clinical Mental Health Counselor with nearly a decade of professional experience working in the mental health counseling field. My experience includes working with both individuals and families of all ages. Many individuals find themselves feeling overwhelmed, stressed, and unbalanced due to struggles with personal challenges, relationships, and daily life demands. Working together, clients will discover how past/current negative habits and thought patterns impact choices, interactions with others, and possible prevention of desired future goal successes.
Currently accepting new telehealth clients. I am a Licensed Clinical Mental Health Counselor with nearly a decade of professional experience working in the mental health counseling field. My experience includes working with both individuals and families of all ages. Many individuals find themselves feeling overwhelmed, stressed, and unbalanced due to struggles with personal challenges, relationships, and daily life demands. Working together, clients will discover how past/current negative habits and thought patterns impact choices, interactions with others, and possible prevention of desired future goal successes.
(336) 344-9414 View (336) 344-9414

More Therapists Nearby

Michele Seeley
Licensed Professional Counselor, MA, LCMHC
11 Endorsed
Online Only
Many of the clients I work with are high-functioning professionals navigating anxiety, burnout, people-pleasing, self-doubt, and emotionally complicated relationships. You may notice difficulty setting boundaries, overthinking interactions, feeling responsible for everyone else's emotions, or repeating the same relationship patterns. You're the one people rely on. The responsible one. From the outside, your life may look steady and successful, but inside you may feel anxious, exhausted, disconnected, or overwhelmed by the pressure of holding everything together. You take care of everyone else, yet rarely feel fully supported.
Many of the clients I work with are high-functioning professionals navigating anxiety, burnout, people-pleasing, self-doubt, and emotionally complicated relationships. You may notice difficulty setting boundaries, overthinking interactions, feeling responsible for everyone else's emotions, or repeating the same relationship patterns. You're the one people rely on. The responsible one. From the outside, your life may look steady and successful, but inside you may feel anxious, exhausted, disconnected, or overwhelmed by the pressure of holding everything together. You take care of everyone else, yet rarely feel fully supported.
(336) 652-3854 View (336) 652-3854
Frank Overton
Counselor, ThM, NCLCMHC, NCLMFT
Online Only
Hi Thanks for taking a look at my profile- Reach out if it seems we might be able to work together in a way that would be helpful to you...I'm working only via telehealth which reduces your commute time. My clients tend to be working on being awake and aware of and attuned to and stressed by the complexity of our culture today. I work with issues of alternative sexuality, gender dysphoria, relationships in all forms including relationships that are kink friendly and/or poly. I come from an eclectic training background but find that I draw from the insights of IFS more often than other modalities.
Hi Thanks for taking a look at my profile- Reach out if it seems we might be able to work together in a way that would be helpful to you...I'm working only via telehealth which reduces your commute time. My clients tend to be working on being awake and aware of and attuned to and stressed by the complexity of our culture today. I work with issues of alternative sexuality, gender dysphoria, relationships in all forms including relationships that are kink friendly and/or poly. I come from an eclectic training background but find that I draw from the insights of IFS more often than other modalities.
(984) 262-8303 View (984) 262-8303
Laura Lohr Moncaleano
Clinical Social Work/Therapist, MSW, LCSW
1 Endorsed
High Point, NC 27265
Waitlist for new clients
I believe that the therapy process is rooted in rapport, transparency, and hard work between the therapist and client. My approach is direct, honest, and straightforward. I strive to create a safe, comfortable, and judgment free space for clients to unload and discuss their most intimate life concerns. I enjoy working with other professionals (teachers, healthcare workers) experiencing burnout; who are wanting to learn skills in order to create work/life balance, manage stress levels, and cultivate happy/healthy relationships. This might involve learning to say "no" with boundary implementation and assertive communication.
I believe that the therapy process is rooted in rapport, transparency, and hard work between the therapist and client. My approach is direct, honest, and straightforward. I strive to create a safe, comfortable, and judgment free space for clients to unload and discuss their most intimate life concerns. I enjoy working with other professionals (teachers, healthcare workers) experiencing burnout; who are wanting to learn skills in order to create work/life balance, manage stress levels, and cultivate happy/healthy relationships. This might involve learning to say "no" with boundary implementation and assertive communication.
(336) 864-9625 View (336) 864-9625
Sue Ann Brown
Clinical Social Work/Therapist, MSW, LCSW
Serves Area
Sue Ann earned her Bachelor's Degree (BA) in Sociology and Anthropology from the University of Mississippi and her Master of Social Work Degree (MSW) with a concentration in geriatric and elderly issues from the University of Alabama. Sue Ann has provided Critical Incident Stress Management (CISM) to individuals and groups as a certified CISM specialist since 2003. Sue Ann has clinical experience working with clients of all ages, with the goal of helping clients better their lives by making sense of life stressors through personal growth and gaining new perspecitives and insights.Sue Ann earned her Bachelor's Degree (BA) in Sociolog
Sue Ann earned her Bachelor's Degree (BA) in Sociology and Anthropology from the University of Mississippi and her Master of Social Work Degree (MSW) with a concentration in geriatric and elderly issues from the University of Alabama. Sue Ann has provided Critical Incident Stress Management (CISM) to individuals and groups as a certified CISM specialist since 2003. Sue Ann has clinical experience working with clients of all ages, with the goal of helping clients better their lives by making sense of life stressors through personal growth and gaining new perspecitives and insights.Sue Ann earned her Bachelor's Degree (BA) in Sociolog
(704) 251-6458 View (704) 251-6458
Core Counseling and Coaching PLLC
Clinical Social Work/Therapist, LCSW, MSW, MA
Online Only
The ideal client wants to explore ways to create better and healthier responses to difficult situations that occur in daily living. Therapy is an effective and sustainable way to recognize patterns of behavior and learn methods that change behaviors which do not serve us in our lives. El cliente ideal es alguien que quiere explorar formas de crear respuestas mejores y más saludables a situaciones difíciles que ocurren en la vida diaria. La terapia es una forma eficaz y sostenible de reconocer patrones de comportamiento y aprender métodos que cambien comportamientos que no nos sirven en nuestra vidas.
The ideal client wants to explore ways to create better and healthier responses to difficult situations that occur in daily living. Therapy is an effective and sustainable way to recognize patterns of behavior and learn methods that change behaviors which do not serve us in our lives. El cliente ideal es alguien que quiere explorar formas de crear respuestas mejores y más saludables a situaciones difíciles que ocurren en la vida diaria. La terapia es una forma eficaz y sostenible de reconocer patrones de comportamiento y aprender métodos que cambien comportamientos que no nos sirven en nuestra vidas.
(336) 850-5673 View (336) 850-5673
Wanda Anthony Burger
Licensed Clinical Mental Health Counselor, LCMHCS, NCC, CCMC, CCS, PhD
1 Endorsed
Yadkinville, NC 27055
Hello! At some point in life we find a need to talk to someone. Grief, loss, trauma, adjustment, relational issues are a few areas we can face. My specialties include: grief, trauma: civilian/military PTSD/PTSS, stress, substance abuse; Wellness Groups, Growing through Grief , prevention & early intervention. Boon and Katie, registered,therapy dogs, may join sessions. Boon began working at 9 weeks. In 2016 I added Military Trauma (CCMC) Certified Military Counselor Certificate. It was an honor to complete this certificate and begin working with our wonderful veterans and families. Come visit us at The Therapy House.
Hello! At some point in life we find a need to talk to someone. Grief, loss, trauma, adjustment, relational issues are a few areas we can face. My specialties include: grief, trauma: civilian/military PTSD/PTSS, stress, substance abuse; Wellness Groups, Growing through Grief , prevention & early intervention. Boon and Katie, registered,therapy dogs, may join sessions. Boon began working at 9 weeks. In 2016 I added Military Trauma (CCMC) Certified Military Counselor Certificate. It was an honor to complete this certificate and begin working with our wonderful veterans and families. Come visit us at The Therapy House.
(336) 344-7187 View (336) 344-7187
Kimberly J Lackey
Licensed Clinical Mental Health Counselor, MEd, LCMHC
Online Only
I work with clients on issues surrounding anxiety, depression, trauma, LGBTQIA+, gender identity and expression, family dynamics, relationship issues, self-discovery, and career exploration. I approach the therapeutic relationship creating a non-judgmental space where you can share and learn more about yourself and your motivations. I will help you look at your assumptions, patterns, behaviors that work for you or aren’t working for you to achieve your goals in therapy. Mindfulness and present moment awareness is incorporated into moving forward as we work together.
I work with clients on issues surrounding anxiety, depression, trauma, LGBTQIA+, gender identity and expression, family dynamics, relationship issues, self-discovery, and career exploration. I approach the therapeutic relationship creating a non-judgmental space where you can share and learn more about yourself and your motivations. I will help you look at your assumptions, patterns, behaviors that work for you or aren’t working for you to achieve your goals in therapy. Mindfulness and present moment awareness is incorporated into moving forward as we work together.
(336) 536-6685 View (336) 536-6685
Kathleen J. McFadden
Licensed Clinical Mental Health Counselor, MS, MTS, LCMHC
1 Endorsed
Winston Salem, NC 27101
Is your deepest desire true connection? ... AND your greatest fear? Let me help you release those false beliefs and transform your relationships with the most effective trauma therapies. I practice NARM, EMDR 2.0, Psychodrama and various other modalities. Developmental trauma and/or chronic trauma (CPTSD) can set deeply entrenched patterns of behavior that traditionally are hard to shift with just talk therapy. Most clients see real shifts in their behaviors and relationships that not only allow them to feel better, but actually start to thrive, not just survive.
Is your deepest desire true connection? ... AND your greatest fear? Let me help you release those false beliefs and transform your relationships with the most effective trauma therapies. I practice NARM, EMDR 2.0, Psychodrama and various other modalities. Developmental trauma and/or chronic trauma (CPTSD) can set deeply entrenched patterns of behavior that traditionally are hard to shift with just talk therapy. Most clients see real shifts in their behaviors and relationships that not only allow them to feel better, but actually start to thrive, not just survive.
(336) 863-8163 View (336) 863-8163
Daphne Rena Henry
LCSw Associate , MSW, LCsw-A
Winston Salem, NC 27103
I welcome adults from all backgrounds who are seeking support through life's challenges. Whether you're navigating stress, anxiety, depression, relationship concerns, grief, life transitions, work issues, or simply feeling stuck, therapy offers a place to heal and grow. My approach is compassionate, collaborative, and tailored to your unique needs. Together, we'll build on your strengths, develop practical coping skills, and create meaningful, lasting change so you can move forward with confidence and hope.
I welcome adults from all backgrounds who are seeking support through life's challenges. Whether you're navigating stress, anxiety, depression, relationship concerns, grief, life transitions, work issues, or simply feeling stuck, therapy offers a place to heal and grow. My approach is compassionate, collaborative, and tailored to your unique needs. Together, we'll build on your strengths, develop practical coping skills, and create meaningful, lasting change so you can move forward with confidence and hope.
(336) 891-9338 View (336) 891-9338
Essential Path Counseling and Consultants PLLC
Lic Clinical Mental Health Counselor Supervisor, LCMHCS, LCAS, CCS, CCJP, CRC
3 Endorsed
Winston Salem, NC 27106
Congrats! You have just begun the first step towards becoming the best version of yourself. Often, individuals experience challenges, obstacles, and other measures in which deeper reflection and understanding could be of benefit for your personal or professional journey. If you are seeking an integrative and collaborative space that endorses holistic health and wellness, professional development and training, clinical supervision, and overall growth, Essential Path Counseling and Consultants PLLC is the place for you! Looking forward to exploring the paths on your journey Essentially designed for you!
Congrats! You have just begun the first step towards becoming the best version of yourself. Often, individuals experience challenges, obstacles, and other measures in which deeper reflection and understanding could be of benefit for your personal or professional journey. If you are seeking an integrative and collaborative space that endorses holistic health and wellness, professional development and training, clinical supervision, and overall growth, Essential Path Counseling and Consultants PLLC is the place for you! Looking forward to exploring the paths on your journey Essentially designed for you!
(336) 360-6173 View (336) 360-6173
Dr. Steph Cooke
Marriage & Family Therapist, PhD, LMFT
1 Endorsed
Online Only
It’s brave to seek support, especially when life feels heavy, tangled, or overwhelming. Maybe you’re carrying anxiety that shows up in everyday moments, feeling stuck in patterns that affect your relationships, or still navigating past hurt or trauma. You might also be craving a space where you can be your authentic self, and not have to edit parts of your story just to feel safe. In our work together, we’ll pay attention to your patterns, your nervous system, and the narratives that have shaped you, including experiences with anxiety and OCD, so you can begin to rewrite the stories that no longer fit.
It’s brave to seek support, especially when life feels heavy, tangled, or overwhelming. Maybe you’re carrying anxiety that shows up in everyday moments, feeling stuck in patterns that affect your relationships, or still navigating past hurt or trauma. You might also be craving a space where you can be your authentic self, and not have to edit parts of your story just to feel safe. In our work together, we’ll pay attention to your patterns, your nervous system, and the narratives that have shaped you, including experiences with anxiety and OCD, so you can begin to rewrite the stories that no longer fit.
(336) 717-0266 View (336) 717-0266
Sabrina Basquez
Clinical Social Work/Therapist, MSW, LCSW
6 Endorsed
Serves Area
Somewhere along the way you started feeling like a zombie. You are physically and emotionally exhausted. You're feeling burned out, overwhelmed, disconnected and on edge. Hopelessness is sinking in or has already sunken in. You're calling out to work or skipping classes. You are terrified that you can't handle life's demands or the needs of those who count on you. Your family and relationships are suffering. The words "self-care" elicits both a laugh and a sinking feeling in your stomach, but also, you know that at some point something has to give. You are tired of feeling guilty for having your own needs. It is time.
Somewhere along the way you started feeling like a zombie. You are physically and emotionally exhausted. You're feeling burned out, overwhelmed, disconnected and on edge. Hopelessness is sinking in or has already sunken in. You're calling out to work or skipping classes. You are terrified that you can't handle life's demands or the needs of those who count on you. Your family and relationships are suffering. The words "self-care" elicits both a laugh and a sinking feeling in your stomach, but also, you know that at some point something has to give. You are tired of feeling guilty for having your own needs. It is time.
(336) 438-8069 View (336) 438-8069
Holly N Young
Licensed Professional Counselor, MA, LCMHC
1 Endorsed
Online Only
My ideal clients are adults facing stress, burnout, anxiety, trauma, neurodivergence, LGBTQ+ concerns, and women’s or relational issues. They seek a safe, affirming space to process challenges shaped by personal and systemic factors, and want to gain practical tools, new perspectives, and greater self-compassion. They’re looking for therapy that honors their identity, empowers growth, and helps them navigate life with authenticity and resilience.
My ideal clients are adults facing stress, burnout, anxiety, trauma, neurodivergence, LGBTQ+ concerns, and women’s or relational issues. They seek a safe, affirming space to process challenges shaped by personal and systemic factors, and want to gain practical tools, new perspectives, and greater self-compassion. They’re looking for therapy that honors their identity, empowers growth, and helps them navigate life with authenticity and resilience.
(828) 798-0370 View (828) 798-0370
Stonebuilders Counseling Center, Inc.
Counselor, MS, LCAS, LCMHC
Winston Salem, NC 27106
I provide a safe place for you to explore issues that are posing difficulties in the various areas of your life. I have a personal testimony. My discipline in the counseling field target comorbidity in individuals. I facilitate substance-use groups. I provide you with the tools to assist you to gain control of your life. I won't tell you how much I know until you see how much I care. If life is not becoming to you, then you should come to me. Let me help you gain control.
I provide a safe place for you to explore issues that are posing difficulties in the various areas of your life. I have a personal testimony. My discipline in the counseling field target comorbidity in individuals. I facilitate substance-use groups. I provide you with the tools to assist you to gain control of your life. I won't tell you how much I know until you see how much I care. If life is not becoming to you, then you should come to me. Let me help you gain control.
(336) 530-5205 View (336) 530-5205
Christi S Brunson
Counselor, MS, LCMHC
Online Only
Do you need dedicated time and a healing space to focus on your wellbeing? Are you an expert in taking care of everyone around you, but struggle to prioritize your own needs? Maybe you have been neglecting yourself to the point where your physical and mental health has been impacted. If this resonates with you, trust me, you are not alone, nor should you have to figure this out on your own. Hi, I’m Christi Brunson. I am a Licensed Clinical Mental Health Counselor with over 8 years of experience providing Holistic Psychotherapy, Dialectical Behavior Therapy (DBT), and Cognitive Behavioral Therapy (CBT).
Do you need dedicated time and a healing space to focus on your wellbeing? Are you an expert in taking care of everyone around you, but struggle to prioritize your own needs? Maybe you have been neglecting yourself to the point where your physical and mental health has been impacted. If this resonates with you, trust me, you are not alone, nor should you have to figure this out on your own. Hi, I’m Christi Brunson. I am a Licensed Clinical Mental Health Counselor with over 8 years of experience providing Holistic Psychotherapy, Dialectical Behavior Therapy (DBT), and Cognitive Behavioral Therapy (CBT).
(704) 389-5780 View (704) 389-5780
Tiffany Hall
Clinical Social Work/Therapist, LCSWA
1 Endorsed
Online Only
I have worked with adults, adolescents, and children in various settings through-out the past eight years. Whether that individual needs attentive, regular sessions or an individual looking for support in a current circumstance. Everyone has to right to excellence care in a complete judgement free zone and it is my mission to provide that.
I have worked with adults, adolescents, and children in various settings through-out the past eight years. Whether that individual needs attentive, regular sessions or an individual looking for support in a current circumstance. Everyone has to right to excellence care in a complete judgement free zone and it is my mission to provide that.
(828) 332-5855 View (828) 332-5855
Laura Brentnell
Clinical Social Work/Therapist, MSW, LCSW
Serves Area
Asking for help is hard, but it’s something we all need and deserve. If you're seeking support for anxiety, depression, or life transitions, or you’re struggling with trauma, mood disorders, or relationship issues, I’m here. Building trust, respect, and connection is vital in therapy, and I embrace partnering together to create a unique therapy experience that focuses on your needs. I enjoy working with adults, teens, and children, including play therapy with younger children.
Asking for help is hard, but it’s something we all need and deserve. If you're seeking support for anxiety, depression, or life transitions, or you’re struggling with trauma, mood disorders, or relationship issues, I’m here. Building trust, respect, and connection is vital in therapy, and I embrace partnering together to create a unique therapy experience that focuses on your needs. I enjoy working with adults, teens, and children, including play therapy with younger children.
(336) 344-7178 View (336) 344-7178
Claire Aft
Counselor, NCC, LCMHCA
4 Endorsed
High Point, NC 27265
Therapy can be intimidating, so I am glad you are here. Using a holistic approach, I am present with you the whole way while being gently challenging to help you reach your goals or break out of unhealthy behavior. I do this through Internal Family Systems modality, utilizing meditation and creating a safe space for inner work. Additionally, I use elements of CBT and DBT with to help you reach your goals. I also offer art activities in sessions if there is interest. The healing process is collaborative, and I get to know my clients beyond a diagnosis and help them discover themselves beyond what happened to them, in a safe space.
Therapy can be intimidating, so I am glad you are here. Using a holistic approach, I am present with you the whole way while being gently challenging to help you reach your goals or break out of unhealthy behavior. I do this through Internal Family Systems modality, utilizing meditation and creating a safe space for inner work. Additionally, I use elements of CBT and DBT with to help you reach your goals. I also offer art activities in sessions if there is interest. The healing process is collaborative, and I get to know my clients beyond a diagnosis and help them discover themselves beyond what happened to them, in a safe space.
(336) 523-0909 View (336) 523-0909
Kara Anglin
Clinical Social Work/Therapist, MSW, LCSW
Online Only
In today's ever changing world, teens and young adults face incredible difficulties and stressors. My passion is working with teens and young adults who face difficulties in navigating aspects of their lives. I have worked within the public school system for 11 years with high school students experiencing school anxiety, school avoidance, trauma and abuse, PTSD, crisis situations, suicidal ideation, and anxiety. My goal is to help others understand the root of what they are experiencing and to help them understand how to build resiliency within themselves.
In today's ever changing world, teens and young adults face incredible difficulties and stressors. My passion is working with teens and young adults who face difficulties in navigating aspects of their lives. I have worked within the public school system for 11 years with high school students experiencing school anxiety, school avoidance, trauma and abuse, PTSD, crisis situations, suicidal ideation, and anxiety. My goal is to help others understand the root of what they are experiencing and to help them understand how to build resiliency within themselves.
(336) 360-5508 View (336) 360-5508

How does your Therapist compare?

Number of Therapists in Tobaccoville, NC

< 10

Therapists in Tobaccoville, NC who prioritize treating:

100% Child
100% Relationship Issues
100% ADHD
100% Depression
100% Addiction
100% Anxiety
100% Parenting

Average years in practice

15 Years

Top 3 insurances accepted

100% Aetna
100% BlueCross and BlueShield
100% Cigna and Evernorth

How Therapists in Tobaccoville, NC see their clients

100% Online Only

Gender breakdown

100% Female
FAQs - About Therapy and Counseling

How can I find a therapist in Tobaccoville?

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.