Therapists in Troutman, NC

Photo of Courtney Keith, Clinical Social Work/Therapist in Troutman, NC
Courtney Keith
Clinical Social Work/Therapist, LCSW
Verified
Troutman, NC 28166  (Online Only)
Courtney is a Licensed Clinical Social Worker in the states of North Carolina and South Carolina.
Courtney is a Licensed Clinical Social Worker in the states of North Carolina and South Carolina.
(704) 275-9183 View (704) 275-9183
Kevin Denny
Drug & Alcohol Counselor, MS, LCAS
Verified
Troutman, NC 28166
I am a child and family therapist who specializes in the treatment of adolescents and their families dealing with substance abuse as well as other behaviorial or emotional problems. I have worked in Iredell, Yadkin and Surry counties for 10 years and have a comprehensive knowledge of resources available for consumers in the area.
I am a child and family therapist who specializes in the treatment of adolescents and their families dealing with substance abuse as well as other behaviorial or emotional problems. I have worked in Iredell, Yadkin and Surry counties for 10 years and have a comprehensive knowledge of resources available for consumers in the area.
(704) 763-0851 View (704) 763-0851
Photo of Turning Point Family Services, Clinical Social Work/Therapist in Troutman, NC
Turning Point Family Services
Clinical Social Work/Therapist, LCMHC, LCSW
Verified
Troutman, NC 28166
Turning Point Family Services offers a variety of outpatient services. These services include individual and family therapy, group therapy, comprehensive clinical assessments, and psychiatric medication management. These services are customized to meet the needs of the children and families that we serve, and can be conducted via telehealth as well.
Turning Point Family Services offers a variety of outpatient services. These services include individual and family therapy, group therapy, comprehensive clinical assessments, and psychiatric medication management. These services are customized to meet the needs of the children and families that we serve, and can be conducted via telehealth as well.
(704) 994-5460 View (704) 994-5460
Photo of Betsy Karas, Licensed Clinical Mental Health Counselor in Troutman, NC
Betsy Karas
Licensed Clinical Mental Health Counselor, MHDL, LCMHC
Verified
Troutman, NC 28166
(ACCEPTING NEW CLIENTS) - Reaching out for help can be difficult, whether related to adjusting to life events, stressful situations, dealing with intense emotions, relationship problems. I hope to help you feel comfortable in develop a trusting relationship in an atmosphere where you feel acknowledged and understood, and to work with you in gaining skills to cope with difficulties you are experiencing. My goal is to help you realize your strengths and positive attributes, to gain the power to make changes you need or to cope with the things you cannot change, and to find ways to bring hope and contentment to your life.
(ACCEPTING NEW CLIENTS) - Reaching out for help can be difficult, whether related to adjusting to life events, stressful situations, dealing with intense emotions, relationship problems. I hope to help you feel comfortable in develop a trusting relationship in an atmosphere where you feel acknowledged and understood, and to work with you in gaining skills to cope with difficulties you are experiencing. My goal is to help you realize your strengths and positive attributes, to gain the power to make changes you need or to cope with the things you cannot change, and to find ways to bring hope and contentment to your life.
(980) 352-6337 View (980) 352-6337
Photo of Keith Cheney, Marriage & Family Therapist in Troutman, NC
Keith Cheney
Marriage & Family Therapist, MA, LMFT
Verified
2 Endorsed
Troutman, NC 28166
Don't over-think therapy. It's just not that complicated. When things get difficult, it's often hard to ask for help. We all face challenges, and we often overcome them on our own. Sometimes it takes much longer than we'd like, and that's when therapy comes into play. Why spend months or years taking on a situation or challenge by yourself, when you could work through it in far less time? Insanity is doing the same things, over and over, and expecting different results. Try something new, and break those old patterns.
Don't over-think therapy. It's just not that complicated. When things get difficult, it's often hard to ask for help. We all face challenges, and we often overcome them on our own. Sometimes it takes much longer than we'd like, and that's when therapy comes into play. Why spend months or years taking on a situation or challenge by yourself, when you could work through it in far less time? Insanity is doing the same things, over and over, and expecting different results. Try something new, and break those old patterns.
(704) 233-3784 View (704) 233-3784
Paul D. Veach
Marriage & Family Therapist, LMFT, LCAS
Verified
1 Endorsed
Troutman, NC 28166
Not accepting new clients
Please be informed that I will be moving my practice from Mooresville to Statesville during the winter months of 2024. I will be posting my new location in the very near future. My focus is...To help clients develop stronger family and/or marital relationships, heal from past trauma or other psychological issues, determine the best parenting approach for your adolescent's personality and behavioral challenges, and get support for drug or alcohol related problems. I would welcome the opportunity to work with you!
Please be informed that I will be moving my practice from Mooresville to Statesville during the winter months of 2024. I will be posting my new location in the very near future. My focus is...To help clients develop stronger family and/or marital relationships, heal from past trauma or other psychological issues, determine the best parenting approach for your adolescent's personality and behavioral challenges, and get support for drug or alcohol related problems. I would welcome the opportunity to work with you!
(704) 660-8321 View (704) 660-8321
Photo of Tara C Martin, Counselor in Troutman, NC
Tara C Martin
Counselor, MA, LCMHC
Verified
1 Endorsed
Troutman, NC 28166
I work with children, adolescents, and adults, ages five and up. I specialize in Cognitive Behavioral Therapy, Rational Emotive Behavioral Therapy, and Dialectical Behavioral Therapy. I have five years' experience working with ADHD, anxiety, depression, OCD, and challenges with life transitions.
I work with children, adolescents, and adults, ages five and up. I specialize in Cognitive Behavioral Therapy, Rational Emotive Behavioral Therapy, and Dialectical Behavioral Therapy. I have five years' experience working with ADHD, anxiety, depression, OCD, and challenges with life transitions.
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Photo of Caroline Forbis, Pre-Licensed Professional in Troutman, NC
Caroline Forbis
Pre-Licensed Professional, LCMHCA
Verified
Troutman, NC 28166
Caroline earned her Master of Clinical Mental Health Counseling degree from Catawba College and is a Licensed Clinical Mental Health Counselor Associate in North Carolina with two years of experience in School-Based therapy. Caroline works with children, adolescents, and their parents through a CBT, person-centered, and solution-focused lens to provide clients with the tools to take control of their own life. In Caroline's free time, she enjoys spending time coaching softball as well as watching her fiancé coach baseball and spending time with her family and friends.
Caroline earned her Master of Clinical Mental Health Counseling degree from Catawba College and is a Licensed Clinical Mental Health Counselor Associate in North Carolina with two years of experience in School-Based therapy. Caroline works with children, adolescents, and their parents through a CBT, person-centered, and solution-focused lens to provide clients with the tools to take control of their own life. In Caroline's free time, she enjoys spending time coaching softball as well as watching her fiancé coach baseball and spending time with her family and friends.
(980) 983-3672 View (980) 983-3672
Photo of Melissa Davis, Licensed Clinical Mental Health Counselor in Troutman, NC
Melissa Davis
Licensed Clinical Mental Health Counselor, MA, LCMHC
Verified
Troutman, NC 28166
I'm Melissa Davis. I am a Licensed Clinical Mental Health Counselor and have been practicing for 10 years. I specialize in the area of trauma and specifically, have expertise in working with survivors of domestic violence and sexual assault. If not doing therapy, I like to practice yoga and I like to cook.
I'm Melissa Davis. I am a Licensed Clinical Mental Health Counselor and have been practicing for 10 years. I specialize in the area of trauma and specifically, have expertise in working with survivors of domestic violence and sexual assault. If not doing therapy, I like to practice yoga and I like to cook.
(704) 312-9376 View (704) 312-9376
Photo of Elevate Life Counseling in Troutman, NC
Elevate Life Counseling
MS, LCMHC, LCAS, NCC
Verified
Troutman, NC 28166  (Online Only)
I received Master's in Marriage and Family Therapy and in Clinical Mental Health Counseling. I have extensive experience in working with a wide variety of socio-economic backgrounds and cultures. I have experience working with anxiety disorders, depression, life transitions, women's issues, post-traumatic stress, bi-polar, psychotic disorders, substance abuse and many other issues. My approach is best described as Holistic & Integrative while it is self-empowering and collaborative. I utilize a variety of evidenced based approaches based on individual needs and preferences including but not limited to: Mindfulness and body centered approaches, Cognitive Behavioral Therapy, Expressive Art Therapy, and Motivational Interviewing.
I received Master's in Marriage and Family Therapy and in Clinical Mental Health Counseling. I have extensive experience in working with a wide variety of socio-economic backgrounds and cultures. I have experience working with anxiety disorders, depression, life transitions, women's issues, post-traumatic stress, bi-polar, psychotic disorders, substance abuse and many other issues. My approach is best described as Holistic & Integrative while it is self-empowering and collaborative. I utilize a variety of evidenced based approaches based on individual needs and preferences including but not limited to: Mindfulness and body centered approaches, Cognitive Behavioral Therapy, Expressive Art Therapy, and Motivational Interviewing.
(980) 737-1193 View (980) 737-1193
Photo of Grace Selvaggi, LCSW Associate in Troutman, NC
Grace Selvaggi
LCSW Associate , LCSWA
Verified
Troutman, NC 28166
Grace Selvaggi is a Licensed Clinical Mental Health Therapist who has been practicing since 2020 in North Carolina. Grace is a Certified Master Social Worker (CMSW) and Licensed Clinical Social Worker Associate (LCSWA) in North Carolina with more than five years of experience specializing in depression, anxiety, trauma, grief, and childhood/adolescent behavioral issues. She graduated with a Master in Clinical Social Work (MSW) degree, an Integrated Behavioral Health (IBH) specialization, Bachelor of Arts in Social Work (BSW) degree, and a psychology minor from the University of Kentucky.
Grace Selvaggi is a Licensed Clinical Mental Health Therapist who has been practicing since 2020 in North Carolina. Grace is a Certified Master Social Worker (CMSW) and Licensed Clinical Social Worker Associate (LCSWA) in North Carolina with more than five years of experience specializing in depression, anxiety, trauma, grief, and childhood/adolescent behavioral issues. She graduated with a Master in Clinical Social Work (MSW) degree, an Integrated Behavioral Health (IBH) specialization, Bachelor of Arts in Social Work (BSW) degree, and a psychology minor from the University of Kentucky.
(980) 372-4605 View (980) 372-4605
Photo of Elizabeth Webb, Counselor in Troutman, NC
Elizabeth Webb
Counselor, LCMHCA
Verified
Troutman, NC 28166
Elizabeth Webb, LMHCA, Elizabeth Webb is a Licensed Mental Health Counselor in North Carolina who has been practicing since 2022. She was born in Pensacola, FL but raised in Statesville, NC. Elizabeth received her Bachelor's in Exercise Science and Master's in Clinical Mental Health Counseling at Catawba College in Salisbury, NC. Elizabeth assists and empowers clients through interventions and strategies with individual psychotherapy through a very client centered approach. She tends to use an integrative approach that uses a combination of different theories to best fit the need of the client.
Elizabeth Webb, LMHCA, Elizabeth Webb is a Licensed Mental Health Counselor in North Carolina who has been practicing since 2022. She was born in Pensacola, FL but raised in Statesville, NC. Elizabeth received her Bachelor's in Exercise Science and Master's in Clinical Mental Health Counseling at Catawba College in Salisbury, NC. Elizabeth assists and empowers clients through interventions and strategies with individual psychotherapy through a very client centered approach. She tends to use an integrative approach that uses a combination of different theories to best fit the need of the client.
(704) 946-6203 View (704) 946-6203
Photo of Sarah Sullivan, Licensed Clinical Mental Health Counselor in Troutman, NC
Sarah Sullivan
Licensed Clinical Mental Health Counselor, MA, LCMHCA
Verified
Troutman, NC 28166
Sarah earned her Master of Arts in Counseling at the University of North Carolina at Charlotte with a concentration in Clinical Mental Health Counseling and a certificate in Play Therapy. She completed her undergraduate degree in Psychology with a minor in Women's and Gender Studies at the same institution, where she graduated Summa Cum Laude. Sarah has experience counseling a range of issues, including child abuse, anxiety, depression, grief, relationship issues, self-esteem, and trauma. She is passionate about helping her clients find freedom and empowerment in acceptance and authenticity of self.
Sarah earned her Master of Arts in Counseling at the University of North Carolina at Charlotte with a concentration in Clinical Mental Health Counseling and a certificate in Play Therapy. She completed her undergraduate degree in Psychology with a minor in Women's and Gender Studies at the same institution, where she graduated Summa Cum Laude. Sarah has experience counseling a range of issues, including child abuse, anxiety, depression, grief, relationship issues, self-esteem, and trauma. She is passionate about helping her clients find freedom and empowerment in acceptance and authenticity of self.
(704) 842-9274 View (704) 842-9274
Photo of Rhonda Flowers-Corpening Ph.d., Clinical Social Work/Therapist in Troutman, NC
Rhonda Flowers-Corpening Ph.d.
Clinical Social Work/Therapist, PhD, LCSW, MSW
Verified
Troutman, NC 28166
I believe in the three (3) C’s of life: CHOICE, CHANCE, AND CHANGE! I believe that you must make the CHOICE to take the CHANCE that will cause your life to CHANGE! If needed, let me help you embrace the positive and creative possibilities of life. I am passionate, yet direct in my therapeutic approach to empowering people to believe that a journey of a thousand miles begins with taking the first step.
I believe in the three (3) C’s of life: CHOICE, CHANCE, AND CHANGE! I believe that you must make the CHOICE to take the CHANCE that will cause your life to CHANGE! If needed, let me help you embrace the positive and creative possibilities of life. I am passionate, yet direct in my therapeutic approach to empowering people to believe that a journey of a thousand miles begins with taking the first step.
(980) 414-6376 View (980) 414-6376
Photo of Denise McKercher, Lic Clinical Mental Health Counselor Associate in Troutman, NC
Denise McKercher
Lic Clinical Mental Health Counselor Associate
Verified
Troutman, NC 28166
Denise McKercher is a Licensed Clinical Mental Health Counselor Associate in North Carolina who has been practicing since 2023. She has a Master's in Clinical Mental Health Counseling. Denise offers a person-centered approach and works collaboratively with her clients to make life-long mindset adjustments to maneuver through this crazy thing we call life. Outside of work, Denise enjoys football (Alabama Crimson Tide and Carolina Panthers), watching movies, and the theatre (acting, directing, and writing).
Denise McKercher is a Licensed Clinical Mental Health Counselor Associate in North Carolina who has been practicing since 2023. She has a Master's in Clinical Mental Health Counseling. Denise offers a person-centered approach and works collaboratively with her clients to make life-long mindset adjustments to maneuver through this crazy thing we call life. Outside of work, Denise enjoys football (Alabama Crimson Tide and Carolina Panthers), watching movies, and the theatre (acting, directing, and writing).
(980) 409-2176 View (980) 409-2176
Photo of Cynthia Johnson, Licensed Clinical Mental Health Counselor in Troutman, NC
Cynthia Johnson
Licensed Clinical Mental Health Counselor, LMHC
Verified
Troutman, NC 28166
Cynthia Johnson is a Licensed Clinical Mental Health Counselor and Nationally Certified Counselor with more than five years of clinical experience. Cynthia earned her Master of Arts in Clinical Counseling from Webster University in Myrtle Beach, South Carolina. Cynthia believes that therapy can only be successful if a strong therapeutic relationship between the therapist and the client is established and maintained. She adopts a person-centered approach, retaining a nonjudgmental attitude and unconditional positive regard. Cynthia handles treatment in a collaborative and holistic manner, using a variety of modalities.
Cynthia Johnson is a Licensed Clinical Mental Health Counselor and Nationally Certified Counselor with more than five years of clinical experience. Cynthia earned her Master of Arts in Clinical Counseling from Webster University in Myrtle Beach, South Carolina. Cynthia believes that therapy can only be successful if a strong therapeutic relationship between the therapist and the client is established and maintained. She adopts a person-centered approach, retaining a nonjudgmental attitude and unconditional positive regard. Cynthia handles treatment in a collaborative and holistic manner, using a variety of modalities.
(704) 459-7803 View (704) 459-7803
Photo of Ashley Bagwell, Licensed Clinical Mental Health Counselor in Troutman, NC
Ashley Bagwell
Licensed Clinical Mental Health Counselor, LCMHC, MEd
Verified
Troutman, NC 28166
Ashley Bagwell is a Licensed Clinical Mental Health Counselor who has been practicing since 2015. She graduated from Winthrop University with a Master of Education in clinical mental health counseling. Ashley believes in the ability for the client to choose their path, manage expectations, and learn to control thoughts and feelings in order to experience happiness and develop lasting relationships.
Ashley Bagwell is a Licensed Clinical Mental Health Counselor who has been practicing since 2015. She graduated from Winthrop University with a Master of Education in clinical mental health counseling. Ashley believes in the ability for the client to choose their path, manage expectations, and learn to control thoughts and feelings in order to experience happiness and develop lasting relationships.
(704) 343-8627 View (704) 343-8627
Photo of Madison Haskell, Marriage & Family Therapist in Troutman, NC
Madison Haskell
Marriage & Family Therapist, LMFT
Verified
6 Endorsed
Troutman, NC 28166
Is it time to see yourself in a different light? Do you want to finally grasp the relief you’ve long been searching for or understand yourself better to be the person you have long wanted to be? If so, I invite you to take a chance and jump into a place where you can not only heal, but learn to thrive. I thoroughly enjoy working with adolescents and beyond, as well as couples and families who may need a helping hand in finding the balance they crave. Together, let’s tackle the depths of depression, anxiety and social anxiety, relationship issues, life transitions, difficulties in understanding and expressing emotions, and more.
Is it time to see yourself in a different light? Do you want to finally grasp the relief you’ve long been searching for or understand yourself better to be the person you have long wanted to be? If so, I invite you to take a chance and jump into a place where you can not only heal, but learn to thrive. I thoroughly enjoy working with adolescents and beyond, as well as couples and families who may need a helping hand in finding the balance they crave. Together, let’s tackle the depths of depression, anxiety and social anxiety, relationship issues, life transitions, difficulties in understanding and expressing emotions, and more.
(704) 741-3208 View (704) 741-3208
Photo of Annsley Ulrich in Troutman, NC
Annsley Ulrich
LDN, RD
Troutman, NC 28166
Annsley Ulrich provides Medical Nutritional Therapy for LifeStance Health. Annsley has over 26 years of experience as a Registered Dietitian Nutritionist and has specialized in treating eating disorders over the past 6 years. Her credentials in the field include: Registered and Licensed Dietitian. Graduate of East Carolina University with Bachelor of Science degree in Didactic Program in Dietetics. Completion of the American Dietetic Association Approved Professional Practice Program in Dietetics at East Carolina University. An active member of the American Dietetic Association.
Annsley Ulrich provides Medical Nutritional Therapy for LifeStance Health. Annsley has over 26 years of experience as a Registered Dietitian Nutritionist and has specialized in treating eating disorders over the past 6 years. Her credentials in the field include: Registered and Licensed Dietitian. Graduate of East Carolina University with Bachelor of Science degree in Didactic Program in Dietetics. Completion of the American Dietetic Association Approved Professional Practice Program in Dietetics at East Carolina University. An active member of the American Dietetic Association.
(704) 396-5414 View (704) 396-5414
Photo of Brianne Chauvigne Reedy, Licensed Clinical Mental Health Counselor in Troutman, NC
Brianne Chauvigne Reedy
Licensed Clinical Mental Health Counselor, LCMHC, NCC
Verified
Troutman, NC 28166
Brianne graduated with her Bachelor of Arts Degree in Psychology with a minor in Social Work from the University of North Carolina at Charlotte. Brianne chose to continue her education by earning her Masters of Arts in Counseling with a concentration in Clinical Mental Health as well as a Certificate in Play Therapy from the University of North Carolina at Charlotte. Brianne has clinical experience working with clients dealing with a range of issues, including trauma, child abuse, anxiety, depression, and addiction. Brianne comes from a humanistic school of thought where she offers a Person- Centered approach.
Brianne graduated with her Bachelor of Arts Degree in Psychology with a minor in Social Work from the University of North Carolina at Charlotte. Brianne chose to continue her education by earning her Masters of Arts in Counseling with a concentration in Clinical Mental Health as well as a Certificate in Play Therapy from the University of North Carolina at Charlotte. Brianne has clinical experience working with clients dealing with a range of issues, including trauma, child abuse, anxiety, depression, and addiction. Brianne comes from a humanistic school of thought where she offers a Person- Centered approach.
(704) 253-8026 View (704) 253-8026

See more therapy options for Troutman

How does your Therapist compare?

Number of Therapists in Troutman, NC

30+

Average cost per session

$110

Therapists in Troutman, NC who prioritize treating:

97% Anxiety
92% Depression
68% Child
62% ADHD
62% Trauma and PTSD
54% Grief
43% Relationship Issues

Average years in practice

9 Years

Top 3 insurances accepted

94% BlueCross and BlueShield
81% Aetna
78% Cigna and Evernorth

How Therapists in Troutman, NC see their clients

95% In Person and Online
5% Online Only

Gender breakdown

83% Female
17% Male

FAQs - About Therapy and Counseling

How can I find a therapist in Troutman?

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.