Therapists in Waynesville, NC

Photo of Janet J. Zander, Licensed Professional Counselor in Waynesville, NC
Janet J. Zander
Licensed Professional Counselor, LCMHC, PLLC
Verified
Waynesville, NC 28786
NOT accepting new clients. With 30 years experience, I've helped people of all ages take steps to navigate their life challenges, promote self-growth, healing and recovery, My style is strength based, empathic and interactive. I have worked with individuals struggling with a range of issues including anxiety, depression, mood disorders, ADHD/ADD, trauma, PTSD, grief/loss, relationship issues, phase-of-life transitions, family issues. The goal of our work together will be partnering with you to determine your treatment goals, to guide you in arriving at insight & self-growth & developing strategies and tools you can use immediately.
NOT accepting new clients. With 30 years experience, I've helped people of all ages take steps to navigate their life challenges, promote self-growth, healing and recovery, My style is strength based, empathic and interactive. I have worked with individuals struggling with a range of issues including anxiety, depression, mood disorders, ADHD/ADD, trauma, PTSD, grief/loss, relationship issues, phase-of-life transitions, family issues. The goal of our work together will be partnering with you to determine your treatment goals, to guide you in arriving at insight & self-growth & developing strategies and tools you can use immediately.
(828) 618-4684 View (828) 618-4684
Photo of Kylie Yacuzzo, Clinical Social Work/Therapist in Waynesville, NC
Kylie Yacuzzo
Clinical Social Work/Therapist, MSW, LCSW
Verified
Waynesville, NC 28786
I am best suited for clients who are ready to make some positive changes in their lives to increase their satisfaction. I have a diverse range of clients of all ages. Whether you want to work with overcoming struggles from the past, things happening currently, or anxiety about the future I am able to support you through these challenges. I work alongside of you to ensure that we are prioritizing what issues, needs, and goals that are what you feel is most important. Therapy works best when you are bought into change and sometimes being ready for change is hard. I can help either of these perspectives.
I am best suited for clients who are ready to make some positive changes in their lives to increase their satisfaction. I have a diverse range of clients of all ages. Whether you want to work with overcoming struggles from the past, things happening currently, or anxiety about the future I am able to support you through these challenges. I work alongside of you to ensure that we are prioritizing what issues, needs, and goals that are what you feel is most important. Therapy works best when you are bought into change and sometimes being ready for change is hard. I can help either of these perspectives.
(828) 532-2608 View (828) 532-2608
Photo of Raymond C Turpin, Psychologist in Waynesville, NC
Raymond C Turpin
Psychologist, PsyD, LPCS
Verified
5 Endorsed
Waynesville, NC 28786
Not accepting new clients
After 24+ years of practicing in community mental health agency settings and supervising and training clinicians, I am transitioning into private practice in order to more directly serve individuals and families who are struggling with issues of functionality, relationships, identity, self-esteem and other manifestations of life challenges. I have extensive experience working with trauma, mood disorders and behavior disorders and I work exceptionally well with adolescents and young adults although I feel comfortable working with adults of all ages. When you want to better understand your particular challenges and make positive changes, I can assist with your healing/growth process.
After 24+ years of practicing in community mental health agency settings and supervising and training clinicians, I am transitioning into private practice in order to more directly serve individuals and families who are struggling with issues of functionality, relationships, identity, self-esteem and other manifestations of life challenges. I have extensive experience working with trauma, mood disorders and behavior disorders and I work exceptionally well with adolescents and young adults although I feel comfortable working with adults of all ages. When you want to better understand your particular challenges and make positive changes, I can assist with your healing/growth process.
(833) 522-0852 View (833) 522-0852
Photo of Maria A Averza, Licensed Clinical Mental Health Counselor in Waynesville, NC
Maria A Averza
Licensed Clinical Mental Health Counselor, LCMHC, NCC, LCAS
Verified
Waynesville, NC 28786
Thanks for taking the time to consider me for potential counseling. You must be experiencing a time of significant distress during this part of your life. I’d like to help if I am a good fit for you! Mental health counseling is an investment in the quality of your life. That’s what we are trained to do, assist persons who can’t seem to find a way out of their suffering and negative circumstances. It offers a combination of human support, professional guidance and evidence-based psychoeducation.
Thanks for taking the time to consider me for potential counseling. You must be experiencing a time of significant distress during this part of your life. I’d like to help if I am a good fit for you! Mental health counseling is an investment in the quality of your life. That’s what we are trained to do, assist persons who can’t seem to find a way out of their suffering and negative circumstances. It offers a combination of human support, professional guidance and evidence-based psychoeducation.
(828) 283-0113 View (828) 283-0113
Photo of Leslie Y Badalucca, Licensed Professional Counselor in Waynesville, NC
Leslie Y Badalucca
Licensed Professional Counselor, LCMHC, LCASA, NCC
Verified
Waynesville, NC 28786
...Life often involves challenges effecting the journey toward personal and professional objectives. There are times when it is only the support of genuine listening, empathy, and guidance that desired outcomes are achieved. Whether you are trying to cope with anxiety, depression, self-esteem/confidence, relationship challenges, communication skills, impulse control concerns, life-transition issues (e.g., military/vet, divorce, job loss, retirement), trauma, grief, physical/sexual abuse, or other life challenges. Life is difficult and requires growth and change that are not always easy or comfortable.
...Life often involves challenges effecting the journey toward personal and professional objectives. There are times when it is only the support of genuine listening, empathy, and guidance that desired outcomes are achieved. Whether you are trying to cope with anxiety, depression, self-esteem/confidence, relationship challenges, communication skills, impulse control concerns, life-transition issues (e.g., military/vet, divorce, job loss, retirement), trauma, grief, physical/sexual abuse, or other life challenges. Life is difficult and requires growth and change that are not always easy or comfortable.
(828) 268-3822 View (828) 268-3822
Photo of Lynn P Burrough, Clinical Social Work/Therapist in Waynesville, NC
Lynn P Burrough
Clinical Social Work/Therapist, LCSW, BCD
Verified
Waynesville, NC 28786
My ideal client is one who is interested in finding happiness in love, work and community. My reward during my 30 years in practice is to experience, with individuals and couples, their growth towards these goals. Years in private practice and a major medical setting in New York have given me a broad background in helping people cope with the many challenges life hands them and to help them regain their feelings of hope. Additional focus is placed on life transitions including divorce, retirement, and bereavement. Additionally, I offer guidance in helping your children and teens navigate those challenging years.
My ideal client is one who is interested in finding happiness in love, work and community. My reward during my 30 years in practice is to experience, with individuals and couples, their growth towards these goals. Years in private practice and a major medical setting in New York have given me a broad background in helping people cope with the many challenges life hands them and to help them regain their feelings of hope. Additional focus is placed on life transitions including divorce, retirement, and bereavement. Additionally, I offer guidance in helping your children and teens navigate those challenging years.
(828) 627-8744 View (828) 627-8744
Photo of Shawn K Acheson, Psychologist in Waynesville, NC
Shawn K Acheson
Psychologist, PhD
Verified
Waynesville, NC 28786
Waitlist for new clients
Dr. Acheson has been in private practice for more than 20 years. He has been based in Asheville, North Carolina for the last 5 years providing forensic neuropsychological services to clients all over the country. AFNPC was founded with the goal of making neuroscience and psychology accessible to judges, juries, attorneys and insurers who may not have an in-depth understanding of these complex matters.
Dr. Acheson has been in private practice for more than 20 years. He has been based in Asheville, North Carolina for the last 5 years providing forensic neuropsychological services to clients all over the country. AFNPC was founded with the goal of making neuroscience and psychology accessible to judges, juries, attorneys and insurers who may not have an in-depth understanding of these complex matters.
(828) 554-7167 View (828) 554-7167
Photo of Robin Ross Minick, Licensed Professional Counselor in Waynesville, NC
Robin Ross Minick
Licensed Professional Counselor, LCMHC-S, NCC, CCMC, GC-C, PMH-C
Verified
1 Endorsed
Waynesville, NC 28786
Would it be helpful for you to be able to explore concerns or challenges with a caring, neutral, accepting person who could help you make sense of your world? I am practically oriented and comfortable offering support for a wide-range of behavioral and mental health issues. Patient safety and comfort is hugely important to me. Helping patients make connections that promote a sense of integrity and peace is a goal.
Would it be helpful for you to be able to explore concerns or challenges with a caring, neutral, accepting person who could help you make sense of your world? I am practically oriented and comfortable offering support for a wide-range of behavioral and mental health issues. Patient safety and comfort is hugely important to me. Helping patients make connections that promote a sense of integrity and peace is a goal.
(828) 548-1489 View (828) 548-1489
Photo of Nicole Conner, Licensed Clinical Mental Health Counselor in Waynesville, NC
Nicole Conner
Licensed Clinical Mental Health Counselor, MAEd, LCMHC, LCAS
Verified
Waynesville, NC 28786
Waitlist for new clients
You are not alone! Many folks today are feeling stuck... or overwhelmed by anxiety, loss, and confusion. Others are trying to make meaning of early life events or current relational strife with partners, children, or parents. If you find yourself longing for a place to be heard with no judgment - with a person who would be honored to help you navigate both the little and large obstacles you face - you are in the right place!
You are not alone! Many folks today are feeling stuck... or overwhelmed by anxiety, loss, and confusion. Others are trying to make meaning of early life events or current relational strife with partners, children, or parents. If you find yourself longing for a place to be heard with no judgment - with a person who would be honored to help you navigate both the little and large obstacles you face - you are in the right place!
(828) 392-5269 View (828) 392-5269
Photo of Jennifer Graves Belham, Licensed Clinical Mental Health Counselor in Waynesville, NC
Jennifer Graves Belham
Licensed Clinical Mental Health Counselor, LCMHC, NCC, MS
Verified
1 Endorsed
Waynesville, NC 28786
Waitlist for new clients
*NOT ACCEPTING NEW CLIENTS* Struggling within yourself, or in relationship to a partner, child, friend, or family member can leave you exhausted. Finding answers to questions about what to do next, who to trust, and how to manage the resulting anger, sadness, guilt, or loneliness consumes your energy. You wonder if anyone truly understands and can help you make sense of it so you can build a life you love. Helping people feel at ease to make concrete, powerful change is my strength. I can help you find your way through the struggle toward resolution and relief while finding your stronger, more confident self.
*NOT ACCEPTING NEW CLIENTS* Struggling within yourself, or in relationship to a partner, child, friend, or family member can leave you exhausted. Finding answers to questions about what to do next, who to trust, and how to manage the resulting anger, sadness, guilt, or loneliness consumes your energy. You wonder if anyone truly understands and can help you make sense of it so you can build a life you love. Helping people feel at ease to make concrete, powerful change is my strength. I can help you find your way through the struggle toward resolution and relief while finding your stronger, more confident self.
(828) 548-1064 View (828) 548-1064
Photo of Lucinda Ramsey, Licensed Professional Counselor in Waynesville, NC
Lucinda Ramsey
Licensed Professional Counselor, LCMHC, MA
Verified
1 Endorsed
Waynesville, NC 28786
Waitlist for new clients
Are you caught in cycles that leave you feeling stuck and maxed out? Sometimes we become mired in tough internal and external challenges that leave us feeling deflated and overwhelmed. Let's investigate these circumstances with safety, accountability and skill. Together, we can unravel unhelpful patterns and learn skills for cultivating wellbeing and happiness.
Are you caught in cycles that leave you feeling stuck and maxed out? Sometimes we become mired in tough internal and external challenges that leave us feeling deflated and overwhelmed. Let's investigate these circumstances with safety, accountability and skill. Together, we can unravel unhelpful patterns and learn skills for cultivating wellbeing and happiness.
(828) 537-4647 View (828) 537-4647
Photo of Melanie Norman, Licensed Professional Counselor in Waynesville, NC
Melanie Norman
Licensed Professional Counselor, MS, LPC, LCAS, CCS
Verified
Waynesville, NC 28786  (Online Only)
You are doing life--going to work, to school--but it's not easy! And it's exhausting presenting as if all's OK all the time: to put on the smile, to muster the energy. But that little voice still whispers negativity in the back of your head: All. The. Damn. Time. You don't know how to take appreciation, much less see it in yourself. You don't know how to say no. And you just want some peace and the sense that you exist outside the needs of others.
You are doing life--going to work, to school--but it's not easy! And it's exhausting presenting as if all's OK all the time: to put on the smile, to muster the energy. But that little voice still whispers negativity in the back of your head: All. The. Damn. Time. You don't know how to take appreciation, much less see it in yourself. You don't know how to say no. And you just want some peace and the sense that you exist outside the needs of others.
(828) 705-3498 View (828) 705-3498
Photo of Crossroads Life Coaching, Pastoral Counselor in Waynesville, NC
Crossroads Life Coaching
Pastoral Counselor, MACCS, MAPCLC
Waynesville, NC 28786
All of us can get stuck living in a comfortable default mode. Nothing is wrong, but some things aren't quite right. The support of mental health life coaching helps you to become unstuck and to live more intentionally. You can achieve a clearer picture of your own potential, with all the joy and hope that offers.
All of us can get stuck living in a comfortable default mode. Nothing is wrong, but some things aren't quite right. The support of mental health life coaching helps you to become unstuck and to live more intentionally. You can achieve a clearer picture of your own potential, with all the joy and hope that offers.
(561) 843-3878 View (561) 843-3878
Photo of Timothy Hussey, Clinical Social Work/Therapist in Waynesville, NC
Timothy Hussey
Clinical Social Work/Therapist, LCSW
Verified
Waynesville, NC 28786
For 30 years I've provided a listening ear to my clients. Sometimes, that's all one needs. Other times, we may need a little more direction, a new insight, a gentle push. I strive to recognize and respect the uniqueness of each individual. If you have a child with ADHD or other behavioral or adjustment issues, are an adult having relationship issues, depression or anxiety, or are someone struggling with the pain and confusion of addiction, my experience has prepared me to help you.
For 30 years I've provided a listening ear to my clients. Sometimes, that's all one needs. Other times, we may need a little more direction, a new insight, a gentle push. I strive to recognize and respect the uniqueness of each individual. If you have a child with ADHD or other behavioral or adjustment issues, are an adult having relationship issues, depression or anxiety, or are someone struggling with the pain and confusion of addiction, my experience has prepared me to help you.
(828) 523-9070 View (828) 523-9070
Photo of Susan P Kimball, Clinical Social Work/Therapist in Waynesville, NC
Susan P Kimball
Clinical Social Work/Therapist, LCSW
Verified
3 Endorsed
Waynesville, NC 28786  (Online Only)
Are you a woman losing your heart trying to make your life work? It is possible grow from your difficulties and feel better about your life. You've worked hard to get where you are; whether it's in a relationship, or that job you wanted, or being the kind of parent you wanted to be and maybe even have a little extra in the bank. But it's hard.
Are you a woman losing your heart trying to make your life work? It is possible grow from your difficulties and feel better about your life. You've worked hard to get where you are; whether it's in a relationship, or that job you wanted, or being the kind of parent you wanted to be and maybe even have a little extra in the bank. But it's hard.
(828) 944-8664 View (828) 944-8664
Photo of Lori Clancy, Licensed Clinical Mental Health Counselor in Waynesville, NC
Lori Clancy
Licensed Clinical Mental Health Counselor, LCMHC, LCAS, CCS
Verified
Waynesville, NC 28786
Waitlist for new clients
There are seasons of life that challenge us, define us, inspire us and some that cripple us. We all experience hard things in life, my goal is to support and help the hurting through the difficult seasons of life. I see counseling as a journey. I get the privilege of walking with people through some of the struggles on their journey to go from places of surviving to thriving. Working with people who sincerely want to resolve their hurt, focus on growth and overcome past struggles is my passion. Whether it is trauma, addiction, depression, ADHD, I work with a variety of people in a variety of settings.
There are seasons of life that challenge us, define us, inspire us and some that cripple us. We all experience hard things in life, my goal is to support and help the hurting through the difficult seasons of life. I see counseling as a journey. I get the privilege of walking with people through some of the struggles on their journey to go from places of surviving to thriving. Working with people who sincerely want to resolve their hurt, focus on growth and overcome past struggles is my passion. Whether it is trauma, addiction, depression, ADHD, I work with a variety of people in a variety of settings.
(828) 373-3401 View (828) 373-3401
Photo of Lynne Finger, Clinical Social Work/Therapist in Waynesville, NC
Lynne Finger
Clinical Social Work/Therapist, MSW, LCSW, PA
Verified
Waynesville, NC 28786
You have the ability to reinvent yourself, endlessly. It isn't too late. Your life is here and now. If you have found yourself at this site, you must be going through something pretty tough and are looking for a solution. Perhaps you are feeling lost and uncertain, and don't know where to begin. Whether it be a relationship issue or a personal struggle, the strain of it all can be overwhelming and can cause a mix of emotions...loneliness, sadness, grief, anger, anxiety, depression. It may feel as if your life is spiraling out of control. All you want is to find peace, happiness, and to change your current situation.
You have the ability to reinvent yourself, endlessly. It isn't too late. Your life is here and now. If you have found yourself at this site, you must be going through something pretty tough and are looking for a solution. Perhaps you are feeling lost and uncertain, and don't know where to begin. Whether it be a relationship issue or a personal struggle, the strain of it all can be overwhelming and can cause a mix of emotions...loneliness, sadness, grief, anger, anxiety, depression. It may feel as if your life is spiraling out of control. All you want is to find peace, happiness, and to change your current situation.
(828) 539-4538 View (828) 539-4538
Photo of Lynne H Noonan, Psychologist in Waynesville, NC
Lynne H Noonan
Psychologist, PhD
Verified
1 Endorsed
Waynesville, NC 28786
I enjoy working with people to identify new ways to cope or ways to solve the challenges life brings us. I encourage bringing your strengths as coping tools while joining in problem solving or problem identification. Sometimes having someone to listen provides an opportunity to see things from a different perspective. As each person is an individual, we can work together to find what works best with you. Expressive arts, dream work, and Sandplay are also ways that I work with those who prefer to approach problems differently.
I enjoy working with people to identify new ways to cope or ways to solve the challenges life brings us. I encourage bringing your strengths as coping tools while joining in problem solving or problem identification. Sometimes having someone to listen provides an opportunity to see things from a different perspective. As each person is an individual, we can work together to find what works best with you. Expressive arts, dream work, and Sandplay are also ways that I work with those who prefer to approach problems differently.
(828) 332-5439 View (828) 332-5439
Photo of Dana J Hicks, Licensed Professional Counselor in Waynesville, NC
Dana J Hicks
Licensed Professional Counselor, LCMHC, MA, RYT 200
Verified
6 Endorsed
Waynesville, NC 28786  (Online Only)
Each sub perfect evaluation score and missed promotion is a shard of glass straight through your heart. They remind you of the ever present game of catch up standing between you and the success you know is within you, just like it has stood between you and the acceptance of every role model you have ever had. Your hesitance to share insights during work meetings for fear of rejection so often on the heels of similar risks you took, leaves you feeling purposeless and helpless the rest of the day and even into your family, yoga, and sleep time.
Each sub perfect evaluation score and missed promotion is a shard of glass straight through your heart. They remind you of the ever present game of catch up standing between you and the success you know is within you, just like it has stood between you and the acceptance of every role model you have ever had. Your hesitance to share insights during work meetings for fear of rejection so often on the heels of similar risks you took, leaves you feeling purposeless and helpless the rest of the day and even into your family, yoga, and sleep time.
(828) 333-5916 View (828) 333-5916
Photo of Samantha Edwards, Licensed Clinical Mental Health Counselor in Waynesville, NC
Samantha Edwards
Licensed Clinical Mental Health Counselor, MS/EdS, LCMHCS
Verified
1 Endorsed
Waynesville, NC 28786
Not accepting new clients
I believe that each person is the expert on their “self” and has the ability to grow and heal. My role is to support/offer resources to best facilitate each person’s innate resiliency. I also believe this process takes effort, and reaching out for help if you or your child have been struggling is a crucial step. I've worked in a variety of settings for the past 9 years and with issues such as family relationships, trauma, mood disorders, chronic illness, grief, LGBTQI+ issues, and cooccurring developmental disorders. I'm trained in TF-CBT, EMDR, DBT, and other modalities.
I believe that each person is the expert on their “self” and has the ability to grow and heal. My role is to support/offer resources to best facilitate each person’s innate resiliency. I also believe this process takes effort, and reaching out for help if you or your child have been struggling is a crucial step. I've worked in a variety of settings for the past 9 years and with issues such as family relationships, trauma, mood disorders, chronic illness, grief, LGBTQI+ issues, and cooccurring developmental disorders. I'm trained in TF-CBT, EMDR, DBT, and other modalities.
(828) 554-8541 View (828) 554-8541

See more therapy options for Waynesville

How does your Therapist compare?

Number of Therapists in Waynesville, NC

60+

Average cost per session

$130

Therapists in Waynesville, NC who prioritize treating:

91% Anxiety
82% Depression
75% Coping Skills
75% Self Esteem
74% Trauma and PTSD
68% Relationship Issues
65% Stress

Average years in practice

13 Years

Top 3 insurances accepted

93% BlueCross and BlueShield
72% Aetna
54% UnitedHealthcare UHC | UBH

How Therapists in Waynesville, NC see their clients

77% In Person and Online
23% Online Only

Gender breakdown

78% Female
22% Male

FAQs - About Therapy and Counseling

How can I find a therapist in Waynesville?

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.