Therapists in Weddington, NC

Photo of Melinda Willison, MS, LCMHCA, NCC, Counselor
Melinda Willison
Counselor, MS, LCMHCA, NCC
Verified Verified
Weddington, NC 28104
Humanity thrives through relationships, yet these same relationships often spawn challenges creating various levels and types of mental distress. Mental distress leads to second guessing, criticism of self and others, even hopelessness. As a result, gaining a guide to support personal navigation through the situational dynamics are desired in order to gain insight and skills to be confident in steps forward to a better life.
Humanity thrives through relationships, yet these same relationships often spawn challenges creating various levels and types of mental distress. Mental distress leads to second guessing, criticism of self and others, even hopelessness. As a result, gaining a guide to support personal navigation through the situational dynamics are desired in order to gain insight and skills to be confident in steps forward to a better life.
(704) 286-8622 View (704) 286-8622
Photo of Chris Vrabel - Chris Vrabel, PsyD, PLLC, PsyD, Psychologist
Chris Vrabel, PsyD, PLLC
Psychologist, PsyD
Verified Verified
Weddington, NC 28104
I'm here to listen and help. I am a licensed psychologist with over 15 years of experience. I help people stay organized and focused, cope with anxiety and depression, develop social skills and manage relationships, and adjust to the challenges of life. I specialize in attention-deficit/hyperactivity disorder, executive functioning, autism spectrum disorders, anxiety, depression, and adjusting to life changes.
I'm here to listen and help. I am a licensed psychologist with over 15 years of experience. I help people stay organized and focused, cope with anxiety and depression, develop social skills and manage relationships, and adjust to the challenges of life. I specialize in attention-deficit/hyperactivity disorder, executive functioning, autism spectrum disorders, anxiety, depression, and adjusting to life changes.
(704) 237-6572 View (704) 237-6572
Photo of Pamela Poston, PhD, MA, LCMHC
Pamela Poston
Licensed Clinical Mental Health Counselor, PhD, MA, LCMHC
Verified Verified
Weddington, NC 28104
Not accepting new clients
Call for an appointment if you struggle with ADHD, anxiety, chronic illness, surgery preparation, prenatal or postpartum depression, relationship challenges, stress management, life skills, life transitions, insomnia, or want to create a healthier lifestyle. I blend Eastern philosophy with Western psychology in my holistic practice. If you have tried traditional therapy and have not found relief, I'd love the opportunity to help you become the best version of yourself. I regret to inform potential clients that I have been and continue to be on medical leave. I will update you when I can practice again. Thanks
Call for an appointment if you struggle with ADHD, anxiety, chronic illness, surgery preparation, prenatal or postpartum depression, relationship challenges, stress management, life skills, life transitions, insomnia, or want to create a healthier lifestyle. I blend Eastern philosophy with Western psychology in my holistic practice. If you have tried traditional therapy and have not found relief, I'd love the opportunity to help you become the best version of yourself. I regret to inform potential clients that I have been and continue to be on medical leave. I will update you when I can practice again. Thanks
(704) 946-5540 View (704) 946-5540
Photo of Chudney Drew, MA, LCMHC, NCC
Chudney Drew
Licensed Clinical Mental Health Counselor, MA, LCMHC, NCC
Verified Verified
1 Endorsed
Weddington, NC 28104
My greatest passion is helping clients grow, heal, and develop greater self-awareness without guilt or shame. I don’t want to just walk with you on your journey—I want to help you find the strength to heal, grow, and rediscover the parts of yourself you thought were lost.
My greatest passion is helping clients grow, heal, and develop greater self-awareness without guilt or shame. I don’t want to just walk with you on your journey—I want to help you find the strength to heal, grow, and rediscover the parts of yourself you thought were lost.
(704) 800-0913 View (704) 800-0913
Photo of Christy Lynne Jacoby (Formerly Lewis), MSW, LCSW, Clinical Social Work/Therapist
Christy Lynne Jacoby (Formerly Lewis)
Clinical Social Work/Therapist, MSW, LCSW
Verified Verified
Online Only
When faced with anxiety or depression, you often wonder if there is anything you can do to truly feel better or transform yourself. It seems like you’ve tried everything, and nothing has worked. Strong emotions are causing other issues -trouble relating with others, over/under eating, problems with work or family relationships or even more serious issues. At times, relationship struggles leave you wondering "should I stay or go?" but it can be hard to navigate this alone. The "real you" is in there, but hard to find.
When faced with anxiety or depression, you often wonder if there is anything you can do to truly feel better or transform yourself. It seems like you’ve tried everything, and nothing has worked. Strong emotions are causing other issues -trouble relating with others, over/under eating, problems with work or family relationships or even more serious issues. At times, relationship struggles leave you wondering "should I stay or go?" but it can be hard to navigate this alone. The "real you" is in there, but hard to find.
(910) 613-6413 View (910) 613-6413
Photo of Tony Gibson, MA, LMFT, PLLC, Marriage & Family Therapist
Tony Gibson
Marriage & Family Therapist, MA, LMFT, PLLC
Verified Verified
Serves Area
Not accepting new clients
Life can be challenging, and we are not meant to travel it alone. Each of us, at times, needs another person to walk alongside us as we sort things out. I am honored to serve in this role, working with you through life's difficulties, transitions, tragedies, and triumphs. Very few challenges are insurmountable. Sometimes it just takes some added support.
Life can be challenging, and we are not meant to travel it alone. Each of us, at times, needs another person to walk alongside us as we sort things out. I am honored to serve in this role, working with you through life's difficulties, transitions, tragedies, and triumphs. Very few challenges are insurmountable. Sometimes it just takes some added support.
(980) 280-1321 View (980) 280-1321
Photo of Heather Fangman, MS Ed, LCMHC, Counselor
Heather Fangman
Counselor, MS Ed, LCMHC
Verified Verified
1 Endorsed
Serves Area
Heather Fangman, MS Ed., LCMHC, is a licensed clinical mental health counselor. She graduated from Miami University with a BA in psychology and completed her masters degree in community counseling at Youngstown State University. Heather has experience providing individual, family and group counseling services to children, adolescents, and adults around issues including abuse and neglect, depression and anxiety, postpartum depression, high conflict divorce and reunification therapy, difficult relationships and parenting concerns.
Heather Fangman, MS Ed., LCMHC, is a licensed clinical mental health counselor. She graduated from Miami University with a BA in psychology and completed her masters degree in community counseling at Youngstown State University. Heather has experience providing individual, family and group counseling services to children, adolescents, and adults around issues including abuse and neglect, depression and anxiety, postpartum depression, high conflict divorce and reunification therapy, difficult relationships and parenting concerns.
(980) 321-0180 View (980) 321-0180
Photo of Carole 'Bentley' Ball, MA
Carole 'Bentley' Ball
Licensed Clinical Mental Health Counselor, MA
Verified Verified
5 Endorsed
Serves Area
Waitlist for new clients
I feel best suited to work with adult men and women who struggle with depression, anxiety, and/or a sense of powerlessness which limits their participation in life whether it be work, love or play. I am particularly interested in working with adults who are aware of sexual misuse in their childhood or adolescence which may be continuing to have influence on their current situation. I want to provide a space where the unique stories of each client may be named, felt and explored in light of their current relationships for the purpose of finding hope for the future.
I feel best suited to work with adult men and women who struggle with depression, anxiety, and/or a sense of powerlessness which limits their participation in life whether it be work, love or play. I am particularly interested in working with adults who are aware of sexual misuse in their childhood or adolescence which may be continuing to have influence on their current situation. I want to provide a space where the unique stories of each client may be named, felt and explored in light of their current relationships for the purpose of finding hope for the future.
(980) 404-2702 View (980) 404-2702
Photo of Charleen 'charlie' Jarvis, LCMHC, LPC, NCC
Charleen 'charlie' Jarvis
Licensed Clinical Mental Health Counselor, LCMHC, LPC, NCC
Verified Verified
Serves Area
Not accepting new clients
We face challenges every day that impact our daily functioning. They can be relationship issues, parenting stress, life transitions, mood regulation and much more. Some we overcome with proud success building our confidence. Others seem impossible to resolve leaving us with a sense of loss or despair. I dedicate my passion as a licensed professional counselor to create a therapeutic relationship that will cultivate a learning environment to approach these challenges and reach goals of balance and clarity.
We face challenges every day that impact our daily functioning. They can be relationship issues, parenting stress, life transitions, mood regulation and much more. Some we overcome with proud success building our confidence. Others seem impossible to resolve leaving us with a sense of loss or despair. I dedicate my passion as a licensed professional counselor to create a therapeutic relationship that will cultivate a learning environment to approach these challenges and reach goals of balance and clarity.
(980) 313-4538 View (980) 313-4538
Photo of Clarrice King, PhD, LCMHCS, Licensed Professional Counselor
Clarrice King
Licensed Professional Counselor, PhD, LCMHCS
Verified Verified
Online Only
Are you looking to talk with someone for yourself or a loved one? Thank you for taking that important first step by exploring here! Are there issues with stress, anxiety, grief, loss, sadness, communication, or a life transition? Are you a new or new-again parent navigating the "terrible 2s" or "challenging 3's" with your child? These are just some of the reasons why clients, from children to adults, come to counseling with me in English and Spanish. My clients come into counseling with me to see how to heal, grow, gain new ideas, skills, and understanding, and know they are not alone.
Are you looking to talk with someone for yourself or a loved one? Thank you for taking that important first step by exploring here! Are there issues with stress, anxiety, grief, loss, sadness, communication, or a life transition? Are you a new or new-again parent navigating the "terrible 2s" or "challenging 3's" with your child? These are just some of the reasons why clients, from children to adults, come to counseling with me in English and Spanish. My clients come into counseling with me to see how to heal, grow, gain new ideas, skills, and understanding, and know they are not alone.
(704) 318-2595 View (704) 318-2595
Photo of Lindsey Walburn, LCSW, Clinical Social Work/Therapist
Lindsey Walburn
Clinical Social Work/Therapist, LCSW
Verified Verified
Online Only
Making the decision to come to therapy can be very overwhelming. Working with me you can expect to experience a relaxed and safe space to work through whatever you need to improve your wellbeing and accomplish the goals you set for yourself. I have over a decade of professional counseling experience with a specialization in depression and anxiety. I also specialize as a perinatal maternal mental health specialist to help women navigate the emotional changes that happen during pregnancy and postpartum including PPD and PPA.
Making the decision to come to therapy can be very overwhelming. Working with me you can expect to experience a relaxed and safe space to work through whatever you need to improve your wellbeing and accomplish the goals you set for yourself. I have over a decade of professional counseling experience with a specialization in depression and anxiety. I also specialize as a perinatal maternal mental health specialist to help women navigate the emotional changes that happen during pregnancy and postpartum including PPD and PPA.
(704) 610-6523 View (704) 610-6523
Photo of Allison Whaley McLaurin, MEd, NCC, LCMHC
Allison Whaley McLaurin
Licensed Clinical Mental Health Counselor, MEd, NCC, LCMHC
Verified Verified
4 Endorsed
Serves Area
Waitlist for new clients
I am a believer in the human experience and normalizing the suffering that is a part of that experience. I do not take a pathological approach to individuals' mental health. I believe you will suffer within your lifetime and that we can work together to build your capacity for resilience. That being said I understand that some individuals have a chemical imbalance, or may experience psychosis if that is the case we can work together to take the proper steps for your health. Presently I work with children from ages six and up as well as adults.
I am a believer in the human experience and normalizing the suffering that is a part of that experience. I do not take a pathological approach to individuals' mental health. I believe you will suffer within your lifetime and that we can work together to build your capacity for resilience. That being said I understand that some individuals have a chemical imbalance, or may experience psychosis if that is the case we can work together to take the proper steps for your health. Presently I work with children from ages six and up as well as adults.
(704) 703-3162 View (704) 703-3162
Photo of Anna B Thames, LCMHCS, Licensed Professional Counselor
Anna B Thames
Licensed Professional Counselor, LCMHCS
Verified Verified
1 Endorsed
Serves Area
Nothing has the ability to stop life and wear you out more than when you are not able to get back on your feet or continue to push past the pain. At some point we all break. Have you pushed so hard and you just can’t get back to the old you? Or maybe the old you is not who you want to envision for your future. As a licensed professional counselor and licensed clinical addictions specialist, I have been a witness to some of life’s most precious moments and also some of life’s most challenging circumstances. My goal and desire is to help others navigate through their world and to find answers to some of life’s most difficult questions
Nothing has the ability to stop life and wear you out more than when you are not able to get back on your feet or continue to push past the pain. At some point we all break. Have you pushed so hard and you just can’t get back to the old you? Or maybe the old you is not who you want to envision for your future. As a licensed professional counselor and licensed clinical addictions specialist, I have been a witness to some of life’s most precious moments and also some of life’s most challenging circumstances. My goal and desire is to help others navigate through their world and to find answers to some of life’s most difficult questions
(704) 774-4613 View (704) 774-4613
Photo of Chris A. Matthews, LMFT-S, LCAS, SAP, CCS, Marriage & Family Therapist
Chris A. Matthews
Marriage & Family Therapist, LMFT-S, LCAS, SAP, CCS
Verified Verified
6 Endorsed
Serves Area
I do not take insurance, I work with couples and individuals who are willing to do whatever it takes to save their marriage or relationship. It is my job to be a co-pilot to help guide you and your partner through the storms of conflict, infidelity, grief, trauma, and life’s transitions such as parenting, employment, and blended family issues. As a fellow relationship partner who has been married for 17 years (and counting) with three kids, I personally can relate to the ups and downs of making a relationship work.
I do not take insurance, I work with couples and individuals who are willing to do whatever it takes to save their marriage or relationship. It is my job to be a co-pilot to help guide you and your partner through the storms of conflict, infidelity, grief, trauma, and life’s transitions such as parenting, employment, and blended family issues. As a fellow relationship partner who has been married for 17 years (and counting) with three kids, I personally can relate to the ups and downs of making a relationship work.
(704) 313-1562 View (704) 313-1562
Photo of Michelle McDevitt-Askew, MA, LMFT, LCMHCS, Marriage & Family Therapist
Michelle McDevitt-Askew
Marriage & Family Therapist, MA, LMFT, LCMHCS
Verified Verified
Serves Area
There are seasons in life when the opportunity to grow can come from both joyful and challenging circumstances or complicated issues and relationships. It is my hope that in the safe,non-judgmental space of therapy we can begin to discover your core resiliency, strengths and create awareness for integrating healthy coping and communication skills for healing. I enjoy helping couples discover relational dynamics and patterns that keep them from enjoying a safe, close and vibrant relationship. I am well suited to work with families and individuals who are struggling with anxiety, depression, chronic illness, grief and life stage transitioning.
There are seasons in life when the opportunity to grow can come from both joyful and challenging circumstances or complicated issues and relationships. It is my hope that in the safe,non-judgmental space of therapy we can begin to discover your core resiliency, strengths and create awareness for integrating healthy coping and communication skills for healing. I enjoy helping couples discover relational dynamics and patterns that keep them from enjoying a safe, close and vibrant relationship. I am well suited to work with families and individuals who are struggling with anxiety, depression, chronic illness, grief and life stage transitioning.
(980) 263-9313 View (980) 263-9313
Photo of Cassandra Rondel Asencio, LCSW, Clinical Social Work/Therapist
Cassandra Rondel Asencio
Clinical Social Work/Therapist, LCSW
Verified Verified
Serves Area
If you are here, you are probably looking for some support and assistance in returning your life or that of a loved one to a sense of “normalcy” or calm. Or perhaps you are looking for a calm that has never been experienced. I understand that struggles with OCD, anxiety, difficult experiences or challenging behaviors can be overwhelming and difficult to sort out. I have extensive experience working with people and families in many different life situations and I can help you, your child and your family find a calmer place.
If you are here, you are probably looking for some support and assistance in returning your life or that of a loved one to a sense of “normalcy” or calm. Or perhaps you are looking for a calm that has never been experienced. I understand that struggles with OCD, anxiety, difficult experiences or challenging behaviors can be overwhelming and difficult to sort out. I have extensive experience working with people and families in many different life situations and I can help you, your child and your family find a calmer place.
(704) 368-4304 View (704) 368-4304
Photo of Samantha Martinez, PhD, MSW, MA, Psychologist
Samantha Martinez
Psychologist, PhD, MSW, MA
Verified Verified
1 Endorsed
Serves Area
You or your loved one may be dealing with overwhelming stress, previous traumatic experiences, loss, or everyday life events, but what matters most is you are looking for ways to navigate these challenges. There are ways to use your strengths to move towards a meaningful life in line with your goals and aspirations. Together we will work to reach a greater understanding of your thoughts, feelings, and behaviors. Personal growth is unique, but we will aim to get you where you want to be, while encouraging development in areas aligned with your values.
You or your loved one may be dealing with overwhelming stress, previous traumatic experiences, loss, or everyday life events, but what matters most is you are looking for ways to navigate these challenges. There are ways to use your strengths to move towards a meaningful life in line with your goals and aspirations. Together we will work to reach a greater understanding of your thoughts, feelings, and behaviors. Personal growth is unique, but we will aim to get you where you want to be, while encouraging development in areas aligned with your values.
(704) 901-8478 View (704) 901-8478
Photo of Madeline Saab, MA, LMHCA, Counselor
Madeline Saab
Counselor, MA, LMHCA
Verified Verified
1 Endorsed
Serves Area
I know starting therapy can feel overwhelming, especially when it’s hard to know where to start. But here you are, seeking support, and that alone is a powerful step and I am so proud of you! Have you been feeling like a million thoughts and worries are constantly swarming your mind, making it hard to get a hold of them? Maybe you find yourself getting frustrated by the same unhealthy relationship cycles or behaviors that you just can't seem to change? Or perhaps you've been feeling lonely, down, and lack motivation to do the things you usually love.
I know starting therapy can feel overwhelming, especially when it’s hard to know where to start. But here you are, seeking support, and that alone is a powerful step and I am so proud of you! Have you been feeling like a million thoughts and worries are constantly swarming your mind, making it hard to get a hold of them? Maybe you find yourself getting frustrated by the same unhealthy relationship cycles or behaviors that you just can't seem to change? Or perhaps you've been feeling lonely, down, and lack motivation to do the things you usually love.
(704) 954-8663 View (704) 954-8663
Photo of Leah S Levenson, PsyD, Psychologist
Leah S Levenson
Psychologist, PsyD
Verified Verified
4 Endorsed
Online Only
Are you feeling like you are barely hanging on by a thread? If stress, anxiety, or burnout are leaving you feeling like you are spinning on an out of control hamster wheel and you can't get off, you’re not alone. And, you certainly don’t have to manage it alone. Whether you’re a high achiever buried under constant demands, a parent stretched too thin trying to juggle everything for everyone, or someone drowning in the never-ending hustle of the day-to-day, it’s exhausting trying to stay afloat while managing the weight of the world that no one else can see. There’s a way to lessen that burden while lessening the stress of it all.
Are you feeling like you are barely hanging on by a thread? If stress, anxiety, or burnout are leaving you feeling like you are spinning on an out of control hamster wheel and you can't get off, you’re not alone. And, you certainly don’t have to manage it alone. Whether you’re a high achiever buried under constant demands, a parent stretched too thin trying to juggle everything for everyone, or someone drowning in the never-ending hustle of the day-to-day, it’s exhausting trying to stay afloat while managing the weight of the world that no one else can see. There’s a way to lessen that burden while lessening the stress of it all.
(228) 265-5144 View (228) 265-5144
Photo of Meredith Stewart, MSW, LCSW, Clinical Social Work/Therapist
Meredith Stewart
Clinical Social Work/Therapist, MSW, LCSW
Verified Verified
Serves Area
Sometimes taking care of ourselves is the hardest thing because our lives don't have therapy built in our day. We become masters at believing we are dealing with our struggles, depression, anxiety, yet we never seem to get to a point where we are actually making a change. We see what we are doing isn't working yet we continue to do the same. I work with adults facing a variety of issues such as anxiety, depression, mania, adjustment related issues, relationship issues, divorce and grief/loss. I have over 20 years of experience helping individuals find healthy solutions.
Sometimes taking care of ourselves is the hardest thing because our lives don't have therapy built in our day. We become masters at believing we are dealing with our struggles, depression, anxiety, yet we never seem to get to a point where we are actually making a change. We see what we are doing isn't working yet we continue to do the same. I work with adults facing a variety of issues such as anxiety, depression, mania, adjustment related issues, relationship issues, divorce and grief/loss. I have over 20 years of experience helping individuals find healthy solutions.
(704) 635-6022 View (704) 635-6022
1

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How does your Therapist compare?

Number of Therapists in Weddington, NC

40+

Average cost per session

$150

Therapists in Weddington, NC who prioritize treating:

98% Anxiety
90% Depression
80% Trauma and PTSD
78% Self Esteem
76% Relationship Issues
73% Stress
71% Coping Skills

Average years in practice

14 Years

Top 3 insurances accepted

87% Aetna
87% BlueCross and BlueShield
61% UnitedHealthcare UHC | UBH

How Therapists in Weddington, NC see their clients

78% In Person and Online
22% Online Only

Gender breakdown

85% Female
13% Male
2% Non-Binary
FAQs - About Therapy and Counseling

How can I find a therapist in Weddington?

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.