Therapists in Winston Salem, NC

Photo of Diana Green, Clinical Social Work/Therapist, MSW, LCSW
Diana Green
Clinical Social Work/Therapist, MSW, LCSW
1 Endorsed
Online Only
Welcome! I'm glad you're here. I work with adults aged 18-99. My primary specialties are anxiety, depression, and grief. My clients are seeking to make changes and improve their day to day life. My goal is to be on your team and to work with you: therapy is a collaborative process. You may have a long history of therapy or be brand new to the process - either way, we can figure things out together! I am an independent provider, which means I do not have any restrictions due to working for a larger organization - this allows me to take good care of myself and of you.
Welcome! I'm glad you're here. I work with adults aged 18-99. My primary specialties are anxiety, depression, and grief. My clients are seeking to make changes and improve their day to day life. My goal is to be on your team and to work with you: therapy is a collaborative process. You may have a long history of therapy or be brand new to the process - either way, we can figure things out together! I am an independent provider, which means I do not have any restrictions due to working for a larger organization - this allows me to take good care of myself and of you.
(336) 360-8632 View (336) 360-8632
Photo of Elyse Edwards - Forsyth Family Counseling, Licensed Professional Counselor
Forsyth Family Counseling
Licensed Professional Counselor
2 Endorsed
Winston Salem, NC 27101
Our licensed therapists have extensive training and experience in issues affecting adults, couples, children, adolescents and their families. We specialize in treating a range of conditions including depression, anxiety, relationship issues, attachment, addiction, grief, women/men's issues, ADHD, oppositional/defiance, trauma, post traumatic stress disorder, OCD, and much more. We also offer extensive effective parenting training if your child is oppositional, defiant, and sometimes even aggressive.
Our licensed therapists have extensive training and experience in issues affecting adults, couples, children, adolescents and their families. We specialize in treating a range of conditions including depression, anxiety, relationship issues, attachment, addiction, grief, women/men's issues, ADHD, oppositional/defiance, trauma, post traumatic stress disorder, OCD, and much more. We also offer extensive effective parenting training if your child is oppositional, defiant, and sometimes even aggressive.
(336) 750-6021 View (336) 750-6021
Photo of Candace L Washington, Psychologist, PhD
Candace L Washington
Psychologist, PhD
2 Endorsed
Winston Salem, NC 27106
Feeling isolated? Unsure how to manage demands on you? Struggling with decisions? Can't share feelings because you fear being misunderstood? Feeling overwhelmed? I work with adults dealing with issues including excessive worry, role changes, indecision, unhappiness, interpersonal differences to unexpected life challenges. Psychotherapy helps to gain a better understanding of self and others as well as recognize triggers affecting positive growth and change. You never endure this "journey" alone. Together, we explore beliefs, unresolved issues, feelings, and behaviors to develop healthy coping skills and life choices.
Feeling isolated? Unsure how to manage demands on you? Struggling with decisions? Can't share feelings because you fear being misunderstood? Feeling overwhelmed? I work with adults dealing with issues including excessive worry, role changes, indecision, unhappiness, interpersonal differences to unexpected life challenges. Psychotherapy helps to gain a better understanding of self and others as well as recognize triggers affecting positive growth and change. You never endure this "journey" alone. Together, we explore beliefs, unresolved issues, feelings, and behaviors to develop healthy coping skills and life choices.
(336) 606-1569 View (336) 606-1569
Photo of Kim Wagner-Evans, Licensed Clinical Mental Health Counselor, LCMHC, LCAS, NCC, CCTP-II, QS
Kim Wagner-Evans
Licensed Clinical Mental Health Counselor, LCMHC, LCAS, NCC, CCTP-II, QS
Winston Salem, NC 27101
Not accepting new clients
Welcome! I am a compassionate and dedicated therapist who believes in providing a supportive and educational approach to counseling. My goal is to create a safe, empathetic, and respectful space for all clients to explore their challenges and work toward meaningful change. I believe that effective counseling is a collaborative effort. Together, we will set meaningful goals, assess progress, and work both in session and outside of session to achieve the changes you seek.
Welcome! I am a compassionate and dedicated therapist who believes in providing a supportive and educational approach to counseling. My goal is to create a safe, empathetic, and respectful space for all clients to explore their challenges and work toward meaningful change. I believe that effective counseling is a collaborative effort. Together, we will set meaningful goals, assess progress, and work both in session and outside of session to achieve the changes you seek.
(336) 864-2762 View (336) 864-2762
Photo of Ana Carolina Vieira, Clinical Social Work/Therapist, LCSW
Ana Carolina Vieira
Clinical Social Work/Therapist, LCSW
Online Only
Oi! Hola! Hi! Did you go through a change recently and feel lost? Depressed? Anxious? Like you're unsure about who you are? Do you feel that this was the last drop and you're at your limit? Life changes such as moving to a new place or country can trigger a significant sense of loss and lack of identity. Feeling in between cultures can similarly trigger feelings of confusion. If you can relate to any of these issues, I invite you on a journey. Together, I believe we can create a life worth living by tailoring the space of therapy to one that is meaningful to you!
Oi! Hola! Hi! Did you go through a change recently and feel lost? Depressed? Anxious? Like you're unsure about who you are? Do you feel that this was the last drop and you're at your limit? Life changes such as moving to a new place or country can trigger a significant sense of loss and lack of identity. Feeling in between cultures can similarly trigger feelings of confusion. If you can relate to any of these issues, I invite you on a journey. Together, I believe we can create a life worth living by tailoring the space of therapy to one that is meaningful to you!
(336) 490-5244 View (336) 490-5244
Photo of Katherine S Rives, Clinical Social Work/Therapist, MSSW, LCSW, LCAS
Katherine S Rives
Clinical Social Work/Therapist, MSSW, LCSW, LCAS
1 Endorsed
Winston Salem, NC 27106
Would you like to gain a better understanding of yourself, patterns of behaviors/ cycles of thinking- with the intention of creating a more fulfilling life? We will work together to establish a treatment plan that fits your goals and needs.
Would you like to gain a better understanding of yourself, patterns of behaviors/ cycles of thinking- with the intention of creating a more fulfilling life? We will work together to establish a treatment plan that fits your goals and needs.
(336) 360-3783 View (336) 360-3783
Photo of Joel Branscomb, Counselor, LCMHCA, MA, MDiv
Joel Branscomb
Counselor, LCMHCA, MA, MDiv
Winston Salem, NC 27106
Greetings! If you're here then you're likely looking for help, or at least curious about talking to someone about what burdens you. Know that you need not carry your burdens alone, and it would be my privilege and honor to join you on your journey. We will work together to provide you with a safe place to be fully seen and truly known. Perhaps that ignites a shred of hope within you, or dread, or maybe both! The journey towards real change may involve discomfort, but it can be life-giving. Good things are often achieved through hardship.
Greetings! If you're here then you're likely looking for help, or at least curious about talking to someone about what burdens you. Know that you need not carry your burdens alone, and it would be my privilege and honor to join you on your journey. We will work together to provide you with a safe place to be fully seen and truly known. Perhaps that ignites a shred of hope within you, or dread, or maybe both! The journey towards real change may involve discomfort, but it can be life-giving. Good things are often achieved through hardship.
(336) 585-7131 View (336) 585-7131
Photo of Ashley Taylor, Counselor, LCMHC, NCC, CCTP
Ashley Taylor
Counselor, LCMHC, NCC, CCTP
Online Only
Welcome! I am Ashley Taylor and I would love to help you on your journey to healing. I have experience working with children, teens, adults, and families and have worked with a wide range of emotional and behavioral issues such as but not limited to anxiety, depression, OCD, parenting skills, relationship issues, trauma, and women’s issues.
Welcome! I am Ashley Taylor and I would love to help you on your journey to healing. I have experience working with children, teens, adults, and families and have worked with a wide range of emotional and behavioral issues such as but not limited to anxiety, depression, OCD, parenting skills, relationship issues, trauma, and women’s issues.
(336) 606-1131 View (336) 606-1131
Photo of Kiana Terry, Clinical Social Work/Therapist, LCSW-A
Kiana Terry
Clinical Social Work/Therapist, LCSW-A
Winston Salem, NC 27103
Kiana is a licensed clinical social worker associate with a B.S. in Social Work from Winston-Salem State University and an M.S. in Social Work from North Carolina Central University. With extensive experience in providing support to victims of domestic violence and individuals with mental health disorders, Kiana offers a compassionate and evidence-based approach to therapy. Kiana’s previous roles as a social worker honed her skills in active listening and empathy while working with both children and adults. Kiana specializes in anxiety, depression, and ADHD diagnosis.
Kiana is a licensed clinical social worker associate with a B.S. in Social Work from Winston-Salem State University and an M.S. in Social Work from North Carolina Central University. With extensive experience in providing support to victims of domestic violence and individuals with mental health disorders, Kiana offers a compassionate and evidence-based approach to therapy. Kiana’s previous roles as a social worker honed her skills in active listening and empathy while working with both children and adults. Kiana specializes in anxiety, depression, and ADHD diagnosis.
(336) 523-0942 View (336) 523-0942
Photo of Brittany Atwater, Licensed Clinical Mental Health Counselor, CRC, LCMHC
Brittany Atwater
Licensed Clinical Mental Health Counselor, CRC, LCMHC
Online Only
I am a Licensed Mental Health Therapist dedicated to creating safety in session, develop and monitor personal growth, offer therapeutic support and motivation and support to guide you through success in reaching personal therapy goals. I work virtually successfully supporting individuals 18+.
I am a Licensed Mental Health Therapist dedicated to creating safety in session, develop and monitor personal growth, offer therapeutic support and motivation and support to guide you through success in reaching personal therapy goals. I work virtually successfully supporting individuals 18+.
(336) 221-3359 View (336) 221-3359
Photo of Jessica Bruno - MentalRest™, Marriage & Family Therapist
MentalRest™
Marriage & Family Therapist
Winston Salem, NC 27101
At MentalRest, we understand that finding quality mental health support can be daunting due to the shortage of professionals and concerns about affordability. That’s why we’ve pioneered an innovative graduate student intern program supervised by expert clinicians, enabling us to deliver affordable, evidence-based counseling to individuals from all walks of life. Our ideal clients are people seeking real change—whether they're navigating stress, striving for greater balance, overcoming challenges, or simply looking for guidance at any stage of their wellness journey.
At MentalRest, we understand that finding quality mental health support can be daunting due to the shortage of professionals and concerns about affordability. That’s why we’ve pioneered an innovative graduate student intern program supervised by expert clinicians, enabling us to deliver affordable, evidence-based counseling to individuals from all walks of life. Our ideal clients are people seeking real change—whether they're navigating stress, striving for greater balance, overcoming challenges, or simply looking for guidance at any stage of their wellness journey.
(336) 221-3912 View (336) 221-3912
Photo of Annamarie Gallagher, Licensed Professional Counselor, MA, LCMHCS
Annamarie Gallagher
Licensed Professional Counselor, MA, LCMHCS
1 Endorsed
Winston Salem, NC 27103
Welcome! I am a Licensed Clinical Mental Health Counselor Supervisor in NC with over 15 yrs of experience in community, higher education, supervision and group private practice settings. In my work, I draw from EMDR (eye movement desensitization), ACT (acceptance and commitment therapy), brainspotting, mindfulness, expressive arts, internal family systems (IFS) and other trauma-informed practices through a social justice lens. With a deep commitment to equitable care celebrating gender, sexuality, race, and culture, my practice is LGBTQ+ allied and weight-inclusive.
Welcome! I am a Licensed Clinical Mental Health Counselor Supervisor in NC with over 15 yrs of experience in community, higher education, supervision and group private practice settings. In my work, I draw from EMDR (eye movement desensitization), ACT (acceptance and commitment therapy), brainspotting, mindfulness, expressive arts, internal family systems (IFS) and other trauma-informed practices through a social justice lens. With a deep commitment to equitable care celebrating gender, sexuality, race, and culture, my practice is LGBTQ+ allied and weight-inclusive.
(336) 490-5508 View (336) 490-5508
Photo of Rosella Edwards-Easley - Stonebuilders Counseling Center, Inc., Counselor, MS, LCAS, LCMHC
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
Photo of M. Elizabeth Doub, Counselor, MS, LCMHC, NCC, RYT200
M. Elizabeth Doub
Counselor, MS, LCMHC, NCC, RYT200
Winston Salem, NC 27101
How can I help? Accepting motivated Clients moving towards their own unique goals-whether that is dealing with the stress of everyday life, coping with overwhelming emotions, building self-esteem and communication skills, or fostering safe relationships. I have particular interest in identifying and working through trauma , exploring how experiences effect current functioning, and increasing resilience. I have advanced training in trauma, anxiety, depression, and ADHD, I have a laid-back working style, offer non-judgmental listening, and am 'just human'. To be authentic, we are better able to extend grace to ourselves and others.
How can I help? Accepting motivated Clients moving towards their own unique goals-whether that is dealing with the stress of everyday life, coping with overwhelming emotions, building self-esteem and communication skills, or fostering safe relationships. I have particular interest in identifying and working through trauma , exploring how experiences effect current functioning, and increasing resilience. I have advanced training in trauma, anxiety, depression, and ADHD, I have a laid-back working style, offer non-judgmental listening, and am 'just human'. To be authentic, we are better able to extend grace to ourselves and others.
(336) 794-6877 View (336) 794-6877
Photo of David Stefan Bathory, Psychologist, PsyD
David Stefan Bathory
Psychologist, PsyD
1 Endorsed
Winston Salem, NC 27106
Not accepting new clients
I am a Psychologist/Neuropsychologist who specializes in trauma and neurodiversity. I offer individual individualized psychotherapy, designed to meet your needs using different best practice models of therapy. My practice specialties in working with children and adults; Complex Trauma, Autism, ADHD & Rare Neuropsychological Disorders. I help people across the world to find ways to work together and will help you to move forward in your journey.
I am a Psychologist/Neuropsychologist who specializes in trauma and neurodiversity. I offer individual individualized psychotherapy, designed to meet your needs using different best practice models of therapy. My practice specialties in working with children and adults; Complex Trauma, Autism, ADHD & Rare Neuropsychological Disorders. I help people across the world to find ways to work together and will help you to move forward in your journey.
(908) 444-1524 View (908) 444-1524
Photo of Liv O’Clair, Lic Clinical Mental Health Counselor Associate, LCMHCA
Liv O’Clair
Lic Clinical Mental Health Counselor Associate, LCMHCA
Winston Salem, NC 27103
I work with individuals seeking emotional healing, self-discovery, and practical tools for navigating life’s challenges. Whether you're struggling with emotional regulation, stress, identity, or major life transitions, I provide a compassionate, non-judgmental space to explore these issues. My approach is collaborative and tailored to your unique needs, values, and cultural perspectives. Together, we'll work to help you feel heard, empowered, and equipped with strategies to manage stress, improve relationships, and move forward with confidence.
I work with individuals seeking emotional healing, self-discovery, and practical tools for navigating life’s challenges. Whether you're struggling with emotional regulation, stress, identity, or major life transitions, I provide a compassionate, non-judgmental space to explore these issues. My approach is collaborative and tailored to your unique needs, values, and cultural perspectives. Together, we'll work to help you feel heard, empowered, and equipped with strategies to manage stress, improve relationships, and move forward with confidence.
(336) 753-5665 View (336) 753-5665
Photo of Regina L Mason, Clinical Social Work/Therapist, LCSW, MSW, QDDP
Regina L Mason
Clinical Social Work/Therapist, LCSW, MSW, QDDP
1 Endorsed
Winston Salem, NC 27105
Life happens—and sometimes it feels overwhelming, isolating, or just plain hard. My passion is helping people navigate those moments with compassion and practical support. Whether you are struggling with relationships, managing stress, working through grief, or simply trying to find your sense of self again, I provide a safe, nonjudgmental space where you can be heard and supported. I believe therapy is not about “fixing” you, it’s about walking alongside you as you uncover your strengths, heal from past pain, and build tools to move forward.
Life happens—and sometimes it feels overwhelming, isolating, or just plain hard. My passion is helping people navigate those moments with compassion and practical support. Whether you are struggling with relationships, managing stress, working through grief, or simply trying to find your sense of self again, I provide a safe, nonjudgmental space where you can be heard and supported. I believe therapy is not about “fixing” you, it’s about walking alongside you as you uncover your strengths, heal from past pain, and build tools to move forward.
(336) 818-5287 View (336) 818-5287
Photo of Melinda Snyder, Licensed Professional Counselor, MA, MDiv, LCMHCS
Melinda Snyder
Licensed Professional Counselor, MA, MDiv, LCMHCS
Winston Salem, NC 27103
Hello! I am a Trauma Specialist trained in EMDR, Hypnotherapy, QHHT, IFS, and Trauma Therapy and specialize in PTSD, ADHD, anxiety and depression with over 15 years of experience assisting clients to a state of well-being, growth, and wholeness. Most clients find my approach gentle, compassionate and involved. I try to leave you with something in each session, instead of "just listening." You can expect to be accepted where you are, to feel safe, and to be an active participant in your unique journey as we move at your own pace.
Hello! I am a Trauma Specialist trained in EMDR, Hypnotherapy, QHHT, IFS, and Trauma Therapy and specialize in PTSD, ADHD, anxiety and depression with over 15 years of experience assisting clients to a state of well-being, growth, and wholeness. Most clients find my approach gentle, compassionate and involved. I try to leave you with something in each session, instead of "just listening." You can expect to be accepted where you are, to feel safe, and to be an active participant in your unique journey as we move at your own pace.
(336) 360-6452 View (336) 360-6452
Photo of Grace Ligon, Clinical Social Work/Therapist, LCSW, MHA
Grace Ligon
Clinical Social Work/Therapist, LCSW, MHA
1 Endorsed
Winston Salem, NC 27101
Feeling stuck or misunderstood despite appearing successful to others? You're not alone. Whether you're navigating life transitions, trauma recovery, neurodivergence, or embracing your authentic gender identity and sexuality—all of this demands both safety and courage. I create a space where your unique journey becomes a source of strength and empowerment. My practice combines evidence-based techniques with deep appreciation for neurodiversity and exploration. Together, we'll transform survival strategies into authentic living and discover how your distinctive way of experiencing the world can lead to profound self-understanding.
Feeling stuck or misunderstood despite appearing successful to others? You're not alone. Whether you're navigating life transitions, trauma recovery, neurodivergence, or embracing your authentic gender identity and sexuality—all of this demands both safety and courage. I create a space where your unique journey becomes a source of strength and empowerment. My practice combines evidence-based techniques with deep appreciation for neurodiversity and exploration. Together, we'll transform survival strategies into authentic living and discover how your distinctive way of experiencing the world can lead to profound self-understanding.
(336) 916-1794 View (336) 916-1794
Photo of Britta Marie Starke, Clinical Social Work/Therapist, LCSW
Britta Marie Starke
Clinical Social Work/Therapist, LCSW
Winston Salem, NC 27104
Welcome and congratulations on choosing to embark on a different journey! I have spent 25 yrs getting to know people of all ages. I find my passion lies with treating individuals that have experienced trauma and realize there are wounds to heal. I also enjoy working with individuals who struggle with finding a sense of meaning and purpose, or the loss of such, while juggling the demands of school, career, relationships and society. I believe in walking along side individuals in the exploration of what is missing or maybe not yet found! Are you ready to get started?
Welcome and congratulations on choosing to embark on a different journey! I have spent 25 yrs getting to know people of all ages. I find my passion lies with treating individuals that have experienced trauma and realize there are wounds to heal. I also enjoy working with individuals who struggle with finding a sense of meaning and purpose, or the loss of such, while juggling the demands of school, career, relationships and society. I believe in walking along side individuals in the exploration of what is missing or maybe not yet found! Are you ready to get started?
(984) 237-3053 View (984) 237-3053

See more therapy options for Winston Salem

How does your Therapist compare?

Number of Therapists in Winston Salem, NC

700+

Average cost per session

$150

Therapists in Winston Salem, NC who prioritize treating:

91% Anxiety
86% Depression
75% Self Esteem
71% Coping Skills
71% Stress
70% Relationship Issues
69% Trauma and PTSD

Average years in practice

10 Years

Top 3 insurances accepted

91% Aetna
89% BlueCross and BlueShield
54% Cigna and Evernorth

How Therapists in Winston Salem, NC see their clients

67% In Person and Online
33% Online Only

Gender breakdown

81% Female
18% Male
1% Non-Binary
FAQs - About Therapy and Counseling

How can I find a therapist in Winston Salem?

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.