Therapists in Columbia, SC

Photo of Teresa Quattlebaum Harris, Licensed Professional Counselor in Columbia, SC
Teresa Quattlebaum Harris
Licensed Professional Counselor, LPC, NCC, C-DBT, CCTP, CTMH
Verified Verified
Columbia, SC 29229
I treat clients who struggled with life experiences ranging from childhood trauma, abuse, family and relationship conflict, polyamorous relationships, kink, substance and alcohol use and abuse, etc. Clients may require live video sessions or telephone sessions to which I provide Monday through Friday from 8am to as late as 8pm some nights depending on client needs. I work to help clients create and achieve goals that focus on creating and maintaining a positive future. My clients want to live healthier lives with minimal experience with anxiety, depression, or other mental health challenges.
I treat clients who struggled with life experiences ranging from childhood trauma, abuse, family and relationship conflict, polyamorous relationships, kink, substance and alcohol use and abuse, etc. Clients may require live video sessions or telephone sessions to which I provide Monday through Friday from 8am to as late as 8pm some nights depending on client needs. I work to help clients create and achieve goals that focus on creating and maintaining a positive future. My clients want to live healthier lives with minimal experience with anxiety, depression, or other mental health challenges.
(803) 921-8409 View (803) 921-8409
Photo of Annie Old, Clinical Social Work/Therapist in Columbia, SC
Annie Old
Clinical Social Work/Therapist, LISW
Verified Verified
Columbia, SC 29210
Annie Old is a Licensed Independent Clinical Social Worker-Clinical Practice in South Carolina who has been practicing since 1996. She holds a Bachelor of Arts in Psychology and Social Work, as well as a Master of Science in Social Work from the University of Wisconsin-Madison. Annie has been a clinician since 1996 after graduating with her Master's degree in Social Work. She utilizes cognitive behavioral therapy, Dialectical Behavioral Therapy, Client-Centered Therapy, and Motivational Interviewing. Annie enjoys working with a multitude of clients, ages 10 and older.
Annie Old is a Licensed Independent Clinical Social Worker-Clinical Practice in South Carolina who has been practicing since 1996. She holds a Bachelor of Arts in Psychology and Social Work, as well as a Master of Science in Social Work from the University of Wisconsin-Madison. Annie has been a clinician since 1996 after graduating with her Master's degree in Social Work. She utilizes cognitive behavioral therapy, Dialectical Behavioral Therapy, Client-Centered Therapy, and Motivational Interviewing. Annie enjoys working with a multitude of clients, ages 10 and older.
(803) 721-4496 View (803) 721-4496
Photo of Olivia Tate, Licensed Professional Counselor in Columbia, SC
Olivia Tate
Licensed Professional Counselor, MA, LPC, NCC
Verified Verified
2 Endorsed
Columbia, SC 29229  (Online Only)
Are you overwhelmed with the pressure of being all the things, to all the people? Are you the strong one for everyone else, even though it feels like you're barely hanging on? Is your answer always "yes" even when your heart, body, and soul are saying "no"? Do you struggle to reconcile your faith with your mental health challenges? Do you crave a safe place that you can simply take the cape off and breathe? Does representation matter? If so, I've got you.
Are you overwhelmed with the pressure of being all the things, to all the people? Are you the strong one for everyone else, even though it feels like you're barely hanging on? Is your answer always "yes" even when your heart, body, and soul are saying "no"? Do you struggle to reconcile your faith with your mental health challenges? Do you crave a safe place that you can simply take the cape off and breathe? Does representation matter? If so, I've got you.
(803) 805-8490 View (803) 805-8490
Photo of Katharine Hartmann, Clinical Social Work/Therapist in Columbia, SC
Katharine Hartmann
Clinical Social Work/Therapist, LISW-CP, LCSW, VSP
Verified Verified
1 Endorsed
Columbia, SC 29201
Not accepting new clients
Let's turn the page together. I am not the expert on your story or your experiences, nor can I change the events that brought you here, but I can help support you as you write your new chapter.
Let's turn the page together. I am not the expert on your story or your experiences, nor can I change the events that brought you here, but I can help support you as you write your new chapter.
(803) 590-8677 View (803) 590-8677
Photo of Suzanne Snyder, Licensed Professional Counselor in Columbia, SC
Suzanne Snyder
Licensed Professional Counselor, LPC
Verified Verified
4 Endorsed
Columbia, SC 29205
Hi! I am glad you stopped by my page. I enjoy working with adolescents and adults (ages 12 and above). I focus on helping people deal with Depression, Anxiety, Lifestyle changes and Behavioral Issues. If you are looking to work on your issues, change behaviors or need to have someone listen to you and offer guidance, then I may be the therapist for you. Please feel free to email me or call me with any questions. I look forward to working with you.
Hi! I am glad you stopped by my page. I enjoy working with adolescents and adults (ages 12 and above). I focus on helping people deal with Depression, Anxiety, Lifestyle changes and Behavioral Issues. If you are looking to work on your issues, change behaviors or need to have someone listen to you and offer guidance, then I may be the therapist for you. Please feel free to email me or call me with any questions. I look forward to working with you.
(803) 339-9914 View (803) 339-9914
Photo of Elizabeth Carol Willits, Licensed Professional Counselor in Columbia, SC
Elizabeth Carol Willits
Licensed Professional Counselor, LPC
Verified Verified
2 Endorsed
Columbia, SC 29201
Are you struggling with a chronic illness that's taking over your life? Sometimes our bodies don't cooperate and it can be incredibly stressful and frustrating to watch your old hobbies and lifestyle come to a halt. My clients are often struggling with pain, overwhelming medical problems, and adjustments to life changes. You don't have to give in to this battle with your health- I help people find their full potential, making space for pain while opening up to the world around them.
Are you struggling with a chronic illness that's taking over your life? Sometimes our bodies don't cooperate and it can be incredibly stressful and frustrating to watch your old hobbies and lifestyle come to a halt. My clients are often struggling with pain, overwhelming medical problems, and adjustments to life changes. You don't have to give in to this battle with your health- I help people find their full potential, making space for pain while opening up to the world around them.
(803) 205-2866 View (803) 205-2866
Photo of Timothy Goode, Licensed Professional Counselor in Columbia, SC
Timothy Goode
Licensed Professional Counselor, LPC
Verified Verified
Columbia, SC 29209  (Online Only)
Hi, I’m Tim Goode. I’m a Licensed Professional Counselor in South Carolina, and nationally board certified counselor. I have over 15 years of experience working with adults on issues related to anxiety, stress, depression and trauma. I have experience and training providing mental health counseling for LGBTQIA+ people, military veterans, first responders and medical professionals. My practice integrates strategies for change that I’ve learned as a DBT-trained therapist and my own personal experience as a LGBT+ person. I also address issues around coming out, gender identity development, trauma, and relationships.
Hi, I’m Tim Goode. I’m a Licensed Professional Counselor in South Carolina, and nationally board certified counselor. I have over 15 years of experience working with adults on issues related to anxiety, stress, depression and trauma. I have experience and training providing mental health counseling for LGBTQIA+ people, military veterans, first responders and medical professionals. My practice integrates strategies for change that I’ve learned as a DBT-trained therapist and my own personal experience as a LGBT+ person. I also address issues around coming out, gender identity development, trauma, and relationships.
(803) 879-2156 View (803) 879-2156
Photo of Stephanie L McKenny, Licensed Professional Counselor in Columbia, SC
Stephanie L McKenny
Licensed Professional Counselor, LPC
Verified Verified
Columbia, SC 29223
Stephanie L. McKenny is a Licensed Professional Counselor in South Carolina who has been practicing since 2021. She has a BA in Child and Family Studies from Columbia College and a Masters in Mental Health Counseling from Webster University. Stephanie is truly excited about being able to serve you in your time of need. She has experience working with individuals with anxiety, depression, anger management, relational issues, building self-esteem and confidence, trauma, and grief. Stephanie enjoys working with older teens, young adults, and adults. Life has created many experiences for all of us.
Stephanie L. McKenny is a Licensed Professional Counselor in South Carolina who has been practicing since 2021. She has a BA in Child and Family Studies from Columbia College and a Masters in Mental Health Counseling from Webster University. Stephanie is truly excited about being able to serve you in your time of need. She has experience working with individuals with anxiety, depression, anger management, relational issues, building self-esteem and confidence, trauma, and grief. Stephanie enjoys working with older teens, young adults, and adults. Life has created many experiences for all of us.
(803) 676-7084 View (803) 676-7084
Photo of Laine Jones, Counselor in Columbia, SC
Laine Jones
Counselor, MA, LPC
Verified Verified
Columbia, SC 29201
Life does not stop and it can be hard. There are moments in which people find themselves unsure of how to keep going. It is important at these times for a person to have support and feel seen, heard, and understood. I am passionate about helping people who are hurting, especially adolescents and young adults. I believe that every person is uniquely designed and gifted. I adapt my therapeutic process to meet the needs and goals of each client I work with. I have specific training in the integration of counseling and biblical principals.
Life does not stop and it can be hard. There are moments in which people find themselves unsure of how to keep going. It is important at these times for a person to have support and feel seen, heard, and understood. I am passionate about helping people who are hurting, especially adolescents and young adults. I believe that every person is uniquely designed and gifted. I adapt my therapeutic process to meet the needs and goals of each client I work with. I have specific training in the integration of counseling and biblical principals.
(803) 866-3686 View (803) 866-3686
Photo of Jake Weidner, Licensed Professional Counselor Associate in Columbia, SC
Jake Weidner
Licensed Professional Counselor Associate, LPC-A
Verified Verified
1 Endorsed
Columbia, SC 29210
Does life ever feel full of pain and suffering at every turn? Have you tried countless ways to get rid of painful emotions, memories, and urges? Do you feel anxious, or depressed, or that you can't control whatever life throws at you? Then you are not alone. Suffering is not meant to be done alone. As a counselor, I want to join you on your life's journey and be there for the ups and downs of the trek. Together, we can discuss the various life stressors that have brought you into counseling at this exact moment of your life. I strive to create a space that fosters growth, vulnerability, and safety as we work together.
Does life ever feel full of pain and suffering at every turn? Have you tried countless ways to get rid of painful emotions, memories, and urges? Do you feel anxious, or depressed, or that you can't control whatever life throws at you? Then you are not alone. Suffering is not meant to be done alone. As a counselor, I want to join you on your life's journey and be there for the ups and downs of the trek. Together, we can discuss the various life stressors that have brought you into counseling at this exact moment of your life. I strive to create a space that fosters growth, vulnerability, and safety as we work together.
(803) 866-6052 View (803) 866-6052
Photo of Angela G Bright, Licensed Professional Counselor Associate in Columbia, SC
Angela G Bright
Licensed Professional Counselor Associate, M Ed, LPC A, GCDF
Verified Verified
Columbia, SC 29204
Overwhelmed? Stressed? Angry? Reactionary? Trouble in relationships - personal, professional, intimate? Feeling down or frustrated too often? I am here to listen and together we can find solutions that work for you. My primary goal is to help you develop strategies and interventions to improve your life and overall well-being. My counseling style is open and interactive. I encourage you to express your concerns, identify and face your struggles, and develop effective techniques and strategies to manage life's obstacles.
Overwhelmed? Stressed? Angry? Reactionary? Trouble in relationships - personal, professional, intimate? Feeling down or frustrated too often? I am here to listen and together we can find solutions that work for you. My primary goal is to help you develop strategies and interventions to improve your life and overall well-being. My counseling style is open and interactive. I encourage you to express your concerns, identify and face your struggles, and develop effective techniques and strategies to manage life's obstacles.
(803) 902-7978 View (803) 902-7978
Photo of Samantha Wolfer, Licensed Professional Counselor in Columbia, SC
Samantha Wolfer
Licensed Professional Counselor, MA, LPC, NCC
Verified Verified
1 Endorsed
Columbia, SC 29204
Do you find yourself weighed down by the thoughts in your head? Do you keep saying yes when you really want to say no? Do you find it hard to speak up for yourself or ask for what you need? Feeling disconnected from yourself and others? Have you had a lifelong bad relationship with your body? Let me come alongside you and help you navigate the sometimes choppy waters of life. If you're looking for a new way of being in the world, with yourself and others, I'd love to help. I enjoy working with individuals and couples dealing with anxiety, panic, depression, trauma, body image/food issues, and relationship conflict.
Do you find yourself weighed down by the thoughts in your head? Do you keep saying yes when you really want to say no? Do you find it hard to speak up for yourself or ask for what you need? Feeling disconnected from yourself and others? Have you had a lifelong bad relationship with your body? Let me come alongside you and help you navigate the sometimes choppy waters of life. If you're looking for a new way of being in the world, with yourself and others, I'd love to help. I enjoy working with individuals and couples dealing with anxiety, panic, depression, trauma, body image/food issues, and relationship conflict.
(803) 310-2365 View (803) 310-2365
Photo of Tiffany Conyers | TC Solutions , Clinical Social Work/Therapist in Columbia, SC
Tiffany Conyers | TC Solutions
Clinical Social Work/Therapist, LCSW, LISW-CP, PMH-C
Verified Verified
1 Endorsed
Columbia, SC 29212  (Online Only)
Not accepting new clients
Doing life is hard, especially when trying to manage your home, navigate the demands of work, meet the needs of family.... all while trying to fit in Me-Time (What's That, Tiffany?) I get it... all to often, women are doing all of this, through hurt, disappointment, previous trauma and so much more. You don't have to go at it alone... Let me help you process, find healing and WHOLEness.
Doing life is hard, especially when trying to manage your home, navigate the demands of work, meet the needs of family.... all while trying to fit in Me-Time (What's That, Tiffany?) I get it... all to often, women are doing all of this, through hurt, disappointment, previous trauma and so much more. You don't have to go at it alone... Let me help you process, find healing and WHOLEness.
(803) 679-2530 View (803) 679-2530
Photo of Kelly Benjamin, Licensed Professional Counselor in Columbia, SC
Kelly Benjamin
Licensed Professional Counselor, MA, LPC, NCC, CCMHC
Verified Verified
1 Endorsed
Columbia, SC 29201  (Online Only)
Seeking help can be difficult and finding the right therapist is key. Each individual is unique and deserves individualized treatment. My primary goal is to offer a safe and caring environment in which each client is treated with dignity and respect. Therapy sessions are a collaborative process and are aimed at empowering clients to better understand themselves.
Seeking help can be difficult and finding the right therapist is key. Each individual is unique and deserves individualized treatment. My primary goal is to offer a safe and caring environment in which each client is treated with dignity and respect. Therapy sessions are a collaborative process and are aimed at empowering clients to better understand themselves.
(803) 388-8901 View (803) 388-8901
Photo of Nancy Kennedy Brown, Clinical Social Work/Therapist in Columbia, SC
Nancy Kennedy Brown
Clinical Social Work/Therapist, PhD, MSW, LISW-CP, LCSW-R
Verified Verified
1 Endorsed
Columbia, SC 29210
I call it "The Business of Living." We face challenges in daily life that interfere with living our best lives. My work focuses on concerns associated with anxiety, depression, loss and grief, and substance misuse. I am a Distinguished Professor Emerita from the University of South Carolina, an experienced therapist and supervisor with a solid history of working with individuals, couples and families. I am trained in EMDR, a useful tool in dealing with trauma and its obstacles. My practice is based in brief, effective, and accessible solutions to challenges in life, and paths to integrating them into the Business of Living.
I call it "The Business of Living." We face challenges in daily life that interfere with living our best lives. My work focuses on concerns associated with anxiety, depression, loss and grief, and substance misuse. I am a Distinguished Professor Emerita from the University of South Carolina, an experienced therapist and supervisor with a solid history of working with individuals, couples and families. I am trained in EMDR, a useful tool in dealing with trauma and its obstacles. My practice is based in brief, effective, and accessible solutions to challenges in life, and paths to integrating them into the Business of Living.
(803) 258-6625 View (803) 258-6625
Photo of Susan Connolly-Nelson, Clinical Social Work/Therapist in Columbia, SC
Susan Connolly-Nelson
Clinical Social Work/Therapist, LISW-CP, CEDS-S
Verified Verified
Columbia, SC 29201
I am invested in helping individuals, families and significant other navigate the complexity of eating disorders, anxiety and depression. My philosophy is simple- to help individuals find meaning and balance in their life.
I am invested in helping individuals, families and significant other navigate the complexity of eating disorders, anxiety and depression. My philosophy is simple- to help individuals find meaning and balance in their life.
(803) 636-8986 View (803) 636-8986
Photo of Janet Foster, Licensed Professional Counselor in Columbia, SC
Janet Foster
Licensed Professional Counselor, MEd, LPC
Verified Verified
1 Endorsed
Columbia, SC 29210
I hold true to the idea that we all have an internal narrative rehearsing in our brains which sets the stage for our lives. I work with you to reinvent that internal narrative in order to create and maintain a new, desired version of self. I truly believe everyone has the potential to be their very own Great!!!
I hold true to the idea that we all have an internal narrative rehearsing in our brains which sets the stage for our lives. I work with you to reinvent that internal narrative in order to create and maintain a new, desired version of self. I truly believe everyone has the potential to be their very own Great!!!
(803) 573-9696 View (803) 573-9696
Photo of Dr. Ashley Waddington, Licensed Professional Counselor in Columbia, SC
Dr. Ashley Waddington
Licensed Professional Counselor, PhD, LPC, LPCS
Verified Verified
1 Endorsed
Columbia, SC 29201
Waitlist for new clients
You don't have to feel the way you are feeling forever. You have tried a number of different things and things aren’t working. You're not sure where to start but feel that doing it alone seems impossible and daunting. The individual I typically see feels stuck and wants to make the necessary changes to improve their communication for self and others, build their self-esteem and confidence, process emotions, and recover. Therapy provides a nonjudgmental space to work through life's hardships and stressors. Change can be very difficult however so is staying in the same place.
You don't have to feel the way you are feeling forever. You have tried a number of different things and things aren’t working. You're not sure where to start but feel that doing it alone seems impossible and daunting. The individual I typically see feels stuck and wants to make the necessary changes to improve their communication for self and others, build their self-esteem and confidence, process emotions, and recover. Therapy provides a nonjudgmental space to work through life's hardships and stressors. Change can be very difficult however so is staying in the same place.
(803) 212-0341 View (803) 212-0341
Photo of Catherine W Harman, Licensed Professional Counselor in Columbia, SC
Catherine W Harman
Licensed Professional Counselor, MS, LPCS
Verified Verified
Columbia, SC 29212
When life becomes too challenging, whether the cause is depression, anxiety, relationship difficulties or grief and loss, seeking help is the first step in gaining greater control and happiness over your life. Whether your goal is improving your coping skills, strengthening your relationship, reducing negative thinking, or reducing symptoms of depression and anxiety, counseling can help. I am committed to providing short-term therapy to individuals and families in a time effective and affordable manner. Change is difficult, but together we can work toward improving relationships, reducing negative thinking, reducing depression and anxiety, and learn to take better care of ourselves.
When life becomes too challenging, whether the cause is depression, anxiety, relationship difficulties or grief and loss, seeking help is the first step in gaining greater control and happiness over your life. Whether your goal is improving your coping skills, strengthening your relationship, reducing negative thinking, or reducing symptoms of depression and anxiety, counseling can help. I am committed to providing short-term therapy to individuals and families in a time effective and affordable manner. Change is difficult, but together we can work toward improving relationships, reducing negative thinking, reducing depression and anxiety, and learn to take better care of ourselves.
(803) 610-2107 View (803) 610-2107
Photo of Kaye Randall, Clinical Social Work/Therapist in Columbia, SC
Kaye Randall
Clinical Social Work/Therapist, LISW-CP
Verified Verified
Columbia, SC 29206  (Online Only)
Hi! My name is Kathleen Randall, MSW, LISW-CP. It is great to meet you! Life’s challenges can be overwhelming at times. You may be dealing with anxiety, depression, relationship issues or simply seeking personal growth in all areas of your life. I am here to provide support and guide you through solution focused strategies. Our discussions will be grounded in empathy, understanding and empowerment. I am a licensed clinical therapist with over 24 years of experience in private practice. I love helping people discover their innate strengths while sharing new strategies in order to implement and sustain lasting positive change.
Hi! My name is Kathleen Randall, MSW, LISW-CP. It is great to meet you! Life’s challenges can be overwhelming at times. You may be dealing with anxiety, depression, relationship issues or simply seeking personal growth in all areas of your life. I am here to provide support and guide you through solution focused strategies. Our discussions will be grounded in empathy, understanding and empowerment. I am a licensed clinical therapist with over 24 years of experience in private practice. I love helping people discover their innate strengths while sharing new strategies in order to implement and sustain lasting positive change.
(803) 674-5732 View (803) 674-5732

How does your Therapist compare?

Number of Therapists in Columbia, SC

600+

Average cost per session

$125

Therapists in Columbia, SC who prioritize treating:

93% Anxiety
87% Depression
76% Self Esteem
74% Relationship Issues
74% Coping Skills
73% Stress
70% Trauma and PTSD

Average years in practice

10 Years

Top 3 insurances accepted

73% BlueCross and BlueShield
58% Aetna
57% Cigna and Evernorth

How Therapists in Columbia, SC see their clients

66% In Person and Online
34% Online Only

Gender breakdown

82% Female
17% Male
1% Non-Binary
FAQs - About Therapy and Counseling

How can I find a therapist in Columbia?

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.