Therapists in Mount Pleasant, SC

Photo of Catherine Rousselle, Licensed Professional Counselor Associate, LPC-A, MA, NCC
Catherine Rousselle
Licensed Professional Counselor Associate, LPC-A, MA, NCC
1 Endorsed
Mount Pleasant, SC 29466
Welcome! If you're here, you may be feeling overwhelmed by trauma, experiencing a major life change, or bearing the weight of everything all at once. Carrying so much on your own can leave you feeling worn down. You're looking for clarity, relief, and to feel more like yourself again. Whether you're navigating a major life transition, experiencing depression, or a crisis, you're looking for someone genuine, compassionate, and empathetic to walk beside you. In our work together, we’ll move at your pace, using practical tools and a grounded presence to help you reconnect with your strength and achieve meaningful change.
Welcome! If you're here, you may be feeling overwhelmed by trauma, experiencing a major life change, or bearing the weight of everything all at once. Carrying so much on your own can leave you feeling worn down. You're looking for clarity, relief, and to feel more like yourself again. Whether you're navigating a major life transition, experiencing depression, or a crisis, you're looking for someone genuine, compassionate, and empathetic to walk beside you. In our work together, we’ll move at your pace, using practical tools and a grounded presence to help you reconnect with your strength and achieve meaningful change.
(843) 548-5759 View (843) 548-5759
Photo of Mary Mcinerny - LifeStance Health, Licensed Professional Counselor, LPC
LifeStance Health
Licensed Professional Counselor, LPC
Mount Pleasant, SC 29464
Making your first appointment can be one of the most challenging steps in your mental health journey. At LifeStance, we make it simple by offering both online and in-person therapy and psychiatry services, covered by major insurance plans.
Making your first appointment can be one of the most challenging steps in your mental health journey. At LifeStance, we make it simple by offering both online and in-person therapy and psychiatry services, covered by major insurance plans.
(854) 458-7435 View (854) 458-7435
Photo of Dr. Dean Leav - Psychological Testing & Evaluations - Dr. Dean, Psychologist, PsyD, QME, Author
Psychological Testing & Evaluations - Dr. Dean
Psychologist, PsyD, QME, Author
Mount Pleasant, SC 29466
I’m Dr. Dean Leav. I've been featured on ABC, NBC, KCAL, and other programs as an expert psychologist. I conduct ADHD / autism / learning disability evaluations, legal / forensic evaluations for court, risk assessment (violence / sexual), cognitive / neuropsychological evaluations, diagnostic psychological evaluations, immigration evaluations, adoption evaluations, parenting / bonding assessments, drug & alcohol evaluations, fitness for duty evaluations, workers' compensation (QME/AME) evaluations, and other types of psychological evaluations / assessments.
I’m Dr. Dean Leav. I've been featured on ABC, NBC, KCAL, and other programs as an expert psychologist. I conduct ADHD / autism / learning disability evaluations, legal / forensic evaluations for court, risk assessment (violence / sexual), cognitive / neuropsychological evaluations, diagnostic psychological evaluations, immigration evaluations, adoption evaluations, parenting / bonding assessments, drug & alcohol evaluations, fitness for duty evaluations, workers' compensation (QME/AME) evaluations, and other types of psychological evaluations / assessments.
(854) 201-3978 View (854) 201-3978
Photo of Emily Holland - Emily Holland, Hopewell Counseling Services, Licensed Professional Counselor, MA, LPC, NCC
Emily Holland, Hopewell Counseling Services
Licensed Professional Counselor, MA, LPC, NCC
2 Endorsed
Mount Pleasant, SC 29466
Welcome! You are taking the first step in healing by being here. I am passionate about providing compassion-focused care for adolescents and young adults, who are experiencing changes in functioning whether at school, work, and/or home. Using evidenced-based practices to find breakthroughs, I am dedicated to helping my clients experience growth.
Welcome! You are taking the first step in healing by being here. I am passionate about providing compassion-focused care for adolescents and young adults, who are experiencing changes in functioning whether at school, work, and/or home. Using evidenced-based practices to find breakthroughs, I am dedicated to helping my clients experience growth.
(843) 350-5828 View (843) 350-5828
Photo of Ari-Elle West, Licensed Professional Counselor, MEd, LPC
Ari-Elle West
Licensed Professional Counselor, MEd, LPC
Mount Pleasant, SC 29464
Ari West, LPC Ari West is a Licensed Professional Counselor in South Carolina who has been practicing since 2020. She has a Masters of Education in Counselor Education with a Concentration in Clinical Mental Health Counseling. Ari practices from both a person-centered and systemic approach, assisting clients with better understanding their relationships and connection to the world while also offering a safe and empathic environment. In her spare time, Ari enjoys riding horses and loving on all her fur babies, and traveling with the people she cares about most.
Ari West, LPC Ari West is a Licensed Professional Counselor in South Carolina who has been practicing since 2020. She has a Masters of Education in Counselor Education with a Concentration in Clinical Mental Health Counseling. Ari practices from both a person-centered and systemic approach, assisting clients with better understanding their relationships and connection to the world while also offering a safe and empathic environment. In her spare time, Ari enjoys riding horses and loving on all her fur babies, and traveling with the people she cares about most.
(843) 920-2445 View (843) 920-2445
Photo of Megan Y Provost, Licensed Professional Counselor, MA, LPC, LAC
Megan Y Provost
Licensed Professional Counselor, MA, LPC, LAC
6 Endorsed
Mount Pleasant, SC 29466
Have you struggled with setting boundaries or found yourself in relationships that feel emotionally, physically, or psychologically draining? You're not alone, and healing is possible. I specialize in helping individuals who have experienced abuse or toxic relationship dynamics. Whether you're navigating codependency, struggling to assert your needs, or trapped in a cycle of conflict or abuse, we can work together to rebuild your sense of self and restore your emotional well-being. Whether you're recovering from an abusive relationship, healing from trauma, or just ready to make changes in your life, therapy is the first step.
Have you struggled with setting boundaries or found yourself in relationships that feel emotionally, physically, or psychologically draining? You're not alone, and healing is possible. I specialize in helping individuals who have experienced abuse or toxic relationship dynamics. Whether you're navigating codependency, struggling to assert your needs, or trapped in a cycle of conflict or abuse, we can work together to rebuild your sense of self and restore your emotional well-being. Whether you're recovering from an abusive relationship, healing from trauma, or just ready to make changes in your life, therapy is the first step.
(843) 241-9381 View (843) 241-9381
Photo of Stephanie Sams, Licensed Professional Counselor Associate, MA, LPCA
Stephanie Sams
Licensed Professional Counselor Associate, MA, LPCA
Mount Pleasant, SC 29464
Many times we find ourselves off balance in our lives. Chronic illness, perimenopause / menopause, anxiety, depression, and life changes can knock our worlds upside-down and have us feeling out of control. My clients seek help putting their lives back in balance. If chronic illness is a factor, we need to have a safe space to grieve our old selves, the space to be angry at circumstances, and the space to be mindful and rebuild our new normal. It is hard to cope with the idea that your whole life can change in an instant by a medical diagnosis. It is important that clients realize they don't have to go through this alone.
Many times we find ourselves off balance in our lives. Chronic illness, perimenopause / menopause, anxiety, depression, and life changes can knock our worlds upside-down and have us feeling out of control. My clients seek help putting their lives back in balance. If chronic illness is a factor, we need to have a safe space to grieve our old selves, the space to be angry at circumstances, and the space to be mindful and rebuild our new normal. It is hard to cope with the idea that your whole life can change in an instant by a medical diagnosis. It is important that clients realize they don't have to go through this alone.
(843) 920-5621 View (843) 920-5621
Photo of Erin Bailey, LPC-Associate, LPCA
Erin Bailey
LPC-Associate, LPCA
1 Endorsed
Online Only
I am a Licensed Professional Counselor Associate (LPC-A) with a bachelor’s degree in Psychology and a master’s degree in Clinical Mental Health Counseling from Mississippi State University (MSU). I approach counseling through a person-centered lens, striving to meet each individual where they are in their therapeutic journey. Whether working with children, adolescents, teens, adults, or long-term clients, I am dedicated to creating a welcoming and safe environment for all. My passion for mental health extends across all populations, with a focus on relieving symptoms of anxiety, depression, trauma, grief, and life transitions.
I am a Licensed Professional Counselor Associate (LPC-A) with a bachelor’s degree in Psychology and a master’s degree in Clinical Mental Health Counseling from Mississippi State University (MSU). I approach counseling through a person-centered lens, striving to meet each individual where they are in their therapeutic journey. Whether working with children, adolescents, teens, adults, or long-term clients, I am dedicated to creating a welcoming and safe environment for all. My passion for mental health extends across all populations, with a focus on relieving symptoms of anxiety, depression, trauma, grief, and life transitions.
(843) 755-6820 View (843) 755-6820
Photo of Erin Passow, Psychologist, PsyD
Erin Passow
Psychologist, PsyD
4 Endorsed
Mount Pleasant, SC 29464
Suffering, while at times very painful, can also provide us with insight that can lead to a deeper understanding of ourselves and others. As we become curious and compassionate towards our life experiences, we can begin to develop a greater sense of Self awareness. My approach is relational, interactive, and empathic. I look at our work together as a journey I am honored to take with you in which we collaboratively work towards the discovery and expression of your true Self.
Suffering, while at times very painful, can also provide us with insight that can lead to a deeper understanding of ourselves and others. As we become curious and compassionate towards our life experiences, we can begin to develop a greater sense of Self awareness. My approach is relational, interactive, and empathic. I look at our work together as a journey I am honored to take with you in which we collaboratively work towards the discovery and expression of your true Self.
(415) 466-8469 View (415) 466-8469
Photo of Julie Richards Wood, EdS, LPES
Julie Richards Wood
Verified Verified
Mount Pleasant, SC 29466
I hold a Bachelor’s degree in Psychology from Clemson University and Master’s and Specialist’s degrees in School Psychology from the University of Georgia. I have experience working within the public school setting as a School Psychologist and as a Child and Adolescent Psychologist II for the SC Department of Mental Health. I am a former President of the International Dyslexia Association - SC and member of the SC Dyslexia Law Task Force. I am the former Co-Owner of Breakwater Associates, a multidisciplinary private practice that offered psychoeducational evaluations, dyslexia therapy, counseling, and executive function coaching.
I hold a Bachelor’s degree in Psychology from Clemson University and Master’s and Specialist’s degrees in School Psychology from the University of Georgia. I have experience working within the public school setting as a School Psychologist and as a Child and Adolescent Psychologist II for the SC Department of Mental Health. I am a former President of the International Dyslexia Association - SC and member of the SC Dyslexia Law Task Force. I am the former Co-Owner of Breakwater Associates, a multidisciplinary private practice that offered psychoeducational evaluations, dyslexia therapy, counseling, and executive function coaching.
(843) 595-8540 View (843) 595-8540
Photo of Heather Oliver, Clinical Social Work/Therapist, LISW-CP
Heather Oliver
Clinical Social Work/Therapist, LISW-CP
Online Only
Do you feel like you are in a cycle of negative thinking? Is your day to day stress impacting your quality of life? Do you feel like you are worried more often then not?
Do you feel like you are in a cycle of negative thinking? Is your day to day stress impacting your quality of life? Do you feel like you are worried more often then not?
(843) 279-8956 View (843) 279-8956
Photo of Erica Wright, Clinical Social Work/Therapist, LISW-CP
Erica Wright
Clinical Social Work/Therapist, LISW-CP
Mount Pleasant, SC 29466
Not accepting new clients
I have been working with adults experiencing various mental health concerns for over 10 years. I currently focus on treating adults who are struggling with anxiety, depression, stress/burnout, life transitions, and interpersonal conflict.
I have been working with adults experiencing various mental health concerns for over 10 years. I currently focus on treating adults who are struggling with anxiety, depression, stress/burnout, life transitions, and interpersonal conflict.
(843) 284-3527 View (843) 284-3527
Photo of Laura Pirrotta, Clinical Social Work/Therapist
Laura Pirrotta
Clinical Social Work/Therapist
Mount Pleasant, SC 29464
What if you could start feeling better? I would love to support and explore how we can make change happen for you. Maybe you are tired of managing those racing thoughts on your own or struggling to figure out the best next step for your career or relationship - either way I can help. I work with clients whose anxiety/depression has made it difficult to get the most out of their day. Together, we can work to figure out how to feel less overwhelmed and more empowered to do what you want to do without the worry getting in the way.
What if you could start feeling better? I would love to support and explore how we can make change happen for you. Maybe you are tired of managing those racing thoughts on your own or struggling to figure out the best next step for your career or relationship - either way I can help. I work with clients whose anxiety/depression has made it difficult to get the most out of their day. Together, we can work to figure out how to feel less overwhelmed and more empowered to do what you want to do without the worry getting in the way.
(854) 239-2866 View (854) 239-2866
Photo of Jessie Rae Luttrell, Licensed Professional Counselor Associate, MA, LPCA, NCC
Jessie Rae Luttrell
Licensed Professional Counselor Associate, MA, LPCA, NCC
8 Endorsed
Mount Pleasant, SC 29464
Welcome! I’m Jessie Luttrell, founder of Ray of Hope Therapy, LLC. I’m dedicated to creating a safe, supportive environment where healing and personal growth can truly take place. As a Licensed Professional Counselor Associate I work with adolescents and adults, tailoring therapy to honor each person’s unique story. My experience spans a wide range of concerns, from academic stress and life transitions to complex trauma, with additional focus on grief, identity development, and relationships. I believe in a collaborative, empowering approach where clients have a space to build insight, learn new skills, and rediscover hope.
Welcome! I’m Jessie Luttrell, founder of Ray of Hope Therapy, LLC. I’m dedicated to creating a safe, supportive environment where healing and personal growth can truly take place. As a Licensed Professional Counselor Associate I work with adolescents and adults, tailoring therapy to honor each person’s unique story. My experience spans a wide range of concerns, from academic stress and life transitions to complex trauma, with additional focus on grief, identity development, and relationships. I believe in a collaborative, empowering approach where clients have a space to build insight, learn new skills, and rediscover hope.
(843) 604-5924 View (843) 604-5924
Photo of Samantha Rukavina, Licensed Professional Counselor, LPC
Samantha Rukavina
Licensed Professional Counselor, LPC
6 Endorsed
Mount Pleasant, SC 29464
As a therapist, I deeply enjoy walking alongside individuals and couples as they navigate the many challenges of life. I strive to create a safe and nurturing environment for my clients as they seek holistic healing and wellness. I help individual clients cultivate a secure attachment style and a strong internal sense of self. I also specialize in relationships and couples therapy, helping couples heal their relational dynamics, improve communication skills, and learn how to navigate conflict successfully. I deeply value the opportunity to walk alongside individuals and couples as they pursue healing in all areas of their lives.
As a therapist, I deeply enjoy walking alongside individuals and couples as they navigate the many challenges of life. I strive to create a safe and nurturing environment for my clients as they seek holistic healing and wellness. I help individual clients cultivate a secure attachment style and a strong internal sense of self. I also specialize in relationships and couples therapy, helping couples heal their relational dynamics, improve communication skills, and learn how to navigate conflict successfully. I deeply value the opportunity to walk alongside individuals and couples as they pursue healing in all areas of their lives.
(843) 279-5745 View (843) 279-5745
Photo of Derek Toth, Clinical Social Work/Therapist, LISW-CP, LCSW
Derek Toth
Clinical Social Work/Therapist, LISW-CP, LCSW
Mount Pleasant, SC 29466
I am accepting New Clients! I have worked over twenty five years working with children and families to achieve a healthy life. Do you have school stress? Are social situations are hard to handle? Do you have anger and you're not sure why? Do you have problems communicating at home with family members? My approaches are focused on finding the strategies and solutions needed for the change you would like to see and be. I will help you recognize and identify those thoughts, feelings and behaviors that seem to be controlling your moments, hours or your days.
I am accepting New Clients! I have worked over twenty five years working with children and families to achieve a healthy life. Do you have school stress? Are social situations are hard to handle? Do you have anger and you're not sure why? Do you have problems communicating at home with family members? My approaches are focused on finding the strategies and solutions needed for the change you would like to see and be. I will help you recognize and identify those thoughts, feelings and behaviors that seem to be controlling your moments, hours or your days.
(843) 920-2175 View (843) 920-2175
Photo of Andrea Meier - Andrea Meier, LLC | Holistic Wellness Collective, Licensed Professional Counselor, LPC, LAC
Andrea Meier, LLC | Holistic Wellness Collective
Licensed Professional Counselor, LPC, LAC
1 Endorsed
Mount Pleasant, SC 29464
Have you tried therapy before and still feel stuck? Perhaps you understand why you struggle, yet continue to feel overwhelmed by anxiety, trauma, relationship challenges, or unhealthy patterns that seem to repeat. Many of our clients are insightful, motivated, and successful in many areas of life, yet find themselves exhausted by overthinking, perfectionism, people-pleasing, emotional overwhelm, or the lasting effects of difficult experiences. We help individuals, couples, and families heal what is keeping them stuck so they can experience greater peace, connection, confidence, and fulfillment.
Have you tried therapy before and still feel stuck? Perhaps you understand why you struggle, yet continue to feel overwhelmed by anxiety, trauma, relationship challenges, or unhealthy patterns that seem to repeat. Many of our clients are insightful, motivated, and successful in many areas of life, yet find themselves exhausted by overthinking, perfectionism, people-pleasing, emotional overwhelm, or the lasting effects of difficult experiences. We help individuals, couples, and families heal what is keeping them stuck so they can experience greater peace, connection, confidence, and fulfillment.
(843) 396-8730 View (843) 396-8730
Photo of Sophie Ellis, EdS, LPES, BCBA
Sophie Ellis
Verified Verified
Mount Pleasant, SC 29464
As a school psychologist and Board Certified Behavior Analyst who works within and outside of the schools, my target client is a child who is struggling with either academics or behavior in school. A psychological evaluation looking at your child's psychological functioning in the areas of cognitive ability, behavioral and emotional strengths and challenges can be valuable for all adults who know and take part in your child's education. A psychological evaluation offers insight into the severity of the symptoms that a child is experiencing and can guide educational planning for your child.
As a school psychologist and Board Certified Behavior Analyst who works within and outside of the schools, my target client is a child who is struggling with either academics or behavior in school. A psychological evaluation looking at your child's psychological functioning in the areas of cognitive ability, behavioral and emotional strengths and challenges can be valuable for all adults who know and take part in your child's education. A psychological evaluation offers insight into the severity of the symptoms that a child is experiencing and can guide educational planning for your child.
(843) 919-7930 View (843) 919-7930
Photo of Kristen Bagley, Clinical Social Work/Therapist, MSW, LISW-CP
Kristen Bagley
Clinical Social Work/Therapist, MSW, LISW-CP
2 Endorsed
Mount Pleasant, SC 29466
Reaching out for help is sometimes the hardest step on ones path to healing. That is why establishing a genuine, trusting connection with a clinician is such an essential part of the therapeutic process. I believe in a client-centered approach that nurtures a safe and supportive environment where a client feels valued, understood and empowered. Gaining confidence in yourself and learning new skills to manage daily stressors, challenging relationships, and life's hardships can have a positive long-lasting affect on overall mental health and physical well-being.
Reaching out for help is sometimes the hardest step on ones path to healing. That is why establishing a genuine, trusting connection with a clinician is such an essential part of the therapeutic process. I believe in a client-centered approach that nurtures a safe and supportive environment where a client feels valued, understood and empowered. Gaining confidence in yourself and learning new skills to manage daily stressors, challenging relationships, and life's hardships can have a positive long-lasting affect on overall mental health and physical well-being.
(843) 905-7620 View (843) 905-7620
Photo of Jenna Marie Cox, Licensed Professional Counselor, LPC
Jenna Marie Cox
Licensed Professional Counselor, LPC
Online Only
Let’s skip the perfect therapist bio. Relationships are hard. Betrayal is brutal. Anxiety is exhausting. And sometimes you’re just tired of carrying everything while pretending you’re fine. I work with women and couples who are done spinning their wheels. Whether you’re trying to rebuild trust, figure out if your relationship can be saved, or simply stop feeling so overwhelmed all the time, we’ll sort through it together.
Let’s skip the perfect therapist bio. Relationships are hard. Betrayal is brutal. Anxiety is exhausting. And sometimes you’re just tired of carrying everything while pretending you’re fine. I work with women and couples who are done spinning their wheels. Whether you’re trying to rebuild trust, figure out if your relationship can be saved, or simply stop feeling so overwhelmed all the time, we’ll sort through it together.
(843) 287-9138 View (843) 287-9138

See more therapy options for Mount Pleasant

How does your Therapist compare?

Number of Therapists in Mount Pleasant, SC

500+

Average cost per session

$150

Therapists in Mount Pleasant, SC who prioritize treating:

93% Anxiety
93% Social Anxiety
93% Health Anxiety
93% Driving Anxiety
85% Depression
76% Relationship Issues
76% Self Esteem

Average years in practice

11 Years

Top 3 insurances accepted

79% Aetna
70% BlueCross and BlueShield
54% Cigna and Evernorth

How Therapists in Mount Pleasant, SC see their clients

70% In Person and Online
30% Online Only

Gender breakdown

85% Female
14% Male
1% Non-Binary
FAQs - About Therapy and Counseling

How can I find a therapist in Mount Pleasant?

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.