Therapists in York, SC

Photo of Gina Viruso-Kitts, Licensed Professional Counselor, MEd, LPC, NCC
Gina Viruso-Kitts
Licensed Professional Counselor, MEd, LPC, NCC
York, SC 29745
Now Accepting New Clients for Equine-Assisted Psychotherapy in York County, SC! Life’s challenges can feel overwhelming—but you don’t have to face them alone. Through a person-centered and collaborative approach, I help clients find balance and healing in a supportive environment. My unique therapy sessions integrate equine-assisted work and, when beneficial, creative expression through art. With extensive experience in helping clients navigate emotional responses that impact relationships—whether shaped by trauma or other life circumstances—I provide a space for meaningful emotional, mental, physical, and spiritual growth.
Now Accepting New Clients for Equine-Assisted Psychotherapy in York County, SC! Life’s challenges can feel overwhelming—but you don’t have to face them alone. Through a person-centered and collaborative approach, I help clients find balance and healing in a supportive environment. My unique therapy sessions integrate equine-assisted work and, when beneficial, creative expression through art. With extensive experience in helping clients navigate emotional responses that impact relationships—whether shaped by trauma or other life circumstances—I provide a space for meaningful emotional, mental, physical, and spiritual growth.
(803) 560-5095 View (803) 560-5095
Photo of Dorothy McCoy - Charlotte Counseling and Therapy, Licensed Professional Counselor, EdD, SCLPC, NCLPC, NCC, AAETS
Charlotte Counseling and Therapy
Licensed Professional Counselor, EdD, SCLPC, NCLPC, NCC, AAETS
York, SC 29745
Do you wake every morning refreshed and ready to experience an amazing new day? Or, are there problems that hover over your life blocking the light? Therapy is a unique experience that helps you begin each day with hope and joyous anticipation. You and I will work together to resolve the problems that rob your life of joy and healthy energy.Therapy sessions are calming & often fun. Is your workplace stressful? I specialize in changing that stress to success. Change happens every day and we can make it work in your life. Begin your wellness journey-- call today. Concierge Services.
Do you wake every morning refreshed and ready to experience an amazing new day? Or, are there problems that hover over your life blocking the light? Therapy is a unique experience that helps you begin each day with hope and joyous anticipation. You and I will work together to resolve the problems that rob your life of joy and healthy energy.Therapy sessions are calming & often fun. Is your workplace stressful? I specialize in changing that stress to success. Change happens every day and we can make it work in your life. Begin your wellness journey-- call today. Concierge Services.
(919) 648-4309 View (919) 648-4309
Photo of Amber Miner, Licensed Professional Counselor, MEd, LCMHC, LPC
Amber Miner
Licensed Professional Counselor, MEd, LCMHC, LPC
2 Endorsed
Online Only
Waitlist for new clients
​Psychologist Robert Johnson's words capture my philosophy: "It's not too difficult to get the skeletons out of the closet with people, but to get the gold out is a different matter. That is therapy. Psychology is the Art of finding the gold of the spirit." My approach, rooted in collaboration, respect, and validation, remains consistent across various therapeutic models. If you're seeking a companion on your journey to uncover the "gold of the spirit," I would be honored to walk that path with you.​
​Psychologist Robert Johnson's words capture my philosophy: "It's not too difficult to get the skeletons out of the closet with people, but to get the gold out is a different matter. That is therapy. Psychology is the Art of finding the gold of the spirit." My approach, rooted in collaboration, respect, and validation, remains consistent across various therapeutic models. If you're seeking a companion on your journey to uncover the "gold of the spirit," I would be honored to walk that path with you.​
(803) 902-4228 View (803) 902-4228
Photo of Jennifer L Williams, Marriage & Family Therapist, EdS, LMFT, RPT
Jennifer L Williams
Marriage & Family Therapist, EdS, LMFT, RPT
York, SC 29745
Change only happens when we get outside of our comfort zone. Maybe you're a parent looking for someone to help your child regulate their emotions. Maybe you're an adult looking for someone to hear your story and offer a safe place to resolve internal conflicts to move forward. Maybe you're a couple or family who wants to know better ways to communicate and feel connected once again.
Change only happens when we get outside of our comfort zone. Maybe you're a parent looking for someone to help your child regulate their emotions. Maybe you're an adult looking for someone to hear your story and offer a safe place to resolve internal conflicts to move forward. Maybe you're a couple or family who wants to know better ways to communicate and feel connected once again.
(843) 326-4533 View (843) 326-4533
Photo of Suzette DePasquale, Clinical Social Work/Therapist, LCSW
Suzette DePasquale
Clinical Social Work/Therapist, LCSW
Online Only
I am a Licensed Clinical Social Worker (LCSW). My approach entails a holistic therapeutic approach that addresses clients' mental, emotional, physical, spiritual, and community needs. I emphasize the importance of self-care and utilize deep breathing techniques to help clients regulate their emotions. My therapeutic approach encompasses a holistic perspective, addressing the client’s mental/emotional, physical, spiritual, and community needs. Self-care assignment outside of sessions is a hallmark of personal growth. Additionally, I utilize deep breathing to help regulate my clients’ emotions.
I am a Licensed Clinical Social Worker (LCSW). My approach entails a holistic therapeutic approach that addresses clients' mental, emotional, physical, spiritual, and community needs. I emphasize the importance of self-care and utilize deep breathing techniques to help clients regulate their emotions. My therapeutic approach encompasses a holistic perspective, addressing the client’s mental/emotional, physical, spiritual, and community needs. Self-care assignment outside of sessions is a hallmark of personal growth. Additionally, I utilize deep breathing to help regulate my clients’ emotions.
(914) 860-0238 View (914) 860-0238
Photo of Dr. Dorothy McCoy, Licensed Professional Counselor, EdD, MEd, LPC
Dr. Dorothy McCoy
Licensed Professional Counselor, EdD, MEd, LPC
York, SC 29745
The 21st Century is fast paced and high tech. Today is very different from just a few years ago. We have been forced to modify our behaviors and expectations to accommodate technology. We are accessible 24/7 thanks to cell phones & blackberries. Though we juggle new demands none of the old stressors have disappeared. We still have jobs, families, friends & all the joys and responsibilities that accompany these relationships. It is easy to understand how our lives & resources can be stretched to the breaking point. Stop. Let's take the road less traveled. Truism # 1: Life can be joyful.
The 21st Century is fast paced and high tech. Today is very different from just a few years ago. We have been forced to modify our behaviors and expectations to accommodate technology. We are accessible 24/7 thanks to cell phones & blackberries. Though we juggle new demands none of the old stressors have disappeared. We still have jobs, families, friends & all the joys and responsibilities that accompany these relationships. It is easy to understand how our lives & resources can be stretched to the breaking point. Stop. Let's take the road less traveled. Truism # 1: Life can be joyful.
(803) 918-5133 View (803) 918-5133
Photo of Jessica Nettles, Licensed Professional Counselor, MA, LPC
Jessica Nettles
Licensed Professional Counselor, MA, LPC
York, SC 29745
Jessica Nettles, LPC-A, is a compassionate therapist serving children, adolescents, families, and couples in South Carolina. With a warm, supportive approach, she helps clients build resilience and improve communication, focusing on behavior modification, conflict resolution, and relational dynamics. Jessica’s experience with K-12 students and families gives her insight into young people's challenges today. Specializing in anxiety, depression, ADHD, and Autism Spectrum Disorder, Jessica uses Cognitive Behavioral Therapy (CBT) and Solution-Focused Brief Therapy to equip clients with practical tools for emotional wellness.
Jessica Nettles, LPC-A, is a compassionate therapist serving children, adolescents, families, and couples in South Carolina. With a warm, supportive approach, she helps clients build resilience and improve communication, focusing on behavior modification, conflict resolution, and relational dynamics. Jessica’s experience with K-12 students and families gives her insight into young people's challenges today. Specializing in anxiety, depression, ADHD, and Autism Spectrum Disorder, Jessica uses Cognitive Behavioral Therapy (CBT) and Solution-Focused Brief Therapy to equip clients with practical tools for emotional wellness.
(803) 927-8813 View (803) 927-8813
Photo of Markley Hawkins, Clinical Social Work/Therapist, MSW, LISW-CP
Markley Hawkins
Clinical Social Work/Therapist, MSW, LISW-CP
York, SC 29745
Markley Hawkins is a Licensed Independent Social Worker-Clinical Practice in South Carolina who has been practicing since 2009. She has a Masters in Social Work degree from Winthrop University. Markley values building meaningful therapeutic relationships with kids, teens, and adults that she works with for therapy. She believes that people who feel safe are more able to be vulnerable in ways that are tough but necessary for growth. Markley wants to understand what the world looks like to each client. She uses a bio-psych-social perspective in her assessment and treatment of a client’s circumstances.
Markley Hawkins is a Licensed Independent Social Worker-Clinical Practice in South Carolina who has been practicing since 2009. She has a Masters in Social Work degree from Winthrop University. Markley values building meaningful therapeutic relationships with kids, teens, and adults that she works with for therapy. She believes that people who feel safe are more able to be vulnerable in ways that are tough but necessary for growth. Markley wants to understand what the world looks like to each client. She uses a bio-psych-social perspective in her assessment and treatment of a client’s circumstances.
(803) 962-7507 View (803) 962-7507
Photo of Britanica Johnson, Licensed Professional Counselor, MEd, LPC
Britanica Johnson
Licensed Professional Counselor, MEd, LPC
York, SC 29745
Britanica Johnson is a Licensed Professional Counselor in South Carolina who has been practicing since 2019. Britanica utilizes different theoretical approaches to meet the needs of her clients. Person-Centered, Cognitive Behavioral, Reality and Adlerian are a few common approaches. But again, Britanica is here to utilize the approach needed for your specific healing. She specializes in treating personal and relational concerns including depression, anxiety, mood related concerns, relational and familial concerns, personality traits, as well as any impacts from trauma.
Britanica Johnson is a Licensed Professional Counselor in South Carolina who has been practicing since 2019. Britanica utilizes different theoretical approaches to meet the needs of her clients. Person-Centered, Cognitive Behavioral, Reality and Adlerian are a few common approaches. But again, Britanica is here to utilize the approach needed for your specific healing. She specializes in treating personal and relational concerns including depression, anxiety, mood related concerns, relational and familial concerns, personality traits, as well as any impacts from trauma.
(803) 677-1236 View (803) 677-1236
Photo of LaShonda Linnen, Clinical Social Work/Therapist, LISW-CP
LaShonda Linnen
Clinical Social Work/Therapist, LISW-CP
2 Endorsed
York, SC 29745
Whether you're facing anxiety, depression, relationship stress, or big life transitions, LaShonda brings a strength-based, compassionate approach that meets you where you are. At LifeStance Health, she specializes in trauma and relationship therapy, offering deep insight into the emotional and relational dynamics that shape our lives. She’s especially skilled at guiding high-conflict couples and complex family systems toward healing, using evidence-based tools like EMDR and Cognitive Behavioral Therapy to create lasting change.
Whether you're facing anxiety, depression, relationship stress, or big life transitions, LaShonda brings a strength-based, compassionate approach that meets you where you are. At LifeStance Health, she specializes in trauma and relationship therapy, offering deep insight into the emotional and relational dynamics that shape our lives. She’s especially skilled at guiding high-conflict couples and complex family systems toward healing, using evidence-based tools like EMDR and Cognitive Behavioral Therapy to create lasting change.
(803) 674-4230 View (803) 674-4230
Photo of Shombee Marshall - LifeStance Health, Licensed Professional Counselor, LPC
LifeStance Health
Licensed Professional Counselor, LPC
York, SC 29745
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.
(803) 575-0893 View (803) 575-0893
Photo of Gretchen Baldwin, Psychologist, PsyD
Gretchen Baldwin
Psychologist, PsyD
York, SC 29745
Gretchen Baldwin is a Psychologist in South Carolina who has been practicing since 2004. Gretchen works with her clients through an integrated approach that draws from Mindfulness, Attachment Theory, and Brain-Based models. Every client's story is unique and important, and Gretchen loves working through these stories with each client so they can better understand how they got where they are and how to grow from here. She helps clients work through areas where they are stuck and move toward greater flexibility and increased satisfaction with life.
Gretchen Baldwin is a Psychologist in South Carolina who has been practicing since 2004. Gretchen works with her clients through an integrated approach that draws from Mindfulness, Attachment Theory, and Brain-Based models. Every client's story is unique and important, and Gretchen loves working through these stories with each client so they can better understand how they got where they are and how to grow from here. She helps clients work through areas where they are stuck and move toward greater flexibility and increased satisfaction with life.
(803) 784-1258 View (803) 784-1258
Photo of Christine Hogan - Christine M Hogan, Licensed Clinical Mental Health Counselor, LCMHC, LPC , LPCC, LCAS, AADC
Christine M Hogan
Licensed Clinical Mental Health Counselor, LCMHC, LPC , LPCC, LCAS, AADC
York, SC 29745
The stress of events in life, mental illness, substance abuse or adjusting to changes can feel like a battle against yourself. I can offer you a chance to explore those situations that seem to be weighing you down. Through the use of a variety of therapeutic techniques, I can teach you coping and communication skills that will help you resolve those conflicts that seem too broken or too large to correct. With the right perspective and skills, those weights can be lifted from your shoulders and you can walk courageously into the next stage of your life.
The stress of events in life, mental illness, substance abuse or adjusting to changes can feel like a battle against yourself. I can offer you a chance to explore those situations that seem to be weighing you down. Through the use of a variety of therapeutic techniques, I can teach you coping and communication skills that will help you resolve those conflicts that seem too broken or too large to correct. With the right perspective and skills, those weights can be lifted from your shoulders and you can walk courageously into the next stage of your life.
(803) 620-5777 View (803) 620-5777
Cheyenne Chewning
Licensed Professional Counselor, MA, LPC
York, SC 29745
Cheyenne Chewning is a Licensed Professional Counselor Associate who is dedicated to helping individuals on their healing journey. Cheyenne offers a compassionate, tailored approach to therapy, creating a safe space where clients feel heard and supported. Cheyenne specializes in treating anxiety, depression, ADHD, and guiding clients through grief and life transitions. Using Cognitive Behavioral Therapy (CBT), Acceptance and Commitment Therapy (ACT), and person-centered techniques, she helps clients develop coping skills and foster personal growth.
Cheyenne Chewning is a Licensed Professional Counselor Associate who is dedicated to helping individuals on their healing journey. Cheyenne offers a compassionate, tailored approach to therapy, creating a safe space where clients feel heard and supported. Cheyenne specializes in treating anxiety, depression, ADHD, and guiding clients through grief and life transitions. Using Cognitive Behavioral Therapy (CBT), Acceptance and Commitment Therapy (ACT), and person-centered techniques, she helps clients develop coping skills and foster personal growth.
(803) 991-7480 View (803) 991-7480
Photo of Lotte Bonneau, Clinical Social Work/Therapist, LISW-CP
Lotte Bonneau
Clinical Social Work/Therapist, LISW-CP
York, SC 29745
Lotte Bonneau, BS, MSW, LISWCP, is dedicated to helping individuals, couples, and families in South Carolina navigate lifes challenges through compassionate, evidencebased therapy. She works with children, adolescents, and adults, addressing a range of concerns, including anxiety, depression, and trauma. Lotte tailors her approach to each client, using a strengthbased perspective to empower them with the skills and confidence needed to overcome obstacles and create meaningful change.
Lotte Bonneau, BS, MSW, LISWCP, is dedicated to helping individuals, couples, and families in South Carolina navigate lifes challenges through compassionate, evidencebased therapy. She works with children, adolescents, and adults, addressing a range of concerns, including anxiety, depression, and trauma. Lotte tailors her approach to each client, using a strengthbased perspective to empower them with the skills and confidence needed to overcome obstacles and create meaningful change.
(803) 891-6761 View (803) 891-6761
Photo of Suzette DePasquale, Clinical Social Work/Therapist, MSW, LISW-CP
Suzette DePasquale
Clinical Social Work/Therapist, MSW, LISW-CP
York, SC 29745
Ms. Suzette DePasquale is a Licensed Independent Social Worker-Clinical Practice in South Carolina who has been practicing since 2024. She has a Master’s degree in Criminology from John Jay College of Criminal Justice and a Master’s in Social Work from Silberman School of Social Work. While Ms. Suzette has extensive experience in the field, she became licensed in SC this year (in addition to her already held NY and NC). Ms. Suzette helps clients address stressors that impact his/her well-being. She provides a nonjudgmental environment, allowing the client to express his/her feelings and thoughts, contributing to his/her behavior.
Ms. Suzette DePasquale is a Licensed Independent Social Worker-Clinical Practice in South Carolina who has been practicing since 2024. She has a Master’s degree in Criminology from John Jay College of Criminal Justice and a Master’s in Social Work from Silberman School of Social Work. While Ms. Suzette has extensive experience in the field, she became licensed in SC this year (in addition to her already held NY and NC). Ms. Suzette helps clients address stressors that impact his/her well-being. She provides a nonjudgmental environment, allowing the client to express his/her feelings and thoughts, contributing to his/her behavior.
(803) 986-4550 View (803) 986-4550
Sarah Hunter
Clinical Social Work/Therapist, LISW-CP
York, SC 29745
Sarah Hunter, LISW-CP, helps individuals and families navigate life’s most challenging moments with compassion, insight, and a personalized approach to care. Serving communities across South Carolina, she provides therapeutic support for children, adolescents, adults, and seniors through individual, couples, family, and group therapy. Whether someone is facing anxiety, depression, or relationship struggles, Sarah offers a grounded, evidence-based path toward healing and greater emotional well-being.
Sarah Hunter, LISW-CP, helps individuals and families navigate life’s most challenging moments with compassion, insight, and a personalized approach to care. Serving communities across South Carolina, she provides therapeutic support for children, adolescents, adults, and seniors through individual, couples, family, and group therapy. Whether someone is facing anxiety, depression, or relationship struggles, Sarah offers a grounded, evidence-based path toward healing and greater emotional well-being.
(803) 759-7317 View (803) 759-7317
Photo of Christine M Hogan, Licensed Clinical Mental Health Counselor, LCMHC, LPC, LPCC, LCAS, AADC
Christine M Hogan
Licensed Clinical Mental Health Counselor, LCMHC, LPC, LPCC, LCAS, AADC
York, SC 29745
The stress of events in life, mental illness, substance abuse, or adjusting to changes can feel like a battle against yourself. I can offer you a chance to explore those situations that seem to be weighing you down. I can teach you coping and communication skills that will help you resolve those conflicts that seem too broken or too large to correct. Let me help you on your journey.
The stress of events in life, mental illness, substance abuse, or adjusting to changes can feel like a battle against yourself. I can offer you a chance to explore those situations that seem to be weighing you down. I can teach you coping and communication skills that will help you resolve those conflicts that seem too broken or too large to correct. Let me help you on your journey.
(803) 620-5777 View (803) 620-5777
Photo of Deanna Dillard, Licensed Professional Counselor
Deanna Dillard
Licensed Professional Counselor
York, SC 29745
Deanna Dillard is a Licensed Professional Counselor in Georgia who has been practicing since 2022. Deanna is a very good listener, compassionate about her clients, assisting with options (Client-Centered) and providing coping strategies. Outside of work, Deanna enjoys reading, writing, and cycling.
Deanna Dillard is a Licensed Professional Counselor in Georgia who has been practicing since 2022. Deanna is a very good listener, compassionate about her clients, assisting with options (Client-Centered) and providing coping strategies. Outside of work, Deanna enjoys reading, writing, and cycling.
(803) 877-6086 View (803) 877-6086
Photo of Shombee Marshall, Licensed Professional Counselor, MS, LPC
Shombee Marshall
Licensed Professional Counselor, MS, LPC
York, SC 29745
Shombee Marshall is a Licensed Professional Counselor in South Carolina who has been practicing since 2020. Shombee has held a long passion for mental health counseling since her younger days. Naturally, she is inclined at helping people and sympathizes with those who are experiencing life challenges. Shombee has always given an ear to people who are in pain and given them words of comfort and encouragement, guiding them towards healing.
Shombee Marshall is a Licensed Professional Counselor in South Carolina who has been practicing since 2020. Shombee has held a long passion for mental health counseling since her younger days. Naturally, she is inclined at helping people and sympathizes with those who are experiencing life challenges. Shombee has always given an ear to people who are in pain and given them words of comfort and encouragement, guiding them towards healing.
(440) 557-4596 View (440) 557-4596

See more therapy options for York

How does your Therapist compare?

Number of Therapists in York, SC

30+

Average cost per session

$125

Therapists in York, SC who prioritize treating:

97% Anxiety
95% Depression
78% Grief
78% Trauma and PTSD
62% Life Transitions
54% ADHD
51% Relationship Issues

Average years in practice

9 Years

Top 3 insurances accepted

78% Aetna
78% BlueCross and BlueShield
78% Cigna and Evernorth

How Therapists in York, SC see their clients

84% In Person and Online
16% Online Only

Gender breakdown

91% Female
9% Male
FAQs - About Therapy and Counseling

How can I find a therapist in York?

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.