Therapists in Matthews, NC

Photo of Jessica Kawamoto, Licensed Professional Counselor in Matthews, NC
Jessica Kawamoto
Licensed Professional Counselor, MA, LCMHC, LCAS, NCC
Verified Verified
1 Endorsed
Matthews, NC 28105
Not accepting new clients
The chance to be heard and seen with warmth and compassion is what I strive to provide in my therapy sessions. We’ll work together at a pace that you are comfortable with in a collaborative conversation that validates your life experiences. It may take some time to build trust but my hope is that you can speak unfiltered about whatever life circumstances have brought you to therapy.
The chance to be heard and seen with warmth and compassion is what I strive to provide in my therapy sessions. We’ll work together at a pace that you are comfortable with in a collaborative conversation that validates your life experiences. It may take some time to build trust but my hope is that you can speak unfiltered about whatever life circumstances have brought you to therapy.
(704) 946-8047 View (704) 946-8047
Photo of Jenna Lane, LCMHC Associate in Matthews, NC
Jenna Lane
LCMHC Associate, LCMHCA, NCC
Verified Verified
1 Endorsed
Matthews, NC 28105
I aim to create a space that is safe and accepting for all. I have experience in working with anxiety, depression, trauma, and relationship issues. Additionally, I specialize in working with children and adolescents who may be struggling with ADHD, behavioral issues, relational conflicts, stress, and more.
I aim to create a space that is safe and accepting for all. I have experience in working with anxiety, depression, trauma, and relationship issues. Additionally, I specialize in working with children and adolescents who may be struggling with ADHD, behavioral issues, relational conflicts, stress, and more.
(704) 459-4131 View (704) 459-4131
Photo of Maris Williams, Counselor in Matthews, NC
Maris Williams
Counselor
Verified Verified
Matthews, NC 28105
Maris Williams is a Licensed Clinical Mental Health Counselor Associate who earned her master's degree in Counselor Education from Georgia Southern University. She has over 20 years of experience helping children, youth, and adults as a mentor and in leadership positions prior to becoming a counselor. Maris specializes in helping youth and adults with anxiety, depression, identity issues, life transitions, trauma, and grief. She believes the heart of counseling is welcoming and accepting people as they are, helping them reach their personal goals, and guiding them towards more peaceful, authentic, and joy-filled lives.
Maris Williams is a Licensed Clinical Mental Health Counselor Associate who earned her master's degree in Counselor Education from Georgia Southern University. She has over 20 years of experience helping children, youth, and adults as a mentor and in leadership positions prior to becoming a counselor. Maris specializes in helping youth and adults with anxiety, depression, identity issues, life transitions, trauma, and grief. She believes the heart of counseling is welcoming and accepting people as they are, helping them reach their personal goals, and guiding them towards more peaceful, authentic, and joy-filled lives.
(704) 255-4468 View (704) 255-4468
Photo of Jen Hundt, Clinical Social Work/Therapist in Matthews, NC
Jen Hundt
Clinical Social Work/Therapist, LCSW
Verified Verified
Matthews, NC 28105
Jen received her graduate degree from the University of Southern California where she obtained her Masters Degree in Social Work with an additional certificate in Military Social Work and Veterans Services. The focus of her degree program was adult mental health with a sub concentration in military and veteran populations as well as complex trauma.
Jen received her graduate degree from the University of Southern California where she obtained her Masters Degree in Social Work with an additional certificate in Military Social Work and Veterans Services. The focus of her degree program was adult mental health with a sub concentration in military and veteran populations as well as complex trauma.
(704) 275-0549 View (704) 275-0549
Photo of Andrea Weaver, Licensed Clinical Mental Health Counselor in Matthews, NC
Andrea Weaver
Licensed Clinical Mental Health Counselor, MA
Verified Verified
Matthews, NC 28105
Andrea received her Masters in Clinical Mental Health Counseling from the University of North Carolina at Charlotte. Andrea has experience in outpatient therapy and inpatient substance abuse treatment. Andrea works with adolescents and adults. Andrea enjoys working with clients experiencing a wide variety of issues including anxiety, mood disorders, substance use disorders, co-occurring disorders, and trauma. She uses Cognitive Behavioral Therapy and Acceptance and Commitment Therapy as her primary theoretical orientations to help clients work toward consistently living out their values no matter their life circumstances.
Andrea received her Masters in Clinical Mental Health Counseling from the University of North Carolina at Charlotte. Andrea has experience in outpatient therapy and inpatient substance abuse treatment. Andrea works with adolescents and adults. Andrea enjoys working with clients experiencing a wide variety of issues including anxiety, mood disorders, substance use disorders, co-occurring disorders, and trauma. She uses Cognitive Behavioral Therapy and Acceptance and Commitment Therapy as her primary theoretical orientations to help clients work toward consistently living out their values no matter their life circumstances.
(704) 200-9335 View (704) 200-9335
Photo of King Jones, Clinical Social Work/Therapist in Matthews, NC
King Jones
Clinical Social Work/Therapist, LCSW
Verified Verified
2 Endorsed
Matthews, NC 28105
Life can be overwhelming sometimes. Relational concerns, unexpected challenges, new or old traumas, and life transitions can all lead to mental health needs. Often we default to pushing through or feeling like we should be able to tackle these things alone, but nothing could be further from the truth. With support from a knowledgable and caring professional who uses evidence-based approaches, you can start the work of feeling like yourself again, or perhaps feeling better than you've ever felt before.
Life can be overwhelming sometimes. Relational concerns, unexpected challenges, new or old traumas, and life transitions can all lead to mental health needs. Often we default to pushing through or feeling like we should be able to tackle these things alone, but nothing could be further from the truth. With support from a knowledgable and caring professional who uses evidence-based approaches, you can start the work of feeling like yourself again, or perhaps feeling better than you've ever felt before.
(980) 300-6663 View (980) 300-6663
Photo of Sheila Maitland Relationship Enrichment Center, Counselor in Matthews, NC
Sheila Maitland Relationship Enrichment Center
Counselor, LCMHCS, LCMHCA, LCSW, CSAT, CPTT
Verified Verified
25 Endorsed
Matthews, NC 28105
Many of our clients look good on the outside, yet feel mildly miserable on the inside. Pain is motivating and when clients are hurting, they call to schedule an appointment. It takes more than intellect to change behavior. Most of our clients are intelligent and know what they "should" do, yet struggle to take action. Our team works with people (or partners) who struggle with substances and behavioral medicators such as alcohol, porn, overeating and codependency. We treat individuals, couples and families that need help with addiction, mental illness, infidelity or simply feeling stuck. It is a relief to not have to do it alone.
Many of our clients look good on the outside, yet feel mildly miserable on the inside. Pain is motivating and when clients are hurting, they call to schedule an appointment. It takes more than intellect to change behavior. Most of our clients are intelligent and know what they "should" do, yet struggle to take action. Our team works with people (or partners) who struggle with substances and behavioral medicators such as alcohol, porn, overeating and codependency. We treat individuals, couples and families that need help with addiction, mental illness, infidelity or simply feeling stuck. It is a relief to not have to do it alone.
(704) 325-5863 View (704) 325-5863
Photo of Gabrielle Troutman, Clinical Social Work/Therapist in Matthews, NC
Gabrielle Troutman
Clinical Social Work/Therapist, MSW, LCSW, LISW-CP
Verified Verified
Matthews, NC 28105
I have a passion for helping people learning to manage chronic mental or physical health conditions. I have 7 years of experience as a social worker, and 3 years of experience as a mental health therapist. I enjoy helping people with anxiety, depression, and OCD, as well as chronic health conditions. I have experience working with people with conditions. I want to help people experience life to the fullest despite any diagnoses they may have by learning coping skills and managing physical and mental symptoms.
I have a passion for helping people learning to manage chronic mental or physical health conditions. I have 7 years of experience as a social worker, and 3 years of experience as a mental health therapist. I enjoy helping people with anxiety, depression, and OCD, as well as chronic health conditions. I have experience working with people with conditions. I want to help people experience life to the fullest despite any diagnoses they may have by learning coping skills and managing physical and mental symptoms.
(704) 286-9181 View (704) 286-9181
Photo of Mariel Arru, Counselor in Matthews, NC
Mariel Arru
Counselor, MA, LCMHC, NCC, RN
Verified Verified
4 Endorsed
Matthews, NC 28105
You feel like you should be happy and fulfilled with the life you've built. You only wish you were as happy on the inside as you look on the outside. Many of my clients are seen as "having it together," however, inside they've grown numb, tired, restless, and empty. They feel stuck in behavior and thought patterns that they can't seem to change. Their relationships have become unsatisfying. The demands of life feel increasingly heavy. They long for something or someone to help them move in a new direction.
You feel like you should be happy and fulfilled with the life you've built. You only wish you were as happy on the inside as you look on the outside. Many of my clients are seen as "having it together," however, inside they've grown numb, tired, restless, and empty. They feel stuck in behavior and thought patterns that they can't seem to change. Their relationships have become unsatisfying. The demands of life feel increasingly heavy. They long for something or someone to help them move in a new direction.
(704) 272-2390 View (704) 272-2390
Photo of Jessica Evans, Clinical Social Work/Therapist in Matthews, NC
Jessica Evans
Clinical Social Work/Therapist, LCSW, LCAS
Verified Verified
2 Endorsed
Matthews, NC 28105
I provide individual, couple’s, family, intensive, and group therapy to adults. My clients are seeking relief from their trauma, dysfunctional relationships, shame, addictions, compulsive sexual behavior, disordered eating, grief, and codependency. Typically my clients are over functioning in many areas but cannot pinpoint why they struggle in relationship with others or feel chronically unhappy. Many of my clients identify as Adult Children of Alcoholic and Dysfunctional families or have addiction in their family system.
I provide individual, couple’s, family, intensive, and group therapy to adults. My clients are seeking relief from their trauma, dysfunctional relationships, shame, addictions, compulsive sexual behavior, disordered eating, grief, and codependency. Typically my clients are over functioning in many areas but cannot pinpoint why they struggle in relationship with others or feel chronically unhappy. Many of my clients identify as Adult Children of Alcoholic and Dysfunctional families or have addiction in their family system.
(704) 272-2302 View (704) 272-2302
Photo of Karen E Hooper, Psychologist in Matthews, NC
Karen E Hooper
Psychologist, PhD
Verified Verified
Matthews, NC 28105
Research has found that happiness is one of the most effective health interventions. I work with individuals, couples, and families, using a positive psychology approach that helps clients identify and build upon what they are already doing well. I can help you understand the importance of the mind/body connection, and how to utilize this to feel better. I can help you become aware of how your choices are impacting your life satisfaction and help you gain new skills and perspectives on your challenges. Feeling energetic and hopeful again is possible. I encourage you to call today.
Research has found that happiness is one of the most effective health interventions. I work with individuals, couples, and families, using a positive psychology approach that helps clients identify and build upon what they are already doing well. I can help you understand the importance of the mind/body connection, and how to utilize this to feel better. I can help you become aware of how your choices are impacting your life satisfaction and help you gain new skills and perspectives on your challenges. Feeling energetic and hopeful again is possible. I encourage you to call today.
(704) 240-5232 View (704) 240-5232
Photo of Tayona Fraylon, Licensed Clinical Mental Health Counselor in Matthews, NC
Tayona Fraylon
Licensed Clinical Mental Health Counselor, MS, LCMHC-A
Verified Verified
Matthews, NC 28106
I am pleased and privileged to have the opportunity to work with you and provide an atmosphere of safety and trust for you. We are going to find a way to relax and discuss information important to you and ways for meeting your goals and therapeutic needs. If you can agree to make a good faith effort at personal growth and to engage in the counseling process we can build from there.
I am pleased and privileged to have the opportunity to work with you and provide an atmosphere of safety and trust for you. We are going to find a way to relax and discuss information important to you and ways for meeting your goals and therapeutic needs. If you can agree to make a good faith effort at personal growth and to engage in the counseling process we can build from there.
(704) 270-3735 View (704) 270-3735
Photo of Ed Nissen, Clinical Social Work/Therapist in Matthews, NC
Ed Nissen
Clinical Social Work/Therapist, MSW, LCSW
Verified Verified
7 Endorsed
Matthews, NC 28105
“For scientific discovery, give me Scott; for speed and efficiency of travel, give me Amundsen; but when you are in a hopeless situation, when you are seeing no way out, get down on your knees and pray for Shackleton.” —Sir Raymond Priestley. Ernest Shackleton, best known for his Antarctic expeditions, in which during the 1914-1916 Endurance expedition, heroically led his crew to safety after their ship was trapped and crushed by Antarctic ice, exemplifying leadership skills in navigating extreme hardships.
“For scientific discovery, give me Scott; for speed and efficiency of travel, give me Amundsen; but when you are in a hopeless situation, when you are seeing no way out, get down on your knees and pray for Shackleton.” —Sir Raymond Priestley. Ernest Shackleton, best known for his Antarctic expeditions, in which during the 1914-1916 Endurance expedition, heroically led his crew to safety after their ship was trapped and crushed by Antarctic ice, exemplifying leadership skills in navigating extreme hardships.
(704) 766-8640 View (704) 766-8640
Photo of Ashley Rawls, Marriage & Family Therapist in Matthews, NC
Ashley Rawls
Marriage & Family Therapist, MA, LMFT
Verified Verified
1 Endorsed
Matthews, NC 28105  (Online Only)
I work with individuals dealing with life transitions, medical related issues, mood and affective disorders, and marriage, parenting or family issues. I use a narrative and solution focused approach to collaboratively work with clients to identify successful solutions to problems and how these strengths can be implemented in future situations. I utilize empirically supported techniques that focus on the ways in which individuals think about and respond to events. These interventions allow clients to restructure their thinking, process events and modify behaviors in more adaptive ways.
I work with individuals dealing with life transitions, medical related issues, mood and affective disorders, and marriage, parenting or family issues. I use a narrative and solution focused approach to collaboratively work with clients to identify successful solutions to problems and how these strengths can be implemented in future situations. I utilize empirically supported techniques that focus on the ways in which individuals think about and respond to events. These interventions allow clients to restructure their thinking, process events and modify behaviors in more adaptive ways.
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Photo of Alexandra Lagunas, Clinical Social Work/Therapist in Matthews, NC
Alexandra Lagunas
Clinical Social Work/Therapist, LCSW
Verified Verified
Matthews, NC 28105
Alexandra Lagunas is a Licensed Clinical Social Worker in North Carolina who has been practicing since 2022. She has a Master of Social Work from Aurora University. While attending graduate school, she worked with adolescents who had experienced trauma from sexual abuse. Postgraduate, Alexandra worked at a rape crisis center providing advocacy services and crisis intervention to survivors of sexual assault of all ages. Alexandra has also worked at a private practice and healthcare setting providing therapeutic services for adolescents, adults, and seniors.
Alexandra Lagunas is a Licensed Clinical Social Worker in North Carolina who has been practicing since 2022. She has a Master of Social Work from Aurora University. While attending graduate school, she worked with adolescents who had experienced trauma from sexual abuse. Postgraduate, Alexandra worked at a rape crisis center providing advocacy services and crisis intervention to survivors of sexual assault of all ages. Alexandra has also worked at a private practice and healthcare setting providing therapeutic services for adolescents, adults, and seniors.
(980) 485-4937 View (980) 485-4937
Photo of Melissa Prushik, Clinical Social Work/Therapist in Matthews, NC
Melissa Prushik
Clinical Social Work/Therapist, LCSW
Verified Verified
Matthews, NC 28105
In my practice, I work to help my clients feel comfortable and understood. I believe there are no right or wrong thoughts or feelings. I will support you and I will not judge. My experience is diverse as I have worked with children, adolescents, individuals and families in various settings. My methods include evidence based treatments tailored by my keen intuition and my client's individual needs and goals. I find success with my client's utilizing CBT, client-centered and psycho-dynamic therapies along with DBT skills. The benefits of DBT have proven to be tremendous and can be applied to many issues where appropriate.
In my practice, I work to help my clients feel comfortable and understood. I believe there are no right or wrong thoughts or feelings. I will support you and I will not judge. My experience is diverse as I have worked with children, adolescents, individuals and families in various settings. My methods include evidence based treatments tailored by my keen intuition and my client's individual needs and goals. I find success with my client's utilizing CBT, client-centered and psycho-dynamic therapies along with DBT skills. The benefits of DBT have proven to be tremendous and can be applied to many issues where appropriate.
(980) 434-0460 View (980) 434-0460
Photo of Walgren Counseling, PLLC in Matthews, NC
Walgren Counseling, PLLC
MSW, LCSW, LISW-CP
Verified Verified
Matthews, NC 28105
At Walgren Counseling, PLLC we have 20 therapists. Although each has a unique set of training & experience, our approach to working with you is similar. We all have a holistic, client-centered, and tailored approach. Rather than identifying an ideal client, we believe in developing a relationship with you that will be most helpful to you. Our therapists strive to bring out each person's ability to find balance and healing from within. Our entire office, from office staff to clinician, is committed to making you feel well-cared for.
At Walgren Counseling, PLLC we have 20 therapists. Although each has a unique set of training & experience, our approach to working with you is similar. We all have a holistic, client-centered, and tailored approach. Rather than identifying an ideal client, we believe in developing a relationship with you that will be most helpful to you. Our therapists strive to bring out each person's ability to find balance and healing from within. Our entire office, from office staff to clinician, is committed to making you feel well-cared for.
(704) 312-4364 View (704) 312-4364
Photo of Jackie Quartuccio, Clinical Social Work/Therapist in Matthews, NC
Jackie Quartuccio
Clinical Social Work/Therapist, LCSW
Verified Verified
1 Endorsed
Matthews, NC 28105
My counseling experience includes working with children, adolescents, adults, couples, and families. I have provided counseling assistance for various issues including depression, anxiety, adoption, pregnancy, women's issues, parenting skills, pre-marital counseling, and issues related to domestic violence. I have expertise in Christian counseling and can incorporate faith to whatever degree you are comfortable.
My counseling experience includes working with children, adolescents, adults, couples, and families. I have provided counseling assistance for various issues including depression, anxiety, adoption, pregnancy, women's issues, parenting skills, pre-marital counseling, and issues related to domestic violence. I have expertise in Christian counseling and can incorporate faith to whatever degree you are comfortable.
(980) 294-3779 View (980) 294-3779
Photo of Heather VanKoughnett, Licensed Professional Counselor in Matthews, NC
Heather VanKoughnett
Licensed Professional Counselor, MA, LCMHC, NCC
Verified Verified
Matthews, NC 28104
My clinical work has included helping those suffering from a broad range of presentations and trauma related disorders. I have experience working in both the hospital and outpatient setting and share a specific passion for working with individuals suffering trauma related disorders. I am intensively trained in dialectical behavior therapy (DBT), level 1 trained in eye movement desensitization reprocessing (EMDR) and level 2 trained in Sensorimotor Psychotherapy. I have experience working with individuals who struggle with both over controlled and under controlled emotional states and trauma related disorders.
My clinical work has included helping those suffering from a broad range of presentations and trauma related disorders. I have experience working in both the hospital and outpatient setting and share a specific passion for working with individuals suffering trauma related disorders. I am intensively trained in dialectical behavior therapy (DBT), level 1 trained in eye movement desensitization reprocessing (EMDR) and level 2 trained in Sensorimotor Psychotherapy. I have experience working with individuals who struggle with both over controlled and under controlled emotional states and trauma related disorders.
(704) 741-3975 View (704) 741-3975
Photo of MACS (McCloud Acosta Clinical Services PLLC), Clinical Social Work/Therapist in Matthews, NC
MACS (McCloud Acosta Clinical Services PLLC)
Clinical Social Work/Therapist
Verified Verified
3 Endorsed
Matthews, NC 28105
We are a Group of Trauma Specialist working with a variety of ages (8-100+) who have experienced trauma & have mental health needs. Our team of 15 therapists have a variety of specialties, experience & methods along with life experiences that can address most challenges. We love to work with clients who are ready to take the healing journey, are open, motivated & committed. Therapy is work & it is something we are honored to help you do. If you are ready to improve your life- please reach out. Virtual (in NC) and In-Person Sessions Available in Matthews & Mint Hill.
We are a Group of Trauma Specialist working with a variety of ages (8-100+) who have experienced trauma & have mental health needs. Our team of 15 therapists have a variety of specialties, experience & methods along with life experiences that can address most challenges. We love to work with clients who are ready to take the healing journey, are open, motivated & committed. Therapy is work & it is something we are honored to help you do. If you are ready to improve your life- please reach out. Virtual (in NC) and In-Person Sessions Available in Matthews & Mint Hill.
(704) 368-3609 View (704) 368-3609

How does your Therapist compare?

Number of Therapists in Matthews, NC

300+

Average cost per session

$135

Therapists in Matthews, NC who prioritize treating:

95% Anxiety
90% Depression
74% Coping Skills
74% Self Esteem
70% Relationship Issues
65% Trauma and PTSD
61% Grief

Average years in practice

10 Years

Top 3 insurances accepted

84% BlueCross and BlueShield
74% Aetna
62% UnitedHealthcare UHC | UBH

How Therapists in Matthews, NC see their clients

72% In Person and Online
28% Online Only

Gender breakdown

83% Female
16% Male
1% Non-Binary

FAQs - About Therapy and Counseling

How can I find a therapist in Matthews?

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.