Therapists in Charlotte Court House, VA

Photo of Susan L. Sisler - Sisler Counseling Services LLC, Licensed Professional Counselor, MS, LPC
Sisler Counseling Services LLC
Licensed Professional Counselor, MS, LPC
I have been a Counselor for over 30 years. I started out as a Navy Drug and Alcohol Counselor at Roosevelt Roads Naval Hospital in 1989 when I was active-duty Navy. From there, I discovered the satisfaction and joy of working with people and families to help them identify and resolve their problems. I have experience with individuals and families, school-age children, adolescents, and adults dealing with depression, anxiety, grief, substance abuse, and family issues, including domestic violence. I have experience working with couples who are focusing on separation, divorce, and/or reconciliation situations.
I have been a Counselor for over 30 years. I started out as a Navy Drug and Alcohol Counselor at Roosevelt Roads Naval Hospital in 1989 when I was active-duty Navy. From there, I discovered the satisfaction and joy of working with people and families to help them identify and resolve their problems. I have experience with individuals and families, school-age children, adolescents, and adults dealing with depression, anxiety, grief, substance abuse, and family issues, including domestic violence. I have experience working with couples who are focusing on separation, divorce, and/or reconciliation situations.
(434) 480-3861 View (434) 480-3861
Jeanne Face
Psychologist, PhD
Online Only
Dr. Face works with her clients to develop individualized treatment goals to facilitate positive changes in their lives. Dr. Face utilizes a developmental perspective to understand the client’s current concerns within the context of their life history and to address coping across the lifespan. In sessions, she tends to assume an interpersonal, relational, and collaborative approach with a focus on empathy, understanding from the client’s perspective, and the strength of the therapeutic relationship. She has received training in humanistic, psychodynamic, interpersonal, relational, cognitive-behavioral, and family systems therapies.
Dr. Face works with her clients to develop individualized treatment goals to facilitate positive changes in their lives. Dr. Face utilizes a developmental perspective to understand the client’s current concerns within the context of their life history and to address coping across the lifespan. In sessions, she tends to assume an interpersonal, relational, and collaborative approach with a focus on empathy, understanding from the client’s perspective, and the strength of the therapeutic relationship. She has received training in humanistic, psychodynamic, interpersonal, relational, cognitive-behavioral, and family systems therapies.
(434) 448-2673 View (434) 448-2673
Photo of Crystal Eve Younger, Clinical Social Work/Therapist, MSW, LCSW, LCASA
Crystal Eve Younger
Clinical Social Work/Therapist, MSW, LCSW, LCASA
Online Only
The Scene: Day after day, year after year, you hope that things will change. Unfortunately, the motivation never really sticks, and eventually, you give up only to restart the never-ending cycle of disappointment . You've convinced yourself that you are not strong enough or smart enough. You don't understand why you can't be happy like everyone else. The questions continues to linger: How do I hold space for these thoughts? What do I do?
The Scene: Day after day, year after year, you hope that things will change. Unfortunately, the motivation never really sticks, and eventually, you give up only to restart the never-ending cycle of disappointment . You've convinced yourself that you are not strong enough or smart enough. You don't understand why you can't be happy like everyone else. The questions continues to linger: How do I hold space for these thoughts? What do I do?
(984) 205-6469 View (984) 205-6469

More Therapists Nearby

Photo of Matt Runda, MA, LPC, CSAT
Matt Runda
Verified Verified
Farmville, VA 23901
I am an LPC in the state of Virginia and a Certified Sex Addiction Therapist (CSAT). I mindfully approach behavioral and mental health treatment with integrative consideration for clients as physical, mental, emotional, spiritual and social beings, and empower them to pursue and achieve goals through evidence-based treatment modalities, problem-relevant resources and consistent therapeutic care. I have experience working with sex/pornography addiction, behavioral disorders, anxiety, and spiritual bypass/trauma.
I am an LPC in the state of Virginia and a Certified Sex Addiction Therapist (CSAT). I mindfully approach behavioral and mental health treatment with integrative consideration for clients as physical, mental, emotional, spiritual and social beings, and empower them to pursue and achieve goals through evidence-based treatment modalities, problem-relevant resources and consistent therapeutic care. I have experience working with sex/pornography addiction, behavioral disorders, anxiety, and spiritual bypass/trauma.
(434) 394-2322 View (434) 394-2322
Photo of Mindy Eaves, Licensed Professional Counselor, LPC
Mindy Eaves
Licensed Professional Counselor, LPC
Online Only
Hello, my name is Mindy Eaves and I am a licensed professional counselor in the state of Virginia and West Virginia. Additionally, I am a level two Certified Complex Trauma Provider (CCTP-II). I work with adults, individuals, couples, and families that have or had experienced adverse childhood experiences (abuse, neglect, etc.), a traumatic event, or events. I work with clients, couples, and families where one or more persons in the household have experienced adverse childhood events, abuse, work-related trauma, personality disorders, dissociative disorders, anxiety, panic, depression, PTSD, CPTSD, phobias, and relationship issues.
Hello, my name is Mindy Eaves and I am a licensed professional counselor in the state of Virginia and West Virginia. Additionally, I am a level two Certified Complex Trauma Provider (CCTP-II). I work with adults, individuals, couples, and families that have or had experienced adverse childhood experiences (abuse, neglect, etc.), a traumatic event, or events. I work with clients, couples, and families where one or more persons in the household have experienced adverse childhood events, abuse, work-related trauma, personality disorders, dissociative disorders, anxiety, panic, depression, PTSD, CPTSD, phobias, and relationship issues.
(571) 554-6558 View (571) 554-6558
Photo of Arthur Byrd, Resident in Counseling
Arthur Byrd
Resident in Counseling
Online Only
Life brings amazing ups and downs, and we all can expect to feel “out of sorts” sometimes. However, when it seems we are unable to cope with feelings of lostness, hopelessness, helplessness, aggressiveness, and even worthlessness, we may need the support of a professional mental health counselor to help us find our way back to a place of comfort, happiness, hope, optimism, peacefulness, and personal value. My services are provided in a “safe container” where you can confidentially explore issues that you may not be able to with friends, family, or even a partner.
Life brings amazing ups and downs, and we all can expect to feel “out of sorts” sometimes. However, when it seems we are unable to cope with feelings of lostness, hopelessness, helplessness, aggressiveness, and even worthlessness, we may need the support of a professional mental health counselor to help us find our way back to a place of comfort, happiness, hope, optimism, peacefulness, and personal value. My services are provided in a “safe container” where you can confidentially explore issues that you may not be able to with friends, family, or even a partner.
(757) 960-7892 View (757) 960-7892
Photo of Angel Boyd, Clinical Social Work/Therapist
Angel Boyd
Clinical Social Work/Therapist
Online Only
Hello! I’m a Virginia native with an unwavering passion for understanding what makes us tick—and even more drive to help us feel our best. As a Certified Trauma-Focused Cognitive Behavioral Therapist, I bring both expertise and enthusiasm to every session. I studied Clinical Social Work at East Tennessee State University, completing residency as a Family Therapist in a rural community. That experience taught me the power of connection, creativity, and resilience—no matter where you live.
Hello! I’m a Virginia native with an unwavering passion for understanding what makes us tick—and even more drive to help us feel our best. As a Certified Trauma-Focused Cognitive Behavioral Therapist, I bring both expertise and enthusiasm to every session. I studied Clinical Social Work at East Tennessee State University, completing residency as a Family Therapist in a rural community. That experience taught me the power of connection, creativity, and resilience—no matter where you live.
(844) 488-8857 View (844) 488-8857
Photo of Carolyn Thomas, Clinical Social Work/Therapist
Carolyn Thomas
Clinical Social Work/Therapist
Online Only
Hello, I'm Carolyn. Life can be incredibly challenging, especially when you're dealing with depression, anxiety, or other forms of mental distress. Welcome to a nurturing space dedicated to your journey of healing and well-being. As a therapist, I specialize in guiding individuals through the complexities of depression, anxiety, behavioral issues, eating disorders, and trauma. With a client-centered and solution-focused approach, we'll collaboratively explore your unique experiences, fostering resilience and positive change. I hold a Master of Social Work (MSW) and am a Licensed Clinical Social Worker in both Oklahoma and Virginia.
Hello, I'm Carolyn. Life can be incredibly challenging, especially when you're dealing with depression, anxiety, or other forms of mental distress. Welcome to a nurturing space dedicated to your journey of healing and well-being. As a therapist, I specialize in guiding individuals through the complexities of depression, anxiety, behavioral issues, eating disorders, and trauma. With a client-centered and solution-focused approach, we'll collaboratively explore your unique experiences, fostering resilience and positive change. I hold a Master of Social Work (MSW) and am a Licensed Clinical Social Worker in both Oklahoma and Virginia.
(918) 276-7580 View (918) 276-7580
Photo of Lauren Showalter, Licensed Professional Counselor, LPC, NCC
Lauren Showalter
Licensed Professional Counselor, LPC, NCC
3 Endorsed
Farmville, VA 23901
Hello! If you are reading this, you are already taking the first step towards bettering yourself. Therapy can be intimidating, but I like to look at it more as a journey towards wholeness and healing. I work with adults and teens that may be struggling due to stress, life changes, depression, anxiety, mood disorders, or major challenges. I can help you or your teen learn ways to cope, understand your emotions better, ways to navigate hard times, gain insight, and work towards overall growth. It is also a chance to just be heard.
Hello! If you are reading this, you are already taking the first step towards bettering yourself. Therapy can be intimidating, but I like to look at it more as a journey towards wholeness and healing. I work with adults and teens that may be struggling due to stress, life changes, depression, anxiety, mood disorders, or major challenges. I can help you or your teen learn ways to cope, understand your emotions better, ways to navigate hard times, gain insight, and work towards overall growth. It is also a chance to just be heard.
(434) 278-7144 View (434) 278-7144
Photo of Tiffany Jackson Mioduszewski, Licensed Professional Counselor, LPC
Tiffany Jackson Mioduszewski
Licensed Professional Counselor, LPC
Online Only
I am a Licensed Professional Counselor (LPC) with over 6 years of experience, specializing in trauma and its effects on mental health. I typically work with children, teens, adults, and seniors dealing with depression, anxiety, grief, relationship issues, and major life transitions.
I am a Licensed Professional Counselor (LPC) with over 6 years of experience, specializing in trauma and its effects on mental health. I typically work with children, teens, adults, and seniors dealing with depression, anxiety, grief, relationship issues, and major life transitions.
(434) 771-2591 View (434) 771-2591
Photo of Nitika Bey - Child, Parent & Family Institute, Clinical Social Work/Therapist, LCSW
Child, Parent & Family Institute
Clinical Social Work/Therapist, LCSW
Serves Area
Is your child, teen, or young adult showing defiant, hyperactive, impulsive, or unsafe behaviors? Struggling to connect with peers, siblings, or family members? As a parent or caregiver, you want to help—but it can feel overwhelming. You’re not alone. Our ideal client is a family or individual seeking support, healing, and real change. In addition to working with children and families, we also provide outpatient therapy for young adults and adults. We understand your challenges and are here to help you regulate emotions, improve communication, and build safer, healthier relationships.
Is your child, teen, or young adult showing defiant, hyperactive, impulsive, or unsafe behaviors? Struggling to connect with peers, siblings, or family members? As a parent or caregiver, you want to help—but it can feel overwhelming. You’re not alone. Our ideal client is a family or individual seeking support, healing, and real change. In addition to working with children and families, we also provide outpatient therapy for young adults and adults. We understand your challenges and are here to help you regulate emotions, improve communication, and build safer, healthier relationships.
(804) 331-1138 View (804) 331-1138
Photo of LaQuita Williams, Licensed Professional Counselor, LPC, CSOTP, CSAC-S
LaQuita Williams
Licensed Professional Counselor, LPC, CSOTP, CSAC-S
Farmville, VA 23901
Meet La’Quita, a Licensed Professional Counselor located in Virginia with over 11 years of experience. She is the new C.E.O. of E.L.E.V.A.T.E. Counseling Services, LLC. She provides therapeutic services to diverse populations, focusing on addictions, depression, anxiety, marriage issues, and more. La’Quita holds a Bachelor of Arts in Human Services from Old Dominion University, a master’s degree in science from Longwood University, and is currently pursuing a doctorate at Liberty University.
Meet La’Quita, a Licensed Professional Counselor located in Virginia with over 11 years of experience. She is the new C.E.O. of E.L.E.V.A.T.E. Counseling Services, LLC. She provides therapeutic services to diverse populations, focusing on addictions, depression, anxiety, marriage issues, and more. La’Quita holds a Bachelor of Arts in Human Services from Old Dominion University, a master’s degree in science from Longwood University, and is currently pursuing a doctorate at Liberty University.
(571) 493-3906 View (571) 493-3906
Photo of Erin L Teigen, Clinical Social Work/Therapist, MSW, LCSW-C, LCSW
Erin L Teigen
Clinical Social Work/Therapist, MSW, LCSW-C, LCSW
Online Only
When working with me, you can anticipate feeling empowered to leverage your strengths, build resilience and find meaning through challenges. I work with children, adolescents, and adults, many of whom need help with anxiety, depression, low self-esteem, panic attacks, PTSD, grief, ADHD, family issues, and coping with disease and disability. You may expect me to offer an inclusive, family-centered approach to care that also considers the role of the human-and-animal bond. Clients that notice the most growth working with me are those seeking increases in self worth, communication skills and emotional regulation.
When working with me, you can anticipate feeling empowered to leverage your strengths, build resilience and find meaning through challenges. I work with children, adolescents, and adults, many of whom need help with anxiety, depression, low self-esteem, panic attacks, PTSD, grief, ADHD, family issues, and coping with disease and disability. You may expect me to offer an inclusive, family-centered approach to care that also considers the role of the human-and-animal bond. Clients that notice the most growth working with me are those seeking increases in self worth, communication skills and emotional regulation.
(443) 323-0143 View (443) 323-0143
Photo of Fran Tyson-Marchino, Marriage & Family Therapist, EdS, LMFT, CSAC, RPT
Fran Tyson-Marchino
Marriage & Family Therapist, EdS, LMFT, CSAC, RPT
Online Only
Waitlist for new clients
Creative Therapy, Inc. was established in Kauai in 1999. I became certified as a Substance Abuse Counselor in 2002, registered as a Play Therapist in 2006, licensed as a Marriage and Family Therapist in Colorado and Hawaii in 2013, Virginia in 2023, and recognized as an EMDR Therapist in 2014. Additionally, I was certified in School Psychology in 1995, and as a Special Education Teacher in 1985. I have assisted children, families, and individuals with complex issues for over 35 years.
Creative Therapy, Inc. was established in Kauai in 1999. I became certified as a Substance Abuse Counselor in 2002, registered as a Play Therapist in 2006, licensed as a Marriage and Family Therapist in Colorado and Hawaii in 2013, Virginia in 2023, and recognized as an EMDR Therapist in 2014. Additionally, I was certified in School Psychology in 1995, and as a Special Education Teacher in 1985. I have assisted children, families, and individuals with complex issues for over 35 years.
(808) 518-2644 View (808) 518-2644
Photo of Kayla Norris, Pre-Licensed Professional, LPCC
Kayla Norris
Pre-Licensed Professional, LPCC
Serves Area
I am a Licensed Resident in Counseling with 1 year of experience in the mental health field. I specialize in helping adults and seniors manage anxiety and heal from parental trauma. I also have experience supporting individuals as they manage depression, adjust to life changes, and recover from traumatic situations.
I am a Licensed Resident in Counseling with 1 year of experience in the mental health field. I specialize in helping adults and seniors manage anxiety and heal from parental trauma. I also have experience supporting individuals as they manage depression, adjust to life changes, and recover from traumatic situations.
(434) 204-8745 View (434) 204-8745
Photo of Christie Blaylock, Clinical Social Work/Therapist
Christie Blaylock
Clinical Social Work/Therapist
Online Only
Hello, I'm Christie, a Licensed Clinical Social Worker with 25 years of experience in the counseling profession. I completed both my undergraduate and graduate studies at Virginia Commonwealth University and have lived in and around Richmond for most of my life. What seems like just yesterday I embarked on a brand-new career. Somehow just yesterday became decades filled with exciting clinical and administrative experiences. From foster care to outpatient administration, and franchise ownership, the years have offered incredibly rich opportunities to gain an understanding of what clients want and expect from outpatient therapy.
Hello, I'm Christie, a Licensed Clinical Social Worker with 25 years of experience in the counseling profession. I completed both my undergraduate and graduate studies at Virginia Commonwealth University and have lived in and around Richmond for most of my life. What seems like just yesterday I embarked on a brand-new career. Somehow just yesterday became decades filled with exciting clinical and administrative experiences. From foster care to outpatient administration, and franchise ownership, the years have offered incredibly rich opportunities to gain an understanding of what clients want and expect from outpatient therapy.
(571) 202-7835 View (571) 202-7835
Photo of Melanie McCoy-Sloan, Resident in Marriage and Family Therapy, MA
Melanie McCoy-Sloan
Resident in Marriage and Family Therapy, MA
Serves Area
I am a licensed resident counselor who works with children with ADHD, depression, anxiety as well as adolescents, adults and couples. I work with couples, families, and individuals navigating relationship dynamics while emphasizing the importance of creating and maintaining boundaries. I believe in providing a safe place for clients to explore themselves and their lives as well as providing a path forward to healing.
I am a licensed resident counselor who works with children with ADHD, depression, anxiety as well as adolescents, adults and couples. I work with couples, families, and individuals navigating relationship dynamics while emphasizing the importance of creating and maintaining boundaries. I believe in providing a safe place for clients to explore themselves and their lives as well as providing a path forward to healing.
(434) 448-4683 View (434) 448-4683
Photo of Dr. Jacqueline I Barnette - The Rising Development Center, LLC, Licensed Professional Counselor, PsyD
The Rising Development Center, LLC
Licensed Professional Counselor, PsyD
Chase City, VA 23924
Life can be overwhelming, but you don’t have to face it by yourself. I specialize in helping children, teens, and adults overcome challenges like ADHD, anxiety, depression, and ptsd. Using evidence-based therapies like CBT and being culturally sensitive, I am dedicated to guiding individuals through life’s challenges, helping them lead healthier, more fulfilling lives. With a passion for empowering people to make informed choices. My work is driven by the joy of fostering resilience and growth in every step of their journey.
Life can be overwhelming, but you don’t have to face it by yourself. I specialize in helping children, teens, and adults overcome challenges like ADHD, anxiety, depression, and ptsd. Using evidence-based therapies like CBT and being culturally sensitive, I am dedicated to guiding individuals through life’s challenges, helping them lead healthier, more fulfilling lives. With a passion for empowering people to make informed choices. My work is driven by the joy of fostering resilience and growth in every step of their journey.
(434) 226-7450 View (434) 226-7450
Photo of Sirena Marie Pangelinan, Licensed Professional Counselor, LPC-R, MS
Sirena Marie Pangelinan
Licensed Professional Counselor, LPC-R, MS
Farmville, VA 23901
I have received an MS in Clinical Mental Health Counseling, and has nearly 10 years of professional experience with clients from all walks of life. I have worked in a myriad of different counseling realms, including work with children, adolescents, adults, geriatric clients, families, couples, residential facilities for individuals with severe mental illness, intellectual disabilities and eating disorders; and the complex array of concerns that overlap these diverse individuals. Sirena's ideal client includes those open to lasting change, recovery, and healing. She is invested in those who are invested in healing and growth.
I have received an MS in Clinical Mental Health Counseling, and has nearly 10 years of professional experience with clients from all walks of life. I have worked in a myriad of different counseling realms, including work with children, adolescents, adults, geriatric clients, families, couples, residential facilities for individuals with severe mental illness, intellectual disabilities and eating disorders; and the complex array of concerns that overlap these diverse individuals. Sirena's ideal client includes those open to lasting change, recovery, and healing. She is invested in those who are invested in healing and growth.
(804) 587-8339 View (804) 587-8339
Photo of Iris Nicole Campbell, Licensed Professional Counselor, LPC
Iris Nicole Campbell
Licensed Professional Counselor, LPC
Appomattox, VA 24522
Individuals and families deserve better relationships and to be able to manage their life, and to overcome hurdles that are keeping them from the life they want. I am here to help you, your child, or your family reach your goals. I am honored to help you discover what is important to you, and the next steps to get there. I am passionate about catering treatment a client’s needs and putting them in the driver’s seat of their own care.
Individuals and families deserve better relationships and to be able to manage their life, and to overcome hurdles that are keeping them from the life they want. I am here to help you, your child, or your family reach your goals. I am honored to help you discover what is important to you, and the next steps to get there. I am passionate about catering treatment a client’s needs and putting them in the driver’s seat of their own care.
(434) 303-5432 View (434) 303-5432

How does your Therapist compare?

Number of Therapists in Charlotte Court House, VA

< 10

Therapists in Charlotte Court House, VA who prioritize treating:

100% Depression
100% Anxiety
67% Relationship Issues
67% ADHD
67% Grief
67% Parenting
67% Spirituality

Average years in practice

18 Years

Top 3 insurances accepted

100% Aetna
100% BlueCross and BlueShield
100% Cigna and Evernorth

How Therapists in Charlotte Court House, VA see their clients

67% Online Only
33% In Person and Online

Gender breakdown

100% Female
FAQs - About Therapy and Counseling

How can I find a therapist in Charlotte Court House?

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.