Therapists in Summit Point, WV

James M Wentz
Drug & Alcohol Counselor
Summit Point, WV 25446
I work with adults facing substance use concerns, including professionals, safety‑sensitive workers, and individuals involved in treatment courts or supervised treatment settings. Many clients seek help after workplace, legal, or regulatory issues, or when substance use is no longer manageable. With over 12 years of experience, I provide structured, evidence‑based, trauma‑informed care guided by the ASAM Criteria. My approach is practical, respectful, and goal‑oriented, helping clients meet requirements while building sustainable recovery and long‑term stability.
I work with adults facing substance use concerns, including professionals, safety‑sensitive workers, and individuals involved in treatment courts or supervised treatment settings. Many clients seek help after workplace, legal, or regulatory issues, or when substance use is no longer manageable. With over 12 years of experience, I provide structured, evidence‑based, trauma‑informed care guided by the ASAM Criteria. My approach is practical, respectful, and goal‑oriented, helping clients meet requirements while building sustainable recovery and long‑term stability.
(304) 449-5797 View (304) 449-5797

More Therapists Nearby

Photo of Lauren Riley - Two Coins Behavioral Health Group, Clinical Social Work/Therapist, LCSW-C
Two Coins Behavioral Health Group
Clinical Social Work/Therapist, LCSW-C
Serves Area
We aim to inspire and empower our clients to overcome challenges, build healthy relationships, and discover their true potential. Our vision is to empower young and emerging adults as they navigate the challenges of transitioning into adulthood, or managing the onset of a mental health or substance use disorder, fostering growth, resilience, and self-discovery through family, group and individual therapy.
We aim to inspire and empower our clients to overcome challenges, build healthy relationships, and discover their true potential. Our vision is to empower young and emerging adults as they navigate the challenges of transitioning into adulthood, or managing the onset of a mental health or substance use disorder, fostering growth, resilience, and self-discovery through family, group and individual therapy.
(240) 448-7060 View (240) 448-7060
Photo of Andrea Graziano, Licensed Professional Counselor, LPC
Andrea Graziano
Licensed Professional Counselor, LPC
Online Only
My name is Andrea Graziano, and I am a Licensed Professional Counselor (LPC) in the Commonwealth of Virginia. I work with adults to help ameliorate symptoms of anxiety, depression, and relationship issues using Cognitive Behavioral Therapy and Person-Centered Therapy. I have found that adults grappling with anxiety, depression, and relationship issues feel empowered when they are able to shed old thoughts and habits. Clients feel better about themselves and develop a more positive outlook as a result of building new skills.
My name is Andrea Graziano, and I am a Licensed Professional Counselor (LPC) in the Commonwealth of Virginia. I work with adults to help ameliorate symptoms of anxiety, depression, and relationship issues using Cognitive Behavioral Therapy and Person-Centered Therapy. I have found that adults grappling with anxiety, depression, and relationship issues feel empowered when they are able to shed old thoughts and habits. Clients feel better about themselves and develop a more positive outlook as a result of building new skills.
(304) 247-1428 View (304) 247-1428
Photo of Scott Damon George, Clinical Social Work/Therapist, LICSW
Scott Damon George
Clinical Social Work/Therapist, LICSW
1 Endorsed
Martinsburg, WV 25405
Waitlist for new clients
I work with clients from the ages of 12+ using a supportive, person-centered, and solution focused approach. I utilize an integrative approach to assist client's in navigating the challenges that life brings, and to help empower the client to meet their treatment goals. I strive to create a relaxed atmosphere where clients can feel comfortable discussing the issues that are causing dysfunction and negatively impacting daily functioning. If you are looking for a therapist who is not going to "sugar coat" or tip toe around the issues but is still empathetic and willing to meet you were you are at, we may be a good fit.
I work with clients from the ages of 12+ using a supportive, person-centered, and solution focused approach. I utilize an integrative approach to assist client's in navigating the challenges that life brings, and to help empower the client to meet their treatment goals. I strive to create a relaxed atmosphere where clients can feel comfortable discussing the issues that are causing dysfunction and negatively impacting daily functioning. If you are looking for a therapist who is not going to "sugar coat" or tip toe around the issues but is still empathetic and willing to meet you were you are at, we may be a good fit.
(304) 853-5382 View (304) 853-5382
Photo of Joy Szafraniec, Licensed Professional Counselor, LPC, MA, CCTP
Joy Szafraniec
Licensed Professional Counselor, LPC, MA, CCTP
Serves Area
I truly believe the relationship you have with your therapist, is like no other. I trust the special role that a therapist is in a person’s life. I’m committed to keeping it real with you, looking out for you, and helping you move through the barriers holding you back. You can count on me to be non-judgmental, supportive, smart, funny, and genuinely supportive.
I truly believe the relationship you have with your therapist, is like no other. I trust the special role that a therapist is in a person’s life. I’m committed to keeping it real with you, looking out for you, and helping you move through the barriers holding you back. You can count on me to be non-judgmental, supportive, smart, funny, and genuinely supportive.
(304) 501-5410 View (304) 501-5410
Photo of Emma J Staggs, Clinical Social Work/Therapist, MSW, LICSW
Emma J Staggs
Clinical Social Work/Therapist, MSW, LICSW
Online Only
No waitlist at Healing Haus Counseling! You don’t have to accept that you’re feeling misunderstood, isolated, stuck, angry, sad, or anxious. Pain is natural, but struggle and suffering are what happens when we don’t act. My goal is to gently approach the hurdle(s) that are keeping you from fulfilling a wholesome and authentic life. I understand that throughout life, changes and events may cause emotional conflict, confusion, and feel unbearable. I believe strongly that people are very resilient, and I’m passionate about assisting individuals find their inner strength to overcome.
No waitlist at Healing Haus Counseling! You don’t have to accept that you’re feeling misunderstood, isolated, stuck, angry, sad, or anxious. Pain is natural, but struggle and suffering are what happens when we don’t act. My goal is to gently approach the hurdle(s) that are keeping you from fulfilling a wholesome and authentic life. I understand that throughout life, changes and events may cause emotional conflict, confusion, and feel unbearable. I believe strongly that people are very resilient, and I’m passionate about assisting individuals find their inner strength to overcome.
(304) 407-6259 View (304) 407-6259
Photo of Michaela Kuhn, Clinical Social Work/Therapist, LCSW
Michaela Kuhn
Clinical Social Work/Therapist, LCSW
Online Only
Hi there, I'm Michaela! I am here to help you navigate through life's difficulties with compassion and empathy. I want to meet you where you are in your journey and help you get to where you want to be. Struggling with negative thoughts, poor self-esteem, sadness and overwhelm? I hope to help you process these feelings and gain effective skills to manage these feelings and improve your life. I aim to offer a supportive space where you feel comfortable and heard. My space is a judgment-free zone and a place of calm and compassion.
Hi there, I'm Michaela! I am here to help you navigate through life's difficulties with compassion and empathy. I want to meet you where you are in your journey and help you get to where you want to be. Struggling with negative thoughts, poor self-esteem, sadness and overwhelm? I hope to help you process these feelings and gain effective skills to manage these feelings and improve your life. I aim to offer a supportive space where you feel comfortable and heard. My space is a judgment-free zone and a place of calm and compassion.
(304) 396-7393 View (304) 396-7393
Photo of Carissa Francis, Clinical Social Work/Therapist, LCSW, LISW-CP, ICSW
Carissa Francis
Clinical Social Work/Therapist, LCSW, LISW-CP, ICSW
Harpers Ferry, WV 25425
Thank you for visiting my profile! My practice is now dedicated exclusively to EMDR Intensives for adults in Virginia, West Virginia, and Washington, DC. EMDR Intensives are an alternative to traditional weekly therapy, offering extended, focused sessions over one or more days instead of 50-minute weekly appointments. This immersive approach reduces the stop-and-start nature of therapy, allowing for deeper processing and meaningful progress in a shorter period of time. Each intensive is personalized to your goals, history, and unique needs.
Thank you for visiting my profile! My practice is now dedicated exclusively to EMDR Intensives for adults in Virginia, West Virginia, and Washington, DC. EMDR Intensives are an alternative to traditional weekly therapy, offering extended, focused sessions over one or more days instead of 50-minute weekly appointments. This immersive approach reduces the stop-and-start nature of therapy, allowing for deeper processing and meaningful progress in a shorter period of time. Each intensive is personalized to your goals, history, and unique needs.
(540) 889-3487 View (540) 889-3487
Photo of Pam Monjar, Licensed Professional Counselor, MA, LPC, MHSP, NCC, CGP
Pam Monjar
Licensed Professional Counselor, MA, LPC, MHSP, NCC, CGP
1 Endorsed
Online Only
As a fellow grief traveler, my own grief story inspires my passion for this work. Grief deserves to be seen, heard, and held. Licensed in Tennessee and West Virginia, I specialize in supporting adults navigating the many faces of grief—whether through death, life transitions, or the quieter, invisible losses that often go unseen but are deeply felt. What is your grief story? I honor that it takes a lot of strength to ask for help. Let's journey together.
As a fellow grief traveler, my own grief story inspires my passion for this work. Grief deserves to be seen, heard, and held. Licensed in Tennessee and West Virginia, I specialize in supporting adults navigating the many faces of grief—whether through death, life transitions, or the quieter, invisible losses that often go unseen but are deeply felt. What is your grief story? I honor that it takes a lot of strength to ask for help. Let's journey together.
(615) 502-1306 View (615) 502-1306
Photo of Daniel Speis - Inner Awakening Counseling & Consultation, PLLC, Clinical Social Work/Therapist, DSW, LICSW
Inner Awakening Counseling & Consultation, PLLC
Clinical Social Work/Therapist, DSW, LICSW
Martinsburg, WV 25404
Awaken Hope: we help individuals by addressing some of life's most difficult challenges and experiences. Whether it's recovering from something terrible that has happened to you, dealing with life-crippling anxiety, or struggling because of overwhelming emotions, we can help. Show us the broken parts of you and let us help you awaken your ability to heal.
Awaken Hope: we help individuals by addressing some of life's most difficult challenges and experiences. Whether it's recovering from something terrible that has happened to you, dealing with life-crippling anxiety, or struggling because of overwhelming emotions, we can help. Show us the broken parts of you and let us help you awaken your ability to heal.
(304) 244-0606 View (304) 244-0606
Photo of Kate MacShane, Clinical Social Work/Therapist, MEd, MSW, LCSW-C
Kate MacShane
Clinical Social Work/Therapist, MEd, MSW, LCSW-C
3 Endorsed
Serves Area
Waitlist for new clients
I am the founder and clinical director of the Maryland Center for Gender and Intimacy. As a psychotherapist, I specialize in gender, sex, and affirming treatment of LGBTQIA2+ people. I provide compassionate, skilled therapy to clients seeking to heal, connect with their authentic selves, and strengthen relationships. I support gender-diverse individuals as they pursue gender congruence. I help families to better understand their transgender loved ones and navigate gender transition together. I also provide free assessments to those seeking letters of support for gender-affirming medical care.
I am the founder and clinical director of the Maryland Center for Gender and Intimacy. As a psychotherapist, I specialize in gender, sex, and affirming treatment of LGBTQIA2+ people. I provide compassionate, skilled therapy to clients seeking to heal, connect with their authentic selves, and strengthen relationships. I support gender-diverse individuals as they pursue gender congruence. I help families to better understand their transgender loved ones and navigate gender transition together. I also provide free assessments to those seeking letters of support for gender-affirming medical care.
(301) 360-4349 View (301) 360-4349
Photo of Theannah Phillips, Clinical Social Work/Therapist, LCSW
Theannah Phillips
Clinical Social Work/Therapist, LCSW
Online Only
Hi there, I'm Theannah Remi Phillips, MPA, MLS, LCSW/LICSW, is a warm and approachable psychotherapist with a Masters Degree in Social Work from WVU. She has also completed Master's Degrees in Law and Legal Studies and Public Administration. She is an advocate for an active lifestyle and finding a place where all parts of ourselves can intersect. While I have a special interest in trauma work, other areas of focus include life transitions, high stress, anxiety, mental performance in both career and athletic environments, substance abuse, and relationship recovery.
Hi there, I'm Theannah Remi Phillips, MPA, MLS, LCSW/LICSW, is a warm and approachable psychotherapist with a Masters Degree in Social Work from WVU. She has also completed Master's Degrees in Law and Legal Studies and Public Administration. She is an advocate for an active lifestyle and finding a place where all parts of ourselves can intersect. While I have a special interest in trauma work, other areas of focus include life transitions, high stress, anxiety, mental performance in both career and athletic environments, substance abuse, and relationship recovery.
(304) 635-5162 View (304) 635-5162
Photo of Kay R McCoy, Clinical Social Work/Therapist, MSW, WVLICSW, WVAADC, NYLCSW
Kay R McCoy
Clinical Social Work/Therapist, MSW, WVLICSW, WVAADC, NYLCSW
1 Endorsed
Online Only
Telehealth mental health therapy sessions with me provide a safe place, from the comfort of your own home, to share your your thoughts, feelings, fears, and as much of your personal story as you choose. You are always the center of my attention, and therapy is based on what you want to change about your behaviors, thoughts or feelings. I listen to what you have to say, and help you identify solutions to problems you may identify. I provide crisis counseling, brief therapy, and long term psychotherapy based on your needs.
Telehealth mental health therapy sessions with me provide a safe place, from the comfort of your own home, to share your your thoughts, feelings, fears, and as much of your personal story as you choose. You are always the center of my attention, and therapy is based on what you want to change about your behaviors, thoughts or feelings. I listen to what you have to say, and help you identify solutions to problems you may identify. I provide crisis counseling, brief therapy, and long term psychotherapy based on your needs.
(844) 204-9946 View (844) 204-9946
Photo of Cydney McClain, Licensed Professional Counselor, LMHC, LPC
Cydney McClain
Licensed Professional Counselor, LMHC, LPC
1 Endorsed
Online Only
Are anxiety, past experiences, or major life changes leaving you feeling overwhelmed or stuck? You don’t have to carry that weight alone. At The Blooming Space Counseling and Wellness, I provide a calm, supportive environment where you can slow down, breathe, and begin to heal. My work centers on helping individuals move through anxiety, trauma, and life transitions with compassion and practical tools that fit their unique life experience.
Are anxiety, past experiences, or major life changes leaving you feeling overwhelmed or stuck? You don’t have to carry that weight alone. At The Blooming Space Counseling and Wellness, I provide a calm, supportive environment where you can slow down, breathe, and begin to heal. My work centers on helping individuals move through anxiety, trauma, and life transitions with compassion and practical tools that fit their unique life experience.
(346) 572-9565 View (346) 572-9565
Photo of Laurie R. LaFollette, Licensed Professional Counselor, MS, LPC, LCPC, NCC
Laurie R. LaFollette
Licensed Professional Counselor, MS, LPC, LCPC, NCC
Online Only
Welcome. I specialize in helping individuals heal from complex trauma, PTSD, and addiction, with particular expertise in working with military service members, veterans, and first responders, including law enforcement, firefighters, and EMS personnel. Many of my clients have experienced repeated exposure to trauma, critical incidents, chronic stress, moral injury, or substance use challenges that impact their relationships, careers, and well-being. My practice focuses on helping clients process trauma, develop healthy coping strategies, break free from destructive patterns, and build resilience for lasting recovery.
Welcome. I specialize in helping individuals heal from complex trauma, PTSD, and addiction, with particular expertise in working with military service members, veterans, and first responders, including law enforcement, firefighters, and EMS personnel. Many of my clients have experienced repeated exposure to trauma, critical incidents, chronic stress, moral injury, or substance use challenges that impact their relationships, careers, and well-being. My practice focuses on helping clients process trauma, develop healthy coping strategies, break free from destructive patterns, and build resilience for lasting recovery.
(304) 223-9650 View (304) 223-9650
Photo of Devon Viar, Resident in Counseling, MEd
Devon Viar
Resident in Counseling, MEd
6 Endorsed
Serves Area
Devon is a compassionate and creative therapist who specializes in working with adolescents, young adults, and parents. With an integrative approach grounded in person-centered, solution-focused, and cognitive behavioral therapies, Devon tailors sessions to meet the unique needs of her clients. She blends evidence-based practices with games, art, and music, to create a supportive and developmentally appropriate space. Whether through hands-on activities with younger adolescents or deeper conversations with teens and young adults, Devon helps clients build insight, develop coping skills, and work toward emotional healing.
Devon is a compassionate and creative therapist who specializes in working with adolescents, young adults, and parents. With an integrative approach grounded in person-centered, solution-focused, and cognitive behavioral therapies, Devon tailors sessions to meet the unique needs of her clients. She blends evidence-based practices with games, art, and music, to create a supportive and developmentally appropriate space. Whether through hands-on activities with younger adolescents or deeper conversations with teens and young adults, Devon helps clients build insight, develop coping skills, and work toward emotional healing.
(540) 515-5795 View (540) 515-5795
Photo of Chase C Butala, Licensed Professional Counselor, MS, LPC, LCPC
Chase C Butala
Licensed Professional Counselor, MS, LPC, LCPC
Online Only
You’re driven, capable, and used to figuring things out. But lately, even your usual strategies aren’t cutting it. You’re feeling stuck in patterns—overthinking, overworking, overgiving—and despite your accomplishments, something still feels off. Maybe your relationships feel unbalanced, or you’re tired of holding everything together without space to actually feel your feelings. Therapy isn’t about weakness—it’s about strength. It takes courage to pause, reflect, and intentionally shift long-standing patterns. It’s not just about coping—it’s about evolving.
You’re driven, capable, and used to figuring things out. But lately, even your usual strategies aren’t cutting it. You’re feeling stuck in patterns—overthinking, overworking, overgiving—and despite your accomplishments, something still feels off. Maybe your relationships feel unbalanced, or you’re tired of holding everything together without space to actually feel your feelings. Therapy isn’t about weakness—it’s about strength. It takes courage to pause, reflect, and intentionally shift long-standing patterns. It’s not just about coping—it’s about evolving.
(304) 758-3984 View (304) 758-3984
Photo of Lexy Wright, Clinical Social Work/Therapist, MSW
Lexy Wright
Clinical Social Work/Therapist, MSW
Serves Area
You may be used to being the one everyone relies on — the one who keeps things running, takes care of others, and pushes through even when you're exhausted. On the outside, you may look like you're managing it all, but internally you might feel overwhelmed, anxious, burned out, or like you've lost parts of yourself along the way. Many of the women I work with are navigating the mental load of motherhood, relationship stress, anxiety, burnout, or major life transitions. They often tell me they want to feel calmer, more present, and more like themselves again — not just surviving each day, but actually feeling grounded in it.
You may be used to being the one everyone relies on — the one who keeps things running, takes care of others, and pushes through even when you're exhausted. On the outside, you may look like you're managing it all, but internally you might feel overwhelmed, anxious, burned out, or like you've lost parts of yourself along the way. Many of the women I work with are navigating the mental load of motherhood, relationship stress, anxiety, burnout, or major life transitions. They often tell me they want to feel calmer, more present, and more like themselves again — not just surviving each day, but actually feeling grounded in it.
(540) 516-3746 View (540) 516-3746
Photo of Jean Louise Walls, Resident in Counseling, MSEd, RIC
Jean Louise Walls
Resident in Counseling, MSEd, RIC
Online Only
As a counselor, I am committed to creating a safe, accepting, and nonjudgmental environment where clients feel heard, valued, and supported. I believe that every individual has the capacity for growth, healing, and positive change when provided with the right tools and therapeutic support. I prefer women and children, although am open to expanding my skills.
As a counselor, I am committed to creating a safe, accepting, and nonjudgmental environment where clients feel heard, valued, and supported. I believe that every individual has the capacity for growth, healing, and positive change when provided with the right tools and therapeutic support. I prefer women and children, although am open to expanding my skills.
(681) 272-6560 View (681) 272-6560
Photo of Tina Hawkins, Clinical Social Work/Therapist, LICSW
Tina Hawkins
Clinical Social Work/Therapist, LICSW
Online Only
Hello! My name is Tina Bennett and I am a licensed independent clinical social worker. I work with adults and adolescents who struggle with anxiety, depression and PTSD. I work with individuals on working towards goals that align with their values. I am familiar with cognitive behavioral techniques as well as Acceptance and Commitment therapy. I like to connect with people where they are at with life. I consider myself down to earth and easy to talk to. I get to know folks by discovering what is important to them, and then developing goals that work toward that value set.
Hello! My name is Tina Bennett and I am a licensed independent clinical social worker. I work with adults and adolescents who struggle with anxiety, depression and PTSD. I work with individuals on working towards goals that align with their values. I am familiar with cognitive behavioral techniques as well as Acceptance and Commitment therapy. I like to connect with people where they are at with life. I consider myself down to earth and easy to talk to. I get to know folks by discovering what is important to them, and then developing goals that work toward that value set.
(304) 519-4952 View (304) 519-4952

How does your Therapist compare?

Number of Therapists in Summit Point, WV

< 10

Therapists in Summit Point, WV who prioritize treating:

100% Addiction
100% Drug Abuse
100% Alcohol Use
100% Gambling
100% Dual Diagnosis
100% Veterans

Average years in practice

9 Years

Gender breakdown

100% Male

How Therapists in Summit Point, WV see their clients

100% In Person and Online
FAQs - About Therapy and Counseling

How can I find a therapist in Summit Point?

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.