Therapists in Mount Pleasant, SC
Rossi Collins
LPC Associate, MA CMHC, NCC, LPCA
Verified Verified
Mount Pleasant, SC 29464
If you are feeling overwhelmed, depressed, frustrated, anxious, or just as if there must be a better way... I want to help. I work with my clients to identify roots of the struggle, and I help them make changes toward a better way. I enjoy working with teens, young adults, adults, individuals, and couples, helping them to understand experiences more fully.
If you are feeling overwhelmed, depressed, frustrated, anxious, or just as if there must be a better way... I want to help. I work with my clients to identify roots of the struggle, and I help them make changes toward a better way. I enjoy working with teens, young adults, adults, individuals, and couples, helping them to understand experiences more fully.
Rebekah Tozer
Clinical Social Work/Therapist, LISW-CP
Verified Verified
1 Endorsed
Mount Pleasant, SC 29466
Haunted by past traumas? No matter the size of the “T/t”, these aren't just bad memories—they ruthlessly ambush your daily peace, spike your anxiety at unexpected moments, and rob you of simple joys. You might find yourself perpetually on guard, exhausted from the never-ending battle against emotional triggers, barely catching a break on what should be good days. This relentless stress can gnaw at your core, making even your best days feel overshadowed by an ever-present cloud of past hurts. The weight of these memories can make it feel impossible to move forward, as they color every interaction and experience with their shadow.
Haunted by past traumas? No matter the size of the “T/t”, these aren't just bad memories—they ruthlessly ambush your daily peace, spike your anxiety at unexpected moments, and rob you of simple joys. You might find yourself perpetually on guard, exhausted from the never-ending battle against emotional triggers, barely catching a break on what should be good days. This relentless stress can gnaw at your core, making even your best days feel overshadowed by an ever-present cloud of past hurts. The weight of these memories can make it feel impossible to move forward, as they color every interaction and experience with their shadow.
Xavier Bailey
Clinical Social Work/Therapist, LISW
Verified Verified
1 Endorsed
Mount Pleasant, SC 29466 (Online Only)
Mr. Xavier Bailey is a LISW-CP in the state of South Carolina with over eight years of experience providing clinical therapeutic care services to pre-teens, teens, young adults, couples, families, and elderly in a multitude of healthcare and therapeutic environments.
Mr. Xavier Bailey is a LISW-CP in the state of South Carolina with over eight years of experience providing clinical therapeutic care services to pre-teens, teens, young adults, couples, families, and elderly in a multitude of healthcare and therapeutic environments.
Seeds Of Hope Counseling
Counselor, MEd, LPC
Verified Verified
Mount Pleasant, SC 29464
Not accepting new clients
**CURRENTLY NOT ACCEPTING NEW CLIENTS** I enjoy working with clients who are at a place where they are ready for change - whether it is in the area of personal relationships, defeating thoughts and behaviors or seeking to grow. It is my belief that a strong therapeutic relationship is crucial for psychotherapy to be effective. I offer a compassionate, strengths-based approach combined with a desire to help others overcome barriers that prevent them from reaching their goals.
**CURRENTLY NOT ACCEPTING NEW CLIENTS** I enjoy working with clients who are at a place where they are ready for change - whether it is in the area of personal relationships, defeating thoughts and behaviors or seeking to grow. It is my belief that a strong therapeutic relationship is crucial for psychotherapy to be effective. I offer a compassionate, strengths-based approach combined with a desire to help others overcome barriers that prevent them from reaching their goals.
Donna Marie Friedman
Licensed Professional Counselor, MS, LPC
Verified Verified
Mount Pleasant, SC 29464
Having been in recovery myself, I feel that I offer a unique therapeutic experience. Eating disorders such as; Anorexia Nervosa, Bulimia, Bulimia Nervosa, Binge Eating Disorder and other unspecified eating disorders, are complicated. They effect not only the patient, but the entire family. I work closely with client and family to offer hope and support. Eating Disorders are not a choice. Recovery is individualized to meet the needs of the client. I am here not to tell one how to recover but to be the support to put the Eating Disorder behind and life's experiences first.
Having been in recovery myself, I feel that I offer a unique therapeutic experience. Eating disorders such as; Anorexia Nervosa, Bulimia, Bulimia Nervosa, Binge Eating Disorder and other unspecified eating disorders, are complicated. They effect not only the patient, but the entire family. I work closely with client and family to offer hope and support. Eating Disorders are not a choice. Recovery is individualized to meet the needs of the client. I am here not to tell one how to recover but to be the support to put the Eating Disorder behind and life's experiences first.
Lisa Annan
Licensed Professional Counselor, PhD, LPCS
Verified Verified
Mount Pleasant, SC 29464
My Specialties: Adolescent Counseling, Adult Counseling, Anxiety Counseling, Autism Counseling for Parents/Adults, Depression Counseling, Relationship Counseling, Postpartum Issues, Career, Self-Esteem and Childhood Behavioral/Emotional issues. In addition to my time in private practice, I also work in the Emergency Room and ICU assessing patients with issues concerning Substance Abuse, Suicidal Ideation, Depression/Anxiety. I utilize a Cognitive Behavioral Therapy (CBT) approach in our sessions.
My Specialties: Adolescent Counseling, Adult Counseling, Anxiety Counseling, Autism Counseling for Parents/Adults, Depression Counseling, Relationship Counseling, Postpartum Issues, Career, Self-Esteem and Childhood Behavioral/Emotional issues. In addition to my time in private practice, I also work in the Emergency Room and ICU assessing patients with issues concerning Substance Abuse, Suicidal Ideation, Depression/Anxiety. I utilize a Cognitive Behavioral Therapy (CBT) approach in our sessions.
Lisa Larkins Indigo Counseling And Wellness
Licensed Professional Counselor, MA, LPC, CCTP
Verified Verified
2 Endorsed
Mount Pleasant, SC 29464
My counseling philosophy is a simple one. I fully and completely believe in the power and process of therapy. I have seen it work; radically changing lives and restoring relationships. I am honored that people allow me into their world to offer knowledge, understanding, and guidance. I am passionate about what I do, and I am committed to help my clients work through their issues and feel better in their lives. I am trained in CBT, DBT, and EMDR and I practice from a mind-body perspective utilizing holistic philosophies like mindfulness with a focus on overall wellness.
My counseling philosophy is a simple one. I fully and completely believe in the power and process of therapy. I have seen it work; radically changing lives and restoring relationships. I am honored that people allow me into their world to offer knowledge, understanding, and guidance. I am passionate about what I do, and I am committed to help my clients work through their issues and feel better in their lives. I am trained in CBT, DBT, and EMDR and I practice from a mind-body perspective utilizing holistic philosophies like mindfulness with a focus on overall wellness.
Julie Richards Wood
EdS, LPES
Verified Verified
Mount Pleasant, SC 29466
I hold a Bachelor’s degree in Psychology from Clemson University and Master’s and Specialist’s degrees in School Psychology from the University of Georgia. I have experience working within the public school setting as a School Psychologist and as a Child and Adolescent Psychologist II for the SC Department of Mental Health. I am a former President of the International Dyslexia Association - SC and member of the SC Dyslexia Law Task Force. I am the former Co-Owner of Breakwater Associates, a multidisciplinary private practice that offered psychoeducational evaluations, dyslexia therapy, counseling, and executive function coaching.
I hold a Bachelor’s degree in Psychology from Clemson University and Master’s and Specialist’s degrees in School Psychology from the University of Georgia. I have experience working within the public school setting as a School Psychologist and as a Child and Adolescent Psychologist II for the SC Department of Mental Health. I am a former President of the International Dyslexia Association - SC and member of the SC Dyslexia Law Task Force. I am the former Co-Owner of Breakwater Associates, a multidisciplinary private practice that offered psychoeducational evaluations, dyslexia therapy, counseling, and executive function coaching.
Ashleigh Klas Langheim
Licensed Psycho-Educational Specialist, LPES, EdS, NCSP
Verified Verified
2 Endorsed
Mount Pleasant, SC 29464
At Palmetto Assessments and Learning Services, we specialize in psycho-educational evaluation services for a variety of learning, social/emotional, and behavioral disorders including; dyslexia, dyscalculia, dysgraphia, ADHD, autism, intellectual disabilities, etc. Additionally, we conduct evaluations for those interested in assessing giftedness, those who who are seeking additional information for entry into or seeking supports in private school settings, and those seeking Independent Educational Evaluations.
At Palmetto Assessments and Learning Services, we specialize in psycho-educational evaluation services for a variety of learning, social/emotional, and behavioral disorders including; dyslexia, dyscalculia, dysgraphia, ADHD, autism, intellectual disabilities, etc. Additionally, we conduct evaluations for those interested in assessing giftedness, those who who are seeking additional information for entry into or seeking supports in private school settings, and those seeking Independent Educational Evaluations.
Stacy Lawrence
Licensed Professional Counselor, MEd, LPC, NCC
Verified Verified
8 Endorsed
Mount Pleasant, SC 29464
Are you feeling overwhelmed? Are you looking for ways to be happy? Is stress or worry driving you to do things you wouldn't normally do? Is diabetes running your life? Chronic illness, stress, constant worry, transitions, loss, and trying to do everything right can be really frustrating and difficult. There is hope for healing and skills to manage your life and find wellness. Therapy is a collaborative process where you can heal, explore, grow and change in a non-judgmental environment. Together we can find coping skills that work for your life and get on track with taking care of yourself even when you don't feel like it.
Are you feeling overwhelmed? Are you looking for ways to be happy? Is stress or worry driving you to do things you wouldn't normally do? Is diabetes running your life? Chronic illness, stress, constant worry, transitions, loss, and trying to do everything right can be really frustrating and difficult. There is hope for healing and skills to manage your life and find wellness. Therapy is a collaborative process where you can heal, explore, grow and change in a non-judgmental environment. Together we can find coping skills that work for your life and get on track with taking care of yourself even when you don't feel like it.
Audrey Godfrey
Licensed Professional Counselor, MA, LPC
Verified Verified
1 Endorsed
Mount Pleasant, SC 29464
I am accepting new clients! Are you feeling stressed, stuck, insecure, or overwhelmed? Let's talk! I believe in my clients' ability to learn, grow, and make “mind-style” changes that lead to emotional fitness, mental flexibility, and transformational healing. Whether you are seeking counseling for discouraging patterns of negative thoughts or behavior, childhood issues, relational discord, or trauma, my goal is to help you identify and overcome limiting beliefs so you can feel more authentic, empowered, and self-confident.
I am accepting new clients! Are you feeling stressed, stuck, insecure, or overwhelmed? Let's talk! I believe in my clients' ability to learn, grow, and make “mind-style” changes that lead to emotional fitness, mental flexibility, and transformational healing. Whether you are seeking counseling for discouraging patterns of negative thoughts or behavior, childhood issues, relational discord, or trauma, my goal is to help you identify and overcome limiting beliefs so you can feel more authentic, empowered, and self-confident.
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Kayla Casper
Licensed Professional Counselor, LPC
Verified Verified
2 Endorsed
Mount Pleasant, SC 29464 (Online Only)
Has a negative event in the past left you feeling anxious, depressed, and lost? Has trauma created conflict in your relationships, employment, or hobbies? Does your anxiety or depression feel like an overbearing weight on your shoulders or stop you from fully functioning in your life? You don't have to be alone with this heavy burden. I provide skills and guidance to help you uncover the source of problems, uproot them, and heal. My goal is for you to regain control of your life and teach you the skills necessary to do so.
Has a negative event in the past left you feeling anxious, depressed, and lost? Has trauma created conflict in your relationships, employment, or hobbies? Does your anxiety or depression feel like an overbearing weight on your shoulders or stop you from fully functioning in your life? You don't have to be alone with this heavy burden. I provide skills and guidance to help you uncover the source of problems, uproot them, and heal. My goal is for you to regain control of your life and teach you the skills necessary to do so.
Ward Lassoe Counseling
Licensed Professional Counselor, MA, LPC
Verified Verified
Mount Pleasant, SC 29464
I have an unusual background for a psychotherapist. Before I started my counseling career, I worked as a TV news reporter, an online media executive, and an adjunct college professor. This diverse experience in journalism, business, and education has given me valuable skills that I use in my counseling practice. My sense of humor is another important part of my counseling style. I take my work with clients seriously, but there are times when therapy needs to include some humor. I also offer life coaching for clients who want to make some changes but don't know where to start.
I have an unusual background for a psychotherapist. Before I started my counseling career, I worked as a TV news reporter, an online media executive, and an adjunct college professor. This diverse experience in journalism, business, and education has given me valuable skills that I use in my counseling practice. My sense of humor is another important part of my counseling style. I take my work with clients seriously, but there are times when therapy needs to include some humor. I also offer life coaching for clients who want to make some changes but don't know where to start.
Kayla Brooke White
MA, NCC
Not Verified Not Verified
Mount Pleasant, SC 29464
You are a BADASS - let's settle that now. You probably look like (on instagram) like you have your life together, but inside have a shaky sense of self, low self-esteem, and maybe some problems in relationships? Maybe you don’t feel like you’re doing “enough” and that you are comparing yourself to the curated lives of others (been here, too). You have looked inward and decided it’s time to put YOU first and create the life you want to have. With the right therapist (me?), you can and WILL have a life that you are excited about, deal with those internal struggles, and be your unashamed, authentic you. If this is you, let's talk.
You are a BADASS - let's settle that now. You probably look like (on instagram) like you have your life together, but inside have a shaky sense of self, low self-esteem, and maybe some problems in relationships? Maybe you don’t feel like you’re doing “enough” and that you are comparing yourself to the curated lives of others (been here, too). You have looked inward and decided it’s time to put YOU first and create the life you want to have. With the right therapist (me?), you can and WILL have a life that you are excited about, deal with those internal struggles, and be your unashamed, authentic you. If this is you, let's talk.
Krista Tilly
Marriage & Family Therapist, MS MFT, LMFT
Verified Verified
2 Endorsed
Mount Pleasant, SC 29464
As a Marriage and Family Therapist and Health Coach, I believe that every person has the innate ability to find peace. I enjoy working with people of all ages going through transition and hardship. Whether you have a child struggling with behavior issues or are having trouble communicating with your spouse/loved ones, I hope to help you find the courage to press through and to discover that our greatest breakthroughs can be found in what feel like our weakest moments. I want to help you explore the beliefs that are holding you back and help you find peace that lasts.
As a Marriage and Family Therapist and Health Coach, I believe that every person has the innate ability to find peace. I enjoy working with people of all ages going through transition and hardship. Whether you have a child struggling with behavior issues or are having trouble communicating with your spouse/loved ones, I hope to help you find the courage to press through and to discover that our greatest breakthroughs can be found in what feel like our weakest moments. I want to help you explore the beliefs that are holding you back and help you find peace that lasts.
Julie Tucker Young, L.I.S.W.- C.P.
Clinical Social Work/Therapist, LCSW, LISW-CP, Supv
Verified Verified
1 Endorsed
Mount Pleasant, SC 29464
Participating in the transformations of people's lives for 41 years has brought experience with adults and older adolescents struggling with a variety of challenges. Issues with Trauma/PTSD, Anxiety, Depression, Grief, Relationships, Substance Abuse, Addictions, Abuse/Violence, Anger, Divorce and Co-parenting are specialties. I work with marriages, couples, families, individuals and special populations such as Military, Federal, Law Enforcement, First Responders, Health Care Workers /Providers and Corporations. Many who I have treated have commented that they find my direct approach empowering in their search for hope.
Participating in the transformations of people's lives for 41 years has brought experience with adults and older adolescents struggling with a variety of challenges. Issues with Trauma/PTSD, Anxiety, Depression, Grief, Relationships, Substance Abuse, Addictions, Abuse/Violence, Anger, Divorce and Co-parenting are specialties. I work with marriages, couples, families, individuals and special populations such as Military, Federal, Law Enforcement, First Responders, Health Care Workers /Providers and Corporations. Many who I have treated have commented that they find my direct approach empowering in their search for hope.
Cindy Boatwright
Licensed Professional Counselor, MA, MEd, LPC, NBCC
Verified Verified
Mount Pleasant, SC 29466 (Online Only)
You've started looking for a therapist because something is getting in the way of your leading the life you want: worsening anxiety, a life event, feeling down, stuck or unhappy. My specialty is individualized counseling based on the personality, needs and goals of my patients. I don't judge. I will be your biggest cheerleader to help you over whatever hurdles are in your way. Everyone wants to lead life to the fullest, and we should feel worthy of that life. All too often I hear patients say, "I don't deserve.." or "I'm not good enough." We get trapped in comparing ourselves to others and hearing past messages of discouragement.
You've started looking for a therapist because something is getting in the way of your leading the life you want: worsening anxiety, a life event, feeling down, stuck or unhappy. My specialty is individualized counseling based on the personality, needs and goals of my patients. I don't judge. I will be your biggest cheerleader to help you over whatever hurdles are in your way. Everyone wants to lead life to the fullest, and we should feel worthy of that life. All too often I hear patients say, "I don't deserve.." or "I'm not good enough." We get trapped in comparing ourselves to others and hearing past messages of discouragement.
Brian K Sullivan
Psychologist, PsyD
Verified Verified
Mount Pleasant, SC 29464
As a clinical psychologist, my job is to work myself out of a job - pure and simple. I work to help you get to the point where won't need my help anymore. This has been my philosophy for 29 years and counting. If you are, or think you are depressed, feeling lost or anxious, stressed or simply unhappy in life, and you wonder if counseling, psychotherapy, marriage counseling or stress management might help, I'm here to listen and help. I specialize in care for adults & adolescents, stress management, marriage/couples counseling, and pre-marital counseling.
As a clinical psychologist, my job is to work myself out of a job - pure and simple. I work to help you get to the point where won't need my help anymore. This has been my philosophy for 29 years and counting. If you are, or think you are depressed, feeling lost or anxious, stressed or simply unhappy in life, and you wonder if counseling, psychotherapy, marriage counseling or stress management might help, I'm here to listen and help. I specialize in care for adults & adolescents, stress management, marriage/couples counseling, and pre-marital counseling.
Marcella Berman
Clinical Social Work/Therapist, LISW-CP
Verified Verified
2 Endorsed
Mount Pleasant, SC 29466
The decision to start therapy is a courageous first step towards understanding, healing, and growth. Whether you are struggling with troubling thoughts or feelings, lack of confidence, excessive worry, depression, loss, or relationship issues therapy can help. Marcella utilizes a client-centered approach while working with children, adolescents, young adults, and families who struggles with anxiety, depression, eating disorders, and relationship issues in a non-judgmental space. With mindfulness-based practices and cognitive behavioral techniques we can change the thoughts and behaviors that contribute to overwhelming feelings.
The decision to start therapy is a courageous first step towards understanding, healing, and growth. Whether you are struggling with troubling thoughts or feelings, lack of confidence, excessive worry, depression, loss, or relationship issues therapy can help. Marcella utilizes a client-centered approach while working with children, adolescents, young adults, and families who struggles with anxiety, depression, eating disorders, and relationship issues in a non-judgmental space. With mindfulness-based practices and cognitive behavioral techniques we can change the thoughts and behaviors that contribute to overwhelming feelings.
Nicola Boyd
Marriage & Family Therapist Associate, LMFT-A
Verified Verified
1 Endorsed
Mount Pleasant, SC 29466
As a Marriage and Family Therapist, I am dedicated to working with children, adults, couples, and families. I have a Master of Arts (M.A.) in counseling psychology from the Wright Institute, Berkeley, California, where I gained solid education and professional training to work using a range of therapeutic approaches.
As a Marriage and Family Therapist, I am dedicated to working with children, adults, couples, and families. I have a Master of Arts (M.A.) in counseling psychology from the Wright Institute, Berkeley, California, where I gained solid education and professional training to work using a range of therapeutic approaches.
See more therapy options for Mount Pleasant
How does your Therapist compare?
Number of Therapists in Mount Pleasant, SC
400+
Average cost per session
$140
Therapists in Mount Pleasant, SC who prioritize treating:
92% | Anxiety |
88% | Depression |
76% | Relationship Issues |
73% | Self Esteem |
71% | Coping Skills |
66% | Stress |
65% | Life Transitions |
Average years in practice
11 Years
Top 3 insurances accepted
73% | BlueCross and BlueShield |
54% | UnitedHealthcare UHC | UBH |
53% | Aetna |
How Therapists in Mount Pleasant, SC see their clients
79% | In Person and Online | |
21% | Online Only |
Gender breakdown
84% | Female | |
15% | Male | |
1% | Non-Binary |
FAQs - About Therapy and Counseling
How can I find a therapist in Mount Pleasant?
Search for nearby therapists or counselors by inputting your city, town, or suburb; or zip code; or a provider’s name into the search bar. From there, you can filter providers by the issues they treat, cost, insurance, gender, and other factors to find providers who are well-suited to your needs. To navigate between locations within the same country, enter a new city or zip code into the search bar.
Learn more about how to find a therapist
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.
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.
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.