Therapists in Winston Salem, NC

Photo of Karen A. Cauthen, Licensed Clinical Mental Health Counselor in Winston Salem, NC
Karen A. Cauthen
Licensed Clinical Mental Health Counselor, MA, LCMHC
Verified Verified
Winston Salem, NC 27127  (Online Only)
If you were a drop of water and you dropped into the ocean it would cause a ripple effect. Or, if you dropped onto land the surface would rearrange. This is what we do every day. We connect and interact with each other causing changes. We are not alone on this planet. We have purpose. We might think we are islands but an island is still connected to the main land, the connection is just covered by a mass of water. Understanding we are not alone creates hope, hope empowers, and power fuels transformation.
If you were a drop of water and you dropped into the ocean it would cause a ripple effect. Or, if you dropped onto land the surface would rearrange. This is what we do every day. We connect and interact with each other causing changes. We are not alone on this planet. We have purpose. We might think we are islands but an island is still connected to the main land, the connection is just covered by a mass of water. Understanding we are not alone creates hope, hope empowers, and power fuels transformation.
(336) 344-7019 View (336) 344-7019
Photo of Marlee Prather, Clinical Social Work/Therapist in Winston Salem, NC
Marlee Prather
Clinical Social Work/Therapist, LCSWA, MSW
Verified Verified
Winston Salem, NC 27103
You have already taken the biggest step by deciding to look for help and I would be honored to assist you in the next steps of your journey. I specialize in treating depression, anxiety, maternal mental health, stress, trauma and PTSD, relationship issues, and self esteem in adults.
You have already taken the biggest step by deciding to look for help and I would be honored to assist you in the next steps of your journey. I specialize in treating depression, anxiety, maternal mental health, stress, trauma and PTSD, relationship issues, and self esteem in adults.
(704) 457-7624 View (704) 457-7624
Photo of Heartspath Counseling and Wellness, PLLC, Counselor in Winston Salem, NC
Heartspath Counseling and Wellness, PLLC
Counselor, MS, EdS, LCMHC
Verified Verified
2 Endorsed
Winston Salem, NC 27103
When life becomes difficult, either with long-standing challenges or those that just recently have surfaced, it can be scary and frustrating to know where to start in seeking help. I admire you for taking that first step in seeking out someone that can help you move through and make sense of life's challenges. I am eager to help you as you journey in dealing with issues such as depression, anxiety, grief & loss, spirituality, identity development, body-image & self-esteem and relationship conflict.
When life becomes difficult, either with long-standing challenges or those that just recently have surfaced, it can be scary and frustrating to know where to start in seeking help. I admire you for taking that first step in seeking out someone that can help you move through and make sense of life's challenges. I am eager to help you as you journey in dealing with issues such as depression, anxiety, grief & loss, spirituality, identity development, body-image & self-esteem and relationship conflict.
(336) 899-0198 View (336) 899-0198
Photo of Liz Wagner Mecham, Counselor in Winston Salem, NC
Liz Wagner Mecham
Counselor, LCMHC-A
Verified Verified
Winston Salem, NC 27106  (Online Only)
We are all not OK all of the time. We struggle. We all struggle, whether with mental illness or adjusting to the concerns of everyday life. Could you benefit from having someone help you sort out those issues? I approach counseling from a Person Centered perspective which means my foundation is in being genuine, regarding each client as valuable and trying to understand their view. With couples I take this foundation and focus on attachment, or our need for emotional bonding.
We are all not OK all of the time. We struggle. We all struggle, whether with mental illness or adjusting to the concerns of everyday life. Could you benefit from having someone help you sort out those issues? I approach counseling from a Person Centered perspective which means my foundation is in being genuine, regarding each client as valuable and trying to understand their view. With couples I take this foundation and focus on attachment, or our need for emotional bonding.
(919) 624-5274 View (919) 624-5274
Photo of Melody Nicholas, Counselor in Winston Salem, NC
Melody Nicholas
Counselor, MA, LCMHCA, NCC, RYT 200
Verified Verified
Winston Salem, NC 27101
Does feeling whole seem impossible? Are your self-worth and happiness tied to what you see in the mirror? Do you displace pain and pressure in disordered eating or other spaces that do not serve you? Is your identity dependent on how others see you? Do you feel lost inside yourself? This can feel like a war, a losing battle. Unfortunately, you may be in a vicious cycle that feels impossible to beat. It may have led to social isolation, increased anxiety, and feelings of hopelessness and helplessness.
Does feeling whole seem impossible? Are your self-worth and happiness tied to what you see in the mirror? Do you displace pain and pressure in disordered eating or other spaces that do not serve you? Is your identity dependent on how others see you? Do you feel lost inside yourself? This can feel like a war, a losing battle. Unfortunately, you may be in a vicious cycle that feels impossible to beat. It may have led to social isolation, increased anxiety, and feelings of hopelessness and helplessness.
(336) 502-8059 View (336) 502-8059
Photo of Peggy Haymes, Licensed Clinical Mental Health Counselor in Winston Salem, NC
Peggy Haymes
Licensed Clinical Mental Health Counselor, MDiv, MA, LCMHC
Verified Verified
3 Endorsed
Winston Salem, NC 27103
You keep thinking that one day it will be better. One day your grief won't be so hard. One day you'll stop calling yourself such awful names that you'd never dream of saying to anyone else. One day your anxiety won't make anything and everything harder. One day you might discover who you want to be when you grow up. Here's the thing: time doesn't heal all wounds. It's what we do with that time. Aren't you ready for something different? What healing and change looks like is different for everyone. Why not see what it could look like for you? (Please note that as of 1/1/24 I am not able to see clients who have Medicare.)
You keep thinking that one day it will be better. One day your grief won't be so hard. One day you'll stop calling yourself such awful names that you'd never dream of saying to anyone else. One day your anxiety won't make anything and everything harder. One day you might discover who you want to be when you grow up. Here's the thing: time doesn't heal all wounds. It's what we do with that time. Aren't you ready for something different? What healing and change looks like is different for everyone. Why not see what it could look like for you? (Please note that as of 1/1/24 I am not able to see clients who have Medicare.)
(336) 554-7428 View (336) 554-7428
Photo of New Life Counseling Center, PLLC, Lic Clinical Mental Health Counselor Supervisor in Winston Salem, NC
New Life Counseling Center, PLLC
Lic Clinical Mental Health Counselor Supervisor, LCMHCS
Verified Verified
1 Endorsed
Winston Salem, NC 27103
New Life Counseling Center offers exceptional therapy services to residents of the Triad and surrounding areas. We are a private, group practice featuring therapists who specialize in Professional Counseling and Marriage and Family Therapy. It is our goal to retain only the best and most professional therapists to ensure that each and every client is treated with respect and care! It's our shared mission to provide top-notch mental health services available in a pleasant, professional setting. We take the extra time to learn about you so that we can match you up with the therapist who will be the best fit for your needs.
New Life Counseling Center offers exceptional therapy services to residents of the Triad and surrounding areas. We are a private, group practice featuring therapists who specialize in Professional Counseling and Marriage and Family Therapy. It is our goal to retain only the best and most professional therapists to ensure that each and every client is treated with respect and care! It's our shared mission to provide top-notch mental health services available in a pleasant, professional setting. We take the extra time to learn about you so that we can match you up with the therapist who will be the best fit for your needs.
(336) 439-3376 View (336) 439-3376
Photo of Bowen Lader, Counselor in Winston Salem, NC
Bowen Lader
Counselor, MAE, LCMHCA
Verified Verified
Winston Salem, NC 27101
I work with individuals of various ages and concerns, such as anxiety, depression, grief, PTSD, addictions, and other mental health concerns. As a therapist, I strive to create an environment in which you feel accepted, respected, and heard. Throughout the counseling process we will work together to help you achieve your goals and make the changes you would like to see in your life. I apply a number of techniques based on Cognitive Behavioral Therapy (CBT), Internal Family Systems (IFS), and Mindfulness Theory. However, I believe every individual is unique so I use the tools, techniques, and theories that are the best fit you.
I work with individuals of various ages and concerns, such as anxiety, depression, grief, PTSD, addictions, and other mental health concerns. As a therapist, I strive to create an environment in which you feel accepted, respected, and heard. Throughout the counseling process we will work together to help you achieve your goals and make the changes you would like to see in your life. I apply a number of techniques based on Cognitive Behavioral Therapy (CBT), Internal Family Systems (IFS), and Mindfulness Theory. However, I believe every individual is unique so I use the tools, techniques, and theories that are the best fit you.
(336) 860-7498 View (336) 860-7498
Photo of Leah Dixon, Licensed Clinical Mental Health Counselor in Winston Salem, NC
Leah Dixon
Licensed Clinical Mental Health Counselor, MS, LCMHC
Verified Verified
Winston Salem, NC 27103
Being human can be difficult. I hope to provide a safe nonjudgmental space so you can feel heard and seen, a space to be honest and reflect on what’s meaningful, and to recognize the impacts of culture and society on your wellbeing. I encourage others to enter into vulnerability to do deeper work that can create lasting change. My desire is to help my clients find self-compassion to heal the old wounds that can keep us stuck and find peace. Being human can also be beautiful, and I hope to help you discover that beauty in your own life.
Being human can be difficult. I hope to provide a safe nonjudgmental space so you can feel heard and seen, a space to be honest and reflect on what’s meaningful, and to recognize the impacts of culture and society on your wellbeing. I encourage others to enter into vulnerability to do deeper work that can create lasting change. My desire is to help my clients find self-compassion to heal the old wounds that can keep us stuck and find peace. Being human can also be beautiful, and I hope to help you discover that beauty in your own life.
(336) 502-6072 View (336) 502-6072
Photo of Hannah Grace Prevatt, Counselor in Winston Salem, NC
Hannah Grace Prevatt
Counselor, MS EdS, LCHMH, NCC
Verified Verified
Winston Salem, NC 27127
ABC of NC is a non-profit dedicated to providing high-quality, evidence-based diagnostic, therapeutic, and educational services to people with autism spectrum disorder; ensuring service accessibility to individuals from any economic background; offering support and hope to families; and advocating for inclusion and acceptance.
ABC of NC is a non-profit dedicated to providing high-quality, evidence-based diagnostic, therapeutic, and educational services to people with autism spectrum disorder; ensuring service accessibility to individuals from any economic background; offering support and hope to families; and advocating for inclusion and acceptance.
(336) 863-8487 View (336) 863-8487
Photo of Michael Nuckolls, Licensed Clinical Mental Health Counselor in Winston Salem, NC
Michael Nuckolls
Licensed Clinical Mental Health Counselor, LCMHC, NCC
Verified Verified
1 Endorsed
Winston Salem, NC 27103
Life comes at us from every angle. Obligations, expectations, and responsibilities from work, family, home, school, and friends can weigh heavy on our shoulders. Everyone wants a piece of us and we aim to tackle it all. We need to be prepared and equipped to handle the challenges. The strategies I employ at Newcastle Counseling are designed to set you up to formulate a plan, overcome obstacles, and solve problems.
Life comes at us from every angle. Obligations, expectations, and responsibilities from work, family, home, school, and friends can weigh heavy on our shoulders. Everyone wants a piece of us and we aim to tackle it all. We need to be prepared and equipped to handle the challenges. The strategies I employ at Newcastle Counseling are designed to set you up to formulate a plan, overcome obstacles, and solve problems.
(336) 814-2839 View (336) 814-2839
Photo of Justin Rountree, Marriage & Family Therapist in Winston Salem, NC
Justin Rountree
Marriage & Family Therapist, MMFT, LMFT
Verified Verified
1 Endorsed
Winston Salem, NC 27101
Enacting change in our lives is never easy, especially when it pertains to our mental health and our relationships. However, it is a worthwhile process that can have a profound impact on your life and the lives of those closest to you. The healthier we are in these areas the healthier we are as individuals, family members, friends, and coworkers. My goal is to create a safe, therapeutic atmosphere for you to explore these areas and enact the change that you need to be a happier and more whole version of yourself.
Enacting change in our lives is never easy, especially when it pertains to our mental health and our relationships. However, it is a worthwhile process that can have a profound impact on your life and the lives of those closest to you. The healthier we are in these areas the healthier we are as individuals, family members, friends, and coworkers. My goal is to create a safe, therapeutic atmosphere for you to explore these areas and enact the change that you need to be a happier and more whole version of yourself.
(336) 360-5515 View (336) 360-5515
Photo of Dr. Ricardo Marquez, Clinical Social Work/Therapist in Winston Salem, NC
Dr. Ricardo Marquez
Clinical Social Work/Therapist, MSW, LCSWA, PhD
Verified Verified
Winston Salem, NC 27101
I believe in the infinite possibilities of each human being, I believe in the sacredness of each life, I believe in new beginnings, in the dreams and desires that we all carry to be loved and respected for who we are. I believe that the past does not determine our lives and that crises and conflicts are sources of transformation. These are some of the beliefs that guide my therapeutic practice. The strengthening of couple relationships, parenting skills, communication issues and conflict management have been areas in which I have worked personally and in groups in various cultural environments.
I believe in the infinite possibilities of each human being, I believe in the sacredness of each life, I believe in new beginnings, in the dreams and desires that we all carry to be loved and respected for who we are. I believe that the past does not determine our lives and that crises and conflicts are sources of transformation. These are some of the beliefs that guide my therapeutic practice. The strengthening of couple relationships, parenting skills, communication issues and conflict management have been areas in which I have worked personally and in groups in various cultural environments.
(336) 489-4528 View (336) 489-4528
Photo of Christopher J. Koniarczyk, Licensed Professional Counselor in Winston Salem, NC
Christopher J. Koniarczyk
Licensed Professional Counselor, LCMHC, LAC, LPC
Verified Verified
1 Endorsed
Winston Salem, NC 27101
It is my belief that finding the right therapist for YOU is the most important thing you can do. Working with young adults and their families is my specialty but my practice is open to anyone looking to grow, heal, and change. Is your child struggling to complete school or find employment? Has your marriage/relationship become challenging? Are you dealing with depression or anxiety that has become unmanageable? Are you a parent looking for support? Whatever life is throwing at you, I can help.
It is my belief that finding the right therapist for YOU is the most important thing you can do. Working with young adults and their families is my specialty but my practice is open to anyone looking to grow, heal, and change. Is your child struggling to complete school or find employment? Has your marriage/relationship become challenging? Are you dealing with depression or anxiety that has become unmanageable? Are you a parent looking for support? Whatever life is throwing at you, I can help.
(336) 619-2073 View (336) 619-2073
Photo of Skylar Elise McGhee, Counselor in Winston Salem, NC
Skylar Elise McGhee
Counselor, LCMHCA
Verified Verified
1 Endorsed
Winston Salem, NC 27101
Waitlist for new clients
My hope as a psychotherapist is to build a relationship based on trust, respect, and hopefulness with my clients. I view psychotherapy not only as a way to address symptoms, but as a gateway to more joy, wholeness, and pleasure in our lives.
My hope as a psychotherapist is to build a relationship based on trust, respect, and hopefulness with my clients. I view psychotherapy not only as a way to address symptoms, but as a gateway to more joy, wholeness, and pleasure in our lives.
(919) 587-8372 View (919) 587-8372
Photo of Kelsey Catherwood, Counselor in Winston Salem, NC
Kelsey Catherwood
Counselor, MA, LCMHCA, NCC, LRT, CTRS
Verified Verified
Winston Salem, NC 27101
Waitlist for new clients
Are you weighed down by anxiety, burdened by the lingering impact of past experiences, and exhausted from the ceaseless pressure to please others? You're so accustomed to being everything for everyone that you've lost sight of who you are, and it feels unsettling even to read a paragraph focused on you. If you’re ready to leave the years of living for everyone except yourself behind, to break free from the confines of trauma and self-doubt, and finally feel excited for your life, you’ve found the right place.
Are you weighed down by anxiety, burdened by the lingering impact of past experiences, and exhausted from the ceaseless pressure to please others? You're so accustomed to being everything for everyone that you've lost sight of who you are, and it feels unsettling even to read a paragraph focused on you. If you’re ready to leave the years of living for everyone except yourself behind, to break free from the confines of trauma and self-doubt, and finally feel excited for your life, you’ve found the right place.
(336) 221-3049 View (336) 221-3049
Photo of Dr. Cheyenne Carter, Licensed Clinical Mental Health Counselor in Winston Salem, NC
Dr. Cheyenne Carter
Licensed Clinical Mental Health Counselor, PhD, LCMHC
Verified Verified
4 Endorsed
Winston Salem, NC 27103
Not accepting new clients...I am passionate about healthy relationships and sexual intimacy. Over the past 20 years, I have worked with individuals and couples improving their connections with themselves and others. Clients often come to me desiring relief from relational disconnection, sexuality concerns, anxiety, infidelity, impact of childhood trauma, and career indecision. It is my goal that you leave our first session feeling truly seen and heard and feeling a renewed sense of hope that healing is possible. Together we will create a plan to help you achieve the level of wellness you desire.
Not accepting new clients...I am passionate about healthy relationships and sexual intimacy. Over the past 20 years, I have worked with individuals and couples improving their connections with themselves and others. Clients often come to me desiring relief from relational disconnection, sexuality concerns, anxiety, infidelity, impact of childhood trauma, and career indecision. It is my goal that you leave our first session feeling truly seen and heard and feeling a renewed sense of hope that healing is possible. Together we will create a plan to help you achieve the level of wellness you desire.
(336) 257-1767 View (336) 257-1767
Photo of Christopher L Murray, Counselor in Winston Salem, NC
Christopher L Murray
Counselor, LCMHC, LCAS-A
Verified Verified
Winston Salem, NC 27101
My approach to therapy fosters deep healing. Through a collaborative approach I help clients understand patterns in their life. My job is to accompany your long lasting mental health through utilizing a comprehensive modern person-centered approach to therapy with curiosity and a deep respect for the individual process. My background in religious philosophy allows for an existential exploration of stage of life changes and bereavement. Existential exploration of inner dynamics helps to uncover purpose and meaning in life.
My approach to therapy fosters deep healing. Through a collaborative approach I help clients understand patterns in their life. My job is to accompany your long lasting mental health through utilizing a comprehensive modern person-centered approach to therapy with curiosity and a deep respect for the individual process. My background in religious philosophy allows for an existential exploration of stage of life changes and bereavement. Existential exploration of inner dynamics helps to uncover purpose and meaning in life.
(828) 373-6857 View (828) 373-6857
Photo of Tanya Gunter, Licensed Professional Counselor in Winston Salem, NC
Tanya Gunter
Licensed Professional Counselor, MAEd, NCC, LCMHC
Verified Verified
2 Endorsed
Winston Salem, NC 27101
Waitlist for new clients
The therapeutic process is an opportunity to to address problematic issues in a safe, nurturing environment that will encourage growth toward healing, self-awareness, coping and wellness. I specialize in counseling women, men and adolescents who strive to change unhealthy patterns and learn new ways of becoming successful, happy and peaceful. If you find yourself thinking, "Life shouldn't be this hard," I can help you examine the disconnect you feel and and turn it into knowledge that works for you. Choices rather than limitations; power over powerlessness.
The therapeutic process is an opportunity to to address problematic issues in a safe, nurturing environment that will encourage growth toward healing, self-awareness, coping and wellness. I specialize in counseling women, men and adolescents who strive to change unhealthy patterns and learn new ways of becoming successful, happy and peaceful. If you find yourself thinking, "Life shouldn't be this hard," I can help you examine the disconnect you feel and and turn it into knowledge that works for you. Choices rather than limitations; power over powerlessness.
(336) 949-6149 View (336) 949-6149
Photo of Elizabeth Brunson, Licensed Clinical Mental Health Counselor in Winston Salem, NC
Elizabeth Brunson
Licensed Clinical Mental Health Counselor, MDiv, MS/EdS, LCMHC, NCC, EMDRI
Verified Verified
1 Endorsed
Winston Salem, NC 27101
Not accepting new clients
A warm, supportive therapist, I collaborate with you to utilize your own resources and develop skills needed to change your life and relationships. Applying emotionally focused therapy to restore a partner/family relationship, cognitive behavioral +mind/body approaches to change thinking/improve your mood, or using EMDR or Brainspotting to resolve trauma and its effects, we discover together ways to MEND your mind, body and spirit.
A warm, supportive therapist, I collaborate with you to utilize your own resources and develop skills needed to change your life and relationships. Applying emotionally focused therapy to restore a partner/family relationship, cognitive behavioral +mind/body approaches to change thinking/improve your mood, or using EMDR or Brainspotting to resolve trauma and its effects, we discover together ways to MEND your mind, body and spirit.
(919) 648-0547 View (919) 648-0547

See more therapy options for Winston Salem

How does your Therapist compare?

Number of Therapists in Winston Salem, NC

500+

Average cost per session

$140

Therapists in Winston Salem, NC who prioritize treating:

92% Anxiety
89% Depression
76% Self Esteem
73% Relationship Issues
73% Coping Skills
73% Stress
71% Trauma and PTSD

Average years in practice

11 Years

Top 3 insurances accepted

89% BlueCross and BlueShield
66% Aetna
48% Cigna and Evernorth

How Therapists in Winston Salem, NC see their clients

72% In Person and Online
28% Online Only

Gender breakdown

79% Female
19% Male
2% Non-Binary
FAQs - About Therapy and Counseling

How can I find a therapist in Winston Salem?

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.