Therapists in Saint Helena Island, SC

Photo of Mary Bennett Pickens, Licensed Professional Counselor in Saint Helena Island, SC
Mary Bennett Pickens
Licensed Professional Counselor, MEd, EdS, NCC
Verified Verified
Saint Helena Island, SC 29920
Not accepting new clients
At Travelers Rest Counseling Associates, we believe that people flourish when they authentically contribute to their communities. But for many, this feels impossible because of depression, anxiety, trauma, marital strife, lack of motivation, or any number of other issues. We can help by listening, treating you with dignity, withholding judgment, and working with you to find ways to live a fulfilling life.
At Travelers Rest Counseling Associates, we believe that people flourish when they authentically contribute to their communities. But for many, this feels impossible because of depression, anxiety, trauma, marital strife, lack of motivation, or any number of other issues. We can help by listening, treating you with dignity, withholding judgment, and working with you to find ways to live a fulfilling life.
(843) 593-0909 View (843) 593-0909
Photo of Lawson Metts, Licensed Professional Counselor in Saint Helena Island, SC
Lawson Metts
Licensed Professional Counselor, MA, LPC
Verified Verified
1 Endorsed
Saint Helena Island, SC 29920
Accepting new clients with some after school availability. Is your child struggling with anxiety, depression, friendships, grief, or school related issues? Do you ever feel like you don’t know how to help them deal with these things? I give children the safe space they need to process their feelings about life and their emotions. I can assist parents with supporting their child while helping them gain the skills to assist behaviors at home. I know that it can seem overwhelming to reach out for counseling especially for your child but I am here to help guide and support you through this process.
Accepting new clients with some after school availability. Is your child struggling with anxiety, depression, friendships, grief, or school related issues? Do you ever feel like you don’t know how to help them deal with these things? I give children the safe space they need to process their feelings about life and their emotions. I can assist parents with supporting their child while helping them gain the skills to assist behaviors at home. I know that it can seem overwhelming to reach out for counseling especially for your child but I am here to help guide and support you through this process.
(843) 352-8418 View (843) 352-8418

More Therapists Nearby

Photo of Diana J Krafcik, Clinical Social Work/Therapist in Saint Helena Island, SC
Diana J Krafcik
Clinical Social Work/Therapist, LICSW
Verified Verified
Beaufort, SC 29901
I am providing confidential video calls and in person sessions; a safe place to address conflicts and stressors with a safe person. You may be struggling with depression or anxiety or dealing with relationship and/or self esteem issues. I'm here in Bluffton. It may help to have someone to talk to honestly about how you are really feeling. We will develop strategies together to enhance structure and supports to cope more effectively during this time. I am here for you.
I am providing confidential video calls and in person sessions; a safe place to address conflicts and stressors with a safe person. You may be struggling with depression or anxiety or dealing with relationship and/or self esteem issues. I'm here in Bluffton. It may help to have someone to talk to honestly about how you are really feeling. We will develop strategies together to enhance structure and supports to cope more effectively during this time. I am here for you.
(201) 400-0520 View (201) 400-0520
Photo of Rachel Moss, Licensed Professional Counselor Associate in Saint Helena Island, SC
Rachel Moss
Licensed Professional Counselor Associate, MEd, EdS, LPCA
Verified Verified
2 Endorsed
Beaufort, SC 29901
Do you find that anxiety and stress are impacting your daily life? Maybe you have difficulty sleeping due to anxious thoughts about everything that happened today and anticipating concerns for the future? Are you constantly thinking about things you've said or done in the past? If at times you feel overwhelmed or stuck and don't know what to do, know that you are not alone.
Do you find that anxiety and stress are impacting your daily life? Maybe you have difficulty sleeping due to anxious thoughts about everything that happened today and anticipating concerns for the future? Are you constantly thinking about things you've said or done in the past? If at times you feel overwhelmed or stuck and don't know what to do, know that you are not alone.
(843) 279-5447 View (843) 279-5447
Photo of Kendra Twitty, Licensed Professional Counselor in Saint Helena Island, SC
Kendra Twitty
Licensed Professional Counselor, MA, LPC
Verified Verified
Beaufort, SC 29902
If you are looking for a therapist or life coach that will be supportive, non-judgmental, and direct with you, you have found your person! Are you feeling stuck? Has a painful event left you or your family feeling overwhelmed? Would you like to improve your relationship with yourself, partner/spouse, child/adolescent, family? I have over 21 years of experience working with individuals and families in the counseling profession. I am passionate about helping others overcome their challenges as well as develop healthier ways of relating to self and others.
If you are looking for a therapist or life coach that will be supportive, non-judgmental, and direct with you, you have found your person! Are you feeling stuck? Has a painful event left you or your family feeling overwhelmed? Would you like to improve your relationship with yourself, partner/spouse, child/adolescent, family? I have over 21 years of experience working with individuals and families in the counseling profession. I am passionate about helping others overcome their challenges as well as develop healthier ways of relating to self and others.
(843) 396-1629 View (843) 396-1629
Photo of Emily Hawkins, Clinical Social Work/Therapist in Saint Helena Island, SC
Emily Hawkins
Clinical Social Work/Therapist, LCSW
Verified Verified
1 Endorsed
Beaufort, SC 29901
Today may be one of the “Bad Days,” maybe even the worst yet. Lately, bad days are becoming more frequent. Racing thoughts, worry, anxiety, sadness, and lack of motivation seem to be taking over everything. You’re doing your best, but doing day to day tasks becomes a battle that is becoming harder to win. You’re always tired. Your brain never stops. Loved ones are concerned and maybe complain, which makes you feel worse. You shut down and either put on a show or avoid the people, tasks, and events that are important. The negative voice in your head is getting louder and louder and it says horrible and scary things to and about you.
Today may be one of the “Bad Days,” maybe even the worst yet. Lately, bad days are becoming more frequent. Racing thoughts, worry, anxiety, sadness, and lack of motivation seem to be taking over everything. You’re doing your best, but doing day to day tasks becomes a battle that is becoming harder to win. You’re always tired. Your brain never stops. Loved ones are concerned and maybe complain, which makes you feel worse. You shut down and either put on a show or avoid the people, tasks, and events that are important. The negative voice in your head is getting louder and louder and it says horrible and scary things to and about you.
(912) 417-5085 View (912) 417-5085
Photo of Jennifer Chambers Cottrell, Pre-Licensed Professional in Saint Helena Island, SC
Jennifer Chambers Cottrell
Pre-Licensed Professional, MA
Verified Verified
Beaufort, SC 29901  (Online Only)
I just need my brain to slow down, I want to feel like myself again! We live in a world that is widely overstimulating, limited in compassion and empathy, and overwhelming loneliness at times. I believe that we all need connection, but we have to get outside of our own minds to truly connect with others. We have to overcome the critical self-talk, negative core beliefs, and hurt feelings that we've attached to our identities in a way that has left us feeling less than worthy and able.
I just need my brain to slow down, I want to feel like myself again! We live in a world that is widely overstimulating, limited in compassion and empathy, and overwhelming loneliness at times. I believe that we all need connection, but we have to get outside of our own minds to truly connect with others. We have to overcome the critical self-talk, negative core beliefs, and hurt feelings that we've attached to our identities in a way that has left us feeling less than worthy and able.
(731) 319-9924 View (731) 319-9924
Photo of Renee Sutton, Licensed Professional Counselor in Saint Helena Island, SC
Renee Sutton
Licensed Professional Counselor, Counsel, MA, LPC
Verified Verified
Beaufort, SC 29902
Not accepting new clients
With an integrative counseling model, I help clients align mind, body, and spirit for healing, especially when doctors can't find causes for physical pain or traumatic experience. Together we find your unique healing path using a variety of approaches that relax, empower you in self-care, increase tolerance towards stress and change, which everyone encounters in this society. Clients have reported regaining their inner and higher loving guidance with more purposeful direction in life. Check for various support groups (cancer & healthcare professional), stress reduction & trauma recovery classes, and Mindfulness groups that are held.
With an integrative counseling model, I help clients align mind, body, and spirit for healing, especially when doctors can't find causes for physical pain or traumatic experience. Together we find your unique healing path using a variety of approaches that relax, empower you in self-care, increase tolerance towards stress and change, which everyone encounters in this society. Clients have reported regaining their inner and higher loving guidance with more purposeful direction in life. Check for various support groups (cancer & healthcare professional), stress reduction & trauma recovery classes, and Mindfulness groups that are held.
(843) 547-2154 View (843) 547-2154
Photo of Benton Lutz, Licensed Professional Counselor in Saint Helena Island, SC
Benton Lutz
Licensed Professional Counselor, LPC, EdS, MDiv
Verified Verified
Beaufort, SC 29902
We all deserve to live a happy, productive life -- to have a little fun every now and then. While life can't always be fun, with the right coping mechanisms and cognitive tools, we can address even the toughest times with positivity and confidence. It is my goal to teach my clients how to live their most positive lives, no matter what the circumstance or issue: marriage and family problems, anxiety, depression, ADD and ADHD (children and adults), blended family matters, sexual issues, PTSD, and military-family dynamics.
We all deserve to live a happy, productive life -- to have a little fun every now and then. While life can't always be fun, with the right coping mechanisms and cognitive tools, we can address even the toughest times with positivity and confidence. It is my goal to teach my clients how to live their most positive lives, no matter what the circumstance or issue: marriage and family problems, anxiety, depression, ADD and ADHD (children and adults), blended family matters, sexual issues, PTSD, and military-family dynamics.
(843) 466-8510 View (843) 466-8510
Photo of Bluffton Brief Therapy, Clinical Social Work/Therapist in Saint Helena Island, SC
Bluffton Brief Therapy
Clinical Social Work/Therapist, PhD, LISW-CP
Verified Verified
Beaufort, SC 29901  (Online Only)
We specialize in CBT (Cognitive-Behavioral Therapy) a short-term, solution-focused brief therapy designed to enhance coping skills. We provide EAP counseling as well. We can help you manage all symptoms of grief, anxiety, depression, trauma, substance abuse relapse management and maintenance, impulse control (sex, gambling, internet) as well as crisis management. Phone and Teletherapy only. Same day sessions available. Flexible scheduling. Free initial consultation. $80 all sessions. Fully licensed in FLA and SC. Board-approved Supervisors. Clients receive an invoice and are expected to submit claims to their own insurors.
We specialize in CBT (Cognitive-Behavioral Therapy) a short-term, solution-focused brief therapy designed to enhance coping skills. We provide EAP counseling as well. We can help you manage all symptoms of grief, anxiety, depression, trauma, substance abuse relapse management and maintenance, impulse control (sex, gambling, internet) as well as crisis management. Phone and Teletherapy only. Same day sessions available. Flexible scheduling. Free initial consultation. $80 all sessions. Fully licensed in FLA and SC. Board-approved Supervisors. Clients receive an invoice and are expected to submit claims to their own insurors.
(843) 612-8707 View (843) 612-8707
Photo of Bailey Smith, Clinical Social Work/Therapist in Saint Helena Island, SC
Bailey Smith
Clinical Social Work/Therapist, LISW, LCSW
Verified Verified
Beaufort, SC 29902
Now Accepting New Clients. Life is a journey with no shortage of challenges. We encounter these as we navigate parenthood or face many types of grief and loss. At times things become overwhelming and we need someone to journey with and guide us through managing stress and anxiety in order to cope and regain a sense of control. We all need a safe place to explore our thoughts and feelings to help us make sense of our world.
Now Accepting New Clients. Life is a journey with no shortage of challenges. We encounter these as we navigate parenthood or face many types of grief and loss. At times things become overwhelming and we need someone to journey with and guide us through managing stress and anxiety in order to cope and regain a sense of control. We all need a safe place to explore our thoughts and feelings to help us make sense of our world.
(843) 920-4801 View (843) 920-4801
Photo of Yamilette Diaz, Marriage & Family Therapist in Saint Helena Island, SC
Yamilette Diaz
Marriage & Family Therapist, MA, LMFT
Verified Verified
3 Endorsed
Beaufort, SC 29902  (Online Only)
I believe that taking care of your mental health can look different depending on your life circumstances. I help people with diverse backgrounds that are dealing with life transitions, experienced trauma, or are dealing with other issues, and want to be their best selves and live fulfilling lives. When working with me, I will take into consideration how your overall well-being is affected by your emotional, social, physical, and spiritual condition.
I believe that taking care of your mental health can look different depending on your life circumstances. I help people with diverse backgrounds that are dealing with life transitions, experienced trauma, or are dealing with other issues, and want to be their best selves and live fulfilling lives. When working with me, I will take into consideration how your overall well-being is affected by your emotional, social, physical, and spiritual condition.
(864) 514-5858 View (864) 514-5858
Photo of Dominique Driessen Espana, Counselor in Saint Helena Island, SC
Dominique Driessen Espana
Counselor, LPC
Verified Verified
Beaufort, SC 29901  (Online Only)
Feeling stressed? Overwhelmed? Anxious? Down? Many people experience these emotions and are afraid to say something. I can offer a safe space for you to begin your journey to healing. My therapeutic approach is one in which I utilize Person-Centered Therapy and Cognitive Behavioral Therapy.
Feeling stressed? Overwhelmed? Anxious? Down? Many people experience these emotions and are afraid to say something. I can offer a safe space for you to begin your journey to healing. My therapeutic approach is one in which I utilize Person-Centered Therapy and Cognitive Behavioral Therapy.
(843) 779-6863 View (843) 779-6863
Photo of Donald P Orso, Psychologist in Saint Helena Island, SC
Donald P Orso
Psychologist, PhD
Verified Verified
Port Royal, SC 29935
I specialize in treating depression, anxiety, grief/loss, and conflict. These deprive you of living a happy, productive, and meaningful life. An effective way to deal with these issues may be counseling directed at resolving personal issues as privatively, sensitively and appropriately as possible. Together we can move toward your taking better, healthier control of your life and future.
I specialize in treating depression, anxiety, grief/loss, and conflict. These deprive you of living a happy, productive, and meaningful life. An effective way to deal with these issues may be counseling directed at resolving personal issues as privatively, sensitively and appropriately as possible. Together we can move toward your taking better, healthier control of your life and future.
(843) 305-6872 View (843) 305-6872
Photo of Psychological & Counseling Associates of the Lowco, Psychologist in Saint Helena Island, SC
Psychological & Counseling Associates of the Lowco
Psychologist, PsyD
Verified Verified
3 Endorsed
Beaufort, SC 29901
The practice is owned by Dr. Jessica Joyce, PsyD and the practice is comprised of doctoral-level psychologists and several other master's and doctoral level licensed clinicians who provide quality mental health care. As a mental health collective, we assist members by providing therapy, assessment, counseling and more. We help our clients to connect with one of our doctors who can meet their needs and is available online or in-person. Our clinicians work with children, adolescents, adults, couples, families, and seniors for assessment and psychotherapy.
The practice is owned by Dr. Jessica Joyce, PsyD and the practice is comprised of doctoral-level psychologists and several other master's and doctoral level licensed clinicians who provide quality mental health care. As a mental health collective, we assist members by providing therapy, assessment, counseling and more. We help our clients to connect with one of our doctors who can meet their needs and is available online or in-person. Our clinicians work with children, adolescents, adults, couples, families, and seniors for assessment and psychotherapy.
(843) 594-1505 View (843) 594-1505
Photo of Dana Nicholson, Psychologist in Saint Helena Island, SC
Dana Nicholson
Psychologist, PsyD
Verified Verified
Port Royal, SC 29935
Dr. Nicholson provides counseling services to those in need of hope, encouragement and support. Christian counseling, rooted in Biblical truth, is available upon request and offered when desired. My goal is to enable families, adults and adolescents to know true peace and freedom from psychological pain through the utilization of professional psychotherapy. Dr. Nicholson also owns Inspire Psychological Services located in Murrysville, PA. Inspire Pittsburgh has been in existence since 2011 and is a counseling center with 13 very talented and experienced therapists.
Dr. Nicholson provides counseling services to those in need of hope, encouragement and support. Christian counseling, rooted in Biblical truth, is available upon request and offered when desired. My goal is to enable families, adults and adolescents to know true peace and freedom from psychological pain through the utilization of professional psychotherapy. Dr. Nicholson also owns Inspire Psychological Services located in Murrysville, PA. Inspire Pittsburgh has been in existence since 2011 and is a counseling center with 13 very talented and experienced therapists.
(843) 905-3310 View (843) 905-3310
Photo of Deborah D Toa, Clinical Social Work/Therapist in Saint Helena Island, SC
Deborah D Toa
Clinical Social Work/Therapist, MSW, LISW-CP
Verified Verified
Port Royal, SC 29935
I strive to help empower my clients to live happier lives. Our world can be so hectic and fast paced and sometimes we just need someone to listen.I can be that person. I believe there is a strong connection between body, mind, and spirit. All of these parts of ourselves need to be in line. I have experience working with individuals and families. I also do couples therapy.
I strive to help empower my clients to live happier lives. Our world can be so hectic and fast paced and sometimes we just need someone to listen.I can be that person. I believe there is a strong connection between body, mind, and spirit. All of these parts of ourselves need to be in line. I have experience working with individuals and families. I also do couples therapy.
(843) 605-4539 View (843) 605-4539
Photo of Jodi Leigh Calfee (Formerly Known Watts), Licensed Professional Counselor in Saint Helena Island, SC
Jodi Leigh Calfee (Formerly Known Watts)
Licensed Professional Counselor, MA, LPC
Verified Verified
Beaufort, SC 29901
Are you afraid of change? Be kind to yourself. Take time for you. You have the answers deep within you. Hiding from pain will only worsen the symptoms, behaviors and relationships. I believe each person has the ability to be their own healer. I see treatment as an opportunity for clients to remove the fear in their life and gain peace, happiness and self-confidence. My ultimate goal is to provide a genuine and safe environment. Through mistakes and failure, we can become resilient. I am honored to provide guidance in this vital journey. "Maybe you are searching among the branches, for what only appears in the roots". Rumi
Are you afraid of change? Be kind to yourself. Take time for you. You have the answers deep within you. Hiding from pain will only worsen the symptoms, behaviors and relationships. I believe each person has the ability to be their own healer. I see treatment as an opportunity for clients to remove the fear in their life and gain peace, happiness and self-confidence. My ultimate goal is to provide a genuine and safe environment. Through mistakes and failure, we can become resilient. I am honored to provide guidance in this vital journey. "Maybe you are searching among the branches, for what only appears in the roots". Rumi
(843) 900-0722 View (843) 900-0722
Lori A Sweetwood
Psychologist, PsyD
Verified Verified
Beaufort, SC 29902  (Online Only)
Fresh from the Jersey Shore! I am a Doctor of Psychology new to Beaufort but not to practice, as president of one of the largest groups of Psychologists in NJ (ChallengesAndHope.com). So what do I do as a practicing doctor that is unique? Well, first I am a doctor, so you benefit from the highest level of training. But perhaps more important? I am a highly involved and interactive Psychologist. We will become a dynamic team, you and I! We’ll create SOLUTIONS to problems and then I will teach you how to make them HAPPEN! We may work on… You, feeling Overwhelmed. Stuck. Or ugh, hopeless or helpless to make change.
Fresh from the Jersey Shore! I am a Doctor of Psychology new to Beaufort but not to practice, as president of one of the largest groups of Psychologists in NJ (ChallengesAndHope.com). So what do I do as a practicing doctor that is unique? Well, first I am a doctor, so you benefit from the highest level of training. But perhaps more important? I am a highly involved and interactive Psychologist. We will become a dynamic team, you and I! We’ll create SOLUTIONS to problems and then I will teach you how to make them HAPPEN! We may work on… You, feeling Overwhelmed. Stuck. Or ugh, hopeless or helpless to make change.
(843) 396-5249 View (843) 396-5249
Photo of Maria Barber, Marriage & Family Therapist in Saint Helena Island, SC
Maria Barber
Marriage & Family Therapist, LMFT
Verified Verified
Beaufort, SC 29907
Hi, I specialize in addressing relationship issues with significant others through individual, couple, and family therapy, including working towards healing relationship traumas. If you are feeling disappointed, hurt, maybe angry, overwhelmed, perhaps confused, lost, and broken, and if you are ready to change that, I am here for you. Together we can work on healing those parts of you that keep you stuck in a place of pain or work on changing those aspects of your relationship that deprive you of the love and connection that you deserve. I work from a systemic perspective and I am a Certified Trauma Professional.
Hi, I specialize in addressing relationship issues with significant others through individual, couple, and family therapy, including working towards healing relationship traumas. If you are feeling disappointed, hurt, maybe angry, overwhelmed, perhaps confused, lost, and broken, and if you are ready to change that, I am here for you. Together we can work on healing those parts of you that keep you stuck in a place of pain or work on changing those aspects of your relationship that deprive you of the love and connection that you deserve. I work from a systemic perspective and I am a Certified Trauma Professional.
(843) 401-3419 View (843) 401-3419

How does your Therapist compare?

Number of Therapists in Saint Helena Island, SC

< 10

Therapists in Saint Helena Island, SC who prioritize treating:

100% Relationship Issues
100% Anxiety
100% Grief
100% Trauma and PTSD
100% Anger Management
100% Family Conflict
100% Peer Relationships

Gender breakdown

100% Female

How Therapists in Saint Helena Island, SC see their clients

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

How can I find a therapist in Saint Helena Island?

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.