Therapists in Asheville, NC

Photo of Miranda Bradshaw, Clinical Social Work/Therapist in Asheville, NC
Miranda Bradshaw
Clinical Social Work/Therapist, LCSW
Verified Verified
Asheville, NC 28801  (Online Only)
Miranda Bradshaw is a Licensed Clinical Social Worker and Licensed Clinical Addiction Specialist – Associate in the state of North Carolina. Miranda has experience working with adolescents and adults in various settings who are seeking help with depression, anxiety, life transitions, trauma, and addiction. She completed her Bachelor of Science in Psychology at the University of North Carolina at Asheville and her Master of Social Work through the Joint Master of Social Work Program at the University of North Carolina – Greensboro and NC A&T State University.
Miranda Bradshaw is a Licensed Clinical Social Worker and Licensed Clinical Addiction Specialist – Associate in the state of North Carolina. Miranda has experience working with adolescents and adults in various settings who are seeking help with depression, anxiety, life transitions, trauma, and addiction. She completed her Bachelor of Science in Psychology at the University of North Carolina at Asheville and her Master of Social Work through the Joint Master of Social Work Program at the University of North Carolina – Greensboro and NC A&T State University.
(828) 471-4778 View (828) 471-4778
Photo of Donna M. Clausen, Licensed Clinical Mental Health Counselor in Asheville, NC
Donna M. Clausen
Licensed Clinical Mental Health Counselor, MS, LCMHC, NCC
Verified Verified
1 Endorsed
Asheville, NC 28801
Life sometimes presents challenges that can overwhelm and disconnect us from ourselves and leave us feeling lost and alone. Whether we are adults or children, we can develop patterns that do not serve us well, as we struggle to cope. I help clients (individuals and couples) examine rather than run from their anxiety, depression, or uncomfortable feelings arising from change, whether at work, in school or at home. I believe that we all have strengths and the potential for well-being. Together we will reduce conflict and stress in your life, improve performance and seek better health.
Life sometimes presents challenges that can overwhelm and disconnect us from ourselves and leave us feeling lost and alone. Whether we are adults or children, we can develop patterns that do not serve us well, as we struggle to cope. I help clients (individuals and couples) examine rather than run from their anxiety, depression, or uncomfortable feelings arising from change, whether at work, in school or at home. I believe that we all have strengths and the potential for well-being. Together we will reduce conflict and stress in your life, improve performance and seek better health.
(828) 305-7261 View (828) 305-7261
Photo of Star Rose Bond, Trauma Specialist - LCSW, Clinical Social Work/Therapist in Asheville, NC
Star Rose Bond, Trauma Specialist - LCSW
Clinical Social Work/Therapist, MSSW, LCSW
Verified Verified
Asheville, NC 28801
Seasoned trauma specialist & psychotherapist dedicated to co-creating a meaningful healing journey for individuals and couples who are feeling stuck, lost and trapped in dysfunctional patterns. I offer a variety of different modalities including Ketamine Assisted Psychotherapy (KAP) to aid in the recovery of many common mental health issues such as anxiety, depression, trauma/PTSD, addiction, etc. Additionally, I am committed to providing innovative programing as well as a practical skillset, specially designed to address personal limitations that often manifest in low self-esteem, relationship challenges and declined mental health.
Seasoned trauma specialist & psychotherapist dedicated to co-creating a meaningful healing journey for individuals and couples who are feeling stuck, lost and trapped in dysfunctional patterns. I offer a variety of different modalities including Ketamine Assisted Psychotherapy (KAP) to aid in the recovery of many common mental health issues such as anxiety, depression, trauma/PTSD, addiction, etc. Additionally, I am committed to providing innovative programing as well as a practical skillset, specially designed to address personal limitations that often manifest in low self-esteem, relationship challenges and declined mental health.
(828) 373-8526 View (828) 373-8526
Photo of Sarah Page .... Therapist Counselor Navigator, Clinical Social Work/Therapist in Asheville, NC
Sarah Page .... Therapist Counselor Navigator
Clinical Social Work/Therapist, LCSW, LCAS
Verified Verified
Asheville, NC 28803
Are you living with depression, anxiety, grief, addiction, lack of direction, trauma? I believe that we naturally feel a call to live meaningful, loving lives and know intuitively that this is our best path but we often will feel stuck, unsure, fearful and so take no action. Existential therapy calls this a restricted existence and believes the goal of all therapy is to remove the road blocks that are limiting you from moving toward living your best life.
Are you living with depression, anxiety, grief, addiction, lack of direction, trauma? I believe that we naturally feel a call to live meaningful, loving lives and know intuitively that this is our best path but we often will feel stuck, unsure, fearful and so take no action. Existential therapy calls this a restricted existence and believes the goal of all therapy is to remove the road blocks that are limiting you from moving toward living your best life.
(828) 528-6644 View (828) 528-6644
Photo of Christine Baldwin, Clinical Social Work/Therapist in Asheville, NC
Christine Baldwin
Clinical Social Work/Therapist, LCSW
Verified Verified
1 Endorsed
Asheville, NC 28801  (Online Only)
Not accepting new clients
I help those feeling anxiety and worry develop a greater sense of balance, compassion and connection with themselves and their lives. You’re likely kind and dedicated, but also stressed out and frustrated. Your time may be consumed with school, work, or loved ones, and there’s little time for much else, especially you. You may find yourself wondering and worrying a lot. Wondering if you did or said the right thing. While there’s a lot of good things about your life, there’s a part of you that knows it’s time for some kind of change. Call it your determination, or maybe that little whisper inside. Whatever it is, you're ready.
I help those feeling anxiety and worry develop a greater sense of balance, compassion and connection with themselves and their lives. You’re likely kind and dedicated, but also stressed out and frustrated. Your time may be consumed with school, work, or loved ones, and there’s little time for much else, especially you. You may find yourself wondering and worrying a lot. Wondering if you did or said the right thing. While there’s a lot of good things about your life, there’s a part of you that knows it’s time for some kind of change. Call it your determination, or maybe that little whisper inside. Whatever it is, you're ready.
(828) 655-7754 View (828) 655-7754
Photo of David M Bradley, Marriage & Family Therapist in Asheville, NC
David M Bradley
Marriage & Family Therapist, MA, MDiv, LMFT
Verified Verified
Asheville, NC 28804
It is my great privilege to sit with individuals, couples, and families everyday, helping them find the best of who they are to bring to the problems, struggles, and conflicts facing them. By listening well and asking good questions I am allowed privileged space by my clients to help them find their best solutions available to them. I get to see their courage as they use time and space in honorable ways to move forward in their lives. I am a licensed marriage and family Therapist as well as an ordained Presbyterian minister which gives two available lenses for clients.
It is my great privilege to sit with individuals, couples, and families everyday, helping them find the best of who they are to bring to the problems, struggles, and conflicts facing them. By listening well and asking good questions I am allowed privileged space by my clients to help them find their best solutions available to them. I get to see their courage as they use time and space in honorable ways to move forward in their lives. I am a licensed marriage and family Therapist as well as an ordained Presbyterian minister which gives two available lenses for clients.
(828) 372-0108 View (828) 372-0108
Photo of Kai Herschl, LCSW Associate in Asheville, NC
Kai Herschl
LCSW Associate , LCSW
Verified Verified
Asheville, NC 28804
Do you struggle with PTSD? Having frequent nightmares? Overwhelming feelings of fear? Trying to find out who you are while dealing with the effects of trauma can be really hard, and it’s even harder if you’re feeling alone. If you’ve been walking the road of ‘survival’ for a long time, I’m here to help you imagine a life where you can begin to feel grounded, resilient, and free.
Do you struggle with PTSD? Having frequent nightmares? Overwhelming feelings of fear? Trying to find out who you are while dealing with the effects of trauma can be really hard, and it’s even harder if you’re feeling alone. If you’ve been walking the road of ‘survival’ for a long time, I’m here to help you imagine a life where you can begin to feel grounded, resilient, and free.
(828) 678-6208 View (828) 678-6208
Photo of Elizabeth R Allen, LMFT, Marriage & Family Therapist in Asheville, NC
Elizabeth R Allen, LMFT
Marriage & Family Therapist, LMFT
Verified Verified
2 Endorsed
Asheville, NC 28803
I focus primarily on work with adolescents experiencing anxiety and depression or struggling with self-esteem as well as their families who are experiencing life transitions, parenting difficulties, and relationship concerns.
I focus primarily on work with adolescents experiencing anxiety and depression or struggling with self-esteem as well as their families who are experiencing life transitions, parenting difficulties, and relationship concerns.
(828) 408-0527 View (828) 408-0527
Photo of Katie Ford, Licensed Professional Counselor in Asheville, NC
Katie Ford
Licensed Professional Counselor, LPC, NCC
Verified Verified
1 Endorsed
Asheville, NC 28801
Life can be tough. You had expectations of what you thought life would be. What you thought it would be like to perhaps be a mother, to raise a child, and to connect with your family. You imagined it, maybe even dreamed about it. However now you find that living it is not what you expected. Or perhaps not as fulfilling as you had imagined and hoped for. You feel disconnected, and maybe even guilty or frustrated.
Life can be tough. You had expectations of what you thought life would be. What you thought it would be like to perhaps be a mother, to raise a child, and to connect with your family. You imagined it, maybe even dreamed about it. However now you find that living it is not what you expected. Or perhaps not as fulfilling as you had imagined and hoped for. You feel disconnected, and maybe even guilty or frustrated.
(828) 528-4240 View (828) 528-4240
Photo of Focus Centers of Asheville, PLLC, Psychologist in Asheville, NC
Focus Centers of Asheville, PLLC
Psychologist, PhD, BCN
Verified Verified
Asheville, NC 28801
At Focus Centers of Asheville, I have assembled experienced professionals with a wide range experience and training in mental health, education, and applied psycho-physiology. Together we provide a unique approach to your healthcare that blends traditional mental health services with cutting edge neuroscience. We utilize EEG Biofeedback (also known as neurofeedback), psychotherapy, hypnotherapy, psychological testing, qEEG brain imaging and educational consultations for children and adults with emotional, behavioral, stress, trauma and learning disorders.
At Focus Centers of Asheville, I have assembled experienced professionals with a wide range experience and training in mental health, education, and applied psycho-physiology. Together we provide a unique approach to your healthcare that blends traditional mental health services with cutting edge neuroscience. We utilize EEG Biofeedback (also known as neurofeedback), psychotherapy, hypnotherapy, psychological testing, qEEG brain imaging and educational consultations for children and adults with emotional, behavioral, stress, trauma and learning disorders.
(828) 484-0317 x4 View (828) 484-0317 x4
Photo of Justina Prenatt, Counselor in Asheville, NC
Justina Prenatt
Counselor, MS, LCMHC
Verified Verified
Asheville, NC 28801
I believe that we live in challenging times. Many people find it difficult to feel confident and self assured, have peaceful, fulfilling relationships, navigate the demands of finances, family, work and home, and also focus on nourishing self care. These challenges are interconnected. They are related to how we have developed our sense of self in the context of family expectations and experiences, societal demands, cultural assumptions, and media influence. It is necessary for all of us to learn how to live our best lives in these particular circumstances. You are not alone.
I believe that we live in challenging times. Many people find it difficult to feel confident and self assured, have peaceful, fulfilling relationships, navigate the demands of finances, family, work and home, and also focus on nourishing self care. These challenges are interconnected. They are related to how we have developed our sense of self in the context of family expectations and experiences, societal demands, cultural assumptions, and media influence. It is necessary for all of us to learn how to live our best lives in these particular circumstances. You are not alone.
(828) 970-8533 View (828) 970-8533
Photo of Keating Polk, Lic Clinical Mental Health Counselor Associate in Asheville, NC
Keating Polk
Lic Clinical Mental Health Counselor Associate, MS, LCMHCA, NCC
Verified Verified
1 Endorsed
Asheville, NC 28801
Do you feel disconnected, isolated, and alone in your struggles? You may be feeling hopeless, exhausted, and overwhelmed, and like everything you've tried to fix the problems you're facing work for a short time, but don't seem to "stick". Are you attempting to mask or numb emotions through substance use, unhealthy relationships, or other self-medicating behaviors? do you feel like something from your past is holding you back from being in tune with the present?
Do you feel disconnected, isolated, and alone in your struggles? You may be feeling hopeless, exhausted, and overwhelmed, and like everything you've tried to fix the problems you're facing work for a short time, but don't seem to "stick". Are you attempting to mask or numb emotions through substance use, unhealthy relationships, or other self-medicating behaviors? do you feel like something from your past is holding you back from being in tune with the present?
(828) 360-8214 View (828) 360-8214
Photo of Jamie Halberg, LCSW, Clinical Social Work/Therapist in Asheville, NC
Jamie Halberg, LCSW
Clinical Social Work/Therapist, LCSW
Verified Verified
2 Endorsed
Asheville, NC 28805
You've been in therapy before. And you're psychologically savvy enough to know that growth doesn't have to do with finding a diagnosis and grabbing a few coping skills for the road. As any normal human does, we develop narratives and behavioral patterns to help us ignore, numb, protect, or compartmentalize our psychological conflicts. If you're reading this and you can relate, I see you. You need to find a therapist who can help you to dig deep enough to identify these patterns and change the old narratives. Some of these patterns MAY include:
You've been in therapy before. And you're psychologically savvy enough to know that growth doesn't have to do with finding a diagnosis and grabbing a few coping skills for the road. As any normal human does, we develop narratives and behavioral patterns to help us ignore, numb, protect, or compartmentalize our psychological conflicts. If you're reading this and you can relate, I see you. You need to find a therapist who can help you to dig deep enough to identify these patterns and change the old narratives. Some of these patterns MAY include:
(828) 675-2109 View (828) 675-2109
Photo of Nicole Hardy, Clinical Social Work/Therapist in Asheville, NC
Nicole Hardy
Clinical Social Work/Therapist, LCSW, MSS
Verified Verified
Asheville, NC 28806
My work with clients focuses on understanding somatic experiences and how our bodies continue to hold onto stressors and traumas. I strive to collaboratively explore what lies beneath the present moment experience and undercover ways that the mind and body are connected to fuel both emotional and physical pain. In my experience, the use of skills in the short-term can decrease immediate pain and open the door to a deeper exploration of what we all need to lead more authentically engaged lives. Through the use of attachment and connection, I work with clients to shift patterns and build the life they want.
My work with clients focuses on understanding somatic experiences and how our bodies continue to hold onto stressors and traumas. I strive to collaboratively explore what lies beneath the present moment experience and undercover ways that the mind and body are connected to fuel both emotional and physical pain. In my experience, the use of skills in the short-term can decrease immediate pain and open the door to a deeper exploration of what we all need to lead more authentically engaged lives. Through the use of attachment and connection, I work with clients to shift patterns and build the life they want.
(828) 949-0796 View (828) 949-0796
Photo of Eliza Johnson, Licensed Clinical Mental Health Counselor in Asheville, NC
Eliza Johnson
Licensed Clinical Mental Health Counselor, MA, LCMHC, LCAS
Verified Verified
Asheville, NC 28801
Hi and thanks for viewing my profile. I work with adults experiencing a variety of issues including depression, anxiety, trauma, self esteem, substance use, motivation and behavioral issues. I have over 20 years experience working with different populations including: men, women, LGBTQ, clients with chronic health issues, and underserved populations. Furthermore, my 25 plus years of experience in the Asheville community gives me a unique perspective on our local community and the resources both past and present.
Hi and thanks for viewing my profile. I work with adults experiencing a variety of issues including depression, anxiety, trauma, self esteem, substance use, motivation and behavioral issues. I have over 20 years experience working with different populations including: men, women, LGBTQ, clients with chronic health issues, and underserved populations. Furthermore, my 25 plus years of experience in the Asheville community gives me a unique perspective on our local community and the resources both past and present.
View
Photo of Katarina Wittekind, Clinical Social Work/Therapist in Asheville, NC
Katarina Wittekind
Clinical Social Work/Therapist, MSW, LCSW
Verified Verified
1 Endorsed
Asheville, NC 28801
Are you not feeling like yourself? Missing who you were or longing for who you want to be? Are your thoughts telling you that you are broken or unworthy? Sometimes difficult experiences or the general stress of life manifests as physical pain in our bodies or as emotions that feel overwhelming and unpredictable. Therapy is a place to learn how to listen to the wisdom of our bodies to better understand how to take care of our mental and physical well-being. The fact that you are looking at this page means you have taken the first step towards getting to know yourself better, and I know how hard that first step can be.
Are you not feeling like yourself? Missing who you were or longing for who you want to be? Are your thoughts telling you that you are broken or unworthy? Sometimes difficult experiences or the general stress of life manifests as physical pain in our bodies or as emotions that feel overwhelming and unpredictable. Therapy is a place to learn how to listen to the wisdom of our bodies to better understand how to take care of our mental and physical well-being. The fact that you are looking at this page means you have taken the first step towards getting to know yourself better, and I know how hard that first step can be.
(828) 761-7551 View (828) 761-7551
Photo of Kelsey Reep, Clinical Social Work/Therapist in Asheville, NC
Kelsey Reep
Clinical Social Work/Therapist, LCSW
Verified Verified
Asheville, NC 28801
We are all faced with the task of aligning with our authentic selves, a journey that is especially challenging for women—we are pressured to fulfill many roles, our decisions are subjected to higher scrutiny, and our right to autonomy is not always in our own hands (i.e., abortion, reproductive rights). In trying to navigate all these moving pieces, we are often overcome by stress, leaving us feeling overwhelmed, exhausted, frustrated, defeated, and inadequate. With all the noise, it becomes difficult to connect with our self and we find ourselves lost and disconnected.
We are all faced with the task of aligning with our authentic selves, a journey that is especially challenging for women—we are pressured to fulfill many roles, our decisions are subjected to higher scrutiny, and our right to autonomy is not always in our own hands (i.e., abortion, reproductive rights). In trying to navigate all these moving pieces, we are often overcome by stress, leaving us feeling overwhelmed, exhausted, frustrated, defeated, and inadequate. With all the noise, it becomes difficult to connect with our self and we find ourselves lost and disconnected.
View
Photo of Deidre Daly, Licensed Clinical Mental Health Counselor in Asheville, NC
Deidre Daly
Licensed Clinical Mental Health Counselor, MS, LCMHC, LPC
Verified Verified
2 Endorsed
Asheville, NC 28806  (Online Only)
I am a seasoned, virtual, private pay, pay what you can therapist. I graduated from the MFT program at Portland State University where I was trained in strategies and interventions that focus on you and the systems around you. I believe we develop our relationship strategies and our sense of self at a young age in ways that are adaptive to the world, and people, around us. Often times, we bring these old adaptive patterns to our adult relationships even when they are no longer serving us. I can help you to recognize and change these old relationship patterns, including your relationship with yourself, that no longer serve you.
I am a seasoned, virtual, private pay, pay what you can therapist. I graduated from the MFT program at Portland State University where I was trained in strategies and interventions that focus on you and the systems around you. I believe we develop our relationship strategies and our sense of self at a young age in ways that are adaptive to the world, and people, around us. Often times, we bring these old adaptive patterns to our adult relationships even when they are no longer serving us. I can help you to recognize and change these old relationship patterns, including your relationship with yourself, that no longer serve you.
(828) 845-8129 View (828) 845-8129
Photo of Shirley Taffel, Psychologist in Asheville, NC
Shirley Taffel
Psychologist, PhD
Verified Verified
Asheville, NC 28801
My therapy approach is warm, compassionate, and collaborative. In an open and caring environment, an individual's ability to change self-defeating patterns of thoughts and behaviors, increase self-esteem, recognize strengths, and develop healthy relationships is enhanced.
My therapy approach is warm, compassionate, and collaborative. In an open and caring environment, an individual's ability to change self-defeating patterns of thoughts and behaviors, increase self-esteem, recognize strengths, and develop healthy relationships is enhanced.
(828) 338-3715 View (828) 338-3715
Photo of Pamela Millis, Licensed Clinical Mental Health Counselor in Asheville, NC
Pamela Millis
Licensed Clinical Mental Health Counselor, LCMHCS, CGP
Verified Verified
Asheville, NC 28801  (Online Only)
I work with my patients to uncover, understand, and free unconscious patterns of relating to self and others. My training background is in Relational and Modern Psychoanalysis, Group Therapy, Attachment, and Buddhist Psychology. I provide psychotherapy to individuals and long-term groups. I also provide clinical supervision to psychotherapists.
I work with my patients to uncover, understand, and free unconscious patterns of relating to self and others. My training background is in Relational and Modern Psychoanalysis, Group Therapy, Attachment, and Buddhist Psychology. I provide psychotherapy to individuals and long-term groups. I also provide clinical supervision to psychotherapists.
View

How does your Therapist compare?

Number of Therapists in Asheville, NC

1,000+

Average cost per session

$140

Therapists in Asheville, NC who prioritize treating:

92% Anxiety
85% Depression
78% Relationship Issues
78% Self Esteem
75% Trauma and PTSD
68% Coping Skills
68% Stress

Average years in practice

11 Years

Top 3 insurances accepted

87% BlueCross and BlueShield
71% Aetna
50% UnitedHealthcare UHC | UBH

How Therapists in Asheville, NC see their clients

69% In Person and Online
31% Online Only

Gender breakdown

76% Female
22% Male
2% Non-Binary
FAQs - About Therapy and Counseling

How can I find a therapist in Asheville?

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.