Therapists in Jacksonville, NC

Photo of Tracy R Perez, MS, LCMHC
Tracy R Perez
Licensed Clinical Mental Health Counselor, MS, LCMHC
Verified Verified
2 Endorsed
Jacksonville, NC 28546
Are you looking for a specialist in trauma, anxiety, relationships, and sex therapy? Maybe your partner is now just your roommate? Wonder why you have a racing heart and can't control the worry? What if you feel like your trauma is taking over your entire life? Rather isolate than continue to swipe right into empty relationships? Is your sexual "performance" preventing you from showing up in the bedroom? These are stories I hear often. Elevated worry, unprocessed trauma events, and sexual concerns can be overwhelming!
Are you looking for a specialist in trauma, anxiety, relationships, and sex therapy? Maybe your partner is now just your roommate? Wonder why you have a racing heart and can't control the worry? What if you feel like your trauma is taking over your entire life? Rather isolate than continue to swipe right into empty relationships? Is your sexual "performance" preventing you from showing up in the bedroom? These are stories I hear often. Elevated worry, unprocessed trauma events, and sexual concerns can be overwhelming!
(910) 240-4157 View (910) 240-4157
Photo of LaKeesa S. Butler, LCSWA, Clinical Social Work/Therapist
LaKeesa S. Butler
Clinical Social Work/Therapist, LCSWA
Verified Verified
2 Endorsed
Jacksonville, NC 28540
Although a fairly new clinician, I have experience working with a variety of clients affected by poverty, intimate partner violence, and mental illness. Individual and group counseling are areas of familiarity, but my recent certification as a Prepare & Enrich facilitator has positioned my for an expanded audience.
Although a fairly new clinician, I have experience working with a variety of clients affected by poverty, intimate partner violence, and mental illness. Individual and group counseling are areas of familiarity, but my recent certification as a Prepare & Enrich facilitator has positioned my for an expanded audience.
(910) 601-8879 View (910) 601-8879
Photo of Casie Branson Trauma Specialist, LCSW, Clinical Social Work/Therapist
Casie Branson Trauma Specialist
Clinical Social Work/Therapist, LCSW
Verified Verified
Jacksonville, NC 28540
I am a trauma-focused therapist who works primarily with active duty service members, reservists, and veterans. I enjoy helping service members reach their full potential by processing through their past traumas and developing skills needed to enhance their daily lives. I have experience and enjoy working with first responders, including police officers, firefighters, and nurses.
I am a trauma-focused therapist who works primarily with active duty service members, reservists, and veterans. I enjoy helping service members reach their full potential by processing through their past traumas and developing skills needed to enhance their daily lives. I have experience and enjoy working with first responders, including police officers, firefighters, and nurses.
(910) 333-1004 View (910) 333-1004
Photo of Linda L Arrington - A Purpose Lifestyle , MSW, LCSW, Clinical Social Work/Therapist
A Purpose Lifestyle
Clinical Social Work/Therapist, MSW, LCSW
Verified Verified
1 Endorsed
Jacksonville, NC 28546
Not accepting new clients
Hi there! We don't know what we don't know. So, I want to partner with you on your journey to learning to live a purposeful lifestyle. I specialize in treating individuals starting at the age of 16 into adulthood with Trauma, PTSD, Anxiety, Depression, Anger, Physical, Emotional, and or Sexual Abuse and the need for a sounding board. I am trained in evidence-based therapies: Cognitive Processing Therapy (CPT), Eye Movement Desensitization and Reprocessing (EMDR), Dialectical Behavior Therapy (DBT), and Humanistic therapy. As your therapist, it is my job to create a warm, safe, and non-judgmental atmosphere.
Hi there! We don't know what we don't know. So, I want to partner with you on your journey to learning to live a purposeful lifestyle. I specialize in treating individuals starting at the age of 16 into adulthood with Trauma, PTSD, Anxiety, Depression, Anger, Physical, Emotional, and or Sexual Abuse and the need for a sounding board. I am trained in evidence-based therapies: Cognitive Processing Therapy (CPT), Eye Movement Desensitization and Reprocessing (EMDR), Dialectical Behavior Therapy (DBT), and Humanistic therapy. As your therapist, it is my job to create a warm, safe, and non-judgmental atmosphere.
(910) 713-1263 View (910) 713-1263
Photo of Karen K. Esala (Open Water Wellness Pllc), LCSW, Clinical Social Work/Therapist
Karen K. Esala (Open Water Wellness Pllc)
Clinical Social Work/Therapist, LCSW
Verified Verified
Jacksonville, NC 28540
Do you ever feel a disconnect and you do not understand why? Perhaps, you play scenarios internally time and time again with little to no resolution. Maybe things from your past have never fully been resolved making it hard to streamline your thoughts. If you are seeking to find resolution, apply self-care, and enjoy the moment, I welcome you to contact me today. Together, we can determine goals applicable to your desired outcome, and strive to increase your overall level of wellness.
Do you ever feel a disconnect and you do not understand why? Perhaps, you play scenarios internally time and time again with little to no resolution. Maybe things from your past have never fully been resolved making it hard to streamline your thoughts. If you are seeking to find resolution, apply self-care, and enjoy the moment, I welcome you to contact me today. Together, we can determine goals applicable to your desired outcome, and strive to increase your overall level of wellness.
(910) 548-7851 View (910) 548-7851
Photo of Brittany Demonte, LCSWA
Brittany Demonte
LCSW Associate, LCSWA
Verified Verified
1 Endorsed
Jacksonville, NC 28546  (Online Only)
I believe that the relationship between a therapist and client is built on confidentiality, trust, empathy, transparency, and respect. In using a person-centered approach, I work to gain a full understanding of each client and their interactions with family and the world around them. Together we will explore your identified problems, develop solutions, identify goals, and ultimately work towards a happier and healthier way of living.
I believe that the relationship between a therapist and client is built on confidentiality, trust, empathy, transparency, and respect. In using a person-centered approach, I work to gain a full understanding of each client and their interactions with family and the world around them. Together we will explore your identified problems, develop solutions, identify goals, and ultimately work towards a happier and healthier way of living.
(910) 974-8895 x1 View (910) 974-8895 x1
Photo of Amanda Brescia, Pre-Licensed Professional
Amanda Brescia
Pre-Licensed Professional
Verified Verified
4 Endorsed
Jacksonville, NC 28540
Starting your therapeutic journey can feel overwhelming, and I'd be honored to accompany you on your path toward well-being. Whether you are struggling with life transitions, depression, or processing trauma, I'm passionate about fostering space for folks to heal. While I specialize in women’s issues, I enjoy working with people from an array of backgrounds. My therapeutic approach is non-judgmental, strengths-based, and rooted in unconditional positive regard. Our sessions will be an hour dedicated to you and your needs.
Starting your therapeutic journey can feel overwhelming, and I'd be honored to accompany you on your path toward well-being. Whether you are struggling with life transitions, depression, or processing trauma, I'm passionate about fostering space for folks to heal. While I specialize in women’s issues, I enjoy working with people from an array of backgrounds. My therapeutic approach is non-judgmental, strengths-based, and rooted in unconditional positive regard. Our sessions will be an hour dedicated to you and your needs.
(910) 504-9281 View (910) 504-9281
Photo of Jessica (Williams) Duncan, MSW, LCSW, Clinical Social Work/Therapist
Jessica (Williams) Duncan
Clinical Social Work/Therapist, MSW, LCSW
Verified Verified
1 Endorsed
Jacksonville, NC 28546
I am here to help families, children as young as 4, teens, & women from diverse backgrounds. I enjoy helping individuals and families regain peace, order, and fulfillment in their relationships and in other areas of their lives. Motivational interviewing, solutions focused brief therapy, and behavior modification approaches are often used in my office to establish life changes and healthy relationships. What is keeping you from peace, restoration, and living out your purpose driven life? I aim to equip and empower my clients to overcome life's challenges, experience inner healing, and to ultimately succeed in life.
I am here to help families, children as young as 4, teens, & women from diverse backgrounds. I enjoy helping individuals and families regain peace, order, and fulfillment in their relationships and in other areas of their lives. Motivational interviewing, solutions focused brief therapy, and behavior modification approaches are often used in my office to establish life changes and healthy relationships. What is keeping you from peace, restoration, and living out your purpose driven life? I aim to equip and empower my clients to overcome life's challenges, experience inner healing, and to ultimately succeed in life.
(910) 469-0774 View (910) 469-0774
Photo of Dr. Tarasha Lloyd, DSW, LCSW, Clinical Social Work/Therapist
Dr. Tarasha Lloyd
Clinical Social Work/Therapist, DSW, LCSW
Verified Verified
1 Endorsed
Jacksonville, NC 28540  (Online Only)
I'm happy to be here to help you with your therapy needs! I have served in the field of Social Work for 17 years and my passion is helping others achieve their goals. I have been a Licensed Clinician for over 5 years and currently work with active-duty military and their spouses full time.
I'm happy to be here to help you with your therapy needs! I have served in the field of Social Work for 17 years and my passion is helping others achieve their goals. I have been a Licensed Clinician for over 5 years and currently work with active-duty military and their spouses full time.
(910) 537-3759 View (910) 537-3759
Photo of Sarah Phillips, LCSWA, Clinical Social Work/Therapist
Sarah Phillips
Clinical Social Work/Therapist, LCSWA
Verified Verified
Jacksonville, NC 28540
Everyone has a story to tell. I have an endless passion for helping people become the best version of themselves. I am dedicated to assisting individuals in learning new ways of managing life's stressors that interfere with healthy functioning and creating healthy, supportive, and meaningful relationships.
Everyone has a story to tell. I have an endless passion for helping people become the best version of themselves. I am dedicated to assisting individuals in learning new ways of managing life's stressors that interfere with healthy functioning and creating healthy, supportive, and meaningful relationships.
(910) 838-9928 View (910) 838-9928
Photo of Janiqua Obey, MSW, LCSW, Clinical Social Work/Therapist
Janiqua Obey
Clinical Social Work/Therapist, MSW, LCSW
Verified Verified
1 Endorsed
Jacksonville, NC 28546  (Online Only)
Currently accepting NEW clients at this time, please USE website button to schedule a FREE 15-minute consultation. Are you or your child having difficulty navigating those teenage years? Are you struggling to find peace within your yourself, let alone peace within your home? Has life just become too overwhelming and finding the next step seems so far away? Here at Youthful Connections, you will find yourself being serviced by a Licensed therapist and Life Coach that tailors care around the needs of adolescents (11-17), and adults including parents/caregivers and families.
Currently accepting NEW clients at this time, please USE website button to schedule a FREE 15-minute consultation. Are you or your child having difficulty navigating those teenage years? Are you struggling to find peace within your yourself, let alone peace within your home? Has life just become too overwhelming and finding the next step seems so far away? Here at Youthful Connections, you will find yourself being serviced by a Licensed therapist and Life Coach that tailors care around the needs of adolescents (11-17), and adults including parents/caregivers and families.
(910) 541-9176 View (910) 541-9176
Photo of Hermeisha R. Green, LCSW, Clinical Social Work/Therapist
Hermeisha R. Green
Clinical Social Work/Therapist, LCSW
Verified Verified
1 Endorsed
Jacksonville, NC 28546  (Online Only)
If you find yourself frequently wrestling with feelings of inadequacy, coming back to the same negative core belief that "I am not good enough," feeling unmanageable emotional distress, and/or ongoing conflicts in relationships, then I am here to help. I help you get to the root of the conflict and distress, while increasing your awareness and confidence that will help you experience the relief you’ve been longing for.
If you find yourself frequently wrestling with feelings of inadequacy, coming back to the same negative core belief that "I am not good enough," feeling unmanageable emotional distress, and/or ongoing conflicts in relationships, then I am here to help. I help you get to the root of the conflict and distress, while increasing your awareness and confidence that will help you experience the relief you’ve been longing for.
(855) 777-0939 View (855) 777-0939
Photo of Dawn K Clark, MS, LMHC, LCMHC
Dawn K Clark
Licensed Clinical Mental Health Counselor, MS, LMHC, LCMHC
Verified Verified
Jacksonville, NC 28540  (Online Only)
My name is Dawn Clark, and I am a Licensed Mental Health Counselor with over 27 years of clinical experience. My primary focal point is adults and couples with Anxiety, Depression, Women's Issues, Sexual Orientation, Trauma, and PTSD. I focus on helping and encouraging individuals., not treating a disorder. I utilize a combination of Cognitive Behavioral (CBT), Trauma Focused, Coaching, Couples Therapy, and Rational Emotive Behavior Therapies during treatments with my clients. I believe that I am very direct and open-minded, and no one should ever feel out of place in a relationship.
My name is Dawn Clark, and I am a Licensed Mental Health Counselor with over 27 years of clinical experience. My primary focal point is adults and couples with Anxiety, Depression, Women's Issues, Sexual Orientation, Trauma, and PTSD. I focus on helping and encouraging individuals., not treating a disorder. I utilize a combination of Cognitive Behavioral (CBT), Trauma Focused, Coaching, Couples Therapy, and Rational Emotive Behavior Therapies during treatments with my clients. I believe that I am very direct and open-minded, and no one should ever feel out of place in a relationship.
(828) 547-3762 View (828) 547-3762
Photo of Alison D Carpenter - Progressive Wellness Counseling PLLC, MSW, LCSW, LCAS, Clinical Social Work/Therapist
Progressive Wellness Counseling PLLC
Clinical Social Work/Therapist, MSW, LCSW, LCAS
Verified Verified
2 Endorsed
Jacksonville, NC 28540
Waitlist for new clients
Welcome! It is truly a joy to serve individuals and families as they work toward progress in health and well-being. Taking the first steps to getting help is brave, but I understand it can also be overwhelming. I hope to provide information that will allow you to make the best choice for yourself, your teen and/or your family. I work exclusively with teens/adults in my professional practice. I am trained in Trauma Focused CBT and Eye Movement Desensitization Processing (EMDR). Youth and trauma survivors have unique needs. It is important to find a therapist that understands this and has the appropriate training and experience.
Welcome! It is truly a joy to serve individuals and families as they work toward progress in health and well-being. Taking the first steps to getting help is brave, but I understand it can also be overwhelming. I hope to provide information that will allow you to make the best choice for yourself, your teen and/or your family. I work exclusively with teens/adults in my professional practice. I am trained in Trauma Focused CBT and Eye Movement Desensitization Processing (EMDR). Youth and trauma survivors have unique needs. It is important to find a therapist that understands this and has the appropriate training and experience.
(910) 507-7429 View (910) 507-7429
Photo of Ashley Garnett - Raven Therapeutic Services, LCMHC, LCASA, NCC, Licensed Professional Counselor
Raven Therapeutic Services
Licensed Professional Counselor, LCMHC, LCASA, NCC
Verified Verified
1 Endorsed
Jacksonville, NC 28546
Are you struggling with issues related to addiction, anxiety, depression or major life changes? Have you been hit with anxiety in ways that has impacted your ability to get things done? Has your alcohol or drug use affected relationships with loved ones? Have things in life shifted or changed and you are feeling stuck? Maybe you are a military spouse and you just moved to the area from yet another military move. Or you recently transitioned out of the military and you are struggling with civilian life. I’m here to support you with exploring perspective, building insight and improve your decision making skills.
Are you struggling with issues related to addiction, anxiety, depression or major life changes? Have you been hit with anxiety in ways that has impacted your ability to get things done? Has your alcohol or drug use affected relationships with loved ones? Have things in life shifted or changed and you are feeling stuck? Maybe you are a military spouse and you just moved to the area from yet another military move. Or you recently transitioned out of the military and you are struggling with civilian life. I’m here to support you with exploring perspective, building insight and improve your decision making skills.
(910) 634-6615 View (910) 634-6615
Photo of Gina Zotz, LCSW, Clinical Social Work/Therapist
Gina Zotz
Clinical Social Work/Therapist, LCSW
Verified Verified
1 Endorsed
Jacksonville, NC 28546  (Online Only)
Welcome, I am so glad you are here. Experiencing a loss or trauma can feel alienating and leave you lacking connection. Maybe you have experienced a loss/trauma while also navigating pregnancy, postpartum or infertility. Maybe you are/were military but don't feel supported by the systems in place to "help". You might want to feel different but struggle to navigate the how. Or the opposite you understand the how, you have done lots of therapy and continue to feel like you are not making the progress you wish. Whether you've never been to therapy before or you have tried it before but feel stuck; you are in the right place.
Welcome, I am so glad you are here. Experiencing a loss or trauma can feel alienating and leave you lacking connection. Maybe you have experienced a loss/trauma while also navigating pregnancy, postpartum or infertility. Maybe you are/were military but don't feel supported by the systems in place to "help". You might want to feel different but struggle to navigate the how. Or the opposite you understand the how, you have done lots of therapy and continue to feel like you are not making the progress you wish. Whether you've never been to therapy before or you have tried it before but feel stuck; you are in the right place.
(252) 424-4886 View (252) 424-4886
Photo of Sarah Beth Reid, Pre-Licensed Professional
Sarah Beth Reid
Pre-Licensed Professional
Verified Verified
1 Endorsed
Jacksonville, NC 28540
Throughout my academic and practical experiences, I have developed a strong foundation in various therapeutic approaches, including cognitive-behavioral therapy and mindfulness techniques. My internship has allowed me to work with a diverse range of clients, each with unique stories and needs. I believe that with empathy, understanding, and dedication, I can help facilitate meaningful change in the lives of those I serve.
Throughout my academic and practical experiences, I have developed a strong foundation in various therapeutic approaches, including cognitive-behavioral therapy and mindfulness techniques. My internship has allowed me to work with a diverse range of clients, each with unique stories and needs. I believe that with empathy, understanding, and dedication, I can help facilitate meaningful change in the lives of those I serve.
(910) 996-5326 View (910) 996-5326
Photo of Karl Miller, MSW, LCSW-A, MATCH, Clinical Social Work/Therapist
Karl Miller
Clinical Social Work/Therapist, MSW, LCSW-A, MATCH
Verified Verified
1 Endorsed
Jacksonville, NC 28546  (Online Only)
Greetings, my name is Karl Miller. I enjoy working with adolescents and adults aged 10 years old and older, helping them foster a stable mental health while managing their emotional well-being. I am a MATCH (Modular Approach to Therapy for Children with Anxiety, Depression, Trauma, or Conduct Problems)-certified and trained therapist who utilized (CBT) Cognitive Behavioral Therapy and solution focus and empowerment techniques to help you overcome potential life stressors.
Greetings, my name is Karl Miller. I enjoy working with adolescents and adults aged 10 years old and older, helping them foster a stable mental health while managing their emotional well-being. I am a MATCH (Modular Approach to Therapy for Children with Anxiety, Depression, Trauma, or Conduct Problems)-certified and trained therapist who utilized (CBT) Cognitive Behavioral Therapy and solution focus and empowerment techniques to help you overcome potential life stressors.
(910) 828-2567 View (910) 828-2567
Photo of Mia Sanchez, LCSW, LCASA, CCATP, CCTP, Clinical Social Work/Therapist
Mia Sanchez
Clinical Social Work/Therapist, LCSW, LCASA, CCATP, CCTP
Verified Verified
1 Endorsed
Jacksonville, NC 28546  (Online Only)
Welcome! I’m delighted that you’re considering taking the courageous step towards a brighter, more fulfilling future. I’m Mia, and I’m a compassionate clinical social worker with years of experience supporting individuals through their unique life journeys.
Welcome! I’m delighted that you’re considering taking the courageous step towards a brighter, more fulfilling future. I’m Mia, and I’m a compassionate clinical social worker with years of experience supporting individuals through their unique life journeys.
View
Photo of Alexandria Sharp, MA, LMFTA, Marriage & Family Therapist
Alexandria Sharp
Marriage & Family Therapist, MA, LMFTA
Verified Verified
3 Endorsed
Jacksonville, NC 28546  (Online Only)
Not accepting new clients
Hey there! I am a marriage and family therapist who finds value in guiding my clients through their life’s ups and downs by creating a space that fosters clear communication, empathy, and genuine emotions. I find enjoyment in working with couples and adult individuals and am passionate about finding what works for you through your own unique therapeutic journey. My services are offered virtually, and I look forward to meeting you!
Hey there! I am a marriage and family therapist who finds value in guiding my clients through their life’s ups and downs by creating a space that fosters clear communication, empathy, and genuine emotions. I find enjoyment in working with couples and adult individuals and am passionate about finding what works for you through your own unique therapeutic journey. My services are offered virtually, and I look forward to meeting you!
(910) 901-2553 View (910) 901-2553
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See more therapy options for Jacksonville

How does your Therapist compare?

Number of Therapists in Jacksonville, NC

200+

Average cost per session

$125

Therapists in Jacksonville, NC who prioritize treating:

92% Anxiety
87% Depression
80% Stress
78% Relationship Issues
77% Self Esteem
74% Trauma and PTSD
74% Coping Skills

Average years in practice

9 Years

Top 3 insurances accepted

88% BlueCross and BlueShield
76% Aetna
67% UnitedHealthcare UHC | UBH

How Therapists in Jacksonville, NC see their clients

70% In Person and Online
30% Online Only

Gender breakdown

87% Female
12% Male
1% Non-Binary
FAQs - About Therapy and Counseling

How can I find a therapist in Jacksonville?

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.