Therapists in Carroll County, GA

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Photo of Brianna Leveston - Nova ABA & Therapy Solutions , MEd, BCBA, LBA
Nova ABA & Therapy Solutions
MEd, BCBA, LBA
Verified Verified
Villa Rica, GA 30180
Whether your loved one is a little learner who is just starting to building on those language skills and could use a little help, or a bit older with frequent big emotions resulting in outburst or other challenging behaviors Nova ABA & Therapy Solutions would love to help you focus on creating more balance in your home.
Whether your loved one is a little learner who is just starting to building on those language skills and could use a little help, or a bit older with frequent big emotions resulting in outburst or other challenging behaviors Nova ABA & Therapy Solutions would love to help you focus on creating more balance in your home.
(678) 904-8085 View (678) 904-8085
Photo of Jasmine Livingston, Pre-Licensed Professional
Jasmine Livingston
Pre-Licensed Professional
Verified Verified
1 Endorsed
Villa Rica, GA 30180
I enjoy working with adolescents, young adults, and families. We are all working through this thing called "life" and I use client-focused approaches to assist my clients reach their preferred goals.
I enjoy working with adolescents, young adults, and families. We are all working through this thing called "life" and I use client-focused approaches to assist my clients reach their preferred goals.
(470) 592-8852 View (470) 592-8852
Photo of Cindy Baker, MA, LPC, BCC, Licensed Professional Counselor
Cindy Baker
Licensed Professional Counselor, MA, LPC, BCC
Verified Verified
Villa Rica, GA 30180  (Online Only)
There is nothing worse than feeling like your insides are jumping out of your body. Your breathing becomes labored. Your chest tightens as your heart is thumping wildly. You notice your palms sweating. Rapid thoughts are flooding your mind as if they are racing and competing for attention. You wish it would all stop so you could feel okay again.
There is nothing worse than feeling like your insides are jumping out of your body. Your breathing becomes labored. Your chest tightens as your heart is thumping wildly. You notice your palms sweating. Rapid thoughts are flooding your mind as if they are racing and competing for attention. You wish it would all stop so you could feel okay again.
(678) 672-1438 View (678) 672-1438
Photo of Felecia Hollis - Eternal Counseling and Coaching , MA, BS, AA
Eternal Counseling and Coaching
MA, BS, AA
Verified Verified
1 Endorsed
Villa Rica, GA 30180  (Online Only)
As a biblical therapist, my foremost commitment is to honor my clients' spiritual and emotional needs. I recognize that seeking therapy can often be a journey of faith, and I aim to provide a safe and supportive space where individuals can explore their beliefs and struggles within the framework of their faith. What sets me apart is my integrated approach, weaving together the principles of psychology with the wisdom of scripture. Drawing upon psychological techniques and biblical teachings, I offer a comprehensive approach to healing that addresses the whole person – mind, body, and spirit.
As a biblical therapist, my foremost commitment is to honor my clients' spiritual and emotional needs. I recognize that seeking therapy can often be a journey of faith, and I aim to provide a safe and supportive space where individuals can explore their beliefs and struggles within the framework of their faith. What sets me apart is my integrated approach, weaving together the principles of psychology with the wisdom of scripture. Drawing upon psychological techniques and biblical teachings, I offer a comprehensive approach to healing that addresses the whole person – mind, body, and spirit.
(470) 868-4622 View (470) 868-4622
Photo of D'Alma Bradley, LPC, Licensed Professional Counselor
D'Alma Bradley
Licensed Professional Counselor, LPC
Verified Verified
Carrollton, GA 30117
Hello! My name is D'Alma Bradley. I am a licensed professional counselor (LPC). I am a person-centered therapist that meets the client where they are at. I work with a range of clients from adolescents/teens- older adulthood. The clients that I see come because of life transitions, anxiety, boundaries, family issues, people-pleasing, relationship concerns, and amongst other things.
Hello! My name is D'Alma Bradley. I am a licensed professional counselor (LPC). I am a person-centered therapist that meets the client where they are at. I work with a range of clients from adolescents/teens- older adulthood. The clients that I see come because of life transitions, anxiety, boundaries, family issues, people-pleasing, relationship concerns, and amongst other things.
(470) 468-5843 View (470) 468-5843
Photo of Denard Fenaud, LMSW, MDiv, Clinical Social Work/Therapist
Denard Fenaud
Clinical Social Work/Therapist, LMSW, MDiv
Verified Verified
Villa Rica, GA 30180  (Online Only)
I understand that you're navigating through a particularly challenging phase of life, grappling with thoughts and feelings that may feel overwhelming at times. If you're between 18 and 35 and find yourself wrestling with suicidal ideation, anxiety, depression, or seeking motivation and clarity in your life, I want you to know that you're not alone.
I understand that you're navigating through a particularly challenging phase of life, grappling with thoughts and feelings that may feel overwhelming at times. If you're between 18 and 35 and find yourself wrestling with suicidal ideation, anxiety, depression, or seeking motivation and clarity in your life, I want you to know that you're not alone.
(470) 508-2966 View (470) 508-2966
Photo of Angela Lester - Oasis Behavioral Health, LLC, LCSW, CCTP, CCSP, NPT-C, Clinical Social Work/Therapist
Oasis Behavioral Health, LLC
Clinical Social Work/Therapist, LCSW, CCTP, CCSP, NPT-C
Verified Verified
Villa Rica, GA 30180  (Online Only)
Hi, I am Angie Lester, a Licensed Clinical Social Worker working with clients virtually in Georgia. I am here to support you in reaching your treatment goals. If it's processing issues and events from your past that you feel may contribute to your anxiety and depression, we'll work on that. If it's coping skills that you want to work on, I'll be happy to help with those. If you are part of a couple looking for better communication skills, you've come to the right place.
Hi, I am Angie Lester, a Licensed Clinical Social Worker working with clients virtually in Georgia. I am here to support you in reaching your treatment goals. If it's processing issues and events from your past that you feel may contribute to your anxiety and depression, we'll work on that. If it's coping skills that you want to work on, I'll be happy to help with those. If you are part of a couple looking for better communication skills, you've come to the right place.
(470) 594-5054 View (470) 594-5054
Photo of Nicole Denman, LPC, Licensed Professional Counselor
Nicole Denman
Licensed Professional Counselor, LPC
Verified Verified
1 Endorsed
Villa Rica, GA 30180  (Online Only)
Hello and welcome to my virtual therapy space! My name is Nicole, and I would love to chat with you about what has led to you seek out support through therapy. Often when I ask that question, I hear responses such as, "I feel overwhelmed by everything," "I worry about everything and can't seem to turn it off," "I don't want to do anything or be around people anymore" or "this really bad thing happened to me." If you ever have these types of thoughts, then this might be a good space to talk about and work through those thoughts and feelings.
Hello and welcome to my virtual therapy space! My name is Nicole, and I would love to chat with you about what has led to you seek out support through therapy. Often when I ask that question, I hear responses such as, "I feel overwhelmed by everything," "I worry about everything and can't seem to turn it off," "I don't want to do anything or be around people anymore" or "this really bad thing happened to me." If you ever have these types of thoughts, then this might be a good space to talk about and work through those thoughts and feelings.
(678) 498-6529 View (678) 498-6529
Photo of Maritza Pitelli, M Ed, LPC, Licensed Professional Counselor
Maritza Pitelli
Licensed Professional Counselor, M Ed, LPC
Verified Verified
1 Endorsed
Carrollton, GA 30117
My clinical focus is bodily, emotional recovery from trauma, adverse childhood experience, loss, grief, depression and anxiety. I believe in the possibilities for my clients to discover a second life...balance & renewal they couldn’t imagine at the depths of despair/struggle/change. "Maybe we will find a new purpose. Dedicate to an old dream. Maybe we will soften. Meet God. Taste the vast reservoir of our resiliency and strength. Find beauty and meaning in the simple things—like a cup of tea with a loved one while watching a yellow-tinged leaf dance into a puddle. Maybe we will find dancing or painting or writing or art or science
My clinical focus is bodily, emotional recovery from trauma, adverse childhood experience, loss, grief, depression and anxiety. I believe in the possibilities for my clients to discover a second life...balance & renewal they couldn’t imagine at the depths of despair/struggle/change. "Maybe we will find a new purpose. Dedicate to an old dream. Maybe we will soften. Meet God. Taste the vast reservoir of our resiliency and strength. Find beauty and meaning in the simple things—like a cup of tea with a loved one while watching a yellow-tinged leaf dance into a puddle. Maybe we will find dancing or painting or writing or art or science
(678) 647-6930 View (678) 647-6930
Photo of Terri Ducker, MA, LPC, ACS, Licensed Professional Counselor
Terri Ducker
Licensed Professional Counselor, MA, LPC, ACS
Verified Verified
Carrollton, GA 30117  (Online Only)
Are you overwhelmed? Stressed out? Do you feel like life is just one constant struggle and nobody seems willing to listen? Maybe you feel stuck in a job you hate or a relationship that is not healthy. Therapy can be just what you need to help you get unstuck, build some tools to help you better manage life, or even find your joy again. You don’t have to be crazy to benefit from therapy. I tell people all the time that therapy is designed to help you figure out what you want and the best way to get it. Honestly, we could all use professional help every now and then.
Are you overwhelmed? Stressed out? Do you feel like life is just one constant struggle and nobody seems willing to listen? Maybe you feel stuck in a job you hate or a relationship that is not healthy. Therapy can be just what you need to help you get unstuck, build some tools to help you better manage life, or even find your joy again. You don’t have to be crazy to benefit from therapy. I tell people all the time that therapy is designed to help you figure out what you want and the best way to get it. Honestly, we could all use professional help every now and then.
(470) 412-9303 View (470) 412-9303
Photo of Christine Pound, LCSW, Clinical Social Work/Therapist
Christine Pound
Clinical Social Work/Therapist, LCSW
Verified Verified
Carrollton, GA 30117
My name is Christine Pound. I am a Licensed Clinical Social Worker (LCSW) based in Ellijay, Georgia and currently working with clients statewide via telehealth. I am a compassionate and supportive therapist who is currently working with adults in all phases of life experiencing anxiety and depression, as well as those experiencing stress from current or past life challenges. I combine Cognitive Behavioral Therapy (CBT) and other evidenced based practices in a holistic, solution focused approach to help clients strengthen their sense of self–worth and their unique set of healthy coping strategies.
My name is Christine Pound. I am a Licensed Clinical Social Worker (LCSW) based in Ellijay, Georgia and currently working with clients statewide via telehealth. I am a compassionate and supportive therapist who is currently working with adults in all phases of life experiencing anxiety and depression, as well as those experiencing stress from current or past life challenges. I combine Cognitive Behavioral Therapy (CBT) and other evidenced based practices in a holistic, solution focused approach to help clients strengthen their sense of self–worth and their unique set of healthy coping strategies.
(470) 946-6282 View (470) 946-6282
Photo of Samantha A. Adams - Nourished Soul Counseling LLC, LPC, Licensed Professional Counselor
Nourished Soul Counseling LLC
Licensed Professional Counselor, LPC
Verified Verified
1 Endorsed
Villa Rica, GA 30180  (Online Only)
Hello, I'm Samantha Adams, a Licensed Professional Counselor in Georgia with a deep passion for helping people. I’m here to support you on your journey to wholeness, believing that you are the expert in your own life. My role is to walk alongside you, providing guidance, education, and the skills necessary to achieve your goals. I create a safe and nurturing environment where you can process past trauma and navigate life's challenges. I work with both teenagers and adults, addressing a wide range of issues, including trauma, depression, anxiety, personality disorders, bipolar disorder, addiction, and more.
Hello, I'm Samantha Adams, a Licensed Professional Counselor in Georgia with a deep passion for helping people. I’m here to support you on your journey to wholeness, believing that you are the expert in your own life. My role is to walk alongside you, providing guidance, education, and the skills necessary to achieve your goals. I create a safe and nurturing environment where you can process past trauma and navigate life's challenges. I work with both teenagers and adults, addressing a wide range of issues, including trauma, depression, anxiety, personality disorders, bipolar disorder, addiction, and more.
(470) 458-3992 View (470) 458-3992
Photo of Joshua Grubb, EdS, LPC, Licensed Professional Counselor
Joshua Grubb
Licensed Professional Counselor, EdS, LPC
Verified Verified
Carrollton, GA 30117
Challenges related to depression, anxiety, ADHD and high-functioning autism can be difficult to say the least, but there are ways to work with these experiences to make it easier for you. I have experience working with clients who have multiple mental health issues and enjoy working with clients who are looking to manage and/or overcome the difficulties of these experiences.
Challenges related to depression, anxiety, ADHD and high-functioning autism can be difficult to say the least, but there are ways to work with these experiences to make it easier for you. I have experience working with clients who have multiple mental health issues and enjoy working with clients who are looking to manage and/or overcome the difficulties of these experiences.
(470) 281-2730 View (470) 281-2730
Photo of Lisa Jacobson - Mid-Life Awareness Guide, MA, LPC, RYT, Licensed Professional Counselor
Mid-Life Awareness Guide
Licensed Professional Counselor, MA, LPC, RYT
Verified Verified
Carrollton, GA 30117
Hi! I'm Lisa Jacobson, LPC. I think of therapy as a professional service offering a safe place to grow, beyond the traditional idea of ‘the patient on the couch.’ My natural style as a therapist is to balance warm support and empathy, with gentle, honest words that will challenge you to learn new tools to help gain agency in your life. I like working with clients to explore deeper aspects of their being in order to find more meaning and purpose. I do not work from a medical model or provide clinical mental health services. I focus on adult development and learning to live with awareness, both of which can have their afflictions.
Hi! I'm Lisa Jacobson, LPC. I think of therapy as a professional service offering a safe place to grow, beyond the traditional idea of ‘the patient on the couch.’ My natural style as a therapist is to balance warm support and empathy, with gentle, honest words that will challenge you to learn new tools to help gain agency in your life. I like working with clients to explore deeper aspects of their being in order to find more meaning and purpose. I do not work from a medical model or provide clinical mental health services. I focus on adult development and learning to live with awareness, both of which can have their afflictions.
(470) 634-9991 View (470) 634-9991
Photo of Cassie Manley, EdS, LPC, ACS, Licensed Professional Counselor
Cassie Manley
Licensed Professional Counselor, EdS, LPC, ACS
Verified Verified
Carrollton, GA 30117
Is life in general getting to you more here lately? Whether it's stress, anxiety, or depression- life can feel overwhelming, but luckily, it doesn't have to stay that way. I'm Cassie, and I am a licensed professional counselor that specializes in working with people who are struggling with stress, anxiety, depression, trauma and distress in relationships. I have extensive experience in helping through evidence based practices, but ultimately, my goal is to work with you to find what tools and experiences will be beneficial and healing for you.
Is life in general getting to you more here lately? Whether it's stress, anxiety, or depression- life can feel overwhelming, but luckily, it doesn't have to stay that way. I'm Cassie, and I am a licensed professional counselor that specializes in working with people who are struggling with stress, anxiety, depression, trauma and distress in relationships. I have extensive experience in helping through evidence based practices, but ultimately, my goal is to work with you to find what tools and experiences will be beneficial and healing for you.
(470) 536-8304 View (470) 536-8304
Photo of Faith Richardson, MDiv, LPC, NCC, Licensed Professional Counselor
Faith Richardson
Licensed Professional Counselor, MDiv, LPC, NCC
Verified Verified
Villa Rica, GA 30180
Hi! I'm a Licensed Professional Counsellor (LPC) based in Georgia. I also am licensed in the states of Alabama and Florida. I help individuals struggling with stress, family dynamics, and life transitions become the best versions of themselves. I also provide couples counseling to those who are struggling with communication, trust, and intimacy. Many people enjoy coming to me to address spirituality and faith matters.
Hi! I'm a Licensed Professional Counsellor (LPC) based in Georgia. I also am licensed in the states of Alabama and Florida. I help individuals struggling with stress, family dynamics, and life transitions become the best versions of themselves. I also provide couples counseling to those who are struggling with communication, trust, and intimacy. Many people enjoy coming to me to address spirituality and faith matters.
(770) 738-7082 View (770) 738-7082
Photo of Lisa King Smith, EdS, LPC, CPCS, CCTP, CMHIMP, Licensed Professional Counselor
Lisa King Smith
Licensed Professional Counselor, EdS, LPC, CPCS, CCTP, CMHIMP
Verified Verified
1 Endorsed
Carrollton, GA 30117
Viktor Frankl said "When we are no longer able to change a situation, we are challenged to change ourselves." I find building healthy client/therapist relationships very satisfying. I enjoy working with clients who are open to growth. I am the mother of 3 young adult daughters. I am active in my profession by having served on the Board of Directors as President in 2018-19 as well as 3 prior terms as Western District Chair, for The Licensed Professional Counselors Association of GA (LPCA-GA). I am Certified as a Clinical Supervisor by LPCA-GA, a Clinical Trauma Professional & as a Mental Health Integrative Medicine Provider.
Viktor Frankl said "When we are no longer able to change a situation, we are challenged to change ourselves." I find building healthy client/therapist relationships very satisfying. I enjoy working with clients who are open to growth. I am the mother of 3 young adult daughters. I am active in my profession by having served on the Board of Directors as President in 2018-19 as well as 3 prior terms as Western District Chair, for The Licensed Professional Counselors Association of GA (LPCA-GA). I am Certified as a Clinical Supervisor by LPCA-GA, a Clinical Trauma Professional & as a Mental Health Integrative Medicine Provider.
(404) 620-4334 View (404) 620-4334
Photo of Tonya D Klemmer Lcsw, LCSW, Clinical Social Work/Therapist
Tonya D Klemmer Lcsw
Clinical Social Work/Therapist, LCSW
Verified Verified
Carrollton, GA 30117
Children and teens go through many changes and often end up having a hard time navigating all of these changes. The changes everyone is faced with today; especially since COVID-19, are causing people to feel lost and uncertain as to how to move forward. Your teen may be struggling with disordered eating, making decisions, and their social network. Your adolescent may be experiencing an increase in stress and anxiety due to the uncertainty of the future. You may be questioning your beliefs; exploring alternative practices. You need additional guidance and exploration to feel better and self-actualize. We can help you with this.
Children and teens go through many changes and often end up having a hard time navigating all of these changes. The changes everyone is faced with today; especially since COVID-19, are causing people to feel lost and uncertain as to how to move forward. Your teen may be struggling with disordered eating, making decisions, and their social network. Your adolescent may be experiencing an increase in stress and anxiety due to the uncertainty of the future. You may be questioning your beliefs; exploring alternative practices. You need additional guidance and exploration to feel better and self-actualize. We can help you with this.
(678) 839-9793 View (678) 839-9793
Photo of Wendy Worthy, EdS, LPC, Licensed Professional Counselor
Wendy Worthy
Licensed Professional Counselor, EdS, LPC
Verified Verified
Carrollton, GA 30117
Everyone could use someone to talk with that doesn't have (as my grandmother would say) "a dog in the fight". My ideal client would need someone to listen to them and have the desire to work together with me to create the change they wish to see in their life. Their goal would be to create a lasting change. Since lasting change can take time, my ideal client would be willing to put in the work and time this lasting change will require.
Everyone could use someone to talk with that doesn't have (as my grandmother would say) "a dog in the fight". My ideal client would need someone to listen to them and have the desire to work together with me to create the change they wish to see in their life. Their goal would be to create a lasting change. Since lasting change can take time, my ideal client would be willing to put in the work and time this lasting change will require.
(678) 336-8696 View (678) 336-8696
Photo of Jessica Renard, MEd, LAPC, MCLC, Counselor
Jessica Renard
Counselor, MEd, LAPC, MCLC
Verified Verified
1 Endorsed
Carrollton, GA 30117
Does your spouse feel like a roommate? Are you arguing about intimacy or just can’t seem to get your libidos on the same page? Has marriage and/or kids led to a boring or predictable sex life? Has your sex life flatlined? Do you find yourself wanting more in the bedroom but aren’t sure where to start or how to get your partner on board? I’d like to help! It is totally normal for desire and physical intimacy to change over time. However, problems in the bedroom don’t have to spill over into other areas of your relationship.
Does your spouse feel like a roommate? Are you arguing about intimacy or just can’t seem to get your libidos on the same page? Has marriage and/or kids led to a boring or predictable sex life? Has your sex life flatlined? Do you find yourself wanting more in the bedroom but aren’t sure where to start or how to get your partner on board? I’d like to help! It is totally normal for desire and physical intimacy to change over time. However, problems in the bedroom don’t have to spill over into other areas of your relationship.
(470) 649-3414 View (470) 649-3414
1

See more therapy options for Carroll County

How does your Therapist compare?

Number of Therapists in Carroll County, GA

100+

Average cost per session

$120

Therapists in Carroll County, GA who prioritize treating:

91% Anxiety
85% Depression
69% Self Esteem
67% Relationship Issues
67% Trauma and PTSD
66% Coping Skills
63% Grief

Average years in practice

11 Years

Top 3 insurances accepted

93% Aetna
86% Cigna and Evernorth
83% UnitedHealthcare UHC | UBH

How Therapists in Carroll County, GA see their clients

72% In Person and Online
28% Online Only

Gender breakdown

83% Female
17% Male
FAQs - About Therapy and Counseling

How can I find a therapist in Carroll County?

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.