Therapists in Fayetteville, NC

Photo of Elvira Yanez - Coast To Coast Bilingual Counseling PLLC , LCSW, LCAS, CCS, Clinical Social Work/Therapist
Coast To Coast Bilingual Counseling PLLC
Clinical Social Work/Therapist, LCSW, LCAS, CCS
Verified Verified
1 Endorsed
Fayetteville, NC 28304
Are you struggling with feelings of anxiety, depression, and difficulty making decisions? Are you unable to fall asleep at night because your mind is racing? Have you recently experienced a loss or are you having relationship problems? Are you having thoughts of suicide or self harming? We provide psychological services to adolescents, adults, relationships and families. We strive to provide quality treatment in a comfortable environment. We accept a range of insurances, coordinate with appropriate medical professionals as needed, and offer virtual therapy services.
Are you struggling with feelings of anxiety, depression, and difficulty making decisions? Are you unable to fall asleep at night because your mind is racing? Have you recently experienced a loss or are you having relationship problems? Are you having thoughts of suicide or self harming? We provide psychological services to adolescents, adults, relationships and families. We strive to provide quality treatment in a comfortable environment. We accept a range of insurances, coordinate with appropriate medical professionals as needed, and offer virtual therapy services.
(910) 601-9061 View (910) 601-9061
Photo of Ione Renee LaFata - DrRenee Online Psychotherapy, PhD, MEd, MA, IMFT, Marriage & Family Therapist
DrRenee Online Psychotherapy
Marriage & Family Therapist, PhD, MEd, MA, IMFT
Verified Verified
1 Endorsed
Fayetteville, NC 28312  (Online Only)
As a licensed psychotherapist, I wholeheartedly encourage women over 30 to actively consider seeking spiritual counseling. While it is important to acknowledge that each individual's journey is unique. In a world often marked by uncertainty and adversity, spiritual counseling equips women with valuable tools to build resilience and self-empowerment. By tapping into their spiritual resources, women can develop coping strategies, enhance their problem-solving skills, and foster a sense of inner strength. This enables them to overcome obstacles, embrace change, and lead fulfilling lives.
As a licensed psychotherapist, I wholeheartedly encourage women over 30 to actively consider seeking spiritual counseling. While it is important to acknowledge that each individual's journey is unique. In a world often marked by uncertainty and adversity, spiritual counseling equips women with valuable tools to build resilience and self-empowerment. By tapping into their spiritual resources, women can develop coping strategies, enhance their problem-solving skills, and foster a sense of inner strength. This enables them to overcome obstacles, embrace change, and lead fulfilling lives.
(910) 557-8084 View (910) 557-8084
Photo of Shironda Monique Bryant, LCMHC
Shironda Monique Bryant
Licensed Clinical Mental Health Counselor, LCMHC
Verified Verified
Fayetteville, NC 28303  (Online Only)
Hello. My name is Shironda M. Bryant. I attended William Paterson University in Wayne, New Jersey where I received a bachelors degree in Sociology (Criminal Justice) and a masters degree in Education: Counseling Services. I love to travel,sing, dance, laugh and help others. I am motivated by the fact that I think I have a way of "normalizing" therapy. I grew up hearing people equate therapy to "being crazy" and wanted to help change the perception. I am honored that I get to work in my God given Gift daily!!
Hello. My name is Shironda M. Bryant. I attended William Paterson University in Wayne, New Jersey where I received a bachelors degree in Sociology (Criminal Justice) and a masters degree in Education: Counseling Services. I love to travel,sing, dance, laugh and help others. I am motivated by the fact that I think I have a way of "normalizing" therapy. I grew up hearing people equate therapy to "being crazy" and wanted to help change the perception. I am honored that I get to work in my God given Gift daily!!
(910) 613-9814 View (910) 613-9814
Photo of Corey Winston - Sunflowers Wellness Therapeutic Services, PLLC, LCSW, Clinical Social Work/Therapist
Sunflowers Wellness Therapeutic Services, PLLC
Clinical Social Work/Therapist, LCSW
Verified Verified
2 Endorsed
Fayetteville, NC 28304  (Online Only)
We are accepting new clients! Are you struggling with depression and anxiety? Are you worried about your child? Are you struggling with addiction? Are you wondering what your purpose is in life? Are you struggling with setting boundaries? Are you struggling with symptoms of ADHD? Is your life decisions causing consequences? We are here for you! We would love to walk beside you in this season of your life to help you gain tools as you move towards growth, self-awareness, and positive change.
We are accepting new clients! Are you struggling with depression and anxiety? Are you worried about your child? Are you struggling with addiction? Are you wondering what your purpose is in life? Are you struggling with setting boundaries? Are you struggling with symptoms of ADHD? Is your life decisions causing consequences? We are here for you! We would love to walk beside you in this season of your life to help you gain tools as you move towards growth, self-awareness, and positive change.
(910) 668-4417 View (910) 668-4417
Photo of Ashley Malone, LCMHCA, Pre-Licensed Professional
Ashley Malone
Pre-Licensed Professional, LCMHCA
Verified Verified
Fayetteville, NC 28305
I understand that therapy may be a big step for many and emotions may even be a bit scary. That’s why I make it my responsibility to create a safe and trusting, collaborative environment. I want the people that I work with to feel comfortable sharing their stories while also not shying away from exploring the scary parts as well. I like to approach these issues using acceptance and commitment therapy (ACT). This approach highlights compassion and mindfulness to help individuals accept their emotions without judgment, notice and disengage with unhelpful thoughts, and learn to commit to their values by confronting avoidance.
I understand that therapy may be a big step for many and emotions may even be a bit scary. That’s why I make it my responsibility to create a safe and trusting, collaborative environment. I want the people that I work with to feel comfortable sharing their stories while also not shying away from exploring the scary parts as well. I like to approach these issues using acceptance and commitment therapy (ACT). This approach highlights compassion and mindfulness to help individuals accept their emotions without judgment, notice and disengage with unhelpful thoughts, and learn to commit to their values by confronting avoidance.
(919) 759-6876 View (919) 759-6876
Photo of Imani N Johnson, MS, MSW, LCSW, LCAS, Clinical Social Work/Therapist
Imani N Johnson
Clinical Social Work/Therapist, MS, MSW, LCSW, LCAS
Verified Verified
1 Endorsed
Fayetteville, NC 28304
With approximately 14 years of combined, prior experience as a Qualified Professional (QP) and Family Case Manager in both the Georgia and North Carolina systems of Mental Health and Human Services, I've had the privilege of working with adults, children, families, and groups with compassion and professionalism. Since 2012, I've served as a Licensed Clinical Social Worker providing in-home, office, and community-based therapy.
With approximately 14 years of combined, prior experience as a Qualified Professional (QP) and Family Case Manager in both the Georgia and North Carolina systems of Mental Health and Human Services, I've had the privilege of working with adults, children, families, and groups with compassion and professionalism. Since 2012, I've served as a Licensed Clinical Social Worker providing in-home, office, and community-based therapy.
(910) 247-4721 View (910) 247-4721
Photo of Shonntavia Keels, MA, LCMHCA, CTP, Counselor
Shonntavia Keels
Counselor, MA, LCMHCA, CTP
Verified Verified
Fayetteville, NC 28303
Hello, my name is Shonntavia. I am passionate about helping individuals transform their lives to live from the inside out. I hold the belief that self-love is the true healer. Therefore, my approach to counseling is about helping you connect with your inner self in a loving, compassionate, and accepting way. It is my goal to help you make peace with your broken pieces to create space for growth and change.
Hello, my name is Shonntavia. I am passionate about helping individuals transform their lives to live from the inside out. I hold the belief that self-love is the true healer. Therefore, my approach to counseling is about helping you connect with your inner self in a loving, compassionate, and accepting way. It is my goal to help you make peace with your broken pieces to create space for growth and change.
(910) 415-0535 View (910) 415-0535
Photo of Tabitha Foster, MSW, LCSW, Clinical Social Work/Therapist
Tabitha Foster
Clinical Social Work/Therapist, MSW, LCSW
Verified Verified
Fayetteville, NC 28304
Immediate openings, including evenings and Saturday time slots still available! If you feel like you want to make some changes in your life, but need to talk through it with someone, we would love the opportunity to help. The therapists at Relax and Release work with children, adolescents, adults, and couples. We use a variety of approaches to assist individuals and the therapy style is always flexible. If progress is not happening, we reevaluate and adjust the approach accordingly.
Immediate openings, including evenings and Saturday time slots still available! If you feel like you want to make some changes in your life, but need to talk through it with someone, we would love the opportunity to help. The therapists at Relax and Release work with children, adolescents, adults, and couples. We use a variety of approaches to assist individuals and the therapy style is always flexible. If progress is not happening, we reevaluate and adjust the approach accordingly.
(910) 672-7149 View (910) 672-7149
Photo of Kathryn Shreve, LPC, LCMHC, Counselor
Kathryn Shreve
Counselor, LPC, LCMHC
Verified Verified
1 Endorsed
Fayetteville, NC 28306  (Online Only)
Sometimes life can feel so challenging and overwhelming that anxiety, fear, sadness, grief, or anger stops us in our tracks. We may feel constant distress in our thoughts, feelings and body. Or maybe we feel the complete opposite and become frozen and numb. There may be negative voices in your head affecting the way you view yourself, others, or the world around you. Perhaps you are exhausted from the discrepancy between how you feel and how you want to feel. You are at a point of wanting something different.
Sometimes life can feel so challenging and overwhelming that anxiety, fear, sadness, grief, or anger stops us in our tracks. We may feel constant distress in our thoughts, feelings and body. Or maybe we feel the complete opposite and become frozen and numb. There may be negative voices in your head affecting the way you view yourself, others, or the world around you. Perhaps you are exhausted from the discrepancy between how you feel and how you want to feel. You are at a point of wanting something different.
(888) 588-7183 View (888) 588-7183
Photo of Amy Smith Johnson - A New Leaf Therapeutic Services, PLLC, Clinical Social Work/Therapist
A New Leaf Therapeutic Services, PLLC
Clinical Social Work/Therapist
Verified Verified
Fayetteville, NC 28303
Here at A New Leaf Therapeutic Services PLLC, we are committed to working together with children, teens, adults, and families, focusing on their unique, therapeutic journeys to 'turn over a new leaf' toward more stable, healthier, & happier futures.
Here at A New Leaf Therapeutic Services PLLC, we are committed to working together with children, teens, adults, and families, focusing on their unique, therapeutic journeys to 'turn over a new leaf' toward more stable, healthier, & happier futures.
(910) 378-0871 View (910) 378-0871
Photo of Mary Elizabeth Walston, LCMHCS
Mary Elizabeth Walston
Licensed Clinical Mental Health Counselor, LCMHCS
Verified Verified
Fayetteville, NC 28311  (Online Only)
My Name is Mary Walston. I am a Licensed Clinical Mental Health Counselor Supervisor With Over 15 Years of Experience to Include Clinical Practice and Face to Face Counseling. I Whole Heartedly Work To Provide Customized, Sensitive, and Transformative, yet Practical Support that is Customized & Tailored to Address Each Persons Specific Needs.
My Name is Mary Walston. I am a Licensed Clinical Mental Health Counselor Supervisor With Over 15 Years of Experience to Include Clinical Practice and Face to Face Counseling. I Whole Heartedly Work To Provide Customized, Sensitive, and Transformative, yet Practical Support that is Customized & Tailored to Address Each Persons Specific Needs.
(910) 446-1295 View (910) 446-1295
Photo of Ashauntis McNair, LCSW, Clinical Social Work/Therapist
Ashauntis McNair
Clinical Social Work/Therapist, LCSW
Verified Verified
Fayetteville, NC 28311
I provide expertise in addressing the complex needs of clients facing anxiety, stress, trauma, depression, career concerns, and personal growth. My approach focuses on creating a safe and supportive environment, where clients can develop effective coping strategies, resolve conflicts, and cultivate healthy relationships. My goals include: Enhancing communication skills Establishing healthy boundaries Strengthening relationships Fostering a sense of understanding and validation. By providing empathetic and non-judgmental support, I empower clients to overcome challenges and achieve their personal and professional goals.
I provide expertise in addressing the complex needs of clients facing anxiety, stress, trauma, depression, career concerns, and personal growth. My approach focuses on creating a safe and supportive environment, where clients can develop effective coping strategies, resolve conflicts, and cultivate healthy relationships. My goals include: Enhancing communication skills Establishing healthy boundaries Strengthening relationships Fostering a sense of understanding and validation. By providing empathetic and non-judgmental support, I empower clients to overcome challenges and achieve their personal and professional goals.
(910) 390-1371 View (910) 390-1371
Photo of Dr. Joy McNeil, PhD, LCMHC, NCC, TFCBT
Dr. Joy McNeil
Licensed Clinical Mental Health Counselor, PhD, LCMHC, NCC, TFCBT
Verified Verified
1 Endorsed
Fayetteville, NC 28301  (Online Only)
Not accepting new clients
Do you struggle with perfectionism, overanalysis, anxiety, imposter syndrome, depression? Perhaps you don't know how to turn off your brain. Perhaps you struggle with feelings of failure. Maybe you've discovered that you're tired constantly but unable to rest and relax. Have you ever completed a project successfully and continued to be hypercritical of yourself? Do you find yourself doubting your abilities, playing down your strengths? It's time to reestablish your intention for being here - on planet earth. What is your purpose? What is your why?
Do you struggle with perfectionism, overanalysis, anxiety, imposter syndrome, depression? Perhaps you don't know how to turn off your brain. Perhaps you struggle with feelings of failure. Maybe you've discovered that you're tired constantly but unable to rest and relax. Have you ever completed a project successfully and continued to be hypercritical of yourself? Do you find yourself doubting your abilities, playing down your strengths? It's time to reestablish your intention for being here - on planet earth. What is your purpose? What is your why?
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Photo of Karen Smith, MSW, LCSW, LISW-CP, Clinical Social Work/Therapist
Karen Smith
Clinical Social Work/Therapist, MSW, LCSW, LISW-CP
Verified Verified
1 Endorsed
Fayetteville, NC 28303  (Online Only)
As a clinician, I embrace a strength-based approach and I borrow from many different cognitive-behavioral psychotherapy theories. I believe that building a positive therapeutic relationship is of great importance in the therapeutic process and that our time together should feel supportive and safe. I utilize dialogue, psychoeducation, relaxation/ mindfulness, reframing negative thoughts and positive decision making.
As a clinician, I embrace a strength-based approach and I borrow from many different cognitive-behavioral psychotherapy theories. I believe that building a positive therapeutic relationship is of great importance in the therapeutic process and that our time together should feel supportive and safe. I utilize dialogue, psychoeducation, relaxation/ mindfulness, reframing negative thoughts and positive decision making.
(910) 387-0623 View (910) 387-0623
Photo of Lauretta Walker Lucas - ReClaim Counseling Services, PLLC, MA, LCMHC, NCC
ReClaim Counseling Services, PLLC
Licensed Clinical Mental Health Counselor, MA, LCMHC, NCC
Verified Verified
Fayetteville, NC 28303  (Online Only)
Navigating life can be associated with many challenges leaving one feeling uncertain, lost, or downright afraid. Knowing that you have the support of someone who will provide you a safe space to be your authentic self can help guide you through depression, anxiety, or anger. I would like to assist you with exploring healthy alternatives through support and empathy. Together we will strive to develop understanding, acceptance, and forgiveness as we take a journey to discover a healthier version of you.
Navigating life can be associated with many challenges leaving one feeling uncertain, lost, or downright afraid. Knowing that you have the support of someone who will provide you a safe space to be your authentic self can help guide you through depression, anxiety, or anger. I would like to assist you with exploring healthy alternatives through support and empathy. Together we will strive to develop understanding, acceptance, and forgiveness as we take a journey to discover a healthier version of you.
(910) 597-1832 View (910) 597-1832
Photo of Dr. Felix E Alexander - Can Do Counseling, EdD, LCHMCS, LCAS, CCS, LPC
Can Do Counseling
Licensed Clinical Mental Health Counselor, EdD, LCHMCS, LCAS, CCS, LPC
Verified Verified
Fayetteville, NC 28314
I conduct individual, marriage, family, group, adolescent, and substance abuse counseling. Because counseling is an interactive process, your commitment, cooperation and open communications will greatly enhance our counseling relationship. This will be extremely beneficial in helping to address/change your thoughts, feeling, and actions or behaviors. Since there are no instant or immediate permanent resolutions to life's challenges, I am asking that you be patient as we work towards an acceptable solution. To facilitate this process, you will be given homework assignments and encouraged to participate in various exercises and projects, as required.
I conduct individual, marriage, family, group, adolescent, and substance abuse counseling. Because counseling is an interactive process, your commitment, cooperation and open communications will greatly enhance our counseling relationship. This will be extremely beneficial in helping to address/change your thoughts, feeling, and actions or behaviors. Since there are no instant or immediate permanent resolutions to life's challenges, I am asking that you be patient as we work towards an acceptable solution. To facilitate this process, you will be given homework assignments and encouraged to participate in various exercises and projects, as required.
(910) 586-3943 View (910) 586-3943
Photo of LaVondra Boyd, MA, LCMHC
LaVondra Boyd
Licensed Clinical Mental Health Counselor, MA, LCMHC
Verified Verified
1 Endorsed
Fayetteville, NC 28304  (Online Only)
Just not feeling like yourself lately? We all have times when we feel alone, overwhelmed, misunderstood or not sure of what to do. Do you need a safe place to talk about things so you can move forward?
Just not feeling like yourself lately? We all have times when we feel alone, overwhelmed, misunderstood or not sure of what to do. Do you need a safe place to talk about things so you can move forward?
(910) 565-6812 View (910) 565-6812
Photo of Denotra J. Winston, MA, LCMHC, LCAS, CCS-I, NCC
Denotra J. Winston
Licensed Clinical Mental Health Counselor, MA, LCMHC, LCAS, CCS-I, NCC
Verified Verified
1 Endorsed
Fayetteville, NC 28304  (Online Only)
We are accepting new clients! We have over 15 years of experience working with families and individuals who have anxiety, depression, perinatal mood and anxiety disorders, postpartum, addictions and substance use concerns. We like to adapt sessions to assist clients in identifying stressors, identify motivations, build support systems, and increase functioning. My goal is to establish a therapeutic relationship with each individual while striving to create a safe, non -judgmental space to foster the healing.
We are accepting new clients! We have over 15 years of experience working with families and individuals who have anxiety, depression, perinatal mood and anxiety disorders, postpartum, addictions and substance use concerns. We like to adapt sessions to assist clients in identifying stressors, identify motivations, build support systems, and increase functioning. My goal is to establish a therapeutic relationship with each individual while striving to create a safe, non -judgmental space to foster the healing.
(336) 804-8632 View (336) 804-8632
Photo of Ellen Jones McMillian - T&T Helping Hands, LLC, MSW, LCSW-A, CSW/RI, Clinical Social Work/Therapist
T&T Helping Hands, LLC
Clinical Social Work/Therapist, MSW, LCSW-A, CSW/RI
Verified Verified
Fayetteville, NC 28306
The ideal client is someone who is willing and wants to work in therapy and is open to change. The client is flexible willing to try new things and adapt to change. The client is committed to making therapy a priority in their life.
The ideal client is someone who is willing and wants to work in therapy and is open to change. The client is flexible willing to try new things and adapt to change. The client is committed to making therapy a priority in their life.
(910) 714-9256 View (910) 714-9256
Photo of Leisa Keisha Cook - Benevolent Counseling, PLLC, MS, LCMHC, Licensed Professional Counselor
Benevolent Counseling, PLLC
Licensed Professional Counselor, MS, LCMHC
Verified Verified
Fayetteville, NC 28303
I understand that many people suffer from anxiety and depression. When we ignore these issues it can have a negative impact on our daily lives. It can affect our personal relationships, the ability to deal with our work environment and prevent us from feeling good about ourselves. Nobody wants to experience this but many of us do and we often don't know how to deal with these feelings. If you're willing to take the first step and seek guidance there is a way to become better at navigating these issues. Sometimes all you need is someone to help show you the path to a better quality life.
I understand that many people suffer from anxiety and depression. When we ignore these issues it can have a negative impact on our daily lives. It can affect our personal relationships, the ability to deal with our work environment and prevent us from feeling good about ourselves. Nobody wants to experience this but many of us do and we often don't know how to deal with these feelings. If you're willing to take the first step and seek guidance there is a way to become better at navigating these issues. Sometimes all you need is someone to help show you the path to a better quality life.
(910) 635-0361 View (910) 635-0361

See more therapy options for Fayetteville

How does your Therapist compare?

Number of Therapists in Fayetteville, NC

400+

Average cost per session

$125

Therapists in Fayetteville, NC who prioritize treating:

91% Anxiety
87% Depression
72% Coping Skills
69% Self Esteem
67% Relationship Issues
67% Stress
65% Trauma and PTSD

Average years in practice

8 Years

Top 3 insurances accepted

87% BlueCross and BlueShield
75% Aetna
67% UnitedHealthcare UHC | UBH

How Therapists in Fayetteville, NC see their clients

57% In Person and Online
43% Online Only

Gender breakdown

86% Female
13% Male
1% Non-Binary
FAQs - About Therapy and Counseling

How can I find a therapist in Fayetteville?

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.