Therapists in Watauga County, NC

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Photo of Kate Mena, MA, LCMHCA, Counselor
Kate Mena
Counselor, MA, LCMHCA
Verified Verified
Boone, NC 28607
Supporting and empowering clients who are battling depression, trauma, anxiety, grief, self-esteem, relationship and interpersonal challenges is a deep passion and calling of mine. Too often, we feel like we are alone, inherently flawed or doing aspects of life wrong.
Supporting and empowering clients who are battling depression, trauma, anxiety, grief, self-esteem, relationship and interpersonal challenges is a deep passion and calling of mine. Too often, we feel like we are alone, inherently flawed or doing aspects of life wrong.
(828) 949-1696 View (828) 949-1696
Photo of Christina M Howell, LCMHC, MA, E-RYT, Licensed Professional Counselor
Christina M Howell
Licensed Professional Counselor, LCMHC, MA, E-RYT
Verified Verified
Boone, NC 28607
Not accepting new clients
I believe we have the innate ability to heal our selves. We all have times when we feel separate, disconnected and unworthy. This can cause stress, frustration, anger, vulnerability, isolation, confusion, and being overwhelmed by life. We often need a light at the end of the tunnel to navigate through the confusion and gain perspective. My role is a guide on this personal journey to assist with that perspective and gain self acceptance. My work is an integration of my background in yoga, Buddhist practices and somatic movement that I call "Integrative Yoga Counseling".
I believe we have the innate ability to heal our selves. We all have times when we feel separate, disconnected and unworthy. This can cause stress, frustration, anger, vulnerability, isolation, confusion, and being overwhelmed by life. We often need a light at the end of the tunnel to navigate through the confusion and gain perspective. My role is a guide on this personal journey to assist with that perspective and gain self acceptance. My work is an integration of my background in yoga, Buddhist practices and somatic movement that I call "Integrative Yoga Counseling".
(828) 536-4068 View (828) 536-4068
Photo of Henry David William Figueroa, LCSW, Clinical Social Work/Therapist
Henry David William Figueroa
Clinical Social Work/Therapist, LCSW
Verified Verified
Boone, NC 28607
During my past five years in the therapy field I have worked with clients from all different ages to help process their feelings and help them deal with not only trauma, but every day life. My specialties include depression, emotional dysregulation, anxiety, family dynamics, trauma/abuse, parenting concerns, cognitive behavioral therapies, and problem solving. I enjoy working with teenagers and children who are struggling with their emotions, stress, or a past trauma. I am open with my clients and provide a non-judgmental and safe space that people have found easy to relate with.
During my past five years in the therapy field I have worked with clients from all different ages to help process their feelings and help them deal with not only trauma, but every day life. My specialties include depression, emotional dysregulation, anxiety, family dynamics, trauma/abuse, parenting concerns, cognitive behavioral therapies, and problem solving. I enjoy working with teenagers and children who are struggling with their emotions, stress, or a past trauma. I am open with my clients and provide a non-judgmental and safe space that people have found easy to relate with.
(828) 415-5461 View (828) 415-5461
Photo of Dr. Tatjana Farley, LMFT, Marriage & Family Therapist
Dr. Tatjana Farley
Marriage & Family Therapist, LMFT
Verified Verified
1 Endorsed
Boone, NC 28607  (Online Only)
A lot happens in life to lead someone to seek therapy. Life transitions, moments that feel overwhelming, relationship conflict. I hope to understand how you got to where you are, where you hope to be, and how we merge the two. If life feels a little overwhelming and you are searching for long awaited relief, we can work together to reset you on your healing journey.
A lot happens in life to lead someone to seek therapy. Life transitions, moments that feel overwhelming, relationship conflict. I hope to understand how you got to where you are, where you hope to be, and how we merge the two. If life feels a little overwhelming and you are searching for long awaited relief, we can work together to reset you on your healing journey.
(919) 887-9435 View (919) 887-9435
Photo of Jake Keller, MA MMT, LMFT, MT-BC, Marriage & Family Therapist
Jake Keller
Marriage & Family Therapist, MA MMT, LMFT, MT-BC
Verified Verified
2 Endorsed
Boone, NC 28607
Sometimes we can feel as if on a mountaintop with a sense of clarity and other times in a valley unable to see the next step. Life is a journey with experiences and seasons where we can all use some help along the way. Whether it be marriage, dating, work, friendships, or family dynamics, relationships can be complex. Through life's complexities we can learn and grow. I believe everyone deserves to experience joy and live an abundant life. By living authentically to ourselves and others we can become the best version of ourselves. My desire is to meet you where you are and collaboratively work with you to reach your full potential.
Sometimes we can feel as if on a mountaintop with a sense of clarity and other times in a valley unable to see the next step. Life is a journey with experiences and seasons where we can all use some help along the way. Whether it be marriage, dating, work, friendships, or family dynamics, relationships can be complex. Through life's complexities we can learn and grow. I believe everyone deserves to experience joy and live an abundant life. By living authentically to ourselves and others we can become the best version of ourselves. My desire is to meet you where you are and collaboratively work with you to reach your full potential.
(828) 537-1457 View (828) 537-1457
Photo of Emily Capps - Broken Angel Counseling, LCMHCS, LCAS, CCS, Licensed Professional Counselor
Broken Angel Counseling
Licensed Professional Counselor, LCMHCS, LCAS, CCS
Verified Verified
Boone, NC 28607
I believe there is no true beginning or end to Healing, working on ourselves, or trying to have forward motion in our lives (but that it DOES get better!), so any entry point into counseling as a tool in those processes is the right one. /"This is heart work, and you can't think your way around this; you've gotta feel your way through it." / /"The soul always knows what to do to heal itself. The challenge is to silence the mind."/
I believe there is no true beginning or end to Healing, working on ourselves, or trying to have forward motion in our lives (but that it DOES get better!), so any entry point into counseling as a tool in those processes is the right one. /"This is heart work, and you can't think your way around this; you've gotta feel your way through it." / /"The soul always knows what to do to heal itself. The challenge is to silence the mind."/
(828) 882-2904 View (828) 882-2904
Photo of Gene Gee, MA, LMFT, Marriage & Family Therapist
Gene Gee
Marriage & Family Therapist, MA, LMFT
Verified Verified
Boone, NC 28607
Not accepting new clients
I work with adults, adolescents, couples, and families to develop an understanding of ourselves and how we are influenced by events, relationships, and expectations. With this knowledge, we can explore past experiences and current stressors to identify how they impact us directly. Together, we can develop an understanding of life that provides opportunities for change and growth.
I work with adults, adolescents, couples, and families to develop an understanding of ourselves and how we are influenced by events, relationships, and expectations. With this knowledge, we can explore past experiences and current stressors to identify how they impact us directly. Together, we can develop an understanding of life that provides opportunities for change and growth.
(828) 457-8227 View (828) 457-8227
Photo of Ashley Lynch Self, LCSWA
Ashley Lynch Self
LCSW Associate , LCSWA
Verified Verified
1 Endorsed
Boone, NC 28607
If you have ever found yourself agonizing over a text message for hours or redoing your to-do list a million times (because it wasn’t just right), we’re probably a match made in therapy heaven! I specialize in working with girlies like you, who are caught in the perfectionism and overthinking whirlwind. You know, the ones who have ten different planners, three different highlighter colors, and a love-hate relationship with Pinterest-level expectations. Oh, and if you’re an overwhelmed mom trying to keep it all together, you’re in the right place too!
If you have ever found yourself agonizing over a text message for hours or redoing your to-do list a million times (because it wasn’t just right), we’re probably a match made in therapy heaven! I specialize in working with girlies like you, who are caught in the perfectionism and overthinking whirlwind. You know, the ones who have ten different planners, three different highlighter colors, and a love-hate relationship with Pinterest-level expectations. Oh, and if you’re an overwhelmed mom trying to keep it all together, you’re in the right place too!
(828) 523-8752 View (828) 523-8752
Photo of Elizabeth R Abel, MA, LPC, NCC, BC-TMH, Licensed Professional Counselor
Elizabeth R Abel
Licensed Professional Counselor, MA, LPC, NCC, BC-TMH
Verified Verified
Boone, NC 28607
The counseling and coaching relationship is special in that it allows me to walk beside and support clients in a safe environment where we are able to explore together what you are struggling with and move towards healing and growth. In our first meeting, I will ask you to share your story, and together we will set goals for what you would like to accomplish in our time together. After that, we'll begin the journey of exploring areas you'd like to work on.
The counseling and coaching relationship is special in that it allows me to walk beside and support clients in a safe environment where we are able to explore together what you are struggling with and move towards healing and growth. In our first meeting, I will ask you to share your story, and together we will set goals for what you would like to accomplish in our time together. After that, we'll begin the journey of exploring areas you'd like to work on.
(828) 558-4009 View (828) 558-4009
Photo of Noah Michael Hodges, LCMHC, NCC
Noah Michael Hodges
Lic Clinical Mental Health Counselor Associate, LCMHC, NCC
Verified Verified
Boone, NC 28607
Hello! I'm a therapist who specializes in the Person-Centered Approach, and who works with populations over the age of 12! I have experience administering therapy in various fields, including individual, family, group, multicultural, grieving, LGBTQIA+, and others. I mainly utilize a naturalistic form of therapy that places a high emphasis on developing a strong therapeutic rapport with the client. To me, a person has the inherent ability to assert a measure of control over their present circumstances, and I strive to help the client tap into this source of internal strength. If you have any questions, feel free to reach out!
Hello! I'm a therapist who specializes in the Person-Centered Approach, and who works with populations over the age of 12! I have experience administering therapy in various fields, including individual, family, group, multicultural, grieving, LGBTQIA+, and others. I mainly utilize a naturalistic form of therapy that places a high emphasis on developing a strong therapeutic rapport with the client. To me, a person has the inherent ability to assert a measure of control over their present circumstances, and I strive to help the client tap into this source of internal strength. If you have any questions, feel free to reach out!
(910) 631-6803 View (910) 631-6803
Anna Goddard
Counselor, MA, LCMHC
Verified Verified
Boone, NC 28607
I come from a strengths-based, solution-focused, somatic perspective, using EMDR (Eye Movement Desensitization and Reprocessing) and a wee bit of humor, when appropriate, to help you find new ways of thinking that get you nearer to who and how you want to be. I am a big believer that you already have everything you need within you, we just need to figure out how to reorganize what you already know to be true.
I come from a strengths-based, solution-focused, somatic perspective, using EMDR (Eye Movement Desensitization and Reprocessing) and a wee bit of humor, when appropriate, to help you find new ways of thinking that get you nearer to who and how you want to be. I am a big believer that you already have everything you need within you, we just need to figure out how to reorganize what you already know to be true.
(828) 380-4884 View (828) 380-4884
Photo of Lupe Serrano, LMFTA, Marriage & Family Therapist Associate
Lupe Serrano
Marriage & Family Therapist Associate, LMFTA
Verified Verified
1 Endorsed
Boone, NC 28607
Childhood can be filled with exploration, and with that comes big changes, stresses, and a shift in identity and dependency. Navigating the first two decades of life is not one size fits all. Whether it’s learning to get along with friends, going to school, dealing with broken relationships, or navigating through trauma, we all need extra support. This is where I can help. I love working with young individuals to support them in becoming exactly who they want to be while working through obstacles. I have unique experiences working with youth who struggle with identity, anxiety, depression, trauma, and navigating relationships.
Childhood can be filled with exploration, and with that comes big changes, stresses, and a shift in identity and dependency. Navigating the first two decades of life is not one size fits all. Whether it’s learning to get along with friends, going to school, dealing with broken relationships, or navigating through trauma, we all need extra support. This is where I can help. I love working with young individuals to support them in becoming exactly who they want to be while working through obstacles. I have unique experiences working with youth who struggle with identity, anxiety, depression, trauma, and navigating relationships.
(828) 845-8461 View (828) 845-8461
Photo of Kelly C Boone, MA, LMFT, Marriage & Family Therapist
Kelly C Boone
Marriage & Family Therapist, MA, LMFT
Verified Verified
Boone, NC 28607
In each of our lives there will be times of conflict, grief, sadness and fear. Problems can feel too complicated to solve, or too overwhelming to face. Whether you are looking for support for long-term issues, or navigating a specific period of difficulty, I will collaborate with you to find solutions and outcomes that work for you. Whether you are an individual, or part of a couple or family, we will work together to discover how patterns of interaction are keeping you stuck in places you don't wish to be.
In each of our lives there will be times of conflict, grief, sadness and fear. Problems can feel too complicated to solve, or too overwhelming to face. Whether you are looking for support for long-term issues, or navigating a specific period of difficulty, I will collaborate with you to find solutions and outcomes that work for you. Whether you are an individual, or part of a couple or family, we will work together to discover how patterns of interaction are keeping you stuck in places you don't wish to be.
(828) 332-5221 View (828) 332-5221
Photo of Ceara Calloway Cuthbertson, LCSW, LISW-S, Clinical Social Work/Therapist
Ceara Calloway Cuthbertson
Clinical Social Work/Therapist, LCSW, LISW-S
Verified Verified
Boone, NC 28607
The term "eating disorder" can feel scary. In the beginning, clients typically tell me they can't stop thinking about food. They’re finding a large part of their day is dedicated to their next meal. They miss out on time with loved ones because the concern of what they will “be able” to eat is too strong. A lot of my clients find themselves in a dieting spiral. They “do good” for a while, and then they binge later, leading to feelings of shame and guilt. Most have heard confusing things about bodies throughout their lives.
The term "eating disorder" can feel scary. In the beginning, clients typically tell me they can't stop thinking about food. They’re finding a large part of their day is dedicated to their next meal. They miss out on time with loved ones because the concern of what they will “be able” to eat is too strong. A lot of my clients find themselves in a dieting spiral. They “do good” for a while, and then they binge later, leading to feelings of shame and guilt. Most have heard confusing things about bodies throughout their lives.
(828) 414-8755 View (828) 414-8755
Photo of Mercer Hathorn - Thrive Therapy Boone PLLC - Mercer Hathorn , LCMHC
Thrive Therapy Boone PLLC - Mercer Hathorn
Licensed Clinical Mental Health Counselor, LCMHC
Verified Verified
2 Endorsed
Boone, NC 28607
If you're ready to make change in your life, you've come to the right place. If you want to do therapy online from the comfort of your home, we will be a great fit (just get ready for me to ask to meet your pets!) If you dislike sitting in an office and want to meet OUTDOORS for therapy, I'm your girl. My favorite therapy sessions are done in nature in the Boone, NC and surrounding areas - we can walk, hike, or even kayak during your session! I believe the best therapy happens while moving your body in nature. I specialize in relationships, body-centered therapy, trauma-healing, LGBTQIA+, and goal-achievement.
If you're ready to make change in your life, you've come to the right place. If you want to do therapy online from the comfort of your home, we will be a great fit (just get ready for me to ask to meet your pets!) If you dislike sitting in an office and want to meet OUTDOORS for therapy, I'm your girl. My favorite therapy sessions are done in nature in the Boone, NC and surrounding areas - we can walk, hike, or even kayak during your session! I believe the best therapy happens while moving your body in nature. I specialize in relationships, body-centered therapy, trauma-healing, LGBTQIA+, and goal-achievement.
(828) 332-5738 View (828) 332-5738
Photo of Madeline Cohen, MA, LCMHCA, Counselor
Madeline Cohen
Counselor, MA, LCMHCA
Verified Verified
3 Endorsed
Boone, NC 28607  (Online Only)
Now accepting new clients! Welcome, and congratulations on taking the first step to attending therapy! Are you a college student or young professional experiencing depression, anxiety, stress, low self-esteem, major life changes, or relationship concerns? If so, my passion is providing you with a safe and authentic space where you can feel supported. I believe that therapy doesn't have to be scary. Together we will break down barriers that are preventing you from living your ideal life, and we will likely share a few laughs along the way :)
Now accepting new clients! Welcome, and congratulations on taking the first step to attending therapy! Are you a college student or young professional experiencing depression, anxiety, stress, low self-esteem, major life changes, or relationship concerns? If so, my passion is providing you with a safe and authentic space where you can feel supported. I believe that therapy doesn't have to be scary. Together we will break down barriers that are preventing you from living your ideal life, and we will likely share a few laughs along the way :)
(704) 610-5946 View (704) 610-5946
Photo of Lucy Holliday, NCC, MA, LCMHCA, Counselor
Lucy Holliday
Counselor, NCC, MA, LCMHCA
Verified Verified
2 Endorsed
Boone, NC 28607
Not accepting new clients
On leave through Oct 2024 and am unable to respond to inquires. Every season of life brings its own unique challenges. Sometimes it may feel like your past is haunting you, the fear of the future may make it difficult to remain present or maybe relational issues are adding stress to your life. Whatever the concern, it can be difficult to carry anxiety, depression, grief, stress or trauma, while also trying to show up and function in everyday life. I aim to provide support, coping skills, a space to be free to not be okay as we move towards what you are hoping for your future. I am able to offer faith based support as desired.
On leave through Oct 2024 and am unable to respond to inquires. Every season of life brings its own unique challenges. Sometimes it may feel like your past is haunting you, the fear of the future may make it difficult to remain present or maybe relational issues are adding stress to your life. Whatever the concern, it can be difficult to carry anxiety, depression, grief, stress or trauma, while also trying to show up and function in everyday life. I aim to provide support, coping skills, a space to be free to not be okay as we move towards what you are hoping for your future. I am able to offer faith based support as desired.
View
Photo of Marilyn P. Laxton, MA, LCMHC, NCC, Licensed Professional Counselor
Marilyn P. Laxton
Licensed Professional Counselor, MA, LCMHC, NCC
Verified Verified
1 Endorsed
Boone, NC 28607
Waitlist for new clients
My goal is to create a safe and non-judgmental environment where clients are able to explore issues and improve the quality of their lives. I use an integrative style of psychotherapy that pulls from many different approaches with an emphasis on Cognitive Behavioral Therapy. My work with clients is based on a collaborative approach that promotes a strong alliance and allows for open and honest communication. Within this foundation, clients develop the safety and freedom to challenge behaviors and beliefs and discover new attitudes that promote change.
My goal is to create a safe and non-judgmental environment where clients are able to explore issues and improve the quality of their lives. I use an integrative style of psychotherapy that pulls from many different approaches with an emphasis on Cognitive Behavioral Therapy. My work with clients is based on a collaborative approach that promotes a strong alliance and allows for open and honest communication. Within this foundation, clients develop the safety and freedom to challenge behaviors and beliefs and discover new attitudes that promote change.
(828) 522-9596 View (828) 522-9596
Photo of Allison Rayburn, PhD, LMFT, RPT, MT-BC, Marriage & Family Therapist
Allison Rayburn
Marriage & Family Therapist, PhD, LMFT, RPT, MT-BC
Verified Verified
Boone, NC 28607
Not accepting new clients
I help teens and adults like you who want to break destructive cycles and gain control of their feelings, relationships and lives. You've tried to manage your stress and anxiety, but the ways that help others don't work (or last) for you. You often feel misunderstood and different from others, while hiding how much you are struggling, Sometimes, this burying of stress and feelings can cause you to hit a breaking point. You are highly sensitive to others feelings, that it seems easier to help others than yourself. You don't want to burden others with your problems or know they can't understand. But you still want to get help, too.
I help teens and adults like you who want to break destructive cycles and gain control of their feelings, relationships and lives. You've tried to manage your stress and anxiety, but the ways that help others don't work (or last) for you. You often feel misunderstood and different from others, while hiding how much you are struggling, Sometimes, this burying of stress and feelings can cause you to hit a breaking point. You are highly sensitive to others feelings, that it seems easier to help others than yourself. You don't want to burden others with your problems or know they can't understand. But you still want to get help, too.
(828) 268-3161 View (828) 268-3161
Photo of J. P. Pressly - Pressly Counseling, PLLC, LCMHC, LCAS
Pressly Counseling, PLLC
Licensed Clinical Mental Health Counselor, LCMHC, LCAS
Verified Verified
Boone, NC 28607
I assist individuals, couples, and families with a wide array of challenges across the life span. These difficulties include family of origin, attachment, and relational issues. For some clients, goals may include: reducing anxiety, learning to thrive through depression, or healing from grief. Everyone’s situation is unique and we all have had experiences at one point or another in which we needed help or direction.
I assist individuals, couples, and families with a wide array of challenges across the life span. These difficulties include family of origin, attachment, and relational issues. For some clients, goals may include: reducing anxiety, learning to thrive through depression, or healing from grief. Everyone’s situation is unique and we all have had experiences at one point or another in which we needed help or direction.
(828) 554-8036 View (828) 554-8036

See more therapy options for Watauga County

How does your Therapist compare?

Number of Therapists in Watauga County, NC

100+

Average cost per session

$135

Therapists in Watauga County, NC who prioritize treating:

94% Anxiety
87% Depression
81% Relationship Issues
75% Coping Skills
75% Self Esteem
73% Trauma and PTSD
72% Stress

Average years in practice

11 Years

Top 3 insurances accepted

97% BlueCross and BlueShield
69% Aetna
46% UnitedHealthcare UHC | UBH

How Therapists in Watauga County, NC see their clients

73% In Person and Online
27% Online Only

Gender breakdown

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

How can I find a therapist in Watauga 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.