Therapists in Buford, GA

Photo of Vincentia Paul-Constantin, PhD, LPC, NCC
Vincentia Paul-Constantin
PhD, LPC, NCC
Verified Verified
1 Endorsed
Buford, GA 30518
Are you in search of emotional and behavioral wellness? In need of a culturally competent clinician? Do you experience challenges at home, school, work or in your relationship? Are you experiencing intrusive thoughts and displaying maladaptive and self-defeating behaviors? In English, French or Creole, Beautiful Dreamers works to ensure you are able to discover the challenges that affect you in living life to the fullest. We work from a resilience-based, cognitive, solution-focused, trauma-focused model to promote healthy thoughts, patterns, and behaviors. We are EMDR Trained, Certified in Anger Management and Reunification Therapy.
Are you in search of emotional and behavioral wellness? In need of a culturally competent clinician? Do you experience challenges at home, school, work or in your relationship? Are you experiencing intrusive thoughts and displaying maladaptive and self-defeating behaviors? In English, French or Creole, Beautiful Dreamers works to ensure you are able to discover the challenges that affect you in living life to the fullest. We work from a resilience-based, cognitive, solution-focused, trauma-focused model to promote healthy thoughts, patterns, and behaviors. We are EMDR Trained, Certified in Anger Management and Reunification Therapy.
(470) 635-5856 View (470) 635-5856
Photo of Lisa Karla, LPC, Licensed Professional Counselor
Lisa Karla
Licensed Professional Counselor, LPC
Verified Verified
Buford, GA 30519
Dr. Lisa Karla, EdD, LPC. I am a Licensed Professional Counselor. I specialize in Christian counseling for those struggling with marriage, substance and alcohol abuse, spirituality and general mental health. Many of my clients struggle with marital discord; stress and anxiety; depression and grief. I also see clients for career planning and education advisement. One of my favorite clients is seniors! Clients should anticipate a warm welcome and an initial feeling of hope that encourages them to want to engage in a second session!
Dr. Lisa Karla, EdD, LPC. I am a Licensed Professional Counselor. I specialize in Christian counseling for those struggling with marriage, substance and alcohol abuse, spirituality and general mental health. Many of my clients struggle with marital discord; stress and anxiety; depression and grief. I also see clients for career planning and education advisement. One of my favorite clients is seniors! Clients should anticipate a warm welcome and an initial feeling of hope that encourages them to want to engage in a second session!
(470) 458-2688 View (470) 458-2688
Photo of Lydell Smith, MPA, MS, NCC, CRC
Lydell Smith
MPA, MS, NCC, CRC
Verified Verified
3 Endorsed
Buford, GA 30518
If you are looking for support to help you through those challenging moments, feeling overwhelmed, or dealing with the pressures of everyday life, now is the time! I enjoy working with individuals, couples, and families to develop and build the skills to overcome challenges.
If you are looking for support to help you through those challenging moments, feeling overwhelmed, or dealing with the pressures of everyday life, now is the time! I enjoy working with individuals, couples, and families to develop and build the skills to overcome challenges.
(470) 470-9159 View (470) 470-9159
Photo of Jessica Cumbie, LCSW, Clinical Social Work/Therapist
Jessica Cumbie
Clinical Social Work/Therapist, LCSW
Verified Verified
Buford, GA 30518  (Online Only)
Hi. My name is Jessica Cumbie. I have been enthusiastically counseling both adolescents and adults for over 10 years. I use the term "enthusiastically," because I am passionate about my job, and working with clients. I continuously keep a positive outlook when I work with clients, believing without a doubt that with the proper tools and support, treatment objectives and goals can be met. I graduated from the University of Central Florida in 2005. I have worked in the USA and abroad. One of my greatest strengths as a counselor is my ability to provide counseling services to diverse populations.
Hi. My name is Jessica Cumbie. I have been enthusiastically counseling both adolescents and adults for over 10 years. I use the term "enthusiastically," because I am passionate about my job, and working with clients. I continuously keep a positive outlook when I work with clients, believing without a doubt that with the proper tools and support, treatment objectives and goals can be met. I graduated from the University of Central Florida in 2005. I have worked in the USA and abroad. One of my greatest strengths as a counselor is my ability to provide counseling services to diverse populations.
(770) 999-0890 View (770) 999-0890
Photo of Alexis Crawford - iFlourish Behavior Solutions, MS, BCBA, LBA
iFlourish Behavior Solutions
MS, BCBA, LBA
Verified Verified
1 Endorsed
Buford, GA 30519  (Online Only)
As a neurodivergent BCBA and sister to an autistic sibling, I know firsthand the challenges families face when accessing quality therapeutic services and navigating educational systems. If you’re feeling overwhelmed by the lack of accessible resources and are seeking effective strategies to support your neurodivergent loved ones, I’m here to help.
As a neurodivergent BCBA and sister to an autistic sibling, I know firsthand the challenges families face when accessing quality therapeutic services and navigating educational systems. If you’re feeling overwhelmed by the lack of accessible resources and are seeking effective strategies to support your neurodivergent loved ones, I’m here to help.
(470) 592-8723 View (470) 592-8723
Photo of Rebecca Muyres - Creative Family Counseling and Coaching , LPC, CPCS, RPT-S, Licensed Professional Counselor
Creative Family Counseling and Coaching
Licensed Professional Counselor, LPC, CPCS, RPT-S
Verified Verified
7 Endorsed
Buford, GA 30518
Creative Family Counseling and Coaching offers exceptional play therapy, counseling, and parent coaching services for children (as young as 2), adolescents, adults, couples, and families. We’re passionate, culturally and spiritually sensitive therapists and life coaches who strive for excellence and integrity. Our approaches are eclectic: play therapy, sand tray, and expressive arts, as well as Cognitive Behavior Therapy (CBT), Dialectical Behavioral Therapy (DBT), Acceptance and Commitment Therapy (ACT), Emotion-Focused couples therapy, and parent coaching.
Creative Family Counseling and Coaching offers exceptional play therapy, counseling, and parent coaching services for children (as young as 2), adolescents, adults, couples, and families. We’re passionate, culturally and spiritually sensitive therapists and life coaches who strive for excellence and integrity. Our approaches are eclectic: play therapy, sand tray, and expressive arts, as well as Cognitive Behavior Therapy (CBT), Dialectical Behavioral Therapy (DBT), Acceptance and Commitment Therapy (ACT), Emotion-Focused couples therapy, and parent coaching.
(470) 664-1803 View (470) 664-1803
Photo of Veronica Pausa, APC, Counselor
Veronica Pausa
Counselor, APC
Verified Verified
Buford, GA 30518
HELLO! Can I just start by saying that this step you are taking to search for counseling is courageous! There might be many unknowns coming to mind as you consider the struggles your facing, the counselor you choose and their working style, and maybe even wondering if you will be received amid your concerns (I know I have felt this way before).
HELLO! Can I just start by saying that this step you are taking to search for counseling is courageous! There might be many unknowns coming to mind as you consider the struggles your facing, the counselor you choose and their working style, and maybe even wondering if you will be received amid your concerns (I know I have felt this way before).
(470) 664-5215 x705 View (470) 664-5215 x705
Photo of Kristin Fuller - Kristin Fuller LCSW, LCSW, Clinical Social Work/Therapist
Kristin Fuller LCSW
Clinical Social Work/Therapist, LCSW
Verified Verified
Buford, GA 30518
Now Accepting New Clients In Personal and Virtual Telehealth! If you are here today, chances are you are going through some challenging things in your life right now. You may be feeling depressed, anxious, or maybe you are not really sure what you are feeling. You may wonder what happened to the person you used to be, the person who was once filled with life and joy; only now to find yourself feeling shut down, overwhelmed, and drained all the time and not sure why they coping skills that once worked are no longer effective for you. Are you ready to find your joy and spark again?
Now Accepting New Clients In Personal and Virtual Telehealth! If you are here today, chances are you are going through some challenging things in your life right now. You may be feeling depressed, anxious, or maybe you are not really sure what you are feeling. You may wonder what happened to the person you used to be, the person who was once filled with life and joy; only now to find yourself feeling shut down, overwhelmed, and drained all the time and not sure why they coping skills that once worked are no longer effective for you. Are you ready to find your joy and spark again?
(678) 338-8688 View (678) 338-8688
Photo of Lashaunta Hogan - Working Within, LLC, APC, MS
Working Within, LLC
Associate Professional Counselor, APC, MS
Verified Verified
2 Endorsed
Buford, GA 30519  (Online Only)
My name is Lashaunta Hogan. You just made the first step, Congratulations! The initial step in asking for help can sometimes be the hardest to make. Reading this is that step. Life can be overwhelming and when those times occur, it helps to have someone trained and unbiased to help navigate those situations. Choosing someone to help traverse transitional life circumstances, choosing new life directions, or just having someone to work through normal everyday life, is one of the most important choices you can ever make. You should never feel embarrassed or judged to ask for help. I hope that I can be that person for you.
My name is Lashaunta Hogan. You just made the first step, Congratulations! The initial step in asking for help can sometimes be the hardest to make. Reading this is that step. Life can be overwhelming and when those times occur, it helps to have someone trained and unbiased to help navigate those situations. Choosing someone to help traverse transitional life circumstances, choosing new life directions, or just having someone to work through normal everyday life, is one of the most important choices you can ever make. You should never feel embarrassed or judged to ask for help. I hope that I can be that person for you.
(470) 635-3712 View (470) 635-3712
Photo of Shannon Jackson - Shannon Jackson, MS, LPC, CCPT, Licensed Professional Counselor
Shannon Jackson
Licensed Professional Counselor, MS, LPC, CCPT
Verified Verified
3 Endorsed
Buford, GA 30518
There are times in life that we feel stuck, hurt, or confused and anxiety, grief, or depression seems insurmountable. Feeling heard and understood by someone who can walk along side, offer support, and to help find hope can be a step in the right direction. Through the therapeutic process Shannon assists college age and up with converting negative, destructive, or counterproductive thoughts and behaviors into more positive and beneficial ones. She approaches each client with empathy, respect, and congruency through services offered in office or through telemental health options.
There are times in life that we feel stuck, hurt, or confused and anxiety, grief, or depression seems insurmountable. Feeling heard and understood by someone who can walk along side, offer support, and to help find hope can be a step in the right direction. Through the therapeutic process Shannon assists college age and up with converting negative, destructive, or counterproductive thoughts and behaviors into more positive and beneficial ones. She approaches each client with empathy, respect, and congruency through services offered in office or through telemental health options.
(470) 215-1814 View (470) 215-1814
Photo of Ashleigh Burroughs, LAPC
Ashleigh Burroughs
LAPC
Verified Verified
2 Endorsed
Buford, GA 30518
Is your child struggling with friendship issues, anxiety, and low self-esteem that affects their schoolwork and time with you at home? Do you feel lost on how to help them navigate their adolescent years and manage their stressors? Do you want them to be able to handle the difficulties of adolescence and early adulthood with confidence? Now more than ever, kids and teens are struggling with managing mixed emotions, low self-esteem, and school stressors. I believe adolescents and young adults can find a way to manage the ever-changing dynamics without losing their sense of wonder.
Is your child struggling with friendship issues, anxiety, and low self-esteem that affects their schoolwork and time with you at home? Do you feel lost on how to help them navigate their adolescent years and manage their stressors? Do you want them to be able to handle the difficulties of adolescence and early adulthood with confidence? Now more than ever, kids and teens are struggling with managing mixed emotions, low self-esteem, and school stressors. I believe adolescents and young adults can find a way to manage the ever-changing dynamics without losing their sense of wonder.
(770) 750-4254 View (770) 750-4254
Photo of Reva Manon Kraus - Northeast Georgia Counseling, LCSW, MSSW, Clinical Social Work/Therapist
Northeast Georgia Counseling
Clinical Social Work/Therapist, LCSW, MSSW
Verified Verified
3 Endorsed
Buford, GA 30518
My clients deal with a wide range of issues: emotions that often feel intense and out of control, suicidal behaviors, anxiety, depression, trauma and self harming behaviors. For this I use DBT and mindfulness to help them stabilize, make new choices and have a life they feel is worth living. I also work with seniors dealing with aging issues, depression, anxiety, and the grief of losing friends to death. Along with that, I work with grief and caregiver burn out. I use CBT reframing, mindfulness and EFT principles to support and assist. I have a wide range of experience with helping clients dealing with chronic illness and death.
My clients deal with a wide range of issues: emotions that often feel intense and out of control, suicidal behaviors, anxiety, depression, trauma and self harming behaviors. For this I use DBT and mindfulness to help them stabilize, make new choices and have a life they feel is worth living. I also work with seniors dealing with aging issues, depression, anxiety, and the grief of losing friends to death. Along with that, I work with grief and caregiver burn out. I use CBT reframing, mindfulness and EFT principles to support and assist. I have a wide range of experience with helping clients dealing with chronic illness and death.
(770) 271-5040 View (770) 271-5040
Photo of Helen-Grace Scott, MA, APC, Counselor
Helen-Grace Scott
Counselor, MA, APC
Verified Verified
1 Endorsed
Buford, GA 30518
It can be overwhelming and daunting when facing struggles of anxiety, depression, relationship issues, and phase of life stress, especially when you aren't sure where to begin. I have experience working with clients regarding issues of codependency, family members or partners with substance abuse issues, boundary and relationship issues, as well as anxiety, stress, grief, and loss. I want to provide a space where we can work together to explore what works best for you as you strive for healing and growth.
It can be overwhelming and daunting when facing struggles of anxiety, depression, relationship issues, and phase of life stress, especially when you aren't sure where to begin. I have experience working with clients regarding issues of codependency, family members or partners with substance abuse issues, boundary and relationship issues, as well as anxiety, stress, grief, and loss. I want to provide a space where we can work together to explore what works best for you as you strive for healing and growth.
(470) 664-2573 View (470) 664-2573
Photo of Ohara Day Darmetko, BA, MS, AMFT, Marriage & Family Therapist Associate
Ohara Day Darmetko
Marriage & Family Therapist Associate, BA, MS, AMFT
Verified Verified
Buford, GA 30518
My ideal client wants to learn more about themselves, exploring their values and identity! I have experience working with a wide variety of diverse clients, in particular, I love working with adolescents, young-adults, LGBTQIA+ and neurodiverse folks! I also love working with pre-marital couples and have the tools to help the future of your relationship prosper!
My ideal client wants to learn more about themselves, exploring their values and identity! I have experience working with a wide variety of diverse clients, in particular, I love working with adolescents, young-adults, LGBTQIA+ and neurodiverse folks! I also love working with pre-marital couples and have the tools to help the future of your relationship prosper!
(470) 619-5969 View (470) 619-5969
Photo of Brooke Harris - Art of Healing: Integrative Christian Counseling, MA, LPC, Licensed Professional Counselor
Art of Healing: Integrative Christian Counseling
Licensed Professional Counselor, MA, LPC
Verified Verified
4 Endorsed
Buford, GA 30518
My name is Brooke and I thank you for considering me to share your life experiences, greatest joys and lowest moments. I consider it the highest honor. I specialize in anxiety, grief/loss, relationship struggles, ADHD, identity formation, trauma and life transitions. I also specialize in Christian counseling, but that is optional to you as I am trained without that aspect as well. My hope is to assess your goals and partner with you to achieve them! This process can be overwhelming and daunting but have no fear! We can do so much together.
My name is Brooke and I thank you for considering me to share your life experiences, greatest joys and lowest moments. I consider it the highest honor. I specialize in anxiety, grief/loss, relationship struggles, ADHD, identity formation, trauma and life transitions. I also specialize in Christian counseling, but that is optional to you as I am trained without that aspect as well. My hope is to assess your goals and partner with you to achieve them! This process can be overwhelming and daunting but have no fear! We can do so much together.
(470) 839-3113 View (470) 839-3113
Photo of Ernestine M Davis, DMin, Pastoral Counselor
Ernestine M Davis
Pastoral Counselor, DMin
Verified Verified
Buford, GA 30519
Have you PLACED your LOVE in the WRONG PLACE? Do you have days where you feel alone, sad, isolated or anxious? I am here to help you understand that life really can get better. Relationships can work and you are stronger and more successful than you think you are. I can help you navigate through tough days and life's unwanted challenges.
Have you PLACED your LOVE in the WRONG PLACE? Do you have days where you feel alone, sad, isolated or anxious? I am here to help you understand that life really can get better. Relationships can work and you are stronger and more successful than you think you are. I can help you navigate through tough days and life's unwanted challenges.
(678) 276-8982 View (678) 276-8982
Photo of Jennifer Drury, LMFT, CAADC, Marriage & Family Therapist
Jennifer Drury
Marriage & Family Therapist, LMFT, CAADC
Verified Verified
2 Endorsed
Buford, GA 30518
Waitlist for new clients
Rainer Maria Rilke's quote "The only journey is the one within" expresses my hope for my clients in their path to wellness. I have experience in working with individuals and couples seeking help with adjustment/phase of life issues, depression, anxiety, substance use, trauma, relationship concerns, and low self esteem. I am passionate about being an ally of the LGBTQA+ community, and identify as an affirming and sex-positive therapist. I enjoy supporting those who are experiencing major life changes, such as going to college, grieving a loss, becoming a new parent, transitioning to their true self, or embracing retirement.
Rainer Maria Rilke's quote "The only journey is the one within" expresses my hope for my clients in their path to wellness. I have experience in working with individuals and couples seeking help with adjustment/phase of life issues, depression, anxiety, substance use, trauma, relationship concerns, and low self esteem. I am passionate about being an ally of the LGBTQA+ community, and identify as an affirming and sex-positive therapist. I enjoy supporting those who are experiencing major life changes, such as going to college, grieving a loss, becoming a new parent, transitioning to their true self, or embracing retirement.
(678) 883-1197 View (678) 883-1197
Photo of Darby Lynette Thorne, Marriage & Family Therapist Intern
Darby Lynette Thorne
Marriage & Family Therapist Intern
Verified Verified
Buford, GA 30518
I specialize in offering adolescents a safe space to express themselves, explore their identities, and develop strategies to cope with the unique challenges they face. I empower clients to manage their anxiety and navigate changes by employing evidence-based approaches such as Cognitive-Behavioral Therapy and Solution-Focused Therapy. Fostering a strong sense of self-esteem and identity is essential for personal growth. As a supporter of the LGBTQIA+ community, I provide a welcoming and inclusive environment where individuals can openly discuss their experiences, concerns, and aspirations related to their identity.
I specialize in offering adolescents a safe space to express themselves, explore their identities, and develop strategies to cope with the unique challenges they face. I empower clients to manage their anxiety and navigate changes by employing evidence-based approaches such as Cognitive-Behavioral Therapy and Solution-Focused Therapy. Fostering a strong sense of self-esteem and identity is essential for personal growth. As a supporter of the LGBTQIA+ community, I provide a welcoming and inclusive environment where individuals can openly discuss their experiences, concerns, and aspirations related to their identity.
(470) 266-3205 View (470) 266-3205
Photo of Kathryn Miller, LMSW, Clinical Social Work/Therapist
Kathryn Miller
Clinical Social Work/Therapist, LMSW
Verified Verified
2 Endorsed
Buford, GA 30518
I believe life is about balance. Balancing our relationships, health, work, and hobbies. But sometimes, life can throw us off due to our experiences, relationships, and emotions. Together, we will take a holistic view of your life, what's working well, and where you might need support to help you regain equilibrium. Honoring yourself, your past experiences, and your needs can lead to the healing and growth you are looking for.
I believe life is about balance. Balancing our relationships, health, work, and hobbies. But sometimes, life can throw us off due to our experiences, relationships, and emotions. Together, we will take a holistic view of your life, what's working well, and where you might need support to help you regain equilibrium. Honoring yourself, your past experiences, and your needs can lead to the healing and growth you are looking for.
(470) 410-2842 View (470) 410-2842
Photo of Dan Feldman, NCC, LPC, CCMHC, CAMS3, Licensed Professional Counselor
Dan Feldman
Licensed Professional Counselor, NCC, LPC, CCMHC, CAMS3
Verified Verified
1 Endorsed
Buford, GA 30519
My family oriented practice is balanced between adolescents and adults. I work with individuals, couples and families. I use a variety of counseling approaches in order to best fit each individual client and their needs. My goal and desire with every client is to do my best to see the world through your eyes and understand your experience in order to best provide the kind of support and encouragement you seek.
My family oriented practice is balanced between adolescents and adults. I work with individuals, couples and families. I use a variety of counseling approaches in order to best fit each individual client and their needs. My goal and desire with every client is to do my best to see the world through your eyes and understand your experience in order to best provide the kind of support and encouragement you seek.
(770) 809-3642 View (770) 809-3642
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How does your Therapist compare?

Number of Therapists in Buford, GA

200+

Average cost per session

$125

Therapists in Buford, GA who prioritize treating:

93% Anxiety
88% Depression
74% Relationship Issues
69% Stress
68% Self Esteem
67% Coping Skills
61% Life Transitions

Average years in practice

9 Years

Top 3 insurances accepted

91% Aetna
80% UnitedHealthcare UHC | UBH
78% Cigna and Evernorth

How Therapists in Buford, GA see their clients

70% In Person and Online
30% Online Only

Gender breakdown

84% Female
16% Male
FAQs - About Therapy and Counseling

How can I find a therapist in Buford?

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.