Therapists in Hampton County, SC

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Photo of Amber Allen - Inner Peace Counseling Services, LLC, MA, LPC, Licensed Professional Counselor
Inner Peace Counseling Services, LLC
Licensed Professional Counselor, MA, LPC
Verified Verified
Varnville, SC 29944
Waitlist for new clients
Welcome! Congratulations on taking one of the first steps towards a healthier life! My name is Amber Allen and I have been providing compassionate and creative evidenced-based therapy to clients for more than 10 years. I treat young children, adolescents, and adults experiencing distress in their personal lives. Together, we work to identify what YOUR specific needs are and tailor your treatment to fit that. If you think we could be a good fit for one another, please don’t hesitate to reach out to me! I’d love to be of assistance.
Welcome! Congratulations on taking one of the first steps towards a healthier life! My name is Amber Allen and I have been providing compassionate and creative evidenced-based therapy to clients for more than 10 years. I treat young children, adolescents, and adults experiencing distress in their personal lives. Together, we work to identify what YOUR specific needs are and tailor your treatment to fit that. If you think we could be a good fit for one another, please don’t hesitate to reach out to me! I’d love to be of assistance.
(803) 219-8549 View (803) 219-8549
Photo of Junetta Williams, MA, LPC, NCC, Licensed Professional Counselor
Junetta Williams
Licensed Professional Counselor, MA, LPC, NCC
Verified Verified
Varnville, SC 29944  (Online Only)
I am a Licensed Professional Counselor in South Carolina. I serve as a private practitioner remotely for South Carolina. Services are provided to Children, Adolescents, and Adults. I strive to destigmatize topics surrounding Mental Health while focusing on healing with healthy approaches and coping skills.
I am a Licensed Professional Counselor in South Carolina. I serve as a private practitioner remotely for South Carolina. Services are provided to Children, Adolescents, and Adults. I strive to destigmatize topics surrounding Mental Health while focusing on healing with healthy approaches and coping skills.
(803) 759-8296 View (803) 759-8296
Photo of Kendra Twitty, MA, LPC, Licensed Professional Counselor
Kendra Twitty
Licensed Professional Counselor, MA, LPC
Verified Verified
Yemassee, SC 29945
If you are looking for a therapist or life coach that will be supportive, non-judgmental, and direct with you, you have found your person! Are you feeling stuck? Has a painful event left you or your family feeling overwhelmed? Would you like to improve your relationship with yourself, partner/spouse, child/adolescent, family? I have over 21 years of experience working with individuals and families in the counseling profession. I am passionate about helping others overcome their challenges as well as develop healthier ways of relating to self and others.
If you are looking for a therapist or life coach that will be supportive, non-judgmental, and direct with you, you have found your person! Are you feeling stuck? Has a painful event left you or your family feeling overwhelmed? Would you like to improve your relationship with yourself, partner/spouse, child/adolescent, family? I have over 21 years of experience working with individuals and families in the counseling profession. I am passionate about helping others overcome their challenges as well as develop healthier ways of relating to self and others.
(843) 396-1629 View (843) 396-1629
Photo of Carol Erb - Dr. Carol Erb, LLC, PhD, BCCC, Counselor
Dr. Carol Erb, LLC
Counselor, PhD, BCCC
Verified Verified
3 Endorsed
Hampton, SC 29924  (Online Only)
You can't get over your husband betraying your trust. You're feeling heartbroken and lost because you discovered that your husband has cheated on you and you don't know where to turn. You're wondering if you can ever trust your husband again and are thinking you're in need of some outside help. With the right guidance and support, you can heal from your husband's affair without fear of the future trusting in God’s plan for your life. I will show you how to navigate the healing and recovery process so you can step into a brighter and more hopeful future.
You can't get over your husband betraying your trust. You're feeling heartbroken and lost because you discovered that your husband has cheated on you and you don't know where to turn. You're wondering if you can ever trust your husband again and are thinking you're in need of some outside help. With the right guidance and support, you can heal from your husband's affair without fear of the future trusting in God’s plan for your life. I will show you how to navigate the healing and recovery process so you can step into a brighter and more hopeful future.
(843) 905-2385 View (843) 905-2385
Photo of Christina Cartagena, MA, LPC, LPCS-C, Licensed Professional Counselor
Christina Cartagena
Licensed Professional Counselor, MA, LPC, LPCS-C
Verified Verified
Hampton, SC 29924
I believe that I am right for the Counseling profession as I have life experiences that helped me become passionate about the people I serve. I am a professional who enjoys learning and will do my best to introduce evidence-based interventions to move an individual's progress forward. I enjoy arts, crafts, reading, and music and incorporate them into my work, so the sessions do not become boring. I believe that I have a gift of active listening where I hear your needs and work with you to achieve them.
I believe that I am right for the Counseling profession as I have life experiences that helped me become passionate about the people I serve. I am a professional who enjoys learning and will do my best to introduce evidence-based interventions to move an individual's progress forward. I enjoy arts, crafts, reading, and music and incorporate them into my work, so the sessions do not become boring. I believe that I have a gift of active listening where I hear your needs and work with you to achieve them.
(803) 219-8234 View (803) 219-8234
Photo of LaDerida Latoya Stokes-Roberts, MS, MA, Counselor
LaDerida Latoya Stokes-Roberts
Counselor, MS, MA
Verified Verified
2 Endorsed
Hampton, SC 29924
My name is LaDeidra Stokes-Roberts and I am currently working on my Masters in Social Work Degree at Capella University. I currently have a M.A in Human Services Counseling/Marriage and Family and M.S in Human Services/Social and Community Services. I am an experienced social services and mental health provider with a demonstrated history of working in the social services industry including: skilled in youth development, life coaching, community outreach, education advocacy, mental health services, and child welfare.
My name is LaDeidra Stokes-Roberts and I am currently working on my Masters in Social Work Degree at Capella University. I currently have a M.A in Human Services Counseling/Marriage and Family and M.S in Human Services/Social and Community Services. I am an experienced social services and mental health provider with a demonstrated history of working in the social services industry including: skilled in youth development, life coaching, community outreach, education advocacy, mental health services, and child welfare.
(352) 424-6928 View (352) 424-6928
Photo of Dr. Shanna A Jefferson, MSW, LCSW, Clinical Social Work/Therapist
Dr. Shanna A Jefferson
Clinical Social Work/Therapist, MSW, LCSW
Verified Verified
Hampton, SC 29924
Now accepting new clients! If you are ready to experience greater in your life, let's connect. Schedule your 10-Minute Complimentary Phone Consultation today. Destination Greatness, PLLC strives to enrich each individual and family through greater self-awareness, focus on strengths, and belief in a greater destiny. My belief is that all clients can transcend adversity and achieve greatness. I utilize a holistic, strengths-based approach focusing on multiple life domains including mental health, physical health, financial health, and spiritual health. Journals and e-Books are now available! www.TherapyWithShanna.com
Now accepting new clients! If you are ready to experience greater in your life, let's connect. Schedule your 10-Minute Complimentary Phone Consultation today. Destination Greatness, PLLC strives to enrich each individual and family through greater self-awareness, focus on strengths, and belief in a greater destiny. My belief is that all clients can transcend adversity and achieve greatness. I utilize a holistic, strengths-based approach focusing on multiple life domains including mental health, physical health, financial health, and spiritual health. Journals and e-Books are now available! www.TherapyWithShanna.com
(803) 258-6658 View (803) 258-6658

Online Therapists

Photo of Jeannine Monnier, PhD, Psychologist
Jeannine Monnier
Psychologist, PhD
Verified Verified
Charleston, SC 29403
As a clinical psychologist with over twenty years of experience, my goal is to help you discover your true potential and lead a life that is worth celebrating. By deciding to engage in therapy, you can move closer to a new you where you feel empowered and on a positive path to growth and well-being. If you're looking to reduce anxiety, to improve mood, for extra support and guidance through a challenging situation or you are ready to move in a new direction in your life, I look forward to working with you to achieve your goals.
As a clinical psychologist with over twenty years of experience, my goal is to help you discover your true potential and lead a life that is worth celebrating. By deciding to engage in therapy, you can move closer to a new you where you feel empowered and on a positive path to growth and well-being. If you're looking to reduce anxiety, to improve mood, for extra support and guidance through a challenging situation or you are ready to move in a new direction in your life, I look forward to working with you to achieve your goals.
(843) 536-0130 View (843) 536-0130
Photo of Lisa M Curtis, MA, LPC, Licensed Professional Counselor
Lisa M Curtis
Licensed Professional Counselor, MA, LPC
Verified Verified
1 Endorsed
Charleston, SC 29412  (Online Only)
Whether you are trying to navigate new situations, or dealing with more serious issues, counseling can be helpful in learning to manage them. In my practice, I work with individuals who are struggling with daily challenges. I will work with you to explore and build on your coping skills to help you achieve better balance in your life.
Whether you are trying to navigate new situations, or dealing with more serious issues, counseling can be helpful in learning to manage them. In my practice, I work with individuals who are struggling with daily challenges. I will work with you to explore and build on your coping skills to help you achieve better balance in your life.
(843) 277-8725 View (843) 277-8725
Photo of Kimberly Kyle Lawton, LMSW
Kimberly Kyle Lawton
Licensed Master Social Worker, LMSW
Verified Verified
1 Endorsed
Goose Creek, SC 29445
My goal in working with you is to support you in processing your life experiences and to empower you through the use of relevant therapeutic resources. These resources could include: cognitive behavioral therapy, strength-based therapy, EMDR, mindfulness, art therapy, meditation/flow state, solution-focused therapy, and positive psychology. As a therapist, I also believe that taking a holistic approach is incredibly important to personal growth, which means examining all parts of your life: spiritual, physical, mental, nutritional, and relational.
My goal in working with you is to support you in processing your life experiences and to empower you through the use of relevant therapeutic resources. These resources could include: cognitive behavioral therapy, strength-based therapy, EMDR, mindfulness, art therapy, meditation/flow state, solution-focused therapy, and positive psychology. As a therapist, I also believe that taking a holistic approach is incredibly important to personal growth, which means examining all parts of your life: spiritual, physical, mental, nutritional, and relational.
(843) 868-5261 View (843) 868-5261
Photo of Antoinette Nipper, LISW-CP, Clinical Social Work/Therapist
Antoinette Nipper
Clinical Social Work/Therapist, LISW-CP
Verified Verified
1 Endorsed
West Columbia, SC 29172  (Online Only)
Life can be hard and just "raggedy" at times. I know and I get it. For some, reaching out for help is the last thing you may want to do but I would love to walk with you on your journey to healing. Would you believe me if I told you that the answers you are seeking are already within you? I will merely be your guide and safe place to allow you to discover these answers. There is so much more in store for you versus the current narrative you have been rehearsing to yourself.
Life can be hard and just "raggedy" at times. I know and I get it. For some, reaching out for help is the last thing you may want to do but I would love to walk with you on your journey to healing. Would you believe me if I told you that the answers you are seeking are already within you? I will merely be your guide and safe place to allow you to discover these answers. There is so much more in store for you versus the current narrative you have been rehearsing to yourself.
(803) 258-6132 View (803) 258-6132
Photo of Claudia Olave-Guillermo -  Immigration Evaluation/Evaluaciones Inmigracion, MA, MSSW, LCSW-R, Clinical Social Work/Therapist
Immigration Evaluation/Evaluaciones Inmigracion
Clinical Social Work/Therapist, MA, MSSW, LCSW-R
Verified Verified
1 Endorsed
Charleston, SC 29406
Suppose you seek a detailed, thorough psychosocial immigration evaluation handled carefully and priced at $ 1,300. In that case, you have reached the right evaluator. I am not the cheapest nor the most expensive, BUT I am confident I am suitable for you. Please read the Google reviews on my website written by immigration lawyers, and you will know why I am the right choice. Between the interview and the report's writing, the process will be approximately 7 hours. I am here to make the process less stressful. As someone told me at the end of the evaluation: "That's it?" "Wow." The person did not know what to expect.
Suppose you seek a detailed, thorough psychosocial immigration evaluation handled carefully and priced at $ 1,300. In that case, you have reached the right evaluator. I am not the cheapest nor the most expensive, BUT I am confident I am suitable for you. Please read the Google reviews on my website written by immigration lawyers, and you will know why I am the right choice. Between the interview and the report's writing, the process will be approximately 7 hours. I am here to make the process less stressful. As someone told me at the end of the evaluation: "That's it?" "Wow." The person did not know what to expect.
(941) 842-0097 View (941) 842-0097
Photo of Shandrea Houser, MA, LPC, Licensed Professional Counselor
Shandrea Houser
Licensed Professional Counselor, MA, LPC
Verified Verified
Irmo, SC 29063  (Online Only)
Grant B Counseling and Consultation, LLC was established by Shandrea Houser, M.A., Licensed Professional Counselor to be a beacon of hope for the community providing a myriad of services for all aspects of life. Grant B C and C offer evaluations, assessments, individualized, couple and group therapy, crisis management, psychoeducation, coaching and consultation and critical incident stress management services (EAP).
Grant B Counseling and Consultation, LLC was established by Shandrea Houser, M.A., Licensed Professional Counselor to be a beacon of hope for the community providing a myriad of services for all aspects of life. Grant B C and C offer evaluations, assessments, individualized, couple and group therapy, crisis management, psychoeducation, coaching and consultation and critical incident stress management services (EAP).
(803) 902-4071 View (803) 902-4071
Photo of Suzan Watt, LPC, S, Licensed Professional Counselor
Suzan Watt
Licensed Professional Counselor, LPC, S
Verified Verified
2 Endorsed
Columbia, SC 29206  (Online Only)
Now Accepting New Clients! I am a Licensed Professional Counselor in the State of South Carolina with 20+ years of experience. I have assisted clients with a wide range of concerns including Anxiety, Depression, Family/ Parenting Problems, Attention Deficit Hyperactivity Disorder in Adults and Children, Faith Based Concerns and Adolescent issues as well as Alcohol and other Drugs of Abuse/ Dependency Concerns.
Now Accepting New Clients! I am a Licensed Professional Counselor in the State of South Carolina with 20+ years of experience. I have assisted clients with a wide range of concerns including Anxiety, Depression, Family/ Parenting Problems, Attention Deficit Hyperactivity Disorder in Adults and Children, Faith Based Concerns and Adolescent issues as well as Alcohol and other Drugs of Abuse/ Dependency Concerns.
(803) 274-5768 View (803) 274-5768
Photo of Philip Joseph Ganci - You Minded, LMFT, Marriage & Family Therapist
You Minded
Marriage & Family Therapist, LMFT
Verified Verified
Charleston, SC 29414  (Online Only)
I work with a variety of individuals, couples and family's, with different presenting problems. I have experience in anxiety, depression, problem communication, relational issues, and I am currently working on my national certification in Trauma-Focused Cognitive Behavioral Therapy.
I work with a variety of individuals, couples and family's, with different presenting problems. I have experience in anxiety, depression, problem communication, relational issues, and I am currently working on my national certification in Trauma-Focused Cognitive Behavioral Therapy.
(864) 453-0996 View (864) 453-0996
Photo of Dr. Jeff J. Rocker, PhD, NCC, LPC, LMHC, LCPC, Licensed Professional Counselor
Dr. Jeff J. Rocker
Licensed Professional Counselor, PhD, NCC, LPC, LMHC, LCPC
Verified Verified
1 Endorsed
With 12 years of experience working with clients going through individual, relationship, and family issues, Celebrity Therapist Dr. Jeff Rocker has provided therapeutic services to clients nationwide. He is Licensed in 22 states and has served clients from all age groups. Over the years, Dr. Jeff has organized lectures and various events in the community, including excursions and retreats for couples to improve their communication and better understand each other. He has experience working with athletes in the NFL, NBA, and MLB. In addition, Dr. Jeff has also worked with clients in the Movie, Music, and Entertainment Industries.
With 12 years of experience working with clients going through individual, relationship, and family issues, Celebrity Therapist Dr. Jeff Rocker has provided therapeutic services to clients nationwide. He is Licensed in 22 states and has served clients from all age groups. Over the years, Dr. Jeff has organized lectures and various events in the community, including excursions and retreats for couples to improve their communication and better understand each other. He has experience working with athletes in the NFL, NBA, and MLB. In addition, Dr. Jeff has also worked with clients in the Movie, Music, and Entertainment Industries.
(843) 351-1518 View (843) 351-1518
Photo of Amanda D Polk - Midlands Behavior Therapy, MSW, LISW-CP, Clinical Social Work/Therapist
Midlands Behavior Therapy
Clinical Social Work/Therapist, MSW, LISW-CP
Verified Verified
Columbia, SC 29201
Are you living the life that you envisioned when you were growing up? Were you well on your way to building the future you imagined, when all of a sudden, life hit you from out of nowhere and temporarily derailed you? Do you struggle with big emotions that show up at the most unexpected times and result in continuous relational conflict? Do you find yourself struggling to function in various social settings? Do past traumatic events tend to keep you held hostage in your "safe place"? If you answered yes there is hope.
Are you living the life that you envisioned when you were growing up? Were you well on your way to building the future you imagined, when all of a sudden, life hit you from out of nowhere and temporarily derailed you? Do you struggle with big emotions that show up at the most unexpected times and result in continuous relational conflict? Do you find yourself struggling to function in various social settings? Do past traumatic events tend to keep you held hostage in your "safe place"? If you answered yes there is hope.
(803) 805-7803 View (803) 805-7803
Photo of Kate Madigan, MS, LPC-A
Kate Madigan
LPC-Associate, MS, LPC-A
Verified Verified
2 Endorsed
Currently accepting new clients! Are you having a hard time navigating life's stressors? Are you tired of feeling hopeless, stressed, filled with anxiety, or downright gloomy? Life can be tough at times, but you need not go through it alone. As a mental health clinician, I aim to build genuine connection and trust with my clients. I am inspired by each and every person who takes the leap in creating a healthier, more joyful and connected life. Truthfully, it would be an honor to sit with you, hear your story, and become an integral part of your journey to live your most prolific life.
Currently accepting new clients! Are you having a hard time navigating life's stressors? Are you tired of feeling hopeless, stressed, filled with anxiety, or downright gloomy? Life can be tough at times, but you need not go through it alone. As a mental health clinician, I aim to build genuine connection and trust with my clients. I am inspired by each and every person who takes the leap in creating a healthier, more joyful and connected life. Truthfully, it would be an honor to sit with you, hear your story, and become an integral part of your journey to live your most prolific life.
(843) 905-3813 View (843) 905-3813
Photo of Liz Esch - Counseling And Play Therapy, MSW, RPT-S, LISW-CP, Clinical Social Work/Therapist
Liz Esch - Counseling And Play Therapy
Clinical Social Work/Therapist, MSW, RPT-S, LISW-CP
Verified Verified
2 Endorsed
Beaufort, SC 29906
I am a Licensed Clinical Social Worker/Supervisor and a Registered Play Therapist/Supervisor with 20 years of experience providing therapeutic services for children, adolescents, families and adults of all ages. I am a highly skilled and compassionate therapist who has served a diverse clientele including at-risk youth, military families, adults struggling with depression and anxiety, domestic violence victims, senior adults, foster children, families experiencing divorce, and more. I believe in tailoring every session to the needs of that unique individual or family. Children, teens and adults of all ages are welcome!
I am a Licensed Clinical Social Worker/Supervisor and a Registered Play Therapist/Supervisor with 20 years of experience providing therapeutic services for children, adolescents, families and adults of all ages. I am a highly skilled and compassionate therapist who has served a diverse clientele including at-risk youth, military families, adults struggling with depression and anxiety, domestic violence victims, senior adults, foster children, families experiencing divorce, and more. I believe in tailoring every session to the needs of that unique individual or family. Children, teens and adults of all ages are welcome!
(843) 492-5248 View (843) 492-5248
Photo of Michael K Johnson, MA, LCMHC, LPC, LCAS, Licensed Professional Counselor
Michael K Johnson
Licensed Professional Counselor, MA, LCMHC, LPC, LCAS
Verified Verified
Port Royal, SC 29935  (Online Only)
It is my belief that every human being has dignity and worth no matter what you have gone through or experienced. I aim to provide a warm, safe, and accepting environment that is non-judgmental by which you can process and work through issues that are problematic. I work to form a therapeutic relationship with clients that is collaborative, promotes insight, and helps to foster change and wellness.
It is my belief that every human being has dignity and worth no matter what you have gone through or experienced. I aim to provide a warm, safe, and accepting environment that is non-judgmental by which you can process and work through issues that are problematic. I work to form a therapeutic relationship with clients that is collaborative, promotes insight, and helps to foster change and wellness.
(843) 938-5208 View (843) 938-5208

See more therapy options for Hampton County

How does your Therapist compare?

Number of Therapists in Hampton County, SC

< 10

Therapists in Hampton County, SC who prioritize treating:

100% Coping Skills
100% Self Esteem
86% Trauma and PTSD
86% Stress
71% Depression
71% Anxiety
71% Grief

Average years in practice

11 Years

Top 3 insurances accepted

80% BlueCross and BlueShield
80% Cigna and Evernorth
80% Medicaid

How Therapists in Hampton County, SC see their clients

72% In Person and Online
28% Online Only

Gender breakdown

100% Female
FAQs - About Therapy and Counseling

How can I find a therapist in Hampton 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.