Therapists in Henry County, VA

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Photo of Preston H. Page, LCSW, LSATP, Clinical Social Work/Therapist
Preston H. Page
Clinical Social Work/Therapist, LCSW, LSATP
Verified Verified
Bassett, VA 24055
I have joined Dr. Margaret Bowen's “Restoration is a Journey” practice. Working with me will therefore make available to you a physician and two psychiatric nurse practitioners. Mental health and substance abuse treatment are available. Substance abuse services include Suboxone and other medically assisted treatment such as Vivitrol. Methadone is not available. You are not required to see the physician and psychiatric nurse practitioners to work with me.
I have joined Dr. Margaret Bowen's “Restoration is a Journey” practice. Working with me will therefore make available to you a physician and two psychiatric nurse practitioners. Mental health and substance abuse treatment are available. Substance abuse services include Suboxone and other medically assisted treatment such as Vivitrol. Methadone is not available. You are not required to see the physician and psychiatric nurse practitioners to work with me.
(276) 403-0975 View (276) 403-0975
Photo of Jillian Pelzer, LPC, Licensed Professional Counselor
Jillian Pelzer
Licensed Professional Counselor, LPC
Verified Verified
Bassett, VA 24055
Hi! My name is Jillian Pelzer. I am a Licensed Professional Counselor for the state of VA. I take a person-centered approach to therapy, meaning you are the expert of your own life. I am simply here to help you organize your thoughts and judgment so that you can make positive decisions for your life. I have expertise in counseling clients with depression, parenting problems, suicidal ideation, adjustment disorders, substance use problems, and more. I am super laid back! This will be a no-stress, no-pressure situation. The time is yours to use how you'd like. I am always flexible with my clients.
Hi! My name is Jillian Pelzer. I am a Licensed Professional Counselor for the state of VA. I take a person-centered approach to therapy, meaning you are the expert of your own life. I am simply here to help you organize your thoughts and judgment so that you can make positive decisions for your life. I have expertise in counseling clients with depression, parenting problems, suicidal ideation, adjustment disorders, substance use problems, and more. I am super laid back! This will be a no-stress, no-pressure situation. The time is yours to use how you'd like. I am always flexible with my clients.
(757) 859-0682 View (757) 859-0682
Photo of Mark Murphy, LCPC, Licensed Professional Counselor
Mark Murphy
Licensed Professional Counselor, LCPC
Verified Verified
Collinsville, VA 24078
I have been a Licensed Professional Counselor for over 20 years. I have worked with men, women, teens, and families on various issues. Sometimes that work involved helping them through a particular incident or life change that overwhelmed them. Other times, our work centered around longstanding topics of depression, anxiety, trauma, and addiction. With years of both institutional and outpatient experience, I enjoy helping people move from a place they can no longer tolerate to one where they feel happier and more effective. I also provide clinical supervision for LPC residents.
I have been a Licensed Professional Counselor for over 20 years. I have worked with men, women, teens, and families on various issues. Sometimes that work involved helping them through a particular incident or life change that overwhelmed them. Other times, our work centered around longstanding topics of depression, anxiety, trauma, and addiction. With years of both institutional and outpatient experience, I enjoy helping people move from a place they can no longer tolerate to one where they feel happier and more effective. I also provide clinical supervision for LPC residents.
(757) 909-5571 View (757) 909-5571
Photo of Sara Matos, LCSW, Clinical Social Work/Therapist
Sara Matos
Clinical Social Work/Therapist, LCSW
Verified Verified
Collinsville, VA 24078
With over 20 years of experience in the Social Service field, I pride myself on my dedication to the safety, well-being, and stabilization of the children, adults, and families that I work with. My creativity allows me to utilize a series of treatment modalities to assist in successfully empowering my clients while meeting their psychological needs. I am comfortable with a wide range of mental health challenges. A few modalities that I specialize in are Psycho-Educational, Play, Sand Tray, Accelerated Resolution, Solution Focused, Internal Family Systems, and brain-spotting.
With over 20 years of experience in the Social Service field, I pride myself on my dedication to the safety, well-being, and stabilization of the children, adults, and families that I work with. My creativity allows me to utilize a series of treatment modalities to assist in successfully empowering my clients while meeting their psychological needs. I am comfortable with a wide range of mental health challenges. A few modalities that I specialize in are Psycho-Educational, Play, Sand Tray, Accelerated Resolution, Solution Focused, Internal Family Systems, and brain-spotting.
(571) 570-8794 View (571) 570-8794
Photo of Milov Sonnier, LCSW, Clinical Social Work/Therapist
Milov Sonnier
Clinical Social Work/Therapist, LCSW
Verified Verified
Axton, VA 24054
I am Milov Sonnier a Licensed Clinical Social Worker based in Virginia. I work with clients statewide via telehealth. I specialize in women's issues, trauma, PTSD, thought disorders, stress, anxiety, depression, relationship issues and more. I use integrative approaches to help my clients make progress and to begin to feel better. I have found that my style and approach is a good fit for adults who are experiencing transition periods in their lives, and have traumatic memories that surface due to a current life stressor's.
I am Milov Sonnier a Licensed Clinical Social Worker based in Virginia. I work with clients statewide via telehealth. I specialize in women's issues, trauma, PTSD, thought disorders, stress, anxiety, depression, relationship issues and more. I use integrative approaches to help my clients make progress and to begin to feel better. I have found that my style and approach is a good fit for adults who are experiencing transition periods in their lives, and have traumatic memories that surface due to a current life stressor's.
(804) 596-4915 View (804) 596-4915
Photo of Lisa Smith, LCSW, Clinical Social Work/Therapist
Lisa Smith
Clinical Social Work/Therapist, LCSW
Verified Verified
Ridgeway, VA 24148
Hi. I'm Lisa Smith, a Clinical Social Worker. I like our therapy to be a time of creating what next steps you are willing to try. Together we think of the barrier. I act as a coach for accountability with awareness of any diagnosis or past struggles you've had. I highlight your strengths and together we celebrate victories. The therapy I use is research-based. I'll show you the logic and ease of following incremental steps. I will share the traits of your personality or diagnosis that are working for or hindering progress. When plans don't work, we begin again.
Hi. I'm Lisa Smith, a Clinical Social Worker. I like our therapy to be a time of creating what next steps you are willing to try. Together we think of the barrier. I act as a coach for accountability with awareness of any diagnosis or past struggles you've had. I highlight your strengths and together we celebrate victories. The therapy I use is research-based. I'll show you the logic and ease of following incremental steps. I will share the traits of your personality or diagnosis that are working for or hindering progress. When plans don't work, we begin again.
(571) 609-4346 View (571) 609-4346
Photo of Denise Hall, LCSW, Clinical Social Work/Therapist
Denise Hall
Clinical Social Work/Therapist, LCSW
Verified Verified
Ridgeway, VA 24148
Hello, my name is Denise and I am a Licensed Clinical Social Worker in the state of Virginia. I have been in the behavioral health field for over 28 years working with individuals and families. I have experience in many aspects of therapeutic interventions and work in a person-focused and centered approach. I utilize a relaxed, interactive communication style. My work experience spans in several areas including anxiety, depression, grief, relationship issues, and life transitions, and also have a subspecialty in working with individuals and their family members with Autism.
Hello, my name is Denise and I am a Licensed Clinical Social Worker in the state of Virginia. I have been in the behavioral health field for over 28 years working with individuals and families. I have experience in many aspects of therapeutic interventions and work in a person-focused and centered approach. I utilize a relaxed, interactive communication style. My work experience spans in several areas including anxiety, depression, grief, relationship issues, and life transitions, and also have a subspecialty in working with individuals and their family members with Autism.
(703) 890-5073 View (703) 890-5073
Photo of Calandra Togba-Doya, LCSW, Clinical Social Work/Therapist
Calandra Togba-Doya
Clinical Social Work/Therapist, LCSW
Verified Verified
Bassett, VA 24055
Welcome, I'm Calandra Togba-Doya, LCSW, LICSW. I work with Individuals that desire positive change in their lives. I believe perfection is a myth, but we all can set and obtain progressive goals. My mantra is Happy, Healthy, and Whole. That's obtainable. I view the therapeutic process as a partnership with you leading the effort. You have all the answers you need. I am simply a partner walking along as you journey to uncover them. I work best with Individuals ages 14 - 65. Though the majority of my clients are women; men have found my approach very beneficial.
Welcome, I'm Calandra Togba-Doya, LCSW, LICSW. I work with Individuals that desire positive change in their lives. I believe perfection is a myth, but we all can set and obtain progressive goals. My mantra is Happy, Healthy, and Whole. That's obtainable. I view the therapeutic process as a partnership with you leading the effort. You have all the answers you need. I am simply a partner walking along as you journey to uncover them. I work best with Individuals ages 14 - 65. Though the majority of my clients are women; men have found my approach very beneficial.
(757) 848-4185 View (757) 848-4185
Photo of Tosha M Foley, LPC, Licensed Professional Counselor
Tosha M Foley
Licensed Professional Counselor, LPC
Verified Verified
Axton, VA 24054
Counseling can be a great opportunity to feel heard, tell your story, and work on your issues. We often seek help when we feel overwhelmed, worried, and upset, which can feel unsettling to share. I seek to help ease the process of telling your story and finding healing.
Counseling can be a great opportunity to feel heard, tell your story, and work on your issues. We often seek help when we feel overwhelmed, worried, and upset, which can feel unsettling to share. I seek to help ease the process of telling your story and finding healing.
(540) 210-1343 View (540) 210-1343
Photo of Mayah Taylor, LPC, Licensed Professional Counselor
Mayah Taylor
Licensed Professional Counselor, LPC
Verified Verified
Fieldale, VA 24089
I believe that anyone seeking help can find peace, wellness, and strength in a warm, supportive therapeutic environment. I have worked in mental health since 2017. My professional experience includes providing individual and group therapy in a private practice setting and working in the hospital setting to provide crisis intervention, discharge planning, and conducting behavioral health assessments as part of treatment planning. I serve clients experiencing various mental health issues and problems surrounding anger management, anxiety, coping skills, depression, grief/loss, stress, and self-esteem.
I believe that anyone seeking help can find peace, wellness, and strength in a warm, supportive therapeutic environment. I have worked in mental health since 2017. My professional experience includes providing individual and group therapy in a private practice setting and working in the hospital setting to provide crisis intervention, discharge planning, and conducting behavioral health assessments as part of treatment planning. I serve clients experiencing various mental health issues and problems surrounding anger management, anxiety, coping skills, depression, grief/loss, stress, and self-esteem.
(540) 930-4365 View (540) 930-4365
Photo of Jenny Yates, LCSW, Clinical Social Work/Therapist
Jenny Yates
Clinical Social Work/Therapist, LCSW
Verified Verified
Collinsville, VA 24078
Grab your comfiest clothes, maybe a cup of coffee. Join me in my cozy office with floor to ceiling plants, and 2 turtles, or outdoors, at your favorite spot. We'll laugh, talk and do a little therapy too. My name is Jenny and I have been a LCSW for 18 years, and practicing for 23. Your story is as individualized as your fingerprint, and I believe your therapy should be too. Take your time getting to know me and my approaches on 4RC's FB page, Instagram page (4riversjenny), or fourriverscounseling.org.
Grab your comfiest clothes, maybe a cup of coffee. Join me in my cozy office with floor to ceiling plants, and 2 turtles, or outdoors, at your favorite spot. We'll laugh, talk and do a little therapy too. My name is Jenny and I have been a LCSW for 18 years, and practicing for 23. Your story is as individualized as your fingerprint, and I believe your therapy should be too. Take your time getting to know me and my approaches on 4RC's FB page, Instagram page (4riversjenny), or fourriverscounseling.org.
(276) 800-0778 View (276) 800-0778
Photo of Kenneth Kronheim, LPC, Licensed Professional Counselor
Kenneth Kronheim
Licensed Professional Counselor, LPC
Verified Verified
Fieldale, VA 24089
Ken Kronheim has been a licensed therapist since 2007. As a retired fire rescue chief, Ken possesses the experience and insight not only to ease physical suffering but help mental health as well. Ken's goal is to not only make you "feel" better but also help you "get" better. My focus Ken has a vast amount of experience with front-line/professional personnel such as first responders, medical field, military, law, educators and their families as well as college aged students. Ken utilizes an eclectic approach to therapy while primarily utilizing CBT, REBT, and solution-focused techniques.
Ken Kronheim has been a licensed therapist since 2007. As a retired fire rescue chief, Ken possesses the experience and insight not only to ease physical suffering but help mental health as well. Ken's goal is to not only make you "feel" better but also help you "get" better. My focus Ken has a vast amount of experience with front-line/professional personnel such as first responders, medical field, military, law, educators and their families as well as college aged students. Ken utilizes an eclectic approach to therapy while primarily utilizing CBT, REBT, and solution-focused techniques.
(571) 520-4178 View (571) 520-4178
Photo of Brianne Burden, LPC, Licensed Professional Counselor
Brianne Burden
Licensed Professional Counselor, LPC
Verified Verified
Axton, VA 24054  (Online Only)
I believe, that most often times, it takes an individual to experience significant pain or dissatisfaction in their life in order for them to pursue counseling and change. I understand that the step to reach out and ask for assistance with life’s issues is a huge step and I do not take that lightly. As your therapist, it is my commitment to come along side of you and support you through the more challenging times in life.
I believe, that most often times, it takes an individual to experience significant pain or dissatisfaction in their life in order for them to pursue counseling and change. I understand that the step to reach out and ask for assistance with life’s issues is a huge step and I do not take that lightly. As your therapist, it is my commitment to come along side of you and support you through the more challenging times in life.
(540) 215-7654 View (540) 215-7654

Online Therapists

Photo of Nytasia Dockery, Pre-Licensed Professional
Nytasia Dockery
Pre-Licensed Professional
Verified Verified
Cave Spring, VA 24018  (Online Only)
Nytasia Dockery, Supervisee in Social Work (SISW), is a mental health professional with over 3 years of professional experience helping clients of all ages to overcome concerns or conditions related to couples issues, family matters, anxiety, depression, academic issues, career transitions, and much more.
Nytasia Dockery, Supervisee in Social Work (SISW), is a mental health professional with over 3 years of professional experience helping clients of all ages to overcome concerns or conditions related to couples issues, family matters, anxiety, depression, academic issues, career transitions, and much more.
(540) 358-8535 View (540) 358-8535
Photo of Olivia Oakley, MSW
Olivia Oakley
Supervisee in Clinical Social Work, MSW
Verified Verified
1 Endorsed
Cave Spring, VA 24018
I am a dedicated counselor with a strong commitment to providing personalized and effective therapeutic services to individuals aged 14+. I believe in the strength and resilience of every individual, and my goal is to provide strengths-based and person-centered care to empower my clients on their path to healing and self-discovery. I have experience working with children, adolescents, and adults struggling with depression, anxiety, and trauma. I am deeply committed to creating a safe space for individuals within the LGBTQ+ community, offering unwavering support as they navigate the complexities of identity and mental health.
I am a dedicated counselor with a strong commitment to providing personalized and effective therapeutic services to individuals aged 14+. I believe in the strength and resilience of every individual, and my goal is to provide strengths-based and person-centered care to empower my clients on their path to healing and self-discovery. I have experience working with children, adolescents, and adults struggling with depression, anxiety, and trauma. I am deeply committed to creating a safe space for individuals within the LGBTQ+ community, offering unwavering support as they navigate the complexities of identity and mental health.
(540) 306-4707 View (540) 306-4707
Photo of Delores Morris, LPC, Licensed Professional Counselor
Delores Morris
Licensed Professional Counselor, LPC
Verified Verified
Danville, VA 24541
Hello. My name is Delores Morris, and I'm a Licensed Professional Counselor, and I work with clients statewide via telehealth. I approach therapy from a client-centered perspective that's based on the individual needs of each client. My style and approach are typically a good match for adults who may be experiencing grief, depression, PTSD, anxiety, job stress, life transitions, and other similar conditions or concerns. Clients who are seeking to gain insight into the way they are feeling.
Hello. My name is Delores Morris, and I'm a Licensed Professional Counselor, and I work with clients statewide via telehealth. I approach therapy from a client-centered perspective that's based on the individual needs of each client. My style and approach are typically a good match for adults who may be experiencing grief, depression, PTSD, anxiety, job stress, life transitions, and other similar conditions or concerns. Clients who are seeking to gain insight into the way they are feeling.
(434) 722-3741 View (434) 722-3741
Photo of Jim Meador, LPC, Licensed Professional Counselor
Jim Meador
Licensed Professional Counselor, LPC
Verified Verified
Lynchburg, VA 24503
My name is Jim Meador, and I am the owner of Rivermont Counseling. I am a Licensed Professional Counselor in the state of Virginia and have been working in the mental health field since 2006. I am a Virginia native, and the father of two amazing sons. I am passionate about helping people find hope and healing, and consider it an honor to be a witness to others' stories. I am an open and affirming therapist, and have experience with a wide range of clients, and enjoy working with others around faith-based issues, LGBTQIA+ experiences, relational difficulties, anxiety and depression. Ps... I regularly see my own counselor too...
My name is Jim Meador, and I am the owner of Rivermont Counseling. I am a Licensed Professional Counselor in the state of Virginia and have been working in the mental health field since 2006. I am a Virginia native, and the father of two amazing sons. I am passionate about helping people find hope and healing, and consider it an honor to be a witness to others' stories. I am an open and affirming therapist, and have experience with a wide range of clients, and enjoy working with others around faith-based issues, LGBTQIA+ experiences, relational difficulties, anxiety and depression. Ps... I regularly see my own counselor too...
(434) 280-3050 View (434) 280-3050
Photo of Trauma-Informed Therapist Geoffrey Dill, MA, LMHP-R, NCC
Trauma-Informed Therapist Geoffrey Dill
Resident in Counseling, MA, LMHP-R, NCC
Verified Verified
Forest, VA 24551
If you're reading this, I imagine you're feeling pretty stuck: stuck in negative emotions that feel inescapable, stuck in thoughts that are toxic and shaming, stuck in a cycle of behaviors that don't serve you. In moments like this, there is no shame in reaching out for help! Hi, I'm Geoffrey, and I'm a Resident Counselor who specializes in working with clients with eating disorders, trauma, depression and anxiety, and LGBTQIA+ needs.
If you're reading this, I imagine you're feeling pretty stuck: stuck in negative emotions that feel inescapable, stuck in thoughts that are toxic and shaming, stuck in a cycle of behaviors that don't serve you. In moments like this, there is no shame in reaching out for help! Hi, I'm Geoffrey, and I'm a Resident Counselor who specializes in working with clients with eating disorders, trauma, depression and anxiety, and LGBTQIA+ needs.
(855) 505-2880 View (855) 505-2880
Photo of Nicole M Taylor, LPC, NCC, Licensed Professional Counselor
Nicole M Taylor
Licensed Professional Counselor, LPC, NCC
Verified Verified
1 Endorsed
Lynchburg, VA 24502
Waitlist for new clients
I have over ten years of experience in the mental health field, working with a variety of individuals across many backgrounds and treatment needs. I enjoy working with teens and young adults with anxiety who are transitioning between phases of life, as well as mothers who are trying to find balance in life. I have been certified in the treatment of trauma and am honored when someone trusts me enough to allow me into some of the darkest moments of their lives. My primary strategy is to provide a warm and safe environment based on kindness and empathic understanding.
I have over ten years of experience in the mental health field, working with a variety of individuals across many backgrounds and treatment needs. I enjoy working with teens and young adults with anxiety who are transitioning between phases of life, as well as mothers who are trying to find balance in life. I have been certified in the treatment of trauma and am honored when someone trusts me enough to allow me into some of the darkest moments of their lives. My primary strategy is to provide a warm and safe environment based on kindness and empathic understanding.
(434) 201-8406 View (434) 201-8406
Photo of Ashlie Manuel, MA, LPC, RPT, CAPT, Licensed Professional Counselor
Ashlie Manuel
Licensed Professional Counselor, MA, LPC, RPT, CAPT
Verified Verified
Lynchburg, VA 24502
I am glad you are here taking the first step. I believe that counseling is a collaborative effort between the counselor and client to create a relationship that empowers clients to accomplish their mental health and wellness goals. I believe that this can be best done through a trauma informed approach that also focuses on the mind, body, and emotions.
I am glad you are here taking the first step. I believe that counseling is a collaborative effort between the counselor and client to create a relationship that empowers clients to accomplish their mental health and wellness goals. I believe that this can be best done through a trauma informed approach that also focuses on the mind, body, and emotions.
(434) 201-3319 View (434) 201-3319

See more therapy options for Henry County

How does your Therapist compare?

Number of Therapists in Henry County, VA

10+

Average cost per session

$70

Therapists in Henry County, VA who prioritize treating:

85% Depression
69% Anxiety
69% Coping Skills
62% Grief
46% Trauma and PTSD
46% Divorce
46% Bipolar Disorder

Average years in practice

24 Years

Top 3 insurances accepted

100% BlueCross and BlueShield
100% UnitedHealthcare UHC | UBH
92% Cigna and Evernorth

How Therapists in Henry County, VA see their clients

93% In Person and Online
7% Online Only

Gender breakdown

77% Female
23% Male
FAQs - About Therapy and Counseling

How can I find a therapist in Henry 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.