Photo of Jan Krause - C Jan Krause Counseling, MA, LCMHCA, Counselor
C Jan Krause Counseling
Counselor, MA, LCMHCA
Verified Verified
1 Endorsed
Chapel Hill, NC 27516
As a Licensed Professional Counselor Associate, it is an honor and privilege to walk alongside others. Through my counseling, I purpose to empower individuals to chose the path that leads to healing, wholeness, hope and renewal.
As a Licensed Professional Counselor Associate, it is an honor and privilege to walk alongside others. Through my counseling, I purpose to empower individuals to chose the path that leads to healing, wholeness, hope and renewal.
(984) 213-5470 View (984) 213-5470
Photo of Brooke Miller Schmaling, MSSW, LCSW, Clinical Social Work/Therapist
Brooke Miller Schmaling
Clinical Social Work/Therapist, MSSW, LCSW
Verified Verified
1 Endorsed
Chapel Hill, NC 27516
Not accepting new clients
I have been a practicing psychotherapist for over 16 years. My approach to therapy is to create a respectful, supportive, and non-judgmental environment in which to explore problems and patterns and work toward health and healing. Anxiety, depression, school and relationship issues, and family adjustment to loss, separation or divorce are some of the more common reasons individuals and families seek my consultation. Our work may be focused on understanding problems, developing skills to more effectively manage symptoms or behaviors, or improving relationships. I also provide support to parents with managing children's behaviors.
I have been a practicing psychotherapist for over 16 years. My approach to therapy is to create a respectful, supportive, and non-judgmental environment in which to explore problems and patterns and work toward health and healing. Anxiety, depression, school and relationship issues, and family adjustment to loss, separation or divorce are some of the more common reasons individuals and families seek my consultation. Our work may be focused on understanding problems, developing skills to more effectively manage symptoms or behaviors, or improving relationships. I also provide support to parents with managing children's behaviors.
(203) 903-9706 View (203) 903-9706
Photo of Joshua Martin Hillie, MSW, LISW-CP, LCSW, Clinical Social Work/Therapist
Joshua Martin Hillie
Clinical Social Work/Therapist, MSW, LISW-CP, LCSW
Verified Verified
2 Endorsed
Chapel Hill, NC 27516  (Online Only)
I am a solutions focused therapist that specializes in working with men. You are meant to live a rich and meaningful life. A life with purpose, meaning, and direction. With kindness, respect, and compassion I will be that ally to help you move towards what is important to you. I seek to help you live out your greatest potential, and help you connect with your whole self. In this journey we’ll explore your fear, grief, anger, wonder, joy, and happiness. Let’s not just settle for functioning in this one precious life you have…let’s thrive in it together. ACT, MBCT, and MI, are my primary therapeutic approaches.
I am a solutions focused therapist that specializes in working with men. You are meant to live a rich and meaningful life. A life with purpose, meaning, and direction. With kindness, respect, and compassion I will be that ally to help you move towards what is important to you. I seek to help you live out your greatest potential, and help you connect with your whole self. In this journey we’ll explore your fear, grief, anger, wonder, joy, and happiness. Let’s not just settle for functioning in this one precious life you have…let’s thrive in it together. ACT, MBCT, and MI, are my primary therapeutic approaches.
(843) 919-4041 View (843) 919-4041
Photo of Erin Dey, LCSW, Clinical Social Work/Therapist
Erin Dey
Clinical Social Work/Therapist, LCSW
Verified Verified
Chapel Hill, NC 27516
Hi there! My name is Erin Dey and I am a licensed clinical social worker located in Chapel Hill, North Carolina. I have a masters’ degree from Columbia University, and I specialize in helping clients successfully navigate challenging life transitions. I work with individuals of all ages, families, couples, and groups both in person as well as online.
Hi there! My name is Erin Dey and I am a licensed clinical social worker located in Chapel Hill, North Carolina. I have a masters’ degree from Columbia University, and I specialize in helping clients successfully navigate challenging life transitions. I work with individuals of all ages, families, couples, and groups both in person as well as online.
(980) 372-3559 View (980) 372-3559
Photo of Kevin Metz, PsyD, MA, Psychologist
Kevin Metz
Psychologist, PsyD, MA
Verified Verified
1 Endorsed
Chapel Hill, NC 27516
My approach to psychotherapy is that of a humanist; that is, successful therapy results in your continued evolution into your true self. My therapeutic style is gentle and engaged, and I respect your intelligence. I strive to provide an atmosphere of care and compassion which allows you to curiously explore what events, past and present are contributing to your challenges. It's important to me to take the time to understand your values and desires so that our work is grounded in how you see yourself.
My approach to psychotherapy is that of a humanist; that is, successful therapy results in your continued evolution into your true self. My therapeutic style is gentle and engaged, and I respect your intelligence. I strive to provide an atmosphere of care and compassion which allows you to curiously explore what events, past and present are contributing to your challenges. It's important to me to take the time to understand your values and desires so that our work is grounded in how you see yourself.
(919) 648-4087 View (919) 648-4087
Photo of Marie Funk, MSW, LCSW, Clinical Social Work/Therapist
Marie Funk
Clinical Social Work/Therapist, MSW, LCSW
Verified Verified
Chapel Hill, NC 27516
Not accepting new clients
** I am not currently accepting new clients or adding to my waitlist**. Do you feel disconnected, or wonder if relationships could be easier and richer, or does your life look differently that you'd like? I work with clients to explore such questions and help them find relief from suffering, and strengthen their ability to make change. My practice integrates proven therapeutic techniques with warmth, humor, and compassion. I provide a safe and productive environment for those in the LGBTQI community/ who identify as gender or sexually non-conforming.
** I am not currently accepting new clients or adding to my waitlist**. Do you feel disconnected, or wonder if relationships could be easier and richer, or does your life look differently that you'd like? I work with clients to explore such questions and help them find relief from suffering, and strengthen their ability to make change. My practice integrates proven therapeutic techniques with warmth, humor, and compassion. I provide a safe and productive environment for those in the LGBTQI community/ who identify as gender or sexually non-conforming.
(919) 636-6118 View (919) 636-6118
Photo of Kayleen Schepper, LCSW, MSW, Clinical Social Work/Therapist
Kayleen Schepper
Clinical Social Work/Therapist, LCSW, MSW
Verified Verified
Chapel Hill, NC 27516  (Online Only)
Waitlist for new clients
Taking the step to find a therapist can be overwhelming. I am glad you are here. My goal is to provide a safe space for self-exploration, change, and healing. I work with children, teenagers, and adults dealing with a variety of challenges, including painful feelings, emotional numbness, undesired behaviors, unhelpful thinking, mood challenges, self-esteem issues, perfectionism, interpersonal conflict, life changes, and ongoing stress. My approach is trauma-informed, strength-based, compassionate, collaborative, and empowering. I see you, I am here for you, and I believe in you.
Taking the step to find a therapist can be overwhelming. I am glad you are here. My goal is to provide a safe space for self-exploration, change, and healing. I work with children, teenagers, and adults dealing with a variety of challenges, including painful feelings, emotional numbness, undesired behaviors, unhelpful thinking, mood challenges, self-esteem issues, perfectionism, interpersonal conflict, life changes, and ongoing stress. My approach is trauma-informed, strength-based, compassionate, collaborative, and empowering. I see you, I am here for you, and I believe in you.
(833) 996-0443 x1 View (833) 996-0443 x1
Photo of Kelsey McVey, MSW, LCSW-C , LCSW, Clinical Social Work/Therapist
Kelsey McVey
Clinical Social Work/Therapist, MSW, LCSW-C , LCSW
Verified Verified
Chapel Hill, NC 27516  (Online Only)
You may find that you are feeling overwhelmed, stuck, or not knowing how to navigate life's problems. Society and life expectations can be really good at telling us what we should choose, value, or what should be important. You may feel trapped in cycles of judgment, perfectionism, and over analysis, which could lead to feelings of anxiety, depression, and stagnation. I am here to help you find your way out of the mind’s clever traps and to teach you to relate differently to these types of thinking patterns, so these thinking patterns can no longer hold power over you.
You may find that you are feeling overwhelmed, stuck, or not knowing how to navigate life's problems. Society and life expectations can be really good at telling us what we should choose, value, or what should be important. You may feel trapped in cycles of judgment, perfectionism, and over analysis, which could lead to feelings of anxiety, depression, and stagnation. I am here to help you find your way out of the mind’s clever traps and to teach you to relate differently to these types of thinking patterns, so these thinking patterns can no longer hold power over you.
(919) 899-1128 View (919) 899-1128
Photo of Dr. Beth Spira Psyd, PsyD, Psychologist
Dr. Beth Spira Psyd
Psychologist, PsyD
Verified Verified
Chapel Hill, NC 27516
My therapeutic style is collaborative and based on respect and empathy. My goal as a clinician is to help people learn how to be self-reliant and acquire the life skills and insight that will enable them to reach their personal goals. I help people understand how their thoughts, feelings, and behaviors shape how they see themselves and engage in the world around them so that they can confidently navigate their lives. I’m sensitive to and respectful of people from various cultural, ethnic, and religious backgrounds.
My therapeutic style is collaborative and based on respect and empathy. My goal as a clinician is to help people learn how to be self-reliant and acquire the life skills and insight that will enable them to reach their personal goals. I help people understand how their thoughts, feelings, and behaviors shape how they see themselves and engage in the world around them so that they can confidently navigate their lives. I’m sensitive to and respectful of people from various cultural, ethnic, and religious backgrounds.
(919) 694-8096 View (919) 694-8096
Photo of Dr. Joanna Sattin, PhD, Psychologist
Dr. Joanna Sattin
Psychologist, PhD
Verified Verified
Chapel Hill, NC 27516
I offer virtual and in-person therapy for adults around the country. My approach is based on the premise that relationships are central in shaping who we are as people and how we experience the world. You and I will spend time in therapy talking about your current and past relationships, with the goal of helping you to develop more fulfilling, intimate, and authentic relationships today, and in turn, to feel better emotionally and physically. In my view, the therapeutic relationship is a partnership in which we work together to help you create the life you desire, and to achieve more self-acceptance and inner peace.
I offer virtual and in-person therapy for adults around the country. My approach is based on the premise that relationships are central in shaping who we are as people and how we experience the world. You and I will spend time in therapy talking about your current and past relationships, with the goal of helping you to develop more fulfilling, intimate, and authentic relationships today, and in turn, to feel better emotionally and physically. In my view, the therapeutic relationship is a partnership in which we work together to help you create the life you desire, and to achieve more self-acceptance and inner peace.
(984) 206-3957 View (984) 206-3957
Photo of Piereangello Cruz, MSW, LCSW, LCAS, Clinical Social Work/Therapist
Piereangello Cruz
Clinical Social Work/Therapist, MSW, LCSW, LCAS
Verified Verified
1 Endorsed
Chapel Hill, NC 27516
Reaching out for support can feel daunting and intimidating and I want to help you feel as comfortable as possible throughout the process. I want you to feel comfortable asking questions and not worrying if you are doing something right or wrong or if it's too soon or too late to ask any questions. I strive to be empathetic and understanding of people and how we show up daily—no judgments, no dumb questions...just non-judgmental support because that’s what we all deserve.
Reaching out for support can feel daunting and intimidating and I want to help you feel as comfortable as possible throughout the process. I want you to feel comfortable asking questions and not worrying if you are doing something right or wrong or if it's too soon or too late to ask any questions. I strive to be empathetic and understanding of people and how we show up daily—no judgments, no dumb questions...just non-judgmental support because that’s what we all deserve.
(919) 504-5156 View (919) 504-5156
Photo of Stephen Messer, MA, PhD, Psychologist
Stephen Messer
Psychologist, MA, PhD
Verified Verified
1 Endorsed
Chapel Hill, NC 27516
As a clinical psychologist and psychotherapist, my primary aim is to offer and provide you with the optimal quality of personalized care possible. That means, in part, ensuring a comprehensive and accurate assessment of your aims and strengths, as well as a close examination of the challenges, issues, and goals that bring you to my office. I respect your courage to confront your possible confusion and frustration, your pain and suffering, and your search for actionable solutions and meaningful life. I honor your sharing relevant personal history and strivings, and my commitment is to work together to enhance your quality of life.
As a clinical psychologist and psychotherapist, my primary aim is to offer and provide you with the optimal quality of personalized care possible. That means, in part, ensuring a comprehensive and accurate assessment of your aims and strengths, as well as a close examination of the challenges, issues, and goals that bring you to my office. I respect your courage to confront your possible confusion and frustration, your pain and suffering, and your search for actionable solutions and meaningful life. I honor your sharing relevant personal history and strivings, and my commitment is to work together to enhance your quality of life.
(984) 209-1357 View (984) 209-1357
Photo of Dr. Haley E Kutner, PhD, Psychologist
Dr. Haley E Kutner
Psychologist, PhD
Verified Verified
Chapel Hill, NC 27516  (Online Only)
My overall therapy goals are to help my clients identify and address the barriers and stressors that interfere with their ability to lead productive and fulfilling lives. I utilize this overarching principle to address the various presenting needs from helping an individual cope with a primary medical illness to addressing stressors associated with life transitions, interpersonal conflicts, or primary anxiety or depression. I have also pursued extensive training and interest in perinatal mood and anxiety disorders and supporting individuals and families through infertility and the transition into parenthood.
My overall therapy goals are to help my clients identify and address the barriers and stressors that interfere with their ability to lead productive and fulfilling lives. I utilize this overarching principle to address the various presenting needs from helping an individual cope with a primary medical illness to addressing stressors associated with life transitions, interpersonal conflicts, or primary anxiety or depression. I have also pursued extensive training and interest in perinatal mood and anxiety disorders and supporting individuals and families through infertility and the transition into parenthood.
(804) 203-0698 x710 View (804) 203-0698 x710
Photo of Lauren J Barker, MS, LMFT, Marriage & Family Therapist
Lauren J Barker
Marriage & Family Therapist, MS, LMFT
Verified Verified
2 Endorsed
Chapel Hill, NC 27516  (Online Only)
Currently accepting new, virtual clients in NC and CA. Welcome! I'm so glad you are making steps to get the support you deserve. Whether you're struggling with anxiety, depression, body image, substance use, self esteem, eating disorders, or stuck in a cycle that's no longer serving you, I can offer a space to explore and create a path toward your goals.
Currently accepting new, virtual clients in NC and CA. Welcome! I'm so glad you are making steps to get the support you deserve. Whether you're struggling with anxiety, depression, body image, substance use, self esteem, eating disorders, or stuck in a cycle that's no longer serving you, I can offer a space to explore and create a path toward your goals.
(984) 231-9770 View (984) 231-9770
Photo of Alleta Alexander, LCSW, LCAS, Clinical Social Work/Therapist
Alleta Alexander
Clinical Social Work/Therapist, LCSW, LCAS
Verified Verified
Chapel Hill, NC 27516  (Online Only)
You deserve to THRIVE and not just SURVIVE. Do you find yourself feeling overwhelmed, anxious, and hopeless? Maybe you’ve encountered recent changes that caused you to feel off-balanced, hyper-distracted, disorganized, or unmotivated. Whatever roadblocks you are currently facing, let’s figure out together what works for you on your journey at your pace. I am licensed with experience in treating stress management, depression, anxiety, alcohol/drug use, esteem, relationships, and more.
You deserve to THRIVE and not just SURVIVE. Do you find yourself feeling overwhelmed, anxious, and hopeless? Maybe you’ve encountered recent changes that caused you to feel off-balanced, hyper-distracted, disorganized, or unmotivated. Whatever roadblocks you are currently facing, let’s figure out together what works for you on your journey at your pace. I am licensed with experience in treating stress management, depression, anxiety, alcohol/drug use, esteem, relationships, and more.
(984) 237-8286 View (984) 237-8286
Photo of Jess Curtis, LCSW, Clinical Social Work/Therapist
Jess Curtis
Clinical Social Work/Therapist, LCSW
Verified Verified
2 Endorsed
Chapel Hill, NC 27516  (Online Only)
I provide a welcoming space in which clients can practice self-acceptance. I use acceptance and commitment therapy (ACT) to help clients identify what is important to them and live accordingly. I am also trained in Accelerated Resolution Therapy (a trauma-focused modality).
I provide a welcoming space in which clients can practice self-acceptance. I use acceptance and commitment therapy (ACT) to help clients identify what is important to them and live accordingly. I am also trained in Accelerated Resolution Therapy (a trauma-focused modality).
(919) 701-6475 View (919) 701-6475
Photo of Kate Gotelli, MSW, LCSW, SEP, CDWF, CSC, Clinical Social Work/Therapist
Kate Gotelli
Clinical Social Work/Therapist, MSW, LCSW, SEP, CDWF, CSC
Verified Verified
Chapel Hill, NC 27516
To mindfully awaken is to become conscious in the here and now while integrating all of our experiences before this moment in time. This practice of living courageously, authentically, with non-judgmental awareness, while embracing our worthiness, helps us live a fuller life. Specializing in somatic psychotherapy with adults, my therapeutic approach draws from Somatic Experiencing, Attachment Theory, Interpersonal Neurobiology, Mindfulness-based Cognitive Therapy, DBT-informed therapy, as well as the research of Brené Brown.
To mindfully awaken is to become conscious in the here and now while integrating all of our experiences before this moment in time. This practice of living courageously, authentically, with non-judgmental awareness, while embracing our worthiness, helps us live a fuller life. Specializing in somatic psychotherapy with adults, my therapeutic approach draws from Somatic Experiencing, Attachment Theory, Interpersonal Neurobiology, Mindfulness-based Cognitive Therapy, DBT-informed therapy, as well as the research of Brené Brown.
(919) 267-3618 View (919) 267-3618
Photo of Dr. Dana Lebo, PhD, Psychologist
Dr. Dana Lebo
Psychologist, PhD
Verified Verified
1 Endorsed
Chapel Hill, NC 27516  (Online Only)
Are you looking for support to master life's challenges, break free of ineffective patterns of behavior & improve your mental health & well-being? With over two decades of experience, I am passionate about helping individuals enhance their performance & better manage anxiety, life transitions, trauma, depression, pain, sleep, and more. My approach to therapy is grounded in mind-body, non-pharmacological techniques for dealing with the complexities & stress of busy home, school, work, sports & family lives. Additionally, I am credentialed to practice teletherapy in 36 states listed on the PsyPact Map at psypact.org under Quick Links.
Are you looking for support to master life's challenges, break free of ineffective patterns of behavior & improve your mental health & well-being? With over two decades of experience, I am passionate about helping individuals enhance their performance & better manage anxiety, life transitions, trauma, depression, pain, sleep, and more. My approach to therapy is grounded in mind-body, non-pharmacological techniques for dealing with the complexities & stress of busy home, school, work, sports & family lives. Additionally, I am credentialed to practice teletherapy in 36 states listed on the PsyPact Map at psypact.org under Quick Links.
(919) 276-8758 View (919) 276-8758
Photo of Aimee Jenkins, LCSW, Clinical Social Work/Therapist
Aimee Jenkins
Clinical Social Work/Therapist, LCSW
Verified Verified
Chapel Hill, NC 27516
My belief is that in order to create and sustain a happy, well-balanced life, we must first define what "happy" looks like, then figure out how to obtain it! This can oftentimes be daunting when experiencing the challenges of mental health, and significant life transitions. I have dedicated my entire career to partnering with individuals and families and meeting them where they are to work on achieving this goal. I regularly use mindfulness skills and always promote a trauma-informed approach to all we work on. Regardless, I work to meet you where you are and utilize appropriate interventions. My focus
My belief is that in order to create and sustain a happy, well-balanced life, we must first define what "happy" looks like, then figure out how to obtain it! This can oftentimes be daunting when experiencing the challenges of mental health, and significant life transitions. I have dedicated my entire career to partnering with individuals and families and meeting them where they are to work on achieving this goal. I regularly use mindfulness skills and always promote a trauma-informed approach to all we work on. Regardless, I work to meet you where you are and utilize appropriate interventions. My focus
(984) 206-3619 View (984) 206-3619
Photo of Kristie Papuchis, LCSW, Clinical Social Work/Therapist
Kristie Papuchis
Clinical Social Work/Therapist, LCSW
Verified Verified
1 Endorsed
Chapel Hill, NC 27516  (Online Only)
I have a passion for helping children, adolescents, and adults achieve their fullest potential in life. My upbeat, empathetic, and compassionate personality helps me to connect with individuals and build strong therapeutic relationships. My clients are everyday people that need help with life’s challenges.
I have a passion for helping children, adolescents, and adults achieve their fullest potential in life. My upbeat, empathetic, and compassionate personality helps me to connect with individuals and build strong therapeutic relationships. My clients are everyday people that need help with life’s challenges.
(954) 932-8703 View (954) 932-8703

How does your Therapist compare?

Number of Therapists in 27516

100+

Average cost per session

$150

Therapists in 27516 who prioritize treating:

94% Anxiety
89% Depression
81% Relationship Issues
75% Self Esteem
75% Stress
74% Coping Skills
70% Trauma and PTSD

Average years in practice

13 Years

Top 3 insurances accepted

83% BlueCross and BlueShield
67% Aetna
45% Cigna and Evernorth

How Therapists in 27516 see their clients

72% In Person and Online
28% Online Only

Gender breakdown

80% Female
19% Male
1% Non-Binary
FAQs - About Therapy and Counseling

How can I find a therapist in 27516?

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.