Photo of Dr. Greg Cheney, PhD, LMFT, LCMHC, Marriage & Family Therapist
Dr. Greg Cheney
Marriage & Family Therapist, PhD, LMFT, LCMHC
Verified Verified
1 Endorsed
Fuquay Varina, NC 27526
Tired of feeling stuck, misunderstood, & disconnected? Are you struggling with communication? Does your relationship feel like it is moving in the wrong direction? Are the arguments, misunderstanding, and hurt becoming overwhelming? You may even be considering separation or divorce. Take the first step to sort through it all . . . the misunderstanding, the arguments, the hurt, the disconnection, and the loneliness. We can help you gain clarity to move toward healing. Let us help you experience your relationship in a new way. Schedule a free 15-minute phone consultation to get started.
Tired of feeling stuck, misunderstood, & disconnected? Are you struggling with communication? Does your relationship feel like it is moving in the wrong direction? Are the arguments, misunderstanding, and hurt becoming overwhelming? You may even be considering separation or divorce. Take the first step to sort through it all . . . the misunderstanding, the arguments, the hurt, the disconnection, and the loneliness. We can help you gain clarity to move toward healing. Let us help you experience your relationship in a new way. Schedule a free 15-minute phone consultation to get started.
(919) 246-4775 View (919) 246-4775
Photo of Sherry Horowitz, LCSW, Clinical Social Work/Therapist
Sherry Horowitz
Clinical Social Work/Therapist, LCSW
Verified Verified
Fuquay Varina, NC 27526
Do you struggle with feelings, thoughts, or behaviors that make life feel overwhelming? I can partner with you on your journey toward improved health and happiness. I offer a supportive, compassionate, non judgmental space where we will explore your needs and identify solutions. Together, we will work toward strengthening coping skills and healthy behaviors. I believe that better emotional health is achieved through developing a stronger sense of self!
Do you struggle with feelings, thoughts, or behaviors that make life feel overwhelming? I can partner with you on your journey toward improved health and happiness. I offer a supportive, compassionate, non judgmental space where we will explore your needs and identify solutions. Together, we will work toward strengthening coping skills and healthy behaviors. I believe that better emotional health is achieved through developing a stronger sense of self!
(919) 887-1100 View (919) 887-1100
Photo of Niosoty Baptista Paparella - NIO Psychological Services, PLLC, MA, LPA, HSP-PA, Psychological Associate
NIO Psychological Services, PLLC
Psychological Associate, MA, LPA, HSP-PA
Verified Verified
Fuquay Varina, NC 27526
I am a Licensed Psychological Associate with more than 10 years of experience in the field of mental health. I have been working with adults, children and adolescents. I understand that the journey of life is not always easy and predictable, and that at some point in our lives, everyone faces difficulties that make us feel very vulnerable, frustrated and unsuccessful. As a therapist, I want to help you acknowledge your strengths and weaknesses, identify new ideas and options to overcome life challenging situations and promote your overall wellbeing, including personal and professional growth.
I am a Licensed Psychological Associate with more than 10 years of experience in the field of mental health. I have been working with adults, children and adolescents. I understand that the journey of life is not always easy and predictable, and that at some point in our lives, everyone faces difficulties that make us feel very vulnerable, frustrated and unsuccessful. As a therapist, I want to help you acknowledge your strengths and weaknesses, identify new ideas and options to overcome life challenging situations and promote your overall wellbeing, including personal and professional growth.
(919) 729-5191 View (919) 729-5191
Photo of Kaitlin E. Graham, MSW, LCSW-A
Kaitlin E. Graham
LCSW Associate, MSW, LCSW-A
Verified Verified
Fuquay Varina, NC 27526
I am dedicated to supporting children, teenagers, and their families through a variety of challenges, including anxiety, depression, ADHD, anger management, and family conflict. My specialization lies in working with children (age 7+), teenagers, and their parents, recognizing the unique challenges this age presents. I aim to create a safe and supportive environment for individual and family sessions, where empathy and understanding guide clients toward discovering their strengths and achieving positive outcomes.
I am dedicated to supporting children, teenagers, and their families through a variety of challenges, including anxiety, depression, ADHD, anger management, and family conflict. My specialization lies in working with children (age 7+), teenagers, and their parents, recognizing the unique challenges this age presents. I aim to create a safe and supportive environment for individual and family sessions, where empathy and understanding guide clients toward discovering their strengths and achieving positive outcomes.
(919) 737-7083 View (919) 737-7083
Photo of Geoquana McDougal, LMFTA, Marriage & Family Therapist Associate
Geoquana McDougal
Marriage & Family Therapist Associate, LMFTA
Verified Verified
Fuquay Varina, NC 27526  (Online Only)
I am a Licensed Marriage and Family Therapist Associate. I received her bachelor’s degree in Psychology from North Carolina A&T. I furthered my education receiving a MA in Marriage & Family Therapy from Capella. I'm committed to treating couples, families, and individuals. My clinical interest include working with premarital couples, communication issues, infidelity, grief, sexual assault, and addiction. I strongly believe that the therapeutic relationship is one of the biggest indicators of change, which is why I strive to create a safe, warm space in which clients feel seen and heard.
I am a Licensed Marriage and Family Therapist Associate. I received her bachelor’s degree in Psychology from North Carolina A&T. I furthered my education receiving a MA in Marriage & Family Therapy from Capella. I'm committed to treating couples, families, and individuals. My clinical interest include working with premarital couples, communication issues, infidelity, grief, sexual assault, and addiction. I strongly believe that the therapeutic relationship is one of the biggest indicators of change, which is why I strive to create a safe, warm space in which clients feel seen and heard.
(984) 409-9429 View (984) 409-9429
Photo of Brandy Hunt, LCSW, Clinical Social Work/Therapist
Brandy Hunt
Clinical Social Work/Therapist, LCSW
Verified Verified
Fuquay Varina, NC 27526  (Online Only)
No Risk, No Reward. That is a motto I have lived by for many years. Beginning the therapeutic process can seem overwhelming. When we choose to take the leap of faith and address the presenting concerns/stressors in our lives that are impeding our mental stability we gain control and seek the reward of true living. I am a Licensed Clinical Social Worker specializing in behavioral health counseling. I completed my Bachelor’s degree in Psychology and Master’s degree in Social Work. When you are ready I will be here to assist with all your mental health needs and find the reward in your life.
No Risk, No Reward. That is a motto I have lived by for many years. Beginning the therapeutic process can seem overwhelming. When we choose to take the leap of faith and address the presenting concerns/stressors in our lives that are impeding our mental stability we gain control and seek the reward of true living. I am a Licensed Clinical Social Worker specializing in behavioral health counseling. I completed my Bachelor’s degree in Psychology and Master’s degree in Social Work. When you are ready I will be here to assist with all your mental health needs and find the reward in your life.
(984) 223-8841 View (984) 223-8841
Photo of Liliana Flores, LCSW-A, Clinical Social Work/Therapist
Liliana Flores
Clinical Social Work/Therapist, LCSW-A
Verified Verified
2 Endorsed
Fuquay Varina, NC 27526
I am a bilingual clinician and accepting new patients in our new Fuquay Varina office! II have always been passionate about helping people understand themselves more, identify issues that aren't working, and find self-empowerment to create a life they love. I recognize the importance of one's background, history, and present struggles; therefore, the work between myself and my clients will always be a collaborative effort tailored to your needs as you grow.
I am a bilingual clinician and accepting new patients in our new Fuquay Varina office! II have always been passionate about helping people understand themselves more, identify issues that aren't working, and find self-empowerment to create a life they love. I recognize the importance of one's background, history, and present struggles; therefore, the work between myself and my clients will always be a collaborative effort tailored to your needs as you grow.
(919) 251-5516 View (919) 251-5516
Photo of Kerrie Walters, LCSWA, CEAP, Pre-Licensed Professional
Kerrie Walters
Pre-Licensed Professional, LCSWA, CEAP
Verified Verified
Fuquay Varina, NC 27526  (Online Only)
Waitlist for new clients
My goal as an integrated clinician is to treat the whole person. When you feel like nobody knows what you’re going through, sharing your feelings with someone who truly gets it can make all the difference. I’ll help you make sense of your experiences and feel more optimistic about the future.
My goal as an integrated clinician is to treat the whole person. When you feel like nobody knows what you’re going through, sharing your feelings with someone who truly gets it can make all the difference. I’ll help you make sense of your experiences and feel more optimistic about the future.
(984) 249-3156 View (984) 249-3156
Photo of Danelle Louder, LCMHC, Licensed Professional Counselor
Danelle Louder
Licensed Professional Counselor, LCMHC
Verified Verified
1 Endorsed
Fuquay Varina, NC 27526
Have you tried to understand your why, the reason why, why it happened; and continue to struggle with making the connection? If you answered yes, we should talk. I specialize in connections between the self, family, children, and partners. In a time where we seem to always be connected, why do we feel so disconnected and alone? In the individual, the family, and couples connection is paramount. Disconnection happens with trauma, adverse experiences, and unhealthy attachments. Let me help you feel connected again.
Have you tried to understand your why, the reason why, why it happened; and continue to struggle with making the connection? If you answered yes, we should talk. I specialize in connections between the self, family, children, and partners. In a time where we seem to always be connected, why do we feel so disconnected and alone? In the individual, the family, and couples connection is paramount. Disconnection happens with trauma, adverse experiences, and unhealthy attachments. Let me help you feel connected again.
(919) 364-6640 View (919) 364-6640
Photo of Michelle R Heggie, LCSW, LCAS-A, CPLC, Clinical Social Work/Therapist
Michelle R Heggie
Clinical Social Work/Therapist, LCSW, LCAS-A, CPLC
Verified Verified
1 Endorsed
Fuquay Varina, NC 27526
Challenging events happens to us all, some life changing and others short term. It is my pleasure to support you and provide tools and strategies to assist you through these times. I have provided services on issues such as, but not limited to, family issues, divorce, depression, anxiety, ADHD, ODD, self-esteem issues, parenting skills and stepfamily wellness. I am a licensed clinical therapist, addiction specialist as well as a certified life coach. It is my desire to meet people where they are. I am versatile in providing services whether you prefer therapy or life coaching. I also provide supervision for LCSW candidates
Challenging events happens to us all, some life changing and others short term. It is my pleasure to support you and provide tools and strategies to assist you through these times. I have provided services on issues such as, but not limited to, family issues, divorce, depression, anxiety, ADHD, ODD, self-esteem issues, parenting skills and stepfamily wellness. I am a licensed clinical therapist, addiction specialist as well as a certified life coach. It is my desire to meet people where they are. I am versatile in providing services whether you prefer therapy or life coaching. I also provide supervision for LCSW candidates
(919) 737-7264 View (919) 737-7264
Photo of Amanda Simon, LCSW, Clinical Social Work/Therapist
Amanda Simon
Clinical Social Work/Therapist, LCSW
Verified Verified
1 Endorsed
Fuquay Varina, NC 27526
Looking forward to seeing you grow.
Looking forward to seeing you grow.
(984) 369-8734 View (984) 369-8734
Photo of Kelly Zander, MA, LCMHCA, NCC
Kelly Zander
Lic Clinical Mental Health Counselor Associate, MA, LCMHCA, NCC
Verified Verified
1 Endorsed
Fuquay Varina, NC 27526  (Online Only)
It can be so painful to feel as if you are not truly seen or understood. You want to feel deep connection in your relationship, and you want to thrive in it as your authentic self, but conflict ends up unraveling all of that. Instead, you find yourself feeling disconnected, frustrated, confused, and alone. When arguments happen, it can be so difficult to put into words what is happening for you in the moment, and the disconnection feels overwhelming. Not only do you want to find healing and meaningful connection in your relationship, but you also want to come alive as a vital part in it.
It can be so painful to feel as if you are not truly seen or understood. You want to feel deep connection in your relationship, and you want to thrive in it as your authentic self, but conflict ends up unraveling all of that. Instead, you find yourself feeling disconnected, frustrated, confused, and alone. When arguments happen, it can be so difficult to put into words what is happening for you in the moment, and the disconnection feels overwhelming. Not only do you want to find healing and meaningful connection in your relationship, but you also want to come alive as a vital part in it.
(919) 750-0282 View (919) 750-0282
Photo of Savannah Lorraine Swartout, LCMHC-A, MA, Counselor
Savannah Lorraine Swartout
Counselor, LCMHC-A, MA
Verified Verified
1 Endorsed
Fuquay Varina, NC 27526
By integrating a strengths-based approach to counseling, I focus on clients ingrained power and how they can use personal attributes to live a life that this authentic to their own self-imposed values. By using humor & creating a warm non-judgmental environment I embrace each client’s unique needs with enthusiasm and determination. My passion is to help women & those in the LGBTQIA+ community reclaim their identities, find their voices, and learn how to harness their inner power in an uplifting and therapeutic manner. All are welcome here!
By integrating a strengths-based approach to counseling, I focus on clients ingrained power and how they can use personal attributes to live a life that this authentic to their own self-imposed values. By using humor & creating a warm non-judgmental environment I embrace each client’s unique needs with enthusiasm and determination. My passion is to help women & those in the LGBTQIA+ community reclaim their identities, find their voices, and learn how to harness their inner power in an uplifting and therapeutic manner. All are welcome here!
(919) 752-4307 View (919) 752-4307
Photo of Michelle Farrar, LCSW, Clinical Social Work/Therapist
Michelle Farrar
Clinical Social Work/Therapist, LCSW
Verified Verified
Fuquay Varina, NC 27526
I am a Licensed Clinical Social Worker with more than 20 years of experience in the field of mental health. I have worked with children, adolescents and adults providing outpatient therapy and co-parenting counseling. I have extensive experience working with families undergoing divorce and custody issues and the challenges that accompany this, for both parents and children.
I am a Licensed Clinical Social Worker with more than 20 years of experience in the field of mental health. I have worked with children, adolescents and adults providing outpatient therapy and co-parenting counseling. I have extensive experience working with families undergoing divorce and custody issues and the challenges that accompany this, for both parents and children.
(919) 328-3988 View (919) 328-3988
Photo of Adeyosola Bass - SPA Philanthropy, LCSW, Clinical Social Work/Therapist
SPA Philanthropy
Clinical Social Work/Therapist, LCSW
Verified Verified
Fuquay Varina, NC 27526  (Online Only)
At SPA, we’re here to help you overcome your mental health barriers and achieve the best possible outcome. Whether you’re dealing with depression, anxiety, addiction, adhd, or simply need someone to talk to, our licensed and experienced mental health therapists are here to support you on your journey. Let us help you navigate all of your mental health needs with a customized care plan that’s tailored just for you. You can book with me via my website in my profile.
At SPA, we’re here to help you overcome your mental health barriers and achieve the best possible outcome. Whether you’re dealing with depression, anxiety, addiction, adhd, or simply need someone to talk to, our licensed and experienced mental health therapists are here to support you on your journey. Let us help you navigate all of your mental health needs with a customized care plan that’s tailored just for you. You can book with me via my website in my profile.
(984) 230-4291 View (984) 230-4291
Photo of Regina Williams Gould - Regina Williams Counseling and Education Services, MA, LCMHC, Licensed Professional Counselor
Regina Williams Counseling and Education Services
Licensed Professional Counselor, MA, LCMHC
Verified Verified
Fuquay Varina, NC 27526  (Online Only)
When you encounter inevitable obstacles in life, I believe all the answers are within you and they can be discovered through counseling. It is a process, not a quick fix, which emphasizes personal and social growth. We will work together to develop insight, make changes in thought patterns, and set realistic goals so that you will experience the benefits of that process. I have spent my career empowering children, adolescents, and adults to overcome a variety of personal obstacles such as self-esteem, ADHD, stress, anxiety or grief.
When you encounter inevitable obstacles in life, I believe all the answers are within you and they can be discovered through counseling. It is a process, not a quick fix, which emphasizes personal and social growth. We will work together to develop insight, make changes in thought patterns, and set realistic goals so that you will experience the benefits of that process. I have spent my career empowering children, adolescents, and adults to overcome a variety of personal obstacles such as self-esteem, ADHD, stress, anxiety or grief.
(919) 551-6905 View (919) 551-6905
Photo of April Clark, MSW, LCSW, Clinical Social Work/Therapist
April Clark
Clinical Social Work/Therapist, MSW, LCSW
Verified Verified
Fuquay Varina, NC 27526  (Online Only)
I believe your emotional wellbeing is essential in guiding you to a fulfilling life. I am here to help you create that life. I give a lot of time to developing relationships with my clients and helping them learn effective coping skills to manage life stressors. People are forever evolving and capable of making positive changes to fulfill their desired level of functioning. I enjoy helping people of all ages reach their potential. My therapeutic secret is no judgement. I accept you as you are. My guidance is based on your goals.
I believe your emotional wellbeing is essential in guiding you to a fulfilling life. I am here to help you create that life. I give a lot of time to developing relationships with my clients and helping them learn effective coping skills to manage life stressors. People are forever evolving and capable of making positive changes to fulfill their desired level of functioning. I enjoy helping people of all ages reach their potential. My therapeutic secret is no judgement. I accept you as you are. My guidance is based on your goals.
(336) 536-6611 View (336) 536-6611
Photo of Sarah Riley - Willow Creek Counseling Assoc, PLLC, MSW, LCSWA, Licensed Professional Counselor
Willow Creek Counseling Assoc, PLLC
Licensed Professional Counselor, MSW, LCSWA
Verified Verified
Fuquay Varina, NC 27526
We provide comprehensive counseling services for individuals of all ages, from children and teens to adults, as well as specialized marriage and family therapy. Our diverse clients, both individuals and families, seek compassionate, holistic counseling for issues like academics, emotions, stress, and relationships. They desire an empathetic, supportive environment to foster positive change, better relationships, and emotional well-being. Valuing our expert providers and evidence-based therapies, they seek self-discovery and a fulfilling life in a warm, understanding space, making us their choice for top-notch care.
We provide comprehensive counseling services for individuals of all ages, from children and teens to adults, as well as specialized marriage and family therapy. Our diverse clients, both individuals and families, seek compassionate, holistic counseling for issues like academics, emotions, stress, and relationships. They desire an empathetic, supportive environment to foster positive change, better relationships, and emotional well-being. Valuing our expert providers and evidence-based therapies, they seek self-discovery and a fulfilling life in a warm, understanding space, making us their choice for top-notch care.
(919) 351-8043 View (919) 351-8043
Photo of Alicia Peton - Phoenix Partners NC, PLLC, LCMHC, LCAS, QS
Phoenix Partners NC, PLLC
Licensed CLinical Mental Health Counselor, LCMHC, LCAS, QS
Verified Verified
Fuquay Varina, NC 27526
Need evenings, teletherapy or In-Office? TXT 833.749.4584 for an appointment at your convenience as the first step on your way to emotional health and wellness. Whether it’s relationship issues, work stress, quarantine & Zoom overload, parenting, addictive behaviors, life transitioning, trauma or everyday life stresses causing depression & anxiety. You deserve so much more. Don’t go it alone...let’s partner through...together. Ready?
Need evenings, teletherapy or In-Office? TXT 833.749.4584 for an appointment at your convenience as the first step on your way to emotional health and wellness. Whether it’s relationship issues, work stress, quarantine & Zoom overload, parenting, addictive behaviors, life transitioning, trauma or everyday life stresses causing depression & anxiety. You deserve so much more. Don’t go it alone...let’s partner through...together. Ready?
(984) 207-3237 View (984) 207-3237
Photo of Dr. Gregory Cheney - Valiant Couples Therapy and Consulting, PhD, LMFT, LCMHC, Marriage & Family Therapist
Valiant Couples Therapy and Consulting
Marriage & Family Therapist, PhD, LMFT, LCMHC
Verified Verified
1 Endorsed
Fuquay Varina, NC 27526
Are the arguments, misunderstanding, and hurt starting to become overwhelming? Struggling with communication or managing conflict? Have you tried to fix your relationship, but continue to feel misunderstood, frustrated, and disconnected? It may even feel like your relationship is moving in the wrong direction, or in a downward spiral. Considering separation or divorce? Perhaps the spark has left and feel more like roommates than lovers or disaster has struck with a major betrayal. You know something needs to change, and there is a better way to live! We help couples break through the barriers of disconnection in their relationship.
Are the arguments, misunderstanding, and hurt starting to become overwhelming? Struggling with communication or managing conflict? Have you tried to fix your relationship, but continue to feel misunderstood, frustrated, and disconnected? It may even feel like your relationship is moving in the wrong direction, or in a downward spiral. Considering separation or divorce? Perhaps the spark has left and feel more like roommates than lovers or disaster has struck with a major betrayal. You know something needs to change, and there is a better way to live! We help couples break through the barriers of disconnection in their relationship.
(984) 364-8572 View (984) 364-8572

How does your Therapist compare?

Number of Therapists in 27526

100+

Average cost per session

$135

Therapists in 27526 who prioritize treating:

96% Anxiety
89% Depression
82% Self Esteem
81% Coping Skills
76% Relationship Issues
69% Trauma and PTSD
66% Stress

Average years in practice

9 Years

Top 3 insurances accepted

92% BlueCross and BlueShield
78% Aetna
52% Cigna and Evernorth

How Therapists in 27526 see their clients

77% In Person and Online
23% Online Only

Gender breakdown

85% Female
15% Male
FAQs - About Therapy and Counseling

How can I find a therapist in 27526?

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.