Therapists in Burlington, NC

Photo of John Pharo, MSW, LCSW, Clinical Social Work/Therapist
John Pharo
Clinical Social Work/Therapist, MSW, LCSW
Verified Verified
Burlington, NC 27215
Not accepting new clients
My greatest pleasure is in seeing the people I work with grow, develop new skills, and make choices that bring more joy into their lives and into the lives of their families. I consult with parents to improve discipline and strengthen the parent-child relationship. I also specialize in working with adolescents who are trying to navigate the social and academic pressures that come with secondary school, often working with parents and their teens to foster better communication and trust.
My greatest pleasure is in seeing the people I work with grow, develop new skills, and make choices that bring more joy into their lives and into the lives of their families. I consult with parents to improve discipline and strengthen the parent-child relationship. I also specialize in working with adolescents who are trying to navigate the social and academic pressures that come with secondary school, often working with parents and their teens to foster better communication and trust.
(336) 899-7254 View (336) 899-7254
Photo of Patrick Shawn Murphy, MA, LCMHC
Patrick Shawn Murphy
Licensed Clinical Mental Health Counselor, MA, LCMHC
Verified Verified
1 Endorsed
Burlington, NC 27215
We all strive to find our way in a difficult world. Yet many people find themselves feeling alone and misunderstood. I specialize in helping people with depression, anxiety, substance abuse, and legal issues. I work primarily with adults and adolescents and am a Licensed Clinical Mental Health Counselor.
We all strive to find our way in a difficult world. Yet many people find themselves feeling alone and misunderstood. I specialize in helping people with depression, anxiety, substance abuse, and legal issues. I work primarily with adults and adolescents and am a Licensed Clinical Mental Health Counselor.
(336) 790-5259 View (336) 790-5259
Photo of Connie J Mitchell, LPC, LCMHC
Connie J Mitchell
Licensed Clinical Mental Health Counselor, LPC, LCMHC
Verified Verified
Burlington, NC 27215
Waitlist for new clients
My ideal client comes to me with a desire for personal growth and to increase self awareness. I believe that increased self awareness and a willingness to take personal responsibility for ones feelings, thoughts, and behaviors is the key to overcoming mental health issues of any kind. As well as, a necessary ingredient to healthy relationships with others.
My ideal client comes to me with a desire for personal growth and to increase self awareness. I believe that increased self awareness and a willingness to take personal responsibility for ones feelings, thoughts, and behaviors is the key to overcoming mental health issues of any kind. As well as, a necessary ingredient to healthy relationships with others.
(336) 360-0104 View (336) 360-0104
Photo of Karen Canada, LCMHCS, MS, Licensed Professional Counselor
Karen Canada
Licensed Professional Counselor, LCMHCS, MS
Verified Verified
Burlington, NC 27215
Stress, anxiety and other difficult emotions may be a normal part of life, but they don't have to be in the driver's seat on life's journey. Through my 25+ years of experience as a counselor and my personal experience of having to reclaim the driver's seat from debilitating anxiety/depression, I have learned the truth behind Marcel Proust's claim that "The voyage of discovery is not in seeking new landscapes but in having new eyes". It is my goal to help people gain new "eyes" through which to view current or past experiences.
Stress, anxiety and other difficult emotions may be a normal part of life, but they don't have to be in the driver's seat on life's journey. Through my 25+ years of experience as a counselor and my personal experience of having to reclaim the driver's seat from debilitating anxiety/depression, I have learned the truth behind Marcel Proust's claim that "The voyage of discovery is not in seeking new landscapes but in having new eyes". It is my goal to help people gain new "eyes" through which to view current or past experiences.
(336) 505-4554 View (336) 505-4554
Photo of Katie Chrisco, LCMHC-A, Counselor
Katie Chrisco
Counselor, LCMHC-A
Verified Verified
1 Endorsed
Burlington, NC 27215
I'd like to begin by acknowledging the strength it takes to seek support, and I am honored to accompany you on this journey. As a counselor with Wildflower Therapy Group, a virtual practice specializing in holistic trauma therapy for women, I consider all aspects of your well-being—emotional, mental, physical, and spiritual. I believe that true healing and growth come from addressing the whole person, recognizing that each part of your life is interconnected and significant. My approach is rooted in the understanding that you are a unique individual with your own experiences, strengths, and potential for growth.
I'd like to begin by acknowledging the strength it takes to seek support, and I am honored to accompany you on this journey. As a counselor with Wildflower Therapy Group, a virtual practice specializing in holistic trauma therapy for women, I consider all aspects of your well-being—emotional, mental, physical, and spiritual. I believe that true healing and growth come from addressing the whole person, recognizing that each part of your life is interconnected and significant. My approach is rooted in the understanding that you are a unique individual with your own experiences, strengths, and potential for growth.
(336) 502-2444 View (336) 502-2444
Photo of Holly Gammon, MA, LMFT, Marriage & Family Therapist
Holly Gammon
Marriage & Family Therapist, MA, LMFT
Verified Verified
2 Endorsed
Burlington, NC 27215
Does being “Neurospicey” (Neurodivergent) get in the way of feeling connected with others, causing you to feel lonely and hopeless? Are you the caregiver for a child who is Neurodivergent and you feel lost because all the “normal” parenting rules no longer apply? Do you have a loved one who is part of the Neurodivergent community and you want to connect with them but can’t find the right words to say? Regardless of where in the dynamic you are - I’m here to help! I celebrate neurodiversity and am passionate about helping members of the ND community live and thrive in their lives.
Does being “Neurospicey” (Neurodivergent) get in the way of feeling connected with others, causing you to feel lonely and hopeless? Are you the caregiver for a child who is Neurodivergent and you feel lost because all the “normal” parenting rules no longer apply? Do you have a loved one who is part of the Neurodivergent community and you want to connect with them but can’t find the right words to say? Regardless of where in the dynamic you are - I’m here to help! I celebrate neurodiversity and am passionate about helping members of the ND community live and thrive in their lives.
(336) 490-9155 View (336) 490-9155
Photo of Amber Peterson, MSW, LCSW, Clinical Social Work/Therapist
Amber Peterson
Clinical Social Work/Therapist, MSW, LCSW
Verified Verified
1 Endorsed
Burlington, NC 27215
Are you experiencing feelings of anxiety, low mood, or would like someone to process your feelings with? Reaching out and asking for help can be difficult. I want to make that first step easier for you by providing nonjudgmental listening and support in a safe environment. Therapy should be an avenue for you to explore your strengths and learn more about yourself. You are the expert in your own life and I will collaborate with you to seek tools and strategies to cope. I believe in empowering those I work with to express their goals for treatment and explore how I can best support that individual as their therapist.
Are you experiencing feelings of anxiety, low mood, or would like someone to process your feelings with? Reaching out and asking for help can be difficult. I want to make that first step easier for you by providing nonjudgmental listening and support in a safe environment. Therapy should be an avenue for you to explore your strengths and learn more about yourself. You are the expert in your own life and I will collaborate with you to seek tools and strategies to cope. I believe in empowering those I work with to express their goals for treatment and explore how I can best support that individual as their therapist.
(336) 901-2998 View (336) 901-2998
Photo of Katherine K. Bannon, MSW, LCSWA, Clinical Social Work/Therapist
Katherine K. Bannon
Clinical Social Work/Therapist, MSW, LCSWA
Verified Verified
1 Endorsed
Burlington, NC 27215
Welcome to Reflections Psychotherapy & Counseling, PLLC. I am a compassionate and dedicated psychotherapist who specializes in trauma-informed therapy. My focus includes helping individuals experiencing PTSD, depression, anxiety, substance use disorder, relationship issues, and other mental health challenges. As a Brainspotting practitioner, I will guide you in a safe and encouraging space to explore past trauma and work through issues that have been holding you back from living life on your terms and as your true, authentic self.
Welcome to Reflections Psychotherapy & Counseling, PLLC. I am a compassionate and dedicated psychotherapist who specializes in trauma-informed therapy. My focus includes helping individuals experiencing PTSD, depression, anxiety, substance use disorder, relationship issues, and other mental health challenges. As a Brainspotting practitioner, I will guide you in a safe and encouraging space to explore past trauma and work through issues that have been holding you back from living life on your terms and as your true, authentic self.
(336) 810-1583 View (336) 810-1583
Photo of Dorenza Frederick, MS, LCMHCA, NCC
Dorenza Frederick
Lic Clinical Mental Health Counselor Associate, MS, LCMHCA, NCC
Verified Verified
1 Endorsed
Burlington, NC 27215  (Online Only)
Change can be really tough. I work with clients to co-create a safe space while navigating life's many transitions. Culturally sensitive care is at the forefront of my work, and I enjoy connecting with communities of color, first-generation college students and hold space for the intersection of various identities. I believe therapy should be a place where you can show up unapologetically! You don't have to heal in isolation!
Change can be really tough. I work with clients to co-create a safe space while navigating life's many transitions. Culturally sensitive care is at the forefront of my work, and I enjoy connecting with communities of color, first-generation college students and hold space for the intersection of various identities. I believe therapy should be a place where you can show up unapologetically! You don't have to heal in isolation!
(336) 586-5094 View (336) 586-5094
Photo of Rebecca Sanders, MS, LCMHC
Rebecca Sanders
Licensed Clinical Mental Health Counselor, MS, LCMHC
Verified Verified
1 Endorsed
Burlington, NC 27215
Hi! It’s great to have you here as you choose to seek therapy to enrich your life. With a listening ear and no judgment, you will feel heard, encouraged, and supported throughout your journey. I view therapy as a progressive journey one has throughout life as we continuously change. Tailored to your individual needs, I will partner with you to work through challenges to achieve your goals. 3 C’s Fun fact: Each day, you have the chance to make a choice to engage in change for a happier, healthier you.
Hi! It’s great to have you here as you choose to seek therapy to enrich your life. With a listening ear and no judgment, you will feel heard, encouraged, and supported throughout your journey. I view therapy as a progressive journey one has throughout life as we continuously change. Tailored to your individual needs, I will partner with you to work through challenges to achieve your goals. 3 C’s Fun fact: Each day, you have the chance to make a choice to engage in change for a happier, healthier you.
(336) 962-7971 View (336) 962-7971
Photo of Madelyn Harvey - Grace Counseling and Wellness, PhD, LCMHC
Grace Counseling and Wellness
Licensed Clinical Mental Health Counselor, PhD, LCMHC
Verified Verified
1 Endorsed
Burlington, NC 27215  (Online Only)
Are you experiencing past or recent trauma that is causing anxiety and/or depression? If you are considering talking with a therapist and want to talk to someone who listens attentively, who is non-judgmental, and who is empathetic, I am that person. There are many people in our society who have experienced trauma. Learning how to cope and heal requires skills and techniques from a qualified mental health professional. My goal is to assist clients with developing new perspectives on their lives and fostering change so that they can live a much more fulfilling life.
Are you experiencing past or recent trauma that is causing anxiety and/or depression? If you are considering talking with a therapist and want to talk to someone who listens attentively, who is non-judgmental, and who is empathetic, I am that person. There are many people in our society who have experienced trauma. Learning how to cope and heal requires skills and techniques from a qualified mental health professional. My goal is to assist clients with developing new perspectives on their lives and fostering change so that they can live a much more fulfilling life.
(336) 439-1530 View (336) 439-1530
Photo of Julia Tabor, MA, LCMHC
Julia Tabor
Licensed Clinical Mental Health Counselor, MA, LCMHC
Verified Verified
4 Endorsed
Burlington, NC 27215
Waitlist for new clients
Welcome ! I am a Licensed Clinical Mental Health Therapist, Licensed School Counselor and co-owner of Reclaim Counseling and Wellness. Before establishing Reclaim Counseling and Wellness, my background included work in school-based counseling and private practice. My professional journey has allowed me the privilege of seeing firsthand the impact and healing that can occur when individuals are given a safe and welcoming place to heal. I have a compassionate care approach and believe in the power of understanding, empathy, faith and connection to help individuals reclaim their lives from mental health challenges.
Welcome ! I am a Licensed Clinical Mental Health Therapist, Licensed School Counselor and co-owner of Reclaim Counseling and Wellness. Before establishing Reclaim Counseling and Wellness, my background included work in school-based counseling and private practice. My professional journey has allowed me the privilege of seeing firsthand the impact and healing that can occur when individuals are given a safe and welcoming place to heal. I have a compassionate care approach and believe in the power of understanding, empathy, faith and connection to help individuals reclaim their lives from mental health challenges.
(336) 939-6940 View (336) 939-6940
Photo of Tammy Vaughan - GracePoint Recovery Services, LLC, LCASA, LCSWA, Clinical Social Work/Therapist
GracePoint Recovery Services, LLC
Clinical Social Work/Therapist, LCASA, LCSWA
Verified Verified
Burlington, NC 27215
Therapy can often feel like unfamiliar territory even when we know we need help. I provide a calm, safe, judgment-free zone. I meet the client where they are. I believe that what we think and feel can affect our everyday lives. In addition to that, our physical and spiritual wellbeing can also affect our mental health. Whether this is your first time in therapy or you’re familiar with the process, I’m here to take that leap of faith with you!
Therapy can often feel like unfamiliar territory even when we know we need help. I provide a calm, safe, judgment-free zone. I meet the client where they are. I believe that what we think and feel can affect our everyday lives. In addition to that, our physical and spiritual wellbeing can also affect our mental health. Whether this is your first time in therapy or you’re familiar with the process, I’m here to take that leap of faith with you!
(336) 489-4037 View (336) 489-4037
Photo of Benita Lewis, PhD, LCMHC, NCC
Benita Lewis
Licensed Clinical Mental Health Counselor, PhD, LCMHC, NCC
Verified Verified
1 Endorsed
Burlington, NC 27215
I want each individual I meet in counseling to live their lives with intention. Making empowered choices (not perfect choices) about their lives, the quality of their lives, as well as how they envision themselves in the future.
I want each individual I meet in counseling to live their lives with intention. Making empowered choices (not perfect choices) about their lives, the quality of their lives, as well as how they envision themselves in the future.
(336) 444-6978 View (336) 444-6978
Photo of Samantha Dunn - Samantha Dunn, PLLC, LCSW, Clinical Social Work/Therapist
Samantha Dunn, PLLC
Clinical Social Work/Therapist, LCSW
Verified Verified
1 Endorsed
Burlington, NC 27215  (Online Only)
Parenting has been challenging for a while now. Your child has become defiant, disrespectful, and seems to have anger outbursts most days of the week. You’ve read countless self-help tips on managing your child’s behavior- time outs, rewards, punishments, spankings. These things worked for a couple of weeks, but there have been no long-term results from any of them. You always end up back at square one. Although, you don’t want to admit it, you’ve begun to dislike your child. You feel desperate for a change in your child’s behavior. You also feel hopeless that a change is possible. Is this what parenting is supposed to be like?
Parenting has been challenging for a while now. Your child has become defiant, disrespectful, and seems to have anger outbursts most days of the week. You’ve read countless self-help tips on managing your child’s behavior- time outs, rewards, punishments, spankings. These things worked for a couple of weeks, but there have been no long-term results from any of them. You always end up back at square one. Although, you don’t want to admit it, you’ve begun to dislike your child. You feel desperate for a change in your child’s behavior. You also feel hopeless that a change is possible. Is this what parenting is supposed to be like?
(336) 585-7920 View (336) 585-7920
Photo of Elbisa Lindov, MA, LCMHCA, NCC, Counselor
Elbisa Lindov
Counselor, MA, LCMHCA, NCC
Verified Verified
Burlington, NC 27215
When it comes to counseling one of the most courageous actions one may take is moving forward towards growth, healing, and acceptance of one's life challenges. I believe that therapy is where one may be able to flourish and create a new path towards achieving life goals. Whether the struggles are currently present or have occurred in the past it is the current movement and strength that will ultimately create a new chapter towards positivity and growth. If given the opportunity to work with you as your counselor I believe that you are the expert in your life. I am here to provide the support you may need within your journey.
When it comes to counseling one of the most courageous actions one may take is moving forward towards growth, healing, and acceptance of one's life challenges. I believe that therapy is where one may be able to flourish and create a new path towards achieving life goals. Whether the struggles are currently present or have occurred in the past it is the current movement and strength that will ultimately create a new chapter towards positivity and growth. If given the opportunity to work with you as your counselor I believe that you are the expert in your life. I am here to provide the support you may need within your journey.
(336) 800-3432 x9 View (336) 800-3432 x9
Photo of Dianna Wagoner, MA, LCMHCA, NCC, Counselor
Dianna Wagoner
Counselor, MA, LCMHCA, NCC
Verified Verified
Burlington, NC 27215
Welcome to the serene and supportive space where your journey towards self-improvement and wellness is honored and nurtured. Dianna maintains an impartial perspective, welcoming all clients with an open heart and mind. She creates a space where clients feel safe to express themselves without fear of judgment. While Dianna actively listens to understand your experiences, she also gently challenges you to explore new perspectives, facilitating deeper insight and growth. With Dianna as your guide you can better understand yourself, develop new coping strategies, and have a supportive environment to process life's ups and downs.
Welcome to the serene and supportive space where your journey towards self-improvement and wellness is honored and nurtured. Dianna maintains an impartial perspective, welcoming all clients with an open heart and mind. She creates a space where clients feel safe to express themselves without fear of judgment. While Dianna actively listens to understand your experiences, she also gently challenges you to explore new perspectives, facilitating deeper insight and growth. With Dianna as your guide you can better understand yourself, develop new coping strategies, and have a supportive environment to process life's ups and downs.
(336) 800-2588 View (336) 800-2588
Photo of Whitney McDonald, BSW, MSW, LCSWA, Clinical Social Work/Therapist
Whitney McDonald
Clinical Social Work/Therapist, BSW, MSW, LCSWA
Verified Verified
Burlington, NC 27215
Welcome to my practice! I'm Whitney, a Licensed Clinical Social Worker dedicated to supporting individuals on their journey towards mental and emotional well-being. With of experience in the field, I bring a compassionate and non-judgmental approach to therapy. My therapeutic style is rooted in evidence-based practices, tailored to each client's unique needs and goals. Together, we'll uncover insights, develop coping strategies, and foster resilience, empowering you to lead a more fulfilling and balanced life. It takes courage to seek support, and I commend you for taking this important step towards your well-being.
Welcome to my practice! I'm Whitney, a Licensed Clinical Social Worker dedicated to supporting individuals on their journey towards mental and emotional well-being. With of experience in the field, I bring a compassionate and non-judgmental approach to therapy. My therapeutic style is rooted in evidence-based practices, tailored to each client's unique needs and goals. Together, we'll uncover insights, develop coping strategies, and foster resilience, empowering you to lead a more fulfilling and balanced life. It takes courage to seek support, and I commend you for taking this important step towards your well-being.
(336) 490-5474 View (336) 490-5474
Photo of Amber Doby, MSW, LCSWA, Clinical Social Work/Therapist
Amber Doby
Clinical Social Work/Therapist, MSW, LCSWA
Verified Verified
1 Endorsed
Burlington, NC 27215
Could your child or teen be happier? Are they struggling with self-worth, school achievement, peer relationships, depression, anxiety, or ADHD? Has the amount of time they use technology such as video gaming or social media become problematic? Life can be challenging, and most of us need help at one time or another. My passion is helping children and their families overcome barriers by empowering them with the skills and strategies to be the best they can be. I offer a safe place to process thoughts and feelings and be heard and understood.
Could your child or teen be happier? Are they struggling with self-worth, school achievement, peer relationships, depression, anxiety, or ADHD? Has the amount of time they use technology such as video gaming or social media become problematic? Life can be challenging, and most of us need help at one time or another. My passion is helping children and their families overcome barriers by empowering them with the skills and strategies to be the best they can be. I offer a safe place to process thoughts and feelings and be heard and understood.
(336) 331-5692 x6 View (336) 331-5692 x6
Photo of Molly Kerns, MA, LCMHCA, NCC, Counselor
Molly Kerns
Counselor, MA, LCMHCA, NCC
Verified Verified
Burlington, NC 27215
Waitlist for new clients
I believe in the power of individual healing and meeting my clients where they are through creativity, active listening, and reflection. Life can be difficult, but we are all equipped with the power to change and heal from the brutality of being a human in a flawed world. I strive to help you become the best version of yourself using an individual, patient, kind, but direct counseling style. I aim to help individuals build stronger relationships with themselves so they can build stronger communities and connections with others.
I believe in the power of individual healing and meeting my clients where they are through creativity, active listening, and reflection. Life can be difficult, but we are all equipped with the power to change and heal from the brutality of being a human in a flawed world. I strive to help you become the best version of yourself using an individual, patient, kind, but direct counseling style. I aim to help individuals build stronger relationships with themselves so they can build stronger communities and connections with others.
(336) 439-3930 View (336) 439-3930

How does your Therapist compare?

Number of Therapists in Burlington, NC

100+

Average cost per session

$125

Therapists in Burlington, NC who prioritize treating:

91% Anxiety
89% Depression
79% Self Esteem
76% Coping Skills
75% Trauma and PTSD
70% Relationship Issues
66% Stress

Average years in practice

10 Years

Top 3 insurances accepted

93% BlueCross and BlueShield
69% Aetna
55% Cigna and Evernorth

How Therapists in Burlington, NC see their clients

79% In Person and Online
21% Online Only

Gender breakdown

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

How can I find a therapist in Burlington?

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.