Therapists in Cary, NC

Photo of Lina Roe - Peaceful Minds NC, LLC, LCSWA
Peaceful Minds NC, LLC
LCSW Associate , LCSWA
Verified Verified
3 Endorsed
Cary, NC 27519  (Online Only)
I, Lina Roe, have committed the last 27 years of my life to the mental health field working with adolescents and adults in a variety of settings. I provide quality care to enhance client’s life, make a difference and put a stop to negative debilitating thoughts. I provide a client centered approach; promoting an empathetic, safe and non-judgmental environment for clients to feel comfortable sharing their inner thoughts and feelings. One of the goals of therapy is to help clients achieve growth and relief from day-to-day struggles. I will assist clients in finding strengths within themselves by teaching positive coping skills & more.
I, Lina Roe, have committed the last 27 years of my life to the mental health field working with adolescents and adults in a variety of settings. I provide quality care to enhance client’s life, make a difference and put a stop to negative debilitating thoughts. I provide a client centered approach; promoting an empathetic, safe and non-judgmental environment for clients to feel comfortable sharing their inner thoughts and feelings. One of the goals of therapy is to help clients achieve growth and relief from day-to-day struggles. I will assist clients in finding strengths within themselves by teaching positive coping skills & more.
(336) 438-8076 View (336) 438-8076
Photo of Domonique Carter, EdD, LCMHC, QS, NCC
Domonique Carter
Licensed Clinical Mental Health Counselor, EdD, LCMHC, QS, NCC
Verified Verified
Cary, NC 27512  (Online Only)
Sometimes we find ourselves in a repetitive cycle and search for ways to get unstuck. It can be overwhelming and hard especially since there is no magic one size fits all solution. Sometimes we are faced with the stress of stigma that comes with these struggles and the many identities that we hold. This can leave us feeling like we have nowhere to turn and no one safe to connect with who understands. It can be hard to navigate that journey on your own. Allow me to be that safe and confidential resource that works with you to identify the tools and develop the skills to move towards progress and break the cycle.
Sometimes we find ourselves in a repetitive cycle and search for ways to get unstuck. It can be overwhelming and hard especially since there is no magic one size fits all solution. Sometimes we are faced with the stress of stigma that comes with these struggles and the many identities that we hold. This can leave us feeling like we have nowhere to turn and no one safe to connect with who understands. It can be hard to navigate that journey on your own. Allow me to be that safe and confidential resource that works with you to identify the tools and develop the skills to move towards progress and break the cycle.
(919) 351-6755 View (919) 351-6755
Photo of Lindley Reevy, MSW, LCSW-A
Lindley Reevy
LCSW Associate , MSW, LCSW-A
Verified Verified
1 Endorsed
Cary, NC 27511
Welcome! I am a Licensed Clinical Social Worker accepting new clients! I provide individual therapy services to children, adolescents, and adults. I enjoy getting to know my clients before diving into treatment options so I can tailor sessions to fit the client’s individual needs. I use approaches such as cognitive behavioral therapy, dialectical behavior therapy, motivational interviewing, strengths-based methods, solution focused therapy, mindfulness, creative outlets, and compassion. My professional background includes working with clients in an inpatient setting, community mental health, and individual counseling.
Welcome! I am a Licensed Clinical Social Worker accepting new clients! I provide individual therapy services to children, adolescents, and adults. I enjoy getting to know my clients before diving into treatment options so I can tailor sessions to fit the client’s individual needs. I use approaches such as cognitive behavioral therapy, dialectical behavior therapy, motivational interviewing, strengths-based methods, solution focused therapy, mindfulness, creative outlets, and compassion. My professional background includes working with clients in an inpatient setting, community mental health, and individual counseling.
(984) 214-8410 View (984) 214-8410
Photo of Erin Hopkins, MA, LMFT, Marriage & Family Therapist
Erin Hopkins
Marriage & Family Therapist, MA, LMFT
Verified Verified
5 Endorsed
Cary, NC 27513  (Online Only)
We all come across seasons where we need a push to start exploring, begin processing, and embrace changing. The therapy room is the perfect environment for those ground-breaking things to take place. I specialize in helping adults identify the parts of them that make them unique & help establish awareness into how that affects their everyday life. I also help individuals navigate the uncertainty of transition while developing confidence & resilience. I have experience working with stress, depression, anxiety, grief, trauma & life transitions as it affects one's ability to maintain focus, peace, & clarity in different life contexts.
We all come across seasons where we need a push to start exploring, begin processing, and embrace changing. The therapy room is the perfect environment for those ground-breaking things to take place. I specialize in helping adults identify the parts of them that make them unique & help establish awareness into how that affects their everyday life. I also help individuals navigate the uncertainty of transition while developing confidence & resilience. I have experience working with stress, depression, anxiety, grief, trauma & life transitions as it affects one's ability to maintain focus, peace, & clarity in different life contexts.
View
Photo of Emily Greenberg, MS, LCMHC, CRC, Licensed Professional Counselor
Emily Greenberg
Licensed Professional Counselor, MS, LCMHC, CRC
Verified Verified
Cary, NC 27511  (Online Only)
I am passionate about assisting adults in navigating complex challenges in their lives. I have experience working with individuals with depression and suicidal ideation, anxiety, trauma, stress, burnout, grief, and managing interpersonal relationships. Having worked with diverse populations, I understand that each individual’s therapy journey is unique. I value a strong therapeutic relationship built from mutual trust, and making sure you feel supported and understood. I strive to create a warm and welcoming space for you to be your true authentic self, and to build your best life that's worth living.
I am passionate about assisting adults in navigating complex challenges in their lives. I have experience working with individuals with depression and suicidal ideation, anxiety, trauma, stress, burnout, grief, and managing interpersonal relationships. Having worked with diverse populations, I understand that each individual’s therapy journey is unique. I value a strong therapeutic relationship built from mutual trust, and making sure you feel supported and understood. I strive to create a warm and welcoming space for you to be your true authentic self, and to build your best life that's worth living.
(984) 213-4158 View (984) 213-4158
Photo of Dr. Colleen Wentworth, PsyD, Psychologist
Dr. Colleen Wentworth
Psychologist, PsyD
Verified Verified
Cary, NC 27513
Not accepting new clients
As a Licensed Psychologist in North Carolina and New Hampshire, I focus on providing individual psychotherapy and psychological/educational assessment. I work with those from 18 + who struggle with a variety of life challenges and issues. I am a Certified ADHD Clinical Services Specialist and Certified as an Addictions-Informed Mental Health Professional. I use an integrative treatment approach that is client-focused and flexible, incorporating elements of mindfulness-based, insight-oriented and skills-based modalities to help guide clients toward their best self and to make positive life changes.
As a Licensed Psychologist in North Carolina and New Hampshire, I focus on providing individual psychotherapy and psychological/educational assessment. I work with those from 18 + who struggle with a variety of life challenges and issues. I am a Certified ADHD Clinical Services Specialist and Certified as an Addictions-Informed Mental Health Professional. I use an integrative treatment approach that is client-focused and flexible, incorporating elements of mindfulness-based, insight-oriented and skills-based modalities to help guide clients toward their best self and to make positive life changes.
(984) 230-4166 View (984) 230-4166
Photo of Maria Hinckley, LCSW, Clinical Social Work/Therapist
Maria Hinckley
Clinical Social Work/Therapist, LCSW
Verified Verified
1 Endorsed
Cary, NC 27513
In today's fast-paced and demanding world, finding inner strength is essential for women to navigate the challenges they face daily. Koru Counseling Services is a holistic practice that empowers women to discover their inner strength and overcome obstacles in their lives. In therapy, women gain invaluable insights into their emotions, behaviors, and thought patterns. This deep self-awareness enables them to cultivate resilience, develop better coping mechanisms, and build a strong foundation for a fulfilling and meaningful life.
In today's fast-paced and demanding world, finding inner strength is essential for women to navigate the challenges they face daily. Koru Counseling Services is a holistic practice that empowers women to discover their inner strength and overcome obstacles in their lives. In therapy, women gain invaluable insights into their emotions, behaviors, and thought patterns. This deep self-awareness enables them to cultivate resilience, develop better coping mechanisms, and build a strong foundation for a fulfilling and meaningful life.
(919) 551-6458 View (919) 551-6458
Photo of Adam Carlson, LCSW, LCASA, Clinical Social Work/Therapist
Adam Carlson
Clinical Social Work/Therapist, LCSW, LCASA
Verified Verified
1 Endorsed
Cary, NC 27519  (Online Only)
I am a neurodivergent therapist and my neurotype, ADHD, informs my therapy style. I'll follow you down those rabbit holes and tangents, reign it in when necessary, and keep an eye out for connections and common themes related to your goals for therapy. I'm all about personal agency and autonomy. I believe YOU have the answers and solutions inside you already, it's just a matter of finding them!
I am a neurodivergent therapist and my neurotype, ADHD, informs my therapy style. I'll follow you down those rabbit holes and tangents, reign it in when necessary, and keep an eye out for connections and common themes related to your goals for therapy. I'm all about personal agency and autonomy. I believe YOU have the answers and solutions inside you already, it's just a matter of finding them!
(252) 512-4407 View (252) 512-4407
Photo of Leslye Herrera, MSW, LCSW-A
Leslye Herrera
LCSW Associate, MSW, LCSW-A
Verified Verified
1 Endorsed
Cary, NC 27513
Welcome! Taking the first step toward therapy is a courageous decision, and I'm here to support you every step of the way. I work with children, teens, and young adults, and adults facing a variety of challenges, including anxiety, depression, stress, and substance use concerns. With a compassionate and personalized approach, I'll help you uncover your strengths and build resilience.
Welcome! Taking the first step toward therapy is a courageous decision, and I'm here to support you every step of the way. I work with children, teens, and young adults, and adults facing a variety of challenges, including anxiety, depression, stress, and substance use concerns. With a compassionate and personalized approach, I'll help you uncover your strengths and build resilience.
(984) 203-7807 View (984) 203-7807
Photo of Tammie Ducre Moore, PhD, HSP-P, Psychologist
Tammie Ducre Moore
Psychologist, PhD, HSP-P
Verified Verified
Cary, NC 27518
Dr. Tammie Ducre' Moore is a licensed clinical psychologist & North Carolina Board Certified Health Services Provider. She is the Founder and CEO of Western Wake Counseling & Psychological Services, PLLC in Cary, NC. In her private practice, she treats individuals, couples, and families, helping them to clarify their feelings, develop goals, and to create a plan of action to achieve those goals.
Dr. Tammie Ducre' Moore is a licensed clinical psychologist & North Carolina Board Certified Health Services Provider. She is the Founder and CEO of Western Wake Counseling & Psychological Services, PLLC in Cary, NC. In her private practice, she treats individuals, couples, and families, helping them to clarify their feelings, develop goals, and to create a plan of action to achieve those goals.
(919) 375-3556 View (919) 375-3556
Photo of Connie Connelly, MEd, LCMHC, Counselor
Connie Connelly
Counselor, MEd, LCMHC
Verified Verified
2 Endorsed
Cary, NC 27511
Embarking on a therapeutic journey takes an immense amount of courage and conviction. Together, we'll create a nurturing environment where you can explore your world, develop coping strategies, and unlock your inner strength. My goal is to guide you towards a place of resilience, balance, and lasting happiness.
Embarking on a therapeutic journey takes an immense amount of courage and conviction. Together, we'll create a nurturing environment where you can explore your world, develop coping strategies, and unlock your inner strength. My goal is to guide you towards a place of resilience, balance, and lasting happiness.
(984) 203-7548 View (984) 203-7548
Photo of Gabriella Ansah, MSW, LCSWA, Clinical Social Work/Therapist
Gabriella Ansah
Clinical Social Work/Therapist, MSW, LCSWA
Verified Verified
Cary, NC 27511
The aim of my work is to help you draft and refine the narrative of your life, identify core values and beliefs, and look for ways to apply those values to strengthen your sense of self. Some of these narratives may include experiences of depression, anxiety, trauma, life transitions, and relationship issues. As a therapist, I employ warmth, humor, and softness to create a space where you can identify and bring down the barriers keeping you from who you want to be. As a social worker, I wish to meet you where you are, then walk alongside you down your preferred path, simply helping with forks in the road.
The aim of my work is to help you draft and refine the narrative of your life, identify core values and beliefs, and look for ways to apply those values to strengthen your sense of self. Some of these narratives may include experiences of depression, anxiety, trauma, life transitions, and relationship issues. As a therapist, I employ warmth, humor, and softness to create a space where you can identify and bring down the barriers keeping you from who you want to be. As a social worker, I wish to meet you where you are, then walk alongside you down your preferred path, simply helping with forks in the road.
(919) 364-5045 View (919) 364-5045
Photo of Kaitlyn Davie, LCSWA
Kaitlyn Davie
LCSW Associate, LCSWA
Verified Verified
Cary, NC 27519
Choosing to start therapy can be an overwhelming and daunting task. I am happy that you are here and have taken this step. I take pride in creating a therapeutic space that is unique to each individual with warmth, empathy, trust and transparency. I am a Licensed Clinical Social Worker Associate that has worked with children, teens, and adults. Before transitioning to private practice and over the past six years, my experience has been in community mental health, inpatient care.
Choosing to start therapy can be an overwhelming and daunting task. I am happy that you are here and have taken this step. I take pride in creating a therapeutic space that is unique to each individual with warmth, empathy, trust and transparency. I am a Licensed Clinical Social Worker Associate that has worked with children, teens, and adults. Before transitioning to private practice and over the past six years, my experience has been in community mental health, inpatient care.
(984) 384-4935 View (984) 384-4935
Photo of Quintosha Cox, MA, LCMHC, Licensed Professional Counselor
Quintosha Cox
Licensed Professional Counselor, MA, LCMHC
Verified Verified
1 Endorsed
Cary, NC 27519  (Online Only)
Not accepting new clients
Life can feel overwhelming at times! It comes hard, quick, unsolicited, and is indiscriminate. Am I doing enough? Am I good enough? What’s next? You may feel as though you want to seek refuge by hiding in your office away from others or perhaps in the bathroom away from family. Your plate is overflowing and trying to balance it all can be a challenge. You are barely getting by, haunted by mistakes and events of the past. Your relationships are suffering, and your concept of self is dwindling. You wish you could find balance and take care of self, all while being an amazing parent, child, spouse, or coworker, etc.
Life can feel overwhelming at times! It comes hard, quick, unsolicited, and is indiscriminate. Am I doing enough? Am I good enough? What’s next? You may feel as though you want to seek refuge by hiding in your office away from others or perhaps in the bathroom away from family. Your plate is overflowing and trying to balance it all can be a challenge. You are barely getting by, haunted by mistakes and events of the past. Your relationships are suffering, and your concept of self is dwindling. You wish you could find balance and take care of self, all while being an amazing parent, child, spouse, or coworker, etc.
(704) 912-0751 View (704) 912-0751
Photo of Johanna Sozio, MA, LCMHC, Licensed Professional Counselor
Johanna Sozio
Licensed Professional Counselor, MA, LCMHC
Verified Verified
6 Endorsed
Cary, NC 27518
Are you feeling overwhelmed, anxious, and burnt out? Even the strongest of people need help to get through the struggles that life throws our way. On the outside, everything seems fine but you're left feeling overwhelmed as if it's never "enough." Others around you seem happier, more put together, and more satisfied. If this speaks to you and you are experiencing burnout in your career, home and family life, and overall satisfaction, know you are not alone!
Are you feeling overwhelmed, anxious, and burnt out? Even the strongest of people need help to get through the struggles that life throws our way. On the outside, everything seems fine but you're left feeling overwhelmed as if it's never "enough." Others around you seem happier, more put together, and more satisfied. If this speaks to you and you are experiencing burnout in your career, home and family life, and overall satisfaction, know you are not alone!
(984) 249-3724 View (984) 249-3724
Photo of Christina Collins, LCMHC
Christina Collins
Licensed Clinical Mental Health Counselor, LCMHC
Verified Verified
Cary, NC 27519
Christina is a LCMHC and has been practicing since 2009. She serves adults presenting with a variety of concerns, including anxiety, grief, depression, adjustment, life and career direction, and relationship issues. Additionally, she has experience servicing those undergoing physical health challenges, including cancer, and journeying with them through grief and adjustment.
Christina is a LCMHC and has been practicing since 2009. She serves adults presenting with a variety of concerns, including anxiety, grief, depression, adjustment, life and career direction, and relationship issues. Additionally, she has experience servicing those undergoing physical health challenges, including cancer, and journeying with them through grief and adjustment.
(605) 574-1098 View (605) 574-1098
Photo of Chloe Villazor, LCSWA, Clinical Social Work/Therapist
Chloe Villazor
Clinical Social Work/Therapist, LCSWA
Verified Verified
2 Endorsed
Cary, NC 27518
My ideal client spans children, adolescents, young adults, and adults dealing with emotional challenges like anxiety, depression, or social difficulties. Children often need safe, creative outlets like play therapy, sand tray, and art therapy to express emotions, improve self-confidence, and build social skills. Young adults and adults seek emotional stability, better coping mechanisms, and stronger relationships.
My ideal client spans children, adolescents, young adults, and adults dealing with emotional challenges like anxiety, depression, or social difficulties. Children often need safe, creative outlets like play therapy, sand tray, and art therapy to express emotions, improve self-confidence, and build social skills. Young adults and adults seek emotional stability, better coping mechanisms, and stronger relationships.
(919) 893-9444 x549 View (919) 893-9444 x549
Photo of Jason Mills, LMHC, Counselor
Jason Mills
Counselor, LMHC
Verified Verified
Cary, NC 27518
This is Jason Mills but feel free to call him Jase. He has been serving Lewis, Thurston and Mason counties for the last 5 years. He has a BA from the University of West Georgia and Walden University a Master of Science in Mental Health Counseling. He has worked with multiple ages and populations in a variety of diagnoses. He has an integrated counseling approach and meets everybody where they are at in their lives. He believes in the wholeness of the person and things in our life breaks the balance in our biopsychosocial model. He is mostly seeing clients in person at the Cary office.
This is Jason Mills but feel free to call him Jase. He has been serving Lewis, Thurston and Mason counties for the last 5 years. He has a BA from the University of West Georgia and Walden University a Master of Science in Mental Health Counseling. He has worked with multiple ages and populations in a variety of diagnoses. He has an integrated counseling approach and meets everybody where they are at in their lives. He believes in the wholeness of the person and things in our life breaks the balance in our biopsychosocial model. He is mostly seeing clients in person at the Cary office.
(360) 583-4588 View (360) 583-4588
Photo of Claire Wilson, LCSWA, LCASA, MSW, Clinical Social Work/Therapist
Claire Wilson
Clinical Social Work/Therapist, LCSWA, LCASA, MSW
Verified Verified
1 Endorsed
Cary, NC 27511
Not sure what to do? Im here to help! I specialize in co-occurring disorders, with a special focus on clients struggling with mental health, substance abuse and other forms of addiction. I respect and value the uniqueness of each client, and believe in creating a space where all individuals feel safe to be their authentic self. I have experience working with anxiety, OCD, personality disorders, PTSD, depression, autism, ADHD, abuse, anger management, eating disorders, suicidal ideation, addiction, substance misuse, relapse, recovery, cravings and more.
Not sure what to do? Im here to help! I specialize in co-occurring disorders, with a special focus on clients struggling with mental health, substance abuse and other forms of addiction. I respect and value the uniqueness of each client, and believe in creating a space where all individuals feel safe to be their authentic self. I have experience working with anxiety, OCD, personality disorders, PTSD, depression, autism, ADHD, abuse, anger management, eating disorders, suicidal ideation, addiction, substance misuse, relapse, recovery, cravings and more.
(984) 384-4351 View (984) 384-4351
Photo of Reagan Brown, LCMHCA, Counselor
Reagan Brown
Counselor, LCMHCA
Verified Verified
Cary, NC 27511  (Online Only)
The counseling relationship is most successful when it welcomes honesty, vulnerability and an environment that helps individuals feel safe and secure. I utilize a wide variety of theoretical approaches and modalities, dependent upon the needs of the client, to include Cognitive Behavior Therapy (CBT), Acceptance and Commitment Therapy (ACT), Internal Family Systems (IFS) and Person-centered therapy. I partner with my clients to determine the approach(es) that work best for them.
The counseling relationship is most successful when it welcomes honesty, vulnerability and an environment that helps individuals feel safe and secure. I utilize a wide variety of theoretical approaches and modalities, dependent upon the needs of the client, to include Cognitive Behavior Therapy (CBT), Acceptance and Commitment Therapy (ACT), Internal Family Systems (IFS) and Person-centered therapy. I partner with my clients to determine the approach(es) that work best for them.
(980) 809-4219 View (980) 809-4219
1
...

How does your Therapist compare?

Number of Therapists in Cary, NC

1,000+

Average cost per session

$148

Therapists in Cary, NC who prioritize treating:

92% Anxiety
87% Depression
76% Self Esteem
74% Relationship Issues
72% Coping Skills
68% Stress
63% Life Transitions

Average years in practice

10 Years

Top 3 insurances accepted

84% Aetna
84% BlueCross and BlueShield
56% Cigna and Evernorth

How Therapists in Cary, NC see their clients

69% In Person and Online
31% Online Only

Gender breakdown

83% Female
16% Male
1% Non-Binary
FAQs - About Therapy and Counseling

How can I find a therapist in Cary?

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.