Therapists in Chapel Hill, NC

Photo of Julia Schoen Christy, Clinical Social Work/Therapist in Chapel Hill, NC
Julia Schoen Christy
Clinical Social Work/Therapist, MSW, LCSW
Verified Verified
Chapel Hill, NC 27514
Waitlist for new clients
Julia strives to employ a holistic approach in her work, focusing on considering the whole person both through the lens of individual experiences as well as the lens of social identities. Her clinical work is heavily influenced by feminist and social justice theories. She implements strategies from cognitive behavioral therapy and dialectical behavioral therapy in an effort to empower individuals to better understand, contextualize, and manage their symptoms and reduce stress.
Julia strives to employ a holistic approach in her work, focusing on considering the whole person both through the lens of individual experiences as well as the lens of social identities. Her clinical work is heavily influenced by feminist and social justice theories. She implements strategies from cognitive behavioral therapy and dialectical behavioral therapy in an effort to empower individuals to better understand, contextualize, and manage their symptoms and reduce stress.
(984) 464-4399 x4 View (984) 464-4399 x4
Photo of Robin Tovell-Toubal, Counselor in Chapel Hill, NC
Robin Tovell-Toubal
Counselor, MEd, LMHC, LCMHC
Verified Verified
1 Endorsed
Chapel Hill, NC 27516
Some people seek counseling for emotional issues such as anxiety and depression associated with problems in work, school or family life. Other people enter counseling to help them heal and cope with traumatic events that have taken place in their lives. Counseling works by giving you clarity, support and the courage to move forward in your life.
Some people seek counseling for emotional issues such as anxiety and depression associated with problems in work, school or family life. Other people enter counseling to help them heal and cope with traumatic events that have taken place in their lives. Counseling works by giving you clarity, support and the courage to move forward in your life.
(984) 364-8496 View (984) 364-8496
Photo of Kat Quinn, Clinical Social Work/Therapist in Chapel Hill, NC
Kat Quinn
Clinical Social Work/Therapist, MA, LCSW
Verified Verified
Chapel Hill, NC 27514  (Online Only)
Waitlist for new clients
As a licensed therapist, I will be there for you during each step of your healing and growth. I specialize in general mental health, life transitions, and trauma, as well as infertility, pregnancy loss, premenstrual disorders, and perinatal or postpartum experiences. It's time to come home to yourself, and I can help! Together we can focus on reducing symptoms of depression or anxiety, healing, creating healthy relationships, building new coping skills, and cultivating your best life - whatever that may be.
As a licensed therapist, I will be there for you during each step of your healing and growth. I specialize in general mental health, life transitions, and trauma, as well as infertility, pregnancy loss, premenstrual disorders, and perinatal or postpartum experiences. It's time to come home to yourself, and I can help! Together we can focus on reducing symptoms of depression or anxiety, healing, creating healthy relationships, building new coping skills, and cultivating your best life - whatever that may be.
(919) 551-7862 View (919) 551-7862
Photo of Elisa Klein, Clinical Social Work/Therapist in Chapel Hill, NC
Elisa Klein
Clinical Social Work/Therapist, MSW, MPH, LCSW
Verified Verified
Chapel Hill, NC 27517
Waitlist for new clients
As your therapist, I will utilize warmth, humor, and empathy to help you identify barriers to being your best self. Together, we will work on establishing goals and drafting a treatment plan that is unique to you, not just your diagnosis. My work is holistic in nature and mindfully tailored to you as an individual.
As your therapist, I will utilize warmth, humor, and empathy to help you identify barriers to being your best self. Together, we will work on establishing goals and drafting a treatment plan that is unique to you, not just your diagnosis. My work is holistic in nature and mindfully tailored to you as an individual.
(984) 202-8052 View (984) 202-8052
Photo of Christie Siegel Sobczak, Clinical Social Work/Therapist in Chapel Hill, NC
Christie Siegel Sobczak
Clinical Social Work/Therapist, MSW, LCSW
Verified Verified
Chapel Hill, NC 27514  (Online Only)
Not accepting new clients
I have over 30 years experience working with children, adolescents, adults and couples with complex issues and diagnoses to include: ADHD, Bipolar D/O, PTSD, depression, anxiety, complex relationships/family dynamics, family of orgin issues, grief/loss issues, abuse, trauma, identity development, self esteem issues, body image issues, intense emotions and addictions and the effects of addiction on family memebers. I work collaboratively to not only decrease uncomfotable symptoms, but also work toward resolving longstanding issues that prevent you from achieving your desires and goals for an authentic and fulfilling life.
I have over 30 years experience working with children, adolescents, adults and couples with complex issues and diagnoses to include: ADHD, Bipolar D/O, PTSD, depression, anxiety, complex relationships/family dynamics, family of orgin issues, grief/loss issues, abuse, trauma, identity development, self esteem issues, body image issues, intense emotions and addictions and the effects of addiction on family memebers. I work collaboratively to not only decrease uncomfotable symptoms, but also work toward resolving longstanding issues that prevent you from achieving your desires and goals for an authentic and fulfilling life.
(919) 439-6498 View (919) 439-6498
Photo of Taylor Starns, Clinical Social Work/Therapist in Chapel Hill, NC
Taylor Starns
Clinical Social Work/Therapist, MSW, LCSW
Verified Verified
Chapel Hill, NC 27514
Waitlist for new clients
As a Therapist, I believe that central to our success is a safe, supportive therapeutic relationship. I prioritize creating a safe relational space for my clients so that we can identify areas of strength and areas of growth. I specialize in Mood Disorders such as anxiety and depression, Eating Disorders, life transitions, Gender and Sexuality, and social/relational issues. I am a Certified EMDR Practitioner with extensive training and experience in supporting LGBTQIA+ adolescents and adults through transitions and mental health distress.
As a Therapist, I believe that central to our success is a safe, supportive therapeutic relationship. I prioritize creating a safe relational space for my clients so that we can identify areas of strength and areas of growth. I specialize in Mood Disorders such as anxiety and depression, Eating Disorders, life transitions, Gender and Sexuality, and social/relational issues. I am a Certified EMDR Practitioner with extensive training and experience in supporting LGBTQIA+ adolescents and adults through transitions and mental health distress.
(919) 348-4936 View (919) 348-4936
Photo of Grow Heal Love, inc, Clinical Social Work/Therapist in Chapel Hill, NC
Grow Heal Love, inc
Clinical Social Work/Therapist, LCSW, LCAS, PMH-C
Verified Verified
9 Endorsed
Chapel Hill, NC 27514
YOU need a place for YOU. For YOU to be supported. For YOUR needs to be acknowledged and actualized. You place the world before yourself, but after a while your cup runs dry. You are tired or you know if you keep this up you will be. Here we fill YOUR cup so you can continue to breathe life into your work and/or family. We are passionate about helping those who nurture others, professionally or personally. Allow us to hold space for you to access your inner wisdom. That which you access so easily for others, but struggle to find when you are the one in need. We see you. We appreciate you. We would be honored to serve you.
YOU need a place for YOU. For YOU to be supported. For YOUR needs to be acknowledged and actualized. You place the world before yourself, but after a while your cup runs dry. You are tired or you know if you keep this up you will be. Here we fill YOUR cup so you can continue to breathe life into your work and/or family. We are passionate about helping those who nurture others, professionally or personally. Allow us to hold space for you to access your inner wisdom. That which you access so easily for others, but struggle to find when you are the one in need. We see you. We appreciate you. We would be honored to serve you.
(888) 204-8409 View (888) 204-8409
Photo of Sarah Sterling, Clinical Social Work/Therapist in Chapel Hill, NC
Sarah Sterling
Clinical Social Work/Therapist, LCAS, LCSW
Verified Verified
1 Endorsed
Chapel Hill, NC 27516
Waitlist for new clients
Are you a helper, personally or professionally, who's feeling burned out? Are you a medical provider, therapist, or first responder who has a hard time turning off after dealing with crises at work? Or maybe a student who feels like they're drowning while trying to manage all the demands on your time and attention? Modern day life creates a lot of stress and doesn't regularly give us the opportunity to release it. While many of the issues we face are systemic in nature, and require systemic solutions, my goal is to help you tap into the resources of your body and mind to experience calm, joy, and pleasure despite the chaos.
Are you a helper, personally or professionally, who's feeling burned out? Are you a medical provider, therapist, or first responder who has a hard time turning off after dealing with crises at work? Or maybe a student who feels like they're drowning while trying to manage all the demands on your time and attention? Modern day life creates a lot of stress and doesn't regularly give us the opportunity to release it. While many of the issues we face are systemic in nature, and require systemic solutions, my goal is to help you tap into the resources of your body and mind to experience calm, joy, and pleasure despite the chaos.
(984) 265-8684 View (984) 265-8684
Photo of Jason Waterman, Clinical Social Work/Therapist in Chapel Hill, NC
Jason Waterman
Clinical Social Work/Therapist, LCSWA, LMSW
Verified Verified
Chapel Hill, NC 27516  (Online Only)
Jason is passionate about helping people deal with issues of anxiety, depression, addiction, shame, habit change, self-compassion, and finding purpose. His experience ranges from working in schools to hospices, which lends itself to working with people in all stages of life. He offers a non-judgmental, collaborative exploration where clients can tap into their own capacity to heal, accept, and love themselves and others. With that, he offers practical steps and tools to work on for each client depending on their individual needs.
Jason is passionate about helping people deal with issues of anxiety, depression, addiction, shame, habit change, self-compassion, and finding purpose. His experience ranges from working in schools to hospices, which lends itself to working with people in all stages of life. He offers a non-judgmental, collaborative exploration where clients can tap into their own capacity to heal, accept, and love themselves and others. With that, he offers practical steps and tools to work on for each client depending on their individual needs.
(240) 226-3924 View (240) 226-3924
Photo of Sam Weissler, Licensed Clinical Mental Health Counselor in Chapel Hill, NC
Sam Weissler
Licensed Clinical Mental Health Counselor, LCMHC, NCC, MEd
Verified Verified
Chapel Hill, NC 27514
Hello, and welcome! I specialize in providing compassionate and expert mental healthcare and sport/performance counseling for both athletes and the wider Durham/Chapel Hill communities. Whether you are looking for help in navigating performance pressure and achieving peak performance, or seeking assistance with overcoming mental health concerns and leading a fulfilling life on and off the field or court, my goal is to help foster resilience, enhance mental clarity, and empower you to thrive.
Hello, and welcome! I specialize in providing compassionate and expert mental healthcare and sport/performance counseling for both athletes and the wider Durham/Chapel Hill communities. Whether you are looking for help in navigating performance pressure and achieving peak performance, or seeking assistance with overcoming mental health concerns and leading a fulfilling life on and off the field or court, my goal is to help foster resilience, enhance mental clarity, and empower you to thrive.
(919) 873-4063 View (919) 873-4063
Photo of Mary Caldwell-Pineda, Marriage & Family Therapist in Chapel Hill, NC
Mary Caldwell-Pineda
Marriage & Family Therapist, MA,LMFT
Verified Verified
1 Endorsed
Chapel Hill, NC 27514  (Online Only)
Life is not always easy to manage. At times we sail through rough waters with ease. Other times we get "stuck". We have trouble navigating our way through the fog. We feel something is "wrong". We might be telling other people that we are fine but inside we know we are not. We put on a false face just to get by. We need help but it isn't always easy to reach out. I am here to help. Whatever it is that you face, we can face it together in a collaborative manner. I offer a healing presence, openminded-ness and a non-judgmental safe space for you to find answers-strengths, self acceptance, vitality and peace. I welcome you!
Life is not always easy to manage. At times we sail through rough waters with ease. Other times we get "stuck". We have trouble navigating our way through the fog. We feel something is "wrong". We might be telling other people that we are fine but inside we know we are not. We put on a false face just to get by. We need help but it isn't always easy to reach out. I am here to help. Whatever it is that you face, we can face it together in a collaborative manner. I offer a healing presence, openminded-ness and a non-judgmental safe space for you to find answers-strengths, self acceptance, vitality and peace. I welcome you!
(919) 822-5678 View (919) 822-5678
Photo of David Shoemaker, Psychologist in Chapel Hill, NC
David Shoemaker
Psychologist, PsyD
Verified Verified
2 Endorsed
Chapel Hill, NC 27517
I specialize in personal and professional coaching for high-achieving individuals who want to cultivate creative thinking and maximize their effectiveness, meaning and purpose in life. In my therapy practice, I specialize in treating anxiety, depression, and stress from life transitions. I accept psychotherapy clients who live in North Carolina or California. I accept coaching clients living anywhere around the world, and I offer teletherapy appointments for all of the above. I do not work with children, teens, couples or families in my practice.
I specialize in personal and professional coaching for high-achieving individuals who want to cultivate creative thinking and maximize their effectiveness, meaning and purpose in life. In my therapy practice, I specialize in treating anxiety, depression, and stress from life transitions. I accept psychotherapy clients who live in North Carolina or California. I accept coaching clients living anywhere around the world, and I offer teletherapy appointments for all of the above. I do not work with children, teens, couples or families in my practice.
(336) 360-5050 View (336) 360-5050
Photo of Coleman Child Psychology, PLLC, Psychologist in Chapel Hill, NC
Coleman Child Psychology, PLLC
Psychologist, PhD
Verified Verified
Chapel Hill, NC 27514
Dr. Coleman has immediate openings for psychoeducational TESTING and IN-PERSON therapy. Coleman Child Psychology supports youth and families as they journey through school, navigating academics, emotions, friendships, and family dynamics. It's a joy to offer support every step of the way. A person-centered therapeutic approach emphasizes a holistic understanding of each client's experience, providing compassionate and empathetic support. With an extensive background in working with diverse populations in schools, hospitals, and private practice, we're well-equipped to address emotional, behavioral, and developmental challenges.
Dr. Coleman has immediate openings for psychoeducational TESTING and IN-PERSON therapy. Coleman Child Psychology supports youth and families as they journey through school, navigating academics, emotions, friendships, and family dynamics. It's a joy to offer support every step of the way. A person-centered therapeutic approach emphasizes a holistic understanding of each client's experience, providing compassionate and empathetic support. With an extensive background in working with diverse populations in schools, hospitals, and private practice, we're well-equipped to address emotional, behavioral, and developmental challenges.
(919) 446-3334 View (919) 446-3334
Photo of Jennifer Kirby, Psychologist in Chapel Hill, NC
Jennifer Kirby
Psychologist, PhD
Verified Verified
Chapel Hill, NC 27514  (Online Only)
Waitlist for new clients
I provide evidence-based therapy, which means I use principles and strategies that research has shown to be effective. My expertise is in helping individuals cope with depression, anxiety, and difficult emotions, as well as couples who are struggling or want to strengthen their relationship.
I provide evidence-based therapy, which means I use principles and strategies that research has shown to be effective. My expertise is in helping individuals cope with depression, anxiety, and difficult emotions, as well as couples who are struggling or want to strengthen their relationship.
(919) 374-3140 View (919) 374-3140
Photo of Shannon Smith, Clinical Social Work/Therapist in Chapel Hill, NC
Shannon Smith
Clinical Social Work/Therapist, MSW, LCSW
Verified Verified
1 Endorsed
Chapel Hill, NC 27514
All of us confront situations in life that can be overwhelming. Counseling can help us to find solutions and ways to cope and succeed. I enjoy working with children, adolescents and adults facing a variety of issues.
All of us confront situations in life that can be overwhelming. Counseling can help us to find solutions and ways to cope and succeed. I enjoy working with children, adolescents and adults facing a variety of issues.
(984) 228-2671 View (984) 228-2671
Photo of Ashley Tucker, Clinical Social Work/Therapist in Chapel Hill, NC
Ashley Tucker
Clinical Social Work/Therapist, LCSW
Verified Verified
Chapel Hill, NC 27514  (Online Only)
Ashley Tucker is a Licensed Clinical Social Worker and Licensed Clinical Addictions Specialist with 8 years experience in the mental health field. She is passionate about helping adults address their unique challenges and live more fulfilled lives. Ashley specializes in working with clients to manage their depression, anxiety, substance use concerns, and grief/loss/trauma, as well as help adults overcome major life transitions. Ashley is originally from Panama City, FL but grew up in Morehead City, NC, completing her Bachelor of Social Work at North Carolina State University and her Master of Social Work at East Carolina University.
Ashley Tucker is a Licensed Clinical Social Worker and Licensed Clinical Addictions Specialist with 8 years experience in the mental health field. She is passionate about helping adults address their unique challenges and live more fulfilled lives. Ashley specializes in working with clients to manage their depression, anxiety, substance use concerns, and grief/loss/trauma, as well as help adults overcome major life transitions. Ashley is originally from Panama City, FL but grew up in Morehead City, NC, completing her Bachelor of Social Work at North Carolina State University and her Master of Social Work at East Carolina University.
(919) 336-1613 View (919) 336-1613
Photo of Lilianne R Smith, Licensed Clinical Mental Health Counselor in Chapel Hill, NC
Lilianne R Smith
Licensed Clinical Mental Health Counselor, MA, LCMHC, RPT
Verified Verified
2 Endorsed
Chapel Hill, NC 27514
Not accepting new clients
Life has so many struggles, problems and transitions and it often feels difficult to cope. I believe we all have the capacity to bring about change; as a therapist I guide and support my client toward growth and healing. I help you to explore your feelings to build self awareness and insight regarding your personal concerns. I enjoy working with children, adolescents and adults.
Life has so many struggles, problems and transitions and it often feels difficult to cope. I believe we all have the capacity to bring about change; as a therapist I guide and support my client toward growth and healing. I help you to explore your feelings to build self awareness and insight regarding your personal concerns. I enjoy working with children, adolescents and adults.
(919) 504-5473 View (919) 504-5473
Photo of Jailene Nieves-Mercado, Counselor in Chapel Hill, NC
Jailene Nieves-Mercado
Counselor, LCMHC, REAT
Verified Verified
1 Endorsed
Chapel Hill, NC 27514  (Online Only)
Expression, in all of its forms, is empowerment. Being able to trust someone and feel safe with them is instrumental in amplifying expression. This is why it is important to find a therapist that is a good fit for you. Clients may carry experiences that they do not have the words for — and that’s okay. As an art therapist, I use the creative process to support clients in connecting with themselves and build self-confidence and compassion. I specialize in working with survivors of trauma and individuals who are facing challenges related to self-worth, depression, anxiety, family conflict, and interpersonal difficulties.
Expression, in all of its forms, is empowerment. Being able to trust someone and feel safe with them is instrumental in amplifying expression. This is why it is important to find a therapist that is a good fit for you. Clients may carry experiences that they do not have the words for — and that’s okay. As an art therapist, I use the creative process to support clients in connecting with themselves and build self-confidence and compassion. I specialize in working with survivors of trauma and individuals who are facing challenges related to self-worth, depression, anxiety, family conflict, and interpersonal difficulties.
View
Photo of Lauren Gardner, Licensed Clinical Mental Health Counselor in Chapel Hill, NC
Lauren Gardner
Licensed Clinical Mental Health Counselor, PhD, LCMHC
Verified Verified
1 Endorsed
Chapel Hill, NC 27517
If you're ready to go deep, there's a very good chance I'm the right therapist for you. My approach is experiential, first and foremost, and I am here to help you get that real change that's been out of reach for too long. My primary specialty is working with other helping professionals: therapists, healers, and other high-achieving folks with a lifelong commitment to their own growth and unfolding.
If you're ready to go deep, there's a very good chance I'm the right therapist for you. My approach is experiential, first and foremost, and I am here to help you get that real change that's been out of reach for too long. My primary specialty is working with other helping professionals: therapists, healers, and other high-achieving folks with a lifelong commitment to their own growth and unfolding.
(919) 887-8503 View (919) 887-8503
Photo of Karen N Luley, Psychologist in Chapel Hill, NC
Karen N Luley
Psychologist, PhD, PsyD
Verified Verified
Chapel Hill, NC 27517
Do you feel frustrated by your child’s behaviors? Confused about the best parenting strategies to help them? Maybe you see your child struggling and you’re wondering if there’s something you can do to better support them. Maybe you’re confused about whether your child is just going through a phase or struggling with a true “disorder.” Disorder or not, you’re likely wondering the best way you can help them. You want them to succeed and live their best lives. That’s why you’re here and I commend you for taking steps to find some answers!
Do you feel frustrated by your child’s behaviors? Confused about the best parenting strategies to help them? Maybe you see your child struggling and you’re wondering if there’s something you can do to better support them. Maybe you’re confused about whether your child is just going through a phase or struggling with a true “disorder.” Disorder or not, you’re likely wondering the best way you can help them. You want them to succeed and live their best lives. That’s why you’re here and I commend you for taking steps to find some answers!
(984) 223-8469 View (984) 223-8469

How does your Therapist compare?

Number of Therapists in Chapel Hill, NC

700+

Average cost per session

$150

Therapists in Chapel Hill, NC who prioritize treating:

93% Anxiety
87% Depression
82% Relationship Issues
79% Self Esteem
71% Coping Skills
70% Stress
67% Trauma and PTSD

Average years in practice

12 Years

Top 3 insurances accepted

84% BlueCross and BlueShield
65% Aetna
43% Cigna and Evernorth

How Therapists in Chapel Hill, NC see their clients

72% In Person and Online
28% Online Only

Gender breakdown

80% Female
18% Male
2% Non-Binary
FAQs - About Therapy and Counseling

How can I find a therapist in Chapel Hill?

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.