Therapists in Cary, NC

Photo of Sarah E Spade, Psychologist in Cary, NC
Sarah E Spade
Psychologist, PsyD, MA, NCC
Verified Verified
Cary, NC 27518
If you or your teen are experiencing trouble with mood swings, challenging behaviors, or communication, I am here to help. I am a Licensed Psychologist in NC. My experiences are wide-ranging including settings such as outpatient, residential, and inpatient units. I've provided services to teens, young adults, adults and couples, working on issues such as mood disorders, neurodivergences, anger management, substance use, trauma, communication, and much more.
If you or your teen are experiencing trouble with mood swings, challenging behaviors, or communication, I am here to help. I am a Licensed Psychologist in NC. My experiences are wide-ranging including settings such as outpatient, residential, and inpatient units. I've provided services to teens, young adults, adults and couples, working on issues such as mood disorders, neurodivergences, anger management, substance use, trauma, communication, and much more.
(984) 646-6885 View (984) 646-6885
Photo of Dr. Rhian Daniel in Cary, NC
Dr. Rhian Daniel
PhD
Verified Verified
Cary, NC 27511
Dr. Rhian Daniel helps individuals discover the psychological connection between who they think they are and who they actually are; and consequently, how they connect with the concept of a purpose-in-life and fulfill that goal. Contributing to knowing who you really are is knowing what your really are. Therefore, he guides people to this awareness firstly, using various methods. This is essential, as change is simplified when one knows the original construction methods. Techniques Dr. Daniel employs come from within the fields of transpersonal psychology, ecopsychology, somatic psychology, and Wilderness Rites of Passage rituals.
Dr. Rhian Daniel helps individuals discover the psychological connection between who they think they are and who they actually are; and consequently, how they connect with the concept of a purpose-in-life and fulfill that goal. Contributing to knowing who you really are is knowing what your really are. Therefore, he guides people to this awareness firstly, using various methods. This is essential, as change is simplified when one knows the original construction methods. Techniques Dr. Daniel employs come from within the fields of transpersonal psychology, ecopsychology, somatic psychology, and Wilderness Rites of Passage rituals.
(919) 728-5031 View (919) 728-5031
Photo of Kristen Bounds, Marriage & Family Therapist Associate in Cary, NC
Kristen Bounds
Marriage & Family Therapist Associate, LMFTA
Verified Verified
2 Endorsed
Cary, NC 27511
When you think about what makes a successful relationship, whose voice do you hear? Whose relationships do you picture? Who gets to determine what is successful? These questions are essential to consider, and what if the answer to all of them was you? Embracing the idea that there is no one "right" way to be in a relationship can be liberating, but it can also be challenging to put your own beliefs and desires first.
When you think about what makes a successful relationship, whose voice do you hear? Whose relationships do you picture? Who gets to determine what is successful? These questions are essential to consider, and what if the answer to all of them was you? Embracing the idea that there is no one "right" way to be in a relationship can be liberating, but it can also be challenging to put your own beliefs and desires first.
(919) 629-1803 View (919) 629-1803
Photo of DeCassi Foundation 501 3 C Nonprofit Organization, Clinical Social Work/Therapist in Cary, NC
DeCassi Foundation 501 3 C Nonprofit Organization
Clinical Social Work/Therapist, LCSW
Verified Verified
Cary, NC 27511  (Online Only)
DeCassi Foundation: A Non-Profit for Empowerment and Healing DeCassi Foundation is a non-profit organization committed to providing resources and solutions to vulnerable, disenfranchised, under-served, and dis-empowered individuals. We understand the challenges many face in addressing their psychological needs, and we offer a safe and supportive space for individuals to process these issues. Our dedication to your well-being means we operate on a sliding scale, making our services accessible to all who are in need. Our primary goal is to assist you in achieving self-actualization, where you can thrive and reach your full potential.
DeCassi Foundation: A Non-Profit for Empowerment and Healing DeCassi Foundation is a non-profit organization committed to providing resources and solutions to vulnerable, disenfranchised, under-served, and dis-empowered individuals. We understand the challenges many face in addressing their psychological needs, and we offer a safe and supportive space for individuals to process these issues. Our dedication to your well-being means we operate on a sliding scale, making our services accessible to all who are in need. Our primary goal is to assist you in achieving self-actualization, where you can thrive and reach your full potential.
(919) 583-6652 View (919) 583-6652
Photo of Cynthia Martin, Licensed Clinical Mental Health Counselor in Cary, NC
Cynthia Martin
Licensed Clinical Mental Health Counselor, LCMHC
Verified Verified
Cary, NC 27511
I work with people who have experienced trauma, especially narcissistic abuse. If you find yourself struggling to move forward and feel trapped in a relationship or feel as though you have lost your identity. I can help you navigate towards the path you want, instead of the path that was chosen for you. I have worked for several years as an EAP clinician helping people internationally who have anxiety, depression, PTSD, suicidal ideation, work stress, relationship issues, and so on.
I work with people who have experienced trauma, especially narcissistic abuse. If you find yourself struggling to move forward and feel trapped in a relationship or feel as though you have lost your identity. I can help you navigate towards the path you want, instead of the path that was chosen for you. I have worked for several years as an EAP clinician helping people internationally who have anxiety, depression, PTSD, suicidal ideation, work stress, relationship issues, and so on.
(984) 223-4144 View (984) 223-4144
Photo of Cameron Stenger, Clinical Social Work/Therapist in Cary, NC
Cameron Stenger
Clinical Social Work/Therapist, LCSW
Verified Verified
2 Endorsed
Cary, NC 27511
I have a passion for supporting youth and families who experience depression, anxiety, behavioral, and academic challenges. I seek to address presenting concerns while taking into consideration the challenges we may be facing within our family systems and larger communities. It can be difficult to navigate the demands of being a child, a student, a sibling, a parent, and a professional. Everything is connected, when our lives become out of balance it can negatively affect our relationships and sense of self. I will work with you to identify your many strengths and to reduce the barriers that are causing distress.
I have a passion for supporting youth and families who experience depression, anxiety, behavioral, and academic challenges. I seek to address presenting concerns while taking into consideration the challenges we may be facing within our family systems and larger communities. It can be difficult to navigate the demands of being a child, a student, a sibling, a parent, and a professional. Everything is connected, when our lives become out of balance it can negatively affect our relationships and sense of self. I will work with you to identify your many strengths and to reduce the barriers that are causing distress.
(919) 924-0607 View (919) 924-0607
Photo of Brooke Schreiber, Licensed Clinical Mental Health Counselor in Cary, NC
Brooke Schreiber
Licensed Clinical Mental Health Counselor, MA, LCMHC, NCC
Verified Verified
2 Endorsed
Cary, NC 27513
Are you having trouble getting through the day without feeling anxious and overwhelmed? Are you having difficulty feeling fulfilled in your current relationship? You notice that you feel things more deeply than those around you, but you may have labeled as "too emotional. You want to find a way to live an authentic, peaceful, and purposeful life, but you are unsure of how to get there. Reaching out for support is one of the most courageous things you can do. I would be honored to be a support for you!
Are you having trouble getting through the day without feeling anxious and overwhelmed? Are you having difficulty feeling fulfilled in your current relationship? You notice that you feel things more deeply than those around you, but you may have labeled as "too emotional. You want to find a way to live an authentic, peaceful, and purposeful life, but you are unsure of how to get there. Reaching out for support is one of the most courageous things you can do. I would be honored to be a support for you!
(919) 343-0698 View (919) 343-0698
Photo of Deborah Bell, Marriage & Family Therapist in Cary, NC
Deborah Bell
Marriage & Family Therapist, PhD
Verified Verified
Cary, NC 27511  (Online Only)
Dr. Deborah T. Bell is a Licensed Marriage and Family Therapist in the state of North Carolina. She has experience collaborating with military and civilian families to resolve anxiety, depression, trauma, grief, loss, and relational concerns between couples. She obtained her BA in Communication from DePaul University, her Master of Family Therapy from Drexel University, and her Ph.D. in Marriage and Family Therapy for Military Families from North Central University. She completed her doctoral internship at the Fort Bragg military installation.
Dr. Deborah T. Bell is a Licensed Marriage and Family Therapist in the state of North Carolina. She has experience collaborating with military and civilian families to resolve anxiety, depression, trauma, grief, loss, and relational concerns between couples. She obtained her BA in Communication from DePaul University, her Master of Family Therapy from Drexel University, and her Ph.D. in Marriage and Family Therapy for Military Families from North Central University. She completed her doctoral internship at the Fort Bragg military installation.
(339) 218-3090 View (339) 218-3090
Photo of Lynne Daack, Counselor in Cary, NC
Lynne Daack
Counselor, LCMHCA
Verified Verified
1 Endorsed
Cary, NC 27519
I believe that each person’s narrative is uniquely diverse and deserves to be heard. As part of being human, we learn that life is complex, painful and joyful, and intrapersonal growth (i.e., change) is difficult. I listen to and honor the uniqueness of each person, pace, and process. I strive to create an empowering space that honors each person's journey.
I believe that each person’s narrative is uniquely diverse and deserves to be heard. As part of being human, we learn that life is complex, painful and joyful, and intrapersonal growth (i.e., change) is difficult. I listen to and honor the uniqueness of each person, pace, and process. I strive to create an empowering space that honors each person's journey.
(984) 217-4854 View (984) 217-4854
Photo of Jennifer Corinna, Licensed Clinical Mental Health Counselor in Cary, NC
Jennifer Corinna
Licensed Clinical Mental Health Counselor, MS, LCMHC, NCC
Verified Verified
Cary, NC 27511
Thank you for taking the time to read my profile. I am originally from Upstate NY but lived in the SF Bay/Los Angeles, CA areas before moving to Raleigh. I work with a wide variety of issues specializing in life transitions, grief, loss, and trauma as well as depression and anxiety. I have assisted people with issues surrounding divorce/relationships ending, death of a loved one, traumatic events, chronic illness, feelings of depression and/or anxiety, and a wide array of other difficult life situations. I would be happy to talk to you about your individual situation. It is important to me that you feel accepted and welcomed.
Thank you for taking the time to read my profile. I am originally from Upstate NY but lived in the SF Bay/Los Angeles, CA areas before moving to Raleigh. I work with a wide variety of issues specializing in life transitions, grief, loss, and trauma as well as depression and anxiety. I have assisted people with issues surrounding divorce/relationships ending, death of a loved one, traumatic events, chronic illness, feelings of depression and/or anxiety, and a wide array of other difficult life situations. I would be happy to talk to you about your individual situation. It is important to me that you feel accepted and welcomed.
(984) 207-5844 View (984) 207-5844
Photo of Felicia Smith, Clinical Social Work/Therapist in Cary, NC
Felicia Smith
Clinical Social Work/Therapist, LCSW
Verified Verified
1 Endorsed
Cary, NC 27511
Not accepting new clients
Is your teenager experiencing anxiety or depression? Does your teenager often isolate and feels that no one understands them? Do you feel like parenting is hard, and want strategies for balancing your roles? Navigating through life as an adult can be complicated, so imagine how your teen might be feeling. While life can be unpredictable, deciding to try therapy doesn’t have to be. I have been empowering adolescents, adults, parents, and families for over 5 years. I love working with middle schoolers and teenagers to identify the tools and skills helpful for them to tackle life’s obstacles.
Is your teenager experiencing anxiety or depression? Does your teenager often isolate and feels that no one understands them? Do you feel like parenting is hard, and want strategies for balancing your roles? Navigating through life as an adult can be complicated, so imagine how your teen might be feeling. While life can be unpredictable, deciding to try therapy doesn’t have to be. I have been empowering adolescents, adults, parents, and families for over 5 years. I love working with middle schoolers and teenagers to identify the tools and skills helpful for them to tackle life’s obstacles.
(919) 351-6112 View (919) 351-6112
Photo of Amy Olson, LCSW, CEDS-S, Clinical Social Work/Therapist in Cary, NC
Amy Olson, LCSW, CEDS-S
Clinical Social Work/Therapist, LCSW, CEDS-S
Verified Verified
Cary, NC 27511
Welcome to my practice, where over 24 years of experience as a psychotherapist and Certified Eating Disorders Specialist have honed my understanding of the intricate interplay between mind and body. Specializing in disorders affecting the balance between mental and physical health—including mood disorders, eating disorders, and vestibular disorders, I have seen the healing potential of the therapeutic relationship and the transformation possible when both therapist and patient commit to the treatment. I practice psychodynamic talk therapy integrated with direct interventions.
Welcome to my practice, where over 24 years of experience as a psychotherapist and Certified Eating Disorders Specialist have honed my understanding of the intricate interplay between mind and body. Specializing in disorders affecting the balance between mental and physical health—including mood disorders, eating disorders, and vestibular disorders, I have seen the healing potential of the therapeutic relationship and the transformation possible when both therapist and patient commit to the treatment. I practice psychodynamic talk therapy integrated with direct interventions.
(919) 635-4170 View (919) 635-4170
Photo of Audrey Ahlvers, Clinical Social Work/Therapist in Cary, NC
Audrey Ahlvers
Clinical Social Work/Therapist, MSW, LCSW, M-IOP
Verified Verified
2 Endorsed
Cary, NC 27518
I am an Executive Coach specializing in Corporate Psychology. I help C-Suite Level Executives, Senior Managers, high ranking military personnel, senior government officials, elite and professional athletes, and professional artists remove their performance blocks, improve professional performance and reach their maximum potentials. I use a variety of Evidence Based methods to accomplish goals, to include Executive Coaching and EMDR for performance enhancement, and ADHD coaching. I offer services in the Triangle, and virtually. I serve individual Clients and Companies. Emotional Support Animal (hairless cat) available upon request.
I am an Executive Coach specializing in Corporate Psychology. I help C-Suite Level Executives, Senior Managers, high ranking military personnel, senior government officials, elite and professional athletes, and professional artists remove their performance blocks, improve professional performance and reach their maximum potentials. I use a variety of Evidence Based methods to accomplish goals, to include Executive Coaching and EMDR for performance enhancement, and ADHD coaching. I offer services in the Triangle, and virtually. I serve individual Clients and Companies. Emotional Support Animal (hairless cat) available upon request.
(910) 672-6431 View (910) 672-6431
Photo of Hannah DeMello, Clinical Social Work/Therapist in Cary, NC
Hannah DeMello
Clinical Social Work/Therapist, LCSWA
Verified Verified
1 Endorsed
Cary, NC 27511
Every person I work with is a unique individual, which means that together we will develop a unique approach to meeting your goals. I utilize a collaborative approach to assist you in building the skills you need to achieve a fulfilling and productive life.
Every person I work with is a unique individual, which means that together we will develop a unique approach to meeting your goals. I utilize a collaborative approach to assist you in building the skills you need to achieve a fulfilling and productive life.
(919) 335-7885 View (919) 335-7885
Photo of Ali-Marie Mattice, Clinical Social Work/Therapist in Cary, NC
Ali-Marie Mattice
Clinical Social Work/Therapist, LCSW, MSW
Verified Verified
Cary, NC 27511
I am a Licensed Social Worker who primarily sees older adolescents and adults. My experience and interests including working with clients to manage issues such as depression, anxiety, stress management, stages of life transitions, grief and loss, trauma, emotional regulation, as well as relationship and family issues.
I am a Licensed Social Worker who primarily sees older adolescents and adults. My experience and interests including working with clients to manage issues such as depression, anxiety, stress management, stages of life transitions, grief and loss, trauma, emotional regulation, as well as relationship and family issues.
View
Photo of Dr. Lori C. Thomas, Psychologist in Cary, NC
Dr. Lori C. Thomas
Psychologist, JD, PhD
Verified Verified
Cary, NC 27513
Waitlist for new clients
I provide children and teens with therapy services to deal with anxiety struggles, depression, identity issues, body image, general worries, disordered eating, poor self-esteem, and feeling socially awkward. I believe in developing a unique connection with each child-building strong, therapeutic relationships that foster change and help kids cope with developmental issues, mental health concerns, and behavioral challenges.
I provide children and teens with therapy services to deal with anxiety struggles, depression, identity issues, body image, general worries, disordered eating, poor self-esteem, and feeling socially awkward. I believe in developing a unique connection with each child-building strong, therapeutic relationships that foster change and help kids cope with developmental issues, mental health concerns, and behavioral challenges.
(919) 646-5859 View (919) 646-5859
Photo of Elissa Padgett Pope, Counselor in Cary, NC
Elissa Padgett Pope
Counselor, MS, LCMHC
Verified Verified
2 Endorsed
Cary, NC 27511
You’re struggling. Your relationships feel complicated. There are parts of life that feel stuck. Maybe you know there are ways you could start moving in a direction that feels better, but you can’t see the path or take the steps. Maybe you don’t even know what those steps might look like. The change you’re craving is possible! Together, we’ll work to understand you better—the stories you tell yourself, the choices you make, the relationships you love, and the behaviors that are holding you back. We’ll strengthen your connection to yourself and others.
You’re struggling. Your relationships feel complicated. There are parts of life that feel stuck. Maybe you know there are ways you could start moving in a direction that feels better, but you can’t see the path or take the steps. Maybe you don’t even know what those steps might look like. The change you’re craving is possible! Together, we’ll work to understand you better—the stories you tell yourself, the choices you make, the relationships you love, and the behaviors that are holding you back. We’ll strengthen your connection to yourself and others.
(919) 568-1159 View (919) 568-1159
Photo of Karen Brown, Counselor in Cary, NC
Karen Brown
Counselor, MS, LCMHC
Verified Verified
1 Endorsed
Cary, NC 27511  (Online Only)
Welcome! I'm Karen, a counselor dedicated to supporting individuals through life's challenges and transitions with compassion and empathy. With a deep commitment to holistic healing, I offer a range of therapeutic approaches tailored to meet your unique needs. I believe in the power of collaboration and honoring each person's unique journey. Together, we'll work to uncover your strengths, deepen your self-awareness, and cultivate resilience. My goal is to empower you to rewrite your narrative, reclaim your agency, and live a life aligned with your values and aspirations.
Welcome! I'm Karen, a counselor dedicated to supporting individuals through life's challenges and transitions with compassion and empathy. With a deep commitment to holistic healing, I offer a range of therapeutic approaches tailored to meet your unique needs. I believe in the power of collaboration and honoring each person's unique journey. Together, we'll work to uncover your strengths, deepen your self-awareness, and cultivate resilience. My goal is to empower you to rewrite your narrative, reclaim your agency, and live a life aligned with your values and aspirations.
(984) 464-6856 View (984) 464-6856
Photo of Christine DeCarolis, Counselor in Cary, NC
Christine DeCarolis
Counselor, MEd, LCMHC, NCC
Verified Verified
1 Endorsed
Cary, NC 27511  (Online Only)
Are you experiencing anxiety or stress? Struggling through a life transition? Feeling uncertainty? Wishing to feel less sadness? Or maybe you're hoping to recover from past wounds? These are some of the most common issues I help people overcome. You have the capacity to heal and grow, although sometimes it's helpful to have professional assistance to process our experiences and to learn how to listen inward and become self-empowered.
Are you experiencing anxiety or stress? Struggling through a life transition? Feeling uncertainty? Wishing to feel less sadness? Or maybe you're hoping to recover from past wounds? These are some of the most common issues I help people overcome. You have the capacity to heal and grow, although sometimes it's helpful to have professional assistance to process our experiences and to learn how to listen inward and become self-empowered.
(919) 535-4990 View (919) 535-4990
Photo of Scarlett Foxx, Clinical Social Work/Therapist in Cary, NC
Scarlett Foxx
Clinical Social Work/Therapist, MSW, LCSWA
Verified Verified
2 Endorsed
Cary, NC 27511
As a therapist, I utilize person centered therapy to ensure my clients are getting what they want out of therapy and do not have to go on their journey alone. I seek to provide a warm, nurturing, and safe environment for clients to explore their thoughts, feelings, and behaviors. I especially welcome members of the LGBTQIA+ community. I work well with clients of all ages. I have experience working with many different disorders through my time in Intensive In-Home therapy and working at a psychiatric hospital. I graduated from UNC Chapel Hill with my BA in Psychology, and NCSU with my Master of Social Work.
As a therapist, I utilize person centered therapy to ensure my clients are getting what they want out of therapy and do not have to go on their journey alone. I seek to provide a warm, nurturing, and safe environment for clients to explore their thoughts, feelings, and behaviors. I especially welcome members of the LGBTQIA+ community. I work well with clients of all ages. I have experience working with many different disorders through my time in Intensive In-Home therapy and working at a psychiatric hospital. I graduated from UNC Chapel Hill with my BA in Psychology, and NCSU with my Master of Social Work.
(919) 752-3037 View (919) 752-3037

How does your Therapist compare?

Number of Therapists in Cary, NC

900+

Average cost per session

$140

Therapists in Cary, NC who prioritize treating:

92% Anxiety
87% Depression
78% Relationship Issues
78% Self Esteem
72% Coping Skills
70% Stress
63% Life Transitions

Average years in practice

11 Years

Top 3 insurances accepted

84% BlueCross and BlueShield
72% Aetna
53% Cigna and Evernorth

How Therapists in Cary, NC see their clients

70% In Person and Online
30% 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.