Therapists in 27514

Photo of Kalita D McBride - House of Gray PLLC, Clinical Social Work/Therapist, LCSW
House of Gray PLLC
Clinical Social Work/Therapist, LCSW
4 Endorsed
Chapel Hill, NC 27514
The House of Gray PLLC was created for the person who is often the strong one—the friend, family member, or supporter who shows up for others, even when feeling alone or unsure how to be vulnerable themselves. We understand how heavy that can feel, and you don’t have to carry it alone. Our heart is in walking alongside individuals and communities as they heal from experiences that may have been passed down for generations. We strive to create a space that feels safe, supportive, and free of judgment—where you can show up just as you are.
The House of Gray PLLC was created for the person who is often the strong one—the friend, family member, or supporter who shows up for others, even when feeling alone or unsure how to be vulnerable themselves. We understand how heavy that can feel, and you don’t have to carry it alone. Our heart is in walking alongside individuals and communities as they heal from experiences that may have been passed down for generations. We strive to create a space that feels safe, supportive, and free of judgment—where you can show up just as you are.
(919) 635-1834 View (919) 635-1834
Photo of Mackenzie Gibson, LCSW Associate , LCSWA
Mackenzie Gibson
LCSW Associate , LCSWA
2 Endorsed
Chapel Hill, NC 27514
Welcome! I'm so glad you're here. Starting therapy can feel overwhelming, and taking that first step isn't always easy. My goal is to create a warm, welcoming space where you can be yourself without fear of judgment. Therapy isn't about having all the answers—it's about having a place to slow down, feel heard, and work through whatever you're facing together.
Welcome! I'm so glad you're here. Starting therapy can feel overwhelming, and taking that first step isn't always easy. My goal is to create a warm, welcoming space where you can be yourself without fear of judgment. Therapy isn't about having all the answers—it's about having a place to slow down, feel heard, and work through whatever you're facing together.
(984) 266-2267 View (984) 266-2267
Photo of Melissa Cramer - Grow Heal Love, inc, Clinical Social Work/Therapist, LCSW, PMH-C
Grow Heal Love, inc
Clinical Social Work/Therapist, LCSW, PMH-C
7 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 Beata Krembuszewski, Psychologist, PhD
Beata Krembuszewski
Psychologist, PhD
1 Endorsed
Chapel Hill, NC 27514
Do you find yourself feeling buried under a lot lately, and no matter what you do, you feel stuck? Therapy with me is about giving you space to finally breathe and feel like "you" again. I believe in the unique healing capabilities in all people, and I strive to hold a culturally humble, trauma-informed, LGBTQIA+ celebratory, gender-affirming, and neuroaffirming space - now more than ever. We are all striving to live better lives, but sometimes things get in our way. You are ready to make a change, and I am dedicated to helping you build upon your current strengths with new skills to navigate the obstacles in your way.
Do you find yourself feeling buried under a lot lately, and no matter what you do, you feel stuck? Therapy with me is about giving you space to finally breathe and feel like "you" again. I believe in the unique healing capabilities in all people, and I strive to hold a culturally humble, trauma-informed, LGBTQIA+ celebratory, gender-affirming, and neuroaffirming space - now more than ever. We are all striving to live better lives, but sometimes things get in our way. You are ready to make a change, and I am dedicated to helping you build upon your current strengths with new skills to navigate the obstacles in your way.
(984) 468-9773 View (984) 468-9773
Photo of Sarah C Morris, Marriage & Family Therapist, MA, LMFT
Sarah C Morris
Marriage & Family Therapist, MA, LMFT
2 Endorsed
Chapel Hill, NC 27514
All are welcome to discover new ways to feel secure and look for possibilities. Whether you are healing from trauma, in pain, facing conflicts, seeking connection with your best self, your faith, or your motivation, you deserve joy. You may need help for yourself or in a relationship with a concern that’s new or one you’ve held since childhood or worked through before. I offer an understanding perspective from someone with over a decade of professional experience supporting people through change. I'm ready to help you or your family access your strengths, heal, and feel safe to love and grow.
All are welcome to discover new ways to feel secure and look for possibilities. Whether you are healing from trauma, in pain, facing conflicts, seeking connection with your best self, your faith, or your motivation, you deserve joy. You may need help for yourself or in a relationship with a concern that’s new or one you’ve held since childhood or worked through before. I offer an understanding perspective from someone with over a decade of professional experience supporting people through change. I'm ready to help you or your family access your strengths, heal, and feel safe to love and grow.
(336) 361-1732 View (336) 361-1732
Photo of Amelia Barton, LCSW Associate, LCSWA
Amelia Barton
LCSW Associate, LCSWA
4 Endorsed
Chapel Hill, NC 27514
If you struggle with self-worth, feel disconnected from your values, or overwhelmed by stress and emotion, I'm here to help. Together, we’ll work on regulating your nervous system, building confidence, and connecting what's important to you. I also work with couples who want to feel closer, move from conflict to connection, and develop more compassionate ways of relating. I provide a calm and collaborative space to rebuild trust and intimacy. I am an LGBTQ+ affirming provider, and can work with all relationship iterations.
If you struggle with self-worth, feel disconnected from your values, or overwhelmed by stress and emotion, I'm here to help. Together, we’ll work on regulating your nervous system, building confidence, and connecting what's important to you. I also work with couples who want to feel closer, move from conflict to connection, and develop more compassionate ways of relating. I provide a calm and collaborative space to rebuild trust and intimacy. I am an LGBTQ+ affirming provider, and can work with all relationship iterations.
(919) 335-7633 View (919) 335-7633
Photo of Martha Gillis Delafield, Clinical Social Work/Therapist, LCSW
Martha Gillis Delafield
Clinical Social Work/Therapist, LCSW
Chapel Hill, NC 27514
I love working with people who feel stuck, and who want to understand, embrace, and maximize their potential. Many of the people I work with have been frustrated with traditional talk therapy, and want a way through their depression, anxiety and trauma that is efficient and effective. Using tools like energy psychotherapy, neurofeedback, and Human Design, I help people to understand who they really are and who've they've been conditioned to be; these approaches and tools provide a road map back to the joy of their true nature.
I love working with people who feel stuck, and who want to understand, embrace, and maximize their potential. Many of the people I work with have been frustrated with traditional talk therapy, and want a way through their depression, anxiety and trauma that is efficient and effective. Using tools like energy psychotherapy, neurofeedback, and Human Design, I help people to understand who they really are and who've they've been conditioned to be; these approaches and tools provide a road map back to the joy of their true nature.
(919) 728-5772 View (919) 728-5772
Photo of Lysle E Betts, Licensed Professional Counselor, LCMHC , NCC
Lysle E Betts
Licensed Professional Counselor, LCMHC , NCC
1 Endorsed
Chapel Hill, NC 27514
Life is moving fast these days, and it's easy to feel overwhelmed juggling relationships, work or school, family, and the constant noise of the world. If you've been feeling a pull toward change, toward more calm and clarity, toward a lifted spirit despite life's challenges, or just to a life that works better, good therapy is a place to start. I've been in the private practice of depth psychotherapy for 30 years. As a therapist I hold the quality, comfort, and confidentiality of the relationship as foundational. It would be an honor to help you move into greater life satisfaction and joy.
Life is moving fast these days, and it's easy to feel overwhelmed juggling relationships, work or school, family, and the constant noise of the world. If you've been feeling a pull toward change, toward more calm and clarity, toward a lifted spirit despite life's challenges, or just to a life that works better, good therapy is a place to start. I've been in the private practice of depth psychotherapy for 30 years. As a therapist I hold the quality, comfort, and confidentiality of the relationship as foundational. It would be an honor to help you move into greater life satisfaction and joy.
(919) 299-0062 View (919) 299-0062
Photo of Dr. Tara Regan, Clinical Social Work/Therapist, PhD, MSW, LCSWA
Dr. Tara Regan
Clinical Social Work/Therapist, PhD, MSW, LCSWA
1 Endorsed
Chapel Hill, NC 27514
Looking for support around any of the following: Self-advocacy, self-regulation, executive functioning, social communication, life skills, and/or vocational skills? I work with neurodivergent and Autistic people of all ages, as well as family members and others supporting them. I’m also LGBTQIA+ affirming and support your communication preferences (e.g., AAC) and accommodation needs.
Looking for support around any of the following: Self-advocacy, self-regulation, executive functioning, social communication, life skills, and/or vocational skills? I work with neurodivergent and Autistic people of all ages, as well as family members and others supporting them. I’m also LGBTQIA+ affirming and support your communication preferences (e.g., AAC) and accommodation needs.
(919) 355-9542 View (919) 355-9542
Photo of Stephanie M Bittle - Stephanie Bittle, LCSW, Clinical Social Work/Therapist, LCSW
Stephanie Bittle, LCSW
Clinical Social Work/Therapist, LCSW
1 Endorsed
Chapel Hill, NC 27514
Are you a woman who struggles with Anxiety, Depression, Trauma, Grief/Loss, Relationship and/or Body Image Issues? I enjoy working with women in a safe and comforting space, guiding them through their feelings of self-doubt, shame and insecurity. Our emotions are complex, and carrying this weight alone can lead to burnout or depression. Let’s work together to grow your relationship with yourself, feel empowered, and heal childhood wounds.
Are you a woman who struggles with Anxiety, Depression, Trauma, Grief/Loss, Relationship and/or Body Image Issues? I enjoy working with women in a safe and comforting space, guiding them through their feelings of self-doubt, shame and insecurity. Our emotions are complex, and carrying this weight alone can lead to burnout or depression. Let’s work together to grow your relationship with yourself, feel empowered, and heal childhood wounds.
(919) 551-3337 View (919) 551-3337
Photo of Jennifer Graves, Clinical Social Work/Therapist, LCSW
Jennifer Graves
Clinical Social Work/Therapist, LCSW
1 Endorsed
Chapel Hill, NC 27514
I am interested in working with you to discover and address the patterns in your life that are motivating you to seek help. Through our collaboration, I hope that you come to increased freedom from your automatic ways of relating to yourself and /or others that are not serving you well, whether those patterns are rooted in trauma or simply what you've learned along the way. I hope the outcome of our work will be an improved relationship with yourself, increased choices, forward momentum, and a stronger capacity to handle life's inevitable hardships, conflicts, pain and loss.
I am interested in working with you to discover and address the patterns in your life that are motivating you to seek help. Through our collaboration, I hope that you come to increased freedom from your automatic ways of relating to yourself and /or others that are not serving you well, whether those patterns are rooted in trauma or simply what you've learned along the way. I hope the outcome of our work will be an improved relationship with yourself, increased choices, forward momentum, and a stronger capacity to handle life's inevitable hardships, conflicts, pain and loss.
(984) 237-2501 View (984) 237-2501
Photo of Troy Lantz, Clinical Social Work/Therapist, MSW, LCSW
Troy Lantz
Clinical Social Work/Therapist, MSW, LCSW
Chapel Hill, NC 27514
Most people with anxiety or depression don’t realize how their negative self-talk keeps them down and actually deepens their anxiety or depression. After working with me, my clients identify and reverse the effects of their negative self-talk, start feeling energized and motivated to do the things they used to enjoy, and are able to experience the simple joys of being alive again.
Most people with anxiety or depression don’t realize how their negative self-talk keeps them down and actually deepens their anxiety or depression. After working with me, my clients identify and reverse the effects of their negative self-talk, start feeling energized and motivated to do the things they used to enjoy, and are able to experience the simple joys of being alive again.
(919) 336-2912 View (919) 336-2912
Photo of Cristian Onofrei, Psychologist, PhD
Cristian Onofrei
Psychologist, PhD
1 Endorsed
Chapel Hill, NC 27514
I am a licensed psychologist who specializes in working with individuals and couples. When I begin therapy with an individual, I take time to listen and learn about the sources of their negative feelings or disappointing patterns. As we build a shared understanding of their pain or frustration, we incorporate cognitive, behavioral, emotion regulation or interpersonal skills. I draw on my training in psychodynamic, cognitive-behavioral, and emotionally focused therapy to support and guide my patients as they move toward greater resiliency and more adaptive management of symptoms including depression, anxiety, and compulsivity.
I am a licensed psychologist who specializes in working with individuals and couples. When I begin therapy with an individual, I take time to listen and learn about the sources of their negative feelings or disappointing patterns. As we build a shared understanding of their pain or frustration, we incorporate cognitive, behavioral, emotion regulation or interpersonal skills. I draw on my training in psychodynamic, cognitive-behavioral, and emotionally focused therapy to support and guide my patients as they move toward greater resiliency and more adaptive management of symptoms including depression, anxiety, and compulsivity.
(919) 928-5472 View (919) 928-5472
Photo of Jessica McMains, Lic Clinical Mental Health Counselor Associate, MEd, LCMHCA
Jessica McMains
Lic Clinical Mental Health Counselor Associate, MEd, LCMHCA
Chapel Hill, NC 27514
You’re used to taking care of everyone else, which means there’s rarely time or energy left for yourself. People see you as strong and reliable, but on the inside you may feel anxious, overwhelmed, exhausted, or disconnected from the person you want to be. You might notice old experiences, stress, or patterns affecting your relationships, your work, or your sense of self, and you’re ready for things to feel different.
You’re used to taking care of everyone else, which means there’s rarely time or energy left for yourself. People see you as strong and reliable, but on the inside you may feel anxious, overwhelmed, exhausted, or disconnected from the person you want to be. You might notice old experiences, stress, or patterns affecting your relationships, your work, or your sense of self, and you’re ready for things to feel different.
(984) 305-3472 View (984) 305-3472
Photo of Becca Ehlert, Licensed Clinical Mental Health Counselor, CRC, LCMHC, LCAS
Becca Ehlert
Licensed Clinical Mental Health Counselor, CRC, LCMHC, LCAS
2 Endorsed
Chapel Hill, NC 27514
I focus on balance and helping you get on a renewed path of peace and well-being. With a whole person-perspective, I deeply value what makes you unique and help to build insight into the larger issues in a safe, non-judgmental space for you. Common themes I see include: managing difficult relationships, processing past trauma, building self-esteem, setting boundaries, and developing solutions for healthy changes. Together, we will work toward an authentic life where you can approach life with confidence.
I focus on balance and helping you get on a renewed path of peace and well-being. With a whole person-perspective, I deeply value what makes you unique and help to build insight into the larger issues in a safe, non-judgmental space for you. Common themes I see include: managing difficult relationships, processing past trauma, building self-esteem, setting boundaries, and developing solutions for healthy changes. Together, we will work toward an authentic life where you can approach life with confidence.
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Photo of Lorena Gonzalez Vandersand, Psychologist, PhD
Lorena Gonzalez Vandersand
Psychologist, PhD
Chapel Hill, NC 27514
I am a generalist and work with adults with a variety of presenting issues including: relationship stressors, sexual abuse or trauma, depression, anxiety, grief, family stressors and adjustment issues. I appreciate that these issues are often complex and complicated and it might feel very overwhelming. My belief is that people are resilient, and even the most resilient people can benefit from someone listening. My goal is to hear you, support you, and give you helpful feedback and suggestions for how to make changes. I like to focus on the skills and strategies you might be underestimating in yourself.
I am a generalist and work with adults with a variety of presenting issues including: relationship stressors, sexual abuse or trauma, depression, anxiety, grief, family stressors and adjustment issues. I appreciate that these issues are often complex and complicated and it might feel very overwhelming. My belief is that people are resilient, and even the most resilient people can benefit from someone listening. My goal is to hear you, support you, and give you helpful feedback and suggestions for how to make changes. I like to focus on the skills and strategies you might be underestimating in yourself.
(919) 502-7601 View (919) 502-7601
Photo of Auna Myong Namkung, Clinical Social Work/Therapist
Auna Myong Namkung
Clinical Social Work/Therapist
Chapel Hill, NC 27514
Are you stuck in your head; second-guessing every word, afraid you will say or do something weird or not sound interesting enough? Do you feel like an outlier, not accepted by others, but more importantly by yourself? Perhaps this drives you to perfectionism and social anxiety. This makes initiating conversations terrifying. Going through major life changes and having some big decisions to make, spirals into feeling overwhelmed. I get it because I also live on the outside. I have lived that fear of judgment and turned it into real confidence and connection.
Are you stuck in your head; second-guessing every word, afraid you will say or do something weird or not sound interesting enough? Do you feel like an outlier, not accepted by others, but more importantly by yourself? Perhaps this drives you to perfectionism and social anxiety. This makes initiating conversations terrifying. Going through major life changes and having some big decisions to make, spirals into feeling overwhelmed. I get it because I also live on the outside. I have lived that fear of judgment and turned it into real confidence and connection.
(910) 536-3163 View (910) 536-3163
Photo of Jennifer Baddour, Clinical Social Work/Therapist, LCSW
Jennifer Baddour
Clinical Social Work/Therapist, LCSW
2 Endorsed
Chapel Hill, NC 27514
Many people who decide to come to therapy describe a desire to feel happier and more satisfied with one or more areas of life. We all have times in our lives when we know we need to make a change, but taking the steps by yourself can feel overwhelming. Therapy is an opportunity to learn about yourself and to empower yourself to grow and make necessary shifts in order to live a more fulfilling and satisfying life. Maybe it feels like things have fallen off the rails, or maybe you're feeling a little stuck, or maybe it's somewhere in between...we'll meet you where you are, and take it from there!
Many people who decide to come to therapy describe a desire to feel happier and more satisfied with one or more areas of life. We all have times in our lives when we know we need to make a change, but taking the steps by yourself can feel overwhelming. Therapy is an opportunity to learn about yourself and to empower yourself to grow and make necessary shifts in order to live a more fulfilling and satisfying life. Maybe it feels like things have fallen off the rails, or maybe you're feeling a little stuck, or maybe it's somewhere in between...we'll meet you where you are, and take it from there!
(919) 842-3069 View (919) 842-3069
Photo of Jan Krause - C Jan Krause Counseling, Counselor, MA, LCMHC
C Jan Krause Counseling
Counselor, MA, LCMHC
1 Endorsed
Chapel Hill, NC 27514
As a Licensed Mental Health Professional Counselor, it is an honor and privilege to walk alongside others. Through my counseling, I purpose to empower individuals to chose the path that leads to healing, wholeness, hope and renewal.
As a Licensed Mental Health Professional Counselor, it is an honor and privilege to walk alongside others. Through my counseling, I purpose to empower individuals to chose the path that leads to healing, wholeness, hope and renewal.
(919) 299-6364 View (919) 299-6364
Photo of Jonathan Bell, Clinical Social Work/Therapist, LCSW
Jonathan Bell
Clinical Social Work/Therapist, LCSW
5 Endorsed
Chapel Hill, NC 27514
Do you feel that there is a disconnect between who you are and who you present to the world? Perhaps your relationships with others, with substances, with your religion, beliefs, or culture are not what you want them to be. Maybe you're in the midst of a life transition and asking yourself hard questions about the world around you. Whatever the reason may be, my clients bravely come to therapy, seeking ways to live a more authentic life, and I join them as we find ways to do so. I believe that we all deserve to live a life that is true to who we are, and that therapy can help us to achieve that.
Do you feel that there is a disconnect between who you are and who you present to the world? Perhaps your relationships with others, with substances, with your religion, beliefs, or culture are not what you want them to be. Maybe you're in the midst of a life transition and asking yourself hard questions about the world around you. Whatever the reason may be, my clients bravely come to therapy, seeking ways to live a more authentic life, and I join them as we find ways to do so. I believe that we all deserve to live a life that is true to who we are, and that therapy can help us to achieve that.
(919) 648-0594 View (919) 648-0594

See more therapy options for 27514

How does your Therapist compare?

Number of Therapists in 27514

600+

Average cost per session

$153

Therapists in 27514 who prioritize treating:

93% Anxiety
93% Social Anxiety
93% Health Anxiety
93% Driving Anxiety
86% Depression
80% Relationship Issues
76% Relationship Anxiety

Average years in practice

12 Years

Top 3 insurances accepted

90% Aetna
89% BlueCross and BlueShield
48% Cigna and Evernorth

How Therapists in 27514 see their clients

73% In Person and Online
27% Online Only

Gender breakdown

80% Female
17% Male
3% Non-Binary
FAQs - About Therapy and Counseling

How can I find a therapist in 27514?

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.