Therapists in 27599

Photo of Dr. Richard Trammel, EdD, MS, L3S-CT
Dr. Richard Trammel
Verified Verified
1 Endorsed
Chapel Hill, NC 27599
As a REAL Sports Psychologist, I have a unique practice in that I specialize in working with athletes who have the desire to take their game to the next level. Being a competitive athlete and coach helps me relate to other competitive people in sports or business. My primary focus is building confidence and eliminating Performance Anxiety. I have worked in the following sports: PGA Golf (Primary), USTA, NFL, USA Hockey, Basketball, MLB, Fast Pitch Softball, Cheer, Gymnastics, Most NCAA Sports, Equestrian, Soccer, Boxing/MMA, Volleyball, Track & Field, Lacrosse, Bowling, Pool, E-Sports, Symphony Orchestra, and Business Analytics.
As a REAL Sports Psychologist, I have a unique practice in that I specialize in working with athletes who have the desire to take their game to the next level. Being a competitive athlete and coach helps me relate to other competitive people in sports or business. My primary focus is building confidence and eliminating Performance Anxiety. I have worked in the following sports: PGA Golf (Primary), USTA, NFL, USA Hockey, Basketball, MLB, Fast Pitch Softball, Cheer, Gymnastics, Most NCAA Sports, Equestrian, Soccer, Boxing/MMA, Volleyball, Track & Field, Lacrosse, Bowling, Pool, E-Sports, Symphony Orchestra, and Business Analytics.
(561) 375-2472 View (561) 375-2472
Photo of Alisha Cooper - Mindspace Health, Counselor
Mindspace Health
Counselor
1 Endorsed
Online Only
HELLO and a warm welcome to you. This part of your process is so important. Looking for the right fit. If you are like me (very picky), you want to be sure that you are making the best decision. Know that you can take your time with this part of your journey Whether you are familiar with counseling or new to it, you will find that your sessions will fly by, but you feel weight lifted off of you. The clinical interventions used will likely not be felt as clinical or stuffy but rather just a good conversation. What is therapy without growth? Not a worry, I will make sure you have skills to practice right away outside of therapy.
HELLO and a warm welcome to you. This part of your process is so important. Looking for the right fit. If you are like me (very picky), you want to be sure that you are making the best decision. Know that you can take your time with this part of your journey Whether you are familiar with counseling or new to it, you will find that your sessions will fly by, but you feel weight lifted off of you. The clinical interventions used will likely not be felt as clinical or stuffy but rather just a good conversation. What is therapy without growth? Not a worry, I will make sure you have skills to practice right away outside of therapy.
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Photo of Lucy Wilson, Clinical Social Work/Therapist, LCSW-A
Lucy Wilson
Clinical Social Work/Therapist, LCSW-A
1 Endorsed
Serves Area
Not accepting new clients
I specialize in treating neurodivergence, executive functioning, depression, anxiety, anger, defiance, and life transitions. My goal as a therapist is to help individuals find their joy and create a sense of comfort in expressing their emotions. Utilizing CBT, DBT, expressive arts, MI, strengths-based, and play therapy, I foster empowerment and help clients realize their potential to conquer life's challenges. I believe in celebrating all victories, no matter how big or small, and am committed to providing a supportive therapeutic environment.
I specialize in treating neurodivergence, executive functioning, depression, anxiety, anger, defiance, and life transitions. My goal as a therapist is to help individuals find their joy and create a sense of comfort in expressing their emotions. Utilizing CBT, DBT, expressive arts, MI, strengths-based, and play therapy, I foster empowerment and help clients realize their potential to conquer life's challenges. I believe in celebrating all victories, no matter how big or small, and am committed to providing a supportive therapeutic environment.
(984) 342-2206 View (984) 342-2206
Photo of Jessica Jeremiah, Clinical Social Work/Therapist, LCSW, LCAS, CCS
Jessica Jeremiah
Clinical Social Work/Therapist, LCSW, LCAS, CCS
Serves Area
Every person I serve has a unique story. While some clients experience challenges in just one area, most experience difficulty multiple areas (mental health, trauma, loss, addiction), creating a complex, vicious cycle if not all parts are addressed. The circumstances that bring someone to therapy do not come in 'neat little packages.' I enjoy sorting out the pieces with each client, getting to the root of the issue, and offering a combination of evidence-based therapeutic interventions that help clients finally begin to experience relief, and start living a happier, more fulfilled life.
Every person I serve has a unique story. While some clients experience challenges in just one area, most experience difficulty multiple areas (mental health, trauma, loss, addiction), creating a complex, vicious cycle if not all parts are addressed. The circumstances that bring someone to therapy do not come in 'neat little packages.' I enjoy sorting out the pieces with each client, getting to the root of the issue, and offering a combination of evidence-based therapeutic interventions that help clients finally begin to experience relief, and start living a happier, more fulfilled life.
(919) 585-5163 View (919) 585-5163
Photo of Timothy J Strau-Man - Duke Psychology Clinic, Psychologist, PhD
Duke Psychology Clinic
Psychologist, PhD
Serves Area
Welcome to our page! We here at the Duke Psychology Clinic offer short- and long-term individual therapy for adults seeking treatment for a range of difficulties. We treat a wide-range of presenting concerns, including but not limited to depression, anxiety, inattentiveness/hyperactivity, self-esteem, eating concerns, relationship difficulties, adjustment, and coping with stressors. The Clinic has been providing psychological services to the Triangle community for over twenty years and is committed to working with adults who are seeking services, with or without insurance.
Welcome to our page! We here at the Duke Psychology Clinic offer short- and long-term individual therapy for adults seeking treatment for a range of difficulties. We treat a wide-range of presenting concerns, including but not limited to depression, anxiety, inattentiveness/hyperactivity, self-esteem, eating concerns, relationship difficulties, adjustment, and coping with stressors. The Clinic has been providing psychological services to the Triangle community for over twenty years and is committed to working with adults who are seeking services, with or without insurance.
(919) 660-5571 View (919) 660-5571
Photo of Dr. Christine Abassary, Licensed Clinical Mental Health Counselor, PhD, LCMHC
Dr. Christine Abassary
Licensed Clinical Mental Health Counselor, PhD, LCMHC
2 Endorsed
Online Only
Not accepting new clients
You deserve to feel happiness along with a range of emotions. Did you know recent events can trigger our past traumas? Addressing our emotions through healthy coping can free our potential, improve relationships and help us to simply enjoy our life more thoroughly. I will work within an authentic, present-focused, self-paced therapeutic relationship to foster change. We will address past traumas at your pace and current obstacles to heal. I utilize tools that are evidence-based and meet your specific needs. I have over 20 years experience working with children, adolescents and adults from various backgrounds.
You deserve to feel happiness along with a range of emotions. Did you know recent events can trigger our past traumas? Addressing our emotions through healthy coping can free our potential, improve relationships and help us to simply enjoy our life more thoroughly. I will work within an authentic, present-focused, self-paced therapeutic relationship to foster change. We will address past traumas at your pace and current obstacles to heal. I utilize tools that are evidence-based and meet your specific needs. I have over 20 years experience working with children, adolescents and adults from various backgrounds.
(828) 761-0963 View (828) 761-0963
Photo of Sarah E Moore, Clinical Social Work/Therapist, MSW, LCSW
Sarah E Moore
Clinical Social Work/Therapist, MSW, LCSW
1 Endorsed
Online Only
I provide an open and safe space for you to be seen and supported, whether struggling in relationships or facing overwhelming challenges. Here I want you to feel understood without judgment and comfortable when you have been told by the world that you don't fit or aren't good enough. You don't have to struggle alone.
I provide an open and safe space for you to be seen and supported, whether struggling in relationships or facing overwhelming challenges. Here I want you to feel understood without judgment and comfortable when you have been told by the world that you don't fit or aren't good enough. You don't have to struggle alone.
(919) 695-9112 View (919) 695-9112
Photo of Julie Campbell, Clinical Social Work/Therapist, MSW, LCSW
Julie Campbell
Clinical Social Work/Therapist, MSW, LCSW
1 Endorsed
Online Only
Hello! First, thank you for reading this: You are why I am here. My passion for healing drives me, and mental health is my area of focus. I'm here to help with life stressors, from depression, anxiety, trauma, family conflict, domestic violence, to relationship issues. My specialties are helping folks who have trauma gain back their hope, empowerment, and narrative. I am a member of and make a proud and intentional effort to support the queer community with all stages, feelings, and situations. I provide domestic violence therapy for survivors and families. I actively assist families with building resilient healthy relationships.
Hello! First, thank you for reading this: You are why I am here. My passion for healing drives me, and mental health is my area of focus. I'm here to help with life stressors, from depression, anxiety, trauma, family conflict, domestic violence, to relationship issues. My specialties are helping folks who have trauma gain back their hope, empowerment, and narrative. I am a member of and make a proud and intentional effort to support the queer community with all stages, feelings, and situations. I provide domestic violence therapy for survivors and families. I actively assist families with building resilient healthy relationships.
(704) 538-4729 View (704) 538-4729
Photo of Stephanie Kesner, Counselor, MS, LCMHC
Stephanie Kesner
Counselor, MS, LCMHC
Online Only
Welcome! Oftentimes when life gets too hard or too overwhelming, it's difficult to know what to do or who to turn to for help. In fact, letting others know you need help is often the most difficult. But you're here. You've taken the first step to healing and I'm so glad you did. I practice from a person-centered perspective, meaning I walk alongside you in your journey at your pace. I also incorporate skills from other modalities as needed. You are the expert of your life and it's my job to honor that, to help provide clarity, and to offer tools to navigate life's most difficult challenges.
Welcome! Oftentimes when life gets too hard or too overwhelming, it's difficult to know what to do or who to turn to for help. In fact, letting others know you need help is often the most difficult. But you're here. You've taken the first step to healing and I'm so glad you did. I practice from a person-centered perspective, meaning I walk alongside you in your journey at your pace. I also incorporate skills from other modalities as needed. You are the expert of your life and it's my job to honor that, to help provide clarity, and to offer tools to navigate life's most difficult challenges.
(919) 739-4709 View (919) 739-4709
Photo of Kim Gordon, Clinical Social Work/Therapist, LCSW
Kim Gordon
Clinical Social Work/Therapist, LCSW
Serves Area
Kim Gordon is a Certified Clinical Trauma Professional and a Licensed Clinical Social Worker in Louisiana, North Carolina, New York and Virginia. She has over 20 years of clinical experience.
Kim Gordon is a Certified Clinical Trauma Professional and a Licensed Clinical Social Worker in Louisiana, North Carolina, New York and Virginia. She has over 20 years of clinical experience.
(504) 882-9572 View (504) 882-9572
Photo of Dylan Hines, MEd, LCMHCA
Dylan Hines
Verified Verified
1 Endorsed
Serves Area
Hi, I'm so glad you're here. My name is Dylan, a mental health counselor at Three Oaks Behavioral Health & Wellness. I am deeply passionate about supporting members of the queer (LGBTQ+) community through mental health care and community education. I also enjoy working alongside adolescents and adults of all ages as they explore identities and values; manage anxiety, depression, and daily stressors; navigate life transitions; and work towards their goal of creating a more fulfilling life.
Hi, I'm so glad you're here. My name is Dylan, a mental health counselor at Three Oaks Behavioral Health & Wellness. I am deeply passionate about supporting members of the queer (LGBTQ+) community through mental health care and community education. I also enjoy working alongside adolescents and adults of all ages as they explore identities and values; manage anxiety, depression, and daily stressors; navigate life transitions; and work towards their goal of creating a more fulfilling life.
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Photo of Mathew O'Connor, Licensed Clinical Mental Health Counselor, LCMHC, LCAS, CCS
Mathew O'Connor
Licensed Clinical Mental Health Counselor, LCMHC, LCAS, CCS
3 Endorsed
Serves Area
As a psychotherapist I specialize in helping individuals who are interested in learning and growing in self-awareness and confidence. I work well with people who are exploring patterns of substance use, intimate relationships, performance anxieties, lack of confidence/satisfaction, major life transitions (job/school changes/relational/grief). I am a relationally and present moment-based therapist. This means we will work from a framework that everything (past/present/future) can be addressed by exploring the relationship you have with it in "right now". My role is to be a guide you on your path of wellness.
As a psychotherapist I specialize in helping individuals who are interested in learning and growing in self-awareness and confidence. I work well with people who are exploring patterns of substance use, intimate relationships, performance anxieties, lack of confidence/satisfaction, major life transitions (job/school changes/relational/grief). I am a relationally and present moment-based therapist. This means we will work from a framework that everything (past/present/future) can be addressed by exploring the relationship you have with it in "right now". My role is to be a guide you on your path of wellness.
(919) 823-2008 View (919) 823-2008
Photo of Brittany Allen, Licensed Clinical Mental Health Counselor, EdS, LCMHC, NCC
Brittany Allen
Licensed Clinical Mental Health Counselor, EdS, LCMHC, NCC
Online Only
My desire is to create a safe, non-judgmental environment to aid in facilitating change and growth. Whether you're going through life transition or relational strain, my goal is to empower you to find the tools within yourself to initiate a positive transformation within your life and relationships. Let's focus on navigating and guiding you through the change process to cultivate a deeper self awareness to discover a more peaceful state of mind, as well as, develop a move cohesive unit and bond within your family and partnerships.
My desire is to create a safe, non-judgmental environment to aid in facilitating change and growth. Whether you're going through life transition or relational strain, my goal is to empower you to find the tools within yourself to initiate a positive transformation within your life and relationships. Let's focus on navigating and guiding you through the change process to cultivate a deeper self awareness to discover a more peaceful state of mind, as well as, develop a move cohesive unit and bond within your family and partnerships.
(980) 414-3094 View (980) 414-3094
Photo of Saphia Shaffie, LMSW , LCSW-A
Saphia Shaffie
Verified Verified
Online Only
We’re all deserving of love and healing. I am a dedicated mental health therapist passionate about helping individuals navigate life’s challenges and find balance in their emotional well-being. I’m here to give you that space to feel seen and validated.
We’re all deserving of love and healing. I am a dedicated mental health therapist passionate about helping individuals navigate life’s challenges and find balance in their emotional well-being. I’m here to give you that space to feel seen and validated.
(984) 983-5371 View (984) 983-5371
Photo of Brittany Greene, Lic Clinical Mental Health Counselor Associate, MA, NCC, LCMHCA, LCAS-A
Brittany Greene
Lic Clinical Mental Health Counselor Associate, MA, NCC, LCMHCA, LCAS-A
1 Endorsed
Online Only
Are you feeling overwhelmed, stuck, or searching for clarity? I’m here to help you navigate life’s challenges and rediscover your inner strength. My approach is rooted in compassion, collaboration, and creating a space where you can truly be yourself. You’ll find a welcoming, non-judgmental environment where you feel safe to explore your thoughts, emotions, and experiences. Together, we’ll work toward breaking free from what’s holding you back and uncovering the path to a more fulfilling life. I work with children, adolescents, and adults, focusing on fostering a healthy, supportive relationship where growth and healing can thrive.
Are you feeling overwhelmed, stuck, or searching for clarity? I’m here to help you navigate life’s challenges and rediscover your inner strength. My approach is rooted in compassion, collaboration, and creating a space where you can truly be yourself. You’ll find a welcoming, non-judgmental environment where you feel safe to explore your thoughts, emotions, and experiences. Together, we’ll work toward breaking free from what’s holding you back and uncovering the path to a more fulfilling life. I work with children, adolescents, and adults, focusing on fostering a healthy, supportive relationship where growth and healing can thrive.
(919) 584-9765 View (919) 584-9765
Photo of Jill Ryon, Clinical Social Work/Therapist, LCSW
Jill Ryon
Clinical Social Work/Therapist, LCSW
Online Only
Book with me now by clicking on my website. Life challenges occur at different stages in our lives and sometimes they are overwhelming to navigate on our own. We can often get lost in feelings of sadness, anger, anxiety, and confusion which cultivates hopelessness as we allow these thoughts and emotions to take over our lives.
Book with me now by clicking on my website. Life challenges occur at different stages in our lives and sometimes they are overwhelming to navigate on our own. We can often get lost in feelings of sadness, anger, anxiety, and confusion which cultivates hopelessness as we allow these thoughts and emotions to take over our lives.
(828) 548-0403 View (828) 548-0403
Photo of Katie Pape, Counselor, MEd, LCMHC, ATR
Katie Pape
Counselor, MEd, LCMHC, ATR
2 Endorsed
Serves Area
Waitlist for new clients
Currently on a waitlist. Welcome to my practice, where healing begins through a holistic and personalized approach. I am a dedicated therapist committed to supporting teens and adults on their journey to mental well-being. My therapeutic philosophy revolves around the integration of self-compassion, art therapy, mindfulness-based stress reduction, and nature-based interventions. In our virtual and in-office sessions, I provide a warm and nurturing environment for individuals seeking relief from the burdens of stress, anxiety, depression, trauma, and life transitions.
Currently on a waitlist. Welcome to my practice, where healing begins through a holistic and personalized approach. I am a dedicated therapist committed to supporting teens and adults on their journey to mental well-being. My therapeutic philosophy revolves around the integration of self-compassion, art therapy, mindfulness-based stress reduction, and nature-based interventions. In our virtual and in-office sessions, I provide a warm and nurturing environment for individuals seeking relief from the burdens of stress, anxiety, depression, trauma, and life transitions.
(919) 873-4452 View (919) 873-4452
Photo of Dr. Na'imah Sedegah, Psychologist, PhD, LP, HSP-P
Dr. Na'imah Sedegah
Psychologist, PhD, LP, HSP-P
Serves Area
Thank you for visiting my profile. At this time, I am only accepting patients with AETNA & Carelon Behavioral Health insurance. I am also accepting a provisionally licensed psychologist in the Charlotte metropolitan area for clinical supervision. Through our mutual collaboration, let's work towards reaching your true potential all while avoiding those really low valleys that can get you down. My focus is to help individuals heal, energize, and become aware of their inner strengths. My goal is to empower you to improve your life, reach your peak potential, and build upon your innate strengths!
Thank you for visiting my profile. At this time, I am only accepting patients with AETNA & Carelon Behavioral Health insurance. I am also accepting a provisionally licensed psychologist in the Charlotte metropolitan area for clinical supervision. Through our mutual collaboration, let's work towards reaching your true potential all while avoiding those really low valleys that can get you down. My focus is to help individuals heal, energize, and become aware of their inner strengths. My goal is to empower you to improve your life, reach your peak potential, and build upon your innate strengths!
(980) 372-6877 View (980) 372-6877
Photo of Jennifer Mossefin - Trailhead Psychotherapy, Clinical Social Work/Therapist
Trailhead Psychotherapy
Clinical Social Work/Therapist
Serves Area
Grappling with external systems of oppression, or internal struggles like self-criticism, a life out-of-balance, or the past taking up too much of your present can feel lonely. Often, the strategies that helped us survive can develop into problems themselves. Challenging your old ways of living and struggling in the world is a bold move and figuring out the best way forward can feel overwhelming. You don't have to do it alone.
Grappling with external systems of oppression, or internal struggles like self-criticism, a life out-of-balance, or the past taking up too much of your present can feel lonely. Often, the strategies that helped us survive can develop into problems themselves. Challenging your old ways of living and struggling in the world is a bold move and figuring out the best way forward can feel overwhelming. You don't have to do it alone.
(984) 367-9925 View (984) 367-9925
Photo of Samantha Flynn, Clinical Social Work/Therapist, MSW, LCSW, CEDS
Samantha Flynn
Clinical Social Work/Therapist, MSW, LCSW, CEDS
2 Endorsed
Online Only
Are you feeling stuck or invalidated? Are you struggling with loving your body? Do you want to feel at home and safe in your body? Change is hard, and you deserve the support you need. My goal is to aid in guiding clients to creating the life they desire. I believe that therapy is a powerful tool, and the therapeutic alliance is crucial to change. I’m a licensed clinical social work associate. Before outpatient work, I worked as a primary therapist in a residential eating disorder treatment center. I practice through a Health at Every Size (HAES) framework and believe everyone should feel safe in their bodies.
Are you feeling stuck or invalidated? Are you struggling with loving your body? Do you want to feel at home and safe in your body? Change is hard, and you deserve the support you need. My goal is to aid in guiding clients to creating the life they desire. I believe that therapy is a powerful tool, and the therapeutic alliance is crucial to change. I’m a licensed clinical social work associate. Before outpatient work, I worked as a primary therapist in a residential eating disorder treatment center. I practice through a Health at Every Size (HAES) framework and believe everyone should feel safe in their bodies.
(919) 230-8464 View (919) 230-8464

See more therapy options for 27599

How does your Therapist compare?

Number of Therapists in 27599

50+

Average cost per session

$150

Therapists in 27599 who prioritize treating:

98% Anxiety
85% Relationship Issues
85% Depression
85% Self Esteem
80% Coping Skills
80% Stress
72% Grief

Average years in practice

11 Years

Top 3 insurances accepted

85% Aetna
83% BlueCross and BlueShield
55% Cigna and Evernorth

How Therapists in 27599 see their clients

65% In Person and Online
35% Online Only

Gender breakdown

80% Female
16% Male
4% Non-Binary
FAQs - About Therapy and Counseling

How can I find a therapist in 27599?

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.