Therapists in 27611

Photo of Miriam Gold, Clinical Social Work/Therapist, MSW, LCSW
Miriam Gold
Clinical Social Work/Therapist, MSW, LCSW
Serves Area
I will help you understand and overcome barriers and challenges as we foster opportunities for options and possibilities. I look forward to working with you through an interactive and dynamic partnership driven by your needs and dreams, motivation, commitment, strengths, and goals. I provide a supportive, caring, non-judgmental, responsive approach to a therapeutic relationship based on trust and collaboration. I have over 25 years experience empowering people in the development, utilization, and enhancement of coping skills long after completion of therapeutic services. Therapy is tailored to each clients unique needs, goals, and strengths.
I will help you understand and overcome barriers and challenges as we foster opportunities for options and possibilities. I look forward to working with you through an interactive and dynamic partnership driven by your needs and dreams, motivation, commitment, strengths, and goals. I provide a supportive, caring, non-judgmental, responsive approach to a therapeutic relationship based on trust and collaboration. I have over 25 years experience empowering people in the development, utilization, and enhancement of coping skills long after completion of therapeutic services. Therapy is tailored to each clients unique needs, goals, and strengths.
(919) 289-8171 View (919) 289-8171
Photo of Elizabeth Nicholaides, Clinical Social Work/Therapist, LCSW
Elizabeth Nicholaides
Clinical Social Work/Therapist, LCSW
Serves Area
Elizabeth is an experienced clinician committed to empowering people to understand and experience their lives in a more satisfying way. She supports clients through a combined practical, cultural, spiritual and narrative approach. She strives to help people find meaning in their lives and increase the congruence between their value systems, behaviors, and life contexts.
Elizabeth is an experienced clinician committed to empowering people to understand and experience their lives in a more satisfying way. She supports clients through a combined practical, cultural, spiritual and narrative approach. She strives to help people find meaning in their lives and increase the congruence between their value systems, behaviors, and life contexts.
(919) 516-9084 View (919) 516-9084
Photo of Bethany Dement, Licensed Clinical Mental Health Counselor, LCMHC
Bethany Dement
Licensed Clinical Mental Health Counselor, LCMHC
4 Endorsed
Serves Area
Are you feeling feels stuck, overwhelmed, and uncertain, battling anxiety, depression, or both? Are you struggle with perfectionism, self-doubt, or navigating difficult relationships? Are you wanting to regain control over your emotions, find clarity, and reconnect with happiness and purpose? Do you crave deep connection but struggle to feel close or connected to your desires? Beneath it all, do you long to be yourseIf, feel confident, and let go of the fears holding you back? I help clients by providing safe space to feel understood, gain insight, and build resilience.
Are you feeling feels stuck, overwhelmed, and uncertain, battling anxiety, depression, or both? Are you struggle with perfectionism, self-doubt, or navigating difficult relationships? Are you wanting to regain control over your emotions, find clarity, and reconnect with happiness and purpose? Do you crave deep connection but struggle to feel close or connected to your desires? Beneath it all, do you long to be yourseIf, feel confident, and let go of the fears holding you back? I help clients by providing safe space to feel understood, gain insight, and build resilience.
(919) 276-8537 View (919) 276-8537
Photo of Stephanie Phillips, Lic Clinical Mental Health Counselor Supervisor, LCMHCS, NCC, CCTP
Stephanie Phillips
Lic Clinical Mental Health Counselor Supervisor, LCMHCS, NCC, CCTP
Serves Area
Do you feel like no one understands what you are going through? Do you want to talk about your feelings without judgment? Counseling should be a place where you are comfortable and can explore solutions without fear or worry. I offer a counseling relationship where you can feel safe to work on issues that are truly important to you, at a pace that meets your needs. I want you to feel stronger than the problems you face and capable of handling whatever life throws your way.
Do you feel like no one understands what you are going through? Do you want to talk about your feelings without judgment? Counseling should be a place where you are comfortable and can explore solutions without fear or worry. I offer a counseling relationship where you can feel safe to work on issues that are truly important to you, at a pace that meets your needs. I want you to feel stronger than the problems you face and capable of handling whatever life throws your way.
(919) 926-9495 View (919) 926-9495
Photo of Holly Yates, Licensed Professional Counselor, MS, LCMHC
Holly Yates
Licensed Professional Counselor, MS, LCMHC
4 Endorsed
Serves Area
Rich Relationships, Values, a Life Of Meaning and Purpose: how do we get there? As an ACT and FAP therapist , FAP Certified Trainer and co-author of "The Inner Critic Workbook" my practice is deeply committed to helping clients navigate life's challenges, reduce feelings of shame, and increase self-compassion all through mindful intention. I am dedicated to helping clients become more connected to themselves, create deeper connection with others while fostering openhearted awareness, maintaining integrity and increasing self respect. When we meet, you can be sure you will be met where you are with compassion and kindness,
Rich Relationships, Values, a Life Of Meaning and Purpose: how do we get there? As an ACT and FAP therapist , FAP Certified Trainer and co-author of "The Inner Critic Workbook" my practice is deeply committed to helping clients navigate life's challenges, reduce feelings of shame, and increase self-compassion all through mindful intention. I am dedicated to helping clients become more connected to themselves, create deeper connection with others while fostering openhearted awareness, maintaining integrity and increasing self respect. When we meet, you can be sure you will be met where you are with compassion and kindness,
(919) 648-1625 View (919) 648-1625
Photo of Lawrence Ellsworth - Lawrence Ellsworth, LCSW, Clinical Social Work/Therapist, MSSW, LCSW
Lawrence Ellsworth, LCSW
Clinical Social Work/Therapist, MSSW, LCSW
1 Endorsed
Serves Area
I earned a Master of Science in Social Work from the University of Wisconsin-Madison and a BS in Psychology from the University of Northern Colorado. I have significant experience providing clinical services for children, adolescents, adults and families dealing with a wide range of mental health issues. I was a clinician and program supervisor at Wake County Mental Health/Human Services where I developed and managed an innovative treatment program for children and families dealing with sexual abuse. I also provide clinical supervision, consultation and mental health trainings around North Carolina through the Area Health Education Centers (AHEC).
I earned a Master of Science in Social Work from the University of Wisconsin-Madison and a BS in Psychology from the University of Northern Colorado. I have significant experience providing clinical services for children, adolescents, adults and families dealing with a wide range of mental health issues. I was a clinician and program supervisor at Wake County Mental Health/Human Services where I developed and managed an innovative treatment program for children and families dealing with sexual abuse. I also provide clinical supervision, consultation and mental health trainings around North Carolina through the Area Health Education Centers (AHEC).
(919) 883-4240 View (919) 883-4240
Photo of Stephanie Dawn Phillips - The Mindly Group, PLLC, Licensed Clinical Mental Health Counselor Supervisor, PLLC
The Mindly Group, PLLC
Licensed Clinical Mental Health Counselor Supervisor, PLLC
Serves Area
Do you struggle with feeling disconnected from yourself and others? Do you put your needs at the bottom of the to-do list? Do you wonder if life should feel somehow better? Happier? Now more than ever, people are feeling anxious, overwhelmed and uncertain about how they are supposed to manage their relationships, careers and their lives. Pushing away your needs and not taking time for yourself can lead to long-term issues for your mind and body. We believe it shouldn’t be so hard to live a better life.
Do you struggle with feeling disconnected from yourself and others? Do you put your needs at the bottom of the to-do list? Do you wonder if life should feel somehow better? Happier? Now more than ever, people are feeling anxious, overwhelmed and uncertain about how they are supposed to manage their relationships, careers and their lives. Pushing away your needs and not taking time for yourself can lead to long-term issues for your mind and body. We believe it shouldn’t be so hard to live a better life.
(919) 289-4121 View (919) 289-4121
Photo of Jessica Fuller - Jessica Fuller Therapy, PLLC., Clinical Social Work/Therapist, LCSW, CCTP
Jessica Fuller Therapy, PLLC.
Clinical Social Work/Therapist, LCSW, CCTP
2 Endorsed
Serves Area
I am a trauma specialist who works with adults and adolescence (16+) with trauma (PTSD), addiction, depression, anxiety, sports (mental) blocks, and other diagnosis through EMDR, Brainspotting, IFS, and talk therapy. Recognizing the need for more intensive support, I am pleased to offer trauma intensives lasting 150 min for clients desiring a more concentrated therapeutic experience. These sessions are exclusively self-pay, email to inquire and schedule. I use the best training to provide the highest quality of therapy possible to my clients in a calming and relaxed atmosphere. Elsie Mae (hound dog) therapy dog available on site.
I am a trauma specialist who works with adults and adolescence (16+) with trauma (PTSD), addiction, depression, anxiety, sports (mental) blocks, and other diagnosis through EMDR, Brainspotting, IFS, and talk therapy. Recognizing the need for more intensive support, I am pleased to offer trauma intensives lasting 150 min for clients desiring a more concentrated therapeutic experience. These sessions are exclusively self-pay, email to inquire and schedule. I use the best training to provide the highest quality of therapy possible to my clients in a calming and relaxed atmosphere. Elsie Mae (hound dog) therapy dog available on site.
(252) 336-9692 View (252) 336-9692
Photo of Chris Fine, Licensed Clinical Mental Health Counselor, LCMHC
Chris Fine
Licensed Clinical Mental Health Counselor, LCMHC
2 Endorsed
Serves Area
I am a Christian and a therapist, my faith shapes the deep respect I have for every person’s story. I believe each therapeutic encounter is a sacred and unique exchange—an opportunity to witness the dignity of another and honor the life narrative unfolding within them. I also understand and welcome the presence of doubt, questioning, and non-belief. I hold space for all backgrounds and journeys, including those still in process or outside of faith traditions. My hope is to assist you in recognizing your personal gifts and contributions, and together create a new experience that nurtures
I am a Christian and a therapist, my faith shapes the deep respect I have for every person’s story. I believe each therapeutic encounter is a sacred and unique exchange—an opportunity to witness the dignity of another and honor the life narrative unfolding within them. I also understand and welcome the presence of doubt, questioning, and non-belief. I hold space for all backgrounds and journeys, including those still in process or outside of faith traditions. My hope is to assist you in recognizing your personal gifts and contributions, and together create a new experience that nurtures
(919) 759-6144 View (919) 759-6144
Photo of Alison Moore Keene, Licensed Clinical Mental Health Counselor, MA, LCMHC
Alison Moore Keene
Licensed Clinical Mental Health Counselor, MA, LCMHC
2 Endorsed
Serves Area
Waitlist for new clients
The journey towards healing starts with one courageous step. As a counselor, my goal is to provide a safe and supportive environment where you can take those steps towards hope and increased clarity. My approach to counseling includes the whole person. I use Sensorimotor Pscyhotherapy, Integrative Somatic Therapy, and mindfulness techniques so you can learn how to regulate your body and emotions, while exploring how thought patterns can be helpful or hurtful.
The journey towards healing starts with one courageous step. As a counselor, my goal is to provide a safe and supportive environment where you can take those steps towards hope and increased clarity. My approach to counseling includes the whole person. I use Sensorimotor Pscyhotherapy, Integrative Somatic Therapy, and mindfulness techniques so you can learn how to regulate your body and emotions, while exploring how thought patterns can be helpful or hurtful.
(910) 370-8977 View (910) 370-8977
Photo of April Clark, Clinical Social Work/Therapist, LCSW
April Clark
Clinical Social Work/Therapist, LCSW
Online Only
Hi, I am a Licensed Clinical Social Worker (LCSW) residing in North Carolina. I’ve been a social worker for almost 30 years. I’ve been working within the mental health field since 2007. I have a bachelor’s degree in social work from Campbell University and a master’s degree in social work from East Carolina University. Social work is a big part of my life and how I identify myself professionally and personally. Why? Because being a social worker is more than the work we do. Social work is all about humanity!
Hi, I am a Licensed Clinical Social Worker (LCSW) residing in North Carolina. I’ve been a social worker for almost 30 years. I’ve been working within the mental health field since 2007. I have a bachelor’s degree in social work from Campbell University and a master’s degree in social work from East Carolina University. Social work is a big part of my life and how I identify myself professionally and personally. Why? Because being a social worker is more than the work we do. Social work is all about humanity!
(984) 468-8012 View (984) 468-8012
Photo of Nakisha Rodriguez - Rodriguez Online Counseling Services, Licensed Professional Counselor, LCMHCS, CMHC, BH-TMP
Rodriguez Online Counseling Services
Licensed Professional Counselor, LCMHCS, CMHC, BH-TMP
1 Endorsed
Serves Area
Not accepting new clients
Online Counseling is a process by which therapeutic change can occur in an environment where there is trust, empathy, and understanding. Within that context of the relationship clients are able to find their inner strengths, gain self-awareness, challenge irrational beliefs, discover individualized coping skills. The typical length of the counseling relationship depends on the nature of the issues. Every client is unique and there is no particular timeline for improvement or change unless the clients insurance allows only for a limited number of sessions with which the client will be notified prior to therapy.
Online Counseling is a process by which therapeutic change can occur in an environment where there is trust, empathy, and understanding. Within that context of the relationship clients are able to find their inner strengths, gain self-awareness, challenge irrational beliefs, discover individualized coping skills. The typical length of the counseling relationship depends on the nature of the issues. Every client is unique and there is no particular timeline for improvement or change unless the clients insurance allows only for a limited number of sessions with which the client will be notified prior to therapy.
(919) 752-4700 View (919) 752-4700
Photo of Lesley Parr - Parr Therapeutic Solutions, Counselor, MS, LCMHC, LCAS
Parr Therapeutic Solutions
Counselor, MS, LCMHC, LCAS
Online Only
Life can be full of anxieties, frustrations, sadness, and struggles. Therapy is a starting place to work on these concerns and make it a life that you are happy with and enjoy being part of.
Life can be full of anxieties, frustrations, sadness, and struggles. Therapy is a starting place to work on these concerns and make it a life that you are happy with and enjoy being part of.
(919) 648-0553 View (919) 648-0553
Photo of Cloie Schessl, Clinical Social Work/Therapist, LCSW
Cloie Schessl
Clinical Social Work/Therapist, LCSW
Online Only
To feel fulfilled and truly happy in life, we need to take care of ourselves from the inside out, and this is what I help my clients do in their therapy sessions. I am passionate about supporting my clients to help them achieve their mental health goals and live a more positive and rewarding life. I help clients to re-discover their mental and emotional strength and to persevere through life's unexpected challenges. Therapy is a collaborative effort, and I look forward to working together as a team to help you reach the full potential that you have always envisioned in your life.
To feel fulfilled and truly happy in life, we need to take care of ourselves from the inside out, and this is what I help my clients do in their therapy sessions. I am passionate about supporting my clients to help them achieve their mental health goals and live a more positive and rewarding life. I help clients to re-discover their mental and emotional strength and to persevere through life's unexpected challenges. Therapy is a collaborative effort, and I look forward to working together as a team to help you reach the full potential that you have always envisioned in your life.
(984) 261-3526 View (984) 261-3526
Photo of Kiana Booth, Licensed Clinical Mental Health Counselor, MA, LCMHC
Kiana Booth
Licensed Clinical Mental Health Counselor, MA, LCMHC
Online Only
Waitlist for new clients
When life is overwhelming, the idea of making a phone call, sending an email, or even googling therapists can feel like an insurmountable task, and I'm glad you took that brave first step in caring for yourself. Whether you are here because you need a safe and inclusive space to process, your anxiety feels unmanageable, or you feel stuck in any manner of ways, my ultimate goal is to empower you as the client, work with you in finding a deeper understanding of yourself, and walk alongside you on your healing journey.
When life is overwhelming, the idea of making a phone call, sending an email, or even googling therapists can feel like an insurmountable task, and I'm glad you took that brave first step in caring for yourself. Whether you are here because you need a safe and inclusive space to process, your anxiety feels unmanageable, or you feel stuck in any manner of ways, my ultimate goal is to empower you as the client, work with you in finding a deeper understanding of yourself, and walk alongside you on your healing journey.
(984) 985-2278 View (984) 985-2278
Photo of Tiana Clark, MA, LCMHC
Tiana Clark
Verified Verified
4 Endorsed
Online Only
I am a Licensed Clinical Mental Health Counselor seeking to help clients with trauma and stress, dissociation, depression, anxiety, emotion dysregulation and parenting difficulties. I aim to alleviate psychological suffering by processing difficult emotions with the use of the therapeutic relationship as a healing avenue. I will work with you to create an open and safe environment where thoughts and feelings can be shared without fear of judgment. I am committed to the transformational healing process that leads to flourishing and mental wellness by empowering you to grow according to your personal values and goals.
I am a Licensed Clinical Mental Health Counselor seeking to help clients with trauma and stress, dissociation, depression, anxiety, emotion dysregulation and parenting difficulties. I aim to alleviate psychological suffering by processing difficult emotions with the use of the therapeutic relationship as a healing avenue. I will work with you to create an open and safe environment where thoughts and feelings can be shared without fear of judgment. I am committed to the transformational healing process that leads to flourishing and mental wellness by empowering you to grow according to your personal values and goals.
(919) 391-5168 View (919) 391-5168
Photo of Tamekia Powell, Lic Clinical Mental Health Counselor Supervisor, MA, LCAS , LCMHCS , CSOTS, TF-CBT
Tamekia Powell
Lic Clinical Mental Health Counselor Supervisor, MA, LCAS , LCMHCS , CSOTS, TF-CBT
1 Endorsed
Online Only
It is my belief that every individual is a unique and a complex being, therefore the theoretical approach taken will be based on your unique individual needs. A collaborative treatment and/or goals plan is created based on the information you provide and my assessment of your emotional, mental, physical, social, spiritual, economic, and career characteristics. I will need your continual input as we identify issues to be addressed within the counseling session. Open and honest communication between counselor and client is imperative to a successful therapeutic relationship.
It is my belief that every individual is a unique and a complex being, therefore the theoretical approach taken will be based on your unique individual needs. A collaborative treatment and/or goals plan is created based on the information you provide and my assessment of your emotional, mental, physical, social, spiritual, economic, and career characteristics. I will need your continual input as we identify issues to be addressed within the counseling session. Open and honest communication between counselor and client is imperative to a successful therapeutic relationship.
(919) 887-2332 View (919) 887-2332
Photo of Turiya D Powell, Licensed Clinical Mental Health Counselor, MA, LCMHC, QS
Turiya D Powell
Licensed Clinical Mental Health Counselor, MA, LCMHC, QS
1 Endorsed
Online Only
My ideal client is someone who is not perfect or doing their best, but someone who is experiencing a difficult time in their life and is willing and motivated. Motivated in the sense of taking the necessary steps to work through any difficulties that you are experiencing. Experiencing depression or anxiety or difficulties with work or anything else, let's work through the issues together.
My ideal client is someone who is not perfect or doing their best, but someone who is experiencing a difficult time in their life and is willing and motivated. Motivated in the sense of taking the necessary steps to work through any difficulties that you are experiencing. Experiencing depression or anxiety or difficulties with work or anything else, let's work through the issues together.
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Photo of Somer Welch, Clinical Social Work/Therapist, MPSA, MSW, LCSW
Somer Welch
Clinical Social Work/Therapist, MPSA, MSW, LCSW
2 Endorsed
Online Only
Not accepting new clients
Therapy doesn’t have to be intimidating—it can actually feel like a relief. I offer real conversations, not judgment, using proven methods like CBCT for couples and CPT for individuals. With 10+ years of experience, I help clients work through trauma, anxiety, and relationship stress with empathy and practical tools. You don’t have to face this alone—reach out for a consultation and let’s start your path to healing.
Therapy doesn’t have to be intimidating—it can actually feel like a relief. I offer real conversations, not judgment, using proven methods like CBCT for couples and CPT for individuals. With 10+ years of experience, I help clients work through trauma, anxiety, and relationship stress with empathy and practical tools. You don’t have to face this alone—reach out for a consultation and let’s start your path to healing.
(361) 315-5119 View (361) 315-5119
Photo of Heidi Troutman, Counselor, LCMHC
Heidi Troutman
Counselor, LCMHC
Online Only
Hello, I'm a counselor with a background in Forensic Psychology, having worked in the field since 2004. I have the privilege of serving a diverse range of clients from various ethnicities, racial backgrounds, and socioeconomic classes. My approach is non-judgmental, patient, and easy-going, creating a safe space where you can feel heard and understood.
Hello, I'm a counselor with a background in Forensic Psychology, having worked in the field since 2004. I have the privilege of serving a diverse range of clients from various ethnicities, racial backgrounds, and socioeconomic classes. My approach is non-judgmental, patient, and easy-going, creating a safe space where you can feel heard and understood.
(984) 313-9388 View (984) 313-9388

See more therapy options for 27611

How does your Therapist compare?

Number of Therapists in 27611

20+

Average cost per session

$135

Therapists in 27611 who prioritize treating:

100% Depression
100% Anxiety
90% Trauma and PTSD
81% Self Esteem
76% Grief
71% Relationship Issues
71% Parenting

Average years in practice

11 Years

Top 3 insurances accepted

82% Aetna
82% BlueCross and BlueShield
65% Cigna and Evernorth

How Therapists in 27611 see their clients

57% In Person and Online
43% Online Only

Gender breakdown

94% Female
6% Male
FAQs - About Therapy and Counseling

How can I find a therapist in 27611?

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.