Therapists in Durham, NC

Photo of Creative Vibes Counseling and Consulting, PLLC, Lic Clinical Mental Health Counselor Supervisor in Durham, NC
Creative Vibes Counseling and Consulting, PLLC
Lic Clinical Mental Health Counselor Supervisor, LCMHCS
Verified Verified
1 Endorsed
Durham, NC 27703  (Online Only)
Hi! My name is Erica McQueen. My goal is to provide a healthy place for individuals to process thoughts and emotions that may be affecting their daily functioning and quality of life. Creating a compassion and non-judgmental environment for my clients to feel connected, recognized and support is integral to my role as a therapist. I strive to provide a safe place.
Hi! My name is Erica McQueen. My goal is to provide a healthy place for individuals to process thoughts and emotions that may be affecting their daily functioning and quality of life. Creating a compassion and non-judgmental environment for my clients to feel connected, recognized and support is integral to my role as a therapist. I strive to provide a safe place.
(919) 907-0046 View (919) 907-0046
Photo of Rayshone Hodges, Psychologist in Durham, NC
Rayshone Hodges
Psychologist, PsyD
Verified Verified
4 Endorsed
Durham, NC 27713
Hello Prospective Client. I welcome you to the process of Talk Therapy. I have invested considerable time, from both my studies and life experiences, to have the opportunity to sit with you. As a Licensed Psychologist, my job is to help you discover the hidden parts of yourself, both the pleasant and even the unpleasant (which can sometimes be the most meaningful). I have helped a diverse group of people of varying ages and life experiences.
Hello Prospective Client. I welcome you to the process of Talk Therapy. I have invested considerable time, from both my studies and life experiences, to have the opportunity to sit with you. As a Licensed Psychologist, my job is to help you discover the hidden parts of yourself, both the pleasant and even the unpleasant (which can sometimes be the most meaningful). I have helped a diverse group of people of varying ages and life experiences.
(202) 831-8549 View (202) 831-8549
Photo of Jennifer C Franklin, Psychologist in Durham, NC
Jennifer C Franklin
Psychologist, PhD, MACP
Verified Verified
Durham, NC 27705
Waitlist for new clients
I work best with adult individuals and couples who wish to address any of the following: anxiety; mind-body issues like IBS, chronic pain, back pain, etc; stress and trauma; relationship difficulties, life transitions, cultural differences, or spiritual issues; and depression. Therapy is individualized, determined by each client's personal needs, interests, and goals. My aim is to support and guide each person through his or her own unique journey towards greater health, wellness, wholeness, peace, satisfaction, and fulfillment. My work is guided by a holistic, mindfulness-based approach, resulting in gradual yet sustainable change.
I work best with adult individuals and couples who wish to address any of the following: anxiety; mind-body issues like IBS, chronic pain, back pain, etc; stress and trauma; relationship difficulties, life transitions, cultural differences, or spiritual issues; and depression. Therapy is individualized, determined by each client's personal needs, interests, and goals. My aim is to support and guide each person through his or her own unique journey towards greater health, wellness, wholeness, peace, satisfaction, and fulfillment. My work is guided by a holistic, mindfulness-based approach, resulting in gradual yet sustainable change.
(310) 421-2756 View (310) 421-2756
Photo of Dr. Shanna A Jefferson, Clinical Social Work/Therapist in Durham, NC
Dr. Shanna A Jefferson
Clinical Social Work/Therapist, MSW, CFSW, LCSW, LISW-CP
Verified Verified
Durham, NC 27713  (Online Only)
Accepting new clients. We accept Medicare and BCBS. Are you ready to experience life as you desire and deserved? I specialize in helping men and women who are battling depression, grief, life stressors, or just feeling stuck. Are you seeking a holistic approach to not only overcoming your mental health challenges but also to achieve personal growth and balance in your life? Do you value emotional support, effective coping strategies, and expert guidance in transcending adversity? If you are ready for change and aspire for greatness in all aspects of your life, then my strengths-based, empowerment therapy services are just for you.
Accepting new clients. We accept Medicare and BCBS. Are you ready to experience life as you desire and deserved? I specialize in helping men and women who are battling depression, grief, life stressors, or just feeling stuck. Are you seeking a holistic approach to not only overcoming your mental health challenges but also to achieve personal growth and balance in your life? Do you value emotional support, effective coping strategies, and expert guidance in transcending adversity? If you are ready for change and aspire for greatness in all aspects of your life, then my strengths-based, empowerment therapy services are just for you.
(704) 270-5540 View (704) 270-5540
Photo of Scotty Elliott, Clinical Social Work/Therapist in Durham, NC
Scotty Elliott
Clinical Social Work/Therapist, MALS, MSW, LCSW
Verified Verified
Durham, NC 27707
If you're looking for a therapist, then you're looking for some relief and you know that something needs to change. But, what? My goal is to listen to your life and help you understand and navigate the changes necessary to realize that relief. You may feel stuck or overwhelmed and my role is to be with you in that uncomfortableness and to assist you in both seeing how things could be different and developing some tools to help you experience those changes.
If you're looking for a therapist, then you're looking for some relief and you know that something needs to change. But, what? My goal is to listen to your life and help you understand and navigate the changes necessary to realize that relief. You may feel stuck or overwhelmed and my role is to be with you in that uncomfortableness and to assist you in both seeing how things could be different and developing some tools to help you experience those changes.
(919) 891-8874 View (919) 891-8874
Photo of Meghan E Palmer, Clinical Social Work/Therapist in Durham, NC
Meghan E Palmer
Clinical Social Work/Therapist, MSW, LCSW
Verified Verified
Durham, NC 27707
It can be hard to know which therapist will meet your needs. If you are anxious, stressed, struggling with relationships, or just feel like something is 'off', I might be the right fit for you. People often work with me on issues within their relationships, feeling comfortable with their emotions, and overcoming obstacles to success. People might have trouble with body image, maintaining meaningful friendships, managing conflict, setting boundaries, coping with fear, and reconnecting with themselves after traumatic experiences. If this resonates with you, I'm glad you found my page.
It can be hard to know which therapist will meet your needs. If you are anxious, stressed, struggling with relationships, or just feel like something is 'off', I might be the right fit for you. People often work with me on issues within their relationships, feeling comfortable with their emotions, and overcoming obstacles to success. People might have trouble with body image, maintaining meaningful friendships, managing conflict, setting boundaries, coping with fear, and reconnecting with themselves after traumatic experiences. If this resonates with you, I'm glad you found my page.
(919) 366-5988 View (919) 366-5988
Photo of Julie Freedman, Psychologist in Durham, NC
Julie Freedman
Psychologist, PsyD, CMPC
Verified Verified
1 Endorsed
Durham, NC 27713  (Online Only)
Whether you are looking to overcome a challenge, better understand a problem, or change something in your life, therapy can be an ideal place to start. I firmly believe that living your best life and performing to your potential requires more than just a set of concrete skills, you also need a resilient mindset. I have a particular interest helping individuals build their emotional resilience, navigate relationship conflict, work through sport and performance issues and recover from their eating disorders. I work well with clients who are open to feedback and looking to make changes in their routines to better cope with adversity.
Whether you are looking to overcome a challenge, better understand a problem, or change something in your life, therapy can be an ideal place to start. I firmly believe that living your best life and performing to your potential requires more than just a set of concrete skills, you also need a resilient mindset. I have a particular interest helping individuals build their emotional resilience, navigate relationship conflict, work through sport and performance issues and recover from their eating disorders. I work well with clients who are open to feedback and looking to make changes in their routines to better cope with adversity.
(919) 736-6751 View (919) 736-6751
Photo of Sam Terry, Lic Clinical Mental Health Counselor Associate in Durham, NC
Sam Terry
Lic Clinical Mental Health Counselor Associate, LCMHCA
Verified Verified
2 Endorsed
Durham, NC 27705
Welcome! I'm so excited that you're here! I am a queer cisgender counselor based in Durham, NC, offering individual and couples therapy both in-person and virtually. Couples and partnerships that want to deepen their intimate dynamics & explore alternative relationship styles are my ideal clients. I enjoy work focused on improving communication in partnerships to help couples deepen their connection and effectiveness in sharing. I work with individuals with a variety of concerns, including depression, anxiety, relationship challenges, and the effects of growing up in a dysfunctional family.
Welcome! I'm so excited that you're here! I am a queer cisgender counselor based in Durham, NC, offering individual and couples therapy both in-person and virtually. Couples and partnerships that want to deepen their intimate dynamics & explore alternative relationship styles are my ideal clients. I enjoy work focused on improving communication in partnerships to help couples deepen their connection and effectiveness in sharing. I work with individuals with a variety of concerns, including depression, anxiety, relationship challenges, and the effects of growing up in a dysfunctional family.
(919) 635-4767 View (919) 635-4767
Photo of Courtney Evans, Counselor in Durham, NC
Courtney Evans
Counselor, LMHC, LCASA
Verified Verified
Durham, NC 27713
Courtney Evans is a Licensed Mental Health Counselor in North Carolina who has been practicing since 2018. She graduated from North Carolina A&T State University with a Master in Science Mental Health Degree with a certificate in Rehabilitation Counseling and Behavioral Addictions. Courtney has worked with clients ranging from anxiety, depression, self-esteem issues, relationship issues, family dynamic distresses, poor communication styles, women's trauma, substance abuse, and shame/guilt. Her counseling style is warm, vibrant, and interactive.
Courtney Evans is a Licensed Mental Health Counselor in North Carolina who has been practicing since 2018. She graduated from North Carolina A&T State University with a Master in Science Mental Health Degree with a certificate in Rehabilitation Counseling and Behavioral Addictions. Courtney has worked with clients ranging from anxiety, depression, self-esteem issues, relationship issues, family dynamic distresses, poor communication styles, women's trauma, substance abuse, and shame/guilt. Her counseling style is warm, vibrant, and interactive.
(919) 335-4875 View (919) 335-4875
Photo of Rebecca Martinez Fitzgerald, Clinical Social Work/Therapist in Durham, NC
Rebecca Martinez Fitzgerald
Clinical Social Work/Therapist, LCSW
Verified Verified
Durham, NC 27707
Loneliness is the worst. Isolation shows up in many forms, including shame, stress, mistrust, and unproductive conflict. People grow and heal in the context of secure relationships, and I aim to help clients create and sustain them. It's my pleasure to work with couples, partnerships and individuals who are experiencing distress, coping with trauma, or struggling with identity development.
Loneliness is the worst. Isolation shows up in many forms, including shame, stress, mistrust, and unproductive conflict. People grow and heal in the context of secure relationships, and I aim to help clients create and sustain them. It's my pleasure to work with couples, partnerships and individuals who are experiencing distress, coping with trauma, or struggling with identity development.
(919) 626-9715 View (919) 626-9715
Photo of Constance Simmons, Counselor in Durham, NC
Constance Simmons
Counselor, LCMHCA, NCC
Verified Verified
Durham, NC 27707
Are you struggling with achieving happiness and fulfillment in your life? Do you find it difficult to overcome the fears and anxieties you experience on a daily basis? Are you having a hard time thinking and feeling positively about yourself? If the answer is 'yes' to any of or all these questions, just know that these are challenges you do not have to go through alone. In my professional experience as a counselor, I have worked with clients of various ages struggling with depression, anxiety, stress, low self-esteem, trauma, grief, and anger. I am passionate about empowering clients and guiding them towards happiness and healing.
Are you struggling with achieving happiness and fulfillment in your life? Do you find it difficult to overcome the fears and anxieties you experience on a daily basis? Are you having a hard time thinking and feeling positively about yourself? If the answer is 'yes' to any of or all these questions, just know that these are challenges you do not have to go through alone. In my professional experience as a counselor, I have worked with clients of various ages struggling with depression, anxiety, stress, low self-esteem, trauma, grief, and anger. I am passionate about empowering clients and guiding them towards happiness and healing.
(919) 873-4358 View (919) 873-4358
Photo of Kaitlyn Hove, Counselor in Durham, NC
Kaitlyn Hove
Counselor
Verified Verified
1 Endorsed
Durham, NC 27705
It is an honor to walk alongside others as they navigate a variety of life experiences and challenges. I believe therapy creates space for people to learn more about themselves, their story, and how they relate to others while also providing opportunities to re-examine and change thought patterns, behaviors, and relationships. I am committed to offering compassion, support, and empowerment. I primarily work with pre-teens, teenagers, college & graduate
It is an honor to walk alongside others as they navigate a variety of life experiences and challenges. I believe therapy creates space for people to learn more about themselves, their story, and how they relate to others while also providing opportunities to re-examine and change thought patterns, behaviors, and relationships. I am committed to offering compassion, support, and empowerment. I primarily work with pre-teens, teenagers, college & graduate
(919) 364-6538 View (919) 364-6538
Photo of Kaytie Mero in Durham, NC
Kaytie Mero
MA, LCMHCA
Verified Verified
Durham, NC 27713
Are you feeling dis-empowered, disconnected? Looking to make healthy, positive, long-lasting changes to ensure wholeness and live a satisfying life? Are you trying to make changes at work, in your relationship, or with your finances or health, and you just can't get traction? You understand the problem, but you can't make the change stick. You may be going through a divorce or are worried about your child in a divorce; feeling signs of stress, depression and anxiety. Maybe you’ve gotten through to the other side, and you are trying to rebuild and promote healing. You need individualized care for your unique challenges.
Are you feeling dis-empowered, disconnected? Looking to make healthy, positive, long-lasting changes to ensure wholeness and live a satisfying life? Are you trying to make changes at work, in your relationship, or with your finances or health, and you just can't get traction? You understand the problem, but you can't make the change stick. You may be going through a divorce or are worried about your child in a divorce; feeling signs of stress, depression and anxiety. Maybe you’ve gotten through to the other side, and you are trying to rebuild and promote healing. You need individualized care for your unique challenges.
(919) 343-0646 View (919) 343-0646
Photo of Sally Beth Swanson, Clinical Social Work/Therapist in Durham, NC
Sally Beth Swanson
Clinical Social Work/Therapist, MSPH, MSW, LCSW-A
Verified Verified
1 Endorsed
Durham, NC 27707
I focus on life transitions and challenges. Those times of life that can stir up anxieties, depression, uncertainty, prior or current traumas. When grief is heavy and we take on the monumental task of building new meaning and purpose. This territory is often unchartered and scary and we need a place to express, settle into our feelings, hold the floor down. I welcome everyone with compassion, absolutely no judgement and I can stand, or sit with whatever you are struggling with and find a path and support you on that path.
I focus on life transitions and challenges. Those times of life that can stir up anxieties, depression, uncertainty, prior or current traumas. When grief is heavy and we take on the monumental task of building new meaning and purpose. This territory is often unchartered and scary and we need a place to express, settle into our feelings, hold the floor down. I welcome everyone with compassion, absolutely no judgement and I can stand, or sit with whatever you are struggling with and find a path and support you on that path.
(919) 752-5063 View (919) 752-5063
Photo of Mildred Harris, Clinical Social Work/Therapist in Durham, NC
Mildred Harris
Clinical Social Work/Therapist, MSW, LCSW, CSSW, CCS
Verified Verified
Durham, NC 27705  (Online Only)
I believe that the therapeutic relationship can help you grow, heal, and cope with the challenges of life. You don't have to put it off anymore. I help children, teens, adults, couples and families find relief from anxiety, stress and worry so they can find more peace and joy in their relationships and their lives. With counseling, each conversation is an opportunity to understand yourself better, develop relationships, laugh more often, feel optimistic, incorporating solution-focused strategies that can make a difference everyday.
I believe that the therapeutic relationship can help you grow, heal, and cope with the challenges of life. You don't have to put it off anymore. I help children, teens, adults, couples and families find relief from anxiety, stress and worry so they can find more peace and joy in their relationships and their lives. With counseling, each conversation is an opportunity to understand yourself better, develop relationships, laugh more often, feel optimistic, incorporating solution-focused strategies that can make a difference everyday.
(919) 887-7787 View (919) 887-7787
Photo of Angel Greene Fox, Lic Clinical Mental Health Counselor Associate in Durham, NC
Angel Greene Fox
Lic Clinical Mental Health Counselor Associate, LCMHCA
Verified Verified
3 Endorsed
Durham, NC 27703
Accepting new clients. Do you feel stuck? Is life throwing obstacles in your way that seem overwhelming? Are you struggling with depression, anxiety, stress, or balancing a career and family? Have you ever wondered what your purpose is and how you will ever find joy in your life again? No matter what age or what stage you are in life it is okay to not feel okay. During a very difficult time in my life, I experienced many of the same thoughts and feelings you may be feeling right now. God changed the course of my life and set me on a new path. I have a passion for helping hearts to heal and find meaning in life again.
Accepting new clients. Do you feel stuck? Is life throwing obstacles in your way that seem overwhelming? Are you struggling with depression, anxiety, stress, or balancing a career and family? Have you ever wondered what your purpose is and how you will ever find joy in your life again? No matter what age or what stage you are in life it is okay to not feel okay. During a very difficult time in my life, I experienced many of the same thoughts and feelings you may be feeling right now. God changed the course of my life and set me on a new path. I have a passion for helping hearts to heal and find meaning in life again.
(919) 849-3109 View (919) 849-3109
Photo of Mocha Mims, Counselor in Durham, NC
Mocha Mims
Counselor, LCMHC
Verified Verified
Durham, NC 27713  (Online Only)
I am a Licensed clinical Mental Health Clinician. I have earned a Ph.D., in Clinical Psychology and a specialization in Forensics.
I am a Licensed clinical Mental Health Clinician. I have earned a Ph.D., in Clinical Psychology and a specialization in Forensics.
(984) 217-2425 View (984) 217-2425
Photo of Jeff Fischer, Psychologist in Durham, NC
Jeff Fischer
Psychologist, PhD, EdM, MBA
Verified Verified
Durham, NC 27707
You may be someone used to figuring things out on your own, but you’ve run out of ideas or want a fresh perspective. Maybe you have sought help before but were frustrated by the pace of your previous therapy. Perhaps life has thrown you a curveball, and it’s time to make some changes. Either way, you want real solutions as well as support and encouragement. My clinical judgment is tempered by real-world experience. I've raised two kids to adulthood, been married, divorced, and happily remarried. I’m an ex-Business guy. I have a Ph.D. in Psychology, I’ve run real businesses, coached top execs, and been helping people for 25+ years.
You may be someone used to figuring things out on your own, but you’ve run out of ideas or want a fresh perspective. Maybe you have sought help before but were frustrated by the pace of your previous therapy. Perhaps life has thrown you a curveball, and it’s time to make some changes. Either way, you want real solutions as well as support and encouragement. My clinical judgment is tempered by real-world experience. I've raised two kids to adulthood, been married, divorced, and happily remarried. I’m an ex-Business guy. I have a Ph.D. in Psychology, I’ve run real businesses, coached top execs, and been helping people for 25+ years.
(919) 646-2598 View (919) 646-2598
Photo of Lauren Setubal, Counselor in Durham, NC
Lauren Setubal
Counselor, MS, EdS, LCMHCA, NCC
Verified Verified
Durham, NC 27707
I'm here to help! I would consider it a privilege and a joy to be another person in your corner, collaborating with you on your journey to emotional wellness. My goal is to build an authentic and healing relationship with my clients of all ages. I especially love working with clients to tackle anxiety, fear and burnout.
I'm here to help! I would consider it a privilege and a joy to be another person in your corner, collaborating with you on your journey to emotional wellness. My goal is to build an authentic and healing relationship with my clients of all ages. I especially love working with clients to tackle anxiety, fear and burnout.
(984) 646-0446 View (984) 646-0446
Photo of Amy Farquahar Elliott, Licensed Clinical Mental Health Counselor in Durham, NC
Amy Farquahar Elliott
Licensed Clinical Mental Health Counselor, PhD, LPC, RDT
Verified Verified
5 Endorsed
Durham, NC 27705
Waitlist for new clients
Are recurrent thoughts, beliefs and feelings about past, present or future events preventing you from being at ease with yourself and from connecting with others? I can support you in uncovering what is blocking you and in discovering what works for you to be more present, feel more joyful and connected My clients share that through our work together they feel less anxious and depressed. Call me to set up a free time to meet at my office near South Square Mall in Durham or in Franklin Square in Chapel Hill. 919-724-1002.
Are recurrent thoughts, beliefs and feelings about past, present or future events preventing you from being at ease with yourself and from connecting with others? I can support you in uncovering what is blocking you and in discovering what works for you to be more present, feel more joyful and connected My clients share that through our work together they feel less anxious and depressed. Call me to set up a free time to meet at my office near South Square Mall in Durham or in Franklin Square in Chapel Hill. 919-724-1002.
(919) 626-3664 View (919) 626-3664

How does your Therapist compare?

Number of Therapists in Durham, NC

1,000+

Average cost per session

$150

Therapists in Durham, NC who prioritize treating:

92% Anxiety
87% Depression
78% Relationship Issues
77% Self Esteem
70% Coping Skills
70% Stress
67% Trauma and PTSD

Average years in practice

11 Years

Top 3 insurances accepted

82% BlueCross and BlueShield
70% Aetna
50% Cigna and Evernorth

How Therapists in Durham, NC see their clients

65% In Person and Online
35% Online Only

Gender breakdown

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

How can I find a therapist in Durham?

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.