Therapists in Cary, NC

Photo of Leah Leynor, Marriage & Family Therapist in Cary, NC
Leah Leynor
Marriage & Family Therapist, MA, LMFT, LMBT
Verified Verified
2 Endorsed
Cary, NC 27513  (Online Only)
As an interactive and collaborative therapist who specializes in child, adolescent, individual, and family therapy, it is my hope to walk with you on your journey in discovering what you most desire and wish to achieve in leading a happy, successful, and fulfilling life. My mission is for you to feel welcome, safe, and comfortable in a relaxed atmosphere. With compassion and understanding, we will discover and build upon your existing strengths as well as attaining the personal growth you are committed to accomplishing.
As an interactive and collaborative therapist who specializes in child, adolescent, individual, and family therapy, it is my hope to walk with you on your journey in discovering what you most desire and wish to achieve in leading a happy, successful, and fulfilling life. My mission is for you to feel welcome, safe, and comfortable in a relaxed atmosphere. With compassion and understanding, we will discover and build upon your existing strengths as well as attaining the personal growth you are committed to accomplishing.
(919) 648-0645 View (919) 648-0645
Photo of Simply Thrive Therapeutic Associates, Licensed Clinical Mental Health Counselor in Cary, NC
Simply Thrive Therapeutic Associates
Licensed Clinical Mental Health Counselor, MS, LCMHC, NCC
Verified Verified
1 Endorsed
Cary, NC 27511
I understand that life can be challenging for anyone, and asking for help is okay. We can work together to identify the problems and focus on the solutions. You are a unique individual with many strengths including the ability to make healthy changes in your life. Some of your difficulties may include anger, abuse, stress, low self-esteem, grief, depression, anxiety, addictive/compulsive behaviors, or conflict in relationships. If you are ready to regain control of your life, I can assist you in making that happen.
I understand that life can be challenging for anyone, and asking for help is okay. We can work together to identify the problems and focus on the solutions. You are a unique individual with many strengths including the ability to make healthy changes in your life. Some of your difficulties may include anger, abuse, stress, low self-esteem, grief, depression, anxiety, addictive/compulsive behaviors, or conflict in relationships. If you are ready to regain control of your life, I can assist you in making that happen.
(919) 587-8378 View (919) 587-8378
Photo of Peaceful Minds NC, LLC, LCSW Associate in Cary, NC
Peaceful Minds NC, LLC
LCSW Associate , LCSWA
Verified Verified
3 Endorsed
Cary, NC 27519
I have committed the last 27 years of my life to the mental health field working with adolescents and adults in a variety of settings. I provide quality care to enhance client’s life, make a difference and put a stop to negative debilitating thoughts. I provide a client centered approach; promoting an empathetic, safe and non-judgmental environment for clients to feel comfortable sharing their inner thoughts and feelings. One of the goals of therapy is to help clients achieve growth and relief from day-to-day struggles. I will assist clients in finding strengths within themselves by teaching positive coping skills and more.
I have committed the last 27 years of my life to the mental health field working with adolescents and adults in a variety of settings. I provide quality care to enhance client’s life, make a difference and put a stop to negative debilitating thoughts. I provide a client centered approach; promoting an empathetic, safe and non-judgmental environment for clients to feel comfortable sharing their inner thoughts and feelings. One of the goals of therapy is to help clients achieve growth and relief from day-to-day struggles. I will assist clients in finding strengths within themselves by teaching positive coping skills and more.
(336) 438-8076 View (336) 438-8076
Photo of Tracy A Dotterman, Psychological Associate in Cary, NC
Tracy A Dotterman
Psychological Associate, MS Ed, LPA, HSP-PA
Verified Verified
Cary, NC 27511
When your child is struggling, it can feel overwhelming! My passion is helping children and families move past these struggles! Gaining a better understanding of individual challenges and specific strengths through a psychological evaluation is the first step in providing your child the support they will need to thrive. With 18 years of experience as a School Psychologist, as well as my clinical knowledge through private practice, I understand the broad range of functioning of children, can determine each child's individual needs and recommend effective supports to successfully meet those needs.
When your child is struggling, it can feel overwhelming! My passion is helping children and families move past these struggles! Gaining a better understanding of individual challenges and specific strengths through a psychological evaluation is the first step in providing your child the support they will need to thrive. With 18 years of experience as a School Psychologist, as well as my clinical knowledge through private practice, I understand the broad range of functioning of children, can determine each child's individual needs and recommend effective supports to successfully meet those needs.
(919) 646-2627 View (919) 646-2627
Photo of J Michael Goulding, Clinical Social Work/Therapist in Cary, NC
J Michael Goulding
Clinical Social Work/Therapist, LCSW, CHWC
Verified Verified
Cary, NC 27511  (Online Only)
If you are feeling resistant, frustrated, or uncertain about what next steps to take to feel better, then I can help you get started in an experienced, judge-free, comfortable setting. If anger, anxiety, depression, OCD, ADHD, traumatic events, oppositional children, interpersonal conflicts, workplace issues, or bullying is getting in your way of happiness, I can guide you to overcome these challenges. I also help people who are satisfied with their current situation but would like to enhance skills and live at their fullest potential. I look forward to you contacting me at www.meaningfultransformation.com/mike
If you are feeling resistant, frustrated, or uncertain about what next steps to take to feel better, then I can help you get started in an experienced, judge-free, comfortable setting. If anger, anxiety, depression, OCD, ADHD, traumatic events, oppositional children, interpersonal conflicts, workplace issues, or bullying is getting in your way of happiness, I can guide you to overcome these challenges. I also help people who are satisfied with their current situation but would like to enhance skills and live at their fullest potential. I look forward to you contacting me at www.meaningfultransformation.com/mike
(919) 694-4568 View (919) 694-4568
Photo of Gabriela Magallanes, Clinical Social Work/Therapist in Cary, NC
Gabriela Magallanes
Clinical Social Work/Therapist, LCSWA, LCASA
Verified Verified
Cary, NC 27513
Gabriela operates from a person-centered approach and a strengths-based perspective to help individuals become the best versions of themselves. Every individual is unique. Every individual has strengths. Together through this lens, Gabriela works with her clients to explore the impact of anxiety disorders, substance use, gender and sexuality identity exploration, and trauma. Her goal is to provide a genuine and grounding space for individuals, couples, and families. Gabriela is LGBTQ+ affirming and has a passion for working with non-dominant populations.
Gabriela operates from a person-centered approach and a strengths-based perspective to help individuals become the best versions of themselves. Every individual is unique. Every individual has strengths. Together through this lens, Gabriela works with her clients to explore the impact of anxiety disorders, substance use, gender and sexuality identity exploration, and trauma. Her goal is to provide a genuine and grounding space for individuals, couples, and families. Gabriela is LGBTQ+ affirming and has a passion for working with non-dominant populations.
(919) 899-2960 View (919) 899-2960
Photo of Kaitlyn Cunningham, Clinical Social Work/Therapist in Cary, NC
Kaitlyn Cunningham
Clinical Social Work/Therapist, MSW, LCSWA
Verified Verified
1 Endorsed
Cary, NC 27511  (Online Only)
Accepting New Clients in June 2024! Reach out for a FREE 15 minute phone consult. Between our experiences, thoughts and emotions, it may even feel at times that we cannot see our way through on our own. It takes a significant amount of courage to reach out for a little extra support in your life and I commend you for taking that initial step. As a licensed therapist, I am here to walk this journey of life with you. My goal is to help those I work with navigate through the barriers of life and recognize the many strengths that they bring forth to the world.
Accepting New Clients in June 2024! Reach out for a FREE 15 minute phone consult. Between our experiences, thoughts and emotions, it may even feel at times that we cannot see our way through on our own. It takes a significant amount of courage to reach out for a little extra support in your life and I commend you for taking that initial step. As a licensed therapist, I am here to walk this journey of life with you. My goal is to help those I work with navigate through the barriers of life and recognize the many strengths that they bring forth to the world.
(919) 335-7928 View (919) 335-7928
Photo of Adam Carlson, Clinical Social Work/Therapist in Cary, NC
Adam Carlson
Clinical Social Work/Therapist, LCSW, LCASA
Verified Verified
1 Endorsed
Cary, NC 27519  (Online Only)
I am a neurodivergent therapist and my neurotype, ADHD, informs my therapy style. I'll follow you down those rabbit holes and tangents, reign it in when necessary, and keep an eye out for connections and common themes related to your goals for therapy. I'm all about personal agency and autonomy. I believe YOU have the answers and solutions inside you already, it's just a matter of finding them!
I am a neurodivergent therapist and my neurotype, ADHD, informs my therapy style. I'll follow you down those rabbit holes and tangents, reign it in when necessary, and keep an eye out for connections and common themes related to your goals for therapy. I'm all about personal agency and autonomy. I believe YOU have the answers and solutions inside you already, it's just a matter of finding them!
(252) 512-4407 View (252) 512-4407
Photo of Heather Ingram, Counselor in Cary, NC
Heather Ingram
Counselor, MS, LCMHC, CRC
Verified Verified
Cary, NC 27513
Waitlist for new clients
Growing up with family members living with mental illness gave me a deeply personal perspective on how important compassionate high quality mental health care is for clients and families. I am passionate about helping adolescents, adults, and families with managing life transitions and coping with change, anxiety and depression, parenting, career issues, burnout, adjustment to disability and chronic illness, substance abuse, stress management, and lasting lifestyle behavioral change. I truly believe you can't heal what you don't feel, and I strive to provide a safe place for processing feelings and emotions.
Growing up with family members living with mental illness gave me a deeply personal perspective on how important compassionate high quality mental health care is for clients and families. I am passionate about helping adolescents, adults, and families with managing life transitions and coping with change, anxiety and depression, parenting, career issues, burnout, adjustment to disability and chronic illness, substance abuse, stress management, and lasting lifestyle behavioral change. I truly believe you can't heal what you don't feel, and I strive to provide a safe place for processing feelings and emotions.
(919) 343-5649 View (919) 343-5649
Photo of Brittany Tillman, Marriage & Family Therapist in Cary, NC
Brittany Tillman
Marriage & Family Therapist, MA, LMFT
Verified Verified
Cary, NC 27511
You may be here because the effects of stress and worry have had a profound impact on your daily life. It may look like constant thoughts of “what if,” not feeling good enough, or not knowing what’s the next best step to take. It’s my passion to help you learn the tools needed to reclaim an inner sense of peace. We will initially focus on stability and decreasing distressing symptoms that will allow us to work towards your desired goals.
You may be here because the effects of stress and worry have had a profound impact on your daily life. It may look like constant thoughts of “what if,” not feeling good enough, or not knowing what’s the next best step to take. It’s my passion to help you learn the tools needed to reclaim an inner sense of peace. We will initially focus on stability and decreasing distressing symptoms that will allow us to work towards your desired goals.
(919) 694-7128 View (919) 694-7128
Photo of Seth Edwards, Clinical Social Work/Therapist in Cary, NC
Seth Edwards
Clinical Social Work/Therapist, LCSW, LCASA
Verified Verified
Cary, NC 27518
Welcoming New Clients! Thank you for visiting my profile—I'm delighted you've taken this step towards your well-being. I'm here to offer a safe and nurturing space for you to work through what is holding you back. Together, we'll navigate away from obstacles and move toward fulfillment, exploring solutions tailored to your needs. This may involve challenging thought patterns, changing unhealthy habits, addressing relationship dynamics, embracing yourself, processing stressors and trauma, or honing your coping strategies.
Welcoming New Clients! Thank you for visiting my profile—I'm delighted you've taken this step towards your well-being. I'm here to offer a safe and nurturing space for you to work through what is holding you back. Together, we'll navigate away from obstacles and move toward fulfillment, exploring solutions tailored to your needs. This may involve challenging thought patterns, changing unhealthy habits, addressing relationship dynamics, embracing yourself, processing stressors and trauma, or honing your coping strategies.
(984) 355-9785 View (984) 355-9785
Photo of Greyson Brannon Holt, Marriage & Family Therapist Associate in Cary, NC
Greyson Brannon Holt
Marriage & Family Therapist Associate, LMFTA
Verified Verified
2 Endorsed
Cary, NC 27513
As our clients navigate each new season in their lives, we’re committed to serving them with the latest and most-fitting techniques to help them grow and heal. This may look like individual therapy. It could also incorporate a playful interaction between parent and child. We come equipped with a variety of tools to meet each individual and family where they are to address their most relevant issues. Lifeline therapists are trained in a variety of approaches to support individuals and families, specializing in attachment, trauma, and other similar areas like anxiety and depression.
As our clients navigate each new season in their lives, we’re committed to serving them with the latest and most-fitting techniques to help them grow and heal. This may look like individual therapy. It could also incorporate a playful interaction between parent and child. We come equipped with a variety of tools to meet each individual and family where they are to address their most relevant issues. Lifeline therapists are trained in a variety of approaches to support individuals and families, specializing in attachment, trauma, and other similar areas like anxiety and depression.
(984) 266-3415 View (984) 266-3415
Photo of Tovon Hamilton, Counselor in Cary, NC
Tovon Hamilton
Counselor, NCC, LCMHCA, LCASA
Verified Verified
Cary, NC 27511
A renewed mind can change your life! Deciding to seek therapy can be life changing. Counseling should be an experience that allows you to think of your life and circumstances in a way that promotes positive changes. Choosing me as your counselor, I will be your partner dedicated to providing unconditional positive regard, and empathetic listening, to guide you on your journey of lasting change for a brighter, and happier future.
A renewed mind can change your life! Deciding to seek therapy can be life changing. Counseling should be an experience that allows you to think of your life and circumstances in a way that promotes positive changes. Choosing me as your counselor, I will be your partner dedicated to providing unconditional positive regard, and empathetic listening, to guide you on your journey of lasting change for a brighter, and happier future.
(919) 429-8656 View (919) 429-8656
Photo of Allison Eddy, Clinical Social Work/Therapist in Cary, NC
Allison Eddy
Clinical Social Work/Therapist, LCSW
Verified Verified
Cary, NC 27519
Allison is a licensed clinical social worker in North Carolina, with 3 years of experience in the field, including both medical and community-based practices. She has worked with clients with a wide range of concerns, including depression, anxiety, life stress & family dynamics.
Allison is a licensed clinical social worker in North Carolina, with 3 years of experience in the field, including both medical and community-based practices. She has worked with clients with a wide range of concerns, including depression, anxiety, life stress & family dynamics.
(919) 849-8820 View (919) 849-8820
Photo of Lucy Daniels Center, Psychologist in Cary, NC
Lucy Daniels Center
Psychologist
Verified Verified
Cary, NC 27513
The Lucy Daniels Center is a 501c3 nonprofit that was founded in 1989 to provide mental health services to children and families in the Triangle. We believe that the earlier a child’s challenges are addressed, the better the chance to help that child develop emotionally, socially, and academically. Our mission is to help children live emotionally healthy lives through in-depth evaluation and treatment, family involvement, and education. Our vision is for a community in which all children feel safe, valued, respected, and supported. Have a look at our clinicians in the gallery photos below!
The Lucy Daniels Center is a 501c3 nonprofit that was founded in 1989 to provide mental health services to children and families in the Triangle. We believe that the earlier a child’s challenges are addressed, the better the chance to help that child develop emotionally, socially, and academically. Our mission is to help children live emotionally healthy lives through in-depth evaluation and treatment, family involvement, and education. Our vision is for a community in which all children feel safe, valued, respected, and supported. Have a look at our clinicians in the gallery photos below!
(984) 400-8902 View (984) 400-8902
Photo of Deborah Bell, Marriage & Family Therapist in Cary, NC
Deborah Bell
Marriage & Family Therapist, PhD
Verified Verified
Cary, NC 27511  (Online Only)
Dr. Deborah T. Bell is a Licensed Marriage and Family Therapist in the state of North Carolina. She has experience collaborating with military and civilian families to resolve anxiety, depression, trauma, grief, loss, and relational concerns between couples. She obtained her BA in Communication from DePaul University, her Master of Family Therapy from Drexel University, and her Ph.D. in Marriage and Family Therapy for Military Families from North Central University. She completed her doctoral internship at the Fort Bragg military installation.
Dr. Deborah T. Bell is a Licensed Marriage and Family Therapist in the state of North Carolina. She has experience collaborating with military and civilian families to resolve anxiety, depression, trauma, grief, loss, and relational concerns between couples. She obtained her BA in Communication from DePaul University, her Master of Family Therapy from Drexel University, and her Ph.D. in Marriage and Family Therapy for Military Families from North Central University. She completed her doctoral internship at the Fort Bragg military installation.
(339) 218-3090 View (339) 218-3090
Photo of Integrity Counseling & Wellness, PLLC in Cary, NC
Integrity Counseling & Wellness, PLLC
LCMHCS
Verified Verified
Cary, NC 27511
Accepting New Patients Immediately! Our counselors utilize an integrative approach to therapy and strive to create a trusting and open counseling environment. We are experienced in treating depression, anxiety, substance abuse, and many other concerns. Your comfort with self-expression is a top priority, so you will find our counselors are inviting and non-judgmental with those whom they serve. We enjoy providing new insight and guidance and prove to be individualized in meeting each client's needs.
Accepting New Patients Immediately! Our counselors utilize an integrative approach to therapy and strive to create a trusting and open counseling environment. We are experienced in treating depression, anxiety, substance abuse, and many other concerns. Your comfort with self-expression is a top priority, so you will find our counselors are inviting and non-judgmental with those whom they serve. We enjoy providing new insight and guidance and prove to be individualized in meeting each client's needs.
(919) 372-0850 View (919) 372-0850
Photo of Metamorphosis Collaborative in Cary, NC
Metamorphosis Collaborative
PsyD
Verified Verified
Cary, NC 27519
Many of life's issues are related to difficulties within the life tasks (e.g., work, social, and intimacy). With Life Coaching, goals are created and worked towards in order to address these difficulties. I believe that a safe, supportive environment is primary for life coaching. It’s my goal to express warmth and empathy towards the struggles that clients bring into session, while also empowering them to make choices for themselves. Unlike traditional therapy, life coaching is more directive with feedback that allows others to see blindspots quicker and make greater gains more readily.
Many of life's issues are related to difficulties within the life tasks (e.g., work, social, and intimacy). With Life Coaching, goals are created and worked towards in order to address these difficulties. I believe that a safe, supportive environment is primary for life coaching. It’s my goal to express warmth and empathy towards the struggles that clients bring into session, while also empowering them to make choices for themselves. Unlike traditional therapy, life coaching is more directive with feedback that allows others to see blindspots quicker and make greater gains more readily.
(919) 694-6654 View (919) 694-6654
Photo of Stefan Lewis, Licensed Professional Counselor in Cary, NC
Stefan Lewis
Licensed Professional Counselor, MA, LCMHC
Verified Verified
2 Endorsed
Cary, NC 27511
Having a positive quality of life is challenging when life suddenly changes. When these changes happen it can be difficult to understand why they are happening or what the future holds. Together we will develop strategies and coping skills to work through your current challenges and help with any future concerns. Together we will identify your positive characteristics and traits to help work through these times to enhance your quality of life. I look forward to identifying a better you together. Please call me so we can discuss your specific needs and begin your healing.
Having a positive quality of life is challenging when life suddenly changes. When these changes happen it can be difficult to understand why they are happening or what the future holds. Together we will develop strategies and coping skills to work through your current challenges and help with any future concerns. Together we will identify your positive characteristics and traits to help work through these times to enhance your quality of life. I look forward to identifying a better you together. Please call me so we can discuss your specific needs and begin your healing.
(919) 587-8586 View (919) 587-8586
Photo of Simply Thrive Therapeutic Associates, Licensed Clinical Mental Health Counselor Supervisor in Cary, NC
Simply Thrive Therapeutic Associates
Licensed Clinical Mental Health Counselor Supervisor, MRC, LCMHCS, CTRP-C
Verified Verified
4 Endorsed
Cary, NC 27511
I practice with the belief that that therapy can be a rich and vital exploration into understanding the deepest parts of our selves: the parts we like and the parts we wish to change. We all have unconscious patterns that can get in the way of living the life we want. These patterns can manifest as anxiety, depression, phobias, physical illness or pain, addiction and even rage. These symptoms can affect relationships, work, self esteem, creativity and sexuality. Change is possible when these patterns can be expressed and understood in an open and accepting space.
I practice with the belief that that therapy can be a rich and vital exploration into understanding the deepest parts of our selves: the parts we like and the parts we wish to change. We all have unconscious patterns that can get in the way of living the life we want. These patterns can manifest as anxiety, depression, phobias, physical illness or pain, addiction and even rage. These symptoms can affect relationships, work, self esteem, creativity and sexuality. Change is possible when these patterns can be expressed and understood in an open and accepting space.
(984) 300-4963 View (984) 300-4963

How does your Therapist compare?

Number of Therapists in Cary, NC

900+

Average cost per session

$140

Therapists in Cary, NC who prioritize treating:

92% Anxiety
87% Depression
78% Relationship Issues
78% Self Esteem
72% Coping Skills
69% Stress
63% Life Transitions

Average years in practice

11 Years

Top 3 insurances accepted

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

How Therapists in Cary, NC see their clients

70% In Person and Online
30% Online Only

Gender breakdown

83% Female
16% Male
1% Non-Binary
FAQs - About Therapy and Counseling

How can I find a therapist in Cary?

Search for nearby therapists or counselors by inputting your city, town, or suburb; or zip code; or a provider’s name into the search bar. From there, you can filter providers by the issues they treat, cost, insurance, gender, and other factors to find providers who are well-suited to your needs. To navigate between locations within the same country, enter a new city or zip code into the search bar.

Learn more about how to find a therapist

Is everyone in the Psychology Today Therapy Directory a licensed therapist?

The Psychology Today directory lists providers who offer legitimate mental health services to the public, including psychologists, psychiatrists, social workers, and counselors.

Many have been licensed by the country or state where they practice; providers whose license or primary credential has been verified by Psychology Today are signified by a “Verified” symbol. Some clinicians or organizations provide services for which their state or country does not offer licenses, such as pastoral counseling. They may be selectively included without the “Verified” seal.

What’s the difference between a psychologist, a therapist, and a counselor?

Therapists, psychologists, and counselors are all licensed mental health professionals. In the US, psychologists have earned a doctoral degree. The terms “therapist” and “counselor” are used somewhat interchangeably, but generally therapists offer longer-term, mental health care, while counselors offer shorter-term care that may focus on one domain, such as marriage, career, or academic challenges.

Clients should consider factors such as insurance coverage and their primary reason(s) for seeking therapy to determine the type of professional best suited to their needs. Someone struggling with mental health challenges such as depression or anxiety, for example, may wish to seek out a clinical psychologist or therapist, while someone navigating career obstacles or marital upheaval may benefit from seeing a counselor who can offer short-term, targeted support.

What type of therapy is right for me?

The type of therapy best suited to a particular individual depends on several factors, including their primary reason for seeking therapy, their preferred timeline (some therapy types last for a set number of sessions, while others are open-ended), and their personality and preferences—some may prefer a more structured approach. For many individuals, multiple types of therapy could provide a good fit.

How much does therapy cost?

The cost of therapy depends on a number of variables, including location and the therapist’s experience and training. On average, a therapy session in the United States could cost between $100 and $200 or more. If you have insurance, the expense of mental health care is typically lower, but it varies based on your insurance plan details and whether you choose an in-network or out-of-network mental healthcare provider.

What are more affordable or low cost therapy solutions?

Many therapists offer sliding scale payments, usually on a limited number of slots, which consists in an agreement between the therapist and a client to pay a reduced rate. Therapists who provide such arrangements often consider the client's income or ability to pay, but the extent of the discount is ultimately at the therapist's discretion. Furthermore, while group therapy may have different goals and benefits compared to individual therapy, it can be a more affordable solution to address certain types of issues.

Is online therapy cheaper than in-person therapy?

Many therapists charge the same amount for online therapy as they do for in-person therapy—though clients may still find this cost-effective if it cuts down on their transportation costs. Health insurance plans often offer equivalent coverage for online and in-person therapy; indeed, in many places, they are legally required to do so. Text-based or on-demand therapy apps may be cheaper than traditional one-on-one psychotherapy; however, the practice may be less effective and is not likely to be covered by insurance.

Is online therapy a good option?

Therapy conducted online can be just as effective as in-person therapy, as long as there is a strong alliance between the client and the therapist. To find a therapist who provides telehealth services to clients in your area, click “Online Therapy” on the directory homepage and search by your city or town or your zip code.

Are therapy sessions confidential?

Confidentiality is a crucial part of the therapeutic relationship. Therapists in the United States are bound by the regulations set out by the Health Insurance Portability and Accountability Act of 1996 (HIPAA), which aims to protect sensitive health information. With very few exceptions, a therapist will only discuss their client with others when the client has given their written permission. The instances in which a therapist would be required to disclose personal information are: if a client poses a danger to themselves or others, if the therapist suspects the abuse of a child or an elderly or otherwise dependent adult, or if they are legally forced to by court order. These exceptions to the confidentiality agreement are usually discussed with a client before their first session.