Therapists in Cary, NC

Photo of Abby Hite, MSW, LCSWA
Abby Hite
LCSW Associate, MSW, LCSWA
Verified Verified
Cary, NC 27518
I believe anyone can benefit from therapy and as your therapist I will work with you to identify how you feel most supported and heard. As a therapist I take a warm, calming approach to help build a safe and productive space. Together we will create a plan with achievable goals that guide treatment. I specialize in working with teens and young adults with an additional focus on women's mental health, anxiety, depression, and life adjustments. I am trained in Cognitive Behavioral Therapy(CBT), Motivational Interviewing, CBT for Eating Disorders, and trauma-informed practice.
I believe anyone can benefit from therapy and as your therapist I will work with you to identify how you feel most supported and heard. As a therapist I take a warm, calming approach to help build a safe and productive space. Together we will create a plan with achievable goals that guide treatment. I specialize in working with teens and young adults with an additional focus on women's mental health, anxiety, depression, and life adjustments. I am trained in Cognitive Behavioral Therapy(CBT), Motivational Interviewing, CBT for Eating Disorders, and trauma-informed practice.
(919) 535-9830 View (919) 535-9830
Photo of Stephanie J Lucas, LCSW, Clinical Social Work/Therapist
Stephanie J Lucas
Clinical Social Work/Therapist, LCSW
Verified Verified
Cary, NC 27518
I enjoy working with individuals and families to overcome barriers in communication, solve problems, and become more self-aware; with the overall goal of improving mental and physical well-being. I use a compassionate, accepting, and mindful approach to create a safe place where self-discovery and healing are possible. Working together will include goal setting and an exploration of the resources and tools available to help in meeting short and long term goals.
I enjoy working with individuals and families to overcome barriers in communication, solve problems, and become more self-aware; with the overall goal of improving mental and physical well-being. I use a compassionate, accepting, and mindful approach to create a safe place where self-discovery and healing are possible. Working together will include goal setting and an exploration of the resources and tools available to help in meeting short and long term goals.
(919) 343-0894 x1 View (919) 343-0894 x1
Photo of Claire Edgington, LMFT, MS, BA, Marriage & Family Therapist
Claire Edgington
Marriage & Family Therapist, LMFT, MS, BA
Verified Verified
Cary, NC 27511
I am a licensed marriage and family therapist, I love working with individuals, couples, families, and other relational dynamics to achieve their goals. I practice from an attachment lens which allows me to focus on the relationships that we have with others, society, and, most importantly, ourselves. I believe in providing a space where one can grow to become an even more genuine and fulfilled self. I value having an authentic therapeutic relationship that empowers and deepens one's understanding of themselves.
I am a licensed marriage and family therapist, I love working with individuals, couples, families, and other relational dynamics to achieve their goals. I practice from an attachment lens which allows me to focus on the relationships that we have with others, society, and, most importantly, ourselves. I believe in providing a space where one can grow to become an even more genuine and fulfilled self. I value having an authentic therapeutic relationship that empowers and deepens one's understanding of themselves.
(919) 705-0617 View (919) 705-0617
Photo of Sara Rabinowitz, LCSW, Clinical Social Work/Therapist
Sara Rabinowitz
Clinical Social Work/Therapist, LCSW
Verified Verified
Cary, NC 27519
I am a Licensed Clinical Social Worker with over 20 years of experience working with neurodiverse and neurotypical individuals and their families, across the lifespan. I have a passion for working with children, adolescents and young adults. I work with trauma, anxiety, social difficulties, emotional regulation, grief and loss and navigating life transitions and challenges. I draw from an eclectic blend of therapies in my practice, including Solutions Focused, CBT, Play Therapy, Narrative Therapy and Mindfulness, believing that no one therapeutic tool fits everyone.
I am a Licensed Clinical Social Worker with over 20 years of experience working with neurodiverse and neurotypical individuals and their families, across the lifespan. I have a passion for working with children, adolescents and young adults. I work with trauma, anxiety, social difficulties, emotional regulation, grief and loss and navigating life transitions and challenges. I draw from an eclectic blend of therapies in my practice, including Solutions Focused, CBT, Play Therapy, Narrative Therapy and Mindfulness, believing that no one therapeutic tool fits everyone.
(984) 353-2806 View (984) 353-2806
Photo of Maddie Krause
Maddie Krause
LCMHC Associate
Verified Verified
Cary, NC 27511  (Online Only)
I work with adults facing a variety of obstacles including anxiety, depression, trauma, and work/life stress. Therapy is a collaborative process, meaning that together, we will work on developing and achieving the goals that are important to you, in whatever season you may be in. Whether your goal is to improve your relationships, manage stress, or uncover and work through the source(s) of your trauma, we will bring your story to light and ensure you have the tools to write the rest of it in the way that best serves you.
I work with adults facing a variety of obstacles including anxiety, depression, trauma, and work/life stress. Therapy is a collaborative process, meaning that together, we will work on developing and achieving the goals that are important to you, in whatever season you may be in. Whether your goal is to improve your relationships, manage stress, or uncover and work through the source(s) of your trauma, we will bring your story to light and ensure you have the tools to write the rest of it in the way that best serves you.
(919) 729-5667 View (919) 729-5667
Photo of Renee Avis, MA, LPC, NCC, Licensed Professional Counselor
Renee Avis
Licensed Professional Counselor, MA, LPC, NCC
Verified Verified
Cary, NC 27511
ACCEPTING NEW CLIENTS I am passionate and excited about the therapeutic work I do with each individual I see. I work to build a safe, trusting and honest therapeutic relationship. As this therapeutic relationship builds I guide, challenge and encourage each individual to take the skills they are learning, the courage they are building and work towards the goals they are taking the steps to reach. Therapy is a journey that will take you through the process of finding clarity and understanding you are struggling to find due to eating disorder(s), anxiety, depression and/or postpartum depression.
ACCEPTING NEW CLIENTS I am passionate and excited about the therapeutic work I do with each individual I see. I work to build a safe, trusting and honest therapeutic relationship. As this therapeutic relationship builds I guide, challenge and encourage each individual to take the skills they are learning, the courage they are building and work towards the goals they are taking the steps to reach. Therapy is a journey that will take you through the process of finding clarity and understanding you are struggling to find due to eating disorder(s), anxiety, depression and/or postpartum depression.
(919) 975-5889 View (919) 975-5889
Photo of Luka R Carbone, MS, LCMHC
Luka R Carbone
Licensed Clinical Mental Health Counselor, MS, LCMHC
Verified Verified
1 Endorsed
Cary, NC 27511  (Online Only)
Not accepting new clients
I believe that personal growth through counseling is possible when a collaborative trusting relationship is developed between a counselor and client. My role is not to give you all the answers, but to help you find your own answers and learn to make decisions that are healthy and align with your values and goals. As every person is different I feel it is important to develop a plan of action that is tailored to you and your lifestyle. I do try to incorporate physical and spiritual health along with mental health to ensure growth is lasting and comprehensive.
I believe that personal growth through counseling is possible when a collaborative trusting relationship is developed between a counselor and client. My role is not to give you all the answers, but to help you find your own answers and learn to make decisions that are healthy and align with your values and goals. As every person is different I feel it is important to develop a plan of action that is tailored to you and your lifestyle. I do try to incorporate physical and spiritual health along with mental health to ensure growth is lasting and comprehensive.
(919) 289-1256 View (919) 289-1256
Photo of Haylee Allen, MSW, LCSW, LCAS, CCS, CPS-R, Clinical Social Work/Therapist
Haylee Allen
Clinical Social Work/Therapist, MSW, LCSW, LCAS, CCS, CPS-R
Verified Verified
Cary, NC 27511
With experience in various roles from therapist, prevention specialist, and program director I enjoy helping young children, teenagers, and adults achieve balance in everyday living. My expertise include mental health therapy, chemical dependency counseling, curriculum development and instruction, care management, and substance misuse prevention and education. I have experience working with youth and adults in various settings from the foster care environment, outpatient and inpatient treatment centers, to private practice.
With experience in various roles from therapist, prevention specialist, and program director I enjoy helping young children, teenagers, and adults achieve balance in everyday living. My expertise include mental health therapy, chemical dependency counseling, curriculum development and instruction, care management, and substance misuse prevention and education. I have experience working with youth and adults in various settings from the foster care environment, outpatient and inpatient treatment centers, to private practice.
(910) 541-9948 View (910) 541-9948
Photo of Sarha Machamer, MS, LMFT, Marriage & Family Therapist Associate
Sarha Machamer
Marriage & Family Therapist Associate, MS, LMFT
Verified Verified
1 Endorsed
Cary, NC 27511
Not accepting new clients
Life can throw a curveball, whether it being in your relationship, career, or negative feelings within yourself. The therapy room is the perfect environment for you to figure out your next step and how you will move forward. While we work together I’ll be utilizing an integrative approach and draw from various therapeutic methodologies including emotion-focused therapy, solution-focused therapy, and cognitive-behavioral therapy. In the therapy room we can process and understand the specific context of the discomfort in a safe environment.
Life can throw a curveball, whether it being in your relationship, career, or negative feelings within yourself. The therapy room is the perfect environment for you to figure out your next step and how you will move forward. While we work together I’ll be utilizing an integrative approach and draw from various therapeutic methodologies including emotion-focused therapy, solution-focused therapy, and cognitive-behavioral therapy. In the therapy room we can process and understand the specific context of the discomfort in a safe environment.
(919) 372-0348 View (919) 372-0348
Photo of Amanda Bloom, MEd, NCC, LCMHC, Counselor
Amanda Bloom
Counselor, MEd, NCC, LCMHC
Verified Verified
Cary, NC 27511
I believe that we have all experienced challenging situations or have felt lost at some point in our lives. Taking the leap to seek additional guidance and support takes courage and vulnerability and I believe it cultivates our growth and well-being. Together we collaborate to examine thoughts, emotions and behaviors and identify new tools and solutions that will move you toward a place of worthiness, purpose and authenticity to meet your personalized goals. With over 17 years of experience, I specialize in treating adults who have concerns regarding anxiety, depression, relationships, life transitions, trauma, and women's issues.
I believe that we have all experienced challenging situations or have felt lost at some point in our lives. Taking the leap to seek additional guidance and support takes courage and vulnerability and I believe it cultivates our growth and well-being. Together we collaborate to examine thoughts, emotions and behaviors and identify new tools and solutions that will move you toward a place of worthiness, purpose and authenticity to meet your personalized goals. With over 17 years of experience, I specialize in treating adults who have concerns regarding anxiety, depression, relationships, life transitions, trauma, and women's issues.
(919) 858-2692 View (919) 858-2692
Photo of Hannah DeMello, LCSWA, Clinical Social Work/Therapist
Hannah DeMello
Clinical Social Work/Therapist, LCSWA
Verified Verified
1 Endorsed
Cary, NC 27511
Every person I work with is a unique individual, which means that together we will develop a unique approach to meeting your goals. I utilize a collaborative approach to assist you in building the skills you need to achieve a fulfilling and productive life.
Every person I work with is a unique individual, which means that together we will develop a unique approach to meeting your goals. I utilize a collaborative approach to assist you in building the skills you need to achieve a fulfilling and productive life.
(919) 335-7885 View (919) 335-7885
Photo of Laura Haynes, LCSW, Clinical Social Work/Therapist
Laura Haynes
Clinical Social Work/Therapist, LCSW
Verified Verified
Cary, NC 27518
Laura Haynes is a Licensed Clinical Social Worker in North Carolina who has been practicing since 2019. Laura is a trauma-focused and strengths-based clinician who is committed to meeting people where they are. CBT, DBT, mindfulness, and motivational interviewing are also utilized often. When not at work, Laura enjoys being outside, being with people she loves, being near animals, reading, cooking, and learning new things.
Laura Haynes is a Licensed Clinical Social Worker in North Carolina who has been practicing since 2019. Laura is a trauma-focused and strengths-based clinician who is committed to meeting people where they are. CBT, DBT, mindfulness, and motivational interviewing are also utilized often. When not at work, Laura enjoys being outside, being with people she loves, being near animals, reading, cooking, and learning new things.
(919) 276-8377 View (919) 276-8377
Photo of Micah Wyatt, LMFT, Marriage & Family Therapist
Micah Wyatt
Marriage & Family Therapist, LMFT
Verified Verified
1 Endorsed
Cary, NC 27511  (Online Only)
Not accepting new clients
Is your marriage struggling in areas of infidelity, trust, loss of relationship interest and other marital barriers. Or maybe you’re and Individual dealing with issues of anxiety, increased levels of stress, and low sense of belonging. This isn’t the end for you. Together, we can rebuild hope and trust between you and and your partner. We can redevelop the intimacy that may have been lost along the way. Together, we can develop your personal goals and ensure they materialize to realities for the life you desire to live. Everyone deserves happiness! Let’s work together to build that happiness for you!
Is your marriage struggling in areas of infidelity, trust, loss of relationship interest and other marital barriers. Or maybe you’re and Individual dealing with issues of anxiety, increased levels of stress, and low sense of belonging. This isn’t the end for you. Together, we can rebuild hope and trust between you and and your partner. We can redevelop the intimacy that may have been lost along the way. Together, we can develop your personal goals and ensure they materialize to realities for the life you desire to live. Everyone deserves happiness! Let’s work together to build that happiness for you!
(984) 223-5010 View (984) 223-5010
Photo of Amber Lovell, LCMHCA, Counselor
Amber Lovell
Counselor, LCMHCA
Verified Verified
1 Endorsed
Cary, NC 27513  (Online Only)
However you choose to show up is right. I believe in meeting you exactly where you are, providing a safe and supportive space to explore your unique journey. As a Licensed Clinical Mental Health Counselor Associate (LCMHCA), I specialize in helping individuals heal from complex trauma, navigate life transitions, and build resilience. My approach is holistic, person-centered, and trauma-informed, with a strong foundation in multicultural competence.
However you choose to show up is right. I believe in meeting you exactly where you are, providing a safe and supportive space to explore your unique journey. As a Licensed Clinical Mental Health Counselor Associate (LCMHCA), I specialize in helping individuals heal from complex trauma, navigate life transitions, and build resilience. My approach is holistic, person-centered, and trauma-informed, with a strong foundation in multicultural competence.
(984) 313-9135 View (984) 313-9135
Photo of Carolyn O Lee, MSW, LCSW, Clinical Social Work/Therapist
Carolyn O Lee
Clinical Social Work/Therapist, MSW, LCSW
Verified Verified
Cary, NC 27518
Not accepting new clients
I specialize in trauma and have over 25 years of experience working with PTSD, eating disorders, self-injury, and personality disorders. I also focus on women's mental health needs, particularly postpartum depression, infertility, and body image issues. I am ecletic in my approach, using psychodynamic principles, sensorimotor approaches, and DBT skills.
I specialize in trauma and have over 25 years of experience working with PTSD, eating disorders, self-injury, and personality disorders. I also focus on women's mental health needs, particularly postpartum depression, infertility, and body image issues. I am ecletic in my approach, using psychodynamic principles, sensorimotor approaches, and DBT skills.
(919) 666-2363 View (919) 666-2363
Photo of Todd Goodwin, MS, BCH, FNGH
Todd Goodwin
MS, BCH, FNGH
Verified Verified
1 Endorsed
Cary, NC 27513  (Online Only)
Are you suffering from traumatic experiences and the negative effects? Would you prefer to resolve the core issue and NOT merely 1) treat symptoms with medications, 2) talk about it for months in therapy, or 3) use willpower to control yourself? Whether the trauma is large or small, old or new, you CAN release it and FULLY recover from the toxic emotions and unhealthy behaviors that you learned from it. Most of my clients find real, lasting improvements with their memories, limiting beliefs, emotional state, and lifestyle habits within a few sessions. If you really want to think, feel, and do better, then I may be able to help you.
Are you suffering from traumatic experiences and the negative effects? Would you prefer to resolve the core issue and NOT merely 1) treat symptoms with medications, 2) talk about it for months in therapy, or 3) use willpower to control yourself? Whether the trauma is large or small, old or new, you CAN release it and FULLY recover from the toxic emotions and unhealthy behaviors that you learned from it. Most of my clients find real, lasting improvements with their memories, limiting beliefs, emotional state, and lifestyle habits within a few sessions. If you really want to think, feel, and do better, then I may be able to help you.
(984) 230-3544 View (984) 230-3544
Photo of Marcia Brown, LCSW, Clinical Social Work/Therapist
Marcia Brown
Clinical Social Work/Therapist, LCSW
Verified Verified
Cary, NC 27518
If you are exhausted and overwhelmed in your role as a parent, drained from the struggles of challenging child behavior, feeling anxious and second guessing your parenting approach, or simply want to get a handle on some current challenges before they turn into bigger issues, parent-child therapy can help. It is not uncommon to get to a point where you have tried so many different approaches, techniques, and books, that you aren't even sure what is working and what isn't anymore. Together we can focus on fundamental pieces that lead to real, lasting positive change for your child and your family.
If you are exhausted and overwhelmed in your role as a parent, drained from the struggles of challenging child behavior, feeling anxious and second guessing your parenting approach, or simply want to get a handle on some current challenges before they turn into bigger issues, parent-child therapy can help. It is not uncommon to get to a point where you have tried so many different approaches, techniques, and books, that you aren't even sure what is working and what isn't anymore. Together we can focus on fundamental pieces that lead to real, lasting positive change for your child and your family.
(919) 737-2271 View (919) 737-2271
Photo of Bianca Glaze Smith, MSW, LCSW, Clinical Social Work/Therapist
Bianca Glaze Smith
Clinical Social Work/Therapist, MSW, LCSW
Verified Verified
17 Endorsed
Cary, NC 27511
In 2024, my clients and I are working on: being mindful with our time, setting our intentions and being accountable. We will conquer those three while working towards our everyday goals. My passion is helping people become and maintain the best versions of themselves. I achieve this by creating a safe, supportive, and empowering environment for all clients. My goal is to assist you in developing and utilizing coping skills, while working toward your personal goals, and establishing and maintaining self-care regiments and mental health.
In 2024, my clients and I are working on: being mindful with our time, setting our intentions and being accountable. We will conquer those three while working towards our everyday goals. My passion is helping people become and maintain the best versions of themselves. I achieve this by creating a safe, supportive, and empowering environment for all clients. My goal is to assist you in developing and utilizing coping skills, while working toward your personal goals, and establishing and maintaining self-care regiments and mental health.
(984) 205-9361 View (984) 205-9361
Photo of Anna Christopher, LCSWA, Clinical Social Work/Therapist
Anna Christopher
Clinical Social Work/Therapist, LCSWA
Verified Verified
1 Endorsed
Cary, NC 27513
Hello! I am an LCSWA practicing in Cary, NC. I specialize in working with adult individuals experiencing anxiety, depression, self-esteem issues, life transitions, and interpersonal relationship issues. In the therapy space you can expect me to center you in your own therapeutic journey. I recognize that the therapy experience is different for everyone, and I enjoy building a supportive therapeutic relationship with my clients that fosters an empathetic space for growth and self-actualization. I am a gender-affirming provider who will advocate for my clients as necessary in medical spaces.
Hello! I am an LCSWA practicing in Cary, NC. I specialize in working with adult individuals experiencing anxiety, depression, self-esteem issues, life transitions, and interpersonal relationship issues. In the therapy space you can expect me to center you in your own therapeutic journey. I recognize that the therapy experience is different for everyone, and I enjoy building a supportive therapeutic relationship with my clients that fosters an empathetic space for growth and self-actualization. I am a gender-affirming provider who will advocate for my clients as necessary in medical spaces.
(919) 823-3163 x244 View (919) 823-3163 x244
Photo of Nicole Stone - Well Marriage Center Cary, Marriage & Family Therapist
Well Marriage Center Cary
Marriage & Family Therapist
Verified Verified
2 Endorsed
Cary, NC 27518
At Well Marriage, our clinicians are committed to preserving relationships and avoiding separation whenever possible. If you are both willing to put in the work, we’ll be there to help you solve your relationship woes. In the midst of connection trouble and distress, we’ll support the hope that you can heal and save your relationship. We’ve seen countless couples who are convinced their relationship is too far dead and gone, only to see it be rediscovered and revitalized before their very eyes (and hearts). We’ve seen it happen. We know how to help it happen for you.
At Well Marriage, our clinicians are committed to preserving relationships and avoiding separation whenever possible. If you are both willing to put in the work, we’ll be there to help you solve your relationship woes. In the midst of connection trouble and distress, we’ll support the hope that you can heal and save your relationship. We’ve seen countless couples who are convinced their relationship is too far dead and gone, only to see it be rediscovered and revitalized before their very eyes (and hearts). We’ve seen it happen. We know how to help it happen for you.
(984) 205-1136 View (984) 205-1136
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How does your Therapist compare?

Number of Therapists in Cary, NC

1,000+

Average cost per session

$145

Therapists in Cary, NC who prioritize treating:

92% Anxiety
87% Depression
76% Self Esteem
75% Relationship Issues
72% Coping Skills
68% Stress
62% Life Transitions

Average years in practice

10 Years

Top 3 insurances accepted

83% BlueCross and BlueShield
81% Aetna
56% Cigna and Evernorth

How Therapists in Cary, NC see their clients

69% In Person and Online
31% 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.