Therapists in Cary, NC

Photo of Dr. Lori C. Thomas, JD, PhD, Psychologist
Dr. Lori C. Thomas
Psychologist, JD, PhD
Verified Verified
Cary, NC 27513
Waitlist for new clients
I provide children and teens with therapy services to deal with anxiety struggles, depression, identity issues, body image, general worries, disordered eating, poor self-esteem, and feeling socially awkward. I believe in developing a unique connection with each child-building strong, therapeutic relationships that foster change and help kids cope with developmental issues, mental health concerns, and behavioral challenges.
I provide children and teens with therapy services to deal with anxiety struggles, depression, identity issues, body image, general worries, disordered eating, poor self-esteem, and feeling socially awkward. I believe in developing a unique connection with each child-building strong, therapeutic relationships that foster change and help kids cope with developmental issues, mental health concerns, and behavioral challenges.
(919) 646-5859 View (919) 646-5859
Photo of Shameka Turner, MSW, LCSWA, Clinical Social Work/Therapist
Shameka Turner
Clinical Social Work/Therapist, MSW, LCSWA
Verified Verified
1 Endorsed
Cary, NC 27511
Waitlist for new clients
As a clinician, I embrace a strength-based, person-centered perspective, and I borrow from many different theoretical bases for psychotherapy in aiming to understand and meet the individual needs of each person. Techniques that I utilize may include dialogue, psychoeducation, relaxation, reframing of negative thoughts, positive decision-making etc.
As a clinician, I embrace a strength-based, person-centered perspective, and I borrow from many different theoretical bases for psychotherapy in aiming to understand and meet the individual needs of each person. Techniques that I utilize may include dialogue, psychoeducation, relaxation, reframing of negative thoughts, positive decision-making etc.
(919) 849-8594 View (919) 849-8594
Photo of Anna Broadwell, LCMHC
Anna Broadwell
Licensed Clinical Mental Health Counselor, LCMHC
Verified Verified
Cary, NC 27518  (Online Only)
I believe you are the expert of your life, and I hope to provide an encouraging and positive voice for you on your journey of healing and self-discovery. Through a collaborative and person-centered approach, I encourage self-exploration and understanding as you share your stories. I consider it an honor to be invited to work with you on your journey.
I believe you are the expert of your life, and I hope to provide an encouraging and positive voice for you on your journey of healing and self-discovery. Through a collaborative and person-centered approach, I encourage self-exploration and understanding as you share your stories. I consider it an honor to be invited to work with you on your journey.
(919) 635-9548 View (919) 635-9548
Photo of Nicole Korell - NextGen Behavioral Therapy, MA, LCMHCA, Counselor
NextGen Behavioral Therapy
Counselor, MA, LCMHCA
Verified Verified
2 Endorsed
Cary, NC 27518  (Online Only)
When my clients come to me, they are often feeling overwhelmed, out of control, even angry. These experiences may be amplified by feelings of boredom, lack of motivation, and exhaustion. You, or your adolescent, may be entering one of life's inevitable transitions. I offer a specialized space for individuals who are struggling with anxiety and depression; those who are struggling with emotional regulation; those looking to improve interpersonal relationships and build social skills; and, for individuals struggling with self-esteem and body dysmorphic disorder.
When my clients come to me, they are often feeling overwhelmed, out of control, even angry. These experiences may be amplified by feelings of boredom, lack of motivation, and exhaustion. You, or your adolescent, may be entering one of life's inevitable transitions. I offer a specialized space for individuals who are struggling with anxiety and depression; those who are struggling with emotional regulation; those looking to improve interpersonal relationships and build social skills; and, for individuals struggling with self-esteem and body dysmorphic disorder.
(919) 980-9306 View (919) 980-9306
Photo of Elizabeth Pugliese, LCMHC, LCAS, NCC
Elizabeth Pugliese
Licensed Clinical Mental Health Counselor, LCMHC, LCAS, NCC
Verified Verified
3 Endorsed
Cary, NC 27511  (Online Only)
It can be exhausting to navigate life when isolated, facing one stressor after another, feeling depressed or anxious, or trying to recover from a traumatic experience. For many, these experiences interfere with day-to-day life such as our relationships, work, school, and more. For many, therapy can provide needed support. The most significant part of therapy is your relationship with your therapist, this is why I approach therapy by getting to know you as a whole person and use a collaborative approach to help empower your innate strengths.
It can be exhausting to navigate life when isolated, facing one stressor after another, feeling depressed or anxious, or trying to recover from a traumatic experience. For many, these experiences interfere with day-to-day life such as our relationships, work, school, and more. For many, therapy can provide needed support. The most significant part of therapy is your relationship with your therapist, this is why I approach therapy by getting to know you as a whole person and use a collaborative approach to help empower your innate strengths.
(919) 822-9118 View (919) 822-9118
Photo of Sydney Burford, CRC, LCMHC-A, Counselor
Sydney Burford
Counselor, CRC, LCMHC-A
Verified Verified
1 Endorsed
Cary, NC 27511
Waitlist for new clients
Life is hard, and it can sometimes feel like you're screaming into the void. Challenges can occur, and even with the support of friends and family, people often feel alone. Maybe you feel like you know exactly what the problem is, and if you could only fix it, your whole life would turn around. You struggle, you fight, you try, yet you still feel stuck.
Life is hard, and it can sometimes feel like you're screaming into the void. Challenges can occur, and even with the support of friends and family, people often feel alone. Maybe you feel like you know exactly what the problem is, and if you could only fix it, your whole life would turn around. You struggle, you fight, you try, yet you still feel stuck.
(984) 223-6396 View (984) 223-6396
Photo of Emily Odjaghian - Lucy Daniels Center, Psychologist
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 Wake Counseling Mediation - Wake Counseling & Mediation, PLLC, MS, NCC, LPCS
Wake Counseling & Mediation, PLLC
Lic Clinical Mental Health Counselor Supervisor, MS, NCC, LPCS
Verified Verified
2 Endorsed
Cary, NC 27511
Welcome to Wake Counseling & Mediation! We provide the professional guidance you need to resolve wide variety of life issues. Our therapists are experienced & well trained to listen, guide, and respectfully challenge you. We have a team of passionate clinicians who has the expertise in different areas related to mental health & family issues. We are guiding individuals, couples and families make needed lifestyle adjustments that resulted in healthier coping skills, improved communication, and happiness. We also couples & families with adjustment, parenting issues, marital issues and substance use/abuse related issues.
Welcome to Wake Counseling & Mediation! We provide the professional guidance you need to resolve wide variety of life issues. Our therapists are experienced & well trained to listen, guide, and respectfully challenge you. We have a team of passionate clinicians who has the expertise in different areas related to mental health & family issues. We are guiding individuals, couples and families make needed lifestyle adjustments that resulted in healthier coping skills, improved communication, and happiness. We also couples & families with adjustment, parenting issues, marital issues and substance use/abuse related issues.
(919) 647-4600 x1 View (919) 647-4600 x1
Photo of Keisha Bryan, MSW, LCSW, LCAS, Clinical Social Work/Therapist
Keisha Bryan
Clinical Social Work/Therapist, MSW, LCSW, LCAS
Verified Verified
1 Endorsed
Cary, NC 27511
I specialize in working with adults- both individuals and couples, ready to embark on a journey of self-discovery and healing. I really enjoy partnering with people who have a strong desire to work on themselves, seeking to understand and overcome emotional pain and past traumas. I love being a supportive therapist who listens, guides, and empowers people to do their healing work. For individuals, the goal is to heal deeply, ensuring past traumas no longer dictate future behaviors. Couples seek healthier relationships, enhanced communication, and deeper intimacy. Together, we strive for lasting change and profound growth.
I specialize in working with adults- both individuals and couples, ready to embark on a journey of self-discovery and healing. I really enjoy partnering with people who have a strong desire to work on themselves, seeking to understand and overcome emotional pain and past traumas. I love being a supportive therapist who listens, guides, and empowers people to do their healing work. For individuals, the goal is to heal deeply, ensuring past traumas no longer dictate future behaviors. Couples seek healthier relationships, enhanced communication, and deeper intimacy. Together, we strive for lasting change and profound growth.
(984) 538-7636 View (984) 538-7636
Photo of Kimberly Daley, LMFTA, Marriage & Family Therapist Associate
Kimberly Daley
Marriage & Family Therapist Associate, LMFTA
Verified Verified
1 Endorsed
Cary, NC 27511
Not accepting new clients
What is the loudest message your childhood whispers in your ear? Do you know who or where that message came from? Is it a message that is soft, helpful, and motivating? Or is it one that is unhelpful, draining, and defeating? If it is the latter and you are ready to begin silencing that message and amplifying a message of goodness, growth, and confidence, then let's get started!
What is the loudest message your childhood whispers in your ear? Do you know who or where that message came from? Is it a message that is soft, helpful, and motivating? Or is it one that is unhelpful, draining, and defeating? If it is the latter and you are ready to begin silencing that message and amplifying a message of goodness, growth, and confidence, then let's get started!
(919) 849-3963 View (919) 849-3963
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 Sara D Louca, PsyD, Psychologist
Sara D Louca
Psychologist, PsyD
Verified Verified
Cary, NC 27511
It can be so hard to be in our experiences of life. For many reasons, we can find ourselves stuck, worried, sad and lost. We can lose our anchors, our values, our meaning and our quality of life. We can experience terrible traumas and struggle in relationships with others and with ourselves. We can lose our capacity to feel agency in our own lives and to stay engaged and curious with our own unique journeys. ​We do not find our way in isolation. I believe that, in working together, we are better equipped to navigate the journey and to feel good about the direction it takes.
It can be so hard to be in our experiences of life. For many reasons, we can find ourselves stuck, worried, sad and lost. We can lose our anchors, our values, our meaning and our quality of life. We can experience terrible traumas and struggle in relationships with others and with ourselves. We can lose our capacity to feel agency in our own lives and to stay engaged and curious with our own unique journeys. ​We do not find our way in isolation. I believe that, in working together, we are better equipped to navigate the journey and to feel good about the direction it takes.
(919) 752-4908 View (919) 752-4908
Photo of Dr. Colleen Wentworth, PsyD, Psychologist
Dr. Colleen Wentworth
Psychologist, PsyD
Verified Verified
Cary, NC 27513
Not accepting new clients
As a Licensed Psychologist in North Carolina and New Hampshire, I focus on providing individual psychotherapy and psychological/educational assessment. I work with those from 18 + who struggle with a variety of life challenges and issues. I am a Certified ADHD Clinical Services Specialist and Certified as an Addictions-Informed Mental Health Professional. I use an integrative treatment approach that is client-focused and flexible, incorporating elements of mindfulness-based, insight-oriented and skills-based modalities to help guide clients toward their best self and to make positive life changes.
As a Licensed Psychologist in North Carolina and New Hampshire, I focus on providing individual psychotherapy and psychological/educational assessment. I work with those from 18 + who struggle with a variety of life challenges and issues. I am a Certified ADHD Clinical Services Specialist and Certified as an Addictions-Informed Mental Health Professional. I use an integrative treatment approach that is client-focused and flexible, incorporating elements of mindfulness-based, insight-oriented and skills-based modalities to help guide clients toward their best self and to make positive life changes.
(984) 230-4166 View (984) 230-4166
Photo of Mary L Affee - Horizon Integrated Wellness Group, PLLC, LCSW, CTP, RTP, CFSW, CHC, Clinical Social Work/Therapist
Horizon Integrated Wellness Group, PLLC
Clinical Social Work/Therapist, LCSW, CTP, RTP, CFSW, CHC
Verified Verified
4 Endorsed
Cary, NC 27513
Horizon Integrated Wellness Group, PLLC was developed with the idea that peoples' struggles and challenges are not a reflection of them having failed in their lives, but rather, an array of experiences, exchanges, and relationships the individual has in the context of some or all of them. We offer a unique approach that considers people's relationships, families, work/career, and the implications/barriers they may have on an individual's well-being, resilience, empowerment, their happiness, and ultimately their self-acceptance/self-love.
Horizon Integrated Wellness Group, PLLC was developed with the idea that peoples' struggles and challenges are not a reflection of them having failed in their lives, but rather, an array of experiences, exchanges, and relationships the individual has in the context of some or all of them. We offer a unique approach that considers people's relationships, families, work/career, and the implications/barriers they may have on an individual's well-being, resilience, empowerment, their happiness, and ultimately their self-acceptance/self-love.
(984) 205-4778 View (984) 205-4778
Photo of Louise Carter, LCMHC, CRC, Counselor
Louise Carter
Counselor, LCMHC, CRC
Verified Verified
2 Endorsed
Cary, NC 27518
Accepting new clients for daytime only. Are you someone who usually loves to help others, but suddenly you are just so tired? Are you feeling burnt out? Exhausted? Overthinking and questioning everything? It's easy to stay busy all the time and sometimes when we say "yes" to all the things we love to do, we might find ourselves being just TOO busy. When you get busy, overwhelmed, and overstimulated, that's when you start to snap at the people you love, or find yourself wanting to just be left alone.
Accepting new clients for daytime only. Are you someone who usually loves to help others, but suddenly you are just so tired? Are you feeling burnt out? Exhausted? Overthinking and questioning everything? It's easy to stay busy all the time and sometimes when we say "yes" to all the things we love to do, we might find ourselves being just TOO busy. When you get busy, overwhelmed, and overstimulated, that's when you start to snap at the people you love, or find yourself wanting to just be left alone.
(919) 568-5184 View (919) 568-5184
Photo of Meena Statz, CRC, LCMHC, LPC, LPCC
Meena Statz
Licensed Clinical Mental Health Counselor, CRC, LCMHC, LPC, LPCC
Verified Verified
Cary, NC 27518  (Online Only)
Waitlist for new clients
I work with South Asian and African American women (ages 25-50) living in NC, WI, and MN who are ready to address and treat anxiety, depression, OCD, or trauma. My main areas of interest are the effects of the immigrant experience and biculturalism on mental health and wellness. I also am well versed in queer, transgender, and non-binary needs in treatment. Therapy with me provides clients with a culturally sensitive experience, as I work with clients closely to create a practice that incorporates evidence based practices in a non-oppressive environment.
I work with South Asian and African American women (ages 25-50) living in NC, WI, and MN who are ready to address and treat anxiety, depression, OCD, or trauma. My main areas of interest are the effects of the immigrant experience and biculturalism on mental health and wellness. I also am well versed in queer, transgender, and non-binary needs in treatment. Therapy with me provides clients with a culturally sensitive experience, as I work with clients closely to create a practice that incorporates evidence based practices in a non-oppressive environment.
(262) 383-4589 View (262) 383-4589
Photo of Laura Hertzfeld Katz, MA, LMFT, Marriage & Family Therapist
Laura Hertzfeld Katz
Marriage & Family Therapist, MA, LMFT
Verified Verified
Cary, NC 27511
Do you need a safe, caring, and comfortable space to share your unique story, to feel heard and understood? Do you need clarity in your personal or professional life with what you really want or what matters to you? Perhaps you need help navigating a new role or identity you are entering or just need to feel more comfortable being you. Working together over time, I believe we will discover what is standing in the way of moving forward in your relationships or work so you can get to that next level, communicate what you need authentically, and get that breakthrough.
Do you need a safe, caring, and comfortable space to share your unique story, to feel heard and understood? Do you need clarity in your personal or professional life with what you really want or what matters to you? Perhaps you need help navigating a new role or identity you are entering or just need to feel more comfortable being you. Working together over time, I believe we will discover what is standing in the way of moving forward in your relationships or work so you can get to that next level, communicate what you need authentically, and get that breakthrough.
(919) 348-2606 View (919) 348-2606
Photo of David Blake, LCMHCA, MBA, NCC
David Blake
Lic Clinical Mental Health Counselor Associate, LCMHCA, MBA, NCC
Verified Verified
Cary, NC 27518
The quickest way to contact us? visit our website. Accepting new Clients. With over 30 years of mental health & career experience, I offer a rich background in counseling diverse individuals, including couples, teens, and adults. My extensive volunteer work with middle school students further enriches my approach, bringing additional insight and empathy. I provide compassionate, personalized guidance to help you overcome challenges, enhance your well-being, and foster personal growth. Whether you're dealing with complex issues or seeking personal development, I'm here to support and guide you every step of the way.
The quickest way to contact us? visit our website. Accepting new Clients. With over 30 years of mental health & career experience, I offer a rich background in counseling diverse individuals, including couples, teens, and adults. My extensive volunteer work with middle school students further enriches my approach, bringing additional insight and empathy. I provide compassionate, personalized guidance to help you overcome challenges, enhance your well-being, and foster personal growth. Whether you're dealing with complex issues or seeking personal development, I'm here to support and guide you every step of the way.
(984) 464-7382 View (984) 464-7382
Photo of Christina Collins, LCMHC
Christina Collins
Licensed Clinical Mental Health Counselor, LCMHC
Verified Verified
Cary, NC 27519
Christina is a LCMHC and has been practicing since 2009. She serves adults presenting with a variety of concerns, including anxiety, grief, depression, adjustment, life and career direction, and relationship issues. Additionally, she has experience servicing those undergoing physical health challenges, including cancer, and journeying with them through grief and adjustment.
Christina is a LCMHC and has been practicing since 2009. She serves adults presenting with a variety of concerns, including anxiety, grief, depression, adjustment, life and career direction, and relationship issues. Additionally, she has experience servicing those undergoing physical health challenges, including cancer, and journeying with them through grief and adjustment.
(605) 574-1098 View (605) 574-1098
Photo of Sarah Olson, LCSW, Clinical Social Work/Therapist
Sarah Olson
Clinical Social Work/Therapist, LCSW
Verified Verified
Cary, NC 27511  (Online Only)
Sarah Olson is a Licensed Clinical Social Worker (LCSW) with over 12 years of experience helping infants, toddlers, children, teens, and adults who are faced with anxiety, depression, anger, poor coping skills, and family conflict issues. She helps clients to explore behavior patterns that may have been caused by past events. Sarah believes that being honest about how you feel is the most effective way to move forward in getting to where you want to go in life.
Sarah Olson is a Licensed Clinical Social Worker (LCSW) with over 12 years of experience helping infants, toddlers, children, teens, and adults who are faced with anxiety, depression, anger, poor coping skills, and family conflict issues. She helps clients to explore behavior patterns that may have been caused by past events. Sarah believes that being honest about how you feel is the most effective way to move forward in getting to where you want to go in life.
(984) 217-6562 View (984) 217-6562
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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
63% Life Transitions

Average years in practice

10 Years

Top 3 insurances accepted

83% BlueCross and BlueShield
82% 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.