Therapists in Burlington, NC

Photo of Joseph Ziegler - RAIZ Counseling Services PLLC, Lic Clinical Mental Health Counselor Associate, LCMHCA, NCC
RAIZ Counseling Services PLLC
Lic Clinical Mental Health Counselor Associate, LCMHCA, NCC
Online Only
The clients I serve are adolescents and adults who need individual, couples, family or group counseling to help them cope with daily struggles, overcome personal obstacles and/or those who suffer with mental illness. I also offer counsel and coaching for those who are not experiencing a mental health issue but would like some guidance on life decisions. The theoretical frameworks I use are Person-Centered, Reality Therapy, and Solution Focused Brief Counseling. I tailor my approach based on the need of the client.
The clients I serve are adolescents and adults who need individual, couples, family or group counseling to help them cope with daily struggles, overcome personal obstacles and/or those who suffer with mental illness. I also offer counsel and coaching for those who are not experiencing a mental health issue but would like some guidance on life decisions. The theoretical frameworks I use are Person-Centered, Reality Therapy, and Solution Focused Brief Counseling. I tailor my approach based on the need of the client.
(336) 915-8226 View (336) 915-8226
Photo of Allyson Chavis, Licensed Clinical Mental Health Counselor, MEd, LCMHC, NCC
Allyson Chavis
Licensed Clinical Mental Health Counselor, MEd, LCMHC, NCC
1 Endorsed
Burlington, NC 27215
Welcome, and thank you for visiting my page! As a counselor, I believe that everyone has had unique experiences that have had a direct impact on them as individuals. I truly enjoy helping others learn to navigate through problems they may be experiencing, which prevent them from functioning in a healthy manner. I offer a holistic therapeutic approach designed to help individuals and families explore and find new solutions to issues they may be experiencing. Please contact me with any questions you may have or to schedule an appointment. Thanks!
Welcome, and thank you for visiting my page! As a counselor, I believe that everyone has had unique experiences that have had a direct impact on them as individuals. I truly enjoy helping others learn to navigate through problems they may be experiencing, which prevent them from functioning in a healthy manner. I offer a holistic therapeutic approach designed to help individuals and families explore and find new solutions to issues they may be experiencing. Please contact me with any questions you may have or to schedule an appointment. Thanks!
(336) 585-8332 View (336) 585-8332
Photo of Ragen Birchall, Drug & Alcohol Counselor, MS, LCAS-A
Ragen Birchall
Drug & Alcohol Counselor, MS, LCAS-A
1 Endorsed
Online Only
I am dedicated to supporting individuals struggling with addiction and the challenges that often accompany it. I believe addiction is a complex response to pain, trauma, and life stress and not a moral failing. My goal is to create a safe, nonjudgmental space where clients feel heard and supported. Together we explore underlying causes, build healthier coping skills, and develop tools for lasting recovery. I approach therapy with empathy, respect and collaboration while recognizing each person's unique journey. I am passionate about helping clients restore hope, strengthen relationships and live happier lives.
I am dedicated to supporting individuals struggling with addiction and the challenges that often accompany it. I believe addiction is a complex response to pain, trauma, and life stress and not a moral failing. My goal is to create a safe, nonjudgmental space where clients feel heard and supported. Together we explore underlying causes, build healthier coping skills, and develop tools for lasting recovery. I approach therapy with empathy, respect and collaboration while recognizing each person's unique journey. I am passionate about helping clients restore hope, strengthen relationships and live happier lives.
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Photo of Dorenza Frederick, Lic Clinical Mental Health Counselor Associate, MS, LCMHCA, NCC
Dorenza Frederick
Lic Clinical Mental Health Counselor Associate, MS, LCMHCA, NCC
1 Endorsed
Online Only
Change can be difficult. I work best with clients who are navigating life transitions—whether that’s shifting roles, evolving relationships, or a growing desire to reconnect with themselves. Culturally sensitive care is at the forefront of my work, and I enjoy connecting with communities of color and hold space for the intersection of various identities. Together, we'll build a personalized toolbox of strategies to support your emotional growth, deepen self-awareness, and help you navigate life with confidence. I believe therapy should be a place where you can show up unapologetically. You don't have to heal in isolation!
Change can be difficult. I work best with clients who are navigating life transitions—whether that’s shifting roles, evolving relationships, or a growing desire to reconnect with themselves. Culturally sensitive care is at the forefront of my work, and I enjoy connecting with communities of color and hold space for the intersection of various identities. Together, we'll build a personalized toolbox of strategies to support your emotional growth, deepen self-awareness, and help you navigate life with confidence. I believe therapy should be a place where you can show up unapologetically. You don't have to heal in isolation!
(336) 586-5094 View (336) 586-5094
Photo of Rachel Cantaffa, Lic Clinical Mental Health Counselor Associate, MA, LCMHCA
Rachel Cantaffa
Lic Clinical Mental Health Counselor Associate, MA, LCMHCA
1 Endorsed
Burlington, NC 27215
My ideal clients are children, adolescents, and young adults who feel overwhelmed, anxious, or stuck and aren’t sure how to move forward. Many struggle with anxiety, depression, or life transitions. For younger clients, this may look like emotional outbursts or behavior challenges; for teens and young adults, it may feel like overthinking, pressure, or low mood. I help clients understand what they’re experiencing and provide practical tools to manage emotions and move forward with greater confidence. For those who desire it, I also integrate a Christian perspective into counseling.
My ideal clients are children, adolescents, and young adults who feel overwhelmed, anxious, or stuck and aren’t sure how to move forward. Many struggle with anxiety, depression, or life transitions. For younger clients, this may look like emotional outbursts or behavior challenges; for teens and young adults, it may feel like overthinking, pressure, or low mood. I help clients understand what they’re experiencing and provide practical tools to manage emotions and move forward with greater confidence. For those who desire it, I also integrate a Christian perspective into counseling.
(336) 502-1009 x1 View (336) 502-1009 x1
Photo of Amber Doby, Clinical Social Work/Therapist, MSW, LCSW
Amber Doby
Clinical Social Work/Therapist, MSW, LCSW
1 Endorsed
Burlington, NC 27215
Waitlist for new clients
Could your child or teen be happier? Are they struggling with self-worth, school achievement, peer relationships, depression, anxiety, or ADHD? Has the amount of time they use technology such as video gaming or social media become problematic? Life can be challenging, and most of us need help at one time or another. My passion is helping children and their families overcome barriers by empowering them with the skills and strategies to be the best they can be. I offer a safe place to process thoughts and feelings and be heard and understood.
Could your child or teen be happier? Are they struggling with self-worth, school achievement, peer relationships, depression, anxiety, or ADHD? Has the amount of time they use technology such as video gaming or social media become problematic? Life can be challenging, and most of us need help at one time or another. My passion is helping children and their families overcome barriers by empowering them with the skills and strategies to be the best they can be. I offer a safe place to process thoughts and feelings and be heard and understood.
(336) 331-5692 x6 View (336) 331-5692 x6
Photo of Ingle Reid, Counselor, LCMHC
Ingle Reid
Counselor, LCMHC
1 Endorsed
Online Only
I understand how challenging life can be. I also know that it’s not always easy to navigate either. As one journeys through life, there comes a time when we all need the love and support of someone who cares. For this reason, it has always been my passion to help those who are in need of that love and support. With a non-judgmental attitude and a heart of compassion I aim to meet you where you are. My hope is to walk alongside you in an effort to help you achieve your therapeutic goals.
I understand how challenging life can be. I also know that it’s not always easy to navigate either. As one journeys through life, there comes a time when we all need the love and support of someone who cares. For this reason, it has always been my passion to help those who are in need of that love and support. With a non-judgmental attitude and a heart of compassion I aim to meet you where you are. My hope is to walk alongside you in an effort to help you achieve your therapeutic goals.
(919) 629-0892 View (919) 629-0892
Photo of Gina Sparks Holmgren, Psychological Associate, MA, MS, LPA
Gina Sparks Holmgren
Psychological Associate, MA, MS, LPA
Burlington, NC 27215
I’m so excited for you, making steps towards healing! Whether you reach out to me or other professionals, you are on a healing journey and that is to be celebrated! I have been in mental health services for over 30 years and feel so fortunate to have been in this position! I feel honored to work with people in their healing journey whether addressing trauma, grief, anxiety, depression, conflict in relationships, or internal conflict. I work with people who are open to growing and developing into the best version of themselves.
I’m so excited for you, making steps towards healing! Whether you reach out to me or other professionals, you are on a healing journey and that is to be celebrated! I have been in mental health services for over 30 years and feel so fortunate to have been in this position! I feel honored to work with people in their healing journey whether addressing trauma, grief, anxiety, depression, conflict in relationships, or internal conflict. I work with people who are open to growing and developing into the best version of themselves.
(336) 864-2892 View (336) 864-2892
Photo of Rachel Wilson, Clinical Social Work/Therapist, LCSWA, MSW, QP
Rachel Wilson
Clinical Social Work/Therapist, LCSWA, MSW, QP
Burlington, NC 27215
Please note: Initial inquiries sent through Psychology Today are first received by our practice’s front office team, who help with scheduling, clinician matching, and care coordination. While they are not clinicians, they handle all messages with professionalism, discretion, and respect for your privacy. If you are reaching out during a vulnerable moment, we want you to feel informed and supported — please be mindful that administrative staff will view your message as part of this process.
Please note: Initial inquiries sent through Psychology Today are first received by our practice’s front office team, who help with scheduling, clinician matching, and care coordination. While they are not clinicians, they handle all messages with professionalism, discretion, and respect for your privacy. If you are reaching out during a vulnerable moment, we want you to feel informed and supported — please be mindful that administrative staff will view your message as part of this process.
(336) 962-7264 View (336) 962-7264
Photo of Monique Maness, Clinical Social Work/Therapist, LCSW-A
Monique Maness
Clinical Social Work/Therapist, LCSW-A
1 Endorsed
Burlington, NC 27215
Are you tired of the yelling, the anger, or the constant struggles with your child’s big feelings at home or at school? It can feel exhausting, frustrating, and sometimes isolating, but you don’t have to face it alone. I provide a compassionate, supportive space where your child feels heard, understood, and respected, while partnering with you as a caregiver. Together, we can help your child and your family build confidence, stability, and a greater sense of calm, balance, and connection.
Are you tired of the yelling, the anger, or the constant struggles with your child’s big feelings at home or at school? It can feel exhausting, frustrating, and sometimes isolating, but you don’t have to face it alone. I provide a compassionate, supportive space where your child feels heard, understood, and respected, while partnering with you as a caregiver. Together, we can help your child and your family build confidence, stability, and a greater sense of calm, balance, and connection.
(336) 283-5854 x117 View (336) 283-5854 x117
Photo of Joanna Warren - Insight Professional Counseling Services PLLC, Marriage & Family Therapist
Insight Professional Counseling Services PLLC
Marriage & Family Therapist
Burlington, NC 27215
Insight Professional Counseling Services offer healing with kindness and expertise. We are a supportive and diverse team of clinicians, grounded in faith, united in purpose and committed to professional excellence. Though we hold a variety of perspectives, experience and training, we embrace respectful dialogue and honor each other's voices and diversity. Evidenced based practice is our focus. We offer compassionate, inclusive and deeply human care. We offer in person in Burlington and virtually in NC, and will open an office in Liberty December 1st, 2025.
Insight Professional Counseling Services offer healing with kindness and expertise. We are a supportive and diverse team of clinicians, grounded in faith, united in purpose and committed to professional excellence. Though we hold a variety of perspectives, experience and training, we embrace respectful dialogue and honor each other's voices and diversity. Evidenced based practice is our focus. We offer compassionate, inclusive and deeply human care. We offer in person in Burlington and virtually in NC, and will open an office in Liberty December 1st, 2025.
(336) 489-8191 View (336) 489-8191
Photo of Selena Williams, Lic Clinical Mental Health Counselor Associate, LCMHCA
Selena Williams
Lic Clinical Mental Health Counselor Associate, LCMHCA
1 Endorsed
Burlington, NC 27215
Everyday is a struggle to be heard and seen. The people that are around you often misunderstand you. You are so lonely that the emptiness has just become a part of you now. Are you tired of just talk therapy and want real skills that you can actually practice and apply? There is hope that you will discover a life that brings you joy, and find real skills for maintaining that joy. My sessions will involve personalized care that targets your individual needs. I provide specialized trauma, ADHD, and anxiety therapy that actually gives you tools that you can put into action. You will have both a place to process and a place to learn.
Everyday is a struggle to be heard and seen. The people that are around you often misunderstand you. You are so lonely that the emptiness has just become a part of you now. Are you tired of just talk therapy and want real skills that you can actually practice and apply? There is hope that you will discover a life that brings you joy, and find real skills for maintaining that joy. My sessions will involve personalized care that targets your individual needs. I provide specialized trauma, ADHD, and anxiety therapy that actually gives you tools that you can put into action. You will have both a place to process and a place to learn.
(336) 818-5368 View (336) 818-5368
Photo of LaKeisha Baldwin, Counselor, MA, LCMHCA, NCC
LaKeisha Baldwin
Counselor, MA, LCMHCA, NCC
Burlington, NC 27215
Navigating life's challenges can feel overwhelming, especially when faced with depression, anxiety, stress, or past traumas. As a therapist specializing in these areas, I primarily work with adults, understanding that this phase of life often brings a deeper capacity for self-reflection and language to process emotions. My ultimate goal is to empower you to move beyond fear, address your present issues, and heal the wounds of the past. Together, we’ll create a safe and nonjudgmental space where you can freely express yourself without fear of being held back or judged.
Navigating life's challenges can feel overwhelming, especially when faced with depression, anxiety, stress, or past traumas. As a therapist specializing in these areas, I primarily work with adults, understanding that this phase of life often brings a deeper capacity for self-reflection and language to process emotions. My ultimate goal is to empower you to move beyond fear, address your present issues, and heal the wounds of the past. Together, we’ll create a safe and nonjudgmental space where you can freely express yourself without fear of being held back or judged.
(336) 360-8635 View (336) 360-8635
Photo of Julia Tabor - Reclaim Counseling and Wellness, PC - Burlington, Licensed Clinical Mental Health Counselor, MA, LCMHC
Reclaim Counseling and Wellness, PC - Burlington
Licensed Clinical Mental Health Counselor, MA, LCMHC
4 Endorsed
Burlington, NC 27215
Waitlist for new clients
Welcome ! I am a Licensed Clinical Mental Health Therapist, Licensed School Counselor and co-owner of Reclaim Counseling and Wellness. Before establishing Reclaim Counseling and Wellness, my background included work in school-based counseling and private practice. My professional journey has allowed me the privilege of seeing firsthand the impact and healing that can occur when individuals are given a safe and welcoming place to heal. I have a compassionate care approach and believe in the power of understanding, empathy, faith and connection to help individuals reclaim their lives from mental health challenges.
Welcome ! I am a Licensed Clinical Mental Health Therapist, Licensed School Counselor and co-owner of Reclaim Counseling and Wellness. Before establishing Reclaim Counseling and Wellness, my background included work in school-based counseling and private practice. My professional journey has allowed me the privilege of seeing firsthand the impact and healing that can occur when individuals are given a safe and welcoming place to heal. I have a compassionate care approach and believe in the power of understanding, empathy, faith and connection to help individuals reclaim their lives from mental health challenges.
(336) 939-6940 View (336) 939-6940
Photo of Julie Andrews - Insight Therapeutic and Wellness Solutions, Licensed Clinical Mental Health Counselor, MA, LCMHCS, ACS, CCATP, NCC
Insight Therapeutic and Wellness Solutions
Licensed Clinical Mental Health Counselor, MA, LCMHCS, ACS, CCATP, NCC
5 Endorsed
Burlington, NC 27215
On the outside, it appears you have a great life, but deep down, something is missing. You may feel anxious, guilty, overwhelmed, resentful, exhausted, or empty. You often do not think you're "good enough." Despite your achievements, you expected life to be more fulfilling. You're not living the life you dreamed of and need help figuring out where to begin. You can make a change starting today. You deserve to live a fulfilled and authentic life. We help people like you discover self-care strategies, slow down and reconnect with themselves,
On the outside, it appears you have a great life, but deep down, something is missing. You may feel anxious, guilty, overwhelmed, resentful, exhausted, or empty. You often do not think you're "good enough." Despite your achievements, you expected life to be more fulfilling. You're not living the life you dreamed of and need help figuring out where to begin. You can make a change starting today. You deserve to live a fulfilled and authentic life. We help people like you discover self-care strategies, slow down and reconnect with themselves,
(336) 792-6267 View (336) 792-6267
Photo of Sonja D. Ellington, Licensed Clinical Mental Health Counselor, MS, CRC, LCMHC, CEAS
Sonja D. Ellington
Licensed Clinical Mental Health Counselor, MS, CRC, LCMHC, CEAS
Burlington, NC 27215
Navigating life experiences and emotions can impede progress toward personal goals and hinder the journey to a fulfilling life. With over two decades of experience, I provide counseling to teens (13+), adults, and couples seeking growth and recovery from grief, depression, anxiety, trauma, career changes, and relationship stressors.
Navigating life experiences and emotions can impede progress toward personal goals and hinder the journey to a fulfilling life. With over two decades of experience, I provide counseling to teens (13+), adults, and couples seeking growth and recovery from grief, depression, anxiety, trauma, career changes, and relationship stressors.
(336) 803-7309 View (336) 803-7309
Photo of Dawn Swantko, Licensed Clinical Mental Health Counselor
Dawn Swantko
Licensed Clinical Mental Health Counselor
Online Only
Hi, my name is Dawn! I hold a Masters in Clinical Mental Health Counseling with a concentration in Substance Abuse and Addictions. It is my belief that to grow we must feel comfortable in that growth through understanding and acceptance as well as comfortable with those we share that growth with. Building rapport and a therapeutic relationship is key to being able to fully explore this growth through defined boundaries and goal-oriented sessions. Oftentimes to gain a better understanding of self, or to try new strategies, homework assignments may be given outside of sessions.
Hi, my name is Dawn! I hold a Masters in Clinical Mental Health Counseling with a concentration in Substance Abuse and Addictions. It is my belief that to grow we must feel comfortable in that growth through understanding and acceptance as well as comfortable with those we share that growth with. Building rapport and a therapeutic relationship is key to being able to fully explore this growth through defined boundaries and goal-oriented sessions. Oftentimes to gain a better understanding of self, or to try new strategies, homework assignments may be given outside of sessions.
(984) 314-3822 View (984) 314-3822
Photo of Jodi Herring, Licensed Clinical Mental Health Counselor
Jodi Herring
Licensed Clinical Mental Health Counselor
Online Only
Purpose, balance, and learning how to find some contentment in a world that is one "hot mess" is what we're all in need of on various levels. I'm here to help you find "your" truth.
Purpose, balance, and learning how to find some contentment in a world that is one "hot mess" is what we're all in need of on various levels. I'm here to help you find "your" truth.
(336) 753-3123 View (336) 753-3123
Photo of Alexis Godley, Clinical Social Work/Therapist, LCSW, CCSP
Alexis Godley
Clinical Social Work/Therapist, LCSW, CCSP
1 Endorsed
Online Only
Are you feeling overwhelmed, scattered, or constantly fighting your own brain to stay on track? Have you been noticing frustration, burnout, or self-doubt creeping in? I help to make sense of ADHD, build practical skills, and feel empowered in everyday life. Providing ADHD-focused Telehealth therapy for adults in North Carolina — I am CCSP certified for evidence-based ADHD care and treatment.
Are you feeling overwhelmed, scattered, or constantly fighting your own brain to stay on track? Have you been noticing frustration, burnout, or self-doubt creeping in? I help to make sense of ADHD, build practical skills, and feel empowered in everyday life. Providing ADHD-focused Telehealth therapy for adults in North Carolina — I am CCSP certified for evidence-based ADHD care and treatment.
(743) 222-3641 View (743) 222-3641
Photo of Lakesha Mapp-Thompson, Clinical Social Work/Therapist, LCSW
Lakesha Mapp-Thompson
Clinical Social Work/Therapist, LCSW
Online Only
I am a Licensed Clinical Social Worker (LCSW), based in North Carolina. Therapy is beneficial for those who are looking for answers and seeking necessary changes in their life. I would love to hear your story and help you obtain the goals you need to have meaningful relationships.
I am a Licensed Clinical Social Worker (LCSW), based in North Carolina. Therapy is beneficial for those who are looking for answers and seeking necessary changes in their life. I would love to hear your story and help you obtain the goals you need to have meaningful relationships.
(984) 315-6509 View (984) 315-6509

See more therapy options for Burlington

How does your Therapist compare?

Number of Therapists in Burlington, NC

100+

Average cost per session

$125

Therapists in Burlington, NC who prioritize treating:

93% Anxiety
89% Depression
80% Self Esteem
75% Relationship Issues
73% Trauma and PTSD
72% Stress
71% Grief

Average years in practice

10 Years

Top 3 insurances accepted

89% Aetna
89% BlueCross and BlueShield
64% Cigna and Evernorth

How Therapists in Burlington, NC see their clients

74% In Person and Online
26% Online Only

Gender breakdown

85% Female
14% Male
1% Non-Binary
FAQs - About Therapy and Counseling

How can I find a therapist in Burlington?

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.