Therapists in Durham, NC

Photo of Megan Proctor, Licensed Clinical Mental Health Counselor, MS, LCMHC, CEDS
Megan Proctor
Licensed Clinical Mental Health Counselor, MS, LCMHC, CEDS
Online Only
Are you interested in emancipation from intrusive thoughts? If so, you're in the right place! Helping empower clients to tame their inner critic and live in the present moment in order to find peace is my passion.
Are you interested in emancipation from intrusive thoughts? If so, you're in the right place! Helping empower clients to tame their inner critic and live in the present moment in order to find peace is my passion.
(919) 351-8546 View (919) 351-8546
Photo of Tatyana Kholodkov, Psychologist, PhD, DYRT
Tatyana Kholodkov
Psychologist, PhD, DYRT
17 Endorsed
Durham, NC 27707
Suffering presents itself in a number of ways- behaviors and relationships we desire to change, uncomfortable emotions, chronic health problems, and feeling out of touch with meaning in our lives. I aim to help clients not only feel better, but live a life according to their values. I work with adults across the lifespan to heal trauma, anxiety, and depression. Clients come seeking deeper insights and growth. I also offer customized intensives, ketamine assisted psychotherapy and psychedelic preparation/integration, and end of life support to individuals and families. My group practice affirms diversity, sex and body positivity.
Suffering presents itself in a number of ways- behaviors and relationships we desire to change, uncomfortable emotions, chronic health problems, and feeling out of touch with meaning in our lives. I aim to help clients not only feel better, but live a life according to their values. I work with adults across the lifespan to heal trauma, anxiety, and depression. Clients come seeking deeper insights and growth. I also offer customized intensives, ketamine assisted psychotherapy and psychedelic preparation/integration, and end of life support to individuals and families. My group practice affirms diversity, sex and body positivity.
(919) 351-8251 View (919) 351-8251
Photo of Jonathan Monroe - Essential Counseling and Therapeutic Services, Clinical Social Work/Therapist, LCSW, LMHC, ASD-CS, CCATP, ADHD-CS
Essential Counseling and Therapeutic Services
Clinical Social Work/Therapist, LCSW, LMHC, ASD-CS, CCATP, ADHD-CS
Durham, NC 27713
The clinicians at Essential are committed to helping people overcome obstacles and move forward with their lives with clarity, vision and confidence. Because we recognize that traditional talk therapy is not for everyone, we offer a wide array of groups and therapies to increase practical therapeutic skill building and techniques learned in 1:1 sessions.
The clinicians at Essential are committed to helping people overcome obstacles and move forward with their lives with clarity, vision and confidence. Because we recognize that traditional talk therapy is not for everyone, we offer a wide array of groups and therapies to increase practical therapeutic skill building and techniques learned in 1:1 sessions.
(919) 296-0341 View (919) 296-0341
Photo of Debbi Camacho-Huntoon, Clinical Social Work/Therapist, MSW, LCSW
Debbi Camacho-Huntoon
Clinical Social Work/Therapist, MSW, LCSW
Durham, NC 27703
I work with adults who are facing life changes that include problems with health, relationships, childhood trauma, and employment and financial concerns. Often these life changes lead to symptoms of depression, anxiety, fear, and anger. I see my role as a neutral, objective person who can step back to offer observations and help you see the patterns in your life that create pain. Within this framework, I am able to help clients view themselves more objectively, develop goals, and begin the process of change.
I work with adults who are facing life changes that include problems with health, relationships, childhood trauma, and employment and financial concerns. Often these life changes lead to symptoms of depression, anxiety, fear, and anger. I see my role as a neutral, objective person who can step back to offer observations and help you see the patterns in your life that create pain. Within this framework, I am able to help clients view themselves more objectively, develop goals, and begin the process of change.
(984) 330-6409 View (984) 330-6409
Photo of Hannah Crouse, Counselor, LCMHC
Hannah Crouse
Counselor, LCMHC
2 Endorsed
Online Only
Many of my clients have the coping skills to get through the day, but what they’re really longing for is deep, internal healing. If this is you, I’m so glad you’re here. One thing I’ve learned from this work is that real change doesn’t come from coping skills, logic, or just talking about it. It comes from the deeper, connected, inner work that helps you actually shift what’s happening inside.
Many of my clients have the coping skills to get through the day, but what they’re really longing for is deep, internal healing. If this is you, I’m so glad you’re here. One thing I’ve learned from this work is that real change doesn’t come from coping skills, logic, or just talking about it. It comes from the deeper, connected, inner work that helps you actually shift what’s happening inside.
(919) 355-9575 View (919) 355-9575
Photo of Kristin Dewan, Counselor, LCMHC
Kristin Dewan
Counselor, LCMHC
Online Only
Life can feel overwhelming, but you don’t have to navigate it alone. I’m a therapist passionate about helping individuals work through anxiety, depression, ADHD, identity exploration, and life transitions. Together, we’ll build a space where you feel heard, supported, and empowered to grow. My ideal clients are those who may feel overwhelmed, stuck, or uncertain and are looking for a space to better understand themselves and move toward meaningful change. If you're someone who struggles with racing thoughts, low motivation, emotional ups and downs, or feeling like you can't keep up, you're not alone—and you're not beyond help.
Life can feel overwhelming, but you don’t have to navigate it alone. I’m a therapist passionate about helping individuals work through anxiety, depression, ADHD, identity exploration, and life transitions. Together, we’ll build a space where you feel heard, supported, and empowered to grow. My ideal clients are those who may feel overwhelmed, stuck, or uncertain and are looking for a space to better understand themselves and move toward meaningful change. If you're someone who struggles with racing thoughts, low motivation, emotional ups and downs, or feeling like you can't keep up, you're not alone—and you're not beyond help.
(704) 742-2674 View (704) 742-2674
Photo of Sydney Mohnasky, Clinical Social Work/Therapist, LSCW, PMH-C
Sydney Mohnasky
Clinical Social Work/Therapist, LSCW, PMH-C
1 Endorsed
Durham, NC 27705
My goal as a therapist is to guide you in self-exploration so you can better understand yourself and the issues you face, and learn what it looks like to live in alignment with your values. I believe the foundation of this work is a trustworthy therapeutic relationship. The areas I specialize in include eating disorders, perinatal mental health issues, anxiety, depression, religious trauma, and significant life transitions. I am an LGBTQIA+ affirming clinician devoted to creating a space where all identities are valued and celebrated. I enjoy working with clients of all ages and am Health at Every Size (HAES) aligned.
My goal as a therapist is to guide you in self-exploration so you can better understand yourself and the issues you face, and learn what it looks like to live in alignment with your values. I believe the foundation of this work is a trustworthy therapeutic relationship. The areas I specialize in include eating disorders, perinatal mental health issues, anxiety, depression, religious trauma, and significant life transitions. I am an LGBTQIA+ affirming clinician devoted to creating a space where all identities are valued and celebrated. I enjoy working with clients of all ages and am Health at Every Size (HAES) aligned.
(984) 213-5510 View (984) 213-5510
Photo of S. Bennett Kirkpatrick - S. Bennett Kirkpatrick, Licensed Clinical Mental Health Counselor, MA, LMHC, CEDS
S. Bennett Kirkpatrick
Licensed Clinical Mental Health Counselor, MA, LMHC, CEDS
12 Endorsed
Durham, NC 27707
Are you tired of feeling the crushing grip of anxiety? Do you notice having the same emotions and conflicts show up in your life and relationship? Do you perhaps have an idea of what is happening but are unsure of how to make it change? Maybe you are struggling to actually go after what you desire, speak up with confidence, stop a behavior you really want to stop, but just can’t! Going around in circles without a clear exit to new horizons is exhausting. You are smart, willing, and wanting to change your circumstances, and now you need to know how to get aligned with yourself to make it happen!
Are you tired of feeling the crushing grip of anxiety? Do you notice having the same emotions and conflicts show up in your life and relationship? Do you perhaps have an idea of what is happening but are unsure of how to make it change? Maybe you are struggling to actually go after what you desire, speak up with confidence, stop a behavior you really want to stop, but just can’t! Going around in circles without a clear exit to new horizons is exhausting. You are smart, willing, and wanting to change your circumstances, and now you need to know how to get aligned with yourself to make it happen!
(919) 887-8352 View (919) 887-8352
Photo of Lis Jayne Cook, Clinical Social Work/Therapist, MSW, LCSWA
Lis Jayne Cook
Clinical Social Work/Therapist, MSW, LCSWA
1 Endorsed
Online Only
Not accepting new clients
Hello and welcome! I'm thrilled you're here. As a dedicated therapist, I have the joy of working with amazing individuals aged 14 and up. Whether you're navigating the rollercoaster of adolescence, dealing with the complexities of adulthood, relationships, or anything in between, I'm here to support you. I create a safe, inclusive space to explore identity, emotions, and experiences, providing guidance through life's transitions and fostering personal growth. In the therapeutic space, I show up as my authentic self. You won't find a distant or overly formal therapist here—I believe in being genuine, approachable, and down-to-earth.
Hello and welcome! I'm thrilled you're here. As a dedicated therapist, I have the joy of working with amazing individuals aged 14 and up. Whether you're navigating the rollercoaster of adolescence, dealing with the complexities of adulthood, relationships, or anything in between, I'm here to support you. I create a safe, inclusive space to explore identity, emotions, and experiences, providing guidance through life's transitions and fostering personal growth. In the therapeutic space, I show up as my authentic self. You won't find a distant or overly formal therapist here—I believe in being genuine, approachable, and down-to-earth.
(984) 342-3017 View (984) 342-3017
Photo of Paula Patterson, Clinical Social Work/Therapist, LCSW
Paula Patterson
Clinical Social Work/Therapist, LCSW
Online Only
Are you in search of completing your puzzle? The puzzle we call life? Look no further, together we can find the missing piece(s) and bring the function back into the dysfunction and chaos. Navigating through your thoughts, feelings, and actions to create the unique YOU, you have always wanted and needed. The power is yours! I, Paula Patterson, MSW, LCSW look forward to the opportunity to be a part of your journey. Please feel free to reach out and make your dream life of healthy, happy relationships become a reality.
Are you in search of completing your puzzle? The puzzle we call life? Look no further, together we can find the missing piece(s) and bring the function back into the dysfunction and chaos. Navigating through your thoughts, feelings, and actions to create the unique YOU, you have always wanted and needed. The power is yours! I, Paula Patterson, MSW, LCSW look forward to the opportunity to be a part of your journey. Please feel free to reach out and make your dream life of healthy, happy relationships become a reality.
(984) 305-2574 View (984) 305-2574
Photo of Lori Nicolaysen, Licensed Clinical Mental Health Counselor Associate, MEd, LCMHCA
Lori Nicolaysen
Licensed Clinical Mental Health Counselor Associate, MEd, LCMHCA
Durham, NC 27713
Are you hoping for real changes in your relationship or in yourself? I help adults and couples successfully navigate life transitions and challenges, including strengthening and repairing relationships, healing from loss and grief, and managing academics and career. With 14 years' mental health counseling experience, I provide warm, compassionate care grounded in humanistic principles with a practical, results-oriented focus.
Are you hoping for real changes in your relationship or in yourself? I help adults and couples successfully navigate life transitions and challenges, including strengthening and repairing relationships, healing from loss and grief, and managing academics and career. With 14 years' mental health counseling experience, I provide warm, compassionate care grounded in humanistic principles with a practical, results-oriented focus.
(984) 768-9908 View (984) 768-9908
Photo of Erika Bloodworth, Licensed Clinical Mental Health Counselor, LCMHC
Erika Bloodworth
Licensed Clinical Mental Health Counselor, LCMHC
Durham, NC 27705
As a Licensed Mental Health Counselor, I am passionate about helping others find the tools to live healthy, authentic and empowered lives. I have experience working with pre-teens (10+), teens, and adults who may feel stuck, confused or simply unsure of what their next steps in life might look like. Beginning the journey to answer the many questions life throws at us can be daunting, but having someone by your side throughout the process makes the load easier to bear. With over 10 years of experience working with diverse populations in a variety of unique roles, I believe I have the clinical insight to help you find your footing.
As a Licensed Mental Health Counselor, I am passionate about helping others find the tools to live healthy, authentic and empowered lives. I have experience working with pre-teens (10+), teens, and adults who may feel stuck, confused or simply unsure of what their next steps in life might look like. Beginning the journey to answer the many questions life throws at us can be daunting, but having someone by your side throughout the process makes the load easier to bear. With over 10 years of experience working with diverse populations in a variety of unique roles, I believe I have the clinical insight to help you find your footing.
(984) 254-3755 View (984) 254-3755
Photo of Scotty Elliott, Clinical Social Work/Therapist, MALS, MSW, LCSW
Scotty Elliott
Clinical Social Work/Therapist, MALS, MSW, LCSW
Durham, NC 27707
Not accepting new clients
If you're looking for a therapist, then you're looking for some relief and you know that something needs to change. But, what? My goal is to listen to your life and help you understand and navigate the changes necessary to realize that relief. You may feel stuck or overwhelmed and my role is to be with you in that uncomfortableness and to assist you in both seeing how things could be different and developing some tools to help you experience those changes.
If you're looking for a therapist, then you're looking for some relief and you know that something needs to change. But, what? My goal is to listen to your life and help you understand and navigate the changes necessary to realize that relief. You may feel stuck or overwhelmed and my role is to be with you in that uncomfortableness and to assist you in both seeing how things could be different and developing some tools to help you experience those changes.
(919) 891-8874 View (919) 891-8874
Photo of Yalin Liu, Clinical Social Work/Therapist, LCSW, MSW, MEd
Yalin Liu
Clinical Social Work/Therapist, LCSW, MSW, MEd
Durham, NC 27705
As a clinical social worker in Durham, North Carolina, I've dedicated my career to creating that kind of space—where people can bring their whole selves, their full stories, their complicated histories. My extensive training in psychodynamic therapy, cognitive behavioral approaches, trauma-focused treatment, and specialized modalities like mentalization-based therapy and dialectical behavioral therapy has given me a diverse toolkit. But what drives my work isn't just the techniques—it's the belief that everyone deserves to be understood in their own language, both literally and figuratively.
As a clinical social worker in Durham, North Carolina, I've dedicated my career to creating that kind of space—where people can bring their whole selves, their full stories, their complicated histories. My extensive training in psychodynamic therapy, cognitive behavioral approaches, trauma-focused treatment, and specialized modalities like mentalization-based therapy and dialectical behavioral therapy has given me a diverse toolkit. But what drives my work isn't just the techniques—it's the belief that everyone deserves to be understood in their own language, both literally and figuratively.
(919) 752-3299 View (919) 752-3299
Photo of Angela Teal, Licensed Clinical Mental Health Counselor, MA, NCLCMHC, LPC -GA, LPC-SC
Angela Teal
Licensed Clinical Mental Health Counselor, MA, NCLCMHC, LPC -GA, LPC-SC
Online Only
In working with clients, my goal is to create a safe, accepting, and comfortable environment, which is conducive to allow you to grow as an individual and live the best life you can. We will form a mutual desirable relationship and focus our sessions by establishing and setting goals, which we will continue to assess throughout the counseling process. I will listen and remain attentive to your thoughts and concerns.
In working with clients, my goal is to create a safe, accepting, and comfortable environment, which is conducive to allow you to grow as an individual and live the best life you can. We will form a mutual desirable relationship and focus our sessions by establishing and setting goals, which we will continue to assess throughout the counseling process. I will listen and remain attentive to your thoughts and concerns.
(984) 283-5403 View (984) 283-5403
Photo of Michele Price, Clinical Social Work/Therapist, LCSW, PLLC
Michele Price
Clinical Social Work/Therapist, LCSW, PLLC
1 Endorsed
Durham, NC 27707
Waitlist for new clients
My approach to therapy is warm, nonjudgmental, compassionate, and collaborative. I believe a safe therapeutic relationship is essential in providing effective, transformative therapy. I honor the individuality of my clients and know the courage it takes to come to therapy, and I firmly believe that it’s in our deepest struggles that we have the most potential for learning and growth. I am guided by the belief that everyone holds the ability within themselves to heal, and that together through a trusting therapeutic relationship, I can assist clients in their journeys towards being more deeply connected to themselves and others.
My approach to therapy is warm, nonjudgmental, compassionate, and collaborative. I believe a safe therapeutic relationship is essential in providing effective, transformative therapy. I honor the individuality of my clients and know the courage it takes to come to therapy, and I firmly believe that it’s in our deepest struggles that we have the most potential for learning and growth. I am guided by the belief that everyone holds the ability within themselves to heal, and that together through a trusting therapeutic relationship, I can assist clients in their journeys towards being more deeply connected to themselves and others.
(984) 230-4645 View (984) 230-4645
Photo of Shea Spampneto, Clinical Social Work/Therapist, MSW, LCSW
Shea Spampneto
Clinical Social Work/Therapist, MSW, LCSW
Durham, NC 27713
Shea Spampneto, LCSW provides compassionate and evidence-based therapy at LifeStance Health in North Carolina, meeting clients where they are and supporting them in their journey toward growth and healing. She believes everyone is an expert in their own life and sees her role as providing guidance to help clients process past trauma and grief, cope with current life stressors and transitions, and manage mental health symptoms that interfere with daily life.
Shea Spampneto, LCSW provides compassionate and evidence-based therapy at LifeStance Health in North Carolina, meeting clients where they are and supporting them in their journey toward growth and healing. She believes everyone is an expert in their own life and sees her role as providing guidance to help clients process past trauma and grief, cope with current life stressors and transitions, and manage mental health symptoms that interfere with daily life.
(984) 334-2091 View (984) 334-2091
Photo of Elisheva Gottstein, Psychologist, LP
Elisheva Gottstein
Psychologist, LP
Online Only
Hello! My name is Dr. Ellie Gottstein, and I am a licensed clinical psychologist (PsyD) with over seven years of experience in the field. I have worked in a variety of settings, including private practice, college counseling centers, and medical facilities. I grew up as a competitive figure skater and dancer and hold the identity of "athlete" close to my heart. This translates into a goal-oriented mindset for myself and my clients, which is useful when tackling some of life's most significant challenges.
Hello! My name is Dr. Ellie Gottstein, and I am a licensed clinical psychologist (PsyD) with over seven years of experience in the field. I have worked in a variety of settings, including private practice, college counseling centers, and medical facilities. I grew up as a competitive figure skater and dancer and hold the identity of "athlete" close to my heart. This translates into a goal-oriented mindset for myself and my clients, which is useful when tackling some of life's most significant challenges.
(984) 468-5975 View (984) 468-5975
Photo of April Mizell, Licensed Clinical Mental Health Counselor
April Mizell
Licensed Clinical Mental Health Counselor
Online Only
I am a Licensed Clinical Mental Health Counselor in the state of North and South Carolina. I have received my Masters in Clinical Mental Health Counseling from Liberty University. Don't let that scare you. I do not judge and am easily relatable. I love working with clients who find themselves in a place where they have to make life decisions and help them think through what the best decisions would be. I enjoy working with high school and college students trying to find the career they want to pursue.
I am a Licensed Clinical Mental Health Counselor in the state of North and South Carolina. I have received my Masters in Clinical Mental Health Counseling from Liberty University. Don't let that scare you. I do not judge and am easily relatable. I love working with clients who find themselves in a place where they have to make life decisions and help them think through what the best decisions would be. I enjoy working with high school and college students trying to find the career they want to pursue.
(919) 629-1687 View (919) 629-1687
Photo of Lori Zeh, Clinical Social Work/Therapist, LCSW, CCTP, RMT
Lori Zeh
Clinical Social Work/Therapist, LCSW, CCTP, RMT
Durham, NC 27713
Are you stuck in fear-based patterns, struggling with low self-worth, or experiencing painful relationships? Do anxiety, depression, or past trauma continue to shape your decisions and behaviors? Are you ready to work on healing from lingering emotional wounds? Perhaps, you're navigating a major life transition, stage-of-life identity issues, sexual orientation issues, or challenges in a same-gender relationship. As a seasoned therapist with over 30 years of experience, I help adults move beyond fear-based thinking, negative beliefs, low self-esteem, unresolved trauma, and life challenges.
Are you stuck in fear-based patterns, struggling with low self-worth, or experiencing painful relationships? Do anxiety, depression, or past trauma continue to shape your decisions and behaviors? Are you ready to work on healing from lingering emotional wounds? Perhaps, you're navigating a major life transition, stage-of-life identity issues, sexual orientation issues, or challenges in a same-gender relationship. As a seasoned therapist with over 30 years of experience, I help adults move beyond fear-based thinking, negative beliefs, low self-esteem, unresolved trauma, and life challenges.
(984) 400-4376 View (984) 400-4376

See more therapy options for Durham

How does your Therapist compare?

Number of Therapists in Durham, NC

2,000+

Average cost per session

$150

Therapists in Durham, NC who prioritize treating:

93% Anxiety
86% Depression
74% Self Esteem
71% Relationship Issues
67% Stress
65% Trauma and PTSD
59% Grief

Average years in practice

10 Years

Top 3 insurances accepted

91% Aetna
86% BlueCross and BlueShield
63% Cigna and Evernorth

How Therapists in Durham, NC see their clients

59% In Person and Online
41% Online Only

Gender breakdown

79% Female
17% Male
4% Non-Binary
FAQs - About Therapy and Counseling

How can I find a therapist in Durham?

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

Learn more about how to find a therapist

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

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

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

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

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

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

What type of therapy is right for me?

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

How much does therapy cost?

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

What are more affordable or low cost therapy solutions?

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

Is online therapy cheaper than in-person therapy?

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

Is online therapy a good option?

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

Are therapy sessions confidential?

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