Therapists in Coachmans Trail, Raleigh, NC

Photo of Mary L Affee - Horizon Integrated Wellness Group, PLLC, Clinical Social Work/Therapist, LCSW, CTP, RTP, CFSW, CHC
Horizon Integrated Wellness Group, PLLC
Clinical Social Work/Therapist, LCSW, CTP, RTP, CFSW, CHC
4 Endorsed
Serves Area
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 Sandy Sala, Licensed Professional Counselor, LCMHC, NCC
Sandy Sala
Licensed Professional Counselor, LCMHC, NCC
2 Endorsed
Serves Area
My work with clients uses a collaborative, person-centered approach that is uniquely adapted to address presenting concerns and symptom presentation. I utilize strategies grounded in evidence-based theoretical approaches from cognitive, behavioral, dialectical, and solution-focused orientations. Treatment goals and objectives are developed together with the client and periodically reviewed for progress in a safe, supportive environment.
My work with clients uses a collaborative, person-centered approach that is uniquely adapted to address presenting concerns and symptom presentation. I utilize strategies grounded in evidence-based theoretical approaches from cognitive, behavioral, dialectical, and solution-focused orientations. Treatment goals and objectives are developed together with the client and periodically reviewed for progress in a safe, supportive environment.
(919) 813-7287 View (919) 813-7287
Photo of Angela Florimo York - A Little Counseling, PLLC, Counselor, LCMHCA
A Little Counseling, PLLC
Counselor, LCMHCA
Serves Area
Angela enjoys helping individuals of all ages with ANXIETY, improving coping and social skills, managing stress and anger and improving relationships. She acknowledges that anxiety is a common struggle that many people deal with no matter what age you are. Angela especially loves empowering children and adolescents, motivating them towards their goals, achieving independence and gaining greater life satisfaction.
Angela enjoys helping individuals of all ages with ANXIETY, improving coping and social skills, managing stress and anger and improving relationships. She acknowledges that anxiety is a common struggle that many people deal with no matter what age you are. Angela especially loves empowering children and adolescents, motivating them towards their goals, achieving independence and gaining greater life satisfaction.
(984) 208-2410 View (984) 208-2410
Photo of Heather McDowell, Lic Clinical Mental Health Counselor Supervisor, LCMHC
Heather McDowell
Lic Clinical Mental Health Counselor Supervisor, LCMHC
Serves Area
I am a Licensed Clinical Mental Health Counselor Supervisor with 25 years of experience helping adults navigate depression, anxiety, grief, and major life transitions. My goal is to create a safe, supportive environment where clients feel empowered to explore challenges and find growth through self-awareness and emotional regulation. I believe in using therapy as a collaborative process that fosters healing, balance, and personal transformation.
I am a Licensed Clinical Mental Health Counselor Supervisor with 25 years of experience helping adults navigate depression, anxiety, grief, and major life transitions. My goal is to create a safe, supportive environment where clients feel empowered to explore challenges and find growth through self-awareness and emotional regulation. I believe in using therapy as a collaborative process that fosters healing, balance, and personal transformation.
(919) 584-9021 View (919) 584-9021
Photo of Gary Schwager, LCMHC
Gary Schwager
Verified Verified
Serves Area
I have over 20 years of independent counseling experience working with adults who have all types of mental health concerns, including anxiety, mood disorders, effects of trauma, and those who have abused or become dependent upon drugs and/or alcohol. I have also worked extensively with family members and other codependents of those clients. The heart of counseling is listening to you and arriving at the best possible understanding of your concerns. This starts a process of experiencing and accepting your feelings and thoughts. From this place , we can look at the changes you truly want to make.
I have over 20 years of independent counseling experience working with adults who have all types of mental health concerns, including anxiety, mood disorders, effects of trauma, and those who have abused or become dependent upon drugs and/or alcohol. I have also worked extensively with family members and other codependents of those clients. The heart of counseling is listening to you and arriving at the best possible understanding of your concerns. This starts a process of experiencing and accepting your feelings and thoughts. From this place , we can look at the changes you truly want to make.
(919) 666-3144 View (919) 666-3144
Photo of Danielle Oates, Licensed Professional Counselor, LCMHC, M Ed
Danielle Oates
Licensed Professional Counselor, LCMHC, M Ed
1 Endorsed
Serves Area
Does your life have many turns and twists? Do you struggle with anxiety or depression? Are you overwhelmed with life adjustments and conflicts? We all experience pain, grief, disappointment, and heartbreak in life. How we heal to these life challenges can make all the difference. I am glad that you are here seeking therapy to gain support. My responsibility as a therapist is to support individuals and families without judgment. One of the goals in therapy is to build trust, have integrity and a therapeutic connection. On this healing journey we will empower you to change distorted thoughts and behaviors to enhance your life.
Does your life have many turns and twists? Do you struggle with anxiety or depression? Are you overwhelmed with life adjustments and conflicts? We all experience pain, grief, disappointment, and heartbreak in life. How we heal to these life challenges can make all the difference. I am glad that you are here seeking therapy to gain support. My responsibility as a therapist is to support individuals and families without judgment. One of the goals in therapy is to build trust, have integrity and a therapeutic connection. On this healing journey we will empower you to change distorted thoughts and behaviors to enhance your life.
(919) 646-5783 View (919) 646-5783
Photo of Priamos Williams, Licensed Clinical Mental Health Counselor, LCMHC
Priamos Williams
Licensed Clinical Mental Health Counselor, LCMHC
Serves Area
I am a licensed clinical mental health counselor (LCMHC) with over 20 years of experience providing therapeutic services to adults, adolescents, children, and families. I work with individuals experiencing anxiety, depression, trauma, attachment concerns, grief and loss, adjustment challenges, and personality-related concerns. I am passionate about supporting diverse populations and helping clients build resilience, insight, and emotional balance.
I am a licensed clinical mental health counselor (LCMHC) with over 20 years of experience providing therapeutic services to adults, adolescents, children, and families. I work with individuals experiencing anxiety, depression, trauma, attachment concerns, grief and loss, adjustment challenges, and personality-related concerns. I am passionate about supporting diverse populations and helping clients build resilience, insight, and emotional balance.
(984) 231-4280 View (984) 231-4280
Photo of Sharon H Mosley, LCMHC Supervisor, MS, LCMHCS
Sharon H Mosley
LCMHC Supervisor, MS, LCMHCS
1 Endorsed
Serves Area
Are you ready for a change but just feel stuck? If so let me support you. I have over 25 years of experience supporting clients around issues of stress, anxiety and depression. My primary focus is helping individuals overcome obstacles that impact and prevent them from reaching their optimal level of health and well-being. As someone who has overcome struggles with weight and self-esteem issues I understand all too well the intersection of mental health and physical health. If you are ready for me to join you on the next step of your journey contact me. I am dedicated to helping others live the life I know they can have and deserve.
Are you ready for a change but just feel stuck? If so let me support you. I have over 25 years of experience supporting clients around issues of stress, anxiety and depression. My primary focus is helping individuals overcome obstacles that impact and prevent them from reaching their optimal level of health and well-being. As someone who has overcome struggles with weight and self-esteem issues I understand all too well the intersection of mental health and physical health. If you are ready for me to join you on the next step of your journey contact me. I am dedicated to helping others live the life I know they can have and deserve.
(919) 335-7034 View (919) 335-7034
Photo of Molly Martucci, Clinical Social Work/Therapist, LCSW
Molly Martucci
Clinical Social Work/Therapist, LCSW
Serves Area
Molly currently works with clients around issues such as depression and other mood disorders, anxiety, stress, self-esteem, ADHD, parenting issues, grief, and more. She specializes in women's issues, including: peripartum mood and anxiety disorders, fertility challenges, self-esteem, and life transitions. She has worked in private practice, agency and home settings to provide services to clients.
Molly currently works with clients around issues such as depression and other mood disorders, anxiety, stress, self-esteem, ADHD, parenting issues, grief, and more. She specializes in women's issues, including: peripartum mood and anxiety disorders, fertility challenges, self-esteem, and life transitions. She has worked in private practice, agency and home settings to provide services to clients.
(984) 313-9667 View (984) 313-9667
Photo of Elizabeth Marie Detweiler, Clinical Social Work/Therapist, MSW, LCSW, LCAS
Elizabeth Marie Detweiler
Clinical Social Work/Therapist, MSW, LCSW, LCAS
Serves Area
With over 35 years of experience, I accept most major health insurance. Are you experiencing Anxiety, Depression, Grief, any emotional issues, addiction? My goal as a therapist is to provide a safe, compassionate & nonjudgmental place where counseling clients from all over The Triangle area and beyond can get encouragement and support as they navigate through the challenges of life. No matter what you're going through, depression, stress, anxiety, loss, grief, single parenting, dealing with narcissistic abuse and/or an addiction there is hope. Please contact me to set up a session today!"
With over 35 years of experience, I accept most major health insurance. Are you experiencing Anxiety, Depression, Grief, any emotional issues, addiction? My goal as a therapist is to provide a safe, compassionate & nonjudgmental place where counseling clients from all over The Triangle area and beyond can get encouragement and support as they navigate through the challenges of life. No matter what you're going through, depression, stress, anxiety, loss, grief, single parenting, dealing with narcissistic abuse and/or an addiction there is hope. Please contact me to set up a session today!"
(919) 885-0123 View (919) 885-0123
Photo of Erica Driscoll Penny, Licensed Clinical Mental Health Counselor, LCMHC
Erica Driscoll Penny
Licensed Clinical Mental Health Counselor, LCMHC
1 Endorsed
Serves Area
It is a privilege to be a part of your journey toward optimal wellness. I believe it is a lifelong journey to become our best selves and having the support of a counselor can make the journey feel more manageable. I enjoy working with all ages, children, teens and adults. It is my honor to support you through any obstacle life throws at you whether that be depression, anxiety, relationship challenges, parenting, caregiving, grief, loss, trauma, emotion regulation or any other challenges you encounter.
It is a privilege to be a part of your journey toward optimal wellness. I believe it is a lifelong journey to become our best selves and having the support of a counselor can make the journey feel more manageable. I enjoy working with all ages, children, teens and adults. It is my honor to support you through any obstacle life throws at you whether that be depression, anxiety, relationship challenges, parenting, caregiving, grief, loss, trauma, emotion regulation or any other challenges you encounter.
(919) 323-4367 View (919) 323-4367
Photo of Laura Dempsey, Clinical Social Work/Therapist, MSW, LCSW
Laura Dempsey
Clinical Social Work/Therapist, MSW, LCSW
1 Endorsed
Serves Area
Growing up today can be complicated, and parenting can certainly feel overwhelming at times. Sometimes, challenges arise unexpectedly, and other times, things have felt hard for a long time. Either way, counseling can help your family by offering a safe, trusted space to seek solutions, growth, and healing.
Growing up today can be complicated, and parenting can certainly feel overwhelming at times. Sometimes, challenges arise unexpectedly, and other times, things have felt hard for a long time. Either way, counseling can help your family by offering a safe, trusted space to seek solutions, growth, and healing.
(919) 635-9708 View (919) 635-9708
Photo of Douglas Waldruff, Licensed Professional Counselor, PhD, LCMHC, LMFT
Douglas Waldruff
Licensed Professional Counselor, PhD, LCMHC, LMFT
1 Endorsed
Serves Area
If you are in a relationship with a Narcissist, have experienced major and/or minor trauma, can't find the right relationship, don't know what to do to make your relationships better, or want to find greater success in life or business, then I may be the right person to help you move from coping to thriving. I provide coaching/therapy solutions to navigate the treacherous journey of leaving a Narcissist as well as overcoming adversity and psychological blocks that keep you from attaining your goals. I can help you deal with all of life's normal developmental concerns like work, having children, parenting and growing older.
If you are in a relationship with a Narcissist, have experienced major and/or minor trauma, can't find the right relationship, don't know what to do to make your relationships better, or want to find greater success in life or business, then I may be the right person to help you move from coping to thriving. I provide coaching/therapy solutions to navigate the treacherous journey of leaving a Narcissist as well as overcoming adversity and psychological blocks that keep you from attaining your goals. I can help you deal with all of life's normal developmental concerns like work, having children, parenting and growing older.
(336) 949-6201 View (336) 949-6201
Photo of Meghan Sabba Hall Rauen, Counselor, LCMHC, NCC
Meghan Sabba Hall Rauen
Counselor, LCMHC, NCC
1 Endorsed
Serves Area
I have clinical experience working with children, teens, adults, multicultural, and LGBTQ+ population struggling with anxiety, depression, grief/loss, PTSD, behavioral issues, academic/school problems, ADD/ADHD, sexual/gender identity issues, personality issues, domestic issues, adjustment issues, and health/medical issues. I also have expertise working multiculturally and with individuals of the Abrahamic traditions, folks from Jewish, Christian and Islamic faith traditions, and counseling for these faiths.
I have clinical experience working with children, teens, adults, multicultural, and LGBTQ+ population struggling with anxiety, depression, grief/loss, PTSD, behavioral issues, academic/school problems, ADD/ADHD, sexual/gender identity issues, personality issues, domestic issues, adjustment issues, and health/medical issues. I also have expertise working multiculturally and with individuals of the Abrahamic traditions, folks from Jewish, Christian and Islamic faith traditions, and counseling for these faiths.
(919) 551-6390 View (919) 551-6390
Photo of Kimberly E. Williams, Clinical Social Work/Therapist, LCSW
Kimberly E. Williams
Clinical Social Work/Therapist, LCSW
Serves Area
Are you a teen or college-aged young adult who feels overwhelmed by school, relationships, or just life in general? I work with adolescents and college-aged young adults who are looking for help managing intense feelings, navigating social relationships, improving self-esteem, and decrease anxiety. During the therapeutic process, clients learn how to identify, express, and cope with emotions improving an overall sense of happiness and resilience.
Are you a teen or college-aged young adult who feels overwhelmed by school, relationships, or just life in general? I work with adolescents and college-aged young adults who are looking for help managing intense feelings, navigating social relationships, improving self-esteem, and decrease anxiety. During the therapeutic process, clients learn how to identify, express, and cope with emotions improving an overall sense of happiness and resilience.
(919) 702-7906 View (919) 702-7906
Photo of Marina Kingston Biggs, Licensed Clinical Mental Health Counselor, MEd, NCC, LCMHC
Marina Kingston Biggs
Licensed Clinical Mental Health Counselor, MEd, NCC, LCMHC
Serves Area
January 2026- Accepting new clients for individual therapy, ADHD assessments, and Clinical Supervision for other therapists (including LCMHCAs). Individuals of all ages and backgrounds are welcome! I am a Licensed Clinical Mental Health Counselor (formerly LPC) with 9+ years of post-graduate experience who enjoys helping individuals thrive in various life stages. I favor a Person-Centered approach and pull from Cognitive and Behavioral Therapies, Dialectical Behavior Therapy, Solution-Focused Therapy, and Sand Tray/Art Therapy to best meet the needs of each individual client. I have a multi-cultural family background.
January 2026- Accepting new clients for individual therapy, ADHD assessments, and Clinical Supervision for other therapists (including LCMHCAs). Individuals of all ages and backgrounds are welcome! I am a Licensed Clinical Mental Health Counselor (formerly LPC) with 9+ years of post-graduate experience who enjoys helping individuals thrive in various life stages. I favor a Person-Centered approach and pull from Cognitive and Behavioral Therapies, Dialectical Behavior Therapy, Solution-Focused Therapy, and Sand Tray/Art Therapy to best meet the needs of each individual client. I have a multi-cultural family background.
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Photo of Sara Monazah, Clinical Social Work/Therapist, Owner, LCSW
Sara Monazah
Clinical Social Work/Therapist, Owner, LCSW
1 Endorsed
Serves Area
Everyone has a unique story that deserves to be told. Perhaps I am the right person to hear yours… Making the decision to seek help is a brave and empowering step. I know that finding the right therapist can sometimes feel overwhelming, but it doesn’t have to be. My goal is to help make this process feel safe, supportive, and grounded in trust. I believe everyone deserves a space where they can be seen and heard — a space to explore, grow, and evolve. Through a holistic and person-centered approach, my hope is that together we can create that space for you.
Everyone has a unique story that deserves to be told. Perhaps I am the right person to hear yours… Making the decision to seek help is a brave and empowering step. I know that finding the right therapist can sometimes feel overwhelming, but it doesn’t have to be. My goal is to help make this process feel safe, supportive, and grounded in trust. I believe everyone deserves a space where they can be seen and heard — a space to explore, grow, and evolve. Through a holistic and person-centered approach, my hope is that together we can create that space for you.
(919) 205-8393 View (919) 205-8393
Photo of Krista Heller, Clinical Social Work/Therapist, MSW, LCSW
Krista Heller
Clinical Social Work/Therapist, MSW, LCSW
1 Endorsed
Serves Area
If you are struggling with anxiety, depression, behavioral issues (your own or your child's), ADHD in adulthood, relationship issues, setting and reaching your personal goals, or finding the path you want to build yourself toward - this relationship will work. If you want to grow as an individual and be met where you are at any moment - this will work. Your ideas and experiences are yours. You can learn from them, stay with them, and/or move on from them - I will be here through that journey. I want all my clients to know that my space is truly open and without judgment. I look forward to hearing from you and seeing you soon.
If you are struggling with anxiety, depression, behavioral issues (your own or your child's), ADHD in adulthood, relationship issues, setting and reaching your personal goals, or finding the path you want to build yourself toward - this relationship will work. If you want to grow as an individual and be met where you are at any moment - this will work. Your ideas and experiences are yours. You can learn from them, stay with them, and/or move on from them - I will be here through that journey. I want all my clients to know that my space is truly open and without judgment. I look forward to hearing from you and seeing you soon.
(919) 343-5054 View (919) 343-5054
Photo of Elizabeth Spires, Clinical Social Work/Therapist, MSW, LCSW
Elizabeth Spires
Clinical Social Work/Therapist, MSW, LCSW
Serves Area
Trying to build a family, recover after loss, carry a pregnancy, or raise a young child feels harder than you expected. You may be struggling to get pregnant, going through IVF, grieving a miscarriage, or considering donor conception or surrogacy, while quietly carrying grief that many people do not see or understand. Maybe pregnancy or postpartum has brought anxiety, overwhelm, or left you feeling unlike yourself. Or maybe parenting a young child is bringing up big emotions, behavior struggles & old wounds from your childhood that you hoped would stay in the past. You are trying so hard, but still feel stuck, lonely, or unsure.
Trying to build a family, recover after loss, carry a pregnancy, or raise a young child feels harder than you expected. You may be struggling to get pregnant, going through IVF, grieving a miscarriage, or considering donor conception or surrogacy, while quietly carrying grief that many people do not see or understand. Maybe pregnancy or postpartum has brought anxiety, overwhelm, or left you feeling unlike yourself. Or maybe parenting a young child is bringing up big emotions, behavior struggles & old wounds from your childhood that you hoped would stay in the past. You are trying so hard, but still feel stuck, lonely, or unsure.
(252) 484-6937 View (252) 484-6937
Photo of Linda Rueckert Kraft, Clinical Social Work/Therapist, LCSW
Linda Rueckert Kraft
Clinical Social Work/Therapist, LCSW
1 Endorsed
Serves Area
I provide psychotherapy to adult individuals who are seeking support due to life's challenges. I specialize in mental health, addiction and family dynamics. I believe in creating an atmosphere of safety and non-judgement allowing you to achieve your goals.
I provide psychotherapy to adult individuals who are seeking support due to life's challenges. I specialize in mental health, addiction and family dynamics. I believe in creating an atmosphere of safety and non-judgement allowing you to achieve your goals.
(919) 373-3867 View (919) 373-3867

See more therapy options for Coachmans Trail, Raleigh

How does your Therapist compare?

Number of Therapists in Coachmans Trail, Raleigh, NC

100+

Average cost per session

$150

Therapists in Coachmans Trail, Raleigh, NC who prioritize treating:

95% Anxiety
90% Depression
82% Relationship Issues
82% Self Esteem
70% Stress
62% Trauma and PTSD
61% Grief

Average years in practice

14 Years

Top 3 insurances accepted

93% Aetna
93% BlueCross and BlueShield
57% UnitedHealthcare UHC | UBH

How Therapists in Coachmans Trail, Raleigh, NC see their clients

76% In Person and Online
24% Online Only

Gender breakdown

88% Female
12% Male
FAQs - About Therapy and Counseling

How can I find a therapist in Coachmans Trail?

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.