Therapists in North Carolina

View cities and counties in North Carolina
Photo of Cole Armbrust, Clinical Social Work/Therapist in North Carolina
Cole Armbrust
Clinical Social Work/Therapist, MSW, MAEd, LCSW
Verified
Asheville, NC 28801
I am casual and tattooed, and that tends to work for most people... even if it's vastly different from how people picture a typical 'therapist'. I feel very privileged to work with members of the LGBTQ+ community and believe I offer a unique perspective as a trans man (that also happens to be a therapist). I really enjoy providing support to folks while they explore components of their authentic identities. I am comfortable working with folks that identify with being poly and/or kinky (No shaming here!).
I am casual and tattooed, and that tends to work for most people... even if it's vastly different from how people picture a typical 'therapist'. I feel very privileged to work with members of the LGBTQ+ community and believe I offer a unique perspective as a trans man (that also happens to be a therapist). I really enjoy providing support to folks while they explore components of their authentic identities. I am comfortable working with folks that identify with being poly and/or kinky (No shaming here!).
(828) 333-5004 View (828) 333-5004
Photo of James Retarides, Licensed Professional Counselor in North Carolina
James Retarides
Licensed Professional Counselor, MS, LPC, NCC
Verified
1 Endorsed
Cornelius, NC 28031
It takes strength to admit we are having difficulty managing problems alone. If you are anxious, depressed, feeling stuck or without hope you are among the many that often turn their lives around with the help of therapy. Processing our issues, prioritizing and developing strength are of tantamount importance. As a therapist I have worked with clients that have struggled with *Bullying *Communication Skills *Conflict Resolution *Coping Skills *Domestic Violence/Abuse *Family Issues *Mood Disorders *Personality Disorders *Phobias/Fears *PTSD/Trauma *Sex Abuse/Trauma *Sports Psychology/Performance Anxiety
It takes strength to admit we are having difficulty managing problems alone. If you are anxious, depressed, feeling stuck or without hope you are among the many that often turn their lives around with the help of therapy. Processing our issues, prioritizing and developing strength are of tantamount importance. As a therapist I have worked with clients that have struggled with *Bullying *Communication Skills *Conflict Resolution *Coping Skills *Domestic Violence/Abuse *Family Issues *Mood Disorders *Personality Disorders *Phobias/Fears *PTSD/Trauma *Sex Abuse/Trauma *Sports Psychology/Performance Anxiety
(704) 413-2351 View (704) 413-2351
Photo of Morgan Traynham Taylor, LCSW Associate in North Carolina
Morgan Traynham Taylor
LCSW Associate, MSW, LCSWA
Verified
1 Endorsed
Garner, NC 27529
Accepting new clients. If you are facing anxiety, depression, bipolar disorder, stress, life changes that make it hard to adjust or grief & loss of a loved one of any type, I'm here for you. I am a practicing licensed clinical social work associate with nine years experience in the social work field working with family, adults, adolescents and children. I work with my clients to motivate change in a gentle, but direct approach to therapy. I will help to encourage self actualization and insight that can be difficult to do on our own.
Accepting new clients. If you are facing anxiety, depression, bipolar disorder, stress, life changes that make it hard to adjust or grief & loss of a loved one of any type, I'm here for you. I am a practicing licensed clinical social work associate with nine years experience in the social work field working with family, adults, adolescents and children. I work with my clients to motivate change in a gentle, but direct approach to therapy. I will help to encourage self actualization and insight that can be difficult to do on our own.
(984) 368-4747 View (984) 368-4747
Photo of Erin Jeffords Bonsall, Licensed Clinical Mental Health Counselor in North Carolina
Erin Jeffords Bonsall
Licensed Clinical Mental Health Counselor, MA, LCMHC
Verified
Winston Salem, NC 27106
I believe in the connection between our minds and bodies. The essence of taking care of ourselves involves processing emotions in a healthy way.
I believe in the connection between our minds and bodies. The essence of taking care of ourselves involves processing emotions in a healthy way.
(336) 747-3568 View (336) 747-3568
Photo of Azleena Salleh Azhar, Clinical Social Work/Therapist in North Carolina
Azleena Salleh Azhar
Clinical Social Work/Therapist, LCSWA, MSW
Verified
1 Endorsed
Durham, NC 27707
Waitlist for new clients
Are you trapped in a relationship with a narcissistic partner? Are you facing major life transitions, like coping with chronic illness, grief, and loss? Do you have a child or teen who is constantly struggling at home and at school? You are taking the right step by getting help! It took a lot of courage to overcome the stigma and reach this point. You don't have to walk alone. By tackling the issues together we can overcome the barriers of honor and shame.
Are you trapped in a relationship with a narcissistic partner? Are you facing major life transitions, like coping with chronic illness, grief, and loss? Do you have a child or teen who is constantly struggling at home and at school? You are taking the right step by getting help! It took a lot of courage to overcome the stigma and reach this point. You don't have to walk alone. By tackling the issues together we can overcome the barriers of honor and shame.
(919) 298-8107 View (919) 298-8107
Photo of Jena Johnson, Counselor in North Carolina
Jena Johnson
Counselor, MS, LCMHC
Verified
4 Endorsed
Greensboro, NC 27401
You know how to make it happen – you work hard, you show up for the people you care about, and you do your best to never let anyone down. On the surface, it seems like your life is going great. On the inside, you squirm with fears that you're not doing enough, not good enough, and that it's only a matter of time before everyone else sees it too. You feel disconnected, exhausted, overwhelmed, and anxious. You want to be authentic and present with those in your life but you struggle to turn off the anxiety and tune into your relationships.
You know how to make it happen – you work hard, you show up for the people you care about, and you do your best to never let anyone down. On the surface, it seems like your life is going great. On the inside, you squirm with fears that you're not doing enough, not good enough, and that it's only a matter of time before everyone else sees it too. You feel disconnected, exhausted, overwhelmed, and anxious. You want to be authentic and present with those in your life but you struggle to turn off the anxiety and tune into your relationships.
(336) 438-8793 View (336) 438-8793
Photo of Charles Max Rhyne With Noble Wellness Group, Licensed Professional Counselor in North Carolina
Charles Max Rhyne With Noble Wellness Group
Licensed Professional Counselor, LCMHC, LCASA
Verified
3 Endorsed
Charlotte, NC 28204
When was the last time you felt heard and listened to? Do you have the feeling of being overwhelmed? Do you feel like you've lost control of a situation or issue in your own life? Or, do you just need someone to talk to? Everyone faces some or all of these problems in life, but not everyone deals with them in a healthy way. If you are looking to change this I would be happy to help. In my practice I focus on helping you onto the path of healing that is best for you, as defined by your goals.
When was the last time you felt heard and listened to? Do you have the feeling of being overwhelmed? Do you feel like you've lost control of a situation or issue in your own life? Or, do you just need someone to talk to? Everyone faces some or all of these problems in life, but not everyone deals with them in a healthy way. If you are looking to change this I would be happy to help. In my practice I focus on helping you onto the path of healing that is best for you, as defined by your goals.
(980) 270-1416 View (980) 270-1416
Photo of Tina Okpych, Counselor in North Carolina
Tina Okpych
Counselor, MA, LCMHC, NCC
Verified
I enjoy working with individuals as they navigate their way through challenging life experiences. I am committed to creating a safe and welcoming environment where clients are able to develop a better understanding of themselves and their world. I feel it is imperative to form relationships built on trust, and believe that real progress can only be achieved when such a relationship exists.
I enjoy working with individuals as they navigate their way through challenging life experiences. I am committed to creating a safe and welcoming environment where clients are able to develop a better understanding of themselves and their world. I feel it is imperative to form relationships built on trust, and believe that real progress can only be achieved when such a relationship exists.
(828) 501-0918 View (828) 501-0918
Photo of Jennifer Kline, Licensed Clinical Mental Health Counselor in North Carolina
Jennifer Kline
Licensed Clinical Mental Health Counselor, MA, LCMHC, LCAS, NCC
Verified
Huntersville, NC 28078
Not accepting new clients
Pause, and take a breath. You are where you need to be in this moment, present and safe. We often struggle with a void, a deep emptiness we often cannot explain. It leaves us feeling like we aren't good enough, unworthy, or alone. It’s time to quiet that voice. You no longer need to suffer alone. I am here to help you find serenity, strength, hope, and courage within yourself. Those demons you have kept inside deserve to be heard, processed, and understood. Let’s work together so you may find authenticity and peace within yourself.
Pause, and take a breath. You are where you need to be in this moment, present and safe. We often struggle with a void, a deep emptiness we often cannot explain. It leaves us feeling like we aren't good enough, unworthy, or alone. It’s time to quiet that voice. You no longer need to suffer alone. I am here to help you find serenity, strength, hope, and courage within yourself. Those demons you have kept inside deserve to be heard, processed, and understood. Let’s work together so you may find authenticity and peace within yourself.
(704) 946-8581 View (704) 946-8581
Photo of Angela Vetter, Clinical Social Work/Therapist in North Carolina
Angela Vetter
Clinical Social Work/Therapist, MSW, LCSW, LCASA
Verified
Lenoir, NC 28645  (Online Only)
“There are wounds that never show on the body that are deeper and more hurtful than anything that bleeds” Laurell K. Hamilton. As a child, my mother told me that "change is the only constant in the world." With change being an ever constant in our lives, why is it so difficult? We all feel the weight of a stressful society, and everybody needs help from time to time. Is your reflection in the mirror unrecognizable? Does change appear impossible? Are you recovering from an accident? Coming out of a bad breakup? Struggling from the disease of addiction? Do you feel frozen or struggling to move forward?
“There are wounds that never show on the body that are deeper and more hurtful than anything that bleeds” Laurell K. Hamilton. As a child, my mother told me that "change is the only constant in the world." With change being an ever constant in our lives, why is it so difficult? We all feel the weight of a stressful society, and everybody needs help from time to time. Is your reflection in the mirror unrecognizable? Does change appear impossible? Are you recovering from an accident? Coming out of a bad breakup? Struggling from the disease of addiction? Do you feel frozen or struggling to move forward?
(828) 604-6348 View (828) 604-6348
Photo of Bryce McCulloch, Marriage & Family Therapist Associate in North Carolina
Bryce McCulloch
Marriage & Family Therapist Associate, LMFTA
Verified
Chapel Hill, NC 27517
My whole career I have worked with teens and young adults. I love working with young folks because they are at a time in their lives where they are constantly growing and changing in so many ways. Sometimes growth can be a real challenge and it can create pain and conflict, but it is my goal to help teens, young adults, and their families to move through these moments and to become the people that they want to be. I work alongside young folks and their families to identify what the major hurdles they face are and then help to figure out how can we all work together to overcome them.
My whole career I have worked with teens and young adults. I love working with young folks because they are at a time in their lives where they are constantly growing and changing in so many ways. Sometimes growth can be a real challenge and it can create pain and conflict, but it is my goal to help teens, young adults, and their families to move through these moments and to become the people that they want to be. I work alongside young folks and their families to identify what the major hurdles they face are and then help to figure out how can we all work together to overcome them.
(919) 355-9581 View (919) 355-9581
Photo of Gwyn Mohler, Clinical Social Work/Therapist in North Carolina
Gwyn Mohler
Clinical Social Work/Therapist, MSW, LCSW
Verified
Charlotte, NC 28204
I’m so glad you’re here. Making the decision to reach out for help takes tremendous courage and vulnerability. Great job on taking this first step. Maybe you're here because you're struggling with recurring anxiety, depression, or relationship challenges. Or maybe you've tried therapy before and it helped briefly, but you found yourself repeating the same patterns shortly after. If you're ready to do the deep work to uncover and heal the root cause of your distress so that you see lasting change in your life, I'd be honored to support you on this journey.
I’m so glad you’re here. Making the decision to reach out for help takes tremendous courage and vulnerability. Great job on taking this first step. Maybe you're here because you're struggling with recurring anxiety, depression, or relationship challenges. Or maybe you've tried therapy before and it helped briefly, but you found yourself repeating the same patterns shortly after. If you're ready to do the deep work to uncover and heal the root cause of your distress so that you see lasting change in your life, I'd be honored to support you on this journey.
View
Photo of Shamika M Vargas, Clinical Social Work/Therapist in North Carolina
Shamika M Vargas
Clinical Social Work/Therapist, LCSW
Verified
1 Endorsed
Mint Hill, NC 28227  (Online Only)
In some ways I've been where you are--going through a directory looking for support and not being sure if the person on the other side is going to be able to help you. Maybe you're very clear about what you want to work on, maybe you're just not feeling like your best self and don't even know why. I've been on both sides of the helping relationship for a long time and I believe our lived experience, from our race/gender/sexual orientation to our birth order to even our line of work impacts us in ongoing, evolving ways. I'm someone who can give you honest feedback, challenge you, & hold space for your emotions with empathy.
In some ways I've been where you are--going through a directory looking for support and not being sure if the person on the other side is going to be able to help you. Maybe you're very clear about what you want to work on, maybe you're just not feeling like your best self and don't even know why. I've been on both sides of the helping relationship for a long time and I believe our lived experience, from our race/gender/sexual orientation to our birth order to even our line of work impacts us in ongoing, evolving ways. I'm someone who can give you honest feedback, challenge you, & hold space for your emotions with empathy.
(704) 385-5252 View (704) 385-5252
Photo of Mary Lou Albano, Clinical Social Work/Therapist in North Carolina
Mary Lou Albano
Clinical Social Work/Therapist, PhD, LCSW, CEAP
Verified
1 Endorsed
Charlotte, NC 28211
Not accepting new clients
Discovering a vital resource is a big step to a better life. The choice for personal development begins with finding a professional counselor or coach with whom you have rapport and can build trust.
Discovering a vital resource is a big step to a better life. The choice for personal development begins with finding a professional counselor or coach with whom you have rapport and can build trust.
(704) 322-4768 View (704) 322-4768
Photo of SPA Philanthropy, Clinical Social Work/Therapist in North Carolina
SPA Philanthropy
Clinical Social Work/Therapist, LCSW
Verified
Fuquay Varina, NC 27526  (Online Only)
At SPA, we’re here to help you overcome your mental health barriers and achieve the best possible outcome. Whether you’re dealing with depression, anxiety, addiction, adhd, or simply need someone to talk to, our licensed and experienced mental health therapists are here to support you on your journey. Let us help you navigate all of your mental health needs with a customized care plan that’s tailored just for you.
At SPA, we’re here to help you overcome your mental health barriers and achieve the best possible outcome. Whether you’re dealing with depression, anxiety, addiction, adhd, or simply need someone to talk to, our licensed and experienced mental health therapists are here to support you on your journey. Let us help you navigate all of your mental health needs with a customized care plan that’s tailored just for you.
(984) 230-4291 View (984) 230-4291
Photo of Britta Marie Starke, Clinical Social Work/Therapist in North Carolina
Britta Marie Starke
Clinical Social Work/Therapist, LCSW, LCAS, CCS
Verified
Jamestown, NC 27282
Not accepting new clients
Welcome and congratulations on choosing to embark on a different journey!! I have spent 25 yrs getting to know people of all ages: 6 - 80 years young. I find my passion lies with ages 17 and older. There seems to be a common struggle with finding a sense of meaning and purpose, or the loss of such, while juggling the demands of school, career, relationships and society. The more we lose ourselves, along the way, the more we lose the ability to cope with challenges in a healthy way. I believe in walking along side individuals in the exploration of what is missing or maybe not yet found! Are you ready to get started?
Welcome and congratulations on choosing to embark on a different journey!! I have spent 25 yrs getting to know people of all ages: 6 - 80 years young. I find my passion lies with ages 17 and older. There seems to be a common struggle with finding a sense of meaning and purpose, or the loss of such, while juggling the demands of school, career, relationships and society. The more we lose ourselves, along the way, the more we lose the ability to cope with challenges in a healthy way. I believe in walking along side individuals in the exploration of what is missing or maybe not yet found! Are you ready to get started?
(984) 237-3053 View (984) 237-3053
Photo of Amaya Hardy, Licensed Professional Counselor in North Carolina
Amaya Hardy
Licensed Professional Counselor, MA, LCMHC
Verified
3 Endorsed
Greensboro, NC 27405  (Online Only)
Navigating hardships in life and in relationships is difficult. I believe that many times the relationship that needs the most work is the relationship that you have with yourself. If you are experiencing challenges in your relationships, self esteem or with depression and anxiety, you owe it to yourself to find the answers you have been looking for so that you can heal. If you are ready to improve your quality of life, while healing the relationship with God, yourself and others, I encourage you to take the next steps in your journey. I also enjoy working with those seeking to heal from narcissistic abuse. I'm ready when you are!
Navigating hardships in life and in relationships is difficult. I believe that many times the relationship that needs the most work is the relationship that you have with yourself. If you are experiencing challenges in your relationships, self esteem or with depression and anxiety, you owe it to yourself to find the answers you have been looking for so that you can heal. If you are ready to improve your quality of life, while healing the relationship with God, yourself and others, I encourage you to take the next steps in your journey. I also enjoy working with those seeking to heal from narcissistic abuse. I'm ready when you are!
(336) 390-4438 View (336) 390-4438
Photo of Jodie Tuchman, Clinical Social Work/Therapist in North Carolina
Jodie Tuchman
Clinical Social Work/Therapist, MSW, LCSWA
Verified
1 Endorsed
Concord, NC 28025
For women with ADHD, life can be overwhelming leading to feelings of anxiety, depression, and burnout. You may feel like you are constantly struggling to keep up or “be perfect” and worry about meeting your responsibilities at work and home. You may have tried for years to describe the challenges you face because of living with ADHD and feel defeated because others do not seem to understand or take your concerns seriously. With the right support, women with ADHD can feel empowered and in control of their lives. You can finally feel safe letting others see the "real you" and stop hiding parts of yourself.
For women with ADHD, life can be overwhelming leading to feelings of anxiety, depression, and burnout. You may feel like you are constantly struggling to keep up or “be perfect” and worry about meeting your responsibilities at work and home. You may have tried for years to describe the challenges you face because of living with ADHD and feel defeated because others do not seem to understand or take your concerns seriously. With the right support, women with ADHD can feel empowered and in control of their lives. You can finally feel safe letting others see the "real you" and stop hiding parts of yourself.
(704) 741-9361 View (704) 741-9361
Photo of Susan A Lansche, Licensed Clinical Mental Health Counselor in North Carolina
Susan A Lansche
Licensed Clinical Mental Health Counselor, MEd, LCMHC, NCC
Verified
1 Endorsed
New Bern, NC 28562
Years of working with women, families and couples continues to teach me that what is valued most is relationship and a sense of being heard. For most,the therapeutic relationship and discovery of their "voice" is the beginning of transformation. What a gift for me to be part of that process. Working from the framework of Person Centered Therapy, I marvel over my client's determination and abilities to overcome their depression, anxiety, co-dependency, use of substances, and negative self images (that developed as a result of abusive histories and/or unresolved grief). Holistically heart, mind and spirit!
Years of working with women, families and couples continues to teach me that what is valued most is relationship and a sense of being heard. For most,the therapeutic relationship and discovery of their "voice" is the beginning of transformation. What a gift for me to be part of that process. Working from the framework of Person Centered Therapy, I marvel over my client's determination and abilities to overcome their depression, anxiety, co-dependency, use of substances, and negative self images (that developed as a result of abusive histories and/or unresolved grief). Holistically heart, mind and spirit!
(252) 410-1944 View (252) 410-1944
Photo of The Pleasants Group , Clinical Social Work/Therapist in North Carolina
The Pleasants Group
Clinical Social Work/Therapist, MSW, LCSW, CTP, CDBT, CCS
Verified
Greensboro, NC 27404  (Online Only)
Pro LGBTQQIAP/ BLM/ sex/ body positive/ally. I specialize in healing from healing the neurological response to trauma. My training, both academic and visceral experiences, have all contributed in creating an eclectic therapeutic approach that values empowerment, self-direction, confidentiality, a non-judgmental atmosphere, emotional safety, validation, dignity, and respect above as else. These components are necessary to create an environment conducive for healing. When both the client and the therapist are willing to work in collaboration towards achieving their therapeutic goals, great strides can be made in the healing process.
Pro LGBTQQIAP/ BLM/ sex/ body positive/ally. I specialize in healing from healing the neurological response to trauma. My training, both academic and visceral experiences, have all contributed in creating an eclectic therapeutic approach that values empowerment, self-direction, confidentiality, a non-judgmental atmosphere, emotional safety, validation, dignity, and respect above as else. These components are necessary to create an environment conducive for healing. When both the client and the therapist are willing to work in collaboration towards achieving their therapeutic goals, great strides can be made in the healing process.
(336) 814-8807 View (336) 814-8807

See more therapy options for North Carolina

How does your Therapist compare?

Average cost per session

$134

Therapists in North Carolina who prioritize treating:

92% Anxiety
87% Depression
76% Self Esteem
75% Relationship Issues
72% Coping Skills
70% Stress
67% Trauma and PTSD

Average years in practice

10 Years

Top 3 insurances accepted

86% BlueCross and BlueShield
67% Aetna
52% Cigna and Evernorth

How Therapists in North Carolina see their clients

72% In Person and Online
28% Online Only

Gender breakdown

83% Female
16% Male
1% Non-Binary

FAQs - About Therapy and Counseling

How can I find a therapist in North Carolina?

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.