Therapists in Cary, NC

Photo of Mary Wood, Clinical Social Work/Therapist in Cary, NC
Mary Wood
Clinical Social Work/Therapist, LCSW
Verified Verified
Cary, NC 27519
Mary is passionate about normalizing mental health treatment, especially in cultures that stigmatize seeking help. She is board-certified and works with children, adolescents, and young adults up to the age of 30 utilizing cognitive behavioral therapy and dialectical behavioral therapy. Mary offers couples and marital therapy, group therapy, family therapy, and provides LGBTQ+ care.
Mary is passionate about normalizing mental health treatment, especially in cultures that stigmatize seeking help. She is board-certified and works with children, adolescents, and young adults up to the age of 30 utilizing cognitive behavioral therapy and dialectical behavioral therapy. Mary offers couples and marital therapy, group therapy, family therapy, and provides LGBTQ+ care.
(984) 206-3514 View (984) 206-3514
Photo of Maddie Krause, LCMHC Associate in Cary, NC
Maddie Krause
LCMHC Associate
Verified Verified
Cary, NC 27511  (Online Only)
I work with adults facing a variety of obstacles including anxiety, depression, trauma, and work/life stress. Therapy is a collaborative process, meaning that together, we will work on developing and achieving the goals that are important to you, in whatever season you may be in. Whether your goal is to improve your relationships, manage stress, or uncover and work through the source(s) of your trauma, we will bring your story to light and ensure you have the tools to write the rest of it in the way that best serves you.
I work with adults facing a variety of obstacles including anxiety, depression, trauma, and work/life stress. Therapy is a collaborative process, meaning that together, we will work on developing and achieving the goals that are important to you, in whatever season you may be in. Whether your goal is to improve your relationships, manage stress, or uncover and work through the source(s) of your trauma, we will bring your story to light and ensure you have the tools to write the rest of it in the way that best serves you.
(919) 729-5667 View (919) 729-5667
Photo of Mathews Counseling, Marriage & Family Therapist in Cary, NC
Mathews Counseling
Marriage & Family Therapist, PhD, LMFT
Verified Verified
5 Endorsed
Cary, NC 27511
The relationship you have with your counselor is a very personal one and is vital to bringing about the change you want in your life. We view the counseling relationship as a process of mutual respect and trust, where we work collaboratively together to meet your goals. We focus on expanding the strengths and resources you have and getting results quickly, all in a comfortable and inviting home-like setting. We strive to make therapy as comfortable as possible and work with you to establish clear goals and workable, creative strategies to achieve those goals.
The relationship you have with your counselor is a very personal one and is vital to bringing about the change you want in your life. We view the counseling relationship as a process of mutual respect and trust, where we work collaboratively together to meet your goals. We focus on expanding the strengths and resources you have and getting results quickly, all in a comfortable and inviting home-like setting. We strive to make therapy as comfortable as possible and work with you to establish clear goals and workable, creative strategies to achieve those goals.
(919) 343-9605 View (919) 343-9605
Photo of Family Solutions and Wellness Center, Marriage & Family Therapist in Cary, NC
Family Solutions and Wellness Center
Marriage & Family Therapist, LMFT, LCMHC
Verified Verified
1 Endorsed
Cary, NC 27511
FSWC is a private practice serving Cary & Wilmington, NC, as well as state-wide telehealth services. We offer daytime, evening, and weekend appointments, and use an online scheduler to make booking appointments easy! If you don't see an available time online, please contact us and we will do our best to accommodate your needs. Please read more about each of our therapist on our website - www.FamilySolutionsAndWellness.com. Finding a good fit is important!
FSWC is a private practice serving Cary & Wilmington, NC, as well as state-wide telehealth services. We offer daytime, evening, and weekend appointments, and use an online scheduler to make booking appointments easy! If you don't see an available time online, please contact us and we will do our best to accommodate your needs. Please read more about each of our therapist on our website - www.FamilySolutionsAndWellness.com. Finding a good fit is important!
(919) 648-1438 View (919) 648-1438
Photo of Diana Gomez, Clinical Social Work/Therapist in Cary, NC
Diana Gomez
Clinical Social Work/Therapist, LCSWA
Verified Verified
Cary, NC 27513
I am a Licensed Clinical Social Worker Associate. I completed my Master of Social Work from UNC Chapel Hill. I'm fluent in Spanish and have a wide range of experience working with children, adolescents, and adults throughout all stages of life. My areas of expertise include depression, anxiety, grief/loss, stress management, and self-esteem issues. I have a history of working with people of all cultural backgrounds and people from the LGBTQIA+ community. In therapy, I use a variety of evidence-based practices, such as Cognitive Behavioral Therapy and Solution Focused Therapy, to tailor sessions to each client and their needs.
I am a Licensed Clinical Social Worker Associate. I completed my Master of Social Work from UNC Chapel Hill. I'm fluent in Spanish and have a wide range of experience working with children, adolescents, and adults throughout all stages of life. My areas of expertise include depression, anxiety, grief/loss, stress management, and self-esteem issues. I have a history of working with people of all cultural backgrounds and people from the LGBTQIA+ community. In therapy, I use a variety of evidence-based practices, such as Cognitive Behavioral Therapy and Solution Focused Therapy, to tailor sessions to each client and their needs.
(919) 849-5089 x4 View (919) 849-5089 x4
Photo of Marisol Pérez, Clinical Social Work/Therapist in Cary, NC
Marisol Pérez
Clinical Social Work/Therapist, MSW, LCSW
Verified Verified
2 Endorsed
Cary, NC 27518  (Online Only)
Have you tried all the things and continue to have no relief? Are you looking for something different than traditional talk therapy? Have you struggled to find a therapist that's a good fit? The search for support can be exhausting. Finding the therapist that's a good fit for you is key. I provide a collaborative, warm, and non-judgmental environment where you can feel safe and heard. If you're ready to be witnessed and supported, while on your journey to find peace, you've come to the right place. I offer an inclusive, holistic, trauma-centered, and anti-oppressive healing space. My psychotherapy practice is conveniently online.
Have you tried all the things and continue to have no relief? Are you looking for something different than traditional talk therapy? Have you struggled to find a therapist that's a good fit? The search for support can be exhausting. Finding the therapist that's a good fit for you is key. I provide a collaborative, warm, and non-judgmental environment where you can feel safe and heard. If you're ready to be witnessed and supported, while on your journey to find peace, you've come to the right place. I offer an inclusive, holistic, trauma-centered, and anti-oppressive healing space. My psychotherapy practice is conveniently online.
(919) 899-4901 View (919) 899-4901
Photo of Karina Akouka, Clinical Social Work/Therapist in Cary, NC
Karina Akouka
Clinical Social Work/Therapist, LCSW, PMH-C
Verified Verified
Cary, NC 27518  (Online Only)
The transition to motherhood and parenthood can be a difficult transition. During this life changing transition you might find yourself feeling sad, overwhelmed, lonely, and unsure if you will find your groove again. Mothers and parents may feel a loss of sense of self and increased depression and anxiety as they navigate relationships and how they fit into their old selves again. Together, we can discover new ways to manage your feelings and deepen self-awareness to lead you to feel more fulfilled in your new role.
The transition to motherhood and parenthood can be a difficult transition. During this life changing transition you might find yourself feeling sad, overwhelmed, lonely, and unsure if you will find your groove again. Mothers and parents may feel a loss of sense of self and increased depression and anxiety as they navigate relationships and how they fit into their old selves again. Together, we can discover new ways to manage your feelings and deepen self-awareness to lead you to feel more fulfilled in your new role.
(415) 534-4331 View (415) 534-4331
Photo of April H. Smith, Licensed Clinical Mental Health Counselor in Cary, NC
April H. Smith
Licensed Clinical Mental Health Counselor, LCMHC, NCC
Verified Verified
Cary, NC 27513
I work with couples who: are getting married and would like pre-marital counseling, couples who have experienced an infidelity and are trying to heal, couples who are thinking of transitioning out of a marriage and would like guidance, and couples who want to remain in a relationship but are fighting constantly. I also practice sex therapy. I help couples cultivate increased sexual intimacy and learn how to have more fulfilling sex.
I work with couples who: are getting married and would like pre-marital counseling, couples who have experienced an infidelity and are trying to heal, couples who are thinking of transitioning out of a marriage and would like guidance, and couples who want to remain in a relationship but are fighting constantly. I also practice sex therapy. I help couples cultivate increased sexual intimacy and learn how to have more fulfilling sex.
(919) 372-3686 View (919) 372-3686
Photo of Christina Unruh, Clinical Social Work/Therapist in Cary, NC
Christina Unruh
Clinical Social Work/Therapist, MSW, LCSW
Verified Verified
1 Endorsed
Cary, NC 27511  (Online Only)
Many highly successful people have trouble regulating their emotions, which can lead to persistent irritability, moodiness, and regrettable behaviors that just don't match who you are. Shifting emotional extremes are a private agony that you don't have to manage alone. If you are experiencing fallout from emotions, or if you have concluded that emotions are running your life, rest assured that there are evidence-based skills that can put you back in charge. Beginning with the first session, we will formulate a behavioral picture of what is going on, and develop specific action steps that you can implement immediately.
Many highly successful people have trouble regulating their emotions, which can lead to persistent irritability, moodiness, and regrettable behaviors that just don't match who you are. Shifting emotional extremes are a private agony that you don't have to manage alone. If you are experiencing fallout from emotions, or if you have concluded that emotions are running your life, rest assured that there are evidence-based skills that can put you back in charge. Beginning with the first session, we will formulate a behavioral picture of what is going on, and develop specific action steps that you can implement immediately.
(919) 883-4971 View (919) 883-4971
Photo of Amoore's Counseling Service , Counselor in Cary, NC
Amoore's Counseling Service
Counselor, MA, LCMHC
Verified Verified
3 Endorsed
Cary, NC 27511
We are accepting New Clients! It takes courage to recognize steps need to be taken to seek a more fulfilling life and for change to happen. Are ready to make that step? I am here to support and help you in your journey. People are hurting and trying to understand why they are going through hard times. Everyone at some point need help overcoming problems that life throws our way. It's always helpful to have someone to talk to and help release the unwanted and harmful buildup that life brings. Together we can navigate through the unwelcome issue that arise in your life.
We are accepting New Clients! It takes courage to recognize steps need to be taken to seek a more fulfilling life and for change to happen. Are ready to make that step? I am here to support and help you in your journey. People are hurting and trying to understand why they are going through hard times. Everyone at some point need help overcoming problems that life throws our way. It's always helpful to have someone to talk to and help release the unwanted and harmful buildup that life brings. Together we can navigate through the unwelcome issue that arise in your life.
(984) 201-7679 View (984) 201-7679
Photo of Silver Linings, Clinical Social Work/Therapist in Cary, NC
Silver Linings
Clinical Social Work/Therapist, LCSW
Verified Verified
Cary, NC 27511
I enjoy working with dully diagnosed clients, victims of violence, adults dealing with stress, anxiety, overwhelm, various traumas, depression, anxiety and so much more. I am an enthusiastic and outcome-based leader with the ability to assess needs, communicate challenges and develop solution focused interventions. I have extensive clinical training in motivational interviewing, strengths-based practice, family centered treatment and trauma focused cognitive behavioral therapy.
I enjoy working with dully diagnosed clients, victims of violence, adults dealing with stress, anxiety, overwhelm, various traumas, depression, anxiety and so much more. I am an enthusiastic and outcome-based leader with the ability to assess needs, communicate challenges and develop solution focused interventions. I have extensive clinical training in motivational interviewing, strengths-based practice, family centered treatment and trauma focused cognitive behavioral therapy.
(984) 333-5591 View (984) 333-5591
Photo of Tovon Hamilton, Counselor in Cary, NC
Tovon Hamilton
Counselor, NCC, LCMHCA, LCASA
Verified Verified
Cary, NC 27511
A renewed mind can change your life! Deciding to seek therapy can be life changing. Counseling should be an experience that allows you to think of your life and circumstances in a way that promotes positive changes. Choosing me as your counselor, I will be your partner dedicated to providing unconditional positive regard, and empathetic listening, to guide you on your journey of lasting change for a brighter, and happier future.
A renewed mind can change your life! Deciding to seek therapy can be life changing. Counseling should be an experience that allows you to think of your life and circumstances in a way that promotes positive changes. Choosing me as your counselor, I will be your partner dedicated to providing unconditional positive regard, and empathetic listening, to guide you on your journey of lasting change for a brighter, and happier future.
(919) 429-8656 View (919) 429-8656
Photo of Kat Perry, Licensed Professional Counselor in Cary, NC
Kat Perry
Licensed Professional Counselor, MA, LCMHC, LCAS, NCC
Verified Verified
2 Endorsed
Cary, NC 27513
I am accepting AETNA & BCBS (not BCBS Home) I am a born and bred New Yorker and came down to Cary, NC in 2013 with my 2 sons, now college ages.A wealth of life experience provides me with an ability to understand common patterns which chronically affect many people. Often, our past interferes with our current relationships. I can help you process your past while learning new coping skills to help you get back to living a life that you want. I accept AETNA insurance and self-pay and offer a sliding scale to those who qualify. Please inquire.
I am accepting AETNA & BCBS (not BCBS Home) I am a born and bred New Yorker and came down to Cary, NC in 2013 with my 2 sons, now college ages.A wealth of life experience provides me with an ability to understand common patterns which chronically affect many people. Often, our past interferes with our current relationships. I can help you process your past while learning new coping skills to help you get back to living a life that you want. I accept AETNA insurance and self-pay and offer a sliding scale to those who qualify. Please inquire.
(919) 736-6612 View (919) 736-6612
Photo of Clark Christian Counseling, Counselor in Cary, NC
Clark Christian Counseling
Counselor, MA, LCMHCA, NCC
Verified Verified
Cary, NC 27518
Hello! My name is Lauren Caulberg, and I am a Counselor in the Cary office of Clark Christian Counseling. I have a passion to Affirm and Encourage women, from early teens into the seasoned years of life. I also value discipling the same into their next season of greater maturity through the pursuit of deeper Intimacy with God. This ministry comes through psychological, Scriptural, and Holy Spirit-granted insights; it may come through purposeful times of prayer in our sessions; it comes through very deliberate strategies we build together related to thought life, emotional life, and chosen behaviors.
Hello! My name is Lauren Caulberg, and I am a Counselor in the Cary office of Clark Christian Counseling. I have a passion to Affirm and Encourage women, from early teens into the seasoned years of life. I also value discipling the same into their next season of greater maturity through the pursuit of deeper Intimacy with God. This ministry comes through psychological, Scriptural, and Holy Spirit-granted insights; it may come through purposeful times of prayer in our sessions; it comes through very deliberate strategies we build together related to thought life, emotional life, and chosen behaviors.
(919) 300-7234 View (919) 300-7234
Photo of Justin Ravizee, Clinical Social Work/Therapist in Cary, NC
Justin Ravizee
Clinical Social Work/Therapist, LCSW
Verified Verified
1 Endorsed
Cary, NC 27513
Over the past 8 years I have gained experience in a wealth of areas that impact individuals and families. I strive to provide a non-judgmental and safe space to assist clients with their growth. Treatment specialization includes therapy for anxiety, stress, anger, domestic violence, addiction, divorce, and parenting.
Over the past 8 years I have gained experience in a wealth of areas that impact individuals and families. I strive to provide a non-judgmental and safe space to assist clients with their growth. Treatment specialization includes therapy for anxiety, stress, anger, domestic violence, addiction, divorce, and parenting.
(919) 948-2659 View (919) 948-2659
Photo of Lindsay Patterson, Clinical Social Work/Therapist in Cary, NC
Lindsay Patterson
Clinical Social Work/Therapist, MSW, LCSW
Verified Verified
Cary, NC 27518  (Online Only)
Accepting new clients! Are you seeking change in your life, feeling depressed and unmotivated, or need a safe space for personal growth and discovery? Choosing to go to therapy takes courage and picking a therapist who you feel is a good fit for you can be a daunting task. I believe that the therapeutic process works best as a collaborative effort and that together we can make lasting changes. I feel strongly that balancing acceptance and change is valuable in this work and that clients can have both.
Accepting new clients! Are you seeking change in your life, feeling depressed and unmotivated, or need a safe space for personal growth and discovery? Choosing to go to therapy takes courage and picking a therapist who you feel is a good fit for you can be a daunting task. I believe that the therapeutic process works best as a collaborative effort and that together we can make lasting changes. I feel strongly that balancing acceptance and change is valuable in this work and that clients can have both.
(919) 636-6358 View (919) 636-6358
Photo of Amanda Bloom, Counselor in Cary, NC
Amanda Bloom
Counselor, MEd, NCC, LCMHC
Verified Verified
Cary, NC 27511
I believe that we have all experienced challenging situations or have felt lost at some point in our lives. Taking the leap to seek additional guidance and support takes courage and vulnerability and I believe it cultivates our growth and well-being. Together we collaborate to examine thoughts, emotions and behaviors and identify new tools and solutions that will move you toward a place of worthiness, purpose and authenticity to meet your personalized goals. With over 14 years of experience, I specialize in treating adults who have concerns regarding anxiety, depression, relationships, life transitions, trauma, and women's issues.
I believe that we have all experienced challenging situations or have felt lost at some point in our lives. Taking the leap to seek additional guidance and support takes courage and vulnerability and I believe it cultivates our growth and well-being. Together we collaborate to examine thoughts, emotions and behaviors and identify new tools and solutions that will move you toward a place of worthiness, purpose and authenticity to meet your personalized goals. With over 14 years of experience, I specialize in treating adults who have concerns regarding anxiety, depression, relationships, life transitions, trauma, and women's issues.
(919) 858-2692 View (919) 858-2692
Photo of Resilient Counseling, PLLC, Marriage & Family Therapist in Cary, NC
Resilient Counseling, PLLC
Marriage & Family Therapist, LMFT
Verified Verified
2 Endorsed
Cary, NC 27518
Angela S. McLean, LMFT works with individual clients as well as couples and whole families and specializes in helping people find peace in the midst of constant change and daily chaos. Individual sessions are designed to help clients develop the ability to maintain an inner tranquility that is not easily affected by outside circumstances or pressures. Couples and families work to build a strong foundation and lasting, satisfying relationships. If you are looking for peace within yourself, your marriage, or your home, contact Angela today.
Angela S. McLean, LMFT works with individual clients as well as couples and whole families and specializes in helping people find peace in the midst of constant change and daily chaos. Individual sessions are designed to help clients develop the ability to maintain an inner tranquility that is not easily affected by outside circumstances or pressures. Couples and families work to build a strong foundation and lasting, satisfying relationships. If you are looking for peace within yourself, your marriage, or your home, contact Angela today.
(919) 234-5149 View (919) 234-5149
Photo of Ann Marie Sochia, Licensed Clinical Mental Health Counselor in Cary, NC
Ann Marie Sochia
Licensed Clinical Mental Health Counselor, MS, LCMHC, CHT, NLP
Verified Verified
Cary, NC 27511
At Waves of Change, I assist clients in making the positive changes they want to make in themselves through the utilization of hypnosis, meditation, mindfulness, mental health counseling, and technology assisted relaxation practices. All of my services are offered in a confidential, safe, and serene environment. Some of the specific issues I help clients with are; smoking cessation, weight management, depression, pain management, and stress management to name a few. Please contact me to learn more about how I can help you achieve success in reaching your goals.
At Waves of Change, I assist clients in making the positive changes they want to make in themselves through the utilization of hypnosis, meditation, mindfulness, mental health counseling, and technology assisted relaxation practices. All of my services are offered in a confidential, safe, and serene environment. Some of the specific issues I help clients with are; smoking cessation, weight management, depression, pain management, and stress management to name a few. Please contact me to learn more about how I can help you achieve success in reaching your goals.
(919) 701-6473 View (919) 701-6473
Photo of Bria Day, Clinical Social Work/Therapist in Cary, NC
Bria Day
Clinical Social Work/Therapist, LCSW
Verified Verified
Cary, NC 27519
I enjoy working with teens and young adults on managing life stressors, relationships, anxiety, and depression. I have worked in various settings with children, adolescents, and adults. I specialize in Clinical assessments, CBT, and Motivational Interviewing. Life can be tough and I want to be able to help my clients through any challenges they may be going through. I hope to connect and get to know my clients so that I can tailor treatment to your needs. ​
I enjoy working with teens and young adults on managing life stressors, relationships, anxiety, and depression. I have worked in various settings with children, adolescents, and adults. I specialize in Clinical assessments, CBT, and Motivational Interviewing. Life can be tough and I want to be able to help my clients through any challenges they may be going through. I hope to connect and get to know my clients so that I can tailor treatment to your needs. ​
(984) 538-9265 View (984) 538-9265

How does your Therapist compare?

Number of Therapists in Cary, NC

900+

Average cost per session

$140

Therapists in Cary, NC who prioritize treating:

92% Anxiety
87% Depression
78% Relationship Issues
78% Self Esteem
72% Coping Skills
70% Stress
63% Life Transitions

Average years in practice

11 Years

Top 3 insurances accepted

84% BlueCross and BlueShield
72% Aetna
53% Cigna and Evernorth

How Therapists in Cary, NC see their clients

70% In Person and Online
30% Online Only

Gender breakdown

83% Female
16% Male
1% Non-Binary
FAQs - About Therapy and Counseling

How can I find a therapist in Cary?

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

Learn more about how to find a therapist

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

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

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

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

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

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

What type of therapy is right for me?

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

How much does therapy cost?

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

What are more affordable or low cost therapy solutions?

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

Is online therapy cheaper than in-person therapy?

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

Is online therapy a good option?

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

Are therapy sessions confidential?

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