Therapists in Raleigh, NC

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Photo of Vanessa Soleil, Licensed Clinical Mental Health Counselor in Raleigh, NC
Vanessa Soleil
Licensed Clinical Mental Health Counselor, MEd, NCC, LCMHC, LMHC
Verified Verified
Raleigh, NC 27609  (Online Only)
Waitlist for new clients
Hello there. Finding a counselor can be overwhelming, so I appreciate your presence. Research shows that meaningful change in therapy is grounded in a safe, warm, & accepting relationship. That’s why l work to build trust & learn about my clients' inner world. I believe that I can best support you if I understand the contexts of which you are a part & that shaped you—family, work, culture, & other systems. My style is to blend thoughtful questions, gentle challenge, & inner exploration with teaching clients practical skills. My hope is to nurture your innate wisdom, so that you may grow, heal, & flourish on your own terms.
Hello there. Finding a counselor can be overwhelming, so I appreciate your presence. Research shows that meaningful change in therapy is grounded in a safe, warm, & accepting relationship. That’s why l work to build trust & learn about my clients' inner world. I believe that I can best support you if I understand the contexts of which you are a part & that shaped you—family, work, culture, & other systems. My style is to blend thoughtful questions, gentle challenge, & inner exploration with teaching clients practical skills. My hope is to nurture your innate wisdom, so that you may grow, heal, & flourish on your own terms.
(984) 207-0761 View (984) 207-0761
Photo of Mel Johnson-Norwood, Pre-Licensed Professional in Raleigh, NC
Mel Johnson-Norwood
Pre-Licensed Professional
Verified Verified
Raleigh, NC 27614  (Online Only)
I work with adults of all ages, especially Black and brown men, members of the LGBTQ+ community, and college students. As a personal witness to the lack of competent mental health care, especially for queer Black men, I work towards closing that gap. My work with clients encompasses career transitions, relocation, relationship issues, life transitions, living with physical disabilities, suicidal ideations, and depression.
I work with adults of all ages, especially Black and brown men, members of the LGBTQ+ community, and college students. As a personal witness to the lack of competent mental health care, especially for queer Black men, I work towards closing that gap. My work with clients encompasses career transitions, relocation, relationship issues, life transitions, living with physical disabilities, suicidal ideations, and depression.
(984) 369-9915 View (984) 369-9915
Photo of Donna Bartlett, Clinical Social Work/Therapist in Raleigh, NC
Donna Bartlett
Clinical Social Work/Therapist, LCSW, LCAS
Verified Verified
Raleigh, NC 27606  (Online Only)
Are you sad, worried, feeling overwhelmed, or stuck in your life? If so, I provide caring psychotherapy, counseling, and life coaching for adults who are seeking relief from stress, depression, anxiety, life transitions, grief/loss, trauma, addictive or compulsive behavior, codependency, issues of identity, or readjustment.
Are you sad, worried, feeling overwhelmed, or stuck in your life? If so, I provide caring psychotherapy, counseling, and life coaching for adults who are seeking relief from stress, depression, anxiety, life transitions, grief/loss, trauma, addictive or compulsive behavior, codependency, issues of identity, or readjustment.
(919) 626-8134 View (919) 626-8134
Photo of Susan Patricia Intemann, Licensed Professional Counselor in Raleigh, NC
Susan Patricia Intemann
Licensed Professional Counselor, LCMHC
Verified Verified
Raleigh, NC 27615
I welcome you. I have been a Psychotherapist in private practice for over tow decvades. I am confident I can help you overcome adversity, expand your self-awareness and self-acceptance, and truly achieve lasting changes in your life. I am passionate about supporting individuals with trauma, chronic pain, and/or illness, as we explore the multifaceted issues surrounding your circumstances. My emphasis is on the mind-body connection. These issues can cause physical and emotional challenges and together we will develop a plan to address the challenges in your life. Currently, EMDR and biofeedback is offered through telehealth.
I welcome you. I have been a Psychotherapist in private practice for over tow decvades. I am confident I can help you overcome adversity, expand your self-awareness and self-acceptance, and truly achieve lasting changes in your life. I am passionate about supporting individuals with trauma, chronic pain, and/or illness, as we explore the multifaceted issues surrounding your circumstances. My emphasis is on the mind-body connection. These issues can cause physical and emotional challenges and together we will develop a plan to address the challenges in your life. Currently, EMDR and biofeedback is offered through telehealth.
(919) 648-0229 View (919) 648-0229
Photo of Erica Dahms, Clinical Social Work/Therapist in Raleigh, NC
Erica Dahms
Clinical Social Work/Therapist, LCSW, LCAS
Verified Verified
Raleigh, NC 27617
I know looking for a therapist can feel a lot like a bad match making game show so I just want to say, hang in there!
I know looking for a therapist can feel a lot like a bad match making game show so I just want to say, hang in there!
(919) 351-6481 View (919) 351-6481
Photo of Alison York, Licensed Professional Counselor in Raleigh, NC
Alison York
Licensed Professional Counselor, MA, LCMHC, NCC, CCMHC
Verified Verified
3 Endorsed
Raleigh, NC 27608  (Online Only)
Do the fights with your partner follow the same pattern? Does one of you get loud and angry while the other withdraws and goes silent? Has a painful experience or betrayal such as infidelity, loss, or trauma left you both feeling alone and shaken? You long for a playful and loving connection and I can help you get there. I help highly motivated clients like you learn to love themselves and each other again. I'm successful at what I do, and right now you need an expert. There is hope for your relationship.
Do the fights with your partner follow the same pattern? Does one of you get loud and angry while the other withdraws and goes silent? Has a painful experience or betrayal such as infidelity, loss, or trauma left you both feeling alone and shaken? You long for a playful and loving connection and I can help you get there. I help highly motivated clients like you learn to love themselves and each other again. I'm successful at what I do, and right now you need an expert. There is hope for your relationship.
(919) 670-5075 View (919) 670-5075
Photo of Chris McDonald, Licensed Professional Counselor in Raleigh, NC
Chris McDonald
Licensed Professional Counselor, LCMHCS
Verified Verified
11 Endorsed
Raleigh, NC 27615
Current openings! Does life feel overwhelming? Is it hard to open about how you feel? Does your life feel out of balance? I get it, navigating through life is not always easy. You have tried to manage your feelings in different ways but it doesn't seem to help. You have high expectations for yourself & are critical of yourself when you fall short of them. You get stuck in your head, your thoughts keep you up at night and this makes it hard to sleep. I can help shed some light on your struggles . I can teach you the skills to overcome obstacles & better mange your emotions so you can find the relief you are looking for.
Current openings! Does life feel overwhelming? Is it hard to open about how you feel? Does your life feel out of balance? I get it, navigating through life is not always easy. You have tried to manage your feelings in different ways but it doesn't seem to help. You have high expectations for yourself & are critical of yourself when you fall short of them. You get stuck in your head, your thoughts keep you up at night and this makes it hard to sleep. I can help shed some light on your struggles . I can teach you the skills to overcome obstacles & better mange your emotions so you can find the relief you are looking for.
(919) 582-5061 View (919) 582-5061
Photo of Lynette Cisneros, Licensed Professional Counselor in Raleigh, NC
Lynette Cisneros
Licensed Professional Counselor, LCMHC, LMHC
Verified Verified
2 Endorsed
Raleigh, NC 27605  (Online Only)
Online Sessions Only. I recognize that finding a therapist can be quite time consuming & feel daunting. I have been a practicing counselor for over 20 years. I provide services in North Carolina & Florida. Areas addressed may include: self worth & esteem, self sabotaging tendencies & negative self talk/thought spirals, resolving shame, establishing healthy boundaries, disentangling from unhealthy relationships, decreasing people pleasing, grief/loss, identity. I strive to aid my clients in identifying which choices, thoughts & behaviors have served them well & which may need to be reframed, redirected or just released.
Online Sessions Only. I recognize that finding a therapist can be quite time consuming & feel daunting. I have been a practicing counselor for over 20 years. I provide services in North Carolina & Florida. Areas addressed may include: self worth & esteem, self sabotaging tendencies & negative self talk/thought spirals, resolving shame, establishing healthy boundaries, disentangling from unhealthy relationships, decreasing people pleasing, grief/loss, identity. I strive to aid my clients in identifying which choices, thoughts & behaviors have served them well & which may need to be reframed, redirected or just released.
(919) 372-4488 View (919) 372-4488
Photo of Maggie Mishra, Clinical Social Work/Therapist in Raleigh, NC
Maggie Mishra
Clinical Social Work/Therapist, MSW, LCSW
Verified Verified
1 Endorsed
Raleigh, NC 27617
Hey there! Do you ever feel like no one understands what you are going through? As a therapist who has been to therapy (and still goes sometimes!), I understand how important it is to feel seen, be listened to and understood. Therapy works best when you feel safe, understood, and comfortable opening up. Recognizing this, my approach consists of us getting to know one another and building trust. Once trust is built, we can dive deeper into the issues you want to address. Every client is unique and deserves individualized treatment tailored to fit their wants and needs. I will meet you where you are at, and we can go from there!
Hey there! Do you ever feel like no one understands what you are going through? As a therapist who has been to therapy (and still goes sometimes!), I understand how important it is to feel seen, be listened to and understood. Therapy works best when you feel safe, understood, and comfortable opening up. Recognizing this, my approach consists of us getting to know one another and building trust. Once trust is built, we can dive deeper into the issues you want to address. Every client is unique and deserves individualized treatment tailored to fit their wants and needs. I will meet you where you are at, and we can go from there!
(910) 812-5991 View (910) 812-5991
Circle of 8 Group Therapy Raleigh
Clinical Social Work/Therapist, LCSW
Verified Verified
Raleigh, NC 27607
Does your life lack joy, contentment, or peace? Do you feel less than active & powerful in your life? Are you falling short of your potential? Do you use distractions like binging shows, eating, shopping, watching porn . . . using drugs & alcohol, compulsive socializing, compulsive thinking . . . Do your activities or relationships lack depth or meaning? Do you lose yourself in work & staying busy? Are you carrying underlying pain? Are your emotions numb or over-reactive? Do you want better for yourself?
Does your life lack joy, contentment, or peace? Do you feel less than active & powerful in your life? Are you falling short of your potential? Do you use distractions like binging shows, eating, shopping, watching porn . . . using drugs & alcohol, compulsive socializing, compulsive thinking . . . Do your activities or relationships lack depth or meaning? Do you lose yourself in work & staying busy? Are you carrying underlying pain? Are your emotions numb or over-reactive? Do you want better for yourself?
(919) 670-5174 View (919) 670-5174
Photo of Jennifer M Hogan, Clinical Social Work/Therapist in Raleigh, NC
Jennifer M Hogan
Clinical Social Work/Therapist, LCSW
Verified Verified
1 Endorsed
Raleigh, NC 27609  (Online Only)
Not accepting new clients
Do you feel guilty if you say no to someone or ask for help with something? Do you feel like you're too much or too emotional? Do you want to stop dysfunctional family patterns and break generational trauma? Do you want to stop using coping skills that hurt you or your loved ones? If you answered yes to any of these, then you've come to the right spot. Together, we can discover the root causes behind your struggles with anger, anxiety, guilt, shame, depression, codependency, disorganized eating or low-self esteem. It only takes one person to break a cycle and together we can get you to where you want to be in your healing journey.
Do you feel guilty if you say no to someone or ask for help with something? Do you feel like you're too much or too emotional? Do you want to stop dysfunctional family patterns and break generational trauma? Do you want to stop using coping skills that hurt you or your loved ones? If you answered yes to any of these, then you've come to the right spot. Together, we can discover the root causes behind your struggles with anger, anxiety, guilt, shame, depression, codependency, disorganized eating or low-self esteem. It only takes one person to break a cycle and together we can get you to where you want to be in your healing journey.
(910) 335-2469 View (910) 335-2469
Photo of Amy Nussman, LCSW Associate in Raleigh, NC
Amy Nussman
LCSW Associate, LCSWA
Verified Verified
Raleigh, NC 27609
My goal as a therapist is to provide a safe space where you feel that you can be vulnerable and authentic, and receive support and authenticity in return. The difficulties that we face in life allow us opportunities to learn more about ourselves and our strengths, while also opening up our perspective.
My goal as a therapist is to provide a safe space where you feel that you can be vulnerable and authentic, and receive support and authenticity in return. The difficulties that we face in life allow us opportunities to learn more about ourselves and our strengths, while also opening up our perspective.
(919) 886-4052 View (919) 886-4052
Photo of Katherine McKoy, LCSW Associate in Raleigh, NC
Katherine McKoy
LCSW Associate
Verified Verified
Raleigh, NC 27614  (Online Only)
Life's full of twists and turns, right? Feeling overwhelmed? You're not alone—I'm here to help! Specializing in adult challenges like parental stress, anxiety, depression, and life transitions, I focus on supporting those with complex PTSD and breaking generational cycles. LGBTQIA+ and Kink-Polyam, Adult Entertainment folks, and lifestyles are welcomed. With a holistic approach, I blend evidence-based techniques like person-centered and CBT, tailored to you. Let's chat—therapy should feel like a safe space, a listening ear, and supportive counsel cheering you on.
Life's full of twists and turns, right? Feeling overwhelmed? You're not alone—I'm here to help! Specializing in adult challenges like parental stress, anxiety, depression, and life transitions, I focus on supporting those with complex PTSD and breaking generational cycles. LGBTQIA+ and Kink-Polyam, Adult Entertainment folks, and lifestyles are welcomed. With a holistic approach, I blend evidence-based techniques like person-centered and CBT, tailored to you. Let's chat—therapy should feel like a safe space, a listening ear, and supportive counsel cheering you on.
(984) 364-8114 View (984) 364-8114
Photo of Elizabeth Nicholaides, Clinical Social Work/Therapist in Raleigh, NC
Elizabeth Nicholaides
Clinical Social Work/Therapist, LCSW
Verified Verified
Raleigh, NC 27609
Elizabeth is an experienced clinician committed to empowering people to understand and experience their lives in a more satisfying way. She supports clients through a combined practical, cultural, spiritual and narrative approach. She strives to help people find meaning in their lives and increase the congruence between their value systems, behaviors, and life contexts.
Elizabeth is an experienced clinician committed to empowering people to understand and experience their lives in a more satisfying way. She supports clients through a combined practical, cultural, spiritual and narrative approach. She strives to help people find meaning in their lives and increase the congruence between their value systems, behaviors, and life contexts.
(919) 516-9084 View (919) 516-9084
Photo of Neal Gagnon, Licensed Clinical Mental Health Counselor in Raleigh, NC
Neal Gagnon
Licensed Clinical Mental Health Counselor, MEd, NCC, LCMHC
Verified Verified
1 Endorsed
Raleigh, NC 27607
My approach as a therapist is to provide you a safe, supportive, and confidential environment. I enjoy working with individuals struggling with relationship issues, anxiety, and stress, as well as couples who are in need of a 'relationship tune-up'. We"ll explore your issues, build on your strengths, and then develop new skills and strategies to help you enjoy your life with less stress and worry. This can mean short-term solution focused therapy sessions for immediate and pressing problems, or longer sessions - depending on what you want to accomplish.
My approach as a therapist is to provide you a safe, supportive, and confidential environment. I enjoy working with individuals struggling with relationship issues, anxiety, and stress, as well as couples who are in need of a 'relationship tune-up'. We"ll explore your issues, build on your strengths, and then develop new skills and strategies to help you enjoy your life with less stress and worry. This can mean short-term solution focused therapy sessions for immediate and pressing problems, or longer sessions - depending on what you want to accomplish.
(919) 439-9563 View (919) 439-9563
Photo of Rachel Porter, Psychologist in Raleigh, NC
Rachel Porter
Psychologist, PsyD
Verified Verified
1 Endorsed
Raleigh, NC 27601
Waitlist for new clients
Everyone needs help sometimes. The folks who are most likely to get that help in sessions with me are healing from any number of things- eating disorders, diet culture, trauma, or just the act of living through some truly unprecedented times and experiences. Clients always benefit the most from therapy when they are motivated to work on things important to them rather than something someone else has identified as a "problem," and working with me you'll find someone who will honor that. I have recently joined NC Therapy Professionals, a group that shares my values!
Everyone needs help sometimes. The folks who are most likely to get that help in sessions with me are healing from any number of things- eating disorders, diet culture, trauma, or just the act of living through some truly unprecedented times and experiences. Clients always benefit the most from therapy when they are motivated to work on things important to them rather than something someone else has identified as a "problem," and working with me you'll find someone who will honor that. I have recently joined NC Therapy Professionals, a group that shares my values!
(919) 626-3224 View (919) 626-3224
Photo of Cathy C Hedgepeth, Psychological Associate in Raleigh, NC
Cathy C Hedgepeth
Psychological Associate, MA, HSP, LPA
Verified Verified
Raleigh, NC 27609
Waitlist for new clients
In my part time private practice I offer counseling/therapy to adults, children, adolescents, and parents. My areas of special interest include anxiety, depression, and parent education. I enjoy working with adults who are dealing with life challenges, loss, and seeking personal growth. When seeing children or adolescents, I typically use a child centered approach with the opportunity for play therapy. I also have experience with CBT, EFT, and mindfulness. These techniques are helpful in treating individuals who are experiencing anxiety, regulation of attention and impulse control, and trauma.
In my part time private practice I offer counseling/therapy to adults, children, adolescents, and parents. My areas of special interest include anxiety, depression, and parent education. I enjoy working with adults who are dealing with life challenges, loss, and seeking personal growth. When seeing children or adolescents, I typically use a child centered approach with the opportunity for play therapy. I also have experience with CBT, EFT, and mindfulness. These techniques are helpful in treating individuals who are experiencing anxiety, regulation of attention and impulse control, and trauma.
(919) 289-0392 View (919) 289-0392
Photo of Candra Edwards, Clinical Social Work/Therapist in Raleigh, NC
Candra Edwards
Clinical Social Work/Therapist, LCSW
Verified Verified
Raleigh, NC 27601  (Online Only)
Candra Edwards is a Licensed Clinical Social Worker (LCSW) with more than 12 years of mental health experience. She is passionate about helping children, adolescents, adults, couples, and families identify, confront, and resolve unique challenges in order to live more fulfilling lives. Candra also works with women as they manage emotional challenges relative to pregnancy. She specializes in depression, anxiety, relationship issues, life transitions, peri/postpartum health, and grief/loss.
Candra Edwards is a Licensed Clinical Social Worker (LCSW) with more than 12 years of mental health experience. She is passionate about helping children, adolescents, adults, couples, and families identify, confront, and resolve unique challenges in order to live more fulfilling lives. Candra also works with women as they manage emotional challenges relative to pregnancy. She specializes in depression, anxiety, relationship issues, life transitions, peri/postpartum health, and grief/loss.
(984) 213-4898 View (984) 213-4898
Photo of Sydney Dreyer, Lic Clinical Mental Health Counselor Associate in Raleigh, NC
Sydney Dreyer
Lic Clinical Mental Health Counselor Associate, LCMHCA
Verified Verified
Raleigh, NC 27609
Sydney Dreyer is a Licensed Clinical Mental Health Counselor Associate in the state of North Carolina. She graduated from the University of North Carolina at Pembroke with her Master of Arts and Education in Clinical Mental Health Counseling in December of 2022. Sydney also received a Bachelor’s degree in Psychology and Criminology from Meredith College in 2018. Sydney has experience working with children, adolescents, young adults, and couples and enjoys counseling clients with anxiety, pregnancy/postpartum , depression, grief, trauma, and clients who are looking for coping skills.
Sydney Dreyer is a Licensed Clinical Mental Health Counselor Associate in the state of North Carolina. She graduated from the University of North Carolina at Pembroke with her Master of Arts and Education in Clinical Mental Health Counseling in December of 2022. Sydney also received a Bachelor’s degree in Psychology and Criminology from Meredith College in 2018. Sydney has experience working with children, adolescents, young adults, and couples and enjoys counseling clients with anxiety, pregnancy/postpartum , depression, grief, trauma, and clients who are looking for coping skills.
(919) 629-0940 View (919) 629-0940
Photo of Caitlin Paez, Counselor in Raleigh, NC
Caitlin Paez
Counselor, LCAS, LCMHC, CCS
Verified Verified
1 Endorsed
Raleigh, NC 27609
I have gained clinical experience with working alongside adults who would like to address concerns of mental health symptoms, family/relationship concerns, addiction, trauma, grief and overall life transitions.
I have gained clinical experience with working alongside adults who would like to address concerns of mental health symptoms, family/relationship concerns, addiction, trauma, grief and overall life transitions.
(984) 228-2655 View (984) 228-2655

How does your Therapist compare?

Number of Therapists in Raleigh, NC

2,000+

Average cost per session

$140

Therapists in Raleigh, NC who prioritize treating:

93% Anxiety
88% Depression
78% Self Esteem
76% Relationship Issues
74% Coping Skills
73% Stress
66% Life Transitions

Average years in practice

10 Years

Top 3 insurances accepted

85% BlueCross and BlueShield
72% Aetna
55% Cigna and Evernorth

How Therapists in Raleigh, NC see their clients

60% In Person and Online
40% Online Only

Gender breakdown

84% Female
15% Male
1% Non-Binary
FAQs - About Therapy and Counseling

How can I find a therapist in Raleigh?

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.