Therapists in Cary, NC

Photo of Shannon R Brennan, Licensed Clinical Mental Health Counselor in Cary, NC
Shannon R Brennan
Licensed Clinical Mental Health Counselor, MS, LCMHC, LADC, NCC
Verified Verified
Cary, NC 27511
I have been a board-certified therapist since 2011 and am licensed to practice in North Carolina (in person & virtually- current immediate openings - BCBS/Aetna/Cigna/Self Pay) and Vermont (virtually - current immediate openings - Medicaid/Self Pay) . Most clients come to me with a variety of concerns related to Trauma and PTSD, anxiety, depression, addiction / substance use, divorce, grief, stress, self-esteem, relational / relationship issues, or life transitions. I work with adults (18+), my primary therapeutic tools are EMDR and CBT, and I like to curate therapy to the individual client and moment they are dealing with.
I have been a board-certified therapist since 2011 and am licensed to practice in North Carolina (in person & virtually- current immediate openings - BCBS/Aetna/Cigna/Self Pay) and Vermont (virtually - current immediate openings - Medicaid/Self Pay) . Most clients come to me with a variety of concerns related to Trauma and PTSD, anxiety, depression, addiction / substance use, divorce, grief, stress, self-esteem, relational / relationship issues, or life transitions. I work with adults (18+), my primary therapeutic tools are EMDR and CBT, and I like to curate therapy to the individual client and moment they are dealing with.
(984) 265-2281 View (984) 265-2281
Photo of Duncan Bordeaux, Clinical Social Work/Therapist in Cary, NC
Duncan Bordeaux
Clinical Social Work/Therapist, LCSWA
Verified Verified
1 Endorsed
Cary, NC 27511
I work with young people, adolescents, adults, and families of all configurations, with a special focus on the LGBTQIA+ community. I have experience working with clients from a wide range of cultural and socio-economic backgrounds as well a passion for creating safe and healthy spaces for people to explore themselves and their relationships.
I work with young people, adolescents, adults, and families of all configurations, with a special focus on the LGBTQIA+ community. I have experience working with clients from a wide range of cultural and socio-economic backgrounds as well a passion for creating safe and healthy spaces for people to explore themselves and their relationships.
(984) 223-5194 View (984) 223-5194
Photo of Natasha Corley, Clinical Social Work/Therapist in Cary, NC
Natasha Corley
Clinical Social Work/Therapist, LCSW
Verified Verified
1 Endorsed
Cary, NC 27519
I am a licensed clinical social worker with 20 years of experience. I specialize in children, teenagers, young adults, and families. I understand the trust parents place in me and I take that responsibility seriously. I use humor and games to help kids feel more comfortable. I enjoy helping clients navigate the challenges in their lives. I believe in a person-centered approach and will tailor your treatment plan to meet your unique needs and goals.
I am a licensed clinical social worker with 20 years of experience. I specialize in children, teenagers, young adults, and families. I understand the trust parents place in me and I take that responsibility seriously. I use humor and games to help kids feel more comfortable. I enjoy helping clients navigate the challenges in their lives. I believe in a person-centered approach and will tailor your treatment plan to meet your unique needs and goals.
(984) 206-3211 View (984) 206-3211
Photo of Triangle Wellness and Recovery PLLC in Cary, NC
Triangle Wellness and Recovery PLLC
Verified Verified
Cary, NC 27513
Our team takes an integrative, cross-disciplinary approach to whole-person wellness and recovery. The clients we work with struggle with a broad range of physical and mental health symptoms and conditions including anxiety and mood disorders, depression and bipolar depression, trauma and PTSD, insomnia, chronic pain, substance or alcohol abuse, compulsive behaviors, ADHD, and autism spectrum disorders. We tailor your treatment plan to start where you are right now and help you build a meaningful, satisfying life that is unique to your personal goals and desires.
Our team takes an integrative, cross-disciplinary approach to whole-person wellness and recovery. The clients we work with struggle with a broad range of physical and mental health symptoms and conditions including anxiety and mood disorders, depression and bipolar depression, trauma and PTSD, insomnia, chronic pain, substance or alcohol abuse, compulsive behaviors, ADHD, and autism spectrum disorders. We tailor your treatment plan to start where you are right now and help you build a meaningful, satisfying life that is unique to your personal goals and desires.
(984) 205-8011 View (984) 205-8011
Photo of Rebecca Meyer, Marriage & Family Therapist in Cary, NC
Rebecca Meyer
Marriage & Family Therapist, MA, LMFT
Verified Verified
1 Endorsed
Cary, NC 27511
Sometimes in our lives we are bogged down by our fears, insecurities, and the pressure we dish out for ourselves. I would love to come along side you in your journey towards becoming more connected, bettering your relationships, and feeling like a weight has been lifted from your body. I conceptualize therapy through an attachment lens. We all come from early experiences that have shaped us into the people we are. These experiences should be acknowledged and understood.
Sometimes in our lives we are bogged down by our fears, insecurities, and the pressure we dish out for ourselves. I would love to come along side you in your journey towards becoming more connected, bettering your relationships, and feeling like a weight has been lifted from your body. I conceptualize therapy through an attachment lens. We all come from early experiences that have shaped us into the people we are. These experiences should be acknowledged and understood.
(984) 223-5606 View (984) 223-5606
Photo of Roy Etheridge, Psychologist in Cary, NC
Roy Etheridge
Psychologist, PhD
Verified Verified
Cary, NC 27518
I specialize in clinical and forensic psychological testing and evaluation with adults and offer evidence-based assessment, diagnosis, and treatment recommendations. My interpersonal style is direct, pragmatic, and spiritual, and I subscribe to the idea that our thoughts drive our reality. My therapy style is compassionate, yet reality-based and focused on helping you identify the themes that are weighing you down and to offer learning strategies toward a change of mind and a change in your reality.
I specialize in clinical and forensic psychological testing and evaluation with adults and offer evidence-based assessment, diagnosis, and treatment recommendations. My interpersonal style is direct, pragmatic, and spiritual, and I subscribe to the idea that our thoughts drive our reality. My therapy style is compassionate, yet reality-based and focused on helping you identify the themes that are weighing you down and to offer learning strategies toward a change of mind and a change in your reality.
(919) 648-0451 View (919) 648-0451
Photo of Mary Key, Clinical Social Work/Therapist in Cary, NC
Mary Key
Clinical Social Work/Therapist, LCSW, LCAS
Verified Verified
Cary, NC 27511
I am a Licensed Clinical Social Worker and a Licensed Clinical Addictions Specialist with 19 years of experience providing mental health and substance abuse counseling. I specialize in: helping individuals with problem substance use learn how to live a life in recovery. I work with individuals helping to navigate family and friend relationships as well as emotional struggles. I work with adults to problem solve career and relationship difficulties.
I am a Licensed Clinical Social Worker and a Licensed Clinical Addictions Specialist with 19 years of experience providing mental health and substance abuse counseling. I specialize in: helping individuals with problem substance use learn how to live a life in recovery. I work with individuals helping to navigate family and friend relationships as well as emotional struggles. I work with adults to problem solve career and relationship difficulties.
(919) 533-4509 View (919) 533-4509
Photo of Connie Connelly, Counselor in Cary, NC
Connie Connelly
Counselor, MEd, LCMHC
Verified Verified
2 Endorsed
Cary, NC 27511
I commend you for taking this step. Embarking on a therapeutic journey takes courage, and together, we'll create a nurturing environment where you can explore, develop coping strategies, and unlock your inner strength. My goal is to guide you towards a place of resilience, balance, and lasting happiness.
I commend you for taking this step. Embarking on a therapeutic journey takes courage, and together, we'll create a nurturing environment where you can explore, develop coping strategies, and unlock your inner strength. My goal is to guide you towards a place of resilience, balance, and lasting happiness.
(984) 203-7548 View (984) 203-7548
Photo of Jay Cook, Counselor in Cary, NC
Jay Cook
Counselor, LCMHCA
Verified Verified
Cary, NC 27511
Having a hard time with life’s hurts? Getting stuck in a cycle or hung up and can’t seem to get past something? Sometimes it feels like it’s all you can do to survive, and when that happens you don’t feel like you have the ability to deal with the deeper issues that are leading to your struggles. Counseling is a place where you can carve out that time to do the work that will change your life in deep and long lasting ways. I understand that reaching out for counseling can be a difficult and vulnerable step, and so I'm committed to creating a safe and supportive space for my clients to explore their thoughts and emotions.
Having a hard time with life’s hurts? Getting stuck in a cycle or hung up and can’t seem to get past something? Sometimes it feels like it’s all you can do to survive, and when that happens you don’t feel like you have the ability to deal with the deeper issues that are leading to your struggles. Counseling is a place where you can carve out that time to do the work that will change your life in deep and long lasting ways. I understand that reaching out for counseling can be a difficult and vulnerable step, and so I'm committed to creating a safe and supportive space for my clients to explore their thoughts and emotions.
(984) 409-7363 View (984) 409-7363
Photo of Carolyn O Lee, Clinical Social Work/Therapist in Cary, NC
Carolyn O Lee
Clinical Social Work/Therapist, MSW, LCSW
Verified Verified
Cary, NC 27518
Not accepting new clients
I specialize in trauma and have over 25 years of experience working with PTSD, eating disorders, self-injury, and personality disorders. I also focus on women's mental health needs, particularly postpartum depression, infertility, and body image issues. I am ecletic in my approach, using psychodynamic principles, sensorimotor approaches, and DBT skills.
I specialize in trauma and have over 25 years of experience working with PTSD, eating disorders, self-injury, and personality disorders. I also focus on women's mental health needs, particularly postpartum depression, infertility, and body image issues. I am ecletic in my approach, using psychodynamic principles, sensorimotor approaches, and DBT skills.
(919) 666-2363 View (919) 666-2363
Photo of Mary Brown, Clinical Social Work/Therapist in Cary, NC
Mary Brown
Clinical Social Work/Therapist, MSW, LCSW
Verified Verified
1 Endorsed
Cary, NC 27511
I provide trauma-informed therapy to adolescents and adults, who are experiencing grief, anxiety, depression, as well as identity struggles due to life transitions. I particularly enjoy working with individuals of the BIPOC community. I have experience utilizing CBT, DBT, psychodynamic and motivational interviewing as treatment modalities. My approach is primarily focused on building a genuine and mutually respectful therapeutic relationship with my clients. I am intentional in creating a space that is warm, inviting, and safe for them to explore all of their thoughts and feelings.
I provide trauma-informed therapy to adolescents and adults, who are experiencing grief, anxiety, depression, as well as identity struggles due to life transitions. I particularly enjoy working with individuals of the BIPOC community. I have experience utilizing CBT, DBT, psychodynamic and motivational interviewing as treatment modalities. My approach is primarily focused on building a genuine and mutually respectful therapeutic relationship with my clients. I am intentional in creating a space that is warm, inviting, and safe for them to explore all of their thoughts and feelings.
(919) 244-2975 View (919) 244-2975
Photo of Liana Nelson Peterson, Licensed Professional Counselor in Cary, NC
Liana Nelson Peterson
Licensed Professional Counselor, LCMHC
Verified Verified
Cary, NC 27511  (Online Only)
Liana K. Nelson-Peterson is a Licensed Clinical Mental Health Clinician with 20 years of experience in mental health. Liana started her career with the intention of dedicating herself to inspire more people of color to feel free and empowered to seek therapy without fearing rejection within their community. Liana initially started her career as a Family Support Case manager with the Missouri Division of Social Services. Liana continues to work with individuals—young and seasoned—families, and couples to help build connections by teaching and educating the dynamics of grief, complicated grief, levels of intimacy and attachment.
Liana K. Nelson-Peterson is a Licensed Clinical Mental Health Clinician with 20 years of experience in mental health. Liana started her career with the intention of dedicating herself to inspire more people of color to feel free and empowered to seek therapy without fearing rejection within their community. Liana initially started her career as a Family Support Case manager with the Missouri Division of Social Services. Liana continues to work with individuals—young and seasoned—families, and couples to help build connections by teaching and educating the dynamics of grief, complicated grief, levels of intimacy and attachment.
(919) 736-6484 View (919) 736-6484
Photo of David Blake, Lic Clinical Mental Health Counselor Associate in Cary, NC
David Blake
Lic Clinical Mental Health Counselor Associate, LCMHCA, MBA, NCC
Verified Verified
Cary, NC 27518
Welcome to a Place of Growth and Healing. I am a compassionate therapist dedicated to helping you navigate life's challenges with a sense of hope and resilience. In therapy, my approach is person-centered and integrative, meaning I adapt to what you uniquely need. I draw from cognitive-behavioral therapy (CBT), dialectical behavior therapy (DBT), and mindfulness techniques to help you build practical skills for managing stress, anxiety, and depression. My goal is to create a safe and non-judgmental space where you can explore your thoughts and feelings and develop strategies for personal growth and fulfillment.
Welcome to a Place of Growth and Healing. I am a compassionate therapist dedicated to helping you navigate life's challenges with a sense of hope and resilience. In therapy, my approach is person-centered and integrative, meaning I adapt to what you uniquely need. I draw from cognitive-behavioral therapy (CBT), dialectical behavior therapy (DBT), and mindfulness techniques to help you build practical skills for managing stress, anxiety, and depression. My goal is to create a safe and non-judgmental space where you can explore your thoughts and feelings and develop strategies for personal growth and fulfillment.
(984) 464-7382 View (984) 464-7382
Photo of Tony Harris, LCSW Associate in Cary, NC
Tony Harris
LCSW Associate , LCSW-A
Verified Verified
Cary, NC 27511
Tony is a Licensed Clinical Social Worker- Associate in North Carolina with some years of experience working with individuals and couples. Tony received his Master of Social Work (MSW) in 2012 from East Carolina University. Tony has experience working with children, adolescents, and adults. Drawing from a diverse array of educational, career and life experiences, Tony is trained in the use of Cognitive-Behavior Therapy, Family Systems Theory, and Dialectical Behavior Therapy to support the individual from a holistic approach.
Tony is a Licensed Clinical Social Worker- Associate in North Carolina with some years of experience working with individuals and couples. Tony received his Master of Social Work (MSW) in 2012 from East Carolina University. Tony has experience working with children, adolescents, and adults. Drawing from a diverse array of educational, career and life experiences, Tony is trained in the use of Cognitive-Behavior Therapy, Family Systems Theory, and Dialectical Behavior Therapy to support the individual from a holistic approach.
(984) 231-7333 View (984) 231-7333
Photo of Kymmalett Ross, Pre-Licensed Professional in Cary, NC
Kymmalett Ross
Pre-Licensed Professional, PhD
Verified Verified
1 Endorsed
Cary, NC 27513
I live by the motto “I can and I will watch me” and I apply this mindset when working with clients to be their best selves. I enjoy providing treatment to children, teenagers, adults, couples, and families and strive to build an effective therapeutic relationship that develops life-long skills enhancing an individual's strengths to adjust to life in today's society. My approach is to provide a safe space and help others achieve fulfillment and happiness through believing that regardless of what life has thrown their way, they can persevere through it.
I live by the motto “I can and I will watch me” and I apply this mindset when working with clients to be their best selves. I enjoy providing treatment to children, teenagers, adults, couples, and families and strive to build an effective therapeutic relationship that develops life-long skills enhancing an individual's strengths to adjust to life in today's society. My approach is to provide a safe space and help others achieve fulfillment and happiness through believing that regardless of what life has thrown their way, they can persevere through it.
(984) 689-1899 View (984) 689-1899
Photo of Barbara W. Pherribo, LCMHC, Licensed Clinical Mental Health Counselor in Cary, NC
Barbara W. Pherribo, LCMHC
Licensed Clinical Mental Health Counselor, LCMHC, NCC
Verified Verified
Cary, NC 27511
Are you currently experiencing separation, divorce or the ending of a relationship? I specialize in helping people navigate challenging life transitions, working through difficult emotions and taking steps to move forward. I work with individuals on changing behavioral patterns that are causing distress. My goal is to develop a supportive therapeutic relationship to work collaboratively towards your goals. My expertise includes working with anxiety, depression, self worth and family/relationship issues. Working together, through the therapeutic process, we will transform current challenges into opportunities for growth and learning.
Are you currently experiencing separation, divorce or the ending of a relationship? I specialize in helping people navigate challenging life transitions, working through difficult emotions and taking steps to move forward. I work with individuals on changing behavioral patterns that are causing distress. My goal is to develop a supportive therapeutic relationship to work collaboratively towards your goals. My expertise includes working with anxiety, depression, self worth and family/relationship issues. Working together, through the therapeutic process, we will transform current challenges into opportunities for growth and learning.
(919) 429-7461 View (919) 429-7461
Photo of Erin Lewis Ballard, Marriage & Family Therapist in Cary, NC
Erin Lewis Ballard
Marriage & Family Therapist, LMFT
Verified Verified
10 Endorsed
Cary, NC 27511
I am a Licensed Marriage and Family Therapist (LMFT) who offers two-day therapy intensives for couples and families. Do you feel like your relationship is falling apart? Is your family in crisis? Do the issues impacting your relationship have a strong sense of urgency? I'm here to help! With specializations in working with infidelity repair and high conflict couples, our two-day intensives allow us to "dive deep, get momentum, and foster a new direction!"
I am a Licensed Marriage and Family Therapist (LMFT) who offers two-day therapy intensives for couples and families. Do you feel like your relationship is falling apart? Is your family in crisis? Do the issues impacting your relationship have a strong sense of urgency? I'm here to help! With specializations in working with infidelity repair and high conflict couples, our two-day intensives allow us to "dive deep, get momentum, and foster a new direction!"
(919) 585-4189 View (919) 585-4189
Photo of Jennifer Ho - Psychologist, Psychologist in Cary, NC
Jennifer Ho - Psychologist
Psychologist, PsyD
Verified Verified
1 Endorsed
Cary, NC 27513  (Online Only)
Not accepting new clients
Do you feel stuck, overwhelmed, or just curious about yourself? Perhaps you are caught in situations beyond your control while juggling work, relationships, or caring for loved ones. At whatever stage you are in life, my goal is to help you find greater clarity, cope, and ultimately thrive in the face of life's challenges.
Do you feel stuck, overwhelmed, or just curious about yourself? Perhaps you are caught in situations beyond your control while juggling work, relationships, or caring for loved ones. At whatever stage you are in life, my goal is to help you find greater clarity, cope, and ultimately thrive in the face of life's challenges.
(919) 372-4566 View (919) 372-4566
Photo of Amanda Novachek, Counselor in Cary, NC
Amanda Novachek
Counselor, LCMHCA
Verified Verified
Cary, NC 27518
Amanda Novachek is a Licensed Clinical Mental Health Counselor Associate in North Carolina who has been in the mental health field since 2017. She has a Bachelor's Degree in Psychology and a graduate degree in Clinical Rehabilitation and Mental Health Counseling from the University of North Carolina at Chapel Hill. Amanda has the ability to see a situation from various points of view: a grieving person, a neurodivergent, a business owner, a daughter, a person seeking therapy, a student, a significant other, a friend, etc.
Amanda Novachek is a Licensed Clinical Mental Health Counselor Associate in North Carolina who has been in the mental health field since 2017. She has a Bachelor's Degree in Psychology and a graduate degree in Clinical Rehabilitation and Mental Health Counseling from the University of North Carolina at Chapel Hill. Amanda has the ability to see a situation from various points of view: a grieving person, a neurodivergent, a business owner, a daughter, a person seeking therapy, a student, a significant other, a friend, etc.
(984) 223-9592 View (984) 223-9592
Photo of CRAFT Counseling & Consultation Services, PLLC, Clinical Social Work/Therapist in Cary, NC
CRAFT Counseling & Consultation Services, PLLC
Clinical Social Work/Therapist, MSW, LCSW
Verified Verified
Cary, NC 27511
Waitlist for new clients
"Healing is not the absence of the storm. Healing is the way we ride it." In life, each of us may face storms that test our resilience and spirit. Whether you come from a diverse background or any other, these challenges can feel overwhelming and isolating. Finding a haven of understanding and support is essential - You are not meant to navigate this journey alone. As a dedicated LCSW with over 9 years of expertise, I've been privileged to support individuals through their most challenging times - be it depression, anxiety, grief, chronic pain/illness, or life transitions.
"Healing is not the absence of the storm. Healing is the way we ride it." In life, each of us may face storms that test our resilience and spirit. Whether you come from a diverse background or any other, these challenges can feel overwhelming and isolating. Finding a haven of understanding and support is essential - You are not meant to navigate this journey alone. As a dedicated LCSW with over 9 years of expertise, I've been privileged to support individuals through their most challenging times - be it depression, anxiety, grief, chronic pain/illness, or life transitions.
(919) 849-3364 View (919) 849-3364

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% Self Esteem
77% Relationship Issues
72% Coping Skills
70% Stress
63% Life Transitions

Average years in practice

11 Years

Top 3 insurances accepted

83% BlueCross and BlueShield
73% Aetna
54% 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.