Therapists in Chapel Hill, NC

Photo of Jonora Jones, Licensed Clinical Mental Health Counselor in Chapel Hill, NC
Jonora Jones
Licensed Clinical Mental Health Counselor, LCMHC, LPC, NCC
Verified Verified
Chapel Hill, NC 27514
Is your past getting in the way of creating a better future? I’m a potential sherpa on your therapy journey. You are the expert on your life! My work is to teach, ask the right questions, and probe so that your wisdom becomes accessible to you. My trauma- and mindfulness-informed, culturally responsive approach to counseling is primarily based upon CBT, EMDR, Somatic Therapy, DBT. I am an EMDR Certified (EMDRIA) therapist. I work with adults with diagnoses such as post-traumatic stress disorder, bipolar disorder, depression, and anxiety, among others. I work with clients from various backgrounds, including BIPOC and LGBTQ+.
Is your past getting in the way of creating a better future? I’m a potential sherpa on your therapy journey. You are the expert on your life! My work is to teach, ask the right questions, and probe so that your wisdom becomes accessible to you. My trauma- and mindfulness-informed, culturally responsive approach to counseling is primarily based upon CBT, EMDR, Somatic Therapy, DBT. I am an EMDR Certified (EMDRIA) therapist. I work with adults with diagnoses such as post-traumatic stress disorder, bipolar disorder, depression, and anxiety, among others. I work with clients from various backgrounds, including BIPOC and LGBTQ+.
(919) 582-5838 View (919) 582-5838
Photo of Lysandra Penn-Bartoo, Clinical Social Work/Therapist in Chapel Hill, NC
Lysandra Penn-Bartoo
Clinical Social Work/Therapist, MSW, LCSW
Verified Verified
1 Endorsed
Chapel Hill, NC 27514
Waitlist for new clients
Whether you're going through a difficult time at this moment or if you've been feeling this way for awhile, I can offer support and positive coping mechanisms for the stressors you're experiencing. I empower clients to have the capability to use self-compassion and combat damaging thinking and behavioral patterns using evidence-based therapeutic modalities. Every client is unique and I like to employ an individualized, emotionally-centered approach that implements humor, support, and warmth. 
Whether you're going through a difficult time at this moment or if you've been feeling this way for awhile, I can offer support and positive coping mechanisms for the stressors you're experiencing. I empower clients to have the capability to use self-compassion and combat damaging thinking and behavioral patterns using evidence-based therapeutic modalities. Every client is unique and I like to employ an individualized, emotionally-centered approach that implements humor, support, and warmth. 
(336) 203-6822 View (336) 203-6822
Photo of Diane R Dolan-Soto, Clinical Social Work/Therapist in Chapel Hill, NC
Diane R Dolan-Soto
Clinical Social Work/Therapist, MSW, LCSW
Verified Verified
Chapel Hill, NC 27514
I can help you move beyond daily stress, worry, depression, anxiety or trauma to enjoy life, to nurture yourself and your goals. I provide solution focused, strength based, cognitive behavioral, insight oriented, mindfulness and mind body stress reduction skill approaches. CALL for counseling.
I can help you move beyond daily stress, worry, depression, anxiety or trauma to enjoy life, to nurture yourself and your goals. I provide solution focused, strength based, cognitive behavioral, insight oriented, mindfulness and mind body stress reduction skill approaches. CALL for counseling.
(919) 335-5155 View (919) 335-5155
Photo of Troy Lantz, Clinical Social Work/Therapist in Chapel Hill, NC
Troy Lantz
Clinical Social Work/Therapist, MSW, LCSW
Verified Verified
Chapel Hill, NC 27514
Most people with anxiety or depression don’t realize how their negative self-talk keeps them down and actually deepens their anxiety or depression. After working with me, my clients identify and reverse the effects of their negative self-talk, start feeling energized and motivated to do the things they used to enjoy, and are able to experience the simple joys of being alive again.
Most people with anxiety or depression don’t realize how their negative self-talk keeps them down and actually deepens their anxiety or depression. After working with me, my clients identify and reverse the effects of their negative self-talk, start feeling energized and motivated to do the things they used to enjoy, and are able to experience the simple joys of being alive again.
(919) 336-2912 View (919) 336-2912
Photo of Kelty-Brooke Bailey, Licensed Professional Counselor in Chapel Hill, NC
Kelty-Brooke Bailey
Licensed Professional Counselor, MS, LCMHC
Verified Verified
Chapel Hill, NC 27514
I am a Licensed Clinical Mental Health Counselor serving clients in the Triangle Area of North Carolina. My practice is focused on work with adult women throughout the lifespan. I offer psychotherapy services and comprehensive clinical consultations and assessments. My approach to psychotherapy combines practical, solution focused work with warmth, compassion, and humor. I provide a safe and supportive environment where we can work together. I offer you my observations and thoughts and encourage you to be an active participant in clarifying concerns, setting goals, and evaluating progress.
I am a Licensed Clinical Mental Health Counselor serving clients in the Triangle Area of North Carolina. My practice is focused on work with adult women throughout the lifespan. I offer psychotherapy services and comprehensive clinical consultations and assessments. My approach to psychotherapy combines practical, solution focused work with warmth, compassion, and humor. I provide a safe and supportive environment where we can work together. I offer you my observations and thoughts and encourage you to be an active participant in clarifying concerns, setting goals, and evaluating progress.
(984) 355-8447 View (984) 355-8447
Photo of Alex Nebel, Counselor in Chapel Hill, NC
Alex Nebel
Counselor, MAT, LCMHCA, CRC
Verified Verified
3 Endorsed
Chapel Hill, NC 27514
Hi! I'm glad you're here. My intention is to support you on your wellness and healing journey. I believe YOU are the expert and know yourself best. I will meet you where you are on your healing journey and I tailor sessions to the uniqueness of the individual. I aim to encourage and empower you to explore your authentic self.
Hi! I'm glad you're here. My intention is to support you on your wellness and healing journey. I believe YOU are the expert and know yourself best. I will meet you where you are on your healing journey and I tailor sessions to the uniqueness of the individual. I aim to encourage and empower you to explore your authentic self.
(984) 230-9208 View (984) 230-9208
Photo of Erin Dey, Clinical Social Work/Therapist in Chapel Hill, NC
Erin Dey
Clinical Social Work/Therapist, LCSW
Verified Verified
Chapel Hill, NC 27516
Hi there! My name is Erin Dey and I am a licensed clinical social worker located in Chapel Hill, North Carolina. I have a masters’ degree from Columbia University, and I specialize in helping clients successfully navigate challenging life transitions. I work with individuals of all ages, families, couples, and groups both in person as well as online.
Hi there! My name is Erin Dey and I am a licensed clinical social worker located in Chapel Hill, North Carolina. I have a masters’ degree from Columbia University, and I specialize in helping clients successfully navigate challenging life transitions. I work with individuals of all ages, families, couples, and groups both in person as well as online.
(980) 372-3559 View (980) 372-3559
Photo of Hannah Cartner Lavasque, Counselor in Chapel Hill, NC
Hannah Cartner Lavasque
Counselor, MA, LCMHC, ATR-BC
Verified Verified
2 Endorsed
Chapel Hill, NC 27514
Hannah has experience partnering with individuals managing mood disorders, intellectual and developmental disabilities, trauma, difficult life experiences and changes, and stress-related conditions. She has training in trauma work, art therapy, mindfulness and a specialty in working with the blind and visually impaired.Hannah is a licensed counselor and a board-certified art therapist. She believes in a holistic and person-centered approach to therapy. Her training in both art therapy and talk therapy provide a unique lens to processing life experiences. She enjoys working with individuals of all ages, backgrounds, and identities.
Hannah has experience partnering with individuals managing mood disorders, intellectual and developmental disabilities, trauma, difficult life experiences and changes, and stress-related conditions. She has training in trauma work, art therapy, mindfulness and a specialty in working with the blind and visually impaired.Hannah is a licensed counselor and a board-certified art therapist. She believes in a holistic and person-centered approach to therapy. Her training in both art therapy and talk therapy provide a unique lens to processing life experiences. She enjoys working with individuals of all ages, backgrounds, and identities.
(984) 300-3292 View (984) 300-3292
Photo of Sherise Swensen, Clinical Social Work/Therapist in Chapel Hill, NC
Sherise Swensen
Clinical Social Work/Therapist, MSW, LCSW
Verified Verified
Chapel Hill, NC 27516
Waitlist for new clients
Sherise Swensen, MSW, LCSW believes in authenticity and living life in accordance with one’s own values. She has experience and interest in working with a variety of client experiences, including mood and anxiety disorders, eating disorders, life transitions, and grief.
Sherise Swensen, MSW, LCSW believes in authenticity and living life in accordance with one’s own values. She has experience and interest in working with a variety of client experiences, including mood and anxiety disorders, eating disorders, life transitions, and grief.
(984) 207-5995 x4 View (984) 207-5995 x4
Photo of Kate Ammerman, Lic Clinical Mental Health Counselor Associate in Chapel Hill, NC
Kate Ammerman
Lic Clinical Mental Health Counselor Associate, MS, LCMHC-A
Verified Verified
1 Endorsed
Chapel Hill, NC 27517
Hi, my name is Kate! I am a child and adolescent mental health therapist specialized in developmental and psychiatric disabilities. I work from a trauma-informed approach that combines various modalities including child-centered play therapy, person centered therapy, cognitive behavioral therapy, and motivational interviewing. My primary focus is providing individual psychotherapy to children, teens, and college students. I am also available for parent consultations where I collaborate with caregivers to identify parenting solutions most suitable and beneficial for each family.
Hi, my name is Kate! I am a child and adolescent mental health therapist specialized in developmental and psychiatric disabilities. I work from a trauma-informed approach that combines various modalities including child-centered play therapy, person centered therapy, cognitive behavioral therapy, and motivational interviewing. My primary focus is providing individual psychotherapy to children, teens, and college students. I am also available for parent consultations where I collaborate with caregivers to identify parenting solutions most suitable and beneficial for each family.
(919) 918-0335 x7005 View (919) 918-0335 x7005
Photo of Kelly J Kreger, Clinical Social Work/Therapist in Chapel Hill, NC
Kelly J Kreger
Clinical Social Work/Therapist, LCSW, LMSW
Verified Verified
Chapel Hill, NC 27516  (Online Only)
**I currently only can accept private pay (no insurances) and I only offer tele-therapy sessions (not in-person).** It can be difficult to find a good fit with a therapist. But this is most important, since our therapeutic relationship is key to creating the best environment in which you can explore issues and achieve your goals, whatever they may be. I enjoy a relaxed style, and facilitate a warm and safe environment for you to express yourself. I enjoy working with social or generalized anxiety, shyness, self-esteem, grief, family, and relationship issues.
**I currently only can accept private pay (no insurances) and I only offer tele-therapy sessions (not in-person).** It can be difficult to find a good fit with a therapist. But this is most important, since our therapeutic relationship is key to creating the best environment in which you can explore issues and achieve your goals, whatever they may be. I enjoy a relaxed style, and facilitate a warm and safe environment for you to express yourself. I enjoy working with social or generalized anxiety, shyness, self-esteem, grief, family, and relationship issues.
(734) 259-4591 View (734) 259-4591
Photo of Zakiya Futrell, Licensed Clinical Mental Health Counselor in Chapel Hill, NC
Zakiya Futrell
Licensed Clinical Mental Health Counselor, MEd, LCMHC, NCC
Verified Verified
2 Endorsed
Chapel Hill, NC 27514
ACCEPTING NEW CLIENTS!!! Hello. My name is Zakiya Futrell and I am excited to become a part of your journey. My primary goal as your counselor is to ensure that as my client you feel safe, comfortable, and empowered. I work with late teens, young adults, and older adults utilizing person-centered, cognitive behavioral therapy, dialectical behavioral therapy, and mindfulness-based approaches within my counseling practice.
ACCEPTING NEW CLIENTS!!! Hello. My name is Zakiya Futrell and I am excited to become a part of your journey. My primary goal as your counselor is to ensure that as my client you feel safe, comfortable, and empowered. I work with late teens, young adults, and older adults utilizing person-centered, cognitive behavioral therapy, dialectical behavioral therapy, and mindfulness-based approaches within my counseling practice.
(919) 948-1335 View (919) 948-1335
Photo of Sylvia Ward Graves, Counselor in Chapel Hill, NC
Sylvia Ward Graves
Counselor, MA, LCMHCA
Verified Verified
1 Endorsed
Chapel Hill, NC 27514  (Online Only)
I approach counseling with the belief that I encounter every client in the middle of a story. Within these stories, individuals are influenced by their relational contexts and histories––therefore, what they have been through is worth exploring. At the same time, I believe all are active agents in their present and future––I seek to empower clients toward change while fostering awareness of what has shaped them. In the context of safety, individuals are able to begin embracing agency and taking new risks which might otherwise feel inaccessible or overwhelming. Through these new risks, freedom and growth is possible.
I approach counseling with the belief that I encounter every client in the middle of a story. Within these stories, individuals are influenced by their relational contexts and histories––therefore, what they have been through is worth exploring. At the same time, I believe all are active agents in their present and future––I seek to empower clients toward change while fostering awareness of what has shaped them. In the context of safety, individuals are able to begin embracing agency and taking new risks which might otherwise feel inaccessible or overwhelming. Through these new risks, freedom and growth is possible.
(919) 873-4564 View (919) 873-4564
Photo of Lauren J Barker, Marriage & Family Therapist in Chapel Hill, NC
Lauren J Barker
Marriage & Family Therapist, MS, LMFT
Verified Verified
2 Endorsed
Chapel Hill, NC 27516  (Online Only)
Currently accepting new, virtual clients in NC and CA. Welcome! I'm so glad you are making steps to get the support you deserve. Whether you're struggling with anxiety, depression, body image, substance use, self esteem, eating disorders, or stuck in a cycle that's no longer serving you, I can offer a space to explore and create a path toward your goals.
Currently accepting new, virtual clients in NC and CA. Welcome! I'm so glad you are making steps to get the support you deserve. Whether you're struggling with anxiety, depression, body image, substance use, self esteem, eating disorders, or stuck in a cycle that's no longer serving you, I can offer a space to explore and create a path toward your goals.
(984) 231-9770 View (984) 231-9770
Photo of Jeanne Steffen, Psychologist in Chapel Hill, NC
Jeanne Steffen
Psychologist, PhD
Verified Verified
Chapel Hill, NC 27517  (Online Only)
I moved to North Carolina from the Northwest in 2018 and am considered a true generalist. This means I have over 10,000 hours of experience helping children, adolescents, and adults with the myriad concerns that bring them to therapy (see the specialty list below): however, my areas of expertise are in trauma, anxiety, improving interpersonal relationship dynamics, and performance improvement. I enjoy working with health care professionals, athletes, and professors/teachers working toward tenure. I have a certain number of spots in my schedule reserved for NC State Health Plan insured folks and currently have two open spots.
I moved to North Carolina from the Northwest in 2018 and am considered a true generalist. This means I have over 10,000 hours of experience helping children, adolescents, and adults with the myriad concerns that bring them to therapy (see the specialty list below): however, my areas of expertise are in trauma, anxiety, improving interpersonal relationship dynamics, and performance improvement. I enjoy working with health care professionals, athletes, and professors/teachers working toward tenure. I have a certain number of spots in my schedule reserved for NC State Health Plan insured folks and currently have two open spots.
(919) 443-6512 View (919) 443-6512
Photo of Jason Roberts, Marriage & Family Therapist in Chapel Hill, NC
Jason Roberts
Marriage & Family Therapist, MA, MS, LMFT
Verified Verified
2 Endorsed
Chapel Hill, NC 27517
I love to help clients identify and break harmful patterns of behavior and work towards a healthier, more sustainable, balance that improves their lives. My style is compassionate, yet direct and transparent. I see problematic behaviors as coping mechanisms for underlying stressors/emotional experiences that need processing. I have extensive experience working with clients with eating disorders and addictions. As a former HS teacher, I enjoy working with young adults. I believe that relationships heal. In every case, I consider clients' contexts, which have great impact on their thoughts, emotions, and behaviors. Mindfulness practice is built-in to my approach.
I love to help clients identify and break harmful patterns of behavior and work towards a healthier, more sustainable, balance that improves their lives. My style is compassionate, yet direct and transparent. I see problematic behaviors as coping mechanisms for underlying stressors/emotional experiences that need processing. I have extensive experience working with clients with eating disorders and addictions. As a former HS teacher, I enjoy working with young adults. I believe that relationships heal. In every case, I consider clients' contexts, which have great impact on their thoughts, emotions, and behaviors. Mindfulness practice is built-in to my approach.
(919) 694-6531 View (919) 694-6531
Photo of Jessica Klein, Clinical Social Work/Therapist in Chapel Hill, NC
Jessica Klein
Clinical Social Work/Therapist, MSW, LCSWA
Verified Verified
Chapel Hill, NC 27514
Hi everyone! My name is Jessica Klein (she/her) and I am a Licensed Clinical Social Work Associate, deeply committed to providing a safe, nurturing space for all my clients. I aim to cultivate safety and inclusivity in my practice by operating from an LGBTQIA+ affirming, anti-racist framework. As a therapist, it is a privilege to listen to my clients’ stories and join them on their journey of empowerment and self-discovery.
Hi everyone! My name is Jessica Klein (she/her) and I am a Licensed Clinical Social Work Associate, deeply committed to providing a safe, nurturing space for all my clients. I aim to cultivate safety and inclusivity in my practice by operating from an LGBTQIA+ affirming, anti-racist framework. As a therapist, it is a privilege to listen to my clients’ stories and join them on their journey of empowerment and self-discovery.
(919) 899-2640 View (919) 899-2640
Photo of Jen Kirkpatrick, Counselor in Chapel Hill, NC
Jen Kirkpatrick
Counselor, MA, LCMHC, ATR
Verified Verified
1 Endorsed
Chapel Hill, NC 27514
The struggle in life can get real, sometimes more often than we like. Maybe you are struggling with feeling stressed, isolated, hopeless, anxious, lost or unmotivated. It could be that life has become misaligned and you are ready to address your substance use whether it be alcohol and/or other drugs. Maybe you are the primary caregiver for your aging parent or grandparent, and the physical and emotional challenges have become too overwhelming. You are the expert in your life. I will encourage you to be creatively brave as we navigate and discover ways to strengthen your self-esteem, relationships and coping skills.
The struggle in life can get real, sometimes more often than we like. Maybe you are struggling with feeling stressed, isolated, hopeless, anxious, lost or unmotivated. It could be that life has become misaligned and you are ready to address your substance use whether it be alcohol and/or other drugs. Maybe you are the primary caregiver for your aging parent or grandparent, and the physical and emotional challenges have become too overwhelming. You are the expert in your life. I will encourage you to be creatively brave as we navigate and discover ways to strengthen your self-esteem, relationships and coping skills.
(919) 237-9587 View (919) 237-9587
Photo of Megan Highsmith, Clinical Social Work/Therapist in Chapel Hill, NC
Megan Highsmith
Clinical Social Work/Therapist, MSW, LCSW
Verified Verified
1 Endorsed
Chapel Hill, NC 27514
"Strive for progress not perfection." My goal, as a therapist, is to provide a safe environment where people can move forward from places where they feel stuck. It is important to me that you find your time in therapy as supportive and rewarding.
"Strive for progress not perfection." My goal, as a therapist, is to provide a safe environment where people can move forward from places where they feel stuck. It is important to me that you find your time in therapy as supportive and rewarding.
(919) 525-3194 View (919) 525-3194
Photo of Madison Tuttle, Clinical Social Work/Therapist in Chapel Hill, NC
Madison Tuttle
Clinical Social Work/Therapist, MSW, LCSW
Verified Verified
2 Endorsed
Chapel Hill, NC 27514
Welcome! Taking the first step in going to therapy is a hard task, and you've done it! We will work together to unlock your inner power and conquer your greatest challenges. My work is based on a person-centered approach, with experience in motivational interviewing, solution focused therapy, and cognitive behavioral therapy. I have worked with individuals who have experienced trauma and now struggle with anxiety, depression, suicidal ideation, self-harm, PTSD, OCD, anger, and other mental health problems. I have a passion for working with children, adolescents, and young adults.
Welcome! Taking the first step in going to therapy is a hard task, and you've done it! We will work together to unlock your inner power and conquer your greatest challenges. My work is based on a person-centered approach, with experience in motivational interviewing, solution focused therapy, and cognitive behavioral therapy. I have worked with individuals who have experienced trauma and now struggle with anxiety, depression, suicidal ideation, self-harm, PTSD, OCD, anger, and other mental health problems. I have a passion for working with children, adolescents, and young adults.
(919) 205-3192 View (919) 205-3192

How does your Therapist compare?

Number of Therapists in Chapel Hill, NC

700+

Average cost per session

$150

Therapists in Chapel Hill, NC who prioritize treating:

93% Anxiety
87% Depression
82% Relationship Issues
79% Self Esteem
71% Stress
70% Coping Skills
67% Trauma and PTSD

Average years in practice

12 Years

Top 3 insurances accepted

84% BlueCross and BlueShield
65% Aetna
43% Cigna and Evernorth

How Therapists in Chapel Hill, NC see their clients

72% In Person and Online
28% Online Only

Gender breakdown

80% Female
18% Male
2% Non-Binary

FAQs - About Therapy and Counseling

How can I find a therapist in Chapel Hill?

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.