Therapists in Cary, NC

Photo of Robin Roche, Clinical Social Work/Therapist in Cary, NC
Robin Roche
Clinical Social Work/Therapist, LCSW
Verified Verified
Cary, NC 27511
Not accepting new clients
I work with adults who are experiencing anxiety, depression, challenges with life transitions like beginning parenthood and aging, grief and loss, stress at work or at home, and the challenges of living with medical conditions. I enjoy working with clients who are interested in exploring their thoughts, feelings, patterns in relationships, and more.
I work with adults who are experiencing anxiety, depression, challenges with life transitions like beginning parenthood and aging, grief and loss, stress at work or at home, and the challenges of living with medical conditions. I enjoy working with clients who are interested in exploring their thoughts, feelings, patterns in relationships, and more.
(919) 525-3097 View (919) 525-3097
Photo of Ali Marie Mattice, Clinical Social Work/Therapist in Cary, NC
Ali Marie Mattice
Clinical Social Work/Therapist, LCSW
Verified Verified
Cary, NC 27511
Ali-Marie is a Licensed Social Worker (LSW) with many years of experience. She primarily sees older adolescents and adults for individual therapy but will also address relationship and family issues, stress, anxiety, depression, women's issues, and much more.
Ali-Marie is a Licensed Social Worker (LSW) with many years of experience. She primarily sees older adolescents and adults for individual therapy but will also address relationship and family issues, stress, anxiety, depression, women's issues, and much more.
(984) 400-8591 View (984) 400-8591
Photo of Compass Family Consultants PLLC in Cary, NC
Compass Family Consultants PLLC
MS, LCMHC, NCC
Verified Verified
Cary, NC 27511
We specialize in family and individual therapy and counseling. Whether you are struggling with addiction, depression, anxiety, or family issues, we have the staff and experience to help you.
We specialize in family and individual therapy and counseling. Whether you are struggling with addiction, depression, anxiety, or family issues, we have the staff and experience to help you.
(919) 568-5251 View (919) 568-5251
Photo of Cynthia Martin, Licensed Clinical Mental Health Counselor in Cary, NC
Cynthia Martin
Licensed Clinical Mental Health Counselor, LCMHC
Verified Verified
Cary, NC 27511
I work with people who have experienced trauma, especially narcissistic abuse. If you find yourself struggling to move forward and feel trapped in a relationship or feel as though you have lost your identity. I can help you navigate towards the path you want, instead of the path that was chosen for you. I have worked for several years as an EAP clinician helping people internationally who have anxiety, depression, PTSD, suicidal ideation, work stress, relationship issues, and so on.
I work with people who have experienced trauma, especially narcissistic abuse. If you find yourself struggling to move forward and feel trapped in a relationship or feel as though you have lost your identity. I can help you navigate towards the path you want, instead of the path that was chosen for you. I have worked for several years as an EAP clinician helping people internationally who have anxiety, depression, PTSD, suicidal ideation, work stress, relationship issues, and so on.
(984) 223-4144 View (984) 223-4144
Photo of Neil Evan Resnick, Marriage & Family Therapist in Cary, NC
Neil Evan Resnick
Marriage & Family Therapist, MA, LMFT
Verified Verified
Cary, NC 27511
Counseling can be an opportunity to grow, change and experience joy. I am willing to share what I have learned, sit with you when you are confused or in pain and hopefully help you process your experience so you can make a positive change. Whether you have tried therapy before, or never made the attempt, I am confident we can be a good match. I have sharp intuition, deep empathy, and I am present so you can be heard and understood. Also, as a former instructor, at San Diego State University in the clinical psychology department, I have experience with the latest evidence-based methods.
Counseling can be an opportunity to grow, change and experience joy. I am willing to share what I have learned, sit with you when you are confused or in pain and hopefully help you process your experience so you can make a positive change. Whether you have tried therapy before, or never made the attempt, I am confident we can be a good match. I have sharp intuition, deep empathy, and I am present so you can be heard and understood. Also, as a former instructor, at San Diego State University in the clinical psychology department, I have experience with the latest evidence-based methods.
(919) 928-7544 View (919) 928-7544
Photo of Wade Thomas, Counselor in Cary, NC
Wade Thomas
Counselor, LCMHC
Verified Verified
1 Endorsed
Cary, NC 27511
I see a variety of clients, ranging from pre-teen adolescents to retired adults, who all experience a myriad of different difficulties. I am capable of working with people diagnosed with depression, anxiety, PTSD, Bipolar disorder, and substance abuse. My ideal client is driven to learn and explore their emotional experience and what led them to that emotion, as well as challenging themselves to achieve and grow. My goal is to build confidence in my clients to know they can handle what life throws at them.
I see a variety of clients, ranging from pre-teen adolescents to retired adults, who all experience a myriad of different difficulties. I am capable of working with people diagnosed with depression, anxiety, PTSD, Bipolar disorder, and substance abuse. My ideal client is driven to learn and explore their emotional experience and what led them to that emotion, as well as challenging themselves to achieve and grow. My goal is to build confidence in my clients to know they can handle what life throws at them.
(919) 948-2530 View (919) 948-2530
Photo of Julia Krebs-Martin, Counselor in Cary, NC
Julia Krebs-Martin
Counselor, LCMHC, LMHC, CTRP-C
Verified Verified
2 Endorsed
Cary, NC 27511
Julia Krebs is a Licensed Clinical Mental Health Counselor (LCMHC) who received a Master of Arts in Mental Health Counseling from the Gordon F. Derner School of Psychology at Adelphi University. Julia is licensed in NC and NY. Julia has experience working with children, adolescents, and adults, as well as structural family systems. Her clinical training and experience working on inpatient psychiatric units has provided her with the skillset to treat a variety of mental health diagnoses with compassion, support, and empathy. She has also been clinically trained in the curriculum development and practice of group therapy.
Julia Krebs is a Licensed Clinical Mental Health Counselor (LCMHC) who received a Master of Arts in Mental Health Counseling from the Gordon F. Derner School of Psychology at Adelphi University. Julia is licensed in NC and NY. Julia has experience working with children, adolescents, and adults, as well as structural family systems. Her clinical training and experience working on inpatient psychiatric units has provided her with the skillset to treat a variety of mental health diagnoses with compassion, support, and empathy. She has also been clinically trained in the curriculum development and practice of group therapy.
(919) 635-9372 View (919) 635-9372
Photo of Brittany Tillman, Marriage & Family Therapist in Cary, NC
Brittany Tillman
Marriage & Family Therapist, MA, LMFT
Verified Verified
Cary, NC 27511
You may be here because the effects of stress and worry have had a profound impact on your daily life. It may look like constant thoughts of “what if,” not feeling good enough, or not knowing what’s the next best step to take. It’s my passion to help you learn the tools needed to reclaim an inner sense of peace. We will initially focus on stability and decreasing distressing symptoms that will allow us to work towards your desired goals.
You may be here because the effects of stress and worry have had a profound impact on your daily life. It may look like constant thoughts of “what if,” not feeling good enough, or not knowing what’s the next best step to take. It’s my passion to help you learn the tools needed to reclaim an inner sense of peace. We will initially focus on stability and decreasing distressing symptoms that will allow us to work towards your desired goals.
(919) 694-7128 View (919) 694-7128
Photo of Asaf Zemah, Clinical Social Work/Therapist in Cary, NC
Asaf Zemah
Clinical Social Work/Therapist, LCSW
Verified Verified
1 Endorsed
Cary, NC 27519
I am passionate about working with young adults, adults, couples, and families. I love supporting my client’s growth through the development of mindfulness-based coping skills to help navigate life’s stressors as well as providing the space to look inwards and understand themselves better. During our work together, we will focus on reframing thought patterns, exploring internal motivations and dreams, and learning new practical skills to implement with yourself and in relationships with others. If this sounds like what you’re looking for, I’d be honored to work with you!
I am passionate about working with young adults, adults, couples, and families. I love supporting my client’s growth through the development of mindfulness-based coping skills to help navigate life’s stressors as well as providing the space to look inwards and understand themselves better. During our work together, we will focus on reframing thought patterns, exploring internal motivations and dreams, and learning new practical skills to implement with yourself and in relationships with others. If this sounds like what you’re looking for, I’d be honored to work with you!
(984) 205-7370 View (984) 205-7370
Photo of Kristin A Krippa, Psychological Associate in Cary, NC
Kristin A Krippa
Psychological Associate, MA, LPA, HSP-PA
Verified Verified
8 Endorsed
Cary, NC 27518
Accepting new clients. Are you a parent with a child whose behavior is out of control? Is your tween or teen suffering from depression, anxiety, or irritable moods? Are you worried about their self-harm thoughts and behaviors? Are your problems more than you can manage on your own? Do you feel like you have tried everything and nothing has worked? Has your child or teen been resistant to therapy in the past? Are arguments and disagreements a daily occurrence? Does it feel like something needs to give before you give out? Would you like more enjoyment out of your life? You deserve happiness; Live a life worth living!
Accepting new clients. Are you a parent with a child whose behavior is out of control? Is your tween or teen suffering from depression, anxiety, or irritable moods? Are you worried about their self-harm thoughts and behaviors? Are your problems more than you can manage on your own? Do you feel like you have tried everything and nothing has worked? Has your child or teen been resistant to therapy in the past? Are arguments and disagreements a daily occurrence? Does it feel like something needs to give before you give out? Would you like more enjoyment out of your life? You deserve happiness; Live a life worth living!
(919) 432-5341 View (919) 432-5341
Photo of Sara Hubbell in Cary, NC
Sara Hubbell
DNP, APRN, PMHNPBC
Verified Verified
1 Endorsed
Cary, NC 27513
Struggling with past experiences preventing you from moving forward in life today? Overwhelmed with negative thoughts and beliefs about yourself? Feeling burned out from your work in a helping profession? Struggling with anxiety or depression? Paralyzed with fear because of a previous event? You are not alone, there is HOPE! I believe in your capacity to heal, no matter how insurmountable your experiences may seem today. Your healing journey may involve therapies like EMDR and/or medication. EMDR is a powerful therapeutic technique that alleviates distress linked to fears, trauma, negative beliefs, and past experiences.
Struggling with past experiences preventing you from moving forward in life today? Overwhelmed with negative thoughts and beliefs about yourself? Feeling burned out from your work in a helping profession? Struggling with anxiety or depression? Paralyzed with fear because of a previous event? You are not alone, there is HOPE! I believe in your capacity to heal, no matter how insurmountable your experiences may seem today. Your healing journey may involve therapies like EMDR and/or medication. EMDR is a powerful therapeutic technique that alleviates distress linked to fears, trauma, negative beliefs, and past experiences.
(919) 533-9987 View (919) 533-9987
Photo of Sylwia Stamm-Nawrocka, Counselor in Cary, NC
Sylwia Stamm-Nawrocka
Counselor, MS, LCMHC, LCPC, SEP
Verified Verified
6 Endorsed
Cary, NC 27511
Not accepting new clients
I am a compassionate, down to earth person offering therapy to individuals. It is my belief that healing comes from within you, and within the context of a relationship. I specialize in working with the effects of trauma on people's lives, including PTSD, anxiety, depression, grief, loss, relational troubles. I practice using Somatic Experiencing and EMDR to help clients find calmness, wholeness, emotional resilience, and renewed connection to themselves, and to people in their lives.
I am a compassionate, down to earth person offering therapy to individuals. It is my belief that healing comes from within you, and within the context of a relationship. I specialize in working with the effects of trauma on people's lives, including PTSD, anxiety, depression, grief, loss, relational troubles. I practice using Somatic Experiencing and EMDR to help clients find calmness, wholeness, emotional resilience, and renewed connection to themselves, and to people in their lives.
(919) 504-9169 View (919) 504-9169
Photo of Stephen E Woods, Counselor in Cary, NC
Stephen E Woods
Counselor, MDiv, LCMHCS, LCAS
Verified Verified
Cary, NC 27511
I am passionate about serving others by integrating the best mental health practices and spiritual care for the soul. I am a Licensed Counselor, Licensed Substance Abuse Counselor and a Minister. I provide services to individuals, couples, and families in person and through HIPPA-secure tele-therapy. I address a broad range of mental health concerns, life transitions, relationship issues, and career choices. I also integrate clinical counseling and theology: combining research-based psychology with a Christian perspective of human suffering, hope, and redemptive love. I utilize EMDR, Gottman method, ACT and experiential therapy.
I am passionate about serving others by integrating the best mental health practices and spiritual care for the soul. I am a Licensed Counselor, Licensed Substance Abuse Counselor and a Minister. I provide services to individuals, couples, and families in person and through HIPPA-secure tele-therapy. I address a broad range of mental health concerns, life transitions, relationship issues, and career choices. I also integrate clinical counseling and theology: combining research-based psychology with a Christian perspective of human suffering, hope, and redemptive love. I utilize EMDR, Gottman method, ACT and experiential therapy.
(984) 266-2971 View (984) 266-2971
Photo of Marlie Bolin, Counselor in Cary, NC
Marlie Bolin
Counselor, MS, LCMHC-A, CRC
Verified Verified
1 Endorsed
Cary, NC 27511
Waitlist for new clients
Deciding to take a step in the direction of your own health and wellness is one of the most powerful choices any of us can make. Wherever you are in your life, and whatever challenges you are engaged with, I will meet you with warmth, compassion, authenticity, humor, and holistic empowerment. I am queer-identifying and actively anti-racist, and am committed to confronting systemic and societal oppression, as well as my own personal growth edges, in every hour and every day of my practice. I am dedicated to creating a space in which clients can process and share without judgment, and to being an enthusiastic ally on their journeys.
Deciding to take a step in the direction of your own health and wellness is one of the most powerful choices any of us can make. Wherever you are in your life, and whatever challenges you are engaged with, I will meet you with warmth, compassion, authenticity, humor, and holistic empowerment. I am queer-identifying and actively anti-racist, and am committed to confronting systemic and societal oppression, as well as my own personal growth edges, in every hour and every day of my practice. I am dedicated to creating a space in which clients can process and share without judgment, and to being an enthusiastic ally on their journeys.
(919) 736-6788 View (919) 736-6788
Photo of Natalie Fewell, Licensed Professional Counselor in Cary, NC
Natalie Fewell
Licensed Professional Counselor, LCMHCS, ACS, NCC
Verified Verified
Cary, NC 27511  (Online Only)
I had a dream to own a private practice & make money doing it after graduation. I thought I had to pay my dues, become fully licensed & have lots of clinical experience before I could think about starting a practice. I also thought & was told making money in this field wasn’t the goal but only serving the community & low income clients. I couldn’t understand how I could take care of my bills & provide therapy at a low rate. It didn’t make sense. If you don’t want to have a traditional supervision experience & are ready to start your practice sooner than later, let’s get started today. Your career is waiting on you! CONTACT me
I had a dream to own a private practice & make money doing it after graduation. I thought I had to pay my dues, become fully licensed & have lots of clinical experience before I could think about starting a practice. I also thought & was told making money in this field wasn’t the goal but only serving the community & low income clients. I couldn’t understand how I could take care of my bills & provide therapy at a low rate. It didn’t make sense. If you don’t want to have a traditional supervision experience & are ready to start your practice sooner than later, let’s get started today. Your career is waiting on you! CONTACT me
(984) 205-3922 View (984) 205-3922
Photo of Elissa Padgett Pope, Counselor in Cary, NC
Elissa Padgett Pope
Counselor, MS, LCMHC
Verified Verified
2 Endorsed
Cary, NC 27511
You’re struggling. Your relationships feel complicated. There are parts of life that feel stuck. Maybe you know there are ways you could start moving in a direction that feels better, but you can’t see the path or take the steps. Maybe you don’t even know what those steps might look like. The change you’re craving is possible! Together, we’ll work to understand you better—the stories you tell yourself, the choices you make, the relationships you love, and the behaviors that are holding you back. We’ll strengthen your connection to yourself and others.
You’re struggling. Your relationships feel complicated. There are parts of life that feel stuck. Maybe you know there are ways you could start moving in a direction that feels better, but you can’t see the path or take the steps. Maybe you don’t even know what those steps might look like. The change you’re craving is possible! Together, we’ll work to understand you better—the stories you tell yourself, the choices you make, the relationships you love, and the behaviors that are holding you back. We’ll strengthen your connection to yourself and others.
(919) 568-1159 View (919) 568-1159
Photo of Ashley Denton, Clinical Social Work/Therapist in Cary, NC
Ashley Denton
Clinical Social Work/Therapist, LCSW
Verified Verified
2 Endorsed
Cary, NC 27518
Therapy is for everyone, whether you’ve experienced trauma, want to learn skills to better your relationships or regulate your own emotions and reactions. As your therapist I will meet you exactly where you are without judgement. I feel honored to walk through your life with you and learn about the events both helpful and harmful that have shaped you into who you are today. I am interested in your goals and will help you work towards them with a strengths-based approach.
Therapy is for everyone, whether you’ve experienced trauma, want to learn skills to better your relationships or regulate your own emotions and reactions. As your therapist I will meet you exactly where you are without judgement. I feel honored to walk through your life with you and learn about the events both helpful and harmful that have shaped you into who you are today. I am interested in your goals and will help you work towards them with a strengths-based approach.
(919) 646-2411 View (919) 646-2411
Photo of Lisa Baker-Wilson, Licensed Clinical Mental Health Counselor in Cary, NC
Lisa Baker-Wilson
Licensed Clinical Mental Health Counselor, MA, LCMHC, LMHC, CDP
Verified Verified
Cary, NC 27519
Is your relationship what you want it to be? Whether you want to strengthen your connection, or you're worn out from frequent fighting, hurt by broken trust, or considering separation or divorce, the wisest first step you can take is to get the right help. As a couples therapy specialist, I help partners gain clarity about themselves, re-establish trust, improve interaction, teach them how to manage conflict, heal from hurt and betrayal, and rebuild connection, friendship and intimacy. Many couples give up too soon, without getting help. But where there is a flicker of love, there is hope!
Is your relationship what you want it to be? Whether you want to strengthen your connection, or you're worn out from frequent fighting, hurt by broken trust, or considering separation or divorce, the wisest first step you can take is to get the right help. As a couples therapy specialist, I help partners gain clarity about themselves, re-establish trust, improve interaction, teach them how to manage conflict, heal from hurt and betrayal, and rebuild connection, friendship and intimacy. Many couples give up too soon, without getting help. But where there is a flicker of love, there is hope!
(253) 655-0803 View (253) 655-0803
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 J Michael Goulding, Clinical Social Work/Therapist in Cary, NC
J Michael Goulding
Clinical Social Work/Therapist, LCSW, CHWC
Verified Verified
Cary, NC 27511  (Online Only)
If you are feeling resistant, frustrated, or uncertain about what next steps to take to feel better, then I can help you get started in an experienced, judge-free, comfortable setting. If anger, anxiety, depression, OCD, ADHD, traumatic events, oppositional children, interpersonal conflicts, workplace issues, or bullying is getting in your way of happiness, I can guide you to overcome these challenges. I also help people who are satisfied with their current situation but would like to enhance skills and live at their fullest potential. I look forward to you contacting me at www.meaningfultransformation.com/mike
If you are feeling resistant, frustrated, or uncertain about what next steps to take to feel better, then I can help you get started in an experienced, judge-free, comfortable setting. If anger, anxiety, depression, OCD, ADHD, traumatic events, oppositional children, interpersonal conflicts, workplace issues, or bullying is getting in your way of happiness, I can guide you to overcome these challenges. I also help people who are satisfied with their current situation but would like to enhance skills and live at their fullest potential. I look forward to you contacting me at www.meaningfultransformation.com/mike
(919) 694-4568 View (919) 694-4568

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
69% 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.