Therapists in North Carolina

View cities and counties in North Carolina
Photo of McKenzie Tilton, Clinical Social Work/Therapist in North Carolina
McKenzie Tilton
Clinical Social Work/Therapist, LCSW
Verified Verified
Fayetteville, NC 28314  (Online Only)
First rule of mental health: learn to distinguish who deserves an explanation, who deserves only one answer and who deserves absolutely nothing. -unknown Mental health is not a destination, it is a journey. It is less about how you are driving and more about where you are going. I believe that mental health should be addressed just as often as physical health; maybe even more often! I know that finding a therapist can be difficult but finding one and then connecting can be even more challenging. I am committed to providing a space where you feel seen and heard.
First rule of mental health: learn to distinguish who deserves an explanation, who deserves only one answer and who deserves absolutely nothing. -unknown Mental health is not a destination, it is a journey. It is less about how you are driving and more about where you are going. I believe that mental health should be addressed just as often as physical health; maybe even more often! I know that finding a therapist can be difficult but finding one and then connecting can be even more challenging. I am committed to providing a space where you feel seen and heard.
(910) 356-9049 View (910) 356-9049
Photo of Shatara Sheppard, Counselor in North Carolina
Shatara Sheppard
Counselor, MA, LCMHC, NCC
Verified Verified
2 Endorsed
Charlotte, NC 28209  (Online Only)
Are you feeling a sense of misalignment in certain aspects of your life, despite having done significant inner healing work? Do you find yourself stuck and unsure about how to move forward? It's common to experience these feelings, and we are here to provide the support and guidance you need. You deserve a safe, compassionate space to process your feelings and emotions without fear of judgment or backlash. We understand the importance of creating a nurturing environment where you can explore your inner world with honesty and vulnerability. You feel deeply, and this sometimes is a challenge in regulating your emotions effectively.
Are you feeling a sense of misalignment in certain aspects of your life, despite having done significant inner healing work? Do you find yourself stuck and unsure about how to move forward? It's common to experience these feelings, and we are here to provide the support and guidance you need. You deserve a safe, compassionate space to process your feelings and emotions without fear of judgment or backlash. We understand the importance of creating a nurturing environment where you can explore your inner world with honesty and vulnerability. You feel deeply, and this sometimes is a challenge in regulating your emotions effectively.
(704) 981-6538 View (704) 981-6538
Photo of Beth Vincent, Licensed Clinical Mental Health Counselor in North Carolina
Beth Vincent
Licensed Clinical Mental Health Counselor, PhD, LCMHC
Verified Verified
Raleigh, NC 27603
Openings for in-office & teleheath in March! What do you do? It’s the first thing we ask when we meet someone and a huge part of how we carve out our sense of self. Burnout and dissatisfaction have major impacts on our relationships, mental wellness and physical health. If your work situation is negatively impacting you, or you find yourself wanting more from your life as a whole, counseling is a great way to explore your path.
Openings for in-office & teleheath in March! What do you do? It’s the first thing we ask when we meet someone and a huge part of how we carve out our sense of self. Burnout and dissatisfaction have major impacts on our relationships, mental wellness and physical health. If your work situation is negatively impacting you, or you find yourself wanting more from your life as a whole, counseling is a great way to explore your path.
(984) 205-8034 View (984) 205-8034
Photo of Danielle Gray, Counselor in North Carolina
Danielle Gray
Counselor, LCMHCA
Verified Verified
1 Endorsed
Durham, NC 27713
Change is a part of life, but that doesn’t make it easy. Sometimes, we make the changes – we get a new job, sign ourselves up for college classes, move to a new city. Sometimes those changes happen to us – our parents divorce, our partner leaves, a new medical diagnosis flips our world upside down. Whatever changes you’re experiencing, or changes you want to make in your life, therapy can help you find your balance and your voice in a life that often feels out-of-control and overwhelming. It is a passion of mine to help my clients find the steering wheel of their ships and chart their courses toward happiness.
Change is a part of life, but that doesn’t make it easy. Sometimes, we make the changes – we get a new job, sign ourselves up for college classes, move to a new city. Sometimes those changes happen to us – our parents divorce, our partner leaves, a new medical diagnosis flips our world upside down. Whatever changes you’re experiencing, or changes you want to make in your life, therapy can help you find your balance and your voice in a life that often feels out-of-control and overwhelming. It is a passion of mine to help my clients find the steering wheel of their ships and chart their courses toward happiness.
(919) 289-1305 View (919) 289-1305
Photo of Mathew O'Connor, Licensed Clinical Mental Health Counselor in North Carolina
Mathew O'Connor
Licensed Clinical Mental Health Counselor, LCMHC, LCAS, CSI
Verified Verified
2 Endorsed
Durham, NC 27707
Waitlist for new clients
As a psychotherapist I specialize in helping individuals who are interested in learning and growing in self-awareness and confidence. I work well with people who are exploring patterns of substance use, intimate relationships, performance anxieties, lack of confidence/satisfaction, major life transitions (job/school changes/relational/grief). I am a relationally and present moment-based therapist. This means we will work from a framework that everything (past/present/future) can be addressed by exploring the relationship you have with it in "right now". My role is to help guide you on your path of wellness.
As a psychotherapist I specialize in helping individuals who are interested in learning and growing in self-awareness and confidence. I work well with people who are exploring patterns of substance use, intimate relationships, performance anxieties, lack of confidence/satisfaction, major life transitions (job/school changes/relational/grief). I am a relationally and present moment-based therapist. This means we will work from a framework that everything (past/present/future) can be addressed by exploring the relationship you have with it in "right now". My role is to help guide you on your path of wellness.
(919) 823-2008 View (919) 823-2008
Photo of Andrea Kinnaugh, Marriage & Family Therapist in North Carolina
Andrea Kinnaugh
Marriage & Family Therapist, LMFT
Verified Verified
7 Endorsed
Wake Forest, NC 27587
Each person seeks out therapy for different reasons. As we begin our work together, my goal is that we create an authentic space for you to explore where you are, the experiences you have had, what you feel is holding you back, and what you are hoping to change.
Each person seeks out therapy for different reasons. As we begin our work together, my goal is that we create an authentic space for you to explore where you are, the experiences you have had, what you feel is holding you back, and what you are hoping to change.
(919) 263-5656 View (919) 263-5656
Photo of Christian Counseling Associates Raleigh, Licensed Professional Counselor in North Carolina
Christian Counseling Associates Raleigh
Licensed Professional Counselor, PhD, DMin, LPC
Verified Verified
1 Endorsed
Raleigh, NC 27615
Dr. Mike and Rhonda Garrett provide trusted Christian counseling and life coaching for individuals and couples in North Raleigh, NC. We specialize in marriages, communication, conflict resolution, infidelity, sexual addiction, trauma (EMDR), spiritual issues, anxiety, depression, grief and repairing and restoring relationships. We also offer adolescent and adult individual therapy and cover a broad range of needs and requests. Over 35 years of marriage, counseling, and ministry experience.
Dr. Mike and Rhonda Garrett provide trusted Christian counseling and life coaching for individuals and couples in North Raleigh, NC. We specialize in marriages, communication, conflict resolution, infidelity, sexual addiction, trauma (EMDR), spiritual issues, anxiety, depression, grief and repairing and restoring relationships. We also offer adolescent and adult individual therapy and cover a broad range of needs and requests. Over 35 years of marriage, counseling, and ministry experience.
(919) 439-6343 View (919) 439-6343
Photo of Kasey Mitchell, Clinical Social Work/Therapist in North Carolina
Kasey Mitchell
Clinical Social Work/Therapist, LCSW
Verified Verified
Raleigh, NC 27617  (Online Only)
Not accepting new clients
Kasey Mitchell is a Licensed Clinical Social Worker. She completed her Bachelors of Social Work at North Carolina State University. She went on to complete her Masters in Social Work at the University of New England in Maine. Kasey has experience working in the school system, intensive in home programs, residential group home facilities and outpatient therapy settings. She also serves as a supervisor to other students pursuing their master’s degrees in social work through the University of New England.
Kasey Mitchell is a Licensed Clinical Social Worker. She completed her Bachelors of Social Work at North Carolina State University. She went on to complete her Masters in Social Work at the University of New England in Maine. Kasey has experience working in the school system, intensive in home programs, residential group home facilities and outpatient therapy settings. She also serves as a supervisor to other students pursuing their master’s degrees in social work through the University of New England.
(984) 299-9971 x4 View (984) 299-9971 x4
Photo of Mary Grace V. Mzyk, Marriage & Family Therapist in North Carolina
Mary Grace V. Mzyk
Marriage & Family Therapist, MS, LMFT
Verified Verified
4 Endorsed
Raleigh, NC 27615
Not accepting new clients
I specialize in working with individuals, couples, & families who are experiencing relationship problems and issues related to anxiety, depression, adjustments, life changes, and grief/loss. I have a particular interest in premarital/couples therapy and have completed Level 2 Training in Gottman Method Couples Therapy (a research based approach to couples therapy). My aim with couples is to address feelings of frustration, resentment, hopelessness, and betrayal while improving communication, enhancing intimacy, and strengthening commitment. I also have training and experience providing Medical Family Therapy and work with individuals and their families who are dealing with acute/chronic illness.
I specialize in working with individuals, couples, & families who are experiencing relationship problems and issues related to anxiety, depression, adjustments, life changes, and grief/loss. I have a particular interest in premarital/couples therapy and have completed Level 2 Training in Gottman Method Couples Therapy (a research based approach to couples therapy). My aim with couples is to address feelings of frustration, resentment, hopelessness, and betrayal while improving communication, enhancing intimacy, and strengthening commitment. I also have training and experience providing Medical Family Therapy and work with individuals and their families who are dealing with acute/chronic illness.
(919) 443-0289 View (919) 443-0289
Photo of Sarah Holloway Poole, Clinical Social Work/Therapist in North Carolina
Sarah Holloway Poole
Clinical Social Work/Therapist, MSW, LCSWA
Verified Verified
1 Endorsed
Ronda, NC 28670
Every flower needs both sunshine and rain to grow. Like flowers, I believe that our growth relies on our darkest days as much as it does our happiest. My goal is to assist clients in celebrating the sunshine and navigating through the rain.
Every flower needs both sunshine and rain to grow. Like flowers, I believe that our growth relies on our darkest days as much as it does our happiest. My goal is to assist clients in celebrating the sunshine and navigating through the rain.
(336) 742-5125 View (336) 742-5125
Photo of Jessica Swanson, Marriage & Family Therapist Associate in North Carolina
Jessica Swanson
Marriage & Family Therapist Associate, MA, LMFTA
Verified Verified
Wilmington, NC 28403
As a therapist, I'm committed to providing compassionate and effective support to couples, individuals and families. My approach combines a blend of empathy, humor, and energy to create a safe and engaging therapeutic environment. Drawing from systems theory and evidence-based modalities, I tailor our sessions to meet your specific needs and goals, empowering you to develop the skills necessary to overcome obstacles and build healthier connections.
As a therapist, I'm committed to providing compassionate and effective support to couples, individuals and families. My approach combines a blend of empathy, humor, and energy to create a safe and engaging therapeutic environment. Drawing from systems theory and evidence-based modalities, I tailor our sessions to meet your specific needs and goals, empowering you to develop the skills necessary to overcome obstacles and build healthier connections.
(910) 766-8259 View (910) 766-8259
Photo of Brittani Procknow, Clinical Social Work/Therapist in North Carolina
Brittani Procknow
Clinical Social Work/Therapist, LCSW, LCASA
Verified Verified
3 Endorsed
Raleigh, NC 27603
Do you want to feel at understood in your relationships, but you struggle with communicating emotions deep down? In your relationship, you want to deeply understand one another, break out of unhelpful patterns, and feel the energy you once had. You might not even remember a time things didn’t feel this way. One thing is for sure: you’re ready to feel confident in making changes. You’re ready to enjoy meaningful relationships without feeling the need to over-achieve. You’re ready to take the courageous step towards vulnerability. Most of all, you’re ready to go from complacent to passionate.
Do you want to feel at understood in your relationships, but you struggle with communicating emotions deep down? In your relationship, you want to deeply understand one another, break out of unhelpful patterns, and feel the energy you once had. You might not even remember a time things didn’t feel this way. One thing is for sure: you’re ready to feel confident in making changes. You’re ready to enjoy meaningful relationships without feeling the need to over-achieve. You’re ready to take the courageous step towards vulnerability. Most of all, you’re ready to go from complacent to passionate.
(919) 842-3083 View (919) 842-3083
Photo of Kevin Hampton, Marriage & Family Therapist in North Carolina
Kevin Hampton
Marriage & Family Therapist, MS, LMFT
Verified Verified
Winston Salem, NC 27101
Hi, I wanted to say first say thank you for taking the time to look into getting some help. My specialization as a Marriage Therapist is to help couples better walk-through life in create positive connective meaning in their relationship. Marriages are very difficult relationships and not one that is always easily talked about and protected into days world. My goal is to create safe space to allow the exploration of your thoughts and feelings and increase the ability to use evidenced based skills to help alleviate concerns and make your most important relationships feel safer and stronger.
Hi, I wanted to say first say thank you for taking the time to look into getting some help. My specialization as a Marriage Therapist is to help couples better walk-through life in create positive connective meaning in their relationship. Marriages are very difficult relationships and not one that is always easily talked about and protected into days world. My goal is to create safe space to allow the exploration of your thoughts and feelings and increase the ability to use evidenced based skills to help alleviate concerns and make your most important relationships feel safer and stronger.
(336) 618-7594 View (336) 618-7594
Photo of Ruthie Schultz, Counselor in North Carolina
Ruthie Schultz
Counselor, MA, LCMHC-A, LCAS-A
Verified Verified
Charlotte, NC 28210  (Online Only)
I practice holistically, believing that our overall health stems from finding harmony in our minds, bodies, and spirits. I integrate a range of evidence-based approaches, utilizing techniques from person-centered, narrative, cognitive behavioral, and dialectical behavior therapies. Based on your specific goals, we will decide on the best approach for you. The therapeutic relationship is at the foundation of any approach we choose, and I prioritize creating an environment in which there is mutual trust, safety, collaboration and empathy.
I practice holistically, believing that our overall health stems from finding harmony in our minds, bodies, and spirits. I integrate a range of evidence-based approaches, utilizing techniques from person-centered, narrative, cognitive behavioral, and dialectical behavior therapies. Based on your specific goals, we will decide on the best approach for you. The therapeutic relationship is at the foundation of any approach we choose, and I prioritize creating an environment in which there is mutual trust, safety, collaboration and empathy.
(704) 703-8709 View (704) 703-8709
Photo of Holly Gammon, Marriage & Family Therapist in North Carolina
Holly Gammon
Marriage & Family Therapist, MA, LMFT
Verified Verified
3 Endorsed
Burlington, NC 27215
Does being “Neurospicey” (Neurodivergent) get in the way of feeling connected with others, causing you to feel lonely and hopeless? Are you the caregiver for a child who is Neurodivergent and you feel lost because all the “normal” parenting rules no longer apply? Do you have a loved one who is part of the Neurodivergent community and you want to connect with them but can’t find the right words to say? Regardless of where in the dynamic you are - I’m here to help! I celebrate neurodiversity and am passionate about helping members of the ND community live and thrive in their lives.
Does being “Neurospicey” (Neurodivergent) get in the way of feeling connected with others, causing you to feel lonely and hopeless? Are you the caregiver for a child who is Neurodivergent and you feel lost because all the “normal” parenting rules no longer apply? Do you have a loved one who is part of the Neurodivergent community and you want to connect with them but can’t find the right words to say? Regardless of where in the dynamic you are - I’m here to help! I celebrate neurodiversity and am passionate about helping members of the ND community live and thrive in their lives.
(336) 490-9155 View (336) 490-9155
Photo of Lindsay Gonyeau - Handspring Health (Insurance Accepted!), Clinical Social Work/Therapist in North Carolina
Lindsay Gonyeau - Handspring Health (Insurance Accepted!)
Clinical Social Work/Therapist
Verified Verified
1 Endorsed
Charlotte, NC 28277  (Online Only)
Handspring is a modern mental health clinic that provides personalized, evidence-based behavioral care for children, adolescents, and young adults. We currently serve children ages 10-18 and young adults ages 18-24 who are looking for treatment for anxiety, depression, or behavioral difficulties. Our therapeutic approaches include CBT, DBT, organizational skills training, behavior therapy, exposure & response prevention, and parent management training. I have expertise in trauma, anxiety, depression, behavioral disorders, child/family therapy, parenting, adjusting to life changes.
Handspring is a modern mental health clinic that provides personalized, evidence-based behavioral care for children, adolescents, and young adults. We currently serve children ages 10-18 and young adults ages 18-24 who are looking for treatment for anxiety, depression, or behavioral difficulties. Our therapeutic approaches include CBT, DBT, organizational skills training, behavior therapy, exposure & response prevention, and parent management training. I have expertise in trauma, anxiety, depression, behavioral disorders, child/family therapy, parenting, adjusting to life changes.
(704) 286-8245 View (704) 286-8245
Photo of Rekindling Journeys , Clinical Social Work/Therapist in North Carolina
Rekindling Journeys
Clinical Social Work/Therapist, LCSW
Verified Verified
1 Endorsed
Greenville, NC 27858  (Online Only)
Waitlist for new clients
Life can be over overwhelming and leave you feeling like your battery is empty. So many never ending demands. Feeling joy but resentment all at the same time. Like something is missing and blocking full enjoyment. When was the last time you truly relaxed, truly enjoyed the breeze against your face, the song on the radio? My passion is to create a safe, judgement-free zone that allows you to embark upon the healing process so that you can quiet the noise of life turn up the volume of self-connection. Please email me to be added to my waitlist.
Life can be over overwhelming and leave you feeling like your battery is empty. So many never ending demands. Feeling joy but resentment all at the same time. Like something is missing and blocking full enjoyment. When was the last time you truly relaxed, truly enjoyed the breeze against your face, the song on the radio? My passion is to create a safe, judgement-free zone that allows you to embark upon the healing process so that you can quiet the noise of life turn up the volume of self-connection. Please email me to be added to my waitlist.
(252) 253-6435 View (252) 253-6435
Photo of Holly Harris, Clinical Social Work/Therapist in North Carolina
Holly Harris
Clinical Social Work/Therapist, LCSW, PMH-C
Verified Verified
Fuquay Varina, NC 27526
Whether this is your first experience with counseling or you are looking for a new approach to treatment, I welcome you to sit and talk and let's find a plan that works for you. I am passionate about working with individuals and couples to navigate life's most difficult challenges, including anxiety, depression, women’s issues including pregnancy and postpartum challenges and loss, and relationship/marital concerns by providing a safe and non-judgmental space to make meaningful change. I believe that warmth and compassion are essential components to a strong therapeutic relationship and to supporting personal growth.
Whether this is your first experience with counseling or you are looking for a new approach to treatment, I welcome you to sit and talk and let's find a plan that works for you. I am passionate about working with individuals and couples to navigate life's most difficult challenges, including anxiety, depression, women’s issues including pregnancy and postpartum challenges and loss, and relationship/marital concerns by providing a safe and non-judgmental space to make meaningful change. I believe that warmth and compassion are essential components to a strong therapeutic relationship and to supporting personal growth.
(919) 887-1100 View (919) 887-1100
Photo of Stacy Cohen in North Carolina
Stacy Cohen
MEd, LCMHC, CEAP
Verified Verified
1 Endorsed
Cary, NC 27513
Not accepting new clients
If you need an experienced professional to help you navigate life's challenges, then you have come to the right place. Whether you are struggling in your relationships, your career, or with your own internal "stuff", I can help. I view my clients as partners in the work we do and will work with you on goals that are meaningful to you.
If you need an experienced professional to help you navigate life's challenges, then you have come to the right place. Whether you are struggling in your relationships, your career, or with your own internal "stuff", I can help. I view my clients as partners in the work we do and will work with you on goals that are meaningful to you.
(919) 343-0623 View (919) 343-0623
Photo of Peace of Mind, Inc., Licensed Professional Counselor in North Carolina
Peace of Mind, Inc.
Licensed Professional Counselor, MS, Ed, LPC-S, NCC
Verified Verified
2 Endorsed
Lillington, NC 27546
Please welcome the team of therapists specializing in research-based practices for treatment of trauma, including PTSD and combat stress; victims of childhood sexual abuse and domestic violence; survivors of natural disasters; and those in the helping professions who have been touched by witnessing events with a traumatic ending.
Please welcome the team of therapists specializing in research-based practices for treatment of trauma, including PTSD and combat stress; victims of childhood sexual abuse and domestic violence; survivors of natural disasters; and those in the helping professions who have been touched by witnessing events with a traumatic ending.
(910) 249-4122 View (910) 249-4122

See more therapy options for North Carolina

How does your Therapist compare?

Average cost per session

$135

Therapists in North Carolina who prioritize treating:

92% Anxiety
86% Depression
76% Self Esteem
74% Relationship Issues
72% Coping Skills
70% Stress
67% Trauma and PTSD

Average years in practice

10 Years

Top 3 insurances accepted

86% BlueCross and BlueShield
70% Aetna
53% UnitedHealthcare UHC | UBH

How Therapists in North Carolina see their clients

71% In Person and Online
29% Online Only

Gender breakdown

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

How can I find a therapist in North Carolina?

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.