Therapists in North Carolina

View cities and counties in North Carolina
Photo of Janice Frum, Licensed Professional Counselor in North Carolina
Janice Frum
Licensed Professional Counselor, LCMHC
Verified Verified
Raleigh, NC 27609  (Online Only)
I believe that each individual has both a unique set of gifts and a world view shaped by past experiences and present circumstances. I also believe that in order to know where we are going, we need to realize how we arrived where we are in our present circumstances. Through sessions together, I will collaborate with you to assist you in recognizing your individual strengths and strive to empower you with the self-awareness and self-confidence to pursue your dreams. I take a person-centered, creative, non-judgmental approach to counseling, helping you to see how your uniquely shaded lenses of experience color your perceptions.
I believe that each individual has both a unique set of gifts and a world view shaped by past experiences and present circumstances. I also believe that in order to know where we are going, we need to realize how we arrived where we are in our present circumstances. Through sessions together, I will collaborate with you to assist you in recognizing your individual strengths and strive to empower you with the self-awareness and self-confidence to pursue your dreams. I take a person-centered, creative, non-judgmental approach to counseling, helping you to see how your uniquely shaded lenses of experience color your perceptions.
(919) 820-8778 View (919) 820-8778
Photo of Moments Matter Therapy , Marriage & Family Therapist in North Carolina
Moments Matter Therapy
Marriage & Family Therapist
Verified Verified
Jacksonville, NC 28546
Now accepting new clients for individuals and couples therapy. Embarking on a therapeutic journey is a courageous step, and at Moments Matter Therapy, we're here to make that journey as empowering as possible. As the founder of this group practice, I extend a warm welcome to individuals of all ages – children, teens, and adults – seeking a supportive space for growth and healing. At Moments Matter, we understand that the prospect of therapy can be daunting, even anxiety-inducing. Our mission is to transform that uncertainty into a sense of comfort from the moment you step into our physical space or join us for a virtual session.
Now accepting new clients for individuals and couples therapy. Embarking on a therapeutic journey is a courageous step, and at Moments Matter Therapy, we're here to make that journey as empowering as possible. As the founder of this group practice, I extend a warm welcome to individuals of all ages – children, teens, and adults – seeking a supportive space for growth and healing. At Moments Matter, we understand that the prospect of therapy can be daunting, even anxiety-inducing. Our mission is to transform that uncertainty into a sense of comfort from the moment you step into our physical space or join us for a virtual session.
(910) 537-2531 View (910) 537-2531
Photo of Perry Raoul Griffin, Licensed Clinical Mental Health Counselor in North Carolina
Perry Raoul Griffin
Licensed Clinical Mental Health Counselor, MEd, LCMHC
Verified Verified
1 Endorsed
Charlotte, NC 28209
I enjoy working with clients from all ages, cultures and backgrounds. I believe mental wellness is an essential part of living a balanced and full life.
I enjoy working with clients from all ages, cultures and backgrounds. I believe mental wellness is an essential part of living a balanced and full life.
(980) 368-3024 View (980) 368-3024
Photo of Wes Swan, Psychological Associate in North Carolina
Wes Swan
Psychological Associate, LCMHC, NCC
Verified Verified
Raleigh, NC 27605
Being a human is hard. But working with the right counselor can help. Maybe you feel anxious, unmotivated, or unsure. So... what's the solution? Can you really learn to love yourself, deep down, living from a place of peace and clarity? Counseling is a way to find a home within yourself. I enjoy helping adults and teenagers who suffer from anxiety, mood disorders, trauma, addiction, and more. I welcome folks from all backgrounds who want to discover their negative patterns and create changes that lasts.
Being a human is hard. But working with the right counselor can help. Maybe you feel anxious, unmotivated, or unsure. So... what's the solution? Can you really learn to love yourself, deep down, living from a place of peace and clarity? Counseling is a way to find a home within yourself. I enjoy helping adults and teenagers who suffer from anxiety, mood disorders, trauma, addiction, and more. I welcome folks from all backgrounds who want to discover their negative patterns and create changes that lasts.
(336) 490-5945 View (336) 490-5945
Photo of Olivia Dellston, Clinical Social Work/Therapist in North Carolina
Olivia Dellston
Clinical Social Work/Therapist, MSW, LCSWA
Verified Verified
1 Endorsed
Durham, NC 27707
Not accepting new clients
Hi! My name is Olivia. I am an Outpatient Psychotherapist at Three Oaks Behavioral Health and Wellness. I would love to support you as you learn to manage anxiety and depression, cope with life transitions, explore gender and sexuality, understand and learn to thrive as a neurodivergent person, strengthen emotional regulation skills, understand and improve interpersonal relationships, and more.
Hi! My name is Olivia. I am an Outpatient Psychotherapist at Three Oaks Behavioral Health and Wellness. I would love to support you as you learn to manage anxiety and depression, cope with life transitions, explore gender and sexuality, understand and learn to thrive as a neurodivergent person, strengthen emotional regulation skills, understand and improve interpersonal relationships, and more.
(984) 217-7634 View (984) 217-7634
Photo of Chris Mann Phd, Licensed Clinical Mental Health Counselor in North Carolina
Chris Mann Phd
Licensed Clinical Mental Health Counselor, LCMHC, CRC, BCBA-D, NCC, LBA
Verified Verified
1 Endorsed
Statesville, NC 28687
I am a Licensed Clinical Mental Health Counselor (LCMHC) in North Carolina and have been practicing for over 22 years with individuals who have been going through a broad range of concerns including excessive worry, depression, stress management, trauma, career development, behavioral concerns, impulsivity, child-parent interactions, grief and loss, relationship issues, life/work balance, and overall wellness.
I am a Licensed Clinical Mental Health Counselor (LCMHC) in North Carolina and have been practicing for over 22 years with individuals who have been going through a broad range of concerns including excessive worry, depression, stress management, trauma, career development, behavioral concerns, impulsivity, child-parent interactions, grief and loss, relationship issues, life/work balance, and overall wellness.
(704) 396-8651 View (704) 396-8651
Photo of Amanda Pahl, Marriage & Family Therapist Intern in North Carolina
Amanda Pahl
Marriage & Family Therapist Intern
Verified Verified
Garner, NC 27529
Are you feeling "stuck" with a problem in your life, relationship, or family and feeling intimidated by the idea of tackling it? I understand how overwhelming it can feel to face these problems head-on but I am here to be a source of support and collaboration, guiding you through the process of change. I am studying at National University and am supervised by a team of experienced therapists who provide ongoing feedback and support: you get multiple therapists in one!
Are you feeling "stuck" with a problem in your life, relationship, or family and feeling intimidated by the idea of tackling it? I understand how overwhelming it can feel to face these problems head-on but I am here to be a source of support and collaboration, guiding you through the process of change. I am studying at National University and am supervised by a team of experienced therapists who provide ongoing feedback and support: you get multiple therapists in one!
(919) 635-9394 View (919) 635-9394
Photo of Vanessa Nieves, Marriage & Family Therapist Associate in North Carolina
Vanessa Nieves
Marriage & Family Therapist Associate, MS, LMFTA
Verified Verified
Jacksonville, NC 28540
Putting your mental health as a priority can be a challenge. We all have many responsibilities that take up our time and attention. Maybe you’re a parent dealing with the daily tasks and grind of your family. Or perhaps you’re someone who has been feeling anxious and triggered by your partner because of the stressors of your job. If you have ever felt like life is a slippery slope and you’re losing your grip, you are not alone! I specialize in relationships. It can be the relationship you have with your family, or the one you have with yourself. Maybe it’s even the relationship you have with work.
Putting your mental health as a priority can be a challenge. We all have many responsibilities that take up our time and attention. Maybe you’re a parent dealing with the daily tasks and grind of your family. Or perhaps you’re someone who has been feeling anxious and triggered by your partner because of the stressors of your job. If you have ever felt like life is a slippery slope and you’re losing your grip, you are not alone! I specialize in relationships. It can be the relationship you have with your family, or the one you have with yourself. Maybe it’s even the relationship you have with work.
(910) 939-8582 View (910) 939-8582
Photo of Katey Smith, Counselor in North Carolina
Katey Smith
Counselor, MA, LCMHCA, NCC
Verified Verified
1 Endorsed
Clyde, NC 28721
Watching your daughter struggle with low self-esteem, anxiety, and perfectionism can be heartbreaking. You want nothing more than to see her thrive and to feel good about herself, but sometimes it can feel like you’re not sure how to help. That’s where I come in. Hi there! I'm Katey, a licensed therapist specializing in helping preteen and teen girls overcome all aspects of perfectionism. Before my clients came to see me, they felt inadequate and less than. They were certain they would never be good enough, no matter how hard they tried.
Watching your daughter struggle with low self-esteem, anxiety, and perfectionism can be heartbreaking. You want nothing more than to see her thrive and to feel good about herself, but sometimes it can feel like you’re not sure how to help. That’s where I come in. Hi there! I'm Katey, a licensed therapist specializing in helping preteen and teen girls overcome all aspects of perfectionism. Before my clients came to see me, they felt inadequate and less than. They were certain they would never be good enough, no matter how hard they tried.
(828) 520-0929 View (828) 520-0929
Photo of Larry Loughery, Licensed Professional Counselor in North Carolina
Larry Loughery
Licensed Professional Counselor, LCMHC
Verified Verified
1 Endorsed
Matthews, NC 28105
There is an old saying: “The more you run from something, the more you run into it.” That is a scenario that can play out time and again for persons struggling with mental health issues. And avoidance is tempting. But the key to experiencing less pain and to living life with more enjoyment is in effectively confronting mental health challenges. This is where an ally is required—an ally trained in helping you find strengths within yourself and in aiding you in developing coping skills.
There is an old saying: “The more you run from something, the more you run into it.” That is a scenario that can play out time and again for persons struggling with mental health issues. And avoidance is tempting. But the key to experiencing less pain and to living life with more enjoyment is in effectively confronting mental health challenges. This is where an ally is required—an ally trained in helping you find strengths within yourself and in aiding you in developing coping skills.
(833) 636-4377 View (833) 636-4377
Photo of Renee’ Blue, Clinical Social Work/Therapist in North Carolina
Renee’ Blue
Clinical Social Work/Therapist, MSW, LCSW-A
Verified Verified
Charlotte, NC 28262  (Online Only)
Not accepting new clients
The journey may be challenging, and the burdens may be difficult to carry. I am here to assist you in walking toward healing and peace. I have a passion for working with individuals and families who are dealing with life mishaps. Together, I will help you face your past and create a healthy path to the future.
The journey may be challenging, and the burdens may be difficult to carry. I am here to assist you in walking toward healing and peace. I have a passion for working with individuals and families who are dealing with life mishaps. Together, I will help you face your past and create a healthy path to the future.
(704) 228-4204 View (704) 228-4204
Photo of Living Hope Ministries in North Carolina
Living Hope Ministries
MA
Verified Verified
Boone, NC 28607
Young man who is seeking a relationship with a young lady but having a hard time knowing how to pursue her and connect with her. We discuss what makes it hard for him to relate with a female. Then talk about how he sees himself and what his thoughts are about himself and the conclusions he has made. We work on learning to capture all those negatives thoughts and replace them with positive thoughts and the reality and truth about his life. Learn how to start a conversation with the opposite sex and develop better interpersonal skills as a young adult. Also, learn how to develop more self confidence, being assertive and decisive.
Young man who is seeking a relationship with a young lady but having a hard time knowing how to pursue her and connect with her. We discuss what makes it hard for him to relate with a female. Then talk about how he sees himself and what his thoughts are about himself and the conclusions he has made. We work on learning to capture all those negatives thoughts and replace them with positive thoughts and the reality and truth about his life. Learn how to start a conversation with the opposite sex and develop better interpersonal skills as a young adult. Also, learn how to develop more self confidence, being assertive and decisive.
(828) 457-8795 View (828) 457-8795
Photo of Loretta Shaia, Clinical Social Work/Therapist in North Carolina
Loretta Shaia
Clinical Social Work/Therapist, LCSW, SEP, TEB
Verified Verified
Raleigh, NC 27606
Thank you for your interest in my practice! I am trained in the Transforming Touch modality. It is a Regulation-based approach rooted in the theory that when we experience ruptures during our developmental years, these disruptions continue to affect our lives at any age. These ruptures can be seen as challenges that are behavioral, psychological, spiritual and physical. Developmental Trauma affects every part of our growth and development. It orchestrates how we learn, how we mature, how we relate to others. Transforming Touch is an innovative way of supporting change in our nervous systems so that we can begin to hope and dream.
Thank you for your interest in my practice! I am trained in the Transforming Touch modality. It is a Regulation-based approach rooted in the theory that when we experience ruptures during our developmental years, these disruptions continue to affect our lives at any age. These ruptures can be seen as challenges that are behavioral, psychological, spiritual and physical. Developmental Trauma affects every part of our growth and development. It orchestrates how we learn, how we mature, how we relate to others. Transforming Touch is an innovative way of supporting change in our nervous systems so that we can begin to hope and dream.
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Susan Kornett
Licensed Clinical Mental Health Counselor, LCMHC, LCAS, CCS
Verified Verified
Raleigh, NC 27617
Hey there! I'm a Licensed Clinical Mental Health Counselor and Licensed Clinical Addictions Specialist in the Raleigh, NC area. I enjoy working with adolescent and adult individuals on issues with ADHD, anxiety, depression, PTSD and trauma - including domestic violence and interpersonal violence, adjustment disorders, life transitions, grief, and addictions.
Hey there! I'm a Licensed Clinical Mental Health Counselor and Licensed Clinical Addictions Specialist in the Raleigh, NC area. I enjoy working with adolescent and adult individuals on issues with ADHD, anxiety, depression, PTSD and trauma - including domestic violence and interpersonal violence, adjustment disorders, life transitions, grief, and addictions.
(984) 400-0838 View (984) 400-0838
Photo of Beverly J Hicks, Licensed Clinical Mental Health Counselor in North Carolina
Beverly J Hicks
Licensed Clinical Mental Health Counselor, NCLCMHC, TX-LMFT, TX-LCDC
Verified Verified
Raleigh, NC 27615
I've been in private practice for over 25 years. I'm credentialed as a L.M.F.T. and L.C.D.C. in Texas and L.C.M.H.C. in North Carolina. I provide therapy for adolescents, adults, couples, and families dealing with a variety of mental health and addiction issues. My role is to listen, encourage, educate, and empower.
I've been in private practice for over 25 years. I'm credentialed as a L.M.F.T. and L.C.D.C. in Texas and L.C.M.H.C. in North Carolina. I provide therapy for adolescents, adults, couples, and families dealing with a variety of mental health and addiction issues. My role is to listen, encourage, educate, and empower.
(919) 849-5286 View (919) 849-5286
Photo of Kaydium Therapy Services, Licensed Professional Counselor in North Carolina
Kaydium Therapy Services
Licensed Professional Counselor, LCAS, LCMHC, CCS, Sexolog
Verified Verified
2 Endorsed
Charlotte, NC 28216
I am accepting NEW CLIENTS!! I am a Charlotte native. I have been passionate about working with people that seek Substance Use and Mental Health support for over 15 years. I enjoy collaborating and empowering my patients to reach their desired outcomes. My approach is based on the individual needs and I believe that the person sitting in front of me is actually the expert, I’m simply the tool that gets to help navigate the journey!
I am accepting NEW CLIENTS!! I am a Charlotte native. I have been passionate about working with people that seek Substance Use and Mental Health support for over 15 years. I enjoy collaborating and empowering my patients to reach their desired outcomes. My approach is based on the individual needs and I believe that the person sitting in front of me is actually the expert, I’m simply the tool that gets to help navigate the journey!
(980) 243-4181 View (980) 243-4181
Photo of Eric J Davis, Licensed Professional Counselor in North Carolina
Eric J Davis
Licensed Professional Counselor, MS, LCMHC
Verified Verified
1 Endorsed
Asheville, NC 28801
Life is a funny thing. And often terribly complicated. During our journey in this world, we often face challenges that can feel too big or ongoing. Whether it’s with chronic feelings of anxiousness, depression, emptiness, issues about sexual orientation, gender, or ethnicity, relationship conflict, sleep disturbances, substance misuse, school or work issues, or any combination of those, many of us struggle silently. But you don't have to. It can help to work with a therapist with a deep understanding of what it’s like with some of those struggles and who is passionate about helping others learn to thrive despite these adversities.
Life is a funny thing. And often terribly complicated. During our journey in this world, we often face challenges that can feel too big or ongoing. Whether it’s with chronic feelings of anxiousness, depression, emptiness, issues about sexual orientation, gender, or ethnicity, relationship conflict, sleep disturbances, substance misuse, school or work issues, or any combination of those, many of us struggle silently. But you don't have to. It can help to work with a therapist with a deep understanding of what it’s like with some of those struggles and who is passionate about helping others learn to thrive despite these adversities.
(828) 490-4137 View (828) 490-4137
Photo of Nanette Floyd Patterson, Licensed Professional Counselor in North Carolina
Nanette Floyd Patterson
Licensed Professional Counselor, MA, LCMHC
Verified Verified
2 Endorsed
Raleigh, NC 27609
As a Christian Therapist, I help Christian women and girls ages 13+ with challenges related to anxiety, depression, anger, low self-esteem, ADHD, rejection, guilt, shame, self-worth, and stress. Also, I support women who are struggling with issues related to infidelity and divorce. I believe self-care post-divorce is so important. My approach is non-judgmental, safe, and caring which are essential to the healing process of moving forward. Individuals DO NOT have to be Christian. Christian views are not forced on individuals. I want women to know they matter too. Peace, hope, and healing are essential to living your great life.
As a Christian Therapist, I help Christian women and girls ages 13+ with challenges related to anxiety, depression, anger, low self-esteem, ADHD, rejection, guilt, shame, self-worth, and stress. Also, I support women who are struggling with issues related to infidelity and divorce. I believe self-care post-divorce is so important. My approach is non-judgmental, safe, and caring which are essential to the healing process of moving forward. Individuals DO NOT have to be Christian. Christian views are not forced on individuals. I want women to know they matter too. Peace, hope, and healing are essential to living your great life.
(919) 701-4852 View (919) 701-4852
Photo of Shauna E Allen, Licensed Clinical Mental Health Counselor in North Carolina
Shauna E Allen
Licensed Clinical Mental Health Counselor, MA, LCMHC
Verified Verified
Hickory, NC 28601  (Online Only)
There is so much excitement around babies. From the sound of soft baby coos to the warm cuddles right before a nap. Ideally, babies are fun, but new parenthood can be overwhelming, scary, and anxiety provoking. That’s something we don’t talk about enough. From brain fog, not feeling like yourself, body betrayals, feeling out of place, shifts in relationships, grief, exhaustion all the way to isolation, there is so much that can come up in the journey to parenthood. You want to feel balanced, and enjoy yourself again. You want your body to do what it’s supposed to. You want to feel heard, seen, and connected.
There is so much excitement around babies. From the sound of soft baby coos to the warm cuddles right before a nap. Ideally, babies are fun, but new parenthood can be overwhelming, scary, and anxiety provoking. That’s something we don’t talk about enough. From brain fog, not feeling like yourself, body betrayals, feeling out of place, shifts in relationships, grief, exhaustion all the way to isolation, there is so much that can come up in the journey to parenthood. You want to feel balanced, and enjoy yourself again. You want your body to do what it’s supposed to. You want to feel heard, seen, and connected.
(704) 272-2034 View (704) 272-2034
Photo of Christy Tison, Counselor in North Carolina
Christy Tison
Counselor, MA, LCMHC
Verified Verified
1 Endorsed
Charlotte, NC 28226
Do you often feel stressed and anxious? I enjoy helping women grow in freedom from anxiety, feeling isolated & overwhelmed in their personal &/or professional lives. I know from working with clients, they want peace of mind, to experience healthy relationships, feel fulfilled in who they are and lead lives of impact. Yet, sometimes we wonder after experiencing ongoing circumstances of disappointment and undue stress, where that woman went or how to find her again...Day to day reality, especially through significant times of change, can be overwhelming, resulting in feeling weighed down by much to do’s and a drive to keep performing.
Do you often feel stressed and anxious? I enjoy helping women grow in freedom from anxiety, feeling isolated & overwhelmed in their personal &/or professional lives. I know from working with clients, they want peace of mind, to experience healthy relationships, feel fulfilled in who they are and lead lives of impact. Yet, sometimes we wonder after experiencing ongoing circumstances of disappointment and undue stress, where that woman went or how to find her again...Day to day reality, especially through significant times of change, can be overwhelming, resulting in feeling weighed down by much to do’s and a drive to keep performing.
(980) 292-8241 View (980) 292-8241

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
87% 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.