Therapists in Cary, NC

Photo of Louise Carter, Counselor in Cary, NC
Louise Carter
Counselor, LCMHC, CRC
Verified Verified
2 Endorsed
Cary, NC 27518
Yes, I am currently taking new clients! Are you someone who usually loves to help others, but suddenly you are just so tired? Are you feeling burnt out? Exhausted? Overthinking and questioning everything? You may be struggling with issues like people-pleasing, anxiety, and perfectionism. I work with folks who want to find a better balance in their lives and rediscover who they truly are. My hope for you is that when you learn to live authentically, you can find relief, rest, and joy again.
Yes, I am currently taking new clients! Are you someone who usually loves to help others, but suddenly you are just so tired? Are you feeling burnt out? Exhausted? Overthinking and questioning everything? You may be struggling with issues like people-pleasing, anxiety, and perfectionism. I work with folks who want to find a better balance in their lives and rediscover who they truly are. My hope for you is that when you learn to live authentically, you can find relief, rest, and joy again.
(919) 568-5184 View (919) 568-5184
Photo of Sara Passey, Licensed Professional Counselor in Cary, NC
Sara Passey
Licensed Professional Counselor, PhD, LCMHC, LMFT
Verified Verified
3 Endorsed
Cary, NC 27511
You are someone who has an inkling that life can be better than it is right now. You need it to be better - how you have been living is no longer working for you! You are ready to try something different and move towards change rather than repeat the same patterns over and over.
You are someone who has an inkling that life can be better than it is right now. You need it to be better - how you have been living is no longer working for you! You are ready to try something different and move towards change rather than repeat the same patterns over and over.
(919) 439-8203 View (919) 439-8203
Photo of Bradley Hack, Psychologist in Cary, NC
Bradley Hack
Psychologist, PhD
Verified Verified
Cary, NC 27518
I am a Licensed Psychologist with 23 years of experience helping adolescents and adults who are struggling with anxiety, depression, self-doubt, overthinking, and dissatisfaction in their relationships. My style is down to earth and practical. I want you to have better management over your mind as quickly as possible. Our meetings can vary from developing deep emotional understanding and self-awareness, to practical coaching on how to feel your feelings without wallowing or how to manage your thoughts without fighting them. I will work collaboratively with you and I consider us co-captains on your self-improvement project.
I am a Licensed Psychologist with 23 years of experience helping adolescents and adults who are struggling with anxiety, depression, self-doubt, overthinking, and dissatisfaction in their relationships. My style is down to earth and practical. I want you to have better management over your mind as quickly as possible. Our meetings can vary from developing deep emotional understanding and self-awareness, to practical coaching on how to feel your feelings without wallowing or how to manage your thoughts without fighting them. I will work collaboratively with you and I consider us co-captains on your self-improvement project.
(984) 207-5323 View (984) 207-5323
Photo of Devin Malik, Clinical Social Work/Therapist in Cary, NC
Devin Malik
Clinical Social Work/Therapist, MSW, LCSW
Verified Verified
1 Endorsed
Cary, NC 27511
Not accepting new clients
I specialize in working with teens and adults who have trauma histories. I also enjoy engaging with folks who live with depression, anxiety, mood disorders, stress, life transitions, and other mental health experiences. I have worked with diverse populations of various socioeconomic backgrounds, cultures, and beliefs. I enjoy meeting clients where they are and working collaboratively to move towards client-directed goals. Being a human is hard, and therapy can provide you with an invaluable environment to heal and grow within.
I specialize in working with teens and adults who have trauma histories. I also enjoy engaging with folks who live with depression, anxiety, mood disorders, stress, life transitions, and other mental health experiences. I have worked with diverse populations of various socioeconomic backgrounds, cultures, and beliefs. I enjoy meeting clients where they are and working collaboratively to move towards client-directed goals. Being a human is hard, and therapy can provide you with an invaluable environment to heal and grow within.
(919) 887-6061 View (919) 887-6061
Photo of Joy Wall, Clinical Social Work/Therapist in Cary, NC
Joy Wall
Clinical Social Work/Therapist, LCSW-A
Verified Verified
Cary, NC 27519
We all seek to achieve a balanced life, but little do we often pour into ourselves. The few times we do cater to ourselves, the biggest piece of us goes untouched. Mental health is a big part of our identity and self-care that deserves a little more TLC. My name is Joy Wall, a Licensed Clinical Social Worker Associate and an alum of Winston-Salem and North Carolina State University.
We all seek to achieve a balanced life, but little do we often pour into ourselves. The few times we do cater to ourselves, the biggest piece of us goes untouched. Mental health is a big part of our identity and self-care that deserves a little more TLC. My name is Joy Wall, a Licensed Clinical Social Worker Associate and an alum of Winston-Salem and North Carolina State University.
(984) 224-7183 View (984) 224-7183
Photo of Amber M Diamond Green, Counselor in Cary, NC
Amber M Diamond Green
Counselor, MA, LMCHC, NCC
Verified Verified
3 Endorsed
Cary, NC 27511  (Online Only)
Not accepting new clients
Real superheroes live in the hearts of children fighting big battles. Being a child, teen, or young adult in today's world can be both scary and difficult. Peer pressure, family and home concerns and the struggle to find identity can overload every thought and ounce of energy of today's children, teens, and young adults. Being the parent of a child in today's world can also feel overwhelming. My goal as a professional counselor is to help you, your child and family find a place of peace and self-worth through hands on activities and real-life strategies. My hope is that you will feel more connected through our work together.
Real superheroes live in the hearts of children fighting big battles. Being a child, teen, or young adult in today's world can be both scary and difficult. Peer pressure, family and home concerns and the struggle to find identity can overload every thought and ounce of energy of today's children, teens, and young adults. Being the parent of a child in today's world can also feel overwhelming. My goal as a professional counselor is to help you, your child and family find a place of peace and self-worth through hands on activities and real-life strategies. My hope is that you will feel more connected through our work together.
(919) 887-8690 View (919) 887-8690
Photo of Brionna Alston, Clinical Social Work/Therapist in Cary, NC
Brionna Alston
Clinical Social Work/Therapist, MSW, LCSWA
Verified Verified
Cary, NC 27518
Life can be unexpected and overwhelming, and sometimes we find ourselves getting a bit lost along the way. Perhaps you have some added stressors, are in a time of transition, or just can’t seem to enjoy life to the fullest extent. This is an excellent opportunity to have some assistance. I provide counseling services to adults and adolescents and have a holistic approach to wellness. This means I believe that the mind and body are interconnected, and both need to be looked after to be the best version of ourselves. I use collaboration to help you create goals, set boundaries, and learn skills to facilitate healing and growth.
Life can be unexpected and overwhelming, and sometimes we find ourselves getting a bit lost along the way. Perhaps you have some added stressors, are in a time of transition, or just can’t seem to enjoy life to the fullest extent. This is an excellent opportunity to have some assistance. I provide counseling services to adults and adolescents and have a holistic approach to wellness. This means I believe that the mind and body are interconnected, and both need to be looked after to be the best version of ourselves. I use collaboration to help you create goals, set boundaries, and learn skills to facilitate healing and growth.
(919) 635-1303 View (919) 635-1303
Photo of Laura Haynes, Clinical Social Work/Therapist in Cary, NC
Laura Haynes
Clinical Social Work/Therapist, LCSW
Verified Verified
Cary, NC 27518
Laura Haynes is a Licensed Clinical Social Worker in North Carolina who has been practicing since 2019. Laura is a trauma-focused and strengths-based clinician who is committed to meeting people where they are. CBT, DBT, mindfulness, and motivational interviewing are also utilized often. When not at work, Laura enjoys being outside, being with people she loves, being near animals, reading, cooking, and learning new things.
Laura Haynes is a Licensed Clinical Social Worker in North Carolina who has been practicing since 2019. Laura is a trauma-focused and strengths-based clinician who is committed to meeting people where they are. CBT, DBT, mindfulness, and motivational interviewing are also utilized often. When not at work, Laura enjoys being outside, being with people she loves, being near animals, reading, cooking, and learning new things.
(919) 276-8377 View (919) 276-8377
Photo of Meredith Keen, Marriage & Family Therapist in Cary, NC
Meredith Keen
Marriage & Family Therapist, MA, LMFT
Verified Verified
7 Endorsed
Cary, NC 27511
Are you stuck, repeating the same patterns in relationships that start out full of hope and desire, but end up in distance and disappointment? Do fears keep surfacing that lead you to react in ways that sabotage your goals/push others away? You may worry about rejection and loss, or find yourself lonely and disillusioned, wondering what's "wrong" that undermines your happiness. Rest assured, you're not alone! I've been there, too. If you are suffering in relationships, feeling heartbroken, or yearning from unmet needs, I can empower you to understand and change the underlying dynamics to promote intimacy and connection.
Are you stuck, repeating the same patterns in relationships that start out full of hope and desire, but end up in distance and disappointment? Do fears keep surfacing that lead you to react in ways that sabotage your goals/push others away? You may worry about rejection and loss, or find yourself lonely and disillusioned, wondering what's "wrong" that undermines your happiness. Rest assured, you're not alone! I've been there, too. If you are suffering in relationships, feeling heartbroken, or yearning from unmet needs, I can empower you to understand and change the underlying dynamics to promote intimacy and connection.
(919) 364-6250 View (919) 364-6250
Photo of Thrive Counseling & Consulting, PLLC, Licensed Clinical Mental Health Counselor in Cary, NC
Thrive Counseling & Consulting, PLLC
Licensed Clinical Mental Health Counselor, MA, LCMHC, LCAS, LMFT, NCC
Verified Verified
5 Endorsed
Cary, NC 27511
Our goal is to help you uncover your true potential and lead a life worth celebrating. We all experience moments that leave us feeling hopeless, sad, frustrated, angry, or frightened. However, life is not meant to be lived in that place of darkness. While we can't change the past, we can work together to better understand and resolve challenges in your life. Using complementary therapy approaches and techniques, we will help unearth old behavior patterns or negative perceptions that may be holding you back from experiencing a more fulfilling and meaningful life. If you're ready to take steps forward, we are ready to help.
Our goal is to help you uncover your true potential and lead a life worth celebrating. We all experience moments that leave us feeling hopeless, sad, frustrated, angry, or frightened. However, life is not meant to be lived in that place of darkness. While we can't change the past, we can work together to better understand and resolve challenges in your life. Using complementary therapy approaches and techniques, we will help unearth old behavior patterns or negative perceptions that may be holding you back from experiencing a more fulfilling and meaningful life. If you're ready to take steps forward, we are ready to help.
(919) 651-8313 View (919) 651-8313
Photo of Priscilla Jacko, Licensed Clinical Mental Health Counselor in Cary, NC
Priscilla Jacko
Licensed Clinical Mental Health Counselor, MA, LCMHC, NCC
Verified Verified
Cary, NC 27511
Thank you for considering me as you search for a therapist. The fact that you are taking this step displays courage and strength. My goal is to collaborate with you as you navigate current experiences and help you determine appropriate strategies to utilize both now and in the future. I look forward to talking with you to determine if I am a good fit!
Thank you for considering me as you search for a therapist. The fact that you are taking this step displays courage and strength. My goal is to collaborate with you as you navigate current experiences and help you determine appropriate strategies to utilize both now and in the future. I look forward to talking with you to determine if I am a good fit!
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Photo of Erin Towle-Silva, Psychologist in Cary, NC
Erin Towle-Silva
Psychologist, PsyD
Verified Verified
1 Endorsed
Cary, NC 27511
Welcome! Deciding to seek professional help and support can be a difficult but courageous choice to make. Psychotherapy can be an opportunity to begin the process of healing from emotional pain, develop effective tools, and change patterns of behavior leading to more satisfying relationships and a more fulfilling life. I provide a safe, empathic, and supportive environment where we work as a team to understand the difficulties and challenges you are facing and to develop effective solutions to overcoming these obstacles.
Welcome! Deciding to seek professional help and support can be a difficult but courageous choice to make. Psychotherapy can be an opportunity to begin the process of healing from emotional pain, develop effective tools, and change patterns of behavior leading to more satisfying relationships and a more fulfilling life. I provide a safe, empathic, and supportive environment where we work as a team to understand the difficulties and challenges you are facing and to develop effective solutions to overcoming these obstacles.
(919) 694-6626 View (919) 694-6626
Photo of Integrity Counseling & Wellness, PLLC in Cary, NC
Integrity Counseling & Wellness, PLLC
LCMHCS
Verified Verified
Cary, NC 27511
Accepting New Patients Immediately! Our counselors utilize an integrative approach to therapy and strive to create a trusting and open counseling environment. We are experienced in treating depression, anxiety, substance abuse, and many other concerns. Your comfort with self-expression is a top priority, so you will find our counselors are inviting and non-judgmental with those whom they serve. We enjoy providing new insight and guidance and prove to be individualized in meeting each client's needs.
Accepting New Patients Immediately! Our counselors utilize an integrative approach to therapy and strive to create a trusting and open counseling environment. We are experienced in treating depression, anxiety, substance abuse, and many other concerns. Your comfort with self-expression is a top priority, so you will find our counselors are inviting and non-judgmental with those whom they serve. We enjoy providing new insight and guidance and prove to be individualized in meeting each client's needs.
(919) 372-0850 View (919) 372-0850
Photo of DeCassi Foundation 501 3 C Nonprofit Organization, Clinical Social Work/Therapist in Cary, NC
DeCassi Foundation 501 3 C Nonprofit Organization
Clinical Social Work/Therapist, LCSW
Verified Verified
Cary, NC 27511  (Online Only)
DeCassi Foundation: A Non-Profit for Empowerment and Healing DeCassi Foundation is a non-profit organization committed to providing resources and solutions to vulnerable, disenfranchised, under-served, and dis-empowered individuals. We understand the challenges many face in addressing their psychological needs, and we offer a safe and supportive space for individuals to process these issues. Our dedication to your well-being means we operate on a sliding scale, making our services accessible to all who are in need. Our primary goal is to assist you in achieving self-actualization, where you can thrive and reach your full potential.
DeCassi Foundation: A Non-Profit for Empowerment and Healing DeCassi Foundation is a non-profit organization committed to providing resources and solutions to vulnerable, disenfranchised, under-served, and dis-empowered individuals. We understand the challenges many face in addressing their psychological needs, and we offer a safe and supportive space for individuals to process these issues. Our dedication to your well-being means we operate on a sliding scale, making our services accessible to all who are in need. Our primary goal is to assist you in achieving self-actualization, where you can thrive and reach your full potential.
(919) 583-6652 View (919) 583-6652
Photo of Emily Thompson, Counselor in Cary, NC
Emily Thompson
Counselor, MS, LCMHC
Verified Verified
2 Endorsed
Cary, NC 27513
I am a neurodiversity affirmative therapist and create a safe, accepting, non-judgmental environment where you can freely unmask and be your authentic self. I collaborate with you to identify and utilize your strengths and empower you to use those strengths to overcome difficult situations, successfully navigate relationships, and enhance positive coping skills to promote resiliency.
I am a neurodiversity affirmative therapist and create a safe, accepting, non-judgmental environment where you can freely unmask and be your authentic self. I collaborate with you to identify and utilize your strengths and empower you to use those strengths to overcome difficult situations, successfully navigate relationships, and enhance positive coping skills to promote resiliency.
(919) 343-9301 View (919) 343-9301
Photo of Elizabeth Guarnaccia, Clinical Social Work/Therapist in Cary, NC
Elizabeth Guarnaccia
Clinical Social Work/Therapist, LCSW
Verified Verified
Cary, NC 27513
Not accepting new clients
As a therapist with 30+ years of experience, I have come to honor and respect all who are seeking health, wholeness, emotional re-patterning, or relief from pain, be it physical, emotional, relational, existential or spiritual. I specialize in working with couples on their relationships, and with individual adults who are having difficulty managing their current life's stressors due to past or ongoing trauma, which may be causing depression, anxiety, physical symptoms, and interpersonal challenges. My specialties are connecting clients with their internal strengths and resources for healing within as well as in their relationships.
As a therapist with 30+ years of experience, I have come to honor and respect all who are seeking health, wholeness, emotional re-patterning, or relief from pain, be it physical, emotional, relational, existential or spiritual. I specialize in working with couples on their relationships, and with individual adults who are having difficulty managing their current life's stressors due to past or ongoing trauma, which may be causing depression, anxiety, physical symptoms, and interpersonal challenges. My specialties are connecting clients with their internal strengths and resources for healing within as well as in their relationships.
(919) 913-8211 View (919) 913-8211
Photo of Carla Huff, Clinical Social Work/Therapist in Cary, NC
Carla Huff
Clinical Social Work/Therapist, MEd, MSW, LCSW
Verified Verified
1 Endorsed
Cary, NC 27511
Adults I work with are interested in setting boundaries, overcoming negative thought patterns, processing a loss, enhancing personal relationships and learning how to live intentionally rather than just checking boxes. I currently only have evening and weekend availability.
Adults I work with are interested in setting boundaries, overcoming negative thought patterns, processing a loss, enhancing personal relationships and learning how to live intentionally rather than just checking boxes. I currently only have evening and weekend availability.
(919) 642-4760 View (919) 642-4760
Photo of Tony Harris, LCSW Associate in Cary, NC
Tony Harris
LCSW Associate , LCSW-A
Verified Verified
Cary, NC 27511
Tony is a Licensed Clinical Social Worker- Associate in North Carolina with some years of experience working with individuals and couples. Tony received his Master of Social Work (MSW) in 2012 from East Carolina University. Tony has experience working with children, adolescents, and adults. Drawing from a diverse array of educational, career and life experiences, Tony is trained in the use of Cognitive-Behavior Therapy, Family Systems Theory, and Dialectical Behavior Therapy to support the individual from a holistic approach.
Tony is a Licensed Clinical Social Worker- Associate in North Carolina with some years of experience working with individuals and couples. Tony received his Master of Social Work (MSW) in 2012 from East Carolina University. Tony has experience working with children, adolescents, and adults. Drawing from a diverse array of educational, career and life experiences, Tony is trained in the use of Cognitive-Behavior Therapy, Family Systems Theory, and Dialectical Behavior Therapy to support the individual from a holistic approach.
(984) 231-7333 View (984) 231-7333
Photo of Tiffany Corbett, Licensed Clinical Mental Health Counselor in Cary, NC
Tiffany Corbett
Licensed Clinical Mental Health Counselor, LCMHC, LCAS
Verified Verified
Cary, NC 27518
Tiffany Corbett is a Licensed Clinical Mental Health Counselor and a Licensed Clinical Addiction Specialist in North Carolina who has been practicing since 2017. She has a BA in Psychology and Sociology from the University of North Carolina at Chapel Hill. She has an MA in Clinical Mental Health Counseling with a Concentration in Substance Abuse Counseling from North Carolina Central University. Tiffany believes in meeting the client where they’re at, being their equal, and seeing treatment as a partnership. In her spare time,
Tiffany Corbett is a Licensed Clinical Mental Health Counselor and a Licensed Clinical Addiction Specialist in North Carolina who has been practicing since 2017. She has a BA in Psychology and Sociology from the University of North Carolina at Chapel Hill. She has an MA in Clinical Mental Health Counseling with a Concentration in Substance Abuse Counseling from North Carolina Central University. Tiffany believes in meeting the client where they’re at, being their equal, and seeing treatment as a partnership. In her spare time,
(919) 849-8252 View (919) 849-8252
Photo of Tiffany Mosley, Lic Clinical Mental Health Counselor Associate in Cary, NC
Tiffany Mosley
Lic Clinical Mental Health Counselor Associate, LCMHCA
Verified Verified
Cary, NC 27518
Tiffany Mosley is a Licensed Clinical Mental Health Counselor Associate in North Carolina who has been practicing since 2023. Tiffany provides a safe and inviting approach to achieve mental wellness for her clients. She encourages a symbiotic relationship with her clients using evidence-based practices which promote a holistic approach to healing. Tiffany will work through challenges, trauma, and behavior patterns with clients to help improve the quality of life that they seek. In her free time, Tiffany enjoys the outdoors, camping, gardening, and water activities. She also loves cooking and traveling.
Tiffany Mosley is a Licensed Clinical Mental Health Counselor Associate in North Carolina who has been practicing since 2023. Tiffany provides a safe and inviting approach to achieve mental wellness for her clients. She encourages a symbiotic relationship with her clients using evidence-based practices which promote a holistic approach to healing. Tiffany will work through challenges, trauma, and behavior patterns with clients to help improve the quality of life that they seek. In her free time, Tiffany enjoys the outdoors, camping, gardening, and water activities. She also loves cooking and traveling.
(984) 355-9604 View (984) 355-9604

How does your Therapist compare?

Number of Therapists in Cary, NC

900+

Average cost per session

$140

Therapists in Cary, NC who prioritize treating:

92% Anxiety
87% Depression
78% Self Esteem
77% Relationship Issues
72% Coping Skills
69% Stress
63% Life Transitions

Average years in practice

11 Years

Top 3 insurances accepted

83% BlueCross and BlueShield
73% Aetna
54% Cigna and Evernorth

How Therapists in Cary, NC see their clients

70% In Person and Online
30% Online Only

Gender breakdown

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

How can I find a therapist in Cary?

Search for nearby therapists or counselors by inputting your city, town, or suburb; or zip code; or a provider’s name into the search bar. From there, you can filter providers by the issues they treat, cost, insurance, gender, and other factors to find providers who are well-suited to your needs. To navigate between locations within the same country, enter a new city or zip code into the search bar.

Learn more about how to find a therapist

Is everyone in the Psychology Today Therapy Directory a licensed therapist?

The Psychology Today directory lists providers who offer legitimate mental health services to the public, including psychologists, psychiatrists, social workers, and counselors.

Many have been licensed by the country or state where they practice; providers whose license or primary credential has been verified by Psychology Today are signified by a “Verified” symbol. Some clinicians or organizations provide services for which their state or country does not offer licenses, such as pastoral counseling. They may be selectively included without the “Verified” seal.

What’s the difference between a psychologist, a therapist, and a counselor?

Therapists, psychologists, and counselors are all licensed mental health professionals. In the US, psychologists have earned a doctoral degree. The terms “therapist” and “counselor” are used somewhat interchangeably, but generally therapists offer longer-term, mental health care, while counselors offer shorter-term care that may focus on one domain, such as marriage, career, or academic challenges.

Clients should consider factors such as insurance coverage and their primary reason(s) for seeking therapy to determine the type of professional best suited to their needs. Someone struggling with mental health challenges such as depression or anxiety, for example, may wish to seek out a clinical psychologist or therapist, while someone navigating career obstacles or marital upheaval may benefit from seeing a counselor who can offer short-term, targeted support.

What type of therapy is right for me?

The type of therapy best suited to a particular individual depends on several factors, including their primary reason for seeking therapy, their preferred timeline (some therapy types last for a set number of sessions, while others are open-ended), and their personality and preferences—some may prefer a more structured approach. For many individuals, multiple types of therapy could provide a good fit.

How much does therapy cost?

The cost of therapy depends on a number of variables, including location and the therapist’s experience and training. On average, a therapy session in the United States could cost between $100 and $200 or more. If you have insurance, the expense of mental health care is typically lower, but it varies based on your insurance plan details and whether you choose an in-network or out-of-network mental healthcare provider.

What are more affordable or low cost therapy solutions?

Many therapists offer sliding scale payments, usually on a limited number of slots, which consists in an agreement between the therapist and a client to pay a reduced rate. Therapists who provide such arrangements often consider the client's income or ability to pay, but the extent of the discount is ultimately at the therapist's discretion. Furthermore, while group therapy may have different goals and benefits compared to individual therapy, it can be a more affordable solution to address certain types of issues.

Is online therapy cheaper than in-person therapy?

Many therapists charge the same amount for online therapy as they do for in-person therapy—though clients may still find this cost-effective if it cuts down on their transportation costs. Health insurance plans often offer equivalent coverage for online and in-person therapy; indeed, in many places, they are legally required to do so. Text-based or on-demand therapy apps may be cheaper than traditional one-on-one psychotherapy; however, the practice may be less effective and is not likely to be covered by insurance.

Is online therapy a good option?

Therapy conducted online can be just as effective as in-person therapy, as long as there is a strong alliance between the client and the therapist. To find a therapist who provides telehealth services to clients in your area, click “Online Therapy” on the directory homepage and search by your city or town or your zip code.

Are therapy sessions confidential?

Confidentiality is a crucial part of the therapeutic relationship. Therapists in the United States are bound by the regulations set out by the Health Insurance Portability and Accountability Act of 1996 (HIPAA), which aims to protect sensitive health information. With very few exceptions, a therapist will only discuss their client with others when the client has given their written permission. The instances in which a therapist would be required to disclose personal information are: if a client poses a danger to themselves or others, if the therapist suspects the abuse of a child or an elderly or otherwise dependent adult, or if they are legally forced to by court order. These exceptions to the confidentiality agreement are usually discussed with a client before their first session.