Therapists in Cary, NC

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 Natasha Corley, Clinical Social Work/Therapist in Cary, NC
Natasha Corley
Clinical Social Work/Therapist, LCSW
Verified Verified
1 Endorsed
Cary, NC 27519
I am a licensed clinical social worker with 20 years of experience. I specialize in children, teenagers, young adults, and families. I understand the trust parents place in me and I take that responsibility seriously. I use humor and games to help kids feel more comfortable. I enjoy helping clients navigate the challenges in their lives. I believe in a person-centered approach and will tailor your treatment plan to meet your unique needs and goals.
I am a licensed clinical social worker with 20 years of experience. I specialize in children, teenagers, young adults, and families. I understand the trust parents place in me and I take that responsibility seriously. I use humor and games to help kids feel more comfortable. I enjoy helping clients navigate the challenges in their lives. I believe in a person-centered approach and will tailor your treatment plan to meet your unique needs and goals.
(984) 206-3211 View (984) 206-3211
Photo of Jo McBride, Clinical Social Work/Therapist in Cary, NC
Jo McBride
Clinical Social Work/Therapist, LCSWA
Verified Verified
Cary, NC 27518
Are negative thoughts taking over your life? Is something causing stress in your life? Perhaps you have goals you want to reach or habits you want to adopt or drop, but nothing you try seems to work. Maybe you feel unaccepted by others or struggle to set and keep boundaries.
Are negative thoughts taking over your life? Is something causing stress in your life? Perhaps you have goals you want to reach or habits you want to adopt or drop, but nothing you try seems to work. Maybe you feel unaccepted by others or struggle to set and keep boundaries.
(919) 736-6852 View (919) 736-6852
Photo of Peace By Piece Counseling Services PLLC, Counselor in Cary, NC
Peace By Piece Counseling Services PLLC
Counselor, MS, NCC, LCMHC
Verified Verified
Cary, NC 27518
Whether you are depressed, feeling stuck, anxious or struggling in a relationship, I bring an empathetic, positive and enthusiastic style towards personal change and growth. I offer a comfortable, supportive and trusting environment to work through the issues affecting your life.
Whether you are depressed, feeling stuck, anxious or struggling in a relationship, I bring an empathetic, positive and enthusiastic style towards personal change and growth. I offer a comfortable, supportive and trusting environment to work through the issues affecting your life.
(919) 261-3575 View (919) 261-3575
Photo of Maya Pintar, Clinical Social Work/Therapist in Cary, NC
Maya Pintar
Clinical Social Work/Therapist, LCSW
Verified Verified
2 Endorsed
Cary, NC 27519  (Online Only)
Are you feeling overwhelmed by worried thoughts, leading to constant stress and tension? Do you doubt your self-worth or feel inadequate in your relationships? Anxiety can feel like a heavy weight on your shoulders, making everyday tasks seem daunting and exhausting. Sometimes anxiety leaves us feeling unsure about how to move forward. Other times, it shows up as tension in our most cherished relationships, causing us to question our connections and communication. If you are experiencing anxiety or feeling overwhelmed by difficulties in your relationship, you are not alone.
Are you feeling overwhelmed by worried thoughts, leading to constant stress and tension? Do you doubt your self-worth or feel inadequate in your relationships? Anxiety can feel like a heavy weight on your shoulders, making everyday tasks seem daunting and exhausting. Sometimes anxiety leaves us feeling unsure about how to move forward. Other times, it shows up as tension in our most cherished relationships, causing us to question our connections and communication. If you are experiencing anxiety or feeling overwhelmed by difficulties in your relationship, you are not alone.
(984) 646-5081 View (984) 646-5081
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 Danelle Kubisiak-Louder, Licensed Clinical Mental Health Counselor in Cary, NC
Danelle Kubisiak-Louder
Licensed Clinical Mental Health Counselor, LMHMC
Verified Verified
Cary, NC 27518
Overwhelm has become a way of life lending to feelings of anxiety, depression and disconnect. This leads to disruptions relationally with others and ourselves. Understanding how we think, feel, and behave can begin with better self-worth, mood and relationships. I’m not a nod-and-smile, vanilla sort of therapist. You’ll find that I curse, will call you out, hold you accountable, and hopefully leave you laughing and inspired. If I am not REAL, how I can expect my clients to show up in their authentic self? And when you feel safe to be real with me, we can work on how that carries over into the rest of your life.
Overwhelm has become a way of life lending to feelings of anxiety, depression and disconnect. This leads to disruptions relationally with others and ourselves. Understanding how we think, feel, and behave can begin with better self-worth, mood and relationships. I’m not a nod-and-smile, vanilla sort of therapist. You’ll find that I curse, will call you out, hold you accountable, and hopefully leave you laughing and inspired. If I am not REAL, how I can expect my clients to show up in their authentic self? And when you feel safe to be real with me, we can work on how that carries over into the rest of your life.
(984) 266-2236 View (984) 266-2236
Photo of Catherine Ann Snow, Psychologist in Cary, NC
Catherine Ann Snow
Psychologist, PhD
Verified Verified
Cary, NC 27511
Not accepting new clients
I work with children, teenagers, and adults with a variety of behavioral, mood, and relationship challenges. Through cognitive-behavioral therapy (CBT), we work to change thoughts, behaviors and emotions that interfere with life satisfaction, happiness, day-to-day functioning and relationships. In addition to CBT, my therapeutic style incorporates supportive therapy, parent therapy, and stress management. I strive to develop a collaborative and respectful relationship with my clients in a safe environment to decrease anxiety, improve mood and relationships, and help create a stronger sense of self-competency and self-worth.
I work with children, teenagers, and adults with a variety of behavioral, mood, and relationship challenges. Through cognitive-behavioral therapy (CBT), we work to change thoughts, behaviors and emotions that interfere with life satisfaction, happiness, day-to-day functioning and relationships. In addition to CBT, my therapeutic style incorporates supportive therapy, parent therapy, and stress management. I strive to develop a collaborative and respectful relationship with my clients in a safe environment to decrease anxiety, improve mood and relationships, and help create a stronger sense of self-competency and self-worth.
(919) 551-3109 View (919) 551-3109
Photo of Piedmont Behavioral Services, Counselor in Cary, NC
Piedmont Behavioral Services
Counselor, LPCA, LCAS
Verified Verified
Cary, NC 27513
We provide all kind of therapy (individual and DBT groups) and psychiatry services for Children and Adult, including medication management, Partial hospitalization (PHP) substance abuse, Suboxone treatment and TMS (Transcranial Magnetic Stimulation) for Depression and OCD. Our clinic is in Cary and has easy access to Apex, Morrisville, Holly Springs and Raleigh-Durham (North Carolina).
We provide all kind of therapy (individual and DBT groups) and psychiatry services for Children and Adult, including medication management, Partial hospitalization (PHP) substance abuse, Suboxone treatment and TMS (Transcranial Magnetic Stimulation) for Depression and OCD. Our clinic is in Cary and has easy access to Apex, Morrisville, Holly Springs and Raleigh-Durham (North Carolina).
(984) 205-2767 View (984) 205-2767
Photo of Christine Butler in Cary, NC
Christine Butler
LCMHC, LMHC, LPCC, LPC
Verified Verified
Cary, NC 27519  (Online Only)
If you're dealing with intense emotional swings, impulsive actions, or self-harming behaviors, you might feel like you're always on the edge, looking for stability. Our DBT program is designed for individuals like you, who need more than what typical community services offer and are seeking effective ways to manage life's complexities. You deserve a life beyond crisis management. We can teach you to stabilize your emotions, reduce harmful behaviors, and build fulfilling relationships. It takes courage to seek help, and we’re here to support you each step of the way towards a more balanced and rewarding life. Ready to make a change?
If you're dealing with intense emotional swings, impulsive actions, or self-harming behaviors, you might feel like you're always on the edge, looking for stability. Our DBT program is designed for individuals like you, who need more than what typical community services offer and are seeking effective ways to manage life's complexities. You deserve a life beyond crisis management. We can teach you to stabilize your emotions, reduce harmful behaviors, and build fulfilling relationships. It takes courage to seek help, and we’re here to support you each step of the way towards a more balanced and rewarding life. Ready to make a change?
(877) 758-6328 View (877) 758-6328
Photo of Andrew M Mormann, Lic Clinical Mental Health Counselor Associate in Cary, NC
Andrew M Mormann
Lic Clinical Mental Health Counselor Associate, LMFTA, LCMHCA
Verified Verified
Cary, NC 27511
You may be experiencing high conflict, disengagement, resentment, confusion, hopelessness, or volatility in your marriage, family, and other relationships. You or your partner's infidelity may have just been exposed. You or your family may have unique unmet needs and you would like to explore resolutions. You may be experiencing feelings of purposelessness and despair in your life and relationships or lack thereof. You may be experiencing hindrances in your ability to perform your work tasks or be there for the significant people in your life. If you connect with any of these, I am here to help.
You may be experiencing high conflict, disengagement, resentment, confusion, hopelessness, or volatility in your marriage, family, and other relationships. You or your partner's infidelity may have just been exposed. You or your family may have unique unmet needs and you would like to explore resolutions. You may be experiencing feelings of purposelessness and despair in your life and relationships or lack thereof. You may be experiencing hindrances in your ability to perform your work tasks or be there for the significant people in your life. If you connect with any of these, I am here to help.
(919) 766-2765 View (919) 766-2765
Photo of Jasmine Billups in Cary, NC
Jasmine Billups
MA, LCMHCS
Verified Verified
1 Endorsed
Cary, NC 27511  (Online Only)
I work with young children, adolescents, and adults; providing individual, couples, and group therapy. As a Registered Play Therapist and a Level I Theraplay Practitioner, I work with clients to process traumatic experiences, improve emotion regulation, manage anxiety, address challenges with defiance and impulsivity, and assisting with attachment and relationship building.
I work with young children, adolescents, and adults; providing individual, couples, and group therapy. As a Registered Play Therapist and a Level I Theraplay Practitioner, I work with clients to process traumatic experiences, improve emotion regulation, manage anxiety, address challenges with defiance and impulsivity, and assisting with attachment and relationship building.
(919) 694-6834 View (919) 694-6834
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 Stephanie Adams-Gilmer, Clinical Social Work/Therapist in Cary, NC
Stephanie Adams-Gilmer
Clinical Social Work/Therapist, MSW, LCSW
Verified Verified
9 Endorsed
Cary, NC 27511
Here is your sign. It's time to deal with your trauma. Triggers happened and you're still recovering. Life feels hectic. You've been meaning to take time to care for yourself, but it just hasn't happened yet. You're determined now; you've made the decision to take care of yourself...AND you know you want some help doing it. What if you could connect to someone who could truly see how you're doing and not pass judgment? And what if having someone wisely walk with you will help your life improve?
Here is your sign. It's time to deal with your trauma. Triggers happened and you're still recovering. Life feels hectic. You've been meaning to take time to care for yourself, but it just hasn't happened yet. You're determined now; you've made the decision to take care of yourself...AND you know you want some help doing it. What if you could connect to someone who could truly see how you're doing and not pass judgment? And what if having someone wisely walk with you will help your life improve?
(919) 752-3056 View (919) 752-3056
Photo of Kimberly Daley, Marriage & Family Therapist Associate in Cary, NC
Kimberly Daley
Marriage & Family Therapist Associate, LMFTA
Verified Verified
1 Endorsed
Cary, NC 27511
Not accepting new clients
What is the loudest message your childhood whispers in your ear? Do you know who or where that message came from? Is it a message that is soft, helpful, and motivating? Or is it one that is unhelpful, draining, and defeating? If it is the latter and you are ready to begin silencing that message and amplifying a message of goodness, growth, and confidence, then let's get started!
What is the loudest message your childhood whispers in your ear? Do you know who or where that message came from? Is it a message that is soft, helpful, and motivating? Or is it one that is unhelpful, draining, and defeating? If it is the latter and you are ready to begin silencing that message and amplifying a message of goodness, growth, and confidence, then let's get started!
(919) 849-3963 View (919) 849-3963
Photo of Bailey Toma Onuoha, Marriage & Family Therapist Associate in Cary, NC
Bailey Toma Onuoha
Marriage & Family Therapist Associate, LMFTA
Verified Verified
1 Endorsed
Cary, NC 27513
Life can be confusing and painful at times. Unexpected situations can leave us barely managing instead of thriving. I often think of the quote from the show Sweet Magnolias when one of the main characters says, "Life is insane, I am holding it together by ducktape and happy thoughts and I am near out of both." In my own experience, seeking therapy can bring insight and healing for all different people and situations, it just takes one step of courage to decide to begin.
Life can be confusing and painful at times. Unexpected situations can leave us barely managing instead of thriving. I often think of the quote from the show Sweet Magnolias when one of the main characters says, "Life is insane, I am holding it together by ducktape and happy thoughts and I am near out of both." In my own experience, seeking therapy can bring insight and healing for all different people and situations, it just takes one step of courage to decide to begin.
(984) 217-5446 View (984) 217-5446
Photo of Jasmine Elliott in Cary, NC
Jasmine Elliott
MA, LCMHCA, NCC
Verified Verified
1 Endorsed
Cary, NC 27511
Have you been struggling to get out of bed each morning, constantly fighting the urge to just stay in bed all day? Has your job or school performance been affected, or maybe even your relationships with your friends, family, or significant other? Maybe you’ve lost interest in activities that once brought you joy, and even the simplest of tasks seem impossible to get done. YOU deserve to be happy again, to smile and laugh again, to feel like yourself again. Although all hope might appear to be lost right now, don't give up, because you are NOT alone.
Have you been struggling to get out of bed each morning, constantly fighting the urge to just stay in bed all day? Has your job or school performance been affected, or maybe even your relationships with your friends, family, or significant other? Maybe you’ve lost interest in activities that once brought you joy, and even the simplest of tasks seem impossible to get done. YOU deserve to be happy again, to smile and laugh again, to feel like yourself again. Although all hope might appear to be lost right now, don't give up, because you are NOT alone.
(919) 551-7325 View (919) 551-7325
Photo of Katie McSloy, Clinical Social Work/Therapist in Cary, NC
Katie McSloy
Clinical Social Work/Therapist, MSW, LCSWA
Verified Verified
1 Endorsed
Cary, NC 27511  (Online Only)
Are you looking for a safe, inclusive space in which to explore your identity? Process trauma? Deal with the loss of a loved one? Improve communication in your relationships? I might be a good fit for you! I enjoy working with clients ages 10 and up who are struggling with issues such as gender identity and sexuality challenges, relational challenges, childhood trauma, adulthood trauma, grief, anxiety, and depression. I also particularly enjoy working with adolescents and young adults who may be struggling socially or academically.
Are you looking for a safe, inclusive space in which to explore your identity? Process trauma? Deal with the loss of a loved one? Improve communication in your relationships? I might be a good fit for you! I enjoy working with clients ages 10 and up who are struggling with issues such as gender identity and sexuality challenges, relational challenges, childhood trauma, adulthood trauma, grief, anxiety, and depression. I also particularly enjoy working with adolescents and young adults who may be struggling socially or academically.
(984) 266-3053 View (984) 266-3053
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 Carole Cox, Marriage & Family Therapist in Cary, NC
Carole Cox
Marriage & Family Therapist, LMFT
Verified Verified
Cary, NC 27511
Carole Netherton is a Licensed Marriage and Family Therapist (LMFT) with 40 years of experience in the mental health field. Carole has a history of working with people with dual diagnoses, people with a diagnosis of Alzheimer's disease and related dementias, and individuals and families who are facing life cycle adjustments. These adjustments can include caring for an elderly parent, marriage, divorce, and grief and loss. Carole has also had experience providing mediation for those who are in need of making difficult life transition decisions and require a coach or mediator.
Carole Netherton is a Licensed Marriage and Family Therapist (LMFT) with 40 years of experience in the mental health field. Carole has a history of working with people with dual diagnoses, people with a diagnosis of Alzheimer's disease and related dementias, and individuals and families who are facing life cycle adjustments. These adjustments can include caring for an elderly parent, marriage, divorce, and grief and loss. Carole has also had experience providing mediation for those who are in need of making difficult life transition decisions and require a coach or mediator.
(984) 355-9505 View (984) 355-9505

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.