Therapists in Fayetteville, NC

Photo of Cindy Garrett, Clinical Social Work/Therapist in Fayetteville, NC
Cindy Garrett
Clinical Social Work/Therapist, MSW, LCSW
Verified Verified
2 Endorsed
Fayetteville, NC 28306
If you feel like you are needing someone to talk too, I am here to listen. I make a conscience effort to understand your whole environment so I am better equipped to help you through your therapeutic journey. I currently have availability at a farm, where we are able to implement equine-assisted therapy intervention to further your change process.
If you feel like you are needing someone to talk too, I am here to listen. I make a conscience effort to understand your whole environment so I am better equipped to help you through your therapeutic journey. I currently have availability at a farm, where we are able to implement equine-assisted therapy intervention to further your change process.
(910) 886-1476 View (910) 886-1476
Photo of Angela C Greene, Licensed Professional Counselor in Fayetteville, NC
Angela C Greene
Licensed Professional Counselor, MA, LCMHC
Verified Verified
Fayetteville, NC 28305
Choosing a Therapist is a "Big Deal" and I believe I can be the "Right" Therapist for you. I'm not here to judge or ridicule, but I am here to get to the root of issues that bring high levels of distress and anxiety. I have created an environment that is safe and engaging for counseling. I take pride in establishing a professional relationship that is based on making you feel better than when you arrived. My ultimate goal is to help you resolve ongoing issues that cannot be resolved alone. I have immediate openings and look forward to working with you.
Choosing a Therapist is a "Big Deal" and I believe I can be the "Right" Therapist for you. I'm not here to judge or ridicule, but I am here to get to the root of issues that bring high levels of distress and anxiety. I have created an environment that is safe and engaging for counseling. I take pride in establishing a professional relationship that is based on making you feel better than when you arrived. My ultimate goal is to help you resolve ongoing issues that cannot be resolved alone. I have immediate openings and look forward to working with you.
(910) 356-9920 View (910) 356-9920
Photo of Kellsie Siebach, Marriage & Family Therapist Associate in Fayetteville, NC
Kellsie Siebach
Marriage & Family Therapist Associate, LMFT
Verified Verified
2 Endorsed
Fayetteville, NC 28305
I am a Licensed Marriage and Family Therapist in North Carolina. I have earned my Master of Marriage and Family Therapy degree from the University of Houston. I have about 7 years of mental health experience including residential treatment, outpatient treatment, and private practice. I have worked with couples, families, and individuals with a wide range of struggles including (but not limited to) relationship struggles, stress, anxiety, depression, behavioral issues, anger, and trauma.
I am a Licensed Marriage and Family Therapist in North Carolina. I have earned my Master of Marriage and Family Therapy degree from the University of Houston. I have about 7 years of mental health experience including residential treatment, outpatient treatment, and private practice. I have worked with couples, families, and individuals with a wide range of struggles including (but not limited to) relationship struggles, stress, anxiety, depression, behavioral issues, anger, and trauma.
(910) 249-4772 View (910) 249-4772
Photo of Mindapth Health - Fayetteville, Clinical Social Work/Therapist in Fayetteville, NC
Mindapth Health - Fayetteville
Clinical Social Work/Therapist
Verified Verified
Fayetteville, NC 28304
Mindpath Health is a leading provider of high-quality outpatient mental health care, offering in-person and online visits. We provide psychiatric evaluations, medication management, and therapy.
Mindpath Health is a leading provider of high-quality outpatient mental health care, offering in-person and online visits. We provide psychiatric evaluations, medication management, and therapy.
(855) 698-1551 View (855) 698-1551
Photo of Leah Diaz, Counselor in Fayetteville, NC
Leah Diaz
Counselor, MA, LCMHC, Trauma, 500ERYT, YACEP
Verified Verified
Fayetteville, NC 28312
Waitlist for new clients
I understand that starting counseling is not easy. Chances are that you’ve tried it before, or that things currently feel like they’re too much to handle. You don’t have to do this alone. My goal is to help you reach YOUR goals. Topics may include: self-esteem/worth, coping skills, psych-Ed, mood regulation, couple counseling, anxiety, depression, OCD, daily stressors, affair recovery, trauma/ PTSD resolution, sexual dysfunction, support for LBGTQA+ or ENM lifestyle, military life challenges, grief and more. I support all beliefs and will gladly incorporate yours into sessions if that is your wish. Each appointment is truly for YOU!
I understand that starting counseling is not easy. Chances are that you’ve tried it before, or that things currently feel like they’re too much to handle. You don’t have to do this alone. My goal is to help you reach YOUR goals. Topics may include: self-esteem/worth, coping skills, psych-Ed, mood regulation, couple counseling, anxiety, depression, OCD, daily stressors, affair recovery, trauma/ PTSD resolution, sexual dysfunction, support for LBGTQA+ or ENM lifestyle, military life challenges, grief and more. I support all beliefs and will gladly incorporate yours into sessions if that is your wish. Each appointment is truly for YOU!
(910) 909-4135 View (910) 909-4135
Photo of Sage-Heart Counseling PLLC, Clinical Social Work/Therapist in Fayetteville, NC
Sage-Heart Counseling PLLC
Clinical Social Work/Therapist, LCSW
Verified Verified
Fayetteville, NC 28303  (Online Only)
Waitlist for new clients
Have the stressors of our uncertain world impacted you in a negative way? Do you find yourself in a place of worry, anxiety, depression - struggling to find your way? Are you ready to get help sorting it all out? You don't have to be on this journey alone. I have particular expertise in helping people learn to deal with the tough stuff of life. While I am not able to make difficult emotions or challenging circumstances go away, I can help you deal with them in a healthy way, so you can move forward. You deserve a life well-lived.
Have the stressors of our uncertain world impacted you in a negative way? Do you find yourself in a place of worry, anxiety, depression - struggling to find your way? Are you ready to get help sorting it all out? You don't have to be on this journey alone. I have particular expertise in helping people learn to deal with the tough stuff of life. While I am not able to make difficult emotions or challenging circumstances go away, I can help you deal with them in a healthy way, so you can move forward. You deserve a life well-lived.
(910) 491-4277 View (910) 491-4277
Photo of Ruth A Sterbach, Clinical Social Work/Therapist in Fayetteville, NC
Ruth A Sterbach
Clinical Social Work/Therapist, LCSWA
Verified Verified
Fayetteville, NC 28304
As your therapist: I will not try to fix you, give you advice, tell you what to do, pretend I know you more than you know yourself, assume what is best for you, have all the answers, or make the bad stuff go away. Instead, as your therapist I will: Remind you that you are not broken, give you room to access your own wisdom, support you in figuring out what to do, recognize that you are your own life expert, remember that I do not know what is best for you, honor that I do not know it all, and collaborate with you on how to make the hard stuff easier to sit with.
As your therapist: I will not try to fix you, give you advice, tell you what to do, pretend I know you more than you know yourself, assume what is best for you, have all the answers, or make the bad stuff go away. Instead, as your therapist I will: Remind you that you are not broken, give you room to access your own wisdom, support you in figuring out what to do, recognize that you are your own life expert, remember that I do not know what is best for you, honor that I do not know it all, and collaborate with you on how to make the hard stuff easier to sit with.
(910) 312-2492 View (910) 312-2492
Photo of Coast To Coast Bilingual Counseling PLLC , Clinical Social Work/Therapist in Fayetteville, NC
Coast To Coast Bilingual Counseling PLLC
Clinical Social Work/Therapist, LCSW, LCAS, CCS
Verified Verified
1 Endorsed
Fayetteville, NC 28304
Are you struggling with feelings of anxiety, depression, and difficulty making decisions? Are you unable to fall asleep at night because your mind is racing? Have you recently experienced a loss or are you having relationship problems? Are you having thoughts of suicide or self harming? We provide psychological services to adolescents, adults, relationships and families. We strive to provide quality treatment in a comfortable environment. We accept a range of insurances, coordinate with appropriate medical professionals as needed, and offer virtual therapy services.
Are you struggling with feelings of anxiety, depression, and difficulty making decisions? Are you unable to fall asleep at night because your mind is racing? Have you recently experienced a loss or are you having relationship problems? Are you having thoughts of suicide or self harming? We provide psychological services to adolescents, adults, relationships and families. We strive to provide quality treatment in a comfortable environment. We accept a range of insurances, coordinate with appropriate medical professionals as needed, and offer virtual therapy services.
(910) 601-9061 View (910) 601-9061
Photo of Dr. Joy McNeil, Licensed Clinical Mental Health Counselor in Fayetteville, NC
Dr. Joy McNeil
Licensed Clinical Mental Health Counselor, PhD, LCMHC, NCC, TFCBT
Verified Verified
Fayetteville, NC 28301  (Online Only)
Not accepting new clients
Do you struggle with perfectionism, overanalysis, anxiety, imposter syndrome, depression? Perhaps you don't know how to turn off your brain. Perhaps you struggle with feelings of failure. Maybe you've discovered that you're tired constantly but unable to rest and relax. Have you ever completed a project successfully and continued to be hypercritical of yourself? Do you find yourself doubting your abilities, playing down your strengths? It's time to reestablish your intention for being here - on planet earth. What is your purpose? What is your why?
Do you struggle with perfectionism, overanalysis, anxiety, imposter syndrome, depression? Perhaps you don't know how to turn off your brain. Perhaps you struggle with feelings of failure. Maybe you've discovered that you're tired constantly but unable to rest and relax. Have you ever completed a project successfully and continued to be hypercritical of yourself? Do you find yourself doubting your abilities, playing down your strengths? It's time to reestablish your intention for being here - on planet earth. What is your purpose? What is your why?
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Photo of Thrive Training & Publications, Marriage & Family Therapist in Fayetteville, NC
Thrive Training & Publications
Marriage & Family Therapist, MA, LMFT
Verified Verified
Fayetteville, NC 28312
Not accepting new clients
Thrive Training & Publications is a continuing education provider for mental health professionals. We specialize in Eye Movement Desensitization & Reprocessing Basic Training. Our EMDRIA-Approved EMDR Basic Training curriculum is designed with working professionals in mind. Our virtual training options are conducted 100% online, with a five-day scheduled live training portion taught real-time by EMDRIA-certified trainers and extensive practice segments. Learn from your office or from home.
Thrive Training & Publications is a continuing education provider for mental health professionals. We specialize in Eye Movement Desensitization & Reprocessing Basic Training. Our EMDRIA-Approved EMDR Basic Training curriculum is designed with working professionals in mind. Our virtual training options are conducted 100% online, with a five-day scheduled live training portion taught real-time by EMDRIA-certified trainers and extensive practice segments. Learn from your office or from home.
(910) 519-1772 View (910) 519-1772
Photo of Torrie L. Powell, Clinical Social Work/Therapist in Fayetteville, NC
Torrie L. Powell
Clinical Social Work/Therapist, LCSWA, LCASA
Verified Verified
Fayetteville, NC 28306  (Online Only)
Waitlist for new clients
Embark on your transformative journey with us! If you're seeking the path to self-discovery, you've found the perfect space. We meet you exactly where you are, tailoring achievable goals to your unique needs. Specializing in supporting women dealing with trauma, anxiety, and depression, our environment fosters personal growth. Ready to embrace the next chapter of your life? Reach out to start this empowering journey with a simple call. I'm here to guide you, making the process engaging and encouraging your journey towards positive change.
Embark on your transformative journey with us! If you're seeking the path to self-discovery, you've found the perfect space. We meet you exactly where you are, tailoring achievable goals to your unique needs. Specializing in supporting women dealing with trauma, anxiety, and depression, our environment fosters personal growth. Ready to embrace the next chapter of your life? Reach out to start this empowering journey with a simple call. I'm here to guide you, making the process engaging and encouraging your journey towards positive change.
(910) 601-9545 View (910) 601-9545
Photo of A Center for Marriage and Family Counseling, Clinical Social Work/Therapist in Fayetteville, NC
A Center for Marriage and Family Counseling
Clinical Social Work/Therapist, MSW, LCSW
Verified Verified
Fayetteville, NC 28303
For the past 20 years, CMFC has provided clinical services in the Fayetteville area specializing in marriage and family counseling. We have both male and female therapists available offering a wide variety of clinical services for individual and family therapy. Please visit our website at MarriageandFamilyCounselingNC.com for more information. The website allows you to schedule an appointment or you may call (910)485-0940 24 hours a day. We are accepting new patients, and we accept ALL insurances.
For the past 20 years, CMFC has provided clinical services in the Fayetteville area specializing in marriage and family counseling. We have both male and female therapists available offering a wide variety of clinical services for individual and family therapy. Please visit our website at MarriageandFamilyCounselingNC.com for more information. The website allows you to schedule an appointment or you may call (910)485-0940 24 hours a day. We are accepting new patients, and we accept ALL insurances.
(910) 208-4531 View (910) 208-4531
Photo of Community Alternative Housing, Licensed Clinical Mental Health Counselor in Fayetteville, NC
Community Alternative Housing
Licensed Clinical Mental Health Counselor, LPC
Verified Verified
Fayetteville, NC 28303
My specialty is assisting individuals in realizing their potential. My clients desire and attain a higher level of functioning. I enjoy helping my clients maximize their potential.
My specialty is assisting individuals in realizing their potential. My clients desire and attain a higher level of functioning. I enjoy helping my clients maximize their potential.
(919) 646-6641 View (919) 646-6641
Photo of CrossBeam Centers, Licensed Clinical Mental Health Counselor in Fayetteville, NC
CrossBeam Centers
Licensed Clinical Mental Health Counselor, LCMHC-S, LCSW, LCAS, FNP
Verified Verified
3 Endorsed
Fayetteville, NC 28303
By definition a crossbeam is a "beam that spans from one support to another". At CrossBeam Centers, we are a client focused multi-specialty team providing comprehensive Counseling and Psychotherapy services that will give you the beam needed to support you through the nuances of life. Our dedicated team of Coaches, Counselors, Social Workers and Therapists are passionate about providing compassionate care that address the client's whole life...mind, body, spirit and relationship. As a LCMHC Supervisor, we offer support and guidance to Graduate Students and newly licensed professionals.
By definition a crossbeam is a "beam that spans from one support to another". At CrossBeam Centers, we are a client focused multi-specialty team providing comprehensive Counseling and Psychotherapy services that will give you the beam needed to support you through the nuances of life. Our dedicated team of Coaches, Counselors, Social Workers and Therapists are passionate about providing compassionate care that address the client's whole life...mind, body, spirit and relationship. As a LCMHC Supervisor, we offer support and guidance to Graduate Students and newly licensed professionals.
(910) 387-1432 View (910) 387-1432
Photo of Living Anew Wellness Center, PLLC in Fayetteville, NC
Living Anew Wellness Center, PLLC
MSCC, LCMHC-S, TCMHC, LCAS-A, CCDVC
Verified Verified
Fayetteville, NC 28306
Life challenges can become, so overwhelming it seems unbearable. "Are you facing challenges and feeling like you just cannot get a break in life?" Having a few major life challenges of my own, I can identify and empathize with your feelings. With compassion and understanding, I work with clients to help them build on their strengths and attain the personal growth they are committed to accomplishing.
Life challenges can become, so overwhelming it seems unbearable. "Are you facing challenges and feeling like you just cannot get a break in life?" Having a few major life challenges of my own, I can identify and empathize with your feelings. With compassion and understanding, I work with clients to help them build on their strengths and attain the personal growth they are committed to accomplishing.
(910) 304-4219 View (910) 304-4219
Photo of Tonia Locklear, Clinical Social Work/Therapist in Fayetteville, NC
Tonia Locklear
Clinical Social Work/Therapist, LCSW
Verified Verified
Fayetteville, NC 28314
As a Licensed Clinical Social Worker, I recognized and value the trust my clients place in me. I strive every day to provide quality and exceptional service. I truly care for all my clients and work diligently to help them find the answers they seek. Ever since I was young, I knew I wanted to get into a career path that would make a difference in people’s lives. This interest led me to study social work and mental health.​I transitioned from crisis intervention into counseling because I really enjoy talking with people about their interpersonal relationships. Also, I feel like I have a knack for helping.
As a Licensed Clinical Social Worker, I recognized and value the trust my clients place in me. I strive every day to provide quality and exceptional service. I truly care for all my clients and work diligently to help them find the answers they seek. Ever since I was young, I knew I wanted to get into a career path that would make a difference in people’s lives. This interest led me to study social work and mental health.​I transitioned from crisis intervention into counseling because I really enjoy talking with people about their interpersonal relationships. Also, I feel like I have a knack for helping.
(910) 696-6621 View (910) 696-6621
Photo of Samantha Martinez, Clinical Social Work/Therapist in Fayetteville, NC
Samantha Martinez
Clinical Social Work/Therapist, MSW, LCSW
Verified Verified
1 Endorsed
Fayetteville, NC 28303  (Online Only)
Every therapy client has unique needs and goals. Some people seek clarification during transitional times, while others desire an open, nonjudgmental space to share and process complex emotions. Many therapy clients seek a space to vent or air frustrations. I enjoy meeting each client where they are in their mental health journey and working to approach their individual needs.
Every therapy client has unique needs and goals. Some people seek clarification during transitional times, while others desire an open, nonjudgmental space to share and process complex emotions. Many therapy clients seek a space to vent or air frustrations. I enjoy meeting each client where they are in their mental health journey and working to approach their individual needs.
(910) 493-3555 View (910) 493-3555
Photo of Hilda L. Dumont, Marriage & Family Therapist in Fayetteville, NC
Hilda L. Dumont
Marriage & Family Therapist, MA, LMFT
Verified Verified
Fayetteville, NC 28311  (Online Only)
Waitlist for new clients
Beginning therapy can be a difficult step. But if you find yourself stuck, repeating the same ineffective, undermining coping mechanisms and unable to manage your emotions, then it might be time to start working together to help you identify more effective and constructive approaches to achieve your goals.
Beginning therapy can be a difficult step. But if you find yourself stuck, repeating the same ineffective, undermining coping mechanisms and unable to manage your emotions, then it might be time to start working together to help you identify more effective and constructive approaches to achieve your goals.
(910) 335-2840 View (910) 335-2840
Photo of Carolina Counseling Services, Clinical Social Work/Therapist in Fayetteville, NC
Carolina Counseling Services
Clinical Social Work/Therapist, MSW, LCSW
Verified Verified
Fayetteville, NC 28304
Counseling helps not only with emotional health, but with your physical health as well. Reduction of stress can often result in an overall healthier you! Our independently contracted therapists enjoy working with couples, adults, teens and children. We contract with friendly, experienced, licensed clinicians with different specialties who are able to help! The waiting area is relaxing and comfortable. Instead of feeling like you are visiting a Doctor's office, it feels like you are visiting a friend.
Counseling helps not only with emotional health, but with your physical health as well. Reduction of stress can often result in an overall healthier you! Our independently contracted therapists enjoy working with couples, adults, teens and children. We contract with friendly, experienced, licensed clinicians with different specialties who are able to help! The waiting area is relaxing and comfortable. Instead of feeling like you are visiting a Doctor's office, it feels like you are visiting a friend.
(910) 485-6336 View (910) 485-6336
Photo of CareNet/Fayetteville Family Life Center, Marriage & Family Therapist in Fayetteville, NC
CareNet/Fayetteville Family Life Center
Marriage & Family Therapist, MA, LMFT-S, LCMHCS
Verified Verified
Fayetteville, NC 28305  (Online Only)
My priority, as a therapist is to assist you through the challenges one faces in life. I am a Person-Centered therapist acknowledging the individuality of each client. I am trained in the integration of psychology and faith. Therapeutic interventions are eclectic incorporating a holistic approach of mind, body and spirit. I have experience in treating Anxiety, Depression, Mood/Bipolar Disorder, Personality Disorder, Life Transition Issues, Post-Traumatic Stress Disorder, Grief, Anger Management, and Women Issues. I, also have experience working with Couple/Marital Counseling and Family-related concerns. As a military spouse, I enjoy assisting military families.
My priority, as a therapist is to assist you through the challenges one faces in life. I am a Person-Centered therapist acknowledging the individuality of each client. I am trained in the integration of psychology and faith. Therapeutic interventions are eclectic incorporating a holistic approach of mind, body and spirit. I have experience in treating Anxiety, Depression, Mood/Bipolar Disorder, Personality Disorder, Life Transition Issues, Post-Traumatic Stress Disorder, Grief, Anger Management, and Women Issues. I, also have experience working with Couple/Marital Counseling and Family-related concerns. As a military spouse, I enjoy assisting military families.
(910) 377-0101 View (910) 377-0101

See more therapy options for Fayetteville

How does your Therapist compare?

Number of Therapists in Fayetteville, NC

300+

Average cost per session

$125

Therapists in Fayetteville, NC who prioritize treating:

91% Anxiety
87% Depression
74% Coping Skills
74% Self Esteem
73% Relationship Issues
70% Trauma and PTSD
68% Stress

Average years in practice

9 Years

Top 3 insurances accepted

83% BlueCross and BlueShield
73% Aetna
64% UnitedHealthcare UHC | UBH

How Therapists in Fayetteville, NC see their clients

60% In Person and Online
40% Online Only

Gender breakdown

87% Female
12% Male
1% Non-Binary
FAQs - About Therapy and Counseling

How can I find a therapist in Fayetteville?

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.