Therapists in Raleigh, NC

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Photo of Rasheedah Fletcher, Lic Clinical Mental Health Counselor Associate in Raleigh, NC
Rasheedah Fletcher
Lic Clinical Mental Health Counselor Associate, MEd, LCMHCA
Verified Verified
2 Endorsed
Raleigh, NC 27607
As a clinician I use a person centered approach with techniques and modalities from CBT, Motivational Interviewing and Solution Focused Brief Therapy. In session we will discuss matters of the heart, mind and body in an effort to work towards living a congruent life. No matter what stage of life you are in, or what age you are, I am open to hearing you and walking with you through your therapeutic process.
As a clinician I use a person centered approach with techniques and modalities from CBT, Motivational Interviewing and Solution Focused Brief Therapy. In session we will discuss matters of the heart, mind and body in an effort to work towards living a congruent life. No matter what stage of life you are in, or what age you are, I am open to hearing you and walking with you through your therapeutic process.
(919) 372-3612 View (919) 372-3612
Photo of Tyler Bing-Lawson, Clinical Social Work/Therapist in Raleigh, NC
Tyler Bing-Lawson
Clinical Social Work/Therapist, MSW, LCSW
Verified Verified
1 Endorsed
Raleigh, NC 27609  (Online Only)
I have worked with a diverse range of different clients/patients seeking assistance with a variety of different mental health needs and life experiences. I typically work with adolescents and above, with a specialty working with young adults experiencing significant life changes. I have specialities working with men's issues, minority populations, and LGBTQ+ individuals. Many of my clients come to see me due to life stressors, mental health diagnoses, work, or family/relationship issues. They are seeking a supportive guide who can help them build coping skills, work through challenges, and begin to build goals for improved health.
I have worked with a diverse range of different clients/patients seeking assistance with a variety of different mental health needs and life experiences. I typically work with adolescents and above, with a specialty working with young adults experiencing significant life changes. I have specialities working with men's issues, minority populations, and LGBTQ+ individuals. Many of my clients come to see me due to life stressors, mental health diagnoses, work, or family/relationship issues. They are seeking a supportive guide who can help them build coping skills, work through challenges, and begin to build goals for improved health.
(919) 646-3806 View (919) 646-3806
Photo of Eric Fesmire, Counselor in Raleigh, NC
Eric Fesmire
Counselor, MA, MDiv, LCMHCA
Verified Verified
Raleigh, NC 27606
I strive to create an environment where you can explore, engage, and rewrite your life-script. We all live from our own unique scripts, the stories we tell ourselves everyday about who we are, where we come from, and what we're capable of. Sometimes these scripts trap us in behaviors and states of mind that harm us and keep us from living a rich life. In counseling, we engage these bad scripts, whether they are anxiety, depression, addiction, relational issues, shame, family issues, or others. My job is to give you the resources to rewrite these bad scripts and live from new, healthy ones. Change is possible. Help is available.
I strive to create an environment where you can explore, engage, and rewrite your life-script. We all live from our own unique scripts, the stories we tell ourselves everyday about who we are, where we come from, and what we're capable of. Sometimes these scripts trap us in behaviors and states of mind that harm us and keep us from living a rich life. In counseling, we engage these bad scripts, whether they are anxiety, depression, addiction, relational issues, shame, family issues, or others. My job is to give you the resources to rewrite these bad scripts and live from new, healthy ones. Change is possible. Help is available.
(919) 694-4187 View (919) 694-4187
Photo of Michael Marcinowski, Licensed Clinical Mental Health Counselor in Raleigh, NC
Michael Marcinowski
Licensed Clinical Mental Health Counselor, LCMHC
Verified Verified
Raleigh, NC 27615
Michael Marcinowski is a Licensed Clinical Mental Health Counselor (LCMHC) with 16 years of experience in the mental health field. He is passionate about helping individual adults address their unique challenges and live more fulfilling lives. Michael specializes in depression, anxiety, panic, anger management, stress management, grief, and trauma.
Michael Marcinowski is a Licensed Clinical Mental Health Counselor (LCMHC) with 16 years of experience in the mental health field. He is passionate about helping individual adults address their unique challenges and live more fulfilling lives. Michael specializes in depression, anxiety, panic, anger management, stress management, grief, and trauma.
(919) 737-7464 View (919) 737-7464
Photo of Maren McGowan, Clinical Social Work/Therapist in Raleigh, NC
Maren McGowan
Clinical Social Work/Therapist, MSW, LCSW
Verified Verified
1 Endorsed
Raleigh, NC 27607
Maren (pronouns she/her/hers) is a Licensed Clinical Social Worker in the State of North Carolina. She has worked with young children, adolescents, teenagers, parents and families. Maren is well versed in early childhood development, parenting styles, emotion coaching, and attachment theory. She is passionate about early intervention for young children and establishing/encouraging secure attachment between children and their caregivers in order to increase child potential for successful and healthy relationships in adulthood.
Maren (pronouns she/her/hers) is a Licensed Clinical Social Worker in the State of North Carolina. She has worked with young children, adolescents, teenagers, parents and families. Maren is well versed in early childhood development, parenting styles, emotion coaching, and attachment theory. She is passionate about early intervention for young children and establishing/encouraging secure attachment between children and their caregivers in order to increase child potential for successful and healthy relationships in adulthood.
(919) 617-9539 View (919) 617-9539
Photo of Inner Strength Counseling, LLC, Clinical Social Work/Therapist in Raleigh, NC
Inner Strength Counseling, LLC
Clinical Social Work/Therapist, LCSW, LISW-CP
Verified Verified
Raleigh, NC 27609  (Online Only)
Do you ever feel overwhelmed with life and the pressures of day to day responsibilities? Sometimes these feelings can be related to stressors that are currently happening or related to past traumas. I empower people to overcome the challenges of day to day life as well as overcoming the toll and burden of carrying the weight of the past. Seeking therapy can feel scary, but you're making the right choice. I specialize in working with trauma, domestic violence, sexual assault, and human trafficking.
Do you ever feel overwhelmed with life and the pressures of day to day responsibilities? Sometimes these feelings can be related to stressors that are currently happening or related to past traumas. I empower people to overcome the challenges of day to day life as well as overcoming the toll and burden of carrying the weight of the past. Seeking therapy can feel scary, but you're making the right choice. I specialize in working with trauma, domestic violence, sexual assault, and human trafficking.
(803) 836-8607 View (803) 836-8607
Photo of Morgan Jafari, Clinical Social Work/Therapist in Raleigh, NC
Morgan Jafari
Clinical Social Work/Therapist, LCSWA
Verified Verified
3 Endorsed
Raleigh, NC 27605
Waitlist for new clients
My priority as a therapist is to show you what therapy can and should be: safe, curious, non-judgmental, client-driven, and even fun! You are the expert in your life, and I am here to listen, inquire, and sit with you as you embark on cultivating a deeper sense of identity and belonging within yourself and the world. My aim is to help you feel comfortable within the discomfort true vulnerability can so often bring. The root of my work lies in a deep seated passion for discovering the value and depth of joy–no matter what you are bringing to the table. This work is for you, and I am with you!
My priority as a therapist is to show you what therapy can and should be: safe, curious, non-judgmental, client-driven, and even fun! You are the expert in your life, and I am here to listen, inquire, and sit with you as you embark on cultivating a deeper sense of identity and belonging within yourself and the world. My aim is to help you feel comfortable within the discomfort true vulnerability can so often bring. The root of my work lies in a deep seated passion for discovering the value and depth of joy–no matter what you are bringing to the table. This work is for you, and I am with you!
(919) 899-2828 View (919) 899-2828
Photo of Adrienne Hayes, Marriage & Family Therapist in Raleigh, NC
Adrienne Hayes
Marriage & Family Therapist, LMFT
Verified Verified
2 Endorsed
Raleigh, NC 27605  (Online Only)
When navigating life, you may work hard to hold everything together externally, yet internally, you struggle with feelings of inadequacy and disappointment. Whether it manifests as anxiety, challenging relationships, disordered eating, or low self-esteem, you're wanting some sort of relief.
When navigating life, you may work hard to hold everything together externally, yet internally, you struggle with feelings of inadequacy and disappointment. Whether it manifests as anxiety, challenging relationships, disordered eating, or low self-esteem, you're wanting some sort of relief.
(984) 230-8405 View (984) 230-8405
Photo of Amanda Jones Stanforth, Clinical Social Work/Therapist in Raleigh, NC
Amanda Jones Stanforth
Clinical Social Work/Therapist, MSW, LCSW
Verified Verified
Raleigh, NC 27604
Waitlist for new clients
I have a strong passion for supporting adults, children, adolescents, and families to healing. I have experience with a variety of populations, and I am dedicated to prioritizing the needs and goals of clients who work with me in their therapeutic work. I specialize in mindfulness, anxiety, mood, attention, emotion regulation, interpersonal effectiveness, life changes and relationship issues. Within a family context, I utilize the framework of the family system to support changing behaviors and identifying growth.
I have a strong passion for supporting adults, children, adolescents, and families to healing. I have experience with a variety of populations, and I am dedicated to prioritizing the needs and goals of clients who work with me in their therapeutic work. I specialize in mindfulness, anxiety, mood, attention, emotion regulation, interpersonal effectiveness, life changes and relationship issues. Within a family context, I utilize the framework of the family system to support changing behaviors and identifying growth.
(984) 459-7667 View (984) 459-7667
Photo of Veronica Pereira, Licensed Clinical Mental Health Counselor in Raleigh, NC
Veronica Pereira
Licensed Clinical Mental Health Counselor, MS, LCMHC, NCC, CGCS
Verified Verified
2 Endorsed
Raleigh, NC 27612  (Online Only)
There is nothing more painful than the death of a loved one. Taking a first step to engage in therapy could be a very difficult decision. If you are here, it means that you have decided to take a step towards your healing. Grief is not only the loss of a loved one, but may also be a life changing event such as the end of a relationship, moving to a new country, or a change in living conditions. Losses can be both sudden and predictable. Predictable losses have the added layer of waiting for the loss to happen, followed by the loss itself. Grieving can be overwhelming and isolating. Find in our sessions a safe space to heal.
There is nothing more painful than the death of a loved one. Taking a first step to engage in therapy could be a very difficult decision. If you are here, it means that you have decided to take a step towards your healing. Grief is not only the loss of a loved one, but may also be a life changing event such as the end of a relationship, moving to a new country, or a change in living conditions. Losses can be both sudden and predictable. Predictable losses have the added layer of waiting for the loss to happen, followed by the loss itself. Grieving can be overwhelming and isolating. Find in our sessions a safe space to heal.
(984) 205-8963 View (984) 205-8963
Photo of Lamont Taylor in Raleigh, NC
Lamont Taylor
CPLC, MBA
Verified Verified
Raleigh, NC 27615
Whether it's basketball, football, or any other sport, being a student-athlete and having to balance homework, practice, and a social life can be extremely stressful for the player as well as his or her family. Some athletes may not know what choices they have, or what direction they want to go in. I specialize in helping families cope and thrive in the sports world's hectic environment. Through trained techniques I will help you find the most effective way to gain maximum results in sports, the classroom, at home, and in life.
Whether it's basketball, football, or any other sport, being a student-athlete and having to balance homework, practice, and a social life can be extremely stressful for the player as well as his or her family. Some athletes may not know what choices they have, or what direction they want to go in. I specialize in helping families cope and thrive in the sports world's hectic environment. Through trained techniques I will help you find the most effective way to gain maximum results in sports, the classroom, at home, and in life.
(910) 501-2573 View (910) 501-2573
Photo of Michelle Chachkes, Clinical Social Work/Therapist in Raleigh, NC
Michelle Chachkes
Clinical Social Work/Therapist, LCSW
Verified Verified
Raleigh, NC 27615  (Online Only)
Accepting New Clients: "Life is a journey...Everyone needs a guide sometimes". Therapy is a a process where we work to uncover the conflicts in our lives and create the awareness to change our behaviors, Do you have a relationship that you are struggling with? or feeling angry and want to learn how to go with the flow? There are a lot of factors that create stress in our lives some we can't control but we can learn how to cope with it and change the things we do have control over. Together, we will determine your goals and explore the possible strategies that will help you feel successful on your journey.
Accepting New Clients: "Life is a journey...Everyone needs a guide sometimes". Therapy is a a process where we work to uncover the conflicts in our lives and create the awareness to change our behaviors, Do you have a relationship that you are struggling with? or feeling angry and want to learn how to go with the flow? There are a lot of factors that create stress in our lives some we can't control but we can learn how to cope with it and change the things we do have control over. Together, we will determine your goals and explore the possible strategies that will help you feel successful on your journey.
(919) 504-5751 View (919) 504-5751
Photo of Seriana Gamble, Counselor in Raleigh, NC
Seriana Gamble
Counselor, LCMHCA
Verified Verified
3 Endorsed
Raleigh, NC 27609
Hey there! If you have found my profile and you are seeking a counselor who will help you work through your current life issues, then you have found the right place. I work with children 8 and under, teens, and adults. When working with kids, I love to focus on building the child's coping skills, providing the emotional support they need, and helping them work through their stressors while also supporting the parents in their interactions with their children. When working with adults, I like to focus on helping you bring out the best version of yourself while aiding you in working through any issues you may have.
Hey there! If you have found my profile and you are seeking a counselor who will help you work through your current life issues, then you have found the right place. I work with children 8 and under, teens, and adults. When working with kids, I love to focus on building the child's coping skills, providing the emotional support they need, and helping them work through their stressors while also supporting the parents in their interactions with their children. When working with adults, I like to focus on helping you bring out the best version of yourself while aiding you in working through any issues you may have.
(984) 867-2307 View (984) 867-2307
Photo of Rebecca Lynn Reed, Counselor in Raleigh, NC
Rebecca Lynn Reed
Counselor, MS, NCC, LCMHC
Verified Verified
Raleigh, NC 27615
When you share your personal story with me, it allows me to use my tools and expertise to help give you the guidance that builds confidence in your ability to make changes and overcome barriers that are preventing you from living your best life.
When you share your personal story with me, it allows me to use my tools and expertise to help give you the guidance that builds confidence in your ability to make changes and overcome barriers that are preventing you from living your best life.
(919) 823-3695 View (919) 823-3695
Photo of Emily Carvajal, Clinical Social Work/Therapist in Raleigh, NC
Emily Carvajal
Clinical Social Work/Therapist, LCSW
Verified Verified
Raleigh, NC 27615
Emily Carvajal is a Licensed Clinical Social Worker (LCSW) who specializes in providing strength-based support to children, teens, and adults in both mental health and child and family service settings. Emily has over 10 years of experience in the mental health field, working with clients impacted by chronic illness, disability, anxiety, depression, family and relationship challenges, complex social stressors, and trauma. Emily completed her bachelor’s degree in Child and Family Development at San Diego State University, and her Master of Social Work (MSW) from the Silberman School of Social Work at Hunter College.
Emily Carvajal is a Licensed Clinical Social Worker (LCSW) who specializes in providing strength-based support to children, teens, and adults in both mental health and child and family service settings. Emily has over 10 years of experience in the mental health field, working with clients impacted by chronic illness, disability, anxiety, depression, family and relationship challenges, complex social stressors, and trauma. Emily completed her bachelor’s degree in Child and Family Development at San Diego State University, and her Master of Social Work (MSW) from the Silberman School of Social Work at Hunter College.
(984) 464-7071 View (984) 464-7071
Photo of Allan A Bloom Ph.D., Psychologist in Raleigh, NC
Allan A Bloom Ph.D.
Psychologist, PhD
Verified Verified
4 Endorsed
Raleigh, NC 27612  (Online Only)
Not accepting new clients
I have over 45 years of full-time clinical experience. I graduated from Boston University, UNC-Chapel Hill, NC State University and the UNC-Duke Psychoanalytic institute. My practice is limited to psychotherapy-short and long term, and supervising other therapists. I especially enjoy working with older adults. For more information please view my web site at allanbloomphd.com. Thanks. I am very interested in being of help to you.
I have over 45 years of full-time clinical experience. I graduated from Boston University, UNC-Chapel Hill, NC State University and the UNC-Duke Psychoanalytic institute. My practice is limited to psychotherapy-short and long term, and supervising other therapists. I especially enjoy working with older adults. For more information please view my web site at allanbloomphd.com. Thanks. I am very interested in being of help to you.
(919) 328-3074 View (919) 328-3074
Photo of Linda Rueckert Kraft, Clinical Social Work/Therapist in Raleigh, NC
Linda Rueckert Kraft
Clinical Social Work/Therapist, LCSW
Verified Verified
1 Endorsed
Raleigh, NC 27615
I provide psychotherapy to adult individuals and couples who are seeking support due to life's challenges. I specialize in mental health, addiction and family dynamics. I believe in creating an atmosphere of safety and non-judgement allowing you to achieve your goals.
I provide psychotherapy to adult individuals and couples who are seeking support due to life's challenges. I specialize in mental health, addiction and family dynamics. I believe in creating an atmosphere of safety and non-judgement allowing you to achieve your goals.
(919) 373-3867 View (919) 373-3867
Photo of Natasha St Fort, Clinical Social Work/Therapist in Raleigh, NC
Natasha St Fort
Clinical Social Work/Therapist, MSSA , LCSWA
Verified Verified
1 Endorsed
Raleigh, NC 27609
I believe that it is important to vent to a “professionally trained friend” outside of your normal circle to receive the proper intervention and assistance you need in order to progress & flourish. I view therapy as a ball of yarn being untangled where the yarn signifies your thoughts. Are you a mom, currently pregnant, or just recently given birth? You may have feelings of anxiety, hopelessness, depressed mood, and need whole health management. Are you a teen/young adult, or adult that needs to work through stress and anxiety, trauma, healthy relationships, set boundaries, or work on self-esteem? I am here to help you untangle.
I believe that it is important to vent to a “professionally trained friend” outside of your normal circle to receive the proper intervention and assistance you need in order to progress & flourish. I view therapy as a ball of yarn being untangled where the yarn signifies your thoughts. Are you a mom, currently pregnant, or just recently given birth? You may have feelings of anxiety, hopelessness, depressed mood, and need whole health management. Are you a teen/young adult, or adult that needs to work through stress and anxiety, trauma, healthy relationships, set boundaries, or work on self-esteem? I am here to help you untangle.
(919) 827-0852 View (919) 827-0852
Photo of Julie A Hovrud, Clinical Social Work/Therapist in Raleigh, NC
Julie A Hovrud
Clinical Social Work/Therapist, MSW, LCSW
Verified Verified
1 Endorsed
Raleigh, NC 27614  (Online Only)
Addressing challenges in our personal life is not easy. While a common reaction to difficulties and challenges is to attempt to avoid them, it seldom solves the problem. Friends can help with some struggles in life, while other challenges need unbiased, emotional support from a professional. I utilize compassion and practical feedback to help you effectively address these difficulties and challenges. My style of therapy utilizes an eclectic approach to personalize and tailor the therapy to your needs. I help individuals and couples recognize and build on strengths to attain growth and help facilitate change to enrich your life.
Addressing challenges in our personal life is not easy. While a common reaction to difficulties and challenges is to attempt to avoid them, it seldom solves the problem. Friends can help with some struggles in life, while other challenges need unbiased, emotional support from a professional. I utilize compassion and practical feedback to help you effectively address these difficulties and challenges. My style of therapy utilizes an eclectic approach to personalize and tailor the therapy to your needs. I help individuals and couples recognize and build on strengths to attain growth and help facilitate change to enrich your life.
(919) 586-8236 View (919) 586-8236
Photo of Raegan Moore, Counselor in Raleigh, NC
Raegan Moore
Counselor, MS, LCMHCA
Verified Verified
1 Endorsed
Raleigh, NC 27615  (Online Only)
As an athlete, you first get into sports for the love of the game. You thrive off the adrenaline, the comradery, the joy of being part of something that is bigger than yourself. At some point along the way you might forget your "why" and what was once something you looked forward to is now something you dread. You may be consumed by being “perfect” and the thought of being anything less may have instilled in you a constant fear. This fear may make you feel overwhelmed and worried about your performance. The more you try to avoid making mistakes, the more mistakes you actually make.
As an athlete, you first get into sports for the love of the game. You thrive off the adrenaline, the comradery, the joy of being part of something that is bigger than yourself. At some point along the way you might forget your "why" and what was once something you looked forward to is now something you dread. You may be consumed by being “perfect” and the thought of being anything less may have instilled in you a constant fear. This fear may make you feel overwhelmed and worried about your performance. The more you try to avoid making mistakes, the more mistakes you actually make.
(919) 366-5484 View (919) 366-5484

How does your Therapist compare?

Number of Therapists in Raleigh, NC

2,000+

Average cost per session

$140

Therapists in Raleigh, NC who prioritize treating:

93% Anxiety
88% Depression
78% Self Esteem
76% Relationship Issues
74% Coping Skills
73% Stress
66% Life Transitions

Average years in practice

9 Years

Top 3 insurances accepted

85% BlueCross and BlueShield
73% Aetna
55% Cigna and Evernorth

How Therapists in Raleigh, NC see their clients

60% In Person and Online
40% Online Only

Gender breakdown

84% Female
15% Male
1% Non-Binary
FAQs - About Therapy and Counseling

How can I find a therapist in Raleigh?

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.