Therapists in Chapel Hill, NC

Photo of Siddharth Vannemreddy in Chapel Hill, NC
Siddharth Vannemreddy
MD
Verified Verified
Chapel Hill, NC 27514
I am a Physician with more than 9 years of experience practicing medicine. I believe that medications, while effective, have their limitations. I use Psychodynamic Psychotherapy and Psychoanalysis as a means to broaden the scope of how I can help my patients heal. In therapy, you and I will make a sincere effort to explore your life and past experiences, while trying to understand how all of it affects you. Why does it feel like something stops us from being content with our lives? Why can’t we seem to escape the repetitive patterns of self-destructive behaviors? Why does it feel that we are somehow stuck?
I am a Physician with more than 9 years of experience practicing medicine. I believe that medications, while effective, have their limitations. I use Psychodynamic Psychotherapy and Psychoanalysis as a means to broaden the scope of how I can help my patients heal. In therapy, you and I will make a sincere effort to explore your life and past experiences, while trying to understand how all of it affects you. Why does it feel like something stops us from being content with our lives? Why can’t we seem to escape the repetitive patterns of self-destructive behaviors? Why does it feel that we are somehow stuck?
(919) 408-3212 x24 View (919) 408-3212 x24
Photo of Sarah Sterling, Clinical Social Work/Therapist in Chapel Hill, NC
Sarah Sterling
Clinical Social Work/Therapist, LCAS, LCSW
Verified Verified
1 Endorsed
Chapel Hill, NC 27516
Waitlist for new clients
Are you a helper, personally or professionally, who's feeling burned out? Are you a medical provider, therapist, or first responder who has a hard time turning off after dealing with crises at work? Or maybe a student who feels like they're drowning while trying to manage all the demands on your time and attention? Modern day life creates a lot of stress and doesn't regularly give us the opportunity to release it. While many of the issues we face are systemic in nature, and require systemic solutions, my goal is to help you tap into the resources of your body and mind to experience calm, joy, and pleasure despite the chaos.
Are you a helper, personally or professionally, who's feeling burned out? Are you a medical provider, therapist, or first responder who has a hard time turning off after dealing with crises at work? Or maybe a student who feels like they're drowning while trying to manage all the demands on your time and attention? Modern day life creates a lot of stress and doesn't regularly give us the opportunity to release it. While many of the issues we face are systemic in nature, and require systemic solutions, my goal is to help you tap into the resources of your body and mind to experience calm, joy, and pleasure despite the chaos.
(984) 265-8684 View (984) 265-8684
Photo of Rachel E. Coleman in Chapel Hill, NC
Rachel E. Coleman
MS/EdS, LCMHCA, NCC, CTP
Verified Verified
Chapel Hill, NC 27514
Limited evening and weekend availability! Thank you for visiting my page. Choosing a therapist can be a big decision, so I'd love to talk with you to see if I can be a resource in your journey towards reaching your goals. I work with individuals seeking support for anxiety, depression, stress, career planning/development, and trauma. I also offer relationship therapy for both couples and various partnership agreements. I view my work through a social justice lens and practice cultural humility to create a space that is welcoming to all clients.
Limited evening and weekend availability! Thank you for visiting my page. Choosing a therapist can be a big decision, so I'd love to talk with you to see if I can be a resource in your journey towards reaching your goals. I work with individuals seeking support for anxiety, depression, stress, career planning/development, and trauma. I also offer relationship therapy for both couples and various partnership agreements. I view my work through a social justice lens and practice cultural humility to create a space that is welcoming to all clients.
(919) 372-4553 View (919) 372-4553
Photo of Jennie Dickson-Mills, Clinical Social Work/Therapist in Chapel Hill, NC
Jennie Dickson-Mills
Clinical Social Work/Therapist, MSW, LCSW, SEP, E-RYT
Verified Verified
Chapel Hill, NC 27514  (Online Only)
Seeking support can be a difficult yet rewarding step toward change and growth. I strive to understand your suffering in the context of your whole life and identity, using a warm and non-judgmental approach. I work with people to decrease distress, improve mood, process grief and traumatic experiences, explore identity, improve confidence, address eating and body image concerns, make life decisions, navigate transitions, enhance relationships, and develop a deeper awareness of emotions and connection to the body. I welcome clients from all sexual orientations and gender identities, including transgender people, as well as all racial, cultural, and religious backgrounds.
Seeking support can be a difficult yet rewarding step toward change and growth. I strive to understand your suffering in the context of your whole life and identity, using a warm and non-judgmental approach. I work with people to decrease distress, improve mood, process grief and traumatic experiences, explore identity, improve confidence, address eating and body image concerns, make life decisions, navigate transitions, enhance relationships, and develop a deeper awareness of emotions and connection to the body. I welcome clients from all sexual orientations and gender identities, including transgender people, as well as all racial, cultural, and religious backgrounds.
(919) 372-3954 View (919) 372-3954
Photo of Bonnie Kell, Clinical Social Work/Therapist in Chapel Hill, NC
Bonnie Kell
Clinical Social Work/Therapist, LCSW
Verified Verified
Chapel Hill, NC 27514
Bonnie Kell is a Licensed Clinical Social Worker and Licensed Clinical Addiction Specialist with seven years of experience in the mental health field. She is committed to helping adults and older adults address the challenges of living a more full and productive life. Bonnie specializes in depression, anxiety, substance use, and aiding people in adjusting to life transitions.
Bonnie Kell is a Licensed Clinical Social Worker and Licensed Clinical Addiction Specialist with seven years of experience in the mental health field. She is committed to helping adults and older adults address the challenges of living a more full and productive life. Bonnie specializes in depression, anxiety, substance use, and aiding people in adjusting to life transitions.
(984) 224-6441 View (984) 224-6441
Photo of Susan Lipiec, Licensed Clinical Mental Health Counselor in Chapel Hill, NC
Susan Lipiec
Licensed Clinical Mental Health Counselor, LCMHC
Verified Verified
Chapel Hill, NC 27517  (Online Only)
If you are at a place where you are experiencing some difficulties in life, you do not have to stay in that place. I offer a wide variety of knowledge, experience, compassion, and empathy into my time with others. I enjoy infusing my work with a lot of humor, and creativity, while embracing the holistic model of the mind/body connection.
If you are at a place where you are experiencing some difficulties in life, you do not have to stay in that place. I offer a wide variety of knowledge, experience, compassion, and empathy into my time with others. I enjoy infusing my work with a lot of humor, and creativity, while embracing the holistic model of the mind/body connection.
(919) 568-5309 View (919) 568-5309
Photo of Kayleen Schepper, Clinical Social Work/Therapist in Chapel Hill, NC
Kayleen Schepper
Clinical Social Work/Therapist, LCSW, MSW
Verified Verified
Chapel Hill, NC 27516  (Online Only)
Waitlist for new clients
Taking the step to find a therapist can be overwhelming. I am glad you are here. My goal is to provide a safe space for self-exploration, change, and healing. I work with children, teenagers, and adults dealing with a variety of challenges, including painful feelings, emotional numbness, undesired behaviors, unhelpful thinking, mood challenges, self-esteem issues, perfectionism, interpersonal conflict, life changes, and ongoing stress. My approach is trauma-informed, strength-based, compassionate, collaborative, and empowering. I see you, I am here for you, and I believe in you.
Taking the step to find a therapist can be overwhelming. I am glad you are here. My goal is to provide a safe space for self-exploration, change, and healing. I work with children, teenagers, and adults dealing with a variety of challenges, including painful feelings, emotional numbness, undesired behaviors, unhelpful thinking, mood challenges, self-esteem issues, perfectionism, interpersonal conflict, life changes, and ongoing stress. My approach is trauma-informed, strength-based, compassionate, collaborative, and empowering. I see you, I am here for you, and I believe in you.
(833) 996-0443 x1 View (833) 996-0443 x1
Photo of Clare R Brown, Licensed Professional Counselor in Chapel Hill, NC
Clare R Brown
Licensed Professional Counselor, LCMHC
Verified Verified
1 Endorsed
Chapel Hill, NC 27517
What is it that brings vitality? What gets you stuck? Often times we don't realize, we are not taught, that the key to well being is our relationship with self and with what is actually happening, not what we think should happen. As we learn to trust what is arising rather than believe it is bad, and we learn to value and process emotions and experiences, we start to relate to our self and to life differently. Setting limits, bold choices, passion and clarity become more possible and natural. And so we find: our suffering, our symptoms turn out not to be a problem to be fixed, but a gateway to our freedom.
What is it that brings vitality? What gets you stuck? Often times we don't realize, we are not taught, that the key to well being is our relationship with self and with what is actually happening, not what we think should happen. As we learn to trust what is arising rather than believe it is bad, and we learn to value and process emotions and experiences, we start to relate to our self and to life differently. Setting limits, bold choices, passion and clarity become more possible and natural. And so we find: our suffering, our symptoms turn out not to be a problem to be fixed, but a gateway to our freedom.
(919) 344-0148 View (919) 344-0148
Photo of Ellen Hirsch, Counselor in Chapel Hill, NC
Ellen Hirsch
Counselor, LCMHCA
Verified Verified
Chapel Hill, NC 27514
I offer services to individuals, including children and adolescents. The following are some of the areas my services include: anxiety, perfectionism, self-esteem, life transitions, identity formation, ADHD, relationships.
I offer services to individuals, including children and adolescents. The following are some of the areas my services include: anxiety, perfectionism, self-esteem, life transitions, identity formation, ADHD, relationships.
(984) 464-8452 View (984) 464-8452
Photo of Lydia Stellwag Autism Adhd, Clinical Social Work/Therapist in Chapel Hill, NC
Lydia Stellwag Autism Adhd
Clinical Social Work/Therapist, LCSWA
Verified Verified
1 Endorsed
Chapel Hill, NC 27514
I am a passionate psychotherapist dedicated to providing neurodiversity-affirming care. As a queer, autistic and ADHD self-advocate, I bring a unique perspective to my practice and take pride in creating a safe and inclusive environment for my clients. My therapeutic approach combines various modalities, including motivational interviewing, trauma-focused CBT, person-centered therapy, and internal family systems. By drawing from these methodologies, I tailor sessions to meet the specific needs of individuals, pre-teens, teenagers, and young adults.
I am a passionate psychotherapist dedicated to providing neurodiversity-affirming care. As a queer, autistic and ADHD self-advocate, I bring a unique perspective to my practice and take pride in creating a safe and inclusive environment for my clients. My therapeutic approach combines various modalities, including motivational interviewing, trauma-focused CBT, person-centered therapy, and internal family systems. By drawing from these methodologies, I tailor sessions to meet the specific needs of individuals, pre-teens, teenagers, and young adults.
(984) 228-2661 View (984) 228-2661
Photo of Brice Bradshaw, Licensed Clinical Mental Health Counselor in Chapel Hill, NC
Brice Bradshaw
Licensed Clinical Mental Health Counselor, MS, LCMHC, NCC
Verified Verified
Chapel Hill, NC 27516
I believe that the clients I work with have an internal desire to be their best selves but that sometimes barriers and obstacles get in the way of that. I have worked with clients in mental health settings that range from children up through geriatric aged individuals. I look forward to helping you to achieve your goals, both in counseling and in life.
I believe that the clients I work with have an internal desire to be their best selves but that sometimes barriers and obstacles get in the way of that. I have worked with clients in mental health settings that range from children up through geriatric aged individuals. I look forward to helping you to achieve your goals, both in counseling and in life.
(844) 294-8116 x1 View (844) 294-8116 x1
Photo of Beatrice Andres, Licensed Professional Counselor in Chapel Hill, NC
Beatrice Andres
Licensed Professional Counselor, SEP, LCMHC, NCC, Somatic
Verified Verified
3 Endorsed
Chapel Hill, NC 27516  (Online Only)
I am a Licensed Clinical Mental Health Counselor (LCMHC), Somatic Experiencing Practitioner (SEP), and a Transforming Touch® Therapist.
I am a Licensed Clinical Mental Health Counselor (LCMHC), Somatic Experiencing Practitioner (SEP), and a Transforming Touch® Therapist.
(984) 205-7210 View (984) 205-7210
Photo of Auna Myong Namkung, Clinical Social Work/Therapist in Chapel Hill, NC
Auna Myong Namkung
Clinical Social Work/Therapist
Verified Verified
Chapel Hill, NC 27516
I offer a free 1 hour session so we know how well we work together! Do you look around you and wonder why other people are so happy? Why do they have so much energy? How are they so productive and are able to laugh and joke like they do? Do you want to see more of these qualities in yourself? I really want to help you become that person because I was there too! I specialize in helping people reduce depression and become the happy productive person they want to be. Through Positive Psychology oriented/strength-based work, CBT, and DBT informed therapy I can help you gain these skills.
I offer a free 1 hour session so we know how well we work together! Do you look around you and wonder why other people are so happy? Why do they have so much energy? How are they so productive and are able to laugh and joke like they do? Do you want to see more of these qualities in yourself? I really want to help you become that person because I was there too! I specialize in helping people reduce depression and become the happy productive person they want to be. Through Positive Psychology oriented/strength-based work, CBT, and DBT informed therapy I can help you gain these skills.
(919) 694-6168 View (919) 694-6168
Photo of Jenny Schwartz, Clinical Social Work/Therapist in Chapel Hill, NC
Jenny Schwartz
Clinical Social Work/Therapist, MSW, LCSW
Verified Verified
2 Endorsed
Chapel Hill, NC 27514  (Online Only)
Waitlist for new clients
In the context of an accepting, supportive, and trusting relationship, I can help you find solutions to your life's challenges and psychological issues. In my over twenty years of experience, I have worked primarily with adults and older adults on issues of anxiety, depression, and the stressors that can emerge with major life changes. Life can be overwhelming and sometimes even exhausting, but I’m here to guide you through any obstacles you may face. My goal is to help you understand yourself more deeply and better cope with change.
In the context of an accepting, supportive, and trusting relationship, I can help you find solutions to your life's challenges and psychological issues. In my over twenty years of experience, I have worked primarily with adults and older adults on issues of anxiety, depression, and the stressors that can emerge with major life changes. Life can be overwhelming and sometimes even exhausting, but I’m here to guide you through any obstacles you may face. My goal is to help you understand yourself more deeply and better cope with change.
(984) 733-0824 View (984) 733-0824
Photo of Kat Quinn, Clinical Social Work/Therapist in Chapel Hill, NC
Kat Quinn
Clinical Social Work/Therapist, MA, LCSW
Verified Verified
Chapel Hill, NC 27514  (Online Only)
Waitlist for new clients
As a licensed therapist, I will be there for you during each step of your healing and growth. I specialize in general mental health, life transitions, and trauma, as well as infertility, pregnancy loss, premenstrual disorders, and perinatal or postpartum experiences. It's time to come home to yourself, and I can help! Together we can focus on reducing symptoms of depression or anxiety, healing, creating healthy relationships, building new coping skills, and cultivating your best life - whatever that may be.
As a licensed therapist, I will be there for you during each step of your healing and growth. I specialize in general mental health, life transitions, and trauma, as well as infertility, pregnancy loss, premenstrual disorders, and perinatal or postpartum experiences. It's time to come home to yourself, and I can help! Together we can focus on reducing symptoms of depression or anxiety, healing, creating healthy relationships, building new coping skills, and cultivating your best life - whatever that may be.
(919) 551-7862 View (919) 551-7862
Photo of Yalin Liu, Clinical Social Work/Therapist in Chapel Hill, NC
Yalin Liu
Clinical Social Work/Therapist, LCSW, MSW, MEd
Verified Verified
Chapel Hill, NC 27514
Waitlist for new clients
My role is to act as your guide to mental well-being.  We will work collaboratively in exploring your feelings and cultivating your self-worth.  Throughout your journey, I will support you as you regain inner strength, understand relational patterns and internal conflicts, and recognize how these factors connect to day-to-day struggles at school, work and in relationships. I see emotional discomfort as a way of communicating yet-to-be-recognized feelings, and the expression of your needs. I am here to provide you with a supportive and safe space to explore your past experiences and how they may affect your current circumstances.
My role is to act as your guide to mental well-being.  We will work collaboratively in exploring your feelings and cultivating your self-worth.  Throughout your journey, I will support you as you regain inner strength, understand relational patterns and internal conflicts, and recognize how these factors connect to day-to-day struggles at school, work and in relationships. I see emotional discomfort as a way of communicating yet-to-be-recognized feelings, and the expression of your needs. I am here to provide you with a supportive and safe space to explore your past experiences and how they may affect your current circumstances.
(919) 752-3299 View (919) 752-3299
Photo of Page J. Littlewood, Marriage & Family Therapist in Chapel Hill, NC
Page J. Littlewood
Marriage & Family Therapist, MBA, MS, LMFT
Verified Verified
Chapel Hill, NC 27514
I am a Certified Emotionally Focused Therapist. My work supports individuals, couples, families and small businesses seeking to unlock their ability to access the best they have to offer. We all need to experience a secure bond with another to provide a safe haven for comfort and support and a secure base to go out into the world. Together, we can find the secure bond, fun, love, and caring masked by conflicts, connect you with the resources we are all born with that build self esteem, strengthen relationships, bring into awareness and transform old and familiar patterns of communication that are defensive rather than connecting.
I am a Certified Emotionally Focused Therapist. My work supports individuals, couples, families and small businesses seeking to unlock their ability to access the best they have to offer. We all need to experience a secure bond with another to provide a safe haven for comfort and support and a secure base to go out into the world. Together, we can find the secure bond, fun, love, and caring masked by conflicts, connect you with the resources we are all born with that build self esteem, strengthen relationships, bring into awareness and transform old and familiar patterns of communication that are defensive rather than connecting.
(919) 948-3457 View (919) 948-3457
Photo of Samara Domanski in Chapel Hill, NC
Samara Domanski
MA, NCC, LCMHC, PYC
Verified Verified
1 Endorsed
Chapel Hill, NC 27514
Many individuals seeking therapy have had experiences feeling misunderstood, isolated, ignored, or even confused. Navigating mental health is not always easy or comfortable. Regardless of one's presenting issues, my goal as a counselor is to help clients gain a better understanding of their experiences, identity, and conflicts. I have extensive experience working with clients facing racial identity issues, anxiety, depression, trauma/PTSD, perinatal or new parenting issues, and issues related to athletics. Even if you don't fall within these categories, I'd be happy to get to know you and help you through your journey!
Many individuals seeking therapy have had experiences feeling misunderstood, isolated, ignored, or even confused. Navigating mental health is not always easy or comfortable. Regardless of one's presenting issues, my goal as a counselor is to help clients gain a better understanding of their experiences, identity, and conflicts. I have extensive experience working with clients facing racial identity issues, anxiety, depression, trauma/PTSD, perinatal or new parenting issues, and issues related to athletics. Even if you don't fall within these categories, I'd be happy to get to know you and help you through your journey!
(919) 343-0851 View (919) 343-0851
Photo of Zoe Services, PLLC, Licensed Professional Counselor in Chapel Hill, NC
Zoe Services, PLLC
Licensed Professional Counselor, MA, LCMHCS
Verified Verified
2 Endorsed
Chapel Hill, NC 27516
Sometimes in life we need someone to come along side us and walk with us for a while on our journey. I would describe myself as a sojourner. I provide a positive, nonjudgmental environment to see individuals as they work on addressing challenges they are facing. I work with teens and adults to address issues including depression, anxiety, infertility, life transitions, grief and loss along with parenting related stressors. Some of my speciality areas include: Postpartum issues, maternal mental health and EMDR. I also provide help to other professionals to address secondary trauma, compassion fatigue and "burn out".
Sometimes in life we need someone to come along side us and walk with us for a while on our journey. I would describe myself as a sojourner. I provide a positive, nonjudgmental environment to see individuals as they work on addressing challenges they are facing. I work with teens and adults to address issues including depression, anxiety, infertility, life transitions, grief and loss along with parenting related stressors. Some of my speciality areas include: Postpartum issues, maternal mental health and EMDR. I also provide help to other professionals to address secondary trauma, compassion fatigue and "burn out".
(984) 201-7693 View (984) 201-7693
Photo of Shannon Smith, Clinical Social Work/Therapist in Chapel Hill, NC
Shannon Smith
Clinical Social Work/Therapist, MSW, LCSW
Verified Verified
1 Endorsed
Chapel Hill, NC 27514
All of us confront situations in life that can be overwhelming. Counseling can help us to find solutions and ways to cope and succeed. I enjoy working with children, adolescents and adults facing a variety of issues.
All of us confront situations in life that can be overwhelming. Counseling can help us to find solutions and ways to cope and succeed. I enjoy working with children, adolescents and adults facing a variety of issues.
(984) 228-2671 View (984) 228-2671

How does your Therapist compare?

Number of Therapists in Chapel Hill, NC

700+

Average cost per session

$150

Therapists in Chapel Hill, NC who prioritize treating:

93% Anxiety
87% Depression
82% Relationship Issues
79% Self Esteem
71% Coping Skills
71% Stress
67% Trauma and PTSD

Average years in practice

11 Years

Top 3 insurances accepted

85% BlueCross and BlueShield
66% Aetna
43% Cigna and Evernorth

How Therapists in Chapel Hill, NC see their clients

73% In Person and Online
27% Online Only

Gender breakdown

80% Female
18% Male
2% Non-Binary
FAQs - About Therapy and Counseling

How can I find a therapist in Chapel Hill?

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.