Therapists in Durham, NC
Monique Sorensen Porter
Licensed Professional Counselor, LCMHC, LCAS
Verified Verified
6 Endorsed
Durham, NC 27713
Is worry or anxiety disrupting your life? Does it feel like no matter what you try, nothing works? Are you struggling to change habits that only seem to make things worse? If you answered yes to any of these questions, then you have made the right choice by being here. Maybe you've resorted to drinking, prescriptions or marijuana to feel some relief. Maybe it's time you got some help. And I know this is hard. You've likely been thinking about seeking help for months, maybe even longer. But I'm so glad you found me and have taken the courageous step of being here.
Is worry or anxiety disrupting your life? Does it feel like no matter what you try, nothing works? Are you struggling to change habits that only seem to make things worse? If you answered yes to any of these questions, then you have made the right choice by being here. Maybe you've resorted to drinking, prescriptions or marijuana to feel some relief. Maybe it's time you got some help. And I know this is hard. You've likely been thinking about seeking help for months, maybe even longer. But I'm so glad you found me and have taken the courageous step of being here.
Sarah Beth Bailes
Clinical Social Work/Therapist, MSW, LCSW
Verified Verified
1 Endorsed
Durham, NC 27707
If you are reading this, I first want you to sit back and allow yourself to be proud--you are taking steps towards your freedom, and that is no easy feat. My goal is to help you find freedom from whatever has you bound. Healing can be messy, but I am here to sit in the messy with you. In my practice, I am not the one doing the healing work; instead, I want to empower you with the tools that you need to heal yourself. I am deeply committed to sitting in the deepest depths with you for as long as it takes you to wrestle towards your freedom and wholeness because you are worth a life that you love.
If you are reading this, I first want you to sit back and allow yourself to be proud--you are taking steps towards your freedom, and that is no easy feat. My goal is to help you find freedom from whatever has you bound. Healing can be messy, but I am here to sit in the messy with you. In my practice, I am not the one doing the healing work; instead, I want to empower you with the tools that you need to heal yourself. I am deeply committed to sitting in the deepest depths with you for as long as it takes you to wrestle towards your freedom and wholeness because you are worth a life that you love.
Toni Georgiana
Clinical Social Work/Therapist, LCSW
Verified Verified
2 Endorsed
Durham, NC 27703
Is pain from your past or worries about the future making it hard to enjoy the present? Are you struggling in relationships? Dealing with issues related to food or body image? Is anxiety or depression getting in the way of living the life you want? Imagine being able to talk to someone who can validate what you are feeling and help you understand it. You don't have to walk this journey alone. We all want to be heard and understood. Therapy is exactly that - a place to unload the thoughts and feelings you’ve been trying to make sense of on your own. It would be my privilege to help you sort it out. We all need support. Let me help.
Is pain from your past or worries about the future making it hard to enjoy the present? Are you struggling in relationships? Dealing with issues related to food or body image? Is anxiety or depression getting in the way of living the life you want? Imagine being able to talk to someone who can validate what you are feeling and help you understand it. You don't have to walk this journey alone. We all want to be heard and understood. Therapy is exactly that - a place to unload the thoughts and feelings you’ve been trying to make sense of on your own. It would be my privilege to help you sort it out. We all need support. Let me help.
Gracefully Balanced Counseling, PLLC
Clinical Social Work/Therapist, LCSW
Verified Verified
2 Endorsed
Durham, NC 27703 (Online Only)
Not accepting new clients
***I am not accepting new clients, currently.*** What if you knew how to cope when your fears, stress, and responsibilities overwhelm your everyday life? In our work together, I will help you learn how to manage your symptoms of distress as we identify the root cause and work through core issues that lead to anxiety, depression, and general difficulty in managing life transitions. I have 18+ years of experience working with women, couples, and families using a mix of DBT, EMDR, Solution-Focused, CBT, & Mindfulness based approaches to address issues of anxiety, depression, and trauma.
***I am not accepting new clients, currently.*** What if you knew how to cope when your fears, stress, and responsibilities overwhelm your everyday life? In our work together, I will help you learn how to manage your symptoms of distress as we identify the root cause and work through core issues that lead to anxiety, depression, and general difficulty in managing life transitions. I have 18+ years of experience working with women, couples, and families using a mix of DBT, EMDR, Solution-Focused, CBT, & Mindfulness based approaches to address issues of anxiety, depression, and trauma.
Ellen Pizer
Clinical Social Work/Therapist, MSW, LCSW
Verified Verified
1 Endorsed
Durham, NC 27705
I offer clients a collaborative approach to address whatever may have brought them to my door. My relationally focused psychodynamic style supports the idea that healing occurs through our connection with others. By providing a safe and solid therapeutic relationship to a person, that person begins to experience a greater range of perspective regarding their own life and the lives around them. With increased self-awareness, individuals are able to recognize that they have more choices in their lives. I have found this to be true regardless of what obstacles a person may be facing.
I offer clients a collaborative approach to address whatever may have brought them to my door. My relationally focused psychodynamic style supports the idea that healing occurs through our connection with others. By providing a safe and solid therapeutic relationship to a person, that person begins to experience a greater range of perspective regarding their own life and the lives around them. With increased self-awareness, individuals are able to recognize that they have more choices in their lives. I have found this to be true regardless of what obstacles a person may be facing.
Robert Horne
Licensed Clinical Mental Health Counselor, LCHMHC
Verified Verified
1 Endorsed
Durham, NC 27701 (Online Only)
Robert Horne is a National Certified Counselor, Licensed Clinical Mental Health Counselor, Approved Clinical Supervisor, Licensed Clinical Addiction Counselor, and International Advance Alcohol Drug Counselor with over 13 years of mental health and addiction counseling and over 25 years of pastoral counseling experience. He is enthusiastic about assisting adults, couples, and families from diverse backgrounds with overcoming their current and past challenges and moving towards better living experiences. Robert specializes in assisting adults, couples, and families with depression, anxiety, grief, trauma, and relationship concerns.
Robert Horne is a National Certified Counselor, Licensed Clinical Mental Health Counselor, Approved Clinical Supervisor, Licensed Clinical Addiction Counselor, and International Advance Alcohol Drug Counselor with over 13 years of mental health and addiction counseling and over 25 years of pastoral counseling experience. He is enthusiastic about assisting adults, couples, and families from diverse backgrounds with overcoming their current and past challenges and moving towards better living experiences. Robert specializes in assisting adults, couples, and families with depression, anxiety, grief, trauma, and relationship concerns.
Erin Moore
Counselor, MS, LCMHC, LCAS
Verified Verified
Durham, NC 27707
My goal is to provide a relationship which you may use for personal growth. Whether it's post-partum support, day-to-day stress, relationship issues, anxiety, depression, alcohol and drug addiction or trauma, I partner with you when life becomes un-manageable to work towards positive change. Whether it's post-partum support, day-to-day stress, relationship issues, anxiety, depression, alcohol and drug addiction or trauma, I partner with you when life becomes un-manageable to work towards positive change. I strive to create an environment that allows you to feel comfortable, safe and facilitates growth.
My goal is to provide a relationship which you may use for personal growth. Whether it's post-partum support, day-to-day stress, relationship issues, anxiety, depression, alcohol and drug addiction or trauma, I partner with you when life becomes un-manageable to work towards positive change. Whether it's post-partum support, day-to-day stress, relationship issues, anxiety, depression, alcohol and drug addiction or trauma, I partner with you when life becomes un-manageable to work towards positive change. I strive to create an environment that allows you to feel comfortable, safe and facilitates growth.
Elizabeth Christy
Clinical Social Work/Therapist, MSW, LCSW, CSE, GC
Verified Verified
Durham, NC 27705 (Online Only)
Accepting New Patients as of 12/15/23 Hi there! My name is Elizabeth and I'm a Licensed Clinical Social Worker, Certified Sex Educator, and Grief Counselor. I utilize a strengths-based approach to collaborate with Patients to reach their goals and improve their overall well-being. I work with each Patient to develop individualized treatment plans that support in reducing the impact of emotional and mental challenges across environments. I deeply believe in the healing power of connection through therapy and welcome the chance to meet with you.
Accepting New Patients as of 12/15/23 Hi there! My name is Elizabeth and I'm a Licensed Clinical Social Worker, Certified Sex Educator, and Grief Counselor. I utilize a strengths-based approach to collaborate with Patients to reach their goals and improve their overall well-being. I work with each Patient to develop individualized treatment plans that support in reducing the impact of emotional and mental challenges across environments. I deeply believe in the healing power of connection through therapy and welcome the chance to meet with you.
Katie da Luz
Licensed Professional Counselor, MS, LCMHC, LCAS
Verified Verified
1 Endorsed
Durham, NC 27707
I believe the relationship between you and your therapist is fundamental to the therapeutic process. I focus on concepts of trust and creating a safe environment so you feel free to process thoughts, develop healthy coping skills, and focus on reducing, managing and eliminating symptoms. I emphasize open and honest communication while maintaining a non-judgmental approach throughout treatment. I will create and support an individualized experience for you and center the therapeutic process on your personal goals.
I believe the relationship between you and your therapist is fundamental to the therapeutic process. I focus on concepts of trust and creating a safe environment so you feel free to process thoughts, develop healthy coping skills, and focus on reducing, managing and eliminating symptoms. I emphasize open and honest communication while maintaining a non-judgmental approach throughout treatment. I will create and support an individualized experience for you and center the therapeutic process on your personal goals.
DeJuan Lundy
Lic Clinical Mental Health Counselor Supervisor, LCMHCS, LCAS
Verified Verified
Durham, NC 27713 (Online Only)
DeJuan J. Lundy is a Licensed Clinical Mental Health Counselor Supervisor (LCMHC-S) and a Licensed Clinical Addictions Specialist (LCAS) with over 13 years of experience working with diverse populations and ages, as well as a wide range of diagnoses and disorders. DeJuan specializes in the treatment of anxiety, depression, adjustment disorders, attention deficit/hyperactivity disorder (ADHD), post-traumatic stress disorder (PTSD), addiction, substance abuse, trauma, anger management, stress management, and mood disorders.
DeJuan J. Lundy is a Licensed Clinical Mental Health Counselor Supervisor (LCMHC-S) and a Licensed Clinical Addictions Specialist (LCAS) with over 13 years of experience working with diverse populations and ages, as well as a wide range of diagnoses and disorders. DeJuan specializes in the treatment of anxiety, depression, adjustment disorders, attention deficit/hyperactivity disorder (ADHD), post-traumatic stress disorder (PTSD), addiction, substance abuse, trauma, anger management, stress management, and mood disorders.
Christina Sapien-Iezzi
Licensed Professional Counselor, LCMHC
Verified Verified
1 Endorsed
Durham, NC 27705
I have been a licensed clinical mental health counselor since 2008 and have a genuine interest in helping others when they feel stuck or overwhelmed by life. I know how difficult life can be and how there are so many obstacles or stressors that can keep us from living a meaningful and authentic life. Whether you are struggling with finding peace in a chaotic world or experiencing depression, anxiety or symptoms related to trauma, I will help you gain self-awareness and understanding into what is keeping you from living the life you want and deserve.
I have been a licensed clinical mental health counselor since 2008 and have a genuine interest in helping others when they feel stuck or overwhelmed by life. I know how difficult life can be and how there are so many obstacles or stressors that can keep us from living a meaningful and authentic life. Whether you are struggling with finding peace in a chaotic world or experiencing depression, anxiety or symptoms related to trauma, I will help you gain self-awareness and understanding into what is keeping you from living the life you want and deserve.
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Clinical Social Work/Therapist, LCSW, RYT
Verified Verified
1 Endorsed
Durham, NC 27701
Not accepting new clients
We all have learned to walk through this world with a certain degree of guardedness and protection. Through a safe and gradual process, I assist people in letting down the walls that we formed to protect us. I have found that when our masks start to come off, we can form more authentic and real connections with others. You can safely begin to open, become vulnerable, and get in touch with what you desire. Together, we discover how you can live in a more authentic way in your life. Freedom and happiness are attainable in this world!
We all have learned to walk through this world with a certain degree of guardedness and protection. Through a safe and gradual process, I assist people in letting down the walls that we formed to protect us. I have found that when our masks start to come off, we can form more authentic and real connections with others. You can safely begin to open, become vulnerable, and get in touch with what you desire. Together, we discover how you can live in a more authentic way in your life. Freedom and happiness are attainable in this world!
Barbara Marotto
Clinical Social Work/Therapist, MSW, LCSW, LCAS
Verified Verified
1 Endorsed
Durham, NC 27707
Not accepting new clients
Depression, anxiety, trauma, grief and other symptoms can take away the ability to enjoy life, and make it difficult to remain socially connected and maintain good interpersonal relationships. Life circumstances, mental or physical illness, coping with transitions, and unexpected events increase stress, and contribute to feeling overwhelmed and helpless. I will work to help you find a way through these painful experiences, reduce unwanted symptoms, and improve quality of life. If you are struggling with painful symptoms or situation, call me today and we can begin working on the life you want to be living.
Depression, anxiety, trauma, grief and other symptoms can take away the ability to enjoy life, and make it difficult to remain socially connected and maintain good interpersonal relationships. Life circumstances, mental or physical illness, coping with transitions, and unexpected events increase stress, and contribute to feeling overwhelmed and helpless. I will work to help you find a way through these painful experiences, reduce unwanted symptoms, and improve quality of life. If you are struggling with painful symptoms or situation, call me today and we can begin working on the life you want to be living.
Erin Clancy Weant
Clinical Social Work/Therapist, MSW, LCSW
Verified Verified
3 Endorsed
Durham, NC 27705 (Online Only)
Not accepting new clients
It's harder than ever to balance all.the.things, especially if your brain is wired a little bit differently than most folks. Whether you're struggling to keep up at work, having communication issues in your relationship, and/or trying your damnedest to raise good humans- the pressure to be your best self is relentless and it's all too easy to feel like a failure. I specialize in adult ADHD and will meet you wherever you are on your journey, whether you were diagnosed at 5 or 65, or you aren't sure and want to know more about it.
It's harder than ever to balance all.the.things, especially if your brain is wired a little bit differently than most folks. Whether you're struggling to keep up at work, having communication issues in your relationship, and/or trying your damnedest to raise good humans- the pressure to be your best self is relentless and it's all too easy to feel like a failure. I specialize in adult ADHD and will meet you wherever you are on your journey, whether you were diagnosed at 5 or 65, or you aren't sure and want to know more about it.
Casey Kenny
Licensed Clinical Mental Health Counselor, MA, LCMHC
Verified Verified
20 Endorsed
Durham, NC 27705
Accepting new clients! Telehealth and in-person. Being a parent is TOUGH. I will listen to your concerns/hopes while providing a nonjudgmental environment to explore the issues your child and family may be facing. I am passionate about childhood mental health, and only work with children and teens (ages 4-16). Some children I see experience issues with adjustment, anxiety, depression, ADHD, behavioral issues, self-esteem, trauma, and interpersonal conflict. Some children ask to come to therapy; some don't. I focus on building trust and rapport with every client I work with.
Accepting new clients! Telehealth and in-person. Being a parent is TOUGH. I will listen to your concerns/hopes while providing a nonjudgmental environment to explore the issues your child and family may be facing. I am passionate about childhood mental health, and only work with children and teens (ages 4-16). Some children I see experience issues with adjustment, anxiety, depression, ADHD, behavioral issues, self-esteem, trauma, and interpersonal conflict. Some children ask to come to therapy; some don't. I focus on building trust and rapport with every client I work with.
Jessica Hair
Licensed Professional Counselor, MEd, NCC, LCMHC
Verified Verified
2 Endorsed
Durham, NC 27705
Not accepting new clients
Every child needs a nurturing environment that allows them to grow and thrive as an adult; however, from childhood into adulthood there are times that adversity presents itself. The road can become rocky and sometimes stop with no apparent direction in which to travel. When the road is too bumpy and travel is difficult, a therapist can help by serving as guide and aid and walk with you until the road is safe again to travel on your own.
Every child needs a nurturing environment that allows them to grow and thrive as an adult; however, from childhood into adulthood there are times that adversity presents itself. The road can become rocky and sometimes stop with no apparent direction in which to travel. When the road is too bumpy and travel is difficult, a therapist can help by serving as guide and aid and walk with you until the road is safe again to travel on your own.
Deb Hooker
Licensed Clinical Mental Health Counselor, MEd, LCMHC, NCC
Verified Verified
2 Endorsed
Durham, NC 27713 (Online Only)
Waitlist for new clients
My practice is dedicated to helping individuals effectively navigate life challenges. My approach is non-judgmental and supportive. I strongly believe in the importance of the therapeutic relationship. Because of the vulnerability involved in exploring your feelings, it is imperative that you feel safe and trusting of me. Together, we will process your feelings. This often leads to better relationships, solutions to specific problems, and better coping skills. My focus is to collaborate with you on creating your personal goals and to offer you a comfortable environment to work through issues that are causing you unhappiness.
My practice is dedicated to helping individuals effectively navigate life challenges. My approach is non-judgmental and supportive. I strongly believe in the importance of the therapeutic relationship. Because of the vulnerability involved in exploring your feelings, it is imperative that you feel safe and trusting of me. Together, we will process your feelings. This often leads to better relationships, solutions to specific problems, and better coping skills. My focus is to collaborate with you on creating your personal goals and to offer you a comfortable environment to work through issues that are causing you unhappiness.
Justine Sperber
Clinical Social Work/Therapist, MSW, LCSW
Verified Verified
1 Endorsed
Durham, NC 27707 (Online Only)
Thank you for considering me to support you on your journey! I graduated with my MSW in 2013, and have been a practicing Dialectical Behavioral Therapy clinician since 2013. I have worked with a variety of populations and enjoy assisting people with finding ways to better tolerate distress, manage their emotions, strengthen and build quality relationships, and develop healthy coping skills to help you get through life's curveballs.
Thank you for considering me to support you on your journey! I graduated with my MSW in 2013, and have been a practicing Dialectical Behavioral Therapy clinician since 2013. I have worked with a variety of populations and enjoy assisting people with finding ways to better tolerate distress, manage their emotions, strengthen and build quality relationships, and develop healthy coping skills to help you get through life's curveballs.
Melissa Yao
Psychologist, PhD, HSP-P
Verified Verified
1 Endorsed
Durham, NC 27713
Waitlist for new clients
I have experience working with a wide range of concerns including anxiety and stress, depression and other mood disorders, relationships and interpersonal issues, adjustment and acculturation, body image and eating concerns, identity development, and academic issues. I consider myself a generalist and am comfortable treating a variety of presenting issues; however, I am particularly interested in helping clients explore concerns related to perfectionism, sexual orientation, romantic relationships, and racial or ethnic identity development.
I have experience working with a wide range of concerns including anxiety and stress, depression and other mood disorders, relationships and interpersonal issues, adjustment and acculturation, body image and eating concerns, identity development, and academic issues. I consider myself a generalist and am comfortable treating a variety of presenting issues; however, I am particularly interested in helping clients explore concerns related to perfectionism, sexual orientation, romantic relationships, and racial or ethnic identity development.
Callie Justice
Clinical Social Work/Therapist, MSW, LCSW
Not Verified Not Verified
Durham, NC 27705 (Online Only)
Waitlist for new clients
In my practice I focus on helping people to free the present from the long term effects of problematic early life experiences. In psychotherapy, we work to create space for thoughts, feelings, and memories to emerge and to be understood. Understanding supports developing new skills which allow for new and more positive choices to be made based in the present, cleared of the distortions of the past. I offer a brief telephone consultation for potential clients.
In my practice I focus on helping people to free the present from the long term effects of problematic early life experiences. In psychotherapy, we work to create space for thoughts, feelings, and memories to emerge and to be understood. Understanding supports developing new skills which allow for new and more positive choices to be made based in the present, cleared of the distortions of the past. I offer a brief telephone consultation for potential clients.
See more therapy options for Durham
How does your Therapist compare?
Number of Therapists in Durham, NC
1,000+
Average cost per session
$150
Therapists in Durham, NC who prioritize treating:
92% | Anxiety |
86% | Depression |
78% | Relationship Issues |
77% | Self Esteem |
70% | Coping Skills |
70% | Stress |
67% | Trauma and PTSD |
Average years in practice
11 Years
Top 3 insurances accepted
82% | BlueCross and BlueShield |
71% | Aetna |
51% | Cigna and Evernorth |
How Therapists in Durham, NC see their clients
65% | In Person and Online | |
35% | Online Only |
Gender breakdown
80% | Female | |
17% | Male | |
3% | Non-Binary |
FAQs - About Therapy and Counseling
How can I find a therapist in Durham?
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
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.
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.
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.