Therapists in Cary, NC

Photo of Karina Akouka, Clinical Social Work/Therapist in Cary, NC
Karina Akouka
Clinical Social Work/Therapist, LCSW, PMH-C
Verified Verified
Cary, NC 27518  (Online Only)
The transition to motherhood and parenthood can be a difficult transition. During this life changing transition you might find yourself feeling sad, overwhelmed, lonely, and unsure if you will find your groove again. Mothers and parents may feel a loss of sense of self and increased depression and anxiety as they navigate relationships and how they fit into their old selves again. Together, we can discover new ways to manage your feelings and deepen self-awareness to lead you to feel more fulfilled in your new role.
The transition to motherhood and parenthood can be a difficult transition. During this life changing transition you might find yourself feeling sad, overwhelmed, lonely, and unsure if you will find your groove again. Mothers and parents may feel a loss of sense of self and increased depression and anxiety as they navigate relationships and how they fit into their old selves again. Together, we can discover new ways to manage your feelings and deepen self-awareness to lead you to feel more fulfilled in your new role.
(415) 534-4331 View (415) 534-4331
Photo of Amanda Novachek, Counselor in Cary, NC
Amanda Novachek
Counselor, LCMHCA
Verified Verified
Cary, NC 27518
Amanda Novachek is a Licensed Clinical Mental Health Counselor Associate in North Carolina who has been in the mental health field since 2017. She has a Bachelor's Degree in Psychology and a graduate degree in Clinical Rehabilitation and Mental Health Counseling from the University of North Carolina at Chapel Hill. Amanda has the ability to see a situation from various points of view: a grieving person, a neurodivergent, a business owner, a daughter, a person seeking therapy, a student, a significant other, a friend, etc.
Amanda Novachek is a Licensed Clinical Mental Health Counselor Associate in North Carolina who has been in the mental health field since 2017. She has a Bachelor's Degree in Psychology and a graduate degree in Clinical Rehabilitation and Mental Health Counseling from the University of North Carolina at Chapel Hill. Amanda has the ability to see a situation from various points of view: a grieving person, a neurodivergent, a business owner, a daughter, a person seeking therapy, a student, a significant other, a friend, etc.
(984) 223-9592 View (984) 223-9592
Photo of Haylee Allen, Clinical Social Work/Therapist in Cary, NC
Haylee Allen
Clinical Social Work/Therapist, MSW, LCSW, LCAS, CCS, CPS-R
Verified Verified
Cary, NC 27511
With experience in various roles from therapist, prevention specialist, and program director I enjoy helping young children, teenagers, and adults achieve balance in everyday living. My expertise include mental health therapy, chemical dependency counseling, curriculum development and instruction, care management, and substance misuse prevention and education. I have experience working with youth and adults in various settings from the foster care environment, outpatient and inpatient treatment centers, to private practice.
With experience in various roles from therapist, prevention specialist, and program director I enjoy helping young children, teenagers, and adults achieve balance in everyday living. My expertise include mental health therapy, chemical dependency counseling, curriculum development and instruction, care management, and substance misuse prevention and education. I have experience working with youth and adults in various settings from the foster care environment, outpatient and inpatient treatment centers, to private practice.
(910) 541-9948 View (910) 541-9948
Photo of Peace By Piece Counseling Services PLLC, Counselor in Cary, NC
Peace By Piece Counseling Services PLLC
Counselor, MS, NCC, LCMHC
Verified Verified
Cary, NC 27518
Whether you are depressed, feeling stuck, anxious or struggling in a relationship, I bring an empathetic, positive and enthusiastic style towards personal change and growth. I offer a comfortable, supportive and trusting environment to work through the issues affecting your life.
Whether you are depressed, feeling stuck, anxious or struggling in a relationship, I bring an empathetic, positive and enthusiastic style towards personal change and growth. I offer a comfortable, supportive and trusting environment to work through the issues affecting your life.
(919) 261-3575 View (919) 261-3575
Photo of Elizabeth Pugliese, Licensed Clinical Mental Health Counselor in Cary, NC
Elizabeth Pugliese
Licensed Clinical Mental Health Counselor, LCMHC, LCAS, NCC
Verified Verified
3 Endorsed
Cary, NC 27511  (Online Only)
It can be exhausting to navigate life when isolated, facing one stressor after another, feeling depressed or anxious, or trying to recover from a traumatic experience. For many, these experiences interfere with day-to-day life such as our relationships, work, school, and more. For many, therapy can provide needed support. The most significant part of therapy is your relationship with your therapist, this is why I approach therapy by getting to know you as a whole person and use a collaborative approach to help empower your innate strengths.
It can be exhausting to navigate life when isolated, facing one stressor after another, feeling depressed or anxious, or trying to recover from a traumatic experience. For many, these experiences interfere with day-to-day life such as our relationships, work, school, and more. For many, therapy can provide needed support. The most significant part of therapy is your relationship with your therapist, this is why I approach therapy by getting to know you as a whole person and use a collaborative approach to help empower your innate strengths.
(919) 822-9118 View (919) 822-9118
Photo of Priya Sheth, LCMHC, NCC, Licensed Professional Counselor in Cary, NC
Priya Sheth, LCMHC, NCC
Licensed Professional Counselor, MA, LCMHC, NCC, PLLC
Verified Verified
2 Endorsed
Cary, NC 27511
Choosing to get help with life's difficulties is not always an easy decision to make. Congratulations in taking this first step, and thank you for considering me as a resource in helping you to successfully overcome the challenges you are currently facing.
Choosing to get help with life's difficulties is not always an easy decision to make. Congratulations in taking this first step, and thank you for considering me as a resource in helping you to successfully overcome the challenges you are currently facing.
(919) 374-3056 View (919) 374-3056
Photo of Integrative Wellness Services, Licensed Professional Counselor in Cary, NC
Integrative Wellness Services
Licensed Professional Counselor
Verified Verified
Cary, NC 27519
At Integrative Wellness Services, we take the "village" approach. We view our client's needs as as being connected to a larger scheme of things and work tirelessly to get to the root of what concerns them. We believe that all mental health challenges must be supported by more than one approach, and all of the approaches need to be working together, like a village! Collaboration is at the heart of everything we do.
At Integrative Wellness Services, we take the "village" approach. We view our client's needs as as being connected to a larger scheme of things and work tirelessly to get to the root of what concerns them. We believe that all mental health challenges must be supported by more than one approach, and all of the approaches need to be working together, like a village! Collaboration is at the heart of everything we do.
(919) 887-7964 View (919) 887-7964
Photo of Keisha Bryan, Clinical Social Work/Therapist in Cary, NC
Keisha Bryan
Clinical Social Work/Therapist, MSW, LCSW, LCAS
Verified Verified
1 Endorsed
Cary, NC 27511
In the intricate dance of relationships, communication is key. As a couple's therapist, I specialize in helping couples and individuals bridge the gap, fostering understanding and harmony. For individuals, I offer trauma therapy utilizing Internal Family Systems (IFS), a transformative approach that heals deep emotional wounds. Together, we unravel challenges, equipping you with effective communication tools. My approach is a blend of gentleness & strength, providing unwavering support. By addressing trauma, we pave the way for profound healing, empowering you to create healthier connections and lead a more fulfilling life.
In the intricate dance of relationships, communication is key. As a couple's therapist, I specialize in helping couples and individuals bridge the gap, fostering understanding and harmony. For individuals, I offer trauma therapy utilizing Internal Family Systems (IFS), a transformative approach that heals deep emotional wounds. Together, we unravel challenges, equipping you with effective communication tools. My approach is a blend of gentleness & strength, providing unwavering support. By addressing trauma, we pave the way for profound healing, empowering you to create healthier connections and lead a more fulfilling life.
(984) 538-7636 View (984) 538-7636
Photo of Edla Prevette, Licensed Clinical Mental Health Counselor in Cary, NC
Edla Prevette
Licensed Clinical Mental Health Counselor, LCMHC, RPT
Verified Verified
Cary, NC 27518
My primary focus is to help children, parents and adults reframe, rethink, then refresh their views, opinions, and actions. I enjoy taking research based theories and sharing the information in a pragmatic way. I believe my authentic and genuine interest in helping others is what enables my clients to "flip" their thinking and actions for positive change. With children I use various play and cognitive behavior therapies to help in navigating the academic, emotional and social stress they are faced with in today's digital world. Additionally, I work with parents to offer effective ways to parent their children for optimal success.
My primary focus is to help children, parents and adults reframe, rethink, then refresh their views, opinions, and actions. I enjoy taking research based theories and sharing the information in a pragmatic way. I believe my authentic and genuine interest in helping others is what enables my clients to "flip" their thinking and actions for positive change. With children I use various play and cognitive behavior therapies to help in navigating the academic, emotional and social stress they are faced with in today's digital world. Additionally, I work with parents to offer effective ways to parent their children for optimal success.
(919) 283-0078 View (919) 283-0078
Photo of Jacklyn Michele Blake, Lic Clinical Mental Health Counselor Associate in Cary, NC
Jacklyn Michele Blake
Lic Clinical Mental Health Counselor Associate, LCMHCA, MBA
Verified Verified
2 Endorsed
Cary, NC 27518
CPP Provider for NC State Employees BCBS Plan. Life's journey is rich with surprises, some delightful and others daunting. Facing the rough patches that test our spirit and relationships isn't just brave, it's profoundly human. Embracing this journey can lead to transformative changes, and it's okay to seek clarity. It takes courage to reach for support, and doing so is a powerful affirmation of your resilience.
CPP Provider for NC State Employees BCBS Plan. Life's journey is rich with surprises, some delightful and others daunting. Facing the rough patches that test our spirit and relationships isn't just brave, it's profoundly human. Embracing this journey can lead to transformative changes, and it's okay to seek clarity. It takes courage to reach for support, and doing so is a powerful affirmation of your resilience.
(984) 230-4891 View (984) 230-4891
Photo of Jarem Bagnato, Licensed Clinical Mental Health Counselor in Cary, NC
Jarem Bagnato
Licensed Clinical Mental Health Counselor, MA, LCMHCA, LCAS
Verified Verified
Cary, NC 27518
Jarem Bagnato, MA, LCMHCA, LCAS. Jarem Bagnato is a Licensed Mental Health Counselor and Licensed Clinical Addictions Specialist. He earned his MA in Community Psychology in 2018 and has extensive experience in both residential and community mental health settings. Jarem believes in taking a macro approach to determine what forces influence his clients’ thought processes while also trying to understand the individual from their own worldview. In his spare time, Jarem is an avid outdoorsman and can be found at a nearby greenway or hiking in the mountains while admiring the scenery.
Jarem Bagnato, MA, LCMHCA, LCAS. Jarem Bagnato is a Licensed Mental Health Counselor and Licensed Clinical Addictions Specialist. He earned his MA in Community Psychology in 2018 and has extensive experience in both residential and community mental health settings. Jarem believes in taking a macro approach to determine what forces influence his clients’ thought processes while also trying to understand the individual from their own worldview. In his spare time, Jarem is an avid outdoorsman and can be found at a nearby greenway or hiking in the mountains while admiring the scenery.
(919) 737-2678 View (919) 737-2678
Photo of Lauren Ann Davies, Art Therapist in Cary, NC
Lauren Ann Davies
Art Therapist, MA, ART-BC
Verified Verified
1 Endorsed
Cary, NC 27511  (Online Only)
Is traditional talk therapy not necessarily the right fit? Would you like to explore alternative forms of expression for healing? Or perhaps you would like to augment your current treatment via a creative arts approach? As an art therapist, I have a passion for working with those who are looking to tap into their artistic side. I employ an eclectic strengths-based approach that incorporates positive psychology, mindfulness, guided imagery, DBT and CBT techniques. The aim being to broaden and build upon one’s current skills and strengths.
Is traditional talk therapy not necessarily the right fit? Would you like to explore alternative forms of expression for healing? Or perhaps you would like to augment your current treatment via a creative arts approach? As an art therapist, I have a passion for working with those who are looking to tap into their artistic side. I employ an eclectic strengths-based approach that incorporates positive psychology, mindfulness, guided imagery, DBT and CBT techniques. The aim being to broaden and build upon one’s current skills and strengths.
(919) 276-8656 View (919) 276-8656
Photo of Brigitte Zylaroch, Clinical Social Work/Therapist in Cary, NC
Brigitte Zylaroch
Clinical Social Work/Therapist, LCSW
Verified Verified
Cary, NC 27518
Life does not come with an instruction manual (I know, it’s the worst!). But that doesn’t mean you have to give up hope. Sometimes a safe space and a listening ear is all you need to create your own manual. You are unique and so are your challenges. I am here to provide a warm, compassionate, playful, non-judgmental, safe space and empower you to join me in working through those challenges. I believe that therapy should be all-embracing, genuine and rooted in the therapeutic relationship.
Life does not come with an instruction manual (I know, it’s the worst!). But that doesn’t mean you have to give up hope. Sometimes a safe space and a listening ear is all you need to create your own manual. You are unique and so are your challenges. I am here to provide a warm, compassionate, playful, non-judgmental, safe space and empower you to join me in working through those challenges. I believe that therapy should be all-embracing, genuine and rooted in the therapeutic relationship.
(919) 551-3082 x1 View (919) 551-3082 x1
Photo of Chloe Elizabeth Canady, Clinical Social Work/Therapist in Cary, NC
Chloe Elizabeth Canady
Clinical Social Work/Therapist, LCSWA
Verified Verified
1 Endorsed
Cary, NC 27518  (Online Only)
Waitlist for new clients
I work to support children, adolescents, and adults in resolving underlying contributors related to emotional dysregulation, interpersonal difficulties, anxiety, and depression. I help clients in unravel core beliefs that reinforce the life or relationship patterns they seek to change. I love working with individuals who want to get to the deeper levels of healing and self understanding. We will work collaboratively to get you to a place in life that feels manageable, and build the skills to keep you there.
I work to support children, adolescents, and adults in resolving underlying contributors related to emotional dysregulation, interpersonal difficulties, anxiety, and depression. I help clients in unravel core beliefs that reinforce the life or relationship patterns they seek to change. I love working with individuals who want to get to the deeper levels of healing and self understanding. We will work collaboratively to get you to a place in life that feels manageable, and build the skills to keep you there.
(919) 899-2848 View (919) 899-2848
Photo of Daria C. Mallard, Licensed Clinical Mental Health Counselor in Cary, NC
Daria C. Mallard
Licensed Clinical Mental Health Counselor, MA, LCMHC, NCC
Verified Verified
2 Endorsed
Cary, NC 27511  (Online Only)
Do you experience excessive and/or unrealistic worry that is difficult to control? Are you feeling constantly on edge? Lack motivation? Disordered eating? Struggle with perfectionism? What about the way you view yourself? Are you hard on yourself and struggle with shame? Have you experienced Trauma? Have your challenges interfered with your quality of life? Life consists of many challenges and our experiences deposit information that impacts the way we interact with the world around us. There are tools. education, and support to enhance our self perception and experiences of life.
Do you experience excessive and/or unrealistic worry that is difficult to control? Are you feeling constantly on edge? Lack motivation? Disordered eating? Struggle with perfectionism? What about the way you view yourself? Are you hard on yourself and struggle with shame? Have you experienced Trauma? Have your challenges interfered with your quality of life? Life consists of many challenges and our experiences deposit information that impacts the way we interact with the world around us. There are tools. education, and support to enhance our self perception and experiences of life.
View
Photo of Better Health for First Responders, Psychologist in Cary, NC
Better Health for First Responders
Psychologist, PhD
Verified Verified
1 Endorsed
Cary, NC 27512  (Online Only)
If you want to be happier and healthier but feel stuck trying to get there on your own, I can help. If the burdens of caring for others are getting heavy, I can help you lighten the load. My mission is to use evidence-based techniques to help you achieve healing and growth. We will identify your problem areas and strengths, then target the priorities that matter to you the most. Getting better may involve confronting painful memories or situations you've been avoiding, but please know that I'll help you through that at the right pace. Your hard work will pay off as you reclaim areas of your life.
If you want to be happier and healthier but feel stuck trying to get there on your own, I can help. If the burdens of caring for others are getting heavy, I can help you lighten the load. My mission is to use evidence-based techniques to help you achieve healing and growth. We will identify your problem areas and strengths, then target the priorities that matter to you the most. Getting better may involve confronting painful memories or situations you've been avoiding, but please know that I'll help you through that at the right pace. Your hard work will pay off as you reclaim areas of your life.
(984) 305-3350 View (984) 305-3350
Photo of Darron Anderson, LCSW Associate in Cary, NC
Darron Anderson
LCSW Associate, LCSWA, MSW
Verified Verified
Cary, NC 27519  (Online Only)
Do you need to talk about something but don’t know exactly what it is? Does your mind tend to move fast but your body stays in place? Is anger, frustration, or sadness taking over your thoughts and guiding your decisions? If you answered 'YES' to any of these questions, then guess what? You are not alone. Our mental health affects how we think, feel, and act. It also helps determine how we handle stress, relate to others, and make healthy choices. Mental health is important at every stage of life from childhood to adolescence, through adulthood. As a mental health professional, Darron Anderson has helped individuals and families
Do you need to talk about something but don’t know exactly what it is? Does your mind tend to move fast but your body stays in place? Is anger, frustration, or sadness taking over your thoughts and guiding your decisions? If you answered 'YES' to any of these questions, then guess what? You are not alone. Our mental health affects how we think, feel, and act. It also helps determine how we handle stress, relate to others, and make healthy choices. Mental health is important at every stage of life from childhood to adolescence, through adulthood. As a mental health professional, Darron Anderson has helped individuals and families
(984) 254-3650 View (984) 254-3650
Photo of Rebecca Meyer, Marriage & Family Therapist in Cary, NC
Rebecca Meyer
Marriage & Family Therapist, MA, LMFT
Verified Verified
1 Endorsed
Cary, NC 27511
Sometimes in our lives we are bogged down by our fears, insecurities, and the pressure we dish out for ourselves. I would love to come along side you in your journey towards becoming more connected, bettering your relationships, and feeling like a weight has been lifted from your body. I conceptualize therapy through an attachment lens. We all come from early experiences that have shaped us into the people we are. These experiences should be acknowledged and understood.
Sometimes in our lives we are bogged down by our fears, insecurities, and the pressure we dish out for ourselves. I would love to come along side you in your journey towards becoming more connected, bettering your relationships, and feeling like a weight has been lifted from your body. I conceptualize therapy through an attachment lens. We all come from early experiences that have shaped us into the people we are. These experiences should be acknowledged and understood.
(984) 223-5606 View (984) 223-5606
Photo of Hunter Blake, Lic Clinical Mental Health Counselor Associate in Cary, NC
Hunter Blake
Lic Clinical Mental Health Counselor Associate, NCC
Verified Verified
4 Endorsed
Cary, NC 27518
I do not have a current waiting list and am here in Cary, NC! We have an office over in Waverly Place where we could meet in person (with free refreshments and coffee), or you can meet with me online from anywhere in North Carolina. I see anyone 13 years old and up but typically work very well with college-aged and young adult males at any walk of life. Some key issues I have extensive experience with are depression, anxiety, identity/lack of purpose issues, topics related to spirituality, men's issues, and addiction.
I do not have a current waiting list and am here in Cary, NC! We have an office over in Waverly Place where we could meet in person (with free refreshments and coffee), or you can meet with me online from anywhere in North Carolina. I see anyone 13 years old and up but typically work very well with college-aged and young adult males at any walk of life. Some key issues I have extensive experience with are depression, anxiety, identity/lack of purpose issues, topics related to spirituality, men's issues, and addiction.
(919) 842-3391 View (919) 842-3391
Photo of Gray Lucas in Cary, NC
Gray Lucas
MA, LCMHC
Verified Verified
1 Endorsed
Cary, NC 27511
I believe that a strong therapeutic relationship between client and clinician is key in order for growth to happen. Once mutual respect and trust are established, I work toward gaining a deeper understanding of the client, their needs, and what obstacles they’ve found themselves faced with. I offer a space of non-judgment, empathy, and support in which clients can feel safe to open up and share their authentic selves. Upon meeting, I'll work with the client to create a treatment plan and goals, knowing that there is no one-size-fits-all plan. I most commonly work with those struggling with depression, anxiety, and family issues.
I believe that a strong therapeutic relationship between client and clinician is key in order for growth to happen. Once mutual respect and trust are established, I work toward gaining a deeper understanding of the client, their needs, and what obstacles they’ve found themselves faced with. I offer a space of non-judgment, empathy, and support in which clients can feel safe to open up and share their authentic selves. Upon meeting, I'll work with the client to create a treatment plan and goals, knowing that there is no one-size-fits-all plan. I most commonly work with those struggling with depression, anxiety, and family issues.
(919) 849-8936 View (919) 849-8936

How does your Therapist compare?

Number of Therapists in Cary, NC

900+

Average cost per session

$140

Therapists in Cary, NC who prioritize treating:

92% Anxiety
87% Depression
78% Self Esteem
77% Relationship Issues
72% Coping Skills
70% Stress
63% Life Transitions

Average years in practice

11 Years

Top 3 insurances accepted

83% BlueCross and BlueShield
73% Aetna
54% Cigna and Evernorth

How Therapists in Cary, NC see their clients

70% In Person and Online
30% Online Only

Gender breakdown

83% Female
16% Male
1% Non-Binary
FAQs - About Therapy and Counseling

How can I find a therapist in Cary?

Search for nearby therapists or counselors by inputting your city, town, or suburb; or zip code; or a provider’s name into the search bar. From there, you can filter providers by the issues they treat, cost, insurance, gender, and other factors to find providers who are well-suited to your needs. To navigate between locations within the same country, enter a new city or zip code into the search bar.

Learn more about how to find a therapist

Is everyone in the Psychology Today Therapy Directory a licensed therapist?

The Psychology Today directory lists providers who offer legitimate mental health services to the public, including psychologists, psychiatrists, social workers, and counselors.

Many have been licensed by the country or state where they practice; providers whose license or primary credential has been verified by Psychology Today are signified by a “Verified” symbol. Some clinicians or organizations provide services for which their state or country does not offer licenses, such as pastoral counseling. They may be selectively included without the “Verified” seal.

What’s the difference between a psychologist, a therapist, and a counselor?

Therapists, psychologists, and counselors are all licensed mental health professionals. In the US, psychologists have earned a doctoral degree. The terms “therapist” and “counselor” are used somewhat interchangeably, but generally therapists offer longer-term, mental health care, while counselors offer shorter-term care that may focus on one domain, such as marriage, career, or academic challenges.

Clients should consider factors such as insurance coverage and their primary reason(s) for seeking therapy to determine the type of professional best suited to their needs. Someone struggling with mental health challenges such as depression or anxiety, for example, may wish to seek out a clinical psychologist or therapist, while someone navigating career obstacles or marital upheaval may benefit from seeing a counselor who can offer short-term, targeted support.

What type of therapy is right for me?

The type of therapy best suited to a particular individual depends on several factors, including their primary reason for seeking therapy, their preferred timeline (some therapy types last for a set number of sessions, while others are open-ended), and their personality and preferences—some may prefer a more structured approach. For many individuals, multiple types of therapy could provide a good fit.

How much does therapy cost?

The cost of therapy depends on a number of variables, including location and the therapist’s experience and training. On average, a therapy session in the United States could cost between $100 and $200 or more. If you have insurance, the expense of mental health care is typically lower, but it varies based on your insurance plan details and whether you choose an in-network or out-of-network mental healthcare provider.

What are more affordable or low cost therapy solutions?

Many therapists offer sliding scale payments, usually on a limited number of slots, which consists in an agreement between the therapist and a client to pay a reduced rate. Therapists who provide such arrangements often consider the client's income or ability to pay, but the extent of the discount is ultimately at the therapist's discretion. Furthermore, while group therapy may have different goals and benefits compared to individual therapy, it can be a more affordable solution to address certain types of issues.

Is online therapy cheaper than in-person therapy?

Many therapists charge the same amount for online therapy as they do for in-person therapy—though clients may still find this cost-effective if it cuts down on their transportation costs. Health insurance plans often offer equivalent coverage for online and in-person therapy; indeed, in many places, they are legally required to do so. Text-based or on-demand therapy apps may be cheaper than traditional one-on-one psychotherapy; however, the practice may be less effective and is not likely to be covered by insurance.

Is online therapy a good option?

Therapy conducted online can be just as effective as in-person therapy, as long as there is a strong alliance between the client and the therapist. To find a therapist who provides telehealth services to clients in your area, click “Online Therapy” on the directory homepage and search by your city or town or your zip code.

Are therapy sessions confidential?

Confidentiality is a crucial part of the therapeutic relationship. Therapists in the United States are bound by the regulations set out by the Health Insurance Portability and Accountability Act of 1996 (HIPAA), which aims to protect sensitive health information. With very few exceptions, a therapist will only discuss their client with others when the client has given their written permission. The instances in which a therapist would be required to disclose personal information are: if a client poses a danger to themselves or others, if the therapist suspects the abuse of a child or an elderly or otherwise dependent adult, or if they are legally forced to by court order. These exceptions to the confidentiality agreement are usually discussed with a client before their first session.