Therapists in Durham, NC

Photo of Lisa Ahern, Psychologist in Durham, NC
Lisa Ahern
Psychologist, PhD, HSP-P
Verified Verified
Durham, NC 27713
Taking New Patients for ADHD and Learning Testing - I may have a waitlist for therapy. Email is currently the best way to reach me. Currently offering services in North Carolina only. - Do you wonder sometimes why "this is so hard" with regard to school, getting through routines and work, and getting along with others? Is planning, getting started with, and/or completing tasks a real struggle? Are meltdowns and frustration or avoidance part of your daily life? Would you like to develop better coping strategies so you/your child can be more relaxed, organized, and balanced? I would love the opportunity to help!
Taking New Patients for ADHD and Learning Testing - I may have a waitlist for therapy. Email is currently the best way to reach me. Currently offering services in North Carolina only. - Do you wonder sometimes why "this is so hard" with regard to school, getting through routines and work, and getting along with others? Is planning, getting started with, and/or completing tasks a real struggle? Are meltdowns and frustration or avoidance part of your daily life? Would you like to develop better coping strategies so you/your child can be more relaxed, organized, and balanced? I would love the opportunity to help!
(984) 464-8090 View (984) 464-8090
Photo of Mary Ann Roth, MS, LCMHC Dovetail Counseling, PLLC, Licensed Clinical Mental Health Counselor in Durham, NC
Mary Ann Roth, MS, LCMHC Dovetail Counseling, PLLC
Licensed Clinical Mental Health Counselor, MS, LCMHC
Verified Verified
1 Endorsed
Durham, NC 27713  (Online Only)
Change is hard. Life as you knew it has suddenly changed and you have no idea how to move forward. Your mind and body are adjusting to a new way of being which triggers an array of unsettled and uncomfortable feelings. The tension, lack of sleep, irritability, and low energy make it difficult to cope with the pressure. Part of you wants to give up and walk away, but there are too many people depending on you to stop now. Adjusting to this emotionally taxing shift in your life is not going smoothly and you’re beating yourself up for not handling it better. You’re at a loss for what to do and how to fit the pieces together.
Change is hard. Life as you knew it has suddenly changed and you have no idea how to move forward. Your mind and body are adjusting to a new way of being which triggers an array of unsettled and uncomfortable feelings. The tension, lack of sleep, irritability, and low energy make it difficult to cope with the pressure. Part of you wants to give up and walk away, but there are too many people depending on you to stop now. Adjusting to this emotionally taxing shift in your life is not going smoothly and you’re beating yourself up for not handling it better. You’re at a loss for what to do and how to fit the pieces together.
(919) 237-9973 View (919) 237-9973
Photo of Mariah Sinden, Counselor in Durham, NC
Mariah Sinden
Counselor, LCMHC, MEd, NCC, RYT-200
Verified Verified
9 Endorsed
Durham, NC 27703
Whatever brought you to consider therapy, know that you are not alone. Many of us struggle to manage intense emotions, connect deeply with others, meet our goals, live up to our expectations, accept ourselves, or find meaning in life. In a safe and supportive space you are free to express yourself openly, honestly, and authentically, and together we can work to discover the ways you would like your life to be different. The approach we take to implement those changes will be guided by your personality, culture, and needs.
Whatever brought you to consider therapy, know that you are not alone. Many of us struggle to manage intense emotions, connect deeply with others, meet our goals, live up to our expectations, accept ourselves, or find meaning in life. In a safe and supportive space you are free to express yourself openly, honestly, and authentically, and together we can work to discover the ways you would like your life to be different. The approach we take to implement those changes will be guided by your personality, culture, and needs.
(919) 343-5658 View (919) 343-5658
Photo of Nate Sawyer, Marriage & Family Therapist in Durham, NC
Nate Sawyer
Marriage & Family Therapist, MA, LMFT
Verified Verified
4 Endorsed
Durham, NC 27704
The relationship you form with a counselor can help move you to making the changes you desire in life. Maybe you feel stuck or are facing some challenges with an important relationship? I focus on helping people expand and strengthen their resources by establishing clear goals for personal growth. I strive to help people feel comfortable and safe in therapy and use creative strategies to help unlock their potential. I enjoy working with couples and families to learn new strategies to communicate their feelings with each other leading to improved relationships.
The relationship you form with a counselor can help move you to making the changes you desire in life. Maybe you feel stuck or are facing some challenges with an important relationship? I focus on helping people expand and strengthen their resources by establishing clear goals for personal growth. I strive to help people feel comfortable and safe in therapy and use creative strategies to help unlock their potential. I enjoy working with couples and families to learn new strategies to communicate their feelings with each other leading to improved relationships.
(919) 351-6499 View (919) 351-6499
Photo of Kimberly Azevedo, Marriage & Family Therapist in Durham, NC
Kimberly Azevedo
Marriage & Family Therapist, LMFT
Verified Verified
Durham, NC 27713  (Online Only)
Kym Azevedo is a Licensed Marriage and Family Therapist (LMFT) with 5 years of experience as a practicing therapist and 3 additional years working in mental health support and group facilitation. Kym specializes in working with teens and young adults navigating the transitions associated with these ages. They also work with adults facing mid-life and career transitions. Kym's philosophy of therapy is to help others better understand their personal narrative and how to express themselves in a positive and affirming story.
Kym Azevedo is a Licensed Marriage and Family Therapist (LMFT) with 5 years of experience as a practicing therapist and 3 additional years working in mental health support and group facilitation. Kym specializes in working with teens and young adults navigating the transitions associated with these ages. They also work with adults facing mid-life and career transitions. Kym's philosophy of therapy is to help others better understand their personal narrative and how to express themselves in a positive and affirming story.
(984) 217-7264 View (984) 217-7264
Photo of Whitley Grant-Goodman, Licensed Clinical Mental Health Counselor in Durham, NC
Whitley Grant-Goodman
Licensed Clinical Mental Health Counselor, LCMHCS, LCAS
Verified Verified
1 Endorsed
Durham, NC 27709  (Online Only)
I specialize in providing therapy for women of color dealing with phase of life concerns that may manifest as anxiety, depression, low self-esteem, irritability, or feeling overwhelmed. Whether you're adjusting to a new career, relationship changes, motherhood, or any other life transition, I'm here to help you find balance, strength, and clarity.Most people are looking for a safe space to express their concerns and I can provide that.
I specialize in providing therapy for women of color dealing with phase of life concerns that may manifest as anxiety, depression, low self-esteem, irritability, or feeling overwhelmed. Whether you're adjusting to a new career, relationship changes, motherhood, or any other life transition, I'm here to help you find balance, strength, and clarity.Most people are looking for a safe space to express their concerns and I can provide that.
(919) 351-6205 View (919) 351-6205
Photo of Dr. Lindsay Underwood, Pre-Licensed Professional in Durham, NC
Dr. Lindsay Underwood
Pre-Licensed Professional, PsyD
Verified Verified
Durham, NC 27713
There are times in everyone's lives that they need guidance, support, or just a sounding board. I strive to provide that in a safe and welcoming environment in which you can navigate whatever life has thrown your way. I aim to collaborate with clients to identify and work towards achieving their goals. I work with clients to find solutions to a variety of problems, with particular emphasis on life transitions, identity development, and interpersonal dynamics.
There are times in everyone's lives that they need guidance, support, or just a sounding board. I strive to provide that in a safe and welcoming environment in which you can navigate whatever life has thrown your way. I aim to collaborate with clients to identify and work towards achieving their goals. I work with clients to find solutions to a variety of problems, with particular emphasis on life transitions, identity development, and interpersonal dynamics.
(919) 925-4319 View (919) 925-4319
Photo of Meredith Garrison Wilson, Licensed Clinical Mental Health Counselor in Durham, NC
Meredith Garrison Wilson
Licensed Clinical Mental Health Counselor, LCMHC
Verified Verified
2 Endorsed
Durham, NC 27707
Welcome! Part of the reason you’ve found you’re way here might involve overwhelming anxiety, stress from relationships or school, lack of boundaries, wanting to increase or better your communication skills, work through new transitions or changes in major life “things”, or doing the deeper dives into trauma. We can explore these things together; work on your healing and feeling more like “you”, and allowing me to support you along the way.
Welcome! Part of the reason you’ve found you’re way here might involve overwhelming anxiety, stress from relationships or school, lack of boundaries, wanting to increase or better your communication skills, work through new transitions or changes in major life “things”, or doing the deeper dives into trauma. We can explore these things together; work on your healing and feeling more like “you”, and allowing me to support you along the way.
(704) 459-8532 View (704) 459-8532
Photo of Mathew O'Connor, Licensed Clinical Mental Health Counselor in Durham, NC
Mathew O'Connor
Licensed Clinical Mental Health Counselor, LCMHC, LCAS, CSI
Verified Verified
2 Endorsed
Durham, NC 27707
Waitlist for new clients
As a psychotherapist I specialize in helping individuals who are interested in learning and growing in self-awareness and confidence. I work well with people who are exploring patterns of substance use, intimate relationships, performance anxieties, lack of confidence/satisfaction, major life transitions (job/school changes/relational/grief). I am a relationally and present moment-based therapist. This means we will work from a framework that everything (past/present/future) can be addressed by exploring the relationship you have with it in "right now". My role is to help guide you on your path of wellness.
As a psychotherapist I specialize in helping individuals who are interested in learning and growing in self-awareness and confidence. I work well with people who are exploring patterns of substance use, intimate relationships, performance anxieties, lack of confidence/satisfaction, major life transitions (job/school changes/relational/grief). I am a relationally and present moment-based therapist. This means we will work from a framework that everything (past/present/future) can be addressed by exploring the relationship you have with it in "right now". My role is to help guide you on your path of wellness.
(919) 823-2008 View (919) 823-2008
Photo of Michael James, Clinical Social Work/Therapist in Durham, NC
Michael James
Clinical Social Work/Therapist, LCSW
Verified Verified
Durham, NC 27710  (Online Only)
One afternoon I told my wife that after another tour, I would be leaving the U.S. Coast Guard for a very different career. Serving my country and the men and women of the U.S. Coast Guard is one of the greatest honors and privileges of my life. After serving nine years I knew that directly assisting and serving people is the life-giving work of my heart. I became a Social Worker and therapist because it is my greatest joy and pleasure to support you as you unify all your strengths and gifts to release your Faith, Hope, and Love into society.
One afternoon I told my wife that after another tour, I would be leaving the U.S. Coast Guard for a very different career. Serving my country and the men and women of the U.S. Coast Guard is one of the greatest honors and privileges of my life. After serving nine years I knew that directly assisting and serving people is the life-giving work of my heart. I became a Social Worker and therapist because it is my greatest joy and pleasure to support you as you unify all your strengths and gifts to release your Faith, Hope, and Love into society.
(919) 373-2081 View (919) 373-2081
Photo of Sharon P. Merrill, Licensed Clinical Mental Health Counselor in Durham, NC
Sharon P. Merrill
Licensed Clinical Mental Health Counselor, MACC, LCMHC
Verified Verified
Durham, NC 27713
Welcome! Whether you are in throes of a life transition, a relationship problem, trauma recovery, you need safety to be and to grow; I offer you a safe space for rest and strengthening, then to be curious and investigate yourself, your body, your experiences and emotions, your relationships toward becoming more fully alive and living for what truly matters to you. I use a process-oriented approach toward exploring yourself with nonjudgmental curiosity to discover more of yourself and your beliefs and values so you can develop greater ease with yourself and others, with decision-making, and relationships.
Welcome! Whether you are in throes of a life transition, a relationship problem, trauma recovery, you need safety to be and to grow; I offer you a safe space for rest and strengthening, then to be curious and investigate yourself, your body, your experiences and emotions, your relationships toward becoming more fully alive and living for what truly matters to you. I use a process-oriented approach toward exploring yourself with nonjudgmental curiosity to discover more of yourself and your beliefs and values so you can develop greater ease with yourself and others, with decision-making, and relationships.
(919) 926-0240 View (919) 926-0240
Photo of J Revels Counseling, Counselor in Durham, NC
J Revels Counseling
Counselor, MEd , MA, LCMHCA
Verified Verified
Durham, NC 27707
Feeling hopeless? Avoiding your partner? Pretending everything is fine? I specialize in couples counseling, sex therapy, partnership therapy, and individual counseling. I help partners work through conflict and relational patterns in order to increase intimacy and trust. I help individuals work through depression, anxiety, and life transitions. Whether you need depression support, help getting out of a relationship crisis, navigating a divorce, or just working on your partnership early, therapy is worth the investment.
Feeling hopeless? Avoiding your partner? Pretending everything is fine? I specialize in couples counseling, sex therapy, partnership therapy, and individual counseling. I help partners work through conflict and relational patterns in order to increase intimacy and trust. I help individuals work through depression, anxiety, and life transitions. Whether you need depression support, help getting out of a relationship crisis, navigating a divorce, or just working on your partnership early, therapy is worth the investment.
(984) 229-8095 View (984) 229-8095
Photo of Daniel T Perry, Licensed Professional Counselor in Durham, NC
Daniel T Perry
Licensed Professional Counselor, MA, LCMHC
Verified Verified
Durham, NC 27705
I am a counselor who understands how it feels to sit in front of a therapist, that is why compassion is important to me. Vulnerability can be difficult, but we can create a safe space so when you're ready, we can change the difficulties interfering with your wants. That is therapy, getting what you need to get what you want. For example, depression has different flavors, but it keeps us from engaging fully in life and/or losing focus on what our dreams are. Whatever you are seeking to make life better and better, I am here to help. In person sessions can be scheduled on a limited basis but Telehealth with be offered on going.
I am a counselor who understands how it feels to sit in front of a therapist, that is why compassion is important to me. Vulnerability can be difficult, but we can create a safe space so when you're ready, we can change the difficulties interfering with your wants. That is therapy, getting what you need to get what you want. For example, depression has different flavors, but it keeps us from engaging fully in life and/or losing focus on what our dreams are. Whatever you are seeking to make life better and better, I am here to help. In person sessions can be scheduled on a limited basis but Telehealth with be offered on going.
(919) 584-8684 View (919) 584-8684
Photo of Suzanne Carroll Woodard, Psychologist in Durham, NC
Suzanne Carroll Woodard
Psychologist, PhD
Verified Verified
2 Endorsed
Durham, NC 27707
I am a clinical psychologist licensed and practicing in Florida and North Carolina. Presently, I am treating patients exclusively through the HIPAA-compliant tele-therapy platform thera-Link. I received my undergraduate degree from Boston College and doctorate from Fordham University. I completed my postdoctoral residency at the Renfrew Center and have specialized training in the treatment of eating disorders. I have also worked for Miami-Dade County Public Schools and treat a number of emotional and behavioral disorders, in addition to conducting psychoeducational and psychological assessments.
I am a clinical psychologist licensed and practicing in Florida and North Carolina. Presently, I am treating patients exclusively through the HIPAA-compliant tele-therapy platform thera-Link. I received my undergraduate degree from Boston College and doctorate from Fordham University. I completed my postdoctoral residency at the Renfrew Center and have specialized training in the treatment of eating disorders. I have also worked for Miami-Dade County Public Schools and treat a number of emotional and behavioral disorders, in addition to conducting psychoeducational and psychological assessments.
(786) 505-6576 View (786) 505-6576
Photo of Michael Detweiler, Psychologist in Durham, NC
Michael Detweiler
Psychologist, PhD
Verified Verified
1 Endorsed
Durham, NC 27704
Hello! I am a fully-licensed Psychologist with about 20 years of clinical experience treating children, teens, families, and adults. I specialize in treating anxiety and its related disorders. I use an evidence-based approach called cognitive behavioral therapy (CBT), which has been shown to be the most effective form of therapy for anxiety. I completed my doctoral training at West Virginia University, my internship at Wilford Hall Medical Center in San Antonio, Texas, and a post-doctoral fellowship at Harvard Medical School.
Hello! I am a fully-licensed Psychologist with about 20 years of clinical experience treating children, teens, families, and adults. I specialize in treating anxiety and its related disorders. I use an evidence-based approach called cognitive behavioral therapy (CBT), which has been shown to be the most effective form of therapy for anxiety. I completed my doctoral training at West Virginia University, my internship at Wilford Hall Medical Center in San Antonio, Texas, and a post-doctoral fellowship at Harvard Medical School.
(984) 305-3227 View (984) 305-3227
Photo of Karen N Willis, Clinical Social Work/Therapist in Durham, NC
Karen N Willis
Clinical Social Work/Therapist, MSW, LCSW
Verified Verified
Durham, NC 27705
Not accepting new clients
My approach draws on one's strengths to overcome obstacles to a more authentic and fulfilling life. I believe it is important to take time to fully understand an individual's unique life and concerns. The most common concerns clients come to discuss involve relationship difficulties and/or feelings of distress, worry, or sadness. Many of my clients are feeling intense stress due to changing life circumstances. Through therapy new perspectives and ways of coping and/or solving problems can be found.
My approach draws on one's strengths to overcome obstacles to a more authentic and fulfilling life. I believe it is important to take time to fully understand an individual's unique life and concerns. The most common concerns clients come to discuss involve relationship difficulties and/or feelings of distress, worry, or sadness. Many of my clients are feeling intense stress due to changing life circumstances. Through therapy new perspectives and ways of coping and/or solving problems can be found.
(919) 587-8016 View (919) 587-8016
Photo of Casey Okoniewski, Psychologist in Durham, NC
Casey Okoniewski
Psychologist, PhD
Verified Verified
Durham, NC 27713
Providing psychological, educational, and behavioral assessment, intervention, and consultative services for children and young adults, their families, and support networks. Specializing in diagnostic services for neurodevelopmental disabilities like autism spectrum, attention-deficit/hyperactive, and learning disorders.
Providing psychological, educational, and behavioral assessment, intervention, and consultative services for children and young adults, their families, and support networks. Specializing in diagnostic services for neurodevelopmental disabilities like autism spectrum, attention-deficit/hyperactive, and learning disorders.
(919) 893-0193 View (919) 893-0193
Photo of Kierra Reed, Marriage & Family Therapist in Durham, NC
Kierra Reed
Marriage & Family Therapist, LMFT
Verified Verified
Durham, NC 27713
Kierra Reed is a Licensed Marriage and Family Therapist and grief-informed professional with 6 years of experience in mental health. Kierra is passionate about helping those who have experienced complex trauma, abandonment, or loss in their family or community. She enjoys helping individuals, couples, and families build on their strengths and bring resilience and comfort back into their lives. She creates a compassionate and nonjudgmental environment where her clients can be their authentic selves. Kierra specializes in depression, anxiety, grief, trauma, relationship issues, and major life transitions.
Kierra Reed is a Licensed Marriage and Family Therapist and grief-informed professional with 6 years of experience in mental health. Kierra is passionate about helping those who have experienced complex trauma, abandonment, or loss in their family or community. She enjoys helping individuals, couples, and families build on their strengths and bring resilience and comfort back into their lives. She creates a compassionate and nonjudgmental environment where her clients can be their authentic selves. Kierra specializes in depression, anxiety, grief, trauma, relationship issues, and major life transitions.
(919) 229-4253 View (919) 229-4253
Photo of Tanashati Nyanda Akambi, Clinical Social Work/Therapist in Durham, NC
Tanashati Nyanda Akambi
Clinical Social Work/Therapist, LCSWA, MPhil
Verified Verified
Durham, NC 27704  (Online Only)
My clients may struggle with trauma; relationships and intimacy; sexuality; gender, or other identity exploration. More concretely, their therapeutic work might mean develop deeper connections with friends and intimate partners, learning how to process feelings of shame resulting from harm done to or by someone, or exploring self-expression within and outside of social roles. I am deeply passionate about creating and maintaining a space for people to align with their most authentic selves, especially while navigating the often accompanying grief, and celebrating the empowerment that we are sure to find along the way.
My clients may struggle with trauma; relationships and intimacy; sexuality; gender, or other identity exploration. More concretely, their therapeutic work might mean develop deeper connections with friends and intimate partners, learning how to process feelings of shame resulting from harm done to or by someone, or exploring self-expression within and outside of social roles. I am deeply passionate about creating and maintaining a space for people to align with their most authentic selves, especially while navigating the often accompanying grief, and celebrating the empowerment that we are sure to find along the way.
View
Photo of Arden Norwood, Counselor in Durham, NC
Arden Norwood
Counselor, LCMHCA
Verified Verified
2 Endorsed
Durham, NC 27701
Not accepting new clients
Hey y'all, I'm an Afro-Latina Therapist Associate based in Durham, NC. I see children as young as 4, adolescents, and adults both in-person and virtually.
Hey y'all, I'm an Afro-Latina Therapist Associate based in Durham, NC. I see children as young as 4, adolescents, and adults both in-person and virtually.
(919) 887-7835 View (919) 887-7835

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

10 Years

Top 3 insurances accepted

83% 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

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.