Photo of James M Geckler, Counselor in 02860, RI
James M Geckler
Counselor, PhD, LMHC
Verified Verified
Pawtucket, RI 02860
Openings available for in-person (mid-day Fridays) and telehealth (mid-day Saturdays). I enjoy working with people who want to learn more about themselves and explore their identity, children and adolescents experiencing emotional and life adjustment concerns, and people experiencing major life transitions (grief and loss, college and career issues, stress, and finding meaning and purpose). I have worked with individuals from all paths of life, race and ethnic backgrounds, gender identities, sexual orientations, belief systems, abilities, education levels, family and relationship structures, and economic backgrounds.
Openings available for in-person (mid-day Fridays) and telehealth (mid-day Saturdays). I enjoy working with people who want to learn more about themselves and explore their identity, children and adolescents experiencing emotional and life adjustment concerns, and people experiencing major life transitions (grief and loss, college and career issues, stress, and finding meaning and purpose). I have worked with individuals from all paths of life, race and ethnic backgrounds, gender identities, sexual orientations, belief systems, abilities, education levels, family and relationship structures, and economic backgrounds.
(401) 312-4070 View (401) 312-4070
Photo of Jane Willis, Clinical Social Work/Therapist in 02860, RI
Jane Willis
Clinical Social Work/Therapist, LICSW
Verified Verified
Pawtucket, RI 02860
Life is full of many transitions and things that are beyond your control. If you are adjusting to a life changing event, I will help you develop new coping strategies and offer you support with these transitions. I can also assist you with problem-solving, address relationship issues and help you improve your mood. I use many different modalities and techniques helpful with coping with and managing anxiety/stress. I firmly believe that a good therapeutic experience can lead to life-long changes. My treatment approach is to listen to your needs and work with you to achieve your goals.
Life is full of many transitions and things that are beyond your control. If you are adjusting to a life changing event, I will help you develop new coping strategies and offer you support with these transitions. I can also assist you with problem-solving, address relationship issues and help you improve your mood. I use many different modalities and techniques helpful with coping with and managing anxiety/stress. I firmly believe that a good therapeutic experience can lead to life-long changes. My treatment approach is to listen to your needs and work with you to achieve your goals.
(401) 626-2776 View (401) 626-2776
Photo of Carissa Jackson, Clinical Social Work/Therapist in 02860, RI
Carissa Jackson
Clinical Social Work/Therapist, LCSW
Verified Verified
1 Endorsed
Pawtucket, RI 02860
If you are thinking about beginning a therapeutic journey, I commend you for your strength, as seeking support is not easy. My goal as a Licensed Clinical Social Worker is to help you continue to identify your strengths, your hopes for the future, and coping skills to help you reach your goals. I have dedicated my career to making a positive impact on the lives of individuals and their families who have been impacted by varying needs and life circumstances. I have extensive experience in a variety of settings working with individuals with developmental disabilities and mental health needs.
If you are thinking about beginning a therapeutic journey, I commend you for your strength, as seeking support is not easy. My goal as a Licensed Clinical Social Worker is to help you continue to identify your strengths, your hopes for the future, and coping skills to help you reach your goals. I have dedicated my career to making a positive impact on the lives of individuals and their families who have been impacted by varying needs and life circumstances. I have extensive experience in a variety of settings working with individuals with developmental disabilities and mental health needs.
(401) 593-9676 View (401) 593-9676
Photo of Kate Niles, Clinical Social Work/Therapist in 02860, RI
Kate Niles
Clinical Social Work/Therapist, MA, LCSW, LICSW
Verified Verified
Pawtucket, RI 02860
Waitlist for new clients
My ideal client is an adult or late teen/young adult, with an interest in improving and transforming their life via therapy. I focus on the whole person, contextualizing presenting problems/diagnoses within the framework of family dynamics, peer relations, trauma history, physical health, and job/school experience. That is, I don't consider it useful to assume that issues arise in a vacuum! The greatest gift my clients give me is their ability to teach me far more than I could possibly teach them. I consider our time in session one of validation, hope, and intense curiosity about my client's lives.
My ideal client is an adult or late teen/young adult, with an interest in improving and transforming their life via therapy. I focus on the whole person, contextualizing presenting problems/diagnoses within the framework of family dynamics, peer relations, trauma history, physical health, and job/school experience. That is, I don't consider it useful to assume that issues arise in a vacuum! The greatest gift my clients give me is their ability to teach me far more than I could possibly teach them. I consider our time in session one of validation, hope, and intense curiosity about my client's lives.
(970) 840-2047 View (970) 840-2047
Photo of Renee Brochester, Clinical Social Work/Therapist in 02860, RI
Renee Brochester
Clinical Social Work/Therapist, LICSW
Verified Verified
Pawtucket, RI 02860
Not accepting new clients
From my many years as a therapist, I appreciate each person as unique with many strengths and abilities that may become blocked in response to life's curveballs. Depression, loss, low self esteem, rejection, self doubt or major life adjustments can be difficult. In therapy, we work together to address your problem/ concerns and set goals towards building skills and connecting to inner resources. We work on lessening obstacles and confusions, in you, or in relationship to others.Your e-mail/call is an action which is an important first step to change.
From my many years as a therapist, I appreciate each person as unique with many strengths and abilities that may become blocked in response to life's curveballs. Depression, loss, low self esteem, rejection, self doubt or major life adjustments can be difficult. In therapy, we work together to address your problem/ concerns and set goals towards building skills and connecting to inner resources. We work on lessening obstacles and confusions, in you, or in relationship to others.Your e-mail/call is an action which is an important first step to change.
(401) 244-8449 View (401) 244-8449
Photo of Dawn Adeyemi, Clinical Social Work/Therapist in 02860, RI
Dawn Adeyemi
Clinical Social Work/Therapist, LICSW
Verified Verified
Pawtucket, RI 02860  (Online Only)
Waitlist for new clients
Are you feeling overwhelmed by stress? Do want autonomy and a sense of control? Are you a “fixer/rescuer/savior”? Are you an empath? Do you want the freedom to be happy and at peace? Yes? Then it is no mistake that you are reading this page. My name is Dawn Adeyemi and I am the owner of Be Free, LLC. I am a Licensed Independent Clinical Social Worker in both Massachusetts and Rhode Island. I specialize in working with women 18 - 40 years old on issues related to self-esteem, people pleasing, life transitions, transitions into adulthood, perfectionism, burn-out and developing healthy relationships.
Are you feeling overwhelmed by stress? Do want autonomy and a sense of control? Are you a “fixer/rescuer/savior”? Are you an empath? Do you want the freedom to be happy and at peace? Yes? Then it is no mistake that you are reading this page. My name is Dawn Adeyemi and I am the owner of Be Free, LLC. I am a Licensed Independent Clinical Social Worker in both Massachusetts and Rhode Island. I specialize in working with women 18 - 40 years old on issues related to self-esteem, people pleasing, life transitions, transitions into adulthood, perfectionism, burn-out and developing healthy relationships.
(401) 307-4786 View (401) 307-4786
Photo of Vera DeMarco, Counselor in 02860, RI
Vera DeMarco
Counselor, MA, CAGS, LMHC
Verified Verified
Pawtucket, RI 02860
Waitlist for new clients
Over the years I have worked with children, teens, and adults. While each person makes a decision to participate in counseling for a different reason he or she is looking to make a change. My efforts are then centered on helping make that change happen. Together we can create a path by learning strategies and techniques to help achieve immediate goals and that can then be applied through all phases and stages of life.
Over the years I have worked with children, teens, and adults. While each person makes a decision to participate in counseling for a different reason he or she is looking to make a change. My efforts are then centered on helping make that change happen. Together we can create a path by learning strategies and techniques to help achieve immediate goals and that can then be applied through all phases and stages of life.
(401) 307-4228 View (401) 307-4228
Photo of Jonathan Chisholm in 02860, RI
Jonathan Chisholm
MA, CAGS
Not Verified Not Verified
Pawtucket, RI 02860
Are you stuck in an old pattern? A way of being in the world or with others that just doesn't work for you? I get it. We can get trapped in addictions (to lots of things) or other unsatisfying patterns. Old hurts, the mistaken beliefs and coping habits we get from those hurts can do that to us. We get trapped from the inside. I'd love to help you out of that trap.
Are you stuck in an old pattern? A way of being in the world or with others that just doesn't work for you? I get it. We can get trapped in addictions (to lots of things) or other unsatisfying patterns. Old hurts, the mistaken beliefs and coping habits we get from those hurts can do that to us. We get trapped from the inside. I'd love to help you out of that trap.
(401) 244-7102 View (401) 244-7102
Photo of Julio Filomeno, Counselor in 02860, RI
Julio Filomeno
Counselor, LMHC
Verified Verified
Pawtucket, RI 02860
I enjoy working with all age groups. In the past I worked in an elementary school for 7 years doing individual and family therapy. I have also worked in home based programs with at risk children and youth. I work very well with individuals experiencing depression,grief and loss, as well as those adjusting to a new environment. Also I work well with parents and parenting children and youth. Most of my clients say that they like that I am patient, friendly, and never give up. Many of my clients say they have received a lot of help.
I enjoy working with all age groups. In the past I worked in an elementary school for 7 years doing individual and family therapy. I have also worked in home based programs with at risk children and youth. I work very well with individuals experiencing depression,grief and loss, as well as those adjusting to a new environment. Also I work well with parents and parenting children and youth. Most of my clients say that they like that I am patient, friendly, and never give up. Many of my clients say they have received a lot of help.
(401) 830-4315 View (401) 830-4315
Photo of Randi Schweitz, Counselor in 02860, RI
Randi Schweitz
Counselor, MA, LPCC
Verified Verified
1 Endorsed
Pawtucket, RI 02860
Are you someone who values loving and supportive relationships? Do you wish to have a nourishing and intimate relationship, but repeatedly date the same type of person you were trying to get away from? Do you feel anxious, overwhelmed, numb, irritable, or disconnected from yourself &others? Do you struggle with flashbacks, insomnia, chronic headaches, or panic attacks? You may be experiencing symptoms of relational or complex trauma. Our physical & mental health can be impacted by childhood abuse, neglect, or unmet emotional needs, and can make it difficult to have a healthy relationship with our self and others.
Are you someone who values loving and supportive relationships? Do you wish to have a nourishing and intimate relationship, but repeatedly date the same type of person you were trying to get away from? Do you feel anxious, overwhelmed, numb, irritable, or disconnected from yourself &others? Do you struggle with flashbacks, insomnia, chronic headaches, or panic attacks? You may be experiencing symptoms of relational or complex trauma. Our physical & mental health can be impacted by childhood abuse, neglect, or unmet emotional needs, and can make it difficult to have a healthy relationship with our self and others.
(401) 313-4734 View (401) 313-4734
Photo of Yael Bat-Shimon, Counselor in 02860, RI
Yael Bat-Shimon
Counselor, MA, LMHC
Verified Verified
Pawtucket, RI 02860
I am a Certified Imago Therapist and am passionate about working with couples of all kinds. I help couples live out their wildest dreams for themselves and their relationships. Maybe your relationship/marriage is in crisis or failing. Maybe it's stagnant or full of conflict and, sensing this, your children are beginning to act out in ways that baffle you. Maybe you have become overwhelmed by parenthood and wonder how you and your spouse have managed to drift so far apart and feel so frantic and disconnected. My sessions focus on couples' strengths and resources rather than pathology.
I am a Certified Imago Therapist and am passionate about working with couples of all kinds. I help couples live out their wildest dreams for themselves and their relationships. Maybe your relationship/marriage is in crisis or failing. Maybe it's stagnant or full of conflict and, sensing this, your children are beginning to act out in ways that baffle you. Maybe you have become overwhelmed by parenthood and wonder how you and your spouse have managed to drift so far apart and feel so frantic and disconnected. My sessions focus on couples' strengths and resources rather than pathology.
(401) 371-9079 View (401) 371-9079
Photo of Amy Moreira, Counselor in 02860, RI
Amy Moreira
Counselor, LMHC
Verified Verified
Pawtucket, RI 02860  (Online Only)
My clients would describe me as direct, caring, humorous, action and solution focused. I help individuals and couples experiencing anxiety, depression, infidelity, work conflict & stress related issues. I specialize in Cognitive Behavioral Therapy (CBT), an evidence-based form of treatment. CBT targets your thoughts and perceptions that contribute to the emotions and experiences you feel. Together, we will identify your problem areas, their contributors, and focus on learning the skills and solutions necessary to overcome them.
My clients would describe me as direct, caring, humorous, action and solution focused. I help individuals and couples experiencing anxiety, depression, infidelity, work conflict & stress related issues. I specialize in Cognitive Behavioral Therapy (CBT), an evidence-based form of treatment. CBT targets your thoughts and perceptions that contribute to the emotions and experiences you feel. Together, we will identify your problem areas, their contributors, and focus on learning the skills and solutions necessary to overcome them.
(508) 499-8525 View (508) 499-8525
Photo of Michelle Crossley Counseling, Counselor in 02860, RI
Michelle Crossley Counseling
Counselor, PhD, LMHC, NCC
Verified Verified
1 Endorsed
Pawtucket, RI 02860
Not accepting new clients
I appreciate the process of counseling--the insight that can be gained through the therapeutic relationship can foster positive, sustained change over one's lifetime. There are many struggles that we face in our daily lives and I see counseling as a way to determine how we can develop resiliency to overcome these situations and learn transferable skills for future challenges. I enjoy working with clients that are seeking meaning and perspective in their lives; I believe clients that are successful are open and honest and have the capability to live an authentic life.
I appreciate the process of counseling--the insight that can be gained through the therapeutic relationship can foster positive, sustained change over one's lifetime. There are many struggles that we face in our daily lives and I see counseling as a way to determine how we can develop resiliency to overcome these situations and learn transferable skills for future challenges. I enjoy working with clients that are seeking meaning and perspective in their lives; I believe clients that are successful are open and honest and have the capability to live an authentic life.
(401) 830-0197 View (401) 830-0197
Photo of Paula M Smith, Pre-Licensed Professional in 02860, RI
Paula M Smith
Pre-Licensed Professional, PhD, MFT, MDiv
Verified Verified
1 Endorsed
Pawtucket, RI 02860
My specialty is "COUPLES." The work I do with couples is not covered by insurance(s). I specialize in using Imago relationship therapy, attachment theory, somatic therapy & neuroscience. The issues that concern couples are usually styles of communication, infidelity, conflict, racial distress, commitment & navigating differences. I work with couples on a "short-term" private intensive basis beginning with a 2-hr assessment that gives you hope and insight into areas of strength and growth. My philosophy is grounded in the idea that relationship are an adventure to be had; not a problem to be solved.
My specialty is "COUPLES." The work I do with couples is not covered by insurance(s). I specialize in using Imago relationship therapy, attachment theory, somatic therapy & neuroscience. The issues that concern couples are usually styles of communication, infidelity, conflict, racial distress, commitment & navigating differences. I work with couples on a "short-term" private intensive basis beginning with a 2-hr assessment that gives you hope and insight into areas of strength and growth. My philosophy is grounded in the idea that relationship are an adventure to be had; not a problem to be solved.
(401) 250-8963 View (401) 250-8963
Photo of Noreen Shaffi, Counselor in 02860, RI
Noreen Shaffi
Counselor, MSc, LMHC
Verified Verified
Pawtucket, RI 02860
I have 29 years experience working with patients with multiple mental health issues, such as depression, grief and loss, OCD, relationship issues, anxiety, and stress management. My treatment modality is an integration of mind and body, helping clients identify their potentials and learn coping skills to live a fuller life. We are adding a nurse practitioner to IPS for medication management.
I have 29 years experience working with patients with multiple mental health issues, such as depression, grief and loss, OCD, relationship issues, anxiety, and stress management. My treatment modality is an integration of mind and body, helping clients identify their potentials and learn coping skills to live a fuller life. We are adding a nurse practitioner to IPS for medication management.
(401) 466-4945 View (401) 466-4945
Photo of Ye’s Center for Healing & Development , Drug & Alcohol Counselor in 02860, RI
Ye’s Center for Healing & Development
Drug & Alcohol Counselor, MEd , LADC1, LCDP
Verified Verified
Pawtucket, RI 02860
Not accepting new clients
More than 20 years of experience working with people who suffer from co-occurring disorders including trauma, substance use and abuse, and depression and anxiety. Ms. Yejide Muhammad has an extensive work history specializing in working with Women and Children and offering services in residential treatment, and outpatient settings. Many of these individuals and families are challenged by multiple stressors including homelessness, lack of income, involvement with the criminal justice system, and involvement with State agencies such as DCYF.
More than 20 years of experience working with people who suffer from co-occurring disorders including trauma, substance use and abuse, and depression and anxiety. Ms. Yejide Muhammad has an extensive work history specializing in working with Women and Children and offering services in residential treatment, and outpatient settings. Many of these individuals and families are challenged by multiple stressors including homelessness, lack of income, involvement with the criminal justice system, and involvement with State agencies such as DCYF.
(401) 208-2719 View (401) 208-2719
Photo of Patricia Brouwer, Counselor in 02860, RI
Patricia Brouwer
Counselor, MA, CAGS, LMHC
Verified Verified
Pawtucket, RI 02860
Not accepting new clients
Thank you for considering me as your therapist. I am a licensed mental health counselor & a licensed chemical dependency professional with over 25 years of experience working with individuals affected by behavioral health issues. I appreciate the importance of working collaboratively with clients and assisting them in establishing and reaching identified goals for treatment. I utilize cognitive behavioral interventions and operate from a person centered perspective. I specialize in the treatment of anxiety for adolescents and young adults who are facing challenges related to fulfilling their full potential.
Thank you for considering me as your therapist. I am a licensed mental health counselor & a licensed chemical dependency professional with over 25 years of experience working with individuals affected by behavioral health issues. I appreciate the importance of working collaboratively with clients and assisting them in establishing and reaching identified goals for treatment. I utilize cognitive behavioral interventions and operate from a person centered perspective. I specialize in the treatment of anxiety for adolescents and young adults who are facing challenges related to fulfilling their full potential.
(401) 648-7792 View (401) 648-7792
Photo of Laura D'Aluisio Coykendall, Counselor in 02860, RI
Laura D'Aluisio Coykendall
Counselor, MA, LMHC
Verified Verified
Pawtucket, RI 02860  (Online Only)
Not accepting new clients
I am a Licensed Mental Health Counselor trained as an Expressive Arts Therapist. For the past 25+ years I have worked with children, adolescents, adults and families on such issues as: depression or stress management, childrens behavioral/ developmental concerns and related parental stress, adolescent self-esteem/insecurities or social difficulties,eating disorders,substance use and general adjustment to changes within families. I am fluent in a range of therapeutic approaches and I have the flexibility to tailor my approach to the individuals and families' needs and comfort level
I am a Licensed Mental Health Counselor trained as an Expressive Arts Therapist. For the past 25+ years I have worked with children, adolescents, adults and families on such issues as: depression or stress management, childrens behavioral/ developmental concerns and related parental stress, adolescent self-esteem/insecurities or social difficulties,eating disorders,substance use and general adjustment to changes within families. I am fluent in a range of therapeutic approaches and I have the flexibility to tailor my approach to the individuals and families' needs and comfort level
(401) 935-2645 View (401) 935-2645
Photo of Wendy Vedrine, Counselor in 02860, RI
Wendy Vedrine
Counselor, LMHC, MPA
Verified Verified
2 Endorsed
Pawtucket, RI 02860
Current availability is Tuesday - Thursday from 9 AM - 2 PM. Looking to make changes in your life? Having difficulty making decisions? Are you a multicultural individual having tough time balancing your identities? Have your experienced loss and are struggling with the grief process? Are you a couple looking to find a neutral party to sort out some difficulties in your relationship?
Current availability is Tuesday - Thursday from 9 AM - 2 PM. Looking to make changes in your life? Having difficulty making decisions? Are you a multicultural individual having tough time balancing your identities? Have your experienced loss and are struggling with the grief process? Are you a couple looking to find a neutral party to sort out some difficulties in your relationship?
(401) 329-9831 View (401) 329-9831
Photo of Sharon Philbin in 02860, RI
Sharon Philbin
APRN, CNP
Verified Verified
Pawtucket, RI 02860
Are symptoms of Anxiety, Depression and/or Inattention interfering with your daily routine? I have been treating Attention Deficit Disorder, Anxiety and Depression for over 20 years, children, adolescents and adults . Treatment includes evaluation, diagnosis, education, medication management, and referrals as needed.
Are symptoms of Anxiety, Depression and/or Inattention interfering with your daily routine? I have been treating Attention Deficit Disorder, Anxiety and Depression for over 20 years, children, adolescents and adults . Treatment includes evaluation, diagnosis, education, medication management, and referrals as needed.
(401) 257-6846 View (401) 257-6846

How does your Therapist compare?

Number of Therapists in 02860

100+

Average cost per session

$130

Therapists in 02860 who prioritize treating:

85% Anxiety
82% Depression
75% Coping Skills
71% Self Esteem
68% Relationship Issues
58% Trauma and PTSD
56% Stress

Average years in practice

13 Years

Top 3 insurances accepted

82% UnitedHealthcare UHC | UBH
80% BlueCross and BlueShield
56% Optum

How Therapists in 02860 see their clients

67% In Person and Online
33% Online Only

Gender breakdown

74% Female
24% Male
2% Non-Binary
FAQs - About Therapy and Counseling

How can I find a therapist in 02860?

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.