Therapists in 03104
![Photo of Dr. Katerina Tolstikova - Katalyst Psychological Family Center LLC, Psychologist](https://photos.psychologytoday.com/77934570-656a-497b-ab4c-6bfbbc35ce99/2/320x400.jpeg)
We are licensed clinical mental health providers with over 15 years of experience working with children, adolescents, and families. We complete Neuropsychological Evaluations, and work with individuals and families who have parenting concerns, Depression, Anxiety, PTSD, ADHD, ODD, and Autism.
We are licensed clinical mental health providers with over 15 years of experience working with children, adolescents, and families. We complete Neuropsychological Evaluations, and work with individuals and families who have parenting concerns, Depression, Anxiety, PTSD, ADHD, ODD, and Autism.
![Photo of Kimberly Sieper, MS, MBA, LCMHC, MLADC, Counselor](https://photos.psychologytoday.com/90f94f02-32b0-4c7f-af46-03dca844af83/2/320x400.jpeg)
Kimberly Sieper
Counselor, MS, MBA, LCMHC, MLADC
Verified Verified
3 Endorsed
Manchester, NH 03104
Not accepting new clients
I am not taking new clients but several therapists in my practice have openings and have same holistic philosophy in their work. I utilize Ketamine Assisted Therapy, Mindfulness, Dialectical and Cognitive Behavioral Therapies, Reiki, Energy work, Hypnosis, and Past Life Regression in my work with clients. Counseling can help sort through mental health struggles, and help you gain perspective so you can create a better future. I work with individuals experiencing PTSD, substance addiction, anxiety, depression, anger, relationship problems, divorce, stress as well as many other issues.
I am not taking new clients but several therapists in my practice have openings and have same holistic philosophy in their work. I utilize Ketamine Assisted Therapy, Mindfulness, Dialectical and Cognitive Behavioral Therapies, Reiki, Energy work, Hypnosis, and Past Life Regression in my work with clients. Counseling can help sort through mental health struggles, and help you gain perspective so you can create a better future. I work with individuals experiencing PTSD, substance addiction, anxiety, depression, anger, relationship problems, divorce, stress as well as many other issues.
![Photo of April C Wisler, MA, LCMHC](https://photos.psychologytoday.com/0e5655e2-1065-42b4-93c9-2c0cf6091365/2/320x400.jpeg)
April C Wisler
Licensed Clinical Mental Health Counselor, MA, LCMHC
Verified Verified
Manchester, NH 03104
Now accepting new clients beginning the first week of August. I will be out of the office for vacation prior, so please be patient with responses to inquiries. As a Licensed Clinical Mental Health Counselor, my role is to help guide you to achieve your treatment goals and find the type of wellness that comes from true self-acceptance and peace. Whether your needs involve development of coping skills, healing through creative expression, or changing the story that you have been carrying, my diverse experience in the field places me in a unique position to help you achieve all of your goals.
Now accepting new clients beginning the first week of August. I will be out of the office for vacation prior, so please be patient with responses to inquiries. As a Licensed Clinical Mental Health Counselor, my role is to help guide you to achieve your treatment goals and find the type of wellness that comes from true self-acceptance and peace. Whether your needs involve development of coping skills, healing through creative expression, or changing the story that you have been carrying, my diverse experience in the field places me in a unique position to help you achieve all of your goals.
![Photo of Melissa Gregg, LICSW, Clinical Social Work/Therapist](https://photos.psychologytoday.com/cfc059af-dd33-4259-8000-fdbcee067dfd/3/320x400.png)
I AM accepting new clients at this time (7/8/24) At Dharma Counseling I work with clients on their healing journey to overcome issues they are struggling with to feel more whole and in control of themselves. I provide an empathic, non-judgmental space and work in a collaboration with clients to identify and move forward towards their individual recovery goals.
I AM accepting new clients at this time (7/8/24) At Dharma Counseling I work with clients on their healing journey to overcome issues they are struggling with to feel more whole and in control of themselves. I provide an empathic, non-judgmental space and work in a collaboration with clients to identify and move forward towards their individual recovery goals.
![Photo of Ray Conner, MFT, Marriage & Family Therapist Associate](https://photos.psychologytoday.com/a7022744-3b62-48e6-a001-de8be0fd94b0/1/320x400.jpeg)
Ray Conner
Marriage & Family Therapist Associate, MFT
Verified Verified
Manchester, NH 03104 (Online Only)
Not accepting new clients
My clients are couples, or individuals in ethically non-monogamous (ENM) relationships who want to work on their connection, communication, and intimacy with their partner(s). I also work with couples(+) who struggle with significant trust issues, or who are navigating step-family dynamics. We'll explore the cognitive, emotional, physical, cultural and spiritual aspects of your relationship(s), using research-informed therapy models and more open-ended explorations. If you are struggling to connect with your partner(s) or family members, identify as LGBTQIA2+ or non-monogamous, I'd love to meet you!
My clients are couples, or individuals in ethically non-monogamous (ENM) relationships who want to work on their connection, communication, and intimacy with their partner(s). I also work with couples(+) who struggle with significant trust issues, or who are navigating step-family dynamics. We'll explore the cognitive, emotional, physical, cultural and spiritual aspects of your relationship(s), using research-informed therapy models and more open-ended explorations. If you are struggling to connect with your partner(s) or family members, identify as LGBTQIA2+ or non-monogamous, I'd love to meet you!
![Photo of Erica C Andrews, MA, LCMHC, Counselor](https://photos.psychologytoday.com/1e0bab8e-2bf0-454e-9381-54c6428b2af0/1/320x400.jpeg)
The clients I have enjoyed working with have wanted to work on some aspect of themselves, like improving their sense of self worth, or trying to understand why their relationships typically didn't work out, or simply just trying to cope with the day to day. My clients come from a wide background of cultures, such as: the BIPOC and LGBTQ+ communities; those with a criminal background; those with a history of substance abuse/dependence; those suffering from chronic pain/illness; and those with a history of trauma. I welcome all walks of life in my office and work hard to continually educate myself in multicultural issues.
The clients I have enjoyed working with have wanted to work on some aspect of themselves, like improving their sense of self worth, or trying to understand why their relationships typically didn't work out, or simply just trying to cope with the day to day. My clients come from a wide background of cultures, such as: the BIPOC and LGBTQ+ communities; those with a criminal background; those with a history of substance abuse/dependence; those suffering from chronic pain/illness; and those with a history of trauma. I welcome all walks of life in my office and work hard to continually educate myself in multicultural issues.
![Photo of Kourtney Poland, LCMHC, LMHC, Counselor](https://photos.psychologytoday.com/74225abf-4382-485e-ba24-4596fc7a8b89/1/320x400.jpeg)
Kourtney Poland
Counselor, LCMHC, LMHC
Verified Verified
3 Endorsed
Manchester, NH 03104 (Online Only)
Currently accepting new clients! I provide EMDR and/or traditional talk-therapy. I work with adult individuals with all kinds of mental health presentations or couples facing various relationship issues, such as infidelity, communication breakdowns, blended families, future planning, and attachment issues. My work aims to enhance relationship satisfaction, trust, love, communication, and intimacy. I prioritize creating a safe space for clients and nurture vulnerability as a pathway to deeper connection and understanding.
Currently accepting new clients! I provide EMDR and/or traditional talk-therapy. I work with adult individuals with all kinds of mental health presentations or couples facing various relationship issues, such as infidelity, communication breakdowns, blended families, future planning, and attachment issues. My work aims to enhance relationship satisfaction, trust, love, communication, and intimacy. I prioritize creating a safe space for clients and nurture vulnerability as a pathway to deeper connection and understanding.
![Photo of Joan Gallagher - Personal Visions Counseling & Wellness, LLC, MA, LCMHC, NBCC, Counselor](https://photos.psychologytoday.com/9a37357c-94d5-46d0-82b1-0cb5eba29705/1/320x400.jpeg)
Personal Visions Counseling & Wellness, LLC
Counselor, MA, LCMHC, NBCC
Verified Verified
1 Endorsed
Manchester, NH 03104
My primary focus is in ART (Accelerated Resolution Therapy) and EMDR (Eye Movement Desensitization & Reprocessing. I also weave in Internal Family Systems (IFS) into my work. If you are looking for change and want to feel better, validated and respected, please contact me with your specific needs and goals.
My primary focus is in ART (Accelerated Resolution Therapy) and EMDR (Eye Movement Desensitization & Reprocessing. I also weave in Internal Family Systems (IFS) into my work. If you are looking for change and want to feel better, validated and respected, please contact me with your specific needs and goals.
![Photo of Mary Dullen, LMHC, LCMHC, Counselor](https://photos.psychologytoday.com/ce405245-3a38-4539-b986-d809060d95ad/1/320x400.jpeg)
I have over 14 years of experience in the mental health field. When you make the first step in finding a therapist for the first time, or have tried therapy in the past, it can be overwhelming and stressful. Therapy is a place to bring all the mental stressors and worries, to begin to work through them and find ways to help you be the version of yourself you want to be. If you want to stop feelings down, anxious, stressed, or overwhelmed therapy is a good place to start. I have worked with many people to help achieve an inner calm and peace they desire to have.
I have over 14 years of experience in the mental health field. When you make the first step in finding a therapist for the first time, or have tried therapy in the past, it can be overwhelming and stressful. Therapy is a place to bring all the mental stressors and worries, to begin to work through them and find ways to help you be the version of yourself you want to be. If you want to stop feelings down, anxious, stressed, or overwhelmed therapy is a good place to start. I have worked with many people to help achieve an inner calm and peace they desire to have.
![Photo of Elizabeth Cirelli, LMHC, Counselor](https://photos.psychologytoday.com/f99f40e8-23ee-475d-9154-5aaea43cc667/2/320x400.jpeg)
Life is a journey filled with moments of happiness, joy, sadness, and frustrations. Learning how to manage stress, anxiety, depression, relationships, and life's many surprises is a healthy step towards a more positive, relaxed, and happier way of life. I am inspired each day by the individuals who put their trust into the professional relationship that I hold with them. My practice in Manchester, NH focuses on work with adults with an approach that is compassionate and supportive. Reiki, Life Coaching, Yoga Nidra and mediation services are available by appointment.
Life is a journey filled with moments of happiness, joy, sadness, and frustrations. Learning how to manage stress, anxiety, depression, relationships, and life's many surprises is a healthy step towards a more positive, relaxed, and happier way of life. I am inspired each day by the individuals who put their trust into the professional relationship that I hold with them. My practice in Manchester, NH focuses on work with adults with an approach that is compassionate and supportive. Reiki, Life Coaching, Yoga Nidra and mediation services are available by appointment.
![Photo of Taylor Berrick, MS, LCMHC, RMT, Clinical Social Work/Therapist](https://photos.psychologytoday.com/3de53666-8170-4c08-9bcf-7745d8749593/1/320x400.jpeg)
Taylor Berrick
Clinical Social Work/Therapist, MS, LCMHC, RMT
Verified Verified
2 Endorsed
Manchester, NH 03104
As an LGBTQIA+ identifying and affirming therapist, Reiki Master, & certified breath coach, I specialize in gender-affirming care & support to individuals in the LGBTQ+ community. I also have a focus on working with women with ADHD, college students, & healthcare workers. I am a fierce advocate for body positivity, sex positivity, challenging societal norms & fostering a non-judgmental environment where clients feel accepted and understood. Are you navigating the complexities of your identity, seeking to deepen your connection to yourself, or striving to overcome self-doubt and unlock your true potential, I'm here for you.
As an LGBTQIA+ identifying and affirming therapist, Reiki Master, & certified breath coach, I specialize in gender-affirming care & support to individuals in the LGBTQ+ community. I also have a focus on working with women with ADHD, college students, & healthcare workers. I am a fierce advocate for body positivity, sex positivity, challenging societal norms & fostering a non-judgmental environment where clients feel accepted and understood. Are you navigating the complexities of your identity, seeking to deepen your connection to yourself, or striving to overcome self-doubt and unlock your true potential, I'm here for you.
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![Photo of Kimberly Sieper - Blue Lotus Wellness LLC, LCMHC, APRN, MLADC, PMHNP, Counselor](https://photos.psychologytoday.com/d5d68426-d936-4a92-b7c1-2c07d0788b1b/1/320x400.jpeg)
Blue Lotus Wellness understands the difficulties that come with navigating mental health and finding a provider you can connect with. Our team of experienced counselors are here to support and guide you on your journey towards healing and personal growth. We work with adult men, women and couples experiencing a variety of mental health issues including but not limited to addictions, trauma, self-esteem, mood disorders, relationship difficulties, chronic pain and more. We can provide Ketamine Therapy and medication management by one of our Nurse Practitioners as well as counseling support from any of our professional counselors.
Blue Lotus Wellness understands the difficulties that come with navigating mental health and finding a provider you can connect with. Our team of experienced counselors are here to support and guide you on your journey towards healing and personal growth. We work with adult men, women and couples experiencing a variety of mental health issues including but not limited to addictions, trauma, self-esteem, mood disorders, relationship difficulties, chronic pain and more. We can provide Ketamine Therapy and medication management by one of our Nurse Practitioners as well as counseling support from any of our professional counselors.
![Photo of Erica Goodman - Novus Vita Counseling, PLLC, Psychologist](https://photos.psychologytoday.com/be3614ab-d361-45dd-a843-58acbf30fda2/1/320x400.jpeg)
Our mission is to offer an Integrated Approach to Mental Health, and our treatment team is varied in their ability to provide clinical advice, support and practical feedback to help clients resolve current problems and long-standing patterns. Our treatment team works with clients to find solutions to a wide range of life challenges and psychological issues. Blending conventional and alternative approaches, we draw on a variety of styles and techniques to incorporate what will be most helpful for each client. We will work with clients to help them build on their strengths in order to identify and achieve life goals.
Our mission is to offer an Integrated Approach to Mental Health, and our treatment team is varied in their ability to provide clinical advice, support and practical feedback to help clients resolve current problems and long-standing patterns. Our treatment team works with clients to find solutions to a wide range of life challenges and psychological issues. Blending conventional and alternative approaches, we draw on a variety of styles and techniques to incorporate what will be most helpful for each client. We will work with clients to help them build on their strengths in order to identify and achieve life goals.
![Photo of DeeDee Souza, LICSW, Clinical Social Work/Therapist](https://photos.psychologytoday.com/42400d00-46cd-11ea-a6ad-06142c356176/2/320x400.jpeg)
"There are many ways of getting strong, sometimes talking is the best way." Andre Agassi
"There are many ways of getting strong, sometimes talking is the best way." Andre Agassi
![Photo of Becky Roy, CMHC, Pre-Licensed Professional](https://photos.psychologytoday.com/9d20221f-4c69-4f32-823b-cd22669e3f46/1/320x400.jpeg)
Hello there! I'm Becky and I love working with couples and individual adults to help them evolve into their ideal selves! In our sessions, it is all about YOU and my goal is to help you navigate and develop your goals either as an individual or as a couple.
Hello there! I'm Becky and I love working with couples and individual adults to help them evolve into their ideal selves! In our sessions, it is all about YOU and my goal is to help you navigate and develop your goals either as an individual or as a couple.
![Photo of Michael Lawless, MSW, LICSW, MLADC, Clinical Social Work/Therapist](https://photos.psychologytoday.com/4181cdf5-46cd-11ea-a6ad-06142c356176/1/320x400.jpeg)
Michael Lawless
Clinical Social Work/Therapist, MSW, LICSW, MLADC
Verified Verified
1 Endorsed
Manchester, NH 03104
As a dually licensed clinician I specialize in a number of areas to include; a holistic approach to psychotherapy, Evaluation, 1:1 counseling, Assessment, Impaired driving (IDSP services), and intervention. I truly value supporting people who may be experiencing many of life's challenges with trauma, addiction, substance misuse, anxiety, depression and anger management. I'd be honored to work with you. I believe you are the author and expert in your own life. My goal is to help you identify your goals and to be supportive as we work together towards accomplishing them.
As a dually licensed clinician I specialize in a number of areas to include; a holistic approach to psychotherapy, Evaluation, 1:1 counseling, Assessment, Impaired driving (IDSP services), and intervention. I truly value supporting people who may be experiencing many of life's challenges with trauma, addiction, substance misuse, anxiety, depression and anger management. I'd be honored to work with you. I believe you are the author and expert in your own life. My goal is to help you identify your goals and to be supportive as we work together towards accomplishing them.
![Photo of Blair Ambrose, MSW, LICSW, Clinical Social Work/Therapist](https://photos.psychologytoday.com/3c9e9213-46cd-11ea-a6ad-06142c356176/2/320x400.jpeg)
BLAIR AMBROSE, LICSW offers holistic and conventional therapy to individuals and couples facing a variety of life challenges and mental health issues. Many individuals are, at some point, faced with difficult life situations, transitions and changes. Blair helps individuals negotiate these periods, and develop strategies to create happier more fulfilling lives. Blair works with each client to create the best possible counseling experience and individualizes treatment based on the client's unique needs. Each person experiences life differently and it stands to reason that the therapy should always be tailored to meet the individual's needs.
BLAIR AMBROSE, LICSW offers holistic and conventional therapy to individuals and couples facing a variety of life challenges and mental health issues. Many individuals are, at some point, faced with difficult life situations, transitions and changes. Blair helps individuals negotiate these periods, and develop strategies to create happier more fulfilling lives. Blair works with each client to create the best possible counseling experience and individualizes treatment based on the client's unique needs. Each person experiences life differently and it stands to reason that the therapy should always be tailored to meet the individual's needs.
![Photo of Courtney Conerly, MS, Pre-Licensed Professional](https://photos.psychologytoday.com/dac3ad9c-251b-4580-9437-87ed7dfcf931/2/320x400.jpeg)
Hello and welcome. There is never an invalid reason to come into therapy. My ideal client would be someone who is open-minded to the therapeutic process. I seek to work collaboratively with clients to help them reach their goals. It is my hope that I can provide different insight and perspectives. Most importantly, I seek to provide a safe space for any client to express themselves freely.
Hello and welcome. There is never an invalid reason to come into therapy. My ideal client would be someone who is open-minded to the therapeutic process. I seek to work collaboratively with clients to help them reach their goals. It is my hope that I can provide different insight and perspectives. Most importantly, I seek to provide a safe space for any client to express themselves freely.
![Photo of Jill Leppanen Lerner, MA, LCMHC, Clinical Social Work/Therapist](https://photos.psychologytoday.com/3e605e77-46cd-11ea-a6ad-06142c356176/2/320x400.jpeg)
Jill Leppanen Lerner
Clinical Social Work/Therapist, MA, LCMHC
Verified Verified
Manchester, NH 03104
Do you find yourself struggling with how to manage feelings of worry and sadness? Do these feelings have a negative impact on your relationships, self-esteem and day to day functioning? Since 2006, I have been providing outpatient psychotherapy to individuals who are struggling to make sense of their emotions and have a desire to learn how to manage them better. I strongly believe that people have the ability and strength to make positive life change and that therapy is a collaborative effort.
Do you find yourself struggling with how to manage feelings of worry and sadness? Do these feelings have a negative impact on your relationships, self-esteem and day to day functioning? Since 2006, I have been providing outpatient psychotherapy to individuals who are struggling to make sense of their emotions and have a desire to learn how to manage them better. I strongly believe that people have the ability and strength to make positive life change and that therapy is a collaborative effort.
![Photo of Abby Falk (Lalone), MS, LCMHC, LMHC, Counselor](https://photos.psychologytoday.com/a7afbaa6-4f0c-4309-85ac-5912253788f2/1/320x400.jpeg)
Sometimes we need extra support, a different perspective, or a space where we can visit our past and present to better move toward our future. Regardless of your need or reason for seeking therapy, I strive to meet you where you’re at and work with you to meet your goals.
Sometimes we need extra support, a different perspective, or a space where we can visit our past and present to better move toward our future. Regardless of your need or reason for seeking therapy, I strive to meet you where you’re at and work with you to meet your goals.
See more therapy options for 03104
How does your Therapist compare?
Number of Therapists in 03104
90+
Average cost per session
$140
Therapists in 03104 who prioritize treating:
96% | Anxiety |
90% | Depression |
76% | Relationship Issues |
72% | Trauma and PTSD |
67% | Self Esteem |
66% | Coping Skills |
52% | Grief |
Average years in practice
11 Years
Top 3 insurances accepted
89% | Cigna and Evernorth |
84% | UnitedHealthcare UHC | UBH |
80% | BlueCross and BlueShield |
How Therapists in 03104 see their clients
78% | In Person and Online | |
22% | Online Only |
Gender breakdown
83% | Female | |
16% | Male | |
1% | Non-Binary |
FAQs - About Therapy and Counseling
How can I find a therapist in 03104?
Search for nearby therapists or counselors by inputting your city, town, or suburb; or zip code; or a provider’s name into the search bar. From there, you can filter providers by the issues they treat, cost, insurance, gender, and other factors to find providers who are well-suited to your needs. To navigate between locations within the same country, enter a new city or zip code into the search bar.
Learn more about how to find a therapist
Learn more about how to find a therapist
Is everyone in the Psychology Today Therapy Directory a licensed therapist?
The Psychology Today directory lists providers who offer legitimate mental health services to the public, including psychologists, psychiatrists, social workers, and counselors.
Many have been licensed by the country or state where they practice; providers whose license or primary credential has been verified by Psychology Today are signified by a “Verified” symbol. Some clinicians or organizations provide services for which their state or country does not offer licenses, such as pastoral counseling. They may be selectively included without the “Verified” seal.
Many have been licensed by the country or state where they practice; providers whose license or primary credential has been verified by Psychology Today are signified by a “Verified” symbol. Some clinicians or organizations provide services for which their state or country does not offer licenses, such as pastoral counseling. They may be selectively included without the “Verified” seal.
What’s the difference between a psychologist, a therapist, and a counselor?
Therapists, psychologists, and counselors are all licensed mental health professionals. In the US, psychologists have earned a doctoral degree. The terms “therapist” and “counselor” are used somewhat interchangeably, but generally therapists offer longer-term, mental health care, while counselors offer shorter-term care that may focus on one domain, such as marriage, career, or academic challenges.
Clients should consider factors such as insurance coverage and their primary reason(s) for seeking therapy to determine the type of professional best suited to their needs. Someone struggling with mental health challenges such as depression or anxiety, for example, may wish to seek out a clinical psychologist or therapist, while someone navigating career obstacles or marital upheaval may benefit from seeing a counselor who can offer short-term, targeted support.
Clients should consider factors such as insurance coverage and their primary reason(s) for seeking therapy to determine the type of professional best suited to their needs. Someone struggling with mental health challenges such as depression or anxiety, for example, may wish to seek out a clinical psychologist or therapist, while someone navigating career obstacles or marital upheaval may benefit from seeing a counselor who can offer short-term, targeted support.
What type of therapy is right for me?
The type of therapy best suited to a particular individual depends on several factors, including their primary reason for seeking therapy, their preferred timeline (some therapy types last for a set number of sessions, while others are open-ended), and their personality and preferences—some may prefer a more structured approach. For many individuals, multiple types of therapy could provide a good fit.
How much does therapy cost?
The cost of therapy depends on a number of variables, including location and the therapist’s experience and training. On average, a therapy session in the United States could cost between $100 and $200 or more. If you have insurance, the expense of mental health care is typically lower, but it varies based on your insurance plan details and whether you choose an in-network or out-of-network mental healthcare provider.
What are more affordable or low cost therapy solutions?
Many therapists offer sliding scale payments, usually on a limited number of slots, which consists in an agreement between the therapist and a client to pay a reduced rate. Therapists who provide such arrangements often consider the client's income or ability to pay, but the extent of the discount is ultimately at the therapist's discretion. Furthermore, while group therapy may have different goals and benefits compared to individual therapy, it can be a more affordable solution to address certain types of issues.
Is online therapy cheaper than in-person therapy?
Many therapists charge the same amount for online therapy as they do for in-person therapy—though clients may still find this cost-effective if it cuts down on their transportation costs. Health insurance plans often offer equivalent coverage for online and in-person therapy; indeed, in many places, they are legally required to do so. Text-based or on-demand therapy apps may be cheaper than traditional one-on-one psychotherapy; however, the practice may be less effective and is not likely to be covered by insurance.
Is online therapy a good option?
Therapy conducted online can be just as effective as in-person therapy, as long as there is a strong alliance between the client and the therapist. To find a therapist who provides telehealth services to clients in your area, click “Online Therapy” on the directory homepage and search by your city or town or your zip code.
Are therapy sessions confidential?
Confidentiality is a crucial part of the therapeutic relationship. Therapists in the United States are bound by the regulations set out by the Health Insurance Portability and Accountability Act of 1996 (HIPAA), which aims to protect sensitive health information. With very few exceptions, a therapist will only discuss their client with others when the client has given their written permission. The instances in which a therapist would be required to disclose personal information are: if a client poses a danger to themselves or others, if the therapist suspects the abuse of a child or an elderly or otherwise dependent adult, or if they are legally forced to by court order. These exceptions to the confidentiality agreement are usually discussed with a client before their first session.