Photo of Joan Cade, MS, LP, NCPsyA, Licensed Psychoanalyst
Joan Cade
Licensed Psychoanalyst, MS, LP, NCPsyA
Verified Verified
New York, NY 10128
Joan Cade is a licensed psychoanalyst, parent counselor and early childhood educational and psychological consultant. In her private psychotherapy practice, Joan has extensive experience working with adults on a wide range of issues including: relationships, anxiety, depression, grief, trauma, defining life goals, work satisfaction, creative self-expression, self-esteem, stress-related physical symptoms, and parenting. For the treatment of depression and anxiety, Joan believes the benefits of talk therapy can be augmented by incorporating healthy practices such as sufficient sleep, aerobic exercise, breathing techniques, and good nutrition into one's daily life. Joan provides guidance to her patients to support them in implementing these practices.
Joan Cade is a licensed psychoanalyst, parent counselor and early childhood educational and psychological consultant. In her private psychotherapy practice, Joan has extensive experience working with adults on a wide range of issues including: relationships, anxiety, depression, grief, trauma, defining life goals, work satisfaction, creative self-expression, self-esteem, stress-related physical symptoms, and parenting. For the treatment of depression and anxiety, Joan believes the benefits of talk therapy can be augmented by incorporating healthy practices such as sufficient sleep, aerobic exercise, breathing techniques, and good nutrition into one's daily life. Joan provides guidance to her patients to support them in implementing these practices.
(646) 600-5170 View (646) 600-5170
Photo of Lauren Skiba Rosenstock, LCSW, FIPA, Clinical Social Work/Therapist
Lauren Skiba Rosenstock
Clinical Social Work/Therapist, LCSW, FIPA
Verified Verified
New York, NY 10128
If you are looking to gain greater satisfaction, joy, and a sense of wholeness in your life, I would be happy to help. My experience along with my advanced postgraduate training in psychotherapy and psychoanalysis has equipped me with the skills to help you feel better about yourself. I provide a genuine, safe and collaborative environment. With warmth and intelligence I will help you navigate difficult situations and relationships with greater ease. I am a very attuned and non-judgmental listener and my hope is that you will come to feel understood.
If you are looking to gain greater satisfaction, joy, and a sense of wholeness in your life, I would be happy to help. My experience along with my advanced postgraduate training in psychotherapy and psychoanalysis has equipped me with the skills to help you feel better about yourself. I provide a genuine, safe and collaborative environment. With warmth and intelligence I will help you navigate difficult situations and relationships with greater ease. I am a very attuned and non-judgmental listener and my hope is that you will come to feel understood.
(516) 217-8291 View (516) 217-8291
Photo of Elizabeth M Rende-Bakshi, LCSW, Clinical Social Work/Therapist
Elizabeth M Rende-Bakshi
Clinical Social Work/Therapist, LCSW
Verified Verified
2 Endorsed
Online Only
I am a psychotherapist, licensed in New York and New Jersey. All of my work during my private practice career has been via telehealth, and I've found that I have established some of the most meaningful connections with individuals this way. In my virtual sessions, they continue to allow for deep reflection & opportunities to shift perspectives. Whether you're coping with grief, struggling with anxiety and/or depression, or navigating a major life change such as becoming a parent, experiencing a breakup or moved to a new city, talking through it can make life feel less overwhelming.
I am a psychotherapist, licensed in New York and New Jersey. All of my work during my private practice career has been via telehealth, and I've found that I have established some of the most meaningful connections with individuals this way. In my virtual sessions, they continue to allow for deep reflection & opportunities to shift perspectives. Whether you're coping with grief, struggling with anxiety and/or depression, or navigating a major life change such as becoming a parent, experiencing a breakup or moved to a new city, talking through it can make life feel less overwhelming.
(347) 941-0620 View (347) 941-0620
Photo of Ginny Rachmani - Virginia Rachmani, Psychotherapy, LCSW, MA-Psyc, NCPsyA, Clinical Social Work/Therapist
Virginia Rachmani, Psychotherapy
Clinical Social Work/Therapist, LCSW, MA-Psyc, NCPsyA
Not Verified Not Verified
Online Only
Any loss can devastate you: a romantic partner leaves; you develop a serious illness; your job ends; a spouse dies; You have a miscarriage, or an empty nest, or your partner is unfaithful, or your child has serious difficulties, or you beloved pet dies or your childhood was abusive. Your responses can include: depression, anxiety, guilt or unending grief. I work with men, women, adolescents and couples who struggle to find symptom relief and greater life satisfaction. My office is a convenient and very private environment in which I spare people psychological jargon and base sessions on mutuality and respect.
Any loss can devastate you: a romantic partner leaves; you develop a serious illness; your job ends; a spouse dies; You have a miscarriage, or an empty nest, or your partner is unfaithful, or your child has serious difficulties, or you beloved pet dies or your childhood was abusive. Your responses can include: depression, anxiety, guilt or unending grief. I work with men, women, adolescents and couples who struggle to find symptom relief and greater life satisfaction. My office is a convenient and very private environment in which I spare people psychological jargon and base sessions on mutuality and respect.
(646) 600-9049 View (646) 600-9049
Photo of Rachel Landman, LMHC, EdM, MA, Counselor
Rachel Landman
Counselor, LMHC, EdM, MA
Verified Verified
3 Endorsed
New York, NY 10128
Rachel’s approach is highly personalized for each client. She provides a warm and nonjudgmental environment to foster strong therapeutic relationships with an emphasis on trust and acceptance. She understands everyone needs someone who will listen and accept them for who they are. Rachel’s primary focus is on existential issues, engulfed in the psychodynamic approach using a toolbox of CBT skills.
Rachel’s approach is highly personalized for each client. She provides a warm and nonjudgmental environment to foster strong therapeutic relationships with an emphasis on trust and acceptance. She understands everyone needs someone who will listen and accept them for who they are. Rachel’s primary focus is on existential issues, engulfed in the psychodynamic approach using a toolbox of CBT skills.
(646) 762-0651 View (646) 762-0651
Photo of Dr. Marc A Gerber, PsyD, Psychologist
Dr. Marc A Gerber
Psychologist, PsyD
Verified Verified
New York, NY 10128
I am a cognitive behavioral therapist with experience helping people feel better emotionally, behave more functionally and experience long-lasting change. I specialize in anxiety and depression, and employ a present-oriented, structured therapy that involves problem solving, mindfulness and looking at things from a new, more helpful perspective. I also employ outcome measures so we can closely gauge our progress, without having to make vague estimates. I studied applied psychology at New York University, and went on to receive my Doctor of Psychology at St. John's University where I received intensive CBT training.
I am a cognitive behavioral therapist with experience helping people feel better emotionally, behave more functionally and experience long-lasting change. I specialize in anxiety and depression, and employ a present-oriented, structured therapy that involves problem solving, mindfulness and looking at things from a new, more helpful perspective. I also employ outcome measures so we can closely gauge our progress, without having to make vague estimates. I studied applied psychology at New York University, and went on to receive my Doctor of Psychology at St. John's University where I received intensive CBT training.
(929) 209-5934 View (929) 209-5934
Photo of Diane Clemente, LCSW, NCPsyA, Clinical Social Work/Therapist
Diane Clemente
Clinical Social Work/Therapist, LCSW, NCPsyA
Verified Verified
New York, NY 10128
Are you feeling unhappy with your current career path, having difficulty getting along with others at work or at home? Feeling blocked creatively? Struggling with feelings of depression and loneliness? Do you find it challenging to maintain satisfying relationships? Psychotherapy can help.
Are you feeling unhappy with your current career path, having difficulty getting along with others at work or at home? Feeling blocked creatively? Struggling with feelings of depression and loneliness? Do you find it challenging to maintain satisfying relationships? Psychotherapy can help.
(646) 906-9292 View (646) 906-9292
Linda R. Laughlin
Psychologist, PhD, MPA
Verified Verified
New York, NY 10128
I believe that treatment is most effective when the individual seeking therapy is willing to delve not only her/his conscious but unconscious thoughts and feelings. One must be as honest as possible and collaborate with me to determine what is helpful to him and what is not helpful. Psychotherapy is a process, often a long process. A willingness to persevere, in spite of difficult sessions and periods, is critical. Change is hard.
I believe that treatment is most effective when the individual seeking therapy is willing to delve not only her/his conscious but unconscious thoughts and feelings. One must be as honest as possible and collaborate with me to determine what is helpful to him and what is not helpful. Psychotherapy is a process, often a long process. A willingness to persevere, in spite of difficult sessions and periods, is critical. Change is hard.
(646) 600-9107 View (646) 600-9107
Photo of Esther Altmann, PhD, Psychologist
Esther Altmann
Psychologist, PhD
Verified Verified
New York, NY 10128
Psychotherapy is a collaborative, exciting endeavor and represents the hope that something new can happen in our lives. I treat individuals suffering from a wide range of problems: anxiety, depression, troubled relationships, marital distress, eating disorders, learning difficulties, ADHD in children and adults, and women with female cancers. I specialize in work with adolescents, college students and young adulthood. I also enjoy working with adults in middle age and with individuals who are struggling with the challenges of aging and loss. Most importantly, I tailor therapy to each person's particular concerns and needs.
Psychotherapy is a collaborative, exciting endeavor and represents the hope that something new can happen in our lives. I treat individuals suffering from a wide range of problems: anxiety, depression, troubled relationships, marital distress, eating disorders, learning difficulties, ADHD in children and adults, and women with female cancers. I specialize in work with adolescents, college students and young adulthood. I also enjoy working with adults in middle age and with individuals who are struggling with the challenges of aging and loss. Most importantly, I tailor therapy to each person's particular concerns and needs.
(646) 600-9193 View (646) 600-9193
Photo of Abby Bramnick, MA, LCAT, ATR-BC, Art Therapist
Abby Bramnick
Art Therapist, MA, LCAT, ATR-BC
Verified Verified
1 Endorsed
New York, NY 10128
We all have our “stuff.” It’s part of what makes us human. Some of this causes distress in our daily life that can lead to overwhelming emotions. As painful as life can sometimes feel, these moments provide the opportunity for growth and healing. My approach is genuine, straight forward, integrative, holistic, humorous and relational. I facilitate open and honest communication with clients. Developing trust and safety in our relationship is my foremost priority.
We all have our “stuff.” It’s part of what makes us human. Some of this causes distress in our daily life that can lead to overwhelming emotions. As painful as life can sometimes feel, these moments provide the opportunity for growth and healing. My approach is genuine, straight forward, integrative, holistic, humorous and relational. I facilitate open and honest communication with clients. Developing trust and safety in our relationship is my foremost priority.
(646) 956-4296 View (646) 956-4296
Photo of Lisa Nichols - Nichols & Associates, MBA, PhD, Psychologist
Nichols & Associates
Psychologist, MBA, PhD
Verified Verified
1 Endorsed
Online Only
I specialize in crisis work which can be in your private or professional life. What does crisis work mean it is a situation (s) or difficulty in your life that came upon you unexpectedly and you are finding it unmanageable to maintain all of your other daily activities. I I have traveled extensively, lived overseas, and speak French fluently (can do therapy in French). Hence, I am accustomed to working with an international and culturally diverse clientele. I am focused on working with anxiety and depressive disorders, cultural diversity, adjustments to working and living in a new city, country, or career moves.
I specialize in crisis work which can be in your private or professional life. What does crisis work mean it is a situation (s) or difficulty in your life that came upon you unexpectedly and you are finding it unmanageable to maintain all of your other daily activities. I I have traveled extensively, lived overseas, and speak French fluently (can do therapy in French). Hence, I am accustomed to working with an international and culturally diverse clientele. I am focused on working with anxiety and depressive disorders, cultural diversity, adjustments to working and living in a new city, country, or career moves.
(718) 701-8474 View (718) 701-8474
Photo of Melissa Crecca, LCSW, Clinical Social Work/Therapist
Melissa Crecca
Clinical Social Work/Therapist, LCSW
Verified Verified
Online Only
In my years of experience I have come to realize so much about living in the world robs us of our ability to acknowledge our own magic. Therapy should be a safe place for you to begin to reclaim that magic and learn how to discover your own power. By using a "bottom to top" approach to identify how long held, negative beliefs, have kept you reliving and repeating the past, you can finally live in the present. I provide a safe, non judgemental space for you to work through trauma and reclaim the power inherent in you.
In my years of experience I have come to realize so much about living in the world robs us of our ability to acknowledge our own magic. Therapy should be a safe place for you to begin to reclaim that magic and learn how to discover your own power. By using a "bottom to top" approach to identify how long held, negative beliefs, have kept you reliving and repeating the past, you can finally live in the present. I provide a safe, non judgemental space for you to work through trauma and reclaim the power inherent in you.
(646) 849-2895 View (646) 849-2895
Photo of David W Perkins, LCSW, Clinical Social Work/Therapist
David W Perkins
Clinical Social Work/Therapist, LCSW
Verified Verified
13 Endorsed
Online Only
I specialize in helping people dealing with anxiety, depression, bipolar disorder, OCD, phobias, panic attacks and other mental health issues that are interfering with functioning. I enjoy helping people learn to manage symptoms which are getting in the way of their leading happy, healthy lives. My practice is diverse and I am particularly familiar with the legal profession (I worked in this industry for over 30 years), the LGBTQ community, the performing arts community and people in the recovery process. I also enjoy working with people who are going through transitions and want support for making changes in their lives.
I specialize in helping people dealing with anxiety, depression, bipolar disorder, OCD, phobias, panic attacks and other mental health issues that are interfering with functioning. I enjoy helping people learn to manage symptoms which are getting in the way of their leading happy, healthy lives. My practice is diverse and I am particularly familiar with the legal profession (I worked in this industry for over 30 years), the LGBTQ community, the performing arts community and people in the recovery process. I also enjoy working with people who are going through transitions and want support for making changes in their lives.
(718) 305-4494 View (718) 305-4494
Photo of Patrycja Szymczak, LPC, LMHC, NCC, Counselor
Patrycja Szymczak
Counselor, LPC, LMHC, NCC
Verified Verified
Online Only
Are you feeling stressed or anxious? Are you navigating the pain of grief? Perhaps changes in your life are causing you to struggle with overwhelming emotions. Do you find it difficult to focus and manage daily responsibilities, or feel isolated in your experiences? Do you worry that this constant sense of dread, irritability over minor stressors, or feelings of sadness and hopelessness will never fade? If you’re ready to explore these feelings and seek support in a safe, compassionate environment, you’ve come to the right place.
Are you feeling stressed or anxious? Are you navigating the pain of grief? Perhaps changes in your life are causing you to struggle with overwhelming emotions. Do you find it difficult to focus and manage daily responsibilities, or feel isolated in your experiences? Do you worry that this constant sense of dread, irritability over minor stressors, or feelings of sadness and hopelessness will never fade? If you’re ready to explore these feelings and seek support in a safe, compassionate environment, you’ve come to the right place.
(929) 205-3419 View (929) 205-3419
Photo of Dr. David M Castro, PhD, LCSW, Clinical Social Work/Therapist
Dr. David M Castro
Clinical Social Work/Therapist, PhD, LCSW
Verified Verified
New York, NY 10128
My focus is on helping others change painful patterns. I am a psychotherapist who values a close, focused type of listening. This is connected to an emphasis on the unique cultural, environmental, and psychological factors that contribute to current distress.
My focus is on helping others change painful patterns. I am a psychotherapist who values a close, focused type of listening. This is connected to an emphasis on the unique cultural, environmental, and psychological factors that contribute to current distress.
(917) 525-4940 View (917) 525-4940
Photo of Andrea Frisch-Hara, LCAT, MT-BC, MA
Andrea Frisch-Hara
Creative Arts Therapist, LCAT, MT-BC, MA
Verified Verified
Online Only
Hello and welcome! We are meeting here because you are seeking help for yourself or for a loved one. Would you like to live more freely, more authentically, and to have real choices? Is a recent life transition, or an unexpected experience causing you unmanageable stress, anxiety, or pain? Do you struggle in personal or work relationships? Do you wish you felt self-assured or calm most of the time? Might you want to feel more fulfilled and to be able to tap into your inner creativity in ways that feel deeply gratifying? Or, are you a caregiver to someone with a neurodegenerative disease or the parent of a child with special
Hello and welcome! We are meeting here because you are seeking help for yourself or for a loved one. Would you like to live more freely, more authentically, and to have real choices? Is a recent life transition, or an unexpected experience causing you unmanageable stress, anxiety, or pain? Do you struggle in personal or work relationships? Do you wish you felt self-assured or calm most of the time? Might you want to feel more fulfilled and to be able to tap into your inner creativity in ways that feel deeply gratifying? Or, are you a caregiver to someone with a neurodegenerative disease or the parent of a child with special
(631) 540-1817 View (631) 540-1817
Photo of Patrick Petzel, LMSW, Clinical Social Work/Therapist
Patrick Petzel
Clinical Social Work/Therapist, LMSW
Verified Verified
New York, NY 10128
Are you feeling overwhelmed by the challenges in your relationships, struggling with self-esteem, or battling anxiety and depression? Perhaps you find yourself turning to substances as a way to cope with life’s difficulties. I’m here to help you navigate these challenges and rediscover a sense of balance, purpose, and fulfillment.
Are you feeling overwhelmed by the challenges in your relationships, struggling with self-esteem, or battling anxiety and depression? Perhaps you find yourself turning to substances as a way to cope with life’s difficulties. I’m here to help you navigate these challenges and rediscover a sense of balance, purpose, and fulfillment.
(718) 751-0983 View (718) 751-0983
Photo of Angela E. Sampson-Keller - BASK Consortium, MSW, LCSW-R,  MPS, Clinical Social Work/Therapist
BASK Consortium
Clinical Social Work/Therapist, MSW, LCSW-R, MPS
Verified Verified
Online Only
Not accepting new clients
Mrs. Angela Keller envisions you being able to enhance your overall quality of life by gaining strength and courage. Mrs. Keller is poised to assist you to search within (at your comfortable pace) to see your strengths and fully build them up for a life of personal success. She sees you learning healthier life skills to “live life and not let life live you”. Mrs. Keller chooses to see you thriving while you are “ENCOURAGED TO KEEP A GOOD THOUGHT”. www.baskconsortium.com
Mrs. Angela Keller envisions you being able to enhance your overall quality of life by gaining strength and courage. Mrs. Keller is poised to assist you to search within (at your comfortable pace) to see your strengths and fully build them up for a life of personal success. She sees you learning healthier life skills to “live life and not let life live you”. Mrs. Keller chooses to see you thriving while you are “ENCOURAGED TO KEEP A GOOD THOUGHT”. www.baskconsortium.com
(914) 246-5818 View (914) 246-5818
Photo of Raluca Modica, MA, LP, Licensed Psychoanalyst
Raluca Modica
Licensed Psychoanalyst, MA, LP
Verified Verified
New York, NY 10128
I am a licensed psychoanalyst working with individuals to foster a deeper sense of understanding and acceptance. My focus will be on helping you to become more aware of the source of your emotions, and to develop broader perspectives on feelings, thoughts, people, and life in general. Through the work done together you should be able to free yourself from inhibitions, find solutions to your problems, become more self-aware, and suffer less. You can expect an environment where all thoughts and feelings are not only acceptable, but encouraged expression, and where you will be listened to attentively, with no judgment.
I am a licensed psychoanalyst working with individuals to foster a deeper sense of understanding and acceptance. My focus will be on helping you to become more aware of the source of your emotions, and to develop broader perspectives on feelings, thoughts, people, and life in general. Through the work done together you should be able to free yourself from inhibitions, find solutions to your problems, become more self-aware, and suffer less. You can expect an environment where all thoughts and feelings are not only acceptable, but encouraged expression, and where you will be listened to attentively, with no judgment.
(646) 921-4515 View (646) 921-4515
Photo of Raymond D Kramer, LCSW, Clinical Social Work/Therapist
Raymond D Kramer
Clinical Social Work/Therapist, LCSW
Verified Verified
Online Only
I am a psychotherapist who specializes in working with adolescents and adults. I help people suffering from a range of issues, including depression, anxiety, addiction such as drugs/alcohol and gambling. I use a strength based, person centered approach in order to guide clients through the discomfort, pain and dissatisfaction that life can sometimes bring. I work in partnership with clients in order to help them achieve growth and increased satisfaction in their daily lives.
I am a psychotherapist who specializes in working with adolescents and adults. I help people suffering from a range of issues, including depression, anxiety, addiction such as drugs/alcohol and gambling. I use a strength based, person centered approach in order to guide clients through the discomfort, pain and dissatisfaction that life can sometimes bring. I work in partnership with clients in order to help them achieve growth and increased satisfaction in their daily lives.
(646) 933-9500 View (646) 933-9500
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How does your Therapist compare?

Number of Therapists in 10128

400+

Average cost per session

$200

Therapists in 10128 who prioritize treating:

93% Anxiety
88% Depression
84% Relationship Issues
74% Self Esteem
63% Trauma and PTSD
63% Stress
60% Grief

Average years in practice

15 Years

Top 3 insurances accepted

80% Aetna
56% Cigna and Evernorth
54% UnitedHealthcare UHC | UBH

How Therapists in 10128 see their clients

63% In Person and Online
37% Online Only

Gender breakdown

81% Female
18% Male
1% Non-Binary
FAQs - About Therapy and Counseling

How can I find a therapist in 10128?

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.