Therapists in 11378

Photo of Pascale Victor, Clinical Social Work/Therapist
Pascale Victor
Clinical Social Work/Therapist
Online Only
Taking the first step toward therapy can feel daunting, but it’s also a sign of strength. I’m here to provide a safe, compassionate space where you can explore your concerns and discover your path to growth. Whether you're managing stress and anxiety, navigating relationship challenges, or working to build confidence and self-esteem, I’m here to help you uncover solutions that feel right for you. As a Black woman, I understand how challenging it can be to find safe, supportive spaces where you can authentically express your true feelings and receive the validation and understanding you deserve.
Taking the first step toward therapy can feel daunting, but it’s also a sign of strength. I’m here to provide a safe, compassionate space where you can explore your concerns and discover your path to growth. Whether you're managing stress and anxiety, navigating relationship challenges, or working to build confidence and self-esteem, I’m here to help you uncover solutions that feel right for you. As a Black woman, I understand how challenging it can be to find safe, supportive spaces where you can authentically express your true feelings and receive the validation and understanding you deserve.
(718) 705-4522 View (718) 705-4522
Photo of Kelly Albright, Clinical Social Work/Therapist, MSW, LCSW
Kelly Albright
Clinical Social Work/Therapist, MSW, LCSW
Online Only
When life feels overwhelming, it's easy to become stuck in anxiety, self-doubt, or frustration, especially in your relationships. You might feel like you're constantly managing stress without a break or that past experiences still hold too much influence over your present. I work with adults navigating anxiety, depression, trauma, OCD, ADHD, and relationship challenges. Therapy with me offers a space to slow down, understand your emotions, and reconnect with your strengths. Together, we'll build practical tools to help you feel grounded, capable, and more in control of your life.
When life feels overwhelming, it's easy to become stuck in anxiety, self-doubt, or frustration, especially in your relationships. You might feel like you're constantly managing stress without a break or that past experiences still hold too much influence over your present. I work with adults navigating anxiety, depression, trauma, OCD, ADHD, and relationship challenges. Therapy with me offers a space to slow down, understand your emotions, and reconnect with your strengths. Together, we'll build practical tools to help you feel grounded, capable, and more in control of your life.
(646) 798-9472 View (646) 798-9472
Photo of Alisa M Krieger, Licensed Psychoanalyst, MA, LP
Alisa M Krieger
Licensed Psychoanalyst, MA, LP
1 Endorsed
Flushing, NY 11378
Working with individuals, couples, teens and children I have come to understand that we all want to be heard so that we may experience a healthier, productive life. Often, we experience conflict and troublesome behaviors that prevent us from feeling happy and satisfied. Depression, anxiety and a myriad of other self-defeating conditions or behaviors can emerge that interfere with our everyday relationships and can cause many difficulties in our lives. My approach is to work closely with you, through any issues, in an atmosphere of acceptance and support, designed to address your needs.
Working with individuals, couples, teens and children I have come to understand that we all want to be heard so that we may experience a healthier, productive life. Often, we experience conflict and troublesome behaviors that prevent us from feeling happy and satisfied. Depression, anxiety and a myriad of other self-defeating conditions or behaviors can emerge that interfere with our everyday relationships and can cause many difficulties in our lives. My approach is to work closely with you, through any issues, in an atmosphere of acceptance and support, designed to address your needs.
(347) 468-0944 View (347) 468-0944
Photo of Martin Sussman, Clinical Social Work/Therapist, LCSW-R, CLC
Martin Sussman
Clinical Social Work/Therapist, LCSW-R, CLC
Maspeth, NY 11378
I have been a practicing Social Worker for over 30 years. It has been my passion to help those in need . I graduated New York University in 1991 with a Masters Degree in Social Work and am also a Certified Life Coach. I also am the Vice President for a Private Not for Profit Social Service Agency in New York City serving those who live with mental illness, the homeless, HIV/AIDS, and Developmental Disabilities. In my private practice I have helped clients who have experienced depression, anxiety, relationship issues, trauma, addictions and issues around self-esteem.
I have been a practicing Social Worker for over 30 years. It has been my passion to help those in need . I graduated New York University in 1991 with a Masters Degree in Social Work and am also a Certified Life Coach. I also am the Vice President for a Private Not for Profit Social Service Agency in New York City serving those who live with mental illness, the homeless, HIV/AIDS, and Developmental Disabilities. In my private practice I have helped clients who have experienced depression, anxiety, relationship issues, trauma, addictions and issues around self-esteem.
(347) 757-4664 View (347) 757-4664
Photo of Daisy Dinh, Licensed Master Social Worker, LMSW
Daisy Dinh
Licensed Master Social Worker, LMSW
1 Endorsed
Online Only
I specialize in helping those struggling with Anxiety, Depression, Trauma, Substance Use Disorder, Personality Disorders, life transitions, and relational issues. My therapy style is informed by Cognitive Behavioral Therapy (CBT), Dialectical Behavioral Therapy (DBT), mindfulness, and solution focused, strengths based techniques.
I specialize in helping those struggling with Anxiety, Depression, Trauma, Substance Use Disorder, Personality Disorders, life transitions, and relational issues. My therapy style is informed by Cognitive Behavioral Therapy (CBT), Dialectical Behavioral Therapy (DBT), mindfulness, and solution focused, strengths based techniques.
(332) 244-9541 View (332) 244-9541
Photo of Christina Mickalauskas, Mental Health Counselor, LMHC
Christina Mickalauskas
Mental Health Counselor, LMHC
1 Endorsed
Online Only
Not accepting new clients
Welcome! As an experienced mental health therapist in NY I specialize in anxiety, depression, ADHD, and recovering from traumatic childhoods. I provide a collaborative and non-judgmental space healing and growth for adolescents and young adults. Using a blend of Cognitive Behavioral Therapy (CBT), Person-Centered Therapy, and Acceptance and Commitment Therapy (ACT), I help clients identify negative thought patterns, develop effective coping strategies, and build resilience. My approach is tailored to empower individuals to break free from self-doubt and emotional distress, fostering lasting change in their personal lives.
Welcome! As an experienced mental health therapist in NY I specialize in anxiety, depression, ADHD, and recovering from traumatic childhoods. I provide a collaborative and non-judgmental space healing and growth for adolescents and young adults. Using a blend of Cognitive Behavioral Therapy (CBT), Person-Centered Therapy, and Acceptance and Commitment Therapy (ACT), I help clients identify negative thought patterns, develop effective coping strategies, and build resilience. My approach is tailored to empower individuals to break free from self-doubt and emotional distress, fostering lasting change in their personal lives.
View
Photo of Daniel Jarquin, Clinical Social Work/Therapist, LMSW
Daniel Jarquin
Clinical Social Work/Therapist, LMSW
1 Endorsed
Online Only
Licensed Master of Social Work (LMSW) with experience working with clients of different backgrounds and ages. I bring a history of using different modalities such as CBT, DBT, and MI among others in my work. I also pride myself on being fluent in both English and Spanish since it allows the ability to address a population of New York with diverse cultures who often do not have access to services due to language barriers. Educated through Fordham University's Graduate School of Social Service, I am always seeking to grow as a person through my work in psychotherapy and encounters with people of all walks of life.
Licensed Master of Social Work (LMSW) with experience working with clients of different backgrounds and ages. I bring a history of using different modalities such as CBT, DBT, and MI among others in my work. I also pride myself on being fluent in both English and Spanish since it allows the ability to address a population of New York with diverse cultures who often do not have access to services due to language barriers. Educated through Fordham University's Graduate School of Social Service, I am always seeking to grow as a person through my work in psychotherapy and encounters with people of all walks of life.
(347) 343-6669 View (347) 343-6669
Photo of Patricia Pagan, Clinical Social Work/Therapist, LMSW
Patricia Pagan
Clinical Social Work/Therapist, LMSW
1 Endorsed
Online Only
Patricia S. Pagan, LMSW; Bilingual (English and Spanish) social work therapist who graduated from New York University with a Master’s of Social Work and completed her Bachelor's of Social Work at Georgian Court University. Patricia has extensive experience working closely with children, teenagers and adults, utilizing ACT (acceptance and commitment therapy), DBT (dialectical behavioral therapy), TF-CBT (trauma focused cognitive behavioral therapy), Psychodynamic Therapy, in addition to Psychoeducation to help clients develop tools and insight that they can use towards managing life’s challenges.
Patricia S. Pagan, LMSW; Bilingual (English and Spanish) social work therapist who graduated from New York University with a Master’s of Social Work and completed her Bachelor's of Social Work at Georgian Court University. Patricia has extensive experience working closely with children, teenagers and adults, utilizing ACT (acceptance and commitment therapy), DBT (dialectical behavioral therapy), TF-CBT (trauma focused cognitive behavioral therapy), Psychodynamic Therapy, in addition to Psychoeducation to help clients develop tools and insight that they can use towards managing life’s challenges.
(332) 239-2948 View (332) 239-2948
Photo of Javier M. Matos, Clinical Social Work/Therapist, LCSW, CASAC-2, PC
Javier M. Matos
Clinical Social Work/Therapist, LCSW, CASAC-2, PC
Maspeth, NY 11378
My practice provides the finest quality of therapeutic services to a diverse range of clients without any type of discrimination. Together we can develop strong coping skills in dealing with your drug addiction/ alcoholism problems. To overcome your traumas related to physical, emotional, sexual or religious abuse. To brake away from the debilitating effects of depression, anxiety, phobias, panic attacks and recover the control of your life. We can create a safe place for you to share your deepest fears, concerns and good moments. When dealing with your kids/adolescents, they will want to come to therapy willingly.
My practice provides the finest quality of therapeutic services to a diverse range of clients without any type of discrimination. Together we can develop strong coping skills in dealing with your drug addiction/ alcoholism problems. To overcome your traumas related to physical, emotional, sexual or religious abuse. To brake away from the debilitating effects of depression, anxiety, phobias, panic attacks and recover the control of your life. We can create a safe place for you to share your deepest fears, concerns and good moments. When dealing with your kids/adolescents, they will want to come to therapy willingly.
(347) 934-8240 View (347) 934-8240
Photo of Ayanna Obando, Counselor, LMHC-D, NCC
Ayanna Obando
Counselor, LMHC-D, NCC
1 Endorsed
Online Only
My name is Ayanna and I'm a licensed psychotherapist based in Brooklyn, New York. My clients often come to me with a history of trauma or adversity, and a strong desire to process and understand how their past has shaped them to be the person they are today. They’re motivated, insightful, eager to grow, and have a strong desire to learn the skills necessary to have healthier relationships, better communication, and improved confidence. Through our work together, we begin to understand and develop the tools necessary to manage anxiety and depressive symptoms that can at times be a barrier for further growth.
My name is Ayanna and I'm a licensed psychotherapist based in Brooklyn, New York. My clients often come to me with a history of trauma or adversity, and a strong desire to process and understand how their past has shaped them to be the person they are today. They’re motivated, insightful, eager to grow, and have a strong desire to learn the skills necessary to have healthier relationships, better communication, and improved confidence. Through our work together, we begin to understand and develop the tools necessary to manage anxiety and depressive symptoms that can at times be a barrier for further growth.
(332) 249-6184 View (332) 249-6184
Photo of James Cherry, Clinical Social Work/Therapist, LMSW
James Cherry
Clinical Social Work/Therapist, LMSW
Online Only
While changing behaviors and feelings is always tricky, it is never something that we need to face alone. I know that coming to therapy and making the commitment to show up for themselves every week requires strength from my clients. Therefore, I strive to help them get the most out of their experience. Together, we create a wellness plan specific to each individual (which I believe is the utmost priority. My passion for helping others shines through with authenticity and compassion. My clients find emotional fulfillment, success in relationships, and develop more confidence to grow.
While changing behaviors and feelings is always tricky, it is never something that we need to face alone. I know that coming to therapy and making the commitment to show up for themselves every week requires strength from my clients. Therefore, I strive to help them get the most out of their experience. Together, we create a wellness plan specific to each individual (which I believe is the utmost priority. My passion for helping others shines through with authenticity and compassion. My clients find emotional fulfillment, success in relationships, and develop more confidence to grow.
(646) 974-9468 View (646) 974-9468
Photo of Nino Tevdorashvili - Psychotherapy and Counseling services, Counselor, LMHC, CASAC
Psychotherapy and Counseling services
Counselor, LMHC, CASAC
Serves Area
You might experience anxiety, depression, anger, health problems, anger, substance use and other painful difficulties. We have successfully helped our client develop healthier coping skills and master the challenges that impact and affect their current emotional health. Whether working with individuals or couples, the particular intervention we use may vary according to individual or family needs. We work with you in gaining a deeper insight that fosters growth, improves your emotional health, develops the capacity to engage in healthy relationships and provide the tools and skills necessary to live an authentic and satisfying life.
You might experience anxiety, depression, anger, health problems, anger, substance use and other painful difficulties. We have successfully helped our client develop healthier coping skills and master the challenges that impact and affect their current emotional health. Whether working with individuals or couples, the particular intervention we use may vary according to individual or family needs. We work with you in gaining a deeper insight that fosters growth, improves your emotional health, develops the capacity to engage in healthy relationships and provide the tools and skills necessary to live an authentic and satisfying life.
(917) 267-0786 View (917) 267-0786
Photo of Michael Roche - Turning Point Marriage and Family Therapy, PC, Marriage & Family Therapist, MA, LMFT
Turning Point Marriage and Family Therapy, PC
Marriage & Family Therapist, MA, LMFT
Online Only
My approach to therapy is a holistic and systemic approach. I work with individuals from the understanding that we are all impacted greatly by our families and the environment in which we live. I also focus on working with families and couples to improve a healthy relationship that is mutually beneficial. I work with my clients on enhancing their strengths and working through challenges to live the life that they deserve.
My approach to therapy is a holistic and systemic approach. I work with individuals from the understanding that we are all impacted greatly by our families and the environment in which we live. I also focus on working with families and couples to improve a healthy relationship that is mutually beneficial. I work with my clients on enhancing their strengths and working through challenges to live the life that they deserve.
(347) 263-8868 View (347) 263-8868
Photo of Diana Milillo, Counselor, PhD, LMHC-D, NCC
Diana Milillo
Counselor, PhD, LMHC-D, NCC
1 Endorsed
Serves Area
When will things get easier? When will I feel or function better? You may be in the midst of a current crisis or life change. Perhaps you are deciding to confront issues that have been with you for a while. Or, many something has recently happened to make you feel scared or ungrounded. Many of my clients come in at first to get help feel less anxious, worried, stuck, depressed, or numb. Whatever is bringing you to look for some relief, I would love to invite you to reach out to see if we would be a good fit in working together.
When will things get easier? When will I feel or function better? You may be in the midst of a current crisis or life change. Perhaps you are deciding to confront issues that have been with you for a while. Or, many something has recently happened to make you feel scared or ungrounded. Many of my clients come in at first to get help feel less anxious, worried, stuck, depressed, or numb. Whatever is bringing you to look for some relief, I would love to invite you to reach out to see if we would be a good fit in working together.
(516) 344-8701 View (516) 344-8701
Photo of Susan Margaret Howe - Suzan Howe - Expansive Therapy, Counselor, LMFT
Suzan Howe - Expansive Therapy
Counselor, LMFT
Online Only
My theoretical orientation is integrative, drawing on cognitive-behavioral, humanistic, and client-centered theories. I tailor my approach to the unique needs and goals of each client. For instance, I integrate cognitive-behavioral strategies to address specific challenges, foster humanistic principles to promote self-discovery, and employ client-centered techniques to enhance the therapeutic alliance. I believe in the inherent wisdom of the body and incorporate emotional and somatic awareness into my holistic practice. By listening to the body, we can navigate past traumas and painful experiences together.
My theoretical orientation is integrative, drawing on cognitive-behavioral, humanistic, and client-centered theories. I tailor my approach to the unique needs and goals of each client. For instance, I integrate cognitive-behavioral strategies to address specific challenges, foster humanistic principles to promote self-discovery, and employ client-centered techniques to enhance the therapeutic alliance. I believe in the inherent wisdom of the body and incorporate emotional and somatic awareness into my holistic practice. By listening to the body, we can navigate past traumas and painful experiences together.
(914) 342-7422 View (914) 342-7422
Photo of Catalina Gomez, Psychologist, PhD
Catalina Gomez
Psychologist, PhD
1 Endorsed
Serves Area
My office is a warm, friendly, and professional place where respect and personal dignity are highly valued. I focus on how to make positive and realistic changes one day at a time. I work with you to address the challenges making your life difficult using your strengths to reach your goals as swiftly as possible.
My office is a warm, friendly, and professional place where respect and personal dignity are highly valued. I focus on how to make positive and realistic changes one day at a time. I work with you to address the challenges making your life difficult using your strengths to reach your goals as swiftly as possible.
(347) 334-6846 View (347) 334-6846
Photo of Carole M Filangieri, Psychologist, PhD
Carole M Filangieri
Psychologist, PhD
Online Only
Not accepting new clients
If you are feeling overwhelmed, you are not alone. For many, our lives and the lives of our loved ones have changed drastically since the pandemic, and we continue to feel distressed. My approach to therapy is eclectic and collaborative. I offer a nonjudgmental, warm, accepting, safe space in which we work together to build understanding and, ultimately, to find the path that leads to your genuine self and living authentically.
If you are feeling overwhelmed, you are not alone. For many, our lives and the lives of our loved ones have changed drastically since the pandemic, and we continue to feel distressed. My approach to therapy is eclectic and collaborative. I offer a nonjudgmental, warm, accepting, safe space in which we work together to build understanding and, ultimately, to find the path that leads to your genuine self and living authentically.
(516) 226-7928 View (516) 226-7928
Photo of Henry Li, Counselor, Henry Li, LMHC, MA
Henry Li
Counselor, Henry Li, LMHC, MA
Serves Area
Hello everyone, please welcome and allow me to first begin in thanking you. The choice to start therapy isn’t always easy, sometimes it is the most difficult thing to do is to even consider it, then admit you want/need it before even taking the steps to start, but you are not alone on this journey. Perhaps there has been times that you have found yourself feeling stressed, down, lacking confidence, or stuck in a pattern that no longer serves you. Perhaps you’re ready to take steps toward changes but feel stuck or unsure where to start. Or even feeling lost in your relationships in life or even disconnected from them.
Hello everyone, please welcome and allow me to first begin in thanking you. The choice to start therapy isn’t always easy, sometimes it is the most difficult thing to do is to even consider it, then admit you want/need it before even taking the steps to start, but you are not alone on this journey. Perhaps there has been times that you have found yourself feeling stressed, down, lacking confidence, or stuck in a pattern that no longer serves you. Perhaps you’re ready to take steps toward changes but feel stuck or unsure where to start. Or even feeling lost in your relationships in life or even disconnected from them.
(929) 810-2506 View (929) 810-2506
Photo of Sally M Robles, Psychologist, PhD
Sally M Robles
Psychologist, PhD
Serves Area
As a therapist, I integrate psychodynamic, cognitive-behavioral and body-mind perspectives while being mindful of the impact stress, culture, and life-stages have on all our lives. Often when people struggle, we find that an authentic and lively part of them was suppressed. This suppression of self is often a strategy used to adapt to circumstances and people that don't validate (or may even punish) the full range of who you are.
As a therapist, I integrate psychodynamic, cognitive-behavioral and body-mind perspectives while being mindful of the impact stress, culture, and life-stages have on all our lives. Often when people struggle, we find that an authentic and lively part of them was suppressed. This suppression of self is often a strategy used to adapt to circumstances and people that don't validate (or may even punish) the full range of who you are.
(646) 970-1747 View (646) 970-1747
Photo of Krystal Ortiz - Krystal's Holistic Healing , Pre-Licensed Professional, Krystal, Ortiz, MA, LMHC
Krystal's Holistic Healing
Pre-Licensed Professional, Krystal, Ortiz, MA, LMHC
5 Endorsed
Serves Area
Welcome! I’m grateful that you’ve found your way here. If you’re ready to break free from cycles of anxiety and depression, reclaim your confidence, and create a life filled with purpose and joy, you’re in the right place. As a therapist and self-awareness teacher, I empower individuals to turn their challenges into opportunities for growth and healing. Together, we will unlock your potential, address what’s holding you back, and build a thriving, abundant life. Let’s begin this transformative journey today! A new life awaits!
Welcome! I’m grateful that you’ve found your way here. If you’re ready to break free from cycles of anxiety and depression, reclaim your confidence, and create a life filled with purpose and joy, you’re in the right place. As a therapist and self-awareness teacher, I empower individuals to turn their challenges into opportunities for growth and healing. Together, we will unlock your potential, address what’s holding you back, and build a thriving, abundant life. Let’s begin this transformative journey today! A new life awaits!
(929) 930-5945 View (929) 930-5945

See more therapy options for 11378

How does your Therapist compare?

Number of Therapists in 11378

20+

Average cost per session

$130

Therapists in 11378 who prioritize treating:

92% Anxiety
88% Depression
73% Relationship Issues
73% Trauma and PTSD
73% Coping Skills
73% Self Esteem
69% Grief

Average years in practice

9 Years

Top 3 insurances accepted

84% Aetna
84% Cigna and Evernorth
72% UnitedHealthcare UHC | UBH

How Therapists in 11378 see their clients

58% Online Only
42% In Person and Online

Gender breakdown

73% Female
27% Male
FAQs - About Therapy and Counseling

How can I find a therapist in 11378?

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.