Therapists in 14127

Photo of Shaye Cline, Clinical Social Work/Therapist, LMSW
Shaye Cline
Clinical Social Work/Therapist, LMSW
Orchard Park, NY 14127
I strive to create a warm, welcoming, and nonjudgmental environment where clients feel heard, valued, and respected. I approach each session with empathy, understanding, and an open mind, honoring each person’s unique background and experiences. My goal is to build trust through consistency, confidentiality, and clear communication, allowing clients to feel secure in expressing themselves. I believe in meeting clients where they are, supporting them with compassion while guiding them to find the skills and tools that will help overcome any struggles they are experiencing.
I strive to create a warm, welcoming, and nonjudgmental environment where clients feel heard, valued, and respected. I approach each session with empathy, understanding, and an open mind, honoring each person’s unique background and experiences. My goal is to build trust through consistency, confidentiality, and clear communication, allowing clients to feel secure in expressing themselves. I believe in meeting clients where they are, supporting them with compassion while guiding them to find the skills and tools that will help overcome any struggles they are experiencing.
(716) 412-3666 View (716) 412-3666
Photo of James P Maurino, Psychologist, PhD
James P Maurino
Psychologist, PhD
Orchard Park, NY 14127
My approach to therapy is collaborative. We may work with a variety of issues that include anxiety, depression, grief, loss, end of life issues, chronic illness and pain, existential crises, men's issues, and relationship difficulties. Alongside therapy, my work has helped give me a perspective that addresses every stage of life and its challenges. We can approach such challenges together, ranging from young adulthood through those near the end of life. It's always an honor to accompany people on a journey of self-discovery and who have taken this first brave step toward healing. I would be honored to take it with you.
My approach to therapy is collaborative. We may work with a variety of issues that include anxiety, depression, grief, loss, end of life issues, chronic illness and pain, existential crises, men's issues, and relationship difficulties. Alongside therapy, my work has helped give me a perspective that addresses every stage of life and its challenges. We can approach such challenges together, ranging from young adulthood through those near the end of life. It's always an honor to accompany people on a journey of self-discovery and who have taken this first brave step toward healing. I would be honored to take it with you.
(716) 454-3516 x716 View (716) 454-3516 x716
Photo of Lisa Campagna-Grout - Whole Wellness Counseling, Clinical Social Work/Therapist, LMSW
Whole Wellness Counseling
Clinical Social Work/Therapist, LMSW
1 Endorsed
Orchard Park, NY 14127
Hello, my name is Lisa! I became a therapist because I believe wholeheartedly in human potential—the potential to learn, grow, and evolve into our most authentic and whole selves. I am experienced in supporting women healing from addiction and relational trauma. I specialize in family therapy and helping parents develop practical coping strategies and emotional regulation skills for challenging parenting moments; I believe that our children thrive when we take good care of ourselves. I work with all individuals in substance use disorder treatment and recovery.
Hello, my name is Lisa! I became a therapist because I believe wholeheartedly in human potential—the potential to learn, grow, and evolve into our most authentic and whole selves. I am experienced in supporting women healing from addiction and relational trauma. I specialize in family therapy and helping parents develop practical coping strategies and emotional regulation skills for challenging parenting moments; I believe that our children thrive when we take good care of ourselves. I work with all individuals in substance use disorder treatment and recovery.
(716) 621-2833 View (716) 621-2833
Photo of Kelly Thompson, Counselor, LMHC, SUF-CPT
Kelly Thompson
Counselor, LMHC, SUF-CPT
Orchard Park, NY 14127
Hi! My name is Kelly Thompson. I provide treatment for adults living with anxiety & depression. I have 20+ years of experience working in the mental health field. I am passionate about helping people discover what they are truly capable of and help them to break free from the limited beliefs that are holding them back. I provide a judgement free, inclusive, and welcoming space to help you become the best version of you. People don't have to suffer from anxiety and/or depression they live with it and can manage it with support and guidance.
Hi! My name is Kelly Thompson. I provide treatment for adults living with anxiety & depression. I have 20+ years of experience working in the mental health field. I am passionate about helping people discover what they are truly capable of and help them to break free from the limited beliefs that are holding them back. I provide a judgement free, inclusive, and welcoming space to help you become the best version of you. People don't have to suffer from anxiety and/or depression they live with it and can manage it with support and guidance.
(716) 466-5383 View (716) 466-5383
Photo of Connie A Przepasniak, Counselor, LMHC
Connie A Przepasniak
Counselor, LMHC
Orchard Park, NY 14127
Currently accepting new clients. Welcome, I am so glad that you are ready to take the first step in feeling better! Facing emotional challenges can be overwhelming. We often feel alone & isolated in our struggles. Sometimes what is needed is finding the right person to listen and support you. I am here for you. You are not alone. Together we will find a solution to help you gain control over your emotions and reactions. I whole heartedly believe that feeling understood & cared for are essential factors in any helping relationship.
Currently accepting new clients. Welcome, I am so glad that you are ready to take the first step in feeling better! Facing emotional challenges can be overwhelming. We often feel alone & isolated in our struggles. Sometimes what is needed is finding the right person to listen and support you. I am here for you. You are not alone. Together we will find a solution to help you gain control over your emotions and reactions. I whole heartedly believe that feeling understood & cared for are essential factors in any helping relationship.
(716) 517-4058 View (716) 517-4058
Photo of Kayla Woodruff, Mental Health Counselor, LMHC
Kayla Woodruff
Mental Health Counselor, LMHC
1 Endorsed
Orchard Park, NY 14127
Welcome! I'm Kayla, a Licensed Mental Health Therapist passionate about helping adults navigate stress and improve their overall well-being. I am dedicated to supporting, empowering, and encouraging individuals during challenging times. Watching people transform from struggling to flourishing is the reason I love this work. My own positive experiences with therapy inspire me to offer the same benefits to my clients. Together, we’ll create a space where you feel understood and guided on your path to healing and personal growth.
Welcome! I'm Kayla, a Licensed Mental Health Therapist passionate about helping adults navigate stress and improve their overall well-being. I am dedicated to supporting, empowering, and encouraging individuals during challenging times. Watching people transform from struggling to flourishing is the reason I love this work. My own positive experiences with therapy inspire me to offer the same benefits to my clients. Together, we’ll create a space where you feel understood and guided on your path to healing and personal growth.
(716) 356-4730 View (716) 356-4730
Photo of Caitlyn Connors, Counselor, LMHC
Caitlyn Connors
Counselor, LMHC
Orchard Park, NY 14127
Counseling can feel scary in the beginning but I pride myself on being open, present, and welcoming. If you are ready to take the risk, I would be honored to travel with you on your journey. Armed with extensive training in multiple therapies, I can help you move past the barriers of self doubt and into the life you dream of having. I specialize in working with teenagers and adults who are struggling with anxiety, depression, grief, and trauma. As a therapist with years’ of experience, I strive to provide a safe, accepting and non-judgmental space where you will feel seen, heard and whole.
Counseling can feel scary in the beginning but I pride myself on being open, present, and welcoming. If you are ready to take the risk, I would be honored to travel with you on your journey. Armed with extensive training in multiple therapies, I can help you move past the barriers of self doubt and into the life you dream of having. I specialize in working with teenagers and adults who are struggling with anxiety, depression, grief, and trauma. As a therapist with years’ of experience, I strive to provide a safe, accepting and non-judgmental space where you will feel seen, heard and whole.
(716) 302-0668 View (716) 302-0668
Photo of Dayna Sickau, Counselor, LMHC
Dayna Sickau
Counselor, LMHC
1 Endorsed
Orchard Park, NY 14127
Hi everyone! I'm Dayna and I am a Licensed Mental Health Counselor and Life Coach. I am dedicated to helping adults that struggle with mental health symptoms and life stressors, that prevent them from living their most purposeful life. I specialize in treating anxiety, depression, PTSD/Trauma, and OCD.
Hi everyone! I'm Dayna and I am a Licensed Mental Health Counselor and Life Coach. I am dedicated to helping adults that struggle with mental health symptoms and life stressors, that prevent them from living their most purposeful life. I specialize in treating anxiety, depression, PTSD/Trauma, and OCD.
(716) 281-1689 View (716) 281-1689
Photo of Brandi Cornell, Clinical Social Work/Therapist, LMSW
Brandi Cornell
Clinical Social Work/Therapist, LMSW
5 Endorsed
Orchard Park, NY 14127
As a Licensed Master Social Worker with over 18 years of experience, I am passionate about guiding individuals, particularly first responders, through some of life’s most difficult moments. My work focuses on helping clients navigate trauma, depression, anxiety, substance use, and domestic violence, as well as women's issues including postpartum depression, work-related stress, and relationship challenges. With a compassionate, solution-focused approach to CBT, I support clients in finding strength, stability, and renewed purpose in the face of adversity.
As a Licensed Master Social Worker with over 18 years of experience, I am passionate about guiding individuals, particularly first responders, through some of life’s most difficult moments. My work focuses on helping clients navigate trauma, depression, anxiety, substance use, and domestic violence, as well as women's issues including postpartum depression, work-related stress, and relationship challenges. With a compassionate, solution-focused approach to CBT, I support clients in finding strength, stability, and renewed purpose in the face of adversity.
(716) 442-8061 View (716) 442-8061
Photo of Lisa N. Mann - Lisa Mann Mental Health Counseling PLLC, Counselor, LMHC-D, CASAC-G, MSEd
Lisa Mann Mental Health Counseling PLLC
Counselor, LMHC-D, CASAC-G, MSEd
2 Endorsed
Orchard Park, NY 14127
Are you seeking balance or change in your life? Has placing yourself first suddenly stopped being a priority? Are you struggling and unsure where to begin? You've come to the right place. I've worked closely helping many individuals over the past 12 years with these same thoughts, questions and feelings. Let me help you too. Let's work toward putting your goals and aspirations first. Let's re-discover who you are. I will encourage you to identify your goals so that we can create a plan together of how you will work toward achieving them.
Are you seeking balance or change in your life? Has placing yourself first suddenly stopped being a priority? Are you struggling and unsure where to begin? You've come to the right place. I've worked closely helping many individuals over the past 12 years with these same thoughts, questions and feelings. Let me help you too. Let's work toward putting your goals and aspirations first. Let's re-discover who you are. I will encourage you to identify your goals so that we can create a plan together of how you will work toward achieving them.
(716) 589-2020 View (716) 589-2020
Photo of Robin Carter, Counselor, LMHC
Robin Carter
Counselor, LMHC
2 Endorsed
Orchard Park, NY 14127
I am someone who is fortunate enough to love my job! It is very rewarding to watch my clients grow as they work through anxious thoughts, depressed moods, traumatic memories, relationship challenges and complicated childhood experiences. If you think I might be the right fit for you and you are ready to take that next step, It would be my privilege to help you to figure out a plan in creating positive change in your life. We will work together to sort through your thoughts and behaviors, while learning positive coping strategies for symptom management.
I am someone who is fortunate enough to love my job! It is very rewarding to watch my clients grow as they work through anxious thoughts, depressed moods, traumatic memories, relationship challenges and complicated childhood experiences. If you think I might be the right fit for you and you are ready to take that next step, It would be my privilege to help you to figure out a plan in creating positive change in your life. We will work together to sort through your thoughts and behaviors, while learning positive coping strategies for symptom management.
(716) 222-8957 View (716) 222-8957
Photo of Frances Ann Moyer, Counselor, MSEd, LMHC
Frances Ann Moyer
Counselor, MSEd, LMHC
1 Endorsed
Orchard Park, NY 14127
As a former college counselor, working with all areas of mental health, I have clinical training and 30 years of experience as a licensed mental health counselor.. I offer clinical treatment with a Christian focused foundation. If a client. CHOOSES to talk about God, my office is a safe environment to do so. My goal with each individual or couple is to reduce symptomatic stress, negative and irrational thinking, as well as negative behaviors that cause intense emotional and physical pain. Healing and behavioral growth are a process and not to be rushed. Treatment aligned to achieve personal health and wellbeing is foundational.
As a former college counselor, working with all areas of mental health, I have clinical training and 30 years of experience as a licensed mental health counselor.. I offer clinical treatment with a Christian focused foundation. If a client. CHOOSES to talk about God, my office is a safe environment to do so. My goal with each individual or couple is to reduce symptomatic stress, negative and irrational thinking, as well as negative behaviors that cause intense emotional and physical pain. Healing and behavioral growth are a process and not to be rushed. Treatment aligned to achieve personal health and wellbeing is foundational.
(716) 402-4110 View (716) 402-4110
Photo of Linday Richardson, Clinical Social Work/Therapist, LCSW
Linday Richardson
Clinical Social Work/Therapist, LCSW
Orchard Park, NY 14127
I understand that before someone is ready to seek therapy, they have usually already been down a difficult road. Making the decision to finally seek help is truly half the battle, and an accomplishment in itself. We may have been disappointed by past attempts at change, because while we can logically understand that our painful thoughts and beliefs may be untrue, they nonetheless still feel true. My approach to therapy bridges this gap by offering EMDR, amongst other therapeutic techniques. EMDR is a research-supported treatment for trauma, anxiety and other related concerns which allows for meaningful, long-lasting relief.
I understand that before someone is ready to seek therapy, they have usually already been down a difficult road. Making the decision to finally seek help is truly half the battle, and an accomplishment in itself. We may have been disappointed by past attempts at change, because while we can logically understand that our painful thoughts and beliefs may be untrue, they nonetheless still feel true. My approach to therapy bridges this gap by offering EMDR, amongst other therapeutic techniques. EMDR is a research-supported treatment for trauma, anxiety and other related concerns which allows for meaningful, long-lasting relief.
(716) 321-0159 View (716) 321-0159
Photo of Jenna Colern, Mental Health Counselor, LMHC
Jenna Colern
Mental Health Counselor, LMHC
Orchard Park, NY 14127
In my counseling practice, I specialize in trauma work, substance use, and grief, with a focus on supporting frontline workers. With tailored approaches and compassionate care, I help individuals navigate through life's challenges. From coping with trauma to overcoming addiction and grieving losses, I provide a safe space for healing and growth. My dedication to frontline workers stems from understanding their unique stressors, and I am committed to offering them the specialized support they deserve. Together, we work towards resilience, recovery, and renewed hope.
In my counseling practice, I specialize in trauma work, substance use, and grief, with a focus on supporting frontline workers. With tailored approaches and compassionate care, I help individuals navigate through life's challenges. From coping with trauma to overcoming addiction and grieving losses, I provide a safe space for healing and growth. My dedication to frontline workers stems from understanding their unique stressors, and I am committed to offering them the specialized support they deserve. Together, we work towards resilience, recovery, and renewed hope.
(716) 413-3935 View (716) 413-3935
Photo of Lindsay Herndon - Invictus Counseling, LLC, Licensed Mental Health Counselor, LMHC
Invictus Counseling, LLC
Licensed Mental Health Counselor, LMHC
1 Endorsed
Orchard Park, NY 14127
Life isn't easy. Especially in these times right now where each day seems to be another new problem. Everyone needs extra support, a different perspective, or a few new ideas of how to manage life stress every now and then. Whether you are struggling with feeling down, not being able to calm down, or are just unsure how you feel but something isn't right, you've come to the right place. Let us help you work towards feeling healthier, understanding your true self, and building your ability to manage anything this (sometimes ridiculous) world throws at you. The counselors at Invictus aim to help you see real personal progress.
Life isn't easy. Especially in these times right now where each day seems to be another new problem. Everyone needs extra support, a different perspective, or a few new ideas of how to manage life stress every now and then. Whether you are struggling with feeling down, not being able to calm down, or are just unsure how you feel but something isn't right, you've come to the right place. Let us help you work towards feeling healthier, understanding your true self, and building your ability to manage anything this (sometimes ridiculous) world throws at you. The counselors at Invictus aim to help you see real personal progress.
(716) 989-6808 View (716) 989-6808
Photo of Michelle L Chaffee, Psychologist, PsyD
Michelle L Chaffee
Psychologist, PsyD
Orchard Park, NY 14127
I offer counseling for children, adolescents and families to address mental health and behavioral needs. I have over 27 years of experience as a Licensed Psychologist and Certified School Psychologist addressing various needs of children including (but not limited to) those associated with ADHD, oppositional defiant disorder, Autism, anxiety and depression. Given my experience in clinical and school settings, I am confident that I can help your child navigate any challenges they may face at home or school. My goal is for you and your child, to learn many useful and practical strategies in order to see positive changes.
I offer counseling for children, adolescents and families to address mental health and behavioral needs. I have over 27 years of experience as a Licensed Psychologist and Certified School Psychologist addressing various needs of children including (but not limited to) those associated with ADHD, oppositional defiant disorder, Autism, anxiety and depression. Given my experience in clinical and school settings, I am confident that I can help your child navigate any challenges they may face at home or school. My goal is for you and your child, to learn many useful and practical strategies in order to see positive changes.
(716) 442-8780 View (716) 442-8780
Photo of Lynn Marie Lauria, Counselor, MA, LMHC
Lynn Marie Lauria
Counselor, MA, LMHC
1 Endorsed
Orchard Park, NY 14127
Lynn M. Lauria MA, LMHC is a practicing clinician who works with adults (17 and up), couples and families. Lynn provides a compassionate and non-judgmental atmosphere in which you can safely explore and work through thoughts, feelings and beliefs, unconscious or conscious, that may have you feeling stuck. Lynn offers an eclectic orientation as well as a holistic, integrative approach to person- centered therapy. In addition, she offers traditional cognitive behavioral therapy, family systems,mindfulness/meditationand solution focused therapy. Lynn has extensive knowledge and experience in trauma focused counseling.
Lynn M. Lauria MA, LMHC is a practicing clinician who works with adults (17 and up), couples and families. Lynn provides a compassionate and non-judgmental atmosphere in which you can safely explore and work through thoughts, feelings and beliefs, unconscious or conscious, that may have you feeling stuck. Lynn offers an eclectic orientation as well as a holistic, integrative approach to person- centered therapy. In addition, she offers traditional cognitive behavioral therapy, family systems,mindfulness/meditationand solution focused therapy. Lynn has extensive knowledge and experience in trauma focused counseling.
(716) 257-4296 View (716) 257-4296
Photo of Aaron Garmon, Counselor, LMHC, CRC
Aaron Garmon
Counselor, LMHC, CRC
8 Endorsed
Orchard Park, NY 14127
I help successful people who are struggling find practical solutions. I bring over 15 years of therapeutic experience to help resolve individual, relationship, and family issues. My expertise is with clients whose trauma, addiction or disability such as ADHD, perfectionism, anger or anxiety get in the way of success and happiness. I help athletes, high stress C-Suite professionals, academics and students. If you're seeking meaningful change in your life and a therapist committed to going the extra mile, you've come to the right place.
I help successful people who are struggling find practical solutions. I bring over 15 years of therapeutic experience to help resolve individual, relationship, and family issues. My expertise is with clients whose trauma, addiction or disability such as ADHD, perfectionism, anger or anxiety get in the way of success and happiness. I help athletes, high stress C-Suite professionals, academics and students. If you're seeking meaningful change in your life and a therapist committed to going the extra mile, you've come to the right place.
(716) 706-4626 View (716) 706-4626
Photo of Jennifer Reeves - Jennifer Reeves, Attachment Focused Therapist, Counselor, LMHC
Jennifer Reeves, Attachment Focused Therapist
Counselor, LMHC
4 Endorsed
Orchard Park, NY 14127
In-person appointments encouraged. Are you finding yourself unable to outthink a problem, seem to be running into the same issue over and over, or feeling stuck about what you want to do? I help people who are struggling with depression, anxiety, and relationship concerns. Often, my clients find that their unique history continues to impact them to this current day. Together, we will further define what the problem is and move toward a more whole you. Healing can be a powerful force when someone feels heard and seen.
In-person appointments encouraged. Are you finding yourself unable to outthink a problem, seem to be running into the same issue over and over, or feeling stuck about what you want to do? I help people who are struggling with depression, anxiety, and relationship concerns. Often, my clients find that their unique history continues to impact them to this current day. Together, we will further define what the problem is and move toward a more whole you. Healing can be a powerful force when someone feels heard and seen.
(716) 391-4942 View (716) 391-4942
Photo of Nathan Diegelman, Psychologist, PhD
Nathan Diegelman
Psychologist, PhD
Orchard Park, NY 14127
Hello! I am a licensed psychologist making the move to private practice after over 17 years in a hospital clinic setting. Much of my clinical practice has focused on Tourette Syndrome, anxiety, depression, OCD, and trauma work among many other areas.
Hello! I am a licensed psychologist making the move to private practice after over 17 years in a hospital clinic setting. Much of my clinical practice has focused on Tourette Syndrome, anxiety, depression, OCD, and trauma work among many other areas.
(716) 321-5411 View (716) 321-5411

See more therapy options for 14127

How does your Therapist compare?

Number of Therapists in 14127

100+

Average cost per session

$129

Therapists in 14127 who prioritize treating:

93% Anxiety
86% Depression
76% Relationship Issues
75% Trauma and PTSD
74% Self Esteem
72% Coping Skills
69% Stress

Average years in practice

14 Years

Top 3 insurances accepted

68% Aetna
66% Highmark BCBS of Western New York
63% Independent Health

How Therapists in 14127 see their clients

87% In Person and Online
13% Online Only

Gender breakdown

83% Female
16% Male
1% Non-Binary
FAQs - About Therapy and Counseling

How can I find a therapist in 14127?

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.