Photo of Renee Suzanne Downey, Licensed Professional Counselor, MS, LPC, NCC
Renee Suzanne Downey
Licensed Professional Counselor, MS, LPC, NCC
1 Endorsed
Online Only
Do you feel unhappy, unfulfilled, or dysfunctional due to anxiety, depression, grief or trauma? Do cognitive distortions, rumination, or negative self-talk interfere with relationships, achieving goals, or the ability to live up to your potential? Are you people pleasing not out of choice, but out of fear and obligation? Do you feel out of control, frustrated, exhausted, and hopeless? If you are ready to change negative thinking, emotional, and behavioral patterns, I can help you. Together, we can identify and understand the root causes, and implement strategies for a happier life.
Do you feel unhappy, unfulfilled, or dysfunctional due to anxiety, depression, grief or trauma? Do cognitive distortions, rumination, or negative self-talk interfere with relationships, achieving goals, or the ability to live up to your potential? Are you people pleasing not out of choice, but out of fear and obligation? Do you feel out of control, frustrated, exhausted, and hopeless? If you are ready to change negative thinking, emotional, and behavioral patterns, I can help you. Together, we can identify and understand the root causes, and implement strategies for a happier life.
(610) 557-3348 View (610) 557-3348
Photo of Kia Felicia Everett - Finding Your Way, LLC, Licensed Professional Counselor, DCC, MHS, MPSL, LPC, LBS
Finding Your Way, LLC
Licensed Professional Counselor, DCC, MHS, MPSL, LPC, LBS
Online Only
Is your life unmanageable? Are you suffering from Post Traumatic Stress Disorder as a result of a traumatic situation? Are you in a crisis? You have found your therapeutic solution. Finding Your Way, LLC is a Mental Health Urgent Care/ Mental Health Practice that will meet all of your immediate Mental Health needs. We are a well rounded comprehensive practice to move you to a place of Wellness.
Is your life unmanageable? Are you suffering from Post Traumatic Stress Disorder as a result of a traumatic situation? Are you in a crisis? You have found your therapeutic solution. Finding Your Way, LLC is a Mental Health Urgent Care/ Mental Health Practice that will meet all of your immediate Mental Health needs. We are a well rounded comprehensive practice to move you to a place of Wellness.
(484) 496-1891 View (484) 496-1891
Photo of Nancy McCormack - Behavioral Health Nurse Coach, MSN, RN, NC-, BC
Nancy McCormack - Behavioral Health Nurse Coach
Verified Verified
1 Endorsed
Online Only
I serve clients with a variety of mental and physical health concerns. • Providing in person and virtual Nurse Coaching to individuals and groups utilizing a variety of modalities including. • Mindfulness • Reiki • Guided Imagery • Nutrition Specializing in all aspects of behavioral health and promotion of mental wellness Utilizing almost 20 years of mental health and substance use experience to enhance the lives of my clients while supporting their life goals. Nurse Coaching provides holistic and science-based health and wellness promotion. In addition, Reiki has now been added to our specialty services,
I serve clients with a variety of mental and physical health concerns. • Providing in person and virtual Nurse Coaching to individuals and groups utilizing a variety of modalities including. • Mindfulness • Reiki • Guided Imagery • Nutrition Specializing in all aspects of behavioral health and promotion of mental wellness Utilizing almost 20 years of mental health and substance use experience to enhance the lives of my clients while supporting their life goals. Nurse Coaching provides holistic and science-based health and wellness promotion. In addition, Reiki has now been added to our specialty services,
(484) 601-3611 View (484) 601-3611
Photo of Dr. Charity Morgan, Psychologist, PsyD
Dr. Charity Morgan
Psychologist, PsyD
Online Only
Life can be stressful, overwhelming and confusing at times. It's as if you have this weight that is on your shoulders that does not seem to get any lighter. Therapy is a great way to unpack the load that you are carrying and help make life more manageable. Whether it's conflict with your children, spouse, co-workers or friends, or financial difficulties, or even the pressure you put on yourself, all of these concerns and more I address with my clients in therapy.
Life can be stressful, overwhelming and confusing at times. It's as if you have this weight that is on your shoulders that does not seem to get any lighter. Therapy is a great way to unpack the load that you are carrying and help make life more manageable. Whether it's conflict with your children, spouse, co-workers or friends, or financial difficulties, or even the pressure you put on yourself, all of these concerns and more I address with my clients in therapy.
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Photo of Lauren Vieweg, Licensed Professional Counselor, MA, LPC
Lauren Vieweg
Licensed Professional Counselor, MA, LPC
Online Only
Hello! I enjoy working directly with adults in the queer community, individuals struggling with grief and loss, and those struggling with substance use. As a queer woman, I understand the difficulties of living in a society that is not always understanding nor validating. If you have felt ostracized because of who you are, or because of things that have happened to you, I see you. I have spent the last 8 years working with diverse individuals on issues related to adjustment/life transitions, self-identity, life stressors, addiction, anxiety, depression, death and dying, and grief.
Hello! I enjoy working directly with adults in the queer community, individuals struggling with grief and loss, and those struggling with substance use. As a queer woman, I understand the difficulties of living in a society that is not always understanding nor validating. If you have felt ostracized because of who you are, or because of things that have happened to you, I see you. I have spent the last 8 years working with diverse individuals on issues related to adjustment/life transitions, self-identity, life stressors, addiction, anxiety, depression, death and dying, and grief.
(484) 909-9869 View (484) 909-9869
Photo of Diane C Stowe, Clinical Social Work/Therapist, LCSW
Diane C Stowe
Clinical Social Work/Therapist, LCSW
Clifton Heights, PA 19018
Are you willing to get to know yourself better? Are you willing to learn more about why you do the things you do, to be thoughtful about yourself? Are you willing to change? Are you willing to accept that some changes come easier than others? If so, I will listen and assist you with this. Sometimes it is a matter of learning simple techniques and other times it is a matter of getting to know yourself better, gaining a new perspective, and making new choices by experimenting with new or other ideas and behaviors to see what works for you now.
Are you willing to get to know yourself better? Are you willing to learn more about why you do the things you do, to be thoughtful about yourself? Are you willing to change? Are you willing to accept that some changes come easier than others? If so, I will listen and assist you with this. Sometimes it is a matter of learning simple techniques and other times it is a matter of getting to know yourself better, gaining a new perspective, and making new choices by experimenting with new or other ideas and behaviors to see what works for you now.
(267) 719-3201 View (267) 719-3201
Photo of Taylor Christine Farr, Licensed Professional Counselor, LPC, MA
Taylor Christine Farr
Licensed Professional Counselor, LPC, MA
Online Only
Taylor's ideal client is someone who wants to implement effective strategies to achieve their goals. Taylor's ideal clients consist of those with anxiety, depression, trauma, PTSD, self-esteem, confidence concerns, time management, phase-of-life transitions, and other related topics. Taylor's ideal client is someone who is communicative and wants to see change, as Taylor strives to make the counseling process as effective for them as she can without causing any anxiety in the client.
Taylor's ideal client is someone who wants to implement effective strategies to achieve their goals. Taylor's ideal clients consist of those with anxiety, depression, trauma, PTSD, self-esteem, confidence concerns, time management, phase-of-life transitions, and other related topics. Taylor's ideal client is someone who is communicative and wants to see change, as Taylor strives to make the counseling process as effective for them as she can without causing any anxiety in the client.
(484) 537-7976 View (484) 537-7976
Photo of Andréa Durnell-Grady, Clinical Social Work/Therapist, LCSW
Andréa Durnell-Grady
Clinical Social Work/Therapist, LCSW
Online Only
I am a licensed clinical social worker specializing in anxiety, depression, and trauma disorders, with experience in schools, outpatient settings, crisis response, and private practice. I provide a safe, supportive space and take an integrative approach to therapy, honoring each client’s unique journey. Believing that you are the expert in your own life, I collaborate with you to foster healing, growth, and healthy coping skills.
I am a licensed clinical social worker specializing in anxiety, depression, and trauma disorders, with experience in schools, outpatient settings, crisis response, and private practice. I provide a safe, supportive space and take an integrative approach to therapy, honoring each client’s unique journey. Believing that you are the expert in your own life, I collaborate with you to foster healing, growth, and healthy coping skills.
(484) 302-4661 View (484) 302-4661
Photo of Andre Steven Watson, Psychologist, PsyD, PLY
Andre Steven Watson
Psychologist, PsyD, PLY
2 Endorsed
Aldan, PA 19018
Waitlist for new clients
Hi, My name is Dr. Andre Watson and I am a clinical psychologist in Aldan, Pennsylvania: just west of West Philadelphia. I have experience working with people from all kinds of situations, from overwhelmed parents, to anxious teens, to those depressed and lonely, to those coping with childhood trauma and abuse, to perpetrator's and victims of violence , to those couples getting ready for a loving life together, to those just working on more having more fulfilling lives. It is important to me that we spend time talking about how therapy can help and how you can get the most benefit from therapy.
Hi, My name is Dr. Andre Watson and I am a clinical psychologist in Aldan, Pennsylvania: just west of West Philadelphia. I have experience working with people from all kinds of situations, from overwhelmed parents, to anxious teens, to those depressed and lonely, to those coping with childhood trauma and abuse, to perpetrator's and victims of violence , to those couples getting ready for a loving life together, to those just working on more having more fulfilling lives. It is important to me that we spend time talking about how therapy can help and how you can get the most benefit from therapy.
(215) 631-3230 View (215) 631-3230
Photo of Dante Duval Barfield, Licensed Professional Counselor, MA, NCC, LPC
Dante Duval Barfield
Licensed Professional Counselor, MA, NCC, LPC
2 Endorsed
Online Only
Hey there. If you're reading this you may be wondering "is this guy the right therapist for me?" That is a question I hold dearly. Browsing this website can bring a flurry of emotions when seeking a therapist. It can be tough to find the right fit, and also can be a challenge just to get started. I hope, as you read my profile, there is a chance you may think I can play a role in your mental health journey. The people who tend to seek me for help tend to those seeking trauma work, and also people who are "stuck".
Hey there. If you're reading this you may be wondering "is this guy the right therapist for me?" That is a question I hold dearly. Browsing this website can bring a flurry of emotions when seeking a therapist. It can be tough to find the right fit, and also can be a challenge just to get started. I hope, as you read my profile, there is a chance you may think I can play a role in your mental health journey. The people who tend to seek me for help tend to those seeking trauma work, and also people who are "stuck".
(267) 214-9610 View (267) 214-9610
Photo of Michele Hurtt - Lifebulb Counseling & Therapy, Licensed Professional Counselor, LPC
Lifebulb Counseling & Therapy
Licensed Professional Counselor, LPC
Online Only
Working with us you'll get results. Because we believe you're best served by a clinician who's passionate about not only their work, but who they work with as well. That's why we started Lifebulb - We're committed to building an organization that truly allows therapists to get back to enjoying their work, so you, our client, can receive the highest quality therapy services, whether in person at one of our locations or online through telehealth. We hire only highly trained and educated, licensed clinicians dedicated to the therapy process. We're confident we can help you achieve your therapy goals.
Working with us you'll get results. Because we believe you're best served by a clinician who's passionate about not only their work, but who they work with as well. That's why we started Lifebulb - We're committed to building an organization that truly allows therapists to get back to enjoying their work, so you, our client, can receive the highest quality therapy services, whether in person at one of our locations or online through telehealth. We hire only highly trained and educated, licensed clinicians dedicated to the therapy process. We're confident we can help you achieve your therapy goals.
(610) 819-7245 View (610) 819-7245
Photo of Emily Zubriski, Associate Professional Counselor, MS, LAPC
Emily Zubriski
Associate Professional Counselor, MS, LAPC
Serves Area
You show up, get things done, and make it look easy, but no one sees how hard you're working just to hold it all together. On the outside, you seem calm, capable, and composed. On the inside, you're overwhelmed, anxious, and caught in a loop of self-doubt and never feeling good enough. If you’re navigating the demands of a high-stress career, this pattern might feel all too familiar. The constant drive to perform, the fear of letting people down, the pressure to be perfect… it’s exhausting! And it can make you wonder if it will ever feel easier, if you’ll ever feel truly at peace with where you are, who you are, and how much you do.
You show up, get things done, and make it look easy, but no one sees how hard you're working just to hold it all together. On the outside, you seem calm, capable, and composed. On the inside, you're overwhelmed, anxious, and caught in a loop of self-doubt and never feeling good enough. If you’re navigating the demands of a high-stress career, this pattern might feel all too familiar. The constant drive to perform, the fear of letting people down, the pressure to be perfect… it’s exhausting! And it can make you wonder if it will ever feel easier, if you’ll ever feel truly at peace with where you are, who you are, and how much you do.
(484) 669-0486 View (484) 669-0486
Photo of Allyson Sproul - Recovery Works - PA, Clinical Social Work/Therapist, LCSW, CAADC
Recovery Works - PA
Clinical Social Work/Therapist, LCSW, CAADC
Serves Area
My name is Allyson Sproul LCSW, CAADC and I work with people navigating substance use disorders, anxiety, and depression at my state licensed practice, Recovery Works-PA. Not sure if you fall into those categories, but still feel like counseling could help? No problem! Call or email for a free consultation and get one step closer to creating the healthier life you deserve. Together we can develop your treatment plan and help you get on track to feeling better and accomplishing your goals. You can create change in your life, and I am honored for the opportunity to join you on your journey.
My name is Allyson Sproul LCSW, CAADC and I work with people navigating substance use disorders, anxiety, and depression at my state licensed practice, Recovery Works-PA. Not sure if you fall into those categories, but still feel like counseling could help? No problem! Call or email for a free consultation and get one step closer to creating the healthier life you deserve. Together we can develop your treatment plan and help you get on track to feeling better and accomplishing your goals. You can create change in your life, and I am honored for the opportunity to join you on your journey.
(610) 632-5036 View (610) 632-5036

More Therapists Nearby

Photo of Gregory M Wilson, Clinical Social Work/Therapist, MDiv, MSS, LCSW
Gregory M Wilson
Clinical Social Work/Therapist, MDiv, MSS, LCSW
Newtown Square, PA 19073
What are you looking for and what are you struggling to find? Sometimes that search centers around finding the right tools for a given situation. Other times, the search might be to uncover who we are or who we are becoming. Whatever the case is, something has brought you to this place, at this moment. I’m curious to hear more about where you are right now.
What are you looking for and what are you struggling to find? Sometimes that search centers around finding the right tools for a given situation. Other times, the search might be to uncover who we are or who we are becoming. Whatever the case is, something has brought you to this place, at this moment. I’m curious to hear more about where you are right now.
(484) 652-8122 View (484) 652-8122
Photo of Jennifer Candelario, Licensed Professional Counselor, LPC
Jennifer Candelario
Licensed Professional Counselor, LPC
Newtown, PA 18940
Are you struggling with difficult life transitions, depression, & anxiety? I enjoy working with clients who feel motivated to take that first step of exploring reasons why they are feeling unhappy or dissatisfied with their lives right now. I work with clients who want to gain insight & learn tangible skills that they can practice outside of the therapeutic sessions to change their lives for the better. My role as a Licensed Professional Counselor is to help individuals gain insight and feel empowered to create positive change in their lives. I offer a collaborative approach to create a unique treatment plan tailored to your needs.
Are you struggling with difficult life transitions, depression, & anxiety? I enjoy working with clients who feel motivated to take that first step of exploring reasons why they are feeling unhappy or dissatisfied with their lives right now. I work with clients who want to gain insight & learn tangible skills that they can practice outside of the therapeutic sessions to change their lives for the better. My role as a Licensed Professional Counselor is to help individuals gain insight and feel empowered to create positive change in their lives. I offer a collaborative approach to create a unique treatment plan tailored to your needs.
(267) 662-2027 View (267) 662-2027
Photo of Jade Motto, Licensed Social Worker, LSW
Jade Motto
Licensed Social Worker, LSW
Serves Area
I pride myself in offering nonjudgmental therapeutic services to help individuals, couples, and families overcome challenges and achieve positive mental health outcomes. I believe in creating a warm and structured space where clients feel safe exploring their thoughts, emotions, and personal experiences. Through utilizing evidence-based therapeutic approaches, such as Cognitive-Behavioral Therapy (CBT), Emotionally Focused Therapy (EFT), and Solution-Focused Brief Therapy (SFBT), I am able to tailor my interventions to meet clients' specific needs and goals.
I pride myself in offering nonjudgmental therapeutic services to help individuals, couples, and families overcome challenges and achieve positive mental health outcomes. I believe in creating a warm and structured space where clients feel safe exploring their thoughts, emotions, and personal experiences. Through utilizing evidence-based therapeutic approaches, such as Cognitive-Behavioral Therapy (CBT), Emotionally Focused Therapy (EFT), and Solution-Focused Brief Therapy (SFBT), I am able to tailor my interventions to meet clients' specific needs and goals.
(609) 400-4765 View (609) 400-4765
Photo of Nariesh R Paltoo, Pastoral Counselor, MA, MFT
Nariesh R Paltoo
Pastoral Counselor, MA, MFT
Online Only
I believe that the foundation of a strong Marriage and family begins with healthy communication and understanding. Through our counseling sessions, I help families develop effective communication skills, build deeper spiritual connections, and work through any conflicts or challenges that may arise. As a Christian Counselor specializing in Marriage and family, I can empathize with most people when dealing with relationship issues, anxiety, depression, ADD, ADHD, OCD, and bipolar disorders.
I believe that the foundation of a strong Marriage and family begins with healthy communication and understanding. Through our counseling sessions, I help families develop effective communication skills, build deeper spiritual connections, and work through any conflicts or challenges that may arise. As a Christian Counselor specializing in Marriage and family, I can empathize with most people when dealing with relationship issues, anxiety, depression, ADD, ADHD, OCD, and bipolar disorders.
(646) 713-1813 View (646) 713-1813
Photo of Matt Coffman, Licensed Professional Counselor, MS, LPC
Matt Coffman
Licensed Professional Counselor, MS, LPC
2 Endorsed
Online Only
We all have moments in life when we don't know what to do, or simply can't figure out the next step. Often when something is too difficult for us to handle we talk to someone else. Whether its, stress, lack of motivation, anger, sadness, grief, or relationship issues, I am here to help. My goal is to help you move towards growth and connection. Developing skills that you will take with you out of a session and into your everyday life. Don't let this area of difficulty stop you in your tracks.
We all have moments in life when we don't know what to do, or simply can't figure out the next step. Often when something is too difficult for us to handle we talk to someone else. Whether its, stress, lack of motivation, anger, sadness, grief, or relationship issues, I am here to help. My goal is to help you move towards growth and connection. Developing skills that you will take with you out of a session and into your everyday life. Don't let this area of difficulty stop you in your tracks.
(215) 608-5647 View (215) 608-5647
Photo of Christina Penge, Licensed Professional Counselor, LPC
Christina Penge
Licensed Professional Counselor, LPC
Online Only
I provide counseling for children, adolescents, and adults. With over 13 years of experience in various levels of care, including outpatient, inpatient, and longer-term care, I focus on Cognitive Behavioral Therapy. It's important that therapy fits the individual, and I work with each person to personalize care for growth and guidance.
I provide counseling for children, adolescents, and adults. With over 13 years of experience in various levels of care, including outpatient, inpatient, and longer-term care, I focus on Cognitive Behavioral Therapy. It's important that therapy fits the individual, and I work with each person to personalize care for growth and guidance.
(267) 448-3578 View (267) 448-3578
Photo of Stacey Luczejko, Licensed Professional Counselor, EdS, MA, LPC, LMHC, NCC
Stacey Luczejko
Licensed Professional Counselor, EdS, MA, LPC, LMHC, NCC
1 Endorsed
Online Only
Do you feel overwhelmed by life lately? Wouldn't it be great if life was a never-ending vacation! Problems and bad days wouldn't exist and we would live over and over the best days of our life. Well, life is forever changing. Change happens all around us... with family, friends, work, relationships, or with our health. How is change impacting your life? Do you feel stressed, anxious, or depressed? Do you feel like no one understands? Do you feel like you don't know what to do about the problem you are facing? Do you feel like life is passing you by and you just can't get ahead? Can you relate? Then you have come to the right place.
Do you feel overwhelmed by life lately? Wouldn't it be great if life was a never-ending vacation! Problems and bad days wouldn't exist and we would live over and over the best days of our life. Well, life is forever changing. Change happens all around us... with family, friends, work, relationships, or with our health. How is change impacting your life? Do you feel stressed, anxious, or depressed? Do you feel like no one understands? Do you feel like you don't know what to do about the problem you are facing? Do you feel like life is passing you by and you just can't get ahead? Can you relate? Then you have come to the right place.
(215) 398-7491 View (215) 398-7491

See more therapy options for 19018

How does your Therapist compare?

Number of Therapists in 19018

10+

Average cost per session

$125

Therapists in 19018 who prioritize treating:

100% Depression
100% Anxiety
92% Trauma and PTSD
77% Coping Skills
77% Self Esteem
69% Relationship Issues
69% Addiction

Average years in practice

6 Years

Top 3 insurances accepted

91% Aetna
82% Cigna and Evernorth
73% Independence Blue Cross

How Therapists in 19018 see their clients

69% Online Only
31% In Person and Online

Gender breakdown

85% Female
15% Male
FAQs - About Therapy and Counseling

How can I find a therapist in 19018?

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.