Therapists in Philadelphia, PA

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Photo of Randolph Walters & Associates, LLC, Licensed Professional Counselor in Philadelphia, PA
Randolph Walters & Associates, LLC
Licensed Professional Counselor, PsyD, LPC, CCTP, CSAM
Verified Verified
2 Endorsed
Philadelphia, PA 19151
Randolph Walters and Associates is a community-based, counseling and psychotherapy practice specializing in individual, couples, family and group counseling. We proudly serve the Greater Philadelphia region and beyond. Our mission is to create an environment where people are accepted and challenged on a journey to wholeness, connection and construction of alternate realities.
Randolph Walters and Associates is a community-based, counseling and psychotherapy practice specializing in individual, couples, family and group counseling. We proudly serve the Greater Philadelphia region and beyond. Our mission is to create an environment where people are accepted and challenged on a journey to wholeness, connection and construction of alternate realities.
(610) 991-7270 View (610) 991-7270
Photo of Anne Nisenzon, Psychologist in Philadelphia, PA
Anne Nisenzon
Psychologist, PhD
Verified Verified
Philadelphia, PA 19119
Sometimes life throws obstacles at you that are out of your control, but that does not mean you cannot live your optimally healthy life. Being truly healthy includes emotional, social, mental and physical well-being. When these aspects of life are out of balance due to health problems, work stress, or personal issues, it can feel like your whole world is falling apart. Working through these challenges and learning the best coping tools can help you put it back together. I strive to help you move through challenges in achieving a healthy mind and body using practical, evidence-based strategies and compassionate tailored care.
Sometimes life throws obstacles at you that are out of your control, but that does not mean you cannot live your optimally healthy life. Being truly healthy includes emotional, social, mental and physical well-being. When these aspects of life are out of balance due to health problems, work stress, or personal issues, it can feel like your whole world is falling apart. Working through these challenges and learning the best coping tools can help you put it back together. I strive to help you move through challenges in achieving a healthy mind and body using practical, evidence-based strategies and compassionate tailored care.
(215) 876-0526 View (215) 876-0526
Photo of Jill Lamar, Licensed Professional Counselor in Philadelphia, PA
Jill Lamar
Licensed Professional Counselor, LPC, MA
Verified Verified
Philadelphia, PA 19107
Jill Lamar is a Licensed Professional Counselor (LPC) in the state of Pennsylvania. Jill’s specialties include helping clients with anxiety, depression, grief, couples therapy, and working with adolescents and clients in their 20s, adjusting to the challenges of life and the changes they bring, as well as perceived academic or vocational underperformance. Jill treats survivors of abuse of all kinds, as well as those who struggle with addictions and other compulsive behaviors, and (in conjunction with a medical professional) dual-diagnosis conditions.
Jill Lamar is a Licensed Professional Counselor (LPC) in the state of Pennsylvania. Jill’s specialties include helping clients with anxiety, depression, grief, couples therapy, and working with adolescents and clients in their 20s, adjusting to the challenges of life and the changes they bring, as well as perceived academic or vocational underperformance. Jill treats survivors of abuse of all kinds, as well as those who struggle with addictions and other compulsive behaviors, and (in conjunction with a medical professional) dual-diagnosis conditions.
(339) 218-3090 View (339) 218-3090
Photo of Ronika Burton, Clinical Social Work/Therapist in Philadelphia, PA
Ronika Burton
Clinical Social Work/Therapist, LCSW
Verified Verified
1 Endorsed
Philadelphia, PA 19144  (Online Only)
My ideal client is motivated for treatment and willing to work with me to uncover the path to finding their best self! My ideal client is open to gentle feedback and is willing to express themselves openly with me. My ideal client wants to grow and is willing to put in the effort to improve their life circumstances.
My ideal client is motivated for treatment and willing to work with me to uncover the path to finding their best self! My ideal client is open to gentle feedback and is willing to express themselves openly with me. My ideal client wants to grow and is willing to put in the effort to improve their life circumstances.
(215) 458-2270 View (215) 458-2270
Photo of Madeline Weber, Pre-Licensed Professional in Philadelphia, PA
Madeline Weber
Pre-Licensed Professional
Verified Verified
3 Endorsed
Philadelphia, PA 19102  (Online Only)
Welcome, and how amazing we are both meeting here. When looking for a therapist there can be many uncertainties, regardless if this is your first time or you are well-versed in searching for a therapist that will suit your needs. I am here to walk alongside you in this journey, offering support, guidance, and healthy coping skills to help you reach your goals. I am passionate about working with persons of all identities that are willing to look into their experiences of anxiety, depression, trauma, childhood, and discomfort that are occurring in their lives. I also offer a sliding scale to accommodate financial needs.
Welcome, and how amazing we are both meeting here. When looking for a therapist there can be many uncertainties, regardless if this is your first time or you are well-versed in searching for a therapist that will suit your needs. I am here to walk alongside you in this journey, offering support, guidance, and healthy coping skills to help you reach your goals. I am passionate about working with persons of all identities that are willing to look into their experiences of anxiety, depression, trauma, childhood, and discomfort that are occurring in their lives. I also offer a sliding scale to accommodate financial needs.
(484) 623-6001 View (484) 623-6001
Photo of Kristin Wood, Clinical Social Work/Therapist in Philadelphia, PA
Kristin Wood
Clinical Social Work/Therapist, LCSW, MSSA
Verified Verified
1 Endorsed
Philadelphia, PA 19130
Looking for an empathetic, supportive, solution-focused therapist? The clients I serve appreciate the connection we share and the candid, compassionate style that structures each therapy session. You don't have to continue feeling stuck in a relationship. Anxious or depressive symptoms don't have to continue to make each day a struggle. Loving yourself is possible. Change is difficult, but if you are ready for it, and you have the right tools, you can be successful. "You can change what's going on around you when you start changing what's going on within you."
Looking for an empathetic, supportive, solution-focused therapist? The clients I serve appreciate the connection we share and the candid, compassionate style that structures each therapy session. You don't have to continue feeling stuck in a relationship. Anxious or depressive symptoms don't have to continue to make each day a struggle. Loving yourself is possible. Change is difficult, but if you are ready for it, and you have the right tools, you can be successful. "You can change what's going on around you when you start changing what's going on within you."
(215) 608-1724 View (215) 608-1724
Photo of Lisa Vespico-Mull, Licensed Professional Counselor in Philadelphia, PA
Lisa Vespico-Mull
Licensed Professional Counselor, LPC, SAP, ICAADC
Verified Verified
1 Endorsed
Philadelphia, PA 19103  (Online Only)
Embrace Your Change LLC helps adolescents and adults struggling with SUD. I have a calm demeanor and I am very empathetic. I have always been passionate about assisting people struggling with addiction and their family members but I have also served many experiencing depression, anxiety, grief, divorce, marital issues, stress, and life transitions. I can work with teens, couples, and families. I will address your goals and help encourage you to see your blind spots and move forward. Due to my life experiences, I am able to connect on many levels and use my intuition and skills to help you make lasting change and find solutions.
Embrace Your Change LLC helps adolescents and adults struggling with SUD. I have a calm demeanor and I am very empathetic. I have always been passionate about assisting people struggling with addiction and their family members but I have also served many experiencing depression, anxiety, grief, divorce, marital issues, stress, and life transitions. I can work with teens, couples, and families. I will address your goals and help encourage you to see your blind spots and move forward. Due to my life experiences, I am able to connect on many levels and use my intuition and skills to help you make lasting change and find solutions.
(484) 900-8032 View (484) 900-8032
Photo of Philip Grimes, Licensed Professional Counselor in Philadelphia, PA
Philip Grimes
Licensed Professional Counselor, LPC
Verified Verified
Philadelphia, PA 19103
Dr. Grimes is a Licensed Professional Counselor and has 16 years of experience. He has practiced in a variety of setting including inpatient psychiatric, addictions, and community mental health. He specializes in the treatment of anger, anxiety disorders, depression, grief/loss, OCD, post-traumatic stress disorder, and co-occurring substance use disorders. Dr. Grimes holds an MA in clinical counseling psychology from La Salle University, a PhD in holistic psychology from the Institute of Metaphysical Humanistic Sciences, and certifications in addictions, co-occurring disorders, and trauma informed care.
Dr. Grimes is a Licensed Professional Counselor and has 16 years of experience. He has practiced in a variety of setting including inpatient psychiatric, addictions, and community mental health. He specializes in the treatment of anger, anxiety disorders, depression, grief/loss, OCD, post-traumatic stress disorder, and co-occurring substance use disorders. Dr. Grimes holds an MA in clinical counseling psychology from La Salle University, a PhD in holistic psychology from the Institute of Metaphysical Humanistic Sciences, and certifications in addictions, co-occurring disorders, and trauma informed care.
(267) 318-4905 View (267) 318-4905
Photo of Heidi Unterberg, Licensed Professional Counselor in Philadelphia, PA
Heidi Unterberg
Licensed Professional Counselor, LPC
Verified Verified
Philadelphia, PA 19103  (Online Only)
Does it feel like life decisions are sometimes, mostly, or always difficult to make? Does it feel like others do not value those life decisions or put you down? Do relationships seem to just fall apart for no apparent reason? Is work-life balance overwhelming and exhaustive? Is it hard to be kind to yourself or even others? Does nothing in life seem to go right no matter how hard you work or try to please others? Do you feel defeated? Are there feelings that have become more difficult to control? Feeling shamed, embarrassed, or disgusted toward yourself? You are now in the right place at the right time to start feeling better!
Does it feel like life decisions are sometimes, mostly, or always difficult to make? Does it feel like others do not value those life decisions or put you down? Do relationships seem to just fall apart for no apparent reason? Is work-life balance overwhelming and exhaustive? Is it hard to be kind to yourself or even others? Does nothing in life seem to go right no matter how hard you work or try to please others? Do you feel defeated? Are there feelings that have become more difficult to control? Feeling shamed, embarrassed, or disgusted toward yourself? You are now in the right place at the right time to start feeling better!
(484) 559-6662 View (484) 559-6662
Photo of Kira Markoff, Clinical Social Work/Therapist in Philadelphia, PA
Kira Markoff
Clinical Social Work/Therapist, PhD, LCSW, CCTP, YTT200
Verified Verified
Philadelphia, PA 19103  (Online Only)
Welcome. I'm a clinical social worker licensed in Maryland.
Welcome. I'm a clinical social worker licensed in Maryland.
(240) 332-4482 View (240) 332-4482
Photo of Dawn Polansky, Licensed Professional Counselor in Philadelphia, PA
Dawn Polansky
Licensed Professional Counselor, MS, LPC
Verified Verified
1 Endorsed
Philadelphia, PA 19107
Not accepting new clients
My first goal as your therapist would be to create a safe and accepting atmosphere in which you can feel comfortable expressing your thoughts and feelings openly. I believe a warm and trusting therapeutic relationship is the most important part of creating real change. We will work together to explore your concerns, eliminate barriers, and identify your strengths to help you achieve your goals.
My first goal as your therapist would be to create a safe and accepting atmosphere in which you can feel comfortable expressing your thoughts and feelings openly. I believe a warm and trusting therapeutic relationship is the most important part of creating real change. We will work together to explore your concerns, eliminate barriers, and identify your strengths to help you achieve your goals.
(267) 966-2306 View (267) 966-2306
Photo of Aliyyah Johnson, Pre-Licensed Professional in Philadelphia, PA
Aliyyah Johnson
Pre-Licensed Professional, MFT
Verified Verified
2 Endorsed
Philadelphia, PA 19103
At the core, I believe we all want to feel loved, heard, and understood. However, there may be things getting in the way of what we want, such as trauma, family influences, and societal messaging. My goal is to co-create a space with you (and your partner) that is affirming of your unique background and experiences. We can explore where you’re feeling stuck and how to create new opportunities for healing, intimacy, and connection. I work with individuals and couples of all backgrounds but have particular interest and experience in the queer, poly/CNM, and Black communities.
At the core, I believe we all want to feel loved, heard, and understood. However, there may be things getting in the way of what we want, such as trauma, family influences, and societal messaging. My goal is to co-create a space with you (and your partner) that is affirming of your unique background and experiences. We can explore where you’re feeling stuck and how to create new opportunities for healing, intimacy, and connection. I work with individuals and couples of all backgrounds but have particular interest and experience in the queer, poly/CNM, and Black communities.
(484) 577-2453 View (484) 577-2453
Photo of Ellesse Rougier, Pre-Licensed Professional in Philadelphia, PA
Ellesse Rougier
Pre-Licensed Professional, LMSW
Verified Verified
1 Endorsed
Philadelphia, PA 19143  (Online Only)
Have you been feeling unfulfilled, bogged down with life’s demands, challenges from the pandemic or big life changes? Does it seem that no matter what you do, you can’t catch up or make important choices? Anxiety, trauma, outside pressures, or a breakup may have you feeling like you can no longer manage what life brings. Something is telling you that you need a shift and that how things have been going only reminding you of how unhappy you really are. Past trauma, relationships or life transition may have you feeling stuck and you know that it’s time to start creating new patterns in order to get to where you’ve always wanted to be
Have you been feeling unfulfilled, bogged down with life’s demands, challenges from the pandemic or big life changes? Does it seem that no matter what you do, you can’t catch up or make important choices? Anxiety, trauma, outside pressures, or a breakup may have you feeling like you can no longer manage what life brings. Something is telling you that you need a shift and that how things have been going only reminding you of how unhappy you really are. Past trauma, relationships or life transition may have you feeling stuck and you know that it’s time to start creating new patterns in order to get to where you’ve always wanted to be
(215) 712-8352 View (215) 712-8352
Photo of Damon Constantinides, Clinical Social Work/Therapist in Philadelphia, PA
Damon Constantinides
Clinical Social Work/Therapist, PhD, LCSW
Verified Verified
5 Endorsed
Philadelphia, PA 19107
Waitlist for new clients
These are uncertain times. Therapy can be an anchor as we all weather the unpredictable circumstances of our lives and the world around us. It can be a place to grow, heal, or make changes in your live that feel difficult. I work with clients who need help managing anxiety, are feeling sad or confused, or are going through a hard time. I see my job as sitting next to you, seeing the world through your eyes, and helping you come up with the plan that's right for you. I come from a relational and social justice perspective and bring tools from narrative therapy, cognitive behavioral therapy, and mindfulness based stress reduction.
These are uncertain times. Therapy can be an anchor as we all weather the unpredictable circumstances of our lives and the world around us. It can be a place to grow, heal, or make changes in your live that feel difficult. I work with clients who need help managing anxiety, are feeling sad or confused, or are going through a hard time. I see my job as sitting next to you, seeing the world through your eyes, and helping you come up with the plan that's right for you. I come from a relational and social justice perspective and bring tools from narrative therapy, cognitive behavioral therapy, and mindfulness based stress reduction.
(215) 273-3601 View (215) 273-3601
Photo of Andrea Schwartz, Licensed Professional Counselor in Philadelphia, PA
Andrea Schwartz
Licensed Professional Counselor, LPC
Verified Verified
Philadelphia, PA 19103  (Online Only)
Welcome! My goal is to support you in making positive changes in your life, become empowered, address challenges head-on, and improve overall well-being. Maybe, you feel that your life is a tangled ball of yarn - chaotic, messy, and disorganized. You aren't quite sure where to begin to untangle it, and the thought of starting this task seems scary.
Welcome! My goal is to support you in making positive changes in your life, become empowered, address challenges head-on, and improve overall well-being. Maybe, you feel that your life is a tangled ball of yarn - chaotic, messy, and disorganized. You aren't quite sure where to begin to untangle it, and the thought of starting this task seems scary.
(484) 882-0914 View (484) 882-0914
Photo of Haydn Hornstein-Platt, Clinical Social Work/Therapist in Philadelphia, PA
Haydn Hornstein-Platt
Clinical Social Work/Therapist, LCSW
Verified Verified
1 Endorsed
Philadelphia, PA 19103
I specialize in working with chronic conditions, mood disorders, anxiety, and life transitions, and I’m also experienced in working with folks who are struggling with trauma, ADHD, grief, and more. As your therapist, it’s my role to support you in meeting your goals, and sometimes even to develop a deeper understanding of why those goals are your focus. I will work with you to co-create the therapeutic space that serves you best. I lead with compassion, humor, and collaboration and I will at times challenge you when growth is within reach.
I specialize in working with chronic conditions, mood disorders, anxiety, and life transitions, and I’m also experienced in working with folks who are struggling with trauma, ADHD, grief, and more. As your therapist, it’s my role to support you in meeting your goals, and sometimes even to develop a deeper understanding of why those goals are your focus. I will work with you to co-create the therapeutic space that serves you best. I lead with compassion, humor, and collaboration and I will at times challenge you when growth is within reach.
(484) 613-3139 View (484) 613-3139
Photo of Timothy Judson, Clinical Social Work/Therapist in Philadelphia, PA
Timothy Judson
Clinical Social Work/Therapist, LCSW
Verified Verified
Philadelphia, PA 19103  (Online Only)
Hello. I am a licenced clinical social worker who loves life and working with others. I have had my struggles in life, and after seeking and recieving help, I fell in love with the idea of making a difference by challenging and supporting people in the therapeutic process.
Hello. I am a licenced clinical social worker who loves life and working with others. I have had my struggles in life, and after seeking and recieving help, I fell in love with the idea of making a difference by challenging and supporting people in the therapeutic process.
(484) 946-3862 View (484) 946-3862
Photo of Tori Mittelman, Clinical Social Work/Therapist in Philadelphia, PA
Tori Mittelman
Clinical Social Work/Therapist, LMSW
Verified Verified
Philadelphia, PA 19144  (Online Only)
Have you been feeling overwhelmed by the smallest of tasks lately? Do you watch mental health Tik-Tok videos and think: " that sounds like me!" ? Do you feel like you are blowing up at friends and family over tiny instances? Maybe you're deciding that now is finally the time to address the trauma you've been putting on the backburner. Whatever your reason may be for having the courage and insight to seek help, I am here for you. I believe therapy is like getting an oil change for your mind. Let's get it changed regularly so we can keep you running in your best form.
Have you been feeling overwhelmed by the smallest of tasks lately? Do you watch mental health Tik-Tok videos and think: " that sounds like me!" ? Do you feel like you are blowing up at friends and family over tiny instances? Maybe you're deciding that now is finally the time to address the trauma you've been putting on the backburner. Whatever your reason may be for having the courage and insight to seek help, I am here for you. I believe therapy is like getting an oil change for your mind. Let's get it changed regularly so we can keep you running in your best form.
(215) 935-4520 View (215) 935-4520
Photo of Andi L Snyder, Clinical Social Work/Therapist in Philadelphia, PA
Andi L Snyder
Clinical Social Work/Therapist, MA, LCSW
Verified Verified
Philadelphia, PA 19122
Not accepting new clients
Are you looking for a warm and open space to process anxiety, trauma, or other life events? I enjoy working with individuals who are living with ADHD, have experienced trauma, or have a unique family formation. I tailor our work to your unique situation. I bring warmth, energy, and openness to each session. I am a Certified Clinical Trauma Professional and bring a trauma-informed approach to therapy. I also have experience working with all members of the adoption triad & have completed additional training in adoption-informed therapeutic practice as well as additional training in CBT for ADHD through the Beck Institute.
Are you looking for a warm and open space to process anxiety, trauma, or other life events? I enjoy working with individuals who are living with ADHD, have experienced trauma, or have a unique family formation. I tailor our work to your unique situation. I bring warmth, energy, and openness to each session. I am a Certified Clinical Trauma Professional and bring a trauma-informed approach to therapy. I also have experience working with all members of the adoption triad & have completed additional training in adoption-informed therapeutic practice as well as additional training in CBT for ADHD through the Beck Institute.
(267) 662-2669 View (267) 662-2669
Photo of Bally Radatti, Licensed Professional Counselor in Philadelphia, PA
Bally Radatti
Licensed Professional Counselor, MA, NCC, LPC
Verified Verified
Philadelphia, PA 19103
Waitlist for new clients
I provide treatment to children, teenagers, adults and families, focusing on my clients’ strengths to help them to establish meaningful relationships and pursue fulfilling lives. Trust and collaboration set the foundation of the therapeutic process, and so it is vital for me to meet my clients where they are as we work together to individualize treatment based upon their unique qualities and experiences.
I provide treatment to children, teenagers, adults and families, focusing on my clients’ strengths to help them to establish meaningful relationships and pursue fulfilling lives. Trust and collaboration set the foundation of the therapeutic process, and so it is vital for me to meet my clients where they are as we work together to individualize treatment based upon their unique qualities and experiences.
(267) 753-6119 View (267) 753-6119

See more therapy options for Philadelphia

How does your Therapist compare?

Number of Therapists in Philadelphia, PA

3,000+

Average cost per session

$143

Therapists in Philadelphia, PA who prioritize treating:

92% Anxiety
87% Depression
74% Self Esteem
71% Relationship Issues
69% Trauma and PTSD
64% Coping Skills
60% Stress

Average years in practice

10 Years

Top 3 insurances accepted

79% Aetna
67% UnitedHealthcare UHC | UBH
65% Cigna and Evernorth

How Therapists in Philadelphia, PA see their clients

50% In Person and Online
50% Online Only

Gender breakdown

77% Female
20% Male
3% Non-Binary
FAQs - About Therapy and Counseling

How can I find a therapist in Philadelphia?

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.