Therapists in 24003

Photo of Sam Cowart - Thriveworks Counseling & Psychiatry Blacksburg, Licensed Professional Counselor
Thriveworks Counseling & Psychiatry Blacksburg
Licensed Professional Counselor
Serves Area
At Thriveworks, we're dedicated to providing top-tier mental health services that are easily accessible to everyone. With over 340 locations nationwide and flexible online therapy options, our professional therapists are equipped to assist you through any stress, life transitions, or ongoing mental health concerns. We prioritize your convenience and needs by offering flexible scheduling, including evening and weekend appointments, ensuring that you can start your therapy journey as early as this week. Plus, we accept most major insurance plans, making your path to mental health support smoother and more affordable.
At Thriveworks, we're dedicated to providing top-tier mental health services that are easily accessible to everyone. With over 340 locations nationwide and flexible online therapy options, our professional therapists are equipped to assist you through any stress, life transitions, or ongoing mental health concerns. We prioritize your convenience and needs by offering flexible scheduling, including evening and weekend appointments, ensuring that you can start your therapy journey as early as this week. Plus, we accept most major insurance plans, making your path to mental health support smoother and more affordable.
(855) 524-5193 View (855) 524-5193
Photo of Miosha Lamar, Licensed Professional Counselor, LPC
Miosha Lamar
Licensed Professional Counselor, LPC
Serves Area
I'm a Licensed Professional Counselor and Certified Trauma Therapist with specialized training in somatic therapy and EMDR. I have five years of experience in both community-based and outpatient environments, where I support clients through an experiential, integrative, life-based mind-body process. I believe healing isn't simply experiencing symptom relief, but becoming the most authentic version of yourself. I often quote: "The destination is in the journey." I believe that there are so many destinations on the road to healing. Healing is not one moment, but small and important changes, and breakthroughs to new destinations.
I'm a Licensed Professional Counselor and Certified Trauma Therapist with specialized training in somatic therapy and EMDR. I have five years of experience in both community-based and outpatient environments, where I support clients through an experiential, integrative, life-based mind-body process. I believe healing isn't simply experiencing symptom relief, but becoming the most authentic version of yourself. I often quote: "The destination is in the journey." I believe that there are so many destinations on the road to healing. Healing is not one moment, but small and important changes, and breakthroughs to new destinations.
(540) 386-0268 View (540) 386-0268
Photo of Mary Harper, Clinical Social Work/Therapist, LCSW
Mary Harper
Clinical Social Work/Therapist, LCSW
Online Only
Hi! I am a Licensed Clinical Social Worker based in Virginia. I received my Master's Degree in Clinical Social Work from Radford University in 2014 and have been licensed since 2017. I focus on helping adults to cope with grief/loss, depression, anxiety, and stressful/life transitions. I have worked with countless adults who have struggled with their challenging life circumstances and supported their journey to having a more full and authentic life. My current work with adults is often focused on grief/loss, depression, anxiety, stressful situations, and life transitions.
Hi! I am a Licensed Clinical Social Worker based in Virginia. I received my Master's Degree in Clinical Social Work from Radford University in 2014 and have been licensed since 2017. I focus on helping adults to cope with grief/loss, depression, anxiety, and stressful/life transitions. I have worked with countless adults who have struggled with their challenging life circumstances and supported their journey to having a more full and authentic life. My current work with adults is often focused on grief/loss, depression, anxiety, stressful situations, and life transitions.
(540) 634-6785 View (540) 634-6785
Photo of Ashli Gregory - Mindful Innovations, Counselor, MA, LPC, CSOTP
Mindful Innovations
Counselor, MA, LPC, CSOTP
1 Endorsed
Online Only
I support a broad range of individuals, such as those with self regulation and impulse control, that impact their functioning and stability. I want to help you or your loved one in stabilization of mood, thinking, and behavior to live more freely without the burdens of past experiences. I believe strongly in one's motivation to change, and I will support you while you build belief in yourself and your goals. I can help you work through barriers that may inhibit your success or hold you back from taking the steps forward in your life. While the treatment journey can be a challenging one, I can help guide your path to stability.
I support a broad range of individuals, such as those with self regulation and impulse control, that impact their functioning and stability. I want to help you or your loved one in stabilization of mood, thinking, and behavior to live more freely without the burdens of past experiences. I believe strongly in one's motivation to change, and I will support you while you build belief in yourself and your goals. I can help you work through barriers that may inhibit your success or hold you back from taking the steps forward in your life. While the treatment journey can be a challenging one, I can help guide your path to stability.
(434) 478-3048 View (434) 478-3048
Photo of Kyle Calhoun, Licensed Professional Counselor, LPC
Kyle Calhoun
Licensed Professional Counselor, LPC
Online Only
I am a Licensed Professional Counselor with seven years of experience, specializing in working with adolescents through adulthood, though I work with people of all ages. I am experienced in treating a range of diagnoses, including depression, anxiety, mood disorders, personality disorders, family systems and attachment disorders, substance-related disorders, stage-of-life changes, and grief and loss.
I am a Licensed Professional Counselor with seven years of experience, specializing in working with adolescents through adulthood, though I work with people of all ages. I am experienced in treating a range of diagnoses, including depression, anxiety, mood disorders, personality disorders, family systems and attachment disorders, substance-related disorders, stage-of-life changes, and grief and loss.
(339) 244-7023 View (339) 244-7023
Photo of Dr. Tayla Rhine, Licensed Professional Counselor, PhD, LPC
Dr. Tayla Rhine
Licensed Professional Counselor, PhD, LPC
1 Endorsed
Online Only
First, let’s take a breath and acknowledge how incredibly insightful you are for seeking therapy in the first place! At first sight, therapy on its surface appears to be daunting, and it usually demands a lot of effort from the person seeking therapy, but alas, the commitment to therapy is well worth it, because you are worth it. We owe it to ourselves to be just as invested in our mental and physical self-care, as we are in our professional lives and interpersonal relationships. Whatever the issues, big or small, I am here to tell you, that you do not have to traverse this journey alone!
First, let’s take a breath and acknowledge how incredibly insightful you are for seeking therapy in the first place! At first sight, therapy on its surface appears to be daunting, and it usually demands a lot of effort from the person seeking therapy, but alas, the commitment to therapy is well worth it, because you are worth it. We owe it to ourselves to be just as invested in our mental and physical self-care, as we are in our professional lives and interpersonal relationships. Whatever the issues, big or small, I am here to tell you, that you do not have to traverse this journey alone!
(804) 792-3207 View (804) 792-3207
Photo of Chris Miller, Licensed Professional Counselor, PhD LPC
Chris Miller
Licensed Professional Counselor, PhD LPC
Online Only
Want to get ahead in life? So, you need encouragement and motivation, I can help you get both. Even though you are depressed and anxious, you can deeply and completely love and accept yourself. Only then will you be talking progress. You can chase-down your dreams, I can help you do that, leading you to a journey and a destination. We can work together to manage strong emotions, addressingmany aspects of your life. You can advance your campaign of self-making and be delivered from that which drags you down. After all, life is more than mindfulness; you can be more than a wall flower. Let's get started.
Want to get ahead in life? So, you need encouragement and motivation, I can help you get both. Even though you are depressed and anxious, you can deeply and completely love and accept yourself. Only then will you be talking progress. You can chase-down your dreams, I can help you do that, leading you to a journey and a destination. We can work together to manage strong emotions, addressingmany aspects of your life. You can advance your campaign of self-making and be delivered from that which drags you down. After all, life is more than mindfulness; you can be more than a wall flower. Let's get started.
(636) 275-9409 View (636) 275-9409

More Therapists Nearby

Photo of Deneen Logan Evans, Counselor, PhD, LCSW
Deneen Logan Evans
Counselor, PhD, LCSW
1 Endorsed
Roanoke, VA 24012
Dr. Deneen Evans has over 30 years experience partnering with diverse clients. Her practice is based on principles of social justice, diversity and inclusion and she empowers clients to restore their mental wellness by identifying their strengths and resources. Dr. Evans enjoys working with teenagers, women and families and has experience with issues related to depression, anxiety, grief, disability, racial identity and trauma.
Dr. Deneen Evans has over 30 years experience partnering with diverse clients. Her practice is based on principles of social justice, diversity and inclusion and she empowers clients to restore their mental wellness by identifying their strengths and resources. Dr. Evans enjoys working with teenagers, women and families and has experience with issues related to depression, anxiety, grief, disability, racial identity and trauma.
(540) 274-2604 View (540) 274-2604
Photo of Patty Jean Albert, Pastoral Counselor, LPC, LTT
Patty Jean Albert
Pastoral Counselor, LPC, LTT
Blacksburg, VA 24060
Some clients are specifically looking for a faith-based therapy. Our services offer individualized temperament therapeutic care based on the Word of God. Our mission is to offer affordable Biblical counseling that equips clients with tools for success and healing. Our goal is to bring women to a better understanding of themselves and their Creator. We achieve this by the temperament profile method, providing a neutral safe space, listening to your concerns, and giving seed (God’s Word) to form a plan of wisdom and direction, with hope and compassion.
Some clients are specifically looking for a faith-based therapy. Our services offer individualized temperament therapeutic care based on the Word of God. Our mission is to offer affordable Biblical counseling that equips clients with tools for success and healing. Our goal is to bring women to a better understanding of themselves and their Creator. We achieve this by the temperament profile method, providing a neutral safe space, listening to your concerns, and giving seed (God’s Word) to form a plan of wisdom and direction, with hope and compassion.
(540) 410-1829 View (540) 410-1829
Photo of Catherine Drake, Pre-Licensed Professional, MA, NCC
Catherine Drake
Pre-Licensed Professional, MA, NCC
2 Endorsed
Blacksburg, VA 24060
I love to help my clients acknowledge their emotions, understand and reframe intrusive thoughts, set healthy boundaries, and hold space for feelings of grief when they come. I have extensive experience with adults and college-aged clients in improving symptoms ranging from anxiety, depression, social anxiety, life skills, grief and loss, relationship issues, boundary setting, and self-esteem. I want to help each client determine their own counseling goals. I'm a firm believer in autonomy in counseling. Whether this is a client's first experience with counseling or not, my hope is for clients to leave our sessions more hopeful.
I love to help my clients acknowledge their emotions, understand and reframe intrusive thoughts, set healthy boundaries, and hold space for feelings of grief when they come. I have extensive experience with adults and college-aged clients in improving symptoms ranging from anxiety, depression, social anxiety, life skills, grief and loss, relationship issues, boundary setting, and self-esteem. I want to help each client determine their own counseling goals. I'm a firm believer in autonomy in counseling. Whether this is a client's first experience with counseling or not, my hope is for clients to leave our sessions more hopeful.
(540) 340-5381 View (540) 340-5381
Photo of Hannah Hearl, Licensed Professional Counselor, LPC
Hannah Hearl
Licensed Professional Counselor, LPC
Christiansburg, VA 24073
Healing doesn’t have to happen alone. I’m Hannah, and I help adults work through trauma, anxiety, substance use, and relationship struggles with warmth, curiosity, and a touch of humor. Using approaches like DBT and somatic therapy, I create a collaborative space where you can feel safe exploring your story, building resilience, and moving toward meaningful change.
Healing doesn’t have to happen alone. I’m Hannah, and I help adults work through trauma, anxiety, substance use, and relationship struggles with warmth, curiosity, and a touch of humor. Using approaches like DBT and somatic therapy, I create a collaborative space where you can feel safe exploring your story, building resilience, and moving toward meaningful change.
(757) 540-3666 View (757) 540-3666
Photo of Krysten Garrett, Licensed Professional Counselor, LPC
Krysten Garrett
Licensed Professional Counselor, LPC
4 Endorsed
Roanoke, VA 24018
You’ve arrived home with your wonderful little bundle of joy. So why don't you feel wonderful? Maybe you feel like you’re drowning in laundry, dishes, and ever-growing to-do lists. Maybe your relationships have shifted in ways you didn’t anticipate. Maybe the “baby blues” are more intense than you expected and you’re wondering if it's something more serious. It’s normal to feel overwhelmed, unprepared, and flat-out exhausted during this brand new phase of your life, while others may be pressuring you to “enjoy every minute!” It’s also normal to need help managing the rollercoaster of emotions that come with being a new parent.
You’ve arrived home with your wonderful little bundle of joy. So why don't you feel wonderful? Maybe you feel like you’re drowning in laundry, dishes, and ever-growing to-do lists. Maybe your relationships have shifted in ways you didn’t anticipate. Maybe the “baby blues” are more intense than you expected and you’re wondering if it's something more serious. It’s normal to feel overwhelmed, unprepared, and flat-out exhausted during this brand new phase of your life, while others may be pressuring you to “enjoy every minute!” It’s also normal to need help managing the rollercoaster of emotions that come with being a new parent.
(540) 302-5766 View (540) 302-5766
Photo of Martha Sayre, Licensed Professional Counselor, LPC
Martha Sayre
Licensed Professional Counselor, LPC
Blacksburg, VA 24060
When we have been hurt in the past, we carry our wounds into the present. Not only do we carry the painful memories, but also all the accompanying feelings such as shame, anger and powerlessness. Our nervous system is on high alert and our brains prepare our bodies to survive. Our muscles get tense, our chests get tight, our shoulders ache. Trauma doesn’t have to be one terrible event. It can be the daily impact of not feeling safe and secure in our early environments. Often, we think that we have moved on, but our brains and bodies do not forget.
When we have been hurt in the past, we carry our wounds into the present. Not only do we carry the painful memories, but also all the accompanying feelings such as shame, anger and powerlessness. Our nervous system is on high alert and our brains prepare our bodies to survive. Our muscles get tense, our chests get tight, our shoulders ache. Trauma doesn’t have to be one terrible event. It can be the daily impact of not feeling safe and secure in our early environments. Often, we think that we have moved on, but our brains and bodies do not forget.
(703) 997-7410 View (703) 997-7410
Photo of Geena Jones, Licensed Professional Counselor, MEd, , LPC
Geena Jones
Licensed Professional Counselor, MEd, , LPC
1 Endorsed
Serves Area
Welcome! So happy you are here! Imagine a peaceful space where you feel heard and your feelings are valid. Therapy is a space to be yourself and explore the most challenging aspects of your life. My goal is to help you find solutions and empower you to take control of your own story.
Welcome! So happy you are here! Imagine a peaceful space where you feel heard and your feelings are valid. Therapy is a space to be yourself and explore the most challenging aspects of your life. My goal is to help you find solutions and empower you to take control of your own story.
(434) 256-2625 View (434) 256-2625
Photo of Megan Leigh Keith, Clinical Social Work/Therapist, LCSW
Megan Leigh Keith
Clinical Social Work/Therapist, LCSW
3 Endorsed
Cave Spring, VA 24018
Growth can be such a complicated and overwhelming experience. It can be hard to navigate through these challenges as you explore your ever changing identity, relationships, and environment. Sometimes your feelings can become so big and consuming that you might act out in ways that can be harmful to yourself or others around you. I want you to know that you don’t have to struggle through these big changes and challenges alone.
Growth can be such a complicated and overwhelming experience. It can be hard to navigate through these challenges as you explore your ever changing identity, relationships, and environment. Sometimes your feelings can become so big and consuming that you might act out in ways that can be harmful to yourself or others around you. I want you to know that you don’t have to struggle through these big changes and challenges alone.
(540) 264-3216 View (540) 264-3216
Photo of Katlyn Hash, Licensed Professional Counselor, MEd, LPC
Katlyn Hash
Licensed Professional Counselor, MEd, LPC
1 Endorsed
Blacksburg, VA 24060
As a counselor, I feel honored to work with clients who are navigating complex challenges such as anxiety, depression, substance use, and trauma. My ideal client is not defined by a lack of struggle, but by a willingness to show up, even when things feel overwhelming or uncertain. My role is to guide, support, and challenge my clients in ways that help them reclaim their agency, reconnect with themselves, and begin to imagine a life beyond survival—a life rooted in clarity, peace, and meaning.
As a counselor, I feel honored to work with clients who are navigating complex challenges such as anxiety, depression, substance use, and trauma. My ideal client is not defined by a lack of struggle, but by a willingness to show up, even when things feel overwhelming or uncertain. My role is to guide, support, and challenge my clients in ways that help them reclaim their agency, reconnect with themselves, and begin to imagine a life beyond survival—a life rooted in clarity, peace, and meaning.
(540) 787-2890 View (540) 787-2890
Photo of Dr. Sagen Lynae Blackwell, Licensed Professional Counselor, PhD, LPC
Dr. Sagen Lynae Blackwell
Licensed Professional Counselor, PhD, LPC
Roanoke, VA 24018
If you’re looking to calm your internal chaos or quiet your overthinking mind, counseling can help with that. Congratulations on taking the first step! I’d like to help you discover tools to gain fulfillment, meaning, happiness, and improved quality of life. I believe that counseling can help people find a state of internal balance and optimal functioning by defining values, learning ways to live congruently with those values, and gaining useful coping skills.
If you’re looking to calm your internal chaos or quiet your overthinking mind, counseling can help with that. Congratulations on taking the first step! I’d like to help you discover tools to gain fulfillment, meaning, happiness, and improved quality of life. I believe that counseling can help people find a state of internal balance and optimal functioning by defining values, learning ways to live congruently with those values, and gaining useful coping skills.
(540) 732-7703 View (540) 732-7703
Photo of Sarah M Ethridge, Clinical Social Work/Therapist, LCSW
Sarah M Ethridge
Clinical Social Work/Therapist, LCSW
1 Endorsed
Roanoke, VA 24019
Hi, I have served in the military for 8 years, that began my passion for mental health. I have 4 years of experience in the mental health field through various positions. My passion is to serve my community and fellow Veterans who have served our country, and their families. Through my own experiences and the experiences of others, I hope to support and guide you in your healing journey with compassion, respect, non-judgment, and empathy. I Specialize in trauma, depression, and anxiety. I will provide support, encouragement, understanding and compassion throughout your healing process.
Hi, I have served in the military for 8 years, that began my passion for mental health. I have 4 years of experience in the mental health field through various positions. My passion is to serve my community and fellow Veterans who have served our country, and their families. Through my own experiences and the experiences of others, I hope to support and guide you in your healing journey with compassion, respect, non-judgment, and empathy. I Specialize in trauma, depression, and anxiety. I will provide support, encouragement, understanding and compassion throughout your healing process.
(540) 787-3777 View (540) 787-3777
Photo of Kassidy Donahoe, Licensed Professional Counselor, LPC
Kassidy Donahoe
Licensed Professional Counselor, LPC
1 Endorsed
Salem, VA 24153
Hi, I’m Kassidy Donahoe, a Licensed Professional Counselor dedicated to walking beside you on your journey toward healing and growth. I specialize in supporting individuals through life transitions, emotional overwhelm, and relationship struggles, especially those who feel unheard or unseen. My approach is rooted in authenticity, compassion, and creating a space where your story truly matters. Together, we’ll work toward clarity, empowerment, and reclaiming your voice, not just to cope, but to thrive. If you’re seeking a therapist who meets you in the moment with empathy and insight, I’m here for you.
Hi, I’m Kassidy Donahoe, a Licensed Professional Counselor dedicated to walking beside you on your journey toward healing and growth. I specialize in supporting individuals through life transitions, emotional overwhelm, and relationship struggles, especially those who feel unheard or unseen. My approach is rooted in authenticity, compassion, and creating a space where your story truly matters. Together, we’ll work toward clarity, empowerment, and reclaiming your voice, not just to cope, but to thrive. If you’re seeking a therapist who meets you in the moment with empathy and insight, I’m here for you.
(540) 339-6909 View (540) 339-6909
Photo of Jennie Brogan, Licensed Professional Counselor, LPC
Jennie Brogan
Licensed Professional Counselor, LPC
Blacksburg, VA 24060
I am Jennie Brogan (pronouns she/her/they), a Licensed Professional Counselor with over 8 years of experience working with individuals in various counseling arenas. I specialize in topics related to sex and sexuality, sex therapy, couples/relationship therapy, LGBTQ+ issues, "alternative lifestyles," religion & faith, and the intersection of sex and faith. I have been successful in treating clients with depression, anxiety disorders, trauma, grief and loss, adjustment disorders, and self-esteem issues. I have helped individuals develop healthy relationships, confidence, assertiveness, and communication skills.
I am Jennie Brogan (pronouns she/her/they), a Licensed Professional Counselor with over 8 years of experience working with individuals in various counseling arenas. I specialize in topics related to sex and sexuality, sex therapy, couples/relationship therapy, LGBTQ+ issues, "alternative lifestyles," religion & faith, and the intersection of sex and faith. I have been successful in treating clients with depression, anxiety disorders, trauma, grief and loss, adjustment disorders, and self-esteem issues. I have helped individuals develop healthy relationships, confidence, assertiveness, and communication skills.
(339) 244-7023 View (339) 244-7023

See more therapy options for 24003

How does your Therapist compare?

Number of Therapists in 24003

< 10

Therapists in 24003 who prioritize treating:

100% Trauma and PTSD
86% Depression
86% Anxiety
57% Relationship Issues
57% ADHD
57% Grief
57% Anger Management

Average years in practice

15 Years

Top 3 insurances accepted

100% Aetna
100% Cigna and Evernorth
100% Anthem

How Therapists in 24003 see their clients

71% Online Only
29% In Person and Online

Gender breakdown

100% Female
FAQs - About Therapy and Counseling

How can I find a therapist in 24003?

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.