Therapists in 24219

Photo of Sarabeth Marshall, Pre-Licensed Professional, MEd
Sarabeth Marshall
Pre-Licensed Professional, MEd
5 Endorsed
Serves Area
You may be feeling stressed, anxious, or weighed down by challenges in your life or relationships. Maybe you want a safe space to talk things through, sort out what you are feeling, and find healthier ways to cope. You might also be hoping for stronger connections with the people you care about or simply wishing to feel more at peace with yourself. If you're ready to take steps toward greater self-understanding, I would be honored to walk alongside you. Together, we can work on managing emotions, improving communication, and building the confidence to face life’s ups and downs. My goal is to support you along the way.
You may be feeling stressed, anxious, or weighed down by challenges in your life or relationships. Maybe you want a safe space to talk things through, sort out what you are feeling, and find healthier ways to cope. You might also be hoping for stronger connections with the people you care about or simply wishing to feel more at peace with yourself. If you're ready to take steps toward greater self-understanding, I would be honored to walk alongside you. Together, we can work on managing emotions, improving communication, and building the confidence to face life’s ups and downs. My goal is to support you along the way.
(276) 421-4109 View (276) 421-4109
Photo of Melissa Dye, Clinical Social Work/Therapist, LCSW, CSOTP
Melissa Dye
Clinical Social Work/Therapist, LCSW, CSOTP
Serves Area
My clients ages range across the lifespan from age three to eighty three. Working in different environments such as inpatient, outpatient, and school based programs has enhanced my skills and knowledge to provide person centered care.
My clients ages range across the lifespan from age three to eighty three. Working in different environments such as inpatient, outpatient, and school based programs has enhanced my skills and knowledge to provide person centered care.
(276) 531-9328 View (276) 531-9328
Photo of Rachel Alvarez, Clinical Social Work/Therapist, LCSW
Rachel Alvarez
Clinical Social Work/Therapist, LCSW
Online Only
Hello! I’m so glad you’re here! My name is Rachel Alvarez. I am a Licensed Clinical Social Worker and a Certified Substance Abuse Counselor. I have a strong background in mental health and substance abuse treatment and I am dedicated to providing compassionate and effective support to individuals and families navigating challenges. My goal is to help clients achieve lasting positive change through evidence-based practices and personalized care.
Hello! I’m so glad you’re here! My name is Rachel Alvarez. I am a Licensed Clinical Social Worker and a Certified Substance Abuse Counselor. I have a strong background in mental health and substance abuse treatment and I am dedicated to providing compassionate and effective support to individuals and families navigating challenges. My goal is to help clients achieve lasting positive change through evidence-based practices and personalized care.
(804) 220-8398 View (804) 220-8398

More Therapists Nearby

Photo of Tiffany Tait, Licensed Professional Counselor, LPC, NCC, ASDCS, MS
Tiffany Tait
Licensed Professional Counselor, LPC, NCC, ASDCS, MS
2 Endorsed
Serves Area
I'm a Nationally Certified, Licensed Professional Counselor. I am currently accepting new adult and teen clients using virtual/teletherapy (in-person available for clients within the Greater Richmond Area) for support with Autism, personality disorders, schizophrenia, phobias, bipolar disorder, trauma, anxiety, depression, relationship/intimacy dysfunction, establishing healthy boundaries, and assertive communication skills I am a member of the American Counseling Association, the Association for Assessment and Research in Counseling, the Counselors for Social Justice, and the National Employment Counseling Association
I'm a Nationally Certified, Licensed Professional Counselor. I am currently accepting new adult and teen clients using virtual/teletherapy (in-person available for clients within the Greater Richmond Area) for support with Autism, personality disorders, schizophrenia, phobias, bipolar disorder, trauma, anxiety, depression, relationship/intimacy dysfunction, establishing healthy boundaries, and assertive communication skills I am a member of the American Counseling Association, the Association for Assessment and Research in Counseling, the Counselors for Social Justice, and the National Employment Counseling Association
(571) 517-1794 View (571) 517-1794
Photo of Stephanie Hope Strouth - Anchoring Hope Counseling, LLC, Licensed Professional Counselor, LPC
Anchoring Hope Counseling, LLC
Licensed Professional Counselor, LPC
5 Endorsed
Wise, VA 24293
At Anchoring Hope, we are here to support you in overcoming life’s challenges. Whether you're struggling with anxiety, depression, relationship issues, or family dynamics, our compassionate therapists are ready to guide you. Our goal is to help you build coping skills and emotional resilience, empowering you to live a more fulfilling, balanced life. We offer individual, couple, and family therapy to address your unique needs. Visit www.ahchope.com to connect with a therapist, complete our interest form, or explore helpful resources!
At Anchoring Hope, we are here to support you in overcoming life’s challenges. Whether you're struggling with anxiety, depression, relationship issues, or family dynamics, our compassionate therapists are ready to guide you. Our goal is to help you build coping skills and emotional resilience, empowering you to live a more fulfilling, balanced life. We offer individual, couple, and family therapy to address your unique needs. Visit www.ahchope.com to connect with a therapist, complete our interest form, or explore helpful resources!
(276) 242-3540 View (276) 242-3540
Photo of John S. Paul, Resident in Counseling, MA, BC-TMH
John S. Paul
Resident in Counseling, MA, BC-TMH
11 Endorsed
Wise, VA 24293
Healing from attachment wounds and early life trauma can feel overwhelming. If you struggle with self-doubt, shame, or a sense of not being enough, you are not alone. Even taking a moment to read this is a meaningful step. You can move toward feeling more connected, accepted, and at peace with yourself. Simply know you don’t have to do it alone. You might feel stuck or unsure where to turn. Maybe you’re craving relief, clarity, or just a place to slow down and be seen. I offer a safe, supportive space to explore your experiences, reconnect with yourself, and start finding the balance and understanding you’ve been looking for.
Healing from attachment wounds and early life trauma can feel overwhelming. If you struggle with self-doubt, shame, or a sense of not being enough, you are not alone. Even taking a moment to read this is a meaningful step. You can move toward feeling more connected, accepted, and at peace with yourself. Simply know you don’t have to do it alone. You might feel stuck or unsure where to turn. Maybe you’re craving relief, clarity, or just a place to slow down and be seen. I offer a safe, supportive space to explore your experiences, reconnect with yourself, and start finding the balance and understanding you’ve been looking for.
(276) 688-6203 View (276) 688-6203
Photo of Lori M Long, Licensed Professional Counselor, MEd, LPC, NCC
Lori M Long
Licensed Professional Counselor, MEd, LPC, NCC
Serves Area
Lori Long, a Licensed Professional and National Certified Virginia Counselor, has worked in varied fields, including public and private schools, and in-home and psychiatric hospital settings. Long has many years of experience addressing anxiety, depression, attention deficit disorders, autism, bi-polar behavior, attachment/adjustment difficulties, serious emotional issues, behavioral challenges and trauma survival. By offering unique opportunity in a private, confidential setting, Long seeks to empower her clients to overcome challenges, leading them toward the authentic realization of a satisfying, rewarding life.
Lori Long, a Licensed Professional and National Certified Virginia Counselor, has worked in varied fields, including public and private schools, and in-home and psychiatric hospital settings. Long has many years of experience addressing anxiety, depression, attention deficit disorders, autism, bi-polar behavior, attachment/adjustment difficulties, serious emotional issues, behavioral challenges and trauma survival. By offering unique opportunity in a private, confidential setting, Long seeks to empower her clients to overcome challenges, leading them toward the authentic realization of a satisfying, rewarding life.
(276) 325-2420 View (276) 325-2420
Photo of Dr. Dean Leav - Psychological Testing & Evaluations - Dr. Dean, Psychologist, PsyD, QME, Author
Psychological Testing & Evaluations - Dr. Dean
Psychologist, PsyD, QME, Author
Norton, VA 24273
I’m Dr. Dean Leav. I've been featured on ABC, NBC, KCAL, and other programs as an expert psychologist. I conduct ADHD / autism / learning disability evaluations, legal / forensic evaluations for court, risk assessment (violence / sexual), cognitive / neuropsychological evaluations, diagnostic psychological evaluations, immigration evaluations, adoption evaluations, parenting / bonding assessments, drug & alcohol evaluations, fitness for duty evaluations, workers' compensation (QME/AME) evaluations, and other types of psychological evaluations / assessments.
I’m Dr. Dean Leav. I've been featured on ABC, NBC, KCAL, and other programs as an expert psychologist. I conduct ADHD / autism / learning disability evaluations, legal / forensic evaluations for court, risk assessment (violence / sexual), cognitive / neuropsychological evaluations, diagnostic psychological evaluations, immigration evaluations, adoption evaluations, parenting / bonding assessments, drug & alcohol evaluations, fitness for duty evaluations, workers' compensation (QME/AME) evaluations, and other types of psychological evaluations / assessments.
(276) 624-6831 View (276) 624-6831
Photo of Shaylan Gross, Pre-Licensed Professional
Shaylan Gross
Pre-Licensed Professional
Wise, VA 24293
Hi, I'm Shaylan. Life can shift in ways we don’t anticipate, and sometimes we wake up feeling lost in our own story. Maybe you’re working through relationship trouble, struggling to set boundaries, or battling the quiet exhaustion of trying to hold it all together. I offer a space where you can unpack it all, meeting you exactly where you are, without expectations.
Hi, I'm Shaylan. Life can shift in ways we don’t anticipate, and sometimes we wake up feeling lost in our own story. Maybe you’re working through relationship trouble, struggling to set boundaries, or battling the quiet exhaustion of trying to hold it all together. I offer a space where you can unpack it all, meeting you exactly where you are, without expectations.
(276) 531-3339 View (276) 531-3339
Photo of Chad Runyon, Licensed Professional Counselor, LPC
Chad Runyon
Licensed Professional Counselor, LPC
Serves Area
Have you almost gotten used to feeling stuck, trapped or lost? Maybe life hasn't turned out the way you once hoped it might. Relationships can go sour or fade away. In the dark moments we can feel terribly alone, misunderstood or broken. The trials of living can simply run us ragged. You're not alone if you sometimes lie awake wondering how you got to wherever you are in life.
Have you almost gotten used to feeling stuck, trapped or lost? Maybe life hasn't turned out the way you once hoped it might. Relationships can go sour or fade away. In the dark moments we can feel terribly alone, misunderstood or broken. The trials of living can simply run us ragged. You're not alone if you sometimes lie awake wondering how you got to wherever you are in life.
(571) 506-7109 View (571) 506-7109
Photo of Cheri Ann Meadowlark, Marriage & Family Therapist, LMFT
Cheri Ann Meadowlark
Marriage & Family Therapist, LMFT
Clintwood, VA 24228
My focus is to help individuals heal, energize, and become aware of their inner strengths. I create a safe space for you to work through trauma, OCD, anxiety and depression. This is a judgment free zone. I achieve this by providing a neutral safe space, listening to your concerns, and customizing a treatment plan that supports you in reaching your goals. .
My focus is to help individuals heal, energize, and become aware of their inner strengths. I create a safe space for you to work through trauma, OCD, anxiety and depression. This is a judgment free zone. I achieve this by providing a neutral safe space, listening to your concerns, and customizing a treatment plan that supports you in reaching your goals. .
(276) 323-9682 View (276) 323-9682
Photo of Shelley Ward, Resident in Counseling, MS, CSAC-S
Shelley Ward
Resident in Counseling, MS, CSAC-S
4 Endorsed
Serves Area
Every person carries a story uniquely their own, & in the moments when challenges arise, finding someone truly steady and compassionate can feel rare. It is important to me for my clients to feel that they are heard, accepted, & understood. I bring a genuine, direct approach to supporting your goals, and that may occasionally involve challenging certain ideas. I specialize with individuals navigating: anxiety, depression, addiction recovery, self harm, suicidal ideations, trauma, & life transitions. While I work especially well with teens through individuals in their 30s, I welcome clients of all backgrounds and stages of life.
Every person carries a story uniquely their own, & in the moments when challenges arise, finding someone truly steady and compassionate can feel rare. It is important to me for my clients to feel that they are heard, accepted, & understood. I bring a genuine, direct approach to supporting your goals, and that may occasionally involve challenging certain ideas. I specialize with individuals navigating: anxiety, depression, addiction recovery, self harm, suicidal ideations, trauma, & life transitions. While I work especially well with teens through individuals in their 30s, I welcome clients of all backgrounds and stages of life.
(276) 300-4422 View (276) 300-4422
Photo of Brittany Wampler, Licensed Professional Counselor, LPC
Brittany Wampler
Licensed Professional Counselor, LPC
5 Endorsed
Wise, VA 24293
Let’s walk through your story together! I’m Brittany Wampler, an LPC in Virginia. My journey started in teaching, but after experiencing personal loss and challenges, I felt called to help others navigate their own struggles. With a Master’s in Education from Lindsey Wilson, along with degrees in Education, English, and Literature, I bring a unique perspective to therapy—one that values your personal story and the meaning behind your experiences. Whether you're facing grief, life transitions, or emotional challenges, I’m here to provide a compassionate space where you feel heard, understood, and empowered to move forward.
Let’s walk through your story together! I’m Brittany Wampler, an LPC in Virginia. My journey started in teaching, but after experiencing personal loss and challenges, I felt called to help others navigate their own struggles. With a Master’s in Education from Lindsey Wilson, along with degrees in Education, English, and Literature, I bring a unique perspective to therapy—one that values your personal story and the meaning behind your experiences. Whether you're facing grief, life transitions, or emotional challenges, I’m here to provide a compassionate space where you feel heard, understood, and empowered to move forward.
(276) 566-1702 View (276) 566-1702
Photo of Deborah Wallace, Pre-Licensed Professional, Assoc.
Deborah Wallace
Pre-Licensed Professional, Assoc.
5 Endorsed
Wise, VA 24293
You love each other, so why does it feel this hard? Why does every conversation turn into the same fight, shutdown, or distance? I work with couples and individuals stuck in painful relationship patterns, constant conflict, disconnection, or trust issues. Many come in exhausted, repeating the same cycles and unsure how to fix it. Together, we get underneath what’s really driving those patterns, help you communicate in ways that actually land, and create real change so you can feel more connected, secure, and understood, even if you need to attend individually.
You love each other, so why does it feel this hard? Why does every conversation turn into the same fight, shutdown, or distance? I work with couples and individuals stuck in painful relationship patterns, constant conflict, disconnection, or trust issues. Many come in exhausted, repeating the same cycles and unsure how to fix it. Together, we get underneath what’s really driving those patterns, help you communicate in ways that actually land, and create real change so you can feel more connected, secure, and understood, even if you need to attend individually.
(276) 325-7955 View (276) 325-7955
Photo of Kandice Ketterling - Thriveworks Counseling & Psychiatry Abingdon, Counselor
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.
(276) 900-1442 View (276) 900-1442
Photo of Lillian Arriona Yates, Clinical Social Work/Therapist, LCSW
Lillian Arriona Yates
Clinical Social Work/Therapist, LCSW
3 Endorsed
Serves Area
Waitlist for new clients
Therapy is a place to heal, grow, set goals, and get to know yourself, where you don’t have to wear a mask or say you’re “Okay” even if you’re not. A place to be your genuine self without judgement or criticism. I practice strengths-based treatment and want my clients to feel accomplished, validated, and supported at the end of a session. We all have different goals for therapy. Whether yours is healing trauma, improving relationships or managing stress your goals are important and deserve the time and effort that therapy requires. I can help you to gain new perspective and move toward achieving your goal.
Therapy is a place to heal, grow, set goals, and get to know yourself, where you don’t have to wear a mask or say you’re “Okay” even if you’re not. A place to be your genuine self without judgement or criticism. I practice strengths-based treatment and want my clients to feel accomplished, validated, and supported at the end of a session. We all have different goals for therapy. Whether yours is healing trauma, improving relationships or managing stress your goals are important and deserve the time and effort that therapy requires. I can help you to gain new perspective and move toward achieving your goal.
(423) 607-0809 View (423) 607-0809
Photo of Alyssia Rodriguez, Clinical Social Work/Therapist, LCSW
Alyssia Rodriguez
Clinical Social Work/Therapist, LCSW
2 Endorsed
Online Only
If you’re part of the LGBTQIA+ community and ready to set boundaries and feel more like yourself, you’re in the right place. You might be looking to strengthen your sense of self, express your needs more confidently, and release the weight of others’ expectations. Together, we can explore your patterns, understand your emotions more clearly, and support you in moving toward a more authentic and aligned version of yourself.
If you’re part of the LGBTQIA+ community and ready to set boundaries and feel more like yourself, you’re in the right place. You might be looking to strengthen your sense of self, express your needs more confidently, and release the weight of others’ expectations. Together, we can explore your patterns, understand your emotions more clearly, and support you in moving toward a more authentic and aligned version of yourself.
(571) 506-0398 View (571) 506-0398
Photo of Samantha Schaffer, MSEd, LPC
Samantha Schaffer
Verified Verified
1 Endorsed
Online Only
Are you feeling stuck in your relationships — unsure of your needs, boundaries, or who you are anymore? Maybe you’ve been in a toxic dynamic or find yourself repeating patterns that leave you anxious or overwhelmed. I work with young and midlife adults from diverse backgrounds — including people of all genders, LGBTQ+ folks, and BIPOC individuals — to better understand themselves and build healthier, more authentic relationships, starting with the one they have with themselves.
Are you feeling stuck in your relationships — unsure of your needs, boundaries, or who you are anymore? Maybe you’ve been in a toxic dynamic or find yourself repeating patterns that leave you anxious or overwhelmed. I work with young and midlife adults from diverse backgrounds — including people of all genders, LGBTQ+ folks, and BIPOC individuals — to better understand themselves and build healthier, more authentic relationships, starting with the one they have with themselves.
(571) 322-8129 View (571) 322-8129
Photo of Dora Smith, Licensed Professional Counselor, LPC
Dora Smith
Licensed Professional Counselor, LPC
Online Only
Hello, I'm Dora Smith. I am a Licensed Professional Counselor, in the state of Virginia and South Carolina. I am a former teacher who worked with the regular and special education environment. I received my Bachelor’s degree from the University of Alabama and my Master’s degree in Clinical Mental Health from the University of the Cumberlands in Williamsburg, Kentucky. I work with individuals, couples, and adolescents to improve relationship concerns, self-esteem, depression, anxiety, post-partum, grief, life transitions, ADHD, PTSD, and addictions. I believe everyone can overcome their struggles with support and genuine effort.
Hello, I'm Dora Smith. I am a Licensed Professional Counselor, in the state of Virginia and South Carolina. I am a former teacher who worked with the regular and special education environment. I received my Bachelor’s degree from the University of Alabama and my Master’s degree in Clinical Mental Health from the University of the Cumberlands in Williamsburg, Kentucky. I work with individuals, couples, and adolescents to improve relationship concerns, self-esteem, depression, anxiety, post-partum, grief, life transitions, ADHD, PTSD, and addictions. I believe everyone can overcome their struggles with support and genuine effort.
(276) 242-2382 View (276) 242-2382
Photo of Erin Janovec, Licensed Professional Counselor, LPC
Erin Janovec
Licensed Professional Counselor, LPC
Online Only
Hello! My name is Erin Janovec. I am a licensed professional counselor in Virginia. My approach to therapy is a humanistic and integrated approach that considers each individual's unique needs. I am certified in EMDR and trained in TF-CBT. I have worked with clients ranging from young to old with varying diagnoses. I have experience working with individuals with substance use disorders, depression, anxiety, bipolar, OCD, PTSD, ADHD, and more.
Hello! My name is Erin Janovec. I am a licensed professional counselor in Virginia. My approach to therapy is a humanistic and integrated approach that considers each individual's unique needs. I am certified in EMDR and trained in TF-CBT. I have worked with clients ranging from young to old with varying diagnoses. I have experience working with individuals with substance use disorders, depression, anxiety, bipolar, OCD, PTSD, ADHD, and more.
(804) 373-2360 View (804) 373-2360

See more therapy options for 24219

How does your Therapist compare?

Number of Therapists in 24219

< 10

Therapists in 24219 who prioritize treating:

100% Depression
100% Anxiety
67% Child
67% Relationship Issues
67% ADHD
67% Obsessive-Compulsive (OCD)
67% Trauma and PTSD

Average years in practice

13 Years

Top 3 insurances accepted

100% BlueCross and BlueShield
100% Anthem
100% Anthem HealthKeepers

How Therapists in 24219 see their clients

67% In Person and Online
33% Online Only

Gender breakdown

100% Female
FAQs - About Therapy and Counseling

How can I find a therapist in 24219?

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.