Photo of Joseph Sansone, Counselor in 34134, FL
Joseph Sansone
Counselor, MS, PhD, LMHC, CCMHC
Verified Verified
Joseph Sansone, M.S., PhD, LMHC, CCMHC, is a psychotherapist specializing in clinical hypnosis, Joseph was trained in advanced clinical hypnosis at the Academy of Professional Hypnosis in 1997. Dr. Sansone has a B.A. in psychology, a M.S. in clinical mental health counseling, and a PhD in psychology. Joseph has spent much of his life as an entrepreneur and enjoys facilitating self-actualization. Joseph Sansone is a licensed mental health counselor as well as a board certified clinical mental health counselor. Dr. Sansone is also a member of the National Guild of Hypnotists.
Joseph Sansone, M.S., PhD, LMHC, CCMHC, is a psychotherapist specializing in clinical hypnosis, Joseph was trained in advanced clinical hypnosis at the Academy of Professional Hypnosis in 1997. Dr. Sansone has a B.A. in psychology, a M.S. in clinical mental health counseling, and a PhD in psychology. Joseph has spent much of his life as an entrepreneur and enjoys facilitating self-actualization. Joseph Sansone is a licensed mental health counselor as well as a board certified clinical mental health counselor. Dr. Sansone is also a member of the National Guild of Hypnotists.
(239) 970-9316 View (239) 970-9316
Photo of Andrea Ramos in 34134, FL
Andrea Ramos
PMH, RN, NLP, EMDR, MHFA
Verified Verified
My unique approach combines the precision of EMDR, the transformative power of NLP, and a wealth of experience in trauma nursing, first responder coaching, certified trauma-informed care, and crisis intervention. My commitment to guiding individuals toward lasting healing and resilience is demonstrated by a client-centered focus. Specializing in working with first responder families, I acknowledge the unique stressors and dynamics these families face.
My unique approach combines the precision of EMDR, the transformative power of NLP, and a wealth of experience in trauma nursing, first responder coaching, certified trauma-informed care, and crisis intervention. My commitment to guiding individuals toward lasting healing and resilience is demonstrated by a client-centered focus. Specializing in working with first responder families, I acknowledge the unique stressors and dynamics these families face.
(239) 206-8588 View (239) 206-8588
Photo of John Michael Papandrea, Marriage & Family Therapist in 34134, FL
John Michael Papandrea
Marriage & Family Therapist, EdD, MA, LMFT
Verified Verified
Are you looking for couples or pre-marital counseling; marriage and family therapy; assistance with relationship problems or worried about sexual dysfunction? Are you struggling with anxiety, depression or low self-esteem; experiencing career or life changes; suffering from loss or grief? Do you need an experienced professional therapist who is kind, warm, thoughtful and down-to-earth to work with? I have more than 35 years of successful experience in therapy and counseling and I realize that taking the first step toward getting help is often the most difficult.
Are you looking for couples or pre-marital counseling; marriage and family therapy; assistance with relationship problems or worried about sexual dysfunction? Are you struggling with anxiety, depression or low self-esteem; experiencing career or life changes; suffering from loss or grief? Do you need an experienced professional therapist who is kind, warm, thoughtful and down-to-earth to work with? I have more than 35 years of successful experience in therapy and counseling and I realize that taking the first step toward getting help is often the most difficult.
(239) 249-8771 View (239) 249-8771
Photo of Princess Anderson, Registered Mental Health Counselor Intern in 34134, FL
Princess Anderson
Registered Mental Health Counselor Intern, MS, RMHCI
Verified Verified
Have you experienced some form of trauma? Struggling with addiction? Or dealing with relationship challenges? You have come to the right place and have already taken the most important step in your journey toward peace of mind, connection, and confidence in your ability to achieve your goals. Often, the greatest challenge is overcoming the inertia of maintaining status quo and stepping out into the unknown where healing can begin.
Have you experienced some form of trauma? Struggling with addiction? Or dealing with relationship challenges? You have come to the right place and have already taken the most important step in your journey toward peace of mind, connection, and confidence in your ability to achieve your goals. Often, the greatest challenge is overcoming the inertia of maintaining status quo and stepping out into the unknown where healing can begin.
(239) 429-0201 View (239) 429-0201
Photo of Lindsey Wickard, Registered Mental Health Counselor Intern in 34134, FL
Lindsey Wickard
Registered Mental Health Counselor Intern, MA, RMHCI
Verified Verified
Are you a woman struggling with past abuse, self-esteem issues, or relationships? Are you a couple facing major stress in your marriage? Are you a parent concerned about your adolescent who might be experiencing mental health issues or engaging in risky behaviors? I have worked with adolescents and their parents/guardians, women, and married couples, to find solutions for the variety of issues they face. I have also studied about the holistic interaction of body, soul, and spirit, and for 20 years have mentored people of all ages within local churches.
Are you a woman struggling with past abuse, self-esteem issues, or relationships? Are you a couple facing major stress in your marriage? Are you a parent concerned about your adolescent who might be experiencing mental health issues or engaging in risky behaviors? I have worked with adolescents and their parents/guardians, women, and married couples, to find solutions for the variety of issues they face. I have also studied about the holistic interaction of body, soul, and spirit, and for 20 years have mentored people of all ages within local churches.
(239) 920-2926 View (239) 920-2926
Photo of Ida Blount, Marriage & Family Therapist in 34134, FL
Ida Blount
Marriage & Family Therapist, LMFT
Verified Verified
For over 30 years I have helped individuals, couples and famlies in Miami, and more recently in Bonita Springs, Naples and Estero. Increasing safety while restoring connection and full aliveness to relationships is my goal when working with couples and families. I am a Clinical Member of the American Association of Marriage & Family Therapists, and a Certified Imago Relationship Therapist, using methods conceived by Harville Hendrix (author of "Getting The Love You Want"). I am also trained in the Gottman method of couples therapy, and am experienced in addressing conflict and crisis situations for couples.
For over 30 years I have helped individuals, couples and famlies in Miami, and more recently in Bonita Springs, Naples and Estero. Increasing safety while restoring connection and full aliveness to relationships is my goal when working with couples and families. I am a Clinical Member of the American Association of Marriage & Family Therapists, and a Certified Imago Relationship Therapist, using methods conceived by Harville Hendrix (author of "Getting The Love You Want"). I am also trained in the Gottman method of couples therapy, and am experienced in addressing conflict and crisis situations for couples.
(239) 249-8843 View (239) 249-8843
Photo of Kathleen Rodriguez, Counselor in 34134, FL
Kathleen Rodriguez
Counselor, LMHC
Verified Verified
4 Endorsed
My practice focuses on the well being of my clients. I provide mental health services for children to adults. My passion is to serve families in the community in need of mental health counseling. I am experience in child play therapy, family therapy, marriage/couples counseling, adolescent,, individual and substance abuse counseling. I provide treatment for anxiety, depression, grief and behavioral therapy. I am fluent in English and Spanish. I look forward to serving you.
My practice focuses on the well being of my clients. I provide mental health services for children to adults. My passion is to serve families in the community in need of mental health counseling. I am experience in child play therapy, family therapy, marriage/couples counseling, adolescent,, individual and substance abuse counseling. I provide treatment for anxiety, depression, grief and behavioral therapy. I am fluent in English and Spanish. I look forward to serving you.
(844) 743-2126 View (844) 743-2126
Photo of Anamaria Ryan, Counselor in 34134, FL
Anamaria Ryan
Counselor, LMHC, CAP
Verified Verified
4 Endorsed
At any time, you can rethink your life and reinvent yourself. In a fast paced modern world, we are finding that more and more people are experiencing challenges such as depression and anxiety. Many of them choose to self medicate through habits that can develop an addiction. Many more choose to relay on prescribed medications only. However, studies have shown that the greatest chances for success are achieved by combining medication and therapy.
At any time, you can rethink your life and reinvent yourself. In a fast paced modern world, we are finding that more and more people are experiencing challenges such as depression and anxiety. Many of them choose to self medicate through habits that can develop an addiction. Many more choose to relay on prescribed medications only. However, studies have shown that the greatest chances for success are achieved by combining medication and therapy.
(239) 344-8420 View (239) 344-8420
Photo of Sunshine State Counseling Center , Clinical Social Work/Therapist in 34134, FL
Sunshine State Counseling Center
Clinical Social Work/Therapist, LCSW-S, RPT-S
Verified Verified
1 Endorsed
Sunshine State Counseling Center provides therapeutic behavioral and mental health services to children, adolescent, adults, couples and families. Significant life events can cause stress that might lead to emotional and/or behavioral problems. When these changes are noticed it is helpful to have a professional assess the biological psychological and social functioning of the individual. These assessments are completed with the purpose of identifying present strengths and needs, and together draw a road map to achieve a higher level of functioning.
Sunshine State Counseling Center provides therapeutic behavioral and mental health services to children, adolescent, adults, couples and families. Significant life events can cause stress that might lead to emotional and/or behavioral problems. When these changes are noticed it is helpful to have a professional assess the biological psychological and social functioning of the individual. These assessments are completed with the purpose of identifying present strengths and needs, and together draw a road map to achieve a higher level of functioning.
(239) 309-2185 View (239) 309-2185
Photo of Courtney Newbery, Counselor in 34134, FL
Courtney Newbery
Counselor, MA, LMHC
Verified Verified
Are you a woman feeling stuck in a place of anxiety or depression? Is fear holding you hostage? Are you feeling helpless as a parent and don't know how to navigate life in a healthy way? Do you feel frustrated in your marriage and can't figure out how to move forward on your own? Do you want someone to hear you and understand? I am passionate about helping people find freedom and discover what it looks like to live a life of joy. In addition to being a counselor, I am also a wife and a mom of four. I long to create a safe and comfortable environment for you to find healing and HOPE!
Are you a woman feeling stuck in a place of anxiety or depression? Is fear holding you hostage? Are you feeling helpless as a parent and don't know how to navigate life in a healthy way? Do you feel frustrated in your marriage and can't figure out how to move forward on your own? Do you want someone to hear you and understand? I am passionate about helping people find freedom and discover what it looks like to live a life of joy. In addition to being a counselor, I am also a wife and a mom of four. I long to create a safe and comfortable environment for you to find healing and HOPE!
(239) 420-7151 View (239) 420-7151
Photo of Michael Ryan Pinter, Psychologist in 34134, FL
Michael Ryan Pinter
Psychologist, SSP, NCSP
Verified Verified
1 Endorsed
Hello! My name is Michael Pinter and I specialize in counseling, psychoeducational assessment, and consultation. I provide services to individuals, couples, and families in my practice. Specifically, my services address issues with children, adolescents, and adults who present signs of: anxiety impulses, depression despair, obsessive compulsive behaviors, learning difficulties, relationship issues, life stage transitions, divorce challenges, or related problems. I use an empathic approach to understanding you and your current concerns and we will maneuver them together by building our therapeutic relationship.
Hello! My name is Michael Pinter and I specialize in counseling, psychoeducational assessment, and consultation. I provide services to individuals, couples, and families in my practice. Specifically, my services address issues with children, adolescents, and adults who present signs of: anxiety impulses, depression despair, obsessive compulsive behaviors, learning difficulties, relationship issues, life stage transitions, divorce challenges, or related problems. I use an empathic approach to understanding you and your current concerns and we will maneuver them together by building our therapeutic relationship.
(239) 788-0916 View (239) 788-0916
Photo of Patricia Tirone, Clinical Social Work/Therapist in 34134, FL
Patricia Tirone
Clinical Social Work/Therapist, LCSW, BCD
Verified Verified
I believe in working closely with each client in empowering them to reach their optimal potential. As a motivated and committed team, we will work together to increase your capacity for problem-solving and coping with daily and life stressors. I have a reputation for being a very involved therapist with an interactive approach. You are not in this alone. I have an extensive history of working with various clients, relationships, and issues in private practice and in inpatient and outpatient settings.
I believe in working closely with each client in empowering them to reach their optimal potential. As a motivated and committed team, we will work together to increase your capacity for problem-solving and coping with daily and life stressors. I have a reputation for being a very involved therapist with an interactive approach. You are not in this alone. I have an extensive history of working with various clients, relationships, and issues in private practice and in inpatient and outpatient settings.
(239) 494-5946 View (239) 494-5946
Photo of Bill Kuzbyt, Psychologist in 34134, FL
Bill Kuzbyt
Psychologist, PsyD, JD, MCAP
Verified Verified
At times we have all felt overwhelmed, exhausted, & maybe depressed. It doesn't matter whether it's from work stress, family issues, or other life events. Life can be very challenging & methods that worked before to help you cope may no longer work. BHS would like the opportunity to help you. I am Dr. Bill Kuzbyt and I have over 25 years of experience providing counseling & consultative services to children, couples, & adults. I have extensive experience with ADHD, conduct disorder, marital issues & family stress.
At times we have all felt overwhelmed, exhausted, & maybe depressed. It doesn't matter whether it's from work stress, family issues, or other life events. Life can be very challenging & methods that worked before to help you cope may no longer work. BHS would like the opportunity to help you. I am Dr. Bill Kuzbyt and I have over 25 years of experience providing counseling & consultative services to children, couples, & adults. I have extensive experience with ADHD, conduct disorder, marital issues & family stress.
(239) 330-9433 View (239) 330-9433
Photo of Diana M Salazar, Clinical Social Work/Therapist in 34134, FL
Diana M Salazar
Clinical Social Work/Therapist, LCSW-S, RPT-S
Verified Verified
4 Endorsed
I provide individual, couple's and family therapy to children, adolescents, adults and families experiencing emotional, behavioral, and/or social difficulties. I am a Licensed Clinical Social Worker, Registered Play Therapist and Trauma Focused Cognitive Behavioral Therapist with more than ten years of experience. I co-founded Sunshine State Counseling Center. In my practice, I empower individuals to build and develop their inner strengths by providing compassionate, ethical and professional therapeutic services.
I provide individual, couple's and family therapy to children, adolescents, adults and families experiencing emotional, behavioral, and/or social difficulties. I am a Licensed Clinical Social Worker, Registered Play Therapist and Trauma Focused Cognitive Behavioral Therapist with more than ten years of experience. I co-founded Sunshine State Counseling Center. In my practice, I empower individuals to build and develop their inner strengths by providing compassionate, ethical and professional therapeutic services.
(239) 208-0959 View (239) 208-0959
Photo of Dr. Deborah G. Heim Psy.D., Psychologist in 34134, FL
Dr. Deborah G. Heim Psy.D.
Psychologist, PsyD
Verified Verified
I have been a Licensed Clinical Psychologist for 25 years. I have worked with people who experience trauma, depression, anxiety, eating disorders, addiction, personality disorders, to name just a few. I work with adolescents and adults. I provide individual, marriage/pre-marital, family and group counseling. Therefore, I believe that I can offer a broad range of counseling training and experience.
I have been a Licensed Clinical Psychologist for 25 years. I have worked with people who experience trauma, depression, anxiety, eating disorders, addiction, personality disorders, to name just a few. I work with adolescents and adults. I provide individual, marriage/pre-marital, family and group counseling. Therefore, I believe that I can offer a broad range of counseling training and experience.
(630) 395-7568 View (630) 395-7568
Photo of Courtney Anderson, Counselor in 34134, FL
Courtney Anderson
Counselor, MA, LMHC
Verified Verified
1 Endorsed
I am passionate about helping children, teens, and young adults resolve anxious and depressive feelings that may keep them from living their best life. Even at a young age, we all experience situations that leave us wondering if we will ever be happy again. This can be devastating for the individual experiencing these symptoms and if not addressed early on, it can have long term effects into adult life. As a mental health counselor, I have had the pleasure of helping countless individuals overcome these feelings and get back to living a quality of life that was once unimaginable.
I am passionate about helping children, teens, and young adults resolve anxious and depressive feelings that may keep them from living their best life. Even at a young age, we all experience situations that leave us wondering if we will ever be happy again. This can be devastating for the individual experiencing these symptoms and if not addressed early on, it can have long term effects into adult life. As a mental health counselor, I have had the pleasure of helping countless individuals overcome these feelings and get back to living a quality of life that was once unimaginable.
(239) 977-3392 View (239) 977-3392
Photo of Robin Fatovic, Pre-Licensed Professional in 34134, FL
Robin Fatovic
Pre-Licensed Professional, PsyD
Verified Verified
Dr. Fatovic completed her clinical internship at the Bruce W. Carter VA Medical Center in Miami, Florida. Her work there included providing mental health services to the veteran population in a variety of settings. This work included individual therapy and group therapy, comprehensive psychological and neuropsychological assessments, pre-surgical clearance assessments, bedside therapy for physical rehabilitation, psychosocial and substance abuse rehabilitation, outreach with law enforcement, and interdisciplinary work with the Miami-Dade courts to advocate for justice-involved veterans.
Dr. Fatovic completed her clinical internship at the Bruce W. Carter VA Medical Center in Miami, Florida. Her work there included providing mental health services to the veteran population in a variety of settings. This work included individual therapy and group therapy, comprehensive psychological and neuropsychological assessments, pre-surgical clearance assessments, bedside therapy for physical rehabilitation, psychosocial and substance abuse rehabilitation, outreach with law enforcement, and interdisciplinary work with the Miami-Dade courts to advocate for justice-involved veterans.
(239) 522-8083 View (239) 522-8083
Photo of Barbara Flor, Counselor in 34134, FL
Barbara Flor
Counselor, EdS, LPC, LMHC
Verified Verified
2 Endorsed
Bonita Springs, FL 34134  (Online Only)
Barbara is an empathetic and experienced counselor who works with her clients to map out an individualized plan for success. As a board certified counselor, Barbara provides treatment for adults dealing with anxiety, depression, stress, self-esteem, adjusting to life's transitions and dealing with trauma. She assists clients in gaining healthy coping strategies to better handle the difficulties of life. Barbara works with her clients to decrease patterns of negative thinking and to establish a more accurate, optimistic outlook, leading to an overall sense of well-being and happiness.
Barbara is an empathetic and experienced counselor who works with her clients to map out an individualized plan for success. As a board certified counselor, Barbara provides treatment for adults dealing with anxiety, depression, stress, self-esteem, adjusting to life's transitions and dealing with trauma. She assists clients in gaining healthy coping strategies to better handle the difficulties of life. Barbara works with her clients to decrease patterns of negative thinking and to establish a more accurate, optimistic outlook, leading to an overall sense of well-being and happiness.
(904) 299-1382 View (904) 299-1382
Photo of Natalia German, Registered Mental Health Counselor Intern in 34134, FL
Natalia German
Registered Mental Health Counselor Intern, IMH2370
Verified Verified
1 Endorsed
Natalia German is a Clinical Mental Health Registered Intern with the state of Florida, working towards her Clinical Licensure. Natalia earned her bachelor’s degree from Capella University. Recently, she completed her master’s degree in Clinical Mental Health Counseling at Liberty University. Natalia has previous experience working with children in the school setting in Collier County, where she was a student intern. Natalia has experience being a victim’s advocate/counselor with Project HELP since May of 2022. She has seen clients across the lifespan presenting with grief, victimization, depression, PTSD, and relational distress.
Natalia German is a Clinical Mental Health Registered Intern with the state of Florida, working towards her Clinical Licensure. Natalia earned her bachelor’s degree from Capella University. Recently, she completed her master’s degree in Clinical Mental Health Counseling at Liberty University. Natalia has previous experience working with children in the school setting in Collier County, where she was a student intern. Natalia has experience being a victim’s advocate/counselor with Project HELP since May of 2022. She has seen clients across the lifespan presenting with grief, victimization, depression, PTSD, and relational distress.
(239) 329-7922 View (239) 329-7922
Photo of Stephanie Massaro, Counselor in 34134, FL
Stephanie Massaro
Counselor, MA, LMHC
Verified Verified
1 Endorsed
Bonita Springs, FL 34134  (Online Only)
Gaining the skills and self-compassion to guide your way through challenging emotions and experiences can be life changing. I believe it is so important to speak our feelings honestly, especially the ones that hold shame for us, with those we feel safe to do so around. There's no greater antidote for shame than hearing someone else say, "me too" or "I see you." I will absolutely be that person for you. Our therapeutic relationship will create a nurturing pathway to access your vulnerability in a way that feels safe and healing. My approach is warm and skillful, utilizing humanistic, cognitive behavioral, and mindfulness techniques.
Gaining the skills and self-compassion to guide your way through challenging emotions and experiences can be life changing. I believe it is so important to speak our feelings honestly, especially the ones that hold shame for us, with those we feel safe to do so around. There's no greater antidote for shame than hearing someone else say, "me too" or "I see you." I will absolutely be that person for you. Our therapeutic relationship will create a nurturing pathway to access your vulnerability in a way that feels safe and healing. My approach is warm and skillful, utilizing humanistic, cognitive behavioral, and mindfulness techniques.
(239) 360-4493 View (239) 360-4493

How does your Therapist compare?

Number of Therapists in 34134

40+

Average cost per session

$150

Therapists in 34134 who prioritize treating:

98% Anxiety
95% Depression
88% Relationship Issues
88% Grief
83% Self Esteem
76% Coping Skills
74% Trauma and PTSD

Average years in practice

15 Years

Top 3 insurances accepted

79% Cigna and Evernorth
63% Aetna
58% Other

How Therapists in 34134 see their clients

89% In Person and Online
11% Online Only

Gender breakdown

75% Female
25% Male
FAQs - About Therapy and Counseling

How can I find a therapist in 34134?

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.