Therapists in 40504

Photo of Aleesha Brown, Pre-Licensed Professional, LPCA
Aleesha Brown
Pre-Licensed Professional, LPCA
1 Endorsed
Lexington, KY 40504
Counseling adults navigating trauma, life transitions, grief, or adjustment challenges, especially those who want to integrate faith into the healing process. In session, I will create a welcoming and inclusive space where clients from diverse backgrounds can safely explore their experiences, build insight, and develop tools for lasting healing. Whether you are working through the effects of trauma or seeking support for personal growth, our team is here to walk alongside you on your path toward greater mental stability and quality of life. We help you move forward by meeting you where you are using eviden approaches.
Counseling adults navigating trauma, life transitions, grief, or adjustment challenges, especially those who want to integrate faith into the healing process. In session, I will create a welcoming and inclusive space where clients from diverse backgrounds can safely explore their experiences, build insight, and develop tools for lasting healing. Whether you are working through the effects of trauma or seeking support for personal growth, our team is here to walk alongside you on your path toward greater mental stability and quality of life. We help you move forward by meeting you where you are using eviden approaches.
(859) 305-3874 View (859) 305-3874
Photo of Colby Cohen-Archer, Psychologist, PhD, PMH-C
Colby Cohen-Archer
Psychologist, PhD, PMH-C
6 Endorsed
Lexington, KY 40504
I believe in the healing power of a caring safe relationship. We create a safe space where you can feel your feelings without worrying about how they will affect others, where you can learn skills for coping with painful emotions and hard circumstances, and where together we make a plan so you can feel like yourself again. While I tailor what I do in counseling to your needs and goals, my goal is for you to feel more capable of living the life you want as a result of our time together.
I believe in the healing power of a caring safe relationship. We create a safe space where you can feel your feelings without worrying about how they will affect others, where you can learn skills for coping with painful emotions and hard circumstances, and where together we make a plan so you can feel like yourself again. While I tailor what I do in counseling to your needs and goals, my goal is for you to feel more capable of living the life you want as a result of our time together.
(859) 212-3265 View (859) 212-3265
Photo of Andrea Bozja, Licensed Professional Clinical Counselor, EdM, MA, LPCC
Andrea Bozja
Licensed Professional Clinical Counselor, EdM, MA, LPCC
2 Endorsed
Lexington, KY 40504
As an anxiety specialist, I am dedicated to helping you develop a better relationship with your thoughts and harness your innate resilience to overcome life's challenges. I focus on a goal-directed treatment that addresses excessive worry, fears, and panic. As a believer of mind-body integration, I include exposure and response prevention methods with established cognitive-behavioral and mindfulness based techniques throughout treatment. I am also a therapeutic yoga instructor and offer this compliment to therapy to clients.
As an anxiety specialist, I am dedicated to helping you develop a better relationship with your thoughts and harness your innate resilience to overcome life's challenges. I focus on a goal-directed treatment that addresses excessive worry, fears, and panic. As a believer of mind-body integration, I include exposure and response prevention methods with established cognitive-behavioral and mindfulness based techniques throughout treatment. I am also a therapeutic yoga instructor and offer this compliment to therapy to clients.
(678) 890-2472 View (678) 890-2472
Photo of Michelle W Usery, Marriage & Family Therapist, LMFT
Michelle W Usery
Marriage & Family Therapist, LMFT
1 Endorsed
Lexington, KY 40504
Have you noticed increased feelings of anxiety, sadness, isolation, or tension due to the complex and demanding environment we live in? Have you experienced previous trauma or attachment issues that linger into your current relationships and well being? Are you attempting to improve a broken relationship? Do you seek to heal and live a more healthy and fulfilled life rooted in your own values and strengths? Do you feel ready to make a change?
Have you noticed increased feelings of anxiety, sadness, isolation, or tension due to the complex and demanding environment we live in? Have you experienced previous trauma or attachment issues that linger into your current relationships and well being? Are you attempting to improve a broken relationship? Do you seek to heal and live a more healthy and fulfilled life rooted in your own values and strengths? Do you feel ready to make a change?
(859) 493-8255 View (859) 493-8255
Photo of Melinda Moore, Psychologist, PhD
Melinda Moore
Psychologist, PhD
1 Endorsed
Lexington, KY 40504
Are you feeling depressed or anxious, and possibly having thoughts of suicide? I provide suicide-focused treatment for individuals who are struggling with suicidal thoughts, feelings, and behaviors. I also provide cognitive-behavioral approaches for a range of clinical concerns affecting adults, including Posttraumatic Stress Disorder, depression and other mood disorders, anxiety, substance abuse, grief and bereavement, especially suicide bereavement.
Are you feeling depressed or anxious, and possibly having thoughts of suicide? I provide suicide-focused treatment for individuals who are struggling with suicidal thoughts, feelings, and behaviors. I also provide cognitive-behavioral approaches for a range of clinical concerns affecting adults, including Posttraumatic Stress Disorder, depression and other mood disorders, anxiety, substance abuse, grief and bereavement, especially suicide bereavement.
(859) 457-1210 View (859) 457-1210
Photo of Dr. Lauren Elizabeth Downey, Licensed Professional Counselor, EdD, LPCC-S
Dr. Lauren Elizabeth Downey
Licensed Professional Counselor, EdD, LPCC-S
1 Endorsed
Lexington, KY 40504
Generational trauma, racialized trauma, system-induced trauma... Trauma is far-reaching and multifaceted and to varying degrees, trauma impacts every single person on the face of this Earth. As a trauma specialist and sex therapy provider, those who seek to gain insight and process trauma(s) and current life stressors I am here to support you on that journey. Inclusive exploration, culturally responsive, and trauma-based services including "EMDR Intensives". YOU have the ability to highlight and tap into your own empowerment, peace, joy, and self-love. Growth and healing begins within. If you are ready to do the work, I am here!
Generational trauma, racialized trauma, system-induced trauma... Trauma is far-reaching and multifaceted and to varying degrees, trauma impacts every single person on the face of this Earth. As a trauma specialist and sex therapy provider, those who seek to gain insight and process trauma(s) and current life stressors I am here to support you on that journey. Inclusive exploration, culturally responsive, and trauma-based services including "EMDR Intensives". YOU have the ability to highlight and tap into your own empowerment, peace, joy, and self-love. Growth and healing begins within. If you are ready to do the work, I am here!
(859) 295-3882 View (859) 295-3882
Photo of Jill C Keogh, Clinical Social Work/Therapist, MSW, LCSW
Jill C Keogh
Clinical Social Work/Therapist, MSW, LCSW
Lexington, KY 40504
Are you wanting to be free of constant anxiety, worry and self doubt? You may be feeling stuck or lost. Do you experience panic attacks? Does worrying and anxiety create difficulties in your personal and/or professional life? You may be losing sleep by worrying all night. You frequently ask: What's wrong with me? For so many, these fears take on a life of their own and it feels so overwhelming. Our thinking and resulting behaviors can be changed, and we are then able to bring more relaxation and joy into our lives, more success in our relationships and jobs, and have better health.
Are you wanting to be free of constant anxiety, worry and self doubt? You may be feeling stuck or lost. Do you experience panic attacks? Does worrying and anxiety create difficulties in your personal and/or professional life? You may be losing sleep by worrying all night. You frequently ask: What's wrong with me? For so many, these fears take on a life of their own and it feels so overwhelming. Our thinking and resulting behaviors can be changed, and we are then able to bring more relaxation and joy into our lives, more success in our relationships and jobs, and have better health.
(859) 448-1321 View (859) 448-1321
Photo of Federico (Felito) Aldarondo, Psychologist, PhD
Federico (Felito) Aldarondo
Psychologist, PhD
11 Endorsed
Lexington, KY 40504
It takes courage to face life's problems and strength to reach out for help. Thanks for reading my profile as you consider your options. I strive to provide a safe and comfortable atmosphere in therapy. I am approachable and flexible, and believe I provide a good balance of support and challenge. Therapy with me can address struggles or can be growth oriented. My experience working in mental health spans over 25 years in a variety of settings and with many psychological and emotional concerns. Email or call to set up a free brief phone consultation to see if my experience, clinical approach and style match your needs.
It takes courage to face life's problems and strength to reach out for help. Thanks for reading my profile as you consider your options. I strive to provide a safe and comfortable atmosphere in therapy. I am approachable and flexible, and believe I provide a good balance of support and challenge. Therapy with me can address struggles or can be growth oriented. My experience working in mental health spans over 25 years in a variety of settings and with many psychological and emotional concerns. Email or call to set up a free brief phone consultation to see if my experience, clinical approach and style match your needs.
(859) 904-1106 View (859) 904-1106
Photo of Ashley Hudson - Ashley Hudson, LCSW, LLC, Clinical Social Work/Therapist, LCSW
Ashley Hudson, LCSW, LLC
Clinical Social Work/Therapist, LCSW
Lexington, KY 40504
I specialize in the treatment of Borderline Personality Disorder (BPD) and am intensively trained in Dialectical Behavioral Therapy (DBT). DBT is an evidence-based treatment that helps individuals learn to better manage thoughts, emotions, and behaviors that cause problems in living. Examples of problems that DBT effectively treats include mood dysregulation, impulsivity, trouble with relationships, suicidal thoughts, and self-harm. Although DBT was originally developed to treat BPD, it is also effective in treating depression, anxiety, PTSD, and addiction.
I specialize in the treatment of Borderline Personality Disorder (BPD) and am intensively trained in Dialectical Behavioral Therapy (DBT). DBT is an evidence-based treatment that helps individuals learn to better manage thoughts, emotions, and behaviors that cause problems in living. Examples of problems that DBT effectively treats include mood dysregulation, impulsivity, trouble with relationships, suicidal thoughts, and self-harm. Although DBT was originally developed to treat BPD, it is also effective in treating depression, anxiety, PTSD, and addiction.
(859) 904-5358 View (859) 904-5358
Photo of Amanda C Parsons - Inner Solace Counseling, PLLC, Licensed Professional Clinical Counselor, MA, LPCC-S
Inner Solace Counseling, PLLC
Licensed Professional Clinical Counselor, MA, LPCC-S
5 Endorsed
Lexington, KY 40504
Are you feeling overwhelmed, stuck, or simply not yourself? You're not alone—and you don’t have to face it alone either. I’m Amanda Parsons, LPCC-S, and my goal is to provide a safe, affirming space where healing and growth can happen at your pace. At Inner Solace Counseling, we walk alongside individuals, couples, and families navigating life’s toughest challenges—from anxiety and depression to grief, trauma, life transitions, and relationship issues.
Are you feeling overwhelmed, stuck, or simply not yourself? You're not alone—and you don’t have to face it alone either. I’m Amanda Parsons, LPCC-S, and my goal is to provide a safe, affirming space where healing and growth can happen at your pace. At Inner Solace Counseling, we walk alongside individuals, couples, and families navigating life’s toughest challenges—from anxiety and depression to grief, trauma, life transitions, and relationship issues.
(859) 439-4192 View (859) 439-4192
Photo of Kesha Brown, Licensed Professional Counselor Associate , MA, LPCA
Kesha Brown
Licensed Professional Counselor Associate , MA, LPCA
1 Endorsed
Lexington, KY 40504
Do you find life challenging? Have you decided to put your mental health first? Are you looking for a safe space to process your thoughts and feelings. Inner Solace Counseling provides a warm, inviting environment to start your counseling journey. Hi, I'm Kesha. I am a licensed elementary teacher, school counselor, and a clinical mental health counselor. I've been an educator for 12 years, 6 of those years as a school counselor. I've been a clinical mental health counselor since 2024.
Do you find life challenging? Have you decided to put your mental health first? Are you looking for a safe space to process your thoughts and feelings. Inner Solace Counseling provides a warm, inviting environment to start your counseling journey. Hi, I'm Kesha. I am a licensed elementary teacher, school counselor, and a clinical mental health counselor. I've been an educator for 12 years, 6 of those years as a school counselor. I've been a clinical mental health counselor since 2024.
(859) 374-3594 View (859) 374-3594
Photo of Larissa Overton-Flint - Elevated Mind and Wellness Group, LLC, Clinical Social Work/Therapist, LCSW, LCADC
Elevated Mind and Wellness Group, LLC
Clinical Social Work/Therapist, LCSW, LCADC
Lexington, KY 40504
At Elevated Mind and Wellness, we believe that healing and personal growth begin with feeling heard, supported, and understood. Life can bring many challenges—whether it’s managing stress, navigating recovery, coping with mental health concerns, or working through life transitions. Our goal is to create a welcoming and supportive environment where individuals feel safe exploring their thoughts, emotions, and experiences. If you're seeking help for the first time or continuing your journey toward wellness, we're here to support you every step of the way. Reaching out for help can be difficult, but you do not have to navigate alone.
At Elevated Mind and Wellness, we believe that healing and personal growth begin with feeling heard, supported, and understood. Life can bring many challenges—whether it’s managing stress, navigating recovery, coping with mental health concerns, or working through life transitions. Our goal is to create a welcoming and supportive environment where individuals feel safe exploring their thoughts, emotions, and experiences. If you're seeking help for the first time or continuing your journey toward wellness, we're here to support you every step of the way. Reaching out for help can be difficult, but you do not have to navigate alone.
(859) 712-7862 View (859) 712-7862
Photo of Kay Hubbard, Clinical Social Work/Therapist, MSW, LCSW
Kay Hubbard
Clinical Social Work/Therapist, MSW, LCSW
1 Endorsed
Lexington, KY 40504
I enjoy working with persons of all ages (early childhood through adult.) My approach to treatment is eclectic and contingent upon the client's personality and therapeutic goals. I am committed to using scientifically based treatment interventions to ensure patients are provided the most dynamic techniques to achieve maximum outcomes in the least amount of time. Particular areas of interest include but are not limited to: parent child relational problems, child behavioral difficulties, issues related to emotional dysregulation, depression, anxiety and trauma related stress.
I enjoy working with persons of all ages (early childhood through adult.) My approach to treatment is eclectic and contingent upon the client's personality and therapeutic goals. I am committed to using scientifically based treatment interventions to ensure patients are provided the most dynamic techniques to achieve maximum outcomes in the least amount of time. Particular areas of interest include but are not limited to: parent child relational problems, child behavioral difficulties, issues related to emotional dysregulation, depression, anxiety and trauma related stress.
(859) 449-7187 View (859) 449-7187
Photo of Dr. Jay Ingram, Licensed Professional Counselor, PsyD, LPCC-S
Dr. Jay Ingram
Licensed Professional Counselor, PsyD, LPCC-S
Lexington, KY 40504
I have over 15 years of experience as a clinician. I’m a generalist and often work with adults and teens who are dealing with anxiety, depression, or relationship concerns. I like to keep a flexible approach with my client’s since every individual case is unique. Exploring relationships and how to build healthy ones is a top priority in our sessions. I also can offer clinical supervision for licensure for LPCCs ($140/supervision hour)
I have over 15 years of experience as a clinician. I’m a generalist and often work with adults and teens who are dealing with anxiety, depression, or relationship concerns. I like to keep a flexible approach with my client’s since every individual case is unique. Exploring relationships and how to build healthy ones is a top priority in our sessions. I also can offer clinical supervision for licensure for LPCCs ($140/supervision hour)
View
Photo of Christin Kingery, Clinical Social Work/Therapist, LCSW
Christin Kingery
Clinical Social Work/Therapist, LCSW
2 Endorsed
Lexington, KY 40504
I have experience working with individuals, couples, and families. I have worked in several agency settings and private practice settings which has given me the tools to provide therapy for a diverse range of clients. I strive to always find ways to enhance the therapy tools I have to better serve clients and meeting them where they are at in their journey. I am dedicated to providing high quality, modern mental and relational health care to help individuals, couples, children & adolescents, and creative professionals work through complicated relationships and difficult experiences.
I have experience working with individuals, couples, and families. I have worked in several agency settings and private practice settings which has given me the tools to provide therapy for a diverse range of clients. I strive to always find ways to enhance the therapy tools I have to better serve clients and meeting them where they are at in their journey. I am dedicated to providing high quality, modern mental and relational health care to help individuals, couples, children & adolescents, and creative professionals work through complicated relationships and difficult experiences.
(786) 244-7347 View (786) 244-7347
Photo of Heidi K Colony, Counselor, LPCA, NCC, MT
Heidi K Colony
Counselor, LPCA, NCC, MT
Lexington, KY 40504
I love working with teens and adults of all ages who are navigating life’s transitions. Whether it’s starting college, beginning a new career, moving through a breakup or divorce, or adjusting to unexpected changes, these seasons can feel overwhelming and uncertain. You may find yourself questioning your direction, struggling to cope, or simply needing a safe space to sort through your thoughts and emotions. Together, we’ll explore what’s weighing on you, draw on your strengths, and create a path forward that feels authentic and fulfilling at any stage of life.
I love working with teens and adults of all ages who are navigating life’s transitions. Whether it’s starting college, beginning a new career, moving through a breakup or divorce, or adjusting to unexpected changes, these seasons can feel overwhelming and uncertain. You may find yourself questioning your direction, struggling to cope, or simply needing a safe space to sort through your thoughts and emotions. Together, we’ll explore what’s weighing on you, draw on your strengths, and create a path forward that feels authentic and fulfilling at any stage of life.
(859) 719-2150 View (859) 719-2150
Photo of Anna Thomas-Brien, Clinical Social Work/Therapist, LCSW
Anna Thomas-Brien
Clinical Social Work/Therapist, LCSW
Serves Area
I am a firm believer that therapy should be a safe and empathic space for exploring, healing, and feeling. I'm happy to offer that to each of my patients. Whether your goal is to take small steps to improve your overall wellbeing or work towards large life changes, I would love to join you in your journey. From postpartum depression, to difficult family relationships, to religious and relationship trauma, I love working with folks to help them see that they are worthy and capable just as they are.
I am a firm believer that therapy should be a safe and empathic space for exploring, healing, and feeling. I'm happy to offer that to each of my patients. Whether your goal is to take small steps to improve your overall wellbeing or work towards large life changes, I would love to join you in your journey. From postpartum depression, to difficult family relationships, to religious and relationship trauma, I love working with folks to help them see that they are worthy and capable just as they are.
(859) 444-4301 View (859) 444-4301
Photo of Trent Parker, Marriage & Family Therapist, PhD, LMFT
Trent Parker
Marriage & Family Therapist, PhD, LMFT
Serves Area
I believe self-acceptance is a key part to living a balanced, content life. As such, I believe that compassion, honesty, and being genuine are the way to achieve both inner balance and healthy relationships. I see myself and those with whom I work as humans striving to do our best, to grow, and to achieve. Whatever your background, beliefs, sexual orientation, gender identity, or life experiences, I strive to create an accepting environment that encourages this exploration.
I believe self-acceptance is a key part to living a balanced, content life. As such, I believe that compassion, honesty, and being genuine are the way to achieve both inner balance and healthy relationships. I see myself and those with whom I work as humans striving to do our best, to grow, and to achieve. Whatever your background, beliefs, sexual orientation, gender identity, or life experiences, I strive to create an accepting environment that encourages this exploration.
(859) 469-4315 View (859) 469-4315
Photo of Caleb Mackey, Counselor, LPCA
Caleb Mackey
Counselor, LPCA
3 Endorsed
Serves Area
Everyone has a story they want to tell, more than likely about how their life can be better than it is. In those stories are the goals they aspire for (better relationships, more self-esteem and achieving personal goals). If you want to help someone reach their goals you must first listen to their story. Only then can you walk with them towards a better tomorrow than they have today.
Everyone has a story they want to tell, more than likely about how their life can be better than it is. In those stories are the goals they aspire for (better relationships, more self-esteem and achieving personal goals). If you want to help someone reach their goals you must first listen to their story. Only then can you walk with them towards a better tomorrow than they have today.
(502) 317-0529 View (502) 317-0529
Photo of Hannah Conn, Licensed Professional Clinical Counselor, MEd, LPCC-S
Hannah Conn
Licensed Professional Clinical Counselor, MEd, LPCC-S
Serves Area
I believe in focusing not just on the individual client but the whole family in treatment, offering not only one on one child counseling, individual adolescent and adult counseling, but parenting and family sessions. At times individual sessions are the best approach due to the unique needs of the client, these being offered for children, adolescents and adults. With over 17 years of experience in counseling, I continue to greatly enjoy helping each individual take a step towards healing and the wholeness for which they were designed.
I believe in focusing not just on the individual client but the whole family in treatment, offering not only one on one child counseling, individual adolescent and adult counseling, but parenting and family sessions. At times individual sessions are the best approach due to the unique needs of the client, these being offered for children, adolescents and adults. With over 17 years of experience in counseling, I continue to greatly enjoy helping each individual take a step towards healing and the wholeness for which they were designed.
(859) 353-6842 View (859) 353-6842

See more therapy options for 40504

How does your Therapist compare?

Number of Therapists in 40504

60+

Average cost per session

$125

Therapists in 40504 who prioritize treating:

95% Depression
95% Anxiety
71% Relationship Issues
71% Trauma and PTSD
68% Self Esteem
62% Grief
62% Stress

Average years in practice

11 Years

Top 3 insurances accepted

91% Aetna
81% BlueCross and BlueShield
81% Anthem

How Therapists in 40504 see their clients

59% In Person and Online
41% Online Only

Gender breakdown

82% Female
16% Male
2% Non-Binary
FAQs - About Therapy and Counseling

How can I find a therapist in 40504?

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.