Therapists in 42044

Photo of Delasaria ‘Dayla’ Lihon - Enchanted Healing, PLLC at Kentucky Lake, Clinical Social Work/Therapist, LCSW, CRT, CCHt
Enchanted Healing, PLLC at Kentucky Lake
Clinical Social Work/Therapist, LCSW, CRT, CCHt
Gilbertsville, KY 42044
Specializing in holistic approaches to mental health and wellness, I incorporate proven-effective, cutting-edge techniques to help client's create positive lasting change in their lives. I am passionate about helping clients free themselves from their pain, and move forward with freedom, enhanced in their ability to navigate their lives in empowered and uplifting ways. I am excited to offer Cellular Release Therapy (CRT), the most astounding technique for resolving trauma/PTSD I've come across in over 23 years of study/practice in the field! Now offering Hypnosis for Healing, including Inner Child work, Trauma Resolution, & more.
Specializing in holistic approaches to mental health and wellness, I incorporate proven-effective, cutting-edge techniques to help client's create positive lasting change in their lives. I am passionate about helping clients free themselves from their pain, and move forward with freedom, enhanced in their ability to navigate their lives in empowered and uplifting ways. I am excited to offer Cellular Release Therapy (CRT), the most astounding technique for resolving trauma/PTSD I've come across in over 23 years of study/practice in the field! Now offering Hypnosis for Healing, including Inner Child work, Trauma Resolution, & more.
(270) 279-0030 View (270) 279-0030
Photo of Megan Rose Larson, Clinical Social Work/Therapist, MSW, LCSW
Megan Rose Larson
Clinical Social Work/Therapist, MSW, LCSW
Gilbertsville, KY 42044
Ladies, are you struggling w/ an event that left you with nightmares, flashbacks, negative beliefs or expectations about yourself or others (eg "I'm bad"), startle responses, feeling anxious, depressed, or have difficulty concentrating? If your goal is to feel more confident in your own skin and to sleep soundly at night therapy can help.
Ladies, are you struggling w/ an event that left you with nightmares, flashbacks, negative beliefs or expectations about yourself or others (eg "I'm bad"), startle responses, feeling anxious, depressed, or have difficulty concentrating? If your goal is to feel more confident in your own skin and to sleep soundly at night therapy can help.
(270) 479-7576 View (270) 479-7576

More Therapists Nearby

Photo of Bekah Fink, Licensed Professional Clinical Counselor, MA, LPCC-S
Bekah Fink
Licensed Professional Clinical Counselor, MA, LPCC-S
1 Endorsed
Serves Area
Life can feel overwhelming at times—whether you’re facing major changes, emotional struggles, or mental health challenges. You don’t have to face them alone. I provide a supportive space where we can work together to make sense of what you're going through and move toward meaningful change.
Life can feel overwhelming at times—whether you’re facing major changes, emotional struggles, or mental health challenges. You don’t have to face them alone. I provide a supportive space where we can work together to make sense of what you're going through and move toward meaningful change.
(440) 226-8615 View (440) 226-8615
Photo of Katherine L Pennington (Formerly Middleton) - Lionheart Trauma Support Services, LLC, Clinical Social Work/Therapist, LCSW
Lionheart Trauma Support Services, LLC
Clinical Social Work/Therapist, LCSW
Serves Area
Hey there, Thanks so much for stopping by my profile and taking a moment to learn more about how I can help. I know starting therapy isn’t always easy, and it takes a lot of courage to even begin looking for support—so I’m glad you’re here. My goal is to help you feel comfortable and at ease from the very first session. I bring a wide range of experience and use different treatment approaches to make sure our work fits your needs. I’ve spent many years specializing in trauma, and I understand how deeply it can affect daily life.
Hey there, Thanks so much for stopping by my profile and taking a moment to learn more about how I can help. I know starting therapy isn’t always easy, and it takes a lot of courage to even begin looking for support—so I’m glad you’re here. My goal is to help you feel comfortable and at ease from the very first session. I bring a wide range of experience and use different treatment approaches to make sure our work fits your needs. I’ve spent many years specializing in trauma, and I understand how deeply it can affect daily life.
(859) 757-0056 View (859) 757-0056
Photo of Armedrest Branigan, Counselor, LPCA
Armedrest Branigan
Counselor, LPCA
1 Endorsed
Paducah, KY 42001
Armedrest Branigan, LPCA, holds a Masters of Education in Mental Health and has over 25 years of experience as a Family Support Specialist and Case Manager. Armedrest has been providing therapy services for over two years, primarily in the private practice setting. Armedrest works with children, adults, and couples, utilizing Cognitive Behavioral Therapy (CBT), Motivational Interviewing (MI), and mindfulness techniques. She is committed to helping clients become the best versions of themselves, Armedrest encourages a “glass half full” perspective. Looking for yourself and can't see you in the mirror. Let's talk, you are not alone
Armedrest Branigan, LPCA, holds a Masters of Education in Mental Health and has over 25 years of experience as a Family Support Specialist and Case Manager. Armedrest has been providing therapy services for over two years, primarily in the private practice setting. Armedrest works with children, adults, and couples, utilizing Cognitive Behavioral Therapy (CBT), Motivational Interviewing (MI), and mindfulness techniques. She is committed to helping clients become the best versions of themselves, Armedrest encourages a “glass half full” perspective. Looking for yourself and can't see you in the mirror. Let's talk, you are not alone
(270) 802-4740 View (270) 802-4740
Photo of Erin Goodman, Clinical Social Work/Therapist, LCSW
Erin Goodman
Clinical Social Work/Therapist, LCSW
1 Endorsed
Paducah, KY 42001
Growing up is hard. Being a kid is hard. Raising kids is hard. My team and I want to walk with kids and families through the hardest places so no one has to do it alone anymore. We see families dealing with many issues across the board, but often our clients are dealing with adoption related issues, behavior dysregulation, and relational frustration, as well as grief, mood, and social disorders. We are a faith-based, nonprofit counseling and therapy center. No one will ever be turned away for their inability to pay.
Growing up is hard. Being a kid is hard. Raising kids is hard. My team and I want to walk with kids and families through the hardest places so no one has to do it alone anymore. We see families dealing with many issues across the board, but often our clients are dealing with adoption related issues, behavior dysregulation, and relational frustration, as well as grief, mood, and social disorders. We are a faith-based, nonprofit counseling and therapy center. No one will ever be turned away for their inability to pay.
(270) 751-7593 View (270) 751-7593
Photo of Christine Rene Hinkle, Licensed Professional Clinical Counselor, MEd, LPCC-KY, LMHC-IN, NCC, CSTS
Christine Rene Hinkle
Licensed Professional Clinical Counselor, MEd, LPCC-KY, LMHC-IN, NCC, CSTS
1 Endorsed
Serves Area
As a Licensed Professional Counselor specializing in substance use, disordered eating, and empowerment. I want to facilitate life changing goals and personal growth for my clients. My approach centers on empowering individuals to manage distress, enhance self-esteem, cultivate a deeper sense of self & body, all while creating a safe and collaborative therapeutic environment. I am particularly passionate about helping clients break free from self-destructive cycles. I believe that at the core of these issues often lie feelings of trauma, shame, & self-hatred. I utilize a holistic approach to foster healing & build resilience.
As a Licensed Professional Counselor specializing in substance use, disordered eating, and empowerment. I want to facilitate life changing goals and personal growth for my clients. My approach centers on empowering individuals to manage distress, enhance self-esteem, cultivate a deeper sense of self & body, all while creating a safe and collaborative therapeutic environment. I am particularly passionate about helping clients break free from self-destructive cycles. I believe that at the core of these issues often lie feelings of trauma, shame, & self-hatred. I utilize a holistic approach to foster healing & build resilience.
(502) 586-4527 View (502) 586-4527
Photo of Dr. Lauren Barks, Clinical Social Work/Therapist, LCSW , DSW
Dr. Lauren Barks
Clinical Social Work/Therapist, LCSW , DSW
Paducah, KY 42001
When someone takes that first step to begin their therapeutic process, it is important to focus on finding the right interventions and modalities to begin their journey towards healing and growth. Creating a safe space for an individuals healing journey is an important piece of the therapeutic services provided at Integrative Psychological Services.
When someone takes that first step to begin their therapeutic process, it is important to focus on finding the right interventions and modalities to begin their journey towards healing and growth. Creating a safe space for an individuals healing journey is an important piece of the therapeutic services provided at Integrative Psychological Services.
(270) 276-1920 View (270) 276-1920
Photo of Jacob M Hamlin, Marriage & Family Therapist, MAEd, LMFT
Jacob M Hamlin
Marriage & Family Therapist, MAEd, LMFT
Serves Area
You’re insightful, driven, and often the one others turn to—but lately, you feel stretched thin. You might be juggling career demands, relationship stress, or the emotional toll of a life transition. You crave space to breathe, clarity to move forward, and emotional tools that actually work. You're not here for a quick fix—you want lasting change. Whether it's anxiety that won’t quiet down or patterns that keep repeating, you're ready to understand why and start healing. Therapy isn’t just about coping—it’s about reconnecting to your own power.
You’re insightful, driven, and often the one others turn to—but lately, you feel stretched thin. You might be juggling career demands, relationship stress, or the emotional toll of a life transition. You crave space to breathe, clarity to move forward, and emotional tools that actually work. You're not here for a quick fix—you want lasting change. Whether it's anxiety that won’t quiet down or patterns that keep repeating, you're ready to understand why and start healing. Therapy isn’t just about coping—it’s about reconnecting to your own power.
(270) 847-4378 View (270) 847-4378
Photo of Adam Currence, Licensed Professional Counselor, LPC, MHSP
Adam Currence
Licensed Professional Counselor, LPC, MHSP
2 Endorsed
Serves Area
Life can feel overwhelming. Maybe you're stuck in patterns of anxiety, grief, or self-doubt. Perhaps your relationships are strained, communication feels impossible, or you just don’t feel like yourself anymore. You know life could be better, but you’re not sure how to get there. That’s where I come in. At Made Well Counseling, my goal is to help you clear the barriers holding you back, lighten the burdens weighing you down, and step into a life of greater joy and purpose. With over a decade of experience, I bring clinical expertise, deep insight, and a compassionate approach to guide you toward meaningful change.
Life can feel overwhelming. Maybe you're stuck in patterns of anxiety, grief, or self-doubt. Perhaps your relationships are strained, communication feels impossible, or you just don’t feel like yourself anymore. You know life could be better, but you’re not sure how to get there. That’s where I come in. At Made Well Counseling, my goal is to help you clear the barriers holding you back, lighten the burdens weighing you down, and step into a life of greater joy and purpose. With over a decade of experience, I bring clinical expertise, deep insight, and a compassionate approach to guide you toward meaningful change.
(731) 257-2993 View (731) 257-2993
Photo of Dr. Whitney Gilley, MD
Dr. Whitney Gilley
Verified Verified
Serves Area
Using weekly psychotherapy and evidenced-based therapy modalities tailored to fit you, we can work together on concerns including stress, life changes, anxiety, depression, trauma and PTSD. I also treat women's health concerns including peri-partum and peri-menopausal depression and anxiety. I use a whole-person approach to care and stay up-to-date on how stress and trauma affect our body, mood, perspectives, and relationships. To keep decisions about your care between you and your doctor, New Directions Psychiatry PLLC is private pay does not take insurance. I treat adults only. Please see my website for details and current fees.
Using weekly psychotherapy and evidenced-based therapy modalities tailored to fit you, we can work together on concerns including stress, life changes, anxiety, depression, trauma and PTSD. I also treat women's health concerns including peri-partum and peri-menopausal depression and anxiety. I use a whole-person approach to care and stay up-to-date on how stress and trauma affect our body, mood, perspectives, and relationships. To keep decisions about your care between you and your doctor, New Directions Psychiatry PLLC is private pay does not take insurance. I treat adults only. Please see my website for details and current fees.
(270) 514-0240 View (270) 514-0240
Photo of Cissy Fox, Licensed Professional Counselor Associate, LPCA
Cissy Fox
Licensed Professional Counselor Associate, LPCA
Paducah, KY 42001
I take an open, down-to-earth, and personalized approach to healing and growth. I believe therapy should feel like a safe conversation—a space where you can be fully yourself without judgment. My style is eclectic, which means I draw from a variety of therapeutic approaches depending on what works best for you. This might include tools from cognitive-behavioral therapy (CBT), mindfulness practices, motivational interviewing, psychodynamic work, or solution-focused strategies. I tailor our sessions to fit your unique personality, experiences, and goals—because there’s no “one-size-fits-all” when it comes to therapy.
I take an open, down-to-earth, and personalized approach to healing and growth. I believe therapy should feel like a safe conversation—a space where you can be fully yourself without judgment. My style is eclectic, which means I draw from a variety of therapeutic approaches depending on what works best for you. This might include tools from cognitive-behavioral therapy (CBT), mindfulness practices, motivational interviewing, psychodynamic work, or solution-focused strategies. I tailor our sessions to fit your unique personality, experiences, and goals—because there’s no “one-size-fits-all” when it comes to therapy.
(270) 207-9242 View (270) 207-9242
Photo of Justin P Lewis, Marriage & Family Therapist, MA, LMFT
Justin P Lewis
Marriage & Family Therapist, MA, LMFT
1 Endorsed
Paducah, KY 42003
Justin treats adult clients with a variety of mental health concerns including anxiety, depression, grief, and career guidance. He has specialized training and a depth of experience working with people who want better relationships. Another area Justin has specialized training in includes sports performance psychology.
Justin treats adult clients with a variety of mental health concerns including anxiety, depression, grief, and career guidance. He has specialized training and a depth of experience working with people who want better relationships. Another area Justin has specialized training in includes sports performance psychology.
(270) 290-0843 View (270) 290-0843
Photo of Jill Terhune, Counselor, EdS, LPC
Jill Terhune
Counselor, EdS, LPC
2 Endorsed
Serves Area
You many be feeling overwhelmed, isolated, anxious, depressed, and reliving past traumatic experiences, but hopeful for understanding, confidence, and peace? Through my work in sexual assault centers, domestic violence shelters, in private practice, and at Onsite Workshops I have learned how trauma is stored in the body, how it creates negative beliefs about the self, how it keeps us from living in the present moment and how it keeps us from connecting to those around us. Working with me feels like gentle confrontation and resource building in order to delve into past wounds with a deeply open, knowledgeable, and compassionate ally.
You many be feeling overwhelmed, isolated, anxious, depressed, and reliving past traumatic experiences, but hopeful for understanding, confidence, and peace? Through my work in sexual assault centers, domestic violence shelters, in private practice, and at Onsite Workshops I have learned how trauma is stored in the body, how it creates negative beliefs about the self, how it keeps us from living in the present moment and how it keeps us from connecting to those around us. Working with me feels like gentle confrontation and resource building in order to delve into past wounds with a deeply open, knowledgeable, and compassionate ally.
View
Photo of Brittney Davis, Counselor, EdS, LPCA
Brittney Davis
Counselor, EdS, LPCA
2 Endorsed
Paducah, KY 42003
I provide a safe, supportive space for children, teens, and adults to explore emotions, heal from trauma, and build resilience. Using CBT, TF-CBT, DBT, and expressive arts, I help clients manage anxiety, depression, and relationship challenges while fostering self-awareness, confidence, and healthier connections.
I provide a safe, supportive space for children, teens, and adults to explore emotions, heal from trauma, and build resilience. Using CBT, TF-CBT, DBT, and expressive arts, I help clients manage anxiety, depression, and relationship challenges while fostering self-awareness, confidence, and healthier connections.
(270) 717-5696 View (270) 717-5696
Photo of Dr. Jody A Giles - Giles Professional Counseling & Consulting, Licensed Professional Clinical Counselor, PhD, LPCC, MA
Giles Professional Counseling & Consulting
Licensed Professional Clinical Counselor, PhD, LPCC, MA
1 Endorsed
Serves Area
I am a person-centered, humanistic counselor with a wide range of techniques and a strong foundation in a variety of difficult situations. My goal is to help you work through current stressful situations as well as long term issues that you want to resolve. Whether you come in to just focus on yourself or with your family or partner, therapy is a safe space to say hard things. I have expertise in child development, parent evaluations in high conflict custody issues and a complete range of assessment services for couples, families, children, and teens including evaluations for custody and divorce mediation.
I am a person-centered, humanistic counselor with a wide range of techniques and a strong foundation in a variety of difficult situations. My goal is to help you work through current stressful situations as well as long term issues that you want to resolve. Whether you come in to just focus on yourself or with your family or partner, therapy is a safe space to say hard things. I have expertise in child development, parent evaluations in high conflict custody issues and a complete range of assessment services for couples, families, children, and teens including evaluations for custody and divorce mediation.
(812) 534-9670 View (812) 534-9670
Photo of Jami Hughes - Lake Behavioral Health , MSSW, LCSW
Lake Behavioral Health
Verified Verified
Serves Area
Each patient’s experiences and backgrounds are different, and we, at Lake Behavioral Health, strive to provide individualized and evidenced based therapy and medication management for those seeking help. We offer a variety of treatment modalities with the ultimate goal of fostering successful outcomes for every person.
Each patient’s experiences and backgrounds are different, and we, at Lake Behavioral Health, strive to provide individualized and evidenced based therapy and medication management for those seeking help. We offer a variety of treatment modalities with the ultimate goal of fostering successful outcomes for every person.
(270) 510-3475 View (270) 510-3475
Photo of Dr. Bree Shelby - Integrative Psychological Services, LLC, Psychologist, PhD
We all need someone, sometime. Being human is both/and. It is beautiful and good, & at times complicated, hard, and painful. Maybe life feels like too much or not enough. Maybe you’re feeling stuck in survival mode, disconnected from yourself and/or others, or struggling to feel anything other than anxious or depressed. Maybe your mind is full of painful thoughts & memories & your body feels heavy. Maybe you know that you need healing, you just don't know how or where to start. Founded by Dr. Bree Shelby, Integrative Psych Services is your place to heal.
We all need someone, sometime. Being human is both/and. It is beautiful and good, & at times complicated, hard, and painful. Maybe life feels like too much or not enough. Maybe you’re feeling stuck in survival mode, disconnected from yourself and/or others, or struggling to feel anything other than anxious or depressed. Maybe your mind is full of painful thoughts & memories & your body feels heavy. Maybe you know that you need healing, you just don't know how or where to start. Founded by Dr. Bree Shelby, Integrative Psych Services is your place to heal.
(270) 479-7030 View (270) 479-7030
Photo of Nick Riemenschneider, Licensed Professional Clinical Counselor, MA
Nick Riemenschneider
Licensed Professional Clinical Counselor, MA
2 Endorsed
Serves Area
Today’s world is overwhelming—full of stress, fear, judgment, and constant pressure to fit in. Anxiety and depression grip us as we face nonstop demands, deadlines, and sensory overload. This isn’t the life we hoped for, our brains weren't wired for this, and most of us never learned the skills to navigate it effectively. Our nervous systems struggle to keep up, often leading to overstimulation, burnout, meltdowns, or re-triggered trauma. What we want is relief, peace, joy, autonomy, and the freedom to live authentically—with acceptance, validation, and empowerment. We want to feel safe. We want to thrive, not just survive.
Today’s world is overwhelming—full of stress, fear, judgment, and constant pressure to fit in. Anxiety and depression grip us as we face nonstop demands, deadlines, and sensory overload. This isn’t the life we hoped for, our brains weren't wired for this, and most of us never learned the skills to navigate it effectively. Our nervous systems struggle to keep up, often leading to overstimulation, burnout, meltdowns, or re-triggered trauma. What we want is relief, peace, joy, autonomy, and the freedom to live authentically—with acceptance, validation, and empowerment. We want to feel safe. We want to thrive, not just survive.
(859) 710-6148 View (859) 710-6148
Photo of Douglas Dayne Wells, Psychologist, MA, LPP
Douglas Dayne Wells
Psychologist, MA, LPP
1 Endorsed
Paducah, KY 42001
Dayne is a native of Paducah, Kentucky and has been practicing locally for 22 years. He earned his master's degree in clinical psychology from Murray State University and is licensed as a Psychological Practitioner. Dayne works with clients using cognitive behavioral therapy techniques to treat depression, bipolar disorder, anxiety, phobias, panic disorder, grief, post-traumatic stress disorder, relationship issues, attention-deficit/hyperactivity disorder, adjustment disorders, and issues related to foster care placement and adoption.
Dayne is a native of Paducah, Kentucky and has been practicing locally for 22 years. He earned his master's degree in clinical psychology from Murray State University and is licensed as a Psychological Practitioner. Dayne works with clients using cognitive behavioral therapy techniques to treat depression, bipolar disorder, anxiety, phobias, panic disorder, grief, post-traumatic stress disorder, relationship issues, attention-deficit/hyperactivity disorder, adjustment disorders, and issues related to foster care placement and adoption.
(270) 681-4617 View (270) 681-4617

How does your Therapist compare?

Number of Therapists in 42044

< 10

Therapists in 42044 who prioritize treating:

100% Relationship Issues
100% Depression
100% Anxiety
100% Grief
100% Trauma and PTSD
100% Spirituality
100% Divorce

Average years in practice

13 Years

Top 3 insurances accepted

100% Aetna
100% Cigna and Evernorth
100% Regence

How Therapists in 42044 see their clients

100% In Person and Online

Gender breakdown

100% Female
FAQs - About Therapy and Counseling

How can I find a therapist in 42044?

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.