Photo of Laura Freiman, Clinical Social Work/Therapist in 44122, OH
Laura Freiman
Clinical Social Work/Therapist, LCSW, LISW
Verified Verified
1 Endorsed
Beachwood, OH 44122
I have one of the few jobs where my goal is to get fired. My ideal outcome is to help you to help yourself so that you don't need me anymore. Do you feel "stuck" in a relationship? Do you feel as if you have the same arguments over and over again with no resolution? Do you feel like there are too many obstacles standing in the way of achieving a relationship you had hoped for? My job is to help you get "unstuck" and change problematic patterns of interaction so that you can enjoy meaningful relationships in the future.
I have one of the few jobs where my goal is to get fired. My ideal outcome is to help you to help yourself so that you don't need me anymore. Do you feel "stuck" in a relationship? Do you feel as if you have the same arguments over and over again with no resolution? Do you feel like there are too many obstacles standing in the way of achieving a relationship you had hoped for? My job is to help you get "unstuck" and change problematic patterns of interaction so that you can enjoy meaningful relationships in the future.
(216) 672-0934 View (216) 672-0934
Photo of Thomas A. Boyd, Psychologist in 44122, OH
Thomas A. Boyd
Psychologist, PsyD
Verified Verified
Beachwood, OH 44122
Most of my patients come to me feeling a significant level of distress. Some may have seen a mental health professional before and have some idea of what to expect. However, for many this may be the first time they have ever met with a mental health professional and they may feel apprehensive about the process. My goal in that initial session is to strike a balance between putting the person at ease while gathering important information about who they are and what their situation is. Most patients return to their second session feeling encouraged and a degree of hope based on that initial encounter.
Most of my patients come to me feeling a significant level of distress. Some may have seen a mental health professional before and have some idea of what to expect. However, for many this may be the first time they have ever met with a mental health professional and they may feel apprehensive about the process. My goal in that initial session is to strike a balance between putting the person at ease while gathering important information about who they are and what their situation is. Most patients return to their second session feeling encouraged and a degree of hope based on that initial encounter.
(216) 930-3014 View (216) 930-3014
Photo of Jim Cato, Clinical Social Work/Therapist in 44122, OH
Jim Cato
Clinical Social Work/Therapist, MSW, LSW
Verified Verified
Beachwood, OH 44122
Waitlist for new clients
I don't really have an ideal client. I am willing to work with anyone who is willing to seek help. As stated on my profile for where I practice. "I personally believe that everyone is capable of changing their lives for the better. I believe that in order to change, you have to recognize that changes starts within you. The relationship with yourself is the most important. I aim to assist clients with increasing their relationship with themselves, in order to see the light of change within their hearts."
I don't really have an ideal client. I am willing to work with anyone who is willing to seek help. As stated on my profile for where I practice. "I personally believe that everyone is capable of changing their lives for the better. I believe that in order to change, you have to recognize that changes starts within you. The relationship with yourself is the most important. I aim to assist clients with increasing their relationship with themselves, in order to see the light of change within their hearts."
(216) 616-4315 View (216) 616-4315
Photo of Kimera Dean, Counselor in 44122, OH
Kimera Dean
Counselor, MA, LPC
Verified Verified
Beachwood, OH 44122
My passion as a therapist is to help people heal emotionally, spiritually, and physically from all walks of life. I am dedicated to walking with my clients on a healing journey that promotes healthy thinking and rediscovering how to improve their overall well being. My interests is in helping clients whom are teens, adults 18+, and the aging community that deal with anxiety, depression, grief, trauma-related experiences, healing from childhood trauma, parenting coaching and support, career coaching, and issues with self-esteem.
My passion as a therapist is to help people heal emotionally, spiritually, and physically from all walks of life. I am dedicated to walking with my clients on a healing journey that promotes healthy thinking and rediscovering how to improve their overall well being. My interests is in helping clients whom are teens, adults 18+, and the aging community that deal with anxiety, depression, grief, trauma-related experiences, healing from childhood trauma, parenting coaching and support, career coaching, and issues with self-esteem.
(216) 609-0951 View (216) 609-0951
Photo of Bhavana Katragadda, Clinical Social Work/Therapist in 44122, OH
Bhavana Katragadda
Clinical Social Work/Therapist, LSW, YTT
Verified Verified
1 Endorsed
Beachwood, OH 44122
If you seek to heal from the inside out from depression, anxiety, confusion, chronic somatic pain, PTSD etc. using wholistic care strategies, it would be an honor to serve you in this therapeutic relationship. Mind-body alignment along with psychotherapy gives a wholistic range of tools to heal and strengthen one's mental health. I support your goals and your opinions and put respect for your life journey at the root of therapy to facilitate healing. If you are struggling to adjust culturally, find your voice, family issues, or struggling with your mental health I would love to serve you in gaining balance.
If you seek to heal from the inside out from depression, anxiety, confusion, chronic somatic pain, PTSD etc. using wholistic care strategies, it would be an honor to serve you in this therapeutic relationship. Mind-body alignment along with psychotherapy gives a wholistic range of tools to heal and strengthen one's mental health. I support your goals and your opinions and put respect for your life journey at the root of therapy to facilitate healing. If you are struggling to adjust culturally, find your voice, family issues, or struggling with your mental health I would love to serve you in gaining balance.
(216) 616-7704 View (216) 616-7704
Photo of Amy Kalasunas, Counselor in 44122, OH
Amy Kalasunas
Counselor, LPCC-S, CCMHC
Verified Verified
5 Endorsed
Cleveland, OH 44122
I am a DBT - LBC Certified Dialectical Behavior Therapist, and use adherent Dialectical Behavior Therapy, as well as other protocol-based interventions, to help clients manage intense emotions and change problematic behaviors. An ideal match for treatment here is someone who has already worked hard at other types of therapy and is frustrated that hard-earned insight hasn't helped them change! Knowing WHY we do things is important; still, insight doesn't always help change intense emotions, stop problem behaviors, or help us focus on life's experiences.
I am a DBT - LBC Certified Dialectical Behavior Therapist, and use adherent Dialectical Behavior Therapy, as well as other protocol-based interventions, to help clients manage intense emotions and change problematic behaviors. An ideal match for treatment here is someone who has already worked hard at other types of therapy and is frustrated that hard-earned insight hasn't helped them change! Knowing WHY we do things is important; still, insight doesn't always help change intense emotions, stop problem behaviors, or help us focus on life's experiences.
(216) 208-6075 View (216) 208-6075
Photo of Ashley Schwartzman, Psychologist in 44122, OH
Ashley Schwartzman
Psychologist, PsyD
Verified Verified
1 Endorsed
I work with adolescents (14+ y/o) and adults who are seeking individual, family, and couples therapy. Many of the adolescents and adults I work with experience general and social anxiety, grief, depression, PTSD, and may engage in self-harming behaviors or have suicidal ideation. I provide parent/ caregiver coaching to parents who want to improve the quality of their relationship with their children and learn skills of effective conflict management and limit setting. The couples I work with want to learn skills to improve their communication, manage conflict effectively, and rebuild trust and intimacy within their relationship.
I work with adolescents (14+ y/o) and adults who are seeking individual, family, and couples therapy. Many of the adolescents and adults I work with experience general and social anxiety, grief, depression, PTSD, and may engage in self-harming behaviors or have suicidal ideation. I provide parent/ caregiver coaching to parents who want to improve the quality of their relationship with their children and learn skills of effective conflict management and limit setting. The couples I work with want to learn skills to improve their communication, manage conflict effectively, and rebuild trust and intimacy within their relationship.
(234) 348-3858 View (234) 348-3858
Photo of Jill C Baird, Psychologist in 44122, OH
Jill C Baird
Psychologist, PhD, CST
Verified Verified
3 Endorsed
Beachwood, OH 44122
Not accepting new clients
My approach to therapy is based on the fundamental belief that, even in the most difficult times, there are opportunities for growth. As a humanistic-constructivist therapist, I believe the strength of the therapy relationship is fundamental to the success of therapy. Thus, I attend closely to the quality of the relationship and aim to create a warm, respectful, and validating environment in which the person feels safe enough to talk about difficult and painful issues. At the same time, through gentle challenge, and empathic, genuine feedback, I offer clients the opportunity to explore avenues for healing and change.
My approach to therapy is based on the fundamental belief that, even in the most difficult times, there are opportunities for growth. As a humanistic-constructivist therapist, I believe the strength of the therapy relationship is fundamental to the success of therapy. Thus, I attend closely to the quality of the relationship and aim to create a warm, respectful, and validating environment in which the person feels safe enough to talk about difficult and painful issues. At the same time, through gentle challenge, and empathic, genuine feedback, I offer clients the opportunity to explore avenues for healing and change.
(216) 400-5883 View (216) 400-5883
Miriam Rivkin
Licensed Professional Counselor, LPC
Verified Verified
Beachwood, OH 44122
Miriam Rivkin is a Licensed Professional Counselor in Ohio who has been practicing since 2021. She has a Master's Degree in Counseling and Art Therapy from Edinboro University as well as a Bachelor's Degree in Liberal Arts and Judaic Studies from Maimonides College. Miriam's philosophy is that everyone can gain from having a place where they feel safe to explore their feelings and aspirations yet motivated to find and become the best possible form of themselves.
Miriam Rivkin is a Licensed Professional Counselor in Ohio who has been practicing since 2021. She has a Master's Degree in Counseling and Art Therapy from Edinboro University as well as a Bachelor's Degree in Liberal Arts and Judaic Studies from Maimonides College. Miriam's philosophy is that everyone can gain from having a place where they feel safe to explore their feelings and aspirations yet motivated to find and become the best possible form of themselves.
(440) 745-7686 View (440) 745-7686
Photo of Mark Lovinger, Psychologist in 44122, OH
Mark Lovinger
Psychologist, PhD
Verified Verified
1 Endorsed
Beachwood, OH 44122
In my 30 years of experience as a child and adult clinical psychologist, I have developed a diverse set of assessment and therapeutic skills, allowing me to provide optimal care to children, adults and families. I am a member of the Association of Family and Conciliation Courts (AFCC), and my specialties include helping families going through the difficulties of divorce, parent coordination, preserving a cooperative and collaborative environment to keep the children's best interests a priority, and conducting court-ordered custody evaluations. Attorneys and courts frequently request these services in order to help resolve child custody and parenting disputes.
In my 30 years of experience as a child and adult clinical psychologist, I have developed a diverse set of assessment and therapeutic skills, allowing me to provide optimal care to children, adults and families. I am a member of the Association of Family and Conciliation Courts (AFCC), and my specialties include helping families going through the difficulties of divorce, parent coordination, preserving a cooperative and collaborative environment to keep the children's best interests a priority, and conducting court-ordered custody evaluations. Attorneys and courts frequently request these services in order to help resolve child custody and parenting disputes.
(216) 584-9839 View (216) 584-9839
Photo of Dr. Ashley Braun-Gabelman, Psychologist in 44122, OH
Dr. Ashley Braun-Gabelman
Psychologist, PhD
Verified Verified
Beachwood, OH 44122
At Cleveland Center for Cognitive Therapy, we help clients cope with difficult thoughts and feelings so they can live the life they really want to live.
At Cleveland Center for Cognitive Therapy, we help clients cope with difficult thoughts and feelings so they can live the life they really want to live.
(216) 677-9391 View (216) 677-9391
Photo of Nicole Durbin, Counselor in 44122, OH
Nicole Durbin
Counselor, LPCC
Verified Verified
Beachwood, OH 44122
Nicole Durbin is a Licensed Professional Clinical Counselor Supervisor with more than 11 years of experience in community mental health and private practice. Her continued education began at Muskingum University with a bachelor's degree in Psychology and Child and Family Studies. She went on to graduate from Malone University with a Master's in Clinical Mental Health Counseling and continued by gaining a Master's Certificate in Applied Behavior Analysis from The Chicago School of Professional Psychology.
Nicole Durbin is a Licensed Professional Clinical Counselor Supervisor with more than 11 years of experience in community mental health and private practice. Her continued education began at Muskingum University with a bachelor's degree in Psychology and Child and Family Studies. She went on to graduate from Malone University with a Master's in Clinical Mental Health Counseling and continued by gaining a Master's Certificate in Applied Behavior Analysis from The Chicago School of Professional Psychology.
(330) 859-4238 View (330) 859-4238
Photo of Michael Baskin, Clinical Social Work/Therapist in 44122, OH
Michael Baskin
Clinical Social Work/Therapist, LISW
Verified Verified
Beachwood, OH 44122
Michael Baskin is a licensed independent social worker with over 40 years of experience in mental healthcare. He received his bachelor's degree from Ohio University and his master's degree from Case Western Reserve University. He has previously worked in community mental health, private practice, outpatient and school-based settings. He has extensive training in family systems and in Jungian studies. He received the Lifetime Achievement Award form the Alcohol, Drug Addiction and Mental Health Board of Cuyahoga County in 2018. He specializes in issues regarding grief, death, illness-related issues, mood disorders and family systems.
Michael Baskin is a licensed independent social worker with over 40 years of experience in mental healthcare. He received his bachelor's degree from Ohio University and his master's degree from Case Western Reserve University. He has previously worked in community mental health, private practice, outpatient and school-based settings. He has extensive training in family systems and in Jungian studies. He received the Lifetime Achievement Award form the Alcohol, Drug Addiction and Mental Health Board of Cuyahoga County in 2018. He specializes in issues regarding grief, death, illness-related issues, mood disorders and family systems.
(216) 868-7107 View (216) 868-7107
Photo of Pamela M. Nilsson, Psychologist in 44122, OH
Pamela M. Nilsson
Psychologist, PhD
Verified Verified
Beachwood, OH 44122
The therapeutic relationship creates a unique space for patient and therapist to explore and uncover new possibilities for growth and change in areas that are of importance to the patient. I work collaboratively with patients to dislodge and free up deeply-embedded patterns of behavior and ways of relating to others that can keep us stuck and prevent us from moving forward, from achieving important goals, and from developing satisfying relationships that are nurturing and sustaining. Relationships are central to my work with patients, whether working individually, in couples therapy, or in a group.
The therapeutic relationship creates a unique space for patient and therapist to explore and uncover new possibilities for growth and change in areas that are of importance to the patient. I work collaboratively with patients to dislodge and free up deeply-embedded patterns of behavior and ways of relating to others that can keep us stuck and prevent us from moving forward, from achieving important goals, and from developing satisfying relationships that are nurturing and sustaining. Relationships are central to my work with patients, whether working individually, in couples therapy, or in a group.
(216) 303-6526 View (216) 303-6526
Photo of Amy Pincus, Clinical Social Work/Therapist in 44122, OH
Amy Pincus
Clinical Social Work/Therapist, LISW, MA
Verified Verified
Beachwood, OH 44122
Finding fulfillment and joy comes with practicing self-compassion and understanding what leads us forward and what holds us back. Challenges are a natural part of life, and when we embrace them, we create space for new ways of thinking and find opportunities for growth and healing. Our sessions will take place in a nurturing environment, led by your unique circumstances and goals. We’ll partner together on your journey of self-exploration and renewal, and celebrate the beauty you hold within. Honoring your strengths, you'll discover strategies to become better equipped to handle stressors and shape a balanced and meaningful life.
Finding fulfillment and joy comes with practicing self-compassion and understanding what leads us forward and what holds us back. Challenges are a natural part of life, and when we embrace them, we create space for new ways of thinking and find opportunities for growth and healing. Our sessions will take place in a nurturing environment, led by your unique circumstances and goals. We’ll partner together on your journey of self-exploration and renewal, and celebrate the beauty you hold within. Honoring your strengths, you'll discover strategies to become better equipped to handle stressors and shape a balanced and meaningful life.
(216) 279-5554 View (216) 279-5554
Photo of Melissa Harris, Licensed Professional Counselor in 44122, OH
Melissa Harris
Licensed Professional Counselor, MA, LPC, AT
Verified Verified
1 Endorsed
Beachwood, OH 44122  (Online Only)
Eclectic approaches are an effective way to tailor a productive therapeutic relationship. I'm interested in combining the strengths of various counseling modalities, with the strengths and interests of my clients. We can use your love of baking, rock collecting or even bird watching as a tool in your journey towards positive change! Together we will work to create a path that fosters strength, stability and a sound sense of self.
Eclectic approaches are an effective way to tailor a productive therapeutic relationship. I'm interested in combining the strengths of various counseling modalities, with the strengths and interests of my clients. We can use your love of baking, rock collecting or even bird watching as a tool in your journey towards positive change! Together we will work to create a path that fosters strength, stability and a sound sense of self.
(216) 242-1696 View (216) 242-1696
Photo of Nicholette Leanza, Counselor in 44122, OH
Nicholette Leanza
Counselor, LPCC-S
Verified Verified
Beachwood, OH 44122
Nicholette Leanza is a clinical counselor who possesses several years of experience working with adolescents and adults in a variety of treatment settings. She is a group facilitator for the intensive outpatient program (IOP) and her specializations include trauma, LGBTQ+, ADHD and overall positive mental health and wellbeing. Nicholette believes in a treatment philosophy that encompasses a wholistic and eclectic approach to care and her treatment methods include cognitive behavior therapy (CBT), acceptance commitment therapy (ACT) and psychodynamic therapy.
Nicholette Leanza is a clinical counselor who possesses several years of experience working with adolescents and adults in a variety of treatment settings. She is a group facilitator for the intensive outpatient program (IOP) and her specializations include trauma, LGBTQ+, ADHD and overall positive mental health and wellbeing. Nicholette believes in a treatment philosophy that encompasses a wholistic and eclectic approach to care and her treatment methods include cognitive behavior therapy (CBT), acceptance commitment therapy (ACT) and psychodynamic therapy.
(216) 859-4793 View (216) 859-4793
Photo of Angela Tarantino, Licensed Professional Clinical Counselor in 44122, OH
Angela Tarantino
Licensed Professional Clinical Counselor, LPCC, MFT
Verified Verified
2 Endorsed
Beachwood, OH 44122  (Online Only)
What if you could feel calm and confident, free from overwhelm and uncertainty? Struggling to prioritize your needs, make decisions, and voice your opinions? Seeking direction and motivation while navigating changing relationships and marital challenges? You're here for answers, feeling trapped in your mind, desperate for a way out. Even though you might look successful on the outside, you still have doubts inside, feeling like you have to be perfect all the time. But change is possible – you're ready to reclaim confidence, clarity, and to rediscover what makes you truly happy so you can live a joyful life.
What if you could feel calm and confident, free from overwhelm and uncertainty? Struggling to prioritize your needs, make decisions, and voice your opinions? Seeking direction and motivation while navigating changing relationships and marital challenges? You're here for answers, feeling trapped in your mind, desperate for a way out. Even though you might look successful on the outside, you still have doubts inside, feeling like you have to be perfect all the time. But change is possible – you're ready to reclaim confidence, clarity, and to rediscover what makes you truly happy so you can live a joyful life.
(440) 276-8188 View (440) 276-8188
Photo of Judith A Jankowski, Counselor in 44122, OH
Judith A Jankowski
Counselor, LPCC-S, ATR-BC, LICDC, CHT, INHC
Verified Verified
Beachwood, OH 44122
I specialize in integrative therapy, my approach is to address the individual holistically through both traditional talk therapy combined with art therapy, hypnotherapy, mindfulness, and EMDR. My specialties include: anxiety, depression, grief, trauma, life transitions, substance abuse/dependency and recovery. I believe the goals of therapy are to help to empower individuals to find healing and meaning in their lives.
I specialize in integrative therapy, my approach is to address the individual holistically through both traditional talk therapy combined with art therapy, hypnotherapy, mindfulness, and EMDR. My specialties include: anxiety, depression, grief, trauma, life transitions, substance abuse/dependency and recovery. I believe the goals of therapy are to help to empower individuals to find healing and meaning in their lives.
(216) 284-4374 View (216) 284-4374
Photo of Bronwyn Simms, Licensed Professional Clinical Counselor in 44122, OH
Bronwyn Simms
Licensed Professional Clinical Counselor, LPCC-S
Verified Verified
Woodmere, OH 44122
People often need support in navigating life’s challenges, and everyone's needs are different. I believe the foundation of therapy is a relationship built on trust and respect, where each person is the expert of their own life. My role is to help you gain insight into how old stories or limiting beliefs may be affecting your current outlook, to help you learn skills to manage stress and difficult emotions, and to guide you toward developing methods to improve communication, confidence, and overall wellness.
People often need support in navigating life’s challenges, and everyone's needs are different. I believe the foundation of therapy is a relationship built on trust and respect, where each person is the expert of their own life. My role is to help you gain insight into how old stories or limiting beliefs may be affecting your current outlook, to help you learn skills to manage stress and difficult emotions, and to guide you toward developing methods to improve communication, confidence, and overall wellness.
(216) 238-3411 View (216) 238-3411

How does your Therapist compare?

Number of Therapists in 44122

300+

Average cost per session

$150

Therapists in 44122 who prioritize treating:

96% Anxiety
92% Depression
73% Trauma and PTSD
70% Relationship Issues
68% Self Esteem
65% Coping Skills
61% Grief

Average years in practice

13 Years

Top 3 insurances accepted

80% Medical Mutual
77% Aetna
71% UnitedHealthcare UHC | UBH

How Therapists in 44122 see their clients

79% In Person and Online
21% Online Only

Gender breakdown

82% Female
18% Male
FAQs - About Therapy and Counseling

How can I find a therapist in 44122?

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.