Photo of Liz Daumann, LISW, Clinical Social Work/Therapist
Liz Daumann
Clinical Social Work/Therapist, LISW
Verified Verified
1 Endorsed
Cincinnati, OH 45227
My passion lies in helping young minds navigate the complex emotions we all face. I aim to foster a supportive environment where individuals who are experiencing overwhelming feelings of worry, sadness, or hopelessness feel heard, understood, and empowered to make positive changes in their lives. Whether it's navigating academic stress, peer relationships, or life transitions, I am dedicated to providing comprehensive support tailored to each stage of development.
My passion lies in helping young minds navigate the complex emotions we all face. I aim to foster a supportive environment where individuals who are experiencing overwhelming feelings of worry, sadness, or hopelessness feel heard, understood, and empowered to make positive changes in their lives. Whether it's navigating academic stress, peer relationships, or life transitions, I am dedicated to providing comprehensive support tailored to each stage of development.
(513) 613-3118 View (513) 613-3118
Photo of Katherine Burchenal - Katie Burchenal Counseling, LPC, Licensed Professional Counselor
Katie Burchenal Counseling
Licensed Professional Counselor, LPC
Verified Verified
Cincinnati, OH 45227
I bring a warm, genuine, and innovative approach to therapy. Together, we'll work collaboratively, and I’ll provide you with the support, understanding, and encouragement you need throughout your healing journey. I firmly believe in your ability to create meaningful changes in your life. By fostering creativity, compassion, and enjoyment, I’ll make sure you feel heard, acknowledged, and validated. Together, we’ll navigate the obstacles you’re currently facing, tailoring our collaboration to your unique needs and goals.
I bring a warm, genuine, and innovative approach to therapy. Together, we'll work collaboratively, and I’ll provide you with the support, understanding, and encouragement you need throughout your healing journey. I firmly believe in your ability to create meaningful changes in your life. By fostering creativity, compassion, and enjoyment, I’ll make sure you feel heard, acknowledged, and validated. Together, we’ll navigate the obstacles you’re currently facing, tailoring our collaboration to your unique needs and goals.
(513) 951-8192 View (513) 951-8192
Photo of Stephanie Hurley, MA, LPCC-S, Counselor
Stephanie Hurley
Counselor, MA, LPCC-S
Verified Verified
5 Endorsed
Cincinnati, OH 45227
If you feel like you've lost your zest for life and are missing it fiercely, you may have decided it's time to find someone to talk to. Maybe you've forgotten who you are or what even lights you up anymore. Do you wake up with every day feeling like Groundhog Day? It takes courage to look at how to break the habits we've developed that are no longer serving us. You wish you felt calm and confident, but instead feel like you don't measure up, you're overwhelmed, or are irritated more often than you'd like. You're not sure why, because on the outside it appears you have a great life. It's ok to want more!
If you feel like you've lost your zest for life and are missing it fiercely, you may have decided it's time to find someone to talk to. Maybe you've forgotten who you are or what even lights you up anymore. Do you wake up with every day feeling like Groundhog Day? It takes courage to look at how to break the habits we've developed that are no longer serving us. You wish you felt calm and confident, but instead feel like you don't measure up, you're overwhelmed, or are irritated more often than you'd like. You're not sure why, because on the outside it appears you have a great life. It's ok to want more!
(513) 657-2485 View (513) 657-2485
Photo of Emiley Morton, DSW, LISW-S, Clinical Social Work/Therapist
Emiley Morton
Clinical Social Work/Therapist, DSW, LISW-S
Verified Verified
5 Endorsed
Cincinnati, OH 45227
Hi, I'm Dr. Emiley! offer professional testing for autism/ADHD in adults, specializing in assessing high-masking individuals. I am a neurodiversity-affirming provider, with extensive lived and professional experience in intersectional neurodivergence. My lived expirience as a late-diagnosed and high-masking individual informs my work and passion to connect neurodivergent individuals to validation, answers, and support.
Hi, I'm Dr. Emiley! offer professional testing for autism/ADHD in adults, specializing in assessing high-masking individuals. I am a neurodiversity-affirming provider, with extensive lived and professional experience in intersectional neurodivergence. My lived expirience as a late-diagnosed and high-masking individual informs my work and passion to connect neurodivergent individuals to validation, answers, and support.
View
Photo of Hannah Bullar, MA, LPCC , BSW , Counselor
Hannah Bullar
Counselor, MA, LPCC , BSW
Verified Verified
1 Endorsed
Cincinnati, OH 45227
Hello! My name is Hannah Bullar. I am a Licensed Professional Clinical Counselor. In my career I have worked with ages 3-35. I have worked in early childhood, maternal depression, and in preschools as well as high schools and everything in between. If you are ready to better understand yourself, learn to manage anxiety, or process trauma I am here to help.
Hello! My name is Hannah Bullar. I am a Licensed Professional Clinical Counselor. In my career I have worked with ages 3-35. I have worked in early childhood, maternal depression, and in preschools as well as high schools and everything in between. If you are ready to better understand yourself, learn to manage anxiety, or process trauma I am here to help.
(513) 549-4832 View (513) 549-4832
Photo of Haley Moore, MA, LPCC
Haley Moore
Licensed Professional Clinical Counselor, MA, LPCC
Verified Verified
Cincinnati, OH 45227
It is exceedingly courageous to acknowledge the pain you carry and take the first step towards healing. Seeking out help presents daunting searches that require a sense of vulnerability and I hope to bring support through each of these steps. My primary goal is to provide a safe space for each individual - as this is the most important element of the therapeutic process - and from that foundation work collaboratively with you to build into your sense of agency, autonomy, and innate resilience as a human being.
It is exceedingly courageous to acknowledge the pain you carry and take the first step towards healing. Seeking out help presents daunting searches that require a sense of vulnerability and I hope to bring support through each of these steps. My primary goal is to provide a safe space for each individual - as this is the most important element of the therapeutic process - and from that foundation work collaboratively with you to build into your sense of agency, autonomy, and innate resilience as a human being.
(641) 658-4066 View (641) 658-4066
Photo of Myesha Price, LSW, MSW, Clinical Social Work/Therapist
Myesha Price
Clinical Social Work/Therapist, LSW, MSW
Verified Verified
1 Endorsed
Cincinnati, OH 45227
As an Ohio licensed mental health therapist sI am passionate about holistic well-being through incorporating strength-based interventions with the spiritual and faith practices that are important to my clients. I support adolescents and adults who desire to overcome life's challenges and achieve holistic well-being. By integrating the principles of strength-based therapy while honoring the spiritual beliefs of my clients, I seek to provide empowerment for my clients to discover their inner strengths, cultivate resilience, and find meaning and purpose in their lives.
As an Ohio licensed mental health therapist sI am passionate about holistic well-being through incorporating strength-based interventions with the spiritual and faith practices that are important to my clients. I support adolescents and adults who desire to overcome life's challenges and achieve holistic well-being. By integrating the principles of strength-based therapy while honoring the spiritual beliefs of my clients, I seek to provide empowerment for my clients to discover their inner strengths, cultivate resilience, and find meaning and purpose in their lives.
(513) 654-2493 View (513) 654-2493
Photo of Kathy Jakucki, MA, LPCC
Kathy Jakucki
Licensed Professional Clinical Counselor, MA, LPCC
Verified Verified
1 Endorsed
Cincinnati, OH 45227
Hi there! Is your child or teen struggling to express or control their emotions? Maybe they experienced a traumatic or life changing event? Or perhaps they're having increased anxiety or feeling depressed? Welcome to my counseling practice, where I strive to create a warm and inviting space for children seeking guidance and support. I understand that as a parent or guardian, you want the very best for your child, and I share in that commitment. Childhood can be a time of joy, discovery, and wonder, but it can also present its own set of challenges and difficulties.
Hi there! Is your child or teen struggling to express or control their emotions? Maybe they experienced a traumatic or life changing event? Or perhaps they're having increased anxiety or feeling depressed? Welcome to my counseling practice, where I strive to create a warm and inviting space for children seeking guidance and support. I understand that as a parent or guardian, you want the very best for your child, and I share in that commitment. Childhood can be a time of joy, discovery, and wonder, but it can also present its own set of challenges and difficulties.
(513) 712-8990 View (513) 712-8990
Photo of Marilyn Jewell Bielinski, MA, LPCC-S, LICDC-S, Counselor
Marilyn Jewell Bielinski
Counselor, MA, LPCC-S, LICDC-S
Verified Verified
2 Endorsed
Cincinnati, OH 45227
Waitlist for new clients
Hello and I am looking forward to working together! I am currently accepting new clients for both in person and teletherapy appointments in Ohio and Florida. I specialize in working with adults and teens with a variety of concerns ranging from anxiety, depression, trauma, to relationship issues, addiction issues, LGBTQ+ spectrum and life transitions/challenges. I believe that a quality therapeutic relationship is built on trust and authenticity. Therapy is about change, gaining skills, knowledge and confidence in a safe and supportive environment. I work hard with my clients and support them to make the changes they want to make.
Hello and I am looking forward to working together! I am currently accepting new clients for both in person and teletherapy appointments in Ohio and Florida. I specialize in working with adults and teens with a variety of concerns ranging from anxiety, depression, trauma, to relationship issues, addiction issues, LGBTQ+ spectrum and life transitions/challenges. I believe that a quality therapeutic relationship is built on trust and authenticity. Therapy is about change, gaining skills, knowledge and confidence in a safe and supportive environment. I work hard with my clients and support them to make the changes they want to make.
(513) 796-7729 View (513) 796-7729
Photo of Emily Lyon, LISW-S, PMH-C, Clinical Social Work/Therapist
Emily Lyon
Clinical Social Work/Therapist, LISW-S, PMH-C
Verified Verified
Cincinnati, OH 45227
So often as women, we are too busy fulfilling the many roles we occupy that we put our values, needs, and desires on the backburner. I can help you to get back in touch with your values and what’s important to you. Whether you’re juggling the many facets of motherhood (trying to get pregnant, having a difficult pregnancy, struggling postpartum), going through a difficult life transition, grieving any kind of loss, struggling with depression or anxiety, I’m here to help find a way forward.
So often as women, we are too busy fulfilling the many roles we occupy that we put our values, needs, and desires on the backburner. I can help you to get back in touch with your values and what’s important to you. Whether you’re juggling the many facets of motherhood (trying to get pregnant, having a difficult pregnancy, struggling postpartum), going through a difficult life transition, grieving any kind of loss, struggling with depression or anxiety, I’m here to help find a way forward.
(513) 586-7084 View (513) 586-7084
Photo of Katie Kramer, LPCC
Katie Kramer
Licensed Professional Clinical Counselor, LPCC
Verified Verified
2 Endorsed
Cincinnati, OH 45227
What challenges do you face? Everyone has strengths and encounters their own challenges. My passion is to work with adults and children struggling with relationships, behavior, inattention, life transitions, and more. I believe that working with parents is crucial to unite your home and create a healthy space for you and your family. I focus on strengths, build up self-esteem, and validate your emotions in order to successfully resolve the conflict you may be feeling and expressing. We can express our emotions in a multitude of ways. Allow me to help explore what those are.
What challenges do you face? Everyone has strengths and encounters their own challenges. My passion is to work with adults and children struggling with relationships, behavior, inattention, life transitions, and more. I believe that working with parents is crucial to unite your home and create a healthy space for you and your family. I focus on strengths, build up self-esteem, and validate your emotions in order to successfully resolve the conflict you may be feeling and expressing. We can express our emotions in a multitude of ways. Allow me to help explore what those are.
(513) 866-7201 View (513) 866-7201
Photo of Kaeden Kass, MSW, LISW, CSW, Clinical Social Work/Therapist
Kaeden Kass
Clinical Social Work/Therapist, MSW, LISW, CSW
Verified Verified
1 Endorsed
Cincinnati, OH 45227
Hi! I’m Kaeden (he/him/his), and I am a licensed independent social worker in the states of Ohio (LISW) and Kentucky (CSW). I specialize in providing therapy to LGBTQ+ and neurodivergent adolescents and adults, as well as anyone looking for a safe and nonjudgemental therapeutic home. My approach is rooted in vulnerability, collaboration, transparency, and self-determination, and I am passionate about creating spaces where people with marginalized identities and experiences can feel seen and understood. If you have struggled in the past to find a provider who "gets" you, I might be the provider for you.
Hi! I’m Kaeden (he/him/his), and I am a licensed independent social worker in the states of Ohio (LISW) and Kentucky (CSW). I specialize in providing therapy to LGBTQ+ and neurodivergent adolescents and adults, as well as anyone looking for a safe and nonjudgemental therapeutic home. My approach is rooted in vulnerability, collaboration, transparency, and self-determination, and I am passionate about creating spaces where people with marginalized identities and experiences can feel seen and understood. If you have struggled in the past to find a provider who "gets" you, I might be the provider for you.
(513) 647-6770 View (513) 647-6770
Photo of Kati Herman, MA, LPCC
Kati Herman
Licensed Professional Clinical Counselor, MA, LPCC
Verified Verified
1 Endorsed
Mariemont, OH 45227
Hi there, I'm Kati! I’ve been working in the field of mental health for over 8 years. My early experiences consisted of supporting children and adolescents in crisis. I’d like to say that these positions, as well as having my own life experiences, have given me an edge in understanding the complexities of mental health and the human experience. Over time, my care for helping others expanded to an enthusiasm for working with people of all ages. I currently work with ages 11 years old and up.
Hi there, I'm Kati! I’ve been working in the field of mental health for over 8 years. My early experiences consisted of supporting children and adolescents in crisis. I’d like to say that these positions, as well as having my own life experiences, have given me an edge in understanding the complexities of mental health and the human experience. Over time, my care for helping others expanded to an enthusiasm for working with people of all ages. I currently work with ages 11 years old and up.
(513) 440-4048 View (513) 440-4048
Photo of Gene Johnson, LISW-S, Clinical Social Work/Therapist
Gene Johnson
Clinical Social Work/Therapist, LISW-S
Verified Verified
Cincinnati, OH 45227
Have you ever faced grief/ bereavement, addiction, emotional dysregulation, distress intolerance and relationship discord? I espouse helping all, to be in relationships that promote positive connection, safety and mutual success! Let’s work together to create health and wellbeing through maintaining a heart - body connection in the balance of work, life, and relationships.
Have you ever faced grief/ bereavement, addiction, emotional dysregulation, distress intolerance and relationship discord? I espouse helping all, to be in relationships that promote positive connection, safety and mutual success! Let’s work together to create health and wellbeing through maintaining a heart - body connection in the balance of work, life, and relationships.
(513) 676-4849 View (513) 676-4849
Photo of Dr. Susannah Coaston, EdD, LPCC-S, CWC
Dr. Susannah Coaston
Licensed Professional Clinical Counselor, EdD, LPCC-S, CWC
Verified Verified
4 Endorsed
Cincinnati, OH 45227
Do you struggle to live up to expectations – yours or others’? Do concerns you’d normally handle without much trouble now have you feeling like you’re in over your head? Have you lost touch with your sense of self, and found you have no idea what you want out of life anymore? Such experiences can be discouraging and exhausting, but you don’t have to navigate them on your own. I would like to help you reconnect to the person you want to be. I can’t promise to eliminate your stress, but I can help you tap into your inner strength, quiet your self-critical voice, and return to living life on your terms.
Do you struggle to live up to expectations – yours or others’? Do concerns you’d normally handle without much trouble now have you feeling like you’re in over your head? Have you lost touch with your sense of self, and found you have no idea what you want out of life anymore? Such experiences can be discouraging and exhausting, but you don’t have to navigate them on your own. I would like to help you reconnect to the person you want to be. I can’t promise to eliminate your stress, but I can help you tap into your inner strength, quiet your self-critical voice, and return to living life on your terms.
(513) 654-2551 View (513) 654-2551
Photo of Maria Lucking, MSW, LISW, Clinical Social Work/Therapist
Maria Lucking
Clinical Social Work/Therapist, MSW, LISW
Verified Verified
2 Endorsed
Cincinnati, OH 45227
Will begin maternity leave at the end of June 2024 and will return October 2024, please reach out if interested in services prior or or waitlisted to after maternity leave! I am passionate in specializing in women's issues including anxiety, depression, trauma, low self esteem/self worth, anger management, health and wellness, relationship issues, parenting strategies, challenges with life transitions (child birth, loss of a loved one, ending of relationship, start of new phase of life).
Will begin maternity leave at the end of June 2024 and will return October 2024, please reach out if interested in services prior or or waitlisted to after maternity leave! I am passionate in specializing in women's issues including anxiety, depression, trauma, low self esteem/self worth, anger management, health and wellness, relationship issues, parenting strategies, challenges with life transitions (child birth, loss of a loved one, ending of relationship, start of new phase of life).
(513) 854-7203 View (513) 854-7203
Photo of Allie McLaughlin, MS, LPCC-S, LICDC
Allie McLaughlin
Licensed Professional Clinical Counselor, MS, LPCC-S, LICDC
Verified Verified
6 Endorsed
Cincinnati, OH 45227
Are you feeling stuck, struggling to find your voice, or finding it difficult to balance a hectic life? Are you facing a life transition, unsure who you are, or having difficulty feeling confident and empowered? Counseling provides a unique experience that is catered to your needs to get to the root of the problem and develop skills for lasting success, continued growth, and sustainable joy.
Are you feeling stuck, struggling to find your voice, or finding it difficult to balance a hectic life? Are you facing a life transition, unsure who you are, or having difficulty feeling confident and empowered? Counseling provides a unique experience that is catered to your needs to get to the root of the problem and develop skills for lasting success, continued growth, and sustainable joy.
(513) 657-2154 View (513) 657-2154
Photo of Paige Liette, LISW-S, Clinical Social Work/Therapist
Paige Liette
Clinical Social Work/Therapist, LISW-S
Verified Verified
1 Endorsed
Cincinnati, OH 45227  (Online Only)
Hello! I'm Paige Liette, an Independently Licensed Social Worker in the state of Ohio. Throughout my career, I've gained valuable experience working with children, adults, and families in community mental health and hospital settings. My work has involved intensive interventions with individuals, groups, and families. As an adjunct professor at a local university, I also enjoy guiding students in exploring their career and life options. My passion lies in assisting people navigate life transitions, manage stressors, and address relational challenges.
Hello! I'm Paige Liette, an Independently Licensed Social Worker in the state of Ohio. Throughout my career, I've gained valuable experience working with children, adults, and families in community mental health and hospital settings. My work has involved intensive interventions with individuals, groups, and families. As an adjunct professor at a local university, I also enjoy guiding students in exploring their career and life options. My passion lies in assisting people navigate life transitions, manage stressors, and address relational challenges.
(513) 647-1119 View (513) 647-1119
Photo of Courtney Gardner, MSSW, LCSW, Clinical Social Work/Therapist
Courtney Gardner
Clinical Social Work/Therapist, MSSW, LCSW
Verified Verified
Cincinnati, OH 45227
Not accepting new clients
In therapy there is no 'one-size-fits-all' approach. Because of this, I utilize various therapeutic modalities, such as Cognitive Behavioral Therapy, Dialectical Behavior Therapy, Motivational Interviewing, and psychotherapy techniques to tailor the best approach to help you. We will work together in a safe, comfortable, and private space to help combat these negative feelings and help you develop a plan to feel alive and whole.
In therapy there is no 'one-size-fits-all' approach. Because of this, I utilize various therapeutic modalities, such as Cognitive Behavioral Therapy, Dialectical Behavior Therapy, Motivational Interviewing, and psychotherapy techniques to tailor the best approach to help you. We will work together in a safe, comfortable, and private space to help combat these negative feelings and help you develop a plan to feel alive and whole.
(513) 647-8926 View (513) 647-8926
Photo of Shawn Scott, MA, LPCC, Counselor
Shawn Scott
Counselor, MA, LPCC
Verified Verified
Cincinnati, OH 45227
Life can have its challenges and often cause us to feel distressed and unbalanced. You may have hoped with time, things would somehow get back to a place where you could feel good about life, but the loss, the pain, the struggle has been too great. You may have discovered that after an intense battle with depression, anxiety, grief, and trauma, time is not the only thing you need to heal. Yet, time has come to serve you. It is in this moment you have chosen to face your fears, overcome your challenges, and adopt tools which will help you to find peace and balance. Today, you begin your journey toward wellbeing.
Life can have its challenges and often cause us to feel distressed and unbalanced. You may have hoped with time, things would somehow get back to a place where you could feel good about life, but the loss, the pain, the struggle has been too great. You may have discovered that after an intense battle with depression, anxiety, grief, and trauma, time is not the only thing you need to heal. Yet, time has come to serve you. It is in this moment you have chosen to face your fears, overcome your challenges, and adopt tools which will help you to find peace and balance. Today, you begin your journey toward wellbeing.
(513) 998-6221 View (513) 998-6221
1

How does your Therapist compare?

Number of Therapists in 45227

90+

Average cost per session

$140

Therapists in 45227 who prioritize treating:

95% Anxiety
93% Depression
76% Self Esteem
73% Relationship Issues
73% Stress
72% Trauma and PTSD
71% Life Transitions

Average years in practice

9 Years

Top 3 insurances accepted

81% Aetna
77% Optum
74% Anthem | Elevance

How Therapists in 45227 see their clients

87% In Person and Online
13% Online Only

Gender breakdown

80% Female
17% Male
3% Non-Binary
FAQs - About Therapy and Counseling

How can I find a therapist in 45227?

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.