Therapists in 45891

Photo of Celia Hitchcock, Clinical Social Work/Therapist, MSW, LSW
Celia Hitchcock
Clinical Social Work/Therapist, MSW, LSW
Van Wert, OH 45891
I’m passionate about working with individuals facing mental health challenges and trauma. In the past I have worked with various populations including mental health, addictions, trauma, domestic violence, human trafficking, and unhoused clients. I take a holistic, person-centered, relational, and solution-focused approach, grounded in trauma-informed care, to help clients build strength, resilience, and valuable skills.
I’m passionate about working with individuals facing mental health challenges and trauma. In the past I have worked with various populations including mental health, addictions, trauma, domestic violence, human trafficking, and unhoused clients. I take a holistic, person-centered, relational, and solution-focused approach, grounded in trauma-informed care, to help clients build strength, resilience, and valuable skills.
(419) 502-9221 View (419) 502-9221
Photo of Skylar Wannemacher, Licensed Social Worker, LMSW
Skylar Wannemacher
Licensed Social Worker, LMSW
Van Wert, OH 45891
Therapy is one of the most meaningful journeys you can take, and it is also hard work. When we work together, you will feel supported and challenged in the best way. From the very first session, we will set clear intentions for what you want to achieve, and I will be beside you every step of the way. Clients often describe me as deeply invested (“When I talk to her, I can tell she is really present with me”) and caringly direct (“She is honest and pushes me, but always with compassion”). I love this because it means I am creating a space for honesty and growth while also encouraging you toward the breakthroughs you are seeking.
Therapy is one of the most meaningful journeys you can take, and it is also hard work. When we work together, you will feel supported and challenged in the best way. From the very first session, we will set clear intentions for what you want to achieve, and I will be beside you every step of the way. Clients often describe me as deeply invested (“When I talk to her, I can tell she is really present with me”) and caringly direct (“She is honest and pushes me, but always with compassion”). I love this because it means I am creating a space for honesty and growth while also encouraging you toward the breakthroughs you are seeking.
(419) 670-6196 View (419) 670-6196
Photo of Frankie Bowen, Licensed Professional Counselor, MA, LPC, NCC
Frankie Bowen
Licensed Professional Counselor, MA, LPC, NCC
Van Wert, OH 45891
Welcome to Your Journey of Healing and Growth! Hello, I'm Frankie Bowen- a Licensed Professional Counselor dedicated to guiding individuals towards holistic well-being and personal transformation. Discover Your Potential: Together, we'll embark on a journey of self-discovery, helping you unlock your full potential and find the inner strength to overcome life's obstacles. Mindfulness and Well-being: I integrate mindfulness practices into our sessions, empowering you with tools to manage stress, anxiety, and cultivate inner peace. Couples Counseling is always available at my practice.
Welcome to Your Journey of Healing and Growth! Hello, I'm Frankie Bowen- a Licensed Professional Counselor dedicated to guiding individuals towards holistic well-being and personal transformation. Discover Your Potential: Together, we'll embark on a journey of self-discovery, helping you unlock your full potential and find the inner strength to overcome life's obstacles. Mindfulness and Well-being: I integrate mindfulness practices into our sessions, empowering you with tools to manage stress, anxiety, and cultivate inner peace. Couples Counseling is always available at my practice.
(419) 670-6374 View (419) 670-6374
Photo of Jody Dietsch, Clinical Social Work/Therapist, LICSW
Jody Dietsch
Clinical Social Work/Therapist, LICSW
Van Wert, OH 45891
I have provided counseling and therapy services to families, children, adolescents, and adults for over twenty years. I use a variety of therapeutic techniques, including Cognitive Behavioral Therapy (CBT), Rational Emotive Behavior Therapy (REBT), Cognitive Behavioral Therapy for Insomnia (CBT-I) and EMDR. You want to feel better, and I can help you take those needed steps.
I have provided counseling and therapy services to families, children, adolescents, and adults for over twenty years. I use a variety of therapeutic techniques, including Cognitive Behavioral Therapy (CBT), Rational Emotive Behavior Therapy (REBT), Cognitive Behavioral Therapy for Insomnia (CBT-I) and EMDR. You want to feel better, and I can help you take those needed steps.
(260) 786-5865 View (260) 786-5865
Photo of Brooke Sellhorn - Grace Love and Connection, Marriage & Family Therapist, MA, LMFT, LMHC
Grace Love and Connection
Marriage & Family Therapist, MA, LMFT, LMHC
5 Endorsed
Serves Area
Grace Love and Connection is a group of clinicians who are passionate about hope and healing. With a spectrum of interests and specialties, our clinicians are able to meet your family's needs. Grace Love and Connection counselors are able to address individual concerns, marital stress, mental health issues, children's behaviors, adolescent anxiety, emotional health struggles, interpersonal conflict, and family dynamics. Counseling is facilitated in a warm environment and within the safety of a non-judgmental, professional relationship. Clinicians offer in-person, online, group sessions, and marriage intensives.
Grace Love and Connection is a group of clinicians who are passionate about hope and healing. With a spectrum of interests and specialties, our clinicians are able to meet your family's needs. Grace Love and Connection counselors are able to address individual concerns, marital stress, mental health issues, children's behaviors, adolescent anxiety, emotional health struggles, interpersonal conflict, and family dynamics. Counseling is facilitated in a warm environment and within the safety of a non-judgmental, professional relationship. Clinicians offer in-person, online, group sessions, and marriage intensives.
(260) 370-6573 View (260) 370-6573
Photo of Veronica Jewett, Drug & Alcohol Counselor, CDCA, QMHS, BSW
Veronica Jewett
Drug & Alcohol Counselor, CDCA, QMHS, BSW
Serves Area
My ideal clients are individuals, couples, and families who are navigating substance use, trauma, and co-occurring mental health challenges and are ready to begin making meaningful changes in their lives. Many come to therapy feeling overwhelmed, emotionally stuck, or disconnected—from themselves, their relationships, or their sense of direction. Some are early in their recovery journey and looking for structure, support, and accountability. Others may have maintained periods of sobriety but continue to struggle with underlying trauma, anxiety, or patterns that continue to resurface.
My ideal clients are individuals, couples, and families who are navigating substance use, trauma, and co-occurring mental health challenges and are ready to begin making meaningful changes in their lives. Many come to therapy feeling overwhelmed, emotionally stuck, or disconnected—from themselves, their relationships, or their sense of direction. Some are early in their recovery journey and looking for structure, support, and accountability. Others may have maintained periods of sobriety but continue to struggle with underlying trauma, anxiety, or patterns that continue to resurface.
(419) 584-5123 View (419) 584-5123
Photo of Nicole Byrum, Marriage & Family Therapist, LMFT
Nicole Byrum
Marriage & Family Therapist, LMFT
Online Only
I am an independently licensed marriage and family therapist with 16 years of clinical experience. I have worked with a variety of clientele, and much of my work has been with those facing Anxiety, Coping Skills, Depression, Relationship Issues, and Substance Use. I often use a mix of Christian Counseling, Cognitive Behavioral (CBT), Solution Focused Brief (SFBT), Dialectical (DBT), and many more. I believe it is the client's job to determine the goals for therapy, but I will come alongside them to help determine the objectives connected to that goal.
I am an independently licensed marriage and family therapist with 16 years of clinical experience. I have worked with a variety of clientele, and much of my work has been with those facing Anxiety, Coping Skills, Depression, Relationship Issues, and Substance Use. I often use a mix of Christian Counseling, Cognitive Behavioral (CBT), Solution Focused Brief (SFBT), Dialectical (DBT), and many more. I believe it is the client's job to determine the goals for therapy, but I will come alongside them to help determine the objectives connected to that goal.
(513) 613-7206 View (513) 613-7206
Photo of Alexis Dunlap, Marriage & Family Therapist, IMFT-S, MSEd
Alexis Dunlap
Marriage & Family Therapist, IMFT-S, MSEd
1 Endorsed
Online Only
I work with women navigating a variety of life’s challenges—from anxiety and depression to relationship struggles and past trauma. Many come to me seeking clarity during major life transitions, but often, we find that deeper emotional needs, unhealthy patterns, and unexpressed feelings are at the root. My clients are looking to reconnect with themselves, create healthy boundaries, improve communication, and feel more grounded and empowered. They want to embrace change and find balance within themselves and their relationships.
I work with women navigating a variety of life’s challenges—from anxiety and depression to relationship struggles and past trauma. Many come to me seeking clarity during major life transitions, but often, we find that deeper emotional needs, unhealthy patterns, and unexpressed feelings are at the root. My clients are looking to reconnect with themselves, create healthy boundaries, improve communication, and feel more grounded and empowered. They want to embrace change and find balance within themselves and their relationships.
(419) 664-4924 View (419) 664-4924

More Therapists Nearby

Photo of Elizabeth M Wilde, Clinical Social Work/Therapist, LISW
Elizabeth M Wilde
Clinical Social Work/Therapist, LISW
2 Endorsed
Defiance, OH 43512
Have a seat on my couch (or yours if you are wanting Telehealth services) and let's talk about what you need to feel better about your life. I offer techniques to help reduce symptoms of stress, anxiety, depression, trauma responses, and life transitions. I work with people in developing skills to cope with negative beliefs and daily challenges. I provide a space for people to feel safe and work towards goals that are specific to their needs. I also want to help you improve any areas of your life that you want to focus on - relationships, work stress, home life, communication, healthy coping skills, etc.
Have a seat on my couch (or yours if you are wanting Telehealth services) and let's talk about what you need to feel better about your life. I offer techniques to help reduce symptoms of stress, anxiety, depression, trauma responses, and life transitions. I work with people in developing skills to cope with negative beliefs and daily challenges. I provide a space for people to feel safe and work towards goals that are specific to their needs. I also want to help you improve any areas of your life that you want to focus on - relationships, work stress, home life, communication, healthy coping skills, etc.
(419) 601-6464 View (419) 601-6464
Photo of Kianna Collins, Clinical Social Work/Therapist, LISW
Kianna Collins
Clinical Social Work/Therapist, LISW
1 Endorsed
Lima, OH 45806
Kianna provides a welcoming, safe space for all her clients and finds joy in assisting clients age 14+. She promotes emotional/spiritual growth & wellbeing, and enjoys working with those interested in forming healthier emotional habits.
Kianna provides a welcoming, safe space for all her clients and finds joy in assisting clients age 14+. She promotes emotional/spiritual growth & wellbeing, and enjoys working with those interested in forming healthier emotional habits.
(419) 888-2582 View (419) 888-2582
Photo of Darin D. Dodds, Counselor, MEd, LPCC-S
Darin D. Dodds
Counselor, MEd, LPCC-S
Wapakoneta, OH 45895
Providing each patient a place for rest, exploration, learning, and growth. I am an experienced Licensed Professional Clinical Counselor in the state of Ohio with experience working in private practice, residential treatment, schools, and clinical settings. I received my clinical training at Malone University, earning a Master's degree in Clinical Counseling. I am currently accepting new patients at our Lima and Wapakoneta offices, and I'm honored to take part in your progress toward whole health.
Providing each patient a place for rest, exploration, learning, and growth. I am an experienced Licensed Professional Clinical Counselor in the state of Ohio with experience working in private practice, residential treatment, schools, and clinical settings. I received my clinical training at Malone University, earning a Master's degree in Clinical Counseling. I am currently accepting new patients at our Lima and Wapakoneta offices, and I'm honored to take part in your progress toward whole health.
(567) 210-2656 View (567) 210-2656
Photo of Roxanne Larrigan - Monarch Counseling and Consultation LLC, LPCC, LSW, LICDC, NCC
Monarch Counseling and Consultation LLC
Verified Verified
Serves Area
Roxanne enjoys working with young adults, adults, and groups. Roxanne works from a blend of Collaborative Strengths-Based Approach and Cognitive-Behavioral Therapy assisting and supporting clients navigating challenges in their own lives. She works with clients experiencing anxiety, depression, grief, disruptive behaviors, relationship challenges, self-esteem, trauma, and substance use disorders.
Roxanne enjoys working with young adults, adults, and groups. Roxanne works from a blend of Collaborative Strengths-Based Approach and Cognitive-Behavioral Therapy assisting and supporting clients navigating challenges in their own lives. She works with clients experiencing anxiety, depression, grief, disruptive behaviors, relationship challenges, self-esteem, trauma, and substance use disorders.
(740) 202-4659 View (740) 202-4659
Photo of Bridget Hughes, Licensed Professional Clinical Counselor, MA, LPCC
Bridget Hughes
Licensed Professional Clinical Counselor, MA, LPCC
1 Endorsed
Serves Area
I am a Licensed Professional Clinical Counselor (LPCC) I earned my Masters of Arts in Counseling from Heidelberg University and my Bachelors of Arts in English Creative Writing from Baldwin Wallace University. As a result of my work in community and non-profit based mental health I have experience working with children, teens and young adults who have diverse backgrounds . These experiences have grown my passion for working with clients from all walks of life, particularly those navigating all aspects of trauma, including PTSD and post-traumatic growth.
I am a Licensed Professional Clinical Counselor (LPCC) I earned my Masters of Arts in Counseling from Heidelberg University and my Bachelors of Arts in English Creative Writing from Baldwin Wallace University. As a result of my work in community and non-profit based mental health I have experience working with children, teens and young adults who have diverse backgrounds . These experiences have grown my passion for working with clients from all walks of life, particularly those navigating all aspects of trauma, including PTSD and post-traumatic growth.
(440) 968-5063 View (440) 968-5063
Photo of Megan Miller, Clinical Social Work/Therapist, LISW-S
Megan Miller
Clinical Social Work/Therapist, LISW-S
Lima, OH 45806
Megan has been providing mental health services since 2018. Her passion for her work comes from experiencing the joy of watching her clients grow in their self-confidence and realize their own potential. Megan loves to use art, board games and activities during sessions to help engage young clients in their sessions. Megan has also grown to enjoy working with young adults who are interested in personal growth, creating healthy boundaries in relationships and planning future goals. Megan earned her Bachelor of Social Work from Malone University and her Master of Social Work from the University of New England.
Megan has been providing mental health services since 2018. Her passion for her work comes from experiencing the joy of watching her clients grow in their self-confidence and realize their own potential. Megan loves to use art, board games and activities during sessions to help engage young clients in their sessions. Megan has also grown to enjoy working with young adults who are interested in personal growth, creating healthy boundaries in relationships and planning future goals. Megan earned her Bachelor of Social Work from Malone University and her Master of Social Work from the University of New England.
(567) 376-9235 View (567) 376-9235
Photo of Erin Michelle Fitzpatrick, Counselor, MA, LPCC-S
Erin Michelle Fitzpatrick
Counselor, MA, LPCC-S
1 Endorsed
Lima, OH 45801
Life can feel incredibly heavy when you’re carrying the weight of past trauma, the cycle of substance use, or the constant hum of anxiety. Whether you’re facing a major life transition or feel stuck in patterns that no longer serve you, taking the first step toward change is an act of immense courage. You don’t have to navigate this path alone. As a therapist, I am deeply committed to creating a safe, compassionate, and empowering space where clients feel seen, heard, and supported. I believe in the resilience of the human spirit and the power of genuine connection to promote healing and growth.
Life can feel incredibly heavy when you’re carrying the weight of past trauma, the cycle of substance use, or the constant hum of anxiety. Whether you’re facing a major life transition or feel stuck in patterns that no longer serve you, taking the first step toward change is an act of immense courage. You don’t have to navigate this path alone. As a therapist, I am deeply committed to creating a safe, compassionate, and empowering space where clients feel seen, heard, and supported. I believe in the resilience of the human spirit and the power of genuine connection to promote healing and growth.
(419) 963-4838 View (419) 963-4838
Photo of Julli Griesheimer, Licensed Independent Social Worker, MSW, LISW-S, LICDC
Julli Griesheimer
Licensed Independent Social Worker, MSW, LISW-S, LICDC
Serves Area
You've faced challenges most can't imagine-living with schizophrenia, bipolar, or major depression, battling substance use or addiction, carrying the weight of past choices or involvement in the criminal justice system. Maybe you've tried treatment before but felt judged or misunderstood. You're looking for a therapist who understands severe mental illness, substance use or a history of legal challenges - someone who will walk with you step by step as you rebuild.
You've faced challenges most can't imagine-living with schizophrenia, bipolar, or major depression, battling substance use or addiction, carrying the weight of past choices or involvement in the criminal justice system. Maybe you've tried treatment before but felt judged or misunderstood. You're looking for a therapist who understands severe mental illness, substance use or a history of legal challenges - someone who will walk with you step by step as you rebuild.
(937) 203-4720 View (937) 203-4720
Photo of Ora Roby, Counselor, MA, LPCC
Ora Roby
Counselor, MA, LPCC
2 Endorsed
Lima, OH 45801
I consider it an honor to hold space for clients as they begin the challenging deep inner work of healing to create fulfillment and balance within their lives and relationships. My clients often seek counseling burdened by various challenging feelings of shame, anxiety, and depression and I seek to provide a warm and connective space where we can address these concerns sensitively. I work with adults, often LGBTQIA+ identifying, to develop balance and peace within their lives and relationships.
I consider it an honor to hold space for clients as they begin the challenging deep inner work of healing to create fulfillment and balance within their lives and relationships. My clients often seek counseling burdened by various challenging feelings of shame, anxiety, and depression and I seek to provide a warm and connective space where we can address these concerns sensitively. I work with adults, often LGBTQIA+ identifying, to develop balance and peace within their lives and relationships.
(614) 285-5470 View (614) 285-5470
Photo of Amy R Krites, Clinical Social Work/Therapist, MSW, LISW-S
Amy R Krites
Clinical Social Work/Therapist, MSW, LISW-S
1 Endorsed
Serves Area
Life can present challenges that feel overwhelming, and sometimes reaching out for support is the most important step toward healing. My name is Amy Krites, and I am the founder and owner of WellSpace Therapeutics. With over 20 years of experience as a Licensed Independent Social Worker (LISW-S), I’ve had the privilege of helping individuals of all ages navigate their emotional and mental health struggles. Whether you’re dealing with trauma, anxiety, depression, or simply seeking personal growth, I’m here to provide a safe, nonjudgmental, and confidential space where you can work towards your goals in therapy.
Life can present challenges that feel overwhelming, and sometimes reaching out for support is the most important step toward healing. My name is Amy Krites, and I am the founder and owner of WellSpace Therapeutics. With over 20 years of experience as a Licensed Independent Social Worker (LISW-S), I’ve had the privilege of helping individuals of all ages navigate their emotional and mental health struggles. Whether you’re dealing with trauma, anxiety, depression, or simply seeking personal growth, I’m here to provide a safe, nonjudgmental, and confidential space where you can work towards your goals in therapy.
(937) 897-9131 View (937) 897-9131
Photo of Winter D Houser, Licensed Professional Counselor, LPCC-S, LICDC, LMHC
Winter D Houser
Licensed Professional Counselor, LPCC-S, LICDC, LMHC
Coldwater, OH 45828
Life can take some unexpected turns and will cause some hurt feelings. It is good to talk with someone when feeling ready to heal, as well as finding the root of why we feel hurt and heal from it. I am here to help you on your journey of life. To help you explore your hurts and get to the root of your feelings. Everyone needs to know their true value and potential on being a better you.
Life can take some unexpected turns and will cause some hurt feelings. It is good to talk with someone when feeling ready to heal, as well as finding the root of why we feel hurt and heal from it. I am here to help you on your journey of life. To help you explore your hurts and get to the root of your feelings. Everyone needs to know their true value and potential on being a better you.
(419) 614-6265 View (419) 614-6265
Photo of Diana Shoaf, Licensed Social Worker, MSW, LSW
Diana Shoaf
Licensed Social Worker, MSW, LSW
Celina, OH 45822
My name is Diana Shoaf, Masters-level Licensed Social Worker under the supervision of Tiffany Fishbaugh, LISW-S. Life can hurt. There is hope and healing. You are loved and your life matters! All are welcome! You've been through some stuff, done some stuff, had stuff done to you, seen some stuff, and accumulated inner junk as a result. Life affects everyone differently. Healing is a process, a journey, sometimes slow, sometimes faster. I am here to support you at every step along the way! We will traverse this terrain together! Let's leave the heaviness and darkness behind, step into the light of day and find life!
My name is Diana Shoaf, Masters-level Licensed Social Worker under the supervision of Tiffany Fishbaugh, LISW-S. Life can hurt. There is hope and healing. You are loved and your life matters! All are welcome! You've been through some stuff, done some stuff, had stuff done to you, seen some stuff, and accumulated inner junk as a result. Life affects everyone differently. Healing is a process, a journey, sometimes slow, sometimes faster. I am here to support you at every step along the way! We will traverse this terrain together! Let's leave the heaviness and darkness behind, step into the light of day and find life!
(380) 300-5854 View (380) 300-5854

See more therapy options for 45891

How does your Therapist compare?

Number of Therapists in 45891

< 10

Therapists in 45891 who prioritize treating:

88% Depression
75% Relationship Issues
75% Anxiety
75% Family Conflict
63% Divorce
63% Behavioral Issues
63% Self Esteem

Average years in practice

19 Years

Top 3 insurances accepted

100% Aetna
100% BlueCross and BlueShield
100% Anthem

How Therapists in 45891 see their clients

75% In Person and Online
25% Online Only

Gender breakdown

88% Female
12% Male
FAQs - About Therapy and Counseling

How can I find a therapist in 45891?

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.