Photo of Emma Donovan, MA, LPC, LCPC, Licensed Professional Counselor
Emma Donovan
Licensed Professional Counselor, MA, LPC, LCPC
Verified Verified
3 Endorsed
Saint Louis, MO 63139
Hi! My name is Emma. I offer an alternative, holistic, nutritional, and spiritual approach to therapy for women I help you heal your problems at the root so you can feel more conscious, integrated, and whole. I use Depth Hypnosis, Shamanic Counseling, Buddhist Psychology, Holistic Nutrition, Psychedelic Integration, and TRE, all of which I am trained and/or certified in. I am also level 3 trained in IFS. One fun fact about me is that I have studied, lived, and worked in many countries, and I've been to 32 countries in total! Ask me about working at a mindfulness center in Thailand or getting yoga teacher trained in India.
Hi! My name is Emma. I offer an alternative, holistic, nutritional, and spiritual approach to therapy for women I help you heal your problems at the root so you can feel more conscious, integrated, and whole. I use Depth Hypnosis, Shamanic Counseling, Buddhist Psychology, Holistic Nutrition, Psychedelic Integration, and TRE, all of which I am trained and/or certified in. I am also level 3 trained in IFS. One fun fact about me is that I have studied, lived, and worked in many countries, and I've been to 32 countries in total! Ask me about working at a mindfulness center in Thailand or getting yoga teacher trained in India.
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Photo of Zoey Dlott, LCSW, MPH, Clinical Social Work/Therapist
Zoey Dlott
Clinical Social Work/Therapist, LCSW, MPH
Verified Verified
Online Only
Feeling overwhelmed by the challenges of college life, early adulthood, or managing a chronic illness? I'm here to help you navigate these complex experiences with confidence and resilience. As a specialist in young adult development and health challenges, I offer tailored, evidence-based therapy designed to enhance your personal growth, relationships, and overall well-being. Whether you're dealing with academic pressure, career uncertainty, identity exploration, or the daily struggles of a chronic condition, we'll work together to develop effective coping strategies and find fulfillment despite life's complexities.
Feeling overwhelmed by the challenges of college life, early adulthood, or managing a chronic illness? I'm here to help you navigate these complex experiences with confidence and resilience. As a specialist in young adult development and health challenges, I offer tailored, evidence-based therapy designed to enhance your personal growth, relationships, and overall well-being. Whether you're dealing with academic pressure, career uncertainty, identity exploration, or the daily struggles of a chronic condition, we'll work together to develop effective coping strategies and find fulfillment despite life's complexities.
(314) 912-3162 View (314) 912-3162
Photo of Zachary Polk, MS, LMFT, Marriage & Family Therapist
Zachary Polk
Marriage & Family Therapist, MS, LMFT
Verified Verified
Saint Louis, MO 63139
Do you catch yourself overthinking or being too critical? Do you often wonder if you have accomplished “enough”? We keep trying to change how we think and feel about ourselves, but nothing seems to work for very long. However, this '“trying” can often lead to familiar reactions such as anxiety, depression, and relationship stress. So how does it get better?
Do you catch yourself overthinking or being too critical? Do you often wonder if you have accomplished “enough”? We keep trying to change how we think and feel about ourselves, but nothing seems to work for very long. However, this '“trying” can often lead to familiar reactions such as anxiety, depression, and relationship stress. So how does it get better?
(314) 926-9610 View (314) 926-9610
Photo of Ann Ramatowski Netzer, MSW, LCSW, Clinical Social Work/Therapist
Ann Ramatowski Netzer
Clinical Social Work/Therapist, MSW, LCSW
Verified Verified
Saint Louis, MO 63139
Hi! I'm Ann. I enjoy working with people who are open-minded, inquisitive and who like to challenge norms. Part of the therapeutic process is about confronting the parts of ourselves that we tend to hide and feel a bit less comfortable with. I'd like to help you get to know your whole self and walk beside you as you question some of the beliefs you've held, which may be in conflict with who you are now. Like you, I've been there and asked myself. "What do I want?" "Who am I?" and "What feels motivating and pleasurable in my life?" It's tough to feel ‘stuck’ and also, it's the start of something brand new.
Hi! I'm Ann. I enjoy working with people who are open-minded, inquisitive and who like to challenge norms. Part of the therapeutic process is about confronting the parts of ourselves that we tend to hide and feel a bit less comfortable with. I'd like to help you get to know your whole self and walk beside you as you question some of the beliefs you've held, which may be in conflict with who you are now. Like you, I've been there and asked myself. "What do I want?" "Who am I?" and "What feels motivating and pleasurable in my life?" It's tough to feel ‘stuck’ and also, it's the start of something brand new.
(314) 820-0456 View (314) 820-0456
Photo of Jayree Stone, MEd, LPC, Licensed Professional Counselor
Jayree Stone
Licensed Professional Counselor, MEd, LPC
Verified Verified
2 Endorsed
Saint Louis, MO 63139
I am a Licensed Professional Counselor and appreciate working with clients with anxiety, depression, bipolar disorder, relationships, teen-parent conflicts, religious trauma/abuse and gender and sexual identity struggles. I have experience helping individuals, families, and couples work through life transitions and challenges including aging, relationships, financial hardships, social anxieties, spiritual identity, and divorce. We can't do it all on our own. I offer a safe space to help you manage and cope with your daily struggles.
I am a Licensed Professional Counselor and appreciate working with clients with anxiety, depression, bipolar disorder, relationships, teen-parent conflicts, religious trauma/abuse and gender and sexual identity struggles. I have experience helping individuals, families, and couples work through life transitions and challenges including aging, relationships, financial hardships, social anxieties, spiritual identity, and divorce. We can't do it all on our own. I offer a safe space to help you manage and cope with your daily struggles.
(314) 325-1420 View (314) 325-1420
Photo of Ben Cook, MEd, Clinical Social Work/Therapist
Ben Cook
Clinical Social Work/Therapist, MEd
Verified Verified
1 Endorsed
Saint Louis, MO 63139
Not accepting new clients
It is my goal as a therapist to foster an empathetic and collaborative space that encourages self-awareness, self-advocacy, and self-acceptance for adults of all identities. I use a holistic queer-affirming approach that uses unique exercises tailored to my client’s strengths. I am passionate about helping my clients set boundaries, build confidence, and explore new perspectives. I am a Provisionally Licensed Professional Counselor with a master’s in Clinical Mental Health Counseling from the University of Missouri St. Louis.
It is my goal as a therapist to foster an empathetic and collaborative space that encourages self-awareness, self-advocacy, and self-acceptance for adults of all identities. I use a holistic queer-affirming approach that uses unique exercises tailored to my client’s strengths. I am passionate about helping my clients set boundaries, build confidence, and explore new perspectives. I am a Provisionally Licensed Professional Counselor with a master’s in Clinical Mental Health Counseling from the University of Missouri St. Louis.
(314) 834-5987 View (314) 834-5987
Photo of Alice Kinsella, MEd, LPC, Licensed Professional Counselor
Alice Kinsella
Licensed Professional Counselor, MEd, LPC
Verified Verified
2 Endorsed
Saint Louis, MO 63139
6-8 sessions may be all you need. Do you often think/say to yourself: “I should know this?” “I’ve read all the self-help books.” “I’ve done therapy in the past.” "I was doing great." “What are you going to tell me that I don’t already know?” or "I have never done this before" I get it. I work with negative, self-limiting beliefs and past traumas that may be holding you back.
6-8 sessions may be all you need. Do you often think/say to yourself: “I should know this?” “I’ve read all the self-help books.” “I’ve done therapy in the past.” "I was doing great." “What are you going to tell me that I don’t already know?” or "I have never done this before" I get it. I work with negative, self-limiting beliefs and past traumas that may be holding you back.
(314) 328-7516 View (314) 328-7516
Photo of Aya B Kawasaki, LCSW, Clinical Social Work/Therapist
Aya B Kawasaki
Clinical Social Work/Therapist, LCSW
Verified Verified
Saint Louis, MO 63139
My clients are very diverse in age, ethnicity, social economic status, and gender/sexual identity. I would like to be culturally humble and honor your background and identity.
My clients are very diverse in age, ethnicity, social economic status, and gender/sexual identity. I would like to be culturally humble and honor your background and identity.
(314) 804-1545 View (314) 804-1545
Photo of Sara Bell, MSW, LCSW, Clinical Social Work/Therapist
Sara Bell
Clinical Social Work/Therapist, MSW, LCSW
Verified Verified
1 Endorsed
Saint Louis, MO 63139
Waitlist for new clients
Hello, I'm happy you're here! Life can be incredibly challenging, and sometimes, the weight of our struggles can feel overwhelming. I strive to create a warm and inviting atmosphere in my practice, where laughter and lightness can coexist with deeper emotional work. I understand that therapy can feel intimidating, which is why I prioritize creating a safe, nonjudgmental space where clients can express themselves freely! I believe that there is no "one size fits all" in terms of modalities and treatments, so I often practice a variation of therapies, depending on the client's needs!
Hello, I'm happy you're here! Life can be incredibly challenging, and sometimes, the weight of our struggles can feel overwhelming. I strive to create a warm and inviting atmosphere in my practice, where laughter and lightness can coexist with deeper emotional work. I understand that therapy can feel intimidating, which is why I prioritize creating a safe, nonjudgmental space where clients can express themselves freely! I believe that there is no "one size fits all" in terms of modalities and treatments, so I often practice a variation of therapies, depending on the client's needs!
(314) 907-3775 View (314) 907-3775
Photo of Kimberly Vest - Ellie Mental Health - Hampton Ave, LPC, Licensed Professional Counselor
Ellie Mental Health - Hampton Ave
Licensed Professional Counselor, LPC
Verified Verified
1 Endorsed
Saint Louis, MO 63139
Ellie Mental Health in St. Louis-Hampton Avenue, Missouri isn’t your average therapy clinic. We’ve created a comfy, judgment-free zone where you can be authentic, get real about where you’re at in your mental health, and receive the compassionate care you deserve. We strive to break down treatment barriers and provide you with customized counseling services that meet your therapy needs.
Ellie Mental Health in St. Louis-Hampton Avenue, Missouri isn’t your average therapy clinic. We’ve created a comfy, judgment-free zone where you can be authentic, get real about where you’re at in your mental health, and receive the compassionate care you deserve. We strive to break down treatment barriers and provide you with customized counseling services that meet your therapy needs.
(314) 860-8535 View (314) 860-8535
Photo of Marybeth Gras, LCSW, Clinical Social Work/Therapist
Marybeth Gras
Clinical Social Work/Therapist, LCSW
Verified Verified
2 Endorsed
Saint Louis, MO 63139
Being human is difficult! Committing to counseling provides viable options to the struggles you face. As you grow in your understanding of yourself and your world, you will begin to find that you have more choices than you thought possible — real alternatives to being defeated, becoming numb, or simply being trapped in knee-jerk patterns and reactions. Growth in this way does require trust and vulnerability, but not just from you — from both of us! My deepest hope is to be a compassionate collaborator and a source of safety and insight as you make small steps towards big change.
Being human is difficult! Committing to counseling provides viable options to the struggles you face. As you grow in your understanding of yourself and your world, you will begin to find that you have more choices than you thought possible — real alternatives to being defeated, becoming numb, or simply being trapped in knee-jerk patterns and reactions. Growth in this way does require trust and vulnerability, but not just from you — from both of us! My deepest hope is to be a compassionate collaborator and a source of safety and insight as you make small steps towards big change.
(314) 970-5501 View (314) 970-5501
Photo of Kolleen Lyn Simons - The Right Solution Counseling Service, Clinical Social Work/Therapist
The Right Solution Counseling Service
Clinical Social Work/Therapist
Verified Verified
Saint Louis, MO 63139
The Right Solution offers counseling services for individuals, families and children. We offer both in person and tele-health options.
The Right Solution offers counseling services for individuals, families and children. We offer both in person and tele-health options.
(314) 315-4348 View (314) 315-4348
Photo of Tiffany N Wymore, MA, LPC, Licensed Professional Counselor
Tiffany N Wymore
Licensed Professional Counselor, MA, LPC
Verified Verified
Saint Louis, MO 63139
Are you struggling with life transitions? Feeling depressed or anxious? Seeing behavioral issues with your child? Wanting to work on family dynamics? As your counselor, I will support you by learning more about you and your goals so I can tailor a plan to help you with your unique situation. I am here for support through your hardest moments and to celebrate the best moments with you. My experience includes working with individuals as well as families from varying demographics and backgrounds.
Are you struggling with life transitions? Feeling depressed or anxious? Seeing behavioral issues with your child? Wanting to work on family dynamics? As your counselor, I will support you by learning more about you and your goals so I can tailor a plan to help you with your unique situation. I am here for support through your hardest moments and to celebrate the best moments with you. My experience includes working with individuals as well as families from varying demographics and backgrounds.
(314) 710-6873 View (314) 710-6873
Photo of Ronald Laney, MA, LPC, Licensed Professional Counselor
Ronald Laney
Licensed Professional Counselor, MA, LPC
Verified Verified
2 Endorsed
Saint Louis, MO 63139
If you’ve been longing to develop a deeper understanding of self and others in the context of a more longterm, intimate therapeutic relationship—one in which you are free and encouraged to be your authentic self, we may very well be a good fit. I’m certified in existential-humanistic therapy from the Existential-Humanistic Institute in California, and while I do incorporate other modalities of therapy, I take a predominantly philosophical approach, focusing on the human condition and how we might best navigate a variety of existential concerns that may hinder us from living fully—engaging in self-sabotage for example.
If you’ve been longing to develop a deeper understanding of self and others in the context of a more longterm, intimate therapeutic relationship—one in which you are free and encouraged to be your authentic self, we may very well be a good fit. I’m certified in existential-humanistic therapy from the Existential-Humanistic Institute in California, and while I do incorporate other modalities of therapy, I take a predominantly philosophical approach, focusing on the human condition and how we might best navigate a variety of existential concerns that may hinder us from living fully—engaging in self-sabotage for example.
(314) 912-4575 View (314) 912-4575
Photo of Esther Boguszewski, LMSW, Clinical Social Work/Therapist
Esther Boguszewski
Clinical Social Work/Therapist, LMSW
Verified Verified
Saint Louis, MO 63139
Not accepting new clients
Esther is a Licensed Master of Social Work who provides therapy services to adults at Ellie Mental Health in St. Louis. Esther strives to create a safe space where clients can feel free to be their most vulnerable selves, without fear of judgement.
Esther is a Licensed Master of Social Work who provides therapy services to adults at Ellie Mental Health in St. Louis. Esther strives to create a safe space where clients can feel free to be their most vulnerable selves, without fear of judgement.
(314) 675-7907 View (314) 675-7907
Photo of Caroline Crocker - Dynamic Counseling & Consultation Services, LCSW, Clinical Social Work/Therapist
Dynamic Counseling & Consultation Services
Clinical Social Work/Therapist, LCSW
Verified Verified
Online Only
Life is complicated. Both my professional experiences and my own life experiences have taught me this. Women in particular experience unique challenges in today's world. We are faced with pressure from many sources, both internally and externally. I specialize in working with women of all ages, including teen girls. I offer secure, confidential video sessions so you can participate in therapy from the comfort of your home. As women we are often so busy with other responsibilities, that we put ourselves on the back burner. This is an opportunity to take care of you! You deserve it!
Life is complicated. Both my professional experiences and my own life experiences have taught me this. Women in particular experience unique challenges in today's world. We are faced with pressure from many sources, both internally and externally. I specialize in working with women of all ages, including teen girls. I offer secure, confidential video sessions so you can participate in therapy from the comfort of your home. As women we are often so busy with other responsibilities, that we put ourselves on the back burner. This is an opportunity to take care of you! You deserve it!
(314) 528-9643 View (314) 528-9643
Photo of Peter Maynor, LPC, Licensed Professional Counselor
Peter Maynor
Licensed Professional Counselor, LPC
Verified Verified
2 Endorsed
Saint Louis, MO 63139
Waitlist for new clients
If you are motivated to grow as an individual or as a couple, face challenging realities, and develop a growth mentality, or if you need to recover from harm, work through grief, and move toward wholeness and wellbeing, this could be the right therapeutic fit for you. If you feel stuck, unsatisfied, anxious, or discouraged, we can work through your struggles. If your relationship is in jeopardy or you just want to take it to the next level of connection, this is the right place for you. Lastly, to recent graduates looking for supervision, I've enjoyed supervising many therapists over the years and would be happy to discuss fitting.
If you are motivated to grow as an individual or as a couple, face challenging realities, and develop a growth mentality, or if you need to recover from harm, work through grief, and move toward wholeness and wellbeing, this could be the right therapeutic fit for you. If you feel stuck, unsatisfied, anxious, or discouraged, we can work through your struggles. If your relationship is in jeopardy or you just want to take it to the next level of connection, this is the right place for you. Lastly, to recent graduates looking for supervision, I've enjoyed supervising many therapists over the years and would be happy to discuss fitting.
(314) 207-3168 View (314) 207-3168
Photo of Dr. Annalise Millet, PhD, LCSW, Clinical Social Work/Therapist
Dr. Annalise Millet
Clinical Social Work/Therapist, PhD, LCSW
Verified Verified
1 Endorsed
Online Only
January 27, 2025 - Welcome, and thank you for being here. Choosing a therapist is a vulnerable commitment to yourself and I’m so happy you’ve made that choice! Most of us have experienced a traumatic event during the course of our lives; how we recover is directly impacted by the kind of support you have in your life. Experiencing trauma or abuse often leads to fewer internal resources to combat the impact. This leads to unhealthy ways of dealing with the pain such as addictions, self-harm, destructive relationships, isolation. Through healthy connections and therapy, you can process traumatic experiences and find joy again.
January 27, 2025 - Welcome, and thank you for being here. Choosing a therapist is a vulnerable commitment to yourself and I’m so happy you’ve made that choice! Most of us have experienced a traumatic event during the course of our lives; how we recover is directly impacted by the kind of support you have in your life. Experiencing trauma or abuse often leads to fewer internal resources to combat the impact. This leads to unhealthy ways of dealing with the pain such as addictions, self-harm, destructive relationships, isolation. Through healthy connections and therapy, you can process traumatic experiences and find joy again.
(314) 948-3493 View (314) 948-3493
Photo of Katie L Arnold, MA, ATR, LPC, Licensed Professional Counselor
Katie L Arnold
Licensed Professional Counselor, MA, ATR, LPC
Verified Verified
3 Endorsed
Saint Louis, MO 63139
I have a diverse background in the evidence-based treatment of persons with trauma, eating disorders, co-occurring disorders, anxiety, mood disorders, LGBTQIA+ challenges and gender dysphoria. For clients with PTSD and other trauma, common goals include symptom reduction, coping, exploration and healing. With eating disorders, my practice is most appropriate for clients who have attended a higher level of care (e.g. Intensive Outpatient, Residential, PHP) and are looking to confront issues underlying the eating disorder. Clients seeking gender affirming care will find support with expression, transition, relationships and more.
I have a diverse background in the evidence-based treatment of persons with trauma, eating disorders, co-occurring disorders, anxiety, mood disorders, LGBTQIA+ challenges and gender dysphoria. For clients with PTSD and other trauma, common goals include symptom reduction, coping, exploration and healing. With eating disorders, my practice is most appropriate for clients who have attended a higher level of care (e.g. Intensive Outpatient, Residential, PHP) and are looking to confront issues underlying the eating disorder. Clients seeking gender affirming care will find support with expression, transition, relationships and more.
(314) 375-4887 View (314) 375-4887
Photo of Jessie Kissinger, MEd, PLPC, NCC, Pre-Licensed Professional
Jessie Kissinger
Pre-Licensed Professional, MEd, PLPC, NCC
Verified Verified
2 Endorsed
Saint Louis, MO 63139
I believe counseling is most powerful when it sensitizes you to what’s happening in your mind and heart and helps you meet whatever you find with compassion. Feeling your feels (literally) is the first step to making sense of them. Within that confusion is the possibility of deeper self-knowledge and freedom. I find it helpful to use yoga and mindfulness practices to keep you grounded as you explore big emotions, and I work with both individuals and couples who are processing loss, trauma, chronic pain, depression, anxiety, life transitions, and relationship issues.
I believe counseling is most powerful when it sensitizes you to what’s happening in your mind and heart and helps you meet whatever you find with compassion. Feeling your feels (literally) is the first step to making sense of them. Within that confusion is the possibility of deeper self-knowledge and freedom. I find it helpful to use yoga and mindfulness practices to keep you grounded as you explore big emotions, and I work with both individuals and couples who are processing loss, trauma, chronic pain, depression, anxiety, life transitions, and relationship issues.
(314) 296-3222 View (314) 296-3222

How does your Therapist compare?

Number of Therapists in 63139

100+

Average cost per session

$140

Therapists in 63139 who prioritize treating:

94% Anxiety
92% Depression
71% Self Esteem
68% Trauma and PTSD
66% Coping Skills
64% Relationship Issues
64% Stress

Average years in practice

9 Years

Top 3 insurances accepted

93% Aetna
90% Cigna and Evernorth
83% UnitedHealthcare UHC | UBH

How Therapists in 63139 see their clients

62% In Person and Online
38% Online Only

Gender breakdown

83% Female
14% Male
3% Non-Binary
FAQs - About Therapy and Counseling

How can I find a therapist in 63139?

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.