Photo of Lauren Stelflug, MPS, CPC, LADC, Counselor
Lauren Stelflug
Counselor, MPS, CPC, LADC
Verified Verified
Las Vegas, NV 89146
I specialize in working with teens and adults struggling with trauma, anxiety, depression and/or substance abuse. I am dual licensed and EMDR and Brainspotting trained. Through my decade of experience, I have helped clients by improving mental stability, fostering more meaningful connections, and working toward healing and resiliency. Do you aspire to navigate life with a sense of purpose & regain a positive outlook, and embark on a journey toward mental and emotional well-being? You've taken the first and second steps, recognizing these goals and beginning to seek someone to work alongside you on your journey toward attaining them.
I specialize in working with teens and adults struggling with trauma, anxiety, depression and/or substance abuse. I am dual licensed and EMDR and Brainspotting trained. Through my decade of experience, I have helped clients by improving mental stability, fostering more meaningful connections, and working toward healing and resiliency. Do you aspire to navigate life with a sense of purpose & regain a positive outlook, and embark on a journey toward mental and emotional well-being? You've taken the first and second steps, recognizing these goals and beginning to seek someone to work alongside you on your journey toward attaining them.
(725) 527-2943 View (725) 527-2943
Photo of Jacqueline B. Panish, PhD, Psychologist
Jacqueline B. Panish
Psychologist, PhD
Verified Verified
Las Vegas, NV 89146
Not accepting new clients
****NOT ACCEPTING NEW CLIENTS*** For better or worse our early relationships strongly impact our emotional experiences as adults, often in ways we do not understand. If you're dissatisfied in your life, you probably have tried to find solutions on your own before considering contacting a therapist. Or maybe you tried therapy and it only helped you temporarily or partially, but never got to the heart of the problem. I work with adults and couples facing challenges and who seek a deeper understanding of themselves. There is a biological need to feel understood that exists within all of us, which is where our emotional life exists.
****NOT ACCEPTING NEW CLIENTS*** For better or worse our early relationships strongly impact our emotional experiences as adults, often in ways we do not understand. If you're dissatisfied in your life, you probably have tried to find solutions on your own before considering contacting a therapist. Or maybe you tried therapy and it only helped you temporarily or partially, but never got to the heart of the problem. I work with adults and couples facing challenges and who seek a deeper understanding of themselves. There is a biological need to feel understood that exists within all of us, which is where our emotional life exists.
(702) 396-9000 View (702) 396-9000
Photo of Milka Aviles-Quintana, BSW, LMFT, Marriage & Family Therapist
Milka Aviles-Quintana
Marriage & Family Therapist, BSW, LMFT
Verified Verified
1 Endorsed
Las Vegas, NV 89146
At one point or another in our lives, we can be exposed to stressful situations or trauma. Managing emotions can be difficult. We might feel stuck and without hope in the future. My wish is to create a safe space where I can empower you to navigate those difficulties.
At one point or another in our lives, we can be exposed to stressful situations or trauma. Managing emotions can be difficult. We might feel stuck and without hope in the future. My wish is to create a safe space where I can empower you to navigate those difficulties.
(702) 887-1414 View (702) 887-1414
Photo of Freddy Valinia, MA, Licensed Professional Counselor
Freddy Valinia
Licensed Professional Counselor, MA
Verified Verified
6 Endorsed
Las Vegas, NV 89146
My name is Freddy Valinia, and I am a Nevada-licensed clinical Professional Counselor. My specialization lies in tailoring therapy for those grappling with anxiety, depression, trauma, and relationship hurdles. I am seeking clients who are eager for self-exploration, ready to conquer obstacles, enhance their well-being, and nurture empowerment. My approach is client-centered, providing a secure environment for individuals to delve into their feelings, develop coping mechanisms, and work toward their mental and emotional health goals, thereby fostering resilience and self-development.
My name is Freddy Valinia, and I am a Nevada-licensed clinical Professional Counselor. My specialization lies in tailoring therapy for those grappling with anxiety, depression, trauma, and relationship hurdles. I am seeking clients who are eager for self-exploration, ready to conquer obstacles, enhance their well-being, and nurture empowerment. My approach is client-centered, providing a secure environment for individuals to delve into their feelings, develop coping mechanisms, and work toward their mental and emotional health goals, thereby fostering resilience and self-development.
(702) 723-9712 View (702) 723-9712
Photo of Sandra Raichart - Executive Therapy Solutions , LCSW, MSW, CCTP, Clinical Social Work/Therapist
Executive Therapy Solutions
Clinical Social Work/Therapist, LCSW, MSW, CCTP
Verified Verified
Las Vegas, NV 89146
Betrayal Trauma Couples Counseling Eating Disorders Anxiety Depression Grief Sometimes we feel sad and disconnected from others. With compassion and guidance, you will effectively make changes and build new habits to create the life you want. In-person office visits in Las Vegas or telehealth visits in Nevada and Utah
Betrayal Trauma Couples Counseling Eating Disorders Anxiety Depression Grief Sometimes we feel sad and disconnected from others. With compassion and guidance, you will effectively make changes and build new habits to create the life you want. In-person office visits in Las Vegas or telehealth visits in Nevada and Utah
(702) 635-6800 View (702) 635-6800
Photo of Jessica Cole, Pre-Licensed Professional
Jessica Cole
Pre-Licensed Professional
Verified Verified
1 Endorsed
Las Vegas, NV 89146
As an Afro-Latina therapist, I understand how deeply systems impact our mental health, and I am committed to creating a safe, inclusive, and empowering space with a focus on serving marginalized and diverse communities, including LGBTQ+ clients and couples, including those in polyamorous and power exchange relationships. I strive to create a safe and affirming space where all of my clients are free to explore their challenges, strengthen their connections, embrace their growth, and celebrate their unique stories and experiences.
As an Afro-Latina therapist, I understand how deeply systems impact our mental health, and I am committed to creating a safe, inclusive, and empowering space with a focus on serving marginalized and diverse communities, including LGBTQ+ clients and couples, including those in polyamorous and power exchange relationships. I strive to create a safe and affirming space where all of my clients are free to explore their challenges, strengthen their connections, embrace their growth, and celebrate their unique stories and experiences.
(725) 262-5422 View (725) 262-5422
Photo of Ashley Edmonds, LCSW, Clinical Social Work/Therapist
Ashley Edmonds
Clinical Social Work/Therapist, LCSW
Verified Verified
1 Endorsed
Las Vegas, NV 89146
In life there are times in which we all could benefit from the encouragement, support, and guidance of another to assist us in bravely taking the steps to find our inner strength. My mission is to provide you with a safe and non-judgmental atmosphere in which you can embark on your journey towards the life you desire to live. Throughout the past twelve plus years of providing mental health services, I have focused on empowering my clients to connect with their own stories and the impact of their experiences on their journey in this life.
In life there are times in which we all could benefit from the encouragement, support, and guidance of another to assist us in bravely taking the steps to find our inner strength. My mission is to provide you with a safe and non-judgmental atmosphere in which you can embark on your journey towards the life you desire to live. Throughout the past twelve plus years of providing mental health services, I have focused on empowering my clients to connect with their own stories and the impact of their experiences on their journey in this life.
(702) 478-3756 View (702) 478-3756
Photo of Keante Marshall, MFT-I, Marriage & Family Therapist Intern
Keante Marshall
Marriage & Family Therapist Intern, MFT-I
Verified Verified
Las Vegas, NV 89146
I provide guidance, encouragement, empathy, and compassion, helping individuals achieve their goals and navigate life’s obstacles. My unique therapeutic structure, combined with my approach, personal experiences, and dedication to addressing pressing mental health issues, distinguishes me as a leader in the field.
I provide guidance, encouragement, empathy, and compassion, helping individuals achieve their goals and navigate life’s obstacles. My unique therapeutic structure, combined with my approach, personal experiences, and dedication to addressing pressing mental health issues, distinguishes me as a leader in the field.
(725) 525-2939 View (725) 525-2939
Photo of Marlon Leon Blanks - Resolutions Behavioral Health Therapy, LCSW, Clinical Social Work/Therapist
Resolutions Behavioral Health Therapy
Clinical Social Work/Therapist, LCSW
Verified Verified
Las Vegas, NV 89146
Depression triggered by feeling hopeless and helpless, High anxiety triggered by work stress and feeling overwhelmed with projects , Anger issues because people don’t understand you and you don’t understand people, Trauma because of your experience with abuse and neglect is currently affecting your life, Infidelity because you lack spontaneity and adventure in your relationship, Marital issues because your spouse is not actively listening or validating your feelings, Men issues because you feel nothing is going right in your life, and Women issues because you put family/friends needs before your self-care.
Depression triggered by feeling hopeless and helpless, High anxiety triggered by work stress and feeling overwhelmed with projects , Anger issues because people don’t understand you and you don’t understand people, Trauma because of your experience with abuse and neglect is currently affecting your life, Infidelity because you lack spontaneity and adventure in your relationship, Marital issues because your spouse is not actively listening or validating your feelings, Men issues because you feel nothing is going right in your life, and Women issues because you put family/friends needs before your self-care.
(702) 710-7978 View (702) 710-7978
Photo of Janneth Nodal, LCSW, Clinical Social Work/Therapist
Janneth Nodal
Clinical Social Work/Therapist, LCSW
Verified Verified
1 Endorsed
Online Only
I understand that making the decision to begin therapy can be difficult. Whether you would like help dealing with life transitions, working through difficult relationships, or simply trying to develop an understanding of what is holding you back from having a meaningful life, I am here to help. My goal is to help you grow and develop the skills you need to get through difficult times for you to achieve a satisfying and enriching life.
I understand that making the decision to begin therapy can be difficult. Whether you would like help dealing with life transitions, working through difficult relationships, or simply trying to develop an understanding of what is holding you back from having a meaningful life, I am here to help. My goal is to help you grow and develop the skills you need to get through difficult times for you to achieve a satisfying and enriching life.
(725) 239-8426 View (725) 239-8426
Photo of Dr. Keith Fairclough, EdD, MS, LMHC, CPC, NCC, Counselor
Dr. Keith Fairclough
Counselor, EdD, MS, LMHC, CPC, NCC
Verified Verified
Las Vegas, NV 89146
My ideal client is the man seeking support to become the best version of himself. He faces career stress, relationship challenges, emotional struggles, or societal pressures. He needs guidance to take control, lead effectively, and advocate for his emotional needs. His goals include mastering his thoughts and emotions, showing up effectively in his relationship, and becoming a true provider and protector. He seeks discipline, consistency, and balance in life. Working with me, Dr. Keith Fairclough, you will find the tools and support necessary to excel and achieve true fulfillment. Let's work together to reach your highest potential!
My ideal client is the man seeking support to become the best version of himself. He faces career stress, relationship challenges, emotional struggles, or societal pressures. He needs guidance to take control, lead effectively, and advocate for his emotional needs. His goals include mastering his thoughts and emotions, showing up effectively in his relationship, and becoming a true provider and protector. He seeks discipline, consistency, and balance in life. Working with me, Dr. Keith Fairclough, you will find the tools and support necessary to excel and achieve true fulfillment. Let's work together to reach your highest potential!
(702) 707-7155 View (702) 707-7155
Photo of Sarah Bolor, LCSW, Clinical Social Work/Therapist
Sarah Bolor
Clinical Social Work/Therapist, LCSW
Verified Verified
1 Endorsed
Las Vegas, NV 89146
Hi, I am Sarah Bolor, LCSW. As the founder of SayIt Mental Health, I believe in creating a safe, non-judgmental space where you can express yourself authentically. I provide services in Nevada and Montana. My approach is rooted in compassion and personalized care, designed to meet you where you are on your mental health journey. I will work alongside you, helping to uncover the challenges you’re facing, while empowering you with the tools and insights to overcome them.
Hi, I am Sarah Bolor, LCSW. As the founder of SayIt Mental Health, I believe in creating a safe, non-judgmental space where you can express yourself authentically. I provide services in Nevada and Montana. My approach is rooted in compassion and personalized care, designed to meet you where you are on your mental health journey. I will work alongside you, helping to uncover the challenges you’re facing, while empowering you with the tools and insights to overcome them.
(702) 903-2745 View (702) 903-2745
Photo of Coreen Haym, PhD, LMFT, Marriage & Family Therapist
Coreen Haym
Marriage & Family Therapist, PhD, LMFT
Verified Verified
1 Endorsed
Online Only
My therapeutic approach is holistic, human, and individually tailored to meet the needs of clients in their current situations. As a therapist, I am a down-to-earth person who sees myself as equal to my clients, sharing a non-judgmental space to promote and honor personal growth and healing. I work with a large variety of relational issues related to transitional life experiences, as well as common mental health concerns and diagnoses. I have significant experience in sex therapy and relational issues, as well as working with non-traditional/chosen families and diverse populations. I served as a faculty member in the UNLV Couple and Family Therapy Program for the past decade supervising interns and teaching sex therapy, sexuality, and diversity. Consequently, I have enjoyed many years of working with trans, non-binary, poly, and related communities. I am passionate about working with all couple and family dynamics as well as desired individual growth in your specific context.
My therapeutic approach is holistic, human, and individually tailored to meet the needs of clients in their current situations. As a therapist, I am a down-to-earth person who sees myself as equal to my clients, sharing a non-judgmental space to promote and honor personal growth and healing. I work with a large variety of relational issues related to transitional life experiences, as well as common mental health concerns and diagnoses. I have significant experience in sex therapy and relational issues, as well as working with non-traditional/chosen families and diverse populations. I served as a faculty member in the UNLV Couple and Family Therapy Program for the past decade supervising interns and teaching sex therapy, sexuality, and diversity. Consequently, I have enjoyed many years of working with trans, non-binary, poly, and related communities. I am passionate about working with all couple and family dynamics as well as desired individual growth in your specific context.
(702) 381-6270 View (702) 381-6270
Photo of Shannon Alice Creme, MA, LCPC, Licensed Professional Counselor
Shannon Alice Creme
Licensed Professional Counselor, MA, LCPC
Verified Verified
1 Endorsed
Las Vegas, NV 89146
Waitlist for new clients
Thank you for taking the first step into looking for help for you or your family. I have experience with a wide variety of clients after working at a residential treatment center for children and adolescents and working at an outpatient agency for all ages and needs. I am here to help you through challenging times and to achieve your goals. I specialize in working with children, teens, young adults, and parents, but I can help any individual who wants help with anxiety, trauma, depression, family conflict, or simply balancing life's stressors. Asking for help is not easy, but it "takes a village" and you do not need to do it alone.
Thank you for taking the first step into looking for help for you or your family. I have experience with a wide variety of clients after working at a residential treatment center for children and adolescents and working at an outpatient agency for all ages and needs. I am here to help you through challenging times and to achieve your goals. I specialize in working with children, teens, young adults, and parents, but I can help any individual who wants help with anxiety, trauma, depression, family conflict, or simply balancing life's stressors. Asking for help is not easy, but it "takes a village" and you do not need to do it alone.
(702) 710-6189 View (702) 710-6189
Photo of Jinyu Zhang - Blue Whale ABA, BCBA, LBA, MEd
Blue Whale ABA
BCBA, LBA, MEd
Verified Verified
Las Vegas, NV 89146
Our clients are children diagnosed with autism spectrum disorder who are facing challenges in communication, social skills, and behaviors. They seek personalized ABA services to improve their quality of life, achieve milestones, and enhance independence. Goals include developing relationships, decreasing maladaptive behaviors, self-care, and academic success for a fulfilling and empowered life. Understanding and supporting their aspirations drive effective intervention strategies.
Our clients are children diagnosed with autism spectrum disorder who are facing challenges in communication, social skills, and behaviors. They seek personalized ABA services to improve their quality of life, achieve milestones, and enhance independence. Goals include developing relationships, decreasing maladaptive behaviors, self-care, and academic success for a fulfilling and empowered life. Understanding and supporting their aspirations drive effective intervention strategies.
(702) 600-0099 View (702) 600-0099
Photo of Diamond Rodgers - Season for Healing Therapy , MS, LMFT, Marriage & Family Therapist
Season for Healing Therapy
Marriage & Family Therapist, MS, LMFT
Verified Verified
Las Vegas, NV 89146
My therapeutic approach is collaborative, empowering, and culturally sensitive, ensuring a safe and inclusive space for all. I specialize in helping clients navigate the complex intersections of boundaries, cultural dynamics, and women's issues. I assist clients in identifying their boundaries, understanding their importance, and developing effective communication strategies to express and reinforce those boundaries. Together, we explore ways to set limits, prioritize self-care, and establish healthier relationships.
My therapeutic approach is collaborative, empowering, and culturally sensitive, ensuring a safe and inclusive space for all. I specialize in helping clients navigate the complex intersections of boundaries, cultural dynamics, and women's issues. I assist clients in identifying their boundaries, understanding their importance, and developing effective communication strategies to express and reinforce those boundaries. Together, we explore ways to set limits, prioritize self-care, and establish healthier relationships.
(702) 527-8913 View (702) 527-8913
Photo of Jean Marie Vignola, MS, LPC Intern
Jean Marie Vignola
LPC Intern, MS
Verified Verified
2 Endorsed
Las Vegas, NV 89146
My style of therapy is unique to each person and collaborative in nature. I see value in addressing the past, while focusing on the present to find solutions that work now. I love working with children, teens, and adults and specialize in working with children and their family systems. If you'd like to discuss working together, you can call or message me here to see if I we’d be a good fit!
My style of therapy is unique to each person and collaborative in nature. I see value in addressing the past, while focusing on the present to find solutions that work now. I love working with children, teens, and adults and specialize in working with children and their family systems. If you'd like to discuss working together, you can call or message me here to see if I we’d be a good fit!
(702) 904-9812 View (702) 904-9812
Photo of April Hough, MFT-Int, Marriage & Family Therapist Intern
April Hough
Marriage & Family Therapist Intern, MFT-Int
Verified Verified
1 Endorsed
Las Vegas, NV 89146
Every person is unique and copes with life's struggles differently, so it is important to find the person-centered approach that works best for you! I rely on an empathetic, compassionate style when working with clients. I work with families, couples, and individuals facing relationship distress, anxiety, and marital issues. I also have experience working with children coping with behavioral issues. Please email thestrengthwithintherapy@gmail.com for additional information.
Every person is unique and copes with life's struggles differently, so it is important to find the person-centered approach that works best for you! I rely on an empathetic, compassionate style when working with clients. I work with families, couples, and individuals facing relationship distress, anxiety, and marital issues. I also have experience working with children coping with behavioral issues. Please email thestrengthwithintherapy@gmail.com for additional information.
(702) 664-8024 View (702) 664-8024
Photo of Skarlet D. Forwood, LCSW, Clinical Social Work/Therapist
Skarlet D. Forwood
Clinical Social Work/Therapist, LCSW
Verified Verified
Online Only
Are you going through major life changes? Have you been experiencing overwhelming feelings of sadness, grief, anger, anxiety, or fear? Do you battle with feelings of inadequacy, unworthiness  or self defeating thoughts? Do you have a history of trauma or unresolved conflict?  Is it hard for you to show vulnerability or ask for help? Do you feel alone? Do you need someone to talk to who will not judge your thoughts, feelings or experiences? Therapy is a space to find ones voice, tell ones story and to speak ones truth; a journey towards “I Matter, I am Worthy and I am Enough”.
Are you going through major life changes? Have you been experiencing overwhelming feelings of sadness, grief, anger, anxiety, or fear? Do you battle with feelings of inadequacy, unworthiness  or self defeating thoughts? Do you have a history of trauma or unresolved conflict?  Is it hard for you to show vulnerability or ask for help? Do you feel alone? Do you need someone to talk to who will not judge your thoughts, feelings or experiences? Therapy is a space to find ones voice, tell ones story and to speak ones truth; a journey towards “I Matter, I am Worthy and I am Enough”.
(725) 234-2316 View (725) 234-2316
Photo of New Way Empowerment Center - New Way Empowerment Center, LCSW, LMSW, Clinical Social Work/Therapist
New Way Empowerment Center
Clinical Social Work/Therapist, LCSW, LMSW
Verified Verified
Las Vegas, NV 89146
There will come a time in all of our lives when we could benefit from talking with someone about current or past difficulties that result in stress, depression, anxiety, anger, and/or low self-esteem. Learning healthy ways to cope is essential to achieving mental health and wellness. Speak with one of our mental health professionals who can provide support, a listening ear, and positive feedback to assist you in your journey towards healing and wellbeing.
There will come a time in all of our lives when we could benefit from talking with someone about current or past difficulties that result in stress, depression, anxiety, anger, and/or low self-esteem. Learning healthy ways to cope is essential to achieving mental health and wellness. Speak with one of our mental health professionals who can provide support, a listening ear, and positive feedback to assist you in your journey towards healing and wellbeing.
(702) 842-2306 View (702) 842-2306
1

How does your Therapist compare?

Number of Therapists in 89146

70+

Average cost per session

$125

Therapists in 89146 who prioritize treating:

92% Anxiety
84% Depression
80% Trauma and PTSD
76% Relationship Issues
73% Self Esteem
72% Coping Skills
71% Stress

Average years in practice

11 Years

Top 3 insurances accepted

79% Aetna
66% UnitedHealthcare UHC | UBH
64% Optum

How Therapists in 89146 see their clients

80% In Person and Online
20% Online Only

Gender breakdown

84% Female
16% Male
FAQs - About Therapy and Counseling

How can I find a therapist in 89146?

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.