Photo of Labrini Gilpin - Labrini Gilpin Counseling Services, LPCC, Licensed Professional Clinical Counselor, MA, LPCC, CCM
Labrini Gilpin Counseling Services, LPCC
Licensed Professional Clinical Counselor, MA, LPCC, CCM
Verified Verified
Online Only
Hi! I am so happy that you are here and reading my personal statement. This means that you are one step closer to attaining your goals and embarking on a therapeutic journey. I am excited and honored to support you on this path towards growth and wellness. I know that changes are hard, but I am hoping that throughout our collaboration, we can work through these changes and processes together to improve your quality of life and help you build skills that can support your day to day functions.
Hi! I am so happy that you are here and reading my personal statement. This means that you are one step closer to attaining your goals and embarking on a therapeutic journey. I am excited and honored to support you on this path towards growth and wellness. I know that changes are hard, but I am hoping that throughout our collaboration, we can work through these changes and processes together to improve your quality of life and help you build skills that can support your day to day functions.
(916) 252-4482 View (916) 252-4482
Photo of Adrienne Ramirez Emdrandifs, Marriage & Family Therapist, LMFT, MS
Adrienne Ramirez Emdrandifs
Marriage & Family Therapist, LMFT, MS
Verified Verified
Online Only
As a therapist specializing in complex trauma, and dissociative disorders, I am deeply committed to providing compassionate, evidence-based care that addresses the unique needs of each individual. My approach is rooted in a social justice lens, recognizing that the personal and psychological struggles my clients face often intersect with broader systemic issues, such as oppression, discrimination, and inequality.
As a therapist specializing in complex trauma, and dissociative disorders, I am deeply committed to providing compassionate, evidence-based care that addresses the unique needs of each individual. My approach is rooted in a social justice lens, recognizing that the personal and psychological struggles my clients face often intersect with broader systemic issues, such as oppression, discrimination, and inequality.
(916) 299-7715 View (916) 299-7715
Photo of Tina Glishich, Marriage & Family Therapist, MS, LMFT
Tina Glishich
Marriage & Family Therapist, MS, LMFT
Verified Verified
Serves Area
I provide safe, accepting, and mindful environment as well as culturally sensitive services for children, adults, and families who are experiencing difficulties with emotional stress such as anxiety, depression, post-traumatic stress, behavioral issues such as ADHD, defiant, and oppositional behaviors, culture-related stress such as immigration and issues regarding identity including gender variant clients. I love helping couples and use Emotionally Focus Therapy in addition to CBT techniques.
I provide safe, accepting, and mindful environment as well as culturally sensitive services for children, adults, and families who are experiencing difficulties with emotional stress such as anxiety, depression, post-traumatic stress, behavioral issues such as ADHD, defiant, and oppositional behaviors, culture-related stress such as immigration and issues regarding identity including gender variant clients. I love helping couples and use Emotionally Focus Therapy in addition to CBT techniques.
(916) 347-5794 View (916) 347-5794
Photo of Joy Light - Joy Light LMFT, Marriage & Family Therapist, MA, LMFT
Joy Light LMFT
Marriage & Family Therapist, MA, LMFT
Verified Verified
Online Only
If you are feeling stressed, depressed, anxious or overwhelmed with your personal relationships or work life, I have over 50 methods in Cognitive Behavioral Therapy (CBT) to help you. I also use the very successful Gottman Method to help with conflicts in marriage and relationships. I seek to get to the core issues and self-defeating beliefs so you can truly heal yourself and find your joy in life again. I offer Telehealth (Zoom) sessions from my office to the comfort of your home. I do not take insurance at this time, but I offer a sliding scale on an individual basis to those who need it.
If you are feeling stressed, depressed, anxious or overwhelmed with your personal relationships or work life, I have over 50 methods in Cognitive Behavioral Therapy (CBT) to help you. I also use the very successful Gottman Method to help with conflicts in marriage and relationships. I seek to get to the core issues and self-defeating beliefs so you can truly heal yourself and find your joy in life again. I offer Telehealth (Zoom) sessions from my office to the comfort of your home. I do not take insurance at this time, but I offer a sliding scale on an individual basis to those who need it.
(916) 526-3057 View (916) 526-3057
Jan Hornung
Marriage & Family Therapist, MFT, LPCC
Verified Verified
Serves Area
Not accepting new clients
Hi. The decision to seek therapy is often very difficult yet in every crisis there is opportunity. What I do know is that your happiness, your well-being, your ability to find joy for yourself and in your relationships is available to you. I have been a licensed therapist for over 20 years and have worked with different issues bringing people to therapy. Whether you have been struggling with anxiety, depression or other challenges for many years or you're facing some current new challenges, I can assist you with finding options and ways to access places inside of yourself to help you heal.
Hi. The decision to seek therapy is often very difficult yet in every crisis there is opportunity. What I do know is that your happiness, your well-being, your ability to find joy for yourself and in your relationships is available to you. I have been a licensed therapist for over 20 years and have worked with different issues bringing people to therapy. Whether you have been struggling with anxiety, depression or other challenges for many years or you're facing some current new challenges, I can assist you with finding options and ways to access places inside of yourself to help you heal.
(916) 943-4620 View (916) 943-4620
Photo of Joanna Kwan, Licensed Professional Clinical Counselor, MA, LPCC, NCC, CCMHC
Joanna Kwan
Licensed Professional Clinical Counselor, MA, LPCC, NCC, CCMHC
Verified Verified
2 Endorsed
Online Only
Running on autopilot, feeling numb, feeling miserable, and perpetual suffering. Feeling overwhelmed. Nothing I do is right? I’m not good enough. Feeling like you can’t change a situation? Your life feels out of control, things are blowing up in your face, and you feel lost. Your life seems to be more difficult than you imagine, and you just want to make things right. You are either content or dissatisfied, no other way out or around. You’re just stuck. You want to be more present with yourself or the people around you. "I am not what happened to me, I am what I choose to become." - Carl G. Jung
Running on autopilot, feeling numb, feeling miserable, and perpetual suffering. Feeling overwhelmed. Nothing I do is right? I’m not good enough. Feeling like you can’t change a situation? Your life feels out of control, things are blowing up in your face, and you feel lost. Your life seems to be more difficult than you imagine, and you just want to make things right. You are either content or dissatisfied, no other way out or around. You’re just stuck. You want to be more present with yourself or the people around you. "I am not what happened to me, I am what I choose to become." - Carl G. Jung
(916) 666-6313 View (916) 666-6313

More Therapists Nearby

Photo of Heather Harris, Marriage & Family Therapist Associate, AMFT
Heather Harris
Marriage & Family Therapist Associate, AMFT
Verified Verified
Auburn, CA 95603
I believe that a listening ear and a non-judgmental approach goes a long way in helping individuals find their way back to their best selves. I work with teens, families, couples, and individuals who have experienced trauma, depression, anxiety, behavioral issues, as well as general life challenges. Working from a humanistic perspective I strive to provide a safe and inclusive space for exploring difficulties you may be facing within yourself or your relationships. I am currently an associate of marriage family therapy nearing licensure.
I believe that a listening ear and a non-judgmental approach goes a long way in helping individuals find their way back to their best selves. I work with teens, families, couples, and individuals who have experienced trauma, depression, anxiety, behavioral issues, as well as general life challenges. Working from a humanistic perspective I strive to provide a safe and inclusive space for exploring difficulties you may be facing within yourself or your relationships. I am currently an associate of marriage family therapy nearing licensure.
(530) 464-1079 View (530) 464-1079
Photo of Questella C. Alfred, Clinical Social Work/Therapist, LCSW
Questella C. Alfred
Clinical Social Work/Therapist, LCSW
Verified Verified
Sacramento, CA 95816
I/My practice is grounded in the belief that we all have a deep desire and fundamental need to connect—with ourselves and with others. My practice melds my lived experience as a southern-raised, first-gen West Indian, queer womxn with an evidence-based approach that's warm, collaborative, nonjudgmental, humorous and directive. Using a culturally attuned, trauma/somatic/relational focus, we’ll explore barriers to authentic living and connecting deeply with yourself, your partner(s), the world. We’ll collaboratively curate a transformative healing process that allows you to experience: connection—healing—liberation.
I/My practice is grounded in the belief that we all have a deep desire and fundamental need to connect—with ourselves and with others. My practice melds my lived experience as a southern-raised, first-gen West Indian, queer womxn with an evidence-based approach that's warm, collaborative, nonjudgmental, humorous and directive. Using a culturally attuned, trauma/somatic/relational focus, we’ll explore barriers to authentic living and connecting deeply with yourself, your partner(s), the world. We’ll collaboratively curate a transformative healing process that allows you to experience: connection—healing—liberation.
(916) 999-7897 View (916) 999-7897
Photo of Michael Moses, Clinical Social Work/Therapist, LCSW
Michael Moses
Clinical Social Work/Therapist, LCSW
Verified Verified
Online Only
Hi, I'm Michael Moses LCSW, a compassionate therapist who focuses on helping clients achieve their goals. My therapeutic approach is eclectic because every client is unique, and as a therapist, I must be flexible in my approach. I empower individuals to tap into their strengths and develop solutions for a brighter future. Always eager to learn and grow, I believe in the transformative power of therapy. Cognitive Behavioral Therapy (CBT) and Solution-Focused Brief Therapy, Motivational Interviewing are my primary theoretical approaches.
Hi, I'm Michael Moses LCSW, a compassionate therapist who focuses on helping clients achieve their goals. My therapeutic approach is eclectic because every client is unique, and as a therapist, I must be flexible in my approach. I empower individuals to tap into their strengths and develop solutions for a brighter future. Always eager to learn and grow, I believe in the transformative power of therapy. Cognitive Behavioral Therapy (CBT) and Solution-Focused Brief Therapy, Motivational Interviewing are my primary theoretical approaches.
(747) 277-8476 View (747) 277-8476
Photo of Maurice Geddis, Marriage & Family Therapist, MA, LMFT
Maurice Geddis
Marriage & Family Therapist, MA, LMFT
Verified Verified
2 Endorsed
Davis, CA 95616
My ideal client is any person(s) desiring to be a better person today than yesterday. I have extensive background working with men, women, teenagers, families, college-based students, athletes (collegiate and professional) seeking psycho-therapeutic intervention in areas, but not limited to anxiety, grief and loss processing, marriage counseling, chemical dependency, athletic consulting, performance-based psychology, depression, career counseling, anger management, and group counseling. A wide range of therapeutic modalities are practiced.
My ideal client is any person(s) desiring to be a better person today than yesterday. I have extensive background working with men, women, teenagers, families, college-based students, athletes (collegiate and professional) seeking psycho-therapeutic intervention in areas, but not limited to anxiety, grief and loss processing, marriage counseling, chemical dependency, athletic consulting, performance-based psychology, depression, career counseling, anger management, and group counseling. A wide range of therapeutic modalities are practiced.
(707) 206-6734 View (707) 206-6734
Photo of Giovanna Nicola-Menke, Marriage & Family Therapist, LMFT
Giovanna Nicola-Menke
Marriage & Family Therapist, LMFT
Verified Verified
Online Only
Hello my name is Giovanna Nicola-Menke. I am a Licensed Marriage and Family Therapist (LMFT) with a compassionate and client-centered approach, dedicated to helping individuals, couples, and families navigate challenges and create meaningful change. Drawing from Cognitive Behavioral Therapy (CBT) and mindfulness practices, I help clients build awareness around their thoughts, feelings, and behaviors, and develop practical skills for coping and growth.
Hello my name is Giovanna Nicola-Menke. I am a Licensed Marriage and Family Therapist (LMFT) with a compassionate and client-centered approach, dedicated to helping individuals, couples, and families navigate challenges and create meaningful change. Drawing from Cognitive Behavioral Therapy (CBT) and mindfulness practices, I help clients build awareness around their thoughts, feelings, and behaviors, and develop practical skills for coping and growth.
(747) 977-6891 View (747) 977-6891
Photo of Daniel Powell, Marriage & Family Therapist, LMFT
Daniel Powell
Marriage & Family Therapist, LMFT
Verified Verified
Online Only
I'm a licensed Marriage and Family Therapist and Board Certified Behavior Analyst. I'm comfortable working with individuals suffering from depression, anxiety, bi-polar, substance abuse, psychosis, autism spectrum disorders and obsessive compulsive disorder. I implement individual evidenced based interventions designed to positive behavior change. I enjoy working with couples, families, parent training, adults and adolescents.
I'm a licensed Marriage and Family Therapist and Board Certified Behavior Analyst. I'm comfortable working with individuals suffering from depression, anxiety, bi-polar, substance abuse, psychosis, autism spectrum disorders and obsessive compulsive disorder. I implement individual evidenced based interventions designed to positive behavior change. I enjoy working with couples, families, parent training, adults and adolescents.
(619) 305-0826 View (619) 305-0826
Photo of Gloria Magana, Marriage & Family Therapist, LMFT
Gloria Magana
Marriage & Family Therapist, LMFT
Verified Verified
Online Only
I have experience working with couples and individuals on concerns related to infidelity, relationship betrayals, family dynamics, sex addictions, interfaith marriages, stress, and communication issues. I approach my clients with warmth and compassion. My primary therapy styles include Cognitive Behavior Therapy, emotion-focused therapy, solution-focused and strengths-based therapy. I also work with individuals with substance abuse issues and families experiencing codependency or enabling behaviors, as well as those with anxiety, panic, social anxiety, self-esteem, or depression.
I have experience working with couples and individuals on concerns related to infidelity, relationship betrayals, family dynamics, sex addictions, interfaith marriages, stress, and communication issues. I approach my clients with warmth and compassion. My primary therapy styles include Cognitive Behavior Therapy, emotion-focused therapy, solution-focused and strengths-based therapy. I also work with individuals with substance abuse issues and families experiencing codependency or enabling behaviors, as well as those with anxiety, panic, social anxiety, self-esteem, or depression.
(424) 321-8291 View (424) 321-8291
Photo of Pamela Awad, Marriage & Family Therapist, LMFT
Pamela Awad
Marriage & Family Therapist, LMFT
Verified Verified
Online Only
Hello and welcome! Thank you for taking the time to read and learn more about me. My name is Pamela and I am a licensed Marriage and Family Therapist since 2015. I have over 10 years of experience working with youth, adolescents, younger adults, and parents/families. I focus on issues related to self-esteem, anxiety, social anxiety, general anxiety, life transitions, immigration, and more.
Hello and welcome! Thank you for taking the time to read and learn more about me. My name is Pamela and I am a licensed Marriage and Family Therapist since 2015. I have over 10 years of experience working with youth, adolescents, younger adults, and parents/families. I focus on issues related to self-esteem, anxiety, social anxiety, general anxiety, life transitions, immigration, and more.
(916) 975-8961 View (916) 975-8961
Photo of Shannon Maximov, Clinical Social Work/Therapist, LCSW, PMH-C
Shannon Maximov
Clinical Social Work/Therapist, LCSW, PMH-C
Verified Verified
Online Only
Hi, I am a License Clinical Social Worker with 15 years of experience in treating anxiety, depression, life transitions, relationship issues, grief and loss.
Hi, I am a License Clinical Social Worker with 15 years of experience in treating anxiety, depression, life transitions, relationship issues, grief and loss.
(224) 263-1256 View (224) 263-1256
Photo of Laura Ryan, Clinical Social Work/Therapist, LCSW
Laura Ryan
Clinical Social Work/Therapist, LCSW
Verified Verified
Online Only
Laura Ryan is a licensed clinical social worker that has 50 years of clinical experience in the mental health field. She has worked with all ages and treatment populations in a variety of both public and private sector clinical settings. She graduated from the University of California, Davis in June 1970 with a Bachelor of Arts Degree in Sociology and from California State University, Sacramento in June 1972 with a master’s degree in social work. She was licensed as an LCSW in 1976 by the California Board of Behavioral Sciences. Subsequently, she has worked as a Subject Matter Expert for the BBS licensing board.
Laura Ryan is a licensed clinical social worker that has 50 years of clinical experience in the mental health field. She has worked with all ages and treatment populations in a variety of both public and private sector clinical settings. She graduated from the University of California, Davis in June 1970 with a Bachelor of Arts Degree in Sociology and from California State University, Sacramento in June 1972 with a master’s degree in social work. She was licensed as an LCSW in 1976 by the California Board of Behavioral Sciences. Subsequently, she has worked as a Subject Matter Expert for the BBS licensing board.
(805) 586-9462 View (805) 586-9462
Photo of Patricia Arevalo-Porcelli, Clinical Social Work/Therapist, LCSW
Patricia Arevalo-Porcelli
Clinical Social Work/Therapist, LCSW
Verified Verified
Online Only
Hello! My name is Patricia Arévalo-Porcelli, and I have been a Licensed Clinical Social Worker (LCSW) working with diverse populations in the Los Angeles area for over 25 years. I am bilingual/bicultural (fluent in Spanish) and work with adults of all ages, specializing in areas of depression, anxiety, stress, cancer, grief, and end-of-life issues. I use a culturally sensitive and strength-based approach in providing psychotherapy to clients seeking a better quality of life and relief from unnecessary suffering. My approach to therapy is dependent on the needs of each individual client.
Hello! My name is Patricia Arévalo-Porcelli, and I have been a Licensed Clinical Social Worker (LCSW) working with diverse populations in the Los Angeles area for over 25 years. I am bilingual/bicultural (fluent in Spanish) and work with adults of all ages, specializing in areas of depression, anxiety, stress, cancer, grief, and end-of-life issues. I use a culturally sensitive and strength-based approach in providing psychotherapy to clients seeking a better quality of life and relief from unnecessary suffering. My approach to therapy is dependent on the needs of each individual client.
(747) 966-5105 View (747) 966-5105
Photo of Christine Roslund - Christine Roslund, MFT, CPC, Marriage & Family Therapist, MA, MFT, CPC
Christine Roslund, MFT, CPC
Marriage & Family Therapist, MA, MFT, CPC
Verified Verified
2 Endorsed
Online Only
Are you struggling, feeling stagnate, having trouble moving beyond traumatic events or having relationship difficulties? I help people get past these all too common problems. I create a warm, safe, and nurturing environment using a client-centered and holistic approach. Together we will determine what the important issues affecting your life are. We will discover how you can resolve those issues so you can move on. For the past 20 years I have provided individualized, kind, solution-based therapy and life coaching for people of all ages.
Are you struggling, feeling stagnate, having trouble moving beyond traumatic events or having relationship difficulties? I help people get past these all too common problems. I create a warm, safe, and nurturing environment using a client-centered and holistic approach. Together we will determine what the important issues affecting your life are. We will discover how you can resolve those issues so you can move on. For the past 20 years I have provided individualized, kind, solution-based therapy and life coaching for people of all ages.
(510) 983-8259 View (510) 983-8259
Photo of Jeff Machgan, Marriage & Family Therapist, MA, MDiv, LMFT
Jeff Machgan
Marriage & Family Therapist, MA, MDiv, LMFT
Verified Verified
2 Endorsed
Roseville, CA 95678
Life often feels like a roller coaster. Our story is full of ups, downs and surprising turns. Maybe we lose our job or spouse, or face a major life transition. A child may move to a new school, have parents separate. Sometimes we experience a traumatic event. These things impact us, they shape our story. But we get to set the pace and the direction of where our story will go. Reaching out for therapy is a powerful step in writing the rest of your story, and you are about to take the next brave step in your story by seeking help.
Life often feels like a roller coaster. Our story is full of ups, downs and surprising turns. Maybe we lose our job or spouse, or face a major life transition. A child may move to a new school, have parents separate. Sometimes we experience a traumatic event. These things impact us, they shape our story. But we get to set the pace and the direction of where our story will go. Reaching out for therapy is a powerful step in writing the rest of your story, and you are about to take the next brave step in your story by seeking help.
(916) 665-4057 View (916) 665-4057
Photo of Carmen Alegria, Clinical Social Work/Therapist, LCSW
Carmen Alegria
Clinical Social Work/Therapist, LCSW
Verified Verified
Online Only
Hello! My name is Carmen Alegria and I am a Licensed Clinical Social Worker. My aim is to provide a supportive and understanding environment for individuals to navigate their unique experiences and achieve positive growth. My therapeutic approach is what I describe as eclectic interpersonal. I believe that therapeutic work cannot begin until trust is established between the client and therapist. Therapy should be personalized to meet your unique needs and I will work with you to decide which approach will suit your individual goals.
Hello! My name is Carmen Alegria and I am a Licensed Clinical Social Worker. My aim is to provide a supportive and understanding environment for individuals to navigate their unique experiences and achieve positive growth. My therapeutic approach is what I describe as eclectic interpersonal. I believe that therapeutic work cannot begin until trust is established between the client and therapist. Therapy should be personalized to meet your unique needs and I will work with you to decide which approach will suit your individual goals.
(747) 966-3159 View (747) 966-3159

See more therapy options for 95609

How does your Therapist compare?

Number of Therapists in 95609

< 10

Therapists in 95609 who prioritize treating:

100% Depression
100% Anxiety
100% Trauma and PTSD
100% Coping Skills
83% Relationship Issues
83% Grief
83% Stress

Average years in practice

8 Years

Top 3 insurances accepted

80% Blue Shield
60% Aetna
60% UnitedHealthcare UHC | UBH

How Therapists in 95609 see their clients

66% Online Only
34% In Person and Online

Gender breakdown

100% Female
FAQs - About Therapy and Counseling

How can I find a therapist in 95609?

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.