Therapists in Clayton, MO

Free To Be Me, LLC
Licensed Professional Counselor, MA, LPC
Verified Verified
1 Endorsed
Clayton, MO 63105
Accepting new clients... It is a sign of strength and courage to ask for support. Life is full of unpredictable twists and turns and having some encouragement along the way can be very helpful. I enjoy working with all ages, cultures and those experiencing a wide range of challenges. My specialties are in working with children and adults who are or may think they are on the autism spectrum. I also specialize in working with couples and families and am a facilitator of premarital and marital assessments through www.prepare-enrich.com
Accepting new clients... It is a sign of strength and courage to ask for support. Life is full of unpredictable twists and turns and having some encouragement along the way can be very helpful. I enjoy working with all ages, cultures and those experiencing a wide range of challenges. My specialties are in working with children and adults who are or may think they are on the autism spectrum. I also specialize in working with couples and families and am a facilitator of premarital and marital assessments through www.prepare-enrich.com
(314) 876-8229 View (314) 876-8229
Photo of Rebecca A Mowen, Clinical Social Work/Therapist in Clayton, MO
Rebecca A Mowen
Clinical Social Work/Therapist, LCSW, CADC, CIP
Verified Verified
Clayton, MO 63105
I believe that in order to effectively navigate relationships, whether at home, in the workplace, or within the community, it is essential to understand and address the dynamics of the larger systems at play. By taking a holistic and systemic approach to therapy, I work collaboratively with clients to empower them to put their 'oxygen mask' on first and foster healthier relationships within the context of their unique systems.
I believe that in order to effectively navigate relationships, whether at home, in the workplace, or within the community, it is essential to understand and address the dynamics of the larger systems at play. By taking a holistic and systemic approach to therapy, I work collaboratively with clients to empower them to put their 'oxygen mask' on first and foster healthier relationships within the context of their unique systems.
(314) 254-9249 View (314) 254-9249
Photo of Nadia Raza, Pre-Licensed Professional in Clayton, MO
Nadia Raza
Pre-Licensed Professional, PLPC
Verified Verified
Clayton, MO 63105
I take a person-centered approach where I provide an open and compassionate space for all. I believe that counseling is a collaborative process, so I hope to involve individuals in their goals and personal growth. In addition, I will outline approaches and strategies we can implement in session. I hope to provide individuals with the tools to overcome life difficulties with greater ease and self-awareness. I like to celebrate growth, regardless of whether they are big or small wins!
I take a person-centered approach where I provide an open and compassionate space for all. I believe that counseling is a collaborative process, so I hope to involve individuals in their goals and personal growth. In addition, I will outline approaches and strategies we can implement in session. I hope to provide individuals with the tools to overcome life difficulties with greater ease and self-awareness. I like to celebrate growth, regardless of whether they are big or small wins!
(314) 948-5501 View (314) 948-5501
Photo of Jackie McCrary, Licensed Professional Counselor in Clayton, MO
Jackie McCrary
Licensed Professional Counselor, MEd, LPC, NCC
Verified Verified
Clayton, MO 63105
Real work can bring real change. I believe all clients have the capacity to make real progress toward positive change. I also empathically recognize that progress and change can be difficult and sometimes scary. With this in mind, I hope to meet you exactly where you are today. Counseling is not a one-size-fits-all practice; I recognize this and will work with you to tailor a therapeutic approach to your individual needs. I also understand the power of the therapeutic relationship between client and counselor and want to make the collaborative process of counseling meaningful for you.
Real work can bring real change. I believe all clients have the capacity to make real progress toward positive change. I also empathically recognize that progress and change can be difficult and sometimes scary. With this in mind, I hope to meet you exactly where you are today. Counseling is not a one-size-fits-all practice; I recognize this and will work with you to tailor a therapeutic approach to your individual needs. I also understand the power of the therapeutic relationship between client and counselor and want to make the collaborative process of counseling meaningful for you.
(314) 310-1544 View (314) 310-1544
Photo of Dr. Lori Becker, Psychologist in Clayton, MO
Dr. Lori Becker
Psychologist, PhD, ABPP
Verified Verified
Clayton, MO 63105
I am a licensed clinical psychologist, specializing in psychotherapy and diagnostic assessment. I am committed to providing ethical care in a safe and trusting environment. I work with clients to help them build the skills they need to improve their lives and relationships, so they can live a rewarding life that is balanced, fulfilling, and consistent with their values. My focus in therapy is to help clients examine what may be contributing to their current distress and help them to find meaning, purpose, and growth.
I am a licensed clinical psychologist, specializing in psychotherapy and diagnostic assessment. I am committed to providing ethical care in a safe and trusting environment. I work with clients to help them build the skills they need to improve their lives and relationships, so they can live a rewarding life that is balanced, fulfilling, and consistent with their values. My focus in therapy is to help clients examine what may be contributing to their current distress and help them to find meaning, purpose, and growth.
(314) 736-3910 View (314) 736-3910
Photo of Nikki Karalekas, Clinical Social Work/Therapist in Clayton, MO
Nikki Karalekas
Clinical Social Work/Therapist, PhD, MSW, LCSW
Verified Verified
8 Endorsed
Clayton, MO 63105
Do you notice that you struggle with the same kinds of problems, emotions, and relationships over and over again? Have you tried different coping skills without success? Do you turn to things like substances, unhealthy relationships, or mindless internet scrolling to take the edge off sadness, anger, fear, or loneliness? Explorative, insight-oriented, in-depth psychotherapy can help you understand and finally transform these dynamics, increasing your well-being and sense of self. This lasting change offers an opportunity to expand your world.
Do you notice that you struggle with the same kinds of problems, emotions, and relationships over and over again? Have you tried different coping skills without success? Do you turn to things like substances, unhealthy relationships, or mindless internet scrolling to take the edge off sadness, anger, fear, or loneliness? Explorative, insight-oriented, in-depth psychotherapy can help you understand and finally transform these dynamics, increasing your well-being and sense of self. This lasting change offers an opportunity to expand your world.
(314) 370-1031 View (314) 370-1031
Photo of Braden Tobin, Pre-Licensed Professional in Clayton, MO
Braden Tobin
Pre-Licensed Professional
Verified Verified
Clayton, MO 63105
Not accepting new clients
You're on a deeply personal journey and you're not seeking just any therapist, but someone who understands your world, your uniqueness, and your challenges. You're tired of feeling the weight of systemic oppression, the constant whisper that something is wrong with you, and you're eager to shed that burden. It's not just about combating isolation; you're here to reconnect with yourself and the world around you. You're seeking a deeper, more authentic engagement with life. You are ready for a partnership, a collaboration where together, we'll navigate life's challenges, and overcome negative feelings
You're on a deeply personal journey and you're not seeking just any therapist, but someone who understands your world, your uniqueness, and your challenges. You're tired of feeling the weight of systemic oppression, the constant whisper that something is wrong with you, and you're eager to shed that burden. It's not just about combating isolation; you're here to reconnect with yourself and the world around you. You're seeking a deeper, more authentic engagement with life. You are ready for a partnership, a collaboration where together, we'll navigate life's challenges, and overcome negative feelings
(314) 697-2411 View (314) 697-2411
Photo of Gladys Smith, Licensed Professional Counselor in Clayton, MO
Gladys Smith
Licensed Professional Counselor, PsyD, LPC, NCC, MAC, CCMHC
Verified Verified
Clayton, MO 63105  (Online Only)
I have extensive training in trauma, addiction, depression and anxiety, as well as stress and adjustment. I address the whole person in treatment planning. Individuals that work with me are empowered and encourages to meet their selected goal to achieve balance in their lives. We work together to form goals and I help you navigate the journey to wellness. We will use the body as a resource, as well as art, movement and poetry if a person chooses.This is a veteran owned business. I served 27 years in the United States Navy as a Hospital Corpsman (Medic), I work with first Responders and thrir families, veterans and MST.
I have extensive training in trauma, addiction, depression and anxiety, as well as stress and adjustment. I address the whole person in treatment planning. Individuals that work with me are empowered and encourages to meet their selected goal to achieve balance in their lives. We work together to form goals and I help you navigate the journey to wellness. We will use the body as a resource, as well as art, movement and poetry if a person chooses.This is a veteran owned business. I served 27 years in the United States Navy as a Hospital Corpsman (Medic), I work with first Responders and thrir families, veterans and MST.
(314) 300-0370 View (314) 300-0370
Photo of Susan Gartenberg, Licensed Professional Counselor in Clayton, MO
Susan Gartenberg
Licensed Professional Counselor, M Ed, LPC, RPT, NCC
Verified Verified
Clayton, MO 63105
A cornerstone of my belief system is that behavior is an expression of what we need. And this is no more truer than for children. The difficulty lies, however, in parenting a child with behaviors we don't quite understand. It can be frightening that, as a parent or caregiver, we don't know what to do. And, it can feel isolating. What I want to share is that it doesn't have to be overwhelming. And, you don't have to do it alone. What I hold to be true is that therapy for children is absolutely a collaborative process where children, and the adults in their lives, learn and grow together.
A cornerstone of my belief system is that behavior is an expression of what we need. And this is no more truer than for children. The difficulty lies, however, in parenting a child with behaviors we don't quite understand. It can be frightening that, as a parent or caregiver, we don't know what to do. And, it can feel isolating. What I want to share is that it doesn't have to be overwhelming. And, you don't have to do it alone. What I hold to be true is that therapy for children is absolutely a collaborative process where children, and the adults in their lives, learn and grow together.
(314) 310-7390 View (314) 310-7390
Photo of Erika M. Ottolini, Licensed Professional Counselor in Clayton, MO
Erika M. Ottolini
Licensed Professional Counselor, MEd, LPC, NCC
Verified Verified
1 Endorsed
Clayton, MO 63105
Whether you are a teen struggling with friendships and social media, a young person about to graduate from college and fraught with anxiety about your next transition, the parent of a young person wondering how best to help them grow or someone looking for change and not sure where to start, know that there is help available in a compassionate and understanding space. At Artemis Counseling, our goal is to empower teens, parents and families who often come to us during a time of transition, to move through life’s transitions and soar.
Whether you are a teen struggling with friendships and social media, a young person about to graduate from college and fraught with anxiety about your next transition, the parent of a young person wondering how best to help them grow or someone looking for change and not sure where to start, know that there is help available in a compassionate and understanding space. At Artemis Counseling, our goal is to empower teens, parents and families who often come to us during a time of transition, to move through life’s transitions and soar.
(314) 732-4507 View (314) 732-4507
Photo of Alli Gannon, Licensed Professional Counselor in Clayton, MO
Alli Gannon
Licensed Professional Counselor, MA, LPC
Verified Verified
Clayton, MO 63105
Hi, I’m Alli Gannon! I’m a licensed mental health therapist in St. Louis, Missouri with a passion for helping people live healthy, authentic, and meaningful lives. I specialize in anxiety, relationship conflicts, self-esteem, and trauma.
Hi, I’m Alli Gannon! I’m a licensed mental health therapist in St. Louis, Missouri with a passion for helping people live healthy, authentic, and meaningful lives. I specialize in anxiety, relationship conflicts, self-esteem, and trauma.
(314) 451-7966 View (314) 451-7966
Photo of Lindsay C Nichols, Licensed Professional Counselor in Clayton, MO
Lindsay C Nichols
Licensed Professional Counselor, MA, LPC
Verified Verified
1 Endorsed
Clayton, MO 63124
Hello! Are you tired of suffering from emotional and/or physical pain? I can help you in a way that is truly unique and you can see results very quickly. Through my experience I have developed an innate ability to help clients step out of their comfort zone through examination of their external environment from different points of view. I understand that the cornerstone of change is assisting each client with breaking down the walls that surround them to find deeper meaning. My sessions focus on engagement and the therapeutic alliance which leads to effective change. I promise that you will begin noticing changes immediately.
Hello! Are you tired of suffering from emotional and/or physical pain? I can help you in a way that is truly unique and you can see results very quickly. Through my experience I have developed an innate ability to help clients step out of their comfort zone through examination of their external environment from different points of view. I understand that the cornerstone of change is assisting each client with breaking down the walls that surround them to find deeper meaning. My sessions focus on engagement and the therapeutic alliance which leads to effective change. I promise that you will begin noticing changes immediately.
(314) 697-2439 View (314) 697-2439
Photo of Roberta A Moore, Marriage & Family Therapist in Clayton, MO
Roberta A Moore
Marriage & Family Therapist, LMFT, CPA, MBA, MST, CHT
Verified Verified
Clayton, MO 63105
Improve your emotional intelligence and improve your life! You deserve to own your passion and live your life to its fullest - in every aspect! As a licensed Marriage & Family Therapist and Certified EQ coach, I specialize in working with you to build confidence and assertiveness, learn how to understand your emotions, and communicate your feelings to others while developing independent thinking and high-level problem solving skills. Ultimately, I want you to find your happiness, achieve wellbeing, and develop a positive outlook on life. This happens when you become more deeply self-aware and emotionally intelligent.
Improve your emotional intelligence and improve your life! You deserve to own your passion and live your life to its fullest - in every aspect! As a licensed Marriage & Family Therapist and Certified EQ coach, I specialize in working with you to build confidence and assertiveness, learn how to understand your emotions, and communicate your feelings to others while developing independent thinking and high-level problem solving skills. Ultimately, I want you to find your happiness, achieve wellbeing, and develop a positive outlook on life. This happens when you become more deeply self-aware and emotionally intelligent.
(314) 380-4218 View (314) 380-4218
Photo of Kendall Wilhite, Licensed Professional Counselor in Clayton, MO
Kendall Wilhite
Licensed Professional Counselor, MEd, LPC
Verified Verified
1 Endorsed
Clayton, MO 63105
Life can be challenging and stressful, but it doesn’t have to be done alone. I approach sessions as a place to build safety, trust, and relationship. In working from a client-centered approach, I truly believe that you are the expert in your own life. I also believe that asking for help or support is a sign of strength and feel that working together collaboratively is one step in creating positive change in your life!
Life can be challenging and stressful, but it doesn’t have to be done alone. I approach sessions as a place to build safety, trust, and relationship. In working from a client-centered approach, I truly believe that you are the expert in your own life. I also believe that asking for help or support is a sign of strength and feel that working together collaboratively is one step in creating positive change in your life!
(314) 408-5477 View (314) 408-5477
Photo of Andy Conrad, Licensed Professional Counselor in Clayton, MO
Andy Conrad
Licensed Professional Counselor, MA, LPC, NCC
Verified Verified
2 Endorsed
Clayton, MO 63105
Thank you for considering me as your counselor. I am a Licensed Professional Counselor (LPC) and a Nationally Certified Counselor (NCC). Additionally, I am a burden, humorous, annoying, musical, incorrect, artistic, wise, slow, and energetic. I welcome you to come in and allow us to accept our true nature, together. I take what I do seriously, but I don’t take myself seriously. I specialize in serving individuals suffering from obsessions and compulsions, anxiety-related issues, body-focused repetitive behaviors (BFRB), depression and emotional dysregulation, and existential dilemmas.
Thank you for considering me as your counselor. I am a Licensed Professional Counselor (LPC) and a Nationally Certified Counselor (NCC). Additionally, I am a burden, humorous, annoying, musical, incorrect, artistic, wise, slow, and energetic. I welcome you to come in and allow us to accept our true nature, together. I take what I do seriously, but I don’t take myself seriously. I specialize in serving individuals suffering from obsessions and compulsions, anxiety-related issues, body-focused repetitive behaviors (BFRB), depression and emotional dysregulation, and existential dilemmas.
(314) 582-3278 View (314) 582-3278
Photo of Andrea Neville in Clayton, MO
Andrea Neville
MA
Verified Verified
1 Endorsed
Clayton, MO 63105
Are you having difficulty coping with life transitions? Do you have a youth who is struggling with anxiety and depression? Life can become very overwhelming. Allow me to introduce myself. My name is Andrea Neville and I am a provisionally licensed counselor. I provide a warm and safe environment that allows clients to process events and develop healthy coping strategies. I understand that it is difficult to become vulnerable. Contact me today and we can collaboratively work toward reaching your goals.
Are you having difficulty coping with life transitions? Do you have a youth who is struggling with anxiety and depression? Life can become very overwhelming. Allow me to introduce myself. My name is Andrea Neville and I am a provisionally licensed counselor. I provide a warm and safe environment that allows clients to process events and develop healthy coping strategies. I understand that it is difficult to become vulnerable. Contact me today and we can collaboratively work toward reaching your goals.
(314) 530-0534 View (314) 530-0534
Photo of Karen Banks, Licensed Professional Counselor in Clayton, MO
Karen Banks
Licensed Professional Counselor, MEd, LPC
Verified Verified
5 Endorsed
Clayton, MO 63117
I work with clients experiencing emotional, cultural, sexual health, and relationship concerns. We spend time processing your situation and feelings and finding solutions that work for you. I recognize each client is an individual and treat them as such. Let's work together to help you walk in your truth. I've completed all 3 levels of Gottman Method Couples Therapy training, Treating Affairs & Trauma, Couples and Addiction Recovery, CBT for Insomnia, and am enrolled in Sex Therapy Certification through SHA. I also enjoy working with people in poly and ethically non-monogamous relationships and individuals in the kink community.
I work with clients experiencing emotional, cultural, sexual health, and relationship concerns. We spend time processing your situation and feelings and finding solutions that work for you. I recognize each client is an individual and treat them as such. Let's work together to help you walk in your truth. I've completed all 3 levels of Gottman Method Couples Therapy training, Treating Affairs & Trauma, Couples and Addiction Recovery, CBT for Insomnia, and am enrolled in Sex Therapy Certification through SHA. I also enjoy working with people in poly and ethically non-monogamous relationships and individuals in the kink community.
(314) 279-3455 View (314) 279-3455
Photo of Ally Leavitt, Licensed Professional Counselor in Clayton, MO
Ally Leavitt
Licensed Professional Counselor, MA, LPC
Verified Verified
Clayton, MO 63105  (Online Only)
I believe that the mind, body, and spirit are naturally inclined to healing if given the right space and support. I find a particular interest in working with victims of narcissistic abuse and betrayals and incorporate DBT, somatic counseling, mindfulness, emotionally focused therapy and narrative therapy into my work with these individuals. I also offer couples counseling services and utilize the Gottman Method to address the real work and change needed for couples to heal. LGTBQIA+ affirming.
I believe that the mind, body, and spirit are naturally inclined to healing if given the right space and support. I find a particular interest in working with victims of narcissistic abuse and betrayals and incorporate DBT, somatic counseling, mindfulness, emotionally focused therapy and narrative therapy into my work with these individuals. I also offer couples counseling services and utilize the Gottman Method to address the real work and change needed for couples to heal. LGTBQIA+ affirming.
(314) 293-4904 View (314) 293-4904
Photo of Katy Stevener, Counselor in Clayton, MO
Katy Stevener
Counselor, MA, LPC
Verified Verified
3 Endorsed
Clayton, MO 63105
I am here to provide a safe therapeutic environment for you to be heard, valued and celebrated just as you are because you are worth it! My goal is to build a relationship with you to better understand your concerns, and partner with you to develop skills that manage stress and discomfort. I will walk beside you on your journey, provide support and discuss strategies that will foster change and personal growth. I understand change is hard and I will tailor each session to meet you where you are, allowing you to move at a pace you are most comfortable with. Together we can find your path to peace.
I am here to provide a safe therapeutic environment for you to be heard, valued and celebrated just as you are because you are worth it! My goal is to build a relationship with you to better understand your concerns, and partner with you to develop skills that manage stress and discomfort. I will walk beside you on your journey, provide support and discuss strategies that will foster change and personal growth. I understand change is hard and I will tailor each session to meet you where you are, allowing you to move at a pace you are most comfortable with. Together we can find your path to peace.
(636) 389-4901 View (636) 389-4901
Photo of Wellness Alley, LLC, Clinical Social Work/Therapist in Clayton, MO
Wellness Alley, LLC
Clinical Social Work/Therapist, ACSW, LCSW, CCDP-D
Verified Verified
Clayton, MO 63105
Do you have long periods of low mood, sadness or anxiety that makes it difficult to face life challenges? Do you have trouble getting motivated? Do you have a history of adverse life experiences or trauma that makes it difficult to cope? There are reasons why you feel the way you do and together, we can discover what is keeping you feeling "stuck." I use a mind-body approach to help resolve issues so you can increase the quality of your life.
Do you have long periods of low mood, sadness or anxiety that makes it difficult to face life challenges? Do you have trouble getting motivated? Do you have a history of adverse life experiences or trauma that makes it difficult to cope? There are reasons why you feel the way you do and together, we can discover what is keeping you feeling "stuck." I use a mind-body approach to help resolve issues so you can increase the quality of your life.
(314) 329-4705 View (314) 329-4705

How does your Therapist compare?

Number of Therapists in Clayton, MO

200+

Average cost per session

$140

Therapists in Clayton, MO who prioritize treating:

91% Anxiety
86% Depression
85% Relationship Issues
73% Self Esteem
68% Trauma and PTSD
66% Grief
65% Stress

Average years in practice

11 Years

Top 3 insurances accepted

71% Aetna
69% UnitedHealthcare UHC | UBH
66% Cigna and Evernorth

How Therapists in Clayton, MO see their clients

85% In Person and Online
15% Online Only

Gender breakdown

81% Female
18% Male
1% Non-Binary
FAQs - About Therapy and Counseling

How can I find a therapist in Clayton?

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.