Therapists in Saint Marys, PA

Photo of Anne Marie Riddle, Licensed Professional Counselor in Saint Marys, PA
Anne Marie Riddle
Licensed Professional Counselor, LPC
Verified Verified
Saint Marys, PA 15857  (Online Only)
Welcome! Whether you are seeking coping skills for anxiety or depression. Or if you need to learn coping skills for anger management, I have the therapy to help you change your life. I also assist individuals to develop communication skills and have interventions to enhance your marriage. I offer Mindfulness therapy for anxiety and depression.
Welcome! Whether you are seeking coping skills for anxiety or depression. Or if you need to learn coping skills for anger management, I have the therapy to help you change your life. I also assist individuals to develop communication skills and have interventions to enhance your marriage. I offer Mindfulness therapy for anxiety and depression.
(814) 212-5278 View (814) 212-5278
Photo of Dr. Sharon Marie Zaffarese-Dippold, Clinical Social Work/Therapist in Saint Marys, PA
Dr. Sharon Marie Zaffarese-Dippold
Clinical Social Work/Therapist, PhD, LCSW-R, LCSW
Verified Verified
Saint Marys, PA 15857  (Online Only)
We are never alone and sometimes we just need another to join with us on this journey of life. I am happy to join and help you learn, create and achieve the goals you desire. Regardless of your emotional struggle, I can help you. I offer ADD/ADHD assessments/treatments for adults & children. I treat all symptoms including addiction struggles. I offer Phone and Video Sessions via telehealth.
We are never alone and sometimes we just need another to join with us on this journey of life. I am happy to join and help you learn, create and achieve the goals you desire. Regardless of your emotional struggle, I can help you. I offer ADD/ADHD assessments/treatments for adults & children. I treat all symptoms including addiction struggles. I offer Phone and Video Sessions via telehealth.
(814) 240-0352 View (814) 240-0352
Photo of Christian Counseling Associates of Western PA, Licensed Professional Counselor in Saint Marys, PA
Christian Counseling Associates of Western PA
Licensed Professional Counselor, PhD
Verified Verified
Saint Marys, PA 15857
Christian Counseling Associates (CCA) provides individual, marriage, and family counseling. We serve Christians who want their faith integrated into the counseling process and those holding any beliefs or attitudes toward spirituality. Our counselors will help you identify the core issues that have caused your emotional and personal problems, and immediately develop strategies to resolve these issues. CCA is able to provide a full range of clinical services. Please visit our website at www.ccawpa.com for a complete description of our faith based counseling services, locations, and counseling staff.
Christian Counseling Associates (CCA) provides individual, marriage, and family counseling. We serve Christians who want their faith integrated into the counseling process and those holding any beliefs or attitudes toward spirituality. Our counselors will help you identify the core issues that have caused your emotional and personal problems, and immediately develop strategies to resolve these issues. CCA is able to provide a full range of clinical services. Please visit our website at www.ccawpa.com for a complete description of our faith based counseling services, locations, and counseling staff.
(814) 817-7615 View (814) 817-7615
Photo of Kimberly Carlin, Licensed Professional Counselor in Saint Marys, PA
Kimberly Carlin
Licensed Professional Counselor, LPC, NCC
Verified Verified
Saint Marys, PA 15857  (Online Only)
Are you a woman whose anxiety, unmet expectations or comparison of others is causing you to feel emotionally drained? Do you struggle with disordered eating, body image issues or behaviors that make you want to hide and isolate from others? Are you dealing with unresolved trauma, grief and loss, difficult life transitions or unhealthy boundaries that are causing problems in your relationships? Are you a friend, mother, or significant other who never feels good enough or appreciated so you react with anger, defensiveness and then feel guilt and shame afterwards? If any of this sounds like you, I can help!
Are you a woman whose anxiety, unmet expectations or comparison of others is causing you to feel emotionally drained? Do you struggle with disordered eating, body image issues or behaviors that make you want to hide and isolate from others? Are you dealing with unresolved trauma, grief and loss, difficult life transitions or unhealthy boundaries that are causing problems in your relationships? Are you a friend, mother, or significant other who never feels good enough or appreciated so you react with anger, defensiveness and then feel guilt and shame afterwards? If any of this sounds like you, I can help!
(610) 756-2403 View (610) 756-2403
Tucker Therapy
Licensed Professional Counselor, LPC, CCTP, CSOTS, PCIT
Verified Verified
Saint Marys, PA 15857
You're not alone
You're not alone
(814) 261-0295 View (814) 261-0295
Photo of Elizabeth Jane Frontz, Clinical Social Work/Therapist in Saint Marys, PA
Elizabeth Jane Frontz
Clinical Social Work/Therapist, LCSW
Verified Verified
Saint Marys, PA 15857
I am a Licensed Clinical Social Worker with over 25 years experience with all age groups and various diverse populations. I provide mental health and behavioral health services to children and their families. I provide couples counseling and marital counseling as well as co-parenting counseling that are mandated or not by the court. I am trauma certified and have extensive experience in this area and in various evidenced based therapies such as EMDR, ACT, CPT, CBT, DBT, Play Therapy, etc. I utilize various modalities as well as help people cope with their problem areas.
I am a Licensed Clinical Social Worker with over 25 years experience with all age groups and various diverse populations. I provide mental health and behavioral health services to children and their families. I provide couples counseling and marital counseling as well as co-parenting counseling that are mandated or not by the court. I am trauma certified and have extensive experience in this area and in various evidenced based therapies such as EMDR, ACT, CPT, CBT, DBT, Play Therapy, etc. I utilize various modalities as well as help people cope with their problem areas.
(814) 389-2511 View (814) 389-2511

More Therapists Nearby

Photo of Puglisi Counseling, LLC, Clinical Social Work/Therapist in Saint Marys, PA
Puglisi Counseling, LLC
Clinical Social Work/Therapist, LCSW
Verified Verified
1 Endorsed
Ridgway, PA 15853
Feeling overwhelmed in a world filled with uncertainties? You're not alone. The increasing anxiety and deepening depression can take a toll on our lives, straining relationships both personally and professionally. But here's the good news: there is hope! Imagine the empowering feeling of facing life's challenges with a newfound ability to pause, reflect, and respond in a positive way. Change is not only possible, but it is also within your reach. You deserve the support and guidance to cultivate resilience on your journey. We are here and ready to help you.
Feeling overwhelmed in a world filled with uncertainties? You're not alone. The increasing anxiety and deepening depression can take a toll on our lives, straining relationships both personally and professionally. But here's the good news: there is hope! Imagine the empowering feeling of facing life's challenges with a newfound ability to pause, reflect, and respond in a positive way. Change is not only possible, but it is also within your reach. You deserve the support and guidance to cultivate resilience on your journey. We are here and ready to help you.
(272) 227-2613 View (272) 227-2613
Photo of Elizabeth DeLullo, Counselor in Saint Marys, PA
Elizabeth DeLullo
Counselor, LPC
Verified Verified
Ridgway, PA 15853
Hello, my name is Elizabeth DeLullo and I am a Licensed Professional Counselor in the state of Pennsylvania. I have over 12 years experience working with people from age 4 to 89. One of the best things about coming to therapy is the amount of courage it took for you to get here. You know what you want out of life and you know when you are not getting it. There is nothing I dislike more than to see human suffering. I have gone through my own and was determined to not let it ruin my life. Sometimes all it takes if for you to feel heard, understood, and feel validated.
Hello, my name is Elizabeth DeLullo and I am a Licensed Professional Counselor in the state of Pennsylvania. I have over 12 years experience working with people from age 4 to 89. One of the best things about coming to therapy is the amount of courage it took for you to get here. You know what you want out of life and you know when you are not getting it. There is nothing I dislike more than to see human suffering. I have gone through my own and was determined to not let it ruin my life. Sometimes all it takes if for you to feel heard, understood, and feel validated.
(814) 447-8296 View (814) 447-8296
Photo of Kate Weber, Licensed Professional Counselor in Saint Marys, PA
Kate Weber
Licensed Professional Counselor, MA, LPC, EMDR, RYT200
Verified Verified
2 Endorsed
Ridgway, PA 15853  (Online Only)
My work as a clinician is grounded in establishing a safe, supportive, and nurturing co-created environment. We all struggle at times and sometimes having help is necessary to find calm, balance, or growth. Each client brings their own unique strengths and challenges. Together we develop a plan to help you move toward your goals. My counseling is informed by my work with students with special needs, families in transition, my training in yoga and mindfulness, and my work with men and women who experienced domestic violence. I use a trauma informed, person-centered approach in which clients feel safe, heard, and valued.
My work as a clinician is grounded in establishing a safe, supportive, and nurturing co-created environment. We all struggle at times and sometimes having help is necessary to find calm, balance, or growth. Each client brings their own unique strengths and challenges. Together we develop a plan to help you move toward your goals. My counseling is informed by my work with students with special needs, families in transition, my training in yoga and mindfulness, and my work with men and women who experienced domestic violence. I use a trauma informed, person-centered approach in which clients feel safe, heard, and valued.
(610) 553-6680 View (610) 553-6680

Online Therapists

Photo of April Damond, Licensed Professional Counselor in Saint Marys, PA
April Damond
Licensed Professional Counselor, MS, LPC
Verified Verified
Erie, PA 16504
April Damond was a former trauma nurse for four years with experience in physical and mental well being. She has been a therapist for three years. Areas of interests include anxiety, depression, martial issues, grief and bereavement, and trauma. April is genuine, supportive, and empathic and laid back. April believes in being on equal grounds with all clients. April will be a coach, cheerleader, and teammate to help clients potentially achieve their goals.
April Damond was a former trauma nurse for four years with experience in physical and mental well being. She has been a therapist for three years. Areas of interests include anxiety, depression, martial issues, grief and bereavement, and trauma. April is genuine, supportive, and empathic and laid back. April believes in being on equal grounds with all clients. April will be a coach, cheerleader, and teammate to help clients potentially achieve their goals.
(814) 551-1094 View (814) 551-1094
Photo of Kyle Hulsebus, Licensed Professional Counselor in Saint Marys, PA
Kyle Hulsebus
Licensed Professional Counselor, MA, LPC
Verified Verified
7 Endorsed
Pittsburgh, PA 15217  (Online Only)
I enjoy working with teens and adults, especially those struggling to navigate some of the tougher moments of life. I have a lot of experience working with folks on emotional management - especially anger and anxiety - as well as exploring relationships and their impact on a person's life. I seek to help people find the best way forward and to overcome the stumbling blocks on their way. As a therapist, I also try to help challenge people's thoughts and help them gain new perspectives on the issues they're facing.
I enjoy working with teens and adults, especially those struggling to navigate some of the tougher moments of life. I have a lot of experience working with folks on emotional management - especially anger and anxiety - as well as exploring relationships and their impact on a person's life. I seek to help people find the best way forward and to overcome the stumbling blocks on their way. As a therapist, I also try to help challenge people's thoughts and help them gain new perspectives on the issues they're facing.
(878) 216-7524 View (878) 216-7524
Photo of Tracy Cross, Licensed Professional Counselor in Saint Marys, PA
Tracy Cross
Licensed Professional Counselor, MA, NCC, LPC, BC-TMH
Verified Verified
Erie, PA 16506
Waitlist for new clients
Are you ready to make a change in your life? I practice from a holistic lens, focusing on overall health and wellness. You wouldn’t hesitate to go the doctor to treat your physical health, what’s holding you back from doing the same for your mental health? Therapy can not only support you in working through a current or past problem, it can also be a journey of self-exploration and personal growth.
Are you ready to make a change in your life? I practice from a holistic lens, focusing on overall health and wellness. You wouldn’t hesitate to go the doctor to treat your physical health, what’s holding you back from doing the same for your mental health? Therapy can not only support you in working through a current or past problem, it can also be a journey of self-exploration and personal growth.
(814) 527-3272 View (814) 527-3272
Photo of Elizabeth K Gregory, Licensed Professional Counselor in Saint Marys, PA
Elizabeth K Gregory
Licensed Professional Counselor, MA, LPC, CAADC
Verified Verified
Cranberry Township, PA 16066
Find a healthier you! I believe in the importance of finding healing and empowerment through self-discovery and self-love. I identify deeply with the quote, “Our wounds are often the openings into the best and most meaningful parts of ourselves.”-David Riche. I also recognize the importance of finding a deeper life purpose and connection. I wish to create a therapeutic environment that is supportive, nurturing, and safe: incorporating self-expression, cultivating inner strengths, and working towards personalized goals. I want to help guide you on a compassionate journey promoting lasting and powerful life-long positive change.
Find a healthier you! I believe in the importance of finding healing and empowerment through self-discovery and self-love. I identify deeply with the quote, “Our wounds are often the openings into the best and most meaningful parts of ourselves.”-David Riche. I also recognize the importance of finding a deeper life purpose and connection. I wish to create a therapeutic environment that is supportive, nurturing, and safe: incorporating self-expression, cultivating inner strengths, and working towards personalized goals. I want to help guide you on a compassionate journey promoting lasting and powerful life-long positive change.
(724) 571-2919 View (724) 571-2919
Photo of Ella Ward, Licensed Professional Counselor in Saint Marys, PA
Ella Ward
Licensed Professional Counselor, MA, LPC
Verified Verified
2 Endorsed
Cranberry Township, PA 16066
Ella strives to create a therapeutic relationship based on authenticity, support, and empathy to aid clients in their own personal journeys. Ella’s background in working in outpatient substance use and mental health settings have given her competencies working with individuals, couples, and families. Ella has experience working with people navigating grief, relationship/family stressors, substance use, anger management, depression, anxiety, codependency, stress management/burnout and behavioral issues. Ella can also provide faith integration in her counseling services.
Ella strives to create a therapeutic relationship based on authenticity, support, and empathy to aid clients in their own personal journeys. Ella’s background in working in outpatient substance use and mental health settings have given her competencies working with individuals, couples, and families. Ella has experience working with people navigating grief, relationship/family stressors, substance use, anger management, depression, anxiety, codependency, stress management/burnout and behavioral issues. Ella can also provide faith integration in her counseling services.
(724) 400-2580 View (724) 400-2580
Andrea Lucille Zeiber
Licensed Professional Counselor, PsyD, LPC, MS
Verified Verified
Erie, PA 16504
I am a licensed therapist who has a doctorate in psychology. I have over 20 years of experience working with people to support them in managing symptoms of mental health, addressing stressors, and supportive themselves to achieve their goals. I work with people who need help addressing trauma, personality disorders, substance abuse concerns, psychosis, bipolar disorder, forensic histories, and general mental health needs. I like to work with my clients to create a therapy plan based on their needs and preferences to support them in being ready to successfully discharge from services.
I am a licensed therapist who has a doctorate in psychology. I have over 20 years of experience working with people to support them in managing symptoms of mental health, addressing stressors, and supportive themselves to achieve their goals. I work with people who need help addressing trauma, personality disorders, substance abuse concerns, psychosis, bipolar disorder, forensic histories, and general mental health needs. I like to work with my clients to create a therapy plan based on their needs and preferences to support them in being ready to successfully discharge from services.
(814) 212-4406 View (814) 212-4406
Photo of Alexis Witkovitz, Pre-Licensed Professional in Saint Marys, PA
Alexis Witkovitz
Pre-Licensed Professional, MSCP
Verified Verified
2 Endorsed
Greensburg, PA 15601
At certain points of our lives, we all experience feelings of anxiety and stress. Our mind becomes overwhelmed and fatigued, which in turn causes our bodies to feel run down. I believe in creating a safe therapeutic atmosphere for you to feel comfortable enough to explore the difficult thoughts and emotions that are a part of human existence. Therapy has the opportunity to create new pathways of growth and healing in your life. I believe we are all on our own individual journey in life. Sometimes we experience painful life circumstances that force us to sit with and feel difficult emotions. Part of my job is to help you find meaning
At certain points of our lives, we all experience feelings of anxiety and stress. Our mind becomes overwhelmed and fatigued, which in turn causes our bodies to feel run down. I believe in creating a safe therapeutic atmosphere for you to feel comfortable enough to explore the difficult thoughts and emotions that are a part of human existence. Therapy has the opportunity to create new pathways of growth and healing in your life. I believe we are all on our own individual journey in life. Sometimes we experience painful life circumstances that force us to sit with and feel difficult emotions. Part of my job is to help you find meaning
(724) 607-8440 View (724) 607-8440
Photo of Genre Baker, Pre-Licensed Professional in Saint Marys, PA
Genre Baker
Pre-Licensed Professional, MHC
Verified Verified
Greensburg, PA 15601
I am passionate about working with those who have experienced trauma and loss. Anyone with the aspiration to grow in the face of hardship is my ideal client. It is my belief that any individual who is looking for the tools to create positive change in their life can benefit from therapy. I am thankful for the opportunity to work with any client who is seeking healing, acceptance, and freedom to live their life in a fulfilling, purpose-driven way.
I am passionate about working with those who have experienced trauma and loss. Anyone with the aspiration to grow in the face of hardship is my ideal client. It is my belief that any individual who is looking for the tools to create positive change in their life can benefit from therapy. I am thankful for the opportunity to work with any client who is seeking healing, acceptance, and freedom to live their life in a fulfilling, purpose-driven way.
(724) 307-4381 View (724) 307-4381
Photo of Jenny Rozzell in Saint Marys, PA
Jenny Rozzell
CH, ACC, MEd
Verified Verified
1 Endorsed
Cranberry Township, PA 16066
I am a Board Certified Hypnotist and Coach with years of experience. I believe in a holistic approach,meaning that mind, body, and spirit all play into our well-being. Seeking help can feel uncomfortable not only to those who have never sought it before, but also to those who have had negative experiences. I adapt my approach to each individual’s unique situation. I strive to provide a comfortable, confidential, safe, supportive, and non-judgmental space; where you will not simply "learn coping skills", but will learn how to work through stresses and problems to facilitate long-lasting change. My goal is to help you help yourself!
I am a Board Certified Hypnotist and Coach with years of experience. I believe in a holistic approach,meaning that mind, body, and spirit all play into our well-being. Seeking help can feel uncomfortable not only to those who have never sought it before, but also to those who have had negative experiences. I adapt my approach to each individual’s unique situation. I strive to provide a comfortable, confidential, safe, supportive, and non-judgmental space; where you will not simply "learn coping skills", but will learn how to work through stresses and problems to facilitate long-lasting change. My goal is to help you help yourself!
(724) 578-5836 View (724) 578-5836
Photo of Cheri Ledbetter, Licensed Professional Counselor in Saint Marys, PA
Cheri Ledbetter
Licensed Professional Counselor, LPC
Verified Verified
Jeannette, PA 15644  (Online Only)
T.D. Jake’s said, "If you always do what you’ve always done, you’ll always be where you’ve always been." My passion lies in assisting young adults navigating life transitions such as entering college or the workforce, entering marriage, and parenthood. Through a blend of my educational background and extensive fieldwork, I specialize in providing support and guidance to help individuals overcome challenges during pivotal periods in their lives. My goal is to foster personal growth, resilience, and a positive self-image, enabling my clients to confidently embrace the changes and transformations that come with life's journey.
T.D. Jake’s said, "If you always do what you’ve always done, you’ll always be where you’ve always been." My passion lies in assisting young adults navigating life transitions such as entering college or the workforce, entering marriage, and parenthood. Through a blend of my educational background and extensive fieldwork, I specialize in providing support and guidance to help individuals overcome challenges during pivotal periods in their lives. My goal is to foster personal growth, resilience, and a positive self-image, enabling my clients to confidently embrace the changes and transformations that come with life's journey.
(412) 571-8741 View (412) 571-8741
Photo of Emily Lunt, Clinical Social Work/Therapist in Saint Marys, PA
Emily Lunt
Clinical Social Work/Therapist, LSW
Verified Verified
2 Endorsed
Wexford, PA 15090
Wellness is not just an absence of negative feelings and thoughts, but a presence of positive emotions and a healthy mindset. If you are experiencing anxiety, depression, stress, trauma, or feeling stuck, I can help. I provide a safe and caring environment for my clients to feel validated, encouraged, and hopeful. I work with children, adolescents, and adults. I use evidence-based and goal-directed treatments. My hope is to help you reach your potential and flourish. Therapy within a Christian framework is offered upon request. I am currently offering both telehealth and in-person appointments.
Wellness is not just an absence of negative feelings and thoughts, but a presence of positive emotions and a healthy mindset. If you are experiencing anxiety, depression, stress, trauma, or feeling stuck, I can help. I provide a safe and caring environment for my clients to feel validated, encouraged, and hopeful. I work with children, adolescents, and adults. I use evidence-based and goal-directed treatments. My hope is to help you reach your potential and flourish. Therapy within a Christian framework is offered upon request. I am currently offering both telehealth and in-person appointments.
(724) 201-3649 View (724) 201-3649

See more therapy options for Saint Marys

How does your Therapist compare?

Number of Therapists in Saint Marys, PA

< 10

Therapists in Saint Marys, PA who prioritize treating:

100% Relationship Issues
100% Depression
100% Anxiety
100% Parenting
100% Trauma and PTSD
83% ADHD
83% Life Coaching

Average years in practice

14 Years

Top 3 insurances accepted

100% Aetna
100% BlueCross and BlueShield
100% Medicaid

How Therapists in Saint Marys, PA see their clients

50% In Person and Online
50% Online Only

Gender breakdown

100% Female

FAQs - About Therapy and Counseling

How can I find a therapist in Saint Marys?

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.