Therapists in North Central, San Mateo, CA

Photo of Cynthia Medina, Psychologist in North Central, San Mateo, CA
Cynthia Medina
Psychologist, PhD
Verified
North Central, San Mateo, CA 94401
I am a licensed psychologist specializing in evaluations for children and adolescents with challenges in the following areas: Attention and focus, executive functioning skills, learning, anxiety, depression, and behavior. I also conduct cognitive evaluations (IQ testing) for private school applications.
I am a licensed psychologist specializing in evaluations for children and adolescents with challenges in the following areas: Attention and focus, executive functioning skills, learning, anxiety, depression, and behavior. I also conduct cognitive evaluations (IQ testing) for private school applications.
(650) 332-4688 View (650) 332-4688
Photo of Diann Toney, Licensed Mental Health Counselor in North Central, San Mateo, CA
Diann Toney
Licensed Mental Health Counselor, LCMHC
Verified
North Central, San Mateo, CA 94401
Hi. My name is Diann Toney. I am a licensed mental health counselor ( LMHC ) and a nationally certified counselor ( NCC) in Florida with 8 years of professional work experience in the field of counseling.
Hi. My name is Diann Toney. I am a licensed mental health counselor ( LMHC ) and a nationally certified counselor ( NCC) in Florida with 8 years of professional work experience in the field of counseling.
(650) 547-0358 View (650) 547-0358
Photo of Pamela Poindexter, Clinical Social Work/Therapist in North Central, San Mateo, CA
Pamela Poindexter
Clinical Social Work/Therapist, LCSW
Verified
North Central, San Mateo, CA 94401
Greetings! My name is Pam Poindexter and I am a Licensed Clinical Social Worker located in Long Beach, CA. I enjoy assisting adults to reclaim hope and meaning, reduce symptoms of anxiety and depression, change addictive patterns, navigate relationship challenges and manage life transitions by combining multiple empowering strategies gathered from Cognitive Behavioral Therapy, Dialectical Behavior Therapy, Acceptance and Commitment Therapy, and Person-Centered Therapy.
Greetings! My name is Pam Poindexter and I am a Licensed Clinical Social Worker located in Long Beach, CA. I enjoy assisting adults to reclaim hope and meaning, reduce symptoms of anxiety and depression, change addictive patterns, navigate relationship challenges and manage life transitions by combining multiple empowering strategies gathered from Cognitive Behavioral Therapy, Dialectical Behavior Therapy, Acceptance and Commitment Therapy, and Person-Centered Therapy.
(650) 910-6930 View (650) 910-6930
Photo of Ronna Milo Haglili, Psychologist in North Central, San Mateo, CA
Ronna Milo Haglili
Psychologist, PsyD
Verified
North Central, San Mateo, CA 94401
I work with children, teens, adults, families, and couples. I welcome people of all backgrounds. I was trained in multiple settings, including medical centers, community mental health organizations, and schools. My training and expertise include the areas of trauma, depression, anxiety, ADHD, parenting, eating disorders, relationships, transitions, loss, marginalization, identity, and immigration. While grounded in culturally sensitive and trauma informed psychoanalytic theory I integrate diverse treatment modalities. I commit to facilitating your treatment goals, such as improving coping skills, deepening relationships, and more.
I work with children, teens, adults, families, and couples. I welcome people of all backgrounds. I was trained in multiple settings, including medical centers, community mental health organizations, and schools. My training and expertise include the areas of trauma, depression, anxiety, ADHD, parenting, eating disorders, relationships, transitions, loss, marginalization, identity, and immigration. While grounded in culturally sensitive and trauma informed psychoanalytic theory I integrate diverse treatment modalities. I commit to facilitating your treatment goals, such as improving coping skills, deepening relationships, and more.
(650) 656-2854 View (650) 656-2854
Photo of Deborah Nazarian, Psychologist in North Central, San Mateo, CA
Deborah Nazarian
Psychologist, PhD
Verified
2 Endorsed
North Central, San Mateo, CA 94401
Hi - I am a licensed clinical psychologist with over 15 years of experience providing therapy to adults. My goal is to provide treatment that is compassionate, culturally sensitive, and evidence-based. I strive to help you identify the obstacles that are getting in the way of living the kind of life you want to live while also working collaboratively with you to help you move towards what matters in your life. I provide in person sessions in my office in downtown San Mateo as well as video sessions.
Hi - I am a licensed clinical psychologist with over 15 years of experience providing therapy to adults. My goal is to provide treatment that is compassionate, culturally sensitive, and evidence-based. I strive to help you identify the obstacles that are getting in the way of living the kind of life you want to live while also working collaboratively with you to help you move towards what matters in your life. I provide in person sessions in my office in downtown San Mateo as well as video sessions.
(650) 610-1986 View (650) 610-1986
Photo of Jon Sommer, Pastoral Counselor in North Central, San Mateo, CA
Jon Sommer
Pastoral Counselor, MAHL, CPE
North Central, San Mateo, CA 94401
Our programs and offerings, focused on human and pet loss, can help to normalize your grief, and to make it more bearable and less isolating through a variety of modalities designed to make you feel safe, supported, and accompanied. Our work is open and welcoming to people of all backgrounds, sexual orientations, genders, and disabilities. Without judgment of you or your grieving process, religiosity, or any agenda, and with deep compassion, skill, confidentiality, and 29 years of combined education, training, and experience as a grief counselor and rabbi, I hope through our time together you will find the care you need and expect.
Our programs and offerings, focused on human and pet loss, can help to normalize your grief, and to make it more bearable and less isolating through a variety of modalities designed to make you feel safe, supported, and accompanied. Our work is open and welcoming to people of all backgrounds, sexual orientations, genders, and disabilities. Without judgment of you or your grieving process, religiosity, or any agenda, and with deep compassion, skill, confidentiality, and 29 years of combined education, training, and experience as a grief counselor and rabbi, I hope through our time together you will find the care you need and expect.
(650) 860-4187 View (650) 860-4187
Photo of Joanna May Tozer, Clinical Social Work/Therapist in North Central, San Mateo, CA
Joanna May Tozer
Clinical Social Work/Therapist, LCSW
Verified
North Central, San Mateo, CA 94401
My professional endeavors in the government and private sectors served a diverse population in the state of California including inpatient and outpatient psychiatric settings. I developed expertise in treating anxiety, depression and addiction. In psychotherapy I develop a nurturing and supportive relationship. My psychotherapeutic approach is collaborative and action based. I received certifications in Cognitive Behavioral Therapy, Dialectical Behavioral Therapy and Motivational Interviewing.
My professional endeavors in the government and private sectors served a diverse population in the state of California including inpatient and outpatient psychiatric settings. I developed expertise in treating anxiety, depression and addiction. In psychotherapy I develop a nurturing and supportive relationship. My psychotherapeutic approach is collaborative and action based. I received certifications in Cognitive Behavioral Therapy, Dialectical Behavioral Therapy and Motivational Interviewing.
(650) 747-6443 View (650) 747-6443
Photo of Ornit Shoham, Marriage & Family Therapist in North Central, San Mateo, CA
Ornit Shoham
Marriage & Family Therapist, MA, LMFT
Verified
North Central, San Mateo, CA 94401
Hello and welcome! I primarily work with adults and teenagers struggling with trauma, depression, and anxiety. Often our inner beliefs have a huge impact on our lives, our sense of self, and our relationships. As your therapist, my main focus is to provide you a safe space that is free-from judgment and offers you a process-oriented approach to identify unconscious feelings and beliefs. I offer a genuine and understanding therapeutic relationship for you to feel held and seen, as we reflect together.
Hello and welcome! I primarily work with adults and teenagers struggling with trauma, depression, and anxiety. Often our inner beliefs have a huge impact on our lives, our sense of self, and our relationships. As your therapist, my main focus is to provide you a safe space that is free-from judgment and offers you a process-oriented approach to identify unconscious feelings and beliefs. I offer a genuine and understanding therapeutic relationship for you to feel held and seen, as we reflect together.
(650) 753-7025 View (650) 753-7025
Photo of Janna Fond, Marriage & Family Therapist in North Central, San Mateo, CA
Janna Fond
Marriage & Family Therapist, PsyD, LMFT
Verified
2 Endorsed
North Central, San Mateo, CA 94402
I'm an active, involved therapist, and no BS. If you are ready to feel good again, I'm ready to help you. Anxiety can be lonely, uncomfortable and scary. It seems like everyone else handles life's bumps perfectly, but for some reason, despite how intelligent you are, you can't get it together. I get it. Anxiety makes us play small. You don't have to give it that power any more. Let's find the place where the anxiety stops and you come through: Strong. Clear. Happy. Confident. Yourself. Because the life you were meant for is on the other side of this anxiety.
I'm an active, involved therapist, and no BS. If you are ready to feel good again, I'm ready to help you. Anxiety can be lonely, uncomfortable and scary. It seems like everyone else handles life's bumps perfectly, but for some reason, despite how intelligent you are, you can't get it together. I get it. Anxiety makes us play small. You don't have to give it that power any more. Let's find the place where the anxiety stops and you come through: Strong. Clear. Happy. Confident. Yourself. Because the life you were meant for is on the other side of this anxiety.
(650) 400-3214 View (650) 400-3214
Photo of Bill Bell, Marriage & Family Therapist in North Central, San Mateo, CA
Bill Bell
Marriage & Family Therapist, LMFT, PhD, ACS
Verified
North Central, San Mateo, CA 94401
My clients typically fall into three categories: 1) individuals with existential angst, questioning their trajectory in relationships, careers, and/or life; 2) individuals suffering from a myriad of compulsive behaviors/addictions; and 3) couples experiencing communication difficulties, misaligned values, discordant desires, or desiring archetypal reconstructions. My work emphasizes identifying & isolating troubling emotions that lead to negative thinking and behaving, and learning to think & act according to reason. I am offering in-person sessions and teletherapy.
My clients typically fall into three categories: 1) individuals with existential angst, questioning their trajectory in relationships, careers, and/or life; 2) individuals suffering from a myriad of compulsive behaviors/addictions; and 3) couples experiencing communication difficulties, misaligned values, discordant desires, or desiring archetypal reconstructions. My work emphasizes identifying & isolating troubling emotions that lead to negative thinking and behaving, and learning to think & act according to reason. I am offering in-person sessions and teletherapy.
(415) 968-8968 View (415) 968-8968
Photo of AnnaLeah Logan, Psychologist in North Central, San Mateo, CA
AnnaLeah Logan
Psychologist, PsyD
Verified
5 Endorsed
North Central, San Mateo, CA 94401
I have been providing treatment to adolescents and adults in the Bay Area since 2011. I view therapy as a collaborative process and feel strongly that treatment is most effective when individuals can share their feelings and thoughts openly. To that end, building a therapeutic relationship based on trust and mutual respect is vital to a successful outcome. I use a treatment approach that is warm and welcoming and try to remain authentic and accepting in sessions.
I have been providing treatment to adolescents and adults in the Bay Area since 2011. I view therapy as a collaborative process and feel strongly that treatment is most effective when individuals can share their feelings and thoughts openly. To that end, building a therapeutic relationship based on trust and mutual respect is vital to a successful outcome. I use a treatment approach that is warm and welcoming and try to remain authentic and accepting in sessions.
Photo of Dr. Melissa Risso, Marriage & Family Therapist in North Central, San Mateo, CA
Dr. Melissa Risso
Marriage & Family Therapist, PhD, MA, CSE, CST
Verified
10 Endorsed
North Central, San Mateo, CA 94401  (Online Only)
Are you tired of talking endlessly about the problems in your relationships and are ready to find solutions? Are you frustrated with all the general relationship advice out there and just really want a professional therapist to understand your unique situation and guide you through it? I’m Dr. Melissa Risso, and I can help. I am a Licensed MFT, an AASECT Certified Sex Therapist and an AASECT Certified Sexuality Educator with a passion for helping individuals and couples live better lives. My education, professional experience, and life experience have taught me how to listen to people without judgment.
Are you tired of talking endlessly about the problems in your relationships and are ready to find solutions? Are you frustrated with all the general relationship advice out there and just really want a professional therapist to understand your unique situation and guide you through it? I’m Dr. Melissa Risso, and I can help. I am a Licensed MFT, an AASECT Certified Sex Therapist and an AASECT Certified Sexuality Educator with a passion for helping individuals and couples live better lives. My education, professional experience, and life experience have taught me how to listen to people without judgment.
(650) 262-5707 View (650) 262-5707
Photo of Sonia Paz, Marriage & Family Therapist in North Central, San Mateo, CA
Sonia Paz
Marriage & Family Therapist, MFT
Verified
2 Endorsed
North Central, San Mateo, CA 94401
Congratulations on taking the first step towards a happier, fuller and more fulfilling life that you deserve. I have been working with individuals, couples and families since 2008. As a Marriage and Family Therapist I am committed to help you resolve your life, career, family and relationship challenges.
Congratulations on taking the first step towards a happier, fuller and more fulfilling life that you deserve. I have been working with individuals, couples and families since 2008. As a Marriage and Family Therapist I am committed to help you resolve your life, career, family and relationship challenges.
(650) 547-8908 View (650) 547-8908
Photo of Gretchen Slover, Marriage & Family Therapist in North Central, San Mateo, CA
Gretchen Slover
Marriage & Family Therapist, LMFT
Verified
North Central, San Mateo, CA 94401
My name is Gretchen Slover. I am a licensed Marriage and Family Therapist. I explain that therapy is like a buffet that I will set, and you can choose what you would like to try. I work alongside my clients to help them make the best decisions to move forward towards their goals. I have experience working with individuals, couples and families to navigate relationships and reach goals. I work with clients who struggle with an array of thought processes that have them cornered in situations they would like to change. I have extensive experience working with high conflict situations in relationships as well as life trauma.
My name is Gretchen Slover. I am a licensed Marriage and Family Therapist. I explain that therapy is like a buffet that I will set, and you can choose what you would like to try. I work alongside my clients to help them make the best decisions to move forward towards their goals. I have experience working with individuals, couples and families to navigate relationships and reach goals. I work with clients who struggle with an array of thought processes that have them cornered in situations they would like to change. I have extensive experience working with high conflict situations in relationships as well as life trauma.
(650) 209-6074 View (650) 209-6074
Photo of Helen Citrin, Marriage & Family Therapist Associate in North Central, San Mateo, CA
Helen Citrin
Marriage & Family Therapist Associate, MA, AMFT, APCC
Verified
1 Endorsed
North Central, San Mateo, CA 94401  (Online Only)
Not accepting new clients
I enjoy working with individuals and couples. My clients may be shy and are searching for their voice, or have experienced a lot but are still in the early stages of their life. I appreciate working with those who are open to thinking and playing freely during our sessions, remaining curious, and asking many questions. My clients inquire about their identities, engage in self-exploration, and reflect on their past and present. My clients may have experienced trauma or struggle with anxiety and depression. I enjoy working with kids, teens, and individuals of all ages, including the aging population, couples, and families.
I enjoy working with individuals and couples. My clients may be shy and are searching for their voice, or have experienced a lot but are still in the early stages of their life. I appreciate working with those who are open to thinking and playing freely during our sessions, remaining curious, and asking many questions. My clients inquire about their identities, engage in self-exploration, and reflect on their past and present. My clients may have experienced trauma or struggle with anxiety and depression. I enjoy working with kids, teens, and individuals of all ages, including the aging population, couples, and families.
(650) 539-6975 View (650) 539-6975
Photo of Connelly Murphy, Marriage & Family Therapist in North Central, San Mateo, CA
Connelly Murphy
Marriage & Family Therapist, MA, LMFT
Verified
2 Endorsed
North Central, San Mateo, CA 94401
I am a Licensed Marriage & Family Therapist (LMFT 78886) and have been practicing in the Bay Area since 2006. After completing my undergrad at Stanford University, I obtained my Master’s degree in Counseling Psychology from Santa Clara University. In the years following, I have worked with individuals, families and groups, across the lifespan. I have extensive experience treating depression, anxiety, trauma, relationship and family issues, parenting challenges, life transitions and personal growth/exploratory work. I provide affirming care for the LGBTQ+ community as well.
I am a Licensed Marriage & Family Therapist (LMFT 78886) and have been practicing in the Bay Area since 2006. After completing my undergrad at Stanford University, I obtained my Master’s degree in Counseling Psychology from Santa Clara University. In the years following, I have worked with individuals, families and groups, across the lifespan. I have extensive experience treating depression, anxiety, trauma, relationship and family issues, parenting challenges, life transitions and personal growth/exploratory work. I provide affirming care for the LGBTQ+ community as well.
(650) 437-1852 View (650) 437-1852
Photo of Wendy Alexander, Marriage & Family Therapist in North Central, San Mateo, CA
Wendy Alexander
Marriage & Family Therapist, LMFT
Verified
1 Endorsed
North Central, San Mateo, CA 94401
With over 25 years of Mental Health experience the last 18 years having specialized in the treatment of children, adolescents and their families. My approach is primarily based on who is in the room and how I can be most helpful to my client. I utilize mindfulness, art therapy, sand play and cognitive behavioral therapies.
With over 25 years of Mental Health experience the last 18 years having specialized in the treatment of children, adolescents and their families. My approach is primarily based on who is in the room and how I can be most helpful to my client. I utilize mindfulness, art therapy, sand play and cognitive behavioral therapies.
(650) 684-5280 View (650) 684-5280
Photo of Lynda Lynette Johnson-Basuino, Marriage & Family Therapist in North Central, San Mateo, CA
Lynda Lynette Johnson-Basuino
Marriage & Family Therapist, MA, BCPC
Verified
North Central, San Mateo, CA 94401
"Sometimes a little insight makes all the difference." I'm an experienced counselor who overcomes the obstacles of every day living despite vision loss. My specialty is helping people navigate through life altering crises such as the trauma of chronic health issues, divorce, job loss, behavior concerns in children, adolescence and teens. In my practice, I see people who are experiencing depression, anxiety, anger, PTSD, and the emotional responses to vision loss and blindness. I've been counseling for 25 years and I'm in the examination process of licensure. This is my passion. I look forward to working with you.
"Sometimes a little insight makes all the difference." I'm an experienced counselor who overcomes the obstacles of every day living despite vision loss. My specialty is helping people navigate through life altering crises such as the trauma of chronic health issues, divorce, job loss, behavior concerns in children, adolescence and teens. In my practice, I see people who are experiencing depression, anxiety, anger, PTSD, and the emotional responses to vision loss and blindness. I've been counseling for 25 years and I'm in the examination process of licensure. This is my passion. I look forward to working with you.
(650) 504-1650 View (650) 504-1650
Photo of Marcia Avila, Marriage & Family Therapist in North Central, San Mateo, CA
Marcia Avila
Marriage & Family Therapist, MS, MFT
Verified
3 Endorsed
North Central, San Mateo, CA 94401
Not accepting new clients
I am a practical therapist helping clients deal with their relationships, addiction, depression, anxiety,job stress, loneliness, anger, grief. I work with women as they face their unique challenges including childbirth, miscarriage, menopause, and so much more. I have extended experience and compassion working with those who struggle with addiction or live with someone who does. I also focus my practice to help individuals, couples, and families cope with life challenges. I offer a warm and nonjudgmental atmosphere where you can share your dreams and hopes. Although there may be tears, I also believe in sharing laughter. Both are healing.
I am a practical therapist helping clients deal with their relationships, addiction, depression, anxiety,job stress, loneliness, anger, grief. I work with women as they face their unique challenges including childbirth, miscarriage, menopause, and so much more. I have extended experience and compassion working with those who struggle with addiction or live with someone who does. I also focus my practice to help individuals, couples, and families cope with life challenges. I offer a warm and nonjudgmental atmosphere where you can share your dreams and hopes. Although there may be tears, I also believe in sharing laughter. Both are healing.
(650) 400-5293 View (650) 400-5293
Photo of Grace Fung, Marriage & Family Therapist in North Central, San Mateo, CA
Grace Fung
Marriage & Family Therapist, MS, LMFT
Verified
1 Endorsed
North Central, San Mateo, CA 94401
I work with children and teens struggling with problems around school, mood and behavior while providing developmental guidance and effective parenting skills for parents. I work extensively with adults struggling with relationship and mood problems. Through providing a safe and relaxed environment, I guide them through a process of self-examination of their own patterns of thoughts, feelings, and relationship styles that kept them from getting what they want.
I work with children and teens struggling with problems around school, mood and behavior while providing developmental guidance and effective parenting skills for parents. I work extensively with adults struggling with relationship and mood problems. Through providing a safe and relaxed environment, I guide them through a process of self-examination of their own patterns of thoughts, feelings, and relationship styles that kept them from getting what they want.
(415) 802-0168 View (415) 802-0168

See more therapy options for North Central, San Mateo

How does your Therapist compare?

Number of Therapists in North Central, San Mateo, CA

100+

Average cost per session

$190

Therapists in North Central, San Mateo, CA who prioritize treating:

92% Anxiety
85% Depression
83% Relationship Issues
80% Self Esteem
69% Trauma and PTSD
68% Coping Skills
64% Grief

Average years in practice

12 Years

Top 3 insurances accepted

56% Aetna
48% UnitedHealthcare UHC | UBH
45% Optum

How Therapists in North Central, San Mateo, CA see their clients

74% In Person and Online
26% Online Only

Gender breakdown

80% Female
19% Male
1% Non-Binary

FAQs - About Therapy and Counseling

How can I find a therapist in North Central, San Mateo?

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.