Therapists in Boulder, CO

View neighborhoods in Boulder
Photo of Cassandra Keller, Licensed Professional Counselor Candidate, MA, LPCC
Cassandra Keller
Licensed Professional Counselor Candidate, MA, LPCC
Online Only
I work with adults and adolescents on anxiety, depression, trauma/PTSD, identity, and career transitions. Whether we’re focusing on cultivating a sense of contentment and resilience or healing emotional wounds and letting go of limiting thoughts and patterns, my goal is to help you become your most authentic, healthy self. I’m a great fit for clients who want to better understand their emotions, grow in areas where they feel stuck, or reexamine how they engage in relationships.
I work with adults and adolescents on anxiety, depression, trauma/PTSD, identity, and career transitions. Whether we’re focusing on cultivating a sense of contentment and resilience or healing emotional wounds and letting go of limiting thoughts and patterns, my goal is to help you become your most authentic, healthy self. I’m a great fit for clients who want to better understand their emotions, grow in areas where they feel stuck, or reexamine how they engage in relationships.
(720) 790-4793 View (720) 790-4793
Photo of Helen Tran, Clinical Social Work/Therapist, LCSW, RPT
Helen Tran
Clinical Social Work/Therapist, LCSW, RPT
1 Endorsed
Boulder, CO 80301
Helping children and families feel calmer, connected, and more confident. Every child deserves to feel safe, understood, and capable of success. I help families facing challenges such as anxiety, emotional outbursts, or trauma by using play therapy and other supportive methods. Through our work, children gain confidence, parents feel more equipped, and families strengthen the bonds that make home life feel calmer and more connected.
Helping children and families feel calmer, connected, and more confident. Every child deserves to feel safe, understood, and capable of success. I help families facing challenges such as anxiety, emotional outbursts, or trauma by using play therapy and other supportive methods. Through our work, children gain confidence, parents feel more equipped, and families strengthen the bonds that make home life feel calmer and more connected.
(720) 806-6920 View (720) 806-6920
Photo of Jordan Urban Paul, Licensed Professional Counselor, MA, LPC
Jordan Urban Paul
Licensed Professional Counselor, MA, LPC
Boulder, CO 80302
Navigating life is a complex and tumultuous process. Every day, we're tugged in myriad directions, confronted with decisions at every turn that ask us to balance relationships, work, self-care, and personal growth. This constant barrage of "shoulds", responsibilities, and pressures in life creates an unrelenting current of stress and anxiety and leaves us worn thin and wondering, "why is it so hard to feel good?" It's no wonder that we find ourselves grasping at food, alcohol, tv, sex, drugs, and social media to relieve this tension. However, the relief provided by such behaviors is temporary and only exacerbates the problem.
Navigating life is a complex and tumultuous process. Every day, we're tugged in myriad directions, confronted with decisions at every turn that ask us to balance relationships, work, self-care, and personal growth. This constant barrage of "shoulds", responsibilities, and pressures in life creates an unrelenting current of stress and anxiety and leaves us worn thin and wondering, "why is it so hard to feel good?" It's no wonder that we find ourselves grasping at food, alcohol, tv, sex, drugs, and social media to relieve this tension. However, the relief provided by such behaviors is temporary and only exacerbates the problem.
(720) 548-2618 View (720) 548-2618
Photo of Andrew Bunin, Counselor, MS, LPC
Andrew Bunin
Counselor, MS, LPC
Boulder, CO 80301
I provide effective, supportive counseling services for adults, individually and in couples, assisting clients with a range of life issues, including: relationships; communication; grief and loss; trauma; life adjustments and transitions; depression; anxiety; substance abuse and addictions; and stress and anger management. My goals are to support clients in developing self-awareness; building interpersonal skills; resolving past trauma; promoting effective decision-making and problem-solving; deepening emotional and psychological wellbeing; achieving personal balance and improving overall quality-of-life. I welcome your inquiries about my work and the opportunity to discuss how I can be of service.
I provide effective, supportive counseling services for adults, individually and in couples, assisting clients with a range of life issues, including: relationships; communication; grief and loss; trauma; life adjustments and transitions; depression; anxiety; substance abuse and addictions; and stress and anger management. My goals are to support clients in developing self-awareness; building interpersonal skills; resolving past trauma; promoting effective decision-making and problem-solving; deepening emotional and psychological wellbeing; achieving personal balance and improving overall quality-of-life. I welcome your inquiries about my work and the opportunity to discuss how I can be of service.
(303) 900-7402 View (303) 900-7402
Photo of Darleen Gegich - Darleen Gegich MA LPC, Counselor, MA, LPC
Darleen Gegich MA LPC
Counselor, MA, LPC
Boulder, CO 80302
Trauma Therapy: You've been struggling with the effects a trauma for a long time. Maybe something happened in your childhood that shaped the way you see yourself and the world. Maybe you've been in a relationship that left you feeling small, unsafe, or unsure of your own reality. Or perhaps something happened — an accident, a loss, an assault — that you haven't been able to fully leave behind. Whatever the source, trauma has a way of living in the body long after the events themselves are over.
Trauma Therapy: You've been struggling with the effects a trauma for a long time. Maybe something happened in your childhood that shaped the way you see yourself and the world. Maybe you've been in a relationship that left you feeling small, unsafe, or unsure of your own reality. Or perhaps something happened — an accident, a loss, an assault — that you haven't been able to fully leave behind. Whatever the source, trauma has a way of living in the body long after the events themselves are over.
(720) 515-4711 View (720) 515-4711
Photo of Sarah Rose - Step Into Counseling, Licensed Professional Counselor, MA, LPC
Step Into Counseling
Licensed Professional Counselor, MA, LPC
3 Endorsed
Online Only
Sarah & Andy, husband & wife, are also co-therapists for couple therapy. Client couples meet with both. Sarah also offers individual therapy for adult woman and is an EMDRIA approved consultant for EMDR Therapy. Andy offers individual therapy for adults and teens as well as play therapy for children. We believe in the healing power of relationship and address ways to regulate emotions and be in a secure functioning relationship. Please see our website for more information: stepintocounseling.com
Sarah & Andy, husband & wife, are also co-therapists for couple therapy. Client couples meet with both. Sarah also offers individual therapy for adult woman and is an EMDRIA approved consultant for EMDR Therapy. Andy offers individual therapy for adults and teens as well as play therapy for children. We believe in the healing power of relationship and address ways to regulate emotions and be in a secure functioning relationship. Please see our website for more information: stepintocounseling.com
(720) 523-0686 View (720) 523-0686
Photo of Joe Reid, Clinical Social Work/Therapist, LSW, MSW
Joe Reid
Clinical Social Work/Therapist, LSW, MSW
7 Endorsed
Boulder, CO 80304
I support adults navigating anxiety, depression, trauma & relationship challenges. Together, we identify your goals and explore how conscious and unconscious patterns shaped by past experiences influence your wellbeing. Our process creates room for growth and change, including healthier and more fulfilling relationships, improved performance, and stronger understanding and acceptance of your wants, needs, and desires.
I support adults navigating anxiety, depression, trauma & relationship challenges. Together, we identify your goals and explore how conscious and unconscious patterns shaped by past experiences influence your wellbeing. Our process creates room for growth and change, including healthier and more fulfilling relationships, improved performance, and stronger understanding and acceptance of your wants, needs, and desires.
(303) 622-5842 View (303) 622-5842
Photo of Suzita Cochran, Psychologist, PhD
Suzita Cochran
Psychologist, PhD
Boulder, CO 80301
It's not easy to seek help for your child. I've been there. I've been a psychologist for 30 years, but I've been a parent for 27, and counting. As a child and family psychologist, I help young families develop skills and routines to support healthy relationships for years to come. Play therapy allows children to integrate difficult experiences, and move past the stuck points in which they (and their parents) often find themselves. And it even works to do it virtually!
It's not easy to seek help for your child. I've been there. I've been a psychologist for 30 years, but I've been a parent for 27, and counting. As a child and family psychologist, I help young families develop skills and routines to support healthy relationships for years to come. Play therapy allows children to integrate difficult experiences, and move past the stuck points in which they (and their parents) often find themselves. And it even works to do it virtually!
(720) 802-0555 View (720) 802-0555
Photo of Kerri Honaker, Licensed Professional Counselor, MS, MA, LPC, BCN, LLC
Kerri Honaker
Licensed Professional Counselor, MS, MA, LPC, BCN, LLC
Boulder, CO 80302
I love working with people. I tend to be a really good listener, love to brainstorm, and am somewhat directive. I am very practical and real. I enjoy very much hearing and working to understand situations and patterns in a person's life, where are they repeating themselves, and how many ways are there to break up patterns that are not serving us. I am keen to see habits and places that shut us down, and like to work on and practice how that may shift, with much compassion on how scary that can be. I appreciate the vulnerability it takes to come in and share intimate and hard details about ourselves.
I love working with people. I tend to be a really good listener, love to brainstorm, and am somewhat directive. I am very practical and real. I enjoy very much hearing and working to understand situations and patterns in a person's life, where are they repeating themselves, and how many ways are there to break up patterns that are not serving us. I am keen to see habits and places that shut us down, and like to work on and practice how that may shift, with much compassion on how scary that can be. I appreciate the vulnerability it takes to come in and share intimate and hard details about ourselves.
(720) 821-0723 View (720) 821-0723
Photo of Karen Baker, Pre-Licensed Professional, MEd, ETT, EMDR, IFS, IFIO
Karen Baker
Pre-Licensed Professional, MEd, ETT, EMDR, IFS, IFIO
1 Endorsed
Boulder, CO 80304
Supervised by Lacie Hamilton. Do you struggle with trauma, anxiety, grief, or betrayal that impacts your day-to-day life, relationships, or sense of self? Do you feel overwhelmed, lost, or unsure how to move forward? Welcome to the club "Trying to be Human" it can be really hard. Perhaps you’re navigating what it means to recover from betrayal or trauma, cope with a loss, or rebuild after a challenging relationship. These feelings can leave you questioning whether life will ever feel better or more stable. Now more than ever, people are facing uncertainty, stress, and disconnection, leaving them searching for hope and answers.
Supervised by Lacie Hamilton. Do you struggle with trauma, anxiety, grief, or betrayal that impacts your day-to-day life, relationships, or sense of self? Do you feel overwhelmed, lost, or unsure how to move forward? Welcome to the club "Trying to be Human" it can be really hard. Perhaps you’re navigating what it means to recover from betrayal or trauma, cope with a loss, or rebuild after a challenging relationship. These feelings can leave you questioning whether life will ever feel better or more stable. Now more than ever, people are facing uncertainty, stress, and disconnection, leaving them searching for hope and answers.
View
Photo of Roxanne MacManus, Pre-Licensed Professional
Roxanne MacManus
Pre-Licensed Professional
2 Endorsed
Online Only
For individuals who are succeeding by most external measures but sense something essential is missing, in their closest relationships, their inner life, or both. The quiet dissatisfaction that high-functioning people often carry longest because it's not stopping them from achieving most goals.
For individuals who are succeeding by most external measures but sense something essential is missing, in their closest relationships, their inner life, or both. The quiet dissatisfaction that high-functioning people often carry longest because it's not stopping them from achieving most goals.
View
Photo of Kelly Sikora, Licensed Professional Counselor, MA, MPH, LPC
Kelly Sikora
Licensed Professional Counselor, MA, MPH, LPC
1 Endorsed
Online Only
I am passionate about guiding individuals and families through the complexities of human connection and personal growth. Recognizing a multitude of challenges from relationship conflicts, anxiety, depression, addiction, and grief to the more complex trauma based wounds, I strive to foster healing through inner child work and self compassion. I assist you in uncovering your authentic self that has been there all along but buried through protective strategies from wounding. I aim to facilitate positive growth and change through this unveiling as you reparent your wounded inner children.
I am passionate about guiding individuals and families through the complexities of human connection and personal growth. Recognizing a multitude of challenges from relationship conflicts, anxiety, depression, addiction, and grief to the more complex trauma based wounds, I strive to foster healing through inner child work and self compassion. I assist you in uncovering your authentic self that has been there all along but buried through protective strategies from wounding. I aim to facilitate positive growth and change through this unveiling as you reparent your wounded inner children.
(720) 664-5283 View (720) 664-5283
Photo of Abigail Solis, Licensed Professional Counselor
Abigail Solis
Licensed Professional Counselor
Online Only
Hello, I'm Abby. As a licensed professional counselor, I specialize in working with children, teens, adults, and military personnel and their families who are struggling with depression, anxiety, stress, PTSD, and substance use disorders. I am fluent in both English and Spanish and have a deep appreciation for cultural diversity, which enables me to provide effective counseling to clients from all walks of life. I approach therapy with a combination of warmth, humor, straightforwardness, and empathy.
Hello, I'm Abby. As a licensed professional counselor, I specialize in working with children, teens, adults, and military personnel and their families who are struggling with depression, anxiety, stress, PTSD, and substance use disorders. I am fluent in both English and Spanish and have a deep appreciation for cultural diversity, which enables me to provide effective counseling to clients from all walks of life. I approach therapy with a combination of warmth, humor, straightforwardness, and empathy.
(720) 706-7638 View (720) 706-7638
Photo of Samantha Monk Grigsby, Psychologist, PhD
Samantha Monk Grigsby
Psychologist, PhD
1 Endorsed
Boulder, CO 80302
I help people feel less anxious, less stressed, less overwhelmed and less depressed by providing life-changing psychological services for long-lasting emotional wellness. I am committed to using the best cognitive behavioral therapies that have been extensively researched and proven to work. Using my expertise in these gold standard treatments, I collaborate with my clients to tailor treatment to their specific needs and provide these therapy services in a private, tranquil, peaceful environment. I am here to help you, and your loved ones, feel better through therapy that is grounded in compassion, understanding and empathy.
I help people feel less anxious, less stressed, less overwhelmed and less depressed by providing life-changing psychological services for long-lasting emotional wellness. I am committed to using the best cognitive behavioral therapies that have been extensively researched and proven to work. Using my expertise in these gold standard treatments, I collaborate with my clients to tailor treatment to their specific needs and provide these therapy services in a private, tranquil, peaceful environment. I am here to help you, and your loved ones, feel better through therapy that is grounded in compassion, understanding and empathy.
(720) 263-4360 View (720) 263-4360
Photo of Irene Lee, Clinical Social Work/Therapist, MSW, LCSW
Irene Lee
Clinical Social Work/Therapist, MSW, LCSW
Boulder, CO 80305
My approach is client-centered, meaning I start where you are and work collaboratively to find a way forward. Perhaps that means finding a solution to a specific problem, or breaking patterns of behavior, or simply developing a better understanding of yourself.
My approach is client-centered, meaning I start where you are and work collaboratively to find a way forward. Perhaps that means finding a solution to a specific problem, or breaking patterns of behavior, or simply developing a better understanding of yourself.
(720) 408-7766 View (720) 408-7766
Photo of Aaron Grobler, Licensed Professional Counselor Candidate, MA, LPCC
Aaron Grobler
Licensed Professional Counselor Candidate, MA, LPCC
6 Endorsed
Boulder, CO 80301
As a gay man, I am deeply committed to providing an affirming space for LGBTQIA+ individuals and couples. Therapy with me is a place to slow down, reconnect, and realign with your most authentic self. Whether you are navigating queer identity, anxiety, or major life transitions, I offer a calm, relational presence where your innate wisdom leads the way. With a mindful approach, I help you face fears and navigate relationship challenges, bringing curiosity and a touch of humor to our work. I believe in helping you move toward wholeness and feeling truly seen. While I specialize in the queer community, all are welcome.
As a gay man, I am deeply committed to providing an affirming space for LGBTQIA+ individuals and couples. Therapy with me is a place to slow down, reconnect, and realign with your most authentic self. Whether you are navigating queer identity, anxiety, or major life transitions, I offer a calm, relational presence where your innate wisdom leads the way. With a mindful approach, I help you face fears and navigate relationship challenges, bringing curiosity and a touch of humor to our work. I believe in helping you move toward wholeness and feeling truly seen. While I specialize in the queer community, all are welcome.
(303) 562-1084 View (303) 562-1084
Photo of Patty Sunfield, Licensed Professional Counselor, LPC, LAC, MA
Patty Sunfield
Licensed Professional Counselor, LPC, LAC, MA
1 Endorsed
Online Only
I am currently not taking new clients until second week in July 2025 My goal is to guide you in clearing these blocks from your nervous system so you can manage your own thoughts and triggers effectively. I offer a compassionate approach to psychotherapy that integrates both body & mind. By bringing unconscious habits and processes—often held as tensions, chronic illness, pressure, anxiety, depression, sleep issues, etc. With over thirty years of experience as a counselor, I am passionate about helping individuals live active lifestyles with renewed mental clarity & freedom.
I am currently not taking new clients until second week in July 2025 My goal is to guide you in clearing these blocks from your nervous system so you can manage your own thoughts and triggers effectively. I offer a compassionate approach to psychotherapy that integrates both body & mind. By bringing unconscious habits and processes—often held as tensions, chronic illness, pressure, anxiety, depression, sleep issues, etc. With over thirty years of experience as a counselor, I am passionate about helping individuals live active lifestyles with renewed mental clarity & freedom.
(970) 446-3900 View (970) 446-3900
Photo of Johanna Lindau, Licensed Professional Counselor, MA, LPC
Johanna Lindau
Licensed Professional Counselor, MA, LPC
7 Endorsed
Boulder, CO 80302
I believe everyone has the ability to live a joyful life, have fulfilling relationships and experience wellness. I work with individuals and couples addressing challenges including: depression, anxiety, trauma, attachment challenges from Complex trauma, relationship difficulties, grief, disordered eating, low self esteem and more. I utilize: mindfulness, somatic, neurobiology and polyvagal theory, nature therapy, Internal Family Systems IFS (parts work), expressive arts, Brainspotting, Sandtray, attachment based, PACT Couples Counseling and more in our work together.
I believe everyone has the ability to live a joyful life, have fulfilling relationships and experience wellness. I work with individuals and couples addressing challenges including: depression, anxiety, trauma, attachment challenges from Complex trauma, relationship difficulties, grief, disordered eating, low self esteem and more. I utilize: mindfulness, somatic, neurobiology and polyvagal theory, nature therapy, Internal Family Systems IFS (parts work), expressive arts, Brainspotting, Sandtray, attachment based, PACT Couples Counseling and more in our work together.
(831) 325-0382 View (831) 325-0382
Photo of Rose Winkler, Licensed Professional Counselor Candidate, LPCC
Rose Winkler
Licensed Professional Counselor Candidate, LPCC
6 Endorsed
Boulder, CO 80301
Trauma-informed couple, polyamorous, & LGBTQIA+ relationship counseling for communication challenges! Are you struggling with communication? Does resolving conflicts feel overwhelming? Maybe you’re thinking ‘we love each other, why is this so hard?’. Are you getting triggered and want to learn ways to work with emotions that arise in your relationship? Maybe it feels difficult to make space for everyone’s feelings and needs. Are you leaving conversations feeling unheard? Maybe it’s feeling hard to trust and you’re not sure where that comes from.
Trauma-informed couple, polyamorous, & LGBTQIA+ relationship counseling for communication challenges! Are you struggling with communication? Does resolving conflicts feel overwhelming? Maybe you’re thinking ‘we love each other, why is this so hard?’. Are you getting triggered and want to learn ways to work with emotions that arise in your relationship? Maybe it feels difficult to make space for everyone’s feelings and needs. Are you leaving conversations feeling unheard? Maybe it’s feeling hard to trust and you’re not sure where that comes from.
(720) 740-3979 View (720) 740-3979
Photo of Mac Brown - Whole Human Counseling & Performance, LLC, Psychologist, PsyD, CMPC
Whole Human Counseling & Performance, LLC
Psychologist, PsyD, CMPC
Online Only
Whole Human (WH) Counseling & Performance provides compassionate, authentic working relationships to individuals striving to unlock potential in personal, professional, and/or performative realms. Through ongoing collaborative meetings, individuals seeking support through WH will be able to learn more about themselves, their relationships to others, & their relationship with the world at large. At WH, we strive to see individuals within the complexity of their identities & understand the multiple contexts their lives may be embedded. Our aim is to take a holistic approach that attends to all the unique parts of what makes you, you.
Whole Human (WH) Counseling & Performance provides compassionate, authentic working relationships to individuals striving to unlock potential in personal, professional, and/or performative realms. Through ongoing collaborative meetings, individuals seeking support through WH will be able to learn more about themselves, their relationships to others, & their relationship with the world at large. At WH, we strive to see individuals within the complexity of their identities & understand the multiple contexts their lives may be embedded. Our aim is to take a holistic approach that attends to all the unique parts of what makes you, you.
(720) 310-3479 View (720) 310-3479

See more therapy options for Boulder

How does your Therapist compare?

Number of Therapists in Boulder, CO

2,000+

Average cost per session

$151

Therapists in Boulder, CO who prioritize treating:

93% Anxiety
84% Depression
79% Relationship Issues
78% Trauma and PTSD
75% Self Esteem
70% Stress
66% Grief

Average years in practice

10 Years

Top 3 insurances accepted

83% Aetna
70% Cigna and Evernorth
69% UnitedHealthcare UHC | UBH

How Therapists in Boulder, CO see their clients

66% In Person and Online
34% Online Only

Gender breakdown

74% Female
22% Male
4% Non-Binary
FAQs - About Therapy and Counseling

How can I find a therapist in Boulder?

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.