Therapists in Lancaster, PA

Photo of Sara Heinzman, Pre-Licensed Professional in Lancaster, PA
Sara Heinzman
Pre-Licensed Professional, MEd
Verified Verified
1 Endorsed
Lancaster, PA 17603
I believe that everyone has a unique story, deserving an equally unique therapeutic experience that speaks to their story and prompts the change they desire most. I enjoy working with children, teens, and adults. I work with my clients addressing: ADHD, Anger Management, Anxiety, Behavioral Issues, Career Counseling, Chronic Illness, Learning Disabilities, Transitions, Obsessive-Compulsive, Oppositional Defiance, Parenting, Developing Coping and Social Skills, Pregnancy/Postpartum, Relationship Issues, School Issues, Self-Harm, Suicidal Thoughts, Self Esteem, Depression, Domestic Violence, Emotional Distress, and Grief and Loss.
I believe that everyone has a unique story, deserving an equally unique therapeutic experience that speaks to their story and prompts the change they desire most. I enjoy working with children, teens, and adults. I work with my clients addressing: ADHD, Anger Management, Anxiety, Behavioral Issues, Career Counseling, Chronic Illness, Learning Disabilities, Transitions, Obsessive-Compulsive, Oppositional Defiance, Parenting, Developing Coping and Social Skills, Pregnancy/Postpartum, Relationship Issues, School Issues, Self-Harm, Suicidal Thoughts, Self Esteem, Depression, Domestic Violence, Emotional Distress, and Grief and Loss.
(717) 837-5717 View (717) 837-5717
Photo of Lauri King, Licensed Professional Counselor in Lancaster, PA
Lauri King
Licensed Professional Counselor, MA, LPC, CADC
Verified Verified
Lancaster, PA 17601
Lauri King is a Licensed Professional Counselor and has been working in the drug and alcohol field since 2009 in various clinical, supervisory, and administrative roles. Lauri currently works with adults experiencing substance use disorders, mood and anxiety disorders, co-occurring substance use and mental health disorders, and adjustment disorders.
Lauri King is a Licensed Professional Counselor and has been working in the drug and alcohol field since 2009 in various clinical, supervisory, and administrative roles. Lauri currently works with adults experiencing substance use disorders, mood and anxiety disorders, co-occurring substance use and mental health disorders, and adjustment disorders.
(717) 366-8214 View (717) 366-8214
Photo of Kristina Jeanty, Clinical Social Work/Therapist in Lancaster, PA
Kristina Jeanty
Clinical Social Work/Therapist, LSW
Verified Verified
1 Endorsed
Lancaster, PA 17603  (Online Only)
Not accepting new clients
Are you feeling overwhelmed by the pressures and stress of life? Has communication been difficult lately? Are you looking for support to navigate challenging situations or circumstances? Sometimes, it's about something other than change. It's about growth.
Are you feeling overwhelmed by the pressures and stress of life? Has communication been difficult lately? Are you looking for support to navigate challenging situations or circumstances? Sometimes, it's about something other than change. It's about growth.
View
Yolanda Larson
Licensed Professional Counselor, MS, LPC, NCSP
Verified Verified
1 Endorsed
Lancaster, PA 17601
I am a Licensed Professional Counselor and a certified school psychologist who enjoys working with children, adolescents, and their parents. I utilize the three C's (collaboration, creativity, and Cognitive Behavioral Therapy/CBT) or Trauma-Focus CBT for both an interactive and informative therapy session. I thoughtfully incorporate a variety of techniques that best suits a person's individual needs, while acknowledging one’s ability to problem solve through to a solution. My therapeutic style incorporates empirically-based research with therapeutic activities and honest feedback.
I am a Licensed Professional Counselor and a certified school psychologist who enjoys working with children, adolescents, and their parents. I utilize the three C's (collaboration, creativity, and Cognitive Behavioral Therapy/CBT) or Trauma-Focus CBT for both an interactive and informative therapy session. I thoughtfully incorporate a variety of techniques that best suits a person's individual needs, while acknowledging one’s ability to problem solve through to a solution. My therapeutic style incorporates empirically-based research with therapeutic activities and honest feedback.
(844) 941-2818 View (844) 941-2818
Photo of Kimberly Witt, Clinical Social Work/Therapist in Lancaster, PA
Kimberly Witt
Clinical Social Work/Therapist, LCSW
Verified Verified
Lancaster, PA 17602
Hello! I'm glad you're here taking the time to care for yourself. I offer a safe space for introspection, expression, and developing self-understanding. Together, we will clarify your goals and values so that you can work toward living the life you want.
Hello! I'm glad you're here taking the time to care for yourself. I offer a safe space for introspection, expression, and developing self-understanding. Together, we will clarify your goals and values so that you can work toward living the life you want.
(717) 297-6275 View (717) 297-6275
Photo of Kay Bela, Licensed Professional Counselor in Lancaster, PA
Kay Bela
Licensed Professional Counselor, LPC
Verified Verified
1 Endorsed
Lancaster, PA 17601
If you've been feeling overwhelmed, stuck, trapped, or like your brain just won't stop ruminating and you're tired, but don't know how to make it stop, I'm here for you. When we're low, life can feel scary, lonely and confusing without a roadmap. I help clients find energy, mental rest, and stability in their lives. We'll take it one step at a time and walk you through mental health recovery at the pace that feels right to you, so you can gain control of your life. I’ve personally dealt with severe anxiety, depression, suicide attempts, trauma, alcohol abuse, and the loss of a brother to addiction, so I'm no stranger to the journey.
If you've been feeling overwhelmed, stuck, trapped, or like your brain just won't stop ruminating and you're tired, but don't know how to make it stop, I'm here for you. When we're low, life can feel scary, lonely and confusing without a roadmap. I help clients find energy, mental rest, and stability in their lives. We'll take it one step at a time and walk you through mental health recovery at the pace that feels right to you, so you can gain control of your life. I’ve personally dealt with severe anxiety, depression, suicide attempts, trauma, alcohol abuse, and the loss of a brother to addiction, so I'm no stranger to the journey.
(717) 229-0116 View (717) 229-0116
Photo of Lucero Rave, Clinical Social Work/Therapist in Lancaster, PA
Lucero Rave
Clinical Social Work/Therapist, LCSW
Verified Verified
Lancaster, PA 17603
Hi there, I'm Lucy! I am a licensed clinical social worker looking to create a connection and an atmosphere where you can feel supported and comfortable to share openly your concerns. I see individuals of all ages and stages and incorporate a range of strategies to best promote growth and healing while creating a fun and engaging experience for those younger clients.
Hi there, I'm Lucy! I am a licensed clinical social worker looking to create a connection and an atmosphere where you can feel supported and comfortable to share openly your concerns. I see individuals of all ages and stages and incorporate a range of strategies to best promote growth and healing while creating a fun and engaging experience for those younger clients.
(717) 915-5648 View (717) 915-5648
Photo of Rachel Stout, Licensed Professional Counselor in Lancaster, PA
Rachel Stout
Licensed Professional Counselor, MA, LPC
Verified Verified
1 Endorsed
Lancaster, PA 17601  (Online Only)
Life can be overwhelming. Whether you’re feeling stressed, struggling with anxiety, feeling stuck in depression, or unable to break free from obsessive thoughts, therapy can help you move forward. When we experience trauma, life transitions, difficult relationships, and even everyday stressors, it impacts how we think, what we feel, how we see ourselves, and ultimately our ability to thrive. It is my mission to create a safe space where you can begin to see yourself differently, overcome challenges, and find hope and freedom!
Life can be overwhelming. Whether you’re feeling stressed, struggling with anxiety, feeling stuck in depression, or unable to break free from obsessive thoughts, therapy can help you move forward. When we experience trauma, life transitions, difficult relationships, and even everyday stressors, it impacts how we think, what we feel, how we see ourselves, and ultimately our ability to thrive. It is my mission to create a safe space where you can begin to see yourself differently, overcome challenges, and find hope and freedom!
(717) 714-3184 View (717) 714-3184
Photo of Breesha Comish, Marriage & Family Therapist in Lancaster, PA
Breesha Comish
Marriage & Family Therapist, LMFT
Verified Verified
1 Endorsed
Lancaster, PA 17602
I help couples and individuals work through life’s challenges. I use a caring approach while integrating effective treatment models to help people thrive in life. Specialties Include: Couples Therapy for Desire Differences, Sexual Issues, Communication Issues, Intimacy Conflict, Navigation of Medical dx, and Trauma. I am open to working with individuals and couples who have traditional as well as non-traditional partnerships. I provide a supportive and safe space for individuals in the LGBTQIA+ community. I also specialize in helping young adults recover from childhood trauma and in empowering them to find their own path in life.
I help couples and individuals work through life’s challenges. I use a caring approach while integrating effective treatment models to help people thrive in life. Specialties Include: Couples Therapy for Desire Differences, Sexual Issues, Communication Issues, Intimacy Conflict, Navigation of Medical dx, and Trauma. I am open to working with individuals and couples who have traditional as well as non-traditional partnerships. I provide a supportive and safe space for individuals in the LGBTQIA+ community. I also specialize in helping young adults recover from childhood trauma and in empowering them to find their own path in life.
(717) 297-1974 View (717) 297-1974
Photo of Hayley Bitner, Licensed Professional Counselor in Lancaster, PA
Hayley Bitner
Licensed Professional Counselor, MS, LPC, CAADC
Verified Verified
1 Endorsed
Lancaster, PA 17602  (Online Only)
Hi, I'm Hayley! I work with clients who may experience anxiety, depression, difficulty coping with intense emotions, substance use, life transitions, low self-esteem, and relational stressors. My goal is to provide a space that encourages healing and growth in addition to moving my clients closer to their goals.
Hi, I'm Hayley! I work with clients who may experience anxiety, depression, difficulty coping with intense emotions, substance use, life transitions, low self-esteem, and relational stressors. My goal is to provide a space that encourages healing and growth in addition to moving my clients closer to their goals.
(717) 802-8138 View (717) 802-8138
Photo of Malinda Sutphin, Pre-Licensed Professional in Lancaster, PA
Malinda Sutphin
Pre-Licensed Professional, MA
Verified Verified
5 Endorsed
Lancaster, PA 17601
Are you feeling misunderstood and unseen? Overwhelmed and stressed out? Those are absolutely valid reasons to seek counseling! The counseling relationship is a collaborative process between the client and counselor that can spark positive growth in your life. By using creative interventions that address your main concerns, the counseling process can be even more impactful. If you are in need of a therapist who is compassionate, ready to listen and eager to help, please give me a call today! (I am in the Lanc office Wed, Thurs & I am only in the Qville office on Tuesdays at this time).
Are you feeling misunderstood and unseen? Overwhelmed and stressed out? Those are absolutely valid reasons to seek counseling! The counseling relationship is a collaborative process between the client and counselor that can spark positive growth in your life. By using creative interventions that address your main concerns, the counseling process can be even more impactful. If you are in need of a therapist who is compassionate, ready to listen and eager to help, please give me a call today! (I am in the Lanc office Wed, Thurs & I am only in the Qville office on Tuesdays at this time).
(717) 493-6002 View (717) 493-6002
Photo of Jonathan M Gransee, PsyD and Associates, PC, Psychologist in Lancaster, PA
Jonathan M Gransee, PsyD and Associates, PC
Psychologist, PsyD
Verified Verified
Lancaster, PA 17603
I conduct court-ordered and private-pay evaluations. I am a well-known evaluator in the courts and legal system in the Lancaster area. Psychological Evaluations, Safety (5329) Evaluations, INS evaluations/Hardship Evaluations/Asylum Evaluations, N-648 evaluations, Child Custody Evaluations, Parenting Capacity Evaluations, Act 120/235/Concealed Carry, etc.
I conduct court-ordered and private-pay evaluations. I am a well-known evaluator in the courts and legal system in the Lancaster area. Psychological Evaluations, Safety (5329) Evaluations, INS evaluations/Hardship Evaluations/Asylum Evaluations, N-648 evaluations, Child Custody Evaluations, Parenting Capacity Evaluations, Act 120/235/Concealed Carry, etc.
(717) 889-7003 View (717) 889-7003
Photo of Kate E Hartman, Clinical Social Work/Therapist in Lancaster, PA
Kate E Hartman
Clinical Social Work/Therapist, LSW
Verified Verified
Lancaster, PA 17601  (Online Only)
Everyone deserves a chance at improving themselves. Therapy is the journey of self-discovery and along the way you can self-heal. My approach as your therapist is to guide you in your self-discovery and we learn together where the healing within yourself needs to begin. You are the expert of yourself and what you need. As your therapist, I am here to provide you with a warm, welcoming, and respected environment that allows you to feel open and vulnerable. We will create short-term goals in doable doses that will promote the growth you desire within yourself. I am currently working with adults and teens virtually.
Everyone deserves a chance at improving themselves. Therapy is the journey of self-discovery and along the way you can self-heal. My approach as your therapist is to guide you in your self-discovery and we learn together where the healing within yourself needs to begin. You are the expert of yourself and what you need. As your therapist, I am here to provide you with a warm, welcoming, and respected environment that allows you to feel open and vulnerable. We will create short-term goals in doable doses that will promote the growth you desire within yourself. I am currently working with adults and teens virtually.
(717) 875-4528 View (717) 875-4528
Photo of Gregg Hammond, Licensed Professional Counselor in Lancaster, PA
Gregg Hammond
Licensed Professional Counselor, MS, LPC, CCBT
Verified Verified
1 Endorsed
Lancaster, PA 17601
My most enjoyable times in therapy are the moments when a person realizes they have it within them to recognize a change to be made, the skills to do it, and feels successful. To experience that life changing moment with them is awe-inspiring. Some call this an "A-ha moment," "light bulb going off," or an "epiphany." Instead, I call this the moment when a person switches the channel of their inner voice from: self-blaming, hyper-critical, guilt driven, and fear-mongering to one that is: self-compassionate, self-forgiving, self-empowering, self-accepting, and value-driven.
My most enjoyable times in therapy are the moments when a person realizes they have it within them to recognize a change to be made, the skills to do it, and feels successful. To experience that life changing moment with them is awe-inspiring. Some call this an "A-ha moment," "light bulb going off," or an "epiphany." Instead, I call this the moment when a person switches the channel of their inner voice from: self-blaming, hyper-critical, guilt driven, and fear-mongering to one that is: self-compassionate, self-forgiving, self-empowering, self-accepting, and value-driven.
(717) 470-8298 View (717) 470-8298
Joann Crants
Licensed Professional Counselor, LPC
Verified Verified
Lancaster, PA 17603
My name is Joann Crants, I am Licensed in the state of Pennsylvania as a Professional Counselor (LPC). I have over 30 years of experience working in various inpatient and outpatient settings. I have worked with clients with a wide range of concerns including depression, anxiety, PTSD, childhood trauma, career challenges, substance abuse issues, and grief and loss. As we begin our therapeutic journey, I will assume that you may be somewhat overwhelmed and perhaps not really know where to begin or what you would like to work on.
My name is Joann Crants, I am Licensed in the state of Pennsylvania as a Professional Counselor (LPC). I have over 30 years of experience working in various inpatient and outpatient settings. I have worked with clients with a wide range of concerns including depression, anxiety, PTSD, childhood trauma, career challenges, substance abuse issues, and grief and loss. As we begin our therapeutic journey, I will assume that you may be somewhat overwhelmed and perhaps not really know where to begin or what you would like to work on.
(717) 904-7335 View (717) 904-7335
Photo of Advanced Counseling and Research Services, Licensed Professional Counselor in Lancaster, PA
Advanced Counseling and Research Services
Licensed Professional Counselor, LPC, LMHC-FL, CCMHC, CCTP, CT
Verified Verified
1 Endorsed
Lancaster, PA 17603
Advanced Counseling and Research Services provides a comprehensive array of professional counseling services to the greater Lancaster community. In general terms, these clinical services help clients address problematic issues in their lives that are impacting on their daily lives. Throughout the counseling experience, the counselor and client work collaboratively to address problems presented by the client. The overall purpose of counseling can be summarized in the following objectives: To identify the problematic issues facing each individual client seeking counseling. To identify secondary issues contributing to problem.
Advanced Counseling and Research Services provides a comprehensive array of professional counseling services to the greater Lancaster community. In general terms, these clinical services help clients address problematic issues in their lives that are impacting on their daily lives. Throughout the counseling experience, the counselor and client work collaboratively to address problems presented by the client. The overall purpose of counseling can be summarized in the following objectives: To identify the problematic issues facing each individual client seeking counseling. To identify secondary issues contributing to problem.
(717) 964-8581 View (717) 964-8581
Photo of Samantha Hunsicker, Clinical Social Work/Therapist in Lancaster, PA
Samantha Hunsicker
Clinical Social Work/Therapist, LCSW, MEd, PMH-C
Verified Verified
1 Endorsed
Lancaster, PA 17601  (Online Only)
I am committed to providing warm, safe, and compassionate care to individuals (and partners when requested) as they navigate the emotional complexities of parenthood. Whether it be journeys related to pregnancy, infertility & TTC, pregnancy/infant loss, postpartum adjustments, parenting stressors, perinatal mood & anxiety disorders, and/or navigating self-identity post-baby, this will be an opportunity to authentically process your experience without judgment.
I am committed to providing warm, safe, and compassionate care to individuals (and partners when requested) as they navigate the emotional complexities of parenthood. Whether it be journeys related to pregnancy, infertility & TTC, pregnancy/infant loss, postpartum adjustments, parenting stressors, perinatal mood & anxiety disorders, and/or navigating self-identity post-baby, this will be an opportunity to authentically process your experience without judgment.
(484) 372-3836 View (484) 372-3836
Photo of Maria T Murray, Marriage & Family Therapist in Lancaster, PA
Maria T Murray
Marriage & Family Therapist, PhD
Verified Verified
Lancaster, PA 17603
I view therapy as an opportunity that clients create for self-exploration, healing, growth, and relationship enhancement. I strongly believe that at the heart of every successful therapeutic outcome is a trusting and supportive client-therapist relationship, and it is in that context that my clients are able to explore historical and developmental issues, and their overall sense of self.
I view therapy as an opportunity that clients create for self-exploration, healing, growth, and relationship enhancement. I strongly believe that at the heart of every successful therapeutic outcome is a trusting and supportive client-therapist relationship, and it is in that context that my clients are able to explore historical and developmental issues, and their overall sense of self.
(717) 916-5040 View (717) 916-5040
Photo of Dr. Sarah Haas, Psychologist in Lancaster, PA
Dr. Sarah Haas
Psychologist, PhD
Verified Verified
4 Endorsed
Lancaster, PA 17601
As a parent and a psychologist, the multiple demands placed on parents and kids can make it difficult to get through the day. I am always in awe of my clients' ability to navigate these challenges and make changes to help improve their child's behavior, emotion regulation, and relationships. I specialize in ADHD and Anxiety in toddlers, children, teens, and adults, and provide evidence-based therapy and evaluations in these areas. I also provide evidence-based ADHD evaluations for adults. Please keep advocating for your and your child's well-being - they deserve it. Get to know me better at CenterForActiveMinds.com.
As a parent and a psychologist, the multiple demands placed on parents and kids can make it difficult to get through the day. I am always in awe of my clients' ability to navigate these challenges and make changes to help improve their child's behavior, emotion regulation, and relationships. I specialize in ADHD and Anxiety in toddlers, children, teens, and adults, and provide evidence-based therapy and evaluations in these areas. I also provide evidence-based ADHD evaluations for adults. Please keep advocating for your and your child's well-being - they deserve it. Get to know me better at CenterForActiveMinds.com.
(717) 879-9797 View (717) 879-9797
Photo of Dawn M Sirois, Marriage & Family Therapist in Lancaster, PA
Dawn M Sirois
Marriage & Family Therapist, MA, LMFT
Verified Verified
Lancaster, PA 17601
Now taking clients for individual therapy only, daytime hours only please! I’d love to help you find a new and better place to live in and live from. I am a Licensed Marriage and Family Therapist and I work well with couples, families, and teens. Everyone who comes to therapy is unique so I listen well to get to know each person and family situation well. My systems training will help you make better sense of how to communicate to those you love and care for. With a couple’s relationship, I’m amazed at how rich EFT, an attachment based approach, is in helping people open up to healing and trust inside their relationship.
Now taking clients for individual therapy only, daytime hours only please! I’d love to help you find a new and better place to live in and live from. I am a Licensed Marriage and Family Therapist and I work well with couples, families, and teens. Everyone who comes to therapy is unique so I listen well to get to know each person and family situation well. My systems training will help you make better sense of how to communicate to those you love and care for. With a couple’s relationship, I’m amazed at how rich EFT, an attachment based approach, is in helping people open up to healing and trust inside their relationship.
(717) 276-4390 View (717) 276-4390

How does your Therapist compare?

Number of Therapists in Lancaster, PA

400+

Average cost per session

$125

Therapists in Lancaster, PA who prioritize treating:

92% Anxiety
89% Depression
80% Relationship Issues
79% Self Esteem
71% Stress
69% Trauma and PTSD
69% Coping Skills

Average years in practice

11 Years

Top 3 insurances accepted

85% Highmark
68% BlueCross and BlueShield
60% Capital Blue Cross

How Therapists in Lancaster, PA see their clients

72% In Person and Online
28% Online Only

Gender breakdown

82% Female
17% Male
1% Non-Binary

FAQs - About Therapy and Counseling

How can I find a therapist in Lancaster?

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.