Therapists in Salem, OR

Photo of Amanda Lynn Jones, Licensed Professional Counselor in Salem, OR
Amanda Lynn Jones
Licensed Professional Counselor, LPC, CASOT
Verified Verified
Salem, OR 97306
Waitlist for new clients
Hello! I believe strongly that different things work for different people at different times. I will collaborate with you in the direction to take to achieve goals for therapy.
Hello! I believe strongly that different things work for different people at different times. I will collaborate with you in the direction to take to achieve goals for therapy.
(503) 486-4560 View (503) 486-4560
Photo of Garnet Counseling, Licensed Professional Counselor in Salem, OR
Garnet Counseling
Licensed Professional Counselor, MA, NCC
Verified Verified
Salem, OR 97303  (Online Only)
Not accepting new clients
QUEER CENTERED/JUSTICE FOCUSED/NON-TRADITIONAL VIRTUAL COUNSELING FOR CLIENTS ACROSS OREGON. AREAS OF CLINICAL FOCUS: LGBTQ+ populations, death, grief, existential meaning, empowerment, suicidal thoughts, depression, anxiety, trauma. I believe the people who end up seeking my services live life outside of the boxes that were handed to them. Sometimes that can be a really tough path! It can also be incredibly rewarding to truly discover and learn to love your authentic self. You are good enough just the way you are!
QUEER CENTERED/JUSTICE FOCUSED/NON-TRADITIONAL VIRTUAL COUNSELING FOR CLIENTS ACROSS OREGON. AREAS OF CLINICAL FOCUS: LGBTQ+ populations, death, grief, existential meaning, empowerment, suicidal thoughts, depression, anxiety, trauma. I believe the people who end up seeking my services live life outside of the boxes that were handed to them. Sometimes that can be a really tough path! It can also be incredibly rewarding to truly discover and learn to love your authentic self. You are good enough just the way you are!
(503) 447-4763 View (503) 447-4763
Photo of Aj Johnson, Clinical Social Work/Therapist in Salem, OR
Aj Johnson
Clinical Social Work/Therapist, MSW, LCSW
Verified Verified
1 Endorsed
Salem, OR 97301
I believe that every person, regardless of diagnosis or past experiences, can lead purposeful and fulfilling lives with the proper support. We do the best with what we have, and too often life presents significant challenges we are forced to adapt to. Sometimes the patterns that were helpful to get through our childhood present major challenges later in life. Our symptoms do not make us abnormal and are not part of a fundamental flaw that needs fixing, they are a normal response to extraordinary circumstances. Problems do not exist within one person but are the result of a person’s context, family patterns, and learned behaviors.
I believe that every person, regardless of diagnosis or past experiences, can lead purposeful and fulfilling lives with the proper support. We do the best with what we have, and too often life presents significant challenges we are forced to adapt to. Sometimes the patterns that were helpful to get through our childhood present major challenges later in life. Our symptoms do not make us abnormal and are not part of a fundamental flaw that needs fixing, they are a normal response to extraordinary circumstances. Problems do not exist within one person but are the result of a person’s context, family patterns, and learned behaviors.
(971) 599-2814 View (971) 599-2814
Photo of Amanda McHugh, Marriage & Family Therapist Associate in Salem, OR
Amanda McHugh
Marriage & Family Therapist Associate, MS, LMFTA
Verified Verified
Salem, OR 97301  (Online Only)
Waitlist for new clients
My counseling approach is based on the belief that everyone can create meaningful change within themselves. I believe that all entities whether it be individuals, couples or families have the innate ability to create change and resolve issues. I think we are all intrinsically designed to be resilient and to find strength from within ourselves when it is needed. As a forward thinker, I am prone to believe that when hope is instilled, and solutions are sought or offered there is always a greater possibility for change to occur.
My counseling approach is based on the belief that everyone can create meaningful change within themselves. I believe that all entities whether it be individuals, couples or families have the innate ability to create change and resolve issues. I think we are all intrinsically designed to be resilient and to find strength from within ourselves when it is needed. As a forward thinker, I am prone to believe that when hope is instilled, and solutions are sought or offered there is always a greater possibility for change to occur.
(503) 822-7604 View (503) 822-7604
Photo of Annaliese Dianna Ellsworth, Clinical Social Work/Therapist in Salem, OR
Annaliese Dianna Ellsworth
Clinical Social Work/Therapist, MSW, LCSW
Verified Verified
Salem, OR 97302  (Online Only)
In my practice I work collaboratively with clients to establish therapy goals and provide a safe, compassionate place to process. I am inspired by my client's dedication and courage to tackle some of the challenging moments of their life. I work with clients from a wide range of backgrounds and am specialized in working with women who experienced trauma. Most clients I work with seek therapy to reduce trauma symptoms, intrusive thoughts, anxiety, OCD symptoms and depression.
In my practice I work collaboratively with clients to establish therapy goals and provide a safe, compassionate place to process. I am inspired by my client's dedication and courage to tackle some of the challenging moments of their life. I work with clients from a wide range of backgrounds and am specialized in working with women who experienced trauma. Most clients I work with seek therapy to reduce trauma symptoms, intrusive thoughts, anxiety, OCD symptoms and depression.
(503) 809-5169 View (503) 809-5169
Photo of Carol Beth Georgeson Counseling, LLC, Marriage & Family Therapist in Salem, OR
Carol Beth Georgeson Counseling, LLC
Marriage & Family Therapist, MA, LMFT
Verified Verified
1 Endorsed
Salem, OR 97301
Waitlist for new clients
I provide play therapy and counseling for children and adolescents as well as their parents and families. I also provide therapy for individual adult Clients. It has been my joy to walk with Clients towards their personal therapeutic goals for wellness and mental health with empathy and insight for over 21 years in the behavioral health field. My therapeutic focus is to compassionately assist you in identifying your strengths and current developmental processes and how various internal thought patterns, events, or choices might be interfering with your present wholeness and ability to experience life to the fullest.
I provide play therapy and counseling for children and adolescents as well as their parents and families. I also provide therapy for individual adult Clients. It has been my joy to walk with Clients towards their personal therapeutic goals for wellness and mental health with empathy and insight for over 21 years in the behavioral health field. My therapeutic focus is to compassionately assist you in identifying your strengths and current developmental processes and how various internal thought patterns, events, or choices might be interfering with your present wholeness and ability to experience life to the fullest.
(503) 832-4946 View (503) 832-4946
Photo of Mario de Obaldia, Licensed Professional Counselor in Salem, OR
Mario de Obaldia
Licensed Professional Counselor, MS, LPC, EMDR
Verified Verified
Salem, OR 97301
Every failure we experience we feel as indicative of our future when in fact, everything we attempt, every time, has the potential for failure or success.
Every failure we experience we feel as indicative of our future when in fact, everything we attempt, every time, has the potential for failure or success.
(971) 248-9640 View (971) 248-9640
Photo of Christine A. Loter in Salem, OR
Christine A. Loter
CHT
Verified Verified
1 Endorsed
Salem, OR 97301
An avid believer in personal growth, I work intuitively with clients as a hypnotherapist, and teach methods that aid in shifting negative behavior patterns, associated issues and unresolved emotions. What makes us do what we do? The subconscious mind and emotional body has the answers and is key to healing everything from health issues to blockages to living a more stress, anxiety and worry free, healthier, happier, grounded life. Become a better version of yourself, get insights into your issues, realize your potential. It starts with you! Strategize, take charge of your life now, and reap the many rewards.
An avid believer in personal growth, I work intuitively with clients as a hypnotherapist, and teach methods that aid in shifting negative behavior patterns, associated issues and unresolved emotions. What makes us do what we do? The subconscious mind and emotional body has the answers and is key to healing everything from health issues to blockages to living a more stress, anxiety and worry free, healthier, happier, grounded life. Become a better version of yourself, get insights into your issues, realize your potential. It starts with you! Strategize, take charge of your life now, and reap the many rewards.
(971) 407-4878 View (971) 407-4878
Photo of Silver Falls Trauma Recovery; Melinda Anne Cooper, Licensed Professional Counselor in Salem, OR
Silver Falls Trauma Recovery; Melinda Anne Cooper
Licensed Professional Counselor, MA, LPC
Verified Verified
1 Endorsed
Salem, OR 97301
My ideal client is an adult or mature teen who is serious about change. They don't need to know what they want; they can be afraid. They can be tired, and lack confidence, but when they come see me, they are ready to eliminate barriers, resist rigid thought patterns and become something amazing. They show up and work-eagerly. They read the books I suggest, they listen to the podcasts, they take the strategies we create and they use them outside of session-so they get better. Life changes as they change, and, eventually, they have no need to come back!
My ideal client is an adult or mature teen who is serious about change. They don't need to know what they want; they can be afraid. They can be tired, and lack confidence, but when they come see me, they are ready to eliminate barriers, resist rigid thought patterns and become something amazing. They show up and work-eagerly. They read the books I suggest, they listen to the podcasts, they take the strategies we create and they use them outside of session-so they get better. Life changes as they change, and, eventually, they have no need to come back!
(503) 966-2523 View (503) 966-2523
Photo of Ka Rin Johnson, Clinical Social Work/Therapist in Salem, OR
Ka Rin Johnson
Clinical Social Work/Therapist, MSW, LCSW
Verified Verified
Salem, OR 97301
Not accepting new clients
Have you been feeling stuck, overwhelmed, unhappy, or alone in your life? Chronic stress, life transitions, loss, or emotional pain often leave us feeling helpless over our situations and limit our perspective about how we can move forward. If you feel like you are constantly looking for "more", stuck in your past, have chronic feelings of emptiness or fear about the future, you are not alone. Tackling these problems on your own can be isolating and it is important to find the right support to help you progress toward your goals.
Have you been feeling stuck, overwhelmed, unhappy, or alone in your life? Chronic stress, life transitions, loss, or emotional pain often leave us feeling helpless over our situations and limit our perspective about how we can move forward. If you feel like you are constantly looking for "more", stuck in your past, have chronic feelings of emptiness or fear about the future, you are not alone. Tackling these problems on your own can be isolating and it is important to find the right support to help you progress toward your goals.
(503) 444-9096 View (503) 444-9096
Photo of Darcey Kirkwood, Clinical Social Work/Therapist in Salem, OR
Darcey Kirkwood
Clinical Social Work/Therapist, MSW, LCSW
Verified Verified
1 Endorsed
Salem, OR 97306  (Online Only)
Not accepting new clients
I believe that one of the most powerful things in the world is to feel seen, heard, cared for, and understood. It is my goal that each person I meet with feels these needs being met. One of the greatest privileges of my work is to walk alongside individuals during some of their darkest seasons of life. I strive to provide a space for hope and healing.
I believe that one of the most powerful things in the world is to feel seen, heard, cared for, and understood. It is my goal that each person I meet with feels these needs being met. One of the greatest privileges of my work is to walk alongside individuals during some of their darkest seasons of life. I strive to provide a space for hope and healing.
(503) 563-7162 View (503) 563-7162
Photo of Ty Dripps, Licensed Professional Counselor in Salem, OR
Ty Dripps
Licensed Professional Counselor, MA, LPC, CADC-1
Verified Verified
Salem, OR 97302
Waitlist for new clients
I believe that everyone can reach an optimum state of mental and emotional health as they commit to the process of growing in wholeness. As a Person-Centered therapist, I believe that wholeness is a result of spiritual, relational, emotional and mental wellbeing. I believe that counseling provides opportunities for self-awareness and personal growth within the context of a safe and supportive therapeutic relationship.
I believe that everyone can reach an optimum state of mental and emotional health as they commit to the process of growing in wholeness. As a Person-Centered therapist, I believe that wholeness is a result of spiritual, relational, emotional and mental wellbeing. I believe that counseling provides opportunities for self-awareness and personal growth within the context of a safe and supportive therapeutic relationship.
(503) 966-3906 View (503) 966-3906
Photo of Hope Springs Counseling, Licensed Professional Counselor in Salem, OR
Hope Springs Counseling
Licensed Professional Counselor, LPC, NCC
Verified Verified
1 Endorsed
Salem, OR 97301
You already possess the ability to reach your full potential. My job as your therapist is to listen, walk alongside you, and help you move toward this potential. People seek therapy because they desire happiness. Let's begin by discovering what happiness looks like for you. Do you feel unheard, dismissed and over-ridden by a parent or partner even though you are an adult? Do you feel as though attempting to set new boundaries for yourself is next to impossible because important others will simply disregard them? Therapy can help you learn to fully validate within yourself what it is you feel and believe, and what it is you consider to be important. Peace, authenticity, and balance are springboards to happiness. My goal is to offer you individualized help in overcoming the obstacles that are blocking that happiness. Taking a step, reaching out for some help, will lead you to the change and growth you are hoping for. And whether you are seeking thriving relationships or simply greater contentment, I will help you tap into your own innate strengths to bring about a fuller, happier life.
You already possess the ability to reach your full potential. My job as your therapist is to listen, walk alongside you, and help you move toward this potential. People seek therapy because they desire happiness. Let's begin by discovering what happiness looks like for you. Do you feel unheard, dismissed and over-ridden by a parent or partner even though you are an adult? Do you feel as though attempting to set new boundaries for yourself is next to impossible because important others will simply disregard them? Therapy can help you learn to fully validate within yourself what it is you feel and believe, and what it is you consider to be important. Peace, authenticity, and balance are springboards to happiness. My goal is to offer you individualized help in overcoming the obstacles that are blocking that happiness. Taking a step, reaching out for some help, will lead you to the change and growth you are hoping for. And whether you are seeking thriving relationships or simply greater contentment, I will help you tap into your own innate strengths to bring about a fuller, happier life.
(503) 208-7319 View (503) 208-7319
Photo of Roger Banther, Clinical Social Work/Therapist in Salem, OR
Roger Banther
Clinical Social Work/Therapist, LCSW
Verified Verified
Salem, OR 97302  (Online Only)
I am Licensed Clinical Social Worker, licensed by the State of Oregon. I earned my Master of Social Work degree from the University of Washington School of Social Work.
I am Licensed Clinical Social Worker, licensed by the State of Oregon. I earned my Master of Social Work degree from the University of Washington School of Social Work.
(971) 247-7668 View (971) 247-7668
Photo of Danielle Ryer in Salem, OR
Danielle Ryer
MSW
Verified Verified
Salem, OR 97317  (Online Only)
I am autistic, and a neurodiversity-affirming professional. This means I do not seek to change others, but focus on strength and adaptation, not assimilation. We can dig into life's fundamental questions: Who am I, what do I want, why am I here, and who should journey with me? I am not a therapist, but instead, I specialize in consulting and coaching those who want to develop healthier relationships with themselves and others. Our work together might focus on recovering from past mistakes, understanding how we came to those mistakes, and learning to make different choices and decisions in the future. It might be learning to say no.
I am autistic, and a neurodiversity-affirming professional. This means I do not seek to change others, but focus on strength and adaptation, not assimilation. We can dig into life's fundamental questions: Who am I, what do I want, why am I here, and who should journey with me? I am not a therapist, but instead, I specialize in consulting and coaching those who want to develop healthier relationships with themselves and others. Our work together might focus on recovering from past mistakes, understanding how we came to those mistakes, and learning to make different choices and decisions in the future. It might be learning to say no.
(503) 994-9491 View (503) 994-9491
Photo of Beth Armstrong, Professional Counselor Associate in Salem, OR
Beth Armstrong
Professional Counselor Associate, MA
Verified Verified
Salem, OR 97302
Waitlist for new clients
Welcome to the first step of your healing journey. I am so glad you are here. I believe that the therapeutic power of relationship and connecting with each client authentically is foundational. My goal is to facilitate a dynamic partnership in which each client is an active participant in their own growth. Together we will explore personal strengths and key supports, determine goals, and evaluate progress along the way. I believe in an integrative approach to counseling, recognizing the complex interactions of mind, body, emotions, and soul. It is my desire that clients will gain insight, understanding, and experience healing.
Welcome to the first step of your healing journey. I am so glad you are here. I believe that the therapeutic power of relationship and connecting with each client authentically is foundational. My goal is to facilitate a dynamic partnership in which each client is an active participant in their own growth. Together we will explore personal strengths and key supports, determine goals, and evaluate progress along the way. I believe in an integrative approach to counseling, recognizing the complex interactions of mind, body, emotions, and soul. It is my desire that clients will gain insight, understanding, and experience healing.
(503) 370-8050 x203 View (503) 370-8050 x203
Photo of Serena Hamilton, Licensed Professional Counselor in Salem, OR
Serena Hamilton
Licensed Professional Counselor, LPC
Verified Verified
1 Endorsed
Salem, OR 97301  (Online Only)
I am passionate about helping those with significant trauma and abuse stories. You are my people! I specialize in helping clients recover from complex trauma, and the behaviors that often go with it, such as self-harming, self-medicating, and a lack of self-compassion. My approach is grounded in trauma-focused, attachment-based care. I am most concerned with the meaning you give to what you have been through, and how it has influenced you, and who you are. My goal, always, is to help you walk your own path and create an environment in which you feel empowered to reach your highest potential.
I am passionate about helping those with significant trauma and abuse stories. You are my people! I specialize in helping clients recover from complex trauma, and the behaviors that often go with it, such as self-harming, self-medicating, and a lack of self-compassion. My approach is grounded in trauma-focused, attachment-based care. I am most concerned with the meaning you give to what you have been through, and how it has influenced you, and who you are. My goal, always, is to help you walk your own path and create an environment in which you feel empowered to reach your highest potential.
(971) 306-5060 View (971) 306-5060
Photo of Dolores Lee- Agency Has Immediate Openings!, Clinical Social Work/Therapist in Salem, OR
Dolores Lee- Agency Has Immediate Openings!
Clinical Social Work/Therapist
Verified Verified
Salem, OR 97301  (Online Only)
Life can be hard, let's take this supportive counseling journey towards healing. At Lifeline Medical Center we have a variety of Counselors/Therapists willing to help you navigate through the challenging times of the healing process. Let's work towards building a solid foundation of self-awareness and self-understanding, so you can maintain a balanced state of mental, emotional and physical health. Call to schedule today.
Life can be hard, let's take this supportive counseling journey towards healing. At Lifeline Medical Center we have a variety of Counselors/Therapists willing to help you navigate through the challenging times of the healing process. Let's work towards building a solid foundation of self-awareness and self-understanding, so you can maintain a balanced state of mental, emotional and physical health. Call to schedule today.
(847) 719-6604 View (847) 719-6604
Photo of Justin James Johannson, LPC Intern in Salem, OR
Justin James Johannson
LPC Intern, MS, CRC, LPC-Int
Verified Verified
Salem, OR 97302
"Our action may be impeded... but there can be no impeding our intentions or dispositions. Because we can accommodate and adapt." -Marcus Aurelius My name is Justin Johannson, a person-first cognitive therapist, welcome to my profile! It is my belief that with enough self-awareness, wisdom, and calculated direction, no challenge, obstacle or struggle is insurmountable. Whether you are someone that struggles with the daily rigors of mental health illness, such as anxiety or depression, or are seeking aid and guidance with the overwhelming demands of life - I am here to help. I am here to walk beside you in your unique experience.
"Our action may be impeded... but there can be no impeding our intentions or dispositions. Because we can accommodate and adapt." -Marcus Aurelius My name is Justin Johannson, a person-first cognitive therapist, welcome to my profile! It is my belief that with enough self-awareness, wisdom, and calculated direction, no challenge, obstacle or struggle is insurmountable. Whether you are someone that struggles with the daily rigors of mental health illness, such as anxiety or depression, or are seeking aid and guidance with the overwhelming demands of life - I am here to help. I am here to walk beside you in your unique experience.
(503) 676-6390 View (503) 676-6390
Photo of Jessica Beitel, LPC Intern in Salem, OR
Jessica Beitel
LPC Intern, QMHP
Verified Verified
1 Endorsed
Salem, OR 97301
I specialize in working with adults and children who experience trauma. Trauma can interrupt healthy development in the brain and body in profound ways, particularly during formative years. I can assess, diagnose, and intervene with mental health disorders, addictions, chronic stress, and crisis using treatment plans that target my client's unique goals. Risk assessment is an important aspect of trauma-informed care for clients with urges to harm themselves or others. I may involve my team of professional colleagues in treatment as needed, including LPCs, skills trainer, and yoga & movement instructor.
I specialize in working with adults and children who experience trauma. Trauma can interrupt healthy development in the brain and body in profound ways, particularly during formative years. I can assess, diagnose, and intervene with mental health disorders, addictions, chronic stress, and crisis using treatment plans that target my client's unique goals. Risk assessment is an important aspect of trauma-informed care for clients with urges to harm themselves or others. I may involve my team of professional colleagues in treatment as needed, including LPCs, skills trainer, and yoga & movement instructor.
(503) 461-1380 View (503) 461-1380

How does your Therapist compare?

Number of Therapists in Salem, OR

400+

Average cost per session

$150

Therapists in Salem, OR who prioritize treating:

88% Anxiety
85% Depression
73% Trauma and PTSD
72% Relationship Issues
70% Self Esteem
69% Stress
64% Coping Skills

Average years in practice

10 Years

Top 3 insurances accepted

62% PacificSource
50% Providence
47% Oregon Health Plan (OHP)

How Therapists in Salem, OR see their clients

55% In Person and Online
45% Online Only

Gender breakdown

77% Female
21% Male
2% Non-Binary
FAQs - About Therapy and Counseling

How can I find a therapist in Salem?

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.