Therapists in Northborough, MA

Photo of Saumya Sharma, Psychologist in Northborough, MA
Saumya Sharma
Psychologist, PhD
Verified Verified
Northborough, MA 01532
Dr. Saumya Sharma is a Clinical Neuropsychologist in Massachusetts who received her doctoral degree in clinical psychology at Boston University. She completed her clinical internship in adult/geriatric neuropsychology at the Boston V. A. Medical Center. Her post-doctoral training at Beth Israel Deaconess Medical Center involved assessing adolescents and adults for ADHD, learning disabilities, and cognitive changes associated with concussion/traumatic brain injury, neurological/medical illness (dementia, multiple sclerosis, epilepsy, brain tumors), and mood disorders.
Dr. Saumya Sharma is a Clinical Neuropsychologist in Massachusetts who received her doctoral degree in clinical psychology at Boston University. She completed her clinical internship in adult/geriatric neuropsychology at the Boston V. A. Medical Center. Her post-doctoral training at Beth Israel Deaconess Medical Center involved assessing adolescents and adults for ADHD, learning disabilities, and cognitive changes associated with concussion/traumatic brain injury, neurological/medical illness (dementia, multiple sclerosis, epilepsy, brain tumors), and mood disorders.
(774) 713-8445 View (774) 713-8445
Photo of Kristen Krumbiegel, Clinical Social Work/Therapist in Northborough, MA
Kristen Krumbiegel
Clinical Social Work/Therapist, LICSW
Verified Verified
Northborough, MA 01532  (Online Only)
Hello! I use a holistic approach with the type of therapies that I use; combining features from DBT, CBT, trauma informed therapies and motivational interviewing. Most of my work has been related to people who are experiencing depression and anxiety that may be lifelong or situational. I work with adults and elders but have experience working with younger clients as well. My passion is helping people manage the challenges of loved ones who are going through life transitions related to long-term illness or end of life stages.
Hello! I use a holistic approach with the type of therapies that I use; combining features from DBT, CBT, trauma informed therapies and motivational interviewing. Most of my work has been related to people who are experiencing depression and anxiety that may be lifelong or situational. I work with adults and elders but have experience working with younger clients as well. My passion is helping people manage the challenges of loved ones who are going through life transitions related to long-term illness or end of life stages.
(508) 393-2731 View (508) 393-2731
Photo of Lisa Storey, Counselor in Northborough, MA
Lisa Storey
Counselor, LMHC
Verified Verified
Northborough, MA 01532
I have worked for over 28 years in the field, with extensive experience in both counseling and supervisory roles. I graduated with a BA in Psychology from Westfield State University, and a MA in Counseling from Framingham State University. My experience has included working in outpatient clinics, school adjustment counseling, college counseling, and town youth and family agencies. I have been been able to work effectively with clients of all ages.
I have worked for over 28 years in the field, with extensive experience in both counseling and supervisory roles. I graduated with a BA in Psychology from Westfield State University, and a MA in Counseling from Framingham State University. My experience has included working in outpatient clinics, school adjustment counseling, college counseling, and town youth and family agencies. I have been been able to work effectively with clients of all ages.
(508) 393-2731 View (508) 393-2731
Photo of Jill Kastal, Clinical Social Work/Therapist in Northborough, MA
Jill Kastal
Clinical Social Work/Therapist, LICSW
Verified Verified
Northborough, MA 01532
I have spent the past 10+ years working in a variety of mental health settings including residential care, emergency services, crisis stabilization, applied behavior analysis, and outpatient individual/family therapy. I have extensive experience helping a diverse range of populations including those struggling with severe mental illness, bipolar disorder, eating disorders, substance use, depression, anxiety, autism spectrum disorder, suicidality, and impulse control disorders. I specialize in working with children/adolescents, families, and young adults but enjoy serving people of all ages.
I have spent the past 10+ years working in a variety of mental health settings including residential care, emergency services, crisis stabilization, applied behavior analysis, and outpatient individual/family therapy. I have extensive experience helping a diverse range of populations including those struggling with severe mental illness, bipolar disorder, eating disorders, substance use, depression, anxiety, autism spectrum disorder, suicidality, and impulse control disorders. I specialize in working with children/adolescents, families, and young adults but enjoy serving people of all ages.
(508) 393-2731 View (508) 393-2731
Photo of Kathryn Portnow, Pre-Licensed Professional in Northborough, MA
Kathryn Portnow
Pre-Licensed Professional, MEd, EdD
Verified Verified
Northborough, MA 01532
I enjoy working with adults ranging in age from young adults to elders. I counsel people who struggle with anxiety, depression, bipolar disorder, transition and phase of life issues, relationship problems, attachment and relational trauma. A deep clinical interest is helping adults navigate their own and their loved ones’ later life challenges associated with aging such as: multiple losses, changes in important relationships, caregiver stress, and changing family roles. I am also passionate about working with and helping people struggling with grief and loss.
I enjoy working with adults ranging in age from young adults to elders. I counsel people who struggle with anxiety, depression, bipolar disorder, transition and phase of life issues, relationship problems, attachment and relational trauma. A deep clinical interest is helping adults navigate their own and their loved ones’ later life challenges associated with aging such as: multiple losses, changes in important relationships, caregiver stress, and changing family roles. I am also passionate about working with and helping people struggling with grief and loss.
(508) 393-2731 View (508) 393-2731
Photo of Nadine Lucas, Counselor in Northborough, MA
Nadine Lucas
Counselor, CAGS, LMHC, RPT
Verified Verified
Northborough, MA 01532
Waitlist for new clients
The Authentic Self radiates divine, healing energy, and innate wisdom. It is our source of loving, compassionate energy that heals all dis-ease in our bodies, minds, and emotions. Some aspects of your Authentic Self include compassion, clarity, confidence, courage, patience, persistence, perspective, playfulness, gratitude, and curiosity. My intention, with profound curiosity, is to help you reconnect to your Authentic Self and rediscover the answers already within you, which may help ease your pain and suffering. I offer individual and group therapy (Eating Disorders/Women), as well as SoulCollage(R) workshops.
The Authentic Self radiates divine, healing energy, and innate wisdom. It is our source of loving, compassionate energy that heals all dis-ease in our bodies, minds, and emotions. Some aspects of your Authentic Self include compassion, clarity, confidence, courage, patience, persistence, perspective, playfulness, gratitude, and curiosity. My intention, with profound curiosity, is to help you reconnect to your Authentic Self and rediscover the answers already within you, which may help ease your pain and suffering. I offer individual and group therapy (Eating Disorders/Women), as well as SoulCollage(R) workshops.
(774) 757-6134 View (774) 757-6134
Photo of Kristin N Puls, Clinical Social Work/Therapist in Northborough, MA
Kristin N Puls
Clinical Social Work/Therapist, LICSW
Verified Verified
1 Endorsed
Northborough, MA 01532  (Online Only)
Do you struggle with feeling overwhelmed by the demands of life? Are you feeling stuck in a relationship, job or an old pattern of behavior? Do you find yourself swept up in emotions such as anger, disappointment or anxiety? Many people come to me when they feel at a loss and have a desire to numb, withdraw or act out. Seeking support is the first step toward feeling better. I enjoy working with individuals who find it difficult managing their anxiety and stress leading to feelings of anger and isolation, or having trouble in relationships due to an inability to communicate their internal experience.
Do you struggle with feeling overwhelmed by the demands of life? Are you feeling stuck in a relationship, job or an old pattern of behavior? Do you find yourself swept up in emotions such as anger, disappointment or anxiety? Many people come to me when they feel at a loss and have a desire to numb, withdraw or act out. Seeking support is the first step toward feeling better. I enjoy working with individuals who find it difficult managing their anxiety and stress leading to feelings of anger and isolation, or having trouble in relationships due to an inability to communicate their internal experience.
(508) 231-4900 View (508) 231-4900
Photo of Nicholas Rotolo, Psychologist in Northborough, MA
Nicholas Rotolo
Psychologist, PsyD
Verified Verified
3 Endorsed
Northborough, MA 01532
My career has involved working with individuals and families across the life span, in both outpatient and hospital-based settings. In addition to providing psychotherapy, I also do comprehensive diagnostic, psychological, and educational assessments for individuals and families. Further, I routinely consult with parents and teachers to better address the needs of students, in accordance with a thorough evaluation of their individual strengths and weaknesses.
My career has involved working with individuals and families across the life span, in both outpatient and hospital-based settings. In addition to providing psychotherapy, I also do comprehensive diagnostic, psychological, and educational assessments for individuals and families. Further, I routinely consult with parents and teachers to better address the needs of students, in accordance with a thorough evaluation of their individual strengths and weaknesses.
(508) 306-8016 View (508) 306-8016
Photo of Jori Berger-Greenstein, Psychologist in Northborough, MA
Jori Berger-Greenstein
Psychologist, PhD
Verified Verified
3 Endorsed
Northborough, MA 01532  (Online Only)
I am a clinical psychologist practicing for more than two decades. My approach is to provide a safe and comfortable space in which clients can share their worries, concerns, and fears that are part of daily living. I use cognitive-behavioral treatment, which emphasizes the importance of how we understand events, ourselves, and others; these affect our feelings and the way we go about our daily lives. The goal is to improve insight AND making changes to improve our quality of life. Many of my clients struggle with adjusting to difficult situations, and want to move forward from difficult situations that affect day-to-day life.
I am a clinical psychologist practicing for more than two decades. My approach is to provide a safe and comfortable space in which clients can share their worries, concerns, and fears that are part of daily living. I use cognitive-behavioral treatment, which emphasizes the importance of how we understand events, ourselves, and others; these affect our feelings and the way we go about our daily lives. The goal is to improve insight AND making changes to improve our quality of life. Many of my clients struggle with adjusting to difficult situations, and want to move forward from difficult situations that affect day-to-day life.
(508) 762-4547 View (508) 762-4547
Photo of Nicole Phillips, Clinical Social Work/Therapist in Northborough, MA
Nicole Phillips
Clinical Social Work/Therapist, LICSW
Verified Verified
Northborough, MA 01532
Whether you are facing a situational challenge, struggling with a longstanding problem, or stuck in a place you can no longer bear; a therapeutic relationship can help change your life. There are many difficult things in life but getting support and guidance should not be one of them. I am an Independently Licensed Clinical Social Worker with over 15 years of success working with people to make their dreams a reality. I specialize in working with adults, couples and families to explore areas of their lives that are challenging. We work together to achieve growth, connection and happiness. Change can happen!
Whether you are facing a situational challenge, struggling with a longstanding problem, or stuck in a place you can no longer bear; a therapeutic relationship can help change your life. There are many difficult things in life but getting support and guidance should not be one of them. I am an Independently Licensed Clinical Social Worker with over 15 years of success working with people to make their dreams a reality. I specialize in working with adults, couples and families to explore areas of their lives that are challenging. We work together to achieve growth, connection and happiness. Change can happen!
(508) 286-7744 View (508) 286-7744
Photo of Kyla White LMHC PC, Counselor in Northborough, MA
Kyla White LMHC PC
Counselor, MA, LMHC, LADC
Verified Verified
1 Endorsed
Northborough, MA 01532
At times we feel overwhelmed by challenges in life. This is a reality for us all. The Covid pandemic can create enormous stress and often intensifies what has been burdening us all along. Working through these challenges is extremely important and attainable.
At times we feel overwhelmed by challenges in life. This is a reality for us all. The Covid pandemic can create enormous stress and often intensifies what has been burdening us all along. Working through these challenges is extremely important and attainable.
(508) 306-8746 View (508) 306-8746
Photo of Olivia Allen, Psychologist in Northborough, MA
Olivia Allen
Psychologist, PsyD
Verified Verified
Northborough, MA 01532  (Online Only)
Not accepting new clients
I am a licensed Clinical Psychologist with experience working with adults in the treatment of trauma, posttraumatic stress disorder, depression, anxiety and insomnia. My approach to therapy is relational, solution-focused, warm, direct and evidence-based. I will collaborate with you to find health, healing, and joy in your life. Currently accepting private pay only.
I am a licensed Clinical Psychologist with experience working with adults in the treatment of trauma, posttraumatic stress disorder, depression, anxiety and insomnia. My approach to therapy is relational, solution-focused, warm, direct and evidence-based. I will collaborate with you to find health, healing, and joy in your life. Currently accepting private pay only.
(781) 650-9632 View (781) 650-9632
Photo of Jeffrey Germain, Clinical Social Work/Therapist in Northborough, MA
Jeffrey Germain
Clinical Social Work/Therapist, LICSW
Verified Verified
Northborough, MA 01532  (Online Only)
Accepting New Clients. We come to therapy seeking understanding and relief. During our time together, you can expect emotional support and resilience skill building. As a licensed clinical social worker with more than 15 years experience in the field of social work, I work together with my clients to help them reach a higher version of themselves. Much of our suffering and distress comes from our relationships. When we focus on compassion for self and others, life becomes more helpful and fulfilling.
Accepting New Clients. We come to therapy seeking understanding and relief. During our time together, you can expect emotional support and resilience skill building. As a licensed clinical social worker with more than 15 years experience in the field of social work, I work together with my clients to help them reach a higher version of themselves. Much of our suffering and distress comes from our relationships. When we focus on compassion for self and others, life becomes more helpful and fulfilling.
(508) 406-9488 View (508) 406-9488
Photo of Jared Manteuffel, Counselor in Northborough, MA
Jared Manteuffel
Counselor, MA, LMHC
Verified Verified
2 Endorsed
Northborough, MA 01532
I'm passionate about working with people who are finding life to be overwhelming and exhausting. Maybe you're heartbroken over loss, burdened with guilt, feeling you'll never be good enough, are scared, or at wits' end. Or maybe something happened to you, and it sticks with you giving you no rest. When we feel this way, we tend to isolate, berate ourselves, and spiral in our thinking or distract ourselves from these debilitating feelings. You're not alone. These feelings and responses are common, and there are evidence-based treatments to help you take the helm and steer your own ship in life.
I'm passionate about working with people who are finding life to be overwhelming and exhausting. Maybe you're heartbroken over loss, burdened with guilt, feeling you'll never be good enough, are scared, or at wits' end. Or maybe something happened to you, and it sticks with you giving you no rest. When we feel this way, we tend to isolate, berate ourselves, and spiral in our thinking or distract ourselves from these debilitating feelings. You're not alone. These feelings and responses are common, and there are evidence-based treatments to help you take the helm and steer your own ship in life.
(508) 618-5736 View (508) 618-5736
Photo of David D Nowell, Psychologist in Northborough, MA
David D Nowell
Psychologist, PhD
Verified Verified
Northborough, MA 01532
As a clinical neuropsychologist I work with clients to identify areas of cognitive strength and weakness and relate those patterns to known profiles of brain-behavior relationship. The process involves an interview, collateral contacts, and carefully selected standardized assessment of brain and emotional functioning. A neuropsychological evaluation may help identify dementia, direct therapies after traumatic brain injury, or tease out ADHD from learning disorder and other developmental conditions.
As a clinical neuropsychologist I work with clients to identify areas of cognitive strength and weakness and relate those patterns to known profiles of brain-behavior relationship. The process involves an interview, collateral contacts, and carefully selected standardized assessment of brain and emotional functioning. A neuropsychological evaluation may help identify dementia, direct therapies after traumatic brain injury, or tease out ADHD from learning disorder and other developmental conditions.
(508) 579-7958 View (508) 579-7958
Photo of Nicole Reynolds, Licensed Professional Counselor in Northborough, MA
Nicole Reynolds
Licensed Professional Counselor, LMHC
Verified Verified
1 Endorsed
Northborough, MA 01532
Welcome to my practice; NPR Counseling, LLC. My practice is currently accepting new clients! I am a Licensed Mental Health Counselor with several years of experience helping children and adults overcome obstacles. I specialize in treating individuals with anxiety, OCD, depression, ADHD, and trauma. I graduated with my MA in Clinical Psychology with a concentration in Cognitive Behavioral Therapy (CBT) from Assumption College. I was further trained in Dialectical Behavioral Therapy (DBT). My approach is client-centered, collaborative, and strengths-based, focusing on empowering individuals to make positive changes in their lives.
Welcome to my practice; NPR Counseling, LLC. My practice is currently accepting new clients! I am a Licensed Mental Health Counselor with several years of experience helping children and adults overcome obstacles. I specialize in treating individuals with anxiety, OCD, depression, ADHD, and trauma. I graduated with my MA in Clinical Psychology with a concentration in Cognitive Behavioral Therapy (CBT) from Assumption College. I was further trained in Dialectical Behavioral Therapy (DBT). My approach is client-centered, collaborative, and strengths-based, focusing on empowering individuals to make positive changes in their lives.
(774) 268-8959 View (774) 268-8959
Photo of Colin J. Connor, Psychologist in Northborough, MA
Colin J. Connor
Psychologist, PsyD
Verified Verified
Northborough, MA 01532
Taking the first steps to seek help may seem daunting when you don't know what to expect from therapy. My approach is to work collaboratively with you to identify your desired changes and to problem-solve how to achieve your goals. I work with individuals, couples, and families. I have experience helping clients with a variety of concerns, with current passions of couples therapy and EMDR. Overall, I work with you to bolster awareness, self-confidence, and interpersonal communication while addressing your specific goals.
Taking the first steps to seek help may seem daunting when you don't know what to expect from therapy. My approach is to work collaboratively with you to identify your desired changes and to problem-solve how to achieve your goals. I work with individuals, couples, and families. I have experience helping clients with a variety of concerns, with current passions of couples therapy and EMDR. Overall, I work with you to bolster awareness, self-confidence, and interpersonal communication while addressing your specific goals.
(508) 658-9051 View (508) 658-9051
Photo of Adam M Volungis, Counselor in Northborough, MA
Adam M Volungis
Counselor, PhD, LMHC
Verified Verified
2 Endorsed
Northborough, MA 01532
Not accepting new clients
***NOT ACCEPTING NEW CLIENTS*** My overarching approach is Relationship-Based Cognitive-Behavioral Therapy. I find that integrating CBT with key therapeutic relationship factors such as validation, empathy, unconditional positive regard, and genuineness produce the best outcomes. When appropriate, I also utilize such approaches as mindfulness, acceptance, dialectical behavioral therapy (DBT) skills, and Trauma-Focused CBT and Prolonged Exposure for trauma. My goal is to not only reduce the distress from your presenting problems but also improve your overall well-being and experience personal growth across many facets of life.
***NOT ACCEPTING NEW CLIENTS*** My overarching approach is Relationship-Based Cognitive-Behavioral Therapy. I find that integrating CBT with key therapeutic relationship factors such as validation, empathy, unconditional positive regard, and genuineness produce the best outcomes. When appropriate, I also utilize such approaches as mindfulness, acceptance, dialectical behavioral therapy (DBT) skills, and Trauma-Focused CBT and Prolonged Exposure for trauma. My goal is to not only reduce the distress from your presenting problems but also improve your overall well-being and experience personal growth across many facets of life.
(508) 348-7162 View (508) 348-7162
Photo of Matthew Zaterka Going Places Counseling, Counselor in Northborough, MA
Matthew Zaterka Going Places Counseling
Counselor, LMHC, M Ed
Verified Verified
Northborough, MA 01532
Waitlist for new clients
When it comes to working with adolescents and young adults, I offer experience as both a clinical therapist and a school counselor providing an in-depth, comprehensive understanding of the challenges and issues facing this stage of life. As a specialist in adolescent and young adult mental health, I draw on the extensive knowledge, training, and direct experience I have gained from over 20 years as a school counselor and over 14 years as a therapist. It is this comprehensive background that I provide in working with a wide range of mental health and school-based challenges and issues.
When it comes to working with adolescents and young adults, I offer experience as both a clinical therapist and a school counselor providing an in-depth, comprehensive understanding of the challenges and issues facing this stage of life. As a specialist in adolescent and young adult mental health, I draw on the extensive knowledge, training, and direct experience I have gained from over 20 years as a school counselor and over 14 years as a therapist. It is this comprehensive background that I provide in working with a wide range of mental health and school-based challenges and issues.
(508) 571-5399 View (508) 571-5399
Photo of Onyx Counseling and Wellness, Clinical Social Work/Therapist in Northborough, MA
Onyx Counseling and Wellness
Clinical Social Work/Therapist
Verified Verified
Northborough, MA 01532
Onyx Counseling established in 2022 offering individual counseling . Appointments with Onyx Clinicians are filling fast so please reach out. The best way to connect is via email or phone, or through the contact portion of www.onyxcounselingcenter.com.
Onyx Counseling established in 2022 offering individual counseling . Appointments with Onyx Clinicians are filling fast so please reach out. The best way to connect is via email or phone, or through the contact portion of www.onyxcounselingcenter.com.
(774) 357-0893 View (774) 357-0893

See more therapy options for Northborough

How does your Therapist compare?

Number of Therapists in Northborough, MA

80+

Average cost per session

$150

Therapists in Northborough, MA who prioritize treating:

97% Anxiety
89% Depression
71% Coping Skills
71% Self Esteem
70% Relationship Issues
67% Trauma and PTSD
63% Stress

Average years in practice

15 Years

Top 3 insurances accepted

93% BlueCross and BlueShield
73% Optum
70% UnitedHealthcare UHC | UBH

How Therapists in Northborough, MA see their clients

75% In Person and Online
25% Online Only

Gender breakdown

82% Female
18% Male
FAQs - About Therapy and Counseling

How can I find a therapist in Northborough?

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.