Therapists in Manchester, NH

Photo of Abigail 'abby' Cote, Clinical Social Work/Therapist in Manchester, NH
Abigail 'abby' Cote
Clinical Social Work/Therapist, MSW, LICSW
Verified Verified
Manchester, NH 03103  (Online Only)
Not accepting new clients
Are you tired of going through life fighting off flashbacks, panic attacks, angry outbursts, or nightmares? Using your energy trying to manage these symptoms is taking away from your ability to connect with the people you love, your career, and the true person underneath it all. My goal is to help you eliminate those symptoms, so you can enjoy the things you love again. I am trained in many different treatment modalities, and specialize in treatment specific to Veterans, First Responders, Eating Disorders, and more. I strive to always meet clients where they are at, in order to help them achieve whatever their goals may be.
Are you tired of going through life fighting off flashbacks, panic attacks, angry outbursts, or nightmares? Using your energy trying to manage these symptoms is taking away from your ability to connect with the people you love, your career, and the true person underneath it all. My goal is to help you eliminate those symptoms, so you can enjoy the things you love again. I am trained in many different treatment modalities, and specialize in treatment specific to Veterans, First Responders, Eating Disorders, and more. I strive to always meet clients where they are at, in order to help them achieve whatever their goals may be.
(978) 226-8748 View (978) 226-8748
Photo of Camila Crawford, Clinical Social Work/Therapist in Manchester, NH
Camila Crawford
Clinical Social Work/Therapist, LICSW
Verified Verified
1 Endorsed
Manchester, NH 03104
Waitlist for new clients
Anxiety and depression can make it virtually impossible to experience joy and contentment. We might imagine a catastrophic future or constantly relive a difficult past. Problems don't get solved and we feel stuck. Therapy can help us think about our lives more clearly and align our actions with our intentions.
Anxiety and depression can make it virtually impossible to experience joy and contentment. We might imagine a catastrophic future or constantly relive a difficult past. Problems don't get solved and we feel stuck. Therapy can help us think about our lives more clearly and align our actions with our intentions.
(603) 691-2470 View (603) 691-2470
Photo of Felicity Bernard, Counselor in Manchester, NH
Felicity Bernard
Counselor, LCMHC
Verified Verified
Manchester, NH 03103
Ellie Manchester - Feeling overwhelmed? isolated? relationships a mess? My mission in life is to help folks realize new ways of operating by increasing their capacity to express thoughts and feelings, increase opportunities for happiness and find way to cope when things are not going well. At Ellie Mental Health, our mission is to compassionately transform the culture of mental health care by providing creative solutions that make wellness accessible in our community.
Ellie Manchester - Feeling overwhelmed? isolated? relationships a mess? My mission in life is to help folks realize new ways of operating by increasing their capacity to express thoughts and feelings, increase opportunities for happiness and find way to cope when things are not going well. At Ellie Mental Health, our mission is to compassionately transform the culture of mental health care by providing creative solutions that make wellness accessible in our community.
(603) 634-9471 View (603) 634-9471
Photo of Britney Sebastien, Counselor in Manchester, NH
Britney Sebastien
Counselor, MS, LCMHC
Verified Verified
Manchester, NH 03103
Britney Sebastien, LCMHC Britney Sebastien is a Licensed Clinical Mental Health Counselor in New Hampshire who has been practicing since 2017. She has an Associate's Science in Health Science from NHTI, a Bachelor's Science in Psychology from Southern NH University, a Graduate Certificate in Integrated Community Mental Health & Substance Abuse Services from SNHU, and a Master's Science in Clinical Mental Health Counseling from Southern NH University.
Britney Sebastien, LCMHC Britney Sebastien is a Licensed Clinical Mental Health Counselor in New Hampshire who has been practicing since 2017. She has an Associate's Science in Health Science from NHTI, a Bachelor's Science in Psychology from Southern NH University, a Graduate Certificate in Integrated Community Mental Health & Substance Abuse Services from SNHU, and a Master's Science in Clinical Mental Health Counseling from Southern NH University.
(888) 491-5017 View (888) 491-5017
Photo of Jane Pinard, Clinical Social Work/Therapist in Manchester, NH
Jane Pinard
Clinical Social Work/Therapist, LICSW
Verified Verified
1 Endorsed
Manchester, NH 03103
I offer a warm and caring approach and believe that the therapeutic process is most effective when clients and clinicians work together in understanding and resolving life's challenges. I am a firm believer that given the right conditions, each person has the potential for growth and healing. I have experience, insight and understanding on aging, parenting, school and vocational challenges, postpartum depression, infant and pregnancy loss, caregiver burnout, and compassion fatigue. I have extensive experience with individuals and families in crises and training in promoting stabilization, crisis planning, and prevention.
I offer a warm and caring approach and believe that the therapeutic process is most effective when clients and clinicians work together in understanding and resolving life's challenges. I am a firm believer that given the right conditions, each person has the potential for growth and healing. I have experience, insight and understanding on aging, parenting, school and vocational challenges, postpartum depression, infant and pregnancy loss, caregiver burnout, and compassion fatigue. I have extensive experience with individuals and families in crises and training in promoting stabilization, crisis planning, and prevention.
(603) 625-0010 View (603) 625-0010
Photo of Liz Vicente Accepting New Clients!, Clinical Social Work/Therapist in Manchester, NH
Liz Vicente Accepting New Clients!
Clinical Social Work/Therapist, LICSW, MLADC
Verified Verified
Manchester, NH 03104
Everyone encounters challenges in their life that may feel overwhelming. Seeking the help of a therapist during these times is a sign of strength, as it suggests the willingness to address problems rather than avoid them. Therapy can be a time of learning about yourself, facing your fears, and growing in different areas of life. I see my role as empowering you to achieve your best possible life. I enjoy working with my clients' strengths and goals to help them create happiness and health in their lives. I can help strengthen your positive coping strategies and regain a more balanced life.
Everyone encounters challenges in their life that may feel overwhelming. Seeking the help of a therapist during these times is a sign of strength, as it suggests the willingness to address problems rather than avoid them. Therapy can be a time of learning about yourself, facing your fears, and growing in different areas of life. I see my role as empowering you to achieve your best possible life. I enjoy working with my clients' strengths and goals to help them create happiness and health in their lives. I can help strengthen your positive coping strategies and regain a more balanced life.
(603) 810-8183 x2067 View (603) 810-8183 x2067
Photo of Novus Vita Counseling, PLLC, Psychologist in Manchester, NH
Novus Vita Counseling, PLLC
Psychologist
Verified Verified
Manchester, NH 03104
Our mission is to offer an Integrated Approach to Mental Health, and our treatment team is varied in their ability to provide clinical advice, support and practical feedback to help clients resolve current problems and long-standing patterns. Our treatment team works with clients to find solutions to a wide range of life challenges and psychological issues. Blending conventional and alternative approaches, we draw on a variety of styles and techniques to incorporate what will be most helpful for each client. We will work with clients to help them build on their strengths in order to identify and achieve life goals.
Our mission is to offer an Integrated Approach to Mental Health, and our treatment team is varied in their ability to provide clinical advice, support and practical feedback to help clients resolve current problems and long-standing patterns. Our treatment team works with clients to find solutions to a wide range of life challenges and psychological issues. Blending conventional and alternative approaches, we draw on a variety of styles and techniques to incorporate what will be most helpful for each client. We will work with clients to help them build on their strengths in order to identify and achieve life goals.
(603) 952-3092 View (603) 952-3092
Photo of Kelly Schoonover, Counselor in Manchester, NH
Kelly Schoonover
Counselor, MS, LCMHC, MLADC
Verified Verified
Manchester, NH 03102
Kelly Schoonover is a Licensed Clinical Mental Health Counselor and Master Licensed Alcohol & Drug Counselor in New Hampshire who has been practicing since 2017. She received her Master's Degree in Clinical Mental Health Counseling from the University at Albany, SUNY. Kelly has more than seven years of professional experience working with adults with diverse needs. She makes sure to use a person-centered approach with the clientele she works with, as no single approach works for all. Kelly loves spending as much time as possible with her family and her dog. Exercising at Orange Theory 4-5 times per week is very important to her.
Kelly Schoonover is a Licensed Clinical Mental Health Counselor and Master Licensed Alcohol & Drug Counselor in New Hampshire who has been practicing since 2017. She received her Master's Degree in Clinical Mental Health Counseling from the University at Albany, SUNY. Kelly has more than seven years of professional experience working with adults with diverse needs. She makes sure to use a person-centered approach with the clientele she works with, as no single approach works for all. Kelly loves spending as much time as possible with her family and her dog. Exercising at Orange Theory 4-5 times per week is very important to her.
(603) 697-7312 View (603) 697-7312
Photo of Kayla Fedorchuk, Pre-Licensed Professional in Manchester, NH
Kayla Fedorchuk
Pre-Licensed Professional, MA, CMHC
Verified Verified
1 Endorsed
Manchester, NH 03101
"Never underestimate the power you have to take your life in a new direction". You are capable of amazing things! Whether this is your first time in counseling or you have been in counseling for years, it is never too late to grow, evolve, and progress towards new beginnings. Our negative thoughts and emotions can be traced back to unpleasant memories. Processing these memories can help you eliminate those negative thoughts, feelings, and emotions; reducing your on-going stress, anxiety, fears, etc. My goal is to help you heal in a space that is free of judgement; where you can feel comfortable, safe, and secure.
"Never underestimate the power you have to take your life in a new direction". You are capable of amazing things! Whether this is your first time in counseling or you have been in counseling for years, it is never too late to grow, evolve, and progress towards new beginnings. Our negative thoughts and emotions can be traced back to unpleasant memories. Processing these memories can help you eliminate those negative thoughts, feelings, and emotions; reducing your on-going stress, anxiety, fears, etc. My goal is to help you heal in a space that is free of judgement; where you can feel comfortable, safe, and secure.
(603) 696-4872 View (603) 696-4872
Photo of Sydney Venuti, Clinical Social Work/Therapist in Manchester, NH
Sydney Venuti
Clinical Social Work/Therapist, MSW, LICSW, RCSWI
Verified Verified
2 Endorsed
Manchester, NH 03101
Many people struggle with anxiety or depression and need support. Have you experienced traumatic events in your life that you're having a hard time coping with? It's hard to do it all on your own all the time. I work hard to build a safe and comfortable space for clients in order to learn coping skills that work for them and their lifestyle, re-process difficult memories, and work towards the life you really want.
Many people struggle with anxiety or depression and need support. Have you experienced traumatic events in your life that you're having a hard time coping with? It's hard to do it all on your own all the time. I work hard to build a safe and comfortable space for clients in order to learn coping skills that work for them and their lifestyle, re-process difficult memories, and work towards the life you really want.
(603) 923-4347 View (603) 923-4347
Photo of Courtney Conerly, Pre-Licensed Professional in Manchester, NH
Courtney Conerly
Pre-Licensed Professional, MS
Verified Verified
Manchester, NH 03104
Hello and welcome. There is never an invalid reason to come into therapy. My ideal client would be someone who is open-minded to the therapeutic process. I seek to work collaboratively with clients to help them reach their goals. It is my hope that I can provide different insight and perspectives. Most importantly, I seek to provide a safe space for any client to express themselves freely.
Hello and welcome. There is never an invalid reason to come into therapy. My ideal client would be someone who is open-minded to the therapeutic process. I seek to work collaboratively with clients to help them reach their goals. It is my hope that I can provide different insight and perspectives. Most importantly, I seek to provide a safe space for any client to express themselves freely.
(603) 270-9217 x705 View (603) 270-9217 x705
Photo of Chris Bryan, Pre-Licensed Professional in Manchester, NH
Chris Bryan
Pre-Licensed Professional, MSW
Verified Verified
1 Endorsed
Manchester, NH 03101
Are you seeking relief from the relentless grip of anxiety, the haunting specter of trauma, or the painful battle against addiction? Meet Chris Bryan, a compassionate and highly skilled therapist who specializes in guiding individuals like you towards lasting healing and transformation. With a wealth of experience, Chris has honed his expertise in working with clients struggling with anxiety, trauma, substance misuse, and other addictive behaviors. He understands that these challenges can feel overwhelming, but he also believes in the power of the human spirit to overcome them.
Are you seeking relief from the relentless grip of anxiety, the haunting specter of trauma, or the painful battle against addiction? Meet Chris Bryan, a compassionate and highly skilled therapist who specializes in guiding individuals like you towards lasting healing and transformation. With a wealth of experience, Chris has honed his expertise in working with clients struggling with anxiety, trauma, substance misuse, and other addictive behaviors. He understands that these challenges can feel overwhelming, but he also believes in the power of the human spirit to overcome them.
(603) 633-8828 View (603) 633-8828
Rachel Anne Sicari
Counselor, LCMHC
Verified Verified
Manchester, NH 03103
Do you hope for an open-minded and progressive therapist? Do you have lifestyle considerations that you hope will be embraced and understood? Do you wish to target and resolve past traumas? As a trauma-informed clinician trained in Eye Movement Desensitization and Reprocessing (EMDR), I am experienced in treating PTSD and complex trauma. I meet clients where they're at and make goals that fit their current needs. I am LGBTQIA+, kink- and poly-aware, and neurodivergent-affirming. I have two more openings as of 3/6/24, both mid-day in Manchester (or telehealth).
Do you hope for an open-minded and progressive therapist? Do you have lifestyle considerations that you hope will be embraced and understood? Do you wish to target and resolve past traumas? As a trauma-informed clinician trained in Eye Movement Desensitization and Reprocessing (EMDR), I am experienced in treating PTSD and complex trauma. I meet clients where they're at and make goals that fit their current needs. I am LGBTQIA+, kink- and poly-aware, and neurodivergent-affirming. I have two more openings as of 3/6/24, both mid-day in Manchester (or telehealth).
(603) 697-7013 View (603) 697-7013
Photo of Erica C Andrews, Counselor in Manchester, NH
Erica C Andrews
Counselor, MA, LCMHC
Verified Verified
Manchester, NH 03104  (Online Only)
The clients I have enjoyed working with have wanted to work on some aspect of themselves, like improving their sense of self worth, or trying to understand why their relationships typically didn't work out, or simply just trying to cope with the day to day. My clients come from a wide background of cultures, such as: the BIPOC and LGBTQ+ communities; those with a criminal background; those with a history of substance abuse/dependence; those suffering from chronic pain/illness; and those with a history of trauma. I welcome all walks of life in my office and work hard to continually educate myself in multicultural issues.
The clients I have enjoyed working with have wanted to work on some aspect of themselves, like improving their sense of self worth, or trying to understand why their relationships typically didn't work out, or simply just trying to cope with the day to day. My clients come from a wide background of cultures, such as: the BIPOC and LGBTQ+ communities; those with a criminal background; those with a history of substance abuse/dependence; those suffering from chronic pain/illness; and those with a history of trauma. I welcome all walks of life in my office and work hard to continually educate myself in multicultural issues.
(619) 759-5576 View (619) 759-5576
Photo of Rolando Cappas Perez, Pre-Licensed Professional in Manchester, NH
Rolando Cappas Perez
Pre-Licensed Professional, MS, MHCM, MBA
Verified Verified
Manchester, NH 03103
Individuals who are looking to better understand themselves, to identify and handle their emotions effectively, those who seek a meaning in life or who have lost their way. Therapy should be a safe place where you can express yourself freely to achieve a better organization of your thoughts, ideas and feelings. The ideal client can be one who knows what they want as well as one who does not know why they feel a certain unpleasant way when life is going well.
Individuals who are looking to better understand themselves, to identify and handle their emotions effectively, those who seek a meaning in life or who have lost their way. Therapy should be a safe place where you can express yourself freely to achieve a better organization of your thoughts, ideas and feelings. The ideal client can be one who knows what they want as well as one who does not know why they feel a certain unpleasant way when life is going well.
(603) 207-8273 View (603) 207-8273
Photo of Sarah Merrigan, Clinical Social Work/Therapist in Manchester, NH
Sarah Merrigan
Clinical Social Work/Therapist, MSW, LICSW
Verified Verified
1 Endorsed
Manchester, NH 03104
Waitlist for new clients
Are you feeling depressed, anxious, or overwhelmed? Do you find yourself engaging in unhelpful behaviors that don't serve you? Are your thoughts and feelings pushing you around?
Are you feeling depressed, anxious, or overwhelmed? Do you find yourself engaging in unhelpful behaviors that don't serve you? Are your thoughts and feelings pushing you around?
(877) 813-0761 View (877) 813-0761
Photo of Nicole Marie Sublette, Counselor in Manchester, NH
Nicole Marie Sublette
Counselor, MA, LCMHC, CH, CMHIMP
Verified Verified
1 Endorsed
Manchester, NH 03101
Therapists of Color New England is accepting new clients! Providing a welcoming space for BIPoC, LGTBQIA+, youth (3+), couples, men and women. This space is also for you if you ever struggled with of the following: PTSD, trauma, abuse, anxiety, depression, low self-esteem, intrusive thoughts, toxic relationships, career burnout, or divorce/separation. A safe place for anyone that has experienced oppression, marginalization, and discrimination. I am committed to creating an environment where you can be seen, heard, and understood. My goal is to provide compassionate, culturally responsive, and trauma-informed care.
Therapists of Color New England is accepting new clients! Providing a welcoming space for BIPoC, LGTBQIA+, youth (3+), couples, men and women. This space is also for you if you ever struggled with of the following: PTSD, trauma, abuse, anxiety, depression, low self-esteem, intrusive thoughts, toxic relationships, career burnout, or divorce/separation. A safe place for anyone that has experienced oppression, marginalization, and discrimination. I am committed to creating an environment where you can be seen, heard, and understood. My goal is to provide compassionate, culturally responsive, and trauma-informed care.
(603) 836-9068 View (603) 836-9068
Photo of Andrea Petraitis, Pre-Licensed Professional in Manchester, NH
Andrea Petraitis
Pre-Licensed Professional, MSW
Verified Verified
1 Endorsed
Manchester, NH 03101
So you're ready for a change, now what? I'm ready to help you through that journey. I have been in the field almost 10 years and have a variety of experience and have worked with individuals of all ages. I value creating a welcoming environment where people feel validated and ready to begin the work to improve their well-being. I believe everyone has the strength to become a better version of themselves and I want to help people foster their own natural strengths and empower them to reach their goals.
So you're ready for a change, now what? I'm ready to help you through that journey. I have been in the field almost 10 years and have a variety of experience and have worked with individuals of all ages. I value creating a welcoming environment where people feel validated and ready to begin the work to improve their well-being. I believe everyone has the strength to become a better version of themselves and I want to help people foster their own natural strengths and empower them to reach their goals.
(603) 270-9181 View (603) 270-9181
Photo of Brian Driscoll, Pre-Licensed Professional in Manchester, NH
Brian Driscoll
Pre-Licensed Professional, MS, CMHC
Verified Verified
2 Endorsed
Manchester, NH 03103
I believe in the power of healing and the ability of everyone to be able to overcome trauma and adversity. Having previously served in the military and first responder, and now as a school counselor for children, I am dedicated to the service of others with a humanistic, person-centered, and strengths-based approach. My passion is in helping others heal from the effects of trauma and the many other obstacles that life will present. Often times the hardest step is the first step. With a soft voice, compassion, understanding, and acceptance, I want to take that first step with you and empower you to find strength and resilience.
I believe in the power of healing and the ability of everyone to be able to overcome trauma and adversity. Having previously served in the military and first responder, and now as a school counselor for children, I am dedicated to the service of others with a humanistic, person-centered, and strengths-based approach. My passion is in helping others heal from the effects of trauma and the many other obstacles that life will present. Often times the hardest step is the first step. With a soft voice, compassion, understanding, and acceptance, I want to take that first step with you and empower you to find strength and resilience.
(603) 696-4872 View (603) 696-4872
Photo of Sandy Williams, Pre-Licensed Professional in Manchester, NH
Sandy Williams
Pre-Licensed Professional, MS
Verified Verified
Manchester, NH 03104  (Online Only)
*The best way to reach me is email. I am currently accepting clients for telehealth sessions. I am a master’s level therapist, providing counseling for adults with a variety of mental health concerns. I utilize a client-centered approach, because it is important that you feel understood and heard when dealing with stressors including depression, anxiety, loss, addiction, chronic pain, life transitions, trauma, depression, interpersonal concerns, and self-esteem.
*The best way to reach me is email. I am currently accepting clients for telehealth sessions. I am a master’s level therapist, providing counseling for adults with a variety of mental health concerns. I utilize a client-centered approach, because it is important that you feel understood and heard when dealing with stressors including depression, anxiety, loss, addiction, chronic pain, life transitions, trauma, depression, interpersonal concerns, and self-esteem.
(603) 932-5738 x6 View (603) 932-5738 x6

How does your Therapist compare?

Number of Therapists in Manchester, NH

300+

Average cost per session

$140

Therapists in Manchester, NH who prioritize treating:

93% Anxiety
88% Depression
73% Relationship Issues
72% Self Esteem
70% Trauma and PTSD
69% Coping Skills
67% Stress

Average years in practice

11 Years

Top 3 insurances accepted

79% Cigna and Evernorth
75% UnitedHealthcare UHC | UBH
74% BlueCross and BlueShield

How Therapists in Manchester, NH see their clients

73% In Person and Online
27% Online Only

Gender breakdown

79% Female
20% Male
1% Non-Binary
FAQs - About Therapy and Counseling

How can I find a therapist in Manchester?

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.