Therapists in Madison, CT

Photo of Samantha Parsons, LCSW, RSMT, CLMA, Clinical Social Work/Therapist
Samantha Parsons
Clinical Social Work/Therapist, LCSW, RSMT, CLMA
Verified Verified
1 Endorsed
Madison, CT 06443
Hi, I’m Samantha Parsons, a Licensed Clinical Social Worker. I empower individuals to navigate their life’s challenges, heal trauma, and achieve emotional wellness. I provide compassionate, culturally informed, and integrative care through Somatic Movement and Mental Health Therapy, which aid in the treatment of trauma, anxiety, grief, relationship issues, chronic illness, and physical issues.
Hi, I’m Samantha Parsons, a Licensed Clinical Social Worker. I empower individuals to navigate their life’s challenges, heal trauma, and achieve emotional wellness. I provide compassionate, culturally informed, and integrative care through Somatic Movement and Mental Health Therapy, which aid in the treatment of trauma, anxiety, grief, relationship issues, chronic illness, and physical issues.
(203) 204-9914 View (203) 204-9914
Photo of W. Dean Pfeifer - Coastal Counseling Associates, LLC, PhD, LCSW, Psychologist
Coastal Counseling Associates, LLC
Psychologist, PhD, LCSW
Verified Verified
Madison, CT 06443
Our combined 30 years experience of interacting with people in a variety of settings has repeatedly demonstrated to us the resilience and growth that all people are capable of. At Coastal Counseling Associates we assist people in accessing those characteristics that are within them so they can cope with the difficulties life may have presented as well as preparing them to employ the psychological resources they posses to combat future difficulties. Our diversity allows us to match clients with staff resulting in strong, lasting therapeutic relationships across a broad expanse of behavioral health concerns for families, individuals, couples and children.
Our combined 30 years experience of interacting with people in a variety of settings has repeatedly demonstrated to us the resilience and growth that all people are capable of. At Coastal Counseling Associates we assist people in accessing those characteristics that are within them so they can cope with the difficulties life may have presented as well as preparing them to employ the psychological resources they posses to combat future difficulties. Our diversity allows us to match clients with staff resulting in strong, lasting therapeutic relationships across a broad expanse of behavioral health concerns for families, individuals, couples and children.
(203) 409-8317 View (203) 409-8317
Photo of Rachel Bloom, PsyD, Psychologist
Rachel Bloom
Psychologist, PsyD
Verified Verified
Madison, CT 06443
I am still accepting new individuals, couples, & families. I am a member of PsyPact, which allows me to do telehealth in most states (great for college students, people who travel for work, etc). I have an interest in helping young adults and adults through difficult life transitions and working through the constantly changing ways that we identify and see ourselves as it relates to parenthood, relationships, health, and work, among other things. I also specialize in working with college students and athletes. I help people figure out who they want to be, which might be different from who others think they "should" be.
I am still accepting new individuals, couples, & families. I am a member of PsyPact, which allows me to do telehealth in most states (great for college students, people who travel for work, etc). I have an interest in helping young adults and adults through difficult life transitions and working through the constantly changing ways that we identify and see ourselves as it relates to parenthood, relationships, health, and work, among other things. I also specialize in working with college students and athletes. I help people figure out who they want to be, which might be different from who others think they "should" be.
(203) 457-3348 View (203) 457-3348
Photo of Cathleen Adams, PhD, Psychologist
Cathleen Adams
Psychologist, PhD
Verified Verified
Madison, CT 06443
Trained in short and long-term therapy, I am flexible with your goals. I help people find new solutions to on-going problems in relationships, in work, or creativity, and in navigating life transitions. My ideal client is a person who is open to change and is willing to confront what hasn't been working so that life can improve. Times of transition often teach us the most, including times of painful change. I work to help others imagine a future that makes sense. I work with adults of all ages, and I can be flexible with scheduling and fees. Note: I practice in two locations - NYC & Madison CT.
Trained in short and long-term therapy, I am flexible with your goals. I help people find new solutions to on-going problems in relationships, in work, or creativity, and in navigating life transitions. My ideal client is a person who is open to change and is willing to confront what hasn't been working so that life can improve. Times of transition often teach us the most, including times of painful change. I work to help others imagine a future that makes sense. I work with adults of all ages, and I can be flexible with scheduling and fees. Note: I practice in two locations - NYC & Madison CT.
(917) 765-7507 View (917) 765-7507
Photo of Abby Lipschutz - Shoreline Psychological, Psychologist
Shoreline Psychological
Psychologist
Verified Verified
Madison, CT 06443
We are multi-disciplinary practice focused on helping individuals create meaningful lives. We use a compassionate, evidence-based approach for a range of psychological challenges across the life-span, including anxiety, depression, OCD and relational issues. We believe that by combining compassion and commitment, together we can help individuals, couples, and familiies overcome the obstacles to living their lives to their full potential. Our work focuses on helping people understand themselves, relate better to others, while they learn new skills to cope with emotion, and think and behave more effectively.
We are multi-disciplinary practice focused on helping individuals create meaningful lives. We use a compassionate, evidence-based approach for a range of psychological challenges across the life-span, including anxiety, depression, OCD and relational issues. We believe that by combining compassion and commitment, together we can help individuals, couples, and familiies overcome the obstacles to living their lives to their full potential. Our work focuses on helping people understand themselves, relate better to others, while they learn new skills to cope with emotion, and think and behave more effectively.
(475) 264-6094 View (475) 264-6094
Recovery Services of Connecticut
Clinical Social Work/Therapist
Verified Verified
Madison, CT 06443
Recovery Services of Connecticut (RSCT) (www-dot-recoveryservicesCT-dot-com) in Madison, CT offers daytime and evening Intensive Outpatient Programs (IOP), group and individual therapy, counseling for families, interventions, as well as, advocacy for court, probation and the DMV. Call RSCT at 203.421.6242
Recovery Services of Connecticut (RSCT) (www-dot-recoveryservicesCT-dot-com) in Madison, CT offers daytime and evening Intensive Outpatient Programs (IOP), group and individual therapy, counseling for families, interventions, as well as, advocacy for court, probation and the DMV. Call RSCT at 203.421.6242
(860) 962-6363 View (860) 962-6363
Photo of Jessica Bessette, LCSW, Clinical Social Work/Therapist
Jessica Bessette
Clinical Social Work/Therapist, LCSW
Verified Verified
Madison, CT 06443
Jessica is a licensed clinical social worker who completed her education at Southern Connecticut State University in 2016. She has worked with the entire lifespan from children to older adults. Her experiences with both outpatient and inpatient settings have given her a broad perspective of the challenges that people deal with and what can help people to live more productive lives. She uses a strengths-based and humanistic approach in her work with others. She has grown to work in both individual and group settings and has a love for building relationships with clients and utilizing the relationship to guide the work.
Jessica is a licensed clinical social worker who completed her education at Southern Connecticut State University in 2016. She has worked with the entire lifespan from children to older adults. Her experiences with both outpatient and inpatient settings have given her a broad perspective of the challenges that people deal with and what can help people to live more productive lives. She uses a strengths-based and humanistic approach in her work with others. She has grown to work in both individual and group settings and has a love for building relationships with clients and utilizing the relationship to guide the work.
(203) 453-2999 View (203) 453-2999
Photo of Rose McManus, LCSW, Clinical Social Work/Therapist
Rose McManus
Clinical Social Work/Therapist, LCSW
Verified Verified
1 Endorsed
Madison, CT 06443
I am a licensed therapist in Connecticut, and I am committed to creating a compassionate and nonjudgmental environment for healing. I believe that every individual deserves to be heard and understood. With a deep sense of empathy and an intuitive approach, I prioritize genuine care for my clients. I am deeply passionate about providing a safe space for clients to express themselves, honor their lived experiences, and develop a stronger sense of empowerment.
I am a licensed therapist in Connecticut, and I am committed to creating a compassionate and nonjudgmental environment for healing. I believe that every individual deserves to be heard and understood. With a deep sense of empathy and an intuitive approach, I prioritize genuine care for my clients. I am deeply passionate about providing a safe space for clients to express themselves, honor their lived experiences, and develop a stronger sense of empowerment.
(860) 935-2751 View (860) 935-2751
Photo of Janel Lynch Bacon, LMFT, Marriage & Family Therapist
Janel Lynch Bacon
Marriage & Family Therapist, LMFT
Verified Verified
Madison, CT 06443
I am a Licensed Marriage and Family Therapist, and my specialty is figuring out what needs to be done to affect change. I use a variety of techniques to help my clients identify the patterns that are disrupting the quality of their lives. I will work with you to form a therapeutic relationship and will "meet you where you are" emotionally and psychologically. I will help you learn to shift behaviors that are not serving you well, and assist you in achieving your full personal potential.
I am a Licensed Marriage and Family Therapist, and my specialty is figuring out what needs to be done to affect change. I use a variety of techniques to help my clients identify the patterns that are disrupting the quality of their lives. I will work with you to form a therapeutic relationship and will "meet you where you are" emotionally and psychologically. I will help you learn to shift behaviors that are not serving you well, and assist you in achieving your full personal potential.
(860) 254-6099 View (860) 254-6099
Photo of Estela Lopez-Espelin - Estela Lopez, LCSW, LLC, MA, LCSW, Clinical Social Work/Therapist
Estela Lopez, LCSW, LLC
Clinical Social Work/Therapist, MA, LCSW
Verified Verified
1 Endorsed
Online Only
You are motivated to improve your mental health, but despite all the effort, something is getting in the way of you feeling better about yourself. I specialize in helping clients who experienced childhood trauma. Childhood trauma can impact self-esteem in the present. Unhealed childhood trauma can cause feelings of sadness and anxiety in the present.
You are motivated to improve your mental health, but despite all the effort, something is getting in the way of you feeling better about yourself. I specialize in helping clients who experienced childhood trauma. Childhood trauma can impact self-esteem in the present. Unhealed childhood trauma can cause feelings of sadness and anxiety in the present.
(475) 252-9153 View (475) 252-9153
Photo of Joanna Karp, LMFT, Marriage & Family Therapist
Joanna Karp
Marriage & Family Therapist, LMFT
Verified Verified
Online Only
As a certified Emotionally Focused Couples therapist and a licensed marriage and family therapist, I have over 20 years of experience in the field of psychology. My training includes HFI Body-Centered Psychotherapy, Voice Dialogue (parts work) with Drs. Hal and Sidra Stone, EMDR (levels one and two), advanced certification in Neuro-linguistic programming (NLP), mindfulness-based meditation, and advanced training in Emotionally Focused Couples Therapy. I enjoy working with couples and individual adults.
As a certified Emotionally Focused Couples therapist and a licensed marriage and family therapist, I have over 20 years of experience in the field of psychology. My training includes HFI Body-Centered Psychotherapy, Voice Dialogue (parts work) with Drs. Hal and Sidra Stone, EMDR (levels one and two), advanced certification in Neuro-linguistic programming (NLP), mindfulness-based meditation, and advanced training in Emotionally Focused Couples Therapy. I enjoy working with couples and individual adults.
(860) 607-1915 View (860) 607-1915
Photo of Tammey Rooney - Tammey Rooney, LMFT Psychotherapy, Marriage & Family Therapist
Tammey Rooney, LMFT Psychotherapy
Marriage & Family Therapist
Verified Verified
Madison, CT 06443
Waitlist for new clients
As a marriage and family therapist providing care to individuals, couples and families, I utilize a systems approach to improve understanding of self, others, and the issues you are struggling with to facilitate more effective problem-solving. Together, we explore the systems in which you function - family, relationships, school/work, and the larger community - to identify opportunities for change that promote individual and relational well-being. Systemic/relational therapies promote problem-solving and healing by supporting communication and flexibility, building empathy, promoting connection and building healthier relationships.
As a marriage and family therapist providing care to individuals, couples and families, I utilize a systems approach to improve understanding of self, others, and the issues you are struggling with to facilitate more effective problem-solving. Together, we explore the systems in which you function - family, relationships, school/work, and the larger community - to identify opportunities for change that promote individual and relational well-being. Systemic/relational therapies promote problem-solving and healing by supporting communication and flexibility, building empathy, promoting connection and building healthier relationships.
(203) 625-1871 View (203) 625-1871
Photo of Christine C Cukar-Capizzi, PsyD, BCBA, Psychologist
Christine C Cukar-Capizzi
Psychologist, PsyD, BCBA
Verified Verified
Madison, CT 06443
I am a licensed clinical child psychologist and licensed board certified behavior analyst with extensive experience working with children and adolescents with neurodevelopmental disorders and their families. I am committed to helping children achieve their fullest potential by identifying their profile of strengths and weaknesses in order to make targeted recommendations for treatment.
I am a licensed clinical child psychologist and licensed board certified behavior analyst with extensive experience working with children and adolescents with neurodevelopmental disorders and their families. I am committed to helping children achieve their fullest potential by identifying their profile of strengths and weaknesses in order to make targeted recommendations for treatment.
(860) 780-8333 View (860) 780-8333
Photo of Angela Ahern, LMFT, Marriage & Family Therapist
Angela Ahern
Marriage & Family Therapist, LMFT
Verified Verified
Madison, CT 06443
Welcome! I am a seasoned clinician with over 20 years of experience and owner of Back on Track CT, LLC. Life throws unexpected surprises in our direction from time to time. My goal is to help you explore your options, assess barriers, develop tools built specifically for your current challenge, then help you pivot into action. If one person in a relationship or family is struggling, more often than not it will have a ripple effect. There are ways to minimize the impact while strengthening your family system. I offer individual, couples, and family therapy options to ensure all your behavioral health needs are met.
Welcome! I am a seasoned clinician with over 20 years of experience and owner of Back on Track CT, LLC. Life throws unexpected surprises in our direction from time to time. My goal is to help you explore your options, assess barriers, develop tools built specifically for your current challenge, then help you pivot into action. If one person in a relationship or family is struggling, more often than not it will have a ripple effect. There are ways to minimize the impact while strengthening your family system. I offer individual, couples, and family therapy options to ensure all your behavioral health needs are met.
(203) 915-7404 View (203) 915-7404
Photo of Michelle M Reynolds, PhD, Psychologist
Michelle M Reynolds
Psychologist, PhD
Verified Verified
Madison, CT 06443
At some point in our lives, we all feel overwhelmed, overburdened, and sometimes even stuck. It can seem like stress is preventing us from living the life we want, and our thoughts, feelings, or habits are holding us back. Whether you are struggling with stress, anxiety, depression, parenting difficulties, relationship conflicts, work-home balance, or health issues, I can help you find your way through a difficult period. You can live more fully by gaining new perspective, clarifying your values, effectively managing stress, and taking action toward your goals. I help people build better and richer lives.
At some point in our lives, we all feel overwhelmed, overburdened, and sometimes even stuck. It can seem like stress is preventing us from living the life we want, and our thoughts, feelings, or habits are holding us back. Whether you are struggling with stress, anxiety, depression, parenting difficulties, relationship conflicts, work-home balance, or health issues, I can help you find your way through a difficult period. You can live more fully by gaining new perspective, clarifying your values, effectively managing stress, and taking action toward your goals. I help people build better and richer lives.
(475) 252-8490 View (475) 252-8490
Photo of Vincent Samuolis - Vincent Samuolis, LCSW, LCSW, LADC, Clinical Social Work/Therapist
Vincent Samuolis, LCSW
Clinical Social Work/Therapist, LCSW, LADC
Verified Verified
1 Endorsed
Madison, CT 06443
Are you ready to to take the first step on your journey toward self improvement and achieving your personal goals? Twenty-four years as a school social worker has given me comprehensive experience with children, adolescents, parents, and families challenged by as difficult behavior, emotional disturbance, ADHD, and ineffective parenting. Two years experience as a clinician for a psychiatric hospital provided me intensive knowledge and compassion for adults with mental illness and dually diagnoses. Five years experience as a substance abuse counselor for a state agency provided a thorough understanding of addiction and recovery.
Are you ready to to take the first step on your journey toward self improvement and achieving your personal goals? Twenty-four years as a school social worker has given me comprehensive experience with children, adolescents, parents, and families challenged by as difficult behavior, emotional disturbance, ADHD, and ineffective parenting. Two years experience as a clinician for a psychiatric hospital provided me intensive knowledge and compassion for adults with mental illness and dually diagnoses. Five years experience as a substance abuse counselor for a state agency provided a thorough understanding of addiction and recovery.
(203) 654-3602 View (203) 654-3602
Photo of Jessica G. Miller, LPC, Licensed Professional Counselor
Jessica G. Miller
Licensed Professional Counselor, LPC
Verified Verified
1 Endorsed
Madison, CT 06443
Jessica Miller is independently licensed in Connecticut as a Licensed Professional Counselor (LPC) and in New York as a Mental Health Counselor (LMHC). She has dedicated her career to treating people with mental health issues, substance abuse and dual diagnoses. She received her Bachelor of Science degree, Magna Cum Laude, from Long Island University, C. W. Post Campus where she also received her Master of Science degree, Magna Cum Laude in Mental Health Counseling.
Jessica Miller is independently licensed in Connecticut as a Licensed Professional Counselor (LPC) and in New York as a Mental Health Counselor (LMHC). She has dedicated her career to treating people with mental health issues, substance abuse and dual diagnoses. She received her Bachelor of Science degree, Magna Cum Laude, from Long Island University, C. W. Post Campus where she also received her Master of Science degree, Magna Cum Laude in Mental Health Counseling.
(203) 896-8976 View (203) 896-8976
Photo of Kim Gordon, LCSW, Clinical Social Work/Therapist
Kim Gordon
Clinical Social Work/Therapist, LCSW
Verified Verified
Madison, CT 06443
I am a clinical social worker in private practice since 1996. I have extensive experience working with adults, adolescents, couples, and families experiencing emotional distress. My specialties include depression, anxiety, low self-esteem, grief and loss, job/school stress, life transition, and relationship issues. My goal is to empower clients to enact change by developing insight and clarity as to the origins and contributors to their distress. I work with clients to identify fears, guilt, destructive patterns, and family influences that are affecting their ability to live a healthy, satisfying life. My style is highly interactive, supportive, caring, and direct.
I am a clinical social worker in private practice since 1996. I have extensive experience working with adults, adolescents, couples, and families experiencing emotional distress. My specialties include depression, anxiety, low self-esteem, grief and loss, job/school stress, life transition, and relationship issues. My goal is to empower clients to enact change by developing insight and clarity as to the origins and contributors to their distress. I work with clients to identify fears, guilt, destructive patterns, and family influences that are affecting their ability to live a healthy, satisfying life. My style is highly interactive, supportive, caring, and direct.
(860) 431-2549 View (860) 431-2549
Photo of Jocelyn Ness, LCSW, Clinical Social Work/Therapist
Jocelyn Ness
Clinical Social Work/Therapist, LCSW
Verified Verified
Online Only
Waitlist for new clients
I work with adolescents in preventing diagnosing and treating mental and behavioral health disorders . I work directly with adolescents to help them with various struggles of life and learn how to develop better coping skills to understand and resolve problems, modify behavior, and make positive long term changes in their lives. I use multiple modalities approaches to address and target presenting issues.
I work with adolescents in preventing diagnosing and treating mental and behavioral health disorders . I work directly with adolescents to help them with various struggles of life and learn how to develop better coping skills to understand and resolve problems, modify behavior, and make positive long term changes in their lives. I use multiple modalities approaches to address and target presenting issues.
(475) 253-5054 View (475) 253-5054
Photo of Beth Breck, LCSW, CEAP, SAP, Clinical Social Work/Therapist
Beth Breck
Clinical Social Work/Therapist, LCSW, CEAP, SAP
Verified Verified
Madison, CT 06443
Are you looking for an experienced therapist? I work with a range of issues. Behavioral problems, work/ family balance, grief, marital/ relationship issues, family therapy, parent-child, infidelity, sexual issues, alcohol/ drug abuse, domestic violence, depression, anxiety/ panic, emotional/ mental disorders, financial difficulties, life transitions, loss, PTSD, anger management and issues within judicial systems. Acknowledge the problem...Experience the solution. I love my work and problem solving with clients. My work strives to achieve a healthy lifestyle for my clients. I help clients achieve their behavioral goals within the brief compass of six to ten sessions.
Are you looking for an experienced therapist? I work with a range of issues. Behavioral problems, work/ family balance, grief, marital/ relationship issues, family therapy, parent-child, infidelity, sexual issues, alcohol/ drug abuse, domestic violence, depression, anxiety/ panic, emotional/ mental disorders, financial difficulties, life transitions, loss, PTSD, anger management and issues within judicial systems. Acknowledge the problem...Experience the solution. I love my work and problem solving with clients. My work strives to achieve a healthy lifestyle for my clients. I help clients achieve their behavioral goals within the brief compass of six to ten sessions.
(475) 224-4670 View (475) 224-4670

How does your Therapist compare?

Number of Therapists in Madison, CT

100+

Average cost per session

$150

Therapists in Madison, CT who prioritize treating:

95% Anxiety
90% Depression
83% Relationship Issues
82% Self Esteem
77% Coping Skills
70% Stress
70% Life Transitions

Average years in practice

15 Years

Top 3 insurances accepted

60% Aetna
60% Anthem
59% HUSKY Health

How Therapists in Madison, CT see their clients

82% In Person and Online
18% Online Only

Gender breakdown

85% Female
14% Male
1% Non-Binary
FAQs - About Therapy and Counseling

How can I find a therapist in Madison?

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.