Therapists in Germantown, WI

Photo of Brad Sachse, Licensed Professional Counselor in Germantown, WI
Brad Sachse
Licensed Professional Counselor, MS, LPC, CSAC
Verified Verified
1 Endorsed
Germantown, WI 53022
I offer a deeply personalized approach specific to each individual to help them build upon their strengths and accomplish the personal growth they are committed to achieving. With compassion and understanding I utilize a collaborative approach where I work with you to identify goals of therapy and the right pace of attaining those goals. I believe an individual's health and life satisfaction can be enhanced through a positive and warm relationship that fosters change, growth and healing.
I offer a deeply personalized approach specific to each individual to help them build upon their strengths and accomplish the personal growth they are committed to achieving. With compassion and understanding I utilize a collaborative approach where I work with you to identify goals of therapy and the right pace of attaining those goals. I believe an individual's health and life satisfaction can be enhanced through a positive and warm relationship that fosters change, growth and healing.
(262) 727-8101 View (262) 727-8101
Photo of Jordan T Johnson, LPC Intern in Germantown, WI
Jordan T Johnson
LPC Intern, MS, LPC-IT
Verified Verified
2 Endorsed
Germantown, WI 53022
Are you ready to embark on a journey of self-discovery, healing, and personal growth? You deserve a safe place where your thoughts are heard, emotions are validated, and journey is respected. As a mental health and sports psychology practitioner, I am here to go beyond mere problem-solving. Together, we will foster positive life changes, boost self-esteem, cultivate healthy coping mechanisms, and achieve a resilient mental state.
Are you ready to embark on a journey of self-discovery, healing, and personal growth? You deserve a safe place where your thoughts are heard, emotions are validated, and journey is respected. As a mental health and sports psychology practitioner, I am here to go beyond mere problem-solving. Together, we will foster positive life changes, boost self-esteem, cultivate healthy coping mechanisms, and achieve a resilient mental state.
(262) 218-4948 View (262) 218-4948
Photo of Jill Spielmann, Licensed Professional Counselor in Germantown, WI
Jill Spielmann
Licensed Professional Counselor, LPC
Verified Verified
Germantown, WI 53022
I have a strong passion for working with individuals who have experienced trauma and who are motivated to find relief and better coping strategies. Additionally, I enjoy helping individuals who are struggling with grief, anxiety, depression, mood disorders, emotional dysregulation, and relationship concerns.
I have a strong passion for working with individuals who have experienced trauma and who are motivated to find relief and better coping strategies. Additionally, I enjoy helping individuals who are struggling with grief, anxiety, depression, mood disorders, emotional dysregulation, and relationship concerns.
(262) 737-8846 View (262) 737-8846
Photo of Robert Bannasch, Licensed Professional Counselor in Germantown, WI
Robert Bannasch
Licensed Professional Counselor, MS, LPC
Verified Verified
1 Endorsed
Germantown, WI 53022
Not accepting new clients
The decision to seek therapy is not an easy one. I aim to make that decision as easy and comfortable as possible. I have a gentle personality and use a touch of humor to help make each client feel welcome and at ease. Individuals, couples, and families come to me because they need to work through a problem or issue. This might be anxiety, grief, couples or family counseling, health, loss of a job, or looking to build a happier, more fulfilling life, or numerous other reasons. I work hard to build an atmosphere that allows people to feel safe and understood. When clients leave, they feel healthier, happier, and more whole.
The decision to seek therapy is not an easy one. I aim to make that decision as easy and comfortable as possible. I have a gentle personality and use a touch of humor to help make each client feel welcome and at ease. Individuals, couples, and families come to me because they need to work through a problem or issue. This might be anxiety, grief, couples or family counseling, health, loss of a job, or looking to build a happier, more fulfilling life, or numerous other reasons. I work hard to build an atmosphere that allows people to feel safe and understood. When clients leave, they feel healthier, happier, and more whole.
(262) 205-6594 View (262) 205-6594
Photo of Karen Kiser, Licensed Professional Counselor in Germantown, WI
Karen Kiser
Licensed Professional Counselor, LPC
Verified Verified
Germantown, WI 53022
Karen is a seasoned Licensed Professional Counselor who places value on the individual, their life experience and perspective. Karen is skilled at helping adult and child clients address life transitions, grief/loss, trauma, depression, anxiety, mood disorders, substance abuse as well as traumatic brain injury. For individuals, families and couples, Karen identifies areas of strength within the family structure as well as identifying emotional and verbal abuse that affect the balance and the overall quality of relationships.
Karen is a seasoned Licensed Professional Counselor who places value on the individual, their life experience and perspective. Karen is skilled at helping adult and child clients address life transitions, grief/loss, trauma, depression, anxiety, mood disorders, substance abuse as well as traumatic brain injury. For individuals, families and couples, Karen identifies areas of strength within the family structure as well as identifying emotional and verbal abuse that affect the balance and the overall quality of relationships.
(262) 588-4311 View (262) 588-4311
Photo of Masarat Mushtaq Allaqaband, Pre-Licensed Professional in Germantown, WI
Masarat Mushtaq Allaqaband
Pre-Licensed Professional
Verified Verified
1 Endorsed
Germantown, WI 53022
I am a dedicated and compassionate counselor helping individuals navigate their life stressors, life transitions, anxiety, and feelings of being overwhelmed with stress. Life can present us with numerous challenges; sometimes, it becomes difficult to handle them alone. Whether you're experiencing relationship issues, schooling challenges, career dilemmas, or personal hardships, I aim to create a safe and non-judgmental space where you can openly express your concerns. Together, we will explore the root causes of your distress, develop effective coping strategies, and foster resilience for long-lasting change.
I am a dedicated and compassionate counselor helping individuals navigate their life stressors, life transitions, anxiety, and feelings of being overwhelmed with stress. Life can present us with numerous challenges; sometimes, it becomes difficult to handle them alone. Whether you're experiencing relationship issues, schooling challenges, career dilemmas, or personal hardships, I aim to create a safe and non-judgmental space where you can openly express your concerns. Together, we will explore the root causes of your distress, develop effective coping strategies, and foster resilience for long-lasting change.
(262) 600-3919 View (262) 600-3919
Photo of Susan Ellis, Licensed Professional Counselor in Germantown, WI
Susan Ellis
Licensed Professional Counselor, MS, LPC
Verified Verified
3 Endorsed
Germantown, WI 53022
Reaching out to a new therapist is a great first step. How will you know you have found the right person for you? I know how important the right fit is. I know you want to find a therapist who "gets you" and "understands your struggles." I have been where you are now. Counseling has helped me as well as so many people that I know and love. I wanted to find a way to help others who are experiencing difficult times in their lives. You can get help. It will get better. Together we can find ways to improve how you are feeling.
Reaching out to a new therapist is a great first step. How will you know you have found the right person for you? I know how important the right fit is. I know you want to find a therapist who "gets you" and "understands your struggles." I have been where you are now. Counseling has helped me as well as so many people that I know and love. I wanted to find a way to help others who are experiencing difficult times in their lives. You can get help. It will get better. Together we can find ways to improve how you are feeling.
(262) 622-2793 View (262) 622-2793
Photo of Sydnie Schuh, Clinical Social Work/Therapist in Germantown, WI
Sydnie Schuh
Clinical Social Work/Therapist, MSW, LCSW
Verified Verified
1 Endorsed
Germantown, WI 53022
Some of the best stories ever written include success, belonging, safety, and happiness, AND include moments of failure, loneliness, fear, and sadness. We relate to the characters in these stories because we see ourselves in them. My goal as your therapist is to help you write your own story of resilience, accomplishment, and contentment. My approach includes a combination of many evidence-based modalities in order to best assist you in reaching your goals, including Cognitive Behavioral Therapy, Dialectical Behavioral Therapy, Exposure Response Prevention, Mindfulness, Systems Theory, and Strengths-Based Therapy.
Some of the best stories ever written include success, belonging, safety, and happiness, AND include moments of failure, loneliness, fear, and sadness. We relate to the characters in these stories because we see ourselves in them. My goal as your therapist is to help you write your own story of resilience, accomplishment, and contentment. My approach includes a combination of many evidence-based modalities in order to best assist you in reaching your goals, including Cognitive Behavioral Therapy, Dialectical Behavioral Therapy, Exposure Response Prevention, Mindfulness, Systems Theory, and Strengths-Based Therapy.
(262) 332-4727 View (262) 332-4727
Photo of John Riegert Fischer, Licensed Professional Counselor in Germantown, WI
John Riegert Fischer
Licensed Professional Counselor, LPC
Verified Verified
Germantown, WI 53022
I am a licensed professional counselor and graduated with my master's degree from Marquette University in 2012. Life often presents serious challenges that can feel overwhelming at times. It is my belief that each person has the inherent ability to overcome any obstacle. My goal is to meet you wherever you are at and help you develop evidenced based strategies, combined with your own natural strengths, to overcome any challenge or obstacle. I incorporate CBT and mindful based practice to help challenge ineffective patterns of thoughts and behaviors, create balance in your life and sustainable health of mind and body.
I am a licensed professional counselor and graduated with my master's degree from Marquette University in 2012. Life often presents serious challenges that can feel overwhelming at times. It is my belief that each person has the inherent ability to overcome any obstacle. My goal is to meet you wherever you are at and help you develop evidenced based strategies, combined with your own natural strengths, to overcome any challenge or obstacle. I incorporate CBT and mindful based practice to help challenge ineffective patterns of thoughts and behaviors, create balance in your life and sustainable health of mind and body.
(414) 441-1495 View (414) 441-1495
Photo of Alexandra Hahnfeld, Counselor in Germantown, WI
Alexandra Hahnfeld
Counselor, MS, LPC-IT
Verified Verified
1 Endorsed
Germantown, WI 53022
Are you trying to find a therapist that understands the complexities of neurodivergence? I'm here to help. I'm a neurodivergent therapist that specializes in working with teens and adults who often feel misunderstood and need the tools and resources to thrive. I have achieved success in guiding clients through their journeys of self-discovery and understanding of their thoughts, values, and behaviors on a deeper level. I assist my clients in identifying their needs, strengths, and past experiences so we can collaborate on making necessary adjustments in their lives to improve their overall mental health and well-being.
Are you trying to find a therapist that understands the complexities of neurodivergence? I'm here to help. I'm a neurodivergent therapist that specializes in working with teens and adults who often feel misunderstood and need the tools and resources to thrive. I have achieved success in guiding clients through their journeys of self-discovery and understanding of their thoughts, values, and behaviors on a deeper level. I assist my clients in identifying their needs, strengths, and past experiences so we can collaborate on making necessary adjustments in their lives to improve their overall mental health and well-being.
(262) 288-2119 View (262) 288-2119
Photo of Jessika Eiden, LPC Intern in Germantown, WI
Jessika Eiden
LPC Intern, MS, LPC-IT
Verified Verified
4 Endorsed
Germantown, WI 53022
Seeking support for anxiety, self-esteem, or life transitions? Imagine a space where your unique strengths are celebrated, healing begins with trust, and laughter is a powerful ally on your path to well-being. I'm here to be more than a counselor; I'm your partner in growth. With a person-centered, strengths-based, and trauma-informed approach, I'll walk alongside you. Together, we'll navigate the intricacies of your journey, using warmth, genuine care, and occasional humor to build trust and ease. Let's embark on this transformative journey together. You deserve a space where healing isn't just a goal, but a reality.
Seeking support for anxiety, self-esteem, or life transitions? Imagine a space where your unique strengths are celebrated, healing begins with trust, and laughter is a powerful ally on your path to well-being. I'm here to be more than a counselor; I'm your partner in growth. With a person-centered, strengths-based, and trauma-informed approach, I'll walk alongside you. Together, we'll navigate the intricacies of your journey, using warmth, genuine care, and occasional humor to build trust and ease. Let's embark on this transformative journey together. You deserve a space where healing isn't just a goal, but a reality.
(262) 755-2018 View (262) 755-2018
Photo of Michael Casali, PhD, LLC, Licensed Professional Counselor in Germantown, WI
Michael Casali, PhD, LLC
Licensed Professional Counselor, PhD, LCSW, LPC
Verified Verified
Germantown, WI 53022
My clients are children, adolescents, adults, couples and families facing a range of life challenges including, depression, anxiety, loneliness, identity, relationship issues, and life meaning. I tend to work best with individuals who are curious about themselves and motivated to understand how their choices are impacting their lives.
My clients are children, adolescents, adults, couples and families facing a range of life challenges including, depression, anxiety, loneliness, identity, relationship issues, and life meaning. I tend to work best with individuals who are curious about themselves and motivated to understand how their choices are impacting their lives.
(608) 352-9863 View (608) 352-9863
Photo of Lacey Weber, Licensed Professional Counselor in Germantown, WI
Lacey Weber
Licensed Professional Counselor, MS, LPC, NCC
Verified Verified
1 Endorsed
Germantown, WI 53022
Imagine a life with more hope and more optimism; one in which you finally notice yourself making progress towards the goals you’ve struggled to accomplish because “it’s not realistic” or “there’s not enough time”. Imagine a life with less worry and more energy. Imagine finding success in achieving your ideal health and wellness goals or maybe improving the quality of your relationships with others.
Imagine a life with more hope and more optimism; one in which you finally notice yourself making progress towards the goals you’ve struggled to accomplish because “it’s not realistic” or “there’s not enough time”. Imagine a life with less worry and more energy. Imagine finding success in achieving your ideal health and wellness goals or maybe improving the quality of your relationships with others.
(262) 404-3206 View (262) 404-3206
Photo of Jill Spielmann, Licensed Professional Counselor in Germantown, WI
Jill Spielmann
Licensed Professional Counselor, LPC
Verified Verified
Germantown, WI 53022
Jill is a Licensed Professional Counselor with 15+ years of experience working with diverse populations in a variety of therapy settings. She is well known for her sense of humor, compassion, and thoughtfulness. She works from the understanding that the therapeutic relationship plays an integral role in treatment and takes an insight-oriented and interactive approach to therapy. She believes that all individuals possess unique strengths, as well as the capacity to change and that her role is to guide, support, and collaborate with individuals in developing effective ways to cope.
Jill is a Licensed Professional Counselor with 15+ years of experience working with diverse populations in a variety of therapy settings. She is well known for her sense of humor, compassion, and thoughtfulness. She works from the understanding that the therapeutic relationship plays an integral role in treatment and takes an insight-oriented and interactive approach to therapy. She believes that all individuals possess unique strengths, as well as the capacity to change and that her role is to guide, support, and collaborate with individuals in developing effective ways to cope.
(262) 217-7948 View (262) 217-7948
Photo of Sarah Britton, Licensed Professional Counselor in Germantown, WI
Sarah Britton
Licensed Professional Counselor, LPC
Verified Verified
Germantown, WI 53022
Sarah is a licensed professional counselor with more than 13 years of experience assisting individuals, couples, teens and children to reach their goals and fullest potential. With Sarah, you will experience her compassionate, judgment-free, and understanding style enabling you to work towards self-awareness, self-acceptance and positive changes within yourself and in your personal and family relationships. Sarah will honor your unique values and perspectives while motivating you toward healing. She works with clients to process, recover, and grow through relational changes (from marital communication to divorce recovery).
Sarah is a licensed professional counselor with more than 13 years of experience assisting individuals, couples, teens and children to reach their goals and fullest potential. With Sarah, you will experience her compassionate, judgment-free, and understanding style enabling you to work towards self-awareness, self-acceptance and positive changes within yourself and in your personal and family relationships. Sarah will honor your unique values and perspectives while motivating you toward healing. She works with clients to process, recover, and grow through relational changes (from marital communication to divorce recovery).
(262) 588-4037 View (262) 588-4037
Photo of Domonique Nash, Clinical Social Work/Therapist in Germantown, WI
Domonique Nash
Clinical Social Work/Therapist, LCSW, SAC-IT
Verified Verified
Germantown, WI 53022
How we think affects how we feel, which affects how we behave and ultimately our outlook on life. The mind is a powerful tool and it is also one of the strongest determinants of your future. Life is a hard yet incredible journey; you don’t have to take it alone. Together, we can help you control your thoughts and emotions, giving you the chance you deserve at genuine, self-induced happiness and fulfillment.
How we think affects how we feel, which affects how we behave and ultimately our outlook on life. The mind is a powerful tool and it is also one of the strongest determinants of your future. Life is a hard yet incredible journey; you don’t have to take it alone. Together, we can help you control your thoughts and emotions, giving you the chance you deserve at genuine, self-induced happiness and fulfillment.
(262) 592-8583 View (262) 592-8583
Photo of Pamela Sprewer, Pre-Licensed Professional in Germantown, WI
Pamela Sprewer
Pre-Licensed Professional
Verified Verified
Germantown, WI 53022
Are you looking to connect with a therapist that offers a safe, nonjudgmental and inclusive environment where you can be yourself? I strive to provide that to my clients. I approach therapy in a genuine and empathetic way and incorporate humor where appropriate. I find that laughter is a good reminder that there is always hope for the future. My life and professional experiences have prepared me to help those dealing with depression, anxiety, trauma, stress, relationship issues, identity issues, belonging, life/work/school transitions, ADHD, women's issues, sexual dysfunction, parenting challenges, aging and couples issues.
Are you looking to connect with a therapist that offers a safe, nonjudgmental and inclusive environment where you can be yourself? I strive to provide that to my clients. I approach therapy in a genuine and empathetic way and incorporate humor where appropriate. I find that laughter is a good reminder that there is always hope for the future. My life and professional experiences have prepared me to help those dealing with depression, anxiety, trauma, stress, relationship issues, identity issues, belonging, life/work/school transitions, ADHD, women's issues, sexual dysfunction, parenting challenges, aging and couples issues.
(262) 600-3622 View (262) 600-3622
Photo of Allison Lohman, Licensed Professional Counselor in Germantown, WI
Allison Lohman
Licensed Professional Counselor
Verified Verified
Germantown, WI 53022
I am a Licensed Professional Counselor who provides counseling for children, adolescents, and adults facing a wide range of difficulties including: anxiety, depression, relationship issues, life transitions, self esteem, ADHD, women’s issues, behavioral issues, social anxiety, childhood stressors, and parenting difficulties. I provide a warm, empathetic environment to connect with kindness and humor as needed to help you identify difficulties and find solutions for comfort, strength, and peace through a variety of evidence based practices.
I am a Licensed Professional Counselor who provides counseling for children, adolescents, and adults facing a wide range of difficulties including: anxiety, depression, relationship issues, life transitions, self esteem, ADHD, women’s issues, behavioral issues, social anxiety, childhood stressors, and parenting difficulties. I provide a warm, empathetic environment to connect with kindness and humor as needed to help you identify difficulties and find solutions for comfort, strength, and peace through a variety of evidence based practices.
(262) 846-5577 View (262) 846-5577
Photo of Brad Sachse, Licensed Professional Counselor in Germantown, WI
Brad Sachse
Licensed Professional Counselor, LPC
Verified Verified
Germantown, WI 53022
Brad offers a deeply personalized approach specific to each individual to help them build upon their strengths and accomplish the personal growth they are committed to achieving. With compassion and understanding he utilizes a collaborative approach where he works with you to identify goals of therapy and the right pace of attaining those goals. His specialties include couples, grief, stress management, anxiety, depression, trauma, and dependence (gambling, technology, substances).
Brad offers a deeply personalized approach specific to each individual to help them build upon their strengths and accomplish the personal growth they are committed to achieving. With compassion and understanding he utilizes a collaborative approach where he works with you to identify goals of therapy and the right pace of attaining those goals. His specialties include couples, grief, stress management, anxiety, depression, trauma, and dependence (gambling, technology, substances).
(262) 588-4195 View (262) 588-4195
Photo of Mosaic Counseling, Licensed Professional Counselor in Germantown, WI
Mosaic Counseling
Licensed Professional Counselor
Verified Verified
Germantown, WI 53022
At Mosaic Counseling, we focus on offering compassionate and supportive evidence-based therapies to a wide variety of clients. Our specialties incude anxiety, depression, life transition, trauma and grief. We are open to all spiritual paths and all GLBTQ communities. We have many therapists who are located in Mequon, Sheboygan, Germantown, West Bend, Waukesha and offer virtual sessions within Wisconsin. To find the best match for you, please visit our website at www.mosaiccounseling-wi.com.
At Mosaic Counseling, we focus on offering compassionate and supportive evidence-based therapies to a wide variety of clients. Our specialties incude anxiety, depression, life transition, trauma and grief. We are open to all spiritual paths and all GLBTQ communities. We have many therapists who are located in Mequon, Sheboygan, Germantown, West Bend, Waukesha and offer virtual sessions within Wisconsin. To find the best match for you, please visit our website at www.mosaiccounseling-wi.com.
(262) 404-3546 View (262) 404-3546

See more therapy options for Germantown

How does your Therapist compare?

Number of Therapists in Germantown, WI

30+

Average cost per session

$125

Therapists in Germantown, WI who prioritize treating:

97% Depression
94% Anxiety
74% Grief
71% Trauma and PTSD
68% Coping Skills
65% Relationship Issues
65% Self Esteem

Average years in practice

10 Years

Top 3 insurances accepted

79% Aetna
79% UnitedHealthcare UHC | UBH
75% Anthem | Elevance

How Therapists in Germantown, WI see their clients

98% In Person and Online
2% Online Only

Gender breakdown

73% Female
27% Male

FAQs - About Therapy and Counseling

How can I find a therapist in Germantown?

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.