Therapists in Arlington, MA

Photo of Amber D. McMahon, M.Ed., LMHC., Counselor in Arlington, MA
Amber D. McMahon, M.Ed., LMHC.
Counselor, MEd, LMHC
Verified Verified
1 Endorsed
Arlington, MA 02476
You thought you would have it all figured out by now but you are finding out day to day that is not the case. You might be experiencing anxiety, stress, overwhelm and not exactly sure what direction to go in. I give my clients hands on tools and guidance to support them on their journey of self awareness, discovery, and mastery.
You thought you would have it all figured out by now but you are finding out day to day that is not the case. You might be experiencing anxiety, stress, overwhelm and not exactly sure what direction to go in. I give my clients hands on tools and guidance to support them on their journey of self awareness, discovery, and mastery.
(339) 686-8098 View (339) 686-8098
Photo of Dr. Melissa Coffey, Pre-Licensed Professional in Arlington, MA
Dr. Melissa Coffey
Pre-Licensed Professional, PsyD
Verified Verified
Arlington, MA 02476
Melissa Coffey, PsyD, is a pre-licensed clinical psychologist who specializes in working with children and adolescents. Melissa has a plethora of experience in the school setting as well as the clinical setting. Her background includes trauma informed care, family systems, psychoeducational assessment, as well as LGBTQIA+ youth. Her research includes implementing positive psychology into complex systems to increase the level of wellbeing in the work environment.
Melissa Coffey, PsyD, is a pre-licensed clinical psychologist who specializes in working with children and adolescents. Melissa has a plethora of experience in the school setting as well as the clinical setting. Her background includes trauma informed care, family systems, psychoeducational assessment, as well as LGBTQIA+ youth. Her research includes implementing positive psychology into complex systems to increase the level of wellbeing in the work environment.
(339) 500-7899 View (339) 500-7899
Photo of Emily Fox-Kales, Psychologist in Arlington, MA
Emily Fox-Kales
Psychologist, PhD, MA
Verified Verified
Arlington, MA 02476
As a clinical psychologist I have over 30 years of experience treating eating disorders, body disturbances, and weight problems and am the founder and director of Feeding Ourselves. Feeding Ourselves is a comprehensive program for people who want to change the way they eat and the way they confront their weight problem. Many participants have a long history of battling extra pounds. Others may not be overweight, but suffer from compulsive over eating, binge eating or bulimia. The vulnerability they share is feeling out of control with food, and a preoccupation with eating and weight that drains their lives of valuable energy.
As a clinical psychologist I have over 30 years of experience treating eating disorders, body disturbances, and weight problems and am the founder and director of Feeding Ourselves. Feeding Ourselves is a comprehensive program for people who want to change the way they eat and the way they confront their weight problem. Many participants have a long history of battling extra pounds. Others may not be overweight, but suffer from compulsive over eating, binge eating or bulimia. The vulnerability they share is feeling out of control with food, and a preoccupation with eating and weight that drains their lives of valuable energy.
(781) 325-4922 View (781) 325-4922
Photo of Michelle E Asbeck, Counselor in Arlington, MA
Michelle E Asbeck
Counselor, LMHC
Verified Verified
Arlington, MA 02476  (Online Only)
I am looking to help people gain insight into why they may respond to the world/relationships around them in the way they do, why they are feeling the way they feel. To help people create a narrative that is strength based and adaptive, to find hope. I hope to help clients start to feel like they have more control of their conscious mind, to step out of living life on autopilot and to find safety in their own bodies. In addition to trauma informed care, I am experienced in helping adults experiencing anxiety, depression, mood disturbance, emotion dysregulation, relational issues and adjustment to acute life stressors.
I am looking to help people gain insight into why they may respond to the world/relationships around them in the way they do, why they are feeling the way they feel. To help people create a narrative that is strength based and adaptive, to find hope. I hope to help clients start to feel like they have more control of their conscious mind, to step out of living life on autopilot and to find safety in their own bodies. In addition to trauma informed care, I am experienced in helping adults experiencing anxiety, depression, mood disturbance, emotion dysregulation, relational issues and adjustment to acute life stressors.
(339) 233-4948 View (339) 233-4948
Peter O'Connor
Psychologist, PsyD
Verified Verified
Arlington, MA 02474  (Online Only)
Cognitive Therapy Training was received at the Center for Cognitive Therapy at the University of Pennsylvania, Philadelphia. Specific areas of expertise are depression and anxiety disorders including phobias, agoraphobia and panic disorder. Present and past positions include: Academy of Cognitive Therapy - Founding Fellow; Clinical Director of the Cognitive-Behavior Therapy Unit, McLean Hospital; Harvard Medical School - Instructor; National Institute of health - Therapist, Cognitive Therapy for cocaine abuse research; Member of the Association for Behavior and Cognitive Therapies.
Cognitive Therapy Training was received at the Center for Cognitive Therapy at the University of Pennsylvania, Philadelphia. Specific areas of expertise are depression and anxiety disorders including phobias, agoraphobia and panic disorder. Present and past positions include: Academy of Cognitive Therapy - Founding Fellow; Clinical Director of the Cognitive-Behavior Therapy Unit, McLean Hospital; Harvard Medical School - Instructor; National Institute of health - Therapist, Cognitive Therapy for cocaine abuse research; Member of the Association for Behavior and Cognitive Therapies.
(617) 506-9951 View (617) 506-9951
Photo of Stefanie Landau, Psychologist in Arlington, MA
Stefanie Landau
Psychologist, PsyD
Verified Verified
Arlington, MA 02474
Ambivalence about change is universal to us all. It is challenging to question the parts of ourselves that are no longer serving us, and invite space for something novel. In therapy with me, we will reflect upon the aspects of your life that are working for you, and places where you feel stagnant, dissatisfied, or empty. Even the parts of yourself that feel the most frustrating, perplexing, or harmful have arisen in attempts to help you. Together, we will explore all of these parts with openness, curiosity and wonder. I work with individuals who are interested in this exploratory approach to themselves and their relationships.
Ambivalence about change is universal to us all. It is challenging to question the parts of ourselves that are no longer serving us, and invite space for something novel. In therapy with me, we will reflect upon the aspects of your life that are working for you, and places where you feel stagnant, dissatisfied, or empty. Even the parts of yourself that feel the most frustrating, perplexing, or harmful have arisen in attempts to help you. Together, we will explore all of these parts with openness, curiosity and wonder. I work with individuals who are interested in this exploratory approach to themselves and their relationships.
(339) 201-6396 View (339) 201-6396
Photo of Alessandra Muccio, LCSW, Clinical Social Work/Therapist in Arlington, MA
Alessandra Muccio, LCSW
Clinical Social Work/Therapist, LCSW
Verified Verified
Arlington, MA 02476  (Online Only)
You have been trying to get to a place where you can be authentically you. But currently, trauma is getting in the way. Whether that’s trauma from hurtful relationships or trauma from dealing with the daily impact of oppression. In order to be authentically you, you realize you’ll have to heal - heal from the past, heal from the present, and heal within the systems that harm you every day.
You have been trying to get to a place where you can be authentically you. But currently, trauma is getting in the way. Whether that’s trauma from hurtful relationships or trauma from dealing with the daily impact of oppression. In order to be authentically you, you realize you’ll have to heal - heal from the past, heal from the present, and heal within the systems that harm you every day.
(339) 201-3288 View (339) 201-3288
Photo of Grace Steele Scarlett, Clinical Social Work/Therapist in Arlington, MA
Grace Steele Scarlett
Clinical Social Work/Therapist, LICSW
Verified Verified
Arlington, MA 02474
Waitlist for new clients
Grace has experience as a Licensed Independent Clinical Social Worker for the past 8 years, working primarily with children and their families. She has a passion for helping children understand their emotions and develop realistic coping strategies to manage them. As a newer mom herself, Grace also has an interest in supporting women in the perinatal period. Grace specializes in helping individuals through their first pregnancy and the transition into motherhood. Grace has also been practicing and teaching yoga to adults and children for over 10 years and enjoys helping others connect with themselves through breath and movement.
Grace has experience as a Licensed Independent Clinical Social Worker for the past 8 years, working primarily with children and their families. She has a passion for helping children understand their emotions and develop realistic coping strategies to manage them. As a newer mom herself, Grace also has an interest in supporting women in the perinatal period. Grace specializes in helping individuals through their first pregnancy and the transition into motherhood. Grace has also been practicing and teaching yoga to adults and children for over 10 years and enjoys helping others connect with themselves through breath and movement.
(339) 330-2167 View (339) 330-2167
Photo of Jeffrey J Howlett, Counselor in Arlington, MA
Jeffrey J Howlett
Counselor, LMHC, LMFT
Verified Verified
Arlington, MA 02476
I've been a licensed mental health counselor (LMHC), and a licensed marriage and family therapist (LMFT) for almost twenty years. I work with individuals, couples, and families out of the basement office of my home in Arlington, MA. My most basic therapeutic approach is that everyone is born good and whole. But, life happens and it sends us difficulties that we can’t always understand or handle. These difficulties can happen as children, adolescents, adults, in school, home, work, and in our marriages. Sometimes these problematic life experiences can affect our core beliefs negatively and/or overwhelm our abilities to cope.
I've been a licensed mental health counselor (LMHC), and a licensed marriage and family therapist (LMFT) for almost twenty years. I work with individuals, couples, and families out of the basement office of my home in Arlington, MA. My most basic therapeutic approach is that everyone is born good and whole. But, life happens and it sends us difficulties that we can’t always understand or handle. These difficulties can happen as children, adolescents, adults, in school, home, work, and in our marriages. Sometimes these problematic life experiences can affect our core beliefs negatively and/or overwhelm our abilities to cope.
(781) 483-4693 View (781) 483-4693
Photo of Reid Slavin, Clinical Social Work/Therapist in Arlington, MA
Reid Slavin
Clinical Social Work/Therapist, LCSW
Verified Verified
Arlington, MA 02476
Reid Slavin is a Licensed Clinical Social Worker in Massachusetts who has been practicing since 2008. Reid Slavin earned a Bachelor's Degree in Substance-Use Counseling and a Master's Degree in Social Work from Springfield College. Reid has more than 15 years of experience working with children and adults who are experiencing substance-use disorders and mental-health conditions, including those with co-occurring disorders.
Reid Slavin is a Licensed Clinical Social Worker in Massachusetts who has been practicing since 2008. Reid Slavin earned a Bachelor's Degree in Substance-Use Counseling and a Master's Degree in Social Work from Springfield College. Reid has more than 15 years of experience working with children and adults who are experiencing substance-use disorders and mental-health conditions, including those with co-occurring disorders.
(339) 329-1776 View (339) 329-1776
Photo of Danielle Green, Clinical Social Work/Therapist in Arlington, MA
Danielle Green
Clinical Social Work/Therapist, LICSW
Verified Verified
1 Endorsed
Arlington, MA 02476
I help couples develop skills to restore trust, communicate and express feelings effectively, understand and resolve differences, and enhance intimacy. It is my passion to help couples repair their connections and create secure and lasting bonds with those who matter the most. I also offer supervision to advanced practitioners interested in learning more about working with couples. I am a Principal Staff member of NECCF and Psych Garden. I received my MSW from Columbia University in 1993 and went on to complete 5 years of specialist training in couples and family therapy at the Ackerman Institute for the Family, in New York City.
I help couples develop skills to restore trust, communicate and express feelings effectively, understand and resolve differences, and enhance intimacy. It is my passion to help couples repair their connections and create secure and lasting bonds with those who matter the most. I also offer supervision to advanced practitioners interested in learning more about working with couples. I am a Principal Staff member of NECCF and Psych Garden. I received my MSW from Columbia University in 1993 and went on to complete 5 years of specialist training in couples and family therapy at the Ackerman Institute for the Family, in New York City.
(617) 360-8833 View (617) 360-8833
Photo of Shireen Idriss, Pre-Licensed Professional in Arlington, MA
Shireen Idriss
Pre-Licensed Professional, MA
Verified Verified
Arlington, MA 02476
I work with all ages with a specialization in children, adolescents and families. I support individuals and families as they navigate daily stressors, symptoms of anxiety and depression, as well as past trauma. I acknowledge the importance of a therapeutic alliance as a foundation for the healing journey. I offer a nonjudgmental, warm, caring, and empowering environment. Believing that each client is the expert of themselves, I will work collaboratively with you and/or your child to meet your needs and goals.
I work with all ages with a specialization in children, adolescents and families. I support individuals and families as they navigate daily stressors, symptoms of anxiety and depression, as well as past trauma. I acknowledge the importance of a therapeutic alliance as a foundation for the healing journey. I offer a nonjudgmental, warm, caring, and empowering environment. Believing that each client is the expert of themselves, I will work collaboratively with you and/or your child to meet your needs and goals.
(339) 329-7073 View (339) 329-7073
Photo of Amy Kade, Counselor in Arlington, MA
Amy Kade
Counselor, LMHC
Verified Verified
2 Endorsed
Arlington, MA 02474
Not accepting new clients
Life can be tough, especially lately. As a clinician I am passionate about helping people find strength and healing in difficult circumstances, with both lifelong issues and daily frustrations. I work to support children, adults and couples to feel safe in expressing themselves and living their lives to the fullest.
Life can be tough, especially lately. As a clinician I am passionate about helping people find strength and healing in difficult circumstances, with both lifelong issues and daily frustrations. I work to support children, adults and couples to feel safe in expressing themselves and living their lives to the fullest.
(339) 331-1286 View (339) 331-1286
Photo of Career and Relationships, Holistic Life Coaching in Arlington, MA
Career and Relationships, Holistic Life Coaching
MA
Verified Verified
Arlington, MA 02476  (Online Only)
Is a big transition bringing up fear and uncertainty for you? You may be: seeking more meaningful work or considering self-employment; navigating a breakup or desiring new love; moving cross-country or across the street. Any of these changes can be "nerv-citing" (nerve-wracking and exciting!) You might have high expectations of what is possible, but also worry that you won't live up to your potential. Though you are caring, open-minded, and driven, you may be harder on yourself than anyone you know. In our work together, I can help you claim the MORE you know is possible, while feeling grateful, enlivened, & ENOUGH along the way.
Is a big transition bringing up fear and uncertainty for you? You may be: seeking more meaningful work or considering self-employment; navigating a breakup or desiring new love; moving cross-country or across the street. Any of these changes can be "nerv-citing" (nerve-wracking and exciting!) You might have high expectations of what is possible, but also worry that you won't live up to your potential. Though you are caring, open-minded, and driven, you may be harder on yourself than anyone you know. In our work together, I can help you claim the MORE you know is possible, while feeling grateful, enlivened, & ENOUGH along the way.
(339) 217-6604 View (339) 217-6604
Photo of Ireneusz Sielski, Marriage & Family Therapist in Arlington, MA
Ireneusz Sielski
Marriage & Family Therapist, LMFT
Verified Verified
Arlington, MA 02476  (Online Only)
Hello, I'm a Licensed Marriage and Family Therapist with expertise in anxiety, depression, trauma, and relationship issues. I work with individuals, couples, and families, drawing on experience with clients from the US and Europe. Licensed in MA and CT.
Hello, I'm a Licensed Marriage and Family Therapist with expertise in anxiety, depression, trauma, and relationship issues. I work with individuals, couples, and families, drawing on experience with clients from the US and Europe. Licensed in MA and CT.
(508) 501-0561 View (508) 501-0561
Photo of Chuck Weinstein, Counselor in Arlington, MA
Chuck Weinstein
Counselor, LMHC, CPRP, CPS
Verified Verified
Arlington, MA 02474
Not accepting new clients
I am no longer accepting new clients at this time. With over 30 years of experience in the field of mental health and addictions counseling, I successfully assist individuals manage difficult issues and challenges in their lives. I effectively work with couples on communication and other skills to support re-opening their hearts to each other. I am respectful and collaborative. I tailor my approach to address your specific needs. You are the expert in your own experience. I will listen carefully and take a supportive and helpful role. I am above all a compassionate, thoughtful, educated and experienced professional.
I am no longer accepting new clients at this time. With over 30 years of experience in the field of mental health and addictions counseling, I successfully assist individuals manage difficult issues and challenges in their lives. I effectively work with couples on communication and other skills to support re-opening their hearts to each other. I am respectful and collaborative. I tailor my approach to address your specific needs. You are the expert in your own experience. I will listen carefully and take a supportive and helpful role. I am above all a compassionate, thoughtful, educated and experienced professional.
(339) 217-8830 View (339) 217-8830
Photo of Lisa Davis, Counselor in Arlington, MA
Lisa Davis
Counselor, MA, LMHC
Verified Verified
Arlington, MA 02476
Waitlist for new clients
Do you feel stuck, upset, frustrated, scared or confused? A troubling combination of these feelings? People often call me when stresses in their lives have increased, they're having difficulty coping or are experiencing uncomfortable levels of anxiety, depression or confusion in relationships, disappointment in self or others, work difficulties, or problems adjusting to loss and other life changes. In the context of a respectful, warm and trusting therapeutic alliance, I work with individuals and couples to empower them to build skills necessary to explore, fully experience and productively weather the emotional storms essential to a worthwhile and creative life.
Do you feel stuck, upset, frustrated, scared or confused? A troubling combination of these feelings? People often call me when stresses in their lives have increased, they're having difficulty coping or are experiencing uncomfortable levels of anxiety, depression or confusion in relationships, disappointment in self or others, work difficulties, or problems adjusting to loss and other life changes. In the context of a respectful, warm and trusting therapeutic alliance, I work with individuals and couples to empower them to build skills necessary to explore, fully experience and productively weather the emotional storms essential to a worthwhile and creative life.
(781) 996-2219 View (781) 996-2219
Photo of Carol Wintle, Counselor in Arlington, MA
Carol Wintle
Counselor, LMHC, MA
Verified Verified
Arlington, MA 02474  (Online Only)
I bring 40 years of experience to my private practice helping individuals solve emotional and behavioral health problems. As a Licensed Mental Health Counselor with a Masters degree in Counseling Psychology, I am skilled in helping people with problems such as anxiety, depression, relationship/interpersonal issues, bullying and loss. I assist clients in developing social and emotional skills that help them live happier and more meaningful lives. My style is warm, respectful and spirited. I love the work I do and look forward to meeting and helping you.
I bring 40 years of experience to my private practice helping individuals solve emotional and behavioral health problems. As a Licensed Mental Health Counselor with a Masters degree in Counseling Psychology, I am skilled in helping people with problems such as anxiety, depression, relationship/interpersonal issues, bullying and loss. I assist clients in developing social and emotional skills that help them live happier and more meaningful lives. My style is warm, respectful and spirited. I love the work I do and look forward to meeting and helping you.
(617) 823-7070 View (617) 823-7070
Photo of Carolyn D Greene, Psychologist in Arlington, MA
Carolyn D Greene
Psychologist, PsyD
Verified Verified
Arlington, MA 02474  (Online Only)
Welcome! I am here to offer you help through life’s most difficult transitions. Anxiety, depression, past trauma, and current stressors can weigh us down. Sometimes, even positive changes, like pregnancy and postpartum, can be hard. While I can help clients with a variety of issues, my specialties include treatment of trauma/PTSD as well as treatment of mood and anxiety disorders during pregnancy and the postpartum period.
Welcome! I am here to offer you help through life’s most difficult transitions. Anxiety, depression, past trauma, and current stressors can weigh us down. Sometimes, even positive changes, like pregnancy and postpartum, can be hard. While I can help clients with a variety of issues, my specialties include treatment of trauma/PTSD as well as treatment of mood and anxiety disorders during pregnancy and the postpartum period.
(339) 215-3882 View (339) 215-3882
Photo of Marilyn Downs, Clinical Social Work/Therapist in Arlington, MA
Marilyn Downs
Clinical Social Work/Therapist, PhD, LICSW
Verified Verified
1 Endorsed
Arlington, MA 02474
Not accepting new clients
I have over thirty years of experience providing therapy to adults of all ages. My style is warm, non-judgmental, respectful, and active. I use a blend of relational, mindfulness, psychodynamic and skills-based approaches to help you gain clarity and develop strategies to feel better. I am also trained in EMDR and sometimes incorporate those practices into my work with clients when needed. I am interested in seeing you as a whole person; understanding your experiences within your personal, cultural and social contexts; and supporting your strengths and resilience.
I have over thirty years of experience providing therapy to adults of all ages. My style is warm, non-judgmental, respectful, and active. I use a blend of relational, mindfulness, psychodynamic and skills-based approaches to help you gain clarity and develop strategies to feel better. I am also trained in EMDR and sometimes incorporate those practices into my work with clients when needed. I am interested in seeing you as a whole person; understanding your experiences within your personal, cultural and social contexts; and supporting your strengths and resilience.
(339) 209-0182 View (339) 209-0182

How does your Therapist compare?

Number of Therapists in Arlington, MA

400+

Average cost per session

$175

Therapists in Arlington, MA who prioritize treating:

92% Anxiety
87% Depression
79% Relationship Issues
76% Self Esteem
67% Coping Skills
66% Trauma and PTSD
64% Stress

Average years in practice

12 Years

Top 3 insurances accepted

83% BlueCross and BlueShield
51% UnitedHealthcare UHC | UBH
50% Optum

How Therapists in Arlington, MA see their clients

69% In Person and Online
31% Online Only

Gender breakdown

83% Female
16% Male
1% Non-Binary
FAQs - About Therapy and Counseling

How can I find a therapist in Arlington?

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.