Therapists in Lancaster, PA

Photo of Ketra Forry, Licensed Professional Counselor in Lancaster, PA
Ketra Forry
Licensed Professional Counselor, MA, MHA, LPC, CAADC, MTTS
Verified Verified
Lancaster, PA 17602  (Online Only)
As a behavioral health professional working in the field for the past 14 years, I bring a wealth of experience to new-to-practice clinicians. I have worked in a variety of settings, including schools, counseling agencies, primary care offices, and hospitals. I typically use more of an eclectic approach to counseling, using a variety of modalities such as EMDR, ACT, CBT, and solution focused therapy, to best meet the client's needs. I enjoy using my knowledge, experience, and lessons learned to help others grow.
As a behavioral health professional working in the field for the past 14 years, I bring a wealth of experience to new-to-practice clinicians. I have worked in a variety of settings, including schools, counseling agencies, primary care offices, and hospitals. I typically use more of an eclectic approach to counseling, using a variety of modalities such as EMDR, ACT, CBT, and solution focused therapy, to best meet the client's needs. I enjoy using my knowledge, experience, and lessons learned to help others grow.
(223) 215-5627 View (223) 215-5627
Photo of Colleen Madrigale, Clinical Social Work/Therapist in Lancaster, PA
Colleen Madrigale
Clinical Social Work/Therapist, LCSW
Verified Verified
2 Endorsed
Lancaster, PA 17601
Waitlist for new clients
Hi, I’m Colleen! I’m a Licensed Clinical Social Worker (LCSW) and psychotherapist specializing in Dialectical Behavioral Therapy and Person-Centered Therapy. I have used DBT-informed interventions to help a diverse range of clients build trusting relationships with themselves and cope with difficult emotions. I am especially passionate about providing an affirming therapeutic space for LGBTQIA+ individuals. Whether you are seeking support with anxiety/depression, grief/loss, trauma or simply need guidance during a difficult stage of life, I hope to collaborate with you in building a treatment plan that reflects your unique goals.
Hi, I’m Colleen! I’m a Licensed Clinical Social Worker (LCSW) and psychotherapist specializing in Dialectical Behavioral Therapy and Person-Centered Therapy. I have used DBT-informed interventions to help a diverse range of clients build trusting relationships with themselves and cope with difficult emotions. I am especially passionate about providing an affirming therapeutic space for LGBTQIA+ individuals. Whether you are seeking support with anxiety/depression, grief/loss, trauma or simply need guidance during a difficult stage of life, I hope to collaborate with you in building a treatment plan that reflects your unique goals.
(717) 971-4788 View (717) 971-4788
Photo of Angela Gordon, Licensed Professional Counselor in Lancaster, PA
Angela Gordon
Licensed Professional Counselor, MS, LPC
Verified Verified
2 Endorsed
Lancaster, PA 17603  (Online Only)
You are unique. You cannot be duplicated. You deserve to receive in abundance and to feel capable of giving the best version of yourself to the world. Let's work together to make sure that you always do!
You are unique. You cannot be duplicated. You deserve to receive in abundance and to feel capable of giving the best version of yourself to the world. Let's work together to make sure that you always do!
(717) 455-3289 View (717) 455-3289
Photo of Julie Saragosa, Pre-Licensed Professional in Lancaster, PA
Julie Saragosa
Pre-Licensed Professional, MA
Verified Verified
1 Endorsed
Lancaster, PA 17603
As your therapist, my goal is to provide a comfortable and safe environment for you to express your feelings and help you gain perspective with challenges you may be facing. My clients learn healthy coping skills and tools to better navigate life's difficult moments. My role is to walk alongside you through this journey to your most empowered and best self. By challenging beliefs and emotions that no longer serve you, in addition to improving intra and interpersonal relationships, personal growth and symptom relief are my goals for you. You are not alone; allow me to help you through challenges and find hope and happiness again.
As your therapist, my goal is to provide a comfortable and safe environment for you to express your feelings and help you gain perspective with challenges you may be facing. My clients learn healthy coping skills and tools to better navigate life's difficult moments. My role is to walk alongside you through this journey to your most empowered and best self. By challenging beliefs and emotions that no longer serve you, in addition to improving intra and interpersonal relationships, personal growth and symptom relief are my goals for you. You are not alone; allow me to help you through challenges and find hope and happiness again.
(223) 218-2976 View (223) 218-2976
Photo of Latinia M. Shell, Licensed Professional Counselor in Lancaster, PA
Latinia M. Shell
Licensed Professional Counselor, EdD, LPC, NCC, CCMHC, ACS
Verified Verified
2 Endorsed
Lancaster, PA 17603
I provide individual therapy for adolescents, teens, adults, as well as couples, families, and group counseling. Through a highly personalized approach tailored to each client's individual needs, I assist clients in identifying limiting beliefs and outmoded coping mechanisms that may be standing in the way. I work with a wide range of emotional and behavioral issues. Services provided span from therapy for depression and anxiety to relationship and family counseling, stress management, anger management and beyond. In a comfortable and supportive atmosphere, I hope to help clients attain the personal growth they're striving for.
I provide individual therapy for adolescents, teens, adults, as well as couples, families, and group counseling. Through a highly personalized approach tailored to each client's individual needs, I assist clients in identifying limiting beliefs and outmoded coping mechanisms that may be standing in the way. I work with a wide range of emotional and behavioral issues. Services provided span from therapy for depression and anxiety to relationship and family counseling, stress management, anger management and beyond. In a comfortable and supportive atmosphere, I hope to help clients attain the personal growth they're striving for.
(717) 801-1159 View (717) 801-1159
Photo of Lilly Knopic, Licensed Professional Counselor in Lancaster, PA
Lilly Knopic
Licensed Professional Counselor, NCC, LPC
Verified Verified
1 Endorsed
Lancaster, PA 17601  (Online Only)
Many of us experience more unwanted emotions than the preferred ones, which can prompt our unhelpful reactions. If you have difficulty accepting or coping with a problem in life, I welcome you to begin therapy sessions with me. I can also support you if you’re having difficulty managing anxiety, depression, grief, or unhelpful thinking patterns.
Many of us experience more unwanted emotions than the preferred ones, which can prompt our unhelpful reactions. If you have difficulty accepting or coping with a problem in life, I welcome you to begin therapy sessions with me. I can also support you if you’re having difficulty managing anxiety, depression, grief, or unhelpful thinking patterns.
(717) 219-2354 View (717) 219-2354
Photo of Rebecca Felegy, Licensed Professional Counselor in Lancaster, PA
Rebecca Felegy
Licensed Professional Counselor, MS, LPC
Verified Verified
Lancaster, PA 17601
Depression, anxiety, and other life experiences can create hardship along with the other day-to-day stressors that are present for us all. Sometimes we need extra support, a different perspective, or someone to walk with us through life’s difficulties, and therapy is a brave and great first step to take in seeking help.
Depression, anxiety, and other life experiences can create hardship along with the other day-to-day stressors that are present for us all. Sometimes we need extra support, a different perspective, or someone to walk with us through life’s difficulties, and therapy is a brave and great first step to take in seeking help.
(717) 973-6831 x266 View (717) 973-6831 x266
Photo of Dr. Claudia E. Smith, Counselor in Lancaster, PA
Dr. Claudia E. Smith
Counselor, PhD
Verified Verified
1 Endorsed
Lancaster, PA 17602  (Online Only)
Do you have questions/concerns related to sexuality- sexual pleasure, satisfaction, desire, or are you experiencing a sexual dysfunction. These are all sensitive and intimate topics and definitely not easy to talk about without possibly feeling some shame or embarrassment. Have these concerns been impacting the quality of your relationship ? Are you feeling stuck with no clue how to move forward? Embark on a journey of discovery and transformation with me. I will guide you towards sexual empowerment and well-being. Together we will break down the barriers, embrace the power of your sexuality, and celebrate your growth!
Do you have questions/concerns related to sexuality- sexual pleasure, satisfaction, desire, or are you experiencing a sexual dysfunction. These are all sensitive and intimate topics and definitely not easy to talk about without possibly feeling some shame or embarrassment. Have these concerns been impacting the quality of your relationship ? Are you feeling stuck with no clue how to move forward? Embark on a journey of discovery and transformation with me. I will guide you towards sexual empowerment and well-being. Together we will break down the barriers, embrace the power of your sexuality, and celebrate your growth!
(570) 263-5667 View (570) 263-5667
Photo of Jeff Johnson, Marriage & Family Therapist in Lancaster, PA
Jeff Johnson
Marriage & Family Therapist, MS, LMFT
Verified Verified
1 Endorsed
Lancaster, PA 17603  (Online Only)
With over 20 years of mental health experience and 14 years practicing therapy, I have learned to specialize in relationship/couples therapy and work as well as individuals struggling with anxiety, depression, and other life and circumstantial issues. If you are looking to repair, strengthen, regain connection, improve intimacy, or generally work on your relationships or your mental health I can help you find that path. My experience has also led me to work with trauma in a systemic and experiential way and utilize EMDR, mindfulness and trauma informed interventions.
With over 20 years of mental health experience and 14 years practicing therapy, I have learned to specialize in relationship/couples therapy and work as well as individuals struggling with anxiety, depression, and other life and circumstantial issues. If you are looking to repair, strengthen, regain connection, improve intimacy, or generally work on your relationships or your mental health I can help you find that path. My experience has also led me to work with trauma in a systemic and experiential way and utilize EMDR, mindfulness and trauma informed interventions.
(223) 218-2455 View (223) 218-2455
Photo of Allison Soellner (Morning Availability), Licensed Professional Counselor in Lancaster, PA
Allison Soellner (Morning Availability)
Licensed Professional Counselor, MS, LPC
Verified Verified
Lancaster, PA 17601
I believe that all individuals deserve a safe, warm and inviting environment to work on goals that make change possible. My goal in the therapeutic process is to allow individuals to explore in a supportive, collaborative manner. I incorporate person-centered therapy where clients have the ability to process, create goals and ignite change into their lives, whether that be mentally, emotionally or spiritually. I enjoy working with individuals who are 16 and older that may be struggling in areas that include anxiety, relationships, substance use, life stress, trauma and other areas that may be found during the journey of therapy.
I believe that all individuals deserve a safe, warm and inviting environment to work on goals that make change possible. My goal in the therapeutic process is to allow individuals to explore in a supportive, collaborative manner. I incorporate person-centered therapy where clients have the ability to process, create goals and ignite change into their lives, whether that be mentally, emotionally or spiritually. I enjoy working with individuals who are 16 and older that may be struggling in areas that include anxiety, relationships, substance use, life stress, trauma and other areas that may be found during the journey of therapy.
(717) 864-4980 View (717) 864-4980
Photo of Lyndsie Harris, Marriage & Family Therapist in Lancaster, PA
Lyndsie Harris
Marriage & Family Therapist, MA, LMFT, LMHC
Verified Verified
5 Endorsed
Lancaster, PA 17601
Not accepting new clients
Your pain matters and counseling can be a safe place to confidentially recieve support. A key to mental health is to know and understand the truth about the circumstances of our lives, and to be able to share that reality with at least one other person. I'm honored to provide space for you to share openly and deeply about what you're experiencing. I value creating a trusting alliance to understand your personal history and present circumstances in order to best support you in experiencing your optimal well-being.
Your pain matters and counseling can be a safe place to confidentially recieve support. A key to mental health is to know and understand the truth about the circumstances of our lives, and to be able to share that reality with at least one other person. I'm honored to provide space for you to share openly and deeply about what you're experiencing. I value creating a trusting alliance to understand your personal history and present circumstances in order to best support you in experiencing your optimal well-being.
(717) 229-0198 View (717) 229-0198
Photo of Sean Cornwall, Marriage & Family Therapist in Lancaster, PA
Sean Cornwall
Marriage & Family Therapist, LMFT
Verified Verified
1 Endorsed
Lancaster, PA 17603  (Online Only)
You've come to know that you're not at peace in your relationship and don't know where to begin with couples counseling in Lancaster, PA. The unhappiness and lack of peace has stirred up feelings and emotions within yourself. You've looked at your partner and wondered how you could make this work. Thoughts of how selfish they are have flooded your mind and you feel a loss of hope.
You've come to know that you're not at peace in your relationship and don't know where to begin with couples counseling in Lancaster, PA. The unhappiness and lack of peace has stirred up feelings and emotions within yourself. You've looked at your partner and wondered how you could make this work. Thoughts of how selfish they are have flooded your mind and you feel a loss of hope.
(717) 899-1558 View (717) 899-1558
Photo of Katie Brakeall, Clinical Social Work/Therapist in Lancaster, PA
Katie Brakeall
Clinical Social Work/Therapist, LSW
Verified Verified
1 Endorsed
Lancaster, PA 17601
Welcome, I’m glad you’re here. Our paths sometimes deliver us to unfamiliar and uncomfortable places that can be challenging to navigate. You are strong, and you don’t have to feel lost. Together, we will discover a way forward. My name is Katie, and I bring a holistic approach to therapy, valuing the mind-body connection. I truly believe that you are inherently your own best healer; I am just a guide to help you along this journey.
Welcome, I’m glad you’re here. Our paths sometimes deliver us to unfamiliar and uncomfortable places that can be challenging to navigate. You are strong, and you don’t have to feel lost. Together, we will discover a way forward. My name is Katie, and I bring a holistic approach to therapy, valuing the mind-body connection. I truly believe that you are inherently your own best healer; I am just a guide to help you along this journey.
(223) 215-5122 View (223) 215-5122
Photo of Emily Tangert, Licensed Professional Counselor in Lancaster, PA
Emily Tangert
Licensed Professional Counselor, MS, LPC, PMH-C
Verified Verified
2 Endorsed
Lancaster, PA 17603
I help individuals facing challenges in managing painful emotions, trauma, depression, anxiety, and the complexities of pregnancy, postpartum, and motherhood. Navigating emotional highs and lows can be distressing, especially if influenced by trauma. Managing emotions like anxiety, sadness, shame, and anger may impact relationships, fostering feelings of inadequacy and isolation.
I help individuals facing challenges in managing painful emotions, trauma, depression, anxiety, and the complexities of pregnancy, postpartum, and motherhood. Navigating emotional highs and lows can be distressing, especially if influenced by trauma. Managing emotions like anxiety, sadness, shame, and anger may impact relationships, fostering feelings of inadequacy and isolation.
(717) 613-6687 View (717) 613-6687
Photo of Amy Titzer Professional Counseling, LLC, Licensed Professional Counselor in Lancaster, PA
Amy Titzer Professional Counseling, LLC
Licensed Professional Counselor, MS, LPC, CHT
Verified Verified
Lancaster, PA 17601  (Online Only)
I specialize in the treatment of anxiety and mood disorders as well as life adjustment issues. I am also certified in clinical hypnosis to treat weight loss, smoking, sleep, confidence, and pain management. I have over 20 years of experience as a therapist in the mental health field. Although I have much experience and knowledge as a therapist, I believe people won't care how much you know until they know how much you care. We all need to be seen, heard, and understood, and so much healing happens then. I believe in the mind/body/spirit connection and I individualize my approach with each unique person.
I specialize in the treatment of anxiety and mood disorders as well as life adjustment issues. I am also certified in clinical hypnosis to treat weight loss, smoking, sleep, confidence, and pain management. I have over 20 years of experience as a therapist in the mental health field. Although I have much experience and knowledge as a therapist, I believe people won't care how much you know until they know how much you care. We all need to be seen, heard, and understood, and so much healing happens then. I believe in the mind/body/spirit connection and I individualize my approach with each unique person.
(717) 415-5287 View (717) 415-5287
Photo of Jennifer Downey, Psychologist in Lancaster, PA
Jennifer Downey
Psychologist, MS
Verified Verified
1 Endorsed
Lancaster, PA 17601
Jennifer Downey M.S. a Pa. Licensed Psychologist has been treating adolescents, adults and their families at Psychological Associates of Lancaster for forty years. She graduated from Susquehanna University with a B.A. in Psychology and then Millersville University with a M.S. in Psychology. After schooling Jennifer worked in the areas of child welfare, juvenile justice, addiction treatment and mental health.
Jennifer Downey M.S. a Pa. Licensed Psychologist has been treating adolescents, adults and their families at Psychological Associates of Lancaster for forty years. She graduated from Susquehanna University with a B.A. in Psychology and then Millersville University with a M.S. in Psychology. After schooling Jennifer worked in the areas of child welfare, juvenile justice, addiction treatment and mental health.
(717) 255-8214 View (717) 255-8214
Photo of Gregg Hammond, Licensed Professional Counselor in Lancaster, PA
Gregg Hammond
Licensed Professional Counselor, MS, LPC, CCBT
Verified Verified
1 Endorsed
Lancaster, PA 17601
My most enjoyable times in therapy are the moments when a person realizes they have it within them to recognize a change to be made, the skills to do it, and feels successful. To experience that life changing moment with them is awe-inspiring. Some call this an "A-ha moment," "light bulb going off," or an "epiphany." Instead, I call this the moment when a person switches the channel of their inner voice from: self-blaming, hyper-critical, guilt driven, and fear-mongering to one that is: self-compassionate, self-forgiving, self-empowering, self-accepting, and value-driven.
My most enjoyable times in therapy are the moments when a person realizes they have it within them to recognize a change to be made, the skills to do it, and feels successful. To experience that life changing moment with them is awe-inspiring. Some call this an "A-ha moment," "light bulb going off," or an "epiphany." Instead, I call this the moment when a person switches the channel of their inner voice from: self-blaming, hyper-critical, guilt driven, and fear-mongering to one that is: self-compassionate, self-forgiving, self-empowering, self-accepting, and value-driven.
(717) 470-8298 View (717) 470-8298
Photo of Taylor Ohrum, Clinical Social Work/Therapist in Lancaster, PA
Taylor Ohrum
Clinical Social Work/Therapist, MSW, LCSW
Verified Verified
1 Endorsed
Lancaster, PA 17603
Hi, I’m Taylor! I’m a Licensed Clinical Social Worker (LCSW) in the state of Pennsylvania. If your child or teen struggles with difficulties such as anxiety, depression, trauma, ADHD, ODD, life changes/adjustments, school stressors or self-esteem, I can help! I believe that everyone is the expert of their own lives, but we can all benefit from additional guidance and support for dealing with challenges we may face. My goal as a therapist is to make those I work with feel valued, understood, and empowered.
Hi, I’m Taylor! I’m a Licensed Clinical Social Worker (LCSW) in the state of Pennsylvania. If your child or teen struggles with difficulties such as anxiety, depression, trauma, ADHD, ODD, life changes/adjustments, school stressors or self-esteem, I can help! I believe that everyone is the expert of their own lives, but we can all benefit from additional guidance and support for dealing with challenges we may face. My goal as a therapist is to make those I work with feel valued, understood, and empowered.
(223) 332-4560 View (223) 332-4560
Photo of Adam Hultstrand (Individual And Dbt Group Openings), Pre-Licensed Professional in Lancaster, PA
Adam Hultstrand (Individual And Dbt Group Openings)
Pre-Licensed Professional, MDiv, MA
Verified Verified
2 Endorsed
Lancaster, PA 17601
To those who know me best, I am considered a genuine “encourager” of people, compassionate yet direct. You don't have to journey through life alone. I seek to create a safe and confidential space for children, adults, couples, and families to process life and find greater purpose, healing and joy. I have graduate degrees in both theology and counseling with over 20 years of experience. I enjoy working with people from all backgrounds in a strengths-based way that infuses hope. I integrate a variety of relational and experiential approaches to best meet your needs and will use faith based counseling for those interested.
To those who know me best, I am considered a genuine “encourager” of people, compassionate yet direct. You don't have to journey through life alone. I seek to create a safe and confidential space for children, adults, couples, and families to process life and find greater purpose, healing and joy. I have graduate degrees in both theology and counseling with over 20 years of experience. I enjoy working with people from all backgrounds in a strengths-based way that infuses hope. I integrate a variety of relational and experiential approaches to best meet your needs and will use faith based counseling for those interested.
(717) 837-5266 View (717) 837-5266
Photo of Tayibah Bemiah, Licensed Professional Counselor in Lancaster, PA
Tayibah Bemiah
Licensed Professional Counselor, LPC
Verified Verified
Lancaster, PA 17603
I am Dr. Tayibah a licensed professional counselor (LPC) in Pennsylvania. I am an action-oriented therapist who is strategic and intentional in my approach. My mission is to provide you with tools and techniques to help you deal with the personal or relationship struggles that led you to seek counseling.
I am Dr. Tayibah a licensed professional counselor (LPC) in Pennsylvania. I am an action-oriented therapist who is strategic and intentional in my approach. My mission is to provide you with tools and techniques to help you deal with the personal or relationship struggles that led you to seek counseling.
(717) 790-5195 View (717) 790-5195

How does your Therapist compare?

Number of Therapists in Lancaster, PA

400+

Average cost per session

$125

Therapists in Lancaster, PA who prioritize treating:

92% Anxiety
89% Depression
80% Relationship Issues
79% Self Esteem
71% Stress
69% Trauma and PTSD
69% Coping Skills

Average years in practice

11 Years

Top 3 insurances accepted

85% Highmark
68% BlueCross and BlueShield
60% Capital Blue Cross

How Therapists in Lancaster, PA see their clients

72% In Person and Online
28% Online Only

Gender breakdown

82% Female
17% Male
1% Non-Binary
FAQs - About Therapy and Counseling

How can I find a therapist in Lancaster?

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.