Therapists in Rochester, NY

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Photo of Jada N. Howcroft, Marriage & Family Therapist in Rochester, NY
Jada N. Howcroft
Marriage & Family Therapist, MA
Verified Verified
2 Endorsed
Rochester, NY 14607  (Online Only)
Often, painful experiences shake the very foundation of who we are. Perhaps you've been crafting narratives about yourself based on the most challenging experiences you’ve endured. These stories may leave you feeling misunderstood and struggling to forge a strong sense of self, especially when your lived experience doesn’t align with societal norms. This can manifest as debilitating symptoms, difficulty connecting with others, and damaging self-beliefs, causing you to question your inherent worth and identity. Despite what your inner critic may be telling you, it is possible to discover and embrace your authentic self.
Often, painful experiences shake the very foundation of who we are. Perhaps you've been crafting narratives about yourself based on the most challenging experiences you’ve endured. These stories may leave you feeling misunderstood and struggling to forge a strong sense of self, especially when your lived experience doesn’t align with societal norms. This can manifest as debilitating symptoms, difficulty connecting with others, and damaging self-beliefs, causing you to question your inherent worth and identity. Despite what your inner critic may be telling you, it is possible to discover and embrace your authentic self.
(585) 648-1047 View (585) 648-1047
Photo of Peg Debaise, Marriage & Family Therapist in Rochester, NY
Peg Debaise
Marriage & Family Therapist, LMFT, CT
Verified Verified
Rochester, NY 14625
My specialty is bereavement. I help clients to cope with the loss of a loved one, physical illness, and anticipatory grief. I also help clients cope with life transitions such as: job loss, relocating, divorce, retirement and relationship issues. My belief is that we all hold the answers to help ourselves, we just need to uncover them. I use a combination of brief therapy, experiential therapy, and emotionally focused therapy to help clients reinvest and reinvent themselves after a traumatic life event such as the death of a loved one. I see individuals, couples, families, adults and adolescents 17 and older.
My specialty is bereavement. I help clients to cope with the loss of a loved one, physical illness, and anticipatory grief. I also help clients cope with life transitions such as: job loss, relocating, divorce, retirement and relationship issues. My belief is that we all hold the answers to help ourselves, we just need to uncover them. I use a combination of brief therapy, experiential therapy, and emotionally focused therapy to help clients reinvest and reinvent themselves after a traumatic life event such as the death of a loved one. I see individuals, couples, families, adults and adolescents 17 and older.
(585) 598-9845 View (585) 598-9845
Photo of Couple & Relationship Therapy: An MFT Practice, PC, Marriage & Family Therapist in Rochester, NY
Couple & Relationship Therapy: An MFT Practice, PC
Marriage & Family Therapist, LMFT
Verified Verified
Rochester, NY 14618
If you are overwhelmed, confused, hurt and/or just need support we are here for you. For over 20 years, we have helped couples, families & individuals achieve health & healing & it would be an honor to help you. Most clients are stuck in unhealthy patterns that create & maintain distance & emotional pain. Often communication is about defending instead of understanding. We work to create safety so clients can have the connection they desire. We help our clients heal the pain & resentment, while creating healthy patterns that allows each person to be their authentic self. We are open to all people who are seeking growth & stability.
If you are overwhelmed, confused, hurt and/or just need support we are here for you. For over 20 years, we have helped couples, families & individuals achieve health & healing & it would be an honor to help you. Most clients are stuck in unhealthy patterns that create & maintain distance & emotional pain. Often communication is about defending instead of understanding. We work to create safety so clients can have the connection they desire. We help our clients heal the pain & resentment, while creating healthy patterns that allows each person to be their authentic self. We are open to all people who are seeking growth & stability.
(585) 312-1587 View (585) 312-1587
Photo of Dr. Mary Z. MacLeod, Clinical Social Work/Therapist in Rochester, NY
Dr. Mary Z. MacLeod
Clinical Social Work/Therapist, PhD, CGP, ACS
Verified Verified
1 Endorsed
Rochester, NY 14618
Waitlist for new clients
You have now taken a positive step on a path toward well-being and healing. While we can't change difficult situations of the past, we can work together to better understand and resolve present day challenges. If you're looking for guidance from an experienced clinician on this path toward healing, I look forward to working with you in achieving your goals. You don’t need to face challenges in your life alone and in silence. We all need support at some point. In addition , I am also a certified life coach. Saturday and Evening Hours available for your convenience.
You have now taken a positive step on a path toward well-being and healing. While we can't change difficult situations of the past, we can work together to better understand and resolve present day challenges. If you're looking for guidance from an experienced clinician on this path toward healing, I look forward to working with you in achieving your goals. You don’t need to face challenges in your life alone and in silence. We all need support at some point. In addition , I am also a certified life coach. Saturday and Evening Hours available for your convenience.
(585) 360-0426 View (585) 360-0426
Photo of Amy Ricotta, Counselor in Rochester, NY
Amy Ricotta
Counselor, LMHC
Verified Verified
1 Endorsed
Rochester, NY 14618
I have experience working with individuals struggling with anxiety, grief, trauma and depression. I also enjoy working with clients who are struggling in their relationships. I’m passionate about sexual wellbeing and believe that all consensual relationships are valid. I have a deep appreciation for the mind-body connection and use my fitness background to help clients develop anxiety and stress reduction strategies as part of their therapeutic journeys.
I have experience working with individuals struggling with anxiety, grief, trauma and depression. I also enjoy working with clients who are struggling in their relationships. I’m passionate about sexual wellbeing and believe that all consensual relationships are valid. I have a deep appreciation for the mind-body connection and use my fitness background to help clients develop anxiety and stress reduction strategies as part of their therapeutic journeys.
(585) 460-2607 View (585) 460-2607
Photo of Diane J Fauth, Counselor in Rochester, NY
Diane J Fauth
Counselor, LMHC, NCC
Verified Verified
Rochester, NY 14607
"History, despite its wrenching pain, cannot be unlived; however, if faced with courage, need not be lived again". Facing pain and brokenness of the deepest kind requires amazing strength and courage! Counseling is a unique opportunity to connect w/ the overwhelming issues that can block one's most earnest efforts to "do it differently this time". I'd consider it an honor to work with you as you come to understand your story--whether anxiety, discouragement, addictions, relationships. I look forward to collaborating with you in this challenging, yet rewarding work, as you move toward freedom from any concern that holds you back.
"History, despite its wrenching pain, cannot be unlived; however, if faced with courage, need not be lived again". Facing pain and brokenness of the deepest kind requires amazing strength and courage! Counseling is a unique opportunity to connect w/ the overwhelming issues that can block one's most earnest efforts to "do it differently this time". I'd consider it an honor to work with you as you come to understand your story--whether anxiety, discouragement, addictions, relationships. I look forward to collaborating with you in this challenging, yet rewarding work, as you move toward freedom from any concern that holds you back.
(585) 571-8024 View (585) 571-8024
Photo of Rachael Roddenbery, Counselor in Rochester, NY
Rachael Roddenbery
Counselor, LMHC, NCC
Verified Verified
Rochester, NY 14607
Therapy works when the relationship between the client and counselor is authentic and collaborative. I strive to foster a genuine dialogue with my clients where you can feel safe and heard. Through processing and challenging, I will help facilitate growth within yourself and your life. In my practice I use an integrative approach that tailors therapy to match what is best for the individual sitting across from me.
Therapy works when the relationship between the client and counselor is authentic and collaborative. I strive to foster a genuine dialogue with my clients where you can feel safe and heard. Through processing and challenging, I will help facilitate growth within yourself and your life. In my practice I use an integrative approach that tailors therapy to match what is best for the individual sitting across from me.
(585) 844-5536 View (585) 844-5536
Kathryn Stimson
Marriage & Family Therapist, LMFT, MDiv
Verified Verified
Rochester, NY 14618
I build relationships which focus my clients on taking action to improve the quality of their lives. I guide guide inquiry and personal discovery to generate awareness and responsibility, and I provide clients with structure, support, and feedback. My clients tend to be capable of some measure of psychological insight and highly motivated to accomplish their goals, whether they be individual or relational.
I build relationships which focus my clients on taking action to improve the quality of their lives. I guide guide inquiry and personal discovery to generate awareness and responsibility, and I provide clients with structure, support, and feedback. My clients tend to be capable of some measure of psychological insight and highly motivated to accomplish their goals, whether they be individual or relational.
(585) 326-0784 View (585) 326-0784
Photo of Tansy Deutsch, Psychologist in Rochester, NY
Tansy Deutsch
Psychologist, PsyD
Verified Verified
Rochester, NY 14609
Not accepting new clients
I AM NOT ACCEPTING NEW CLIENTS AT THIS TIME. My clients have gone through traumatic or disorienting experiences, and struggle with depression, anxiety, or relational challenges. I have over 30 years of experience helping to resolve such issues, and assisting people to develop healthy, fulfilling lives. True freedom is the ability to respond to what life presents with a unified sense of identity and purpose. It is my honor to assist struggling individuals to recover this ability.
I AM NOT ACCEPTING NEW CLIENTS AT THIS TIME. My clients have gone through traumatic or disorienting experiences, and struggle with depression, anxiety, or relational challenges. I have over 30 years of experience helping to resolve such issues, and assisting people to develop healthy, fulfilling lives. True freedom is the ability to respond to what life presents with a unified sense of identity and purpose. It is my honor to assist struggling individuals to recover this ability.
(585) 672-6628 View (585) 672-6628
Photo of Dr. Anne Steider, Psychologist in Rochester, NY
Dr. Anne Steider
Psychologist, PhD, MBA
Verified Verified
1 Endorsed
Rochester, NY 14618
Change can be difficult - but with support it becomes possible. You might be struggling with difficult thoughts like "what if my family never accepts my life choices - will they ever accept me?" Perhaps you're battling indecisiveness and fear about whether you're "good enough" to succeed, preventing you from reaching your aspirations and goals? Or maybe you feel confident and successful at times, but at other moments as if your shield for taking on the world is paper-thin? I utilize methods including EMDR (Eye Movement Desensitization and Reprocessing) to help resolve these concerns.
Change can be difficult - but with support it becomes possible. You might be struggling with difficult thoughts like "what if my family never accepts my life choices - will they ever accept me?" Perhaps you're battling indecisiveness and fear about whether you're "good enough" to succeed, preventing you from reaching your aspirations and goals? Or maybe you feel confident and successful at times, but at other moments as if your shield for taking on the world is paper-thin? I utilize methods including EMDR (Eye Movement Desensitization and Reprocessing) to help resolve these concerns.
(585) 563-2631 View (585) 563-2631
Photo of Caitlyn Eberle Brandt, Licensed Mental Health Counselor in Rochester, NY
Caitlyn Eberle Brandt
Licensed Mental Health Counselor, LMHC
Verified Verified
3 Endorsed
Rochester, NY 14618
Perhaps you're going through a transition or quarter life crisis and trying to cope with hard things that have happened in your life. You have tried everything you can think of to try to feel better and it is just not working. Are you overwhelmed and feeling stuck? Does your mind race? Are anxiety and sadness causing you to lose sleep and feel unmotivated? You may be saying to yourself "something has to change" but feel unsure of what to do. Some days you find it hard to function. Your relationships may suffer. And you long for healthier ways to cope with life.
Perhaps you're going through a transition or quarter life crisis and trying to cope with hard things that have happened in your life. You have tried everything you can think of to try to feel better and it is just not working. Are you overwhelmed and feeling stuck? Does your mind race? Are anxiety and sadness causing you to lose sleep and feel unmotivated? You may be saying to yourself "something has to change" but feel unsure of what to do. Some days you find it hard to function. Your relationships may suffer. And you long for healthier ways to cope with life.
(585) 479-3061 View (585) 479-3061
Photo of Julia Ricklefs in Rochester, NY
Julia Ricklefs
MAMFT
Not Verified Not Verified
1 Endorsed
Rochester, NY 14618
I help individuals, couples, and families who want healthier relationships (with self & others) & are struggling with how to make it happen. I create a space where each person is heard & understood. I support my clients by building safety based on accountability and consistency. I assist my clients recognize their strengths and develop skills in communication & self-esteem. I work collaboratively to establish goals with clients that are realistic and support them through the challenges of change. The ultimate goal is to assist clients to get healthy so they don't need me anymore.
I help individuals, couples, and families who want healthier relationships (with self & others) & are struggling with how to make it happen. I create a space where each person is heard & understood. I support my clients by building safety based on accountability and consistency. I assist my clients recognize their strengths and develop skills in communication & self-esteem. I work collaboratively to establish goals with clients that are realistic and support them through the challenges of change. The ultimate goal is to assist clients to get healthy so they don't need me anymore.
(585) 601-2432 View (585) 601-2432
Photo of Quiet Mind Therapy Services, Clinical Social Work/Therapist in Rochester, NY
Quiet Mind Therapy Services
Clinical Social Work/Therapist
Verified Verified
Rochester, NY 14618
You may be feeling worried, anxious or stressed, and are avoiding things because of your anxiety. Or maybe you're having panic attacks, or struggling with healing from a trauma. We want you to know you CAN feel better, and we can help. Maybe you've been in therapy and are tired of talking about the past. At Quiet Mind Therapy Services (QMTS), we are solution focused, and want to help you solve the current problem and move on. You will be supported in a non judgmental and compassionate way, working together to make positive changes in your life.
You may be feeling worried, anxious or stressed, and are avoiding things because of your anxiety. Or maybe you're having panic attacks, or struggling with healing from a trauma. We want you to know you CAN feel better, and we can help. Maybe you've been in therapy and are tired of talking about the past. At Quiet Mind Therapy Services (QMTS), we are solution focused, and want to help you solve the current problem and move on. You will be supported in a non judgmental and compassionate way, working together to make positive changes in your life.
(585) 207-0432 View (585) 207-0432
Photo of Tracy Nemecek, Counselor in Rochester, NY
Tracy Nemecek
Counselor, MA, LMHC
Verified Verified
Rochester, NY 14618
Counseling starts with meeting you where you are, and from that place, we collaborate together to determine the next best steps. That might involve looking to the past to understand or to heal, moving out of patterns that aren't working in the present, and/or taking a preventive approach to clarify and build on your internal strengths to promote balance, wellness, and resiliency. Therapy is, at its core, a learning process, one that begins with the strengthening of self-awareness, and leads to an understanding of how to best apply the power of your thoughts, insights, emotions, and resources to make the changes you're seeking.
Counseling starts with meeting you where you are, and from that place, we collaborate together to determine the next best steps. That might involve looking to the past to understand or to heal, moving out of patterns that aren't working in the present, and/or taking a preventive approach to clarify and build on your internal strengths to promote balance, wellness, and resiliency. Therapy is, at its core, a learning process, one that begins with the strengthening of self-awareness, and leads to an understanding of how to best apply the power of your thoughts, insights, emotions, and resources to make the changes you're seeking.
(585) 268-1598 View (585) 268-1598
Photo of Ashley DiMino LMHC, Counselor in Rochester, NY
Ashley DiMino LMHC
Counselor, MS, LMHC
Verified Verified
Rochester, NY 14609
The decision to seek help for a problem is often a difficult one. People pursue therapy for a variety of reasons. Some may enter therapy to address major life changes, such as becoming a parent, and others may seek help in managing mental health conditions, like depression. Many people seek counseling because they have identified specific goals or issues that they wish to work on. Others may be encouraged by family, friends, or medical professionals to seek help. Whatever the motivation, it takes courage to attend therapy, and it takes dedication to see it through.
The decision to seek help for a problem is often a difficult one. People pursue therapy for a variety of reasons. Some may enter therapy to address major life changes, such as becoming a parent, and others may seek help in managing mental health conditions, like depression. Many people seek counseling because they have identified specific goals or issues that they wish to work on. Others may be encouraged by family, friends, or medical professionals to seek help. Whatever the motivation, it takes courage to attend therapy, and it takes dedication to see it through.
(585) 496-1522 View (585) 496-1522
Photo of Dr. Courtney Graham, Counselor in Rochester, NY
Dr. Courtney Graham
Counselor, EdD, LMHC
Verified Verified
Rochester, NY 14607
Has it been awhile since you have felt like yourself? Are you struggling with a romantic relationship, your friends or family members, or with depressive or anxious feelings? My goal is to help clients talk through whatever they are struggling with and find a happier and healthier place in their lives. My approach to counseling is down to earth, compassionate, and honest. I am unique in my approach offering a specialized combination of life-coaching, motivation, and problem-solving in hopes of helping my clients work through the heaviness in their mind and find stability and happiness once again.
Has it been awhile since you have felt like yourself? Are you struggling with a romantic relationship, your friends or family members, or with depressive or anxious feelings? My goal is to help clients talk through whatever they are struggling with and find a happier and healthier place in their lives. My approach to counseling is down to earth, compassionate, and honest. I am unique in my approach offering a specialized combination of life-coaching, motivation, and problem-solving in hopes of helping my clients work through the heaviness in their mind and find stability and happiness once again.
(585) 591-6594 View (585) 591-6594
Photo of Anne M Coltre, Counselor in Rochester, NY
Anne M Coltre
Counselor, MA, LMHC, LCAT, CSAT
Verified Verified
Rochester, NY 14607
Relationship infidelities due to sex addiction leave a partner feeling fractured and traumatized. I am a Certified Sex Addiction Therapist (CSAT) at Kavod Center for Addiction Recovery specializing in partner trauma. With compassion and understanding, I offer a proven way to achieve a thorough recovery. The core of my work is to help partners regain trust in their own intuition and judgment, reclaim their sense of self, and renew their self-esteem. I offer individual treatment sessions and group therapy, couples work, preparation for formal full disclosure, and advocacy for partners.
Relationship infidelities due to sex addiction leave a partner feeling fractured and traumatized. I am a Certified Sex Addiction Therapist (CSAT) at Kavod Center for Addiction Recovery specializing in partner trauma. With compassion and understanding, I offer a proven way to achieve a thorough recovery. The core of my work is to help partners regain trust in their own intuition and judgment, reclaim their sense of self, and renew their self-esteem. I offer individual treatment sessions and group therapy, couples work, preparation for formal full disclosure, and advocacy for partners.
(585) 471-6561 x5 View (585) 471-6561 x5
Photo of Melissa Joy Annechino, Counselor in Rochester, NY
Melissa Joy Annechino
Counselor, MA, LMHC
Verified Verified
Rochester, NY 14607  (Online Only)
Life can be both beautiful & messy. I'm humbled & honored to help you sort through it! We each uniquely form our conscious & subconscious schemas and belief systems about ourselves, others, and the world at large since our earliest stages in life. No two people have the same experience, and there is no such thing as a "one size fits all" treatment modality. Yet we can also feel validated & gain from others' shared experiences, perspectives, and support. One thing all humans universally experience is the capacity for love, joy, pain, and everything else in between. You are not alone!
Life can be both beautiful & messy. I'm humbled & honored to help you sort through it! We each uniquely form our conscious & subconscious schemas and belief systems about ourselves, others, and the world at large since our earliest stages in life. No two people have the same experience, and there is no such thing as a "one size fits all" treatment modality. Yet we can also feel validated & gain from others' shared experiences, perspectives, and support. One thing all humans universally experience is the capacity for love, joy, pain, and everything else in between. You are not alone!
(585) 308-9856 View (585) 308-9856
Photo of Shannon Smith, Marriage & Family Therapist in Rochester, NY
Shannon Smith
Marriage & Family Therapist, MS, LMFT
Verified Verified
Rochester, NY 14618
FYI: Limited daytime availability for new clients (April, 2024). Welcome! Therapy can offer you support when life presents challenges such as relationship concerns, illness, anxiety, depression, grief, life transitions, and other stressors. You are the expert in your life, and I will collaborate with you to help you identify what you want to change and gain insights about how to make progress toward your goals.
FYI: Limited daytime availability for new clients (April, 2024). Welcome! Therapy can offer you support when life presents challenges such as relationship concerns, illness, anxiety, depression, grief, life transitions, and other stressors. You are the expert in your life, and I will collaborate with you to help you identify what you want to change and gain insights about how to make progress toward your goals.
(585) 449-6894 View (585) 449-6894
Photo of Laurie Lash, Psychologist in Rochester, NY
Laurie Lash
Psychologist, PhD
Verified Verified
Rochester, NY 14625
As a therapist, my goal is to be a helpful guide in identifying issues that are impacting your emotional, physical, relational and psychological well-being. Together we will work on a multifaceted plan to achieving your therapeutic goals.
As a therapist, my goal is to be a helpful guide in identifying issues that are impacting your emotional, physical, relational and psychological well-being. Together we will work on a multifaceted plan to achieving your therapeutic goals.
(585) 492-9457 View (585) 492-9457

How does your Therapist compare?

Number of Therapists in Rochester, NY

800+

Average cost per session

$125

Therapists in Rochester, NY who prioritize treating:

93% Anxiety
86% Depression
81% Relationship Issues
76% Self Esteem
71% Coping Skills
71% Stress
69% Trauma and PTSD

Average years in practice

12 Years

Top 3 insurances accepted

78% Aetna
55% Cigna and Evernorth
52% UnitedHealthcare UHC | UBH

How Therapists in Rochester, NY see their clients

69% In Person and Online
31% Online Only

Gender breakdown

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

How can I find a therapist in Rochester?

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.