Therapists in Highlands Douglas, Louisville, KY

Natalie Porter
Art Therapist, LPAT, ATR-BC
Highlands Douglas, Louisville, KY 40205
Do you struggle with disordered eating? Negative thoughts and beliefs about yourself and the body you're in? Or maybe you are having a difficult time understanding what's next. Healing isn’t always about finding the perfect words—it’s about expressing yourself in a way that feels natural. As an art therapist, I provide a supportive space where creativity helps unlock emotions, build resilience, and promote healing. Whether you're struggling with an eating disorder, anxiety, stress, or perfectionism, I’m here to guide you toward greater self-understanding and emotional well-being.
Do you struggle with disordered eating? Negative thoughts and beliefs about yourself and the body you're in? Or maybe you are having a difficult time understanding what's next. Healing isn’t always about finding the perfect words—it’s about expressing yourself in a way that feels natural. As an art therapist, I provide a supportive space where creativity helps unlock emotions, build resilience, and promote healing. Whether you're struggling with an eating disorder, anxiety, stress, or perfectionism, I’m here to guide you toward greater self-understanding and emotional well-being.
(502) 362-7644 View (502) 362-7644
Cadence Gazo
Art Therapist, MEd, LPATA, ATR-P
3 Endorsed
Highlands Douglas, Louisville, KY 40205
I am Cadence Gazo, a Licensed Professional Art Therapist Associate and Trained EMDR Therapist dedicated to guiding and supporting people of all ages on their journey toward healing. I believe in the healing power of creative expression and a holistic approach. It can be difficult to put words to our visual experiences and emotions, especially when trauma has occurred. Expressive Therapies and EMDR can help us to connect these and bring fragmented parts of ourselves together. My goal is to facilitate a space in which you can process the difficulties of life, strengthen resiliency skills, overcome and heal from trauma, and thrive.
I am Cadence Gazo, a Licensed Professional Art Therapist Associate and Trained EMDR Therapist dedicated to guiding and supporting people of all ages on their journey toward healing. I believe in the healing power of creative expression and a holistic approach. It can be difficult to put words to our visual experiences and emotions, especially when trauma has occurred. Expressive Therapies and EMDR can help us to connect these and bring fragmented parts of ourselves together. My goal is to facilitate a space in which you can process the difficulties of life, strengthen resiliency skills, overcome and heal from trauma, and thrive.
(502) 236-5517 View (502) 236-5517
Woven Nest Counseling & Coaching, LLC
Clinical Social Work/Therapist, LCSW, RPT-S, LPAT, LPATA
4 Endorsed
Highlands Douglas, Louisville, KY 40205
At Woven Nest Counseling and Coaching, our team of clinicians dedicated to interweaving connection and felt-safety into the obstacles of being human. Serving Greater Louisville and Southern Indiana, we offer counseling, coaching, therapy, and community education to help individuals navigate the intricate webs of their experiences, emotions, and relationships. We welcome people from across the lifespan, from ages 4 to 80, providing support through art therapy, play therapy, EMDR, Ketamine-Assisted Psychotherapy, IFS, sand tray therapy, Animal-Assisted Therapy, somatic techniques and other whole brain body trauma-informed therapies.
At Woven Nest Counseling and Coaching, our team of clinicians dedicated to interweaving connection and felt-safety into the obstacles of being human. Serving Greater Louisville and Southern Indiana, we offer counseling, coaching, therapy, and community education to help individuals navigate the intricate webs of their experiences, emotions, and relationships. We welcome people from across the lifespan, from ages 4 to 80, providing support through art therapy, play therapy, EMDR, Ketamine-Assisted Psychotherapy, IFS, sand tray therapy, Animal-Assisted Therapy, somatic techniques and other whole brain body trauma-informed therapies.
(502) 237-5553 View (502) 237-5553
Kelly Fleischer
Art Therapist, MEd, ATR-BC, LPAT
2 Endorsed
Highlands Douglas, Louisville, KY 40205
Welcome! I am an experienced art therapist passionate about helping children (ages 4+), teens, and adults explore healing through art, talk therapy, EMDR, and expressive methods like play, movement, and mindfulness. I integrate a relational neuroscience lens to support emotional regulation and nervous system awareness. Clients come to me navigating anxiety, trauma, life transitions, and challenges with expression, connection, or mood.
Welcome! I am an experienced art therapist passionate about helping children (ages 4+), teens, and adults explore healing through art, talk therapy, EMDR, and expressive methods like play, movement, and mindfulness. I integrate a relational neuroscience lens to support emotional regulation and nervous system awareness. Clients come to me navigating anxiety, trauma, life transitions, and challenges with expression, connection, or mood.
(502) 317-1268 View (502) 317-1268
Jenny Mackowiak
Clinical Social Work/Therapist, MSSW, LCSW
Highlands Douglas, Louisville, KY 40205
I’m a Licensed Clinical Social Worker with over six years of experience supporting individuals and families through life’s toughest moments. My career began in a trauma hospital setting, where I had the privilege of walking alongside people navigating physical trauma, depression, anxiety, emotional dysregulation, and other complex challenges—often with my trusted therapy dog, Roo, by my side. I have also been trained in Accelerated Resolution Therapy (ART). ART uses eye movements to support the brain's natural healing process. ART can assist in reducing anxiety, response to trauma, and intrusive thoughts.
I’m a Licensed Clinical Social Worker with over six years of experience supporting individuals and families through life’s toughest moments. My career began in a trauma hospital setting, where I had the privilege of walking alongside people navigating physical trauma, depression, anxiety, emotional dysregulation, and other complex challenges—often with my trusted therapy dog, Roo, by my side. I have also been trained in Accelerated Resolution Therapy (ART). ART uses eye movements to support the brain's natural healing process. ART can assist in reducing anxiety, response to trauma, and intrusive thoughts.
(502) 431-1783 View (502) 431-1783
Dr. Collin Davidson
Psychologist, PhD, CFT
5 Endorsed
Highlands Douglas, Louisville, KY 40205
You've built a successful career, but privately, money is still a source of stress, shame, or conflict and you can't figure out why. You've tried to fix it. Something keeps getting in the way. Knowledge about money is not the issue. You're stuck in patterns that run deeper than budgets. Maybe it's tension with your partner over spending. Anxiety about your career in an AI-driven world. Burnout despite working harder than ever. If you're a smart professional who feels overwhelmed by money, you're in the right place. Here's how we work: 1. Get clear. A free consultation to identify what's really driving the stress.
You've built a successful career, but privately, money is still a source of stress, shame, or conflict and you can't figure out why. You've tried to fix it. Something keeps getting in the way. Knowledge about money is not the issue. You're stuck in patterns that run deeper than budgets. Maybe it's tension with your partner over spending. Anxiety about your career in an AI-driven world. Burnout despite working harder than ever. If you're a smart professional who feels overwhelmed by money, you're in the right place. Here's how we work: 1. Get clear. A free consultation to identify what's really driving the stress.
(502) 743-4964 View (502) 743-4964
Tara S Harding
Art Therapist, LPAT, ATR-BC
1 Endorsed
Highlands Douglas, Louisville, KY 40205
Whether you are an adult drowning in anxiety, depression, or trauma, a parent overwhelmed by a child’s intense anger and defiance, or a neurodivergent individual tired of masking, the weight can feel crushing. It is exhausting to live in a state of constant survival, feeling misunderstood or labeled by the people around you. You or your child don’t need to be "fixed"—you deserve a space where you can finally catch your breath and feel truly seen.
Whether you are an adult drowning in anxiety, depression, or trauma, a parent overwhelmed by a child’s intense anger and defiance, or a neurodivergent individual tired of masking, the weight can feel crushing. It is exhausting to live in a state of constant survival, feeling misunderstood or labeled by the people around you. You or your child don’t need to be "fixed"—you deserve a space where you can finally catch your breath and feel truly seen.
(502) 527-8791 View (502) 527-8791
Courtney Rhea-Ribeiro
Marriage & Family Therapist, LMFT
2 Endorsed
Highlands Douglas, Louisville, KY 40205
I mean, let's be real... life can get very challenging. There are times we just have trouble knowing what to do. Friends and loved ones can be great sounding boards, but sometimes you need to look at things a bit differently. A new fresh perspective, a safe place to give the full nitty-gritty picture, that's what I'm here for! Also if you've got things you don't share but need to, therapy is just the place. Seen some things you feel like you can't share? Done some things you don't think others would understand? I'm here to help with the hard stuff.
I mean, let's be real... life can get very challenging. There are times we just have trouble knowing what to do. Friends and loved ones can be great sounding boards, but sometimes you need to look at things a bit differently. A new fresh perspective, a safe place to give the full nitty-gritty picture, that's what I'm here for! Also if you've got things you don't share but need to, therapy is just the place. Seen some things you feel like you can't share? Done some things you don't think others would understand? I'm here to help with the hard stuff.
(502) 427-0968 View (502) 427-0968
Katherine Loyd
Clinical Social Work/Therapist, LCSW, LMFT
Highlands Douglas, Louisville, KY 40205
Not accepting new clients
How did your relationship get to be so complicated, so overwhelming? Maybe a loved one is acting in a way that you don't understand and you feel isolated and troubled. Perhaps you are making a life change or there is change that you did not choose. You've come to a realization that you're just not sure what to do next to get on a better path, to feel safe and connected. It feels like being in a fog with no dependable way through. You're not alone in feeling this way. In our fast-paced world it is easy to get caught up in 'doing' and lose track of 'being'. Sometimes its hard to determine a clear direction and so you stay unhappy.
How did your relationship get to be so complicated, so overwhelming? Maybe a loved one is acting in a way that you don't understand and you feel isolated and troubled. Perhaps you are making a life change or there is change that you did not choose. You've come to a realization that you're just not sure what to do next to get on a better path, to feel safe and connected. It feels like being in a fog with no dependable way through. You're not alone in feeling this way. In our fast-paced world it is easy to get caught up in 'doing' and lose track of 'being'. Sometimes its hard to determine a clear direction and so you stay unhappy.
(502) 308-3534 View (502) 308-3534
Michelle Stillwagon
Marriage & Family Therapist, LMFT, CST
Online Only
I work with couples and individuals who need a systemic perspective on how problems interact in relationships. Then, with my specialized lens, I am able to help clients get “unstuck” after years of no or low quality sex, desire discrepancies, medical issues that create disconnection, and pent up frustrations between partners. I am skilled, humorous, direct, honest, and loving with my clients. And I’m a welcoming, justice oriented, creative thinker who does not judge and is willing to walk alongside you through it all: fear, trauma, doubt, shame, guilt, sadness, and dark nights of the soul.
I work with couples and individuals who need a systemic perspective on how problems interact in relationships. Then, with my specialized lens, I am able to help clients get “unstuck” after years of no or low quality sex, desire discrepancies, medical issues that create disconnection, and pent up frustrations between partners. I am skilled, humorous, direct, honest, and loving with my clients. And I’m a welcoming, justice oriented, creative thinker who does not judge and is willing to walk alongside you through it all: fear, trauma, doubt, shame, guilt, sadness, and dark nights of the soul.
(502) 660-8256 View (502) 660-8256
Angel Rogers
Clinical Social Work/Therapist, LCSW
Online Only
Therapy is not always easy, but I will walk with you on your journey of self discovery as you work to achieve a better life. Together, we will strive to attain self confidence, self love and acceptance. You will no longer need to live a pain filled life. I will help you to work through grief, anger, shame, guilt or insecurity.
Therapy is not always easy, but I will walk with you on your journey of self discovery as you work to achieve a better life. Together, we will strive to attain self confidence, self love and acceptance. You will no longer need to live a pain filled life. I will help you to work through grief, anger, shame, guilt or insecurity.
(984) 213-4606 View (984) 213-4606

Online Therapists

Karen Voyer-Caravona
Clinical Social Work/Therapist, LCSW
Louisville, KY 40207
Karen is particularly passionate about supporting individuals working through trauma and PTSD. As an EMDR-trained therapist, she helps clients process and reduce the distress associated with traumatic memories. Karen also works closely with those coping with grief, postpartum depression and anxiety, and sleep disorders, empowering them with the tools needed to regain a sense of balance and stability in their daily lives. In her practice, Karen utilizes Cognitive Behavioral Therapy (CBT), Dialectical Behavior Therapy (DBT), EMDR, and mindfulness-based interventions.Karen is particularly passionate about supporting individuals workin
Karen is particularly passionate about supporting individuals working through trauma and PTSD. As an EMDR-trained therapist, she helps clients process and reduce the distress associated with traumatic memories. Karen also works closely with those coping with grief, postpartum depression and anxiety, and sleep disorders, empowering them with the tools needed to regain a sense of balance and stability in their daily lives. In her practice, Karen utilizes Cognitive Behavioral Therapy (CBT), Dialectical Behavior Therapy (DBT), EMDR, and mindfulness-based interventions.Karen is particularly passionate about supporting individuals workin
(502) 385-6718 View (502) 385-6718
Meghan E Wnorowski-Bogle
Art Therapist, MEd, LPAT, ATR-BC
Louisville, KY 40222
Beginning therapy can be an overwhelming and courageous step, which can lead to powerful change for those doing the work. I believe we are at our bravest when we feel it the least. The therapy process can help individuals gain additional perspectIve, identify unknown parts, reinterpret fears and weaknesses, recognize and nurture strengths.
Beginning therapy can be an overwhelming and courageous step, which can lead to powerful change for those doing the work. I believe we are at our bravest when we feel it the least. The therapy process can help individuals gain additional perspectIve, identify unknown parts, reinterpret fears and weaknesses, recognize and nurture strengths.
(502) 804-2613 View (502) 804-2613
Kentuckiana Behavioral Services LLC
Marriage & Family Therapist, MA-MFT, MA-ABA, EMDR, LMFT
Louisville, KY 40206
I understand finding the right therapist is a unique decision that begins by looking at your own needs and preferences. My approach is evidenced-based therapies along with the mindset that we all have within us the answers to our problems. Challenges can be a normal part of life, facing these challenges means we take a path of looking within and choose personal growth. I meet each client with the knowledge that with the problem is the answer. A down-to-earth way that recognizes and supports each individual's resiliency and confidence in taking on life's bumps and coming out stronger and capable.
I understand finding the right therapist is a unique decision that begins by looking at your own needs and preferences. My approach is evidenced-based therapies along with the mindset that we all have within us the answers to our problems. Challenges can be a normal part of life, facing these challenges means we take a path of looking within and choose personal growth. I meet each client with the knowledge that with the problem is the answer. A down-to-earth way that recognizes and supports each individual's resiliency and confidence in taking on life's bumps and coming out stronger and capable.
(502) 706-4154 x40206 View (502) 706-4154 x40206
Matthew T. Harris
Marriage & Family Therapist, MSSW, MSCFT, LMFT
1 Endorsed
Louisville, KY 40206
Do you feel stuck in the same painful arguments with your partner? Has trust been broken by an affair or betrayal? Are you wondering whether your relationship can survive? I help couples rebuild trust, strengthen emotional connection, and create lasting change using Emotionally Focused Therapy (EFT), one of the most effective and research-supported approaches to couple therapy. If anxiety, depression, trauma, or life stress are affecting your relationships, work, or overall well-being, I can help you understand the deeper patterns driving your struggles and develop practical tools to move forward with greater confidence and clarity.
Do you feel stuck in the same painful arguments with your partner? Has trust been broken by an affair or betrayal? Are you wondering whether your relationship can survive? I help couples rebuild trust, strengthen emotional connection, and create lasting change using Emotionally Focused Therapy (EFT), one of the most effective and research-supported approaches to couple therapy. If anxiety, depression, trauma, or life stress are affecting your relationships, work, or overall well-being, I can help you understand the deeper patterns driving your struggles and develop practical tools to move forward with greater confidence and clarity.
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Johanna Miller
Licensed Professional Counselor Associate, MA, LPCA
Louisville, KY 40299
As a licensed Clinical Counselor Associate, I am passionate about helping individuals begin to thrive and notice the little moments that create one’s life. I have worked with an array of individuals of all ages in my previous clinical experience, and I am now working to become a Certified Sex Therapist. Life can be complicated and often can get in the way of a healthy sex life. I offer a non-judgmental space for individuals to explore issues that may be impacting their intimacy and sexual satisfaction. Therapy is not just about education; it’s about being seen and, most importantly, understood.
As a licensed Clinical Counselor Associate, I am passionate about helping individuals begin to thrive and notice the little moments that create one’s life. I have worked with an array of individuals of all ages in my previous clinical experience, and I am now working to become a Certified Sex Therapist. Life can be complicated and often can get in the way of a healthy sex life. I offer a non-judgmental space for individuals to explore issues that may be impacting their intimacy and sexual satisfaction. Therapy is not just about education; it’s about being seen and, most importantly, understood.
(502) 309-2397 View (502) 309-2397
John P. Setzer, LCSW
Clinical Social Work/Therapist, LCSW
1 Endorsed
Louisville, KY 40222
Are you struggling with grief and loss of family, job, or divorce? Is your anxiety or depression having a negative impact on family, friends, or work? I specialize in older adults and individuals with chronic health conditions that are having managing these life transitions. The goal of my therapy is to address issues causing significant declines in functioning and give you the coping skills and techniques to utilize outside of the therapeutic relationship. You can gain more control over your emotions and mood and find greater purpose in life with my help and a solid therapeutic relationship and techniques.
Are you struggling with grief and loss of family, job, or divorce? Is your anxiety or depression having a negative impact on family, friends, or work? I specialize in older adults and individuals with chronic health conditions that are having managing these life transitions. The goal of my therapy is to address issues causing significant declines in functioning and give you the coping skills and techniques to utilize outside of the therapeutic relationship. You can gain more control over your emotions and mood and find greater purpose in life with my help and a solid therapeutic relationship and techniques.
(502) 535-5164 View (502) 535-5164
Rebecca L Donaldson
Drug & Alcohol Counselor, LCSW
Louisville, KY 40299
We all need help at times to manage life's challenges. I strive to provide a safe, compassionate, judgment-free space for you to navigate the healing process. I believe in a person's right to live their life as they see fit and in providing individualized treatment to best suit their personal needs and goals. I have experience working with adults, adolescents, children, and families with a diverse range of issues such as depression, anxiety, attachment disorders, mood disorders, personality disorders, adjustment disorders, ADHD, and trauma.
We all need help at times to manage life's challenges. I strive to provide a safe, compassionate, judgment-free space for you to navigate the healing process. I believe in a person's right to live their life as they see fit and in providing individualized treatment to best suit their personal needs and goals. I have experience working with adults, adolescents, children, and families with a diverse range of issues such as depression, anxiety, attachment disorders, mood disorders, personality disorders, adjustment disorders, ADHD, and trauma.
(502) 334-1233 View (502) 334-1233
Jennifer Webb
Clinical Social Work/Therapist, LCSW, LCADC
1 Endorsed
Louisville, KY 40222
You just want the pain, chaos, and emptiness you feel to go away once and for all. Whether it is eating secretly to comfort yourself, having to drink every night to sleep, pushing yourself to achieve, or isolating yourself. Attempting to balance family, work, and your self-care can feel overwhelming and tends to end with you feeling worse about yourself and how you can't get it together. Shame and guilt keep you stationary where you are, and if you had to admit that things were not where you wanted you might actually crumble. Let's figure out a new normal, together.
You just want the pain, chaos, and emptiness you feel to go away once and for all. Whether it is eating secretly to comfort yourself, having to drink every night to sleep, pushing yourself to achieve, or isolating yourself. Attempting to balance family, work, and your self-care can feel overwhelming and tends to end with you feeling worse about yourself and how you can't get it together. Shame and guilt keep you stationary where you are, and if you had to admit that things were not where you wanted you might actually crumble. Let's figure out a new normal, together.
(859) 955-8287 View (859) 955-8287
Sara Wallace
Psychological Associate, MA, LPA
Louisville, KY 40207
Sara Wallace, MA, LPA is a licensed psychological associate who specializes in the treatment of OCD, eating disorders, and related conditions using evidence-based approaches such as Exposure and Response Prevention (ERP), Acceptance and Commitment Therapy (ACT), Dialectical Behavior Therapy (DBT), Family-Based Therapy (FBT) and Cognitive Behavioral Therapy
Sara Wallace, MA, LPA is a licensed psychological associate who specializes in the treatment of OCD, eating disorders, and related conditions using evidence-based approaches such as Exposure and Response Prevention (ERP), Acceptance and Commitment Therapy (ACT), Dialectical Behavior Therapy (DBT), Family-Based Therapy (FBT) and Cognitive Behavioral Therapy
(502) 467-7813 View (502) 467-7813

How does your Therapist compare?

Number of Therapists in Highlands Douglas, Louisville, KY

10+

Average cost per session

$145

Therapists in Highlands Douglas, Louisville, KY who prioritize treating:

91% Anxiety
91% Life Transitions
91% Social Anxiety
91% Health Anxiety
91% Driving Anxiety
82% Depression
82% Trauma and PTSD

Average years in practice

19 Years

Top 3 insurances accepted

67% Aetna
67% BlueCross and BlueShield
67% Cigna and Evernorth

How Therapists in Highlands Douglas, Louisville, KY see their clients

82% In Person and Online
18% Online Only

Gender breakdown

90% Female
10% Male
FAQs - About Therapy and Counseling

How can I find a therapist in Highlands Douglas?

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.