Therapists in Arlington, MA

Photo of Natalie Russ, Psychologist in Arlington, MA
Natalie Russ
Psychologist, PsyD
Verified Verified
1 Endorsed
Arlington, MA 02476  (Online Only)
Not accepting new clients
I'm a licensed clinical psychologist offering psychotherapy and consultation to individuals 18+ within the state of Massachusetts.
I'm a licensed clinical psychologist offering psychotherapy and consultation to individuals 18+ within the state of Massachusetts.
(508) 219-6406 View (508) 219-6406
Photo of Maggie O'Brien, Counselor in Arlington, MA
Maggie O'Brien
Counselor, LMHC
Verified Verified
1 Endorsed
Arlington, MA 02474  (Online Only)
Are you feeling disconnected, overwhelmed, unmotivated, or stuck? Or experiencing depression, anxiety, difficulty getting out of bed? Are these difficulties impacting your ability to engage with aspects of your life or to make changes? When it feels hard to start your day or get through your day, it can feel impossible to imagine things getting better. I am here to help!
Are you feeling disconnected, overwhelmed, unmotivated, or stuck? Or experiencing depression, anxiety, difficulty getting out of bed? Are these difficulties impacting your ability to engage with aspects of your life or to make changes? When it feels hard to start your day or get through your day, it can feel impossible to imagine things getting better. I am here to help!
(339) 329-1332 View (339) 329-1332
Photo of Emily O'Bryan, Psychologist in Arlington, MA
Emily O'Bryan
Psychologist, PhD
Verified Verified
Arlington, MA 02474
I am a clinical psychologist specializing in cognitive-behavioral interventions for OCD, anxiety disorders, PTSD, and other conditions. Prior to joining Cambridge Psychology Group (CPG), I completed my pre-doctoral internship/residency and postdoctoral fellowship at the Anxiety Disorders Center at the Institute of Living, a specialty clinic where I provided exposure-based CBT for youth and adults with anxiety and related disorders, including Exposure and Response Prevention for OCD specifically. I also have expertise in Cognitive Processing Therapy for PTSD and Mindfulness-Based Cognitive Therapy.
I am a clinical psychologist specializing in cognitive-behavioral interventions for OCD, anxiety disorders, PTSD, and other conditions. Prior to joining Cambridge Psychology Group (CPG), I completed my pre-doctoral internship/residency and postdoctoral fellowship at the Anxiety Disorders Center at the Institute of Living, a specialty clinic where I provided exposure-based CBT for youth and adults with anxiety and related disorders, including Exposure and Response Prevention for OCD specifically. I also have expertise in Cognitive Processing Therapy for PTSD and Mindfulness-Based Cognitive Therapy.
(339) 300-1952 View (339) 300-1952
Photo of Alejandra Didio, LCSW, CCTP, Clinical Social Work/Therapist in Arlington, MA
Alejandra Didio, LCSW, CCTP
Clinical Social Work/Therapist, LCSW
Verified Verified
1 Endorsed
Arlington, MA 02476  (Online Only)
You’ve been feeling off, disconnected, and frustrated. Hurts from past or present trauma keep interrupting your life, slowing your energy, and lowering your hope. Depression, PTSD and anxiety are taking up too much of your energy. You want to move forward, to transcend your trauma, but things keep holding you back. Now you’re ready to break free.
You’ve been feeling off, disconnected, and frustrated. Hurts from past or present trauma keep interrupting your life, slowing your energy, and lowering your hope. Depression, PTSD and anxiety are taking up too much of your energy. You want to move forward, to transcend your trauma, but things keep holding you back. Now you’re ready to break free.
(339) 218-4713 View (339) 218-4713
Photo of Katie Strickland, Psychologist in Arlington, MA
Katie Strickland
Psychologist, PsyD
Verified Verified
3 Endorsed
Arlington, MA 02474
An increasing amount of people are experiencing stress, anxiety, and other uncomfortable emotions regarding the current state of our world. Now more than ever, it is especially important to take care of our emotional health as well as our physical. There are many different approaches to therapy and it is not “one size fits all.” As a therapist with extensive training in Cognitive Behavioral Therapy, I integrate this theory with other evidence-based treatments to address a wide range of issues. Most importantly, I focus on building a strong therapeutic bond with each of my clients through curiosity, understanding, and compassion.
An increasing amount of people are experiencing stress, anxiety, and other uncomfortable emotions regarding the current state of our world. Now more than ever, it is especially important to take care of our emotional health as well as our physical. There are many different approaches to therapy and it is not “one size fits all.” As a therapist with extensive training in Cognitive Behavioral Therapy, I integrate this theory with other evidence-based treatments to address a wide range of issues. Most importantly, I focus on building a strong therapeutic bond with each of my clients through curiosity, understanding, and compassion.
(339) 220-5653 View (339) 220-5653
Photo of Melissa DeRosa, Clinical Social Work/Therapist in Arlington, MA
Melissa DeRosa
Clinical Social Work/Therapist, LICSW
Verified Verified
2 Endorsed
Arlington, MA 02476  (Online Only)
Waitlist for new clients
Do you often feel stuck, anxious, overwhelmed? Do you struggle to stay motivated or constantly wrestle with feelings of guilt? Are you struggling to adjust to changes in your career, relationship, your home life or your sense of identity? When you are struggling with these feelings it can be overwhelming and you may not know where to start. It is time to start thinking about finding a therapist, another overwhelming process. When we begin to look for a therapist, we acknowledge that part of ourselves that is ready for change and strong enough to ask for help.
Do you often feel stuck, anxious, overwhelmed? Do you struggle to stay motivated or constantly wrestle with feelings of guilt? Are you struggling to adjust to changes in your career, relationship, your home life or your sense of identity? When you are struggling with these feelings it can be overwhelming and you may not know where to start. It is time to start thinking about finding a therapist, another overwhelming process. When we begin to look for a therapist, we acknowledge that part of ourselves that is ready for change and strong enough to ask for help.
(339) 499-1250 View (339) 499-1250
Photo of Dr Alex MacNeil, LLC, Psychologist in Arlington, MA
Dr Alex MacNeil, LLC
Psychologist, PsyD
Verified Verified
Arlington, MA 02476
Not accepting new clients
Dr Alex MacNeil, LLC is a private practice based out of Arlington, MA that aims to help individuals and families foster healthy behaviors and relationships. Dr. MacNeil works with youth ages 7-18 as well as adults. He engages in both individual and family therapy, depending on the client’s needs. Dr. MacNeil focuses on helping clients facing stress and anxiety, mild depression and life-adjustment issues. His treatment aims to help clients foster positive behaviors relationships within families, schools, and workplaces. He conducts therapy either in-person or via telehealth.
Dr Alex MacNeil, LLC is a private practice based out of Arlington, MA that aims to help individuals and families foster healthy behaviors and relationships. Dr. MacNeil works with youth ages 7-18 as well as adults. He engages in both individual and family therapy, depending on the client’s needs. Dr. MacNeil focuses on helping clients facing stress and anxiety, mild depression and life-adjustment issues. His treatment aims to help clients foster positive behaviors relationships within families, schools, and workplaces. He conducts therapy either in-person or via telehealth.
(339) 217-6754 View (339) 217-6754
Photo of Michael R Goldstein, Psychologist in Arlington, MA
Michael R Goldstein
Psychologist, PhD
Verified Verified
Arlington, MA 02474
Not accepting new clients
I am a clinical psychologist and have been involved in mental health care & research for over 10 years in various settings including a teen & family counseling center, college health clinic, VA hospital, and academic medical centers. Prior to joining Cambridge Psychology Group, I completed a research fellowship at Harvard Medical School and was Clinical Director & Staff Psychologist for the Division of Digital Psychiatry at Beth Israel Deaconess Medical Center. Whether you prefer tech-based tools and data visuals to optimize therapy, or a more open-ended exploration of your life experiences, I'd be honored to work with you!
I am a clinical psychologist and have been involved in mental health care & research for over 10 years in various settings including a teen & family counseling center, college health clinic, VA hospital, and academic medical centers. Prior to joining Cambridge Psychology Group, I completed a research fellowship at Harvard Medical School and was Clinical Director & Staff Psychologist for the Division of Digital Psychiatry at Beth Israel Deaconess Medical Center. Whether you prefer tech-based tools and data visuals to optimize therapy, or a more open-ended exploration of your life experiences, I'd be honored to work with you!
(617) 892-4492 View (617) 892-4492
Photo of Hanying Alexander, Counselor in Arlington, MA
Hanying Alexander
Counselor, LMHC, R-DMT
Verified Verified
1 Endorsed
Arlington, MA 02476
Not accepting new clients
I love working with people to explore ways to overcome challenges in life together. Many of my clients struggle with managing depression, anxiety, gender identity, emotion regulation and expression, dysfunctional family communication, traumatic experiences, as well as acculturation difficulties (you know, having trouble to "fit in" a new culture or a new environment). As many wise people said; if you are wonder about having a therapist, you should get one (me or someone else)!
I love working with people to explore ways to overcome challenges in life together. Many of my clients struggle with managing depression, anxiety, gender identity, emotion regulation and expression, dysfunctional family communication, traumatic experiences, as well as acculturation difficulties (you know, having trouble to "fit in" a new culture or a new environment). As many wise people said; if you are wonder about having a therapist, you should get one (me or someone else)!
(339) 330-3372 View (339) 330-3372
Photo of Jennifer Alosso, Psychologist in Arlington, MA
Jennifer Alosso
Psychologist, PsyD
Verified Verified
1 Endorsed
Arlington, MA 02476  (Online Only)
www.DrJenAlosso.com
www.DrJenAlosso.com
(617) 571-6099 View (617) 571-6099
Photo of Valerie Barrett, Counselor in Arlington, MA
Valerie Barrett
Counselor, MA, LMHC
Verified Verified
1 Endorsed
Arlington, MA 02474  (Online Only)
Current Telehealth Openings! I am a licensed mental health therapist with over 20 years of experience helping people manage anxiety, depression, stress, and life transitions. We work together to respond to life's stressors in ways that utilize your strengths and problem solving skills. I help support self-awareness and insight with a focus on responding to our thoughts and emotions in ways that lead to more fulfillment in your life. I also support adults in parenting roles and with life transitions.
Current Telehealth Openings! I am a licensed mental health therapist with over 20 years of experience helping people manage anxiety, depression, stress, and life transitions. We work together to respond to life's stressors in ways that utilize your strengths and problem solving skills. I help support self-awareness and insight with a focus on responding to our thoughts and emotions in ways that lead to more fulfillment in your life. I also support adults in parenting roles and with life transitions.
(339) 345-3120 View (339) 345-3120
Photo of Geoffrey Noble, Counselor in Arlington, MA
Geoffrey Noble
Counselor, LMHC
Verified Verified
Arlington, MA 02474
Not accepting new clients
I am full with a waitlist. I offer collaborative, warm, and interactive therapy to help people create meaningful change. Through therapy, you can jumpstart and sustain a process of growth and healing, reduce anxiety and depression, and develop the insight and commitment to stop harmful patterns that no longer serve you. I’m focused on helping people become more authentic in work and relationships, less stressed, and more connected to their values. My particular areas of interest are to help people lessen anxiety and recover from trauma.
I am full with a waitlist. I offer collaborative, warm, and interactive therapy to help people create meaningful change. Through therapy, you can jumpstart and sustain a process of growth and healing, reduce anxiety and depression, and develop the insight and commitment to stop harmful patterns that no longer serve you. I’m focused on helping people become more authentic in work and relationships, less stressed, and more connected to their values. My particular areas of interest are to help people lessen anxiety and recover from trauma.
(339) 345-2748 View (339) 345-2748
Photo of Jennifer Sheng, Clinical Social Work/Therapist in Arlington, MA
Jennifer Sheng
Clinical Social Work/Therapist, LICSW
Verified Verified
1 Endorsed
Arlington, MA 02474
Accepting new telehealth clients! Finding the right counselor in today's environment can be challenging especially if you are diagnosed with a health condition or have a non-traditional schedule. I am an experienced, licensed therapist in the Greater Boston Area specializing in grief, loss of pet, coping with illness, caregiver support, healthcare professional burnout/moral injury, and life transitions. My approach is tailored to each person and is collaborative, affirming, warm, empathic, strengths based and solution focused.
Accepting new telehealth clients! Finding the right counselor in today's environment can be challenging especially if you are diagnosed with a health condition or have a non-traditional schedule. I am an experienced, licensed therapist in the Greater Boston Area specializing in grief, loss of pet, coping with illness, caregiver support, healthcare professional burnout/moral injury, and life transitions. My approach is tailored to each person and is collaborative, affirming, warm, empathic, strengths based and solution focused.
(617) 741-9353 View (617) 741-9353
Photo of Lisa Davis, Counselor in Arlington, MA
Lisa Davis
Counselor, MA, LMHC
Verified Verified
Arlington, MA 02476
Waitlist for new clients
Do you feel stuck, upset, frustrated, scared or confused? A troubling combination of these feelings? People often call me when stresses in their lives have increased, they're having difficulty coping or are experiencing uncomfortable levels of anxiety, depression or confusion in relationships, disappointment in self or others, work difficulties, or problems adjusting to loss and other life changes. In the context of a respectful, warm and trusting therapeutic alliance, I work with individuals and couples to empower them to build skills necessary to explore, fully experience and productively weather the emotional storms essential to a worthwhile and creative life.
Do you feel stuck, upset, frustrated, scared or confused? A troubling combination of these feelings? People often call me when stresses in their lives have increased, they're having difficulty coping or are experiencing uncomfortable levels of anxiety, depression or confusion in relationships, disappointment in self or others, work difficulties, or problems adjusting to loss and other life changes. In the context of a respectful, warm and trusting therapeutic alliance, I work with individuals and couples to empower them to build skills necessary to explore, fully experience and productively weather the emotional storms essential to a worthwhile and creative life.
(781) 996-2219 View (781) 996-2219
Photo of Sara Leo, Psychologist in Arlington, MA
Sara Leo
Psychologist, PsyD
Verified Verified
Arlington, MA 02474
I am a licensed clinical health psychologist at Cambridge Psychology Group. I specialize in treating people coping with anxiety, chronic pain, stress, medical issues, mood disorders, and difficulties adjusting to life changes. I believe that each person is unique, and therefore no one approach is right for everyone. I strive to integrate a variety of techniques and perspectives from cognitive behavioral therapy (CBT), mindfulness based therapies, relaxation training, biofeedback, clinical hypnotherapy, and supportive therapy to create a treatment that is tailored to the individual I am working with.
I am a licensed clinical health psychologist at Cambridge Psychology Group. I specialize in treating people coping with anxiety, chronic pain, stress, medical issues, mood disorders, and difficulties adjusting to life changes. I believe that each person is unique, and therefore no one approach is right for everyone. I strive to integrate a variety of techniques and perspectives from cognitive behavioral therapy (CBT), mindfulness based therapies, relaxation training, biofeedback, clinical hypnotherapy, and supportive therapy to create a treatment that is tailored to the individual I am working with.
(617) 977-4770 View (617) 977-4770
Photo of Dan Nudel, Clinical Social Work/Therapist in Arlington, MA
Dan Nudel
Clinical Social Work/Therapist, LICSW
Verified Verified
1 Endorsed
Arlington, MA 02474
The aim of my practice is to help reduce moments of suffering and discomfort while increasing moments of joy, connectedness and resilience. I focus on creating authentic, curious and challenging therapeutic relationships from which my clients and I explore and take on possible pathways to meaningful change. Shifting away from unhelpful patterns in our lives can be scary and overwhelming. I look forward to supporting you as you navigate the pain and joy that can come from the process of seeking positive change.
The aim of my practice is to help reduce moments of suffering and discomfort while increasing moments of joy, connectedness and resilience. I focus on creating authentic, curious and challenging therapeutic relationships from which my clients and I explore and take on possible pathways to meaningful change. Shifting away from unhelpful patterns in our lives can be scary and overwhelming. I look forward to supporting you as you navigate the pain and joy that can come from the process of seeking positive change.
(508) 538-3821 View (508) 538-3821
Photo of Rachel Fernekees, Clinical Social Work/Therapist in Arlington, MA
Rachel Fernekees
Clinical Social Work/Therapist, LICSW, SAC, MAT
Verified Verified
2 Endorsed
Arlington, MA 02474  (Online Only)
Are you tired of feeling anxious? Are you finding it difficult to concentrate and juggle demands? Are you looking for a professional you or your child will connect with? We work at a pace that is comfortable for you and draw from your strengths to get you feeling better. You have inner wisdom and choices that will bring you solutions. People meet with me to find relief from symptoms of anxiety, depression, ADHD, PTSD, and OCD. I provide a unique treatment plan to suit your needs which incorporates evidence based practice and the structure of skills & behavior therapy if desired. I am a neurodiversity & LGBTQIA+ affirming provider.
Are you tired of feeling anxious? Are you finding it difficult to concentrate and juggle demands? Are you looking for a professional you or your child will connect with? We work at a pace that is comfortable for you and draw from your strengths to get you feeling better. You have inner wisdom and choices that will bring you solutions. People meet with me to find relief from symptoms of anxiety, depression, ADHD, PTSD, and OCD. I provide a unique treatment plan to suit your needs which incorporates evidence based practice and the structure of skills & behavior therapy if desired. I am a neurodiversity & LGBTQIA+ affirming provider.
(339) 330-1478 View (339) 330-1478
Photo of Jessica Rafferty, Counselor in Arlington, MA
Jessica Rafferty
Counselor, MA, LMHC
Verified Verified
Arlington, MA 02474
If you're here, it's likely because you're facing some obstacles that are hindering your progress towards achieving your goals and experiencing a sense of fulfillment in your daily life. These obstacles could manifest as symptoms of depression, such as a lack of motivation, feeling adrift, or a sense of disconnection. You may be experiencing anxiety, struggling with concerns about not measuring up, feeling overwhelmed by the prospect of making change, or feeling inadequate in some way. You might also be experiencing difficulties in your relationships, uncertain about your position in your network or feeling frequently distressed.
If you're here, it's likely because you're facing some obstacles that are hindering your progress towards achieving your goals and experiencing a sense of fulfillment in your daily life. These obstacles could manifest as symptoms of depression, such as a lack of motivation, feeling adrift, or a sense of disconnection. You may be experiencing anxiety, struggling with concerns about not measuring up, feeling overwhelmed by the prospect of making change, or feeling inadequate in some way. You might also be experiencing difficulties in your relationships, uncertain about your position in your network or feeling frequently distressed.
(508) 812-4020 View (508) 812-4020
Photo of Center Psychotherapy, Clinical Social Work/Therapist in Arlington, MA
Center Psychotherapy
Clinical Social Work/Therapist, LCSW
Verified Verified
Arlington, MA 02476
Waitlist for new clients
Neesi is an LCSW and a therapist. She works predominantly with adults and a few teens. Neesi is currently looking for clients who wish to primarily meet in-person, with occasional virtual meetings. Some of the typical concerns she works with folx on are romantic relationships, stress management, anxiety, depression, trauma, ADHD, spirituality, and communicating boundaries with one's parents. LGBTQ+ folx of all colors (white/BIPOC/etc) are welcome to request therapy, including those who are "questioning." Please mention any RELEVANt identities you have when messaging her. Thank you!
Neesi is an LCSW and a therapist. She works predominantly with adults and a few teens. Neesi is currently looking for clients who wish to primarily meet in-person, with occasional virtual meetings. Some of the typical concerns she works with folx on are romantic relationships, stress management, anxiety, depression, trauma, ADHD, spirituality, and communicating boundaries with one's parents. LGBTQ+ folx of all colors (white/BIPOC/etc) are welcome to request therapy, including those who are "questioning." Please mention any RELEVANt identities you have when messaging her. Thank you!
(781) 208-5876 View (781) 208-5876
Photo of Julie French, Clinical Social Work/Therapist in Arlington, MA
Julie French
Clinical Social Work/Therapist, MSW, LICSW, PMH-C
Verified Verified
Arlington, MA 02474  (Online Only)
Therapy can begin when you feel like you are struggling with yourself or with others. I collaborate with clients with a non-judgmental and person-centered approach to help them feel more like themselves. I have a diverse background and utilize various clinical tools to support clients in identifying ways to change thoughts and behaviors. I am a social worker at heart who strongly believes in the dignity and worth of every person. I will hold space and recognize that you are the expert of your own life.
Therapy can begin when you feel like you are struggling with yourself or with others. I collaborate with clients with a non-judgmental and person-centered approach to help them feel more like themselves. I have a diverse background and utilize various clinical tools to support clients in identifying ways to change thoughts and behaviors. I am a social worker at heart who strongly believes in the dignity and worth of every person. I will hold space and recognize that you are the expert of your own life.
(339) 229-5517 View (339) 229-5517

How does your Therapist compare?

Number of Therapists in Arlington, MA

400+

Average cost per session

$175

Therapists in Arlington, MA who prioritize treating:

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

Average years in practice

12 Years

Top 3 insurances accepted

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

How Therapists in Arlington, MA see their clients

69% In Person and Online
31% Online Only

Gender breakdown

83% Female
16% Male
1% Non-Binary

FAQs - About Therapy and Counseling

How can I find a therapist in Arlington?

Search for nearby therapists or counselors by inputting your city, town, or suburb; or zip code; or a provider’s name into the search bar. From there, you can filter providers by the issues they treat, cost, insurance, gender, and other factors to find providers who are well-suited to your needs. To navigate between locations within the same country, enter a new city or zip code into the search bar.

Learn more about how to find a therapist

Is everyone in the Psychology Today Therapy Directory a licensed therapist?

The Psychology Today directory lists providers who offer legitimate mental health services to the public, including psychologists, psychiatrists, social workers, and counselors.

Many have been licensed by the country or state where they practice; providers whose license or primary credential has been verified by Psychology Today are signified by a “Verified” symbol. Some clinicians or organizations provide services for which their state or country does not offer licenses, such as pastoral counseling. They may be selectively included without the “Verified” seal.

What’s the difference between a psychologist, a therapist, and a counselor?

Therapists, psychologists, and counselors are all licensed mental health professionals. In the US, psychologists have earned a doctoral degree. The terms “therapist” and “counselor” are used somewhat interchangeably, but generally therapists offer longer-term, mental health care, while counselors offer shorter-term care that may focus on one domain, such as marriage, career, or academic challenges.

Clients should consider factors such as insurance coverage and their primary reason(s) for seeking therapy to determine the type of professional best suited to their needs. Someone struggling with mental health challenges such as depression or anxiety, for example, may wish to seek out a clinical psychologist or therapist, while someone navigating career obstacles or marital upheaval may benefit from seeing a counselor who can offer short-term, targeted support.

What type of therapy is right for me?

The type of therapy best suited to a particular individual depends on several factors, including their primary reason for seeking therapy, their preferred timeline (some therapy types last for a set number of sessions, while others are open-ended), and their personality and preferences—some may prefer a more structured approach. For many individuals, multiple types of therapy could provide a good fit.

How much does therapy cost?

The cost of therapy depends on a number of variables, including location and the therapist’s experience and training. On average, a therapy session in the United States could cost between $100 and $200 or more. If you have insurance, the expense of mental health care is typically lower, but it varies based on your insurance plan details and whether you choose an in-network or out-of-network mental healthcare provider.

What are more affordable or low cost therapy solutions?

Many therapists offer sliding scale payments, usually on a limited number of slots, which consists in an agreement between the therapist and a client to pay a reduced rate. Therapists who provide such arrangements often consider the client's income or ability to pay, but the extent of the discount is ultimately at the therapist's discretion. Furthermore, while group therapy may have different goals and benefits compared to individual therapy, it can be a more affordable solution to address certain types of issues.

Is online therapy cheaper than in-person therapy?

Many therapists charge the same amount for online therapy as they do for in-person therapy—though clients may still find this cost-effective if it cuts down on their transportation costs. Health insurance plans often offer equivalent coverage for online and in-person therapy; indeed, in many places, they are legally required to do so. Text-based or on-demand therapy apps may be cheaper than traditional one-on-one psychotherapy; however, the practice may be less effective and is not likely to be covered by insurance.

Is online therapy a good option?

Therapy conducted online can be just as effective as in-person therapy, as long as there is a strong alliance between the client and the therapist. To find a therapist who provides telehealth services to clients in your area, click “Online Therapy” on the directory homepage and search by your city or town or your zip code.

Are therapy sessions confidential?

Confidentiality is a crucial part of the therapeutic relationship. Therapists in the United States are bound by the regulations set out by the Health Insurance Portability and Accountability Act of 1996 (HIPAA), which aims to protect sensitive health information. With very few exceptions, a therapist will only discuss their client with others when the client has given their written permission. The instances in which a therapist would be required to disclose personal information are: if a client poses a danger to themselves or others, if the therapist suspects the abuse of a child or an elderly or otherwise dependent adult, or if they are legally forced to by court order. These exceptions to the confidentiality agreement are usually discussed with a client before their first session.