Therapists in North End, Boston, MA

Photo of Lillian Pozadas, Clinical Social Work/Therapist, LICSW
Lillian Pozadas
Clinical Social Work/Therapist, LICSW
Online Only
Often, when people are reaching out with concerns about themselves, their relationships, work stressors, or worries about the future, they're often feeling stuck or at a loss about how to proceed. Many of these issues often have connections to other themes in a person's life that can feel challenging to parse out. As a result, while sometimes we know exactly what’s wrong, many other times all we have is the nagging sense that something feels “off.”
Often, when people are reaching out with concerns about themselves, their relationships, work stressors, or worries about the future, they're often feeling stuck or at a loss about how to proceed. Many of these issues often have connections to other themes in a person's life that can feel challenging to parse out. As a result, while sometimes we know exactly what’s wrong, many other times all we have is the nagging sense that something feels “off.”
(781) 332-4785 View (781) 332-4785
Photo of Alyia Pothemont, Counselor, LMHC
Alyia Pothemont
Counselor, LMHC
1 Endorsed
Online Only
Life can come with a lot of curveballs, some that we can handle others can be more difficult. Life can start to become a rollercoaster that never ends. Having that one person you can speak to about life without judgment can help alleviate some of those curveballs. As a licensed professional, I aim to meet others where they are and help them discover themselves without feeling restricted. While helping them heal from their past. I am trained in numerous forms of therapy, including motivational interviewing, cognitive behavioral therapy, behavioral therapy, psychodynamic therapy, and person-centered therapy. www.aviv.life
Life can come with a lot of curveballs, some that we can handle others can be more difficult. Life can start to become a rollercoaster that never ends. Having that one person you can speak to about life without judgment can help alleviate some of those curveballs. As a licensed professional, I aim to meet others where they are and help them discover themselves without feeling restricted. While helping them heal from their past. I am trained in numerous forms of therapy, including motivational interviewing, cognitive behavioral therapy, behavioral therapy, psychodynamic therapy, and person-centered therapy. www.aviv.life
(508) 682-5357 View (508) 682-5357
Photo of Jennie Lurie, Counselor, LMHC, C-DBT, RYT 200
Jennie Lurie
Counselor, LMHC, C-DBT, RYT 200
North End, Boston, MA 02109
Not accepting new clients
Certified DBT therapist with training in trauma-informed therapeutic (and standard) yoga and Japanese Reiki. To schedule a free consultation, visit my website to complete and submit the consultation request form and click the request appointment button.
Certified DBT therapist with training in trauma-informed therapeutic (and standard) yoga and Japanese Reiki. To schedule a free consultation, visit my website to complete and submit the consultation request form and click the request appointment button.
(857) 342-4010 View (857) 342-4010
Photo of Sophia Fleming, Clinical Social Work/Therapist, LICSW, SEP
Sophia Fleming
Clinical Social Work/Therapist, LICSW, SEP
Online Only
You are realizing you deserve better. You're tired of feeling stuck in painful relationship patterns, unsure how to break the cycle. You're a caring person who wants the best for yourself and others, yet you often find yourself giving too much and tolerating inappropriate behavior. You may avoid speaking up—fearing conflict or simply not knowing how to communicate in a healthy way. This leaves you feeling depleted, used, resentful, and lonely. You’re tired of losing yourself in your relationships and are ready to learn a new way.
You are realizing you deserve better. You're tired of feeling stuck in painful relationship patterns, unsure how to break the cycle. You're a caring person who wants the best for yourself and others, yet you often find yourself giving too much and tolerating inappropriate behavior. You may avoid speaking up—fearing conflict or simply not knowing how to communicate in a healthy way. This leaves you feeling depleted, used, resentful, and lonely. You’re tired of losing yourself in your relationships and are ready to learn a new way.
(857) 425-8416 View (857) 425-8416
Photo of Patrise Haggerty - Affairs of the Heart - Patrise Haggerty LMHC, Counselor, MEd, MS MFT, LMHC
Affairs of the Heart - Patrise Haggerty LMHC
Counselor, MEd, MS MFT, LMHC
North End, Boston, MA 02116
I am a Licensed Mental Health Counselor (LMHC) specializing in infidelity, betrayal trauma and affair recovery. Discovering a partner's infidelity can be a devastating and emotionally disorienting experience that often leaves you feeling confused and uncertain about the future. Navigating the emotional aftermath of infidelity is a very challenging and overwhelming experience to say the least. As a specialist in this area, I am here to guide you through this painful process with kindness and compassion whether you choose to stay and repair your relationship or move on and heal on a new individual path.
I am a Licensed Mental Health Counselor (LMHC) specializing in infidelity, betrayal trauma and affair recovery. Discovering a partner's infidelity can be a devastating and emotionally disorienting experience that often leaves you feeling confused and uncertain about the future. Navigating the emotional aftermath of infidelity is a very challenging and overwhelming experience to say the least. As a specialist in this area, I am here to guide you through this painful process with kindness and compassion whether you choose to stay and repair your relationship or move on and heal on a new individual path.
(781) 294-3324 View (781) 294-3324
Photo of Jody Grimm, MA, LMHC
Jody Grimm
Verified Verified
North End, Boston, MA 02113
Would you believe me if I said nothing is wrong with you? Maybe you keep attracting unavailable partners, withdraw or become anxious in social settings, or can't seem to break free from food addiction. Maybe you struggle with crippling depression or chronic pain. While what you're experiencing may feel shameful and isolating, know that you aren't alone and you're certainly not broken. If you're willing and wanting to explore your pain, you're already on your way toward reclaiming the freedom and wholeness that is always within you.
Would you believe me if I said nothing is wrong with you? Maybe you keep attracting unavailable partners, withdraw or become anxious in social settings, or can't seem to break free from food addiction. Maybe you struggle with crippling depression or chronic pain. While what you're experiencing may feel shameful and isolating, know that you aren't alone and you're certainly not broken. If you're willing and wanting to explore your pain, you're already on your way toward reclaiming the freedom and wholeness that is always within you.
(781) 390-4682 View (781) 390-4682
Photo of Oyenike Balogun, Psychologist, PhD
Oyenike Balogun
Psychologist, PhD
2 Endorsed
Online Only
Waitlist for new clients
***Waitlisting for couples therapy***I treat individuals and couples seeking avenues to thrive. I have expansive experience working with diverse populations on adjustment issues across the lifespan, emotional distress, problematic relationship patterns, family-related stress, body image concerns, and sexual trauma. Unique to my practice is a focus on the impact of intersections of race and gender. In our work together, I look to facilitate a process of discovery that empowers you to realize your personal goals.
***Waitlisting for couples therapy***I treat individuals and couples seeking avenues to thrive. I have expansive experience working with diverse populations on adjustment issues across the lifespan, emotional distress, problematic relationship patterns, family-related stress, body image concerns, and sexual trauma. Unique to my practice is a focus on the impact of intersections of race and gender. In our work together, I look to facilitate a process of discovery that empowers you to realize your personal goals.
(781) 350-9812 View (781) 350-9812
Photo of Jonathan B. Wolf, EdM
Jonathan B. Wolf
Verified Verified
North End, Boston, MA 02113
Do you feel that traditional therapy is not for you? Jonathan started YouTime Coaching 15 years ago with an ambitious core belief: if you provide compassionate support, positive modeling, and skillful accountability, personal growth and change are possible. We've had major success working with many young people, adults, and families regarding academic/work struggles, transitional challenges, focus/attentional issues, communication, motivation, performance enhancement, and self-confidence.
Do you feel that traditional therapy is not for you? Jonathan started YouTime Coaching 15 years ago with an ambitious core belief: if you provide compassionate support, positive modeling, and skillful accountability, personal growth and change are possible. We've had major success working with many young people, adults, and families regarding academic/work struggles, transitional challenges, focus/attentional issues, communication, motivation, performance enhancement, and self-confidence.
(856) 281-2747 View (856) 281-2747
Photo of Justin Marchese, Marriage & Family Therapist, MA, LMFT
Justin Marchese
Marriage & Family Therapist, MA, LMFT
4 Endorsed
North End, Boston, MA 02110
I see individuals, couples, and families. My goal is to provide clients a safe, supportive therapeutic relationship to talk, feel, heal, and change. Life challenges present us with opportunities for new chapters, new growth. Helping you reach your therapy goals is of utmost importance to me. You do not need to be controlled by the past, yet do you often use old behaviors in situations wanting a new response? Are you suffering from depression, anxieties, relationship problems, fears, self-doubts, or "irrational" worries? Together we will explore ways to help you live with more awareness, more freely, and with more energy for your present.
I see individuals, couples, and families. My goal is to provide clients a safe, supportive therapeutic relationship to talk, feel, heal, and change. Life challenges present us with opportunities for new chapters, new growth. Helping you reach your therapy goals is of utmost importance to me. You do not need to be controlled by the past, yet do you often use old behaviors in situations wanting a new response? Are you suffering from depression, anxieties, relationship problems, fears, self-doubts, or "irrational" worries? Together we will explore ways to help you live with more awareness, more freely, and with more energy for your present.
(617) 996-7264 View (617) 996-7264
Photo of Christian Baldino, Counselor, LMHC
Christian Baldino
Counselor, LMHC
2 Endorsed
North End, Boston, MA 02114
Now accepting new clients for both telehealth and in-person sessions. I understand the weight of anxiety and depression - the constant worry, negative self-talk, and isolation. I can help you achieve your goals of managing anxiety, boosting self-esteem, and embracing new experiences. Together, we will identify triggers and empower you to overcome the barriers in your relationships or personal growth. Whether it's pursuing new opportunities, building relationships, or simply feeling good enough, I'm here to support you every step of the way.
Now accepting new clients for both telehealth and in-person sessions. I understand the weight of anxiety and depression - the constant worry, negative self-talk, and isolation. I can help you achieve your goals of managing anxiety, boosting self-esteem, and embracing new experiences. Together, we will identify triggers and empower you to overcome the barriers in your relationships or personal growth. Whether it's pursuing new opportunities, building relationships, or simply feeling good enough, I'm here to support you every step of the way.
(857) 420-7319 View (857) 420-7319
Photo of Dr. Kimberlye E. Dean, Psychologist, PhD
Dr. Kimberlye E. Dean
Psychologist, PhD
3 Endorsed
Online Only
Dr. Dean (she/her) is co-owner of Triad Psychotherapy (www.triad-psych.com), a new Massachusetts-based clinic focused on supporting adult mental health. She works with either civilians or veterans who are interested in an evidence based approach to managing anxiety and/or depression, substance use disorders, trauma and other stressor disorders, or racial identity/other cultural issues. Potential clients who are hoping to utilize a nonjudgemental stance to make actionable changes and develop personal insight into their own thoughts and behaviors would benefit from Dr. Dean's therapeutic services.
Dr. Dean (she/her) is co-owner of Triad Psychotherapy (www.triad-psych.com), a new Massachusetts-based clinic focused on supporting adult mental health. She works with either civilians or veterans who are interested in an evidence based approach to managing anxiety and/or depression, substance use disorders, trauma and other stressor disorders, or racial identity/other cultural issues. Potential clients who are hoping to utilize a nonjudgemental stance to make actionable changes and develop personal insight into their own thoughts and behaviors would benefit from Dr. Dean's therapeutic services.
(617) 600-5942 View (617) 600-5942
Photo of Gabrielle Liverant, Psychologist, PhD
Gabrielle Liverant
Psychologist, PhD
Online Only
I have been providing cognitive-behavioral (CBT) and other evidenced-based therapies since 2009. My specific expertise is in the treatment of adults with anxiety, depression, and adjustment/stressor reactions. My practice focuses on the use of therapies and techniques that have scientific support for their effectiveness. In particular, I have expertise in CBT, mindfulness, and acceptance-based treatments for a range of emotional disorders. In my clinical practice, I prioritize building connection and safe spaces for my clients while providing them with access to individualized, evidence-based mental healthcare.
I have been providing cognitive-behavioral (CBT) and other evidenced-based therapies since 2009. My specific expertise is in the treatment of adults with anxiety, depression, and adjustment/stressor reactions. My practice focuses on the use of therapies and techniques that have scientific support for their effectiveness. In particular, I have expertise in CBT, mindfulness, and acceptance-based treatments for a range of emotional disorders. In my clinical practice, I prioritize building connection and safe spaces for my clients while providing them with access to individualized, evidence-based mental healthcare.
(857) 336-1411 View (857) 336-1411
Photo of Elizabeth Cherchia, Clinical Social Work/Therapist, LICSW
Elizabeth Cherchia
Clinical Social Work/Therapist, LICSW
1 Endorsed
Online Only
Waitlist for new clients
Self exploration is a learning process that facilitates one's understanding of their self identity and helps them to navigate their role in society. My approach supports the emotional growth needed to move beyond barriers and look towards the future, such that each person is able to pursue a meaningful and satisfying life. I employ a strength based perspective to help clients realize their potential and identify personal goals. I enjoy working together with her clients to identify needs and preferences for treatment and develop goal oriented treatment plans to serve as a guide for therapy sessions.
Self exploration is a learning process that facilitates one's understanding of their self identity and helps them to navigate their role in society. My approach supports the emotional growth needed to move beyond barriers and look towards the future, such that each person is able to pursue a meaningful and satisfying life. I employ a strength based perspective to help clients realize their potential and identify personal goals. I enjoy working together with her clients to identify needs and preferences for treatment and develop goal oriented treatment plans to serve as a guide for therapy sessions.
(774) 462-5575 View (774) 462-5575
Photo of Frantzces Lys, Clinical Social Work/Therapist, LCSW
Frantzces Lys
Clinical Social Work/Therapist, LCSW
Online Only
Do you feel stuck, unsure why life feels unfulfilling despite everything you’ve tried? Often, it’s unresolved emotional wounds or negative patterns—from self-doubt to old fears—that quietly shape our choices and hold us back. Together, we’ll identify and heal those deeper layers, rewiring the beliefs keeping you stuck. Using tools like mindfulness, reframing, and emotional healing, I’ll help you create a life that feels purposeful, peaceful, and uniquely yours.
Do you feel stuck, unsure why life feels unfulfilling despite everything you’ve tried? Often, it’s unresolved emotional wounds or negative patterns—from self-doubt to old fears—that quietly shape our choices and hold us back. Together, we’ll identify and heal those deeper layers, rewiring the beliefs keeping you stuck. Using tools like mindfulness, reframing, and emotional healing, I’ll help you create a life that feels purposeful, peaceful, and uniquely yours.
(857) 678-5098 View (857) 678-5098
Photo of Regan Lynch, Clinical Social Work/Therapist, LCSW
Regan Lynch
Clinical Social Work/Therapist, LCSW
North End, Boston, MA 02109
Accepting New Clients. I am a clinical social worker who has worked with individuals experiencing depression, anxiety, trauma, substance use issues, relationship challenges, and life transitions - especially young adults transitioning into adulthood. My therapeutic approach is collaborative, transparent, consistent, and genuine. I value client-centered care and maintain a person-in-environment perspective in my work. I utilize elements of CBT (Cognitive Behavioral Therapy), DBT (Dialectic Behavioral Therapy), Psychodynamic Therapy, MI (Motivational Interviewing), Liberation Health, and mindfulness.
Accepting New Clients. I am a clinical social worker who has worked with individuals experiencing depression, anxiety, trauma, substance use issues, relationship challenges, and life transitions - especially young adults transitioning into adulthood. My therapeutic approach is collaborative, transparent, consistent, and genuine. I value client-centered care and maintain a person-in-environment perspective in my work. I utilize elements of CBT (Cognitive Behavioral Therapy), DBT (Dialectic Behavioral Therapy), Psychodynamic Therapy, MI (Motivational Interviewing), Liberation Health, and mindfulness.
(857) 675-6693 View (857) 675-6693
Photo of Jessie Shanks, Counselor, LMHC, LCPC
Jessie Shanks
Counselor, LMHC, LCPC
1 Endorsed
Online Only
Waitlist Currently! Hello, some of my strengths include identifying and cultivating strengths in others, giving language to complex feelings, detangling complex issues and finding paths to wholeness. My goal in therapy is to support others to reach their personal goals and even help them identify what those may be if they are unsure. My ideal Patient is motivated to change and open to trying various techniques. I'm dual licensed in the States of Massachusetts and Illinois and provide only Teletherapy. I've been in clinical practice since 2013, yet have 20 years of experience through mentoring young adults.
Waitlist Currently! Hello, some of my strengths include identifying and cultivating strengths in others, giving language to complex feelings, detangling complex issues and finding paths to wholeness. My goal in therapy is to support others to reach their personal goals and even help them identify what those may be if they are unsure. My ideal Patient is motivated to change and open to trying various techniques. I'm dual licensed in the States of Massachusetts and Illinois and provide only Teletherapy. I've been in clinical practice since 2013, yet have 20 years of experience through mentoring young adults.
(508) 348-7176 View (508) 348-7176
Photo of Arielle Renee Speer, Clinical Social Work/Therapist, LICSW, LCSW
Arielle Renee Speer
Clinical Social Work/Therapist, LICSW, LCSW
1 Endorsed
Online Only
I am so excited to have the opportunity to meet you and learn how I can support you on your journey to your best life. I work with adults in a virtual setting and I accept both insurance and self-pay. Most of the client I work with either have a diagnosis of OCD, anxiety, panic disorder or a specific phobia or suspect they have one of these conditions. Additionally, I work with autistic persons looking for support from a therapist that understands the specific challenges that face a neurodivergent person.
I am so excited to have the opportunity to meet you and learn how I can support you on your journey to your best life. I work with adults in a virtual setting and I accept both insurance and self-pay. Most of the client I work with either have a diagnosis of OCD, anxiety, panic disorder or a specific phobia or suspect they have one of these conditions. Additionally, I work with autistic persons looking for support from a therapist that understands the specific challenges that face a neurodivergent person.
(417) 591-2153 View (417) 591-2153
Photo of Caroline H. Ogilvy, Clinical Social Work/Therapist, LICSW
Caroline H. Ogilvy
Clinical Social Work/Therapist, LICSW
Online Only
As a therapist, I work with adults who may be coping with new or unexpected challenges in their lives. I can help clients who may feel overwhelmed, stuck, or frustrated, while navigating difficult emotional experiences that may cause significant distress. I specialize in supporting women who are coping with anxiety and/or depression, daily life stress, self-esteem, interpersonal relationship conflicts, work/life balance, life transitions, chronic medical illness, and parenting related issues. Together, we discuss mind-body connection, strengthening coping skills for stress management, and fostering resilience and empowerment.
As a therapist, I work with adults who may be coping with new or unexpected challenges in their lives. I can help clients who may feel overwhelmed, stuck, or frustrated, while navigating difficult emotional experiences that may cause significant distress. I specialize in supporting women who are coping with anxiety and/or depression, daily life stress, self-esteem, interpersonal relationship conflicts, work/life balance, life transitions, chronic medical illness, and parenting related issues. Together, we discuss mind-body connection, strengthening coping skills for stress management, and fostering resilience and empowerment.
(857) 847-4090 View (857) 847-4090
Photo of Jamie Farrelly, Clinical Social Work/Therapist, LICSW
Jamie Farrelly
Clinical Social Work/Therapist, LICSW
3 Endorsed
Online Only
Life is often characterized by unexpected transitions and unfamiliar experiences. Everyone wants to feel confident in their ability to navigate those pivotal moments as their best self, but for those dealing with trauma, grief, and stress, this can feel overwhelming.
Life is often characterized by unexpected transitions and unfamiliar experiences. Everyone wants to feel confident in their ability to navigate those pivotal moments as their best self, but for those dealing with trauma, grief, and stress, this can feel overwhelming.
(339) 331-1432 View (339) 331-1432
Photo of Dr. Dixie Brown - Lotus Healing, Licensed Professional Counselor, PhD
Lotus Healing
Licensed Professional Counselor, PhD
1 Endorsed
Online Only
I am Dr. Dixie, my ideal clients are individuals navigating trauma, anxiety, disordered eating, or substance use who feel stuck in survival mode and disconnected from themselves. They’re seeking more than symptom management—they want deep, lasting healing. Their goals are to feel balanced, build self-trust, and break free from old patterns. I offer a safe, supportive space and an integrative approach that blends clinical expertise with mind-body practices to help them heal, grow, and reclaim their lives with purpose and clarity.
I am Dr. Dixie, my ideal clients are individuals navigating trauma, anxiety, disordered eating, or substance use who feel stuck in survival mode and disconnected from themselves. They’re seeking more than symptom management—they want deep, lasting healing. Their goals are to feel balanced, build self-trust, and break free from old patterns. I offer a safe, supportive space and an integrative approach that blends clinical expertise with mind-body practices to help them heal, grow, and reclaim their lives with purpose and clarity.
(617) 917-3202 View (617) 917-3202
1

How does your Therapist compare?

Number of Therapists in North End, Boston, MA

30+

Average cost per session

$175

Therapists in North End, Boston, MA who prioritize treating:

89% Anxiety
83% Relationship Issues
80% Depression
80% Self Esteem
80% Stress
66% Trauma and PTSD
66% Coping Skills

Average years in practice

12 Years

Top 3 insurances accepted

88% BlueCross and BlueShield
67% Aetna
58% Harvard Pilgrim

How Therapists in North End, Boston, MA see their clients

62% Online Only
38% In Person and Online

Gender breakdown

79% Female
21% Male
FAQs - About Therapy and Counseling

How can I find a therapist in North End, Boston?

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.