Therapists in North Reading, MA

Photo of Dr. Colleen Long, Psychologist, PsyD
Dr. Colleen Long
Psychologist, PsyD
North Reading, MA 01864
Are you searching for answers about your child’s behavior, learning struggles, or your own mental health challenges? Many families come to us after trying therapy or medication without success, still unsure what’s driving the problem. At Clarity Psychological Testing, we provide clarity when it matters most. Our three-step evaluation process identifies learning, attention, emotional, or developmental issues and gives a clear plan forward. With offices in North Reading and Kingston, and virtual testing available, we make answers accessible and affordable for every family acrosd Boston, the North & South Shore, Cape Code, and Plymouth
Are you searching for answers about your child’s behavior, learning struggles, or your own mental health challenges? Many families come to us after trying therapy or medication without success, still unsure what’s driving the problem. At Clarity Psychological Testing, we provide clarity when it matters most. Our three-step evaluation process identifies learning, attention, emotional, or developmental issues and gives a clear plan forward. With offices in North Reading and Kingston, and virtual testing available, we make answers accessible and affordable for every family acrosd Boston, the North & South Shore, Cape Code, and Plymouth
(781) 679-5258 View (781) 679-5258
Photo of Kelly Costello, Clinical Social Work/Therapist, LICSW
Kelly Costello
Clinical Social Work/Therapist, LICSW
1 Endorsed
North Reading, MA 01864
Feeling like you're too much—or not enough? Maybe you come from a background where you felt unloved, unsafe or unwanted. Perhaps you learned to hide your pain behind a smile and say you're "fine" when you're not. Many people feel inherently defective and think, "If people knew the real me they wouldn’t like what they see." You're not alone. Many of my clients feel overwhelmed and stuck in old patterns that no longer serve them. As a relational, trauma-focused therapist, I work with individuals 16+ navigating developmental trauma, attachment wounds, and low self worth. If you’re ready to begin, call me — I can help.
Feeling like you're too much—or not enough? Maybe you come from a background where you felt unloved, unsafe or unwanted. Perhaps you learned to hide your pain behind a smile and say you're "fine" when you're not. Many people feel inherently defective and think, "If people knew the real me they wouldn’t like what they see." You're not alone. Many of my clients feel overwhelmed and stuck in old patterns that no longer serve them. As a relational, trauma-focused therapist, I work with individuals 16+ navigating developmental trauma, attachment wounds, and low self worth. If you’re ready to begin, call me — I can help.
(508) 979-0731 View (508) 979-0731
Photo of Cara McCormack - Cara McCormack LMHC, Counselor, MEd, LMHC
Cara McCormack LMHC
Counselor, MEd, LMHC
1 Endorsed
North Reading, MA 01864
Not accepting new clients
You wish things were better in your relationship, but you feel so stuck and don't know how to make change happen. You wonder why you keep repeating the same mistakes or can't turn things around. A good therapist can assist you in making the changes you want, and in turn help you find more meaning, joy and fulfillment in your life and in your relationships.
You wish things were better in your relationship, but you feel so stuck and don't know how to make change happen. You wonder why you keep repeating the same mistakes or can't turn things around. A good therapist can assist you in making the changes you want, and in turn help you find more meaning, joy and fulfillment in your life and in your relationships.
(978) 675-3140 View (978) 675-3140
Photo of Deborah J. Colucci, Counselor, LMHC, CADC-II, MA-PGS, CCTP-II
Deborah J. Colucci
Counselor, LMHC, CADC-II, MA-PGS, CCTP-II
Online Only
I am a licensed mental health counselor (LMHC), state certified in substance use (CADC-II), problem gambling (MA PGS) and Trauma (CTTP-II), located in North Reading, Massachusetts. After many years of valuable experience in the field of mental health counseling, I expanded and open my own private practice. I work primarily with adults, focusing on a wide range of presenting problems including trauma, abuse, addictions, anxiety and depression. I strive to provide a safe and trusting environment for all my clients.
I am a licensed mental health counselor (LMHC), state certified in substance use (CADC-II), problem gambling (MA PGS) and Trauma (CTTP-II), located in North Reading, Massachusetts. After many years of valuable experience in the field of mental health counseling, I expanded and open my own private practice. I work primarily with adults, focusing on a wide range of presenting problems including trauma, abuse, addictions, anxiety and depression. I strive to provide a safe and trusting environment for all my clients.
(781) 361-9478 View (781) 361-9478
Photo of Leah Guimont - Playful Pathways, PLLC, Occupational Therapist, MS, OT/L
Playful Pathways, PLLC
Occupational Therapist, MS, OT/L
North Reading, MA 01864
As an Occupational Therapist with over 25 years of experience working with children, adolescents and families, I bring a holistic lens to my work, supporting the whole child and the caregivers who raise them. My clients have a child who may or may not receive special education services. I can help parents understand the IEP eligibility process, how to better understand sensory processing and its impact on behavior, and how to best support your child's development. If your child has struggles with motor skills, emotional regulation, or sensory processing skills, i can work with your family at home.
As an Occupational Therapist with over 25 years of experience working with children, adolescents and families, I bring a holistic lens to my work, supporting the whole child and the caregivers who raise them. My clients have a child who may or may not receive special education services. I can help parents understand the IEP eligibility process, how to better understand sensory processing and its impact on behavior, and how to best support your child's development. If your child has struggles with motor skills, emotional regulation, or sensory processing skills, i can work with your family at home.
(978) 720-9328 View (978) 720-9328
Photo of Robin Beck-Miller, Counselor, LMHC, MCCS
Robin Beck-Miller
Counselor, LMHC, MCCS
1 Endorsed
Online Only
Sometimes overwhelming challenges or changes can feel as though they’ve taken over our lives. All too often, rather than seeking the compassionate care we deserve, we try to bear the weight of our circumstances alone, which can lead to compounding feelings of self-doubt, fear, and isolation. I draw from a broad range of therapies to help heal the parts of you that are in pain. My integrative approach draws from Internal Family Systems (IFS), Mindfulness, Attachment Theory, Polyvagal Theory and Motivational Interviewing. With these proven methodologies in my toolkit, I collaborate with you to make meaningful change.
Sometimes overwhelming challenges or changes can feel as though they’ve taken over our lives. All too often, rather than seeking the compassionate care we deserve, we try to bear the weight of our circumstances alone, which can lead to compounding feelings of self-doubt, fear, and isolation. I draw from a broad range of therapies to help heal the parts of you that are in pain. My integrative approach draws from Internal Family Systems (IFS), Mindfulness, Attachment Theory, Polyvagal Theory and Motivational Interviewing. With these proven methodologies in my toolkit, I collaborate with you to make meaningful change.
(978) 595-9060 View (978) 595-9060
Photo of Melissa Boyd, Psychologist, PsyD
Melissa Boyd
Psychologist, PsyD
North Reading, MA 01864
I'm a Clinical Psychologist with training in schools, outpatient clinics, inpatient units, and as a Harvard Fellow. From conducting psychiatric evaluations in area emergency departments, assessing clients in crisis, to working across all levels of the public school system, I bring multiple perspectives for parents struggling to support children with emotional/behavioral dysregulation. Whether rooted in ADHD, anxiety, or mood, coaching parents through these challenges with practical strategies is a hallmark of successful intervention. For couples, I employ an objective, educational approach to restore communication and intimacy.
I'm a Clinical Psychologist with training in schools, outpatient clinics, inpatient units, and as a Harvard Fellow. From conducting psychiatric evaluations in area emergency departments, assessing clients in crisis, to working across all levels of the public school system, I bring multiple perspectives for parents struggling to support children with emotional/behavioral dysregulation. Whether rooted in ADHD, anxiety, or mood, coaching parents through these challenges with practical strategies is a hallmark of successful intervention. For couples, I employ an objective, educational approach to restore communication and intimacy.
(781) 423-3174 View (781) 423-3174
Photo of Sarah Rose, Clinical Social Work/Therapist, LICSW
Sarah Rose
Clinical Social Work/Therapist, LICSW
Online Only
Licensed Independent Clinical Social Worker (LICSW) with extensive experience supporting individuals and families across a range of settings, including child protection services, trauma emergency departments, and rare disease care. Skilled in working with adolescents navigating young adulthood/college transitions, as well as individuals facing anxiety, life adjustments, and complex emotional challenges. I am committed to providing trauma-informed, compassionate care that fosters resilience and personal growth.
Licensed Independent Clinical Social Worker (LICSW) with extensive experience supporting individuals and families across a range of settings, including child protection services, trauma emergency departments, and rare disease care. Skilled in working with adolescents navigating young adulthood/college transitions, as well as individuals facing anxiety, life adjustments, and complex emotional challenges. I am committed to providing trauma-informed, compassionate care that fosters resilience and personal growth.
(978) 763-4076 View (978) 763-4076
Photo of Lisa Montanye, Clinical Social Work/Therapist, MSW, LICSW
Lisa Montanye
Clinical Social Work/Therapist, MSW, LICSW
North Reading, MA 01864
I have been a therapist for 25 years and have worked at MGH for the last 12 as well as having a private practice. I consider myself to be a warm, genuine therapist and have experience treating anxiety, depression, bipolar, trauma, substance abuse and relationship issues. I have worked with individuals throughout the life span but particularly enjoy adults and couples. I come from a psychodynamic perspective and also include cognitive-behavioral as well as solution focused therapies in my treatment. Entering therapy is not always an easy step to make, but it can change your life.
I have been a therapist for 25 years and have worked at MGH for the last 12 as well as having a private practice. I consider myself to be a warm, genuine therapist and have experience treating anxiety, depression, bipolar, trauma, substance abuse and relationship issues. I have worked with individuals throughout the life span but particularly enjoy adults and couples. I come from a psychodynamic perspective and also include cognitive-behavioral as well as solution focused therapies in my treatment. Entering therapy is not always an easy step to make, but it can change your life.
(781) 350-3131 View (781) 350-3131
Photo of Catherine Patricia Rowe, Counselor, LMHC, DT, RYT
Catherine Patricia Rowe
Counselor, LMHC, DT, RYT
1 Endorsed
North Reading, MA 01864
Greetings, I am a Licensed psychotherapist with a holistic approach specializing in trauma and women's issues . As a registered yoga and meditation teacher and dance movement therapist I weave these creative healing arts modalities into my practice as needed and requested by my clients. As a dance movement therapist I realize and understand the importance of releasing traumatic experiences not only in talk therapy but also on a body level. I encorporate the ancient wisdom of Ayurveda medicine , and aromatherapy oils. As a practioner I believe in empowering women of all ages to step into their self worth and live their best life possible!
Greetings, I am a Licensed psychotherapist with a holistic approach specializing in trauma and women's issues . As a registered yoga and meditation teacher and dance movement therapist I weave these creative healing arts modalities into my practice as needed and requested by my clients. As a dance movement therapist I realize and understand the importance of releasing traumatic experiences not only in talk therapy but also on a body level. I encorporate the ancient wisdom of Ayurveda medicine , and aromatherapy oils. As a practioner I believe in empowering women of all ages to step into their self worth and live their best life possible!
(781) 343-7348 View (781) 343-7348
Photo of Melissa Audier, Clinical Social Work/Therapist, LICSW
Melissa Audier
Clinical Social Work/Therapist, LICSW
North Reading, MA 01864
Not accepting new clients
One of the most important parts of therapy is to feel a connection with your therapist so that a trusting relationship can develop. Within this safe environment, changes can occur within your life, both emotionally and behaviorally. I encourage you to come in and meet with me to see if we can find that path to change together.
One of the most important parts of therapy is to feel a connection with your therapist so that a trusting relationship can develop. Within this safe environment, changes can occur within your life, both emotionally and behaviorally. I encourage you to come in and meet with me to see if we can find that path to change together.
(978) 627-0531 View (978) 627-0531
Photo of Lindsay Gervino - North Star Therapy, Counselor, LMHC
North Star Therapy
Counselor, LMHC
1 Endorsed
North Reading, MA 01864
All of my work is evidence-based. As a life-long learner and lover of all things mental health, I stay current with validated best practices. My sessions are compassionate, solution-focused and rooted in cognitive-behavioral therapy (CBT) and dialectical-behavioral therapy (DBT). I'm licensed to practice in MA and NH. MA: LMHC 12692 NH: LCMHC 5546
All of my work is evidence-based. As a life-long learner and lover of all things mental health, I stay current with validated best practices. My sessions are compassionate, solution-focused and rooted in cognitive-behavioral therapy (CBT) and dialectical-behavioral therapy (DBT). I'm licensed to practice in MA and NH. MA: LMHC 12692 NH: LCMHC 5546
(978) 991-1844 View (978) 991-1844
Photo of Kathleen D Broderick - Broderick Healthcare PLLC, APRN, FNP-BC, PMHNP
Broderick Healthcare PLLC
Verified Verified
North Reading, MA 01864
I've been a Family Nurse Practitioner treating patients across the lifespan for over 10 years. Observing how mental health impacts my patients' physical well-being inspired me to become a Psychiatric Mental Health Nurse Practitioner as well. I offer a comprehensive approach to improving your overall health through talk therapy, medication management & lifestyle changes.
I've been a Family Nurse Practitioner treating patients across the lifespan for over 10 years. Observing how mental health impacts my patients' physical well-being inspired me to become a Psychiatric Mental Health Nurse Practitioner as well. I offer a comprehensive approach to improving your overall health through talk therapy, medication management & lifestyle changes.
(978) 991-8338 View (978) 991-8338
Photo of Sheila Walker-McMAHAN, Counselor, MS, LMHC, RT
Sheila Walker-McMAHAN
Counselor, MS, LMHC, RT
1 Endorsed
North Reading, MA 01864
My ideal client is any person who desires to expand their comfort zone and has an openness to take their first step towards a satisfying life. Keeping that statement in mind, I understand that most people have no clue to what they want or the reasons for their dissatisfaction or unease in life. I am happy to meet my client where they are on their respective journey. Walk beside them to help to uncover their obstacles, limiting beliefs and symptoms. Encourage them with unconditional regard and support, to make a plan, or take that first step towards a life they are able to enjoy.
My ideal client is any person who desires to expand their comfort zone and has an openness to take their first step towards a satisfying life. Keeping that statement in mind, I understand that most people have no clue to what they want or the reasons for their dissatisfaction or unease in life. I am happy to meet my client where they are on their respective journey. Walk beside them to help to uncover their obstacles, limiting beliefs and symptoms. Encourage them with unconditional regard and support, to make a plan, or take that first step towards a life they are able to enjoy.
(978) 765-2824 View (978) 765-2824
Photo of Esther Ruth Friedman, Counselor, MA, LMHC, EXP TX
Esther Ruth Friedman
Counselor, MA, LMHC, EXP TX
3 Endorsed
Online Only
I specialize in relationship trauma, particularly cult recovery, with adults. My clients are often gentle souls, have been called "too sensitive" and can find this world hard to navigate. Our society sometimes turns sensitivity & thoughtfulness into pathologies. If you're empathic and contemplative, not only is there nothing wrong with you, we need more of you!
I specialize in relationship trauma, particularly cult recovery, with adults. My clients are often gentle souls, have been called "too sensitive" and can find this world hard to navigate. Our society sometimes turns sensitivity & thoughtfulness into pathologies. If you're empathic and contemplative, not only is there nothing wrong with you, we need more of you!
(781) 241-4127 View (781) 241-4127
Photo of Laurel Ashcraft, Counselor, MEd, LMHC, LADC-I
Laurel Ashcraft
Counselor, MEd, LMHC, LADC-I
North Reading, MA 01864
My specialty is helping others develop an optimistic state of mind. I have learned that every person is the right person to help when they are ready. You are far more powerful than you may think, and you can have a profound impact on your own happiness. Changing your thoughts and behaviors can be difficult. It takes time and practice, but it can be done. Our brain has a dramatic impact on how we think, feel, and behave from moment to moment. Everyone can experience negative thoughts and emotions sometimes, but it is how you accept, express, cope, and grow from them that turns into your reality.
My specialty is helping others develop an optimistic state of mind. I have learned that every person is the right person to help when they are ready. You are far more powerful than you may think, and you can have a profound impact on your own happiness. Changing your thoughts and behaviors can be difficult. It takes time and practice, but it can be done. Our brain has a dramatic impact on how we think, feel, and behave from moment to moment. Everyone can experience negative thoughts and emotions sometimes, but it is how you accept, express, cope, and grow from them that turns into your reality.
(617) 855-6613 View (617) 855-6613
Photo of Colleen Long - Clarity Psychological Testing of Massachusetts, Psychologist, PsyD
Clarity Psychological Testing of Massachusetts
Psychologist, PsyD
1 Endorsed
North Reading, MA 01864
You would never have surgery without an x-ray, so why jump into medications and therapy without testing? Navigating the mental health system can feel like a "conveyor belt," where clinicians are so busy documenting outcomes, you are never really "seen." At Clarity, we leverage technology to streamline our processes, so that every child, teen, and adult have access to equal, efficient, affordable, and quality mental health care.
You would never have surgery without an x-ray, so why jump into medications and therapy without testing? Navigating the mental health system can feel like a "conveyor belt," where clinicians are so busy documenting outcomes, you are never really "seen." At Clarity, we leverage technology to streamline our processes, so that every child, teen, and adult have access to equal, efficient, affordable, and quality mental health care.
(978) 467-4122 View (978) 467-4122
Photo of Dr. Colleen Long - Mindful Paths Testing, Psychologist, PsyD
Mindful Paths Testing
Psychologist, PsyD
North Reading, MA 01864
You’ve tried therapy or medications, but you’re still wondering why things don’t feel better. Maybe you’ve switched therapists or been told different diagnoses, yet the puzzle remains unsolved. No one would get surgery without an X-ray,so why start treatment without testing? At Mindful Paths Psychological Testing, led by Dr. Colleen Long, PsyD, our team uncovers what’s really going on; ADHD, anxiety, depression, autism, learning disabilities, mood disorders, and provides a clear, accurate roadmap for effective treatment. Serving Greater Boston, the North & SouthShore, Cape Cod, and Plymouth County. We accept all major insurance
You’ve tried therapy or medications, but you’re still wondering why things don’t feel better. Maybe you’ve switched therapists or been told different diagnoses, yet the puzzle remains unsolved. No one would get surgery without an X-ray,so why start treatment without testing? At Mindful Paths Psychological Testing, led by Dr. Colleen Long, PsyD, our team uncovers what’s really going on; ADHD, anxiety, depression, autism, learning disabilities, mood disorders, and provides a clear, accurate roadmap for effective treatment. Serving Greater Boston, the North & SouthShore, Cape Cod, and Plymouth County. We accept all major insurance
(508) 419-9192 View (508) 419-9192
Photo of Lauren Powell, Clinical Social Work/Therapist, LICSW
Lauren Powell
Clinical Social Work/Therapist, LICSW
Online Only
Are you someone who’s doing their best to hold it all together while feeling like life keeps throwing curveballs? Maybe you're struggling with depression that makes even simple things feel heavy, or anxiety that never quite lets you rest. Are you living with chronic illness and the constant push-and-pull between what your mind wants and what your body allows? Do you struggle with perfectionism? Or maybe you are navigating the unique stressors of being part of the LGBTQIA+ community — wanting authenticity but facing fear or misunderstanding.
Are you someone who’s doing their best to hold it all together while feeling like life keeps throwing curveballs? Maybe you're struggling with depression that makes even simple things feel heavy, or anxiety that never quite lets you rest. Are you living with chronic illness and the constant push-and-pull between what your mind wants and what your body allows? Do you struggle with perfectionism? Or maybe you are navigating the unique stressors of being part of the LGBTQIA+ community — wanting authenticity but facing fear or misunderstanding.
(781) 678-7341 View (781) 678-7341
Photo of Marcello Cugno - OCD/Anxiety & Mood Specialist, Marcello Cugno, MA, LMHC
Are you feeling stuck, burnt out, or struggling to get through each day? Is your anxiety or depression making you feel hopeless? Having thoughts of making changes are leaving you feeling overwhelmed or frustrated? Don't know who you can trust to express how you honestly feel so that you can move forward? Mind Matters Counseling can help you explore your thoughts, feelings, and relationships. You will be challenged to discover new perspectives in a non-judgmental manner and your feelings and emotions will be validated using the best practices.
Are you feeling stuck, burnt out, or struggling to get through each day? Is your anxiety or depression making you feel hopeless? Having thoughts of making changes are leaving you feeling overwhelmed or frustrated? Don't know who you can trust to express how you honestly feel so that you can move forward? Mind Matters Counseling can help you explore your thoughts, feelings, and relationships. You will be challenged to discover new perspectives in a non-judgmental manner and your feelings and emotions will be validated using the best practices.
(978) 506-8598 View (978) 506-8598

See more therapy options for North Reading

How does your Therapist compare?

Number of Therapists in North Reading, MA

50+

Average cost per session

$150

Therapists in North Reading, MA who prioritize treating:

89% Anxiety
86% Depression
70% Relationship Issues
64% Stress
63% Self Esteem
59% Trauma and PTSD
55% Women's Issues

Average years in practice

16 Years

Top 3 insurances accepted

95% BlueCross and BlueShield
77% UnitedHealthcare UHC | UBH
72% Optum

How Therapists in North Reading, MA see their clients

68% In Person and Online
32% Online Only

Gender breakdown

81% Female
17% Male
2% Non-Binary
FAQs - About Therapy and Counseling

How can I find a therapist in North Reading?

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.