Therapists in Lancaster, PA

Photo of Constance Alexander, Licensed Professional Counselor in Lancaster, PA
Constance Alexander
Licensed Professional Counselor, MS, LPC, LBS
Verified Verified
1 Endorsed
Lancaster, PA 17601  (Online Only)
I am a Licensed Professional Counselor and Licensed Behavior Specialist in the state of Pennsylvania. I will be providing services completely through telehealth/video sessions. I have worked in the field for 16 years in a variety of roles. I am experienced and comfortable with a wide range of clinical areas, including Autism, Anxiety, Depression, Trauma, and ADHD. I work with adolescents, adults, and children if they are appropriate for telehealth. I am experienced working with individuals from a variety of cultural backgrounds and sexual/gender orientations.
I am a Licensed Professional Counselor and Licensed Behavior Specialist in the state of Pennsylvania. I will be providing services completely through telehealth/video sessions. I have worked in the field for 16 years in a variety of roles. I am experienced and comfortable with a wide range of clinical areas, including Autism, Anxiety, Depression, Trauma, and ADHD. I work with adolescents, adults, and children if they are appropriate for telehealth. I am experienced working with individuals from a variety of cultural backgrounds and sexual/gender orientations.
(717) 366-8197 View (717) 366-8197
Photo of Focused Serenity Counseling Services, Marriage & Family Therapist in Lancaster, PA
Focused Serenity Counseling Services
Marriage & Family Therapist, LMFT
Verified Verified
2 Endorsed
Lancaster, PA 17603  (Online Only)
Inner and relationship peace, everyone hopes to be heard, cared for, and have purpose to their day and life. Sometimes we lose these things along the way and we don't know how to get them, maybe we never had them. We can feel lonely even when we're in a relationship, or unsure of what to do and ultimately do nothing instead, constantly battling regret, guilt, shame, sadness, and anger. You may be one of those folks to has felt that way, who has wanted to make something different happen in their life but couldn't figure out how to make that happen.
Inner and relationship peace, everyone hopes to be heard, cared for, and have purpose to their day and life. Sometimes we lose these things along the way and we don't know how to get them, maybe we never had them. We can feel lonely even when we're in a relationship, or unsure of what to do and ultimately do nothing instead, constantly battling regret, guilt, shame, sadness, and anger. You may be one of those folks to has felt that way, who has wanted to make something different happen in their life but couldn't figure out how to make that happen.
(717) 928-8256 View (717) 928-8256
Photo of Jill Corvino, Licensed Professional Counselor in Lancaster, PA
Jill Corvino
Licensed Professional Counselor, NCC, LPC
Verified Verified
2 Endorsed
Lancaster, PA 17601
Waitlist for new clients
Do you feel overwhelmed, stressed out and tired before your day even starts. You wonder how other people juggle home, work, school, family and still look like they have it all together. We often encounter many challenges, transitions, and unexpected circumstances. Sometimes we handle these bumps with ease and others we experience overwhelming sadness, pain, loss, and anger. How would it feel if you could manage your to-do list and enjoy your life where you feel empowered and confident as a woman, as a student, as a mother, as a friend?
Do you feel overwhelmed, stressed out and tired before your day even starts. You wonder how other people juggle home, work, school, family and still look like they have it all together. We often encounter many challenges, transitions, and unexpected circumstances. Sometimes we handle these bumps with ease and others we experience overwhelming sadness, pain, loss, and anger. How would it feel if you could manage your to-do list and enjoy your life where you feel empowered and confident as a woman, as a student, as a mother, as a friend?
(717) 537-1640 View (717) 537-1640
Photo of Rachel Stout, Licensed Professional Counselor in Lancaster, PA
Rachel Stout
Licensed Professional Counselor, MA, LPC
Verified Verified
1 Endorsed
Lancaster, PA 17601  (Online Only)
Life can be overwhelming. Whether you’re feeling stressed, struggling with anxiety, feeling stuck in depression, or unable to break free from obsessive thoughts, therapy can help you move forward. When we experience trauma, life transitions, difficult relationships, and even everyday stressors, it impacts how we think, what we feel, how we see ourselves, and ultimately our ability to thrive. It is my mission to create a safe space where you can begin to see yourself differently, overcome challenges, and find hope and freedom!
Life can be overwhelming. Whether you’re feeling stressed, struggling with anxiety, feeling stuck in depression, or unable to break free from obsessive thoughts, therapy can help you move forward. When we experience trauma, life transitions, difficult relationships, and even everyday stressors, it impacts how we think, what we feel, how we see ourselves, and ultimately our ability to thrive. It is my mission to create a safe space where you can begin to see yourself differently, overcome challenges, and find hope and freedom!
(717) 714-3184 View (717) 714-3184
Photo of William McNeal in Lancaster, PA
William McNeal
PhD
Verified Verified
Lancaster, PA 17602
Not accepting new clients
"Your Thoughts become your Beliefs, your beliefs become your Reality". Philosophical consultants use philosophical skills and insights to help resolve conceptual issues in their personal and professional lives. potential clients for philosophical consultation must be prepared to examine and challenge their own ideas and reasoning processes, and seek to establish an adequate justification for their beliefs. The philosophical consultant is trained to assist this process with patience and respect. "Change your Thoughts, Change your Beliefs, Change your Reality".
"Your Thoughts become your Beliefs, your beliefs become your Reality". Philosophical consultants use philosophical skills and insights to help resolve conceptual issues in their personal and professional lives. potential clients for philosophical consultation must be prepared to examine and challenge their own ideas and reasoning processes, and seek to establish an adequate justification for their beliefs. The philosophical consultant is trained to assist this process with patience and respect. "Change your Thoughts, Change your Beliefs, Change your Reality".
(717) 229-0553 View (717) 229-0553
Photo of Amy L Roth, Clinical Social Work/Therapist in Lancaster, PA
Amy L Roth
Clinical Social Work/Therapist, DSW, LSW, SSW
Verified Verified
Lancaster, PA 17601
My speciality is helping children and youth experiencing anxiety, depression, and school refusal behaviors. Young people interested in improving their situation can learn tools that help, practice effective communication, and progress towards their goals. In my work, I build rapport and engage each individual in relational & therapeutic conversations. I value my faith, believe strongly in trauma-informed practices, education, family systems, and incorporate CBT strategies. It is important to have a little fun, laugh, and celebrate our success.
My speciality is helping children and youth experiencing anxiety, depression, and school refusal behaviors. Young people interested in improving their situation can learn tools that help, practice effective communication, and progress towards their goals. In my work, I build rapport and engage each individual in relational & therapeutic conversations. I value my faith, believe strongly in trauma-informed practices, education, family systems, and incorporate CBT strategies. It is important to have a little fun, laugh, and celebrate our success.
(717) 935-4224 View (717) 935-4224
Photo of Janine Leaman, Pre-Licensed Professional in Lancaster, PA
Janine Leaman
Pre-Licensed Professional, BS, MS
Verified Verified
1 Endorsed
Lancaster, PA 17601
I consider it such an honor to journey alongside people as they work towards wholeness and hope. Through consistent patience and exploration, new pathways are formed in our minds as we find ourselves viewing the past, present, and future in new ways. I would love to join you in your process. If you want to share your story and your goals, I can hold space for you; help you learn about yourself, your patterns, and your scripts; examine your choices with you to determine how they help and hurt you based on your values; and utilize EMDR therapy to address trauma and other distressing experiences.
I consider it such an honor to journey alongside people as they work towards wholeness and hope. Through consistent patience and exploration, new pathways are formed in our minds as we find ourselves viewing the past, present, and future in new ways. I would love to join you in your process. If you want to share your story and your goals, I can hold space for you; help you learn about yourself, your patterns, and your scripts; examine your choices with you to determine how they help and hurt you based on your values; and utilize EMDR therapy to address trauma and other distressing experiences.
(717) 794-8402 x4 View (717) 794-8402 x4
Photo of Richard H Mousley, Clinical Social Work/Therapist in Lancaster, PA
Richard H Mousley
Clinical Social Work/Therapist, LCSW
Verified Verified
Lancaster, PA 17601
I am interested in helping my clients to better understand patterns and challenges that interfere with living healthy lives and having healthy relationships and choosing action steps that help to build or restore trust, contentment, purpose and enhance meaningful connections.
I am interested in helping my clients to better understand patterns and challenges that interfere with living healthy lives and having healthy relationships and choosing action steps that help to build or restore trust, contentment, purpose and enhance meaningful connections.
(717) 696-0855 View (717) 696-0855
Photo of Joshua Nice, Clinical Social Work/Therapist in Lancaster, PA
Joshua Nice
Clinical Social Work/Therapist, LSW
Verified Verified
2 Endorsed
Lancaster, PA 17601
I’m interested in how trauma and life transitions impact how you feel about yourself and your relationship with the world. I will work with you on trauma, self-harm, identity and self-esteem, attachment struggles, individual, family, and group relationship dynamics, domestic violence, and relational boundaries – and how these factors and mental health symptoms play out in patterns in people’s lives. Note that I offer therapy to individuals and not group or family therapy sessions.
I’m interested in how trauma and life transitions impact how you feel about yourself and your relationship with the world. I will work with you on trauma, self-harm, identity and self-esteem, attachment struggles, individual, family, and group relationship dynamics, domestic violence, and relational boundaries – and how these factors and mental health symptoms play out in patterns in people’s lives. Note that I offer therapy to individuals and not group or family therapy sessions.
(717) 219-4864 x1 View (717) 219-4864 x1
Photo of Yvonne Foster, Licensed Professional Counselor in Lancaster, PA
Yvonne Foster
Licensed Professional Counselor, PsyD
Verified Verified
1 Endorsed
Lancaster, PA 17601  (Online Only)
I have over 20 years of experience providing mental health therapy to individual's, couples, and families. I believe that you should not be in therapy for years, but should be quickly making the changes in your life to get you out of therapy. The goal of therapy is to help you to determine what those changes are and then to help you take the necessary steps to make those changes.
I have over 20 years of experience providing mental health therapy to individual's, couples, and families. I believe that you should not be in therapy for years, but should be quickly making the changes in your life to get you out of therapy. The goal of therapy is to help you to determine what those changes are and then to help you take the necessary steps to make those changes.
(717) 524-1140 View (717) 524-1140
Photo of Andi Kuhn, Pre-Licensed Professional in Lancaster, PA
Andi Kuhn
Pre-Licensed Professional, MA
Verified Verified
Lancaster, PA 17601
I am a compassionate and dedicated psychotherapist committed to fostering positive growth in mental health wellness with children, adolescents, families, and adult individuals.
I am a compassionate and dedicated psychotherapist committed to fostering positive growth in mental health wellness with children, adolescents, families, and adult individuals.
(717) 864-5948 View (717) 864-5948
Photo of Dr. Claudia E. Smith, Counselor in Lancaster, PA
Dr. Claudia E. Smith
Counselor, PhD
Verified Verified
1 Endorsed
Lancaster, PA 17602  (Online Only)
Do you have questions/concerns related to sexuality- sexual pleasure, satisfaction, desire, or are you experiencing a sexual dysfunction. These are all sensitive and intimate topics and definitely not easy to talk about without possibly feeling some shame or embarrassment. Have these concerns been impacting the quality of your relationship ? Are you feeling stuck with no clue how to move forward? Embark on a journey of discovery and transformation with me. I will guide you towards sexual empowerment and well-being. Together we will break down the barriers, embrace the power of your sexuality, and celebrate your growth!
Do you have questions/concerns related to sexuality- sexual pleasure, satisfaction, desire, or are you experiencing a sexual dysfunction. These are all sensitive and intimate topics and definitely not easy to talk about without possibly feeling some shame or embarrassment. Have these concerns been impacting the quality of your relationship ? Are you feeling stuck with no clue how to move forward? Embark on a journey of discovery and transformation with me. I will guide you towards sexual empowerment and well-being. Together we will break down the barriers, embrace the power of your sexuality, and celebrate your growth!
(570) 263-5667 View (570) 263-5667
Photo of Katherina Kapur Accepting New Clients, Clinical Social Work/Therapist in Lancaster, PA
Katherina Kapur Accepting New Clients
Clinical Social Work/Therapist, LSW, CAC
Verified Verified
1 Endorsed
Lancaster, PA 17603
Are you struggling with emotions, trauma, or persistent negative thoughts? Is your child struggling with their behaviors, emotions or school? Are your relationships in trouble, or need a "tune up?" You have come to the right place. Hi! My name is Katie Kapur, and I am here to help you acheive your goals, improve your relationships and increase life satisfaction. I care about my clients, and value the time I spend with each and every person I have the pleasure of working with.
Are you struggling with emotions, trauma, or persistent negative thoughts? Is your child struggling with their behaviors, emotions or school? Are your relationships in trouble, or need a "tune up?" You have come to the right place. Hi! My name is Katie Kapur, and I am here to help you acheive your goals, improve your relationships and increase life satisfaction. I care about my clients, and value the time I spend with each and every person I have the pleasure of working with.
(717) 973-6870 View (717) 973-6870
Photo of Julie Saragosa, Pre-Licensed Professional in Lancaster, PA
Julie Saragosa
Pre-Licensed Professional, MA
Verified Verified
1 Endorsed
Lancaster, PA 17603
As your therapist, my goal is to provide a comfortable and safe environment for you to express your feelings and help you gain perspective with challenges you may be facing. My clients learn healthy coping skills and tools to better navigate life's difficult moments. My role is to walk alongside you through this journey to your most empowered and best self. By challenging beliefs and emotions that no longer serve you, in addition to improving intra and interpersonal relationships, personal growth and symptom relief are my goals for you. You are not alone; allow me to help you through challenges and find hope and happiness again.
As your therapist, my goal is to provide a comfortable and safe environment for you to express your feelings and help you gain perspective with challenges you may be facing. My clients learn healthy coping skills and tools to better navigate life's difficult moments. My role is to walk alongside you through this journey to your most empowered and best self. By challenging beliefs and emotions that no longer serve you, in addition to improving intra and interpersonal relationships, personal growth and symptom relief are my goals for you. You are not alone; allow me to help you through challenges and find hope and happiness again.
(223) 218-2976 View (223) 218-2976
Photo of Celeste Cantees, Licensed Professional Counselor in Lancaster, PA
Celeste Cantees
Licensed Professional Counselor, LPC, ATR-BC, LCPAT
Verified Verified
2 Endorsed
Lancaster, PA 17601
Hello all! I am a trauma-oriented psychotherapist working with adults, couples and adolescents in Pennsylvania and Maryland. I work inclusively with individuals and couples experiencing relationship difficulties, significant life transitions, those healing from trauma and those seeking insight. I work in an individualized way with each client wherein I strive to build with you a strong, honest working relationship that can facilitate healing and help you rediscover strengths and your own unique talents. I hope to help you gain insight and strengthen your inner ability to heal and experience the life you want to live.
Hello all! I am a trauma-oriented psychotherapist working with adults, couples and adolescents in Pennsylvania and Maryland. I work inclusively with individuals and couples experiencing relationship difficulties, significant life transitions, those healing from trauma and those seeking insight. I work in an individualized way with each client wherein I strive to build with you a strong, honest working relationship that can facilitate healing and help you rediscover strengths and your own unique talents. I hope to help you gain insight and strengthen your inner ability to heal and experience the life you want to live.
(223) 332-5021 View (223) 332-5021
Photo of Haley Swayne, Clinical Social Work/Therapist in Lancaster, PA
Haley Swayne
Clinical Social Work/Therapist, MSW, LCSW
Verified Verified
1 Endorsed
Lancaster, PA 17603
Hi! I am Haley Swayne, Licensed Social Worker in Pennsylvania. I graduated with my Master of Social Work from West Chester University and am a Licensed Clinical Social Worker in Pennsylvania. As a social worker, I value empowering children, teens and young adults who face adversity and always act with care and compassion toward clients. I have experience in working with anxiety, PTSD, ADHD, depression, TBI's and more. I also believe including parents and support systems are integral in working with children and teens. I am currently finishing up an extensive EMDR training program focusing on working with children and teens.
Hi! I am Haley Swayne, Licensed Social Worker in Pennsylvania. I graduated with my Master of Social Work from West Chester University and am a Licensed Clinical Social Worker in Pennsylvania. As a social worker, I value empowering children, teens and young adults who face adversity and always act with care and compassion toward clients. I have experience in working with anxiety, PTSD, ADHD, depression, TBI's and more. I also believe including parents and support systems are integral in working with children and teens. I am currently finishing up an extensive EMDR training program focusing on working with children and teens.
(717) 454-3832 View (717) 454-3832
Photo of John Gordon Smith, Pastoral Counselor in Lancaster, PA
John Gordon Smith
Pastoral Counselor, DMin, PhD, CSC
Verified Verified
Lancaster, PA 17602  (Online Only)
Are you seeking help to navigate your grief journey, recover from shame, practice forgiveness, address aging concerns, strengthen your relationship, or resolve sexual desire, arousal, or orgasmic issues? By sourcing help for any of these concerns, you have taken a bold step on your path to achieving the change you seek. By choosing me to help you achieve this change, you have found a caring, compassionate, competent, and committed counselor who will work with you to achieve the change you desire and deserve.
Are you seeking help to navigate your grief journey, recover from shame, practice forgiveness, address aging concerns, strengthen your relationship, or resolve sexual desire, arousal, or orgasmic issues? By sourcing help for any of these concerns, you have taken a bold step on your path to achieving the change you seek. By choosing me to help you achieve this change, you have found a caring, compassionate, competent, and committed counselor who will work with you to achieve the change you desire and deserve.
(717) 937-1866 View (717) 937-1866
Photo of Wendy Gaunt, Licensed Professional Counselor in Lancaster, PA
Wendy Gaunt
Licensed Professional Counselor, LPC
Verified Verified
1 Endorsed
Lancaster, PA 17603
This thing we call life is hard. It is full of challenges, decisions, experiences, and transitions that lead to big feelings and complicated thoughts. The good news is: we can do hard things! I have worked with clients on a wide range of concerns including: depression, anxiety, sexuality and gender issues, relationship and family challenges, life transitions, grief, and trauma. My experience has taught me the vast strength of each individual...our ability as human beings to make meaning out of struggle, to change the things we can, and to accept (often with a changed perspective!) the things we can not.
This thing we call life is hard. It is full of challenges, decisions, experiences, and transitions that lead to big feelings and complicated thoughts. The good news is: we can do hard things! I have worked with clients on a wide range of concerns including: depression, anxiety, sexuality and gender issues, relationship and family challenges, life transitions, grief, and trauma. My experience has taught me the vast strength of each individual...our ability as human beings to make meaning out of struggle, to change the things we can, and to accept (often with a changed perspective!) the things we can not.
(223) 215-3818 View (223) 215-3818
Photo of Susan Leonor Cabouli, Psychologist in Lancaster, PA
Susan Leonor Cabouli
Psychologist, PhD
Verified Verified
1 Endorsed
Lancaster, PA 17603
I have 32 years of experience as a psychotherapist in helping adults and teenagers with anxiety, depression, grief, unresolved trauma and abuse, limited self awareness and acceptance, and problems in navigating life changes and transitions. I have advanced training and experience in helping people recover from eating disorders. If you are a member of Overeaters Anonymous, welcome! I am also trained in integrating psychological and Christian spiritual health.
I have 32 years of experience as a psychotherapist in helping adults and teenagers with anxiety, depression, grief, unresolved trauma and abuse, limited self awareness and acceptance, and problems in navigating life changes and transitions. I have advanced training and experience in helping people recover from eating disorders. If you are a member of Overeaters Anonymous, welcome! I am also trained in integrating psychological and Christian spiritual health.
(717) 259-2730 View (717) 259-2730
Photo of Dana Hampton, Licensed Professional Counselor in Lancaster, PA
Dana Hampton
Licensed Professional Counselor, MA, LPC
Verified Verified
Lancaster, PA 17602
Feeling stuck in life? Hesitant about therapy? I’m a Licensed Professional Counselor that uses a resiliency approach to therapy. I believe we all have the ability to heal and have the strength to overcome anything that life throws at us. I use behavioral, mind-body, relational, and trauma informed approaches tailored to the specific person. In addition, I am EMDR Certified through EMDRIA and have extensive training in trauma and mindfulness. I also hold certificates in Embodied Social Justice and Maternal Mental Health.
Feeling stuck in life? Hesitant about therapy? I’m a Licensed Professional Counselor that uses a resiliency approach to therapy. I believe we all have the ability to heal and have the strength to overcome anything that life throws at us. I use behavioral, mind-body, relational, and trauma informed approaches tailored to the specific person. In addition, I am EMDR Certified through EMDRIA and have extensive training in trauma and mindfulness. I also hold certificates in Embodied Social Justice and Maternal Mental Health.
(223) 218-2462 View (223) 218-2462

How does your Therapist compare?

Number of Therapists in Lancaster, PA

400+

Average cost per session

$125

Therapists in Lancaster, PA who prioritize treating:

92% Anxiety
89% Depression
80% Relationship Issues
79% Self Esteem
71% Stress
69% Trauma and PTSD
69% Coping Skills

Average years in practice

11 Years

Top 3 insurances accepted

85% Highmark
68% BlueCross and BlueShield
60% Capital Blue Cross

How Therapists in Lancaster, PA see their clients

72% In Person and Online
28% Online Only

Gender breakdown

82% Female
17% Male
1% Non-Binary

FAQs - About Therapy and Counseling

How can I find a therapist in Lancaster?

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.