Therapists in Northborough, MA

Photo of Matthew Waugh, Marriage & Family Therapist in Northborough, MA
Matthew Waugh
Marriage & Family Therapist, LMFT
Verified Verified
1 Endorsed
Northborough, MA 01532
Not accepting new clients
My ideal clients are couples and individuals struggling in relationship. I am a licensed marriage and family therapist and I chose this profession because I find helping couples very rewarding. I support clients working through the struggles of not feeling understood, feeling attacked and judged. I teach them how to step back and get curious about each other. As couples begin to understand each other better, the disconnection and discouragement shifts, connection deepens and they learn to work together. I work with them to develop tools for better communication and conflict resolution.
My ideal clients are couples and individuals struggling in relationship. I am a licensed marriage and family therapist and I chose this profession because I find helping couples very rewarding. I support clients working through the struggles of not feeling understood, feeling attacked and judged. I teach them how to step back and get curious about each other. As couples begin to understand each other better, the disconnection and discouragement shifts, connection deepens and they learn to work together. I work with them to develop tools for better communication and conflict resolution.
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Photo of Nicole Reynolds, Licensed Professional Counselor in Northborough, MA
Nicole Reynolds
Licensed Professional Counselor, LMHC
Verified Verified
1 Endorsed
Northborough, MA 01532
Welcome to my practice; NPR Counseling, LLC. My practice is currently accepting new clients! I am a Licensed Mental Health Counselor with several years of experience helping children and adults overcome obstacles. I specialize in treating individuals with anxiety, OCD, depression, ADHD, and trauma. I graduated with my MA in Clinical Psychology with a concentration in Cognitive Behavioral Therapy (CBT) from Assumption College. I was further trained in Dialectical Behavioral Therapy (DBT). My approach is client-centered, collaborative, and strengths-based, focusing on empowering individuals to make positive changes in their lives.
Welcome to my practice; NPR Counseling, LLC. My practice is currently accepting new clients! I am a Licensed Mental Health Counselor with several years of experience helping children and adults overcome obstacles. I specialize in treating individuals with anxiety, OCD, depression, ADHD, and trauma. I graduated with my MA in Clinical Psychology with a concentration in Cognitive Behavioral Therapy (CBT) from Assumption College. I was further trained in Dialectical Behavioral Therapy (DBT). My approach is client-centered, collaborative, and strengths-based, focusing on empowering individuals to make positive changes in their lives.
(774) 268-8959 View (774) 268-8959
Photo of Sarah Elizabeth Hamelin, Clinical Social Work/Therapist in Northborough, MA
Sarah Elizabeth Hamelin
Clinical Social Work/Therapist, LICSW
Verified Verified
3 Endorsed
Northborough, MA 01532
Immediate openings for adult clients with flexibility! Pause Wellness Center is the group practice owned by Sarah Hamelin, LICSW. We have amazing clinicians that work with adults, adolescents and couples. The goal of Pause Wellness Center is to provide excellent therapy services for all clients. Every therapist at Pause Wellness Center has their own style and you will be matched to someone that meets your specific needs. We use evidence-base practices and we enjoy providing psycho-education and celebrating successes.
Immediate openings for adult clients with flexibility! Pause Wellness Center is the group practice owned by Sarah Hamelin, LICSW. We have amazing clinicians that work with adults, adolescents and couples. The goal of Pause Wellness Center is to provide excellent therapy services for all clients. Every therapist at Pause Wellness Center has their own style and you will be matched to someone that meets your specific needs. We use evidence-base practices and we enjoy providing psycho-education and celebrating successes.
(508) 393-2731 View (508) 393-2731
Photo of Anna Munro, Clinical Social Work/Therapist in Northborough, MA
Anna Munro
Clinical Social Work/Therapist, LICSW
Verified Verified
2 Endorsed
Northborough, MA 01532
Change can be a difficult but often necessary part of life. Making proactive changes can be especially challenging and support through that process is vital.
Change can be a difficult but often necessary part of life. Making proactive changes can be especially challenging and support through that process is vital.
(508) 413-2249 View (508) 413-2249
Photo of Phyllis Louise Belcher, Psychologist in Northborough, MA
Phyllis Louise Belcher
Psychologist, PsyD
Verified Verified
Northborough, MA 01532
It is hard to make an appointment with a therapist - to realize that there are aspects of your life that just "aren't working". My goal is to offer a safe supportive space where you feel heard and understood. I work with people who are struggling with feelings of sadness, anxiety, and anger: people who are dealing with difficult relationships; people who want to learn better communication skills; people who are struggling to cope with trauma and stressful life events; and people who don't really know what they feel or need but just want to feel better.
It is hard to make an appointment with a therapist - to realize that there are aspects of your life that just "aren't working". My goal is to offer a safe supportive space where you feel heard and understood. I work with people who are struggling with feelings of sadness, anxiety, and anger: people who are dealing with difficult relationships; people who want to learn better communication skills; people who are struggling to cope with trauma and stressful life events; and people who don't really know what they feel or need but just want to feel better.
(978) 634-3034 View (978) 634-3034
Photo of Casey M Rickli, Counselor in Northborough, MA
Casey M Rickli
Counselor, MA, LMHC
Verified Verified
3 Endorsed
Northborough, MA 01532
A happier life is within reach when we are able to let go of old behaviors and ways of thinking. Maybe you are feeling anxious, depressed or stuck in your life. You want to improve your relationships with yourself and those that you love. With curiosity and humor, I strive to create a safe, supportive and non-judgmental partnership with clients to promote healing, growth and change.
A happier life is within reach when we are able to let go of old behaviors and ways of thinking. Maybe you are feeling anxious, depressed or stuck in your life. You want to improve your relationships with yourself and those that you love. With curiosity and humor, I strive to create a safe, supportive and non-judgmental partnership with clients to promote healing, growth and change.
(774) 214-2688 View (774) 214-2688
Photo of Nicholas Rotolo, Psychologist in Northborough, MA
Nicholas Rotolo
Psychologist, PsyD
Verified Verified
3 Endorsed
Northborough, MA 01532
My career has involved working with individuals and families across the life span, in both outpatient and hospital-based settings. In addition to providing psychotherapy, I also do comprehensive diagnostic, psychological, and educational assessments for individuals and families. Further, I routinely consult with parents and teachers to better address the needs of students, in accordance with a thorough evaluation of their individual strengths and weaknesses.
My career has involved working with individuals and families across the life span, in both outpatient and hospital-based settings. In addition to providing psychotherapy, I also do comprehensive diagnostic, psychological, and educational assessments for individuals and families. Further, I routinely consult with parents and teachers to better address the needs of students, in accordance with a thorough evaluation of their individual strengths and weaknesses.
(508) 306-8016 View (508) 306-8016
Photo of Matthew Zaterka Going Places Counseling, Counselor in Northborough, MA
Matthew Zaterka Going Places Counseling
Counselor, LMHC, M Ed
Verified Verified
Northborough, MA 01532
Waitlist for new clients
When it comes to working with adolescents and young adults, I offer experience as both a clinical therapist and a school counselor providing an in-depth, comprehensive understanding of the challenges and issues facing this stage of life. As a specialist in adolescent and young adult mental health, I draw on the extensive knowledge, training, and direct experience I have gained from over 20 years as a school counselor and over 14 years as a therapist. It is this comprehensive background that I provide in working with a wide range of mental health and school-based challenges and issues.
When it comes to working with adolescents and young adults, I offer experience as both a clinical therapist and a school counselor providing an in-depth, comprehensive understanding of the challenges and issues facing this stage of life. As a specialist in adolescent and young adult mental health, I draw on the extensive knowledge, training, and direct experience I have gained from over 20 years as a school counselor and over 14 years as a therapist. It is this comprehensive background that I provide in working with a wide range of mental health and school-based challenges and issues.
(508) 571-5399 View (508) 571-5399
Photo of Jared Manteuffel, Counselor in Northborough, MA
Jared Manteuffel
Counselor, MA, LMHC
Verified Verified
2 Endorsed
Northborough, MA 01532
I'm passionate about working with people who are finding life to be overwhelming and exhausting. Maybe you're heartbroken over loss, burdened with guilt, feeling you'll never be good enough, are scared, or at wits' end. Or maybe something happened to you, and it sticks with you giving you no rest. When we feel this way, we tend to isolate, berate ourselves, and spiral in our thinking or distract ourselves from these debilitating feelings. You're not alone. These feelings and responses are common, and there are evidence-based treatments to help you take the helm and steer your own ship in life.
I'm passionate about working with people who are finding life to be overwhelming and exhausting. Maybe you're heartbroken over loss, burdened with guilt, feeling you'll never be good enough, are scared, or at wits' end. Or maybe something happened to you, and it sticks with you giving you no rest. When we feel this way, we tend to isolate, berate ourselves, and spiral in our thinking or distract ourselves from these debilitating feelings. You're not alone. These feelings and responses are common, and there are evidence-based treatments to help you take the helm and steer your own ship in life.
(508) 618-5736 View (508) 618-5736
Photo of Yeonjoo Son, Counselor in Northborough, MA
Yeonjoo Son
Counselor, LMHC
Verified Verified
1 Endorsed
Northborough, MA 01532
Hi there! I am a CBT trained therapist with extensive experience in effective treatment strategies. I work collaboratively with clients to determine what is working well for them and what may need to be adjusted to live a life of emotional well-being and relational satisfaction. If you are unsure of your goal, I will be there to help identify your goals. I believe in the power of therapy to help people heal and grow. I have a special place in my heart to work with individuals who experienced trauma in their life. I truly find it rewarding to be invited in the journey to process the traumatic experiences and to create the meaning.
Hi there! I am a CBT trained therapist with extensive experience in effective treatment strategies. I work collaboratively with clients to determine what is working well for them and what may need to be adjusted to live a life of emotional well-being and relational satisfaction. If you are unsure of your goal, I will be there to help identify your goals. I believe in the power of therapy to help people heal and grow. I have a special place in my heart to work with individuals who experienced trauma in their life. I truly find it rewarding to be invited in the journey to process the traumatic experiences and to create the meaning.
(508) 392-5044 View (508) 392-5044
Photo of Heather B McGregor, Counselor in Northborough, MA
Heather B McGregor
Counselor, LMHC
Verified Verified
1 Endorsed
Northborough, MA 01532  (Online Only)
I believe that everyone is capable of helping themselves. Its about making small changes or a change in perspective that can have a big impact on your life. I am here to help guide you. I specialize in working with young adults who have experienced trauma. Trauma has a way of affecting every aspect of a person's life until it has taken over. I specialize in helping you take back that control.
I believe that everyone is capable of helping themselves. Its about making small changes or a change in perspective that can have a big impact on your life. I am here to help guide you. I specialize in working with young adults who have experienced trauma. Trauma has a way of affecting every aspect of a person's life until it has taken over. I specialize in helping you take back that control.
(774) 268-5633 View (774) 268-5633
Photo of Next Steps Therapies, Occupational Therapist in Northborough, MA
Next Steps Therapies
Occupational Therapist, MOT, OTR/L
Verified Verified
Northborough, MA 01532
I value seeing the child as part of the whole family system and want to be able to support the child and family the natural environment to increase carryover and build faster success. This is why I offer home based pediatric occupational therapy or utilize a parent coaching method. I love working with parents to support their child and make everyone’s everyday life easier. My background is in ADHD, Autism, learning disabilities and building successful daily routines, including mealtimes, dressing, bath time, etc. while also incorporating executive functioning skills and/or sensory and self regulation using an interoception method.
I value seeing the child as part of the whole family system and want to be able to support the child and family the natural environment to increase carryover and build faster success. This is why I offer home based pediatric occupational therapy or utilize a parent coaching method. I love working with parents to support their child and make everyone’s everyday life easier. My background is in ADHD, Autism, learning disabilities and building successful daily routines, including mealtimes, dressing, bath time, etc. while also incorporating executive functioning skills and/or sensory and self regulation using an interoception method.
(508) 715-6704 View (508) 715-6704
Photo of Catherine Johnson, Pre-Licensed Professional in Northborough, MA
Catherine Johnson
Pre-Licensed Professional, MA
Verified Verified
Northborough, MA 01532
Hello! Within my therapy sessions, my lens is holistic, in that I work with the “whole” person; emotionally, spiritually, physically, and mentally. I use Cognitive Behavioral Therapy (CBT) and Dialectical Behavioral Therapy (DBT) informed therapies, as well as Motivational Interviewing and Mindfulness based techniques. I am a firm believer that warmth, connection, humor and vulnerability are must haves to form a therapeutic relationship.
Hello! Within my therapy sessions, my lens is holistic, in that I work with the “whole” person; emotionally, spiritually, physically, and mentally. I use Cognitive Behavioral Therapy (CBT) and Dialectical Behavioral Therapy (DBT) informed therapies, as well as Motivational Interviewing and Mindfulness based techniques. I am a firm believer that warmth, connection, humor and vulnerability are must haves to form a therapeutic relationship.
(508) 529-1419 View (508) 529-1419
Photo of Julie Y Winnick, MA LMHC, Counselor in Northborough, MA
Julie Y Winnick, MA LMHC
Counselor, MA, LMHC
Verified Verified
2 Endorsed
Northborough, MA 01532  (Online Only)
My empathic and supportive nature allows me to build productive therapeutic relationships in which clients discover paths to surpass their obstacles. I coordinate my expertise with clients' style of coping in order to create action strategies that best suit their needs. I find it important for my clients to feel they are empowered in their treatment, in turn feeling a sense of pride and renewal in their lives. I work with clients to find a balance in their lives by focusing on themselves, emotionally, physically and intellectually.
My empathic and supportive nature allows me to build productive therapeutic relationships in which clients discover paths to surpass their obstacles. I coordinate my expertise with clients' style of coping in order to create action strategies that best suit their needs. I find it important for my clients to feel they are empowered in their treatment, in turn feeling a sense of pride and renewal in their lives. I work with clients to find a balance in their lives by focusing on themselves, emotionally, physically and intellectually.
(978) 956-0990 View (978) 956-0990
Photo of Jori Berger-Greenstein, Psychologist in Northborough, MA
Jori Berger-Greenstein
Psychologist, PhD
Verified Verified
3 Endorsed
Northborough, MA 01532  (Online Only)
I am a clinical psychologist practicing for more than two decades. My approach is to provide a safe and comfortable space in which clients can share their worries, concerns, and fears that are part of daily living. I use cognitive-behavioral treatment, which emphasizes the importance of how we understand events, ourselves, and others; these affect our feelings and the way we go about our daily lives. The goal is to improve insight AND making changes to improve our quality of life. Many of my clients struggle with adjusting to difficult situations, and want to move forward from difficult situations that affect day-to-day life.
I am a clinical psychologist practicing for more than two decades. My approach is to provide a safe and comfortable space in which clients can share their worries, concerns, and fears that are part of daily living. I use cognitive-behavioral treatment, which emphasizes the importance of how we understand events, ourselves, and others; these affect our feelings and the way we go about our daily lives. The goal is to improve insight AND making changes to improve our quality of life. Many of my clients struggle with adjusting to difficult situations, and want to move forward from difficult situations that affect day-to-day life.
(508) 762-4547 View (508) 762-4547
Photo of Jillian Garofano-Staines, Counselor in Northborough, MA
Jillian Garofano-Staines
Counselor, MS, LMHC
Verified Verified
1 Endorsed
Northborough, MA 01532
Current Openings: Daytime/Adults on Tuesday and Thursdays. Hi, my name is Jillian and I am a licensed mental health counselor. My main goal is to help individuals and families understand their struggles and behaviors in a more accepting and deeper way. I think that true growth and development can be achieved with the right connection and therapeutic relationship. The majority of my experience is helping individuals and families to manage depression, anxiety, overwhelming stress and treating maladaptive coping skills (self injury, substance use, eating disorder, etc).
Current Openings: Daytime/Adults on Tuesday and Thursdays. Hi, my name is Jillian and I am a licensed mental health counselor. My main goal is to help individuals and families understand their struggles and behaviors in a more accepting and deeper way. I think that true growth and development can be achieved with the right connection and therapeutic relationship. The majority of my experience is helping individuals and families to manage depression, anxiety, overwhelming stress and treating maladaptive coping skills (self injury, substance use, eating disorder, etc).
(351) 206-1464 View (351) 206-1464
Photo of Elizabeth L. Vadnais, Counselor in Northborough, MA
Elizabeth L. Vadnais
Counselor, LMHC
Verified Verified
Northborough, MA 01532
My practice is adult based, with a wide variety of cliental from those with a mental health diagnosis to those working on life transitions or self esteem. My personal philosophy of therapy as I am here as a support person for you in whatever capacity you need me to be. If you need someone to process your past, to bounce ideas off of, to cheerlead behind you, I do it all. I want want you to have family and friends in your support system but your decisions affect them, affecting what they say. I am here just for you. I want to work with you to have the full filling and rewarding life that you want.
My practice is adult based, with a wide variety of cliental from those with a mental health diagnosis to those working on life transitions or self esteem. My personal philosophy of therapy as I am here as a support person for you in whatever capacity you need me to be. If you need someone to process your past, to bounce ideas off of, to cheerlead behind you, I do it all. I want want you to have family and friends in your support system but your decisions affect them, affecting what they say. I am here just for you. I want to work with you to have the full filling and rewarding life that you want.
(413) 779-3080 View (413) 779-3080
Photo of Lisa Barooshian, Licensed Professional Counselor in Northborough, MA
Lisa Barooshian
Licensed Professional Counselor, LMHC
Verified Verified
Northborough, MA 01532  (Online Only)
I love working with and helping people to live happier lives. In my years of experience working in the counseling field, I have assisted many people who struggle to function in their daily lives either because of a new hurdle or a life-long, mental health condition. Sometimes a person may feel hopeless, stuck, or unable to identify what holds them back. Other times, the client is in a new area of life that is unfamiliar or seems too intimidating to navigate. I strive to offer a compassionate, introspective, and collaborative setting where clients can feel free to explore the barriers that keep them from living their best lives.
I love working with and helping people to live happier lives. In my years of experience working in the counseling field, I have assisted many people who struggle to function in their daily lives either because of a new hurdle or a life-long, mental health condition. Sometimes a person may feel hopeless, stuck, or unable to identify what holds them back. Other times, the client is in a new area of life that is unfamiliar or seems too intimidating to navigate. I strive to offer a compassionate, introspective, and collaborative setting where clients can feel free to explore the barriers that keep them from living their best lives.
(508) 960-6894 View (508) 960-6894
Photo of Zachary Aggott, Counselor in Northborough, MA
Zachary Aggott
Counselor, MA, LMHC
Verified Verified
2 Endorsed
Northborough, MA 01532
Not accepting new clients
You're not lazy. Motivation doesn't exist in a vacuum. For you to make a change, you have to be convinced it's worth your effort; you need to know that changing will help. A lot of problems that bring folks to therapy (drinking/smoking too much, doom scrolling, binge-eating, isolating, "lack of motivation") are strategic ways of avoiding a larger problem. We start doing these things to help or cope in the short-term, and sometimes it's at the cost of our long-term well-being. Counseling can help you find your balance.
You're not lazy. Motivation doesn't exist in a vacuum. For you to make a change, you have to be convinced it's worth your effort; you need to know that changing will help. A lot of problems that bring folks to therapy (drinking/smoking too much, doom scrolling, binge-eating, isolating, "lack of motivation") are strategic ways of avoiding a larger problem. We start doing these things to help or cope in the short-term, and sometimes it's at the cost of our long-term well-being. Counseling can help you find your balance.
(774) 430-0276 View (774) 430-0276
Photo of Rob Cooke, Clinical Social Work/Therapist in Northborough, MA
Rob Cooke
Clinical Social Work/Therapist, MSW, LICSW, PC
Verified Verified
Northborough, MA 01532
I work with children and teens treating a variety of concerns including mood and attentional issues, defiance and conduct problems, social skills deficits, substance abuse, academic underperformance, and general family conflict. I enjoy working with adolescents and their families and am well versed in treating at-risk teens and those who have been resistant or challenging to engage in counseling. My treatment approach is family-oriented and my focus is on educating and empowering parents while working individually with children and teens to help them understand their behavior and find healthier ways to cope with the stresses they are facing.
I work with children and teens treating a variety of concerns including mood and attentional issues, defiance and conduct problems, social skills deficits, substance abuse, academic underperformance, and general family conflict. I enjoy working with adolescents and their families and am well versed in treating at-risk teens and those who have been resistant or challenging to engage in counseling. My treatment approach is family-oriented and my focus is on educating and empowering parents while working individually with children and teens to help them understand their behavior and find healthier ways to cope with the stresses they are facing.
(508) 809-4143 View (508) 809-4143

See more therapy options for Northborough

How does your Therapist compare?

Number of Therapists in Northborough, MA

80+

Average cost per session

$150

Therapists in Northborough, MA who prioritize treating:

97% Anxiety
89% Depression
71% Coping Skills
71% Self Esteem
70% Relationship Issues
67% Trauma and PTSD
63% Stress

Average years in practice

15 Years

Top 3 insurances accepted

93% BlueCross and BlueShield
73% Optum
70% UnitedHealthcare UHC | UBH

How Therapists in Northborough, MA see their clients

75% In Person and Online
25% Online Only

Gender breakdown

82% Female
18% Male
FAQs - About Therapy and Counseling

How can I find a therapist in Northborough?

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.