Therapists in Saint Cloud, MN

Photo of Brittany A Phelps, Marriage & Family Therapist, MS , LMFT-S
Brittany A Phelps
Marriage & Family Therapist, MS , LMFT-S
2 Endorsed
Saint Cloud, MN 56301
Hello! I am a strength based, narrative, emotion focused therapist, and self-identified philosopher. I’ve been working in the field since 2012 with experience in multiple settings, including outpatient, in-home, school-located, and residential dual, mental health and chemical dependency, services and have worked with diverse individuals, couples, and families. However, my heart lies with young adults, couples, and family work. As an artist, I enjoy helping others find their own creativity and hold a deep passion for life and its beauty. Anxiety, depression, trauma, and relationships dynamics are areas of specialty.
Hello! I am a strength based, narrative, emotion focused therapist, and self-identified philosopher. I’ve been working in the field since 2012 with experience in multiple settings, including outpatient, in-home, school-located, and residential dual, mental health and chemical dependency, services and have worked with diverse individuals, couples, and families. However, my heart lies with young adults, couples, and family work. As an artist, I enjoy helping others find their own creativity and hold a deep passion for life and its beauty. Anxiety, depression, trauma, and relationships dynamics are areas of specialty.
(218) 276-5218 View (218) 276-5218
Photo of Katie Monnens, Marriage & Family Therapist, MA, LMFT
Katie Monnens
Marriage & Family Therapist, MA, LMFT
1 Endorsed
Saint Cloud, MN 56303
You’re juggling a lot - relationships, parenting, work - while trying to remember who you are in the middle of it all. You hold it together for everyone else, but lately it has felt like too much. You want peace in your home, more laughter, to feel like yourself again. You’re tired of overthinking and snapping at the people you love. You’re ready for life to feel lighter, steadier, and more connected.
You’re juggling a lot - relationships, parenting, work - while trying to remember who you are in the middle of it all. You hold it together for everyone else, but lately it has felt like too much. You want peace in your home, more laughter, to feel like yourself again. You’re tired of overthinking and snapping at the people you love. You’re ready for life to feel lighter, steadier, and more connected.
(320) 373-9144 View (320) 373-9144
Photo of Camille Madsen, Clinical Social Work/Therapist, MSW, LICSW
Camille Madsen
Clinical Social Work/Therapist, MSW, LICSW
Saint Cloud, MN 56301
I am dedicated to providing effective and compassionate mental health support to individuals, couples and families. Throughout my career I have worked with a diverse clientele, addressing a wide range of issues such as anxiety, depression, relationship difficulties, trauma and life transitions. I am committed to creating a safe space for healing and growth. I believe that everyone has the capacity for change and that therapy can be a valuable tool for self-discovery and empowerment.
I am dedicated to providing effective and compassionate mental health support to individuals, couples and families. Throughout my career I have worked with a diverse clientele, addressing a wide range of issues such as anxiety, depression, relationship difficulties, trauma and life transitions. I am committed to creating a safe space for healing and growth. I believe that everyone has the capacity for change and that therapy can be a valuable tool for self-discovery and empowerment.
(320) 377-3146 View (320) 377-3146
Photo of Steven Paul Ringsmuth Stolpman, Marriage & Family Therapist, MS, LMFT
Steven Paul Ringsmuth Stolpman
Marriage & Family Therapist, MS, LMFT
1 Endorsed
Saint Cloud, MN 56303
I work with couples, families, and individual clients 13+, but welcome families with younger members, too. I welcome people from all religions, non-religions, cultures, and backgrounds. For fun, I like table-top board games, drawing, reading, and nature photography. In my free time, I can be found throwing a frisbee for Dashwood, a red British Labrador Retriever, at one of the area dog parks. He really loves to play with everybody.
I work with couples, families, and individual clients 13+, but welcome families with younger members, too. I welcome people from all religions, non-religions, cultures, and backgrounds. For fun, I like table-top board games, drawing, reading, and nature photography. In my free time, I can be found throwing a frisbee for Dashwood, a red British Labrador Retriever, at one of the area dog parks. He really loves to play with everybody.
(320) 422-2744 View (320) 422-2744
Photo of Colby Aurora Paumen, Pre-Licensed Professional, MA
Colby Aurora Paumen
Pre-Licensed Professional, MA
1 Endorsed
Saint Cloud, MN 56301
Does everyday life feel like you're carrying a hidden weight? Perhaps you're navigating a gender transition, exploring non‑traditional relationships, or making sense of neurodivergence. Feeling overwhelmed or unseen is common when your experience doesn't fit neatly into society's expectations. I specialize in working with LGBTQIA+ and neurodivergent adults and those in consensual non‑monogamy, kink, and power‑exchange relationships. You're not alone; there's space here for your story.
Does everyday life feel like you're carrying a hidden weight? Perhaps you're navigating a gender transition, exploring non‑traditional relationships, or making sense of neurodivergence. Feeling overwhelmed or unseen is common when your experience doesn't fit neatly into society's expectations. I specialize in working with LGBTQIA+ and neurodivergent adults and those in consensual non‑monogamy, kink, and power‑exchange relationships. You're not alone; there's space here for your story.
(320) 373-4439 View (320) 373-4439
Photo of De Ella D Wilcox - De Ella D Wilcox, LLC, Clinical Social Work/Therapist, MSW, LICSW
De Ella D Wilcox, LLC
Clinical Social Work/Therapist, MSW, LICSW
Saint Cloud, MN 56301
I work to meet clients where they're at; to help identify unwanted patterns & difficult emotions that may arise after experiencing high stress, anxiety, or trauma. Left unaddressed, these can impact our daily lives & mental health in a variety of ways, such as negative internalized self-talk, & can limit our chances for long-term growth. We may feel an urgency for things to stay the same, & avoid uncomfortable feelings, or disruptions. This can reduce or limit opportunities to heal, set healthy boundaries for ourselves, or build a stronger connection with others.
I work to meet clients where they're at; to help identify unwanted patterns & difficult emotions that may arise after experiencing high stress, anxiety, or trauma. Left unaddressed, these can impact our daily lives & mental health in a variety of ways, such as negative internalized self-talk, & can limit our chances for long-term growth. We may feel an urgency for things to stay the same, & avoid uncomfortable feelings, or disruptions. This can reduce or limit opportunities to heal, set healthy boundaries for ourselves, or build a stronger connection with others.
(320) 301-0052 View (320) 301-0052
Photo of Farhiyo Idifle, Clinical Social Work/Therapist, MSW, LICSW
Farhiyo Idifle
Clinical Social Work/Therapist, MSW, LICSW
Saint Cloud, MN 56303
Hello! I'm Farhiyo Idifle, a psychotherapist in Saint Cloud, MN, who offers in-person and telehealth psychotherapy services. I'm dedicated to helping teenagers and adults navigate life's challenges and transformations in a respectful, safe, and accepting environment that fosters a strong therapeutic alliance. I firmly believe that each client is the expert in their own life story, and it's an honor for me to collaborate with individuals and their families in creating a space where they can slow down, explore, confront challenges, and seek balance.
Hello! I'm Farhiyo Idifle, a psychotherapist in Saint Cloud, MN, who offers in-person and telehealth psychotherapy services. I'm dedicated to helping teenagers and adults navigate life's challenges and transformations in a respectful, safe, and accepting environment that fosters a strong therapeutic alliance. I firmly believe that each client is the expert in their own life story, and it's an honor for me to collaborate with individuals and their families in creating a space where they can slow down, explore, confront challenges, and seek balance.
(320) 391-9551 View (320) 391-9551
Photo of Krista L Vosberg - Krista Vosberg PLLC, Marriage & Family Therapist, MS, LMFT
Krista Vosberg PLLC
Marriage & Family Therapist, MS, LMFT
Saint Cloud, MN 56303
I provide individual, couples and family therapy for adolescents and adults experiencing a number of issues including trauma, anxiety, depression, relationship and marital problems, sexual issues, behavior problems, anger, life transitions, separation and divorce, family conflict, parenting issues, and grief and loss. I worked for 3 years at an inpatient treatment program for high risk adolescents and 15 years at an outpatient mental health clinic before starting my own practice.
I provide individual, couples and family therapy for adolescents and adults experiencing a number of issues including trauma, anxiety, depression, relationship and marital problems, sexual issues, behavior problems, anger, life transitions, separation and divorce, family conflict, parenting issues, and grief and loss. I worked for 3 years at an inpatient treatment program for high risk adolescents and 15 years at an outpatient mental health clinic before starting my own practice.
(320) 289-5401 View (320) 289-5401
Photo of Michael Jacob, Licensed Professional Counselor, MS, LPCC
Michael Jacob
Licensed Professional Counselor, MS, LPCC
1 Endorsed
Saint Cloud, MN 56303
Want to be more authentic? As a gay man, I understand how difficult it can be to understand and feel confident in your identity. I bring that lived experience and empathy to my therapeutic work. Gender identity, sex and sexuality, relationships, body image and self-esteem, along with depression and anxiety that tangle with them, are things that I can help you work through. My goal is to help you be more kind to yourself, and to help you find your authentic self so you can live the life you want.
Want to be more authentic? As a gay man, I understand how difficult it can be to understand and feel confident in your identity. I bring that lived experience and empathy to my therapeutic work. Gender identity, sex and sexuality, relationships, body image and self-esteem, along with depression and anxiety that tangle with them, are things that I can help you work through. My goal is to help you be more kind to yourself, and to help you find your authentic self so you can live the life you want.
(320) 207-4955 View (320) 207-4955
Photo of Jessica Hoida, Psychologist, PhD, LP
Jessica Hoida
Psychologist, PhD, LP
Saint Cloud, MN 56301
My approach to therapy is person-centered and collaborative. I believe our well-being and ability to make meaningful changes in our lives grows within trusting, authentic relationships. I enjoy working with clients from toddlerhood through adulthood and approach my work with compassion, curiosity and creativity. I strive to establish a relaxed and inclusive space to foster awareness, growth, and joy.
My approach to therapy is person-centered and collaborative. I believe our well-being and ability to make meaningful changes in our lives grows within trusting, authentic relationships. I enjoy working with clients from toddlerhood through adulthood and approach my work with compassion, curiosity and creativity. I strive to establish a relaxed and inclusive space to foster awareness, growth, and joy.
(952) 521-0499 View (952) 521-0499
Photo of Carrie Gapinski, Clinical Social Work/Therapist, MSW, LISCW
Carrie Gapinski
Clinical Social Work/Therapist, MSW, LISCW
Saint Cloud, MN 56301
Carrie has extensive experience working with children and families in the mental health community. Her experiences have included in-home services, county mental health, as well as school social work. Carrie’s approach to therapy is client-centered and collaborative. She utilizes strength-based, solution-focused, cognitive-behavioral, and family-systems models to meet the needs of her clients. Carrie is available to see clients of any age; however, her specialty is working with children and adolescents.
Carrie has extensive experience working with children and families in the mental health community. Her experiences have included in-home services, county mental health, as well as school social work. Carrie’s approach to therapy is client-centered and collaborative. She utilizes strength-based, solution-focused, cognitive-behavioral, and family-systems models to meet the needs of her clients. Carrie is available to see clients of any age; however, her specialty is working with children and adolescents.
(320) 364-4008 View (320) 364-4008
Photo of Anna Welle, Clinical Social Work/Therapist, LCSW
Anna Welle
Clinical Social Work/Therapist, LCSW
Saint Cloud, MN 56301
Hi all, welcome! I enjoy working with children, adolescents, teenagers, young adults and caregivers. In my work, I feel driven to be authentic, intentional and supportive. I have provided therapy within school-based, community-based and outpatient settings. I utilize techniques from trauma-based treatments, cognitive-behavioral therapy and feel there is much value in exploring the systems each client exists within. I value each client and the uniqueness they hold. I work to provide a safe and accepting space that is led by relationship building, a celebration of wins, gentle guidance and healthy goal setting.
Hi all, welcome! I enjoy working with children, adolescents, teenagers, young adults and caregivers. In my work, I feel driven to be authentic, intentional and supportive. I have provided therapy within school-based, community-based and outpatient settings. I utilize techniques from trauma-based treatments, cognitive-behavioral therapy and feel there is much value in exploring the systems each client exists within. I value each client and the uniqueness they hold. I work to provide a safe and accepting space that is led by relationship building, a celebration of wins, gentle guidance and healthy goal setting.
(763) 428-2288 View (763) 428-2288
Photo of Lexi Soderholm, Marriage & Family Therapist, MS, LMFT, CFNC
Lexi Soderholm
Marriage & Family Therapist, MS, LMFT, CFNC
1 Endorsed
Saint Cloud, MN 56301
Recent research shows 95% of serotonin is made in the gut. Maybe you’ve tried talk therapy, but the brain fog, fatigue, and anxiety won't budge. You know your mental health is more than just "all in your head." I work with motivated "root-cause" seekers who recognize that emotional well-being is deeply tied to physical function. My clients are ready to stop just talking about their stress & start addressing the physiological drivers behind it. Whether you're a leader facing burnout or a parent seeking a holistic path for your family, you’re looking for a clinical partner who integrates the mind and the body to find lasting relief.
Recent research shows 95% of serotonin is made in the gut. Maybe you’ve tried talk therapy, but the brain fog, fatigue, and anxiety won't budge. You know your mental health is more than just "all in your head." I work with motivated "root-cause" seekers who recognize that emotional well-being is deeply tied to physical function. My clients are ready to stop just talking about their stress & start addressing the physiological drivers behind it. Whether you're a leader facing burnout or a parent seeking a holistic path for your family, you’re looking for a clinical partner who integrates the mind and the body to find lasting relief.
(320) 433-6465 View (320) 433-6465
Photo of Lynette M Sickler, Counselor, MS, LADC, LPCC, CFRC
Lynette M Sickler
Counselor, MS, LADC, LPCC, CFRC
Saint Cloud, MN 56301
As a Licensed Professional Clinical Counselor, Licensed Alcohol and Drug Counselor, and Certified First Responder Counselor, I bring over 30 years of experience in the mental health field. I have extensive experience working with first responders, and their spouses/partners. I am trained in Critical Incident Stress Management (CISM) and have been a dedicated member of the Central MN CISM team for the past 13 years, providing debriefings and crisis support for first responders.
As a Licensed Professional Clinical Counselor, Licensed Alcohol and Drug Counselor, and Certified First Responder Counselor, I bring over 30 years of experience in the mental health field. I have extensive experience working with first responders, and their spouses/partners. I am trained in Critical Incident Stress Management (CISM) and have been a dedicated member of the Central MN CISM team for the past 13 years, providing debriefings and crisis support for first responders.
(320) 348-7693 View (320) 348-7693
Photo of Anna Bailey, Marriage & Family Therapist, MS, LMFT
Anna Bailey
Marriage & Family Therapist, MS, LMFT
1 Endorsed
Online Only
Are you feeling overwhelmed, stuck, or just not like yourself lately? Maybe anxiety, depression, past trauma, or relationship challenges are getting in the way of the life you want to live. If you're craving change, clarity, or simply a space to feel seen and supported, you're in the right place. I’m Anna Bailey, MS LMFT — a licensed Marriage and Family Therapist in Minnesota offering virtual therapy for individuals and couples. I specialize in working with people navigating anxiety, depression, grief, attachment issues, life transitions, and relationship/parenting struggles. My approach is warm, collaborative, and down-to-
Are you feeling overwhelmed, stuck, or just not like yourself lately? Maybe anxiety, depression, past trauma, or relationship challenges are getting in the way of the life you want to live. If you're craving change, clarity, or simply a space to feel seen and supported, you're in the right place. I’m Anna Bailey, MS LMFT — a licensed Marriage and Family Therapist in Minnesota offering virtual therapy for individuals and couples. I specialize in working with people navigating anxiety, depression, grief, attachment issues, life transitions, and relationship/parenting struggles. My approach is warm, collaborative, and down-to-
(320) 399-3867 x1 View (320) 399-3867 x1
Photo of Molly Lieser, Counselor, MA, LPCC
Molly Lieser
Counselor, MA, LPCC
Saint Cloud, MN 56301
Are you feeling overwhelmed, mentally drained, or stuck in a season that doesn’t seem to shift? You may be navigating anxiety, depression, ongoing stress, or a heaviness that makes everyday responsibilities feel more difficult than they used to. From the outside, things might appear manageable, yet internally you feel discouraged, disconnected, or unsure how to create change. You may find yourself wondering whether life can feel lighter or more steady again.
Are you feeling overwhelmed, mentally drained, or stuck in a season that doesn’t seem to shift? You may be navigating anxiety, depression, ongoing stress, or a heaviness that makes everyday responsibilities feel more difficult than they used to. From the outside, things might appear manageable, yet internally you feel discouraged, disconnected, or unsure how to create change. You may find yourself wondering whether life can feel lighter or more steady again.
(763) 265-7316 View (763) 265-7316
Photo of Sara L Shosted, Marriage & Family Therapist, LMFT
Sara L Shosted
Marriage & Family Therapist, LMFT
Saint Cloud, MN 56301
I help people who want to feel more confident, connected and at peace-whether they are facing anxiety, life transitions, or challenges with self-worth. Therapy is a process of self discovery and healing, and I believe in the power of positive change. In a relaxed, supportive setting, we'll work together to set goals, build insight, and create meaningful direction for your life.
I help people who want to feel more confident, connected and at peace-whether they are facing anxiety, life transitions, or challenges with self-worth. Therapy is a process of self discovery and healing, and I believe in the power of positive change. In a relaxed, supportive setting, we'll work together to set goals, build insight, and create meaningful direction for your life.
(320) 300-4576 View (320) 300-4576
Photo of Heather M Conway-Haehn - Heather's Counseling Service, LLC, Counselor, MS, LPCC
Heather's Counseling Service, LLC
Counselor, MS, LPCC
Saint Cloud, MN 56303
Hello, my name is Heather and I am a Licensed Professional Clinical Counselor. I have been providing counseling services for the past 15 years. I have helped many client rebuild their self-esteem, confidence and relationships.
Hello, my name is Heather and I am a Licensed Professional Clinical Counselor. I have been providing counseling services for the past 15 years. I have helped many client rebuild their self-esteem, confidence and relationships.
(320) 852-5696 View (320) 852-5696
Photo of Kimberlee Zetocha Halverson, Psychologist, PhD, LP
Kimberlee Zetocha Halverson
Psychologist, PhD, LP
1 Endorsed
Online Only
I focus on improving life balance. Learning when to pause and enjoy the moment, rather than what you did or didn’t do, or where you need to be or what you need to do next. People tend to let their past, patterns, or habits determine their present and future. I help you find a way to roll with the waves of life and gain resiliency, while riding life’s unpredictable storms. There is no way of being fully prepared for the unexpected, but there are skills and tools for managing the storms. I look to help people find a new way to move forward in life rather than trying to anchor down in the storm. Tides will change and waters can calm.
I focus on improving life balance. Learning when to pause and enjoy the moment, rather than what you did or didn’t do, or where you need to be or what you need to do next. People tend to let their past, patterns, or habits determine their present and future. I help you find a way to roll with the waves of life and gain resiliency, while riding life’s unpredictable storms. There is no way of being fully prepared for the unexpected, but there are skills and tools for managing the storms. I look to help people find a new way to move forward in life rather than trying to anchor down in the storm. Tides will change and waters can calm.
(320) 413-8150 View (320) 413-8150
Photo of Tanya Lambert - Sacred Space Therapy, LLC, Licensed Professional Clinical Counselor, MS, LPCC
Sacred Space Therapy, LLC
Licensed Professional Clinical Counselor, MS, LPCC
Online Only
Greetings! My name is Tanya Lambert and I'm a Licensed Professional Clinical Counselor. I have 12 years of experience working with teens, adults, couples and families. I'm trained in EMDR and TF-CBT, both trauma modalities to process unresolved past trauma. I try to meet you where you're at, focusing our sessions over supporting you with what you need to help you overcome symptoms, life struggles, to be a better you. I like to say that finding the right therapist is like finding the right pair of jeans. Sometimes you have to try on a few pair before you find the right fit. I look forward to seeing if I'm a good fit to support you!
Greetings! My name is Tanya Lambert and I'm a Licensed Professional Clinical Counselor. I have 12 years of experience working with teens, adults, couples and families. I'm trained in EMDR and TF-CBT, both trauma modalities to process unresolved past trauma. I try to meet you where you're at, focusing our sessions over supporting you with what you need to help you overcome symptoms, life struggles, to be a better you. I like to say that finding the right therapist is like finding the right pair of jeans. Sometimes you have to try on a few pair before you find the right fit. I look forward to seeing if I'm a good fit to support you!
(320) 344-2963 View (320) 344-2963

See more therapy options for Saint Cloud

How does your Therapist compare?

Number of Therapists in Saint Cloud, MN

100+

Average cost per session

$175

Therapists in Saint Cloud, MN who prioritize treating:

92% Anxiety
92% Social Anxiety
92% Health Anxiety
92% Driving Anxiety
80% Depression
78% Trauma and PTSD
78% Complex PTSD

Average years in practice

11 Years

Top 3 insurances accepted

90% BlueCross and BlueShield
81% HealthPartners of MN and WI
79% UnitedHealthcare UHC | UBH

How Therapists in Saint Cloud, MN see their clients

66% In Person and Online
34% Online Only

Gender breakdown

82% Female
15% Male
3% Non-Binary
FAQs - About Therapy and Counseling

How can I find a therapist in Saint Cloud?

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.