Therapists in Vadnais Heights, MN

Photo of Lori Wiggenhorn, Psychologist in Vadnais Heights, MN
Lori Wiggenhorn
Psychologist, MA, LP
Verified Verified
1 Endorsed
Vadnais Heights, MN 55110
Does anxiety, depression or moodiness interfere with your experience of joy? Are your beliefs about the world, people and yourself getting in the way of leading a more satisfying life? These are some of the questions I have helped clients work on in my twenty five plus years as a psychologist. I want to help you learn skills to better manage these issues and other important aspects of your life. Here are some of the techniques I offer in therapy: cognitive-behavioral therapy, dialectical behavioral therapy (DBT) modified for individuals, family systems theory, solution-focused therapy and spirituality.
Does anxiety, depression or moodiness interfere with your experience of joy? Are your beliefs about the world, people and yourself getting in the way of leading a more satisfying life? These are some of the questions I have helped clients work on in my twenty five plus years as a psychologist. I want to help you learn skills to better manage these issues and other important aspects of your life. Here are some of the techniques I offer in therapy: cognitive-behavioral therapy, dialectical behavioral therapy (DBT) modified for individuals, family systems theory, solution-focused therapy and spirituality.
(612) 284-5299 View (612) 284-5299
Photo of Tia Wilcek, Clinical Social Work/Therapist in Vadnais Heights, MN
Tia Wilcek
Clinical Social Work/Therapist, MSW, LICSW
Verified Verified
16 Endorsed
Vadnais Heights, MN 55127
Does it seem like everyone around you has it all together while you’re barely keeping your head above water? Does it seem as though your thoughts have been filled with unstoppable worry and maybe they've even begun to tell you lies that you’re beginning to believe. Perhaps it feels that no matter how much you’ve tried to erase ‘it’ from your mind, it keeps coming up and interrupting your life – making it hard to trust, to feel, to focus, to dream, to enjoy life. You wish for a day where you are free from it all and you want a therapist who understands and can help you heal from deep within. I just might be your therapist...
Does it seem like everyone around you has it all together while you’re barely keeping your head above water? Does it seem as though your thoughts have been filled with unstoppable worry and maybe they've even begun to tell you lies that you’re beginning to believe. Perhaps it feels that no matter how much you’ve tried to erase ‘it’ from your mind, it keeps coming up and interrupting your life – making it hard to trust, to feel, to focus, to dream, to enjoy life. You wish for a day where you are free from it all and you want a therapist who understands and can help you heal from deep within. I just might be your therapist...
(612) 260-9771 View (612) 260-9771
Photo of Mel Pascoe, Clinical Social Work/Therapist in Vadnais Heights, MN
Mel Pascoe
Clinical Social Work/Therapist, LICSW
Verified Verified
2 Endorsed
Vadnais Heights, MN 55127
I am passionate about working people to help them feel better about themselves, their relationships, and their life! We all struggle sometimes, and choosing therapy is a brave choice. I am always honored to be part of someone’s journey. Together we will work to address the root of any pain or anxiety you are feeling. We will explore where your issues come from, honor your past, while learning new ways to make peace with your present. I will help you learn new ways to cope with your emotions while working to address the deep stuff that is making life feel so hard sometimes.
I am passionate about working people to help them feel better about themselves, their relationships, and their life! We all struggle sometimes, and choosing therapy is a brave choice. I am always honored to be part of someone’s journey. Together we will work to address the root of any pain or anxiety you are feeling. We will explore where your issues come from, honor your past, while learning new ways to make peace with your present. I will help you learn new ways to cope with your emotions while working to address the deep stuff that is making life feel so hard sometimes.
(651) 318-4825 View (651) 318-4825
Photo of Seek the Truth Counseling, LLC, Counselor in Vadnais Heights, MN
Seek the Truth Counseling, LLC
Counselor, MA, LPCC
Verified Verified
1 Endorsed
Vadnais Heights, MN 55127  (Online Only)
My name is Michael Branchaud and I have been a practicing mental health professional for the past 30 years. My therapy model is based on controlling our thoughts to better regulate our emotions and behaviors. This is done by understanding their relationship to one another. We are born with three life goals, the need to be safe, the need to belong to something greater than our self and the need to be accepted for who we are and not for what we do or don't do.
My name is Michael Branchaud and I have been a practicing mental health professional for the past 30 years. My therapy model is based on controlling our thoughts to better regulate our emotions and behaviors. This is done by understanding their relationship to one another. We are born with three life goals, the need to be safe, the need to belong to something greater than our self and the need to be accepted for who we are and not for what we do or don't do.
(763) 333-2289 View (763) 333-2289
Photo of Maryanne Lassegard, Psychologist in Vadnais Heights, MN
Maryanne Lassegard
Psychologist, PhD
Verified Verified
Vadnais Heights, MN 55127  (Online Only)
I provide supportive positive-focused therapy to help people make the changes in their life that they want to see. My services are research-based treatments for anxiety, depression, sleep problems, relationships, grief and loss, and behavior change. We work together to establish goals and develop treatment plans based on your priorities and needs. I offer practical instruction in coping skills as well as treatment for healing emotional wounds. I work with many people who have suffered childhood abuse and traumatic experiences to provide healing services and assistance in developing a healthy and happier life.
I provide supportive positive-focused therapy to help people make the changes in their life that they want to see. My services are research-based treatments for anxiety, depression, sleep problems, relationships, grief and loss, and behavior change. We work together to establish goals and develop treatment plans based on your priorities and needs. I offer practical instruction in coping skills as well as treatment for healing emotional wounds. I work with many people who have suffered childhood abuse and traumatic experiences to provide healing services and assistance in developing a healthy and happier life.
(612) 306-4721 View (612) 306-4721
Photo of Iris J Heieren, Marriage & Family Therapist Associate in Vadnais Heights, MN
Iris J Heieren
Marriage & Family Therapist Associate, MA, LAMFT
Verified Verified
5 Endorsed
Vadnais Heights, MN 55127
Licensed Associate Marriage & Family Therapist. With a background in counseling and psychotherapy, Iris also holds a PhD in biology which, she believes, is of value in bringing the concepts of the science and psychology closer together. Iris specializes in neuro/biofeedback, used in conjunction with traditional counseling, to promote the long-term effectiveness of treatment outcomes.
Licensed Associate Marriage & Family Therapist. With a background in counseling and psychotherapy, Iris also holds a PhD in biology which, she believes, is of value in bringing the concepts of the science and psychology closer together. Iris specializes in neuro/biofeedback, used in conjunction with traditional counseling, to promote the long-term effectiveness of treatment outcomes.
(651) 383-1906 View (651) 383-1906
Photo of Kelly Elisa Ryan, Counselor in Vadnais Heights, MN
Kelly Elisa Ryan
Counselor, MS, LPCC
Verified Verified
5 Endorsed
Vadnais Heights, MN 55127  (Online Only)
Licensed Professional Counselor whose work is informed by cognitive behavioral therapy, motivational interviewing, art therapy, mindfulness and neurofeedback. Her experiences include in-home family therapy, day training and habilitation for adults with intellectual disabilities and behavioral concerns, and art therapy in a psychiatric DBT program.
Licensed Professional Counselor whose work is informed by cognitive behavioral therapy, motivational interviewing, art therapy, mindfulness and neurofeedback. Her experiences include in-home family therapy, day training and habilitation for adults with intellectual disabilities and behavioral concerns, and art therapy in a psychiatric DBT program.
(651) 504-1487 View (651) 504-1487
Photo of Diane L Hovey, Marriage & Family Therapist in Vadnais Heights, MN
Diane L Hovey
Marriage & Family Therapist, PhD, LMFT, CPT, CSAT
Verified Verified
6 Endorsed
Vadnais Heights, MN 55127
Waitlist for new clients
I work as your guide, assisting you in navigating and transforming tragedy, chaos, and challenges into possibility. When life-altering challenges impede your ability to navigate the uncertainties of life, I assist you in addressing the barriers that block your healing. I work with those who have experienced betrayal trauma, those who are struggling with problematic sexual behaviors, and those who are trying to make sense out of the senseless as you reshape and restructure your life. We all need help in moving past anxiety, depression, loss, and making mistakes, that impede our ability to live a healthy life of meaning and purpose.
I work as your guide, assisting you in navigating and transforming tragedy, chaos, and challenges into possibility. When life-altering challenges impede your ability to navigate the uncertainties of life, I assist you in addressing the barriers that block your healing. I work with those who have experienced betrayal trauma, those who are struggling with problematic sexual behaviors, and those who are trying to make sense out of the senseless as you reshape and restructure your life. We all need help in moving past anxiety, depression, loss, and making mistakes, that impede our ability to live a healthy life of meaning and purpose.
(651) 321-2481 View (651) 321-2481
Photo of Emerging Adult Counseling, Marriage & Family Therapist in Vadnais Heights, MN
Emerging Adult Counseling
Marriage & Family Therapist, MA, LMFT
Verified Verified
Vadnais Heights, MN 55110
Not accepting new clients
Do you feel anxious and unsure of yourself? Does Anxiety or Depression or another mental health issue stop you from living the life you desire? Or maybe you have a disability on top of all this and want to go to college, have a career or live independently but don't know where to start. You can feel better and have the confidence to go after your goals. Give me a call or email me and we'll talk about how Counseling with me I can help you achieve your dreams and live a satisfying life! Call or email me today!
Do you feel anxious and unsure of yourself? Does Anxiety or Depression or another mental health issue stop you from living the life you desire? Or maybe you have a disability on top of all this and want to go to college, have a career or live independently but don't know where to start. You can feel better and have the confidence to go after your goals. Give me a call or email me and we'll talk about how Counseling with me I can help you achieve your dreams and live a satisfying life! Call or email me today!
(612) 800-0681 View (612) 800-0681
Photo of Amanda Vaske, Marriage & Family Therapist in Vadnais Heights, MN
Amanda Vaske
Marriage & Family Therapist, MA, LMFT, PMH-C, CCTP-II, DBT-C
Verified Verified
Vadnais Heights, MN 55127
Life's a rollercoaster, huh? Whether you're battling self-doubt, caught in the chaos, or doing the social media shuffle, I'm here to bring some good vibes to your journey. Let's chat about it all – the ups, the downs, and everything in between. Parenting got you spinning? Overwhelmed by the daily grind? Anxiety knocking? I've got your back. Meet your guide (yep, that's me!). I'm here to bring a bit of sunshine to your days, kick out the blues, and make life's wild ride a bit more enjoyable. Your struggles are real and tackling them together is the way to go. Shoot me a message, I'm here for the support and brighter days.
Life's a rollercoaster, huh? Whether you're battling self-doubt, caught in the chaos, or doing the social media shuffle, I'm here to bring some good vibes to your journey. Let's chat about it all – the ups, the downs, and everything in between. Parenting got you spinning? Overwhelmed by the daily grind? Anxiety knocking? I've got your back. Meet your guide (yep, that's me!). I'm here to bring a bit of sunshine to your days, kick out the blues, and make life's wild ride a bit more enjoyable. Your struggles are real and tackling them together is the way to go. Shoot me a message, I'm here for the support and brighter days.
(651) 309-8049 View (651) 309-8049
Photo of Rebecca Blaede, Marriage & Family Therapist in Vadnais Heights, MN
Rebecca Blaede
Marriage & Family Therapist, MA, LMFT
Verified Verified
Vadnais Heights, MN 55127
I work with teens, adults, couples and families who struggle with a variety of conflicts. I strive to help others feel a sense of healing and understanding after challenging, stressful or traumatic situations.
I work with teens, adults, couples and families who struggle with a variety of conflicts. I strive to help others feel a sense of healing and understanding after challenging, stressful or traumatic situations.
(612) 425-1846 View (612) 425-1846
Photo of Maria Wetli, Clinical Social Work/Therapist in Vadnais Heights, MN
Maria Wetli
Clinical Social Work/Therapist, MSW, LICSW
Verified Verified
2 Endorsed
Vadnais Heights, MN 55127
Not accepting new clients
Do you find yourself wondering why you feel a certain way, why you behave the way you do, or why you have difficulties in your relationships? A lot of us have open wounds or negative beliefs about ourselves that cause problems- for example showing up in the form of depression, anxiety, panic, self-doubt, or relationship issues. As a human, I know how much it sucks to feel stuck, alone, or like no one understands. As a therapist, I will hold space for you to explore, learn, and heal from these wounds. You will be able to move forward in life with new understanding and the ability to navigate your emotions.
Do you find yourself wondering why you feel a certain way, why you behave the way you do, or why you have difficulties in your relationships? A lot of us have open wounds or negative beliefs about ourselves that cause problems- for example showing up in the form of depression, anxiety, panic, self-doubt, or relationship issues. As a human, I know how much it sucks to feel stuck, alone, or like no one understands. As a therapist, I will hold space for you to explore, learn, and heal from these wounds. You will be able to move forward in life with new understanding and the ability to navigate your emotions.
(651) 583-5565 View (651) 583-5565
Photo of Lydia Garcia, Pre-Licensed Professional in Vadnais Heights, MN
Lydia Garcia
Pre-Licensed Professional, MSW, LGSW
Verified Verified
3 Endorsed
Vadnais Heights, MN 55127
I believe that everyone has inherent strengths that can be illuminated through therapy. My approach is centered on exploring your authenticity, providing space where you can share thoughts and feelings without fear or criticism, and strengthening your understanding of yourself in connection to your community. I enjoy working collaboratively with individuals, looking at cultural/systemic barriers when discussing factors of stress. Folks who tend to find their way into my office are looking to address concerns around their identity, anxiety, depression, life transitions, or a wide spectrum of traumatic experiences.
I believe that everyone has inherent strengths that can be illuminated through therapy. My approach is centered on exploring your authenticity, providing space where you can share thoughts and feelings without fear or criticism, and strengthening your understanding of yourself in connection to your community. I enjoy working collaboratively with individuals, looking at cultural/systemic barriers when discussing factors of stress. Folks who tend to find their way into my office are looking to address concerns around their identity, anxiety, depression, life transitions, or a wide spectrum of traumatic experiences.
(651) 240-6831 View (651) 240-6831
Photo of Allie Bonyata, Clinical Social Work/Therapist in Vadnais Heights, MN
Allie Bonyata
Clinical Social Work/Therapist, MSW, LICSW
Verified Verified
Vadnais Heights, MN 55127
Not accepting new clients
Being a human can be incredibly difficult and overwhelming at times. Having someone you feel safe to process life’s stressors with, and an open space to learn new ways to cope with stress, can help make life more manageable and enjoyable. I have a client-centered, strength-based approach to therapy, and I believe that every person deserves to be seen and understood. I look forward to supporting you in your journey of healing and growth - however that looks for you!
Being a human can be incredibly difficult and overwhelming at times. Having someone you feel safe to process life’s stressors with, and an open space to learn new ways to cope with stress, can help make life more manageable and enjoyable. I have a client-centered, strength-based approach to therapy, and I believe that every person deserves to be seen and understood. I look forward to supporting you in your journey of healing and growth - however that looks for you!
(651) 867-4324 View (651) 867-4324

More Therapists Nearby

Photo of Nicholas William Vorpahl, Counselor in Vadnais Heights, MN
Nicholas William Vorpahl
Counselor, MA, LPCC
Verified Verified
White Bear Lake, MN 55127
My ideal client is someone that has an idea of their goals and what they would like to pursue in therapy, but needs the extra insight and encouragement to clarify those goals or to take the first steps in accomplishing them. They may be struggling with mood issues, have trouble controlling their thoughts, or be dealing with difficult or contentious relationships. They are in need of someone to listen to them, to provide empathy and validation, and then to help guide them along the path they have chosen to make the changes they wish to see in their life.
My ideal client is someone that has an idea of their goals and what they would like to pursue in therapy, but needs the extra insight and encouragement to clarify those goals or to take the first steps in accomplishing them. They may be struggling with mood issues, have trouble controlling their thoughts, or be dealing with difficult or contentious relationships. They are in need of someone to listen to them, to provide empathy and validation, and then to help guide them along the path they have chosen to make the changes they wish to see in their life.
(651) 318-4665 View (651) 318-4665
Photo of Barbara Jean Shock LeMire, Marriage & Family Therapist in Vadnais Heights, MN
Barbara Jean Shock LeMire
Marriage & Family Therapist, MA, LMFT
Verified Verified
2 Endorsed
White Bear Lake, MN 55110  (Online Only)
Do you feel like you are pretending - that you’ve got it all together and that your life has a purpose? Do you feel out of control or increasingly frustrated about your situation, and terrified that you will not be able to find a way out? Do you, unsuccessfully, try suppressing these negative feelings? Are your relationships suffering and filled with pain?
Do you feel like you are pretending - that you’ve got it all together and that your life has a purpose? Do you feel out of control or increasingly frustrated about your situation, and terrified that you will not be able to find a way out? Do you, unsuccessfully, try suppressing these negative feelings? Are your relationships suffering and filled with pain?
(651) 362-5721 View (651) 362-5721
Photo of Megan Jacoby, Marriage & Family Therapist in Vadnais Heights, MN
Megan Jacoby
Marriage & Family Therapist, LMFT
Verified Verified
1 Endorsed
White Bear Lake, MN 55110  (Online Only)
My priority as a therapist is to create a safe space for you. When any of us seeks out therapy, we are likely suffering. To suffer is to be in a very tender place, and I want to honor that. Whether your suffering comes from early childhood trauma, more recent losses, relationship problems, social injustice, adjustment to big changes in your life...I want you to feel safe and companioned as you move toward tending those places of wounding and toward healing.
My priority as a therapist is to create a safe space for you. When any of us seeks out therapy, we are likely suffering. To suffer is to be in a very tender place, and I want to honor that. Whether your suffering comes from early childhood trauma, more recent losses, relationship problems, social injustice, adjustment to big changes in your life...I want you to feel safe and companioned as you move toward tending those places of wounding and toward healing.
(510) 200-0534 View (510) 200-0534
Photo of Jari Welle, Marriage & Family Therapist in Vadnais Heights, MN
Jari Welle
Marriage & Family Therapist, MA, LMFT, RYT500
Verified Verified
3 Endorsed
White Bear Lake, MN 55127
Do you feel sad or anxious daily? Is this getting in the way of you living the life you really want to live? My approach in working with clients involves empowering, emotionally focused work, which includes building a connection for better growth during your therapy journey. I believe in supporting each client along the path of their own healing journey toward positive transformation, and in doing so, helping clients live a more happy and balanced life. I enjoy seeing clients with relationship issues, depression and anxiety.
Do you feel sad or anxious daily? Is this getting in the way of you living the life you really want to live? My approach in working with clients involves empowering, emotionally focused work, which includes building a connection for better growth during your therapy journey. I believe in supporting each client along the path of their own healing journey toward positive transformation, and in doing so, helping clients live a more happy and balanced life. I enjoy seeing clients with relationship issues, depression and anxiety.
(651) 433-6295 View (651) 433-6295
Photo of Nandini Jones, Clinical Social Work/Therapist in Vadnais Heights, MN
Nandini Jones
Clinical Social Work/Therapist, LICSW
Verified Verified
White Bear Lake, MN 55127
Not accepting new clients
I specialize in depression, anxiety, communication issues, boundaries, self-esteem, infidelity, imposter syndrome, trauma/PTSD, women’s issues, and personality disorders. I have extensive experience working with individuals experiencing the impact of complex trauma. Another area that I specialize in is post partum depression, I am very passionate about supporting individuals experiencing this and helping them heal.
I specialize in depression, anxiety, communication issues, boundaries, self-esteem, infidelity, imposter syndrome, trauma/PTSD, women’s issues, and personality disorders. I have extensive experience working with individuals experiencing the impact of complex trauma. Another area that I specialize in is post partum depression, I am very passionate about supporting individuals experiencing this and helping them heal.
(651) 615-2544 View (651) 615-2544
Photo of Madison Marcotte, Clinical Social Work/Therapist in Vadnais Heights, MN
Madison Marcotte
Clinical Social Work/Therapist, MSW, LICSW
Verified Verified
Saint Paul, MN 55110  (Online Only)
My name is Madison and I have been providing therapy services for over 7 years in Ohio and in Minnesota. I have experience working with individuals of all ages and walks of life in a variety of settings, including schools, physician's office/hospitals, and private practice. I believe that every client is unique and has different needs, even if they are facing similar challenges. It is my job to figure out which approach will be most effective for you.
My name is Madison and I have been providing therapy services for over 7 years in Ohio and in Minnesota. I have experience working with individuals of all ages and walks of life in a variety of settings, including schools, physician's office/hospitals, and private practice. I believe that every client is unique and has different needs, even if they are facing similar challenges. It is my job to figure out which approach will be most effective for you.
(507) 800-4285 View (507) 800-4285

See more therapy options for Vadnais Heights

How does your Therapist compare?

Number of Therapists in Vadnais Heights, MN

10+

Average cost per session

$180

Therapists in Vadnais Heights, MN who prioritize treating:

100% Anxiety
93% Depression
93% Trauma and PTSD
93% Coping Skills
86% Relationship Issues
86% Self Esteem
79% Stress

Average years in practice

14 Years

Top 3 insurances accepted

92% BlueCross and BlueShield
92% UCare
85% Medica

How Therapists in Vadnais Heights, MN see their clients

79% In Person and Online
21% Online Only

Gender breakdown

93% Female
7% Male
FAQs - About Therapy and Counseling

How can I find a therapist in Vadnais Heights?

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.