Therapists in Pasadena, CA

View neighborhoods in Pasadena
Photo of Clara I. Aparicio, PsyD, Psychologist in Pasadena, CA
Clara I. Aparicio, PsyD
Psychologist, PsyD
Verified Verified
2 Endorsed
Pasadena, CA 91101
I am a bilingual, Spanish-speaking, clinical psychologist. My clinical work has focused on providing holistic mental health care, taking into account cultural, family dynamics, spiritual, social-economic, and medical factors that contribute to mental health conditions. Life's journey was never meant to be traveled alone. Our experiences, life's highs and lows, are best lived in communion with others.
I am a bilingual, Spanish-speaking, clinical psychologist. My clinical work has focused on providing holistic mental health care, taking into account cultural, family dynamics, spiritual, social-economic, and medical factors that contribute to mental health conditions. Life's journey was never meant to be traveled alone. Our experiences, life's highs and lows, are best lived in communion with others.
(626) 587-3917 View (626) 587-3917
Photo of Hillary Wright, Psychologist in Pasadena, CA
Hillary Wright
Psychologist, PhD
Verified Verified
2 Endorsed
Pasadena, CA 91106
It may very well be that our deepest longing and need is for connection. To be heard and understood. To be known in places where many others are never allowed. To be more connected to the lost neglected parts of ourselves and those we care about. You have this opportunity in the safety of psychotherapy. It isn't always an easy road. Perhaps this sounds intimidating. Often it entails letting go of destructive habits or getting unstuck. We may need to look at old patterns and create new ones. There may be moments of laughing, crying, or facing hard truths.
It may very well be that our deepest longing and need is for connection. To be heard and understood. To be known in places where many others are never allowed. To be more connected to the lost neglected parts of ourselves and those we care about. You have this opportunity in the safety of psychotherapy. It isn't always an easy road. Perhaps this sounds intimidating. Often it entails letting go of destructive habits or getting unstuck. We may need to look at old patterns and create new ones. There may be moments of laughing, crying, or facing hard truths.
(424) 277-6208 View (424) 277-6208
Photo of Jill Sumiyasu, Marriage & Family Therapist in Pasadena, CA
Jill Sumiyasu
Marriage & Family Therapist, MA, LMFT
Verified Verified
2 Endorsed
Pasadena, CA 91105
My goal is to help you uncover your potential and lead a life that feels worth celebrating. While we can't change the past, we can work together to better understand your personal history and to resolve some of the challenges that remain. By using an approach that is specific to you and your needs, we can address long-standing emotional obstacles, behavioral patterns and perceptions that may be holding you back from experiencing a more fulfilling and meaningful life. Together, we can focus both on how to make concrete changes to provide immediate relief while also getting to the root of issues to foster long-lasting change.
My goal is to help you uncover your potential and lead a life that feels worth celebrating. While we can't change the past, we can work together to better understand your personal history and to resolve some of the challenges that remain. By using an approach that is specific to you and your needs, we can address long-standing emotional obstacles, behavioral patterns and perceptions that may be holding you back from experiencing a more fulfilling and meaningful life. Together, we can focus both on how to make concrete changes to provide immediate relief while also getting to the root of issues to foster long-lasting change.
(626) 298-7557 View (626) 298-7557
Photo of Eric Robinson, Marriage & Family Therapist in Pasadena, CA
Eric Robinson
Marriage & Family Therapist, MA, LMFT
Verified Verified
Pasadena, CA 91101
Waitlist for new clients
My clients are smart and resourceful. While their resilience may have resulted in successes, they find themselves overwhelmed and disconnected by stress, worry and hopelessness, struggling with transitions, challenges in relationships, identity, and an injured sense of self. Based in both personal experiences and formal credentials in Creative Writing and Psychology, I bring my passion for using words and inquiry to cultivate connection, insight and growth.
My clients are smart and resourceful. While their resilience may have resulted in successes, they find themselves overwhelmed and disconnected by stress, worry and hopelessness, struggling with transitions, challenges in relationships, identity, and an injured sense of self. Based in both personal experiences and formal credentials in Creative Writing and Psychology, I bring my passion for using words and inquiry to cultivate connection, insight and growth.
(626) 436-3731 View (626) 436-3731
Photo of Gerald Monk, Marriage & Family Therapist in Pasadena, CA
Gerald Monk
Marriage & Family Therapist, LMFT
Verified Verified
Pasadena, CA 91104
I am a licensed Marriage and Family Therapist in California since 2006. I was a registered psychologist, counselor, and family mediator in New Zealand before moving to the United States as a professor in marriage and family therapy at San Diego State University. I worked and trained in educational psychology before being immersed in narrative therapy, narrative mediation, and solution-focused therapy in the 1990s. I have worked a lot in schools with children and teens, addressed parenting challenges, helped blended families address unique crises that arise, help clients with separation and divorce.
I am a licensed Marriage and Family Therapist in California since 2006. I was a registered psychologist, counselor, and family mediator in New Zealand before moving to the United States as a professor in marriage and family therapy at San Diego State University. I worked and trained in educational psychology before being immersed in narrative therapy, narrative mediation, and solution-focused therapy in the 1990s. I have worked a lot in schools with children and teens, addressed parenting challenges, helped blended families address unique crises that arise, help clients with separation and divorce.
(323) 716-0288 View (323) 716-0288
Photo of Celebrity Blockton-Gonzalez, Marriage & Family Therapist in Pasadena, CA
Celebrity Blockton-Gonzalez
Marriage & Family Therapist, LMFT, LPCC
Verified Verified
Pasadena, CA 91105  (Online Only)
I help people come face to face with the thoughts, feelings, and behaviors that keep them feeling stuck and unfulfilled in life, marriage, and important relationships. I am passionate about helping people live a healthy and meaningful life as well as helping marriages and relationships thrive. While I believe that the past is important to understand the present and develop self-compassion, our work together will largely focus on the present. We will spend time processing your experiences as well as developing skills and tools to best support you on your growth journey.
I help people come face to face with the thoughts, feelings, and behaviors that keep them feeling stuck and unfulfilled in life, marriage, and important relationships. I am passionate about helping people live a healthy and meaningful life as well as helping marriages and relationships thrive. While I believe that the past is important to understand the present and develop self-compassion, our work together will largely focus on the present. We will spend time processing your experiences as well as developing skills and tools to best support you on your growth journey.
(510) 767-0741 View (510) 767-0741
Photo of Melissa Winfield, Psychologist in Pasadena, CA
Melissa Winfield
Psychologist, PsyD
Verified Verified
7 Endorsed
Pasadena, CA 91101
Not accepting new clients
As a parent, you want your child to feel confident. You want them to communicate well, make good friends, cope with hard things, and succeed academically. But it can be so hard when your child struggles with anxiety, sadness, low self-esteem or difficulty in school. You may feel frustrated and confused when they refuse to follow directions or are frequently angry. I work with children, teenagers and parents to solve challenges and find hope and resilience.
As a parent, you want your child to feel confident. You want them to communicate well, make good friends, cope with hard things, and succeed academically. But it can be so hard when your child struggles with anxiety, sadness, low self-esteem or difficulty in school. You may feel frustrated and confused when they refuse to follow directions or are frequently angry. I work with children, teenagers and parents to solve challenges and find hope and resilience.
(323) 417-8597 View (323) 417-8597
Photo of Anne M. Dennis, Marriage & Family Therapist in Pasadena, CA
Anne M. Dennis
Marriage & Family Therapist, MA, LMFT
Verified Verified
Pasadena, CA 91106  (Online Only)
Welcome to my Practice. I am currently accepting new patients. My work includes Individuals, Couples and Families in the assessment and treatment of trauma, anxiety, depression, mood disorders, job dissatisfaction, relationship issues and grief and loss. In addition, I specialize in the assessment and treatment of Perinatal and Postpartum Depression/ Anxiety. Considering therapy is a positive step for yourself, your relationship or your family this year.
Welcome to my Practice. I am currently accepting new patients. My work includes Individuals, Couples and Families in the assessment and treatment of trauma, anxiety, depression, mood disorders, job dissatisfaction, relationship issues and grief and loss. In addition, I specialize in the assessment and treatment of Perinatal and Postpartum Depression/ Anxiety. Considering therapy is a positive step for yourself, your relationship or your family this year.
(626) 325-0318 View (626) 325-0318
Photo of Samira Vishria, Clinical Social Work/Therapist in Pasadena, CA
Samira Vishria
Clinical Social Work/Therapist, LCSW
Verified Verified
Pasadena, CA 91106
I am a licensed clinical social worker specializing in the treatment of children, adolescents and young adults along with the families who support them. I have extensive experience in treating mood disorders, self-harmful behaviors, behavioral difficulties and issues related to identity, relationships and entering adulthood. Additionally, I work extensively with people who are experiencing grief due to loss, trauma and abuse.
I am a licensed clinical social worker specializing in the treatment of children, adolescents and young adults along with the families who support them. I have extensive experience in treating mood disorders, self-harmful behaviors, behavioral difficulties and issues related to identity, relationships and entering adulthood. Additionally, I work extensively with people who are experiencing grief due to loss, trauma and abuse.
(626) 587-2212 View (626) 587-2212
Photo of Gustine Fudickar, Associate Marriage & Family Therapist in Pasadena, CA
Gustine Fudickar
Associate Marriage & Family Therapist, AMFT
Verified Verified
2 Endorsed
Pasadena, CA 91101
Maybe you feel alone and unable to connect with others. Maybe you find yourself struggling with feelings of overwhelming fear and anxiety. Maybe you are experiencing thoughts and emotions that are difficult to share with friends or family. Often, the initial reason people come into therapy becomes the medium through which deeper spiritual, emotional, or existential deadlocks make themselves known.
Maybe you feel alone and unable to connect with others. Maybe you find yourself struggling with feelings of overwhelming fear and anxiety. Maybe you are experiencing thoughts and emotions that are difficult to share with friends or family. Often, the initial reason people come into therapy becomes the medium through which deeper spiritual, emotional, or existential deadlocks make themselves known.
(323) 601-0465 View (323) 601-0465
Photo of Hillary Mastrosimone, Marriage & Family Therapist in Pasadena, CA
Hillary Mastrosimone
Marriage & Family Therapist, MA, LMFT
Verified Verified
1 Endorsed
Pasadena, CA 91101
Struggling with life transitions, relationships, self-esteem, loneliness, worries, and sadness doesn't make you crazy, it makes you normal. My gentle, yet direct approach supports insight into those thoughts and feelings in an effort to walk alongside you as you decide where you want to go. For more information, please feel free to take a look at my website at www.parallelwellness.org.
Struggling with life transitions, relationships, self-esteem, loneliness, worries, and sadness doesn't make you crazy, it makes you normal. My gentle, yet direct approach supports insight into those thoughts and feelings in an effort to walk alongside you as you decide where you want to go. For more information, please feel free to take a look at my website at www.parallelwellness.org.
(626) 587-2827 View (626) 587-2827
Photo of Dr. Natalie Arbid, Psychologist in Pasadena, CA
Dr. Natalie Arbid
Psychologist, PhD
Verified Verified
Pasadena, CA 91103  (Online Only)
Not accepting new clients
I am not accepting new clients at this time. I specialize in working with adolescents (13+) and adults struggling with anxiety, depression, trauma and difficulties managing emotions and behaviors. I specialize in working with children of immigrants/ second generation folks on a range of issues. I used evidence-based treatments such as, cognitive-behavioral therapy (CBT), acceptance and commitment therapy (ACT), and mindfulness based approaches. Through a collaborative approach, I can help you develop skills to more effectively cope and create meaningful life changes.
I am not accepting new clients at this time. I specialize in working with adolescents (13+) and adults struggling with anxiety, depression, trauma and difficulties managing emotions and behaviors. I specialize in working with children of immigrants/ second generation folks on a range of issues. I used evidence-based treatments such as, cognitive-behavioral therapy (CBT), acceptance and commitment therapy (ACT), and mindfulness based approaches. Through a collaborative approach, I can help you develop skills to more effectively cope and create meaningful life changes.
(323) 593-4350 View (323) 593-4350
Photo of Kellett Tighe Therapy, Marriage & Family Therapist in Pasadena, CA
Kellett Tighe Therapy
Marriage & Family Therapist, MFA, MAP, LMFT
Verified Verified
1 Endorsed
Pasadena, CA 91101  (Online Only)
Are you experiencing relationship concerns, interpersonal challenges, or employment issues? Struggling with addiction, depression, self-esteem, anxiety, or the aftermath of trauma? As a therapist, I am here to support and guide you. I am empathetic, genuine, connected and collaborative. My role is to facilitate your understanding of what is preventing and blocking you from achieving your goals, harmony of mind and repose. Prior to becoming a therapist, I have worked for over 16 years in the entertainment industry. A process of introspection led me to discover my true passion lies in connecting with people.
Are you experiencing relationship concerns, interpersonal challenges, or employment issues? Struggling with addiction, depression, self-esteem, anxiety, or the aftermath of trauma? As a therapist, I am here to support and guide you. I am empathetic, genuine, connected and collaborative. My role is to facilitate your understanding of what is preventing and blocking you from achieving your goals, harmony of mind and repose. Prior to becoming a therapist, I have worked for over 16 years in the entertainment industry. A process of introspection led me to discover my true passion lies in connecting with people.
(323) 673-2541 View (323) 673-2541
Photo of Vanessa Fierstadt, Marriage & Family Therapist in Pasadena, CA
Vanessa Fierstadt
Marriage & Family Therapist, MS, LMFT
Verified Verified
1 Endorsed
Pasadena, CA 91106
I am glad you are here to receive the support you need. I provide my clients with a safe and nurturing environment to openly share your thoughts and feelings. To support you in making new patterns and positive change. Are you seeking healing after experiencing traumatic life events, stressful relationship patterns or emotional wounds from your past. After experiencing suffering, we can often feel numb and detached. Together we will incorporate healing strategies to support you in finding relief, having an abundant, healthy and safe future as you move forward in your life. Grief Groups at Kintsugi Grief Center : Kintsugigrief.com
I am glad you are here to receive the support you need. I provide my clients with a safe and nurturing environment to openly share your thoughts and feelings. To support you in making new patterns and positive change. Are you seeking healing after experiencing traumatic life events, stressful relationship patterns or emotional wounds from your past. After experiencing suffering, we can often feel numb and detached. Together we will incorporate healing strategies to support you in finding relief, having an abundant, healthy and safe future as you move forward in your life. Grief Groups at Kintsugi Grief Center : Kintsugigrief.com
(626) 427-6956 View (626) 427-6956
Photo of Jennifer Hsia, Psychologist in Pasadena, CA
Jennifer Hsia
Psychologist, PhD
Verified Verified
5 Endorsed
Pasadena, CA 91101
Are you anxious about your health or visits to the doctor? Trying to cope with your health condition? Learning and exploring your racial, ethnic. and/or cultural identity? Considering or in the process of freezing your eggs and/or becoming a solo parent by choice? I’m here to help. Whether you are a teen, adult, or older adult, I will work with you to develop skills, find your new normal, and/or identify and move toward goals that align with your values.
Are you anxious about your health or visits to the doctor? Trying to cope with your health condition? Learning and exploring your racial, ethnic. and/or cultural identity? Considering or in the process of freezing your eggs and/or becoming a solo parent by choice? I’m here to help. Whether you are a teen, adult, or older adult, I will work with you to develop skills, find your new normal, and/or identify and move toward goals that align with your values.
(626) 298-7899 View (626) 298-7899
Photo of Hannah Levin, Clinical Social Work/Therapist in Pasadena, CA
Hannah Levin
Clinical Social Work/Therapist, LCSW
Verified Verified
Pasadena, CA 91105
If you're struggling with anxiety, depression, trauma, stress, adjusting to life transitions, facing grief or loss, having interpersonal difficulties, identify as LGBTQ+, or just need someone to talk to, please reach out. Hannah has clinical training in ART (accelerated resolution therapy), cognitive behavioral therapy, mindfulness based therapy, non-violent communication, trauma-focused therapy, and psychodynamic therapy. Hannah aims to empower her clients to access their strengths and values to navigate obstacles and challenges.
If you're struggling with anxiety, depression, trauma, stress, adjusting to life transitions, facing grief or loss, having interpersonal difficulties, identify as LGBTQ+, or just need someone to talk to, please reach out. Hannah has clinical training in ART (accelerated resolution therapy), cognitive behavioral therapy, mindfulness based therapy, non-violent communication, trauma-focused therapy, and psychodynamic therapy. Hannah aims to empower her clients to access their strengths and values to navigate obstacles and challenges.
(323) 310-1652 View (323) 310-1652
Photo of Carly Wielstein, Marriage & Family Therapist in Pasadena, CA
Carly Wielstein
Marriage & Family Therapist, LMFT
Verified Verified
1 Endorsed
Pasadena, CA 91101  (Online Only)
When considering our experiences in the human tribe, the process of discovering or rediscovering our truest self can be a journey laden with challenges and difficulty. However, it is often when we believe that we have attempted everything we can or know how to do to make difficult transformations, to cease our suffering, and to change unhelpful patterns, that we may find ourselves poised for growth and evolution.
When considering our experiences in the human tribe, the process of discovering or rediscovering our truest self can be a journey laden with challenges and difficulty. However, it is often when we believe that we have attempted everything we can or know how to do to make difficult transformations, to cease our suffering, and to change unhelpful patterns, that we may find ourselves poised for growth and evolution.
(916) 668-6346 View (916) 668-6346
Photo of Matthew Calkins, Psychologist in Pasadena, CA
Matthew Calkins
Psychologist, PsyD, CGP
Verified Verified
4 Endorsed
Pasadena, CA 91101
Waitlist for new clients
Feeling stressed out or overwhelmed? Want more from relationships? Or, have you experienced a recent loss or disruption, and don't know what to do? Psychotherapy is one way to help. Given that its success depends on the quality of the relationship between you and your therapist, I urge you to take your time and find a 'match.' If you need relief from painful and confusing feelings, if you are interested in deepening your understanding of yourself and strengthening your connections with others, I can be of assistance.
Feeling stressed out or overwhelmed? Want more from relationships? Or, have you experienced a recent loss or disruption, and don't know what to do? Psychotherapy is one way to help. Given that its success depends on the quality of the relationship between you and your therapist, I urge you to take your time and find a 'match.' If you need relief from painful and confusing feelings, if you are interested in deepening your understanding of yourself and strengthening your connections with others, I can be of assistance.
(213) 260-1968 View (213) 260-1968
Photo of Anastasia Kefalas, Marriage & Family Therapist Associate in Pasadena, CA
Anastasia Kefalas
Marriage & Family Therapist Associate, MS, AMFT
Verified Verified
Pasadena, CA 91101
Hello there! I am here to walk alongside you as you navigate your journey toward healing. Life can be full of unexpected challenges, especially when emotions and stressors come into play, leaving us feeling a bit overwelled and lost. But remember, you are not on this journey alone. I believe in a collaborative and empathetic approach to therapy. I provide a safe and non-judgmental environment where you can freely process your feelings and experiences, leading to deeper understanding and healing along the way.
Hello there! I am here to walk alongside you as you navigate your journey toward healing. Life can be full of unexpected challenges, especially when emotions and stressors come into play, leaving us feeling a bit overwelled and lost. But remember, you are not on this journey alone. I believe in a collaborative and empathetic approach to therapy. I provide a safe and non-judgmental environment where you can freely process your feelings and experiences, leading to deeper understanding and healing along the way.
(626) 746-5899 View (626) 746-5899
Photo of Quiana M. Daniel, Psychological Associate in Pasadena, CA
Quiana M. Daniel
Psychological Associate, PsyD
Verified Verified
Pasadena, CA 91107
Dr. Quiana M. Daniel is a Psychological Assistant working under the supervision of Licensed Clinical Psychologist, Dr. Andrea Forbes, PSY23101. In regards to her clinical practice, Dr. Daniel has had extensive training in parent-child interactions, trauma focused therapy, parenting skills, and interpersonal relationships. In addition, she has a history of working with families who are engaged with the foster care system, adopting, or considering adoption. Dr. Daniel aspires to work with individuals, couples, and families within a safe environment to help them navigate their personal, emotional, and spiritual growth.
Dr. Quiana M. Daniel is a Psychological Assistant working under the supervision of Licensed Clinical Psychologist, Dr. Andrea Forbes, PSY23101. In regards to her clinical practice, Dr. Daniel has had extensive training in parent-child interactions, trauma focused therapy, parenting skills, and interpersonal relationships. In addition, she has a history of working with families who are engaged with the foster care system, adopting, or considering adoption. Dr. Daniel aspires to work with individuals, couples, and families within a safe environment to help them navigate their personal, emotional, and spiritual growth.
(626) 653-4345 x175 View (626) 653-4345 x175

How does your Therapist compare?

Number of Therapists in Pasadena, CA

1,000+

Average cost per session

$175

Therapists in Pasadena, CA who prioritize treating:

93% Anxiety
90% Depression
80% Relationship Issues
74% Self Esteem
71% Trauma and PTSD
67% Grief
65% Life Transitions

Average years in practice

11 Years

Top 3 insurances accepted

65% Aetna
55% Cigna and Evernorth
52% UnitedHealthcare UHC | UBH

How Therapists in Pasadena, CA see their clients

68% In Person and Online
32% Online Only

Gender breakdown

77% Female
22% Male
1% Non-Binary
FAQs - About Therapy and Counseling

How can I find a therapist in Pasadena?

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.