Therapists in Salem, NH

Photo of Courtney Keefe, Licensed Clinical Mental Health Counselor, MA, LCHMC
Courtney Keefe
Licensed Clinical Mental Health Counselor, MA, LCHMC
1 Endorsed
Salem, NH 03079
Courtney Keefe is a Licensed Clinical Mental Health Counselor practicing in New Hampshire and Massachusetts. She received her Bachelor of Science in Psychology & Dance from Springfield College in 2015, and her Master of Arts in Clinical Mental Health Counseling from Rivier University in 2018. While receiving her education, she completed an internship at Keene State College’s Counseling Center, where she worked with college students struggling with various mental health concerns.
Courtney Keefe is a Licensed Clinical Mental Health Counselor practicing in New Hampshire and Massachusetts. She received her Bachelor of Science in Psychology & Dance from Springfield College in 2015, and her Master of Arts in Clinical Mental Health Counseling from Rivier University in 2018. While receiving her education, she completed an internship at Keene State College’s Counseling Center, where she worked with college students struggling with various mental health concerns.
(888) 491-5017 View (888) 491-5017
Photo of Megan Fedele, Pre-Licensed Professional, MHC
Megan Fedele
Pre-Licensed Professional, MHC
1 Endorsed
Salem, NH 03079
Daytime Availability- I work with teens and adults to help them navigate challenging life events. Balance. Communication. Boundaries. Three simple words that are not that simple to implement in our lives. At ReCentered Therapy we believe in maintaining a compassionate and supportive environment. As a clinician, I value looking at a client as a whole person. I find utilizing your strengths, while looking at the systems in which you live is the key to successful treatment. Throughout our relationship we will examine the systems in which you live to learn together how to find balance, establish healthy communication and set boundaries.
Daytime Availability- I work with teens and adults to help them navigate challenging life events. Balance. Communication. Boundaries. Three simple words that are not that simple to implement in our lives. At ReCentered Therapy we believe in maintaining a compassionate and supportive environment. As a clinician, I value looking at a client as a whole person. I find utilizing your strengths, while looking at the systems in which you live is the key to successful treatment. Throughout our relationship we will examine the systems in which you live to learn together how to find balance, establish healthy communication and set boundaries.
(833) 408-3364 View (833) 408-3364
Photo of Cory Owens-Batty, Clinical Social Work/Therapist, LICSW, CCATP, RYT-500
Cory Owens-Batty
Clinical Social Work/Therapist, LICSW, CCATP, RYT-500
Salem, NH 03079
I'm glad you made it here! My name is Cory Owens-Batty and I know that sometimes we need someone to help as we process through the small and large things in life. Have you been thinking about it? Ready for change? Judgment-free, I can help you overcome whatever challenges are keeping you from being your true self. If you're dealing with anxiety, depression, LGBTQIA or identity issues, trauma, divorce, or just need better strategies for getting what you want from your life, now is the time.
I'm glad you made it here! My name is Cory Owens-Batty and I know that sometimes we need someone to help as we process through the small and large things in life. Have you been thinking about it? Ready for change? Judgment-free, I can help you overcome whatever challenges are keeping you from being your true self. If you're dealing with anxiety, depression, LGBTQIA or identity issues, trauma, divorce, or just need better strategies for getting what you want from your life, now is the time.
(866) 963-1128 View (866) 963-1128
Photo of Shirley McBurnett, Counselor, MS, LCMHC
Shirley McBurnett
Counselor, MS, LCMHC
Salem, NH 03079
Shirley McBurnett is a Licensed Clinical Mental Health Counselor in New Hampshire with 14 years of experience in several settings such as Outpatient, Inpatient, partial, intensive in-home therapy, crisis management and community support. She earned her Bachelor of Science in Bible in 2008 and her Master of Science In Counseling in 2017. Shirley believes that every person is valuable and deserves to be treated with respect and honor, and that creating a safe and healthy environment within therapy will assist her clients in unlocking the answers to their current struggles.
Shirley McBurnett is a Licensed Clinical Mental Health Counselor in New Hampshire with 14 years of experience in several settings such as Outpatient, Inpatient, partial, intensive in-home therapy, crisis management and community support. She earned her Bachelor of Science in Bible in 2008 and her Master of Science In Counseling in 2017. Shirley believes that every person is valuable and deserves to be treated with respect and honor, and that creating a safe and healthy environment within therapy will assist her clients in unlocking the answers to their current struggles.
(888) 839-3856 View (888) 839-3856
Photo of Christopher Harriman, Pre-Licensed Professional, M.S
Christopher Harriman
Pre-Licensed Professional, M.S
1 Endorsed
Salem, NH 03079
I have experience working with children, adolescents, and young adults, I specialize in supporting through challenges related to anxiety, motivation, guidance, behavior, natural social stressors, and emotional regulation. My therapeutic approach blends evidence-based practices, including Cognitive Behavioral Therapy (CBT), Motivational Interviewing, and play-based or creative interventions tailored to each individual’s developmental needs.
I have experience working with children, adolescents, and young adults, I specialize in supporting through challenges related to anxiety, motivation, guidance, behavior, natural social stressors, and emotional regulation. My therapeutic approach blends evidence-based practices, including Cognitive Behavioral Therapy (CBT), Motivational Interviewing, and play-based or creative interventions tailored to each individual’s developmental needs.
(844) 660-4355 x2052 View (844) 660-4355 x2052
Photo of Libby Green, Pre-Licensed Professional, MSSW
Libby Green
Pre-Licensed Professional, MSSW
Salem, NH 03079
Hi there! My name is Libby and I am a licensed clinical social worker who believes in creating a warm, and honest environment. I specialize in women’s mental health and providers who work within the perinatal field. In my practice I utilize an evidence-based approach with a blend of compassion and honest feedback to help clients build resilience. I believe you are the expert in your own lived experiences.
Hi there! My name is Libby and I am a licensed clinical social worker who believes in creating a warm, and honest environment. I specialize in women’s mental health and providers who work within the perinatal field. In my practice I utilize an evidence-based approach with a blend of compassion and honest feedback to help clients build resilience. I believe you are the expert in your own lived experiences.
(844) 494-0140 View (844) 494-0140
Photo of Kenisha De La Rosa, Pre-Licensed Professional, MHC
Kenisha De La Rosa
Pre-Licensed Professional, MHC
1 Endorsed
Salem, NH 03079
Evening & Daytime Availability- I work with children, teens and adults. Balance. Communication. Boundaries. Three simple words that are not that simple to implement in our lives. At ReCentered Therapy we believe in maintaining a compassionate and supportive environment. As a clinician, I value looking at a client as a whole person. I find utilizing your strengths, while looking at the systems in which you live is the key to successful treatment. Throughout our relationship we will examine the systems in which you live to learn together how to find balance, establish healthy communication and set boundaries.
Evening & Daytime Availability- I work with children, teens and adults. Balance. Communication. Boundaries. Three simple words that are not that simple to implement in our lives. At ReCentered Therapy we believe in maintaining a compassionate and supportive environment. As a clinician, I value looking at a client as a whole person. I find utilizing your strengths, while looking at the systems in which you live is the key to successful treatment. Throughout our relationship we will examine the systems in which you live to learn together how to find balance, establish healthy communication and set boundaries.
(833) 917-5344 View (833) 917-5344
Photo of Kate Roche, Clinical Social Work/Therapist, MSW, LICSW
Kate Roche
Clinical Social Work/Therapist, MSW, LICSW
Salem, NH 03079
With over 8 years of experience, I specialize in working with teens (14+) and adults in working through anxiety, trauma, relationships and life's challenges. My approach is rooted in evidence-based techniques, integrating cognitive-behavioral therapy (CBT), mindfulness, and solution-focused strategies to empower clients in managing anxiety, reducing stress, and improving emotional well-being. Whether you’re experiencing overwhelming stress, struggling with anxiety, or seeking tools to enhance balance, I create a safe and collaborative space to explore solutions, build coping skills, and foster long-term resilience.
With over 8 years of experience, I specialize in working with teens (14+) and adults in working through anxiety, trauma, relationships and life's challenges. My approach is rooted in evidence-based techniques, integrating cognitive-behavioral therapy (CBT), mindfulness, and solution-focused strategies to empower clients in managing anxiety, reducing stress, and improving emotional well-being. Whether you’re experiencing overwhelming stress, struggling with anxiety, or seeking tools to enhance balance, I create a safe and collaborative space to explore solutions, build coping skills, and foster long-term resilience.
(603) 836-5003 x2032 View (603) 836-5003 x2032
Photo of Jessica Stevenson, Counselor, MA, LMHC, LCMHC
Jessica Stevenson
Counselor, MA, LMHC, LCMHC
2 Endorsed
Online Only
“Terrible things are happening outside. At any time of night and day, poor helpless people are being dragged out of their homes... Families are torn apart; men, women and children are separated. Children come home from school to find that their parents have disappeared. Women return from shopping to find their houses sealed, their families gone." We are all affected by what is happening today. Families are divided. Stress, depression, and addictions are at all-time highs. If you need help navigating your life and making sense and meaning in this world, I am here to help you. Please reach out and we will walk through this together.
“Terrible things are happening outside. At any time of night and day, poor helpless people are being dragged out of their homes... Families are torn apart; men, women and children are separated. Children come home from school to find that their parents have disappeared. Women return from shopping to find their houses sealed, their families gone." We are all affected by what is happening today. Families are divided. Stress, depression, and addictions are at all-time highs. If you need help navigating your life and making sense and meaning in this world, I am here to help you. Please reach out and we will walk through this together.
(603) 945-8099 View (603) 945-8099
Photo of Danielle DeSisto, Clinical Social Work/Therapist, LCSW, LICSW
Danielle DeSisto
Clinical Social Work/Therapist, LCSW, LICSW
Salem, NH 03079
Danielle believes in creating a compassionate and judgment-free therapeutic space where clients can feel safe to explore their emotions, experiences, and goals. She has expertise in treating and fostering healing from depression and mood disorders, anxiety, trauma and PTSD, domestic violence, self-esteem, substance use disorders, and personality disorders. Danielle utilizes a variety of therapeutic practices to support her clients including Cognitive Behavioral Therapy (CBT), Cognitive Processing Therapy (CPT), Dialectical Behavioral Therapy (DBT), Motivational Interviewing (MI), among other person-centered approaches.
Danielle believes in creating a compassionate and judgment-free therapeutic space where clients can feel safe to explore their emotions, experiences, and goals. She has expertise in treating and fostering healing from depression and mood disorders, anxiety, trauma and PTSD, domestic violence, self-esteem, substance use disorders, and personality disorders. Danielle utilizes a variety of therapeutic practices to support her clients including Cognitive Behavioral Therapy (CBT), Cognitive Processing Therapy (CPT), Dialectical Behavioral Therapy (DBT), Motivational Interviewing (MI), among other person-centered approaches.
(866) 514-5165 View (866) 514-5165
Photo of Nancy Elizabeth Weimar - Healing Moments, Counselor, LMHC, CAGS, LCSW
Healing Moments
Counselor, LMHC, CAGS, LCSW
Online Only
Welcome to my practice, your mental health and well-being are my top priorities. I am excited to open my doors to teens and adults seeking support, growth, and healing in a compassionate, professional environment. This practice provides therapeutic care tailored to meet the unique needs of both teenagers and adults. With years of professional experience, I am equipped to support your growth. With a master's degree from Lesley University and a Certifiate of Advanced graduate studies, school psychology from Rivier University. I am especially equipped to work with students experiencing learning and emotional disabilities.
Welcome to my practice, your mental health and well-being are my top priorities. I am excited to open my doors to teens and adults seeking support, growth, and healing in a compassionate, professional environment. This practice provides therapeutic care tailored to meet the unique needs of both teenagers and adults. With years of professional experience, I am equipped to support your growth. With a master's degree from Lesley University and a Certifiate of Advanced graduate studies, school psychology from Rivier University. I am especially equipped to work with students experiencing learning and emotional disabilities.
(833) 302-8169 View (833) 302-8169
Photo of Rebecca Peake - Rebecca Peake LMFT, Marriage & Family Therapist, LMFT
Rebecca Peake LMFT
Marriage & Family Therapist, LMFT
1 Endorsed
Online Only
I work with children, adolescents, and adults to provide individual, couple, and family therapy. I work from a systems focused perspective where treatment draws from client strengths, is solution-focused, and family centered. I believe in being supportive and empowering clients in their journey to improve. I enjoy using cognitive behavioral techniques to address concerns such as self-esteem, anxiety, depression, and general life stressors.
I work with children, adolescents, and adults to provide individual, couple, and family therapy. I work from a systems focused perspective where treatment draws from client strengths, is solution-focused, and family centered. I believe in being supportive and empowering clients in their journey to improve. I enjoy using cognitive behavioral techniques to address concerns such as self-esteem, anxiety, depression, and general life stressors.
(603) 931-3451 View (603) 931-3451
Photo of Stevi Gelinas, Marriage & Family Therapist Associate, MS, MFT-A
Stevi Gelinas
Marriage & Family Therapist Associate, MS, MFT-A
1 Endorsed
Online Only
Are you struggling with how you see your body, navigating challenging relationships, or carrying the weight of past physical, emotional, sexual, or religious trauma? You're not alone, and healing is truly possible. My passion as a sex therapist stems from a deep belief in your innate capacity for growth and self-acceptance. I understand the profound and often subtle ways that past experiences can shape our present, impacting how we feel in our own skin. I support humans in both monogamous and polyamorous relationships ultimately helping individuals strengthen their self-identity and foster meaningful connections.
Are you struggling with how you see your body, navigating challenging relationships, or carrying the weight of past physical, emotional, sexual, or religious trauma? You're not alone, and healing is truly possible. My passion as a sex therapist stems from a deep belief in your innate capacity for growth and self-acceptance. I understand the profound and often subtle ways that past experiences can shape our present, impacting how we feel in our own skin. I support humans in both monogamous and polyamorous relationships ultimately helping individuals strengthen their self-identity and foster meaningful connections.
(833) 322-6258 View (833) 322-6258
Photo of Elizabeth Brenden, Clinical Social Work/Therapist, LICSW, LICSW
Elizabeth Brenden
Clinical Social Work/Therapist, LICSW, LICSW
Salem, NH 03079
Elizabeth Brenden, LICSW, helps adults navigate life’s challenges with compassion, insight, and evidence-based care. Serving individuals across New Hampshire through LifeStance Health, she supports clients in cultivating resilience and clarity through both transitional periods and ongoing mental health concerns. Elizabeth provides individual therapy for adults and seniors, with a strong commitment to fostering growth, emotional regulation, and self-understanding through collaborative, strengths-based work.
Elizabeth Brenden, LICSW, helps adults navigate life’s challenges with compassion, insight, and evidence-based care. Serving individuals across New Hampshire through LifeStance Health, she supports clients in cultivating resilience and clarity through both transitional periods and ongoing mental health concerns. Elizabeth provides individual therapy for adults and seniors, with a strong commitment to fostering growth, emotional regulation, and self-understanding through collaborative, strengths-based work.
(844) 294-7806 View (844) 294-7806
Photo of Ali Joyal, Clinical Social Work/Therapist, LICSW, EMDR
Ali Joyal
Clinical Social Work/Therapist, LICSW, EMDR
1 Endorsed
Salem, NH 03079
Putting yourself first is not always easy, but it will be worth it. Previous negative experiences and traumas from our past can play a significant role in our present. They often lead to feelings of loneliness, fear, and uncertainty. All of these feelings can be so consuming, but relief is possible. I have a specialized interest in working with neurodivergent clients and enjoy partnering with folks to figure out how to work with your neurodivergence, not fight against it.
Putting yourself first is not always easy, but it will be worth it. Previous negative experiences and traumas from our past can play a significant role in our present. They often lead to feelings of loneliness, fear, and uncertainty. All of these feelings can be so consuming, but relief is possible. I have a specialized interest in working with neurodivergent clients and enjoy partnering with folks to figure out how to work with your neurodivergence, not fight against it.
(866) 932-2767 View (866) 932-2767
Photo of Kimberly Krasowski, Licensed Clinical Mental Health Counselor, LMHC
Kimberly Krasowski
Licensed Clinical Mental Health Counselor, LMHC
Salem, NH 03079
Are you feeling overwhelmed, anxious, or weighed down by past experiences? You’re not alone, and you don’t have to navigate it alone, either. I specialize in helping individuals heal from anxiety, depression, grief, trauma, and abuse. My goal is simple: to support you in learning how to live your best, most balanced life. Many of my clients come to me feeling stuck — unsure how to move forward after a loss, trauma, or period of prolonged stress. You might feel constantly on edge, exhausted, overly sad, or haunted by your past. These are deeply human experiences, and together, we’ll work through them with compassion and care.
Are you feeling overwhelmed, anxious, or weighed down by past experiences? You’re not alone, and you don’t have to navigate it alone, either. I specialize in helping individuals heal from anxiety, depression, grief, trauma, and abuse. My goal is simple: to support you in learning how to live your best, most balanced life. Many of my clients come to me feeling stuck — unsure how to move forward after a loss, trauma, or period of prolonged stress. You might feel constantly on edge, exhausted, overly sad, or haunted by your past. These are deeply human experiences, and together, we’ll work through them with compassion and care.
(888) 644-0845 View (888) 644-0845
Photo of Kelly Dolan - First Resilience, LLC, Counselor, MA, LMHC, LCMHC
First Resilience, LLC
Counselor, MA, LMHC, LCMHC
Salem, NH 03079
Welcome to First Resilience! We are professional, relatable therapists who are trained in working with trauma, stress and communication issues. We specialize in working with first responders, military, healthcare workers, aviation, FBI, corrections and others with high stress occupations. We also work with family members of these professionals. If there are substance issues, we can help! We have availability on weekdays and currently offer Saturday appointments. Wondering if you're a good fit? Send an email!
Welcome to First Resilience! We are professional, relatable therapists who are trained in working with trauma, stress and communication issues. We specialize in working with first responders, military, healthcare workers, aviation, FBI, corrections and others with high stress occupations. We also work with family members of these professionals. If there are substance issues, we can help! We have availability on weekdays and currently offer Saturday appointments. Wondering if you're a good fit? Send an email!
(855) 592-7587 View (855) 592-7587
LifeStance Health
Clinical Social Work/Therapist, LICSW
Salem, NH 03079
Making your first appointment can be one of the most challenging steps in your mental health journey. At LifeStance, we make it simple by offering both online and inperson therapy and psychiatry services, covered by most major insurance plans.
Making your first appointment can be one of the most challenging steps in your mental health journey. At LifeStance, we make it simple by offering both online and inperson therapy and psychiatry services, covered by most major insurance plans.
(855) 467-4740 View (855) 467-4740
Photo of Kristine Anthony, Clinical Social Work/Therapist, LCMHC
Kristine Anthony
Clinical Social Work/Therapist, LCMHC
Salem, NH 03079
Kristine Anthony, LCMHC Kristine Anthony is a Licensed Clinical Mental Health Counselor in New Hampshire who has been practicing since 2017. She has a Bachelor's in Psychology and Sociology from SNHU and a Master's in Clinical Mental Health from Rivier University. Kristine specializes in working with young adults. She offers a safe and inviting space for them to work on symptom management, emotion regulation, and building insight and coping techniques to improve their mental health and overall wellness.
Kristine Anthony, LCMHC Kristine Anthony is a Licensed Clinical Mental Health Counselor in New Hampshire who has been practicing since 2017. She has a Bachelor's in Psychology and Sociology from SNHU and a Master's in Clinical Mental Health from Rivier University. Kristine specializes in working with young adults. She offers a safe and inviting space for them to work on symptom management, emotion regulation, and building insight and coping techniques to improve their mental health and overall wellness.
(888) 491-5017 View (888) 491-5017
Photo of Jaclyn Hannan, Clinical Social Work/Therapist, MSW
Jaclyn Hannan
Clinical Social Work/Therapist, MSW
3 Endorsed
Salem, NH 03079
Not accepting new clients
Everyone needs a little help sometimes; whether you have been through a major traumatic event, struggled with a personal issue most of your life, or would like to receive a little extra help coping with day to day stress. I believe everyone has the capability to make positive changes that will help enhance their quality of life. I believe there is great value in creating a therapeutic environment that fosters support, safety, respect, and trust. I believe in the greatness and the power of will and that every individual has the strength and the resilience within themselves to create their own path.
Everyone needs a little help sometimes; whether you have been through a major traumatic event, struggled with a personal issue most of your life, or would like to receive a little extra help coping with day to day stress. I believe everyone has the capability to make positive changes that will help enhance their quality of life. I believe there is great value in creating a therapeutic environment that fosters support, safety, respect, and trust. I believe in the greatness and the power of will and that every individual has the strength and the resilience within themselves to create their own path.
(603) 782-0964 View (603) 782-0964

See more therapy options for Salem

How does your Therapist compare?

Number of Therapists in Salem, NH

100+

Average cost per session

$150

Therapists in Salem, NH who prioritize treating:

93% Anxiety
89% Depression
71% Self Esteem
67% Trauma and PTSD
61% Stress
56% Relationship Issues
50% Grief

Average years in practice

11 Years

Top 3 insurances accepted

82% Aetna
82% BlueCross and BlueShield
75% Cigna and Evernorth

How Therapists in Salem, NH see their clients

70% In Person and Online
30% Online Only

Gender breakdown

85% Female
15% Male
FAQs - About Therapy and Counseling

How can I find a therapist in Salem?

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.