Therapists in Old Tappan, NJ

Photo of Corinne G Pecile, LCSW, Clinical Social Work/Therapist
Corinne G Pecile
Clinical Social Work/Therapist, LCSW
Verified Verified
1 Endorsed
Old Tappan, NJ 07675
Holistic Psychotherapy - I work from a multi modal perspective in order to create change and deepen your relationship to self. I don’t offer cookie-cutter methods, I tailor therapy specifically to you and your needs, so that you can have a more effective, satisfying, and transformative experience. I truly believe that your potential for inner healing, empowerment, and wisdom is already in you. My mission is to help guide you back to these essential aspects of your self and their expression.
Holistic Psychotherapy - I work from a multi modal perspective in order to create change and deepen your relationship to self. I don’t offer cookie-cutter methods, I tailor therapy specifically to you and your needs, so that you can have a more effective, satisfying, and transformative experience. I truly believe that your potential for inner healing, empowerment, and wisdom is already in you. My mission is to help guide you back to these essential aspects of your self and their expression.
(201) 645-5618 View (201) 645-5618
Photo of Brian Greco, LCSW, Clinical Social Work/Therapist
Brian Greco
Clinical Social Work/Therapist, LCSW
Verified Verified
Old Tappan, NJ 07675
I am a Licensed Clinical Social Worker. Having spent 5 years working inpatient at Rockland Children's Psychiatric Center I developed my skills for providing quality therapy services for full range of mental health concerns. My passions are working with children, adolescents, and young adults to help them ultimately help themselves through this often challenging phase of development. I am currently practicing as a private practitioner in Old Tappan, New Jersey.
I am a Licensed Clinical Social Worker. Having spent 5 years working inpatient at Rockland Children's Psychiatric Center I developed my skills for providing quality therapy services for full range of mental health concerns. My passions are working with children, adolescents, and young adults to help them ultimately help themselves through this often challenging phase of development. I am currently practicing as a private practitioner in Old Tappan, New Jersey.
(973) 668-4590 View (973) 668-4590
Photo of Kerri Scully, LPC, ACS, Licensed Professional Counselor
Kerri Scully
Licensed Professional Counselor, LPC, ACS
Verified Verified
3 Endorsed
Old Tappan, NJ 07675  (Online Only)
You are holding it together on the outside, but inside you're teeming with so much worry that you can't sleep. All of the details you need to worry about are running through your head all day long. Some days you are running around getting everything done, and other days you're too exhausted to try to do anything. You can’t remember the last time something was actually fun. Your mind just keeps going a mile a minute, even when you are trying to relax. There are just always so many things to worry about. You just want a minute to breathe for once!
You are holding it together on the outside, but inside you're teeming with so much worry that you can't sleep. All of the details you need to worry about are running through your head all day long. Some days you are running around getting everything done, and other days you're too exhausted to try to do anything. You can’t remember the last time something was actually fun. Your mind just keeps going a mile a minute, even when you are trying to relax. There are just always so many things to worry about. You just want a minute to breathe for once!
(973) 363-2485 View (973) 363-2485
Photo of Diane M Park, MSW, LSW, Clinical Social Work/Therapist
Diane M Park
Clinical Social Work/Therapist, MSW, LSW
Verified Verified
Old Tappan, NJ 07675
Did you ever wonder what your life would have looked like if you had made some decisions differently? Did you ever have anyone to help or guide you, unconditionally, in exploring all your options in making those decisions? My focus as a therapist is about learning your strengths and resilience to find the best version of yourself, identify and validate all layers of your emotions, and help you create solutions for life's challenges. I enjoy working with individuals looking to build a strong sense of self, who may be struggling to balance their own needs with the needs of others.
Did you ever wonder what your life would have looked like if you had made some decisions differently? Did you ever have anyone to help or guide you, unconditionally, in exploring all your options in making those decisions? My focus as a therapist is about learning your strengths and resilience to find the best version of yourself, identify and validate all layers of your emotions, and help you create solutions for life's challenges. I enjoy working with individuals looking to build a strong sense of self, who may be struggling to balance their own needs with the needs of others.
(201) 730-4940 View (201) 730-4940
Photo of Catherine King, LCSW, Clinical Social Work/Therapist
Catherine King
Clinical Social Work/Therapist, LCSW
Verified Verified
1 Endorsed
Old Tappan, NJ 07675  (Online Only)
Hi there! I'm so glad you have landed here looking for support - you deserve it. You may be reading this feeling lost and untethered - thinking "how did I end up here?". You may be exhausted at the thought of trying to find a therapist in the midst of an already exhausting life experience. Whether it is dealing with motherhood/fatherhood for the first or fifth time, or navigating your identity in the workplace or within yourself - we will figure out a path forward. Whether you are on one side or the other of parent/child conflict - we will find a way through.
Hi there! I'm so glad you have landed here looking for support - you deserve it. You may be reading this feeling lost and untethered - thinking "how did I end up here?". You may be exhausted at the thought of trying to find a therapist in the midst of an already exhausting life experience. Whether it is dealing with motherhood/fatherhood for the first or fifth time, or navigating your identity in the workplace or within yourself - we will figure out a path forward. Whether you are on one side or the other of parent/child conflict - we will find a way through.
(973) 577-5097 View (973) 577-5097
Photo of Dorothy Whitton, RN, MSN, CHT
Dorothy Whitton
RN, MSN, CHT
Verified Verified
Old Tappan, NJ 07675
I'm a compassionate listener in helping you achieve a relaxed, easier, happier healthier life through holistic therapies. Skills : hypnosis, guided imagery, visualizing new life patterns, regression therapy, Reiki, energy modalities plus nutrition that will generate more energy, vitality and less stress in your life. We will work together in getting you healthier, happier with new changes in mind and body. I will guide you with meditation and help you to gain confidence and live the life you are now meant to live in your unique life style. You can be free of pain and live a well life without chronic diseases. You will achieve.
I'm a compassionate listener in helping you achieve a relaxed, easier, happier healthier life through holistic therapies. Skills : hypnosis, guided imagery, visualizing new life patterns, regression therapy, Reiki, energy modalities plus nutrition that will generate more energy, vitality and less stress in your life. We will work together in getting you healthier, happier with new changes in mind and body. I will guide you with meditation and help you to gain confidence and live the life you are now meant to live in your unique life style. You can be free of pain and live a well life without chronic diseases. You will achieve.
(845) 818-0243 View (845) 818-0243
Photo of Robin Green Gilman, LCSW-R, Clinical Social Work/Therapist
Robin Green Gilman
Clinical Social Work/Therapist, LCSW-R
Verified Verified
Old Tappan, NJ 07675  (Online Only)
Life can be overwhelming, and it’s healthy to seek support. I have over 25 years of experience helping clients improve their mental health through therapy. I work with clients who want to feel better. Many clients have stated that "I have it all, but I am still not happy". We will look for the source of unhappiness and work to change your thoughts, feelings, and reactions. My clients describe me as easy to talk to, warm and humorous. I often give "homework" assignments to my clients to reinforce our discussion from sessions. I aim to have my client feel better and take away skills that will last a lifetime,
Life can be overwhelming, and it’s healthy to seek support. I have over 25 years of experience helping clients improve their mental health through therapy. I work with clients who want to feel better. Many clients have stated that "I have it all, but I am still not happy". We will look for the source of unhappiness and work to change your thoughts, feelings, and reactions. My clients describe me as easy to talk to, warm and humorous. I often give "homework" assignments to my clients to reinforce our discussion from sessions. I aim to have my client feel better and take away skills that will last a lifetime,
(914) 786-6998 View (914) 786-6998
Photo of Patricia Martucci, MA, MFT, RYT, EMDR, Marriage & Family Therapist
Patricia Martucci
Marriage & Family Therapist, MA, MFT, RYT, EMDR
Verified Verified
1 Endorsed
Old Tappan, NJ 07675
I work with individuals, families, couples from a client-centered humanistic approach, specifically meeting you where you are and helping you to meet your goals. I believe that healing can begin to take place in an authentic human relationship and support my clients in discovering any barriers that may be blocking them in enjoying their best life. I am trained in EMDR, Somatic Experiencing and CPT, and help my clients who have unprocessed trauma that impacts them to heal. I am also a registered yoga teacher, reiki practitioner, & trained in MBSR. I am licensed in NY, NJ and California and see clients virtually in all locations.
I work with individuals, families, couples from a client-centered humanistic approach, specifically meeting you where you are and helping you to meet your goals. I believe that healing can begin to take place in an authentic human relationship and support my clients in discovering any barriers that may be blocking them in enjoying their best life. I am trained in EMDR, Somatic Experiencing and CPT, and help my clients who have unprocessed trauma that impacts them to heal. I am also a registered yoga teacher, reiki practitioner, & trained in MBSR. I am licensed in NY, NJ and California and see clients virtually in all locations.
(646) 374-2517 View (646) 374-2517
Photo of Diane Park, LMSW
Diane Park
Licensed Master Social Worker, LMSW
Verified Verified
1 Endorsed
Old Tappan, NJ 07675
Diane Park is a Licensed Master Social Worker (Licensed in NY and NJ) who employs a diverse range of therapeutic modalities to provide comprehensive support to her clients, including Psychodynamic Therapy, Cognitive Behavioral Therapy, Dialectical Behavioral Therapy, Interpersonal Therapy, and Internal Family Systems.
Diane Park is a Licensed Master Social Worker (Licensed in NY and NJ) who employs a diverse range of therapeutic modalities to provide comprehensive support to her clients, including Psychodynamic Therapy, Cognitive Behavioral Therapy, Dialectical Behavioral Therapy, Interpersonal Therapy, and Internal Family Systems.
(929) 377-1227 View (929) 377-1227
Photo of Elisa Silecchia - MedPsych Behavioral Health - Ramsey, LCSW, LPC, PhD, Counselor
MedPsych Behavioral Health - Ramsey
Counselor, LCSW, LPC, PhD
Verified Verified
Old Tappan, NJ 07675
At MedPsych Behavioral Health we provide the best possible comprehensive care by collaborating as a team. Our diverse and dynamic team of professionals has expertise working with children, adolescents, and adults in various environments such as schools, clinical practices, corporate environments, and teaching hospitals. We strongly advocate a holistic approach to the treatment of every individual. At MedPsych we communicate regularly with parents, schools, and other treatment providers when necessary. Parents play an essential role and are an integral part of treatment when any child or teenager is being seen in our practice.
At MedPsych Behavioral Health we provide the best possible comprehensive care by collaborating as a team. Our diverse and dynamic team of professionals has expertise working with children, adolescents, and adults in various environments such as schools, clinical practices, corporate environments, and teaching hospitals. We strongly advocate a holistic approach to the treatment of every individual. At MedPsych we communicate regularly with parents, schools, and other treatment providers when necessary. Parents play an essential role and are an integral part of treatment when any child or teenager is being seen in our practice.
(201) 279-6900 View (201) 279-6900
Photo of Suzan Fischbein, LCSW, Clinical Social Work/Therapist
Suzan Fischbein
Clinical Social Work/Therapist, LCSW
Verified Verified
Old Tappan, NJ 07675
Therapy is a process. I see a goal of therapy as helping clients to ease emotional distress. To this end, I incorporate interpersonal therapy and cognitive behavior techniques, as well as mindfulness and other coping strategies, to help clients achieve desired levels of functioning and overall mental health. This is part of your journey, and I will respect the path(s) you choose to take or not. I bring to my practice a wealth of experience and knowledge to my practice, which I readily share with clients.
Therapy is a process. I see a goal of therapy as helping clients to ease emotional distress. To this end, I incorporate interpersonal therapy and cognitive behavior techniques, as well as mindfulness and other coping strategies, to help clients achieve desired levels of functioning and overall mental health. This is part of your journey, and I will respect the path(s) you choose to take or not. I bring to my practice a wealth of experience and knowledge to my practice, which I readily share with clients.
(201) 263-9710 View (201) 263-9710
Photo of Stacie Goldstein, MSW, LCSW, Clinical Social Work/Therapist
Stacie Goldstein
Clinical Social Work/Therapist, MSW, LCSW
Verified Verified
Old Tappan, NJ 07675
It never ceases to amaze me the healing power of talking and listening. For 20+ years I have worked with adolescents and adults facing many challenges in their daily lives. I provide a safe and open space for you to explore your internal world, gain more insight into your thoughts and feelings and effectively communicate your needs and desires. Not only will we talk, but we will set your intentions and work towards those intentions together. Through our work we will learn about who you really are and what you really want to be.
It never ceases to amaze me the healing power of talking and listening. For 20+ years I have worked with adolescents and adults facing many challenges in their daily lives. I provide a safe and open space for you to explore your internal world, gain more insight into your thoughts and feelings and effectively communicate your needs and desires. Not only will we talk, but we will set your intentions and work towards those intentions together. Through our work we will learn about who you really are and what you really want to be.
(201) 654-4294 View (201) 654-4294
Photo of Andrew Pansky, LCSW, LCADC, Clinical Social Work/Therapist
Andrew Pansky
Clinical Social Work/Therapist, LCSW, LCADC
Verified Verified
Old Tappan, NJ 07675
If you're feeling apprehensive about therapy, you're in good hands. We all have different expectations for the pace and content of therapy and its important that your experience getting started is a positive one.
If you're feeling apprehensive about therapy, you're in good hands. We all have different expectations for the pace and content of therapy and its important that your experience getting started is a positive one.
(551) 290-8309 View (551) 290-8309
Photo of Jessica Trapp, LCSW, LCADC, Clinical Social Work/Therapist
Jessica Trapp
Clinical Social Work/Therapist, LCSW, LCADC
Verified Verified
Old Tappan, NJ 07675
Reaching out for help can be difficult. Whether this is your first time seeking help or not, I am happy to work together with you to determine your needs. I enjoy working with individuals who struggle with substance use disorder, codependency, grief & loss, mood disorders, trauma, PTSD, eating disorders and interpersonal relationship issues.
Reaching out for help can be difficult. Whether this is your first time seeking help or not, I am happy to work together with you to determine your needs. I enjoy working with individuals who struggle with substance use disorder, codependency, grief & loss, mood disorders, trauma, PTSD, eating disorders and interpersonal relationship issues.
(201) 817-4902 View (201) 817-4902
Photo of Andrew McIntosh Lmhc, MS
Andrew McIntosh Lmhc
Mental Health Counselor, MS
Verified Verified
Old Tappan, NJ 07675
Well hello there. I prefer to use the treatment best suited for the client and issue at hand, with the client's input as well. We need to tailor our treatment to the individual, not the individual to treatment. I have completed my comprehensive training in Dialectical Behavior Therapy, as well as advanced training in DBT skills implementation. I utilize an integrated approach of DBT, CBT, and Internal Family systems to assist and support clients through the challenges they are currently. I believe that together we can address and change the issues holding you back from achieving your peace, and move towards celebrating life.
Well hello there. I prefer to use the treatment best suited for the client and issue at hand, with the client's input as well. We need to tailor our treatment to the individual, not the individual to treatment. I have completed my comprehensive training in Dialectical Behavior Therapy, as well as advanced training in DBT skills implementation. I utilize an integrated approach of DBT, CBT, and Internal Family systems to assist and support clients through the challenges they are currently. I believe that together we can address and change the issues holding you back from achieving your peace, and move towards celebrating life.
(845) 234-4198 View (845) 234-4198

More Therapists Nearby

Photo of Alejandro Maddalena, LMHC, LPC, CASAC, ICADC
Alejandro Maddalena
Mental Health Counselor, LMHC, LPC, CASAC, ICADC
Verified Verified
Fair Lawn, NJ 07410  (Online Only)
If you are thinking of calling me, it is because of at least one of these reasons: you have unsuccessfully dedicated considerable energy and time to solving your anxiety, your fears, your obsessions, your losses and trauma, your sadness, your failures in your relationships or in your productivity; you have become tired of repeating the same mistakes and behaviors, and have not been able to change; you have been rejected, you have experienced not being loved, understood, taken in your uniqueness; or you have not done all that you wish to be more courageous, creative, to be more as a person.
If you are thinking of calling me, it is because of at least one of these reasons: you have unsuccessfully dedicated considerable energy and time to solving your anxiety, your fears, your obsessions, your losses and trauma, your sadness, your failures in your relationships or in your productivity; you have become tired of repeating the same mistakes and behaviors, and have not been able to change; you have been rejected, you have experienced not being loved, understood, taken in your uniqueness; or you have not done all that you wish to be more courageous, creative, to be more as a person.
(646) 663-4720 View (646) 663-4720
Photo of Cathy D'Urso, MA, LPC, Licensed Professional Counselor
Cathy D'Urso
Licensed Professional Counselor, MA, LPC
Verified Verified
Ramsey, NJ 07446
Many people struggling with anxiety, depression, relationship issues, chronic illness, grief, loss or life changes find themselves wondering how to begin their healing journey. If you feel confused, are having difficulty managing your emotions, feel restless or on edge, if you’re worried about your future or if you are stuck in the past, I can help you find relief and bring a sense of peace back into your life. I specialize in helping people manage anxiety, life transitions, relationship issues and grief and loss. Together we will develop a clear plan to reestablish safety and stability, clarity, and self-confidence.
Many people struggling with anxiety, depression, relationship issues, chronic illness, grief, loss or life changes find themselves wondering how to begin their healing journey. If you feel confused, are having difficulty managing your emotions, feel restless or on edge, if you’re worried about your future or if you are stuck in the past, I can help you find relief and bring a sense of peace back into your life. I specialize in helping people manage anxiety, life transitions, relationship issues and grief and loss. Together we will develop a clear plan to reestablish safety and stability, clarity, and self-confidence.
(551) 310-3397 View (551) 310-3397
Photo of Ivona Lazarovska, LCSW, LCADC, CCS, Clinical Social Work/Therapist
Ivona Lazarovska
Clinical Social Work/Therapist, LCSW, LCADC, CCS
Verified Verified
Paramus, NJ 07652  (Online Only)
I am a Licensed Clinical Social Worker and Licensed Drug and Alcohol Counselor. I offer individual and couple therapy sessions with a compassionate, holistic approach. I obtained my Masters Degree from Rutgers University and have worked for over 8 years providing therapy to various populations with diverse treatment needs including people struggling with anxiety, depression, relationship/marriage problems, acute mental health, crisis, and trauma.
I am a Licensed Clinical Social Worker and Licensed Drug and Alcohol Counselor. I offer individual and couple therapy sessions with a compassionate, holistic approach. I obtained my Masters Degree from Rutgers University and have worked for over 8 years providing therapy to various populations with diverse treatment needs including people struggling with anxiety, depression, relationship/marriage problems, acute mental health, crisis, and trauma.
(973) 370-9532 View (973) 370-9532
Photo of Pari Sharif (Sharifkashani), MA, LPC, LRC, CTTS, PsyA, Licensed Professional Counselor
Pari Sharif (Sharifkashani)
Licensed Professional Counselor, MA, LPC, LRC, CTTS, PsyA
Verified Verified
Franklin Lakes, NJ 07417
Adolescents: Peer pressur, School anxiety, parent/child conflict. Young Adults and Adults: Career chosen/ change, Anxiety, Depression, Any relationship issues, Sleep problems, Weight problems, Smoke cession. No problem is too small to ignore.
Adolescents: Peer pressur, School anxiety, parent/child conflict. Young Adults and Adults: Career chosen/ change, Anxiety, Depression, Any relationship issues, Sleep problems, Weight problems, Smoke cession. No problem is too small to ignore.
(201) 254-5147 View (201) 254-5147
Photo of Eleanor G Hoenig, LCSW, Clinical Social Work/Therapist
Eleanor G Hoenig
Clinical Social Work/Therapist, LCSW
Verified Verified
Teaneck, NJ 07666
Currently accepting new clients. The world is challenging isn't it it? My office is a safe place to address the depression and anxieties which impact relationships, work place events and hopes for the future. I also utilize Telehealth to help people find a more satisfying quality of life. In my years of practice a variety of methods: analysis, mindfulness relaxation, and cognitive approaches achieve resilience and happiness for people. I am a provider on many insurance plans particularly NY MEDICARE , NY and NJ UNITED HEALTHCARE, OXFORD, and participate out of network for NJ STATE Insurance. as well as many others.
Currently accepting new clients. The world is challenging isn't it it? My office is a safe place to address the depression and anxieties which impact relationships, work place events and hopes for the future. I also utilize Telehealth to help people find a more satisfying quality of life. In my years of practice a variety of methods: analysis, mindfulness relaxation, and cognitive approaches achieve resilience and happiness for people. I am a provider on many insurance plans particularly NY MEDICARE , NY and NJ UNITED HEALTHCARE, OXFORD, and participate out of network for NJ STATE Insurance. as well as many others.
(917) 952-2934 View (917) 952-2934

See more therapy options for Old Tappan

How does your Therapist compare?

Number of Therapists in Old Tappan, NJ

10+

Average cost per session

$170

Therapists in Old Tappan, NJ who prioritize treating:

100% Anxiety
87% Depression
87% Self Esteem
73% Relationship Issues
73% Women's Issues
67% Coping Skills
67% Stress

Average years in practice

21 Years

Top 3 insurances accepted

83% Aetna
67% Oxford
67% UnitedHealthcare UHC | UBH

How Therapists in Old Tappan, NJ see their clients

80% In Person and Online
20% Online Only

Gender breakdown

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

How can I find a therapist in Old Tappan?

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.