Therapists in Irvington, NY

Photo of Brittany Staley, Licensed Master Social Worker, LMSW
Brittany Staley
Licensed Master Social Worker, LMSW
Online Only
Hello! My name is Brittany Staley and I'm a Licensed Master Social Worker. I take a holistic approach when working with clients. My practice is grounded on a client-centered and strengths-based approach. Through the use of talk therapy and other therapeutic techniques, I help individuals work through healing and lead fulfilling lives. Life can present many challenges but together we can work through those challenges to enhance your overall well-being.
Hello! My name is Brittany Staley and I'm a Licensed Master Social Worker. I take a holistic approach when working with clients. My practice is grounded on a client-centered and strengths-based approach. Through the use of talk therapy and other therapeutic techniques, I help individuals work through healing and lead fulfilling lives. Life can present many challenges but together we can work through those challenges to enhance your overall well-being.
(914) 601-2861 View (914) 601-2861
Photo of Hyra Kameraj, Mental Health Counselor, LMHC, LMT, CPT
Hyra Kameraj
Mental Health Counselor, LMHC, LMT, CPT
Irvington, NY 10533
Looking for an alternative approach to managing stress, Mind/Body connection or creating a wellness plan? I can help. People that need guidance to a healther lifestyle and managing stress/emotions.
Looking for an alternative approach to managing stress, Mind/Body connection or creating a wellness plan? I can help. People that need guidance to a healther lifestyle and managing stress/emotions.
(914) 331-8274 View (914) 331-8274
Photo of Joel F. Jaro, Clinical Social Work/Therapist, LCSW-R
Joel F. Jaro
Clinical Social Work/Therapist, LCSW-R
Irvington, NY 10533
It is my belief that although it is important to develop insight in to your areas of stress and conflict; I feel that thoughts that don't lead to action steps are at the end of the day, hollow. My ideal clients are young men and adults who are feeling "stuck in place". I work extensively in the area of sports performance/psychology to help people improve their skill set using various modalities including hypnosis which help athletes to stay in the present and work through performance blocks that affect their game as well as overall emotional well being. I do this work with female athletes as well.
It is my belief that although it is important to develop insight in to your areas of stress and conflict; I feel that thoughts that don't lead to action steps are at the end of the day, hollow. My ideal clients are young men and adults who are feeling "stuck in place". I work extensively in the area of sports performance/psychology to help people improve their skill set using various modalities including hypnosis which help athletes to stay in the present and work through performance blocks that affect their game as well as overall emotional well being. I do this work with female athletes as well.
(917) 746-0395 View (917) 746-0395
Photo of Lisa A DeDomenico, Psychologist, PhD, BCBA, LBA
Lisa A DeDomenico
Psychologist, PhD, BCBA, LBA
1 Endorsed
Irvington, NY 10533
Waitlist for new clients
As a licensed psychologist, certified school psychologist & licensed behavioral analyst, I treat children, teens and young adults presenting with a wide range of emotional difficulties. I believe in working collaboratively with my clients to help gain a deeper understanding of themselves and make effective changes in their lives. In my practice I utilize techniques that help facilitate a change in mindset. I have completed training at Mindful Schools and The Institute for Meditation and Psychotherapy among others and I incorporate mindfulness into sessions on an individual basis for interested families.
As a licensed psychologist, certified school psychologist & licensed behavioral analyst, I treat children, teens and young adults presenting with a wide range of emotional difficulties. I believe in working collaboratively with my clients to help gain a deeper understanding of themselves and make effective changes in their lives. In my practice I utilize techniques that help facilitate a change in mindset. I have completed training at Mindful Schools and The Institute for Meditation and Psychotherapy among others and I incorporate mindfulness into sessions on an individual basis for interested families.
(914) 703-4878 View (914) 703-4878
Photo of Mary T Harrington, Clinical Social Work/Therapist, LCSW
Mary T Harrington
Clinical Social Work/Therapist, LCSW
1 Endorsed
Irvington, NY 10533
I am a practical, interactive, solution-focused therapist, my treatment approach is to provide support and practical feedback to help clients resolve current problems and long-standing patterns. With sensitivity and compassion, I help clients find solutions to a wide range of life challenges and psychological issues. Blending conventional and alternative approaches, I draw on a variety of styles and techniques to incorporate what will be most helpful for each client. I work with each client to help them build on their strengths to identify and achieve life goals.
I am a practical, interactive, solution-focused therapist, my treatment approach is to provide support and practical feedback to help clients resolve current problems and long-standing patterns. With sensitivity and compassion, I help clients find solutions to a wide range of life challenges and psychological issues. Blending conventional and alternative approaches, I draw on a variety of styles and techniques to incorporate what will be most helpful for each client. I work with each client to help them build on their strengths to identify and achieve life goals.
(914) 810-3079 View (914) 810-3079
Photo of Emily Masuch, Clinical Social Work/Therapist, MS, LCSW
Emily Masuch
Clinical Social Work/Therapist, MS, LCSW
Online Only
Life can look stable on the outside while feeling overwhelming underneath. You may be managing work, relationships, and family responsibilities, yet internally feel anxious, irritable, disconnected, or stuck in patterns you can’t seem to shift. You’re functioning, but it feels harder than it should. I work primarily with women navigating major life transitions, particularly motherhood and other high-responsibility seasons of life. Many of my clients are capable, thoughtful, and used to holding everything together. They are often the reliable one — at work, at home, in relationships, but privately feel stretched thin, resentful.
Life can look stable on the outside while feeling overwhelming underneath. You may be managing work, relationships, and family responsibilities, yet internally feel anxious, irritable, disconnected, or stuck in patterns you can’t seem to shift. You’re functioning, but it feels harder than it should. I work primarily with women navigating major life transitions, particularly motherhood and other high-responsibility seasons of life. Many of my clients are capable, thoughtful, and used to holding everything together. They are often the reliable one — at work, at home, in relationships, but privately feel stretched thin, resentful.
(914) 758-0380 View (914) 758-0380
Photo of Sarah Crary Cohen, Psychologist, PhD
Sarah Crary Cohen
Psychologist, PhD
Irvington, NY 10533
You are most likely reading this because you are experiencing distressful feelings or facing challenges in your family life or career, including retirement issues. How can you know that I will be a safe and helpful therapist for you at this time? A highly experienced and effective licensed clinical psychologist, I have helped people from all walks of life with many problems in living. Although I specialize in anxiety, trauma, depression, and grief - my true specialty is change. I believe that what causes change in therapy is your therapist's skills and understanding and also the efforts you make to change.
You are most likely reading this because you are experiencing distressful feelings or facing challenges in your family life or career, including retirement issues. How can you know that I will be a safe and helpful therapist for you at this time? A highly experienced and effective licensed clinical psychologist, I have helped people from all walks of life with many problems in living. Although I specialize in anxiety, trauma, depression, and grief - my true specialty is change. I believe that what causes change in therapy is your therapist's skills and understanding and also the efforts you make to change.
(914) 302-5144 View (914) 302-5144
Photo of Hope Goshea, Pre-Licensed Professional, LMSW
Hope Goshea
Pre-Licensed Professional, LMSW
Irvington, NY 10533
Hello and Welcome! I am a therapist with An Unwinding Path and am here to help you resolve emotional issues that are interfering with you enjoying your best life. I believe with the right supports all of us can live an emotionally healthy life. I am caring, compassionate, empathetic and creative, all of which allows me to empower you to make changes, grow and move forward to meet your needs and wants. Since being licensed in 2010, most of the people I have worked with are dealing with anxiety, depression, life changes and everyday life issues. We will work together, as a team; you will never be going through this alone.
Hello and Welcome! I am a therapist with An Unwinding Path and am here to help you resolve emotional issues that are interfering with you enjoying your best life. I believe with the right supports all of us can live an emotionally healthy life. I am caring, compassionate, empathetic and creative, all of which allows me to empower you to make changes, grow and move forward to meet your needs and wants. Since being licensed in 2010, most of the people I have worked with are dealing with anxiety, depression, life changes and everyday life issues. We will work together, as a team; you will never be going through this alone.
(914) 300-1919 View (914) 300-1919
Photo of Laurie Gruenberger, Psychologist, PsyD
Laurie Gruenberger
Psychologist, PsyD
Irvington, NY 10533
The decision to begin therapy for yourself or your child can be difficult and often follows attempts to manage challenging life circumstances independently. I view therapy as a collaborative process in which clients are encouraged to explore thoughts, feelings and behaviors in a supportive, nonjudgmental, and compassionate setting. I am a licensed psychologist with over 25 years of experience in Child, Adolescent, Adult, and Family Psychotherapy, Parent Consultation, Couples Therapy, and Special Education and 504 Plan Consultation.
The decision to begin therapy for yourself or your child can be difficult and often follows attempts to manage challenging life circumstances independently. I view therapy as a collaborative process in which clients are encouraged to explore thoughts, feelings and behaviors in a supportive, nonjudgmental, and compassionate setting. I am a licensed psychologist with over 25 years of experience in Child, Adolescent, Adult, and Family Psychotherapy, Parent Consultation, Couples Therapy, and Special Education and 504 Plan Consultation.
(917) 905-1529 View (917) 905-1529
Photo of Jeannie A Elder, Counselor, LMHC, NCC, CASAC-T
Jeannie A Elder
Counselor, LMHC, NCC, CASAC-T
4 Endorsed
Online Only
I am a Licensed Mental Health Counselor practicing in New York. I specialize both in treating people with eating disorders and members of the LGBTQI community. I have experience treating people with mood and personality disorders, OCD symptoms, compulsive spending, and survivors of sexual assault. My theoretical orientation is eclectic; largely psychodynamic, greatly influenced by Relational-Cultural, Person-Centered, Positive and Self Psychology. I use CBT and DBT interventions when appropriate. As a team, we can be curious about you together, working towards clarity so that you can make the best decisions and experience greater satisfaction in life.
I am a Licensed Mental Health Counselor practicing in New York. I specialize both in treating people with eating disorders and members of the LGBTQI community. I have experience treating people with mood and personality disorders, OCD symptoms, compulsive spending, and survivors of sexual assault. My theoretical orientation is eclectic; largely psychodynamic, greatly influenced by Relational-Cultural, Person-Centered, Positive and Self Psychology. I use CBT and DBT interventions when appropriate. As a team, we can be curious about you together, working towards clarity so that you can make the best decisions and experience greater satisfaction in life.
(347) 514-6962 x208 View (347) 514-6962 x208
Photo of John M Buchbinder, Clinical Social Work/Therapist, LCSW
John M Buchbinder
Clinical Social Work/Therapist, LCSW
Online Only
You'll get empathetic support and collaboration in order to help you make some life altering changes. I have an extensive background working with those that deal with Anxiety, Depression, ADD/ADHD, Autism Spectrum Disorder and relationship issues. I'll cater my approach to your specific needs as we all deserve to be understood and treated for who we truly are. In addition to providing traditional counseling support my extensive competitive sports background coupled with my Sports Psychology certificate have me uniquely positioned to help those wanting assistance in mastering the Psychological side of sports/performance.
You'll get empathetic support and collaboration in order to help you make some life altering changes. I have an extensive background working with those that deal with Anxiety, Depression, ADD/ADHD, Autism Spectrum Disorder and relationship issues. I'll cater my approach to your specific needs as we all deserve to be understood and treated for who we truly are. In addition to providing traditional counseling support my extensive competitive sports background coupled with my Sports Psychology certificate have me uniquely positioned to help those wanting assistance in mastering the Psychological side of sports/performance.
(914) 677-0853 View (914) 677-0853
Photo of Vanessa Spiegel, Licensed Master Social Worker, LMSW
Vanessa Spiegel
Licensed Master Social Worker, LMSW
1 Endorsed
Irvington, NY 10533
Welcome, I’m Vanessa Spiegel, a Licensed Master Social Worker supporting adults and teens (13+) navigating anxiety, life transitions, and questions of identity and self-worth. My work is collaborative and client-led, grounded in compassion and curiosity. In session, I create space for growth at your own pace, supporting greater self-understanding and resilience while helping you stay connected to your authenticity and sense of wholeness through times of change.
Welcome, I’m Vanessa Spiegel, a Licensed Master Social Worker supporting adults and teens (13+) navigating anxiety, life transitions, and questions of identity and self-worth. My work is collaborative and client-led, grounded in compassion and curiosity. In session, I create space for growth at your own pace, supporting greater self-understanding and resilience while helping you stay connected to your authenticity and sense of wholeness through times of change.
(914) 326-0781 View (914) 326-0781
Photo of Haley Hernandez, Counselor, LMHC
Haley Hernandez
Counselor, LMHC
Online Only
I am a licensed clinician with five years of experience working with a diverse population of clients across a broad range of ages. I provide a supportive, collaborative, and client-centered therapeutic environment where individuals feel heard, respected, and empowered. My approach is primarily person-centered, emphasizing empathy, authenticity, and unconditional positive regard. I also integrate evidence-based techniques from Cognitive Behavioral Therapy (CBT) and Dialectical Behavior Therapy (DBT) to help clients develop practical coping skills, improve emotional regulation, and work toward meaningful change.
I am a licensed clinician with five years of experience working with a diverse population of clients across a broad range of ages. I provide a supportive, collaborative, and client-centered therapeutic environment where individuals feel heard, respected, and empowered. My approach is primarily person-centered, emphasizing empathy, authenticity, and unconditional positive regard. I also integrate evidence-based techniques from Cognitive Behavioral Therapy (CBT) and Dialectical Behavior Therapy (DBT) to help clients develop practical coping skills, improve emotional regulation, and work toward meaningful change.
(914) 568-2391 View (914) 568-2391
Photo of Jackie Ann Cartwright, Counselor, LMHC, MSc
Jackie Ann Cartwright
Counselor, LMHC, MSc
Online Only
I support clients with depression, anxiety, bipolar disorder, ADHD, PTSD, grief, body dysmorphia, chronic pain, & more. I work with individuals facing substance use or mood disorders, teens with social or educational challenges, couples in conflict, LGBTQ+ & poly relationships. I attract blocked writers, artists. We honor trauma wounds, support folk struggling to manage difficulties, and enhance your well-being for a meaningful, joyful life. I encourage a body mind bond to soften challenges. We create a safe space for you to express, clarify your feelings and grow understanding while giving you an effective tool box and plan.
I support clients with depression, anxiety, bipolar disorder, ADHD, PTSD, grief, body dysmorphia, chronic pain, & more. I work with individuals facing substance use or mood disorders, teens with social or educational challenges, couples in conflict, LGBTQ+ & poly relationships. I attract blocked writers, artists. We honor trauma wounds, support folk struggling to manage difficulties, and enhance your well-being for a meaningful, joyful life. I encourage a body mind bond to soften challenges. We create a safe space for you to express, clarify your feelings and grow understanding while giving you an effective tool box and plan.
(914) 685-8818 View (914) 685-8818
Photo of Lara Friedrich, Psychologist, PsyD
Lara Friedrich
Psychologist, PsyD
7 Endorsed
Online Only
You may be in a relationship that feels strained, distant, or stuck, or navigating a personal transition that’s left you unsettled. Many people I work with are are individuals or couples in early partnership or early parenthood, facing big decisions, shifting identities, or ongoing tensions. They are looking for emotional steadiness, clarity when things feel confusing, and a better understanding of their patterns, internally or with a partner. This helps them move forward with more intention and connection.
You may be in a relationship that feels strained, distant, or stuck, or navigating a personal transition that’s left you unsettled. Many people I work with are are individuals or couples in early partnership or early parenthood, facing big decisions, shifting identities, or ongoing tensions. They are looking for emotional steadiness, clarity when things feel confusing, and a better understanding of their patterns, internally or with a partner. This helps them move forward with more intention and connection.
(646) 846-2055 View (646) 846-2055
Photo of Traci Gavila, Psychologist, PsyD
Traci Gavila
Psychologist, PsyD
Online Only
Do you feel stuck in patterns that keep repeating no matter what you try? You may be managing on the outside while feeling drained, frustrated, or disconnected inside. You might find yourself questioning why certain situations trigger strong emotions, why relationships feel challenging, or why old habits keep showing up despite your efforts to change. If you want relief, clarity, and a deeper understanding of yourself and others, so you can respond more intentionally and feel more connected in your life, psychotherapy is a helpful place to start.
Do you feel stuck in patterns that keep repeating no matter what you try? You may be managing on the outside while feeling drained, frustrated, or disconnected inside. You might find yourself questioning why certain situations trigger strong emotions, why relationships feel challenging, or why old habits keep showing up despite your efforts to change. If you want relief, clarity, and a deeper understanding of yourself and others, so you can respond more intentionally and feel more connected in your life, psychotherapy is a helpful place to start.
(914) 371-3034 View (914) 371-3034
Photo of Bonnie Langer, Clinical Social Work/Therapist, LCSW
Bonnie Langer
Clinical Social Work/Therapist, LCSW
1 Endorsed
Online Only
Are you struggling to balance the needs of others with your own wellbeing? Are you mitigating family conflict at the expense of your own mental health? In today’s society, with increased pressures and outside influences, my goal is to help guide you towards developing effective strategies to manage all that life throws at you. Recognizing that there are many, often interrelated, components to a person's life, I focus on supporting the whole person, to help them identify and meet their goals while also learning to embrace their full identity.
Are you struggling to balance the needs of others with your own wellbeing? Are you mitigating family conflict at the expense of your own mental health? In today’s society, with increased pressures and outside influences, my goal is to help guide you towards developing effective strategies to manage all that life throws at you. Recognizing that there are many, often interrelated, components to a person's life, I focus on supporting the whole person, to help them identify and meet their goals while also learning to embrace their full identity.
(914) 730-4668 View (914) 730-4668
Photo of Maria Graceffa, Counselor, LMHC
Maria Graceffa
Counselor, LMHC
Online Only
Everyone tells you how impressive you are. Your coworkers are always asking for your advice and praising your accomplishments. Friends wonder aloud how you easily maintain such a beautiful home and happy family. Your life seems perfect (but “seems” is the operative word.) The truth is, you feel like you’re barely holding it all together. That shiny, flawless veneer hides a far darker reality. You're constantly burdened by a deep sadness and overwhelming anxiety. You live in fear that you’ll be exposed as an imposter. You desperately want to tell people how you’re feeling, but how could they understand when you seem to “have it all”?
Everyone tells you how impressive you are. Your coworkers are always asking for your advice and praising your accomplishments. Friends wonder aloud how you easily maintain such a beautiful home and happy family. Your life seems perfect (but “seems” is the operative word.) The truth is, you feel like you’re barely holding it all together. That shiny, flawless veneer hides a far darker reality. You're constantly burdened by a deep sadness and overwhelming anxiety. You live in fear that you’ll be exposed as an imposter. You desperately want to tell people how you’re feeling, but how could they understand when you seem to “have it all”?
(914) 685-9858 View (914) 685-9858
Photo of Staci Ketterer, Counselor, LMHC
Staci Ketterer
Counselor, LMHC
Irvington, NY 10533
Sometimes the hardest battles are the ones no one else can see. Anxiety, OCD, depression, addiction, trauma, or relationship struggles can quietly take a toll on emotional well-being, leaving people feeling drained, disconnected, or stuck in patterns they no longer want to repeat. Many clients come to therapy wanting more than just relief—they want to feel like themselves again. I provide a compassionate, supportive, and nonjudgmental space where you can explore challenges, build resilience, gain insight, and develop practical tools to create meaningful, lasting change.
Sometimes the hardest battles are the ones no one else can see. Anxiety, OCD, depression, addiction, trauma, or relationship struggles can quietly take a toll on emotional well-being, leaving people feeling drained, disconnected, or stuck in patterns they no longer want to repeat. Many clients come to therapy wanting more than just relief—they want to feel like themselves again. I provide a compassionate, supportive, and nonjudgmental space where you can explore challenges, build resilience, gain insight, and develop practical tools to create meaningful, lasting change.
(917) 352-3625 View (917) 352-3625
Photo of Victoria L Romero, LMFT
Victoria L Romero
Verified Verified
Irvington, NY 10533
I am a Marriage and Family Therapist dedicated to supporting individuals, couples and families in navigating complex dynamics, including conflict resolution, emotional regulation, mood disorders and relationship challenges such as divorce, infidelity and co-parenting. I am passionate about guiding clients through the complexities of their relationships and life challenges, helping them find clarity and create lasting, positive changes.
I am a Marriage and Family Therapist dedicated to supporting individuals, couples and families in navigating complex dynamics, including conflict resolution, emotional regulation, mood disorders and relationship challenges such as divorce, infidelity and co-parenting. I am passionate about guiding clients through the complexities of their relationships and life challenges, helping them find clarity and create lasting, positive changes.
(914) 635-2948 View (914) 635-2948

See more therapy options for Irvington

How does your Therapist compare?

Number of Therapists in Irvington, NY

90+

Average cost per session

$200

Therapists in Irvington, NY who prioritize treating:

97% Anxiety
97% Social Anxiety
97% Health Anxiety
97% Driving Anxiety
93% Depression
82% Relationship Issues
81% Self Esteem

Average years in practice

16 Years

Top 3 insurances accepted

80% Aetna
69% Cigna and Evernorth
53% UnitedHealthcare UHC | UBH

How Therapists in Irvington, NY see their clients

68% In Person and Online
32% Online Only

Gender breakdown

80% Female
19% Male
1% Non-Binary
FAQs - About Therapy and Counseling

How can I find a therapist in Irvington?

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.