Therapists in Long Island City, NY

Photo of Jason Duncan, Psychologist, PhD
Jason Duncan
Psychologist, PhD
Long Island City, NY 11101
I am a psychologist providing therapy and assessment services for children through adults. I have extensive clinical experience and am an expert Cognitive Behavioral Therapist. I’ve been trained by top therapy institutes, am a board member for well accomplished CBT organizations, and run the official podcast for the national CBT organization. I strive to regularly advance my knowledge and provide leading scientific treatments. I specialize in the treatment of anxiety, depression, panic, OCD, trauma, stress, insomnia, ADHD, defiance, and work/school issues. Many of my clients lead busy lives; therefore, I offer evening appointments.
I am a psychologist providing therapy and assessment services for children through adults. I have extensive clinical experience and am an expert Cognitive Behavioral Therapist. I’ve been trained by top therapy institutes, am a board member for well accomplished CBT organizations, and run the official podcast for the national CBT organization. I strive to regularly advance my knowledge and provide leading scientific treatments. I specialize in the treatment of anxiety, depression, panic, OCD, trauma, stress, insomnia, ADHD, defiance, and work/school issues. Many of my clients lead busy lives; therefore, I offer evening appointments.
View
Photo of Jennifer Varley, Licensed Mental Health Counselor, MA, LMHCD, CCHt, CYT, EMDR
Jennifer Varley
Licensed Mental Health Counselor, MA, LMHCD, CCHt, CYT, EMDR
2 Endorsed
Online Only
You’ve likely spent years trying to understand yourself. Staying up late analyzing your emotions, researching trauma, replaying conversations, and trying to figure out why you feel anxious, fearful, and overstimulated. Perhaps you’ve even read the popular books, listened to the podcasts, and you still feel lost. Despite all of that awareness, something still feels unresolved. Insight alone often doesn’t lead to peace and ease. Rewiring beliefs and experiences using a mind-body approach can help. Often, when we teach the body how to have a different physical response to our experiences and our stressors, we reconnect with ease.
You’ve likely spent years trying to understand yourself. Staying up late analyzing your emotions, researching trauma, replaying conversations, and trying to figure out why you feel anxious, fearful, and overstimulated. Perhaps you’ve even read the popular books, listened to the podcasts, and you still feel lost. Despite all of that awareness, something still feels unresolved. Insight alone often doesn’t lead to peace and ease. Rewiring beliefs and experiences using a mind-body approach can help. Often, when we teach the body how to have a different physical response to our experiences and our stressors, we reconnect with ease.
(929) 499-0317 View (929) 499-0317
Photo of Barbara Sepp, Clinical Social Work/Therapist, LCSW
Barbara Sepp
Clinical Social Work/Therapist, LCSW
Online Only
I am a dedicated social worker who collaborates with clients in pursuing their goals. I will help you identify your objectives. I bring compassion, authenticity, and humor to the therapeutic space. My specialties are working with those who have anxiety, panic, OCD, depression, relationship issues, and problems with self esteem. I will work with you to create a positive, trusting relationship. I use CBT, interpersonal, and exposure therapies. I look forward to working with you to reach your goals.
I am a dedicated social worker who collaborates with clients in pursuing their goals. I will help you identify your objectives. I bring compassion, authenticity, and humor to the therapeutic space. My specialties are working with those who have anxiety, panic, OCD, depression, relationship issues, and problems with self esteem. I will work with you to create a positive, trusting relationship. I use CBT, interpersonal, and exposure therapies. I look forward to working with you to reach your goals.
(929) 591-6472 View (929) 591-6472
Photo of Gwendolyn Nitz, Clinical Social Work/Therapist, LCSW, IMH-E
Gwendolyn Nitz
Clinical Social Work/Therapist, LCSW, IMH-E
Long Island City, NY 11104
Whether you’re having difficulty becoming a parent, adjusting to motherhood or noticing your child is struggling in their first few years of life, you don’t have to navigate these difficult issues alone. From conception through early childhood, I specialize in the relationship between parents and their children. I help my clients navigate significant life transitions and manage stress and anxiety.
Whether you’re having difficulty becoming a parent, adjusting to motherhood or noticing your child is struggling in their first few years of life, you don’t have to navigate these difficult issues alone. From conception through early childhood, I specialize in the relationship between parents and their children. I help my clients navigate significant life transitions and manage stress and anxiety.
(332) 286-2691 View (332) 286-2691
Photo of Eleanor Yarisse, Clinical Social Work/Therapist, LCSW, PMH-C
Eleanor Yarisse
Clinical Social Work/Therapist, LCSW, PMH-C
1 Endorsed
Online Only
Are you struggling with events from your past that make it difficult for you to engage in the present? Or wanting to understand why you are not feeling like yourself, and hoping to regain more control over your life? Perhaps you want to change some of your personal relationships or shift generational patterns in your family, or are coping with a big life change, such as a new baby, a changed relationship, or a breakup.
Are you struggling with events from your past that make it difficult for you to engage in the present? Or wanting to understand why you are not feeling like yourself, and hoping to regain more control over your life? Perhaps you want to change some of your personal relationships or shift generational patterns in your family, or are coping with a big life change, such as a new baby, a changed relationship, or a breakup.
(718) 957-1340 View (718) 957-1340
Photo of Jessica Ermilio - Carnegie Hill Testing, Psychologist, PsyD
Carnegie Hill Testing
Psychologist, PsyD
Long Island City, NY 11103
We are Humantold. Through our partnership with Carnegie Hill Psychiatry, we are a multidisciplinary practice offers psychological evaluations and testing for children, adolescents, and adults. Our team of clinical and school psychologists specialize in the assessment and diagnosis of a range of clinical concerns such as mood and anxiety disorders, ADHD, autism, and personality disorders. In addition to diagnostic clarification, the evaluation process can identify areas of cognitive, emotional, and interpersonal strengths and weaknesses. These findings can all then be used to develop a comprehensive treatment plan and recommendation.
We are Humantold. Through our partnership with Carnegie Hill Psychiatry, we are a multidisciplinary practice offers psychological evaluations and testing for children, adolescents, and adults. Our team of clinical and school psychologists specialize in the assessment and diagnosis of a range of clinical concerns such as mood and anxiety disorders, ADHD, autism, and personality disorders. In addition to diagnostic clarification, the evaluation process can identify areas of cognitive, emotional, and interpersonal strengths and weaknesses. These findings can all then be used to develop a comprehensive treatment plan and recommendation.
(646) 542-0097 View (646) 542-0097
Photo of Jean Carlos Osorio - Minds Together, LCSWPC, Clinical Social Work/Therapist, LCSW-R, CDBT
Minds Together, LCSWPC
Clinical Social Work/Therapist, LCSW-R, CDBT
Long Island City, NY 11102
Hola Hola. My name is Jean Carlos Osorio and I am a Licensed Clinical Social Worker with over 15 years of professional experience and I am also the Founder/Clinical Director of Minds Together, LCSW.P.C. A private group outpatient mental health clinic that provides individual/couple and group therapeutic services in three different locations in Queens, Ny. We have our offices in Astoria, Forest Hills and Jackson Heights. We accept most Medicaid/Commercial insurance plans and provide out of network services. We provide face to face and Telehealth services.
Hola Hola. My name is Jean Carlos Osorio and I am a Licensed Clinical Social Worker with over 15 years of professional experience and I am also the Founder/Clinical Director of Minds Together, LCSW.P.C. A private group outpatient mental health clinic that provides individual/couple and group therapeutic services in three different locations in Queens, Ny. We have our offices in Astoria, Forest Hills and Jackson Heights. We accept most Medicaid/Commercial insurance plans and provide out of network services. We provide face to face and Telehealth services.
(646) 846-4818 View (646) 846-4818
Photo of Hersha Diaz, Psychologist, PsyD
Hersha Diaz
Psychologist, PsyD
Long Island City, NY 11101
Visit: www.drhersha.com Everyone encounters stress, loss, relationship difficulties, and challenges at various points in life. Many symptoms can be experienced: Loneliness and frustration in relationships, difficulty sleeping, concentrating, feeling sad, irritable, neglecting ourselves, and making dangerous or impulsive decisions as a means of escape for feelings of sadness, anxiety, anger, or boredom. I offer sensitive, non-judgmental support, evidence based approaches and true commitment to achieve goals. As a seasoned couple’s therapist you can be assured that your relationship and family are in expert hands!
Visit: www.drhersha.com Everyone encounters stress, loss, relationship difficulties, and challenges at various points in life. Many symptoms can be experienced: Loneliness and frustration in relationships, difficulty sleeping, concentrating, feeling sad, irritable, neglecting ourselves, and making dangerous or impulsive decisions as a means of escape for feelings of sadness, anxiety, anger, or boredom. I offer sensitive, non-judgmental support, evidence based approaches and true commitment to achieve goals. As a seasoned couple’s therapist you can be assured that your relationship and family are in expert hands!
(347) 695-4843 View (347) 695-4843
Photo of Chet Balram, Clinical Social Work/Therapist, LCSW
Chet Balram
Clinical Social Work/Therapist, LCSW
2 Endorsed
Long Island City, NY 11101
As a therapist, I am committed to providing compassionate and evidence-based care to my clients. I strive to create a safe and supportive environment in which clients can explore their thoughts, feelings and behaviors and empower them to make positive changes in their lives. I am well-versed in addressing a wide range of mental health and substance use concerns such as anxiety, depression, trauma, relationship issues, harm reduction and abstinence. I take a holistic approach to therapy utilizing a variety of therapeutic modalities and strategies to ensure that I am meeting the individualized needs of each client.
As a therapist, I am committed to providing compassionate and evidence-based care to my clients. I strive to create a safe and supportive environment in which clients can explore their thoughts, feelings and behaviors and empower them to make positive changes in their lives. I am well-versed in addressing a wide range of mental health and substance use concerns such as anxiety, depression, trauma, relationship issues, harm reduction and abstinence. I take a holistic approach to therapy utilizing a variety of therapeutic modalities and strategies to ensure that I am meeting the individualized needs of each client.
(347) 921-9997 View (347) 921-9997
Photo of Juliane Maxwald, Licensed Psychoanalyst, LP
Juliane Maxwald
Licensed Psychoanalyst, LP
Long Island City, NY 11101
You may feel stuck in patterns that repeat in your relationships, work, or inner life. Anxiety, depression, burnout, or compulsive behaviors may be taking a quiet toll. Perhaps you feel distant from your partner, confused about desire, carrying unresolved trauma, or navigating stress around parenting or career transitions. Even when life looks “functional,” something inside feels off. Therapy offers a space to slow down and understand what’s happening beneath the surface.
You may feel stuck in patterns that repeat in your relationships, work, or inner life. Anxiety, depression, burnout, or compulsive behaviors may be taking a quiet toll. Perhaps you feel distant from your partner, confused about desire, carrying unresolved trauma, or navigating stress around parenting or career transitions. Even when life looks “functional,” something inside feels off. Therapy offers a space to slow down and understand what’s happening beneath the surface.
(646) 762-1042 View (646) 762-1042
Photo of Elisamuel Martinez, Psychologist, PsyD
Elisamuel Martinez
Psychologist, PsyD
Online Only
I think of therapy as a sacred partnership between us that draws on your existing strengths and resources, my training and expertise, and the healing power of the therapeutic relationship to help you overcome challenges that interfere with living the life you desire. Therapy with me begins by creating a warm, safe, and authentic connection. Within that space, you can feel free to share what concerns or distresses you and engage in meaningful healing work, knowing I am an attuned, compassionate partner in your journey.
I think of therapy as a sacred partnership between us that draws on your existing strengths and resources, my training and expertise, and the healing power of the therapeutic relationship to help you overcome challenges that interfere with living the life you desire. Therapy with me begins by creating a warm, safe, and authentic connection. Within that space, you can feel free to share what concerns or distresses you and engage in meaningful healing work, knowing I am an attuned, compassionate partner in your journey.
(929) 383-7863 View (929) 383-7863
Photo of Geri Rukenstein, MHC-LP
Geri Rukenstein
Verified Verified
Long Island City, NY 11101
I work with all types of clients (couples, children, individuals) but especially marginalized groups (especially LGBTQ+) who need a place to feel comfortable, accepted, understood and respected. A place where feelings are valued, validated and matter. You may have been displaced, made to feel wrong, unaccepted and unwelcome. You want a safe space where you can express yourself freely and not be judged as society and others may have judged you. A place where you can be heard and work on feeling proud and wonderful with who you are and process negative experiences so you can be fully your authentic self and enjoy a fulfilling life.
I work with all types of clients (couples, children, individuals) but especially marginalized groups (especially LGBTQ+) who need a place to feel comfortable, accepted, understood and respected. A place where feelings are valued, validated and matter. You may have been displaced, made to feel wrong, unaccepted and unwelcome. You want a safe space where you can express yourself freely and not be judged as society and others may have judged you. A place where you can be heard and work on feeling proud and wonderful with who you are and process negative experiences so you can be fully your authentic self and enjoy a fulfilling life.
(347) 801-7529 View (347) 801-7529
Photo of Maria Meyer, Clinical Social Work/Therapist, LCSW
Maria Meyer
Clinical Social Work/Therapist, LCSW
Online Only
Life can be overwhelming, especially when you're navigating anxiety, depression, grief, trauma, or the uncertainty of infertility and perinatal challenges. I offer a grounded, nonjudgmental space where you can show up exactly as you are. Together, we’ll unpack the patterns, stories, and stressors that may be keeping you stuck, and build practical tools to help you feel more confident, connected, and in control. I work with adults of all ages with a focus on supporting individuals through life transitions: career burnout, loss, relationship shifts, identity changes, and the complexities of becoming/deciding not to become a parent.
Life can be overwhelming, especially when you're navigating anxiety, depression, grief, trauma, or the uncertainty of infertility and perinatal challenges. I offer a grounded, nonjudgmental space where you can show up exactly as you are. Together, we’ll unpack the patterns, stories, and stressors that may be keeping you stuck, and build practical tools to help you feel more confident, connected, and in control. I work with adults of all ages with a focus on supporting individuals through life transitions: career burnout, loss, relationship shifts, identity changes, and the complexities of becoming/deciding not to become a parent.
(516) 701-2340 View (516) 701-2340
Photo of Tara Loftus, Licensed Master Social Worker, LMSW
Tara Loftus
Licensed Master Social Worker, LMSW
4 Endorsed
Online Only
Hi there! I'm so glad you're here. Many people come to me feeling overwhelmed, disconnected, or stuck in patterns they can't seem to break. You want relief and a therapist who truly understands your inner world. With years of foundational experience managing high-acuity caseloads in mental health centers and intensive day programs, I bring deep clinical resilience and versatility to my practice. My clients are ready to feel more grounded and supported as they begin healing.
Hi there! I'm so glad you're here. Many people come to me feeling overwhelmed, disconnected, or stuck in patterns they can't seem to break. You want relief and a therapist who truly understands your inner world. With years of foundational experience managing high-acuity caseloads in mental health centers and intensive day programs, I bring deep clinical resilience and versatility to my practice. My clients are ready to feel more grounded and supported as they begin healing.
(332) 529-6843 View (332) 529-6843
Photo of Francine Figueroa, Clinical Social Work/Therapist, LCSW
Francine Figueroa
Clinical Social Work/Therapist, LCSW
Long Island City, NY 11101
I am warm and attentive, supporting the holistic and organic development of relationships while providing a collaborative space for healing. Humor and candor are also part of what I bring to the process. I work with a wide range of ages and concerns, specializing in loss and grief, women’s issues, and disordered eating patterns and eating disorders. As a BIPOC provider, I strive to offer compassionate, inclusive support to individuals both within and outside of the BIPOC community, fostering connection and growth through authentic therapeutic work.
I am warm and attentive, supporting the holistic and organic development of relationships while providing a collaborative space for healing. Humor and candor are also part of what I bring to the process. I work with a wide range of ages and concerns, specializing in loss and grief, women’s issues, and disordered eating patterns and eating disorders. As a BIPOC provider, I strive to offer compassionate, inclusive support to individuals both within and outside of the BIPOC community, fostering connection and growth through authentic therapeutic work.
(718) 514-7884 View (718) 514-7884
Photo of William Michael Cooper, Clinical Social Work/Therapist, LCSW, CASAC, CDBT, CMIP
William Michael Cooper
Clinical Social Work/Therapist, LCSW, CASAC, CDBT, CMIP
Online Only
William Michael Cooper is a Licensed Clinical Social Worker (LCSW) CASAC with SiFi based in New York City NY. Cooper is a CASAC; Credentialed Alcoholism and Substance Abuse Counselor and has over 13 years of working with persons who happen to have addictive disorders. He also works as a Certified Dialectical Behavior Therapy Specialist (C-DBT) and is a current Certified Mindfulness Informed Professional (CMIP).
William Michael Cooper is a Licensed Clinical Social Worker (LCSW) CASAC with SiFi based in New York City NY. Cooper is a CASAC; Credentialed Alcoholism and Substance Abuse Counselor and has over 13 years of working with persons who happen to have addictive disorders. He also works as a Certified Dialectical Behavior Therapy Specialist (C-DBT) and is a current Certified Mindfulness Informed Professional (CMIP).
(347) 507-2933 View (347) 507-2933
Photo of Samantha Metellus, Clinical Social Work/Therapist, LCSW
Samantha Metellus
Clinical Social Work/Therapist, LCSW
2 Endorsed
Online Only
I’m am very passionate about my work and providing therapy for those seeking help. My primary focus is ensuring that you feel heard, validated, and understood. In my practice, therapy focuses on developing realistic solutions to external stressors while addressing internal conflict. Managing work, school, and relationships is difficult when your mental health is imbalanced and things becomes overwhelming. Though it may be challenging, acknowledging the past is essential to foster healing and personal growth. My goal is to have a safe space for you to seek healing, clarity, and have a listening ear
I’m am very passionate about my work and providing therapy for those seeking help. My primary focus is ensuring that you feel heard, validated, and understood. In my practice, therapy focuses on developing realistic solutions to external stressors while addressing internal conflict. Managing work, school, and relationships is difficult when your mental health is imbalanced and things becomes overwhelming. Though it may be challenging, acknowledging the past is essential to foster healing and personal growth. My goal is to have a safe space for you to seek healing, clarity, and have a listening ear
(347) 937-3441 View (347) 937-3441
Photo of Veronica Green, Clinical Social Work/Therapist, LCSW
Veronica Green
Clinical Social Work/Therapist, LCSW
3 Endorsed
Online Only
Waitlist for new clients
Therapy is an opportunity to better understand yourself—and everyone deserves that space. In our sessions, we’ll work collaboratively to identify what’s standing in your way, increase self-awareness, and support more confident, intentional decision-making. We’ll also explore how to shift perspective and reframe beliefs that may be limiting your growth.
Therapy is an opportunity to better understand yourself—and everyone deserves that space. In our sessions, we’ll work collaboratively to identify what’s standing in your way, increase self-awareness, and support more confident, intentional decision-making. We’ll also explore how to shift perspective and reframe beliefs that may be limiting your growth.
(516) 400-4665 View (516) 400-4665
Photo of Sherry A Amatenstein, Clinical Social Work/Therapist, LCSW
Sherry A Amatenstein
Clinical Social Work/Therapist, LCSW
Long Island City, NY 11109
I help patients deal with blocks that prevent them having the best possible life and healthy, loving relationships. I use an empathetic, psychodynamic approach but also employ cognitive techniques - i.e. exercises during the session and homework. I want to help people notice and change their self-destructive patterns. I also help artists uncover the roots of their struggles with motivation and self-doubt.
I help patients deal with blocks that prevent them having the best possible life and healthy, loving relationships. I use an empathetic, psychodynamic approach but also employ cognitive techniques - i.e. exercises during the session and homework. I want to help people notice and change their self-destructive patterns. I also help artists uncover the roots of their struggles with motivation and self-doubt.
(646) 600-5139 View (646) 600-5139
Photo of Jasna Koltovska, Counselor, MSEd, LMHC
Jasna Koltovska
Counselor, MSEd, LMHC
Online Only
Welcome, I’m glad you found your way to my page! If you're feeling stuck or struggling with anxiety, depression, or a lack of motivation, you're not alone. It's easy to get caught in habits that make life feel harder, like procrastinating, withdrawing, or feeling disconnected from what matters most. I work with people to help them break free from these patterns and move toward real, lasting change.
Welcome, I’m glad you found your way to my page! If you're feeling stuck or struggling with anxiety, depression, or a lack of motivation, you're not alone. It's easy to get caught in habits that make life feel harder, like procrastinating, withdrawing, or feeling disconnected from what matters most. I work with people to help them break free from these patterns and move toward real, lasting change.
(917) 994-6423 View (917) 994-6423

See more therapy options for Long Island City

How does your Therapist compare?

Number of Therapists in Long Island City, NY

500+

Average cost per session

$175

Therapists in Long Island City, NY who prioritize treating:

95% Anxiety
95% Social Anxiety
95% Health Anxiety
95% Driving Anxiety
92% Depression
82% Relationship Issues
79% Relationship Anxiety

Average years in practice

10 Years

Top 3 insurances accepted

91% Aetna
76% Cigna and Evernorth
67% UnitedHealthcare UHC | UBH

How Therapists in Long Island City, NY see their clients

57% Online Only
43% In Person and Online

Gender breakdown

77% Female
21% Male
2% Non-Binary
FAQs - About Therapy and Counseling

How can I find a therapist in Long Island City?

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.