Therapists in Rochester, NY

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Photo of Denise Bondy, Clinical Social Work/Therapist, PhD, LCSW-R
Denise Bondy
Clinical Social Work/Therapist, PhD, LCSW-R
1 Endorsed
Online Only
I am glad that you took this step to care for your well-being. I know that reaching out for support is often difficult. We all have times in our lives when we feel unhappy, unbalanced and/or overwhelmed. Or maybe you find yourself repeating the same patterns over and over and would like some guidance on how to do things differently.
I am glad that you took this step to care for your well-being. I know that reaching out for support is often difficult. We all have times in our lives when we feel unhappy, unbalanced and/or overwhelmed. Or maybe you find yourself repeating the same patterns over and over and would like some guidance on how to do things differently.
(585) 536-0803 View (585) 536-0803
Photo of Anne Steider - Dr. Anne Steider, Psychologist, PhD, MBA
Dr. Anne Steider
Psychologist, PhD, MBA
1 Endorsed
Rochester, NY 14618
Change can be difficult - but with support it becomes possible. You might be struggling with difficult thoughts like "what if my family never accepts my life choices - will they ever accept me?" Perhaps you're battling indecisiveness and fear about whether you're "good enough" to succeed, preventing you from reaching your aspirations and goals? Or maybe you feel confident and successful at times, but at other moments as if your shield for taking on the world is paper-thin? I utilize methods including EMDR (Eye Movement Desensitization and Reprocessing) to help resolve these concerns.
Change can be difficult - but with support it becomes possible. You might be struggling with difficult thoughts like "what if my family never accepts my life choices - will they ever accept me?" Perhaps you're battling indecisiveness and fear about whether you're "good enough" to succeed, preventing you from reaching your aspirations and goals? Or maybe you feel confident and successful at times, but at other moments as if your shield for taking on the world is paper-thin? I utilize methods including EMDR (Eye Movement Desensitization and Reprocessing) to help resolve these concerns.
(585) 563-2631 View (585) 563-2631
Photo of Dr. Courtney Graham, Counselor, EdD, LMHC
Dr. Courtney Graham
Counselor, EdD, LMHC
Rochester, NY 14607
Has it been awhile since you have felt like yourself? Are you struggling with a romantic relationship, your friends or family members, or with depressive or anxious feelings? My goal is to help clients talk through whatever they are struggling with and find a happier and healthier place in their lives. My approach to counseling is down to earth, compassionate, and honest. I am unique in my approach offering a specialized combination of life-coaching, motivation, and problem-solving in hopes of helping my clients work through the heaviness in their mind and find stability and happiness once again.
Has it been awhile since you have felt like yourself? Are you struggling with a romantic relationship, your friends or family members, or with depressive or anxious feelings? My goal is to help clients talk through whatever they are struggling with and find a happier and healthier place in their lives. My approach to counseling is down to earth, compassionate, and honest. I am unique in my approach offering a specialized combination of life-coaching, motivation, and problem-solving in hopes of helping my clients work through the heaviness in their mind and find stability and happiness once again.
(585) 591-6594 View (585) 591-6594
Photo of Alex Dedicke, Licensed Creative Art Therapist, LCAT
Alex Dedicke
Licensed Creative Art Therapist, LCAT
2 Endorsed
Rochester, NY 14624
You want to live more freely, more wholly, more in touch with who you really are. You want to find your way to wholeness and freedom. You may be looking to share and explore things that have never felt safe to open up before. You may have tried and benefited from other kinds of therapy, and are interested now in treatment that is focused on real, embodied experience now, in the present, rather than endlessly re-telling the same stories. You may have realized how the past has affected you, and you would rather define yourself than being bound by it. You are ready above all to reclaim your own innate goodness, wholeness, and strength.
You want to live more freely, more wholly, more in touch with who you really are. You want to find your way to wholeness and freedom. You may be looking to share and explore things that have never felt safe to open up before. You may have tried and benefited from other kinds of therapy, and are interested now in treatment that is focused on real, embodied experience now, in the present, rather than endlessly re-telling the same stories. You may have realized how the past has affected you, and you would rather define yourself than being bound by it. You are ready above all to reclaim your own innate goodness, wholeness, and strength.
(585) 440-6525 View (585) 440-6525
Photo of Jamie Lee Viavattine, Counselor, LMHC
Jamie Lee Viavattine
Counselor, LMHC
2 Endorsed
Online Only
I believe in building a healthy therapeutic relationship in order to understand the needs and strengths of my clients. I strive to show compassion and empathy to individuals while challenging areas in which they identify they would like grow and change. I focus on using DBT skills such as mindfulness, emotions regulation, interpersonal effectiveness and distress tolerance in order to help patients change problematic behaviors. I work to help patients utilize their strengths in order to overcome barriers that interfere with their goals.
I believe in building a healthy therapeutic relationship in order to understand the needs and strengths of my clients. I strive to show compassion and empathy to individuals while challenging areas in which they identify they would like grow and change. I focus on using DBT skills such as mindfulness, emotions regulation, interpersonal effectiveness and distress tolerance in order to help patients change problematic behaviors. I work to help patients utilize their strengths in order to overcome barriers that interfere with their goals.
(585) 541-3539 View (585) 541-3539
Photo of Nancy Berg, Marriage & Family Therapist, MS, LMFT
Nancy Berg
Marriage & Family Therapist, MS, LMFT
1 Endorsed
Rochester, NY 14618
I help people explore their relationship with themselves — the good, the bad, the messy, and the beautiful. When we strengthen that inner relationship, we naturally enhance our connections with everyone and everything around us. At the heart of my work is a deep belief that relationships and genuine connection are what matter most. Let's uncover the courage within you to create a life filled with meaning and aliveness.
I help people explore their relationship with themselves — the good, the bad, the messy, and the beautiful. When we strengthen that inner relationship, we naturally enhance our connections with everyone and everything around us. At the heart of my work is a deep belief that relationships and genuine connection are what matter most. Let's uncover the courage within you to create a life filled with meaning and aliveness.
(585) 308-9866 View (585) 308-9866
Photo of Shantel Giles, Counselor, LMHC-D
Shantel Giles
Counselor, LMHC-D
1 Endorsed
Online Only
Welcome to IMatterHealing, the care you deserve ! “ Our greatest weakness lies in giving up. The most certain way to succeed is to always try just one more time. " Thomas Edison
Welcome to IMatterHealing, the care you deserve ! “ Our greatest weakness lies in giving up. The most certain way to succeed is to always try just one more time. " Thomas Edison
(585) 628-2014 View (585) 628-2014
Photo of Rebecca Phelps, Pre-Licensed Professional
Rebecca Phelps
Pre-Licensed Professional
1 Endorsed
Rochester, NY 14607
Rebecca Phelps is a Master's level clinical intern working under the supervision of Stephanie Berry, LCSW. Rebecca is currently earning her Master's in Clinical Mental Health Counseling from Geneva College, and has an undergraduate degree in psychology from SUNY Brockport. She enjoys working with children, teens, and adults. She has previous experience working with survivors of interpersonal violence - facilitating mindful movement in a peer support setting. Rebecca operates from an integrative, holistic, trauma informed, and person-centered approach.
Rebecca Phelps is a Master's level clinical intern working under the supervision of Stephanie Berry, LCSW. Rebecca is currently earning her Master's in Clinical Mental Health Counseling from Geneva College, and has an undergraduate degree in psychology from SUNY Brockport. She enjoys working with children, teens, and adults. She has previous experience working with survivors of interpersonal violence - facilitating mindful movement in a peer support setting. Rebecca operates from an integrative, holistic, trauma informed, and person-centered approach.
(585) 257-2912 View (585) 257-2912
Photo of Carolyn Cerame, Clinical Social Work/Therapist, LCSW-R, ACSW
Carolyn Cerame
Clinical Social Work/Therapist, LCSW-R, ACSW
Online Only
Not accepting new clients
Please note that I am currently not able to accept new clients at this time. Therapy, at its core is about self-discovery. Through a process of curious and compassionate inquiry into the truth of our situation, we gain insights that open space to unencumber ourselves. Often, what we had initially seen as problems can dissolve altogether. I like working with people whose lives have reached an impasse where they need to generate new options to untangle their dilemma. What we need to realize is that the predicament is, ultimately, the doorway to a greater understanding and fulfillment of our lives, both inner and outer.
Please note that I am currently not able to accept new clients at this time. Therapy, at its core is about self-discovery. Through a process of curious and compassionate inquiry into the truth of our situation, we gain insights that open space to unencumber ourselves. Often, what we had initially seen as problems can dissolve altogether. I like working with people whose lives have reached an impasse where they need to generate new options to untangle their dilemma. What we need to realize is that the predicament is, ultimately, the doorway to a greater understanding and fulfillment of our lives, both inner and outer.
(585) 229-8521 View (585) 229-8521
Photo of Anela McFarland, Clinical Social Work/Therapist, LCSW
Anela McFarland
Clinical Social Work/Therapist, LCSW
Online Only
Thanks for being here. I support teens, young adults, and families navigating trauma, grief, postpartum challenges, anxiety, life transitions, and maternal mental health. I also work with parents, high school students, and young adults experiencing stress, identity questions, impulse control, ADHD, and overwhelm from screens or modern pressures. Many of the people I work with feel like they’ve been “holding everything together” while quietly falling through the cracks. If that sounds familiar—you’re in the right place. My background includes years working in the Rochester City School District, supporting K–12 students and families.
Thanks for being here. I support teens, young adults, and families navigating trauma, grief, postpartum challenges, anxiety, life transitions, and maternal mental health. I also work with parents, high school students, and young adults experiencing stress, identity questions, impulse control, ADHD, and overwhelm from screens or modern pressures. Many of the people I work with feel like they’ve been “holding everything together” while quietly falling through the cracks. If that sounds familiar—you’re in the right place. My background includes years working in the Rochester City School District, supporting K–12 students and families.
(585) 502-9352 View (585) 502-9352
Photo of Laurie Majors, Clinical Social Work/Therapist, LCSW-R
Laurie Majors
Clinical Social Work/Therapist, LCSW-R
Rochester, NY 14617
I am offering Tele-Health Therapy through video and/or phone calls, along with in-office appointments for those who want to be seen. It is possible to make the kind of changes that will bring peace deep inside yourself and in your interactions with the people and the world around you! I provide support and feedback to help you with change of patterns in thought and behaviors that will help you identify your strengths and achieve your life goals.
I am offering Tele-Health Therapy through video and/or phone calls, along with in-office appointments for those who want to be seen. It is possible to make the kind of changes that will bring peace deep inside yourself and in your interactions with the people and the world around you! I provide support and feedback to help you with change of patterns in thought and behaviors that will help you identify your strengths and achieve your life goals.
(585) 312-3853 View (585) 312-3853
Photo of Patrick Cayouette, Clinical Social Work/Therapist, LMSW, CSAT
Patrick Cayouette
Clinical Social Work/Therapist, LMSW, CSAT
Online Only
I've worked in the mental health field since 2000 with various populations (individuals, couples and families), however, my specialties include men's studies, pornography/sexual addiction, relationship health for married couples & EMDR. I especially find men experience challenges in life and lack the means or opportunities to be supported, validated heard. I strive to be practical and direct, yet effective in fostering change. Whether guiding couples in marriage prep or in marital strain, I develop understanding of relationships, creating an open, honest and safe communication style which fosters intimacy through challenges.
I've worked in the mental health field since 2000 with various populations (individuals, couples and families), however, my specialties include men's studies, pornography/sexual addiction, relationship health for married couples & EMDR. I especially find men experience challenges in life and lack the means or opportunities to be supported, validated heard. I strive to be practical and direct, yet effective in fostering change. Whether guiding couples in marriage prep or in marital strain, I develop understanding of relationships, creating an open, honest and safe communication style which fosters intimacy through challenges.
(585) 471-6453 View (585) 471-6453
Photo of Elli E Assiobo-Tipoh - Elli Assiobo-Tipoh Mental Health Counseling PLLC, Counselor, LMHC-D, NCC, BC-TMH, LPC
Elli Assiobo-Tipoh Mental Health Counseling PLLC
Counselor, LMHC-D, NCC, BC-TMH, LPC
1 Endorsed
Online Only
Thank you for visiting my page. It can truly be a difficult and vulnerable task to engage in counseling. And fear not, I will be you every step of the way. I have a very eclectic style which aligns with many clients' needs. Is it a relationship issue, grief and loss or anxiety and depression- these concerns can truly paralyze one's ability to live life holistically and freely. You will find me to be caring, direct and sensitive, and very client centered. I have a strong listening skill, empathy towards one’s pain, and an uplifting spirit that sets me apart from other counselors.
Thank you for visiting my page. It can truly be a difficult and vulnerable task to engage in counseling. And fear not, I will be you every step of the way. I have a very eclectic style which aligns with many clients' needs. Is it a relationship issue, grief and loss or anxiety and depression- these concerns can truly paralyze one's ability to live life holistically and freely. You will find me to be caring, direct and sensitive, and very client centered. I have a strong listening skill, empathy towards one’s pain, and an uplifting spirit that sets me apart from other counselors.
(585) 229-8683 View (585) 229-8683
Photo of Lisa Cavallaro, Counselor, MSEd, LMHC- D, CASAC2
Lisa Cavallaro
Counselor, MSEd, LMHC- D, CASAC2
1 Endorsed
Rochester, NY 14607
Not accepting new clients
Welcome! Do you feel stuck in unhealthy patterns? Are your relationships at work, family and friends in need of improvement? The feeling of being lost, frustrated, confused, sad and anxious can occur throughout life’s transitions. I provide a safe non-judgmental environment to explore these feelings and thoughts to help you develop new coping strategies. I have 20 plus years’ combined experience working in behavioral health clinics, private practice and case management in managed care. Areas of focus are the following: Work stress and communication challenges, life transitions, relationships, grief /loss and codependency.
Welcome! Do you feel stuck in unhealthy patterns? Are your relationships at work, family and friends in need of improvement? The feeling of being lost, frustrated, confused, sad and anxious can occur throughout life’s transitions. I provide a safe non-judgmental environment to explore these feelings and thoughts to help you develop new coping strategies. I have 20 plus years’ combined experience working in behavioral health clinics, private practice and case management in managed care. Areas of focus are the following: Work stress and communication challenges, life transitions, relationships, grief /loss and codependency.
(585) 378-4138 View (585) 378-4138
Photo of Stephen S Farmer - Stephen Farmer Clinical Psychologist, Psychologist, PsyD
Stephen Farmer Clinical Psychologist
Psychologist, PsyD
1 Endorsed
Rochester, NY 14618
My therapy style is relational and I am particularly skilled at helping clients identify feelings, thoughts, and behaviors that impede efforts to form and maintain fulfilling relationships. Together, in a warm and empathetic atmosphere, we will look into your unique past and come to understand how that history is connected to your current emotional pain. Emotional pain tends to manifest as some variety of anxiety and/or depression. Understandably, we all look to alleviate anxiety and depression. Coping methods such as drugs/alcohol, may do the trick, initially. However, they tend to stop working, and ultimately lead to more misery.
My therapy style is relational and I am particularly skilled at helping clients identify feelings, thoughts, and behaviors that impede efforts to form and maintain fulfilling relationships. Together, in a warm and empathetic atmosphere, we will look into your unique past and come to understand how that history is connected to your current emotional pain. Emotional pain tends to manifest as some variety of anxiety and/or depression. Understandably, we all look to alleviate anxiety and depression. Coping methods such as drugs/alcohol, may do the trick, initially. However, they tend to stop working, and ultimately lead to more misery.
(585) 257-0172 View (585) 257-0172
Photo of Kaitlin Carrozza, Psychologist, PsyD
Kaitlin Carrozza
Psychologist, PsyD
Rochester, NY 14607
As a clinical psychologist specializing in relationship difficulties, I have worked with many individuals who struggle with conflict in their intimate relationships, experience fears about closeness or intimacy, feel anxiety about relating to others, and those who have trouble feeling generally satisfied in their relationships. I believe that dissatisfying relationships contribute to emotional stress and pain, and that promoting stronger, healthier relationships can lead to people experiencing happier and more productive lives. I work with individuals to explore these struggles and develop understanding or insight about their patterns in relationships, with the ultimate goal of helping people have a different experience in their current relationships.
As a clinical psychologist specializing in relationship difficulties, I have worked with many individuals who struggle with conflict in their intimate relationships, experience fears about closeness or intimacy, feel anxiety about relating to others, and those who have trouble feeling generally satisfied in their relationships. I believe that dissatisfying relationships contribute to emotional stress and pain, and that promoting stronger, healthier relationships can lead to people experiencing happier and more productive lives. I work with individuals to explore these struggles and develop understanding or insight about their patterns in relationships, with the ultimate goal of helping people have a different experience in their current relationships.
(585) 445-7114 View (585) 445-7114
Photo of Erica Schiller, Marriage & Family Therapist, LMFT
Erica Schiller
Marriage & Family Therapist, LMFT
1 Endorsed
Rochester, NY 14618
Is life not going the way you thought it would? I provide a relational approach for individual, couples and family therapy. Whether you're navigating personal struggles, relationship challenges, or the complexities of identity and belonging, you'll find a thoughtful, compassionate space to reconnect-with yourself and with others.
Is life not going the way you thought it would? I provide a relational approach for individual, couples and family therapy. Whether you're navigating personal struggles, relationship challenges, or the complexities of identity and belonging, you'll find a thoughtful, compassionate space to reconnect-with yourself and with others.
(585) 440-6318 View (585) 440-6318
Photo of Aimée Senise, Licensed Master Social Worker, LMSW
Aimée Senise
Licensed Master Social Worker, LMSW
1 Endorsed
Rochester, NY 14618
I understand that starting therapy can feel intimidating, especially in young adulthood, when life can feel overwhelming. With this, my approach is warm, gentle, and centered on curiosity. I ask questions that help you uncover what’s really going on. Together, we’ll look at your thoughts and emotions, and explore your personal story in a way that feels safe and supportive. I focus on skills that help you manage stress, anxiety, and or tough relationships. Whether you’re navigating depression, anxiety, attachment, or something more complex, I’m here to guide you toward healing and growth at your own pace.
I understand that starting therapy can feel intimidating, especially in young adulthood, when life can feel overwhelming. With this, my approach is warm, gentle, and centered on curiosity. I ask questions that help you uncover what’s really going on. Together, we’ll look at your thoughts and emotions, and explore your personal story in a way that feels safe and supportive. I focus on skills that help you manage stress, anxiety, and or tough relationships. Whether you’re navigating depression, anxiety, attachment, or something more complex, I’m here to guide you toward healing and growth at your own pace.
(585) 580-2441 View (585) 580-2441
Photo of Christy Paradise, Clinical Social Work/Therapist, LCSW-R, MSW
Christy Paradise
Clinical Social Work/Therapist, LCSW-R, MSW
Rochester, NY 14626
I have over fifteen years of professional experience in the field of mental health. A graduate of Syracuse University, I have worked with a variety of individuals in private practice, as well as non-profit clinical settings. As a Client-Centered Cognitive Behavioral Therapist, my approach to therapy involves providing support and practical feedback to help clients effectively address personal life challenges. I offer a highly personalized approach tailored to each client. With compassion and understanding, I will work with each individual to help them build on their strengths and attain the personal growth they are committed to accomplishing.
I have over fifteen years of professional experience in the field of mental health. A graduate of Syracuse University, I have worked with a variety of individuals in private practice, as well as non-profit clinical settings. As a Client-Centered Cognitive Behavioral Therapist, my approach to therapy involves providing support and practical feedback to help clients effectively address personal life challenges. I offer a highly personalized approach tailored to each client. With compassion and understanding, I will work with each individual to help them build on their strengths and attain the personal growth they are committed to accomplishing.
(585) 366-0050 View (585) 366-0050
Photo of Igor Light, Counselor, LMHC, NCC, BCC
Igor Light
Counselor, LMHC, NCC, BCC
3 Endorsed
Rochester, NY 14618
Perhaps you’re facing an existential crisis, anxiety, stagnation, or isolation - feeling disconnected from the meaningful life you envision. There comes a moment when you realize you want more than just managing symptoms - you want to realize your potential and become who you truly are. You’re no longer satisfied with surface solutions; you are ready to explore the depths of yourself and the ways you relate to the world.
Perhaps you’re facing an existential crisis, anxiety, stagnation, or isolation - feeling disconnected from the meaningful life you envision. There comes a moment when you realize you want more than just managing symptoms - you want to realize your potential and become who you truly are. You’re no longer satisfied with surface solutions; you are ready to explore the depths of yourself and the ways you relate to the world.
(585) 382-1859 View (585) 382-1859

See more therapy options for Rochester

How does your Therapist compare?

Number of Therapists in Rochester, NY

1,000+

Average cost per session

$130

Therapists in Rochester, NY who prioritize treating:

91% Anxiety
84% Depression
76% Relationship Issues
75% Self Esteem
69% Trauma and PTSD
69% Stress
68% Coping Skills

Average years in practice

11 Years

Top 3 insurances accepted

87% Aetna
65% Cigna and Evernorth
46% UnitedHealthcare UHC | UBH

How Therapists in Rochester, NY see their clients

58% In Person and Online
42% Online Only

Gender breakdown

80% Female
18% Male
2% Non-Binary
FAQs - About Therapy and Counseling

How can I find a therapist in Rochester?

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.