Therapists in Niles, OH

Photo of Faith Payton, LPC, Licensed Professional Counselor
Faith Payton
Licensed Professional Counselor, LPC
Verified Verified
Niles, OH 44446  (Online Only)
My professional journey has been shaped by a commitment to providing compassionate support and understanding to individuals on their path to mental well-being. Within the realm of counseling, I specialize in various areas, including Dialectical Behavior Therapy (DBT), LGBTQIA+ affirmative counseling, ADHD, substance abuse, personality disorders, grief, chronic illness, pregnancy, prenatal and postpartum care, sleep/insomnia management, trauma, and PTSD.
My professional journey has been shaped by a commitment to providing compassionate support and understanding to individuals on their path to mental well-being. Within the realm of counseling, I specialize in various areas, including Dialectical Behavior Therapy (DBT), LGBTQIA+ affirmative counseling, ADHD, substance abuse, personality disorders, grief, chronic illness, pregnancy, prenatal and postpartum care, sleep/insomnia management, trauma, and PTSD.
(330) 427-4720 View (330) 427-4720
Photo of Dr. Kearisten Gaines, PsyD, Psychologist
Dr. Kearisten Gaines
Psychologist, PsyD
Verified Verified
Niles, OH 44446
Hello and welcome, I am so glad you are here! I am Dr. Kearisten Gaines, a Licensed Clinical Psychologist in Ohio. Taking the first step towards therapy can be difficult. That is why when working with clients my goal is to always create a compassionate, safe, and judgement free atmosphere. This allows me to work in collaboration with my clients, as I believe they are the experts of their lives. Through the therapeutic process we will work together to address the difficulties you are facing, create meaningful change, and help you to feel empowered and in control of your life!
Hello and welcome, I am so glad you are here! I am Dr. Kearisten Gaines, a Licensed Clinical Psychologist in Ohio. Taking the first step towards therapy can be difficult. That is why when working with clients my goal is to always create a compassionate, safe, and judgement free atmosphere. This allows me to work in collaboration with my clients, as I believe they are the experts of their lives. Through the therapeutic process we will work together to address the difficulties you are facing, create meaningful change, and help you to feel empowered and in control of your life!
View
Photo of Michele Hawn, MA, PCC-S, NCC, CDCA, Counselor
Michele Hawn
Counselor, MA, PCC-S, NCC, CDCA
Verified Verified
Niles, OH 44446
I believe everyone has the power to change but may not know how to do so. A person may think that just because they've been doing things "all their life" doesn't mean that it's for the rest of their life. I have over ten years experience helping kids,families and adults change behaviors/patterns that cause them problems in their lives. I treat depression, anxiety, trauma, addiction/alcoholism, divorce, relationship issues, panic, phobias, chronic pain, self esteem, bullying, ADHD, OCD, behavior problems, parenting issues, bipolar, anger issues, autism, aspbergers and personality disorders.
I believe everyone has the power to change but may not know how to do so. A person may think that just because they've been doing things "all their life" doesn't mean that it's for the rest of their life. I have over ten years experience helping kids,families and adults change behaviors/patterns that cause them problems in their lives. I treat depression, anxiety, trauma, addiction/alcoholism, divorce, relationship issues, panic, phobias, chronic pain, self esteem, bullying, ADHD, OCD, behavior problems, parenting issues, bipolar, anger issues, autism, aspbergers and personality disorders.
(330) 470-0382 View (330) 470-0382
Photo of Queenie V Lathan, MA, LPCC-S, Counselor
Queenie V Lathan
Counselor, MA, LPCC-S
Verified Verified
1 Endorsed
Niles, OH 44446
I enjoy helping individuals uncover their true potential, and lead lives that are worth celebrating. I truly believe that no one should have to suffer in silence when help is available. Know that help and healing is possible for those struggling with depression, feeling overwhelmed by anxiety, experiencing difficulties within their relationships, and/or having difficulties letting go of past hurts. I look forward to working with you on your journey to health and wholeness. We each have a purpose and I look forward to helping you discover yours.
I enjoy helping individuals uncover their true potential, and lead lives that are worth celebrating. I truly believe that no one should have to suffer in silence when help is available. Know that help and healing is possible for those struggling with depression, feeling overwhelmed by anxiety, experiencing difficulties within their relationships, and/or having difficulties letting go of past hurts. I look forward to working with you on your journey to health and wholeness. We each have a purpose and I look forward to helping you discover yours.
(234) 200-1830 View (234) 200-1830
Photo of Keith Y. Burger, LISW, LPCC, Clinical Social Work/Therapist
Keith Y. Burger
Clinical Social Work/Therapist, LISW, LPCC
Verified Verified
Niles, OH 44446
I believe problems can be solved. It takes work, the ability to be open to new ideas, the willingness to stand and face problems,the wisdom to share and to rely on someone other than yourself, to offer a different perspective. No one has all the answers all the time but working together, solutions can be found.
I believe problems can be solved. It takes work, the ability to be open to new ideas, the willingness to stand and face problems,the wisdom to share and to rely on someone other than yourself, to offer a different perspective. No one has all the answers all the time but working together, solutions can be found.
(330) 540-7451 View (330) 540-7451
Photo of Leslie A Longo, PhD, LPCC, LPC, Counselor
Leslie A Longo
Counselor, PhD, LPCC, LPC
Verified Verified
Niles, OH 44446
Counseling for Situational Issues, Anxiety, Depression, Abuse/ Trauma, Work Related Stress, Relationship Issues, Couples/ Marriage, Family, and Drug and Alcohol, etc.
Counseling for Situational Issues, Anxiety, Depression, Abuse/ Trauma, Work Related Stress, Relationship Issues, Couples/ Marriage, Family, and Drug and Alcohol, etc.
(330) 595-1552 View (330) 595-1552
Photo of Adele M Gerke, MSW, LSW, Clinical Social Work/Therapist
Adele M Gerke
Clinical Social Work/Therapist, MSW, LSW
Verified Verified
Niles, OH 44446
Adele Gerke received both her Bachelor's Degree in Social Work and a Master of Social Work Degree from Youngstown State University. Ms. Gerke provides mental health services with compassion, empathy, a nondirective approach and without judgement. Ms. Gerke is a firm believer in providing a nurturing environment where clients can discuss current issues and/or concerns. Ms. Gerke has the understanding of how the past, present and even the future can affect thoughts, emotions and behaviors. Collaborating on treatment and goals with the client is the first step to improving mental health.
Adele Gerke received both her Bachelor's Degree in Social Work and a Master of Social Work Degree from Youngstown State University. Ms. Gerke provides mental health services with compassion, empathy, a nondirective approach and without judgement. Ms. Gerke is a firm believer in providing a nurturing environment where clients can discuss current issues and/or concerns. Ms. Gerke has the understanding of how the past, present and even the future can affect thoughts, emotions and behaviors. Collaborating on treatment and goals with the client is the first step to improving mental health.
(330) 222-8876 View (330) 222-8876
Photo of Heidi Booth, LPCC, Counselor
Heidi Booth
Counselor, LPCC
Verified Verified
1 Endorsed
Niles, OH 44446  (Online Only)
My name is Heidi Booth, and I am a Licensed Professional Clinical Counselor (LPCC) in the State of Ohio. My goal is to be able to provide a space where you feel comfortable, accepted, and appreciated. I work with a variety of issues such as depression, anxiety, coping skills, ADHD, life transitions, identity issues, and more. Everyone needs something different and my focus is to benefit you with making a plan that fits you best! I know this journey can look scary, but you don't have to be alone.
My name is Heidi Booth, and I am a Licensed Professional Clinical Counselor (LPCC) in the State of Ohio. My goal is to be able to provide a space where you feel comfortable, accepted, and appreciated. I work with a variety of issues such as depression, anxiety, coping skills, ADHD, life transitions, identity issues, and more. Everyone needs something different and my focus is to benefit you with making a plan that fits you best! I know this journey can look scary, but you don't have to be alone.
(440) 664-2215 View (440) 664-2215
Photo of undefined - Pursuing Change Counseling, LLC., LPC, LNHA, Licensed Professional Counselor
Pursuing Change Counseling, LLC.
Licensed Professional Counselor, LPC, LNHA
Verified Verified
Niles, OH 44446
Hey there! My name is Sarah Thompson. I have 19 + years of experience in the mental health field, working in many different roles. My education includes a Bachelor's of Applied Science degree in Criminal Justice/ Minoring in Sociology. I hold a Master's of Applied Science degree in Mental Health Counseling. I also hold both a Licensed Professional Counselor (LPC.) certification and a Licensed Nursing Home Administrator (LNHA.) license in the state of Ohio. I have experience treating such things as: anxiety, depression, Bi-Polar, Borderline Personality Disorder, ADHD/ADD, grief, addiction, marital issues, trauma, etc.
Hey there! My name is Sarah Thompson. I have 19 + years of experience in the mental health field, working in many different roles. My education includes a Bachelor's of Applied Science degree in Criminal Justice/ Minoring in Sociology. I hold a Master's of Applied Science degree in Mental Health Counseling. I also hold both a Licensed Professional Counselor (LPC.) certification and a Licensed Nursing Home Administrator (LNHA.) license in the state of Ohio. I have experience treating such things as: anxiety, depression, Bi-Polar, Borderline Personality Disorder, ADHD/ADD, grief, addiction, marital issues, trauma, etc.
(234) 230-6318 View (234) 230-6318

More Therapists Nearby

Photo of Kimberly Edenfield Kuneli, MA, LPCC-S, CIMHP
Kimberly Edenfield Kuneli
Licensed Professional Clinical Counselor, MA, LPCC-S, CIMHP
Verified Verified
3 Endorsed
Youngstown, OH 44505
If you find yourself suffering from current or past emotional hurts or distress, or feel trapped by life transitions, frustrations, or relationship conflicts, know that there is hope! Together we can work to gain insight, develop coping strategies, and ultimately find healing. Whether you are struggling with depression, anxiety, trauma, or other difficulties, I am ready to come alongside you on your journey to support and encourage you as we search to find the answers. We will strive for your personal growth and well-being, building upon our therapeutic relationship, while focusing on your strengths. Consider the possibilities!
If you find yourself suffering from current or past emotional hurts or distress, or feel trapped by life transitions, frustrations, or relationship conflicts, know that there is hope! Together we can work to gain insight, develop coping strategies, and ultimately find healing. Whether you are struggling with depression, anxiety, trauma, or other difficulties, I am ready to come alongside you on your journey to support and encourage you as we search to find the answers. We will strive for your personal growth and well-being, building upon our therapeutic relationship, while focusing on your strengths. Consider the possibilities!
(330) 403-8141 View (330) 403-8141
Photo of Jennifer Poling, LISW, LICDC, Clinical Social Work/Therapist
Jennifer Poling
Clinical Social Work/Therapist, LISW, LICDC
Verified Verified
2 Endorsed
Warren, OH 44484
I have experience working in mental health and substance use disorders and began entry level into the field in 2010. I utilize a holistic approach of therapies and modalities through experience in my training in EMDR, Motivational Interviewing techniques, CBT techniques, and Expressive Art therapies and techniques to include journaling, meditation, and visualization. I use a trauma focused approach and meet clients where they are through empathy and compassion, guide clients where they want to be in their healing process and prioritize connection to self through encouragement of self-worth and value.
I have experience working in mental health and substance use disorders and began entry level into the field in 2010. I utilize a holistic approach of therapies and modalities through experience in my training in EMDR, Motivational Interviewing techniques, CBT techniques, and Expressive Art therapies and techniques to include journaling, meditation, and visualization. I use a trauma focused approach and meet clients where they are through empathy and compassion, guide clients where they want to be in their healing process and prioritize connection to self through encouragement of self-worth and value.
(234) 224-1529 View (234) 224-1529
Photo of undefined - Christian Counseling Associates of Eastern Ohio
Christian Counseling Associates of Eastern Ohio
Licensed Professional Clinical Counselor
Verified Verified
Girard, OH 44420
Christian Counseling Associates (CCA) provides individual, marriage, and family counseling. We serve Christians who want their faith integrated into the counseling process and those holding any beliefs or attitudes toward spirituality. Our counselors will help you identify the core issues that have caused your emotional and personal problems, and immediately develop strategies to resolve these issues. CCA is able to provide a full range of clinical services. Please visit our website for a complete description of our faith based counseling services, locations, and counseling staff.
Christian Counseling Associates (CCA) provides individual, marriage, and family counseling. We serve Christians who want their faith integrated into the counseling process and those holding any beliefs or attitudes toward spirituality. Our counselors will help you identify the core issues that have caused your emotional and personal problems, and immediately develop strategies to resolve these issues. CCA is able to provide a full range of clinical services. Please visit our website for a complete description of our faith based counseling services, locations, and counseling staff.
(330) 542-6262 View (330) 542-6262
Photo of Joshua Pontius, LPCC-S, Counselor
Joshua Pontius
Counselor, LPCC-S
Verified Verified
Warren, OH 44484
One of my greatest joys is to help you navigate challenges that prevent you from living life to its fullest. I genuinely enjoy building healthy relationships in order to overcome some of life's most difficult issues. I strive to develop and sustain a confidential and safe environment where you feel comfortable dealing with intense emotions. I believe there are no issues too small, and no emotions too large that would discourage me from jumping into the trenches to help you sort out all that you may be wrestling with.
One of my greatest joys is to help you navigate challenges that prevent you from living life to its fullest. I genuinely enjoy building healthy relationships in order to overcome some of life's most difficult issues. I strive to develop and sustain a confidential and safe environment where you feel comfortable dealing with intense emotions. I believe there are no issues too small, and no emotions too large that would discourage me from jumping into the trenches to help you sort out all that you may be wrestling with.
(330) 944-3763 View (330) 944-3763
Photo of Kyla Spies, LSW, Clinical Social Work/Therapist
Kyla Spies
Clinical Social Work/Therapist, LSW
Verified Verified
1 Endorsed
Warren, OH 44483
In complex trauma things were never okay and just continued to get worse. The subtle feeling that something is not right escalates into a bulldozer of concerning or scary symptoms. You may struggle with feelings of numbness, disconnection, and emptiness. Or you may feel everything too loudly and all at once. Your best attempt at survival might be compulsive behaviors or substance use. And you might have done things that you regret. Life has not been easy for you, and now you want to stop the cycle.
In complex trauma things were never okay and just continued to get worse. The subtle feeling that something is not right escalates into a bulldozer of concerning or scary symptoms. You may struggle with feelings of numbness, disconnection, and emptiness. Or you may feel everything too loudly and all at once. Your best attempt at survival might be compulsive behaviors or substance use. And you might have done things that you regret. Life has not been easy for you, and now you want to stop the cycle.
(440) 467-3818 View (440) 467-3818
Photo of Emdr And Confidence Building For Anxious Moms Allie Kidd, LISW-S, LCSW, Clinical Social Work/Therapist
Emdr And Confidence Building For Anxious Moms Allie Kidd
Clinical Social Work/Therapist, LISW-S, LCSW
Verified Verified
3 Endorsed
Youngstown, OH 44504  (Online Only)
You’re great at pretending things are fine, that you’re managing the workload that comes with being a mom and a partner. But underneath, you feel like you can’t do anything right. You know you deserve time off but this feels like yet another responsibility. You have a pattern of prioritizing others over yourself and while you acknowledge this needs to change, it feels impossible to have your voice be heard. This leaves you feeling on edge and like you could explode in rage or burst into tears the next time you hear your name called. You love your family and you also desperately want things to change.
You’re great at pretending things are fine, that you’re managing the workload that comes with being a mom and a partner. But underneath, you feel like you can’t do anything right. You know you deserve time off but this feels like yet another responsibility. You have a pattern of prioritizing others over yourself and while you acknowledge this needs to change, it feels impossible to have your voice be heard. This leaves you feeling on edge and like you could explode in rage or burst into tears the next time you hear your name called. You love your family and you also desperately want things to change.
(330) 739-8776 View (330) 739-8776
Photo of Robert Hobbs, PsyThD, BCC, MBA, Pastoral Counselor
Robert Hobbs
Pastoral Counselor, PsyThD, BCC, MBA
Verified Verified
McDonald, OH 44437
Hi There! Because you are here on this page, I will assume that you or your loved ones are having a particularly difficult time with an impossibly challenging set of problems. From that perspective, I am truly sorry that you and yours are struggling. With that said, I am a Board Certified Coach and Pastoral/Spiritual Counselor and I am glad that I might be able to help you find your way back to a sense of ordinary, normal, or maybe even better than it's ever been. I can confess to you that I have personally felt as bad as you may feel now. That doesn't mean that I know how you feel - I do not think anyone could know that.
Hi There! Because you are here on this page, I will assume that you or your loved ones are having a particularly difficult time with an impossibly challenging set of problems. From that perspective, I am truly sorry that you and yours are struggling. With that said, I am a Board Certified Coach and Pastoral/Spiritual Counselor and I am glad that I might be able to help you find your way back to a sense of ordinary, normal, or maybe even better than it's ever been. I can confess to you that I have personally felt as bad as you may feel now. That doesn't mean that I know how you feel - I do not think anyone could know that.
(330) 222-8540 View (330) 222-8540
Photo of Hailie Durst, MSEd, Licensed Professional Counselor
Hailie Durst
Licensed Professional Counselor, MSEd
Verified Verified
Warren, OH 44484
I am dedicated to providing compassionate and effective therapy to individuals of all ages. With a deep commitment to promoting mental wellness and holistic healing, I strive to create a warm and supportive environment where individuals can explore their challenges, discover their strengths, and cultivate positive change. My role in healing is to provide guidance and reflection from an outsider’s point of view on each patient’s unique situations and experiences.
I am dedicated to providing compassionate and effective therapy to individuals of all ages. With a deep commitment to promoting mental wellness and holistic healing, I strive to create a warm and supportive environment where individuals can explore their challenges, discover their strengths, and cultivate positive change. My role in healing is to provide guidance and reflection from an outsider’s point of view on each patient’s unique situations and experiences.
(330) 892-9118 View (330) 892-9118
Photo of Joseph A Humphries, MSEd, NCC, LSW, LPCC, Counselor
Joseph A Humphries
Counselor, MSEd, NCC, LSW, LPCC
Verified Verified
Warren, OH 44484
My name is Joe Humphries. I am an LPCC and have been practicing in the Youngstown area for the past 18 years. I work with all ages and can help you address problems with depression, anxiety, relationship issues, adjustment problems, and grief. Other areas of focus in my practice include: Obsessive Compulsive Disorder, parenting skills training, anger management, behavior management, and Attention Deficit Disorder.
My name is Joe Humphries. I am an LPCC and have been practicing in the Youngstown area for the past 18 years. I work with all ages and can help you address problems with depression, anxiety, relationship issues, adjustment problems, and grief. Other areas of focus in my practice include: Obsessive Compulsive Disorder, parenting skills training, anger management, behavior management, and Attention Deficit Disorder.
(330) 680-5264 View (330) 680-5264
Photo of Nicole Ullinskey, MEd, LPCC-S, Counselor
Nicole Ullinskey
Counselor, MEd, LPCC-S
Verified Verified
1 Endorsed
Warren, OH 44485
Not accepting new clients
Trauma can permeate every aspect of your life, leaving you feeling trapped, overwhelmed, and disconnected from yourself and others. Whether stemming from a single incident or accumulated experiences, it leaves deep emotional wounds that can hinder your ability to feel fulfilled.
Trauma can permeate every aspect of your life, leaving you feeling trapped, overwhelmed, and disconnected from yourself and others. Whether stemming from a single incident or accumulated experiences, it leaves deep emotional wounds that can hinder your ability to feel fulfilled.
View
Photo of Loretta Prince, LISW-S, Clinical Social Work/Therapist
Loretta Prince
Clinical Social Work/Therapist, LISW-S
Verified Verified
Warren, OH 44481  (Online Only)
It is my pleasure to be able to assist those seeking answers and the desire to change. Sometimes just gaining knowledge about why and how we adapt or react to certain life changes can bring significant relief and understanding. I believe in treating everyone with respect, sensitivity, and compassion. I pride myself in providing a safe space for clients to express themselves without fear of judgment. If you want someone on your team who is supportive and willing to assist you in making changes to reduce symptoms of Anxiety, Depression, Adjustment Disorders, ADHD and other Mental Health issues, then let’s get started.
It is my pleasure to be able to assist those seeking answers and the desire to change. Sometimes just gaining knowledge about why and how we adapt or react to certain life changes can bring significant relief and understanding. I believe in treating everyone with respect, sensitivity, and compassion. I pride myself in providing a safe space for clients to express themselves without fear of judgment. If you want someone on your team who is supportive and willing to assist you in making changes to reduce symptoms of Anxiety, Depression, Adjustment Disorders, ADHD and other Mental Health issues, then let’s get started.
(234) 204-3346 View (234) 204-3346

See more therapy options for Niles

How does your Therapist compare?

Number of Therapists in Niles, OH

< 10

Therapists in Niles, OH who prioritize treating:

100% Grief
100% Trauma and PTSD
89% Relationship Issues
89% Self Esteem
78% Depression
78% Anxiety
78% Parenting

Average years in practice

10 Years

Top 3 insurances accepted

100% BlueCross and BlueShield
88% Aetna
88% Cigna and Evernorth

How Therapists in Niles, OH see their clients

78% In Person and Online
22% Online Only

Gender breakdown

88% Female
12% Male
FAQs - About Therapy and Counseling

How can I find a therapist in Niles?

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.