Therapists in Saint Paris, OH

Photo of Jeremy D Spence - Bridges of Hope Counseling, LPCC, BC-TMH, Counselor
Bridges of Hope Counseling
Counselor, LPCC, BC-TMH
Verified Verified
2 Endorsed
Saint Paris, OH 43072
Counseling is a big decision and I am glad you are searching for the right counseling. I value my clients stories and help to show empathy, compassion, and care while giving hope to all who come into my office. I can help by listening intently to what you are saying & matching knowledge with compassion. I specialize in helping clients who are interested in telemental health and can provide HIPAA secured videoconferencing to meet your needs. Appointments available as soon as you need/want them.
Counseling is a big decision and I am glad you are searching for the right counseling. I value my clients stories and help to show empathy, compassion, and care while giving hope to all who come into my office. I can help by listening intently to what you are saying & matching knowledge with compassion. I specialize in helping clients who are interested in telemental health and can provide HIPAA secured videoconferencing to meet your needs. Appointments available as soon as you need/want them.
(937) 315-6024 View (937) 315-6024
Photo of Kathleen E Ervin - His Strength Christian Counseling, MEd, LSW, LPCC-S, Counselor
His Strength Christian Counseling
Counselor, MEd, LSW, LPCC-S
Verified Verified
Saint Paris, OH 43072
Counseling allows you the ability to explore yourself and your future goals in an objective atmosphere. At His Strength Christian Counseling, we will explore and break down the barriers to who you want to be. Some barriers may be environmental, while others may be mental health related such as depression, anxiety, past trauma, relationship issues, communication issues, substance use issues, grief, or focus issues. My style of counseling includes Cognitive Behavioral and Reality therapies with a Christian focus. Counseling is provided face to face and via Telehealth if applicable. By appointment only. I am unable to take walk-in's.
Counseling allows you the ability to explore yourself and your future goals in an objective atmosphere. At His Strength Christian Counseling, we will explore and break down the barriers to who you want to be. Some barriers may be environmental, while others may be mental health related such as depression, anxiety, past trauma, relationship issues, communication issues, substance use issues, grief, or focus issues. My style of counseling includes Cognitive Behavioral and Reality therapies with a Christian focus. Counseling is provided face to face and via Telehealth if applicable. By appointment only. I am unable to take walk-in's.
(937) 632-1339 View (937) 632-1339

More Therapists Nearby

Photo of Brianne N. Kramer, MA, LPC, Licensed Psychoanalyst
Brianne N. Kramer
Licensed Psychoanalyst, MA, LPC
Verified Verified
Urbana, OH 43078
I am a licensed professional counselor, holding a Master of Arts in Professional Counseling that I received in 2015 from Liberty University. I have experience working with adults and teens struggling with addiction - substance and gambling, as well as with family members touched by addiction. I also have experience working with adults and teens struggling with different forms of mental illness, grief, trauma, and life change.
I am a licensed professional counselor, holding a Master of Arts in Professional Counseling that I received in 2015 from Liberty University. I have experience working with adults and teens struggling with addiction - substance and gambling, as well as with family members touched by addiction. I also have experience working with adults and teens struggling with different forms of mental illness, grief, trauma, and life change.
(614) 412-4265 View (614) 412-4265
Photo of Kimberly L Smallwood, LISW-S, Clinical Social Work/Therapist
Kimberly L Smallwood
Clinical Social Work/Therapist, LISW-S
Verified Verified
North Lewisburg, OH 43060
Cornerstone Care Counseling Center LLC clients come for counseling for many reasons. If you have suffered the loss of loved ones, divorce, domestic violence, alcohol and substance abuse or dependency, codependency, sexual abuse, trauma, physical or emotional abuse or any other Mental Heath issue, then Cornerstone Care Counseling Center LLC is the place for you. Cornerstone Care also offers depression assessments for spinal stimulator implants and drug and alcohol assessments.
Cornerstone Care Counseling Center LLC clients come for counseling for many reasons. If you have suffered the loss of loved ones, divorce, domestic violence, alcohol and substance abuse or dependency, codependency, sexual abuse, trauma, physical or emotional abuse or any other Mental Heath issue, then Cornerstone Care Counseling Center LLC is the place for you. Cornerstone Care also offers depression assessments for spinal stimulator implants and drug and alcohol assessments.
(937) 669-7273 View (937) 669-7273
Photo of Kathy Stouffer, LPCC, Counselor
Kathy Stouffer
Counselor, LPCC
Verified Verified
2 Endorsed
Urbana, OH 43078
Deciding to participate in therapy can be a difficult decision. We value the theraputic process from first contact until the client is ready to discharge from therapy. Our goal is to help you meet your goals. We apply therapeutic tools and methods while listening to and supporting our clients. From mild to severe anxiety and depression, to trauma and abuse, to family and marital issues we will assess your needs and goals and seek to partner with you to help you build the life you desire.
Deciding to participate in therapy can be a difficult decision. We value the theraputic process from first contact until the client is ready to discharge from therapy. Our goal is to help you meet your goals. We apply therapeutic tools and methods while listening to and supporting our clients. From mild to severe anxiety and depression, to trauma and abuse, to family and marital issues we will assess your needs and goals and seek to partner with you to help you build the life you desire.
(937) 500-0672 View (937) 500-0672
Photo of Kathryn Vicks, LISW, Clinical Social Work/Therapist
Kathryn Vicks
Clinical Social Work/Therapist, LISW
Verified Verified
Westville, OH 43083  (Online Only)
I am a licensed clinical social worker in Ohio with over 7 years of experience working with diverse populations providing individual counseling services.
I am a licensed clinical social worker in Ohio with over 7 years of experience working with diverse populations providing individual counseling services.
(513) 960-5394 View (513) 960-5394
Photo of Derek Ellis - Brave Life Pastoral Counseling, LLC, MA, BCCC, Pastoral Counselor
Brave Life Pastoral Counseling, LLC
Pastoral Counselor, MA, BCCC
Verified Verified
1 Endorsed
Springfield, OH 45503
Derek Ellis (MA, BCCC) is a 2016 graduate of Liberty University with a Master of Arts in Pastoral Counseling with a specialization in life coaching. Derek is a Board Certified Christian Counselor through the Board of Christian Professional and Pastoral Counselors, a professional organization associated with the American Association of Christian Counselors.
Derek Ellis (MA, BCCC) is a 2016 graduate of Liberty University with a Master of Arts in Pastoral Counseling with a specialization in life coaching. Derek is a Board Certified Christian Counselor through the Board of Christian Professional and Pastoral Counselors, a professional organization associated with the American Association of Christian Counselors.
(937) 858-1946 View (937) 858-1946
Photo of Debra Cypryla — Lighthouse Of Healing Counseling Services Llc, MS, LPCC-S, CCTP, CIMHP, Counselor
Debra Cypryla — Lighthouse Of Healing Counseling Services Llc
Counselor, MS, LPCC-S, CCTP, CIMHP
Verified Verified
1 Endorsed
Springfield, OH 45503
Self-awareness to know when to contact a counselor for therapy is the first step to reaching your goal. Are you seeking help with coping skills and relief from intrusive mental thoughts you are unable to escape? Are you someone dealing with intrusive mental health issues that are impeding your ability to function in your daily life? Do you seek help to learn healthy ways of dealing with stress, anxiety, and gain emotional regulation? I would like to work with individuals who want to be accepted, who want to be met where they are, and who need help to get to where they want to be.
Self-awareness to know when to contact a counselor for therapy is the first step to reaching your goal. Are you seeking help with coping skills and relief from intrusive mental thoughts you are unable to escape? Are you someone dealing with intrusive mental health issues that are impeding your ability to function in your daily life? Do you seek help to learn healthy ways of dealing with stress, anxiety, and gain emotional regulation? I would like to work with individuals who want to be accepted, who want to be met where they are, and who need help to get to where they want to be.
(937) 468-4299 View (937) 468-4299
Photo of John Seebock, MSEd, MSW, LSW, Clinical Social Work/Therapist
John Seebock
Clinical Social Work/Therapist, MSEd, MSW, LSW
Verified Verified
Vandalia, OH 45377
I have served the Dayton community as a Licensed Social Worker since 1998. I have clinical experience in multiple settings that include school-based therapy as well as integrated care in a clinic setting. I bring a wealth of educational expertise to my practice, having served as a high school principal in the local community. I have worked at the collegiate level as an Adjunct Professor in the Social Work Department of Central State University. I have experience as a mental health professional working with families, adults, adolescents, and children.
I have served the Dayton community as a Licensed Social Worker since 1998. I have clinical experience in multiple settings that include school-based therapy as well as integrated care in a clinic setting. I bring a wealth of educational expertise to my practice, having served as a high school principal in the local community. I have worked at the collegiate level as an Adjunct Professor in the Social Work Department of Central State University. I have experience as a mental health professional working with families, adults, adolescents, and children.
(937) 826-3271 View (937) 826-3271
Photo of Prad A Georges - Bright Life Institute, IMFT, Marriage & Family Therapist
Bright Life Institute
Marriage & Family Therapist, IMFT
Verified Verified
Springfield, OH 45504  (Online Only)
Anxiety, Panic attacks, Stress, Depression, Anger Management, Trauma, PTSD, Addictions, ADHD, Couple’s issues, and Family Cohesion issues are just a few of the challenges that I help my clients confront.
Anxiety, Panic attacks, Stress, Depression, Anger Management, Trauma, PTSD, Addictions, ADHD, Couple’s issues, and Family Cohesion issues are just a few of the challenges that I help my clients confront.
(234) 404-3772 View (234) 404-3772
Photo of Vickie J Kulinski - Autumn Skye Counseling, LLC, LCSW, Clinical Social Work/Therapist
Autumn Skye Counseling, LLC
Clinical Social Work/Therapist, LCSW
Verified Verified
Springfield, OH 45501  (Online Only)
Is your relationship not where you'd like it to be? Are you struggling with your mood, codependency, relationship issues, struggles with life transitions? I help individuals with these topics and others. Therapy aims to increase the sense of well-being and success in life. Therapy/counseling can help alleviate your suffering, can help you create the change in your life that you've longed for or can help you accept that which you are struggling against. You do not need to continue to suffer or struggle. Let me help you.
Is your relationship not where you'd like it to be? Are you struggling with your mood, codependency, relationship issues, struggles with life transitions? I help individuals with these topics and others. Therapy aims to increase the sense of well-being and success in life. Therapy/counseling can help alleviate your suffering, can help you create the change in your life that you've longed for or can help you accept that which you are struggling against. You do not need to continue to suffer or struggle. Let me help you.
(828) 522-9213 View (828) 522-9213
Photo of Darleen R Kotas, Darleen
Darleen R Kotas
Licensed Professional Clinical Counselor, Darleen
Verified Verified
Dayton, OH 45420  (Online Only)
I love working with a variety of clients with a variety of needs. My general outlook is doing whatever I can to make the therapeutic relationship work so that my clients can feel safe enough to heal. I want for my clients to grow and become successful in achieving their goals so that when they leave counseling with me, they dont need counseling anymore. I want for them to know how to set healthy boundaries, to love themselves, and to be able to know how to cope with whatever life throws at you.
I love working with a variety of clients with a variety of needs. My general outlook is doing whatever I can to make the therapeutic relationship work so that my clients can feel safe enough to heal. I want for my clients to grow and become successful in achieving their goals so that when they leave counseling with me, they dont need counseling anymore. I want for them to know how to set healthy boundaries, to love themselves, and to be able to know how to cope with whatever life throws at you.
(330) 537-1528 View (330) 537-1528
Photo of Collin Luthman, LPC, Counselor
Collin Luthman
Counselor, LPC
Verified Verified
Troy, OH 45373
Welcome! You are taking a big step on your path toward wellness and self-understanding. If you are someone who is struggling with loneliness, is yearning to develop deeper connections, feels overwhelmed by depression and anxiety, feels stuck and wants help moving forward, or wants to realize the life of your dreams, then I would be honored to journey with you and to work with you toward your optimal life. Whatever your needs are, we will work together to best fill them!
Welcome! You are taking a big step on your path toward wellness and self-understanding. If you are someone who is struggling with loneliness, is yearning to develop deeper connections, feels overwhelmed by depression and anxiety, feels stuck and wants help moving forward, or wants to realize the life of your dreams, then I would be honored to journey with you and to work with you toward your optimal life. Whatever your needs are, we will work together to best fill them!
(937) 373-4668 View (937) 373-4668
Photo of Monica Kemble, LISW, Clinical Social Work/Therapist
Monica Kemble
Clinical Social Work/Therapist, LISW
Verified Verified
Beavercreek, OH 45440  (Online Only)
Hello, my name is Monica and I'm accepting new clients for virtual counseling. Are you someone who is struggling with symptoms of anxiety or depression? Someone who's having trouble in a relationship or managing personal or professional relationships? Are you looking for someone to listen, provide feedback and challenge negative thoughts? I'm here to actively listen without judgment and offer resources and suggestions to manage symptoms and take care of yourself. Life can be overwhelming and some of us struggle to appropriately manage our emotions or how to get through anxious or sad times.
Hello, my name is Monica and I'm accepting new clients for virtual counseling. Are you someone who is struggling with symptoms of anxiety or depression? Someone who's having trouble in a relationship or managing personal or professional relationships? Are you looking for someone to listen, provide feedback and challenge negative thoughts? I'm here to actively listen without judgment and offer resources and suggestions to manage symptoms and take care of yourself. Life can be overwhelming and some of us struggle to appropriately manage our emotions or how to get through anxious or sad times.
(614) 502-6322 View (614) 502-6322
Photo of Dr. Alicia Ottati, PhD, Psychologist
Dr. Alicia Ottati
Psychologist, PhD
Verified Verified
Dayton, OH 45424  (Online Only)
Hello! I offer evidence-based psychotherapy by video for a variety of mental health concerns in any of the PSYPACT participating states (Alabama, Arizona, Arkansas, Colorado, Connecticut, Delaware, District of Columbia, Florida, Georgia, Idaho, Illinois, Indiana, Kansas, Kentucky, Maine, Maryland, Michigan, Minnesota, Missouri, Nebraska, Nevada, New Hampshire, New Jersey, North Carolina, Ohio, Oklahoma, Pennsylvania, Rhode Island, South Carolina, Tennessee, Texas, Utah, Virginia, Washington, West Virginia, Wisconsin, and Wyoming).
Hello! I offer evidence-based psychotherapy by video for a variety of mental health concerns in any of the PSYPACT participating states (Alabama, Arizona, Arkansas, Colorado, Connecticut, Delaware, District of Columbia, Florida, Georgia, Idaho, Illinois, Indiana, Kansas, Kentucky, Maine, Maryland, Michigan, Minnesota, Missouri, Nebraska, Nevada, New Hampshire, New Jersey, North Carolina, Ohio, Oklahoma, Pennsylvania, Rhode Island, South Carolina, Tennessee, Texas, Utah, Virginia, Washington, West Virginia, Wisconsin, and Wyoming).
(937) 821-6757 View (937) 821-6757
Photo of Charmain Hood - Healing Connection Mental Health Services LLC, MS, LPCC-S, CCTP-II, Counselor
Healing Connection Mental Health Services LLC
Counselor, MS, LPCC-S, CCTP-II
Verified Verified
1 Endorsed
Dayton, OH 45402
Waitlist for new clients
The first step to getting anywhere is deciding your not willing to stay where you are. It takes a great amount of courage to seek additional support from a professional. I am more than happy to walk with you along your journey to healing. With my assistance, you will have the opportunity to explore your inner strengths and capabilities and use your strengths to help you steer through your challenges. Rather you are experiencing internal conflict, unresolved grief/loss, anxiety, depression, or relationship challenges; I am here to help. Please visit my healing-connection.org to schedule a consultation.
The first step to getting anywhere is deciding your not willing to stay where you are. It takes a great amount of courage to seek additional support from a professional. I am more than happy to walk with you along your journey to healing. With my assistance, you will have the opportunity to explore your inner strengths and capabilities and use your strengths to help you steer through your challenges. Rather you are experiencing internal conflict, unresolved grief/loss, anxiety, depression, or relationship challenges; I am here to help. Please visit my healing-connection.org to schedule a consultation.
(513) 952-8874 View (513) 952-8874
Photo of Matt Pavlik, MA, LPCC-S, Counselor
Matt Pavlik
Counselor, MA, LPCC-S
Verified Verified
1 Endorsed
Beavercreek, OH 45430
Are you ready to experience hopeful-assurance from a confident identity? No matter how discouraged you are or how much you feel beaten down by life, you can overcome. You don’t have to live with insecurity, anxiety, or a constant sense of panic. You can discover who you are and become empowered to pursue your purpose. I provide insight-oriented talk therapy to help you grow in awareness, understanding, and acceptance of who God made you to be. I’ll help you confront emotional wounds and false beliefs that rob you of the joy of living. You can experience peace in the present and hope for the future even when life has been harsh.
Are you ready to experience hopeful-assurance from a confident identity? No matter how discouraged you are or how much you feel beaten down by life, you can overcome. You don’t have to live with insecurity, anxiety, or a constant sense of panic. You can discover who you are and become empowered to pursue your purpose. I provide insight-oriented talk therapy to help you grow in awareness, understanding, and acceptance of who God made you to be. I’ll help you confront emotional wounds and false beliefs that rob you of the joy of living. You can experience peace in the present and hope for the future even when life has been harsh.
(937) 353-1171 View (937) 353-1171
Photo of Caresse Boyd, SWT, Clinical Social Work/Therapist
Caresse Boyd
Clinical Social Work/Therapist, SWT
Verified Verified
1 Endorsed
Dayton, OH 45459
My passion lies in supporting and empowering individuals, with a special focus on Black women and teen girls. Whether you are struggling with managing stress, anxiety, depression, or navigating life transitions, I am dedicated to providing a safe and supportive space where you can freely explore your thoughts, emotions, and experiences. I believe that healing begins when you feel truly heard and understood, and I strive to create an environment where you can express yourself openly and without fear. My goal is not only to help you address your current challenges but also to guide you toward a path of healing and personal growth.
My passion lies in supporting and empowering individuals, with a special focus on Black women and teen girls. Whether you are struggling with managing stress, anxiety, depression, or navigating life transitions, I am dedicated to providing a safe and supportive space where you can freely explore your thoughts, emotions, and experiences. I believe that healing begins when you feel truly heard and understood, and I strive to create an environment where you can express yourself openly and without fear. My goal is not only to help you address your current challenges but also to guide you toward a path of healing and personal growth.
(937) 518-7901 x2 View (937) 518-7901 x2
Photo of Rena Onady, LISW-S, Clinical Social Work/Therapist
Rena Onady
Clinical Social Work/Therapist, LISW-S
Verified Verified
Dayton, OH 45404  (Online Only)
Are you feeling overwhelmed by the constant weight of depression and anxiety, longing for a way to break free and regain control of your life? As a compassionate and experienced mental health therapist, I will guide you toward discovering the strength and resilience within you. You are not alone in this struggle. Together, we will navigate the intricate paths of your mind, uncovering the underlying causes of your symptoms and crafting personalized strategies for lasting change. My goal is to provide you with the tools and support necessary to cultivate self-awareness, confidence, and balance.
Are you feeling overwhelmed by the constant weight of depression and anxiety, longing for a way to break free and regain control of your life? As a compassionate and experienced mental health therapist, I will guide you toward discovering the strength and resilience within you. You are not alone in this struggle. Together, we will navigate the intricate paths of your mind, uncovering the underlying causes of your symptoms and crafting personalized strategies for lasting change. My goal is to provide you with the tools and support necessary to cultivate self-awareness, confidence, and balance.
(937) 806-5521 View (937) 806-5521
Photo of Kalia Haile, LPCC, Licensed Professional Counselor
Kalia Haile
Licensed Professional Counselor, LPCC
Verified Verified
Dayton, OH 45402  (Online Only)
Not accepting new clients
Clients that may be a best fit for therapy with me vary in age and may come with a variety of issues including depression, anxiety, relational issues, dealing with life stress, and more. Above all, clients should be focused on putting in consistent effort to achieve goals with the provided additional support and motivation; the real work happens between sessions. Clients willing to make changes in daily life, to journey out of their comfort zone, and with hope for improvement can do well in therapy. Clients must be willing to engage in teletherapy, and those with limited access to face-to-face services are preferred.
Clients that may be a best fit for therapy with me vary in age and may come with a variety of issues including depression, anxiety, relational issues, dealing with life stress, and more. Above all, clients should be focused on putting in consistent effort to achieve goals with the provided additional support and motivation; the real work happens between sessions. Clients willing to make changes in daily life, to journey out of their comfort zone, and with hope for improvement can do well in therapy. Clients must be willing to engage in teletherapy, and those with limited access to face-to-face services are preferred.
(513) 434-6383 View (513) 434-6383

See more therapy options for Saint Paris

How does your Therapist compare?

Number of Therapists in Saint Paris, OH

< 10

Therapists in Saint Paris, OH who prioritize treating:

100% Relationship Issues
100% Depression
100% Anxiety
100% Spirituality
100% Coping Skills
100% Stress
100% Life Transitions

Average years in practice

21 Years

Top 3 insurances accepted

100% Aetna
100% Cigna and Evernorth
100% Humana

How Therapists in Saint Paris, OH see their clients

100% In Person and Online

Gender breakdown

50% Female
50% Male
FAQs - About Therapy and Counseling

How can I find a therapist in Saint Paris?

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.