Therapists in Twinsburg, OH

Photo of Mia Topalian, Licensed Professional Counselor, MEd, LPC
Mia Topalian
Licensed Professional Counselor, MEd, LPC
1 Endorsed
Twinsburg, OH 44087
It can be hard to find a safe and accepting space to share difficult experiences and emotions without judgment. That's why I strive to provide a warm, collaborative environment where you can finally exhale and begin making sense of what you’ve been holding. I don’t believe in one-size-fits-all therapy. Instead, I tailor the therapeutic process to your unique needs to address both the immediate challenges and the deeper roots of emotional pain. I enjoy providing therapy to those of any age, offering therapy to anyone ages 3-65+.
It can be hard to find a safe and accepting space to share difficult experiences and emotions without judgment. That's why I strive to provide a warm, collaborative environment where you can finally exhale and begin making sense of what you’ve been holding. I don’t believe in one-size-fits-all therapy. Instead, I tailor the therapeutic process to your unique needs to address both the immediate challenges and the deeper roots of emotional pain. I enjoy providing therapy to those of any age, offering therapy to anyone ages 3-65+.
(234) 204-3508 View (234) 204-3508
Photo of Shayla Shavers, Licensed Professional Clinical Counselor, LPCC-S
Shayla Shavers
Licensed Professional Clinical Counselor, LPCC-S
1 Endorsed
Online Only
Welcome, are you navigating anxiety, depression, and the lasting effects of trauma? I'm here to help! My approach centers on creating a safe, non-judgmental space where you feel seen, heard, and truly understood. Together, we’ll work to identify the core issues that are holding you back and begin the healing process through thoughtful, evidence-based techniques tailored to your unique needs.
Welcome, are you navigating anxiety, depression, and the lasting effects of trauma? I'm here to help! My approach centers on creating a safe, non-judgmental space where you feel seen, heard, and truly understood. Together, we’ll work to identify the core issues that are holding you back and begin the healing process through thoughtful, evidence-based techniques tailored to your unique needs.
(234) 239-8293 View (234) 239-8293
Photo of Jacquese Southern, Licensed Professional Clinical Counselor
Jacquese Southern
Licensed Professional Clinical Counselor
Online Only
Hello, I'm Jackie. Life can be overwhelming and tough. Sometimes, we need more than our normal support systems. Sometimes, we need help moving forward and healing. Color, sexuality, gender, societal stereotypes, labels, and trauma can add to one's struggle to navigate through life. Whatever brings you to counseling, it is my honor and goal to be with you through your journey in healing. My approach is eclectic. I draw from a variety of theories and tailor each session based on the individual client’s needs, personality, and goals.
Hello, I'm Jackie. Life can be overwhelming and tough. Sometimes, we need more than our normal support systems. Sometimes, we need help moving forward and healing. Color, sexuality, gender, societal stereotypes, labels, and trauma can add to one's struggle to navigate through life. Whatever brings you to counseling, it is my honor and goal to be with you through your journey in healing. My approach is eclectic. I draw from a variety of theories and tailor each session based on the individual client’s needs, personality, and goals.
(330) 862-8358 View (330) 862-8358
Photo of Dr. Steve Bell, Licensed Professional Clinical Counselor, PhD, LPCC
Dr. Steve Bell
Licensed Professional Clinical Counselor, PhD, LPCC
Twinsburg, OH 44087
Dr. Bell utilizes Cognitive Behavioral Therapy, Brief Solution Focus Therapy, Insight Oriented Therapy and Behavioral Therapy. His main areas of focus include attention deficit disorder (ADHD), couple counseling, autism spectrum, anxiety and mood disorders. In his spare time, Dr. Bell enjoys Latin and Swing dancing, fencing, tennis, golf, bowling, cycling and kayaking and horseback riding. He enjoys museums, plays, musicals, and movies. Listens to jazz, blues, classical music, hip-hop, and folk music.
Dr. Bell utilizes Cognitive Behavioral Therapy, Brief Solution Focus Therapy, Insight Oriented Therapy and Behavioral Therapy. His main areas of focus include attention deficit disorder (ADHD), couple counseling, autism spectrum, anxiety and mood disorders. In his spare time, Dr. Bell enjoys Latin and Swing dancing, fencing, tennis, golf, bowling, cycling and kayaking and horseback riding. He enjoys museums, plays, musicals, and movies. Listens to jazz, blues, classical music, hip-hop, and folk music.
(234) 348-3699 View (234) 348-3699
Photo of Jinger Kinner, Licensed Professional Clinical Counselor, MFT, LPCC
Jinger Kinner
Licensed Professional Clinical Counselor, MFT, LPCC
1 Endorsed
Online Only
Not accepting new clients
I help adults who experience OCD, anxiety, difficult life transitions, and overwhelming stress. My style is collaborative, down-to-earth, and centered on self-compassion. I see it not as a fallback, but as a powerful tool for growth, especially for those who tend to be their own harshest critic. Together, we’ll work to reduce distressing symptoms, build practical coping skills, and create meaningful change in your life.
I help adults who experience OCD, anxiety, difficult life transitions, and overwhelming stress. My style is collaborative, down-to-earth, and centered on self-compassion. I see it not as a fallback, but as a powerful tool for growth, especially for those who tend to be their own harshest critic. Together, we’ll work to reduce distressing symptoms, build practical coping skills, and create meaningful change in your life.
(330) 964-2168 View (330) 964-2168
Photo of Holly Ilene Cohen, Clinical Social Work/Therapist, MSW, LISW-S
Holly Ilene Cohen
Clinical Social Work/Therapist, MSW, LISW-S
1 Endorsed
Twinsburg, OH 44087
Thanks for checking out my profile! I am a Licensed Clinical Social Worker for over twenty five years with experience working with teenagers and adults. I l enjoy working with motivated clients whose anxious and/or depressive symptoms are interfering with living a satisfying life. I integrate many approaches including, but not limited to, Solution-Focused, CBT, Strengths Based, IFS, Somatic, Mindfulness and EMDR. With compassion and empathy, I am eager to help clients feel understood and known but will also not hesitate to help them disentangle from unproductive thinking and relational patterns.
Thanks for checking out my profile! I am a Licensed Clinical Social Worker for over twenty five years with experience working with teenagers and adults. I l enjoy working with motivated clients whose anxious and/or depressive symptoms are interfering with living a satisfying life. I integrate many approaches including, but not limited to, Solution-Focused, CBT, Strengths Based, IFS, Somatic, Mindfulness and EMDR. With compassion and empathy, I am eager to help clients feel understood and known but will also not hesitate to help them disentangle from unproductive thinking and relational patterns.
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Photo of Kalie Fish, Counselor, MEd, LPCC-S
Kalie Fish
Counselor, MEd, LPCC-S
1 Endorsed
Twinsburg, OH 44087
Waitlist for new clients
You're tired. Tired of suffering in silence from a history of trauma, a stressful life, crippling anxiety and depression. You're tired of feeling like you can't quite get close to anyone because trusting yourself and others is hard. You're tired of feeling low, stressed, overwhelmed, overstimulated, and like no matter what you do on your own you can't seem to find a way to feel better. Your tried and true coping skills just aren't working for you anymore, and you can't think of new ideas for coping. Any hobbies you used to enjoy, you can't seem to get into anymore because they don't bring your the joy they once have.
You're tired. Tired of suffering in silence from a history of trauma, a stressful life, crippling anxiety and depression. You're tired of feeling like you can't quite get close to anyone because trusting yourself and others is hard. You're tired of feeling low, stressed, overwhelmed, overstimulated, and like no matter what you do on your own you can't seem to find a way to feel better. Your tried and true coping skills just aren't working for you anymore, and you can't think of new ideas for coping. Any hobbies you used to enjoy, you can't seem to get into anymore because they don't bring your the joy they once have.
(330) 583-4062 View (330) 583-4062
Photo of Jessica Spittle, Licensed Professional Counselor
Jessica Spittle
Licensed Professional Counselor
Online Only
Are you ready for a change but don't know where to start? Do you want to reduce feelings of anxiety, depression, stress and guilt to increase peace and self-confidence but don't know how to get there?
Are you ready for a change but don't know where to start? Do you want to reduce feelings of anxiety, depression, stress and guilt to increase peace and self-confidence but don't know how to get there?
(513) 949-4813 View (513) 949-4813
Photo of Jocelyn Steiskal, Clinical Social Work/Therapist
Jocelyn Steiskal
Clinical Social Work/Therapist
Online Only
Hello, I'm Jocelyn, a Master’s-Level Psychotherapist (LISW/S) with over 20 years of experience in providing mental health therapy. Throughout my career, I've had the privilege of working with children, adolescents, adults, and the geriatric population in an outpatient mental health agency. As an LGBTQ+ ally, I'm deeply committed to improving mental health for all individuals, regardless of their background or identity.
Hello, I'm Jocelyn, a Master’s-Level Psychotherapist (LISW/S) with over 20 years of experience in providing mental health therapy. Throughout my career, I've had the privilege of working with children, adolescents, adults, and the geriatric population in an outpatient mental health agency. As an LGBTQ+ ally, I'm deeply committed to improving mental health for all individuals, regardless of their background or identity.
(440) 294-5625 View (440) 294-5625
Photo of Libby McHugh, Clinical Social Work/Therapist, LISW-S, LICDC
Libby McHugh
Clinical Social Work/Therapist, LISW-S, LICDC
2 Endorsed
Twinsburg, OH 44087
I have worked with a variety of clients affected by trauma, perinatal mood/anxiety disorders, addiction, and eating disorders. What each of them has taught me is that recovery is possible and it's different for everyone. I focus on collaborative, client-centered therapy to treat the whole person utilizing EMDR, CBT, and DBT resources to assist my clients in developing insight and understanding the root of behavioral patterns in their lives. Humor, although underrated, is often woven into the therapeutic process!
I have worked with a variety of clients affected by trauma, perinatal mood/anxiety disorders, addiction, and eating disorders. What each of them has taught me is that recovery is possible and it's different for everyone. I focus on collaborative, client-centered therapy to treat the whole person utilizing EMDR, CBT, and DBT resources to assist my clients in developing insight and understanding the root of behavioral patterns in their lives. Humor, although underrated, is often woven into the therapeutic process!
(330) 577-5233 x701 View (330) 577-5233 x701
Photo of Rich Weisberg, Psychologist, PsyD
Rich Weisberg
Psychologist, PsyD
Twinsburg, OH 44087
I deeply respect anyone who chooses the path of self-discovery and personal growth. Therapy is a powerful space for healing, insight, and lasting change. As a cognitive-behavioral therapist, I take a supportive, down-to-earth, and collaborative approach centered on your values and goals. Together, we’ll explore how your thoughts and experiences shape emotions and behavior—and I’ll offer practical tools you can use between sessions to support real-life change. You bring your lived experience; I bring proven strategies. Let’s take the next step together.
I deeply respect anyone who chooses the path of self-discovery and personal growth. Therapy is a powerful space for healing, insight, and lasting change. As a cognitive-behavioral therapist, I take a supportive, down-to-earth, and collaborative approach centered on your values and goals. Together, we’ll explore how your thoughts and experiences shape emotions and behavior—and I’ll offer practical tools you can use between sessions to support real-life change. You bring your lived experience; I bring proven strategies. Let’s take the next step together.
(216) 291-1010 View (216) 291-1010
Photo of Victoria Riola, Clinical Social Work/Therapist, LISW-S
Victoria Riola
Clinical Social Work/Therapist, LISW-S
3 Endorsed
Twinsburg, OH 44087
I work with adults specializing perinatal mood and anxiety disorders, feeding and food issues, anxiety disorders, and mood disorders. I earned my bachelor's degree in psychology from the College of Wooster and my master's degree in social work from Case Western Reserve University. I have had specific training in Perinatal Mood and Anxiety Disorders and EMDR. Prior to joining the Counseling and Wellness Group, I gained clinical experience in the residential, partial hospitalization, and outpatient levels of care.
I work with adults specializing perinatal mood and anxiety disorders, feeding and food issues, anxiety disorders, and mood disorders. I earned my bachelor's degree in psychology from the College of Wooster and my master's degree in social work from Case Western Reserve University. I have had specific training in Perinatal Mood and Anxiety Disorders and EMDR. Prior to joining the Counseling and Wellness Group, I gained clinical experience in the residential, partial hospitalization, and outpatient levels of care.
(330) 921-4577 x703 View (330) 921-4577 x703
Photo of Melina Branscom, Counselor, LPCC-S, MA
Melina Branscom
Counselor, LPCC-S, MA
2 Endorsed
Twinsburg, OH 44087
Accepting Virtual Clients! Board-Approved LPCC-S. Life can pull us away from what truly matters. My role is to help you reconnect with your purpose, clarify your direction, and build a life that feels meaningful and sustainable. I offer straightforward, compassionate counseling focused on motivation, self-understanding, and real progress—no fluff, just honest work together. Currently welcoming new clients (teens 13+, adults, and older adults) for virtual sessions. All backgrounds and experiences are respected here. If you’re ready to move forward with more clarity and intention, let’s talk.
Accepting Virtual Clients! Board-Approved LPCC-S. Life can pull us away from what truly matters. My role is to help you reconnect with your purpose, clarify your direction, and build a life that feels meaningful and sustainable. I offer straightforward, compassionate counseling focused on motivation, self-understanding, and real progress—no fluff, just honest work together. Currently welcoming new clients (teens 13+, adults, and older adults) for virtual sessions. All backgrounds and experiences are respected here. If you’re ready to move forward with more clarity and intention, let’s talk.
(234) 595-2713 View (234) 595-2713
Photo of Stephanie MacDonald, Clinical Social Work/Therapist, MSW, LISW-S
Stephanie MacDonald
Clinical Social Work/Therapist, MSW, LISW-S
5 Endorsed
Twinsburg, OH 44087
I am a behaviorist at heart but that does not mean that my compassion, my irreverent style, or my humor are lost in my sessions. My goal is to join with my clients and pair an evidence based treatment with empathy and compassion for the most successful outcomes. I work with adolescents and adults specializing in feeding and food issues, anxiety disorders, mood disorders, and parent coaching.
I am a behaviorist at heart but that does not mean that my compassion, my irreverent style, or my humor are lost in my sessions. My goal is to join with my clients and pair an evidence based treatment with empathy and compassion for the most successful outcomes. I work with adolescents and adults specializing in feeding and food issues, anxiety disorders, mood disorders, and parent coaching.
(330) 913-1185 View (330) 913-1185
Photo of Nicole Durant, Licensed Professional Clinical Counselor, MAEd, LPCC-S
Nicole Durant
Licensed Professional Clinical Counselor, MAEd, LPCC-S
Twinsburg, OH 44087
Waitlist for new clients
Do you feel overwhelmed by emotions, stuck in patterns shaped by past trauma, or disconnected from your body? Maybe relationships feel challenging, or you react in ways you don’t fully understand. You may be struggling with anxiety, emotional distress, or the lasting effects of trauma while wanting relief, clarity, and a deeper sense of connection. Many of my clients feel out of alignment within themselves and are ready for meaningful, lasting change.
Do you feel overwhelmed by emotions, stuck in patterns shaped by past trauma, or disconnected from your body? Maybe relationships feel challenging, or you react in ways you don’t fully understand. You may be struggling with anxiety, emotional distress, or the lasting effects of trauma while wanting relief, clarity, and a deeper sense of connection. Many of my clients feel out of alignment within themselves and are ready for meaningful, lasting change.
(234) 516-3348 View (234) 516-3348
Photo of Elizabeth Spellman, Clinical Social Work/Therapist
Elizabeth Spellman
Clinical Social Work/Therapist
Online Only
Hello! I'm Elizabeth (Beth) Spellman, and I'm delighted to welcome you to my practice. I hold a master's degree in Social Work from the Ohio State University and am a Licensed Independent Social Worker. I currently live and practice in the beautiful state of Ohio, where I am dedicated to helping individuals navigate their mental health journeys. My therapeutic approach is rooted in a trauma-informed perspective, utilizing cognitive behavioral therapy, solution-focused therapy, and mindfulness-based interventions.
Hello! I'm Elizabeth (Beth) Spellman, and I'm delighted to welcome you to my practice. I hold a master's degree in Social Work from the Ohio State University and am a Licensed Independent Social Worker. I currently live and practice in the beautiful state of Ohio, where I am dedicated to helping individuals navigate their mental health journeys. My therapeutic approach is rooted in a trauma-informed perspective, utilizing cognitive behavioral therapy, solution-focused therapy, and mindfulness-based interventions.
(937) 858-8559 View (937) 858-8559
Photo of Adam Hawk, Licensed Professional Clinical Counselor, LPCC
Adam Hawk
Licensed Professional Clinical Counselor, LPCC
Twinsburg, OH 44087
Adam has a strong focus on treating ADHD, anxiety, depression, and trauma-related concerns such as PTSD. These are areas he is particularly passionate about because of the impact they can have on daily life, relationships, and overall well-being. By addressing these challenges, Adam helps patients build coping skills, strengthen resilience, and rediscover balance in their lives. In addition to individual therapy, Adam provides couples and family therapy, helping partners and loved ones improve communication, resolve conflict, and restore connection.Adam has a strong focus on treating ADHD, anxiety, depression, and trauma-related co
Adam has a strong focus on treating ADHD, anxiety, depression, and trauma-related concerns such as PTSD. These are areas he is particularly passionate about because of the impact they can have on daily life, relationships, and overall well-being. By addressing these challenges, Adam helps patients build coping skills, strengthen resilience, and rediscover balance in their lives. In addition to individual therapy, Adam provides couples and family therapy, helping partners and loved ones improve communication, resolve conflict, and restore connection.Adam has a strong focus on treating ADHD, anxiety, depression, and trauma-related co
(234) 261-6949 View (234) 261-6949
Photo of Roger Spatz, Counselor
Roger Spatz
Counselor
Online Only
I am a licensed counselor committed to helping individuals understand their past and work to achieve their personal goals. Our work together will focus on realizing the potential and bringing it to action. I believe in a collaborative approach to helping clients reach their goals. Right from college I continued at the location of my internship, and have been there for 24 years working with children, families and adults.
I am a licensed counselor committed to helping individuals understand their past and work to achieve their personal goals. Our work together will focus on realizing the potential and bringing it to action. I believe in a collaborative approach to helping clients reach their goals. Right from college I continued at the location of my internship, and have been there for 24 years working with children, families and adults.
(216) 279-8625 View (216) 279-8625
Photo of Elizabeth Manzetti, Counselor, LPCC, CCTP, NASMCPT, CNC
Elizabeth Manzetti
Counselor, LPCC, CCTP, NASMCPT, CNC
4 Endorsed
Twinsburg, OH 44087
Life can feel exhausting when anxiety, stress, relationship struggles, major life transitions, or difficult past experiences begin shaping how you think, feel, and respond to the world around you. You may find yourself constantly on edge, emotionally numb, overly self-critical, disconnected from others, or unsure how to quiet your mind and fully relax. Over time, these patterns can leave you feeling stuck, overwhelmed, or unlike yourself. Counseling offers a supportive space to better understand your experiences, strengthen emotional resilience, develop healthier coping patterns, and create more balance, connection, and confidence.
Life can feel exhausting when anxiety, stress, relationship struggles, major life transitions, or difficult past experiences begin shaping how you think, feel, and respond to the world around you. You may find yourself constantly on edge, emotionally numb, overly self-critical, disconnected from others, or unsure how to quiet your mind and fully relax. Over time, these patterns can leave you feeling stuck, overwhelmed, or unlike yourself. Counseling offers a supportive space to better understand your experiences, strengthen emotional resilience, develop healthier coping patterns, and create more balance, connection, and confidence.
(234) 324-3812 View (234) 324-3812
Photo of Patrick St. Pierre, Marriage & Family Therapist, IMFT, LICDC
Patrick St. Pierre
Marriage & Family Therapist, IMFT, LICDC
Online Only
I believe in helping people empower themselves forward, and that no one is broken beyond repair. I work with and learn from adults, children, families and couples as they navigate the complex and nuanced issues of life, helping them build relationships, and recover from depression, anxiety, PTSD, mood disorders, and personality disorders. I've spent the last four years working with and learning from adolescent survivors of severe physical, emotional and sexual abuse using Dialectical Behavior
I believe in helping people empower themselves forward, and that no one is broken beyond repair. I work with and learn from adults, children, families and couples as they navigate the complex and nuanced issues of life, helping them build relationships, and recover from depression, anxiety, PTSD, mood disorders, and personality disorders. I've spent the last four years working with and learning from adolescent survivors of severe physical, emotional and sexual abuse using Dialectical Behavior
(513) 790-5886 View (513) 790-5886

See more therapy options for Twinsburg

How does your Therapist compare?

Number of Therapists in Twinsburg, OH

60+

Average cost per session

$120

Therapists in Twinsburg, OH who prioritize treating:

98% Anxiety
98% Social Anxiety
98% Health Anxiety
98% Driving Anxiety
95% Depression
77% Trauma and PTSD
77% Complex PTSD

Average years in practice

15 Years

Top 3 insurances accepted

90% Aetna
83% UnitedHealthcare UHC | UBH
82% Anthem

How Therapists in Twinsburg, OH see their clients

55% In Person and Online
45% Online Only

Gender breakdown

80% Female
20% Male
FAQs - About Therapy and Counseling

How can I find a therapist in Twinsburg?

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.