Therapists in West Chester, OH

Photo of Justine Chappell, Clinical Social Work/Therapist, LSW, MSW
Justine Chappell
Clinical Social Work/Therapist, LSW, MSW
Online Only
Hi there! I am located in West Chester, however, can provide telehealth services throughout the entire state of Ohio. I specialize in treating a range of issues including depression, anxiety, mood disorders, grief and loss, trauma, and addiction. With extensive experience across diverse populations including children, adolescents, adults, seniors, active-duty military, veterans, first responders, and other high-risk professionals, I bring a depth of understanding to our sessions. Expect a warm, non-judgmental space where we can work together to explore your unique experience.
Hi there! I am located in West Chester, however, can provide telehealth services throughout the entire state of Ohio. I specialize in treating a range of issues including depression, anxiety, mood disorders, grief and loss, trauma, and addiction. With extensive experience across diverse populations including children, adolescents, adults, seniors, active-duty military, veterans, first responders, and other high-risk professionals, I bring a depth of understanding to our sessions. Expect a warm, non-judgmental space where we can work together to explore your unique experience.
(440) 689-2766 View (440) 689-2766
Photo of Brooke Zuzow, Clinical Social Work/Therapist, LISW-S
Brooke Zuzow
Clinical Social Work/Therapist, LISW-S
2 Endorsed
Online Only
Are you struggling to calm down an anxious brain? Are you overwhelmed and not sure what to do next in life? Are you ready to start living instead of just surviving? I have extensive experience working with teens and adults coping with social anxiety disorder, OCD, phobias, other anxiety disorders, depression, adjustment difficulties, stress management challenges, life transitions, and perfectionistic tendencies. I have experience coordinating mental health care nation wide. My clients value my ability to "be real" when change needs to happen. I am here to help you create the change you want in your life.
Are you struggling to calm down an anxious brain? Are you overwhelmed and not sure what to do next in life? Are you ready to start living instead of just surviving? I have extensive experience working with teens and adults coping with social anxiety disorder, OCD, phobias, other anxiety disorders, depression, adjustment difficulties, stress management challenges, life transitions, and perfectionistic tendencies. I have experience coordinating mental health care nation wide. My clients value my ability to "be real" when change needs to happen. I am here to help you create the change you want in your life.
(513) 440-2633 View (513) 440-2633
Photo of Lynn R Crider, Counselor, MBA, MA, LPCC
Lynn R Crider
Counselor, MBA, MA, LPCC
4 Endorsed
West Chester, OH 45069
Some seasons of life are joyful such as the anticipation of a graduation, getting married or welcoming a new baby. Other times we find ourselves in a season of adversity and become overwhelmed by our circumstances. Profound disappointment sets in and we grieve our lost dreams and unmet expectations. During these more difficult seasons, we may develop negative beliefs about ourselves or the world around us that cause further suffering. It is my desire as a counselor to provide a compassionate space where one can wrestle with these negative beliefs and begin to see life through a more hopeful lens.
Some seasons of life are joyful such as the anticipation of a graduation, getting married or welcoming a new baby. Other times we find ourselves in a season of adversity and become overwhelmed by our circumstances. Profound disappointment sets in and we grieve our lost dreams and unmet expectations. During these more difficult seasons, we may develop negative beliefs about ourselves or the world around us that cause further suffering. It is my desire as a counselor to provide a compassionate space where one can wrestle with these negative beliefs and begin to see life through a more hopeful lens.
(513) 440-5288 View (513) 440-5288
Photo of Janet K Nash, Clinical Social Work/Therapist, MSW, LISW-S, CCTP, C-IAYT
Janet K Nash
Clinical Social Work/Therapist, MSW, LISW-S, CCTP, C-IAYT
West Chester, OH 45069
I work with adults navigating anxiety, depression, trauma, women’s issues, and LGBTQIA+ concerns. Many feel stuck, overwhelmed, or disconnected. Together, we explore patterns, support nervous system regulation, and move toward meaningful change. I integrate psychotherapy with mindfulness and body-based practices to support deeper, lasting healing.
I work with adults navigating anxiety, depression, trauma, women’s issues, and LGBTQIA+ concerns. Many feel stuck, overwhelmed, or disconnected. Together, we explore patterns, support nervous system regulation, and move toward meaningful change. I integrate psychotherapy with mindfulness and body-based practices to support deeper, lasting healing.
(513) 712-0733 View (513) 712-0733
Photo of Alexander Kiseloff, Clinical Social Work/Therapist, MS, LISW-S, LCSW
Alexander Kiseloff
Clinical Social Work/Therapist, MS, LISW-S, LCSW
3 Endorsed
Online Only
Free 15 minute consultation. Specialization: Anxiety, Depression, Substance Abuse, PTSD. My name is Alex and I am a master's level clinician and owner of Bon Vie Therapy. I utilize Cognitive Behavioral Therapy, EMDR Therapy, Acceptance and Commitment Therapy and other forms of therapies aimed at helping individuals struggling with substance abuse, anxiety, depression, trauma and other issues. A graduate of the Ohio State University, I have experience working with clients in an inpatient treatment setting as well as in my outpatient private practice where I see a lot of my patients. More information at bonvietherapy.com
Free 15 minute consultation. Specialization: Anxiety, Depression, Substance Abuse, PTSD. My name is Alex and I am a master's level clinician and owner of Bon Vie Therapy. I utilize Cognitive Behavioral Therapy, EMDR Therapy, Acceptance and Commitment Therapy and other forms of therapies aimed at helping individuals struggling with substance abuse, anxiety, depression, trauma and other issues. A graduate of the Ohio State University, I have experience working with clients in an inpatient treatment setting as well as in my outpatient private practice where I see a lot of my patients. More information at bonvietherapy.com
(740) 498-2366 View (740) 498-2366
Photo of Kyira Kerns, Licensed Independent Social Worker, MSW, LISW-S, LICDC
Kyira Kerns
Licensed Independent Social Worker, MSW, LISW-S, LICDC
West Chester, OH 45069
Waitlist for new clients
Do you struggle with trying to calm your anxiety and feel happy with who you are? Have you gone through situations that others can't seem to relate to? Are you wanting validation for the feelings you are experiencing? My specialty is working with individuals dealing with different mental illnesses such as anxiety, depression, personality disorders and more as results of past traumas, individuals struggling with healing from past trauma, and those struggling with the uncertainties of their future and life's purpose.
Do you struggle with trying to calm your anxiety and feel happy with who you are? Have you gone through situations that others can't seem to relate to? Are you wanting validation for the feelings you are experiencing? My specialty is working with individuals dealing with different mental illnesses such as anxiety, depression, personality disorders and more as results of past traumas, individuals struggling with healing from past trauma, and those struggling with the uncertainties of their future and life's purpose.
(513) 993-5003 View (513) 993-5003
Photo of Sarah E Dance, Clinical Social Work/Therapist, MSW, LISW-S
Sarah E Dance
Clinical Social Work/Therapist, MSW, LISW-S
1 Endorsed
West Chester, OH 45069
Accepting new patients. I am honored that you are considering me to walk along with you on your journey to meeting your mental health and life goals. As a licensed social worker for twenty-five years, I have worked with a wide variety of individuals and families providing both in-home and outpatient-based diagnostic and therapeutic services. I have often worked with children and families in the child welfare system. I treat a history of complex trauma as well as children/adults with depression, anxiety, or other adjustment needs who are facing barriers to moving forward and achieving their goals. I am an independent contractor.
Accepting new patients. I am honored that you are considering me to walk along with you on your journey to meeting your mental health and life goals. As a licensed social worker for twenty-five years, I have worked with a wide variety of individuals and families providing both in-home and outpatient-based diagnostic and therapeutic services. I have often worked with children and families in the child welfare system. I treat a history of complex trauma as well as children/adults with depression, anxiety, or other adjustment needs who are facing barriers to moving forward and achieving their goals. I am an independent contractor.
(513) 654-5241 View (513) 654-5241
Photo of Natalie Meiszer, Licensed Professional Counselor, LPC
Natalie Meiszer
Licensed Professional Counselor, LPC
3 Endorsed
West Chester, OH 45069
Waitlist for new clients
Seeking help can be a rough and complicated process. A little about me as a counselor, I like to try and understand the person as a whole and work towards their goals through a collaborative process. Every human is unique, and I want to embrace that. I have had over 5 years of experience in the field of Addiction Treatment. Through this experience I learned to embrace the process of growth. I was able to see the profound impact mental health could have on an individual's life and became passionate about the field.
Seeking help can be a rough and complicated process. A little about me as a counselor, I like to try and understand the person as a whole and work towards their goals through a collaborative process. Every human is unique, and I want to embrace that. I have had over 5 years of experience in the field of Addiction Treatment. Through this experience I learned to embrace the process of growth. I was able to see the profound impact mental health could have on an individual's life and became passionate about the field.
(513) 647-6137 View (513) 647-6137
Photo of Lisa L Rhoads, Counselor, MS, LPCC
Lisa L Rhoads
Counselor, MS, LPCC
West Chester, OH 45011
Do you ever feel a sudden surge of intense anxiety that seems to come out of nowhere, or find yourself constantly second-guessing your every move? Whether you are walking on eggshells in a toxic relationship or struggling with the lingering shadows of trauma, these experiences can leave you feeling powerless and isolated. I offer a down-to-earth, 'no-psychobabble' space to help you make sense of these overwhelming moments. Together, we will do a thorough assessment to understand your triggers and build a custom-tailored path to help you feel grounded, confident, and back in control of your life.
Do you ever feel a sudden surge of intense anxiety that seems to come out of nowhere, or find yourself constantly second-guessing your every move? Whether you are walking on eggshells in a toxic relationship or struggling with the lingering shadows of trauma, these experiences can leave you feeling powerless and isolated. I offer a down-to-earth, 'no-psychobabble' space to help you make sense of these overwhelming moments. Together, we will do a thorough assessment to understand your triggers and build a custom-tailored path to help you feel grounded, confident, and back in control of your life.
(513) 993-4267 View (513) 993-4267
Photo of Lynda Wick, Licensed Professional Clinical Counselor, LPCC
Lynda Wick
Licensed Professional Clinical Counselor, LPCC
Online Only
Hi there, I'm Lynda! I am a Licensed Clinical Counselor in the state of Ohio. I welcome the opportunity to partner with you as you move through difficult times while providing therapeutic support and guidance. I've worked in the mental health counseling field since the late 1980s with independent licensure since the early 1990s.
Hi there, I'm Lynda! I am a Licensed Clinical Counselor in the state of Ohio. I welcome the opportunity to partner with you as you move through difficult times while providing therapeutic support and guidance. I've worked in the mental health counseling field since the late 1980s with independent licensure since the early 1990s.
(440) 577-5469 View (440) 577-5469
Photo of Annie Webb, Clinical Social Work/Therapist, LISW
Annie Webb
Clinical Social Work/Therapist, LISW
1 Endorsed
West Chester, OH 45069
The therapeutic relationship is a powerful tool, and I help my clients implement it effectively as they strive for change. I use a creative, eclectic, person-centered approach that is individually tailored to each client. Together, we build honest, open, and easy relationships to encourage exploration, reflection, and growth in a safe and non-judgmental environment. My goal is to provide insightful and empowering strategies that foster confidence and independence.
The therapeutic relationship is a powerful tool, and I help my clients implement it effectively as they strive for change. I use a creative, eclectic, person-centered approach that is individually tailored to each client. Together, we build honest, open, and easy relationships to encourage exploration, reflection, and growth in a safe and non-judgmental environment. My goal is to provide insightful and empowering strategies that foster confidence and independence.
(773) 570-1665 View (773) 570-1665
Photo of Cheri Everhart, Counselor, MA, LPCC, CDCA
Cheri Everhart
Counselor, MA, LPCC, CDCA
West Chester, OH 45069
Most people seek therapy because they are looking for relief from a specific problem or from a more general sense of not feeling “right.” You may see yourself as damaged or incomplete, but I see you as having an unlimited amount of potential. Choosing a therapist involves finding someone you feel will be most helpful to you. I believe that the relationship between therapist and client is truly unique. I help my clients by providing empathy and support throughout each session. I specialize in helping individuals who feel overwhelmed and stressed gain a different outlook on life and feel more in control of their experiences.
Most people seek therapy because they are looking for relief from a specific problem or from a more general sense of not feeling “right.” You may see yourself as damaged or incomplete, but I see you as having an unlimited amount of potential. Choosing a therapist involves finding someone you feel will be most helpful to you. I believe that the relationship between therapist and client is truly unique. I help my clients by providing empathy and support throughout each session. I specialize in helping individuals who feel overwhelmed and stressed gain a different outlook on life and feel more in control of their experiences.
(513) 370-2597 View (513) 370-2597
Photo of April Elizabeth O'Conner, Licensed Professional Counselor
April Elizabeth O'Conner
Licensed Professional Counselor
1 Endorsed
West Chester, OH 45069
Have you been feeling less like yourself lately? Has a life event or life transition have you feeling lost in a mental fog? Are you struggling to manage the stress in your life? If you answered yes to any of these questions, know that you do not have to face your struggles alone. I understand that reaching out for help or seeking counseling is not an easy decision. I want you to know I am happy you made it here.
Have you been feeling less like yourself lately? Has a life event or life transition have you feeling lost in a mental fog? Are you struggling to manage the stress in your life? If you answered yes to any of these questions, know that you do not have to face your struggles alone. I understand that reaching out for help or seeking counseling is not an easy decision. I want you to know I am happy you made it here.
(513) 643-6931 View (513) 643-6931
Photo of Mindy Wesselman, Clinical Social Work/Therapist, MSW, LISW
Mindy Wesselman
Clinical Social Work/Therapist, MSW, LISW
1 Endorsed
Online Only
You’re ready for change—not just coping, but truly healing. I help clients find calm, rebuild self-worth, and create healthy boundaries that support peace and purpose. Using mindfulness, neuroscience, and practical strategies, we’ll address the stress, trauma, and patterns that hold you back. You deserve to feel balanced and free. Discover more in my book Grounded Solutions for Anxiety on Amazon.
You’re ready for change—not just coping, but truly healing. I help clients find calm, rebuild self-worth, and create healthy boundaries that support peace and purpose. Using mindfulness, neuroscience, and practical strategies, we’ll address the stress, trauma, and patterns that hold you back. You deserve to feel balanced and free. Discover more in my book Grounded Solutions for Anxiety on Amazon.
(513) 790-3286 View (513) 790-3286
Photo of Christy Price, Clinical Social Work/Therapist, LISW, LICDC
Christy Price
Clinical Social Work/Therapist, LISW, LICDC
1 Endorsed
West Chester, OH 45069
My clients are adults who are ready to do something about what's keeping them stuck — whether that's anxiety, grief, relationship struggles, substance use, burnout, or a hard season they can't quite name. Many have been putting off reaching out, unsure if what they're going through is "enough." It is. At Birdsong Wellness, I meet people where they are — without judgment, without a timeline, and without pretense. Together we figure out what's actually going on and work toward something better.
My clients are adults who are ready to do something about what's keeping them stuck — whether that's anxiety, grief, relationship struggles, substance use, burnout, or a hard season they can't quite name. Many have been putting off reaching out, unsure if what they're going through is "enough." It is. At Birdsong Wellness, I meet people where they are — without judgment, without a timeline, and without pretense. Together we figure out what's actually going on and work toward something better.
(513) 506-9614 View (513) 506-9614
Photo of Hailee Carter - Positive Leaps, Licensed Professional Clinical Counselor, LPCC-S, Ed.S
Positive Leaps
Licensed Professional Clinical Counselor, LPCC-S, Ed.S
West Chester, OH 45069
If your child (ages 3–8) is struggling with aggression, trauma, or challenging behaviors, you are not alone, and help is available. Positive Leaps supports families across Cincinnati and South Dayton with compassionate, structured care designed specifically for young children. Our goal is to help your child build the emotional and behavioral skills needed to succeed at home, in school, and in relationships.
If your child (ages 3–8) is struggling with aggression, trauma, or challenging behaviors, you are not alone, and help is available. Positive Leaps supports families across Cincinnati and South Dayton with compassionate, structured care designed specifically for young children. Our goal is to help your child build the emotional and behavioral skills needed to succeed at home, in school, and in relationships.
(513) 224-5270 View (513) 224-5270
Photo of Alexis Bass, Licensed Professional Clinical Counselor, MA, LPCC
Alexis Bass
Licensed Professional Clinical Counselor, MA, LPCC
2 Endorsed
Online Only
Have you noticed yourself feeling stuck...Looking for someone to help with your personal growth...Or simply looking for a safe space to feel your feelings? I work to help my clients develop a deeper sense of trust, acceptance, and love for themselves. I aspire to help my clients develop deeper understanding of themselves and the world around them. My work is strongly influenced by the idea that we are spiritual beings having a human experience. My ultimate hope is to help you learn how to navigate this experience in a way that feels best for you. I can be found on Headway and Sondermind as well as Dandelion Counseling.
Have you noticed yourself feeling stuck...Looking for someone to help with your personal growth...Or simply looking for a safe space to feel your feelings? I work to help my clients develop a deeper sense of trust, acceptance, and love for themselves. I aspire to help my clients develop deeper understanding of themselves and the world around them. My work is strongly influenced by the idea that we are spiritual beings having a human experience. My ultimate hope is to help you learn how to navigate this experience in a way that feels best for you. I can be found on Headway and Sondermind as well as Dandelion Counseling.
(740) 202-4791 View (740) 202-4791
Photo of Dennis Patrick Hart, Counselor, LPCC, MEd
Dennis Patrick Hart
Counselor, LPCC, MEd
West Chester, OH 45069
Is constant fighting destroying your marriage? Are you and your partner drifting apart? Patterns of discord and emotional detachment contribute to the demise of once healthy relationships, but YOURS doesn't have to continue on this destructive path. Counseling can help you repair damage done and avoid pitfalls which might otherwise doom your relationship. Whether you attend as a couple or by yourself, you'll learn valuable skills to improve communication, create trust and develop a more collaborative approach to resolving conflict. You can rebuild your underlying friendship, but it's not going to happen without you taking action.
Is constant fighting destroying your marriage? Are you and your partner drifting apart? Patterns of discord and emotional detachment contribute to the demise of once healthy relationships, but YOURS doesn't have to continue on this destructive path. Counseling can help you repair damage done and avoid pitfalls which might otherwise doom your relationship. Whether you attend as a couple or by yourself, you'll learn valuable skills to improve communication, create trust and develop a more collaborative approach to resolving conflict. You can rebuild your underlying friendship, but it's not going to happen without you taking action.
(866) 957-5239 View (866) 957-5239
Photo of Linda Craft, Counselor, LPCC-S
Linda Craft
Counselor, LPCC-S
West Chester, OH 45069
Linda Craft has worked in outpatient, inpatient and residential mental health care for 30 years, including such positions as a crisis intervention specialist, Mental Health worker at a county jail, on a psychiatric unit, Clinical Director of an agency, Children's Home Therapist and 8 years in private practice. She holds a master's degree in counseling with clinical endorsement from Xavier University and a bachelor's degree from Miami University. She works with both adolescents and adults, specializing in anxiety, depression and anger management.
Linda Craft has worked in outpatient, inpatient and residential mental health care for 30 years, including such positions as a crisis intervention specialist, Mental Health worker at a county jail, on a psychiatric unit, Clinical Director of an agency, Children's Home Therapist and 8 years in private practice. She holds a master's degree in counseling with clinical endorsement from Xavier University and a bachelor's degree from Miami University. She works with both adolescents and adults, specializing in anxiety, depression and anger management.
(513) 547-2789 View (513) 547-2789
Photo of Erin Thornton, Clinical Social Work/Therapist, LISW-S
Erin Thornton
Clinical Social Work/Therapist, LISW-S
Online Only
To understand ourselves—and to be understood by others—isn’t that what most of us want? When clients reach out for help, they are often carrying stress from work, family & relationship strain (including limited or no-contact dynamics), mental/physical health concerns, or the growing pressure of the world around them. I ensure a safe, nonjudgmental, and collaborative environment where clients feel valued and encouraged to explore their experiences, express their emotions, and develop new coping strategies that foster resilience. I help people manage symptoms related to ADHD, anxiety, bipolar disorder, and depression.
To understand ourselves—and to be understood by others—isn’t that what most of us want? When clients reach out for help, they are often carrying stress from work, family & relationship strain (including limited or no-contact dynamics), mental/physical health concerns, or the growing pressure of the world around them. I ensure a safe, nonjudgmental, and collaborative environment where clients feel valued and encouraged to explore their experiences, express their emotions, and develop new coping strategies that foster resilience. I help people manage symptoms related to ADHD, anxiety, bipolar disorder, and depression.
(513) 813-2137 View (513) 813-2137

See more therapy options for West Chester

How does your Therapist compare?

Number of Therapists in West Chester, OH

200+

Average cost per session

$140

Therapists in West Chester, OH who prioritize treating:

93% Anxiety
88% Depression
73% Self Esteem
73% Stress
68% Relationship Issues
65% Trauma and PTSD
62% Life Transitions

Average years in practice

12 Years

Top 3 insurances accepted

85% Aetna
78% UnitedHealthcare UHC | UBH
76% Anthem

How Therapists in West Chester, OH see their clients

73% In Person and Online
27% Online Only

Gender breakdown

82% Female
17% Male
1% Non-Binary
FAQs - About Therapy and Counseling

How can I find a therapist in West Chester?

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.