Therapists in Adamstown, PA

Photo of Teresa W McCarthy, Licensed Professional Counselor, LPC, CCTP-l
Teresa W McCarthy
Licensed Professional Counselor, LPC, CCTP-l
Online Only
"Up down, up down, life's like a jump rope." Therapy assists us in making sense of the ups and downs. It helps us feel more confident and intentional, and can decrease the distance between the ups and downs of life. Are your struggles related to past trauma, feeling stuck in life, low self-esteem/self worth, anxiety and/or depression? It is never too late to begin your journey of self discovery and healing. I specialize in past trauma and PTSD recovery, family of origin issues, and childhood sexual abuse.
"Up down, up down, life's like a jump rope." Therapy assists us in making sense of the ups and downs. It helps us feel more confident and intentional, and can decrease the distance between the ups and downs of life. Are your struggles related to past trauma, feeling stuck in life, low self-esteem/self worth, anxiety and/or depression? It is never too late to begin your journey of self discovery and healing. I specialize in past trauma and PTSD recovery, family of origin issues, and childhood sexual abuse.
(717) 230-1043 View (717) 230-1043
Photo of Debbie Lake, Licensed Professional Counselor, MS, LPC, NCC
Debbie Lake
Licensed Professional Counselor, MS, LPC, NCC
2 Endorsed
Serves Area
My goal is to create a warm and supportive space for people to work through the many challenges life often presents. Parenting is difficult, as is growing up! Supporting parents and teens/children is something close to my heart. Whether it be eating struggles, parenting concerns, school stresses, life transitions, anxiety and/or depression, I am able to come along side you and support using a variety of modalities. I believe in being radically genuine and working side by side with my clients with kindness, compassion and honesty. Christian Counseling is available if requested.
My goal is to create a warm and supportive space for people to work through the many challenges life often presents. Parenting is difficult, as is growing up! Supporting parents and teens/children is something close to my heart. Whether it be eating struggles, parenting concerns, school stresses, life transitions, anxiety and/or depression, I am able to come along side you and support using a variety of modalities. I believe in being radically genuine and working side by side with my clients with kindness, compassion and honesty. Christian Counseling is available if requested.
(267) 209-8757 View (267) 209-8757
Photo of Michael Koblensky, Clinical Social Work/Therapist, LCSW
Michael Koblensky
Clinical Social Work/Therapist, LCSW
5 Endorsed
Serves Area
Our ideal clients are people who feel weighed down by anxiety, trauma, or life challenges and are searching for a safe place to land. You may want to feel calmer, more connected in your relationships, or free from old patterns that no longer serve you. What you’re really looking for is peace, healing, and a sense of hope for the future. At our practice, Cardinal Dove Counseling, we walk alongside you on that journey, offering compassion and guidance as you take the next steps toward the life you deserve.
Our ideal clients are people who feel weighed down by anxiety, trauma, or life challenges and are searching for a safe place to land. You may want to feel calmer, more connected in your relationships, or free from old patterns that no longer serve you. What you’re really looking for is peace, healing, and a sense of hope for the future. At our practice, Cardinal Dove Counseling, we walk alongside you on that journey, offering compassion and guidance as you take the next steps toward the life you deserve.
(717) 619-9902 View (717) 619-9902
Photo of Melanie Morgan, Licensed Professional Counselor, LPC
Melanie Morgan
Licensed Professional Counselor, LPC
Serves Area
I am a Licensed Professional Counselor in Pennsylvania with over 15 years of experience in the mental health field. I provide a wide range of therapeutic services tailored to meet the unique needs of each individual and family I serve. Much of my work focuses on supporting youth and their caregivers to foster positive attachment patterns and nurture hope for healthy, fulfilling relationships. My areas of expertise include treating depression, anxiety, impulse control disorders, and helping individuals, couples, and families manage the everyday stressors of life’s challenges.
I am a Licensed Professional Counselor in Pennsylvania with over 15 years of experience in the mental health field. I provide a wide range of therapeutic services tailored to meet the unique needs of each individual and family I serve. Much of my work focuses on supporting youth and their caregivers to foster positive attachment patterns and nurture hope for healthy, fulfilling relationships. My areas of expertise include treating depression, anxiety, impulse control disorders, and helping individuals, couples, and families manage the everyday stressors of life’s challenges.
(610) 423-3088 View (610) 423-3088

More Therapists Nearby

Photo of Nicole Busch, Marriage & Family Therapist, MA, LMFT
Nicole Busch
Marriage & Family Therapist, MA, LMFT
Exton, PA 19341
I am a licensed marriage and family therapist who is passionate about empowering you to resolve your personal challenges and experience an enhanced quality of life. My approach to counseling is personal and sincere with a bit of humor mixed in. I believe your story matters and I work diligently to ensure you feel seen and heard as you embark on the deeply vulnerable journey of healing.
I am a licensed marriage and family therapist who is passionate about empowering you to resolve your personal challenges and experience an enhanced quality of life. My approach to counseling is personal and sincere with a bit of humor mixed in. I believe your story matters and I work diligently to ensure you feel seen and heard as you embark on the deeply vulnerable journey of healing.
(484) 451-7581 View (484) 451-7581
Photo of Sarah Mayland, Associate Professional Counselor, MS, LAPC, NCC
Sarah Mayland
Associate Professional Counselor, MS, LAPC, NCC
Exton, PA 19341
I specialize in working with individuals and couples who are healing from trauma inflicted by narcissistic parents or partners. Having a lifetime of personal experience navigating and recovering from relationships with narcissists, in addition to my clinical training and experience, I offer my clients deep emotional support as well as practical strategies they can use to navigate and heal from abusive relationship dynamics.
I specialize in working with individuals and couples who are healing from trauma inflicted by narcissistic parents or partners. Having a lifetime of personal experience navigating and recovering from relationships with narcissists, in addition to my clinical training and experience, I offer my clients deep emotional support as well as practical strategies they can use to navigate and heal from abusive relationship dynamics.
(484) 271-0613 View (484) 271-0613
Photo of Sara Ralph - Summit Grove Counseling , Licensed Professional Counselor
Summit Grove Counseling
Licensed Professional Counselor
6 Endorsed
Serves Area
Anxious. Overwhelmed. Stressed. Going away to college. Graduating. Going through a break-up. Starting a new job. Moving. Newly married. Newly divorced. Trying to figure out who you are in this season. Having a baby. Returning to work...or not. Sound familiar? Let's chat! We work with adults 18, including college students. Many are high achievers with great insight and are trying to gain clarity into their life's calling and/or relationships, while others have high-functioning anxiety, and still others are experiencing a stressful season of life and need help getting "unstuck." Some are trying to untangle their relationships.
Anxious. Overwhelmed. Stressed. Going away to college. Graduating. Going through a break-up. Starting a new job. Moving. Newly married. Newly divorced. Trying to figure out who you are in this season. Having a baby. Returning to work...or not. Sound familiar? Let's chat! We work with adults 18, including college students. Many are high achievers with great insight and are trying to gain clarity into their life's calling and/or relationships, while others have high-functioning anxiety, and still others are experiencing a stressful season of life and need help getting "unstuck." Some are trying to untangle their relationships.
(484) 514-1547 View (484) 514-1547
Photo of Lindsay Siron, Licensed Professional Counselor, MA, LPC
Lindsay Siron
Licensed Professional Counselor, MA, LPC
1 Endorsed
Online Only
I work with the LGBTQ+ community as well as people working through complex trauma and eating disorders. I also support people with anxiety, ADHD, and relationship challenges. I work with teens and adults in processing past experiences, coping with stressors and triggers, and making changes you want in daily life. If you are looking to work through difficult experiences in your life and find deeper understanding of past and present experiences, we may be a good fit to work together in the therapeutic space.
I work with the LGBTQ+ community as well as people working through complex trauma and eating disorders. I also support people with anxiety, ADHD, and relationship challenges. I work with teens and adults in processing past experiences, coping with stressors and triggers, and making changes you want in daily life. If you are looking to work through difficult experiences in your life and find deeper understanding of past and present experiences, we may be a good fit to work together in the therapeutic space.
(610) 957-0080 View (610) 957-0080
Photo of David Rubenstein - David Rubenstein, Psy.D., LLC, Psychologist, PsyD
David Rubenstein, Psy.D., LLC
Psychologist, PsyD
Online Only
Discover where your horizons take you. I work with successful professionals to help them explore and ignite potential. Feeling heard, listened to and understood can be a powerful experience. In that atmosphere, we work collaboratively to uncover what you value, what gives you a sense of meaning, and unlock motivation towards living a life with purpose and direction.
Discover where your horizons take you. I work with successful professionals to help them explore and ignite potential. Feeling heard, listened to and understood can be a powerful experience. In that atmosphere, we work collaboratively to uncover what you value, what gives you a sense of meaning, and unlock motivation towards living a life with purpose and direction.
(484) 592-4259 View (484) 592-4259
Photo of Heather Jacoby, Clinical Social Work/Therapist, LCSW
Heather Jacoby
Clinical Social Work/Therapist, LCSW
Serves Area
I am a Licensed Clinical Social Worker, Equestrian, Yoga Teacher, Student of Life... I am curious, interested, hungry for more...I am tattooed, spry, witty...I say these things not to brag about myself, but to simple put out the intention behind Pathways to Peace. I am not defined by a single aspect, of my life and neither are you! That being said, considering we are all unique beings with our individual needs, qualities and experiences, how is it reasonable to expect one to follow one path of healing, typically traditional psychotherapy and/or medication management?
I am a Licensed Clinical Social Worker, Equestrian, Yoga Teacher, Student of Life... I am curious, interested, hungry for more...I am tattooed, spry, witty...I say these things not to brag about myself, but to simple put out the intention behind Pathways to Peace. I am not defined by a single aspect, of my life and neither are you! That being said, considering we are all unique beings with our individual needs, qualities and experiences, how is it reasonable to expect one to follow one path of healing, typically traditional psychotherapy and/or medication management?
(610) 624-2070 View (610) 624-2070
Photo of Welsley Brutto, Licensed Professional Counselor, MSCP, LPC, NCC
Welsley Brutto
Licensed Professional Counselor, MSCP, LPC, NCC
Serves Area
There are times we can become stuck in life's challenges. We find ourselves discouraged knowing how we would like things to be or how we would like to feel but find ourselves unable to navigate the best course. I enjoy helping clients navigate such challenges and develop a greater understanding of themselves while focusing on goals.
There are times we can become stuck in life's challenges. We find ourselves discouraged knowing how we would like things to be or how we would like to feel but find ourselves unable to navigate the best course. I enjoy helping clients navigate such challenges and develop a greater understanding of themselves while focusing on goals.
(610) 365-7994 View (610) 365-7994
Photo of Herb Landis, Clinical Social Work/Therapist, LCSW, BCD, LLC
Herb Landis
Clinical Social Work/Therapist, LCSW, BCD, LLC
3 Endorsed
Lancaster, PA 17603
I provide psychotherapy services to young adults, families and couples, and over the 30 years of being in outpatient and private practice settings, I can say I love treating the lifespan of all ages. I promote growth and potential. My clinical focus has been primarily in treating anxiety, depression, grief and complicated grief. I use the creative arts to promote the healing process. We all walk different landscapes at different times in our lives and I will help you in walking that landscape you find yourself in. Please feel free to contact me for a phone consult for any questions you might have.
I provide psychotherapy services to young adults, families and couples, and over the 30 years of being in outpatient and private practice settings, I can say I love treating the lifespan of all ages. I promote growth and potential. My clinical focus has been primarily in treating anxiety, depression, grief and complicated grief. I use the creative arts to promote the healing process. We all walk different landscapes at different times in our lives and I will help you in walking that landscape you find yourself in. Please feel free to contact me for a phone consult for any questions you might have.
(717) 964-4267 View (717) 964-4267
Photo of Leah M Corrigan, Licensed Professional Counselor, MEd, LPC, NCC
Leah M Corrigan
Licensed Professional Counselor, MEd, LPC, NCC
Online Only
Waitlist for new clients
Hello, I'm Leah Corrigan, a Licensed Professional Counselor (LPC) in Pennsylvania, an EMDR Certified Therapist (find me listed on the official EMDRIA website) and a Nationally Certified Counselor (NCC). I specialize in helping adults and teens navigate challenges such as PTSD, trauma, phobias, anxiety, sexual assault, OCD, relationship issues, and self-esteem concerns. I am passionate about helping individuals address trauma and significant life events, empowering them to heal and create the best version of their lives. If you're ready to take that step, I'm here to support you every step of the way.
Hello, I'm Leah Corrigan, a Licensed Professional Counselor (LPC) in Pennsylvania, an EMDR Certified Therapist (find me listed on the official EMDRIA website) and a Nationally Certified Counselor (NCC). I specialize in helping adults and teens navigate challenges such as PTSD, trauma, phobias, anxiety, sexual assault, OCD, relationship issues, and self-esteem concerns. I am passionate about helping individuals address trauma and significant life events, empowering them to heal and create the best version of their lives. If you're ready to take that step, I'm here to support you every step of the way.
(223) 336-9932 View (223) 336-9932
Photo of Toni Gorn, Clinical Social Work/Therapist, LCSW
Toni Gorn
Clinical Social Work/Therapist, LCSW
1 Endorsed
Online Only
You’re looking in the mirror and you know something is missing. You don’t know how you got to this place, but you know you’re unhappy. You snap at your kids for being kids, at your partner for the same things that used to make you laugh. You need someone to take a look from a different perspective, and help you have the hard conversation to find yourself. If you’re feeling lost, stuck, or disconnected from the version of yourself you once knew—you're not broken. You're growing. I would love to help.
You’re looking in the mirror and you know something is missing. You don’t know how you got to this place, but you know you’re unhappy. You snap at your kids for being kids, at your partner for the same things that used to make you laugh. You need someone to take a look from a different perspective, and help you have the hard conversation to find yourself. If you’re feeling lost, stuck, or disconnected from the version of yourself you once knew—you're not broken. You're growing. I would love to help.
(484) 699-9239 View (484) 699-9239
Photo of Katie Mount, Licensed Professional Counselor, MA, LPC
Katie Mount
Licensed Professional Counselor, MA, LPC
3 Endorsed
Lancaster, PA 17601
Feeling overwhelmed or stuck? Are you struggling with a life transition? Do you experience difficulties in relationships? Maybe you feel stuck in emotional or behavioral patterns that seem to be holding you back. I provide a welcoming, accepting space and offer skills to help you achieve more clarity, confidence and connection in your life. My life and work have taught me that we all suffer and struggle. But they've also shown me that we all possess within us a well of wisdom, resilience, and compassion. The suffering we endure can make it very difficult to access this inherent strength. We can easily become lost, disconnected.
Feeling overwhelmed or stuck? Are you struggling with a life transition? Do you experience difficulties in relationships? Maybe you feel stuck in emotional or behavioral patterns that seem to be holding you back. I provide a welcoming, accepting space and offer skills to help you achieve more clarity, confidence and connection in your life. My life and work have taught me that we all suffer and struggle. But they've also shown me that we all possess within us a well of wisdom, resilience, and compassion. The suffering we endure can make it very difficult to access this inherent strength. We can easily become lost, disconnected.
(717) 455-3078 View (717) 455-3078
Photo of Nicole E Matero - Nicole E Matero @ The Mindful Oasis, Clinical Social Work/Therapist, LCSW, LCSW-C
Nicole E Matero @ The Mindful Oasis
Clinical Social Work/Therapist, LCSW, LCSW-C
Online Only
Therapy is a journey towards self-discovery, empowerment, and balance. Do you ever feel that you may be getting in the way of yourself in your efforts to live a rich and fulfilling life? Maybe you feel unmotivated or disconnected from a sense of joy. Life can be stressful with unexpected changes, relationship struggles, grief and loss, life transitions, sexual identity issues, social struggles, and current or previous trauma disrupting your day-to-day functioning. This often creates an out-of-control feeling with your thoughts, feelings, emotions, and behaviors.
Therapy is a journey towards self-discovery, empowerment, and balance. Do you ever feel that you may be getting in the way of yourself in your efforts to live a rich and fulfilling life? Maybe you feel unmotivated or disconnected from a sense of joy. Life can be stressful with unexpected changes, relationship struggles, grief and loss, life transitions, sexual identity issues, social struggles, and current or previous trauma disrupting your day-to-day functioning. This often creates an out-of-control feeling with your thoughts, feelings, emotions, and behaviors.
(717) 942-9797 View (717) 942-9797
Photo of Precious George, Licensed Professional Counselor, LPC
Precious George
Licensed Professional Counselor, LPC
Online Only
My name is Precious George. I am a Licensed Professional Counselor (PC012479) in the state of Pennsylvania. I care about my client's well-beings and provide the tools they need, in order to seize the day and learn how to tackle even the most challenging circumstances. Psychotherapy is a professional relationship that involves lots of talking, however the content is explored through the lens of a theoretical orientation. There are a variety of theoretical orientations that include but are not limited to, dialectical behavior therapy, psychoanalysis, family systems, attachment theory, and cognitive behavior therapy.
My name is Precious George. I am a Licensed Professional Counselor (PC012479) in the state of Pennsylvania. I care about my client's well-beings and provide the tools they need, in order to seize the day and learn how to tackle even the most challenging circumstances. Psychotherapy is a professional relationship that involves lots of talking, however the content is explored through the lens of a theoretical orientation. There are a variety of theoretical orientations that include but are not limited to, dialectical behavior therapy, psychoanalysis, family systems, attachment theory, and cognitive behavior therapy.
(717) 716-6188 View (717) 716-6188
Photo of Evelyn Busby, Clinical Social Work/Therapist, LCSW
Evelyn Busby
Clinical Social Work/Therapist, LCSW
Online Only
Hi, I am Evelyn Busby, a licensed clinical social worker and certified trauma and ADHD specialist with three decades of experience. I provide Telehealth services throughout the state, focusing on integrative holistic approaches to therapy in addressing symptoms of anxiety, depression, trauma, life transitions, and ADHD. I offer therapeutic services in a relaxing and inviting space conducive to healing. This calming space encourages self-connection centered on your inner life—a place of growth and healing cultivated through an ongoing relationship with each patient that instills hope and optimism and nurtures expectancy.
Hi, I am Evelyn Busby, a licensed clinical social worker and certified trauma and ADHD specialist with three decades of experience. I provide Telehealth services throughout the state, focusing on integrative holistic approaches to therapy in addressing symptoms of anxiety, depression, trauma, life transitions, and ADHD. I offer therapeutic services in a relaxing and inviting space conducive to healing. This calming space encourages self-connection centered on your inner life—a place of growth and healing cultivated through an ongoing relationship with each patient that instills hope and optimism and nurtures expectancy.
(267) 619-8767 View (267) 619-8767
Photo of Greta Grier, Clinical Social Work/Therapist, LCSW, CADC
Greta Grier
Clinical Social Work/Therapist, LCSW, CADC
1 Endorsed
Online Only
My primary goals for my clients are to learn healthy coping skills, self-acceptance, and self-care strategies for improving their overall well-being, promoting personal growth and resilience, and living self-fulfilled lives. I am a licensed clinical social worker and certified drug and alcohol counselor from Bucks County, PA, with a Master of Social Work Degree from Widener University, specializing in trauma and addiction. I have 18 years of clinical experience treating adolescents and adults struggling with trauma, addictions, and serious mental illness using various trauma-informed, evidence-based practices.
My primary goals for my clients are to learn healthy coping skills, self-acceptance, and self-care strategies for improving their overall well-being, promoting personal growth and resilience, and living self-fulfilled lives. I am a licensed clinical social worker and certified drug and alcohol counselor from Bucks County, PA, with a Master of Social Work Degree from Widener University, specializing in trauma and addiction. I have 18 years of clinical experience treating adolescents and adults struggling with trauma, addictions, and serious mental illness using various trauma-informed, evidence-based practices.
(267) 459-3053 View (267) 459-3053
Photo of Ashley Ramsay, Associate Professional Counselor, LAPC, MA, MS
Ashley Ramsay
Associate Professional Counselor, LAPC, MA, MS
Lancaster, PA 17603
I specialize in compassionate counseling for those who live with personality disorders, eating disorders, career exploration and changes, and grief and loss. Life can feel overwhelming, especially when you're struggling with deep emotional pain and hopelessness, complicated grief, or the weight of anxiety and self-doubt. If you're navigating the challenges of a personality disorder, wrestling with the fear of death and loss, or feeling trapped in an unhealthy relationship with food, you don’t have to face it alone.
I specialize in compassionate counseling for those who live with personality disorders, eating disorders, career exploration and changes, and grief and loss. Life can feel overwhelming, especially when you're struggling with deep emotional pain and hopelessness, complicated grief, or the weight of anxiety and self-doubt. If you're navigating the challenges of a personality disorder, wrestling with the fear of death and loss, or feeling trapped in an unhealthy relationship with food, you don’t have to face it alone.
(717) 748-4508 View (717) 748-4508

How does your Therapist compare?

Number of Therapists in Adamstown, PA

< 10

Therapists in Adamstown, PA who prioritize treating:

100% Depression
100% Anxiety
100% Grief
100% Trauma and PTSD
100% Coping Skills
100% Self Esteem
100% Stress

Average years in practice

12 Years

Gender breakdown

75% Female
25% Male

How Therapists in Adamstown, PA see their clients

75% In Person and Online
25% Online Only
FAQs - About Therapy and Counseling

How can I find a therapist in Adamstown?

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.