Therapists in Annville, PA

Photo of Dr. Kerrie Smedley - Annville Psychological Svcs & Associates, Psychologist
Annville Psychological Svcs & Associates
Psychologist
Verified Verified
2 Endorsed
Annville, PA 17003
Waitlist for new clients
We are here to meet the needs of the community through both in-person and secure telehealth sessions. Annville Psychological Services is a premiere community of experts in mental health, serving children, teens, and adults. If you are looking for a therapist who uses proven methods to support you and your family, we are here for you.
We are here to meet the needs of the community through both in-person and secure telehealth sessions. Annville Psychological Services is a premiere community of experts in mental health, serving children, teens, and adults. If you are looking for a therapist who uses proven methods to support you and your family, we are here for you.
(717) 347-0470 View (717) 347-0470
Photo of Jodi Fox, MA, LPC, NCC, Licensed Professional Counselor
Jodi Fox
Licensed Professional Counselor, MA, LPC, NCC
Verified Verified
1 Endorsed
Annville, PA 17003
Waitlist for new clients
Hello! My name is Jodi Fox. I am the owner and therapist at Kintsugi Counseling. Maybe you’re wondering - “What is Kintsugi?” Kintsugi (kint-sue-gee) is a Japanese art form used to repair broken pottery with gold or other precious metals. Restored pieces are viewed as beautiful and valuable in their own right, despite the imperfections caused by the break. I believe that going to therapy is a lot like the process of Kintsugi. No matter what has happened in the past or what you are experiencing now, change is possible and healing can lead to the discovery of unexpected strength and beauty.
Hello! My name is Jodi Fox. I am the owner and therapist at Kintsugi Counseling. Maybe you’re wondering - “What is Kintsugi?” Kintsugi (kint-sue-gee) is a Japanese art form used to repair broken pottery with gold or other precious metals. Restored pieces are viewed as beautiful and valuable in their own right, despite the imperfections caused by the break. I believe that going to therapy is a lot like the process of Kintsugi. No matter what has happened in the past or what you are experiencing now, change is possible and healing can lead to the discovery of unexpected strength and beauty.
(717) 328-8231 View (717) 328-8231
Photo of Dr. Cynthia Vejar, LPC, PhD, Licensed Professional Counselor
Dr. Cynthia Vejar
Licensed Professional Counselor, LPC, PhD
Verified Verified
1 Endorsed
Online Only
Greetings - welcome to a compassionate space where your struggles with infertility are truly understood and supported. Infertility can be isolating and emotionally challenging. Many individuals find that a lack of understanding from others can exacerbate the emotional impact of infertility, and I am committed to helping you manage the grief, stress, and uncertainty of infertility. I am also dedicated to helping you navigate stressors related to parenting, step-parenting, relationships, career issues (career exploration/dissatisfaction/burnout), and adapt to life transitions and important milestones, such as starting/ending chapters.
Greetings - welcome to a compassionate space where your struggles with infertility are truly understood and supported. Infertility can be isolating and emotionally challenging. Many individuals find that a lack of understanding from others can exacerbate the emotional impact of infertility, and I am committed to helping you manage the grief, stress, and uncertainty of infertility. I am also dedicated to helping you navigate stressors related to parenting, step-parenting, relationships, career issues (career exploration/dissatisfaction/burnout), and adapt to life transitions and important milestones, such as starting/ending chapters.
(717) 904-7640 View (717) 904-7640
Photo of Jesse P. Martin - Jesse Martin - Your Story Counseling LLC, LPC, NCC, CAADC, Licensed Professional Counselor
Jesse Martin - Your Story Counseling LLC
Licensed Professional Counselor, LPC, NCC, CAADC
Verified Verified
Annville, PA 17003
Life is a gift, but sometimes we find ourselves feeling trapped in unhealthy behaviors, unexpected and difficult life circumstances, and seemingly impossible situations. These stressful life events make it hard to experience hope which is so important in life. Regret's from our past story can prevent us from living well in the present and lead to fears about the future. Unwanted patterns in negative thinking and behavior do not have to control your life. Difficulties can overshadow all the good in life and distort our ability to move towards growth.
Life is a gift, but sometimes we find ourselves feeling trapped in unhealthy behaviors, unexpected and difficult life circumstances, and seemingly impossible situations. These stressful life events make it hard to experience hope which is so important in life. Regret's from our past story can prevent us from living well in the present and lead to fears about the future. Unwanted patterns in negative thinking and behavior do not have to control your life. Difficulties can overshadow all the good in life and distort our ability to move towards growth.
(717) 229-0205 View (717) 229-0205
Photo of Ramona Ndlovu, LMFT, LMT, CST-L3, TTT, Marriage & Family Therapist
Ramona Ndlovu
Marriage & Family Therapist, LMFT, LMT, CST-L3, TTT
Verified Verified
2 Endorsed
Annville, PA 17003
Are you living with the painful consequences of bad decisions and want more joy, ease, and fulfillment? Do you want to stop fighting and start cooperating, connecting, and communicating in your relationships? Maybe you feel frozen, on an emotional rollercoaster, or both depending on the day. Do you want to experience your emotions as supporting your richer more satisfying life? Are you feeling lonely and isolated, like no one gets you or even wants to? Would you like more mutually loving relationships where you are seen, heard, and treated with respect? Are you looking for an LGBTQ ally?
Are you living with the painful consequences of bad decisions and want more joy, ease, and fulfillment? Do you want to stop fighting and start cooperating, connecting, and communicating in your relationships? Maybe you feel frozen, on an emotional rollercoaster, or both depending on the day. Do you want to experience your emotions as supporting your richer more satisfying life? Are you feeling lonely and isolated, like no one gets you or even wants to? Would you like more mutually loving relationships where you are seen, heard, and treated with respect? Are you looking for an LGBTQ ally?
(717) 985-7058 View (717) 985-7058
Photo of Lara Book, MS, MEd
Lara Book
Associate Professional Counselor, MS, MEd
Verified Verified
Annville, PA 17003
Are you feeling weighed down by the pressure of daily life, or overwhelmed with racing thoughts or thoughts of sadness? Maybe you're struggling to enjoy activities you once loved, or finding it difficult to form meaningful connections with others. If so, therapy can help! Our work together will provide you with tools to find the clarity, peace, and direction you're looking for and deserve. I intentionally maintain a very small caseload so I provide more time, focused attention, and highly personalized sessions tailored to your unique needs.
Are you feeling weighed down by the pressure of daily life, or overwhelmed with racing thoughts or thoughts of sadness? Maybe you're struggling to enjoy activities you once loved, or finding it difficult to form meaningful connections with others. If so, therapy can help! Our work together will provide you with tools to find the clarity, peace, and direction you're looking for and deserve. I intentionally maintain a very small caseload so I provide more time, focused attention, and highly personalized sessions tailored to your unique needs.
(717) 748-5812 View (717) 748-5812
Photo of Natalie Groff- Revive And Restore Counseling, LMFT, Marriage & Family Therapist
Natalie Groff- Revive And Restore Counseling
Marriage & Family Therapist, LMFT
Verified Verified
Annville, PA 17003
I am a fully licensed Marriage & Family Therapist providing therapy for individuals, couples, and families. It is my life's passion to see marriages and families thrive and survive the obstacles that come their way such as: relationship difficulties (i.e. marital conflicts, parenting, in-laws), stress, and anxiety. I offer classes and marriage retreats on various topics like communication, sex, and forgiveness as well as premarital counseling.
I am a fully licensed Marriage & Family Therapist providing therapy for individuals, couples, and families. It is my life's passion to see marriages and families thrive and survive the obstacles that come their way such as: relationship difficulties (i.e. marital conflicts, parenting, in-laws), stress, and anxiety. I offer classes and marriage retreats on various topics like communication, sex, and forgiveness as well as premarital counseling.
(717) 276-8598 View (717) 276-8598
Photo of Paul Nickolas Miller - Spirit Focused Marriage and Family Therapy, MaMFT
Spirit Focused Marriage and Family Therapy
MaMFT
Verified Verified
Annville, PA 17003
I specialize in Grief Therapy, and Family Therapy with groups of 2 or more. This might include parents, children, Grandparents, Groups of Siblings, or any family combination seeking help to overcome and resolve family conflict. This might include co-parenting counseling for divorcees, or married couples seeking help. I specialize in grief, and Family Grief. Specific techniques to manage and overcome grief. I have experienced grief on a personal level. These loses include the passing of both my parents, grandparents, and many aunts, uncles and in-laws. I currently have openings on Thursdays.
I specialize in Grief Therapy, and Family Therapy with groups of 2 or more. This might include parents, children, Grandparents, Groups of Siblings, or any family combination seeking help to overcome and resolve family conflict. This might include co-parenting counseling for divorcees, or married couples seeking help. I specialize in grief, and Family Grief. Specific techniques to manage and overcome grief. I have experienced grief on a personal level. These loses include the passing of both my parents, grandparents, and many aunts, uncles and in-laws. I currently have openings on Thursdays.
(717) 673-8824 View (717) 673-8824
Photo of Chelsea B Holbert, PsyD, HSP, Psychologist
Chelsea B Holbert
Psychologist, PsyD, HSP
Verified Verified
Online Only
I specialize in treating co-occurring trauma reactions, stress management, care of first responders, co-occurring chronic health conditions such as PCOS, Type I/Type II Diabetes, obesity, chronic pain, and autoimmune diseases. I want clients my clients to feel like their voices are heard and respected in their treatment. I'm trained in a number of therapies that enhance the quality of life by teaching skills that help manage the stress of co-occurring mental and physical health conditions. I work with individuals who are facing high stress in their work life.
I specialize in treating co-occurring trauma reactions, stress management, care of first responders, co-occurring chronic health conditions such as PCOS, Type I/Type II Diabetes, obesity, chronic pain, and autoimmune diseases. I want clients my clients to feel like their voices are heard and respected in their treatment. I'm trained in a number of therapies that enhance the quality of life by teaching skills that help manage the stress of co-occurring mental and physical health conditions. I work with individuals who are facing high stress in their work life.
(717) 420-9261 View (717) 420-9261
Photo of Adam Freed, MS, LPC, NCC, Licensed Professional Counselor
Adam Freed
Licensed Professional Counselor, MS, LPC, NCC
Verified Verified
1 Endorsed
Online Only
The best thing about being a therapist is getting to meet so many different people and walk with them through their journey, being able to help them reach their own personal goals. I really enjoy working with individuals that have a desire to make lasting changes and take back control. We can lose ourselves in the chaos that we find ourselves surrounded by, and being able help others find solitude within that chaos is what I love about this profession.
The best thing about being a therapist is getting to meet so many different people and walk with them through their journey, being able to help them reach their own personal goals. I really enjoy working with individuals that have a desire to make lasting changes and take back control. We can lose ourselves in the chaos that we find ourselves surrounded by, and being able help others find solitude within that chaos is what I love about this profession.
(412) 318-8792 View (412) 318-8792
Photo of Jennifer Wolfe, MA, ATR, Pre-Licensed Professional
Jennifer Wolfe
Pre-Licensed Professional, MA, ATR
Verified Verified
Annville, PA 17003
Building on my 20 years of professional work as a graphic designer and artist, I now apply these skills in my counseling work which includes an emphasis on art therapy techniques. Art therapy is grounded in the knowledge base of human development, psychological theory, and counseling techniques: it is not a series of art lessons. Techniques used within art therapy work to improve cognitive and sensory-motor functioning, foster self-esteem and self-awareness, cultivate emotional resilience, promote insight, enhance social skills, and reduce and resolve conflicts and distress.
Building on my 20 years of professional work as a graphic designer and artist, I now apply these skills in my counseling work which includes an emphasis on art therapy techniques. Art therapy is grounded in the knowledge base of human development, psychological theory, and counseling techniques: it is not a series of art lessons. Techniques used within art therapy work to improve cognitive and sensory-motor functioning, foster self-esteem and self-awareness, cultivate emotional resilience, promote insight, enhance social skills, and reduce and resolve conflicts and distress.
(717) 537-0949 View (717) 537-0949
Photo of Jennifer Constanos - Lifebulb Counseling & Therapy, LCSW, Clinical Social Work/Therapist
Lifebulb Counseling & Therapy
Clinical Social Work/Therapist, LCSW
Verified Verified
Annville, PA 17003
We're here to help you reach your therapy goals at Lifebulb! We’ll connect you with the best possible therapist for your unique goals, someone who genuinely cares about helping you. We’re all about making therapy enjoyable for both therapists and clients. Whether you prefer in-person sessions at our locations or online through telehealth, we've got you covered. Our team consists of highly trained and licensed clinicians who are passionate about the therapy process. Let's work together to achieve your goals!
We're here to help you reach your therapy goals at Lifebulb! We’ll connect you with the best possible therapist for your unique goals, someone who genuinely cares about helping you. We’re all about making therapy enjoyable for both therapists and clients. Whether you prefer in-person sessions at our locations or online through telehealth, we've got you covered. Our team consists of highly trained and licensed clinicians who are passionate about the therapy process. Let's work together to achieve your goals!
(717) 973-8302 View (717) 973-8302
Photo of Beverly T Swiadas, MS, LPC, NCC, Licensed Professional Counselor
Beverly T Swiadas
Licensed Professional Counselor, MS, LPC, NCC
Verified Verified
2 Endorsed
Annville, PA 17003
I received my Master's degree from Villanova University in Counseling and Human Relations, and my undergraduate degree from Lebanon Valley College in Psychology. I am currently licensed as a Professional Counselor in Pennsylvania. I have over 20 years of counseling experience with individuals of all ages in industrial/organizational, career/vocational development, mental health and addictions settings.
I received my Master's degree from Villanova University in Counseling and Human Relations, and my undergraduate degree from Lebanon Valley College in Psychology. I am currently licensed as a Professional Counselor in Pennsylvania. I have over 20 years of counseling experience with individuals of all ages in industrial/organizational, career/vocational development, mental health and addictions settings.
(717) 459-4636 View (717) 459-4636

More Therapists Nearby

Photo of Ken Sensenig, MFT, Marriage & Family Therapist Associate
Ken Sensenig
Marriage & Family Therapist Associate, MFT
Verified Verified
Myerstown, PA 17067
I am a Marriage and Family Therapist with a special focus on Intimate Partner Relationships and Trauma Treatment and Care. I see families and individuals with a wide range of concerns and struggles. You will find me to be warm, personable, and caring. With regard to Intimate Partner Relationships, I look for strengths and resources that are already present while also exploring and mapping out pathways to further increase trust, commitment and relational intimacy. While doing all this, I still attend to relational wounds and breaks in trust.
I am a Marriage and Family Therapist with a special focus on Intimate Partner Relationships and Trauma Treatment and Care. I see families and individuals with a wide range of concerns and struggles. You will find me to be warm, personable, and caring. With regard to Intimate Partner Relationships, I look for strengths and resources that are already present while also exploring and mapping out pathways to further increase trust, commitment and relational intimacy. While doing all this, I still attend to relational wounds and breaks in trust.
(717) 347-0396 View (717) 347-0396
Photo of Rhonda Zook, MAMFT
Rhonda Zook
MAMFT
Verified Verified
1 Endorsed
Lebanon, PA 17042
I am passionate about working with individuals, couples, and families experiencing personal and relational distress. My goal is to come alongside you and elicit your strengths as we work to establish a sense of hope and meet your goals. I use a systemic approach to therapy, meaning I see you as part of a broader network of relationships and I look at how interacting in those relationships impacts you.
I am passionate about working with individuals, couples, and families experiencing personal and relational distress. My goal is to come alongside you and elicit your strengths as we work to establish a sense of hope and meet your goals. I use a systemic approach to therapy, meaning I see you as part of a broader network of relationships and I look at how interacting in those relationships impacts you.
(223) 338-5589 View (223) 338-5589
Photo of Dr. Sarah Lynn Auer, PhD, Psychologist
Dr. Sarah Lynn Auer
Psychologist, PhD
Verified Verified
Hershey, PA 17033
Hello! We currently have openings for 1. Comprehensive neuropsychological ADHD evaluation and treatment plan ages 4-adults 2. Psychological diagnostic evaluation and treatment plan ages 4-adults 3. Group therapy prek, elementary, and middle school aged kids (Groups arranged by age and focus areas, some including self esteem, coping skills, anxiety, ADHD, depression, social skills, peer relationships, temper outbursts, adjustment) 4. Teen mindfulness coping skills workshops. Please email to enroll: Psychologicalservicesofhershey@gmail.com
Hello! We currently have openings for 1. Comprehensive neuropsychological ADHD evaluation and treatment plan ages 4-adults 2. Psychological diagnostic evaluation and treatment plan ages 4-adults 3. Group therapy prek, elementary, and middle school aged kids (Groups arranged by age and focus areas, some including self esteem, coping skills, anxiety, ADHD, depression, social skills, peer relationships, temper outbursts, adjustment) 4. Teen mindfulness coping skills workshops. Please email to enroll: Psychologicalservicesofhershey@gmail.com
(717) 500-2270 View (717) 500-2270
Photo of James D Black, MA, NCC, LPC, Licensed Professional Counselor
James D Black
Licensed Professional Counselor, MA, NCC, LPC
Verified Verified
1 Endorsed
Myerstown, PA 17067
Life presents each of us with a unique journey. As a counselor I join with you to support growth, work through difficulties and create successful outcomes. I take a systemic approach in my counseling and journey with individuals, couples, and families. Systemic therapy addresses people both at the individual level, as well as taking into account broader relationships, patterns, and generational context.
Life presents each of us with a unique journey. As a counselor I join with you to support growth, work through difficulties and create successful outcomes. I take a systemic approach in my counseling and journey with individuals, couples, and families. Systemic therapy addresses people both at the individual level, as well as taking into account broader relationships, patterns, and generational context.
(717) 398-3829 View (717) 398-3829
Photo of Allison N Wade, LSW, Clinical Social Work/Therapist
Allison N Wade
Clinical Social Work/Therapist, LSW
Verified Verified
Lebanon, PA 17046
I offer individual therapy to adults experiencing mental health challenges, including living with anxiety, stress, depression, trauma, PTSD, life transitions, addiction struggles, self-esteem, and family/relationship conflict. I also have experience working with military veterans.
I offer individual therapy to adults experiencing mental health challenges, including living with anxiety, stress, depression, trauma, PTSD, life transitions, addiction struggles, self-esteem, and family/relationship conflict. I also have experience working with military veterans.
(412) 274-7696 x1 View (412) 274-7696 x1
Photo of Mj Spahr, MSW, LCSW, CCH, Clinical Social Work/Therapist
Mj Spahr
Clinical Social Work/Therapist, MSW, LCSW, CCH
Verified Verified
Hershey, PA 17033
Are you feeling stuck with any of the following: anxiety; depression; sadness; stress; grieving; anger; transitions;divorce and/or relationship struggles? Is anger management an issue you need help with? Are you doing something that is robbing you of experiencing true happiness in your life? Have you tried numerous times to lose weight or quit smoking. If any of these resonate with you, than it is time to reclaim your peace of mind and live your life the way you deserve it. The therapeutic relationship including EMDR, and medical hypnosis can help you explore your needs and achieve your goals.
Are you feeling stuck with any of the following: anxiety; depression; sadness; stress; grieving; anger; transitions;divorce and/or relationship struggles? Is anger management an issue you need help with? Are you doing something that is robbing you of experiencing true happiness in your life? Have you tried numerous times to lose weight or quit smoking. If any of these resonate with you, than it is time to reclaim your peace of mind and live your life the way you deserve it. The therapeutic relationship including EMDR, and medical hypnosis can help you explore your needs and achieve your goals.
(717) 473-4517 View (717) 473-4517
Photo of Kathryn Nevin - Lifebulb Counseling & Therapy, LCSW, Clinical Social Work/Therapist
Lifebulb Counseling & Therapy
Clinical Social Work/Therapist, LCSW
Verified Verified
Lebanon, PA 17042
Working with us you'll get results. Because we believe you're best served by a clinician who's passionate about not only their work, but who they work with as well. That's why we started Lifebulb - We're committed to building an organization that truly allows therapists to get back to enjoying their work, so you, our client, can receive the highest quality therapy services, whether in person at one of our locations or online through telehealth. We hire only highly trained and educated, licensed clinicians dedicated to the therapy process. We're confident we can help you achieve your therapy goals.
Working with us you'll get results. Because we believe you're best served by a clinician who's passionate about not only their work, but who they work with as well. That's why we started Lifebulb - We're committed to building an organization that truly allows therapists to get back to enjoying their work, so you, our client, can receive the highest quality therapy services, whether in person at one of our locations or online through telehealth. We hire only highly trained and educated, licensed clinicians dedicated to the therapy process. We're confident we can help you achieve your therapy goals.
(223) 217-5355 x1 View (223) 217-5355 x1

See more therapy options for Annville

How does your Therapist compare?

Number of Therapists in Annville, PA

10+

Average cost per session

$110

Therapists in Annville, PA who prioritize treating:

92% Self Esteem
85% Depression
85% Anxiety
77% Peer Relationships
77% Coping Skills
77% Stress
69% Trauma and PTSD

Average years in practice

6 Years

Top 3 insurances accepted

89% Aetna
78% Capital Blue Cross
56% Cigna and Evernorth

How Therapists in Annville, PA see their clients

77% In Person and Online
23% Online Only

Gender breakdown

73% Female
27% Male
FAQs - About Therapy and Counseling

How can I find a therapist in Annville?

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.