Therapists in Columbia, PA

Photo of Laura Chandler - Eagles Counseling , Licensed Professional Counselor, PhD, LPC
Eagles Counseling
Licensed Professional Counselor, PhD, LPC
Columbia, PA 17512
I am Laura Chandler. I am the owner of Eagles Counseling. Eagles Counseling specializes in adults, children, and couples. Eagles Counseling specializes in ADHD, bipolar, depression, anxiety, OCD, ODD, trauma, and PTSD. We offer CBT, DBT, EMDR, and IFS. At Eagles Counseling we focus on the quality of care. We try to meet you where you are at in a safe and secure environment..
I am Laura Chandler. I am the owner of Eagles Counseling. Eagles Counseling specializes in adults, children, and couples. Eagles Counseling specializes in ADHD, bipolar, depression, anxiety, OCD, ODD, trauma, and PTSD. We offer CBT, DBT, EMDR, and IFS. At Eagles Counseling we focus on the quality of care. We try to meet you where you are at in a safe and secure environment..
(860) 467-8371 View (860) 467-8371
Photo of Stephen Michael Schuch, Clinical Social Work/Therapist, MSW, LCSW, BCD
Stephen Michael Schuch
Clinical Social Work/Therapist, MSW, LCSW, BCD
Online Only
With over 30 years of clinical practice, extensive continuing education, and an emphasis on what works rather than on what’s wrong, I tailor my approach to the specific needs of each individual, couple, family, and group for whom I provide service. Using proven methods, I am able to offer, among others, supportive, interactional, brief problem-solving, cognitive-behavioral, including trauma focused cognitive-behavioral, and relational psychotherapies. Common themes among my clients are concerns related to relationship difficulties, bereavement, mood disorders including depression, anxiety, childhood behavioral problems, eating disorders, compulsive and additive behaviors, and difficulties related to specific life circumstances.
With over 30 years of clinical practice, extensive continuing education, and an emphasis on what works rather than on what’s wrong, I tailor my approach to the specific needs of each individual, couple, family, and group for whom I provide service. Using proven methods, I am able to offer, among others, supportive, interactional, brief problem-solving, cognitive-behavioral, including trauma focused cognitive-behavioral, and relational psychotherapies. Common themes among my clients are concerns related to relationship difficulties, bereavement, mood disorders including depression, anxiety, childhood behavioral problems, eating disorders, compulsive and additive behaviors, and difficulties related to specific life circumstances.
(717) 229-7295 View (717) 229-7295
Photo of Charlene Eshleman - Behavioral Healthcare Corporation, MD, PsyD, MEd, LPC, LCSW
Behavioral Healthcare Corporation
Verified Verified
Columbia, PA 17512
Our mission: Mental health for all we serve. Our passion: Helping you achieve mental health. Life can be hard. We all have challenges. We all experience loss, stress, grief and, at some point, all of us feel overwhelmed. The team at Behavioral Healthcare Corporation has been helping people just like you deal with life's issues and restore their mental health since 2002.
Our mission: Mental health for all we serve. Our passion: Helping you achieve mental health. Life can be hard. We all have challenges. We all experience loss, stress, grief and, at some point, all of us feel overwhelmed. The team at Behavioral Healthcare Corporation has been helping people just like you deal with life's issues and restore their mental health since 2002.
(717) 502-4771 View (717) 502-4771
Photo of Matt May, Licensed Professional Counselor, MSPC, PhD, ABD, LPC
Matt May
Licensed Professional Counselor, MSPC, PhD, ABD, LPC
Serves Area
I am a therapist at Eagles Counseling. I have experience working with children, adolescents, couples, and/or families in individual, family, and group settings. I have previously worked as a regional supervisor of an intensive therapy program troubled youth and truancy program. My goal is to improve behavioral problems, mental/emotional difficulties, and overall functionality. I specialize in Cognitive Behavioral Therapy (CBT) as well as in Motivational Interviewing. I chose to become a mental health professional, because I felt called to help others improve to become the best person possible.
I am a therapist at Eagles Counseling. I have experience working with children, adolescents, couples, and/or families in individual, family, and group settings. I have previously worked as a regional supervisor of an intensive therapy program troubled youth and truancy program. My goal is to improve behavioral problems, mental/emotional difficulties, and overall functionality. I specialize in Cognitive Behavioral Therapy (CBT) as well as in Motivational Interviewing. I chose to become a mental health professional, because I felt called to help others improve to become the best person possible.
(717) 912-9604 View (717) 912-9604
Photo of Sue Tushingham, MS
Sue Tushingham
Verified Verified
Serves Area
Over my 35 years of experience, I have seen that when clients reach out for therapy, it is a sign of strength and a willingness to change. I view counseling as a partnership between the client and myself, and help each client learn a new skill set that enables them to grow through life's challenges. I provide a non-judgmental and calming environment, with a focus on mindfulness. A holistic approach is used, which recognizes the importance of addressing body, mind, emotions, and spirit in order to achieve and maintain health. I am a safe, neutral sounding board for clients, which allows them to learn, grow, and heal.
Over my 35 years of experience, I have seen that when clients reach out for therapy, it is a sign of strength and a willingness to change. I view counseling as a partnership between the client and myself, and help each client learn a new skill set that enables them to grow through life's challenges. I provide a non-judgmental and calming environment, with a focus on mindfulness. A holistic approach is used, which recognizes the importance of addressing body, mind, emotions, and spirit in order to achieve and maintain health. I am a safe, neutral sounding board for clients, which allows them to learn, grow, and heal.
(717) 366-7918 View (717) 366-7918
Photo of Patience Buckwalter, Counselor, LSW
Patience Buckwalter
Counselor, LSW
Online Only
Not accepting new clients
Dealing with our mental health can be a challenging experience for many of us. It is sometimes helpful to have someone available to offer support and guidance to help create a plan that works for you and to get your wonderful self back! The goal is to have you be able to have control of your life again and feel happy, motivated and at peace! As your counselor I will help you process your own personal journey!
Dealing with our mental health can be a challenging experience for many of us. It is sometimes helpful to have someone available to offer support and guidance to help create a plan that works for you and to get your wonderful self back! The goal is to have you be able to have control of your life again and feel happy, motivated and at peace! As your counselor I will help you process your own personal journey!
(717) 229-9641 View (717) 229-9641
Photo of Michael C Peachey, Pre-Licensed Professional, MAMFT
Michael C Peachey
Pre-Licensed Professional, MAMFT
Serves Area
Not accepting new clients
Hello! My name is Michael Peachey, MAMFT and I am the founder of Shalom Counseling. Though I am trained to see a wide range of clients, I specialize in marriage and couples therapy as well as family therapy. I am excited to get to know you, and to work with you to come up with the best plan to tackle whatever problems you are facing in life! I do not specialize in simply "giving advice", rather I want to walk with you as you look at issues in your life so that there can be healing and wholeness.
Hello! My name is Michael Peachey, MAMFT and I am the founder of Shalom Counseling. Though I am trained to see a wide range of clients, I specialize in marriage and couples therapy as well as family therapy. I am excited to get to know you, and to work with you to come up with the best plan to tackle whatever problems you are facing in life! I do not specialize in simply "giving advice", rather I want to walk with you as you look at issues in your life so that there can be healing and wholeness.
(717) 259-2497 View (717) 259-2497
Photo of Natalie Rebman, Licensed Professional Counselor, LPC
Natalie Rebman
Licensed Professional Counselor, LPC
Online Only
With over 25 years of experience in mental health care, I bring a deep and compassionate understanding to the therapeutic space. My work has spanned outpatient, inpatient, and community-based settings, allowing me to support individuals and families across a wide range of challenges and life stages. I work with individuals 16 and older and families who are seeking meaningful support through life’s challenges. Whether you're processing trauma, developing coping strategies, focusing on personal growth, or caring for someone who’s struggling, I provide a collaborative and compassionate space to help you move forward.
With over 25 years of experience in mental health care, I bring a deep and compassionate understanding to the therapeutic space. My work has spanned outpatient, inpatient, and community-based settings, allowing me to support individuals and families across a wide range of challenges and life stages. I work with individuals 16 and older and families who are seeking meaningful support through life’s challenges. Whether you're processing trauma, developing coping strategies, focusing on personal growth, or caring for someone who’s struggling, I provide a collaborative and compassionate space to help you move forward.
(717) 913-4681 View (717) 913-4681
Photo of Cristina Paden, Counselor, MS, LAPC
Cristina Paden
Counselor, MS, LAPC
2 Endorsed
Serves Area
Life doesn’t always go the way we hoped — and when anxiety, stress, self-doubt, or painful experiences pile up, it’s easy to feel stuck, isolated, or unsure of what to do next. Maybe you're trying to hold it all together, but underneath, you're exhausted. You don’t have to figure it out alone. I offer a calm, supportive space where you can slow down, get honest, and explore what’s really going on — without any judgment or pressure.
Life doesn’t always go the way we hoped — and when anxiety, stress, self-doubt, or painful experiences pile up, it’s easy to feel stuck, isolated, or unsure of what to do next. Maybe you're trying to hold it all together, but underneath, you're exhausted. You don’t have to figure it out alone. I offer a calm, supportive space where you can slow down, get honest, and explore what’s really going on — without any judgment or pressure.
(223) 218-4625 View (223) 218-4625

More Therapists Nearby

Photo of Megan R Sparks, Licensed Professional Counselor, MS, LPC
Megan R Sparks
Licensed Professional Counselor, MS, LPC
3 Endorsed
York, PA 17402
Not accepting new clients
Life can be overwhelming. It throws you curve balls, and sometimes it just feels hard to navigate. Maybe it’s a divorce, job change, becoming a parent, death in the family, or any other life transition. Life can bring us baggage and even though we think we have it contained, it can seep into other areas of our life that we are trying to navigate through. I work with people who want to understand themselves better so they can continue to thrive in life. I want to help empower you to find balance within yourself and learn to fine tune your ability to respond to situation in which you feel in control with better balance and regulation.
Life can be overwhelming. It throws you curve balls, and sometimes it just feels hard to navigate. Maybe it’s a divorce, job change, becoming a parent, death in the family, or any other life transition. Life can bring us baggage and even though we think we have it contained, it can seep into other areas of our life that we are trying to navigate through. I work with people who want to understand themselves better so they can continue to thrive in life. I want to help empower you to find balance within yourself and learn to fine tune your ability to respond to situation in which you feel in control with better balance and regulation.
(717) 963-2072 View (717) 963-2072
Photo of Laura G. Morse, Counselor, MEd, LPC, CST, NCC, LCPC
Laura G. Morse
Counselor, MEd, LPC, CST, NCC, LCPC
8 Endorsed
Lancaster, PA 17603
Are you ready to build a strong thriving relationship? Looking to invite eroticism back into your relationship? Laura Morse works collaboratively with individuals & couples who want to improve their relationships. With over a decade of experience in the mental health field, she’s helped hundreds of individuals and couples just like you.
Are you ready to build a strong thriving relationship? Looking to invite eroticism back into your relationship? Laura Morse works collaboratively with individuals & couples who want to improve their relationships. With over a decade of experience in the mental health field, she’s helped hundreds of individuals and couples just like you.
(223) 217-2536 View (223) 217-2536
Photo of Amy L. Bogden, Marriage & Family Therapist, MA, LMFT, NCC
Amy L. Bogden
Marriage & Family Therapist, MA, LMFT, NCC
Camp Hill, PA 17011
Waitlist for new clients
I am a Licensed Marriage and Family Therapist and National Certified Counselor with over 10 years of experience working with individuals, couples, and families. I work with teens and adults who may be struggling with relationship issues, life transitions, parenting issues, anxiety, depression, trauma, or are interested in making changes in their lives. I also work with clients experiencing issues around mismatched desires and intimacy concerns.
I am a Licensed Marriage and Family Therapist and National Certified Counselor with over 10 years of experience working with individuals, couples, and families. I work with teens and adults who may be struggling with relationship issues, life transitions, parenting issues, anxiety, depression, trauma, or are interested in making changes in their lives. I also work with clients experiencing issues around mismatched desires and intimacy concerns.
(570) 608-8044 View (570) 608-8044
Photo of Jennifer Lachance-Poirrier - Bloom Therapy l EMDR l Art Therapy l Brainspotting, Licensed Professional Counselor, LCP, ATR-BC, LCAT, EMDR Ce
Bloom Therapy l EMDR l Art Therapy l Brainspotting
Licensed Professional Counselor, LCP, ATR-BC, LCAT, EMDR Ce
1 Endorsed
Serves Area
You might be feeling stuck under the weight of past trauma, grief, anxiety, or strained relationships. You crave relief, from intrusive thoughts, overwhelming emotions, or a sense of disconnection. You want a safe space to explore your experiences, learn coping skills, and rediscover peace, growth, and an authentic connection with yourself and others. Perhaps you’re transitioning through a divorce, navigating the loss of a loved one, or struggling to balance work, family, and self-care. You seek tools to regulate your nervous system, express emotions, and build resilience. You want to move from merely surviving to truly thriving.
You might be feeling stuck under the weight of past trauma, grief, anxiety, or strained relationships. You crave relief, from intrusive thoughts, overwhelming emotions, or a sense of disconnection. You want a safe space to explore your experiences, learn coping skills, and rediscover peace, growth, and an authentic connection with yourself and others. Perhaps you’re transitioning through a divorce, navigating the loss of a loved one, or struggling to balance work, family, and self-care. You seek tools to regulate your nervous system, express emotions, and build resilience. You want to move from merely surviving to truly thriving.
(484) 309-1861 View (484) 309-1861
Photo of Monica Zack, Clinical Social Work/Therapist, LCSW
Monica Zack
Clinical Social Work/Therapist, LCSW
Online Only
I really enjoy working with parents who are also adult children of alcoholics, addicts or otherwise dysfunctional families. I am motivated by clients that aspire to break the cycles of emotional trauma passed down intergenerationally. I also work well with those who have experienced medical trauma or gaslighting by the medical system. I believe you are the expert in you and that together we can come up with strategies to help you solve your problems.
I really enjoy working with parents who are also adult children of alcoholics, addicts or otherwise dysfunctional families. I am motivated by clients that aspire to break the cycles of emotional trauma passed down intergenerationally. I also work well with those who have experienced medical trauma or gaslighting by the medical system. I believe you are the expert in you and that together we can come up with strategies to help you solve your problems.
(484) 249-1850 View (484) 249-1850
Photo of Christian Counseling Associates Of Central Pennsylvania, Licensed Professional Counselor
Christian Counseling Associates Of Central Pennsylvania
Licensed Professional Counselor
York, PA 17408
Christian Counseling Associates (CCA) provides individual, marriage, and family counseling. We serve Christians who want their faith integrated into the counseling process and those holding any beliefs or attitudes toward spirituality. Our counselors will help you identify the core issues that have caused your emotional and personal problems and immediately develop strategies to resolve these issues. CCA is able to provide a full range of clinical services. Please visit our website for a complete description of our faith based counseling services, locations, and counseling staff.
Christian Counseling Associates (CCA) provides individual, marriage, and family counseling. We serve Christians who want their faith integrated into the counseling process and those holding any beliefs or attitudes toward spirituality. Our counselors will help you identify the core issues that have caused your emotional and personal problems and immediately develop strategies to resolve these issues. CCA is able to provide a full range of clinical services. Please visit our website for a complete description of our faith based counseling services, locations, and counseling staff.
(717) 535-8046 View (717) 535-8046
Photo of Keturah Martin, Marriage & Family Therapist, LMFT
Keturah Martin
Marriage & Family Therapist, LMFT
Online Only
I’m so glad you’re here. I offer a warm, compassionate space where all parts of you are welcome and your emotions can be met with curiosity and care. Together, we’ll explore what’s beneath the surface, gently untangling old patterns and making space for healing, clarity, and lasting change. How are you feeling in your heart? Let's start there. My approach is rooted in deep compassion, emotional attunement, and respect for each client’s unique story. I blend practical, evidence-based techniques with a warm, intuitive presence, offering a safe space where all emotions are welcome.
I’m so glad you’re here. I offer a warm, compassionate space where all parts of you are welcome and your emotions can be met with curiosity and care. Together, we’ll explore what’s beneath the surface, gently untangling old patterns and making space for healing, clarity, and lasting change. How are you feeling in your heart? Let's start there. My approach is rooted in deep compassion, emotional attunement, and respect for each client’s unique story. I blend practical, evidence-based techniques with a warm, intuitive presence, offering a safe space where all emotions are welcome.
(717) 539-5551 View (717) 539-5551
Photo of Kiersten Lenz, Licensed Professional Counselor, LPC, NCC, MA
Kiersten Lenz
Licensed Professional Counselor, LPC, NCC, MA
1 Endorsed
Online Only
Welcome to Just Be Counseling, a sound space for you to freely 'just be.' Together we will create a safe space for your voice to be truly heard at your pace, in your own way. There is beauty in the sacred art of all self-expression. I am honored to share in your expression as a source of support and wholehearted acceptance. I am committed to my role on your path as you embrace your inner truths and seek changes you wish to make. I offer diverse therapy models tailored for young adults and adults, addressing a wide spectrum of areas such as life transitions, anxiety, depression, self-esteem, relationships, healing and growth.
Welcome to Just Be Counseling, a sound space for you to freely 'just be.' Together we will create a safe space for your voice to be truly heard at your pace, in your own way. There is beauty in the sacred art of all self-expression. I am honored to share in your expression as a source of support and wholehearted acceptance. I am committed to my role on your path as you embrace your inner truths and seek changes you wish to make. I offer diverse therapy models tailored for young adults and adults, addressing a wide spectrum of areas such as life transitions, anxiety, depression, self-esteem, relationships, healing and growth.
(717) 864-5950 View (717) 864-5950
Photo of Alaysha M Rector, Clinical Social Work/Therapist, MSW, LCSW
Alaysha M Rector
Clinical Social Work/Therapist, MSW, LCSW
2 Endorsed
Harrisburg, PA 17109
Feeling understood and heard are two of the most powerful feelings an individual can experience. These experiences are the cornerstones of the services I provide. My passion is helping clients discover their inner power and ability to take control of their lives, and as a result, make meaningful changes that bring them closer to achieving their life goals. With 15 years’ experience working with adults, children, teens, and families, I have experience and specialized training in addressing ADHD/ADD, ODD, Adjustment Disorder, self-esteem, family dynamics, adolescent and teen non-compliance, anger, and trauma.
Feeling understood and heard are two of the most powerful feelings an individual can experience. These experiences are the cornerstones of the services I provide. My passion is helping clients discover their inner power and ability to take control of their lives, and as a result, make meaningful changes that bring them closer to achieving their life goals. With 15 years’ experience working with adults, children, teens, and families, I have experience and specialized training in addressing ADHD/ADD, ODD, Adjustment Disorder, self-esteem, family dynamics, adolescent and teen non-compliance, anger, and trauma.
(717) 748-4877 View (717) 748-4877
Photo of Sarah Tronco, Clinical Social Work/Therapist, LCSW
Sarah Tronco
Clinical Social Work/Therapist, LCSW
1 Endorsed
Online Only
You deserve a safe space. Therapy provides an opportunity to understand yourself more deeply, to process emotions, recognize patterns, build skills, improve relationships, and create a healthier relationship with yourself. Together we will work to understand your unique experience in the world, and how to leverage your strengths to help you reach your goals. I prioritize creating a strong therapeutic relationship, which serves as the foundation for all other change.
You deserve a safe space. Therapy provides an opportunity to understand yourself more deeply, to process emotions, recognize patterns, build skills, improve relationships, and create a healthier relationship with yourself. Together we will work to understand your unique experience in the world, and how to leverage your strengths to help you reach your goals. I prioritize creating a strong therapeutic relationship, which serves as the foundation for all other change.
(856) 452-8267 View (856) 452-8267
Photo of Lynn Brooks, MS, MFT
Lynn Brooks
Verified Verified
Lemoyne, PA 17043
Is now the time for you? Life is a journey and like every great journey, it has its ups and downs, certainties and uncertainties and can be both rewarding and challenging. If you decide to make yourself a priority and come in for therapy, I will provide you with a relaxed, safe environment which nurtures positive growth. I will coach, encourage and support you on your personal process and journey. It is important to focus on your strengths and help empower you with awareness and resources. You matter and there is HOPE for you. Where there is hope, there is healing and new beginnings are ignited.
Is now the time for you? Life is a journey and like every great journey, it has its ups and downs, certainties and uncertainties and can be both rewarding and challenging. If you decide to make yourself a priority and come in for therapy, I will provide you with a relaxed, safe environment which nurtures positive growth. I will coach, encourage and support you on your personal process and journey. It is important to focus on your strengths and help empower you with awareness and resources. You matter and there is HOPE for you. Where there is hope, there is healing and new beginnings are ignited.
(717) 516-5032 View (717) 516-5032

See more therapy options for Columbia

How does your Therapist compare?

Number of Therapists in Columbia, PA

< 10

Therapists in Columbia, PA who prioritize treating:

100% Anxiety
89% Depression
78% Relationship Issues
78% Trauma and PTSD
78% Coping Skills
67% Grief
67% Self Esteem

Average years in practice

11 Years

Top 3 insurances accepted

83% Aetna
83% Highmark
83% Blue Cross

How Therapists in Columbia, PA see their clients

67% In Person and Online
33% Online Only

Gender breakdown

63% Female
37% Male
FAQs - About Therapy and Counseling

How can I find a therapist in Columbia?

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.