Therapists in Monroe County, PA

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Photo of Angela Romano-Lucky - Positive Intentions, LLC, Counselor, MEd, MA, LPC, NCC
Positive Intentions, LLC
Counselor, MEd, MA, LPC, NCC
Stroudsburg, PA 18360
As a counselor my goal is to help individuals reach their potential by tapping into their internal resources. I believe that recovery is possible through a collaborative approach. Whether you are single seeking counseling or a couple you are welcome. I work with children and adolescents as well. Whether it is anxiety, couples' issues, family concerns, depression or life changes, I am available.
As a counselor my goal is to help individuals reach their potential by tapping into their internal resources. I believe that recovery is possible through a collaborative approach. Whether you are single seeking counseling or a couple you are welcome. I work with children and adolescents as well. Whether it is anxiety, couples' issues, family concerns, depression or life changes, I am available.
(272) 302-5464 x105 View (272) 302-5464 x105
Photo of Pamela Sykes, Licensed Professional Counselor, MS, LPC, NCC
Pamela Sykes
Licensed Professional Counselor, MS, LPC, NCC
1 Endorsed
Online Only
Waitlist for new clients
Hi, I’m Pamela Sykes, LPC. If anxiety, trauma, depression, anger, or relationship struggles have left you feeling stuck, you’re not alone. You may be searching for clarity, confidence, or a way to move forward but unsure where to start. I provide a warm, supportive space where you can explore your emotions, break free from unhelpful patterns, and develop real tools for lasting change. With over a decade of experience, I help individuals and couples navigate life’s challenges, rebuild trust, and create healthier, more fulfilling relationships. You don’t have to do this alone—I’m here to help.
Hi, I’m Pamela Sykes, LPC. If anxiety, trauma, depression, anger, or relationship struggles have left you feeling stuck, you’re not alone. You may be searching for clarity, confidence, or a way to move forward but unsure where to start. I provide a warm, supportive space where you can explore your emotions, break free from unhelpful patterns, and develop real tools for lasting change. With over a decade of experience, I help individuals and couples navigate life’s challenges, rebuild trust, and create healthier, more fulfilling relationships. You don’t have to do this alone—I’m here to help.
(570) 378-8319 View (570) 378-8319
Photo of Walter Dunn - Dunn's Therapeutic Services, Clinical Social Work/Therapist, MSW, LSW, CADC
Dunn's Therapeutic Services
Clinical Social Work/Therapist, MSW, LSW, CADC
1 Endorsed
Cresco, PA 18326
Many of my clients have come to me after being diagnosed fully believing that their lives were over. Mental health issues do not define who you are as a person. They are just a small part of why we react in particular situations, in specific ways. I have a passion to help my clients and their families to discover not only how to overcome their mental health issues, but to thrive.
Many of my clients have come to me after being diagnosed fully believing that their lives were over. Mental health issues do not define who you are as a person. They are just a small part of why we react in particular situations, in specific ways. I have a passion to help my clients and their families to discover not only how to overcome their mental health issues, but to thrive.
(570) 630-0014 View (570) 630-0014
Photo of James Corio, Licensed Professional Counselor, MS, LPC, NCC, CCTP
James Corio
Licensed Professional Counselor, MS, LPC, NCC, CCTP
Cresco, PA 18326
Using EMDR therapy for trauma/PTSD as well as a specialized ERP approach to OCD! I am a proud person in recovery from substance use disorder for over eight years. It is a privilege to be a part of your journey towards recovery and a responsibility I do not take lightly. You are welcome to join me for a free introductory call to discuss how your objectives can be accomplished in therapy.
Using EMDR therapy for trauma/PTSD as well as a specialized ERP approach to OCD! I am a proud person in recovery from substance use disorder for over eight years. It is a privilege to be a part of your journey towards recovery and a responsibility I do not take lightly. You are welcome to join me for a free introductory call to discuss how your objectives can be accomplished in therapy.
(570) 929-0998 View (570) 929-0998
Photo of Angel E McLaughlin - Aspire Counseling and Consulting, Inc., Licensed Professional Counselor, LPC, CBIST
Aspire Counseling and Consulting, Inc.
Licensed Professional Counselor, LPC, CBIST
Stroudsburg, PA 18360
In this ever-changing time of "do and be more," we face daily life stressors that challenge our mental wellness. These challenges can negatively impact our significant relationships, our children and our work/school performance. To seek the help of a therapist is a very personal decision. It may be one of the most important decisions you make. It may facilitate first steps towards changing and regaining control of your life. In 2008, I founded Aspire Counseling and Consulting (please view our WEBSITE) with the mission to inspire clients to reach their fullest potential within their communities, relationships, workplaces and schools.
In this ever-changing time of "do and be more," we face daily life stressors that challenge our mental wellness. These challenges can negatively impact our significant relationships, our children and our work/school performance. To seek the help of a therapist is a very personal decision. It may be one of the most important decisions you make. It may facilitate first steps towards changing and regaining control of your life. In 2008, I founded Aspire Counseling and Consulting (please view our WEBSITE) with the mission to inspire clients to reach their fullest potential within their communities, relationships, workplaces and schools.
(570) 704-5856 View (570) 704-5856
Photo of Nicole Rook, LAPC, MA, NCC
Nicole Rook
Verified Verified
Stroudsburg, PA 18360
My name is Nicole Rook, and I am a National Certified Counselor (NCC) and a trained EMDR clinician through EMDRIA. As someone who has faced my own mental health challenges, I understand the pain of feeling stuck and unheard. I want you to know that your pain matters, and I am here to support you on your journey. My mission is to create a safe space where you can feel seen, heard, and supported as we work together to explore your thoughts, emotions, and experiences with compassion and understanding. Therapy is not only about addressing the "bad" in our lives, but includes exploring our strengths and building resilience.
My name is Nicole Rook, and I am a National Certified Counselor (NCC) and a trained EMDR clinician through EMDRIA. As someone who has faced my own mental health challenges, I understand the pain of feeling stuck and unheard. I want you to know that your pain matters, and I am here to support you on your journey. My mission is to create a safe space where you can feel seen, heard, and supported as we work together to explore your thoughts, emotions, and experiences with compassion and understanding. Therapy is not only about addressing the "bad" in our lives, but includes exploring our strengths and building resilience.
(570) 929-4012 View (570) 929-4012
Photo of Lauryn Lewis, Licensed Professional Counselor, MS, LPC
Lauryn Lewis
Licensed Professional Counselor, MS, LPC
2 Endorsed
East Stroudsburg, PA 18301
I am a licensed professional counselor who specializes in normalizing the need for treatment and providing a safe place to explore the issues that have impacted one's ability to live life, authentically. I have worked in a large variety of settings which include outpatient, crisis, inpatient treatment, partial hospitalization and intensive outpatient treatment which has enabled me the opportunity to work with individuals with a wide variety of diagnoses and experiences. Through doing same, I have learned that it is imperative to treat the person, not the diagnosis.
I am a licensed professional counselor who specializes in normalizing the need for treatment and providing a safe place to explore the issues that have impacted one's ability to live life, authentically. I have worked in a large variety of settings which include outpatient, crisis, inpatient treatment, partial hospitalization and intensive outpatient treatment which has enabled me the opportunity to work with individuals with a wide variety of diagnoses and experiences. Through doing same, I have learned that it is imperative to treat the person, not the diagnosis.
(833) 949-8671 View (833) 949-8671
Photo of Phillip Long, Clinical Social Work/Therapist, LCSW
Phillip Long
Clinical Social Work/Therapist, LCSW
Cresco, PA 18326
First off, thank you for taking the time to read my profile. In my time as a counselor/therapist I have found that the process of selecting a therapist is at best awkward, and at worst terrifying. People simply don’t wake-up feeling upset one day and think, “Wow, I feel yucky, I think I will talk to a therapist.” More often than not a therapist is considered as a last resort, or after coming to a conclusion of, “I don’t know what else to do.”
First off, thank you for taking the time to read my profile. In my time as a counselor/therapist I have found that the process of selecting a therapist is at best awkward, and at worst terrifying. People simply don’t wake-up feeling upset one day and think, “Wow, I feel yucky, I think I will talk to a therapist.” More often than not a therapist is considered as a last resort, or after coming to a conclusion of, “I don’t know what else to do.”
(272) 444-3182 View (272) 444-3182
Photo of Jess Hauser, Licensed Professional Counselor, MA, ATR-BC, LPC, CAADC, CCTP
Jess Hauser
Licensed Professional Counselor, MA, ATR-BC, LPC, CAADC, CCTP
2 Endorsed
Online Only
If you've decided you're tired of feeling lost, alone, resigned to the same generational patterns of trauma and unhappiness you've watched your parents go through, it's time to get some support. I have extensive experience working with perfectionists and adult children of dysfunctional families who want to begin focusing on building a life aligned with their own values by dismantling old patterns. I'm here to walk with you as we collaboratively develop a clear pathway to where you want to be in your life. I use an eclectic approach, drawing from CBT, ACT, mindfulness, art therapy, parts work, and somatic experiencing to get there.
If you've decided you're tired of feeling lost, alone, resigned to the same generational patterns of trauma and unhappiness you've watched your parents go through, it's time to get some support. I have extensive experience working with perfectionists and adult children of dysfunctional families who want to begin focusing on building a life aligned with their own values by dismantling old patterns. I'm here to walk with you as we collaboratively develop a clear pathway to where you want to be in your life. I use an eclectic approach, drawing from CBT, ACT, mindfulness, art therapy, parts work, and somatic experiencing to get there.
(267) 601-4326 View (267) 601-4326
Photo of Andrew Said - Pocono Counseling Associates, Licensed Professional Counselor, MS, NCC, LPC
Pocono Counseling Associates
Licensed Professional Counselor, MS, NCC, LPC
1 Endorsed
Stroudsburg, PA 18360
I am a board certified, licensed professional counselor as well as a certified anger management specialist and a certified secondary school counselor. I have worked in the mental health profession for over 10 years. As a therapist I offer individual, couples, and family therapy in the areas of anxiety and mood issues, relationship and conflict resolution, stress and anger management, behavioral disorders, and more. My experience in a school setting offers a unique perspective in working with adolescents and young adults. I have a particular interest working with teenage and adult populations as well as the elderly and the distinctive challenges they face.
I am a board certified, licensed professional counselor as well as a certified anger management specialist and a certified secondary school counselor. I have worked in the mental health profession for over 10 years. As a therapist I offer individual, couples, and family therapy in the areas of anxiety and mood issues, relationship and conflict resolution, stress and anger management, behavioral disorders, and more. My experience in a school setting offers a unique perspective in working with adolescents and young adults. I have a particular interest working with teenage and adult populations as well as the elderly and the distinctive challenges they face.
(570) 664-8435 View (570) 664-8435
Photo of Jason Miller - Jason Miller, MA, LPC, Licensed Professional Counselor
Jason Miller, MA, LPC
Licensed Professional Counselor
East Stroudsburg, PA 18301
Everyone experiences challenges in life which can be difficult to navigate; leaving one feeling anxious, depressed or simply unable to cope. Feeling heard, understood and respected is essential to overcoming these life changes and obstacles. I provide counseling services that couple a supportive client-counselor relationship with strength and evidence-based treatments in order to reach your goals. Sometimes ones’ challenges involve those closest to us; in these situations I will provide counseling for family relationships that is geared at improving communication and increasing family unity.
Everyone experiences challenges in life which can be difficult to navigate; leaving one feeling anxious, depressed or simply unable to cope. Feeling heard, understood and respected is essential to overcoming these life changes and obstacles. I provide counseling services that couple a supportive client-counselor relationship with strength and evidence-based treatments in order to reach your goals. Sometimes ones’ challenges involve those closest to us; in these situations I will provide counseling for family relationships that is geared at improving communication and increasing family unity.
(570) 258-8743 View (570) 258-8743
Photo of Holly Selepouchin, Clinical Social Work/Therapist, LCSW
Holly Selepouchin
Clinical Social Work/Therapist, LCSW
Online Only
I work with adolescents and young adults in PA, NY, and NJ navigating ADHD, executive functioning challenges, anxiety, low self-esteem, and life transitions like college prep or early adulthood. Whether you're looking to build confidence, manage stress, create structure, or better understand your emotions and behaviors, I offer practical strategies that work. My approach is grounded and effective, using DBT, CBT, Strengths-Based, and Solution-Focused methods—blending humor, compassion, and challenge to support your growth.
I work with adolescents and young adults in PA, NY, and NJ navigating ADHD, executive functioning challenges, anxiety, low self-esteem, and life transitions like college prep or early adulthood. Whether you're looking to build confidence, manage stress, create structure, or better understand your emotions and behaviors, I offer practical strategies that work. My approach is grounded and effective, using DBT, CBT, Strengths-Based, and Solution-Focused methods—blending humor, compassion, and challenge to support your growth.
(570) 365-5318 View (570) 365-5318
Photo of Candyce Mays - Mays Counseling and Consulting Services LLC
Mays Counseling and Consulting Services LLC
Verified Verified
Online Only
During therapy sessions, expect a non-judgmental and empathetic space where you can openly communicate about your thoughts and feelings. Together, we will work towards identifying and addressing any issues or challenges you may be facing, ultimately helping you to develop healthier and more fulfilling relationships.
During therapy sessions, expect a non-judgmental and empathetic space where you can openly communicate about your thoughts and feelings. Together, we will work towards identifying and addressing any issues or challenges you may be facing, ultimately helping you to develop healthier and more fulfilling relationships.
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Photo of Rosemary Samantha Williams, Licensed Professional Counselor, LPC, CCTPII, ACS
Rosemary Samantha Williams
Licensed Professional Counselor, LPC, CCTPII, ACS
Online Only
You are making the first step toward living your best life. It is possible for you to experience recovery, healing and your optimal wellness. Traumatic experiences and difficult ‘life changes’, may cause you to feel out of control or helpless. Be assured, there is hope!
You are making the first step toward living your best life. It is possible for you to experience recovery, healing and your optimal wellness. Traumatic experiences and difficult ‘life changes’, may cause you to feel out of control or helpless. Be assured, there is hope!
(570) 580-4916 View (570) 580-4916
Dr. Madelon Bohdal
Psychologist, PsyD
Stroudsburg, PA 18360
Hello! I'm Dr. Bohdal, founder of Insight Mental Health Services, where compassionate care and comprehensive support intersect to guide individuals and families on their journey to emotional well-being. At the core of my practice is a commitment to providing tailored and evidence-based psychotherapy services that address a broad range of challenges.
Hello! I'm Dr. Bohdal, founder of Insight Mental Health Services, where compassionate care and comprehensive support intersect to guide individuals and families on their journey to emotional well-being. At the core of my practice is a commitment to providing tailored and evidence-based psychotherapy services that address a broad range of challenges.
(570) 676-2883 View (570) 676-2883
Photo of Louise E. Knight Long - MindBridge Group, LLC, Clinical Social Work/Therapist, LSW, LMSW
MindBridge Group, LLC
Clinical Social Work/Therapist, LSW, LMSW
1 Endorsed
Mount Pocono, PA 18344
Are you struggling, feeling stuck, overwhelmed and burned out? This can cause emotional stress and breakdown on a regular basis. You are making a brave step in asking for help and I strive to meet the individual where he or she may be without judgement. As a therapist, it is my goal to help you identify your strengths and potentials to improve your day to day functioning as we work towards resolving any challenges you may be experiencing. We will work collaboratively to work on your issues, desired goals and outcome. I provide a safe nurturing friendly environment where you can feel free to express your concerns and desires.
Are you struggling, feeling stuck, overwhelmed and burned out? This can cause emotional stress and breakdown on a regular basis. You are making a brave step in asking for help and I strive to meet the individual where he or she may be without judgement. As a therapist, it is my goal to help you identify your strengths and potentials to improve your day to day functioning as we work towards resolving any challenges you may be experiencing. We will work collaboratively to work on your issues, desired goals and outcome. I provide a safe nurturing friendly environment where you can feel free to express your concerns and desires.
(570) 580-4067 View (570) 580-4067
Photo of Stephanie Pearce, Clinical Social Work/Therapist, LCSW, PMH-C, FT
Stephanie Pearce
Clinical Social Work/Therapist, LCSW, PMH-C, FT
2 Endorsed
Sciota, PA 18354
Thank you for your interest. I would love to partner with you & provide support on your growth journey. I hold 25 years of experience in the social work field. My practice is dedicated to supporting clients through a range of challenges, with a focus on maternal mental health, infertility, pregnancy and perinatal loss, reproductive and birth trauma, menopause, childfree-affirmative therapy, as well as supporting all reproductive experiences. I also provide compassionate care for individuals navigating the grief of a parent, child, partner & sibling loss. I provide in person therapy in PA & or virtual sessions for PA & NJ residents.
Thank you for your interest. I would love to partner with you & provide support on your growth journey. I hold 25 years of experience in the social work field. My practice is dedicated to supporting clients through a range of challenges, with a focus on maternal mental health, infertility, pregnancy and perinatal loss, reproductive and birth trauma, menopause, childfree-affirmative therapy, as well as supporting all reproductive experiences. I also provide compassionate care for individuals navigating the grief of a parent, child, partner & sibling loss. I provide in person therapy in PA & or virtual sessions for PA & NJ residents.
(908) 649-0689 View (908) 649-0689
Photo of Sondria Burris Miller - A Holistic Approach to Wellness, BS, MDiv, DMFT
A Holistic Approach to Wellness
Verified Verified
Mount Pocono, PA 18344
Today, you are one step closer to feeling more empowered and embarking on a positive path that leads to personal growth and well-being. Greetings, I am Dr. Miller, a psychodynamic therapist and counselor. I provide therapy to adults, children (aged 6+ years), adolescents, couples, groups, and families. My key objective is to assist you to realize your true potential and lead a life that is worth celebrating, and this is best achieved by using an eclectic, integrative approach.
Today, you are one step closer to feeling more empowered and embarking on a positive path that leads to personal growth and well-being. Greetings, I am Dr. Miller, a psychodynamic therapist and counselor. I provide therapy to adults, children (aged 6+ years), adolescents, couples, groups, and families. My key objective is to assist you to realize your true potential and lead a life that is worth celebrating, and this is best achieved by using an eclectic, integrative approach.
(570) 491-1328 View (570) 491-1328
Photo of Cindy Pilcher, Licensed Professional Counselor, MS, NCC, CSTIP, LPC
Cindy Pilcher
Licensed Professional Counselor, MS, NCC, CSTIP, LPC
3 Endorsed
Stroudsburg, PA 18360
Are relationship challenges leaving you feeling overwhelmed, confused, or disconnected? I’m Cindy Pilcher, a Licensed Professional Counselor (PA & NJ) dedicated to helping individuals navigate the complexities of their relationships and find clarity, healing, and renewed connection. With years of experience in couples and individual therapy, I specialize in addressing issues such as communication breakdowns, trust concerns, intimacy struggles, and emotional wounds. My approach is compassionate, collaborative, and tailored to each person’s unique needs, aiming to foster understanding, resilience, and positive change.
Are relationship challenges leaving you feeling overwhelmed, confused, or disconnected? I’m Cindy Pilcher, a Licensed Professional Counselor (PA & NJ) dedicated to helping individuals navigate the complexities of their relationships and find clarity, healing, and renewed connection. With years of experience in couples and individual therapy, I specialize in addressing issues such as communication breakdowns, trust concerns, intimacy struggles, and emotional wounds. My approach is compassionate, collaborative, and tailored to each person’s unique needs, aiming to foster understanding, resilience, and positive change.
(272) 385-0498 View (272) 385-0498
Photo of Christiane DaSilva - Pocono Counseling Associates, Licensed Professional Counselor, MS, CADC, CCTP, NCC, LPC
Pocono Counseling Associates
Licensed Professional Counselor, MS, CADC, CCTP, NCC, LPC
Stroudsburg, PA 18360
I am an experienced counselor with over 15 years of experience in the mental health, co-occurring disorders, substance abuse treatment, trauma, grief, and oncology counseling fields. I have experience providing counseling services to a variety of individuals and groups, including adolescents and adults struggling with mood disorders, anxiety disorders, unresolved grief, trauma, and stressor-related disorders and more recently cancer survivors and their loved ones.
I am an experienced counselor with over 15 years of experience in the mental health, co-occurring disorders, substance abuse treatment, trauma, grief, and oncology counseling fields. I have experience providing counseling services to a variety of individuals and groups, including adolescents and adults struggling with mood disorders, anxiety disorders, unresolved grief, trauma, and stressor-related disorders and more recently cancer survivors and their loved ones.
(570) 673-0638 View (570) 673-0638

See more therapy options for Monroe County

How does your Therapist compare?

Number of Therapists in Monroe County, PA

100+

Average cost per session

$125

Therapists in Monroe County, PA who prioritize treating:

89% Anxiety
85% Depression
71% Trauma and PTSD
68% Self Esteem
67% Relationship Issues
67% Coping Skills
62% Family Conflict

Average years in practice

12 Years

Top 3 insurances accepted

78% Aetna
73% Highmark
72% BlueCross and BlueShield

How Therapists in Monroe County, PA see their clients

62% In Person and Online
38% Online Only

Gender breakdown

85% Female
15% Male
FAQs - About Therapy and Counseling

How can I find a therapist in Monroe County?

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.