Therapists in Mountain Top, PA

Photo of Keely Seybold, Clinical Social Work/Therapist in Mountain Top, PA
Keely Seybold
Clinical Social Work/Therapist, LSW
Verified Verified
Mountain Top, PA 18707
It can be difficult to do the "right" thing, especially when it comes to raising children. Being a parent is hard. And so is being a child. I am here to guide and empower you and/or your family in discovering your full potential through open communication, playfulness, and learning to enjoy each other. Your child may be struggling in school with behavioral/emotional issues- as a play therapist I approach these challenges through play because I believe that is the language of children. I have experience as a school social worker and am familiar with IEP's and behavior plans and can help navigate these issues with you.
It can be difficult to do the "right" thing, especially when it comes to raising children. Being a parent is hard. And so is being a child. I am here to guide and empower you and/or your family in discovering your full potential through open communication, playfulness, and learning to enjoy each other. Your child may be struggling in school with behavioral/emotional issues- as a play therapist I approach these challenges through play because I believe that is the language of children. I have experience as a school social worker and am familiar with IEP's and behavior plans and can help navigate these issues with you.
(570) 539-7062 View (570) 539-7062
Photo of Mountaintop Counseling LLC, Licensed Professional Counselor in Mountain Top, PA
Mountaintop Counseling LLC
Licensed Professional Counselor, LPC, MEd, NCC
Verified Verified
2 Endorsed
Mountain Top, PA 18707
Sometimes it just seems like we are going through life without direction. Sometimes we have never really been able to express who we are to another person. Sometimes we just feel lost. Whatever the reason, know that you don’t have to go through each day feeling this way. Through counseling, you can learn what the next steps might be for you and how to manage your thoughts and emotions. At Mountaintop Counseling, we will be empathetic and honest. The therapeutic alliance can be such a powerful force to help you see your issues in a different light.
Sometimes it just seems like we are going through life without direction. Sometimes we have never really been able to express who we are to another person. Sometimes we just feel lost. Whatever the reason, know that you don’t have to go through each day feeling this way. Through counseling, you can learn what the next steps might be for you and how to manage your thoughts and emotions. At Mountaintop Counseling, we will be empathetic and honest. The therapeutic alliance can be such a powerful force to help you see your issues in a different light.
(570) 600-5658 View (570) 600-5658
Photo of Carolyn McGinnis, Clinical Social Work/Therapist in Mountain Top, PA
Carolyn McGinnis
Clinical Social Work/Therapist, LCSW
Verified Verified
Mountain Top, PA 18707  (Online Only)
Not accepting new clients
Life has been pretty wild lately. If you find yourself feeling totally lost or completely overwhelmed, you are not alone. Having an objective ear to talk to can be incredibly helpful and calming. Whether you are looking for a safe space to vent, or for someone to help you gain a new perspective, I'm ready to help you find your way. When you're ready to take that next step, e-mail me and we can get that conversation started.
Life has been pretty wild lately. If you find yourself feeling totally lost or completely overwhelmed, you are not alone. Having an objective ear to talk to can be incredibly helpful and calming. Whether you are looking for a safe space to vent, or for someone to help you gain a new perspective, I'm ready to help you find your way. When you're ready to take that next step, e-mail me and we can get that conversation started.
(570) 285-4835 View (570) 285-4835
Photo of Robyn Docherty, Licensed Professional Counselor in Mountain Top, PA
Robyn Docherty
Licensed Professional Counselor, MA, ATR-BC, LPC
Verified Verified
Mountain Top, PA 18707
You have taken a brave and difficult first step by considering therapy. Whether you are struggling with anxiety, increased self judgement, or going through a stressful life transition, I am here for you. I believe that therapy is a commitment and an opportunity to invest in and explore our true selves. I believe change flourishes once a person feels seen and understood. My priority is ensuring that you feel safe and comfortable so that we can work together to reach your goals. We all need a safe space to process and work toward our full potential.
You have taken a brave and difficult first step by considering therapy. Whether you are struggling with anxiety, increased self judgement, or going through a stressful life transition, I am here for you. I believe that therapy is a commitment and an opportunity to invest in and explore our true selves. I believe change flourishes once a person feels seen and understood. My priority is ensuring that you feel safe and comfortable so that we can work together to reach your goals. We all need a safe space to process and work toward our full potential.
(570) 676-1872 View (570) 676-1872
Photo of Diana C. Cuello, Psychologist in Mountain Top, PA
Diana C. Cuello
Psychologist, PhD
Verified Verified
2 Endorsed
Mountain Top, PA 18707  (Online Only)
Let's invent together a way beyond your suffering or problematic repetitions. I use creative language play to release unconscious tensions manifesting as symptoms. In psychoanalysis you can elevate your agency by recognizing your own unfolding processes without the pressure to change. My attention will be focused on the linguistic and homophonous patterns of your unconscious as manifested in your speech, with the aim of distilling the suffering from your words and possibly producing a creative practice in its stead. To that end I will invite you to speak. I don't take insurance, but you may be able to use your OON benefits!
Let's invent together a way beyond your suffering or problematic repetitions. I use creative language play to release unconscious tensions manifesting as symptoms. In psychoanalysis you can elevate your agency by recognizing your own unfolding processes without the pressure to change. My attention will be focused on the linguistic and homophonous patterns of your unconscious as manifested in your speech, with the aim of distilling the suffering from your words and possibly producing a creative practice in its stead. To that end I will invite you to speak. I don't take insurance, but you may be able to use your OON benefits!
(570) 471-5727 View (570) 471-5727
Photo of Mountaintop Counseling "Rise and Reconnect", Licensed Professional Counselor in Mountain Top, PA
Mountaintop Counseling "Rise and Reconnect"
Licensed Professional Counselor, LPC, NCC
Verified Verified
Mountain Top, PA 18707
Michelle Zapotoski and Lauren Martonick are Licensed Professional Counselors specializing in helping couples repair and reconnect in their relationship. Couples usually start seeing an impact after just a couple of sessions! By using the methods advocated by the Gottman Institute, many couples typically find significant improvements within 8-10 hours of therapeutic intervention.
Michelle Zapotoski and Lauren Martonick are Licensed Professional Counselors specializing in helping couples repair and reconnect in their relationship. Couples usually start seeing an impact after just a couple of sessions! By using the methods advocated by the Gottman Institute, many couples typically find significant improvements within 8-10 hours of therapeutic intervention.
(570) 673-0723 View (570) 673-0723
Photo of Deanna Dixon, Licensed Professional Counselor in Mountain Top, PA
Deanna Dixon
Licensed Professional Counselor, Deanna Dixon, NCC, LPC
Verified Verified
Mountain Top, PA 18707
Waitlist for new clients
I work with a broad spectrum of needs which include but are not limited to Adjustment Disorder, Anxiety Disorders, Depression, Level One Autism, and Mood Disorders. I also have some experience working with Borderline Personality Disorder. I've practiced with my MS in Clinical Mental Health Counseling since 2019 in a variety of settings which have included School Based and Outpatient. Prior to completing my Master's degree I spent 6 years working in Autism under a Behavioral Consultant. I work with lifespan, typically starting at the age of 4, and assist in identifying individual needs and goals and forming individualized treatment.
I work with a broad spectrum of needs which include but are not limited to Adjustment Disorder, Anxiety Disorders, Depression, Level One Autism, and Mood Disorders. I also have some experience working with Borderline Personality Disorder. I've practiced with my MS in Clinical Mental Health Counseling since 2019 in a variety of settings which have included School Based and Outpatient. Prior to completing my Master's degree I spent 6 years working in Autism under a Behavioral Consultant. I work with lifespan, typically starting at the age of 4, and assist in identifying individual needs and goals and forming individualized treatment.
(570) 483-9795 View (570) 483-9795
Photo of Lauren Martonick, Licensed Professional Counselor in Mountain Top, PA
Lauren Martonick
Licensed Professional Counselor, LPC
Verified Verified
Mountain Top, PA 18707  (Online Only)
I enjoy working with individuals who are motivated to help themselves, open to change and willing to have deep conversations about their challenges. I have special interest in working with individuals who have endured any type of trauma in their lifetime or those experiencing relationship or family issues. I strive to provide an environment that clients feel safe, supported, and validated. In turn, this will lead to a positive therapeutic relationship in which self-reflection and processing can take place.
I enjoy working with individuals who are motivated to help themselves, open to change and willing to have deep conversations about their challenges. I have special interest in working with individuals who have endured any type of trauma in their lifetime or those experiencing relationship or family issues. I strive to provide an environment that clients feel safe, supported, and validated. In turn, this will lead to a positive therapeutic relationship in which self-reflection and processing can take place.
(570) 672-5686 View (570) 672-5686
Photo of Amanda Tomlinson, Pre-Licensed Professional in Mountain Top, PA
Amanda Tomlinson
Pre-Licensed Professional
Verified Verified
Mountain Top, PA 18707
My ideal client is someone who recognizes the significance of holistic healing and is eager to embark on a transformative journey towards self-discovery. They may be navigating the aftermath of trauma, seeking relief from anxiety and depression, or striving to build healthier relationships. Their needs include a safe and non-judgmental space to explore their thoughts and feelings. They aspire to uncover their strengths, build resilience, and cultivate balance in their life. Motivated to achieve holistic well-being, they value a client-centered approach and are ready for a collaborative, empowering journey of self-exploration.
My ideal client is someone who recognizes the significance of holistic healing and is eager to embark on a transformative journey towards self-discovery. They may be navigating the aftermath of trauma, seeking relief from anxiety and depression, or striving to build healthier relationships. Their needs include a safe and non-judgmental space to explore their thoughts and feelings. They aspire to uncover their strengths, build resilience, and cultivate balance in their life. Motivated to achieve holistic well-being, they value a client-centered approach and are ready for a collaborative, empowering journey of self-exploration.
(570) 630-7473 View (570) 630-7473
Photo of Natasha Nayduch, Pre-Licensed Professional in Mountain Top, PA
Natasha Nayduch
Pre-Licensed Professional, MEd, NCC
Verified Verified
Mountain Top, PA 18707  (Online Only)
Life isn't always easy, and everyone deals with and processes life's events in different ways. That's why it's especially important to me to individualize therapy for you and your specific needs. Clients that I work with may be struggling with managing all that is going on in their lives, including managing additional anxiety, stress and/or depression. Regardless of what you're dealing with, we will work together to develop a personalized plan for you so that you feel heard, safe, and confident as we move forward in our work together.
Life isn't always easy, and everyone deals with and processes life's events in different ways. That's why it's especially important to me to individualize therapy for you and your specific needs. Clients that I work with may be struggling with managing all that is going on in their lives, including managing additional anxiety, stress and/or depression. Regardless of what you're dealing with, we will work together to develop a personalized plan for you so that you feel heard, safe, and confident as we move forward in our work together.
(570) 857-2329 View (570) 857-2329
Photo of Robert Tryzenski, Licensed Professional Counselor in Mountain Top, PA
Robert Tryzenski
Licensed Professional Counselor, MA, LPC
Verified Verified
Mountain Top, PA 18707
With over 25 years of experience in this field, I am unique and eclectic in my approach. I particularly enjoy working with clients who have been seen as "difficult" by others or who have been dissatisfied with counseling in the past. I recognize the hard work that goes into bringing about change, but still feel the overall experience in counseling should be enjoyable. I am passionate about my work and try to make myself as accessible as possible. I welcome the opportunity to discuss your issues with you in a totally free/phone consultation.
With over 25 years of experience in this field, I am unique and eclectic in my approach. I particularly enjoy working with clients who have been seen as "difficult" by others or who have been dissatisfied with counseling in the past. I recognize the hard work that goes into bringing about change, but still feel the overall experience in counseling should be enjoyable. I am passionate about my work and try to make myself as accessible as possible. I welcome the opportunity to discuss your issues with you in a totally free/phone consultation.
(570) 491-1828 View (570) 491-1828
Photo of Michael James Capozzi, Licensed Professional Counselor in Mountain Top, PA
Michael James Capozzi
Licensed Professional Counselor, LPC, MS, NCC
Verified Verified
Mountain Top, PA 18707
My clinical expertise is addiction/substance abuse treatment (both user and impacted family members) as I've worked in both inpatient & outpatient settings. I am very familiar with 12-step recovery but it is not my only tool. I can provide evaluation/assessment and potential referral to rehab if needed. My style is hands on & solution-oriented -- my goal is that you leave our sessions feeling empowered, motivated and have more coping skills to manage your life. There is no reason why you should continue to suffer or struggle; you deserve to feel better & develop confidence in yourself.
My clinical expertise is addiction/substance abuse treatment (both user and impacted family members) as I've worked in both inpatient & outpatient settings. I am very familiar with 12-step recovery but it is not my only tool. I can provide evaluation/assessment and potential referral to rehab if needed. My style is hands on & solution-oriented -- my goal is that you leave our sessions feeling empowered, motivated and have more coping skills to manage your life. There is no reason why you should continue to suffer or struggle; you deserve to feel better & develop confidence in yourself.
(272) 770-3729 View (272) 770-3729
Photo of Deb Pavlico, Licensed Professional Counselor in Mountain Top, PA
Deb Pavlico
Licensed Professional Counselor, MS, NCC, LPC, BC-TMH
Verified Verified
1 Endorsed
Mountain Top, PA 18707  (Online Only)
Sometimes life presents challenges that seem overwhelming. Emotional baggage is heavy and old belief systems can become outdated or irrelevant to who you are today. In a compassionate and objective setting we'll begin to redefine the old beliefs that may be keeping you from reaching your full potential. Whether it's a single life event, or a perpetual problem you are looking to resolve, it would be my privilege to walk with you on your journey.
Sometimes life presents challenges that seem overwhelming. Emotional baggage is heavy and old belief systems can become outdated or irrelevant to who you are today. In a compassionate and objective setting we'll begin to redefine the old beliefs that may be keeping you from reaching your full potential. Whether it's a single life event, or a perpetual problem you are looking to resolve, it would be my privilege to walk with you on your journey.
(570) 972-2497 View (570) 972-2497
Photo of Scott D. Carey, Licensed Professional Counselor in Mountain Top, PA
Scott D. Carey
Licensed Professional Counselor, MA, LPC, NCC, CADC
Verified Verified
Mountain Top, PA 18707
Not accepting new clients
I have 12 years of experience in treating clients struggling with various substance use disorders as well as associated co-occurring disorders including but not limited to anxiety and depression. I have experience in treating grief and loss through the use of the Kubler-Ross Model also known as The Five Stages of Grief. Determining treatment goals is considered to be a collaborative effort, always fostering the right to control the direction of one's life. My experience also includes assisting families and loved ones of those who are struggling through education, information, understanding and compassion.
I have 12 years of experience in treating clients struggling with various substance use disorders as well as associated co-occurring disorders including but not limited to anxiety and depression. I have experience in treating grief and loss through the use of the Kubler-Ross Model also known as The Five Stages of Grief. Determining treatment goals is considered to be a collaborative effort, always fostering the right to control the direction of one's life. My experience also includes assisting families and loved ones of those who are struggling through education, information, understanding and compassion.
(272) 422-1264 View (272) 422-1264
Photo of Tina Myers, Pre-Licensed Professional in Mountain Top, PA
Tina Myers
Pre-Licensed Professional, BEd, MEd, MA
Verified Verified
3 Endorsed
Mountain Top, PA 18707
Are you struggling with anxiety or depression? I'm here to help! I work with many clients whose goals are to find coping skills for anxiety and experience more joy in life. I also enjoy working with clients to process childhood experiences and trauma to be able to move forward with their life while letting go of anger and resentment.
Are you struggling with anxiety or depression? I'm here to help! I work with many clients whose goals are to find coping skills for anxiety and experience more joy in life. I also enjoy working with clients to process childhood experiences and trauma to be able to move forward with their life while letting go of anger and resentment.
(412) 912-4748 View (412) 912-4748
Photo of Lauren Hudak, Pre-Licensed Professional in Mountain Top, PA
Lauren Hudak
Pre-Licensed Professional, MS, NCC
Verified Verified
Mountain Top, PA 18707
Not feeling heard? I am here to listen. I want to hear you. Feeling stuck? I am here to facilitate change. I want to help and encourage new patterns. Feeling hopeless? I am here to instill hope. I want to work with you to renew excitement about the present and future. Feeling alone? I am here to support you. I want to build up your support system. Bottom line? I'm here for you, and I want to be.
Not feeling heard? I am here to listen. I want to hear you. Feeling stuck? I am here to facilitate change. I want to help and encourage new patterns. Feeling hopeless? I am here to instill hope. I want to work with you to renew excitement about the present and future. Feeling alone? I am here to support you. I want to build up your support system. Bottom line? I'm here for you, and I want to be.
(272) 435-8067 View (272) 435-8067
Photo of Brian J Cook, Licensed Professional Counselor in Mountain Top, PA
Brian J Cook
Licensed Professional Counselor, MS, NCC, LPC
Verified Verified
1 Endorsed
Mountain Top, PA 18707
The role of counselors is to ensure clients feel heard, respected, and validated and, in turn offer supportive and constructive feedback to help individuals gain greater insight and understanding. Therefore, I use a mix of compassionate techniques and problem solving strategies to aid individuals in problem resolution and management of their difficulties. This enables and empowers the individual to take charge of things and have control and direction in their lifestyle.
The role of counselors is to ensure clients feel heard, respected, and validated and, in turn offer supportive and constructive feedback to help individuals gain greater insight and understanding. Therefore, I use a mix of compassionate techniques and problem solving strategies to aid individuals in problem resolution and management of their difficulties. This enables and empowers the individual to take charge of things and have control and direction in their lifestyle.
(272) 200-4877 View (272) 200-4877
Photo of Revive Counseling Associates LLC, Licensed Professional Counselor in Mountain Top, PA
Revive Counseling Associates LLC
Licensed Professional Counselor, LPC, NCC
Verified Verified
Mountain Top, PA 18707
If you find yourself overwhelmed with life circumstances and struggling to find your way through, we can help! We have therapists with extensive experience in providing mental health services that can work with you to find your way to feeling back to yourself and on your best path!
If you find yourself overwhelmed with life circumstances and struggling to find your way through, we can help! We have therapists with extensive experience in providing mental health services that can work with you to find your way to feeling back to yourself and on your best path!
(272) 200-3740 View (272) 200-3740
Photo of Diane Webber, Licensed Professional Counselor in Mountain Top, PA
Diane Webber
Licensed Professional Counselor, MA, NCC, LPC
Verified Verified
1 Endorsed
Mountain Top, PA 18707  (Online Only)
Simply put, money conversations are hard - money talk ranks up there with religion, politics, and our sex lives. No wonder we avoid talking about it - and especially in these uncertain times. Our relationship with money is complex, just like our relationships with loved ones, coworkers, ourselves, and our bodies. On top of that, money is often paired with feelings of anxiety, fear, shame, guilt, and embarrassment. “I’m bad with money. I'm overwhelmed. I keep making the same mistakes. I spend too much - and on the wrong things. I have more debt than I care to admit. Confidence with money is for other people, not me.”
Simply put, money conversations are hard - money talk ranks up there with religion, politics, and our sex lives. No wonder we avoid talking about it - and especially in these uncertain times. Our relationship with money is complex, just like our relationships with loved ones, coworkers, ourselves, and our bodies. On top of that, money is often paired with feelings of anxiety, fear, shame, guilt, and embarrassment. “I’m bad with money. I'm overwhelmed. I keep making the same mistakes. I spend too much - and on the wrong things. I have more debt than I care to admit. Confidence with money is for other people, not me.”
(570) 852-2966 View (570) 852-2966

More Therapists Nearby

Photo of Diana Ruhf, Licensed Professional Counselor in Mountain Top, PA
Diana Ruhf
Licensed Professional Counselor, MA, LPC, ATR-BC
Verified Verified
Kingston, PA 18704
Life is like a rollercoaster, full of ups and downs, twists and turns. I'm here to navigate through it with you. I believe in understanding our emotions and accepting that there can be multiple truths to a situation. Life isn't always clear-cut; it's full of shades of gray, and that's alright. Let's also learn to stop comparing ourselves to others and instead learn to be kinder to ourselves. Together, learn to embrace your imperfections and find contentment in who you are. After all, those little quirks we perceive as flaws might actually be your biggest assets.
Life is like a rollercoaster, full of ups and downs, twists and turns. I'm here to navigate through it with you. I believe in understanding our emotions and accepting that there can be multiple truths to a situation. Life isn't always clear-cut; it's full of shades of gray, and that's alright. Let's also learn to stop comparing ourselves to others and instead learn to be kinder to ourselves. Together, learn to embrace your imperfections and find contentment in who you are. After all, those little quirks we perceive as flaws might actually be your biggest assets.
(272) 359-7514 View (272) 359-7514

See more therapy options for Mountain Top

How does your Therapist compare?

Number of Therapists in Mountain Top, PA

10+

Average cost per session

$100

Therapists in Mountain Top, PA who prioritize treating:

89% Anxiety
89% Stress
84% Self Esteem
79% Relationship Issues
79% Depression
79% Trauma and PTSD
74% Life Transitions

Average years in practice

10 Years

Top 3 insurances accepted

88% Geisinger
71% Highmark
71% Optum

How Therapists in Mountain Top, PA see their clients

69% In Person and Online
31% Online Only

Gender breakdown

69% Female
26% Male
5% Non-Binary

FAQs - About Therapy and Counseling

How can I find a therapist in Mountain Top?

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.