Therapists in New Stanton, PA

Photo of Cynthia Wood - Headway, Clinical Social Work/Therapist, LCSW
Headway
Clinical Social Work/Therapist, LCSW
Online Only
Life can feel overwhelming at times — whether you're struggling with anxiety, navigating relationship challenges, processing past trauma, or simply feeling “not like yourself.” You don’t have to carry that alone. My goal is to create a therapeutic space where you feel safe, respected, and genuinely understood. I believe growth begins with compassion — both from your therapist and toward yourself. In our work together, we will explore the patterns, beliefs, and experiences that shape how you relate to yourself and others.
Life can feel overwhelming at times — whether you're struggling with anxiety, navigating relationship challenges, processing past trauma, or simply feeling “not like yourself.” You don’t have to carry that alone. My goal is to create a therapeutic space where you feel safe, respected, and genuinely understood. I believe growth begins with compassion — both from your therapist and toward yourself. In our work together, we will explore the patterns, beliefs, and experiences that shape how you relate to yourself and others.
(724) 303-7872 View (724) 303-7872
Photo of Brianna Panizzi, Licensed Professional Counselor, LPC
Brianna Panizzi
Licensed Professional Counselor, LPC
Online Only
She is a licensed professional counselor. Brianna has experience working with adolescents and adults with acute, chronic, and complex trauma. Brianna uses client-centered therapy as well as cognitive behavioral therapy modalities and believes that establishing rapport and trust creates a transparent and safe space. Briannas believes in treating all aspects of a person and utilizing mindfulness techniques. Brianna has experiences working with a variety of issues including Anxiety, Depression, Eating Disorders, Personality Disorders, and trauma.
She is a licensed professional counselor. Brianna has experience working with adolescents and adults with acute, chronic, and complex trauma. Brianna uses client-centered therapy as well as cognitive behavioral therapy modalities and believes that establishing rapport and trust creates a transparent and safe space. Briannas believes in treating all aspects of a person and utilizing mindfulness techniques. Brianna has experiences working with a variety of issues including Anxiety, Depression, Eating Disorders, Personality Disorders, and trauma.
(878) 205-8376 View (878) 205-8376
Photo of Danielle Bitner, Licensed Professional Counselor, MS, LPC, NCC
Danielle Bitner
Licensed Professional Counselor, MS, LPC, NCC
Serves Area
There are situations in life when you may feel it's too difficult to handle things on your own. Sometimes family and friends are unable to give you the guidance or insight that you may need to resolve or manage your problem. It's in these times that therapy can help. I have successfully treated a wide-range of issues including, but not limited to; grief, loss, trauma, mood and anxiety disorders. I have also successfully worked with couples who are dealing with infidelity and/or communication issues.
There are situations in life when you may feel it's too difficult to handle things on your own. Sometimes family and friends are unable to give you the guidance or insight that you may need to resolve or manage your problem. It's in these times that therapy can help. I have successfully treated a wide-range of issues including, but not limited to; grief, loss, trauma, mood and anxiety disorders. I have also successfully worked with couples who are dealing with infidelity and/or communication issues.
(412) 307-3589 View (412) 307-3589
Photo of Richard Hoffman - Christian Counseling Associates of Western PA, Licensed Professional Counselor, PhD
Christian Counseling Associates of Western PA
Licensed Professional Counselor, PhD
1 Endorsed
Serves Area
Christian Counseling Associates (CCA) provides individual, marriage, and family counseling, as well as intensive group therapy when desired. 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. 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, as well as intensive group therapy when desired. 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. Visit our website for a complete description of our faith based counseling services, locations, and counseling staff.
(724) 230-8263 View (724) 230-8263
Photo of Nicole Niggel, Licensed Professional Counselor, LPC
Nicole Niggel
Licensed Professional Counselor, LPC
Online Only
Hello, my name is Nicole M. Niggel and I am a licensed professional counselor. I like to take the person-centered/reality-based approach. I have a lot of experience working with a variety of ages and much focus on people who battle with anxiety and depression. I have worked with person-centered therapy, reality-based therapy, and CBT and I am trained in EMDR therapy.
Hello, my name is Nicole M. Niggel and I am a licensed professional counselor. I like to take the person-centered/reality-based approach. I have a lot of experience working with a variety of ages and much focus on people who battle with anxiety and depression. I have worked with person-centered therapy, reality-based therapy, and CBT and I am trained in EMDR therapy.
(717) 942-9157 View (717) 942-9157

More Therapists Nearby

Photo of James M Miller, Counselor, MSPC, LPC
James M Miller
Counselor, MSPC, LPC
Wilkinsburg, PA 15221
You might be someone who’s tired of feeling stuck — overwhelmed by past hurts, anxiety, shame, or self-doubt — and wondering if healing is really possible. Maybe you’ve tried coping with emotional pain by pushing it away, hiding it, or staying busy, and now it’s wearing you down. You want clarity, confidence, resilience. You long to understand your story (not be defined by it), and find peace with the past so you can move forward with more freedom, courage, and hope.
You might be someone who’s tired of feeling stuck — overwhelmed by past hurts, anxiety, shame, or self-doubt — and wondering if healing is really possible. Maybe you’ve tried coping with emotional pain by pushing it away, hiding it, or staying busy, and now it’s wearing you down. You want clarity, confidence, resilience. You long to understand your story (not be defined by it), and find peace with the past so you can move forward with more freedom, courage, and hope.
(412) 275-5479 View (412) 275-5479
Photo of Dana M Bauer - Sage Wellness Center, Clinical Social Work/Therapist, LCSW
Sage Wellness Center
Clinical Social Work/Therapist, LCSW
Greensburg, PA 15601
Sage Wellness Practitioners are here to walk alongside you in your journey, cultivating wellness and inspiring hope for brighter tomorrow's. Our relationships with our clients are built on a foundation of integrity, compassion, competence, & trust. Our therapists are versed in working with older adolescents and adults across the lifespan. If you are struggling with life stressors and transitions, panic, anxiety, mood instability, pain management, grief & loss and more - our behavioral health therapists can help you strengthen your self esteem, build coping strategies and shift your thinking to support a healthier and happier you.
Sage Wellness Practitioners are here to walk alongside you in your journey, cultivating wellness and inspiring hope for brighter tomorrow's. Our relationships with our clients are built on a foundation of integrity, compassion, competence, & trust. Our therapists are versed in working with older adolescents and adults across the lifespan. If you are struggling with life stressors and transitions, panic, anxiety, mood instability, pain management, grief & loss and more - our behavioral health therapists can help you strengthen your self esteem, build coping strategies and shift your thinking to support a healthier and happier you.
(878) 645-3771 View (878) 645-3771
Photo of Al Kasprowicz - Stillwater, LLC, Psychologist, PhD, LPC, LICSW
Stillwater, LLC
Psychologist, PhD, LPC, LICSW
Serves Area
AT STILLWATER, WE PROVIDE COUNSELING, CONSULTING AND ASSESSMENT SERVICES FOR CHILDREN, ADOLESCENTS AND ADULTS. It is our desire to restore, maintain and increase the health and wellbeing of individuals through evidence-based practice, integrating conventional, holistic and faith-based approaches. We strive to offer an approachable, contemplative and encouraging space; an environment supportive of the wellness and healing intrinsic to us all. Stillwater practitioners consider the intricacies of the emotional, cognitive, physical and spiritual self, all essential to the vitality of the whole person.
AT STILLWATER, WE PROVIDE COUNSELING, CONSULTING AND ASSESSMENT SERVICES FOR CHILDREN, ADOLESCENTS AND ADULTS. It is our desire to restore, maintain and increase the health and wellbeing of individuals through evidence-based practice, integrating conventional, holistic and faith-based approaches. We strive to offer an approachable, contemplative and encouraging space; an environment supportive of the wellness and healing intrinsic to us all. Stillwater practitioners consider the intricacies of the emotional, cognitive, physical and spiritual self, all essential to the vitality of the whole person.
(681) 202-2141 View (681) 202-2141
Photo of Jeremy Rahn, Counselor, LPC
Jeremy Rahn
Counselor, LPC
Online Only
I have experience working with professional athletes (currently as the Philadelphia Flyers Mental Performance Coordinator and previously in the NBA / MLB) and college / youth athletes from a variety of sports. My ideal client is an athlete who’s dealing with the real mental and emotional demands of their sport. They may be managing stress, pressure, self-doubt, or the weight of expectations. Some are recovering from injury, struggling with confidence, or trying to balance life outside of competition. Others feel stuck, frustrated, or disconnected from the sport they used to enjoy.
I have experience working with professional athletes (currently as the Philadelphia Flyers Mental Performance Coordinator and previously in the NBA / MLB) and college / youth athletes from a variety of sports. My ideal client is an athlete who’s dealing with the real mental and emotional demands of their sport. They may be managing stress, pressure, self-doubt, or the weight of expectations. Some are recovering from injury, struggling with confidence, or trying to balance life outside of competition. Others feel stuck, frustrated, or disconnected from the sport they used to enjoy.
(215) 445-1916 View (215) 445-1916
Photo of Pamela R Wollet - Integrative Counseling and Wellness, LLC, Clinical Social Work/Therapist, LCSW
Integrative Counseling and Wellness, LLC
Clinical Social Work/Therapist, LCSW
1 Endorsed
Serves Area
I find so much peace and balance in the forest, whether it's meditating as I Iisten to the wind in the trees or variations of birdsong, sitting by a mountain stream, witnessing a waterfall, or even grounding my feet into the earth. In spending time with you, my hope is that in our sessions together, that you too, can experience a form of peace and balance to help you on your journey towards wellness. As a Licensed Clinical Social Worker and Certified International Health Coach I provide both mental health therapy and health coaching services to adults and teens where we believe in the transformative power of integrative wellness.
I find so much peace and balance in the forest, whether it's meditating as I Iisten to the wind in the trees or variations of birdsong, sitting by a mountain stream, witnessing a waterfall, or even grounding my feet into the earth. In spending time with you, my hope is that in our sessions together, that you too, can experience a form of peace and balance to help you on your journey towards wellness. As a Licensed Clinical Social Worker and Certified International Health Coach I provide both mental health therapy and health coaching services to adults and teens where we believe in the transformative power of integrative wellness.
(272) 422-0996 View (272) 422-0996
Photo of Rachel Simonds, Psychologist, PhD
Rachel Simonds
Psychologist, PhD
Pittsburgh, PA 15232
ONLY accepting new testing clients at this time. I am a licensed psychologist who works with adolescents and young adults who are seeking help with emotional, social, and behavioral problems. Building a strong therapeutic relationship is essential to creating change. My goal is to create a safe, supportive environment to help you navigate the challenges you're facing. I use CBT and other evidence-based treatments, tailored to each individual, to help meet their needs and achieve their goals. I also conduct neuropsychological assessments primarily for ADHD.
ONLY accepting new testing clients at this time. I am a licensed psychologist who works with adolescents and young adults who are seeking help with emotional, social, and behavioral problems. Building a strong therapeutic relationship is essential to creating change. My goal is to create a safe, supportive environment to help you navigate the challenges you're facing. I use CBT and other evidence-based treatments, tailored to each individual, to help meet their needs and achieve their goals. I also conduct neuropsychological assessments primarily for ADHD.
(412) 293-0692 View (412) 293-0692
Photo of Lauren J. Brunner, Clinical Social Work/Therapist, LCSW
Lauren J. Brunner
Clinical Social Work/Therapist, LCSW
You cannot heal by out running your own humanity. Most people are not failing; they are adapting, often brilliantly, to pain, pressure, uncertainty, and overwhelm. But over time, the very strategies that once protected us can begin to cost us — through overcontrol, substances, food, technology, unhealthy relationships, obsession, or numbing of all kinds. What once served as protection can quietly become its own prison.
You cannot heal by out running your own humanity. Most people are not failing; they are adapting, often brilliantly, to pain, pressure, uncertainty, and overwhelm. But over time, the very strategies that once protected us can begin to cost us — through overcontrol, substances, food, technology, unhealthy relationships, obsession, or numbing of all kinds. What once served as protection can quietly become its own prison.
(412) 844-5425 View (412) 844-5425
Photo of Kim Kraft, Licensed Professional Counselor, LPC
Kim Kraft
Licensed Professional Counselor, LPC
1 Endorsed
Pittsburgh, PA 15238
Life can feel overwhelming at times—especially when you’re dealing with anxiety, past trauma, caregiver stress, relationship challenges, or the daily impact of chronic pain. You don’t have to navigate those experiences alone. My goal is to provide a supportive and compassionate space where you can feel heard, understood, and empowered to move forward. I am a Licensed Professional Counselor with over 20 years of experience helping individuals work through difficult moments and create meaningful change in their lives.
Life can feel overwhelming at times—especially when you’re dealing with anxiety, past trauma, caregiver stress, relationship challenges, or the daily impact of chronic pain. You don’t have to navigate those experiences alone. My goal is to provide a supportive and compassionate space where you can feel heard, understood, and empowered to move forward. I am a Licensed Professional Counselor with over 20 years of experience helping individuals work through difficult moments and create meaningful change in their lives.
(412) 981-1494 View (412) 981-1494
Photo of Moesha Yost, Clinical Social Work/Therapist, LCSW
Moesha Yost
Clinical Social Work/Therapist, LCSW
Online Only
I am a therapist who specializes in working with adolescents and adults who struggle with either anxiety, life transitions, complex trauma or their Christian faith. I enjoy being able to walk alongside others in their life journey and to be a stable, and consistent support in their life. I have been in the mental health field for over 5 years now working with various people of those who have experienced trauma throughout various forms of life. I also have experience working with individuals with co-occurring disorders, and trying to navigate family conflict.
I am a therapist who specializes in working with adolescents and adults who struggle with either anxiety, life transitions, complex trauma or their Christian faith. I enjoy being able to walk alongside others in their life journey and to be a stable, and consistent support in their life. I have been in the mental health field for over 5 years now working with various people of those who have experienced trauma throughout various forms of life. I also have experience working with individuals with co-occurring disorders, and trying to navigate family conflict.
(412) 615-3060 View (412) 615-3060
Photo of Christina Blevins, Licensed Professional Counselor, MS, LPC
Christina Blevins
Licensed Professional Counselor, MS, LPC
2 Endorsed
Latrobe, PA 15650
When life feels heavy, confusing, or chaotic, it can be hard to talk about it — and even harder to deal with it alone. Therapy gives you a space where you can breathe, slow down, and actually feel supported instead of overwhelmed.
When life feels heavy, confusing, or chaotic, it can be hard to talk about it — and even harder to deal with it alone. Therapy gives you a space where you can breathe, slow down, and actually feel supported instead of overwhelmed.
(724) 402-5868 View (724) 402-5868
Photo of Meg Barnes, Licensed Professional Counselor, MS, LPC
Meg Barnes
Licensed Professional Counselor, MS, LPC
1 Endorsed
Pittsburgh, PA 15206
Currently unable to accept new clients. Are you looking to better understand yourself and your experiences? Therapy can be an opportunity to explore connections between your past and present, uncover new insights, and move toward a more integrated and whole sense of self. As a relational therapist my role is to provide a supportive space that honors your unique experiences. I am an LGBTQIA+ affirming licensed therapist in Pennsylvania who approaches treatment from a psychodynamic perspective.
Currently unable to accept new clients. Are you looking to better understand yourself and your experiences? Therapy can be an opportunity to explore connections between your past and present, uncover new insights, and move toward a more integrated and whole sense of self. As a relational therapist my role is to provide a supportive space that honors your unique experiences. I am an LGBTQIA+ affirming licensed therapist in Pennsylvania who approaches treatment from a psychodynamic perspective.
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Photo of Meghan McConaghy, Licensed Professional Counselor, MS , NCC, LPC
Meghan McConaghy
Licensed Professional Counselor, MS , NCC, LPC
1 Endorsed
Murrysville, PA 15632
My primary goal within the therapeutic space is to create a safe, accepting, and relaxing environment for all my clients. I meet clients where they are, honoring their unique experiences and goals. I provide a supportive, compassionate environment that fosters growth, insight, and meaningful change. Through psychology, I have formed more insight into understanding the unique experiences individuals have faced that contribute to who they are and how they are feeling.
My primary goal within the therapeutic space is to create a safe, accepting, and relaxing environment for all my clients. I meet clients where they are, honoring their unique experiences and goals. I provide a supportive, compassionate environment that fosters growth, insight, and meaningful change. Through psychology, I have formed more insight into understanding the unique experiences individuals have faced that contribute to who they are and how they are feeling.
(412) 960-1593 View (412) 960-1593
Photo of Adam G Haglund, Clinical Social Work/Therapist, LCSW
Adam G Haglund
Clinical Social Work/Therapist, LCSW
4 Endorsed
Pittsburgh, PA 15206
Waitlist for new clients
I believe that meaningful change comes not only from easing distress, but from developing a deeper understanding of yourself. I work with adults and couples who want to explore the unconscious patterns shaping their relationships, sexuality, and inner life. My approach is psychoanalytic and collaborative — we slow things down enough to notice what repeats, what gets silenced, and what still longs to be expressed. I provide a nonjudgmental space for those navigating issues of intimacy, sexuality, and relational dynamics. I practice within psychodynamic, psychoanalytic, couples, and sex therapy frames.
I believe that meaningful change comes not only from easing distress, but from developing a deeper understanding of yourself. I work with adults and couples who want to explore the unconscious patterns shaping their relationships, sexuality, and inner life. My approach is psychoanalytic and collaborative — we slow things down enough to notice what repeats, what gets silenced, and what still longs to be expressed. I provide a nonjudgmental space for those navigating issues of intimacy, sexuality, and relational dynamics. I practice within psychodynamic, psychoanalytic, couples, and sex therapy frames.
(412) 910-1817 View (412) 910-1817
Photo of Tonya Harlan - Move Forward Counseling, LLC State College Office, Licensed Professional Counselor, LPC
Move Forward Counseling, LLC State College Office
Licensed Professional Counselor, LPC
Serves Area
I'm Tonya Harlan, LPC, a therapist on MFC's State College team, offering sessions in rooms designed with your comfort and privacy in mind. They are professionally decorated, offering a bright, welcoming space to receive therapy. Our in-person team consists of licensed therapists, along with over 65 online therapists you can consider booking with. (LPC, LCSW, LSW, LAPC, and PsyD counselors) We offer a broad range of specialized counseling services in State College, PA, provided by highly trained, licensed therapists. Not all specialties and techniques are listed on our website, so ask our scheduling team.
I'm Tonya Harlan, LPC, a therapist on MFC's State College team, offering sessions in rooms designed with your comfort and privacy in mind. They are professionally decorated, offering a bright, welcoming space to receive therapy. Our in-person team consists of licensed therapists, along with over 65 online therapists you can consider booking with. (LPC, LCSW, LSW, LAPC, and PsyD counselors) We offer a broad range of specialized counseling services in State College, PA, provided by highly trained, licensed therapists. Not all specialties and techniques are listed on our website, so ask our scheduling team.
(717) 993-1646 View (717) 993-1646
Photo of Brittany Hautz, Licensed Professional Counselor, MSEd, NCC, LPC
Brittany Hautz
Licensed Professional Counselor, MSEd, NCC, LPC
20 Endorsed
Pittsburgh, PA 15238
I help queer professionals who have always followed their dream and are now questioning every choice they’ve ever made because they've lost themselves entirely. Being the successful high-achiever has always been a source of pride, and you can’t imagine who you’d be without the grind. And yet, the idea of letting go feels just as terrifying as remaining trapped in this burnout, completely isolated. Are you dealing with migraines, stomach issues, and chronic pain? Let's get to the bottom of it together, because it's not all in your head.
I help queer professionals who have always followed their dream and are now questioning every choice they’ve ever made because they've lost themselves entirely. Being the successful high-achiever has always been a source of pride, and you can’t imagine who you’d be without the grind. And yet, the idea of letting go feels just as terrifying as remaining trapped in this burnout, completely isolated. Are you dealing with migraines, stomach issues, and chronic pain? Let's get to the bottom of it together, because it's not all in your head.
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How does your Therapist compare?

Number of Therapists in New Stanton, PA

< 10

Therapists in New Stanton, PA who prioritize treating:

100% Anxiety
100% Trauma and PTSD
80% Depression
80% Self Esteem
60% Relationship Issues
60% Grief
60% Parenting

Top 3 insurances accepted

75% BlueCross and BlueShield
75% Cigna and Evernorth
75% UnitedHealthcare UHC | UBH

How Therapists in New Stanton, PA see their clients

60% Online Only
40% In Person and Online

Gender breakdown

100% Female
FAQs - About Therapy and Counseling

How can I find a therapist in New Stanton?

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.