Therapists in West Reading, PA

Photo of Roger Lavine, Licensed Professional Counselor, MA, LPC, MBA
Roger Lavine
Licensed Professional Counselor, MA, LPC, MBA
3 Endorsed
West Reading, PA 19611
I utilize a person-centered approach to counseling which allows the individual to experience a sense of empowerment and involvement throughout the therapeutic process. I believe that establishing a positive, non-judgmental, and trusting relationship between client and therapist is the key to initiating change and working towards solutions. Whether you're feeling anxious, depressed, stressed, misunderstood, unheard, or just stuck and feeling as if there's no way out, we can work together to find workable, realistic alternatives to improve your feeling, thinking, and behaving, as you move towards overall healthy and authentic living.
I utilize a person-centered approach to counseling which allows the individual to experience a sense of empowerment and involvement throughout the therapeutic process. I believe that establishing a positive, non-judgmental, and trusting relationship between client and therapist is the key to initiating change and working towards solutions. Whether you're feeling anxious, depressed, stressed, misunderstood, unheard, or just stuck and feeling as if there's no way out, we can work together to find workable, realistic alternatives to improve your feeling, thinking, and behaving, as you move towards overall healthy and authentic living.
(610) 463-1097 View (610) 463-1097
Photo of Angelina DeLong - HayCreek Healing LLC, Licensed Professional Counselor, MA, LPC, NCC
HayCreek Healing LLC
Licensed Professional Counselor, MA, LPC, NCC
West Reading, PA 19611
Just add another item to the never-ending “to-do list”- you’ll have to find a way to get it done. Being a mother and partner is so much harder than you ever expected, and most of the time you feel like you’re going it alone. You can’t seem to find the right words to ask for help. Not to mention the pressure society puts on us to do it all. So focused on tasks & your family’s needs, but wondering where you lost yourself as a person along the way. You know to be the best mom and partner you can you need to find time for yourself, you just aren’t sure how to get there on your own. Or how to drop the overwhelm, guilt, & shame for good.
Just add another item to the never-ending “to-do list”- you’ll have to find a way to get it done. Being a mother and partner is so much harder than you ever expected, and most of the time you feel like you’re going it alone. You can’t seem to find the right words to ask for help. Not to mention the pressure society puts on us to do it all. So focused on tasks & your family’s needs, but wondering where you lost yourself as a person along the way. You know to be the best mom and partner you can you need to find time for yourself, you just aren’t sure how to get there on your own. Or how to drop the overwhelm, guilt, & shame for good.
(610) 550-8032 View (610) 550-8032
Photo of Alex Lasher, Pre-Licensed Professional, MS, LAPC
Alex Lasher
Pre-Licensed Professional, MS, LAPC
Online Only
Life can feel overwhelming at times whether it’s anxiety that won’t let you rest, codependent patterns that leave you drained, or big life transitions that shake up your sense of direction. You may be tired of overthinking, stuck in the same cycles, or just feeling disconnected from yourself and others. My ideal client isn’t “perfect” or has it all figured out, they’re simply ready for something different, even if it starts with just showing up and saying, “I don’t know where to start.”
Life can feel overwhelming at times whether it’s anxiety that won’t let you rest, codependent patterns that leave you drained, or big life transitions that shake up your sense of direction. You may be tired of overthinking, stuck in the same cycles, or just feeling disconnected from yourself and others. My ideal client isn’t “perfect” or has it all figured out, they’re simply ready for something different, even if it starts with just showing up and saying, “I don’t know where to start.”
(484) 650-3502 View (484) 650-3502
Photo of Mary Kate Wynne, Pre-Licensed Professional
Mary Kate Wynne
Pre-Licensed Professional
1 Endorsed
West Reading, PA 19611
There are many hardships and challenges throughout our life that have a direct impact on our mental health. Counseling can be a rewarding experience, increase self-awareness, and create positive change in one’s life. Mary Kate seeks to assist clients in processing and regulating emotions, changing behaviors, and reducing symptoms that stem from mental health disorders. Mary Kate utilizes interventions that focus on helping individuals identify psychological roadblocks, reframe thought patterns, and shift toward an increased awareness of oneself.
There are many hardships and challenges throughout our life that have a direct impact on our mental health. Counseling can be a rewarding experience, increase self-awareness, and create positive change in one’s life. Mary Kate seeks to assist clients in processing and regulating emotions, changing behaviors, and reducing symptoms that stem from mental health disorders. Mary Kate utilizes interventions that focus on helping individuals identify psychological roadblocks, reframe thought patterns, and shift toward an increased awareness of oneself.
(610) 665-3480 View (610) 665-3480
Photo of Courtney Keith, Pre-Licensed Professional, BA, CAAP
Courtney Keith
Pre-Licensed Professional, BA, CAAP
West Reading, PA 19611
For me, therapy is about throwing away the notion that there is something wrong with us that needs fixing and embarking on an honest journey of self-exploration that allows us to gain deeper insight and awareness. I work alongside you to explore the messages of your heart, mind, body and spirit. Every healing journey is unique, however, this work can look like ‘inner child” or “parts” work- reclaiming parts of yourself that have been forgotten or abandoned, identifying patterns of the mind and body, unpacking your narrative, developing a spiritual practice that deepens your connection to spirit and creating a perception reframe.
For me, therapy is about throwing away the notion that there is something wrong with us that needs fixing and embarking on an honest journey of self-exploration that allows us to gain deeper insight and awareness. I work alongside you to explore the messages of your heart, mind, body and spirit. Every healing journey is unique, however, this work can look like ‘inner child” or “parts” work- reclaiming parts of yourself that have been forgotten or abandoned, identifying patterns of the mind and body, unpacking your narrative, developing a spiritual practice that deepens your connection to spirit and creating a perception reframe.
(610) 298-9394 View (610) 298-9394
Photo of Anyelina Hernandez-De la Rosa, Licensed Professional Counselor, MS
Anyelina Hernandez-De la Rosa
Licensed Professional Counselor, MS
Serves Area
I'm a bilingual therapist who appreciates diversity, being open, and recognizes the differences that exist in all of us. This has allowed me to understand people from all unique backgrounds. I will assist you in shaping your future by applying a person-centered & solution-focused approach. I also use CBT interventions as well as EMDR. Currently accepting clients for Immigration evaluations. Estoy acceptando clientes para evaluaciones de immigracion.
I'm a bilingual therapist who appreciates diversity, being open, and recognizes the differences that exist in all of us. This has allowed me to understand people from all unique backgrounds. I will assist you in shaping your future by applying a person-centered & solution-focused approach. I also use CBT interventions as well as EMDR. Currently accepting clients for Immigration evaluations. Estoy acceptando clientes para evaluaciones de immigracion.
(484) 613-2895 View (484) 613-2895
Photo of Kayla Seader, Clinical Social Work/Therapist, MSW, LCSW
Kayla Seader
Clinical Social Work/Therapist, MSW, LCSW
1 Endorsed
Serves Area
Does life feel heavy? Are you feeling anxious, depressed, disconnected, or having trouble staying present and calm? Maybe it feels even harder because you don't know why this is happening. In our sessions, I will provide a non-judgmental space where you can freely express yourself and explore the causes. We will work on identifying thought patterns, beliefs, and life experiences that may be contributing to these concerns. Through various therapeutic techniques, we will work together to develop a plan unique to you to help achieve what you sought out to do in therapy.
Does life feel heavy? Are you feeling anxious, depressed, disconnected, or having trouble staying present and calm? Maybe it feels even harder because you don't know why this is happening. In our sessions, I will provide a non-judgmental space where you can freely express yourself and explore the causes. We will work on identifying thought patterns, beliefs, and life experiences that may be contributing to these concerns. Through various therapeutic techniques, we will work together to develop a plan unique to you to help achieve what you sought out to do in therapy.
(610) 697-9979 View (610) 697-9979
Photo of Zaida E Guadalupe Sánchez, Licensed Professional Counselor, MHC, LPC
Zaida E Guadalupe Sánchez
Licensed Professional Counselor, MHC, LPC
1 Endorsed
Serves Area
The times we are all living and all the situations we face, produce a shift that is challenging us to be focused on getting a healthy life balance. Commitment 5 is an Action-Oriented Therapy and Holistic Approach that works with five areas of your life while you, alongside me (as a team), work hand to hand on an effective treatment plan. We together will be setting up realistic and measuring targets. I am also inviting you to know about Wellness Coaching that work directly with the goal in mind.
The times we are all living and all the situations we face, produce a shift that is challenging us to be focused on getting a healthy life balance. Commitment 5 is an Action-Oriented Therapy and Holistic Approach that works with five areas of your life while you, alongside me (as a team), work hand to hand on an effective treatment plan. We together will be setting up realistic and measuring targets. I am also inviting you to know about Wellness Coaching that work directly with the goal in mind.
(484) 668-1504 View (484) 668-1504
Photo of Christina Bacon, Licensed Professional Counselor, MA, ATR-BC, LPC, CCTP
Christina Bacon
Licensed Professional Counselor, MA, ATR-BC, LPC, CCTP
1 Endorsed
Serves Area
Not accepting new clients
Everyone possesses inner wisdom that can be uncovered, rediscovered, and empowered.  Sometimes joyful life experiences can be hindered when overshadowed by distressful challenges where it can be difficult to cope. In a safe and non-judgmental space, Christina will provide compassionate support so you can understand and explore these challenges to discover your own journey for overall wellness. She can accompany you through a path of self-exploration to enhance self-awareness, promote insight, reduce stress and cultivate internal strengths towards healing and vitality.
Everyone possesses inner wisdom that can be uncovered, rediscovered, and empowered.  Sometimes joyful life experiences can be hindered when overshadowed by distressful challenges where it can be difficult to cope. In a safe and non-judgmental space, Christina will provide compassionate support so you can understand and explore these challenges to discover your own journey for overall wellness. She can accompany you through a path of self-exploration to enhance self-awareness, promote insight, reduce stress and cultivate internal strengths towards healing and vitality.
(610) 215-2258 View (610) 215-2258
Photo of Katie Mauro, Clinical Social Work/Therapist, LCSW
Katie Mauro
Clinical Social Work/Therapist, LCSW
Serves Area
Hi!, I am Katie (she/they) - a Licensed Clinical Social Worker, Body Trust Certified practitioner, and someone who believes therapy should feel like a safe, honest, and even occasionally humorous space to get real about what's holding you back. I specialize in working with folks who struggle with body image, disordered eating, anxiety, and the exhausting cycle of overthinking. My clients are often insightful and self-aware, but find themselves stuck-unable to express their needs, set boundaries, or feel truly present in their lives. If that sounds familiar, you're not alone, and you don't have to figure it out alone.
Hi!, I am Katie (she/they) - a Licensed Clinical Social Worker, Body Trust Certified practitioner, and someone who believes therapy should feel like a safe, honest, and even occasionally humorous space to get real about what's holding you back. I specialize in working with folks who struggle with body image, disordered eating, anxiety, and the exhausting cycle of overthinking. My clients are often insightful and self-aware, but find themselves stuck-unable to express their needs, set boundaries, or feel truly present in their lives. If that sounds familiar, you're not alone, and you don't have to figure it out alone.
(610) 215-2193 View (610) 215-2193
Photo of Megan Speir, Drug & Alcohol Counselor, MEd, CAADC
Megan Speir
Drug & Alcohol Counselor, MEd, CAADC
Serves Area
Hello, I’m Megan and I’m glad you’re searching for support. I work with couples, individuals and families to learn how to best support each other and your specific goals to create a life worth living! I adore working with folks in life transitions, those who are trying to heal from trauma, people who are exploring their sexual lives and complicated family systems. I offer a non judgmental approach to gender identity exploration, sexual health, non-monogamy and other sexuality related issues. I also work with people in recovery from drug and alcohol dependence who want to dig deeper into their mental health.
Hello, I’m Megan and I’m glad you’re searching for support. I work with couples, individuals and families to learn how to best support each other and your specific goals to create a life worth living! I adore working with folks in life transitions, those who are trying to heal from trauma, people who are exploring their sexual lives and complicated family systems. I offer a non judgmental approach to gender identity exploration, sexual health, non-monogamy and other sexuality related issues. I also work with people in recovery from drug and alcohol dependence who want to dig deeper into their mental health.
(484) 799-7134 View (484) 799-7134
Photo of Mihtesham Janjua - Horizonz LLC, MD
Horizonz LLC
Verified Verified
Serves Area
Horizonz LLC is an outpatient treatment facility, which provides psychiatric and counseling services for persons experiencing mental health concerns. A psychiatrist is available for medication management, and there are English & Spanish Speaking counseling professionals experienced in helping patients enhance the quality of their lives. Our staff specializes in depression, bipolar disorders, anxiety, anger management, child & family therapy, and couples counseling.
Horizonz LLC is an outpatient treatment facility, which provides psychiatric and counseling services for persons experiencing mental health concerns. A psychiatrist is available for medication management, and there are English & Spanish Speaking counseling professionals experienced in helping patients enhance the quality of their lives. Our staff specializes in depression, bipolar disorders, anxiety, anger management, child & family therapy, and couples counseling.
(610) 880-0127 View (610) 880-0127
Photo of Gabrielle Marshall, Clinical Social Work/Therapist, LCSW, MSW
Gabrielle Marshall
Clinical Social Work/Therapist, LCSW, MSW
3 Endorsed
Serves Area
Waitlist for new clients
Welcome! I am a Licensed Clinical Social Worker who works as an Intern Supervisor and Therapist at Everlasting Wellness LLC. My expertise includes supporting couples and adults through relationship challenges, family of origin trauma, struggles with boundaries, and perinatal mental health concerns. I also provide individual licensure supervision for LCSW, LPC, and LMFT candidates.
Welcome! I am a Licensed Clinical Social Worker who works as an Intern Supervisor and Therapist at Everlasting Wellness LLC. My expertise includes supporting couples and adults through relationship challenges, family of origin trauma, struggles with boundaries, and perinatal mental health concerns. I also provide individual licensure supervision for LCSW, LPC, and LMFT candidates.
(610) 859-4230 View (610) 859-4230
Photo of Nikolette (Nikki) Switzer, Clinical Social Work/Therapist, MSW, LCSW
Nikolette (Nikki) Switzer
Clinical Social Work/Therapist, MSW, LCSW
4 Endorsed
Serves Area
Not accepting new clients
Sometimes life can feel overwhelming and you do not know where to turn for support and a listening ear. Life can provide challenges that leave you feeling sad, confused, and not like yourself. You are not alone in feeling stuck in the transitions of life. Traumatic events can seem to take over every aspect of your life. As a trauma focused clinician, I am passionate and here to support you through your struggles and your transformation process. You do not need to feel alone in this journey of healing. I am trained in Trauma Focused Cognitive Behavioral Therapy (TF-CBT) and Eye Movement Desensitizatization and Reprocessing (EMDR).
Sometimes life can feel overwhelming and you do not know where to turn for support and a listening ear. Life can provide challenges that leave you feeling sad, confused, and not like yourself. You are not alone in feeling stuck in the transitions of life. Traumatic events can seem to take over every aspect of your life. As a trauma focused clinician, I am passionate and here to support you through your struggles and your transformation process. You do not need to feel alone in this journey of healing. I am trained in Trauma Focused Cognitive Behavioral Therapy (TF-CBT) and Eye Movement Desensitizatization and Reprocessing (EMDR).
(610) 510-8853 View (610) 510-8853
Photo of Nastassja Hanna, Licensed Professional Counselor, LPC
Nastassja Hanna
Licensed Professional Counselor, LPC
Online Only
I am a Licensed Professional Counselor (LPC) and National Certified Counselor (NCC) with five years of experience in the mental health field. I am passionate about working with adolescents, adults, couples, and families addressing a wide range of issues, including anxiety, depression, trauma, addiction within the family, relationship issues, borderline personality, self-esteem, spiritual and religious issues, and life adjustments. I completed my Master of Arts in Clinical Mental Health Counseling (MACMHC) at Lancaster Bible College / Capital Seminary and Graduate School.
I am a Licensed Professional Counselor (LPC) and National Certified Counselor (NCC) with five years of experience in the mental health field. I am passionate about working with adolescents, adults, couples, and families addressing a wide range of issues, including anxiety, depression, trauma, addiction within the family, relationship issues, borderline personality, self-esteem, spiritual and religious issues, and life adjustments. I completed my Master of Arts in Clinical Mental Health Counseling (MACMHC) at Lancaster Bible College / Capital Seminary and Graduate School.
(610) 756-8664 View (610) 756-8664
Dr. Katja M. Spradlin-McHugh, LLC
Psychologist, PhD
2 Endorsed
Online Only
Not accepting new clients
HEAL. Heal by Embracing Abundance of Life. Life is glorious. Life can get hard. We do our best to be our best. That's a lot of pressure. When we focus on falling short of that lofty goal, we tend to feel guilt, shame, depression, anxiety. We are not alone in life. Reach out for a helping hand in regaining the gloriousness of life. I invite you to accept help and to embrace the abundance of life in healing your SELF. If you would like to reach out, email or call for a time to meet. I wish you peace.
HEAL. Heal by Embracing Abundance of Life. Life is glorious. Life can get hard. We do our best to be our best. That's a lot of pressure. When we focus on falling short of that lofty goal, we tend to feel guilt, shame, depression, anxiety. We are not alone in life. Reach out for a helping hand in regaining the gloriousness of life. I invite you to accept help and to embrace the abundance of life in healing your SELF. If you would like to reach out, email or call for a time to meet. I wish you peace.
(610) 756-0124 View (610) 756-0124

More Therapists Nearby

Photo of Joy Rosenthal, Clinical Social Work/Therapist, LCSW
Joy Rosenthal
Clinical Social Work/Therapist, LCSW
Online Only
I’m a licensed clinical social worker with over 30 years of experience. I currently see Individuals, Couples, and Families in Pennsylvania. My therapeutic approach includes multiple modalities, including CBT, DBT, Solution-Focused Brief, and Family Systems.
I’m a licensed clinical social worker with over 30 years of experience. I currently see Individuals, Couples, and Families in Pennsylvania. My therapeutic approach includes multiple modalities, including CBT, DBT, Solution-Focused Brief, and Family Systems.
(267) 382-4852 View (267) 382-4852
Photo of Ciara Lynch Levine, MSN, RN, PMHCNS-
Ciara Lynch Levine
Verified Verified
Serves Area
Do you feel "stuck"? Overwhelmed? Struggling with your inner critic? In a major life change? I can help. I offer an atmosphere of support so that together we can work to alleviate distress and make lasting changes. We will have the opportunity to make positive and healthy improvements to your life. My professional and personal journey have led me to be compassionate, direct and goal oriented with my clients. My approach is interactive, utilizing EMDR therapy as well as the theories of cognitive behavioral therapy and family systems therapy.
Do you feel "stuck"? Overwhelmed? Struggling with your inner critic? In a major life change? I can help. I offer an atmosphere of support so that together we can work to alleviate distress and make lasting changes. We will have the opportunity to make positive and healthy improvements to your life. My professional and personal journey have led me to be compassionate, direct and goal oriented with my clients. My approach is interactive, utilizing EMDR therapy as well as the theories of cognitive behavioral therapy and family systems therapy.
(279) 202-9383 View (279) 202-9383
Photo of Pamela J Kimmel, Marriage & Family Therapist, MA, LMFT
Pamela J Kimmel
Marriage & Family Therapist, MA, LMFT
Online Only
I am a client-centered therapist specializing in neurodivergent affirming therapy. I believe in supporting the whole person and using holistic therapies wherever they can be used. I am currently licensed in both California and Pennsylvania. I look forward to collaborating with you on your wellness journey.
I am a client-centered therapist specializing in neurodivergent affirming therapy. I believe in supporting the whole person and using holistic therapies wherever they can be used. I am currently licensed in both California and Pennsylvania. I look forward to collaborating with you on your wellness journey.
(717) 452-9655 View (717) 452-9655
Photo of Shinique Wright, Marriage & Family Therapist, LMFT
Shinique Wright
Marriage & Family Therapist, LMFT
Online Only
Charli Wright is a Licensed Marriage and Family Therapist, Energy Therapist, and Spiritual Healer. Charli works to teach people to embrace themselves fully and unapologetically, in efforts to create more health, healing, and love throughout the world. Her background in understanding systems and systems theory has allowed her to assist others in efficiently navigating the systems around them, in order to, fully embrace and love the system within them.
Charli Wright is a Licensed Marriage and Family Therapist, Energy Therapist, and Spiritual Healer. Charli works to teach people to embrace themselves fully and unapologetically, in efforts to create more health, healing, and love throughout the world. Her background in understanding systems and systems theory has allowed her to assist others in efficiently navigating the systems around them, in order to, fully embrace and love the system within them.
(267) 692-6130 View (267) 692-6130

See more therapy options for West Reading

How does your Therapist compare?

Number of Therapists in West Reading, PA

10+

Average cost per session

$125

Therapists in West Reading, PA who prioritize treating:

75% Anxiety
75% Self Esteem
69% Relationship Issues
69% Depression
69% Coping Skills
69% Stress
69% Life Transitions

Average years in practice

8 Years

Top 3 insurances accepted

83% Highmark
83% Capital Blue Cross
75% Aetna

How Therapists in West Reading, PA see their clients

81% In Person and Online
19% Online Only

Gender breakdown

81% Female
13% Male
6% Non-Binary
FAQs - About Therapy and Counseling

How can I find a therapist in West Reading?

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.