Therapists in Orem, UT

Photo of Emmitt Pigott, Counselor, ACMHC
Emmitt Pigott
Counselor, ACMHC
2 Endorsed
Online Only
Are you struggling with ADHD or OCD and feeling stuck in overthinking, anxiety, or self-doubt? I specialize in ADHD therapy and OCD for teens and adults, helping clients manage intrusive thoughts, compulsions, emotional dysregulation, and executive functioning challenges so they can live a life aligned with their values. As an ADHD and OCD specialist, I use ERP, Acceptance and Commitment Therapy (ACT) and Cognitive Behavioral Therapy (CBT) to help you respond differently to anxious thoughts, reduce avoidance, and build practical skills for daily life. Therapy with me is collaborative, values-driven, and focused on real change.
Are you struggling with ADHD or OCD and feeling stuck in overthinking, anxiety, or self-doubt? I specialize in ADHD therapy and OCD for teens and adults, helping clients manage intrusive thoughts, compulsions, emotional dysregulation, and executive functioning challenges so they can live a life aligned with their values. As an ADHD and OCD specialist, I use ERP, Acceptance and Commitment Therapy (ACT) and Cognitive Behavioral Therapy (CBT) to help you respond differently to anxious thoughts, reduce avoidance, and build practical skills for daily life. Therapy with me is collaborative, values-driven, and focused on real change.
(385) 438-4791 View (385) 438-4791
Photo of James Noorlander, Clinical Social Work/Therapist, LCSW
James Noorlander
Clinical Social Work/Therapist, LCSW
2 Endorsed
Orem, UT 84058
Life’s struggles can be overwhelming, but seeking therapy shouldn’t be. As the owner and founder of Deseret Counseling, I understand that challenges like depression, anxiety, trauma, interpersonal conflict, and stress are common yet manageable. I believe in a personalized approach tailored to your unique needs. I’m here to provide support and help you develop coping skills that last a lifetime. We offer outpatient therapy for adults, teenagers, children, and families. We’re proud to have been recognized as the best counseling service in Utah County for fourteen consecutive years. You don’t have to face this journey alone.
Life’s struggles can be overwhelming, but seeking therapy shouldn’t be. As the owner and founder of Deseret Counseling, I understand that challenges like depression, anxiety, trauma, interpersonal conflict, and stress are common yet manageable. I believe in a personalized approach tailored to your unique needs. I’m here to provide support and help you develop coping skills that last a lifetime. We offer outpatient therapy for adults, teenagers, children, and families. We’re proud to have been recognized as the best counseling service in Utah County for fourteen consecutive years. You don’t have to face this journey alone.
(801) 752-0862 View (801) 752-0862
Photo of Amy Sondrup, Clinical Social Work/Therapist, CSW
Amy Sondrup
Clinical Social Work/Therapist, CSW
Orem, UT 84058
It is through authentic connection with ourselves that we can find a place of healing. If you've experienced anxiety, trauma, or struggle with daily living, you know the impact can feel overwhelming, affecting your sense of emotional wellbeing, and the relationships in your life. I specialize in supporting individuals with a variety of psychological diagnoses, helping you rediscover freedom and connection. I'm here to affirm that healing is possible.
It is through authentic connection with ourselves that we can find a place of healing. If you've experienced anxiety, trauma, or struggle with daily living, you know the impact can feel overwhelming, affecting your sense of emotional wellbeing, and the relationships in your life. I specialize in supporting individuals with a variety of psychological diagnoses, helping you rediscover freedom and connection. I'm here to affirm that healing is possible.
(385) 469-3994 View (385) 469-3994
Photo of Spencer Evans, Clinical Social Work/Therapist, LCSW, CTTP-1
Spencer Evans
Clinical Social Work/Therapist, LCSW, CTTP-1
4 Endorsed
Orem, UT 84097
Hi, my name is Spencer, thanks for stopping by and taking a look at my profile. Finding the right therapist can be tricky at times. Here's a bit about myself to help you see if we'd be a good fit. My main goal as a therapist is to help others live in congruence with themselves. I believe peace comes and shame is reduced when one is aligned with their personal values. A lot of different events can push us out of alignment, and therapy is great at getting us back on track. Areas I spend a lot of time in are: self esteem, substance abuse, relationships, men's/women's issues, life transitions, anxiety/depression.
Hi, my name is Spencer, thanks for stopping by and taking a look at my profile. Finding the right therapist can be tricky at times. Here's a bit about myself to help you see if we'd be a good fit. My main goal as a therapist is to help others live in congruence with themselves. I believe peace comes and shame is reduced when one is aligned with their personal values. A lot of different events can push us out of alignment, and therapy is great at getting us back on track. Areas I spend a lot of time in are: self esteem, substance abuse, relationships, men's/women's issues, life transitions, anxiety/depression.
(801) 290-8925 View (801) 290-8925
Photo of Lauren Olinger, Licensed Clinical Mental Health Counselor, LCMHC
Lauren Olinger
Licensed Clinical Mental Health Counselor, LCMHC
10 Endorsed
Orem, UT 84058
Hi! I’m Lauren (she/her). I believe healing begins with safety, and my goal is to create a space where you can begin to explore your experiences with compassion and care. I work with both teens and adults. I specialize in helping clients through anxiety, OCD, trauma, and perfectionism. I am passionate about the LGBTQ+ community and those navigating faith transitions.
Hi! I’m Lauren (she/her). I believe healing begins with safety, and my goal is to create a space where you can begin to explore your experiences with compassion and care. I work with both teens and adults. I specialize in helping clients through anxiety, OCD, trauma, and perfectionism. I am passionate about the LGBTQ+ community and those navigating faith transitions.
(435) 252-9847 View (435) 252-9847
Photo of Carl Smoot, Psychologist, PhD
Carl Smoot
Psychologist, PhD
5 Endorsed
Orem, UT 84058
We develop our interpersonal styles when we are very young. Moving into adulthood, people tend to keep doing what they’ve always done – even if it has stopped working. As a result, they may feel depressed, anxious, and blocked from having the rich life experiences that they crave. In my psychotherapy practice, I work with older adolescents and adults who are struggling in relationships – with parents, employers, friends, or intimate partners - and do not know why or what to do about it. My aim is to help people (1) develop an awareness of their interpersonal styles and (2) find ways to make adaptive change in their lives.
We develop our interpersonal styles when we are very young. Moving into adulthood, people tend to keep doing what they’ve always done – even if it has stopped working. As a result, they may feel depressed, anxious, and blocked from having the rich life experiences that they crave. In my psychotherapy practice, I work with older adolescents and adults who are struggling in relationships – with parents, employers, friends, or intimate partners - and do not know why or what to do about it. My aim is to help people (1) develop an awareness of their interpersonal styles and (2) find ways to make adaptive change in their lives.
(801) 758-5410 View (801) 758-5410
Photo of Aaron R. Burdge, Psychologist, PhD
Aaron R. Burdge
Psychologist, PhD
1 Endorsed
Online Only
You may feel stuck, overwhelmed, or disconnected from others or even yourself. Whether you're navigating trauma, anxiety, grief, life transitions, or relationship stress, you don’t have to go through it alone. I work with individuals and couples ready to do deep, meaningful work to understand themselves better and create lasting change. Together, we’ll work to break unhelpful patterns and reconnect you with what matters most.
You may feel stuck, overwhelmed, or disconnected from others or even yourself. Whether you're navigating trauma, anxiety, grief, life transitions, or relationship stress, you don’t have to go through it alone. I work with individuals and couples ready to do deep, meaningful work to understand themselves better and create lasting change. Together, we’ll work to break unhelpful patterns and reconnect you with what matters most.
(360) 800-2784 View (360) 800-2784
Photo of Christopher W Pierce, Counselor, CMHC, NCC
Christopher W Pierce
Counselor, CMHC, NCC
Orem, UT 84097
I’m a Clinical Mental Health Counselor in Utah County and retired U.S. Army officer who’s walked through trauma, healing, and rebuilding. Married 25+ years with five daughters, I understand the realities of marriage, parenting, faith, and family stress. I use an integrated, neuroscience-based approach and practical tools to help clients heal trauma, rebuild connection, and find peace. My journey taught me that even in deep suffering, hope is real, and I would be honored to help you find it.
I’m a Clinical Mental Health Counselor in Utah County and retired U.S. Army officer who’s walked through trauma, healing, and rebuilding. Married 25+ years with five daughters, I understand the realities of marriage, parenting, faith, and family stress. I use an integrated, neuroscience-based approach and practical tools to help clients heal trauma, rebuild connection, and find peace. My journey taught me that even in deep suffering, hope is real, and I would be honored to help you find it.
(801) 797-3903 View (801) 797-3903
Photo of Savannah M Thurgood, Pre-Licensed Professional, CSW
Savannah M Thurgood
Pre-Licensed Professional, CSW
1 Endorsed
Orem, UT 84057
Savannah Thurgood has experience in treating depression, anxiety, and Borderline Personality Disorder (BPD). She uses a strengths based perspective and specializes in practices such as DBT and CBT. Savannah is certified in EMDR. She treats adults in both individual and couple settings.
Savannah Thurgood has experience in treating depression, anxiety, and Borderline Personality Disorder (BPD). She uses a strengths based perspective and specializes in practices such as DBT and CBT. Savannah is certified in EMDR. She treats adults in both individual and couple settings.
(385) 526-7828 View (385) 526-7828
Photo of Clark H Hammond - The Lighthouse Group, Marriage & Family Therapist, LMFT
The Lighthouse Group
Marriage & Family Therapist, LMFT
Orem, UT 84057
I help men get unstuck, effectively navigate through challenging transitions (divorce, life change, etc.), better manage symptoms of depression or anxiety, improve their relationships, and/or get back onto solid ground. Not to stereotype, but we men sometimes struggle to reach out for help (especially therapy). Yet we often thrive in partnership, in community, and when the road gets rough, research and experience show that we fare better if we don't go it alone. So, let's chat! I once heard that we should "talk about therapy like we talk about gong to the gym" - an exercise in strength. I like that.
I help men get unstuck, effectively navigate through challenging transitions (divorce, life change, etc.), better manage symptoms of depression or anxiety, improve their relationships, and/or get back onto solid ground. Not to stereotype, but we men sometimes struggle to reach out for help (especially therapy). Yet we often thrive in partnership, in community, and when the road gets rough, research and experience show that we fare better if we don't go it alone. So, let's chat! I once heard that we should "talk about therapy like we talk about gong to the gym" - an exercise in strength. I like that.
(385) 503-4950 View (385) 503-4950
Photo of Heather Rindlisbacher, Licensed Clinical Mental Health Counselor
Heather Rindlisbacher
Licensed Clinical Mental Health Counselor
1 Endorsed
Orem, UT 84057
I am a child therapist who believes that every child deserves to be seen, heard and valued just as they are. In my work I use child-centered play therapy, AutPlay and sensory enrichment to help children express themselves, process big feelings and discovery new ways to connect and cope. I specialize in neurodiversity-affirming care, which means I celebrate differences and work from a strengths-based perspective. I also have a heart for supporting families experiencing challenges post-adoption as well as helping children who are struggling with significant behavioral dysregulation, promoting finding safety and stability.
I am a child therapist who believes that every child deserves to be seen, heard and valued just as they are. In my work I use child-centered play therapy, AutPlay and sensory enrichment to help children express themselves, process big feelings and discovery new ways to connect and cope. I specialize in neurodiversity-affirming care, which means I celebrate differences and work from a strengths-based perspective. I also have a heart for supporting families experiencing challenges post-adoption as well as helping children who are struggling with significant behavioral dysregulation, promoting finding safety and stability.
(385) 481-5308 View (385) 481-5308
Photo of Ian Foster - Ian Foster, Clinical Social Work/Therapist, CSW
Ian Foster
Clinical Social Work/Therapist, CSW
Orem, UT 84057
Not accepting new clients
Can we change or not? Can things get better or will they always be this way? Whether you’re looking for help for yourself or someone else, the fact you’re here illustrates that you believe change is possible. I mention this because it is a vital beginning point to all successful outcomes, and the first step to internalizing change. Good start! We'll begin the therapeutic process where you are; this is your journey. I believe in a collaborative effort at therapy, and my goal is to help my clients understand their sticking/stuck points enough to be able to work through them independently.
Can we change or not? Can things get better or will they always be this way? Whether you’re looking for help for yourself or someone else, the fact you’re here illustrates that you believe change is possible. I mention this because it is a vital beginning point to all successful outcomes, and the first step to internalizing change. Good start! We'll begin the therapeutic process where you are; this is your journey. I believe in a collaborative effort at therapy, and my goal is to help my clients understand their sticking/stuck points enough to be able to work through them independently.
(385) 338-4851 View (385) 338-4851
Photo of Donny Smith, Clinical Social Work/Therapist, LCSW
Donny Smith
Clinical Social Work/Therapist, LCSW
Orem, UT 84058
Waitlist for new clients
When we feel trapped in unhealthy patterns, painful relationships, or overwhelming circumstances, we lose hope that things can change. In this hopelessness we may struggle in asking for help. Everyone encounters pain, feelings of failure, and hardships, but that doesn't mean we need to suffer. Our work will aim at building awareness of emotions and thoughts, reprocessing past traumas, exploring how we connect and/or disconnect from them, and change the patterns that entrench us. My hope is to help you access healing and the development of your inner self.
When we feel trapped in unhealthy patterns, painful relationships, or overwhelming circumstances, we lose hope that things can change. In this hopelessness we may struggle in asking for help. Everyone encounters pain, feelings of failure, and hardships, but that doesn't mean we need to suffer. Our work will aim at building awareness of emotions and thoughts, reprocessing past traumas, exploring how we connect and/or disconnect from them, and change the patterns that entrench us. My hope is to help you access healing and the development of your inner self.
(385) 666-6239 View (385) 666-6239
Photo of Andrew Petersen - Forum Health Orem , DO
Forum Health Orem
Verified Verified
Orem, UT 84057
Forum Health is providing hope where medications have failed by offering IV Ketamine-Assisted Psychotherapy. Ketamine has been shown to treat a variety of mental health conditions such as depression, addiction, anxiety disorders, OCD, PTSD, and more. Ketamine therapy may even be useful in treating some cases of chronic pain. Ketamine creates an altered state of consciousness that promotes openness and vulnerability. Combining Ketamine with psychotherapy sessions allows for the deepest work to occur.
Forum Health is providing hope where medications have failed by offering IV Ketamine-Assisted Psychotherapy. Ketamine has been shown to treat a variety of mental health conditions such as depression, addiction, anxiety disorders, OCD, PTSD, and more. Ketamine therapy may even be useful in treating some cases of chronic pain. Ketamine creates an altered state of consciousness that promotes openness and vulnerability. Combining Ketamine with psychotherapy sessions allows for the deepest work to occur.
(385) 485-8501 View (385) 485-8501
Photo of Sarah Robertson, Counselor, MA, ASMHC
Sarah Robertson
Counselor, MA, ASMHC
1 Endorsed
Orem, UT 84097
Currently Not Accepting New Clients. Seeking therapy can be a big step, & it’s normal to feel unsure or vulnerable at first. Whether you’re dealing with trauma, navigating life transitions, or simply feeling overwhelmed, please know that you don’t have to go through this journey alone. I am here to listen, support, & walk with you through whatever challenges you’re facing. I work collaboratively with clients to create personalized treatment plans that honor their unique experience and value rapport building to create a safe space.
Currently Not Accepting New Clients. Seeking therapy can be a big step, & it’s normal to feel unsure or vulnerable at first. Whether you’re dealing with trauma, navigating life transitions, or simply feeling overwhelmed, please know that you don’t have to go through this journey alone. I am here to listen, support, & walk with you through whatever challenges you’re facing. I work collaboratively with clients to create personalized treatment plans that honor their unique experience and value rapport building to create a safe space.
(385) 262-7154 View (385) 262-7154
Photo of Max Dahmen, Clinical Social Work/Therapist, LCSW
Max Dahmen
Clinical Social Work/Therapist, LCSW
12 Endorsed
Orem, UT 84097
My 10 years as a therapist have exposed me to a variety of challenges from deescalating unsafe situations to mediating complex relationship barriers. In my experience trauma can often be found at the core of depression, anxiety, family/spouse conflict, disordered eating, sexual confusion and addiction. All of these challenges can create a sense of feeling stuck, unfulfilled and alone. In some cases, these struggles can be intimidating to address without help. My belief is that therapy acts as a safe place for you to address those struggles in an empowering way; one that gives a sense of purpose, and leaves you feeling connected.
My 10 years as a therapist have exposed me to a variety of challenges from deescalating unsafe situations to mediating complex relationship barriers. In my experience trauma can often be found at the core of depression, anxiety, family/spouse conflict, disordered eating, sexual confusion and addiction. All of these challenges can create a sense of feeling stuck, unfulfilled and alone. In some cases, these struggles can be intimidating to address without help. My belief is that therapy acts as a safe place for you to address those struggles in an empowering way; one that gives a sense of purpose, and leaves you feeling connected.
(435) 228-7938 View (435) 228-7938
Photo of Jordan Gibby - Jordan Gibby at Intimo Couples Counseling, Marriage & Family Therapist, LMFT
Jordan Gibby at Intimo Couples Counseling
Marriage & Family Therapist, LMFT
4 Endorsed
Orem, UT 84097
April appointments available! Call or book with me now by clicking on my website! I believe in healing that gets to the root - the best healing happens when therapy involves compassionate, deep self-reflection and honest, real conversations in a safe environment. I work with clients and their partners and family members to heal from difficult past experiences and current conflicts toward brighter futures, stronger relationships, and a more secure sense of self.
April appointments available! Call or book with me now by clicking on my website! I believe in healing that gets to the root - the best healing happens when therapy involves compassionate, deep self-reflection and honest, real conversations in a safe environment. I work with clients and their partners and family members to heal from difficult past experiences and current conflicts toward brighter futures, stronger relationships, and a more secure sense of self.
(385) 381-8265 View (385) 381-8265
Photo of Rachel Allen, Clinical Social Work/Therapist, LCSW
Rachel Allen
Clinical Social Work/Therapist, LCSW
2 Endorsed
Online Only
In life, difficult situations occur. These experiences can make us anxious, question ourselves and our self-worth, and affect our ability to connect with others and plan for the future we desire. Through EMDR, ART, and a mix of other empirically based modalities, it is possible to heal from past trauma, feel more empowered, and increase life satisfaction generally. I have been in the field for twenty years and a therapist for sixteen years. I have also been an administrator, supervisor, and trainer for therapists. During that time, I have come to appreciate how change is possible in our lives and in our relationships with others.
In life, difficult situations occur. These experiences can make us anxious, question ourselves and our self-worth, and affect our ability to connect with others and plan for the future we desire. Through EMDR, ART, and a mix of other empirically based modalities, it is possible to heal from past trauma, feel more empowered, and increase life satisfaction generally. I have been in the field for twenty years and a therapist for sixteen years. I have also been an administrator, supervisor, and trainer for therapists. During that time, I have come to appreciate how change is possible in our lives and in our relationships with others.
(385) 332-3984 View (385) 332-3984
Photo of Dorothy C Cobia, Pre-Licensed Professional, LAMFT
Dorothy C Cobia
Pre-Licensed Professional, LAMFT
1 Endorsed
Orem, UT 84097
Often people say "Life Happens" when they're going through difficult times. I get that: life does happen. That's why I work with a variety of clients to not only survive the rocky patches, but to help them thrive. I'm passionate about the work I do: to help people enact the life they envision.
Often people say "Life Happens" when they're going through difficult times. I get that: life does happen. That's why I work with a variety of clients to not only survive the rocky patches, but to help them thrive. I'm passionate about the work I do: to help people enact the life they envision.
(385) 247-2053 View (385) 247-2053
Photo of Marty Erickson - Progressive Paths Therapy, PhD, LMFT, MA/MS, LCSW, CMHC
Progressive Paths Therapy
Verified Verified
1 Endorsed
Orem, UT 84097
We are a group of therapists with many backgrounds and specialties. No matter what your struggles, it is important to know you are not alone in this journey and we want to help. Your therapist will collaborate with you to understand the challenges and struggles you are facing and compassionately work with you toward long-lasting insight, strategies, change, liberation, and real progress toward an authentic and meaningful life and warm trusting relationships. If you're ready to work toward the life you've always wanted contact us today!
We are a group of therapists with many backgrounds and specialties. No matter what your struggles, it is important to know you are not alone in this journey and we want to help. Your therapist will collaborate with you to understand the challenges and struggles you are facing and compassionately work with you toward long-lasting insight, strategies, change, liberation, and real progress toward an authentic and meaningful life and warm trusting relationships. If you're ready to work toward the life you've always wanted contact us today!
(385) 324-7294 View (385) 324-7294

See more therapy options for Orem

How does your Therapist compare?

Number of Therapists in Orem, UT

600+

Average cost per session

$140

Therapists in Orem, UT who prioritize treating:

92% Anxiety
88% Depression
79% Trauma and PTSD
73% Self Esteem
71% Relationship Issues
62% Marriage Counseling
61% Stress

Average years in practice

8 Years

Top 3 insurances accepted

90% SelectHealth
80% BlueCross and BlueShield
79% EMI Health

How Therapists in Orem, UT see their clients

86% In Person and Online
14% Online Only

Gender breakdown

69% Female
30% Male
1% Non-Binary
FAQs - About Therapy and Counseling

How can I find a therapist in Orem?

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.