Therapists in Richmond, VA

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Photo of Bree Normandin, Licensed Professional Counselor, LCMHC, LPC, LCAS, NCC, CCS-I
Bree Normandin
Licensed Professional Counselor, LCMHC, LPC, LCAS, NCC, CCS-I
2 Endorsed
Online Only
You’re intelligent, sensitive, and exhausted from masking. Work drains you, relationships feel hard, and you may wonder whether ADHD or autism explains long-standing patterns. Anxiety, stress, depression, and burnout often overlap. I provide direct, validating, solution-focused therapy that honors how your brain works. Together we identify what overwhelms your nervous system, adjust unsustainable routines, and build practical skills for energy, clarity, and connection. Telehealth across Virginia. I also offer supervision for Residents in Counseling and LPCs.
You’re intelligent, sensitive, and exhausted from masking. Work drains you, relationships feel hard, and you may wonder whether ADHD or autism explains long-standing patterns. Anxiety, stress, depression, and burnout often overlap. I provide direct, validating, solution-focused therapy that honors how your brain works. Together we identify what overwhelms your nervous system, adjust unsustainable routines, and build practical skills for energy, clarity, and connection. Telehealth across Virginia. I also offer supervision for Residents in Counseling and LPCs.
(804) 455-8991 View (804) 455-8991
Photo of Denise Thomson, Counselor, LPC
Denise Thomson
Counselor, LPC
1 Endorsed
Richmond, VA 23229
Accepting new clients! Are you feeling overwhelmed by anxiety, depression, relationship challenges, trauma, grief, body image concerns, or a major life transition? You don’t have to face it alone. Therapy can be a space where you feel truly seen, heard, and supported. Together, we’ll create a compassionate, nonjudgmental environment where you can explore what’s weighing on you, gain clarity, and move forward at your own pace. Our work will be tailored to your unique needs, helping you build insight, strengthen coping skills, and create meaningful, lasting change in your life.
Accepting new clients! Are you feeling overwhelmed by anxiety, depression, relationship challenges, trauma, grief, body image concerns, or a major life transition? You don’t have to face it alone. Therapy can be a space where you feel truly seen, heard, and supported. Together, we’ll create a compassionate, nonjudgmental environment where you can explore what’s weighing on you, gain clarity, and move forward at your own pace. Our work will be tailored to your unique needs, helping you build insight, strengthen coping skills, and create meaningful, lasting change in your life.
(804) 404-8306 View (804) 404-8306
Photo of Kristen Turso-Whitlow, Clinical Social Work/Therapist, LCSW
Kristen Turso-Whitlow
Clinical Social Work/Therapist, LCSW
2 Endorsed
Richmond, VA 23220
Have you ever felt like your story is too complicated to share, like no one really understands what you’re carrying inside? You’re not alone. Maybe you’re navigating anxiety, depression, PTSD, or the ripple effects of complex trauma. Maybe you’re facing big life transitions, like figuring out young adulthood or trying to rebuild fractured relationships. So many people come to therapy feeling unseen, unheard, or unsure if anyone will truly get them. The truth is, you deserve a space where you can be your full, authentic self and be met with kindness, respect, and understanding.
Have you ever felt like your story is too complicated to share, like no one really understands what you’re carrying inside? You’re not alone. Maybe you’re navigating anxiety, depression, PTSD, or the ripple effects of complex trauma. Maybe you’re facing big life transitions, like figuring out young adulthood or trying to rebuild fractured relationships. So many people come to therapy feeling unseen, unheard, or unsure if anyone will truly get them. The truth is, you deserve a space where you can be your full, authentic self and be met with kindness, respect, and understanding.
(804) 361-7467 View (804) 361-7467
Photo of Christopher Ned, Clinical Social Work/Therapist, LMSW, LMPH-S, MSW
Christopher Ned
Clinical Social Work/Therapist, LMSW, LMPH-S, MSW
Richmond, VA 23223
I am an experienced therapist with over 15 years in human services and counseling. My extensive expertise covers a wide range of mental health issues, including ADHD, substance abuse, mood disorders, anxiety, behavioral problems, trauma, relationship issues, and LGBTQ+ concerns. My comprehensive approach addresses various challenges, such as chronic illness, eating disorders, self-esteem, and impulse control disorders, making me versatile in treating diverse client needs. With a client-centered approach rooted in compassion and empathy, I tailor treatment plans to help individuals achieve their goals.
I am an experienced therapist with over 15 years in human services and counseling. My extensive expertise covers a wide range of mental health issues, including ADHD, substance abuse, mood disorders, anxiety, behavioral problems, trauma, relationship issues, and LGBTQ+ concerns. My comprehensive approach addresses various challenges, such as chronic illness, eating disorders, self-esteem, and impulse control disorders, making me versatile in treating diverse client needs. With a client-centered approach rooted in compassion and empathy, I tailor treatment plans to help individuals achieve their goals.
(804) 589-4413 View (804) 589-4413
Photo of Pennie Smith - Mrs. Pennie Smith , Resident in Counseling, MA, LPC-R, PRS
Mrs. Pennie Smith
Resident in Counseling, MA, LPC-R, PRS
Richmond, VA 23234
What makes a successful counseling session, is it a trusting relationship between a client and their counselor? I prioritize myself in creating a safe and non-judgmental space for all my client. If you are feeling overwhelmed by stress, anxiety, depression, PTSD, bulling, grief or the Everday life challenges, I'm here to provide you with the tools you need to be able to cope and be in a better state of mind. I am passionate about helping all individuals including military family, children, and teenagers achieve their goals. Let me help you face-to-face or virtually, schedule your appointment today.
What makes a successful counseling session, is it a trusting relationship between a client and their counselor? I prioritize myself in creating a safe and non-judgmental space for all my client. If you are feeling overwhelmed by stress, anxiety, depression, PTSD, bulling, grief or the Everday life challenges, I'm here to provide you with the tools you need to be able to cope and be in a better state of mind. I am passionate about helping all individuals including military family, children, and teenagers achieve their goals. Let me help you face-to-face or virtually, schedule your appointment today.
(804) 492-7319 View (804) 492-7319
Photo of Wild Oaks - Wild Oaks Intensive Outpatient Program, Clinical Social Work/Therapist, IOP
Wild Oaks Intensive Outpatient Program
Clinical Social Work/Therapist, IOP
Richmond, VA 23235
Wild Oaks is an intensive outpatient treatment program (IOP) specializing in the treatment of adults with eating disorders, and is part of Richmond Creative Counseling (RCC). At Wild Oaks, individuals will participate in therapeutic and recovery-focused groups and supported meals three nights per week. We offer individualized and age-appropriate services within a safe and inclusive environment.
Wild Oaks is an intensive outpatient treatment program (IOP) specializing in the treatment of adults with eating disorders, and is part of Richmond Creative Counseling (RCC). At Wild Oaks, individuals will participate in therapeutic and recovery-focused groups and supported meals three nights per week. We offer individualized and age-appropriate services within a safe and inclusive environment.
(804) 373-8607 x121 View (804) 373-8607 x121
Photo of Jackson Caswell, Pre-Licensed Professional, MSW
Jackson Caswell
Pre-Licensed Professional, MSW
2 Endorsed
Online Only
I believe that feeling heard is a crucial step toward mental wellbeing. I prioritize meeting clients where they are and understanding how the world around each person impacts them. This inspires me to create an affirming and encouraging therapeutic environment for clients of any age or background, particularly LGBTQIA+ and neurodivergent clients.
I believe that feeling heard is a crucial step toward mental wellbeing. I prioritize meeting clients where they are and understanding how the world around each person impacts them. This inspires me to create an affirming and encouraging therapeutic environment for clients of any age or background, particularly LGBTQIA+ and neurodivergent clients.
(804) 587-7366 View (804) 587-7366
Photo of Michelle Curry, Licensed Professional Counselor, MA, LPC
Michelle Curry
Licensed Professional Counselor, MA, LPC
Richmond, VA 23226
Michelle Curry, LPC, provides compassionate, evidence-based therapy for individuals, couples, and families throughout Virginia. Michelle offers culturally humble support, creating a safe and nonjudgmental space where clients can explore their challenges and grow. With a person-centered approach, Michelle tailors treatment to meet the unique needs of each client, offering a blend of authenticity and clinical expertise. Whether you're seeking therapy for ADHD, anxiety, depression, or navigating complex life transitions, Michelle is here to help.
Michelle Curry, LPC, provides compassionate, evidence-based therapy for individuals, couples, and families throughout Virginia. Michelle offers culturally humble support, creating a safe and nonjudgmental space where clients can explore their challenges and grow. With a person-centered approach, Michelle tailors treatment to meet the unique needs of each client, offering a blend of authenticity and clinical expertise. Whether you're seeking therapy for ADHD, anxiety, depression, or navigating complex life transitions, Michelle is here to help.
(804) 251-3095 View (804) 251-3095
Photo of Katie Boehling Finn, Clinical Social Work/Therapist, LCSW
Katie Boehling Finn
Clinical Social Work/Therapist, LCSW
1 Endorsed
Richmond, VA 23235
Are you or a family member facing a recent loss, life transition, or managing stress in your daily life? Whether it be a shift in relationship, parenting issues, behavior concerns, or emotional ups and downs, consider me for mental health support and treatment. Across the lifespan, from early childhood to retirement and beyond, my life experience and that as a therapist will bring you a sense of safety and confidence. Through our work together you can cope with major changes, shift negative thinking habits, fine-tune goal-setting, and build positive relationships with yourself and others, while improving your overall well-being.
Are you or a family member facing a recent loss, life transition, or managing stress in your daily life? Whether it be a shift in relationship, parenting issues, behavior concerns, or emotional ups and downs, consider me for mental health support and treatment. Across the lifespan, from early childhood to retirement and beyond, my life experience and that as a therapist will bring you a sense of safety and confidence. Through our work together you can cope with major changes, shift negative thinking habits, fine-tune goal-setting, and build positive relationships with yourself and others, while improving your overall well-being.
(804) 408-4919 View (804) 408-4919
Photo of Allison Byrne, Clinical Social Work/Therapist, LCSW
Allison Byrne
Clinical Social Work/Therapist, LCSW
1 Endorsed
Online Only
I help adults navigate life’s transitions with support, clarity, and practical tools. Are you feeling overwhelmed by change, stuck in a pattern that no longer serves you, or simply unsure of your next step? I offer a calm, affirming space where you can slow down, reflect, and reconnect with yourself. I believe that you are the expert on your own life, and therapy is a place to explore your experiences with honesty, compassion, and curiosity.
I help adults navigate life’s transitions with support, clarity, and practical tools. Are you feeling overwhelmed by change, stuck in a pattern that no longer serves you, or simply unsure of your next step? I offer a calm, affirming space where you can slow down, reflect, and reconnect with yourself. I believe that you are the expert on your own life, and therapy is a place to explore your experiences with honesty, compassion, and curiosity.
(804) 575-5492 View (804) 575-5492
Photo of James John Morris, Psychologist, PhD, MP
James John Morris
Psychologist, PhD, MP
Richmond, VA 23230
Many of us experience stress, anxiety and depression related to problems related to work and family responsibilities and relationships. Using contemporary approaches to counseling/psychotherapy, I engage with my clients to identify the key elements of these life stresses that are challenging my clients' emotional well-being, threatening relationships, and triggering problem behaviors. When working with children and families, focusing on each child or adolescent's perception of what's wrong in his or her life comes first. My clinical work with kids and families includes comprehensive neurodevelopmental and academic assessment.
Many of us experience stress, anxiety and depression related to problems related to work and family responsibilities and relationships. Using contemporary approaches to counseling/psychotherapy, I engage with my clients to identify the key elements of these life stresses that are challenging my clients' emotional well-being, threatening relationships, and triggering problem behaviors. When working with children and families, focusing on each child or adolescent's perception of what's wrong in his or her life comes first. My clinical work with kids and families includes comprehensive neurodevelopmental and academic assessment.
(804) 979-2636 View (804) 979-2636
Photo of Jasmine Griffin - Transcending Adversity Counseling Services LLC, Licensed Professional Counselor, LPC-S, MEd, ACS, CST
Transcending Adversity Counseling Services LLC
Licensed Professional Counselor, LPC-S, MEd, ACS, CST
Online Only
Emotions are an important part of life, and help us to connect with others. Sometimes our experiences with intense emotions can take away from our ability to clearly communicate with each other or appreciate ourselves. Do you find it difficult to enjoy life in the moment? too focused on the past or worried about the future? Do you wish you could connect with your family or partner in a way that doesn't lead to conflict or slammed doors? Whether you are experiencing relationship conflicts, depression, anxiety, anger, feelings of low self esteem or sex related concerns, your feelings do not have to control your life.
Emotions are an important part of life, and help us to connect with others. Sometimes our experiences with intense emotions can take away from our ability to clearly communicate with each other or appreciate ourselves. Do you find it difficult to enjoy life in the moment? too focused on the past or worried about the future? Do you wish you could connect with your family or partner in a way that doesn't lead to conflict or slammed doors? Whether you are experiencing relationship conflicts, depression, anxiety, anger, feelings of low self esteem or sex related concerns, your feelings do not have to control your life.
(804) 567-8198 View (804) 567-8198
Photo of Kate Rey, Clinical Social Work/Therapist, LCSW
Kate Rey
Clinical Social Work/Therapist, LCSW
3 Endorsed
Richmond, VA 23230
I love working with kids, teens, and young adults on discovering peace, authenticity, and compassion in their lives. Many incredible individuals I work with face challenges such as anxiety, picky eating, grief, anger, emotional fluctuations, and the burdens of past traumatic experiences. I also work with young adults who are finding their way through adulthood, facing uncertainty and that can often become very overwhelming. Together, we embark on a journey, and I’m with you every step of the way.
I love working with kids, teens, and young adults on discovering peace, authenticity, and compassion in their lives. Many incredible individuals I work with face challenges such as anxiety, picky eating, grief, anger, emotional fluctuations, and the burdens of past traumatic experiences. I also work with young adults who are finding their way through adulthood, facing uncertainty and that can often become very overwhelming. Together, we embark on a journey, and I’m with you every step of the way.
(804) 409-2020 x101 View (804) 409-2020 x101
Photo of Derrick Samuel Pegg, Clinical Social Work/Therapist, LCSW
Derrick Samuel Pegg
Clinical Social Work/Therapist, LCSW
Online Only
For me, therapy is about creating a nonjudgemental space where you feel comfortable to express whatever it is that you took time out of your week to talk about. In our sessions, we will work together to identify your goals and develop strategies to achieve them. My goal is to help you discover the tools and insights needed to navigate life with greater ease and confidence. I have extensive experience working with the 2SLGBTQ+ community, neurodivergence, chronic pain, HIV, and other chronic health issues.
For me, therapy is about creating a nonjudgemental space where you feel comfortable to express whatever it is that you took time out of your week to talk about. In our sessions, we will work together to identify your goals and develop strategies to achieve them. My goal is to help you discover the tools and insights needed to navigate life with greater ease and confidence. I have extensive experience working with the 2SLGBTQ+ community, neurodivergence, chronic pain, HIV, and other chronic health issues.
(804) 575-7950 View (804) 575-7950
Photo of Carlissa Fennell, Licensed Professional Counselor, LPC
Carlissa Fennell
Licensed Professional Counselor, LPC
4 Endorsed
Online Only
If you're navigating anxiety, depression, past trauma, or simply need a space to feel heard, you're not alone. I specialize in working with teens and young adults, creating a warm, non-judgmental space for healing. My approach is holistic and person-centered, integrating mind, body, and spirit to support emotional balance and personal growth.
If you're navigating anxiety, depression, past trauma, or simply need a space to feel heard, you're not alone. I specialize in working with teens and young adults, creating a warm, non-judgmental space for healing. My approach is holistic and person-centered, integrating mind, body, and spirit to support emotional balance and personal growth.
(804) 361-6971 View (804) 361-6971
Photo of Kathryn Tinsley, Clinical Social Work/Therapist, LCSW
Kathryn Tinsley
Clinical Social Work/Therapist, LCSW
2 Endorsed
Richmond, VA 23235
I am a Licensed Clinical Social Worker who is experienced, empathic, supportive, and committed to the services being provided. I believe in making a difference by meeting the clients where they are when coming in for services. I considers myself to be your guide as you are the leader. I believe everyone deserves to live their life to their fullest potential. For the past 4 years I have provided mental health services to a diverse population. I have provided services to adults, pre-teens, and children. My goal for the clients is to feel comfortable and safe to speak openly about what is happening.
I am a Licensed Clinical Social Worker who is experienced, empathic, supportive, and committed to the services being provided. I believe in making a difference by meeting the clients where they are when coming in for services. I considers myself to be your guide as you are the leader. I believe everyone deserves to live their life to their fullest potential. For the past 4 years I have provided mental health services to a diverse population. I have provided services to adults, pre-teens, and children. My goal for the clients is to feel comfortable and safe to speak openly about what is happening.
(804) 902-2763 View (804) 902-2763
Photo of Tiara Alston, Pre-Licensed Professional, MSW
Tiara Alston
Pre-Licensed Professional, MSW
1 Endorsed
Richmond, VA 23229
Are you dealing with stress, feeling overwhelmed, healing from traumatic experiences, navigating a relationship, or experiencing a difficult life transition? I'm here to help! I would love to help you build upon your strengths and skills to handle life's challenges. My clientele include children, adults, and families.
Are you dealing with stress, feeling overwhelmed, healing from traumatic experiences, navigating a relationship, or experiencing a difficult life transition? I'm here to help! I would love to help you build upon your strengths and skills to handle life's challenges. My clientele include children, adults, and families.
(804) 294-0819 View (804) 294-0819
Photo of Alex Ginsberg, Licensed Professional Counselor, MA, LPC, RDT
Alex Ginsberg
Licensed Professional Counselor, MA, LPC, RDT
Richmond, VA 23225
Over the past 24 years in practice, I've witnessed the incredible aptitude and capacity for change in my clients across settings to grow and make significant change, not only healing from past trauma, but continuing to grow and thrive, designing, creating, and living the lives they choose to live. I work with teens, young adults, couples, parent coaching, family systems, and organizations to build relationships through healthy connections, communication skills, and structures that enable all individuals and their relationships to thrive in collaboration and mutuality.
Over the past 24 years in practice, I've witnessed the incredible aptitude and capacity for change in my clients across settings to grow and make significant change, not only healing from past trauma, but continuing to grow and thrive, designing, creating, and living the lives they choose to live. I work with teens, young adults, couples, parent coaching, family systems, and organizations to build relationships through healthy connections, communication skills, and structures that enable all individuals and their relationships to thrive in collaboration and mutuality.
(804) 391-7200 View (804) 391-7200
Photo of Stephen D Twente - Westhampton Family Psychologists, Psychologist, PsyD
Westhampton Family Psychologists
Psychologist, PsyD
Richmond, VA 23229
We at WFP are a multi-disciplinary group comprised of clinicians who are well-versed in many different treatment modalities. As a group we include licensed nurse practitioners, psychologists, clinical social workers and professional counselors. Our training perspectives may vary, but we are united by an abiding interest in providing state-of-the-art psychological evaluations and treatment for children, adults and families in the Richmond, Virginia community.
We at WFP are a multi-disciplinary group comprised of clinicians who are well-versed in many different treatment modalities. As a group we include licensed nurse practitioners, psychologists, clinical social workers and professional counselors. Our training perspectives may vary, but we are united by an abiding interest in providing state-of-the-art psychological evaluations and treatment for children, adults and families in the Richmond, Virginia community.
(804) 409-0751 View (804) 409-0751
Photo of Sarajayne Vanover, Pre-Licensed Professional
Sarajayne Vanover
Pre-Licensed Professional
Richmond, VA 23230
I am Sarajayne Vanover, a Supervisee in Social Work with 5 years of experience in case management. I have worked with children, adolescents, teenagers, and adults from diverse backgrounds. I have treated children with behavioral and emotional challenges, trauma histories, and family instability. I enjoy helping clients develop coping skills for depression, anxiety, life transitions, and daily struggles. I understand the impact that positive support can have and seek to help clients meet their goals. I strive to provide validation and support by understanding who my clients are and what they’ve experienced.
I am Sarajayne Vanover, a Supervisee in Social Work with 5 years of experience in case management. I have worked with children, adolescents, teenagers, and adults from diverse backgrounds. I have treated children with behavioral and emotional challenges, trauma histories, and family instability. I enjoy helping clients develop coping skills for depression, anxiety, life transitions, and daily struggles. I understand the impact that positive support can have and seek to help clients meet their goals. I strive to provide validation and support by understanding who my clients are and what they’ve experienced.
(804) 701-5124 View (804) 701-5124

See more therapy options for Richmond

How does your Therapist compare?

Number of Therapists in Richmond, VA

2,000+

Average cost per session

$150

Therapists in Richmond, VA who prioritize treating:

92% Anxiety
87% Depression
73% Relationship Issues
73% Self Esteem
72% Trauma and PTSD
71% Stress
58% Grief

Average years in practice

11 Years

Top 3 insurances accepted

88% Aetna
78% BlueCross and BlueShield
77% Anthem

How Therapists in Richmond, VA see their clients

51% In Person and Online
49% Online Only

Gender breakdown

82% Female
16% Male
2% Non-Binary
FAQs - About Therapy and Counseling

How can I find a therapist in Richmond?

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.