Therapists in Shockoe Bottom, Richmond, VA

Photo of Alexandra Cromer, Licensed Professional Counselor, LPC
Alexandra Cromer
Licensed Professional Counselor, LPC
Shockoe Bottom, Richmond, VA 23223
I'm a Licensed Professional Counselor (LPC) with 4 years of experience partnering with adults, families, adolescents, and couples seeking help with depression, anxiety, eating disorders, and trauma-related disorders. I completed my Bachelor of Science (BS) in Psychology at Virginia Tech and my Master of Education (MEd) in Clinical Mental Health Counseling at the College of William & Mary.
I'm a Licensed Professional Counselor (LPC) with 4 years of experience partnering with adults, families, adolescents, and couples seeking help with depression, anxiety, eating disorders, and trauma-related disorders. I completed my Bachelor of Science (BS) in Psychology at Virginia Tech and my Master of Education (MEd) in Clinical Mental Health Counseling at the College of William & Mary.
(339) 244-7023 View (339) 244-7023
Photo of Kathryn Corson - Calm Waters Counseling, Clinical Social Work/Therapist, LCSW
Calm Waters Counseling
Clinical Social Work/Therapist, LCSW
Shockoe Bottom, Richmond, VA 23223
At Calm Waters Counseling we believe that where ever you are right now, you have arrived at honestly. Our goal is to help you figure out where you want to go and help you develop the insight, plan, tools and resources so that you can bring out your healthiest best self. We are an inclusive practice and work well with all clients including clients with CPTSD, neurodivergence, the LGBTQIA community, students, and clients from a range of cultures and ethnicities. We take most insurances including Medicaid and have a self-pay fee for those who are out of network or no insurance.
At Calm Waters Counseling we believe that where ever you are right now, you have arrived at honestly. Our goal is to help you figure out where you want to go and help you develop the insight, plan, tools and resources so that you can bring out your healthiest best self. We are an inclusive practice and work well with all clients including clients with CPTSD, neurodivergence, the LGBTQIA community, students, and clients from a range of cultures and ethnicities. We take most insurances including Medicaid and have a self-pay fee for those who are out of network or no insurance.
(804) 361-8268 View (804) 361-8268
Photo of Mary Gravely, Pre-Licensed Professional
Mary Gravely
Pre-Licensed Professional
Shockoe Bottom, Richmond, VA 23223
My name is Kat and I have been providing services as a Resident in Counseling in Virginia since completing my Master of Education in Counselor Education in 2023. Through my work, I've been able to work with clients from a wide range of backgrounds and presenting concerns. Most often, I've worked with folks struggling with relationships, self-esteem, and activities of daily living as a result of trauma, mood disorders, or systemic limitations. I have a particular passion for supporting clients with a history of sexual trauma work towards healing and empowerment.
My name is Kat and I have been providing services as a Resident in Counseling in Virginia since completing my Master of Education in Counselor Education in 2023. Through my work, I've been able to work with clients from a wide range of backgrounds and presenting concerns. Most often, I've worked with folks struggling with relationships, self-esteem, and activities of daily living as a result of trauma, mood disorders, or systemic limitations. I have a particular passion for supporting clients with a history of sexual trauma work towards healing and empowerment.
(339) 244-7023 View (339) 244-7023
Photo of Alex Cromer - Thriveworks Counseling & Psychiatry Richmond, Licensed Professional Counselor
Thriveworks Counseling & Psychiatry Richmond
Licensed Professional Counselor
Shockoe Bottom, Richmond, VA 23223
At Thriveworks, we're dedicated to providing top-tier mental health services that are easily accessible to everyone. With over 340 locations nationwide and flexible online therapy options, our professional therapists are equipped to assist you through any stress, life transitions, or ongoing mental health concerns. We prioritize your convenience and needs by offering flexible scheduling, including evening and weekend appointments, ensuring that you can start your therapy journey as early as this week. Plus, we accept most major insurance plans, making your path to mental health support smoother and more affordable.
At Thriveworks, we're dedicated to providing top-tier mental health services that are easily accessible to everyone. With over 340 locations nationwide and flexible online therapy options, our professional therapists are equipped to assist you through any stress, life transitions, or ongoing mental health concerns. We prioritize your convenience and needs by offering flexible scheduling, including evening and weekend appointments, ensuring that you can start your therapy journey as early as this week. Plus, we accept most major insurance plans, making your path to mental health support smoother and more affordable.
(855) 524-5193 View (855) 524-5193
Photo of Cora Matthews, Pre-Licensed Professional
Cora Matthews
Pre-Licensed Professional
Shockoe Bottom, Richmond, VA 23223
Life is messy. And hard and complicated. It doesn't matter if you are a kid, a parent, a teen, or adult we all thrive when we have relationships to connect us to ourselves, families, and our world during stressful times. What I do best is create a space (physical or emotional) for healing within ourselves and relationships. I work with people of all ages, and especially love working with kids and their caregivers, to focus on healing and understanding.
Life is messy. And hard and complicated. It doesn't matter if you are a kid, a parent, a teen, or adult we all thrive when we have relationships to connect us to ourselves, families, and our world during stressful times. What I do best is create a space (physical or emotional) for healing within ourselves and relationships. I work with people of all ages, and especially love working with kids and their caregivers, to focus on healing and understanding.
(804) 886-1892 View (804) 886-1892
Photo of Sara Kuntz, Licensed Professional Counselor, LPC
Sara Kuntz
Licensed Professional Counselor, LPC
1 Endorsed
Shockoe Bottom, Richmond, VA 23223
I am Sara Kuntz, a Licensed Professional Counselor (LPC) with over 10 years of professional experience working with clients of all ages who are struggling to manage conditions or issues related to postpartum depression, academic-related problems, low self-esteem, sex, sexual orientation, chronic stress, and women’s issues. I graduated with my Bachelor's degree in Art Therapy from Seton Hill University and continued my education, receiving my Master's in Marriage and Family Therapy from Seton Hill University as well.
I am Sara Kuntz, a Licensed Professional Counselor (LPC) with over 10 years of professional experience working with clients of all ages who are struggling to manage conditions or issues related to postpartum depression, academic-related problems, low self-esteem, sex, sexual orientation, chronic stress, and women’s issues. I graduated with my Bachelor's degree in Art Therapy from Seton Hill University and continued my education, receiving my Master's in Marriage and Family Therapy from Seton Hill University as well.
(339) 244-7023 View (339) 244-7023
Photo of Kirstie James, Pre-Licensed Professional, LMSW01
Kirstie James
Pre-Licensed Professional, LMSW01
Shockoe Bottom, Richmond, VA 23223
I am a Supervisee in Social Work with 1 year of experience providing individual counseling to children, adolescents, and adults. I work with children through difficulties centered around behavior and emotional awareness, and with adults seeking grief support, stress management, and help adjusting to life transitions. My goal is to empower individuals to develop autonomy and self-reliance via an environment that provides safety and security. I offer active listening, reflection, and interactive feedback to my clients.
I am a Supervisee in Social Work with 1 year of experience providing individual counseling to children, adolescents, and adults. I work with children through difficulties centered around behavior and emotional awareness, and with adults seeking grief support, stress management, and help adjusting to life transitions. My goal is to empower individuals to develop autonomy and self-reliance via an environment that provides safety and security. I offer active listening, reflection, and interactive feedback to my clients.
(339) 244-7023 View (339) 244-7023
Photo of Naharia Heard, Licensed Professional Counselor, PhD, LPC, ACS, NCC
Naharia Heard
Licensed Professional Counselor, PhD, LPC, ACS, NCC
Shockoe Bottom, Richmond, VA 23223
I am Dr. Naharia Heard, a Licensed Professional Counselor, Certified Substance Abuse Counselor, Nationally Certified Counselor, and Approved Clinical Supervisor (LPC, CSAC, NCC, ACS) in the state of Virginia with more than 10 years of experience. I am also a mother and Army veteran who specializes in helping adult clients and families that are having difficulties managing stress and anxiety, struggling with coping skills, anxiety, depression, sexual abuse, combat, substance abuse, and family and relational issues.
I am Dr. Naharia Heard, a Licensed Professional Counselor, Certified Substance Abuse Counselor, Nationally Certified Counselor, and Approved Clinical Supervisor (LPC, CSAC, NCC, ACS) in the state of Virginia with more than 10 years of experience. I am also a mother and Army veteran who specializes in helping adult clients and families that are having difficulties managing stress and anxiety, struggling with coping skills, anxiety, depression, sexual abuse, combat, substance abuse, and family and relational issues.
(339) 244-7023 View (339) 244-7023
Photo of Dr. Onzie Luke, Licensed Professional Counselor, PhD, LPC
Dr. Onzie Luke
Licensed Professional Counselor, PhD, LPC
2 Endorsed
Shockoe Bottom, Richmond, VA 23223
I am a Licensed Professional Counselor with over 10 years of experience in the mental health field. I have a passion for working with survivors of trauma, and especially enjoy working with teenagers. I enjoy working with individuals and families in an effort to help each person reach their goals. I believe therapy is a way to explore our deepest thoughts, worries, and concerns in a safe environment and to improve overall quality of life.
I am a Licensed Professional Counselor with over 10 years of experience in the mental health field. I have a passion for working with survivors of trauma, and especially enjoy working with teenagers. I enjoy working with individuals and families in an effort to help each person reach their goals. I believe therapy is a way to explore our deepest thoughts, worries, and concerns in a safe environment and to improve overall quality of life.
(804) 469-0972 View (804) 469-0972
Photo of Alex Johnson, Clinical Social Work/Therapist, LCSW
Alex Johnson
Clinical Social Work/Therapist, LCSW
Shockoe Bottom, Richmond, VA 23223
I am a Licensed Clinical Social Worker with over 6 years of experience. I support clients of all ages, from children to older adults, and specialize in anxiety disorders, depression, self-esteem issues, and ADHD management.
I am a Licensed Clinical Social Worker with over 6 years of experience. I support clients of all ages, from children to older adults, and specialize in anxiety disorders, depression, self-esteem issues, and ADHD management.
(339) 244-7023 View (339) 244-7023
Photo of Lynkethia Ames, Pre-Licensed Professional
Lynkethia Ames
Pre-Licensed Professional
Shockoe Bottom, Richmond, VA 23223
I am a Resident in Counseling with 2 years of experience. I specialize in helping children, adolescents, and adults navigate challenges related to depression, anxiety, oppositional defiant disorder, anger, relationship issues, parenting challenges, life transitions, behavioral problems, and mood disorders. I have served clients in in-home therapeutic services, outpatient therapy, and family therapy. I view life's challenges as part of the human experience that allows individuals to grow.
I am a Resident in Counseling with 2 years of experience. I specialize in helping children, adolescents, and adults navigate challenges related to depression, anxiety, oppositional defiant disorder, anger, relationship issues, parenting challenges, life transitions, behavioral problems, and mood disorders. I have served clients in in-home therapeutic services, outpatient therapy, and family therapy. I view life's challenges as part of the human experience that allows individuals to grow.
(339) 244-7023 View (339) 244-7023
Photo of Mike Dinh, Pre-Licensed Professional, MSW, BSN, RN
Mike Dinh
Pre-Licensed Professional, MSW, BSN, RN
Shockoe Bottom, Richmond, VA 23223
It is wonderful to meet you here on your journey. My name is Mike, I am a Supervisee in Social Work and practicing nurse. I am a VCU graduate with a training background that reflects serving both diverse clients and mental health concerns. I am grounded in attachment and believe the therapeutic client- clinician relationship can lead to healing and growth. My approach to therapy encourages exploration, cultivates awareness, and invites vulnerability. I practice from an Object Relations framework that reflects upon how we internalize early experiences and ways to offer our present selves corrective solutions.
It is wonderful to meet you here on your journey. My name is Mike, I am a Supervisee in Social Work and practicing nurse. I am a VCU graduate with a training background that reflects serving both diverse clients and mental health concerns. I am grounded in attachment and believe the therapeutic client- clinician relationship can lead to healing and growth. My approach to therapy encourages exploration, cultivates awareness, and invites vulnerability. I practice from an Object Relations framework that reflects upon how we internalize early experiences and ways to offer our present selves corrective solutions.
(804) 395-5274 View (804) 395-5274
Photo of Sibhon Archer - Sibhon Archer , Licensed Professional Counselor, PhD, LPC, LSATP
Sibhon Archer
Licensed Professional Counselor, PhD, LPC, LSATP
Shockoe Bottom, Richmond, VA 23223
Welcome! Previously listed as Dr. Sibhon Brown for those searching under my former name. I offer a warm, supportive space where you feel heard and empowered. With specialties in emotional pain, substance use, and life transitions, I use evidence-based, person-centered care tailored to your needs. My unique blend of clinical experience, empathy, and practical strategies helps clients gain clarity, build resilience, and move toward lasting change—at their own pace.
Welcome! Previously listed as Dr. Sibhon Brown for those searching under my former name. I offer a warm, supportive space where you feel heard and empowered. With specialties in emotional pain, substance use, and life transitions, I use evidence-based, person-centered care tailored to your needs. My unique blend of clinical experience, empathy, and practical strategies helps clients gain clarity, build resilience, and move toward lasting change—at their own pace.
(804) 298-2782 View (804) 298-2782
Photo of Kegan Anderson, Pre-Licensed Professional
Kegan Anderson
Pre-Licensed Professional
Shockoe Bottom, Richmond, VA 23223
I am a Supervisee in Social Work with one year of experience. My background is primarily in working with children, adolescents, and parents using attachment-based, trauma-informed, and family therapy modalities in settings such as inpatient psychiatric units and intensive in-home services. Now, I am looking to expand my experience to work with adults and adolescents who experience depression, anxiety, ADHD, trauma, relationship challenges, and parenting challenges. I would also like to work with the LGBTQ+ population to assist with the barriers and challenges this population faces.
I am a Supervisee in Social Work with one year of experience. My background is primarily in working with children, adolescents, and parents using attachment-based, trauma-informed, and family therapy modalities in settings such as inpatient psychiatric units and intensive in-home services. Now, I am looking to expand my experience to work with adults and adolescents who experience depression, anxiety, ADHD, trauma, relationship challenges, and parenting challenges. I would also like to work with the LGBTQ+ population to assist with the barriers and challenges this population faces.
(339) 244-7023 View (339) 244-7023
Photo of David Fernandez, Resident in Counseling, MEd, MS
David Fernandez
Resident in Counseling, MEd, MS
6 Endorsed
Shockoe Bottom, Richmond, VA 23223
Welcome! I support individuals, couples, and those in ENM/poly relationships of all backgrounds in building meaningful lives by providing a safe space to explore identity, tend to past wounds, practice new ways of relating to themselves and others, and overcome barriers to authenticity—such as social pressure, anxiety, or trauma. I’m particularly passionate about supporting clients in reclaiming their sexual wellness and intimacy through honest, courageous communication. My approach to therapy—grounded in “parts” work and person-centered care—is warm, affirming, and unapologetically human.
Welcome! I support individuals, couples, and those in ENM/poly relationships of all backgrounds in building meaningful lives by providing a safe space to explore identity, tend to past wounds, practice new ways of relating to themselves and others, and overcome barriers to authenticity—such as social pressure, anxiety, or trauma. I’m particularly passionate about supporting clients in reclaiming their sexual wellness and intimacy through honest, courageous communication. My approach to therapy—grounded in “parts” work and person-centered care—is warm, affirming, and unapologetically human.
(571) 591-6026 View (571) 591-6026
Photo of Tomecaa Renee Rowe, Resident in Counseling, Tomeca, Rowe, LPC-R
Tomecaa Renee Rowe
Resident in Counseling, Tomeca, Rowe, LPC-R
1 Endorsed
Shockoe Bottom, Richmond, VA 23223
I believe effective therapy begins with a genuine, human connection. My approach is interactive, supportive, and empathic, viewing therapy as a creative, collaborative process. Using CBT, Motivational Interviewing, Solution-Focused, and trauma-informed practices, I help clients understand patterns, build insight, and strengthen emotional awareness. My goal is to provide a safe, empowering space where you can rediscover your voice, rebuild confidence, and move toward a grounded, meaningful life.
I believe effective therapy begins with a genuine, human connection. My approach is interactive, supportive, and empathic, viewing therapy as a creative, collaborative process. Using CBT, Motivational Interviewing, Solution-Focused, and trauma-informed practices, I help clients understand patterns, build insight, and strengthen emotional awareness. My goal is to provide a safe, empowering space where you can rediscover your voice, rebuild confidence, and move toward a grounded, meaningful life.
(804) 689-4017 View (804) 689-4017
Photo of Victoria Tedrow, Pre-Licensed Professional
Victoria Tedrow
Pre-Licensed Professional
Shockoe Bottom, Richmond, VA 23223
I am a Licensed Professional Counselor Resident with 5 years of experience. I specialize in trauma-informed care, identity exploration, and navigating life transitions. I’m experienced in helping emerging adults and professionals manage anxiety, relationship struggles, OCD, and self-esteem challenges. My ideal clients may feel stuck or disconnected from their values, finding themselves people-pleasing or stuck in self-criticism, and are ready to do the deep work of healing—creating healthier ways of being. I create a compassionate and collaborative space for growth, clarity, and lasting change.
I am a Licensed Professional Counselor Resident with 5 years of experience. I specialize in trauma-informed care, identity exploration, and navigating life transitions. I’m experienced in helping emerging adults and professionals manage anxiety, relationship struggles, OCD, and self-esteem challenges. My ideal clients may feel stuck or disconnected from their values, finding themselves people-pleasing or stuck in self-criticism, and are ready to do the deep work of healing—creating healthier ways of being. I create a compassionate and collaborative space for growth, clarity, and lasting change.
(339) 244-7023 View (339) 244-7023
Photo of Kylie Getz, Counselor, MS, LPCC
Kylie Getz
Counselor, MS, LPCC
Shockoe Bottom, Richmond, VA 23223
As a therapist, I understand that each human has unique needs, which should be met with a unique approach. From mood disorders to addictions, or attention-deficit/hyperactivity disorder to self-esteem and identity issues, I utilize various modalities like person-centered and strength-based strategies to help my clients overcome hurdles and live a life of fulfillment.
As a therapist, I understand that each human has unique needs, which should be met with a unique approach. From mood disorders to addictions, or attention-deficit/hyperactivity disorder to self-esteem and identity issues, I utilize various modalities like person-centered and strength-based strategies to help my clients overcome hurdles and live a life of fulfillment.
(804) 369-9363 View (804) 369-9363
Photo of Debbie Seeger, Licensed Professional Counselor, MA, LPC, LMFT
Debbie Seeger
Licensed Professional Counselor, MA, LPC, LMFT
7 Endorsed
Shockoe Bottom, Richmond, VA 23223
Navigating life's complexities can sometimes feel overwhelming. Are you struggling with persistent anxiety, a heavy cloud of depression, or the challenges of relationship distress? Perhaps you're finding it challenging to cope with daily pressures, experiencing mood swings, or struggling to connect with those you care about. These experiences can be deeply painful, impacting every aspect of your life, from your sleep and work to your sense of self and your connections with others.
Navigating life's complexities can sometimes feel overwhelming. Are you struggling with persistent anxiety, a heavy cloud of depression, or the challenges of relationship distress? Perhaps you're finding it challenging to cope with daily pressures, experiencing mood swings, or struggling to connect with those you care about. These experiences can be deeply painful, impacting every aspect of your life, from your sleep and work to your sense of self and your connections with others.
(512) 858-8455 View (512) 858-8455
Photo of Kat Devereaux - Phases Therapy, Inc., Licensed Professional Counselor, LPC
Phases Therapy, Inc.
Licensed Professional Counselor, LPC
1 Endorsed
Shockoe Bottom, Richmond, VA 23223
Waitlist for new clients
We believe everyone deserves access to compassionate, empowering & affirming care! Our practice is proudly owned & operated by queer, alternative, multiracial folx who understand the unique challenges & experiences of our diverse clients. We are deeply committed to social justice & helping with the needs of marginalized communities. We believe that each person has the ability to lead their most powerful, productive & positive life. We believe in fostering an environment that is safe, supportive, & non-judgmental. Our core values center around advocacy, authenticity, safety, being trauma informed, empowerment, & compassion.
We believe everyone deserves access to compassionate, empowering & affirming care! Our practice is proudly owned & operated by queer, alternative, multiracial folx who understand the unique challenges & experiences of our diverse clients. We are deeply committed to social justice & helping with the needs of marginalized communities. We believe that each person has the ability to lead their most powerful, productive & positive life. We believe in fostering an environment that is safe, supportive, & non-judgmental. Our core values center around advocacy, authenticity, safety, being trauma informed, empowerment, & compassion.
(804) 220-0564 View (804) 220-0564

How does your Therapist compare?

Number of Therapists in Shockoe Bottom, Richmond, VA

40+

Average cost per session

$150

Therapists in Shockoe Bottom, Richmond, VA who prioritize treating:

98% Depression
95% Anxiety
83% Stress
74% Self Esteem
69% Relationship Issues
69% Grief
69% Trauma and PTSD

Average years in practice

8 Years

Top 3 insurances accepted

95% Aetna
84% BlueCross and BlueShield
84% Anthem

How Therapists in Shockoe Bottom, Richmond, VA see their clients

60% In Person and Online
40% Online Only

Gender breakdown

87% Female
8% Male
5% Non-Binary
FAQs - About Therapy and Counseling

How can I find a therapist in Shockoe Bottom, 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.