Therapists in San Juan County, WA

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Photo of Peg LeBlanc, MA, LMFT, C-DBT, Marriage & Family Therapist
Peg LeBlanc
Marriage & Family Therapist, MA, LMFT, C-DBT
Verified Verified
Friday Harbor, WA 98250
If you need support to change a troubled relationship, a job or living situation, I can help you. If you have dreams or plans that you want help bringing about I can help with motivation and structure. People who can take action to seek help for difficulties feel better about themselves and move in the direction of greater happiness. I like to employ wisdom from many sources; Research based positive psychology, cognitive and dialectical behavioral therapy, mindfulness practices that restore emotional balance. I always seek to help you mobilize your own wisdom, sense of humor and courage.
If you need support to change a troubled relationship, a job or living situation, I can help you. If you have dreams or plans that you want help bringing about I can help with motivation and structure. People who can take action to seek help for difficulties feel better about themselves and move in the direction of greater happiness. I like to employ wisdom from many sources; Research based positive psychology, cognitive and dialectical behavioral therapy, mindfulness practices that restore emotional balance. I always seek to help you mobilize your own wisdom, sense of humor and courage.
(360) 226-7880 View (360) 226-7880
Photo of Sheila Simpson-Creps, MA, LMHC, MFA, AT, Counselor
Sheila Simpson-Creps
Counselor, MA, LMHC, MFA, AT
Verified Verified
Lopez Island, WA 98261  (Online Only)
Waitlist for new clients
At times in our lives we may find that the pain of events is seemingly more than one can handle, and life questions are too great. During these passages, healing and stress reduction can be aided through a therapeutic alliance with a mental health counselor. As a Licensed Mental Health Counselor, I listen to, and witness your story. I provide a safe and confidential environment to explore those issues which most challenge you. It is an honor for me to provide counseling services for those seeking healing and an increase in the quality of their lives. Currently, I work with adults via teletherapy only.
At times in our lives we may find that the pain of events is seemingly more than one can handle, and life questions are too great. During these passages, healing and stress reduction can be aided through a therapeutic alliance with a mental health counselor. As a Licensed Mental Health Counselor, I listen to, and witness your story. I provide a safe and confidential environment to explore those issues which most challenge you. It is an honor for me to provide counseling services for those seeking healing and an increase in the quality of their lives. Currently, I work with adults via teletherapy only.
(360) 234-3589 View (360) 234-3589
Photo of Rose Carmen Blair, MS, LMHC, Counselor
Rose Carmen Blair
Counselor, MS, LMHC
Verified Verified
Friday Harbor, WA 98250  (Online Only)
As humans we are beautifully flawed. We all go through periods of instability, overwhelm, anxiety, depression, shame, and excessive stress, colored by our own unique life experiences. Sometimes we can manage on our own, and sometimes we need help. Perhaps you are feeling a sense of disconnect that is difficult to describe. Do you desire a sense of connection, healing, and empowerment? I am here to listen deeply, offer you some new tools, and introduce fresh perspectives.
As humans we are beautifully flawed. We all go through periods of instability, overwhelm, anxiety, depression, shame, and excessive stress, colored by our own unique life experiences. Sometimes we can manage on our own, and sometimes we need help. Perhaps you are feeling a sense of disconnect that is difficult to describe. Do you desire a sense of connection, healing, and empowerment? I am here to listen deeply, offer you some new tools, and introduce fresh perspectives.
(360) 234-3262 View (360) 234-3262
Photo of Barbara Starr, LCSW, Clinical Social Work/Therapist
Barbara Starr
Clinical Social Work/Therapist, LCSW
Verified Verified
1 Endorsed
Friday Harbor, WA 98250
Many individuals seek counseling with me because they have had painful or traumatic experiences that interfere with their ability to live a satisfying life, one filled with meaningful relationships, the ability to experience joy, and the ability to manage life problems skillfully. They often feel stuck and, although they've tried hard, they continue to experience problems in relationships and often suffer from anxiety, depression and the effects of trauma. They want to move forward in their lives with hope, confidence and a sense of purpose.
Many individuals seek counseling with me because they have had painful or traumatic experiences that interfere with their ability to live a satisfying life, one filled with meaningful relationships, the ability to experience joy, and the ability to manage life problems skillfully. They often feel stuck and, although they've tried hard, they continue to experience problems in relationships and often suffer from anxiety, depression and the effects of trauma. They want to move forward in their lives with hope, confidence and a sense of purpose.
(360) 622-6143 View (360) 622-6143
Photo of Auralee Jameson, MSW, LICSW, RN, Clinical Social Work/Therapist
Auralee Jameson
Clinical Social Work/Therapist, MSW, LICSW, RN
Verified Verified
Friday Harbor, WA 98250
What I want you to know is that you are not alone in this world; there is hope that you can get through this challenging time in your life. When feeling overwhelmed it is difficult to know where to start when making a change. By integrating social work theories into practice, I recognize that all aspects of a person’s life can impact their wellbeing. Whether it's depression, anxiety, life transitions, or traumatic events I take an approach that helps to understand how the physical, emotional, spiritual, and social aspects of ones’ life interact together to create the individual and together we find the best way to reach your goals.
What I want you to know is that you are not alone in this world; there is hope that you can get through this challenging time in your life. When feeling overwhelmed it is difficult to know where to start when making a change. By integrating social work theories into practice, I recognize that all aspects of a person’s life can impact their wellbeing. Whether it's depression, anxiety, life transitions, or traumatic events I take an approach that helps to understand how the physical, emotional, spiritual, and social aspects of ones’ life interact together to create the individual and together we find the best way to reach your goals.
(360) 614-2687 x203 View (360) 614-2687 x203
Photo of James Michael Seehof, MS, LMFT, LCPC, Marriage & Family Therapist
James Michael Seehof
Marriage & Family Therapist, MS, LMFT, LCPC
Verified Verified
Eastsound, WA 98245
James Michael Seehof attained a Masters Degree in Psychology and was a licensed psychotherapist with a private practice in Idaho for 15 years. He is now practicing in the state of Washington on Orcas Island at the Healing Arts Center in Eastsound. He is currently licensed as an LMFT in the state of Washington and an LCPC and LMFT in the state of Idaho. He is comfortable working with diverse clients and respects their individuality. He tailors his technique to the needs of his clients, comfortable listening and exploring as well as discussing strategies needed to create change or solidify boundaries.
James Michael Seehof attained a Masters Degree in Psychology and was a licensed psychotherapist with a private practice in Idaho for 15 years. He is now practicing in the state of Washington on Orcas Island at the Healing Arts Center in Eastsound. He is currently licensed as an LMFT in the state of Washington and an LCPC and LMFT in the state of Idaho. He is comfortable working with diverse clients and respects their individuality. He tailors his technique to the needs of his clients, comfortable listening and exploring as well as discussing strategies needed to create change or solidify boundaries.
(360) 506-6326 View (360) 506-6326
Photo of Leslie Diane Schwartz, MA, LMHC, Counselor
Leslie Diane Schwartz
Counselor, MA, LMHC
Verified Verified
Friday Harbor, WA 98250
Not accepting new clients
I see adult clients who are interested in short term and long term therapy. Clients come to work on many concerns including anxiety, depression, grief, manic depression, and relationship troubles at home and at work. Most clients arrive seeking insights about themselves and their reactions to others, and they are interested in exploring new thought and behavioral patterns. I am able to help them explore both their conscious and unconscious patterns through reflection, conversation, psychological testing, dream work and sand play.
I see adult clients who are interested in short term and long term therapy. Clients come to work on many concerns including anxiety, depression, grief, manic depression, and relationship troubles at home and at work. Most clients arrive seeking insights about themselves and their reactions to others, and they are interested in exploring new thought and behavioral patterns. I am able to help them explore both their conscious and unconscious patterns through reflection, conversation, psychological testing, dream work and sand play.
(360) 317-2940 View (360) 317-2940
Photo of Jennifer Sue Wareham, MS, LMFT, Marriage & Family Therapist
Jennifer Sue Wareham
Marriage & Family Therapist, MS, LMFT
Verified Verified
Eastsound, WA 98245
Welcome. With over 25 years experience as a Marriage and Family Therapist, I provide therapy in a comfortable and supportive atmosphere. In addition to my Washington office, I offer teletherapy in the states of Washington, Colorado, Idaho and Utah. I offer a highly personalized approach tailored to each of my clients' individual needs. We work together to reach your personal growth goals. I provide therapy for relationship issues such as loss of closeness, affair recovery, remarriage adjustment, and decision to divorce. Treatment options include weekly therapy, marital issue coaching, and 2-3 day intensive retreats.
Welcome. With over 25 years experience as a Marriage and Family Therapist, I provide therapy in a comfortable and supportive atmosphere. In addition to my Washington office, I offer teletherapy in the states of Washington, Colorado, Idaho and Utah. I offer a highly personalized approach tailored to each of my clients' individual needs. We work together to reach your personal growth goals. I provide therapy for relationship issues such as loss of closeness, affair recovery, remarriage adjustment, and decision to divorce. Treatment options include weekly therapy, marital issue coaching, and 2-3 day intensive retreats.
(360) 207-2617 View (360) 207-2617
Photo of Sue Trace, BSN, PCC, CALC, CPQC
Sue Trace
BSN, PCC, CALC, CPQC
Verified Verified
Friday Harbor, WA 98250  (Online Only)
Are you stressed, burned out, exhausted, anxious, riddled with negative self-talk, feel like somedays you’re not good enough and living by your “shoulds?” I am a nurse, professional certified coach, certified ADHD coach and certified mental fitness coach. If you are a nurse, physician, frontline worker, individual or leader, I collaboratively partner with you to build your mental fitness, find renewed energy and increase your resilience and wellbeing. With my ADHD coach training, I work with anyone who has been diagnosed with ADHD, or think they may have it, who struggle with staying focused, organized, and are overwhelmed.
Are you stressed, burned out, exhausted, anxious, riddled with negative self-talk, feel like somedays you’re not good enough and living by your “shoulds?” I am a nurse, professional certified coach, certified ADHD coach and certified mental fitness coach. If you are a nurse, physician, frontline worker, individual or leader, I collaboratively partner with you to build your mental fitness, find renewed energy and increase your resilience and wellbeing. With my ADHD coach training, I work with anyone who has been diagnosed with ADHD, or think they may have it, who struggle with staying focused, organized, and are overwhelmed.
(360) 346-9820 View (360) 346-9820
Photo of Roxanne Bormann, MSW, LSWAIC, Clinical Social Work/Therapist
Roxanne Bormann
Clinical Social Work/Therapist, MSW, LSWAIC
Verified Verified
Friday Harbor, WA 98250  (Online Only)
Not accepting new clients
I am here to provide support for young people and their families through behavioral and/or emotional health concerns, transitions, difficult family dynamics, trauma, developmental milestones, school related challenges, social experiences, or something more general. I provide a trauma informed, psycho-education based, client/family centered, strength-based space that is more than typical talk therapy. Working as a bridge between children, teens, and their families our collaboration will focus on exploring behaviors, dynamics, and individual trauma responses in order to increase insight, communication skills, and familial strength.
I am here to provide support for young people and their families through behavioral and/or emotional health concerns, transitions, difficult family dynamics, trauma, developmental milestones, school related challenges, social experiences, or something more general. I provide a trauma informed, psycho-education based, client/family centered, strength-based space that is more than typical talk therapy. Working as a bridge between children, teens, and their families our collaboration will focus on exploring behaviors, dynamics, and individual trauma responses in order to increase insight, communication skills, and familial strength.
(360) 233-8547 View (360) 233-8547
Photo of undefined - Maryann Syers, PhD, LLC, PhD, LICSW, Clinical Social Work/Therapist
Maryann Syers, PhD, LLC
Clinical Social Work/Therapist, PhD, LICSW
Verified Verified
1 Endorsed
Eastsound, WA 98245  (Online Only)
I am a licensed clinical social worker, consultant and educator with almost 30 years in private practice. Because the therapeutic relationship provides the primary component for healing, I seek to develop with my clients a safe relational space in which to explore the issues that bring them to therapy. The relationship serves not only as the backdrop, but also the vehicle for understanding one's internal world and learning new ways of thinking relating with others. Much of what troubles us stems not only from current external circumstances, but more importantly, from how we have learned to think about and cope with our experiences.
I am a licensed clinical social worker, consultant and educator with almost 30 years in private practice. Because the therapeutic relationship provides the primary component for healing, I seek to develop with my clients a safe relational space in which to explore the issues that bring them to therapy. The relationship serves not only as the backdrop, but also the vehicle for understanding one's internal world and learning new ways of thinking relating with others. Much of what troubles us stems not only from current external circumstances, but more importantly, from how we have learned to think about and cope with our experiences.
(360) 763-0787 View (360) 763-0787
Photo of undefined - Turn the Tides, Brian J Krembs, MA, MEd, LMHCA, EMT, Counselor
Turn the Tides, Brian J Krembs
Counselor, MA, MEd, LMHCA, EMT
Verified Verified
Friday Harbor, WA 98250
I have worked with children and their parents for the past twenty years in various roles but mostly as a School Counselor. Fifteen of those years, I spent in South Korea and Indonesia working for International Schools with students from age three through adulthood.
I have worked with children and their parents for the past twenty years in various roles but mostly as a School Counselor. Fifteen of those years, I spent in South Korea and Indonesia working for International Schools with students from age three through adulthood.
(360) 800-3062 View (360) 800-3062
Photo of Bonnie Burg, MA, LICSW, BCD, Clinical Social Work/Therapist
Bonnie Burg
Clinical Social Work/Therapist, MA, LICSW, BCD
Verified Verified
Eastsound, WA 98245
As a Licensed Clinical Social Worker in private practice for 40+ years, I provide relational psychotherapy for individuals and couples. In our initial meeting we identify the problem areas and conflicts causing psychological or emotional distress. Understanding the core issues will lead to a treatment approach, designed specifically for each client or couple. We utilize each persons strengths, coping skills, and life experience to reduce and manage anxiety, depression, self esteem issues and resolve internal or external conflicts. Effective psychotherapy can have a profound impact on mood, behavior and quality of life at all levels.
As a Licensed Clinical Social Worker in private practice for 40+ years, I provide relational psychotherapy for individuals and couples. In our initial meeting we identify the problem areas and conflicts causing psychological or emotional distress. Understanding the core issues will lead to a treatment approach, designed specifically for each client or couple. We utilize each persons strengths, coping skills, and life experience to reduce and manage anxiety, depression, self esteem issues and resolve internal or external conflicts. Effective psychotherapy can have a profound impact on mood, behavior and quality of life at all levels.
(360) 858-8531 View (360) 858-8531
Photo of Cassandra Perryman, PhD, LMHC,
Cassandra Perryman
PhD, LMHC
Verified Verified
Eastsound, WA 98245
Waitlist for new clients
I embrace all walks of life, and view each story as valid and important. In no way do I have a specific mold I follow, or a mold I want a client to fit in. My process is fluid and dynamic, and it is critical that I have a collaborative relationship with each person I work with.
I embrace all walks of life, and view each story as valid and important. In no way do I have a specific mold I follow, or a mold I want a client to fit in. My process is fluid and dynamic, and it is critical that I have a collaborative relationship with each person I work with.
(360) 209-2364 View (360) 209-2364
Photo of Maria Carolina De Bruyn, MA, LMHC, Counselor
Maria Carolina De Bruyn
Counselor, MA, LMHC
Verified Verified
Friday Harbor, WA 98250  (Online Only)
My approach is person-centered, relationally-based, and narrative. I work with a wide variety of clientele, but some of my strengths include working with children and families, working with men, and integrating culture and spirituality, especially Christian spirituality, into the treatment plan, if desired.
My approach is person-centered, relationally-based, and narrative. I work with a wide variety of clientele, but some of my strengths include working with children and families, working with men, and integrating culture and spirituality, especially Christian spirituality, into the treatment plan, if desired.
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Photo of Carol Anne Weiss, MA, LMFT, Marriage & Family Therapist
Carol Anne Weiss
Marriage & Family Therapist, MA, LMFT
Verified Verified
Lopez Island, WA 98261
Providing psychotherapy to adult and elder clients especially those facing aging and caregiving challenges. Jungian Dreamwork is also a specialty.
Providing psychotherapy to adult and elder clients especially those facing aging and caregiving challenges. Jungian Dreamwork is also a specialty.
(360) 535-7721 View (360) 535-7721
Photo of undefined - Griffin Bay Psychotherapy LLC, LICSW, NPT-C, Clinical Social Work/Therapist
Griffin Bay Psychotherapy LLC
Clinical Social Work/Therapist, LICSW, NPT-C
Verified Verified
5 Endorsed
Friday Harbor, WA 98250  (Online Only)
Struggles lead to new growth. I welcome you to my private practice where I provide women with wise, kind, non judgmental counsel. Although life may fall apart, our identity may seem lost, or we spiral into self hatred because of things we are afraid to talk about, this is an opportunity for healing and evolution. Liberate yourself and discover self love, purpose, strength and wholeness here. I invite you to bring your feelings of guilt, shame, fear and self loathing and know that it is safe. I approach the messiness of being human with non judgement, authenticity, and sometimes a good dose of humor as needed.
Struggles lead to new growth. I welcome you to my private practice where I provide women with wise, kind, non judgmental counsel. Although life may fall apart, our identity may seem lost, or we spiral into self hatred because of things we are afraid to talk about, this is an opportunity for healing and evolution. Liberate yourself and discover self love, purpose, strength and wholeness here. I invite you to bring your feelings of guilt, shame, fear and self loathing and know that it is safe. I approach the messiness of being human with non judgement, authenticity, and sometimes a good dose of humor as needed.
(360) 300-5889 View (360) 300-5889
Hugh M. Grant
Clinical Social Work/Therapist, LICSW
Verified Verified
Eastsound, WA 98245
Waitlist for new clients
I primarily use Internal Family System therapy with my clients, a non-pathologizing evidence-based model which helps a person access the life affirming qualities of their core self, and to bring that healing energy to the places inside that are tired and suffering. In addition, my work is informed by Somatic Experiencing, and I am trained in EMDR.
I primarily use Internal Family System therapy with my clients, a non-pathologizing evidence-based model which helps a person access the life affirming qualities of their core self, and to bring that healing energy to the places inside that are tired and suffering. In addition, my work is informed by Somatic Experiencing, and I am trained in EMDR.
(360) 209-7685 View (360) 209-7685
Photo of Che Blaine, MS, MSW, LICSW, Clinical Social Work/Therapist
Che Blaine
Clinical Social Work/Therapist, MS, MSW, LICSW
Verified Verified
Eastsound, WA 98245  (Online Only)
The intention I have is to explore with you your desire to have a more healthy balance in the emotional, mental, spiritual, and physical aspects of your life. A central question that I keep in mind is: "how can I be helpful?" I encourage my clients to make overall goals for our counseling relationship as well as for each appointment. Your happiness and freedom is my goal. My hope is to create together an atmosphere of safety, respect and trust. My focus is to encourage my clients' exploration of their own personal power, wisdom and resources for understanding, healing and happiness.
The intention I have is to explore with you your desire to have a more healthy balance in the emotional, mental, spiritual, and physical aspects of your life. A central question that I keep in mind is: "how can I be helpful?" I encourage my clients to make overall goals for our counseling relationship as well as for each appointment. Your happiness and freedom is my goal. My hope is to create together an atmosphere of safety, respect and trust. My focus is to encourage my clients' exploration of their own personal power, wisdom and resources for understanding, healing and happiness.
(360) 842-0714 View (360) 842-0714
Photo of undefined - Ancora Clinics with John Johnson & Auralee Jameson, MSW, LICSW, Clinical Social Work/Therapist
Ancora Clinics with John Johnson & Auralee Jameson
Clinical Social Work/Therapist, MSW, LICSW
Verified Verified
Friday Harbor, WA 98250
I am licensed in Washington with 4 years of professional work experience. I have experience in helping clients with stress and anxiety, trauma and abuse, coping with grief and loss, & depression. I believe that you are the expert of your story and that you have many strengths that will assist you in overcoming things that challenge you. It takes courage to seek out a more fulfilling and happier life and to take the first steps towards a change. I am here to support & empower you in that journey.
I am licensed in Washington with 4 years of professional work experience. I have experience in helping clients with stress and anxiety, trauma and abuse, coping with grief and loss, & depression. I believe that you are the expert of your story and that you have many strengths that will assist you in overcoming things that challenge you. It takes courage to seek out a more fulfilling and happier life and to take the first steps towards a change. I am here to support & empower you in that journey.
(360) 549-8721 View (360) 549-8721

See more therapy options for San Juan County

How does your Therapist compare?

Number of Therapists in San Juan County, WA

30+

Average cost per session

$140

Therapists in San Juan County, WA who prioritize treating:

79% Anxiety
73% Self Esteem
70% Grief
70% Trauma and PTSD
70% Stress
67% Life Transitions
61% Depression

Average years in practice

18 Years

Top 3 insurances accepted

91% Regence
82% Premera
73% Aetna

How Therapists in San Juan County, WA see their clients

52% In Person and Online
48% Online Only

Gender breakdown

71% Female
23% Male
6% Non-Binary
FAQs - About Therapy and Counseling

How can I find a therapist in San Juan County?

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.