Therapists in La Crosse County, WI

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Photo of Toni Mathis, Counselor in La Crosse County, WI
Toni Mathis
Counselor, MS, LPC, SAC-IT
Verified Verified
La Crosse, WI 54601
If life is a road, it's not always a smooth highway. There are many paths, and knowing which path to take in your life is not always obvious or simple. Maybe you are down or unhappy and it's felt like this for a long time, but you feel stuck and unable to move on. Perhaps anxiety is a frequent companion in your life. Sometimes it may feel like nothing can change. If you have concerns about substance use, therapy can be a good place to talk about it - confidentially.
If life is a road, it's not always a smooth highway. There are many paths, and knowing which path to take in your life is not always obvious or simple. Maybe you are down or unhappy and it's felt like this for a long time, but you feel stuck and unable to move on. Perhaps anxiety is a frequent companion in your life. Sometimes it may feel like nothing can change. If you have concerns about substance use, therapy can be a good place to talk about it - confidentially.
(608) 571-1244 View (608) 571-1244
Photo of Timothy Hanson, Clinical Social Work/Therapist in La Crosse County, WI
Timothy Hanson
Clinical Social Work/Therapist, MSSW, LCSW, LICSW
Verified Verified
La Crosse, WI 54601  (Online Only)
Embrace your life story in order to support change that directs you toward growth and a meaningful life. I work to educate and challenge individuals as they make present moment choices that fit their individual life needs. Get strong to stay strong!
Embrace your life story in order to support change that directs you toward growth and a meaningful life. I work to educate and challenge individuals as they make present moment choices that fit their individual life needs. Get strong to stay strong!
(608) 557-5319 View (608) 557-5319
Photo of Amanda Burrows, Licensed Professional Counselor in La Crosse County, WI
Amanda Burrows
Licensed Professional Counselor, LPC
Verified Verified
La Crosse, WI 54601
Everyone has struggles in their lives at one point or another, I want to be able to help people navigate those struggles to live the best life they want to live. I have experience working with a variety of needs from ADHD, anxiety, depression, parenting stress and difficulties, personality disorders, foster care, trauma and family conflict. I have been working within the field for the last 15 + years in some capacity and will provide a space that will allow you to be authentic in whatever it is you are struggling with.
Everyone has struggles in their lives at one point or another, I want to be able to help people navigate those struggles to live the best life they want to live. I have experience working with a variety of needs from ADHD, anxiety, depression, parenting stress and difficulties, personality disorders, foster care, trauma and family conflict. I have been working within the field for the last 15 + years in some capacity and will provide a space that will allow you to be authentic in whatever it is you are struggling with.
(608) 600-0738 x245 View (608) 600-0738 x245
Photo of Cheryl Purdue, Marriage & Family Therapist in La Crosse County, WI
Cheryl Purdue
Marriage & Family Therapist, PhD, MFT, SEP
Verified Verified
La Crosse, WI 54601  (Online Only)
My focus is on healing developmental trauma and its accompanying symptoms, which include anxiety, depression and unresolved grief. With more than 40 years spent as a therapist, and with my specialized somatic training, I help my clients use their body, mind and heart to get grounded, discharge old trauma and connect to their authentic selves. The more any of us can live with access to our full, unimpeded life force, the greater the gift to ourselves and the world.
My focus is on healing developmental trauma and its accompanying symptoms, which include anxiety, depression and unresolved grief. With more than 40 years spent as a therapist, and with my specialized somatic training, I help my clients use their body, mind and heart to get grounded, discharge old trauma and connect to their authentic selves. The more any of us can live with access to our full, unimpeded life force, the greater the gift to ourselves and the world.
(608) 401-4361 View (608) 401-4361
Photo of Holistic Me Counseling , Licensed Professional Counselor in La Crosse County, WI
Holistic Me Counseling
Licensed Professional Counselor, MS, LPC
Verified Verified
La Crosse, WI 54601  (Online Only)
Waitlist for new clients
I specialize in providing care to people from diverse backgrounds with unique needs and struggles seeking Individual Counseling ages 18 +. I look forward to helping those who are struggling with symptoms of anxiety, depression, stress, adult development, relationship issues, and career and life adjustment issues related to grief, loss, and life changes. I would be honored to join you on your journey towards change as we work together to help you find the holistic balance and wellness you desire. I will work to empower you to gain insight into your thoughts, feelings, and behaviors, as you gain awareness, help, hope, and healing.
I specialize in providing care to people from diverse backgrounds with unique needs and struggles seeking Individual Counseling ages 18 +. I look forward to helping those who are struggling with symptoms of anxiety, depression, stress, adult development, relationship issues, and career and life adjustment issues related to grief, loss, and life changes. I would be honored to join you on your journey towards change as we work together to help you find the holistic balance and wellness you desire. I will work to empower you to gain insight into your thoughts, feelings, and behaviors, as you gain awareness, help, hope, and healing.
(608) 889-2303 View (608) 889-2303
Photo of Christi (Nowland) Ziems, Clinical Social Work/Therapist in La Crosse County, WI
Christi (Nowland) Ziems
Clinical Social Work/Therapist, MSSW, LCSW
Verified Verified
Onalaska, WI 54650
I have a great deal of experience working with trauma, anxiety, depression, grief and health issues. I also enjoy working with college students.
I have a great deal of experience working with trauma, anxiety, depression, grief and health issues. I also enjoy working with college students.
(608) 650-5329 View (608) 650-5329
Photo of Stein Counseling & Consulting Services, Licensed Professional Counselor in La Crosse County, WI
Stein Counseling & Consulting Services
Licensed Professional Counselor, MS, LPC, BCC, BCPCC, NMT L 3
Verified Verified
1 Endorsed
Onalaska, WI 54650
I help marriages on the verge of divorce, parents whose children are a mystery or having behavioral/emotional problems, and individuals who struggle with depression, trauma and anxiety. My success rate for saving marriages on the brink of divorce is approximately 80%. I believe my extensive training in Gottman marriage therapy Level 1 and 2, solution focused therapy, trauma, stress, and attachment theory and measures (AAI, Ainsworth Infant Scales, Circle of Security, Attachment Storytelling Completion Task,Mac Arthur Preschool Method) provides me unique insight into how relationships work. Dr. Bruce Perry was also my mentor.
I help marriages on the verge of divorce, parents whose children are a mystery or having behavioral/emotional problems, and individuals who struggle with depression, trauma and anxiety. My success rate for saving marriages on the brink of divorce is approximately 80%. I believe my extensive training in Gottman marriage therapy Level 1 and 2, solution focused therapy, trauma, stress, and attachment theory and measures (AAI, Ainsworth Infant Scales, Circle of Security, Attachment Storytelling Completion Task,Mac Arthur Preschool Method) provides me unique insight into how relationships work. Dr. Bruce Perry was also my mentor.
(608) 509-7370 x222 View (608) 509-7370 x222
Photo of Teresa Davis Schlintz, Licensed Professional Counselor in La Crosse County, WI
Teresa Davis Schlintz
Licensed Professional Counselor, EdD, LPC, CSAC, LMHC
Verified Verified
Bangor, WI 54614
As an integrative practitioner, I meet clients where they are at in life. Healing and wellness is part of our life journey, and reaching out to others is often a necessary part of the healing process. Life hands us tough challenges, these are not meant to break us, rather to help us define who we are and better understand what our journey means. Often times we feel like we are broken, or simply don't fit in; these are opportunities to intentionally explore whether we are living our authentic life, or trying to follow someone else's path.
As an integrative practitioner, I meet clients where they are at in life. Healing and wellness is part of our life journey, and reaching out to others is often a necessary part of the healing process. Life hands us tough challenges, these are not meant to break us, rather to help us define who we are and better understand what our journey means. Often times we feel like we are broken, or simply don't fit in; these are opportunities to intentionally explore whether we are living our authentic life, or trying to follow someone else's path.
(608) 200-3249 View (608) 200-3249
Photo of Rhonda Madsen, Clinical Social Work/Therapist in La Crosse County, WI
Rhonda Madsen
Clinical Social Work/Therapist, MSW, LCSW
Verified Verified
1 Endorsed
La Crosse, WI 54601
I am a mental health counselor and a Holy Fire III Karuna Reiki Master Practitioner. During counseling sessions, I interweave traditional therapy practices with the energy healing techniques of Reiki. I am also certified in ThetaHealing, Pranic Healing and Vibrational Sound healing techniques. And I am informed by my learnings from my Shamanic studies. I incorporate spiritual work and forms of energy healing into counseling sessions to assist people in growth and healing. The goal of our time together is for you to deeply connect with the truth that you have everything inside of you that you need to be whole, happy, and thriving.
I am a mental health counselor and a Holy Fire III Karuna Reiki Master Practitioner. During counseling sessions, I interweave traditional therapy practices with the energy healing techniques of Reiki. I am also certified in ThetaHealing, Pranic Healing and Vibrational Sound healing techniques. And I am informed by my learnings from my Shamanic studies. I incorporate spiritual work and forms of energy healing into counseling sessions to assist people in growth and healing. The goal of our time together is for you to deeply connect with the truth that you have everything inside of you that you need to be whole, happy, and thriving.
(608) 200-2386 View (608) 200-2386
Photo of Lana Buchner, Counselor in La Crosse County, WI
Lana Buchner
Counselor, MS, LPC
Verified Verified
La Crosse, WI 54601
Waitlist for new clients
Life can be complicated, wrought with difficult challenges, unexpected events, and seemingly impossible choices. Everyone encounters unique experiences that shape who we are. Some of those experiences can be painful and cause us to question, doubt ourselves, or live with emotional pain. Sometimes, we need someone to talk to and unload our burdens. I will help you to gain insight into what may be keeping you feeling like you cannot move forward and help you to find healing within. I will customize the best plan for you and together we will journey to discover your strengths and accessing your inner power. I am here for you.
Life can be complicated, wrought with difficult challenges, unexpected events, and seemingly impossible choices. Everyone encounters unique experiences that shape who we are. Some of those experiences can be painful and cause us to question, doubt ourselves, or live with emotional pain. Sometimes, we need someone to talk to and unload our burdens. I will help you to gain insight into what may be keeping you feeling like you cannot move forward and help you to find healing within. I will customize the best plan for you and together we will journey to discover your strengths and accessing your inner power. I am here for you.
(608) 470-6292 View (608) 470-6292
Photo of Brittany Massengale Houin, Counselor in La Crosse County, WI
Brittany Massengale Houin
Counselor, PhD, LPC, RPT
Verified Verified
La Crosse, WI 54601  (Online Only)
Hello there. In this space, you're seen and heard, just as you are. If you're navigating life's complexities and seeking a deeper understanding of yourself, this is a place for you. Here, we'll walk together in a journey of self-discovery, where your feelings and experiences are not only acknowledged but valued. It's not about fixing you; it's about meeting you where you are and accompanying you towards your own growth and fulfillment. If you're ready to explore your true self in a genuine, empathetic environment, I'm here to support you on this journey. Let's connect with openness and curiosity.
Hello there. In this space, you're seen and heard, just as you are. If you're navigating life's complexities and seeking a deeper understanding of yourself, this is a place for you. Here, we'll walk together in a journey of self-discovery, where your feelings and experiences are not only acknowledged but valued. It's not about fixing you; it's about meeting you where you are and accompanying you towards your own growth and fulfillment. If you're ready to explore your true self in a genuine, empathetic environment, I'm here to support you on this journey. Let's connect with openness and curiosity.
(608) 602-2176 View (608) 602-2176
Photo of Nancy L. Miller, Licensed Professional Counselor in La Crosse County, WI
Nancy L. Miller
Licensed Professional Counselor, Nancy L, LPC, NCC
Verified Verified
Onalaska, WI 54650
Now Accepting New Clients! Ever feel stuck with thoughts running through your mind all day? Perhaps you are stuck in a thought loop that never seems to turn off. My goal for my clients is to help them thrive rather than strive. Life can be messy, and I consider it a privilege to help my clients navigate through "muck" and help them find a way to become "unstuck." I believe we have everything we need to be our authentic selves and thrive and am excited to watch you grow and live into your best self. You get to decide how your chapter ends. I have immediate availability. Call my office today!
Now Accepting New Clients! Ever feel stuck with thoughts running through your mind all day? Perhaps you are stuck in a thought loop that never seems to turn off. My goal for my clients is to help them thrive rather than strive. Life can be messy, and I consider it a privilege to help my clients navigate through "muck" and help them find a way to become "unstuck." I believe we have everything we need to be our authentic selves and thrive and am excited to watch you grow and live into your best self. You get to decide how your chapter ends. I have immediate availability. Call my office today!
(608) 467-5798 View (608) 467-5798
Photo of Karen D Corrigan, Clinical Social Work/Therapist in La Crosse County, WI
Karen D Corrigan
Clinical Social Work/Therapist, PhD, LCSW, MPH
Verified Verified
La Crosse, WI 54601
Psychotherapy can improve many aspects of one’s life. It can improve our relationship with ourselves, our family, and others. Psychotherapy can also improve our quality of life by addressing past and current situations and by learning new skills for the future.
Psychotherapy can improve many aspects of one’s life. It can improve our relationship with ourselves, our family, and others. Psychotherapy can also improve our quality of life by addressing past and current situations and by learning new skills for the future.
(608) 200-2304 x7 View (608) 200-2304 x7
Photo of Amelia Cronk, Clinical Social Work/Therapist in La Crosse County, WI
Amelia Cronk
Clinical Social Work/Therapist, APSW, LGSW
Verified Verified
La Crosse, WI 54601
Through prior clinical experience and graduate school, I have provided services to those individuals experiencing and dealing with challenges related to related to depression, anxiety, attachment issues, adjustment disorders, relationship issues, adolescent issues, college age issues, and who identify as LGBTQ+. This prior experience is in addition to other stressors or life's experiences and challenges individual are facing. Through my time working in the MCHS Emergency Department, I have worked with individuals in crisis and provided crisis intervention services and completed suicide risk assessments.
Through prior clinical experience and graduate school, I have provided services to those individuals experiencing and dealing with challenges related to related to depression, anxiety, attachment issues, adjustment disorders, relationship issues, adolescent issues, college age issues, and who identify as LGBTQ+. This prior experience is in addition to other stressors or life's experiences and challenges individual are facing. Through my time working in the MCHS Emergency Department, I have worked with individuals in crisis and provided crisis intervention services and completed suicide risk assessments.
(608) 344-5471 View (608) 344-5471
Photo of Emily Pfaff, Licensed Professional Counselor in La Crosse County, WI
Emily Pfaff
Licensed Professional Counselor, LPC, LPCC
Verified Verified
Onalaska, WI 54650
Not accepting new clients
Life can just really suck sometimes! Therapy can often be the jump start needed to help you move in the direction of healing. I work primarily with adolescents and adults. Currently, I am the only certified FBT Therapist in the state of Wisconsin, which is the leading treatment approach for adolescents/young adults diagnosed with an eating disorder. In addition, I also treat anxiety, OCD, social anxiety, and mood related difficulties. I am also here if you are navigating a difficult life transition... those can be brutal! I have been a therapist for just over 10 years and would love to hear more about your goals!
Life can just really suck sometimes! Therapy can often be the jump start needed to help you move in the direction of healing. I work primarily with adolescents and adults. Currently, I am the only certified FBT Therapist in the state of Wisconsin, which is the leading treatment approach for adolescents/young adults diagnosed with an eating disorder. In addition, I also treat anxiety, OCD, social anxiety, and mood related difficulties. I am also here if you are navigating a difficult life transition... those can be brutal! I have been a therapist for just over 10 years and would love to hear more about your goals!
(608) 600-0851 View (608) 600-0851
Photo of Courage Counseling Services, Counselor in La Crosse County, WI
Courage Counseling Services
Counselor, MACC
Verified Verified
Holmen, WI 54636  (Online Only)
Are you struggling to recover from grief or loss? Perhaps you're stressed out, anxious, or depressed, fearing the loss of a marriage or a job. If you are longing for peace and healing, if you need to find courage to heal and grow, please give me a call.
Are you struggling to recover from grief or loss? Perhaps you're stressed out, anxious, or depressed, fearing the loss of a marriage or a job. If you are longing for peace and healing, if you need to find courage to heal and grow, please give me a call.
(608) 523-9774 View (608) 523-9774
Photo of Kenzie L Fox, Licensed Professional Counselor in La Crosse County, WI
Kenzie L Fox
Licensed Professional Counselor, MS, LPC
Verified Verified
La Crosse, WI 54601
Not accepting new clients
Many people start therapy with me because of anxiety, depression, trauma, and/or relationship conflicts. Once we get started, more often than not, it becomes a self-growth journey! I believe you are the expert in your own life. I can simply serve as a guide, walking along next to you, to help you become who you want to be. You have what you need inside of you - you might just need a mirror to really see it. I believe in the power of validation. Everyone wants to be seen, heard, and understood. Clients are most successful when they are ready to put in the work, and when they know what they want to get out of the therapy process.
Many people start therapy with me because of anxiety, depression, trauma, and/or relationship conflicts. Once we get started, more often than not, it becomes a self-growth journey! I believe you are the expert in your own life. I can simply serve as a guide, walking along next to you, to help you become who you want to be. You have what you need inside of you - you might just need a mirror to really see it. I believe in the power of validation. Everyone wants to be seen, heard, and understood. Clients are most successful when they are ready to put in the work, and when they know what they want to get out of the therapy process.
(608) 406-4676 View (608) 406-4676
Photo of Melissa Fannin, Counselor in La Crosse County, WI
Melissa Fannin
Counselor, MA, LPC, ATR
Verified Verified
La Crosse, WI 54601
If you are suffering from anxiety or depression, I can help you become a participant in your own change. If you've experienced grief or trauma, I offer a safe space in which to unpack it. I believe in letting you know exactly what is going on through the entire therapeutic process, so you will never be in the dark about my intentions or the direction you are going. I am especially effective at helping you deconstruct and examine your role in existing issues. We will develop practical, everyday skills to help make you a more mindful, self-aware person.
If you are suffering from anxiety or depression, I can help you become a participant in your own change. If you've experienced grief or trauma, I offer a safe space in which to unpack it. I believe in letting you know exactly what is going on through the entire therapeutic process, so you will never be in the dark about my intentions or the direction you are going. I am especially effective at helping you deconstruct and examine your role in existing issues. We will develop practical, everyday skills to help make you a more mindful, self-aware person.
(608) 480-1676 View (608) 480-1676
Photo of Liz Stine, Licensed Professional Counselor in La Crosse County, WI
Liz Stine
Licensed Professional Counselor, LPC
Verified Verified
La Crosse, WI 54601
OCD, ANXIETY, PANIC, and PHOBIAS can all be incredibly uncomfortable, taking away precious time from what is important to you. Perhaps rumination, checking or intrusive, scary thoughts are ruining valuable aspects of your life. You want to feel better, you want relief and you want connection with others. What if you could experience less anxiety, feel more confident, and be able to approach your day with more surplus? Together we will make a plan that creates lasting change and together find strategies that work for you - that you can take into your daily life.
OCD, ANXIETY, PANIC, and PHOBIAS can all be incredibly uncomfortable, taking away precious time from what is important to you. Perhaps rumination, checking or intrusive, scary thoughts are ruining valuable aspects of your life. You want to feel better, you want relief and you want connection with others. What if you could experience less anxiety, feel more confident, and be able to approach your day with more surplus? Together we will make a plan that creates lasting change and together find strategies that work for you - that you can take into your daily life.
(608) 200-2324 View (608) 200-2324
Photo of Chris Newton, Psychologist in La Crosse County, WI
Chris Newton
Psychologist, PhD
Verified Verified
La Crosse, WI 54601
Over the course of an individual's life, new events can lead to a disruption in the ability to effectively cope with stressors that may have once been handled effectively. As such, my professional focus is on helping clients who have been through a traumatic/stressful event heal more effectively so that they may resume their lives in a healthier and happier manner. I work primarily from a Cognitive-Behavioral and Strength-based approach, and specific mental health concerns I specialize in include, but are not limited to, Relationship Difficulties, Parenting, Addiction, Depression/Anxiety, Trauma/PTSD, and Grief.
Over the course of an individual's life, new events can lead to a disruption in the ability to effectively cope with stressors that may have once been handled effectively. As such, my professional focus is on helping clients who have been through a traumatic/stressful event heal more effectively so that they may resume their lives in a healthier and happier manner. I work primarily from a Cognitive-Behavioral and Strength-based approach, and specific mental health concerns I specialize in include, but are not limited to, Relationship Difficulties, Parenting, Addiction, Depression/Anxiety, Trauma/PTSD, and Grief.
(608) 530-0575 View (608) 530-0575

See more therapy options for La Crosse County

How does your Therapist compare?

Number of Therapists in La Crosse County, WI

80+

Average cost per session

$150

Therapists in La Crosse County, WI who prioritize treating:

93% Anxiety
88% Depression
82% Relationship Issues
77% Coping Skills
72% Self Esteem
72% Stress
65% Trauma and PTSD

Average years in practice

13 Years

Top 3 insurances accepted

72% UnitedHealthcare UHC | UBH
68% Optum
66% UMR

How Therapists in La Crosse County, WI see their clients

79% In Person and Online
21% Online Only

Gender breakdown

79% Female
21% Male
FAQs - About Therapy and Counseling

How can I find a therapist in La Crosse 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.