Therapists in Goshen County, WY

Photo of Sarah J Bakura, MS, LPC, Licensed Professional Counselor
Sarah J Bakura
Licensed Professional Counselor, MS, LPC
Verified Verified
Torrington, WY 82240
Are you struggling with understanding why your emotions are so extreme or how your anxiety is controlling your life? Are you seeing yourself partaking in risky behaviors and do not understand why certain situations are happening to you? Have you notice your using an addiction to manage your mood, sleep, or other stressful situation in your life? Are you struggling with communication in your relationship and being assertive. These types of concerns can stem from many different situations that have occurred in your life and we can work through them and build your goals to help you live a more production and fulfilling life for you.
Are you struggling with understanding why your emotions are so extreme or how your anxiety is controlling your life? Are you seeing yourself partaking in risky behaviors and do not understand why certain situations are happening to you? Have you notice your using an addiction to manage your mood, sleep, or other stressful situation in your life? Are you struggling with communication in your relationship and being assertive. These types of concerns can stem from many different situations that have occurred in your life and we can work through them and build your goals to help you live a more production and fulfilling life for you.
(307) 337-9813 View (307) 337-9813
Photo of Jeanette Nelson, PCSW, Clinical Social Work/Therapist
Jeanette Nelson
Clinical Social Work/Therapist, PCSW
Verified Verified
Torrington, WY 82240  (Online Only)
Waitlist for new clients
Hello fellow traveler! This life is a journey and everyone’s path is uniquely their own. But one thing we all have in common is that as soon as we think we have our path perfectly planned, we find ourselves off balanced, nudged, even pushed in a different direction. Utilizing cultural sensitivity, empathy and the best evidence based practices, it is my goal to help you discover your inner strengths and resiliency so you can navigate the difficulties and challenges in life with grace and self assurance. Searching for someone to assist you was the first brave step toward transforming your life and blazing new trails.
Hello fellow traveler! This life is a journey and everyone’s path is uniquely their own. But one thing we all have in common is that as soon as we think we have our path perfectly planned, we find ourselves off balanced, nudged, even pushed in a different direction. Utilizing cultural sensitivity, empathy and the best evidence based practices, it is my goal to help you discover your inner strengths and resiliency so you can navigate the difficulties and challenges in life with grace and self assurance. Searching for someone to assist you was the first brave step toward transforming your life and blazing new trails.
(307) 312-2571 View (307) 312-2571
Photo of Brain Advancement Center, EdS, NCSP, LPC, LCSW, MFT, Licensed Professional Counselor
Brain Advancement Center
Licensed Professional Counselor, EdS, NCSP, LPC, LCSW, MFT
Verified Verified
Torrington, WY 82240
BAC offers services to people ages 3-99. We have counselors trained in a variety of counseling methods including EMDR, Cognitive-Behavioral Therapy, DBT and play therapy. We are also one of the only organizations in Wyoming offering executive training options through a combination of behavior therapy, games, and neurofeedback to decrease the negative symptoms associated with traumatic brain injuries, Autism, and ADHD.
BAC offers services to people ages 3-99. We have counselors trained in a variety of counseling methods including EMDR, Cognitive-Behavioral Therapy, DBT and play therapy. We are also one of the only organizations in Wyoming offering executive training options through a combination of behavior therapy, games, and neurofeedback to decrease the negative symptoms associated with traumatic brain injuries, Autism, and ADHD.
(307) 414-8774 View (307) 414-8774
Photo of Michelle Gonyo, LCSW, Clinical Social Work/Therapist
Michelle Gonyo
Clinical Social Work/Therapist, LCSW
Verified Verified
Torrington, WY 82240  (Online Only)
Are you looking to improve your overall well-being? If you're feeling stuck, stressed out, depressed, or anxious, there is likely an underlying reason for it. We will work together to gain insight into the contributing factors that are creating these every day challenges and develop an action plan that can lead to positive change and greater life satisfaction. We will identify strategies and skills to improve your spiritual, physical, intellectual, relational, and emotional health. Life can be hard, with difficulties along the way, but we are capable of healing, and growing even stronger.
Are you looking to improve your overall well-being? If you're feeling stuck, stressed out, depressed, or anxious, there is likely an underlying reason for it. We will work together to gain insight into the contributing factors that are creating these every day challenges and develop an action plan that can lead to positive change and greater life satisfaction. We will identify strategies and skills to improve your spiritual, physical, intellectual, relational, and emotional health. Life can be hard, with difficulties along the way, but we are capable of healing, and growing even stronger.
(307) 243-4232 View (307) 243-4232

Online Therapists

Photo of Dr. Ryan Malone, PsyD, Psychologist
Dr. Ryan Malone
Psychologist, PsyD
Verified Verified
1 Endorsed
Cheyenne, WY 82001  (Online Only)
Life can be challenging, but you don't have to navigate it alone. I specialize in the treatment of depression, high-functioning autism and Asperger's, ADHD, substance use and addiction, trauma and PTSD, low self-esteem, and relationship issues. I can also offer sport performance training to athletes at any level, as well as career counseling to professionals looking to enhance their motivation, satisfaction, and/or self worth in the workplace.
Life can be challenging, but you don't have to navigate it alone. I specialize in the treatment of depression, high-functioning autism and Asperger's, ADHD, substance use and addiction, trauma and PTSD, low self-esteem, and relationship issues. I can also offer sport performance training to athletes at any level, as well as career counseling to professionals looking to enhance their motivation, satisfaction, and/or self worth in the workplace.
(571) 568-7315 View (571) 568-7315
Photo of Michael Mickelson, LCSW, Clinical Social Work/Therapist
Michael Mickelson
Clinical Social Work/Therapist, LCSW
Verified Verified
Laramie, WY 82072  (Online Only)
We are living in some very difficult times. It's hard to take it all in and find healthy ways to cope. My hope is that I'll be able to join you on your journey of healing by using therapeutic interventions and skill building. I will use a variety of therapeutic interventions to help you understand how negative thoughts, feelings, and behaviors are linked. I use CPT and EMDR to work specifically with those who struggle with complex trauma.
We are living in some very difficult times. It's hard to take it all in and find healthy ways to cope. My hope is that I'll be able to join you on your journey of healing by using therapeutic interventions and skill building. I will use a variety of therapeutic interventions to help you understand how negative thoughts, feelings, and behaviors are linked. I use CPT and EMDR to work specifically with those who struggle with complex trauma.
(307) 242-6790 View (307) 242-6790
Photo of Joleena Abrams, CMEMI, CCTSA, CLC, MA
Joleena Abrams
CMEMI, CCTSA, CLC, MA
Verified Verified
Cheyenne, WY 82001  (Online Only)
Joleena is Certified in the Treament of Sexual Addiction, is a Certified Betrayal Trauma Coach, a Certified Clinical Trauma and Addiction Specialist, with a Masters of Psychology in Grief Counseling, and a Bachelors of Science in Psychology. Joleena specializes in helping couples working through betrayal and addiction of all kinds. She also works with clients that are struggling with anxiety, addictive behaviors, depression, PTSD, emotional abuse, mental abuse and trauma of various kinds. Her passion is to provide a safe space for her clients and to walk hand-in-hand with them, guiding them through the healing process.
Joleena is Certified in the Treament of Sexual Addiction, is a Certified Betrayal Trauma Coach, a Certified Clinical Trauma and Addiction Specialist, with a Masters of Psychology in Grief Counseling, and a Bachelors of Science in Psychology. Joleena specializes in helping couples working through betrayal and addiction of all kinds. She also works with clients that are struggling with anxiety, addictive behaviors, depression, PTSD, emotional abuse, mental abuse and trauma of various kinds. Her passion is to provide a safe space for her clients and to walk hand-in-hand with them, guiding them through the healing process.
(307) 275-7327 View (307) 275-7327
Photo of Heidi McCarty, PPC, Pre-Licensed Professional
Heidi McCarty
Pre-Licensed Professional, PPC
Verified Verified
Cheyenne, WY 82001
I believe that there is good in all of us and even though it may seem lost at times, we just need a little help to rediscover that good and use it to help us through life. My goal is to provide a safe, comfortable, and welcoming place for you to discuss your difficulties and find your good and the answers to help you through your life. Education: Bellevue University Master's Degree in Clinical Mental Health Counseling University of Phoenix Master's Degree in School Counseling Brigham Young University Bachelor's Degree in Marriage, Family, and Human Development
I believe that there is good in all of us and even though it may seem lost at times, we just need a little help to rediscover that good and use it to help us through life. My goal is to provide a safe, comfortable, and welcoming place for you to discuss your difficulties and find your good and the answers to help you through your life. Education: Bellevue University Master's Degree in Clinical Mental Health Counseling University of Phoenix Master's Degree in School Counseling Brigham Young University Bachelor's Degree in Marriage, Family, and Human Development
(307) 209-9013 View (307) 209-9013
Photo of Shelley Hardin, MS, LMFT, Marriage & Family Therapist
Shelley Hardin
Marriage & Family Therapist, MS, LMFT
Verified Verified
1 Endorsed
Laramie, WY 82070
I am a licensed marriage and family therapist with 9 years of experience in the mental health field. I have primarily worked as a therapist in Laramie and Cheyenne, WY. I have served a diverse population of clients struggling with a variety of mental health difficulties and needs including depression, anxiety, childhood disorders, and trauma. While my licensure is in marriage and family therapy, I work with the entire lifespan including children as young as 3 and adults as young as 90.
I am a licensed marriage and family therapist with 9 years of experience in the mental health field. I have primarily worked as a therapist in Laramie and Cheyenne, WY. I have served a diverse population of clients struggling with a variety of mental health difficulties and needs including depression, anxiety, childhood disorders, and trauma. While my licensure is in marriage and family therapy, I work with the entire lifespan including children as young as 3 and adults as young as 90.
(307) 336-7808 View (307) 336-7808
Photo of undefined - Susan Weinstein & City Park Counseling Center,PLLC, MA, MSW, LCSW, Clinical Social Work/Therapist
Susan Weinstein & City Park Counseling Center,PLLC
Clinical Social Work/Therapist, MA, MSW, LCSW
Verified Verified
2 Endorsed
Laramie, WY 82071
I have a passion for working with adults in big or small life transitions and emerging adults staring their adult lives! I have a trauma focused practice. I work with those who seek treatment for life experiences such as: anxiety, depression, sexual, physical, or emotional abuse, social isolation, teen friendships/bullying/dating, teen parenting, teen pregnancy counseling and support, low energy, stress, panic attacks, a traumatic event or other stressors, self sufficiency development, divorce, low self esteem, ADD/ADHD, mood dysregulation, oppositional or angry behaviors, and relational and attachment issues. EMDR Certified and CIT
I have a passion for working with adults in big or small life transitions and emerging adults staring their adult lives! I have a trauma focused practice. I work with those who seek treatment for life experiences such as: anxiety, depression, sexual, physical, or emotional abuse, social isolation, teen friendships/bullying/dating, teen parenting, teen pregnancy counseling and support, low energy, stress, panic attacks, a traumatic event or other stressors, self sufficiency development, divorce, low self esteem, ADD/ADHD, mood dysregulation, oppositional or angry behaviors, and relational and attachment issues. EMDR Certified and CIT
(720) 583-8711 View (720) 583-8711
Photo of Lisa Wallace, LPC, Licensed Professional Counselor
Lisa Wallace
Licensed Professional Counselor, LPC
Verified Verified
Cheyenne, WY 82001
Life can be complicated for different reasons. Sometimes more support can help. At any age, life can be overwhelming, negative behaviors can persist, relationships trapped in hurtful patterns, or inner worlds caught in negative thinking which stretch our coping, and cause stress. In all this WE WANT TO FEEL BETTER! Counseling offers a private, confidential space to get help. It is an honor to listen and join in your life story. I work with adults/couples/families/teens and children, listening to your goals to bring balance, health, wellness, peace and more happiness.
Life can be complicated for different reasons. Sometimes more support can help. At any age, life can be overwhelming, negative behaviors can persist, relationships trapped in hurtful patterns, or inner worlds caught in negative thinking which stretch our coping, and cause stress. In all this WE WANT TO FEEL BETTER! Counseling offers a private, confidential space to get help. It is an honor to listen and join in your life story. I work with adults/couples/families/teens and children, listening to your goals to bring balance, health, wellness, peace and more happiness.
(307) 630-7875 View (307) 630-7875
Photo of Brooke Glahn, MS, LPC, Licensed Professional Counselor
Brooke Glahn
Licensed Professional Counselor, MS, LPC
Verified Verified
Laramie, WY 82072
Waitlist for new clients
Are you looking to develop a better relationship with yourself or with others, increase self esteem, gain healthier communication, learn to set boundaries, and utilize skills to reduce symptoms of anxiety and depression?
Are you looking to develop a better relationship with yourself or with others, increase self esteem, gain healthier communication, learn to set boundaries, and utilize skills to reduce symptoms of anxiety and depression?
(307) 224-9661 View (307) 224-9661
Photo of Ellen F Deegan, MS, LPC, NCC, Licensed Professional Counselor
Ellen F Deegan
Licensed Professional Counselor, MS, LPC, NCC
Verified Verified
Laramie, WY 82070
Waitlist for new clients
You are enough. Counseling is a journey of self-discovery and healing. It may be difficult at times, and that’s why I’m here to support you in finding your authentic self. Having worked in primary prevention and in an elementary school setting, my passion lies with working with children, adolescents, and young adults, or as I like to say, “From tots through twenties.” It would be a privilege to hold space for you as your counselor.
You are enough. Counseling is a journey of self-discovery and healing. It may be difficult at times, and that’s why I’m here to support you in finding your authentic self. Having worked in primary prevention and in an elementary school setting, my passion lies with working with children, adolescents, and young adults, or as I like to say, “From tots through twenties.” It would be a privilege to hold space for you as your counselor.
(307) 438-8478 View (307) 438-8478
Photo of undefined - Healing Stones Therapy, LCSW, Clinical Social Work/Therapist
Healing Stones Therapy
Clinical Social Work/Therapist, LCSW
Verified Verified
Laramie, WY 82070  (Online Only)
Therapy is a healing pathway. Sometimes the challenges an individual faces may be deeply concealed, making it difficult to seek help. A unique caring approach is tailored to the needs of each individual. Healing is attainable... the path is accessible. Confidentiality is the upmost important.
Therapy is a healing pathway. Sometimes the challenges an individual faces may be deeply concealed, making it difficult to seek help. A unique caring approach is tailored to the needs of each individual. Healing is attainable... the path is accessible. Confidentiality is the upmost important.
(307) 370-3784 View (307) 370-3784
Photo of Jesse Okeefe, LCSW, Clinical Social Work/Therapist
Jesse Okeefe
Clinical Social Work/Therapist, LCSW
Verified Verified
1 Endorsed
Cheyenne, WY 82001  (Online Only)
Are you feeling overwhelmed by the grip of depression or anxiety, and finding yourself trapped in the cycle of loneliness? It's completely natural to experience a sense of hopelessness during these times. Even relationships, which are meant to bring joy, can sometimes lead to unhappiness. If you're struggling with these challenges, I'm here to guide you towards a brighter path. In the therapeutic journey, we'll embark on a process of self-discovery, unraveling the complexities of both your past and present self. This exploration is a transformative step that opens doors to a life filled with fulfillment and meaning.
Are you feeling overwhelmed by the grip of depression or anxiety, and finding yourself trapped in the cycle of loneliness? It's completely natural to experience a sense of hopelessness during these times. Even relationships, which are meant to bring joy, can sometimes lead to unhappiness. If you're struggling with these challenges, I'm here to guide you towards a brighter path. In the therapeutic journey, we'll embark on a process of self-discovery, unraveling the complexities of both your past and present self. This exploration is a transformative step that opens doors to a life filled with fulfillment and meaning.
(307) 275-7179 View (307) 275-7179
Photo of Chriss Frost, MSW, PCSW, Clinical Social Work/Therapist
Chriss Frost
Clinical Social Work/Therapist, MSW, PCSW
Verified Verified
Cheyenne, WY 82001
My passion is working with individuals that want to make positive changes in their life. Changes can be difficult and life's road can feel overwhelming at times. Through therapy, you can learn tools and skills to make the ride a little smoother. It is my job to provide support as you navigate through your mental health journey. I have a direct, honest, and forward personality that is solution-focused. Start your mental health journey today by contacting me through Specialty Counseling & Consulting or directly through email at the link above.
My passion is working with individuals that want to make positive changes in their life. Changes can be difficult and life's road can feel overwhelming at times. Through therapy, you can learn tools and skills to make the ride a little smoother. It is my job to provide support as you navigate through your mental health journey. I have a direct, honest, and forward personality that is solution-focused. Start your mental health journey today by contacting me through Specialty Counseling & Consulting or directly through email at the link above.
(307) 323-2379 View (307) 323-2379
Photo of Jamie A French, MA, LPC, NCC, Licensed Professional Counselor
Jamie A French
Licensed Professional Counselor, MA, LPC, NCC
Verified Verified
1 Endorsed
Laramie, WY 82070
Working through mental health challenges can be scary and lonely, but I know how much life can change for the better when you get the support you need and take those important steps towards finding peace. Having a counselor that not only listens, but is honest, empathetic, and understanding is important to finding the right mental health professional. You are special and unique which means that I will not use a “cookie-cutter” type technique but rather one that is designed specifically for you, your personality and style, and the most straightforward approach to meeting your goals.
Working through mental health challenges can be scary and lonely, but I know how much life can change for the better when you get the support you need and take those important steps towards finding peace. Having a counselor that not only listens, but is honest, empathetic, and understanding is important to finding the right mental health professional. You are special and unique which means that I will not use a “cookie-cutter” type technique but rather one that is designed specifically for you, your personality and style, and the most straightforward approach to meeting your goals.
(307) 288-3791 View (307) 288-3791
Photo of Greg Stelzner, LCSW, Clinical Social Work/Therapist
Greg Stelzner
Clinical Social Work/Therapist, LCSW
Verified Verified
Cheyenne, WY 82001
Waitlist for new clients
Hi, I'm Greg Stelzner, LCSW, I've been practicing therapy for 10 years and have competency in treating many problem areas. Areas that I have come to specialize in are Chronic Pain, Trauma, Depressive and Anxiety disorders. Like many mental health struggles these tend to lead to a feeling of being stuck, a loss of quality of life, joy, vitality, etc, and one wonders if there is hope of recovery. Finding a quality, friendly and competent therapist is very helpful in unlocking the problem and healing. I strive to be this person for all my clients.
Hi, I'm Greg Stelzner, LCSW, I've been practicing therapy for 10 years and have competency in treating many problem areas. Areas that I have come to specialize in are Chronic Pain, Trauma, Depressive and Anxiety disorders. Like many mental health struggles these tend to lead to a feeling of being stuck, a loss of quality of life, joy, vitality, etc, and one wonders if there is hope of recovery. Finding a quality, friendly and competent therapist is very helpful in unlocking the problem and healing. I strive to be this person for all my clients.
(307) 296-1660 View (307) 296-1660
Photo of Kimberly Maffei, MSW, LCSW, Clinical Social Work/Therapist
Kimberly Maffei
Clinical Social Work/Therapist, MSW, LCSW
Verified Verified
Laramie, WY 82070
Therapy should be a comfortable and safe place for you to explore and learn about yourself while practicing to take control of your world. Everyone has different experiences and your therapy should be guided by how you see the world and what you want in your life. I work with individuals, couples, parents, and families around issues related to depression, anxiety, child & adolescent behavior problems, relationships, and parenting. My mission is to help clients alleviate emotional pain, improve relationships, and to reach their highest potential based on their own values, beliefs, and dreams.
Therapy should be a comfortable and safe place for you to explore and learn about yourself while practicing to take control of your world. Everyone has different experiences and your therapy should be guided by how you see the world and what you want in your life. I work with individuals, couples, parents, and families around issues related to depression, anxiety, child & adolescent behavior problems, relationships, and parenting. My mission is to help clients alleviate emotional pain, improve relationships, and to reach their highest potential based on their own values, beliefs, and dreams.
(307) 206-0621 View (307) 206-0621
Photo of Alyse Pfankuch, MA, LPC, Licensed Professional Counselor
Alyse Pfankuch
Licensed Professional Counselor, MA, LPC
Verified Verified
Cheyenne, WY 82001
Battling the relentless grip of anxiety, depression, or OCD. They warp reality, turning everyday tasks into daunting challenges and thoughts into unyielding obsessions. Each moment can feel like a battle against an unseen force, where progress is hard-won and every step forward is a triumph.
Battling the relentless grip of anxiety, depression, or OCD. They warp reality, turning everyday tasks into daunting challenges and thoughts into unyielding obsessions. Each moment can feel like a battle against an unseen force, where progress is hard-won and every step forward is a triumph.
(307) 313-2777 View (307) 313-2777

How does your Therapist compare?

Number of Therapists in Goshen County, WY

< 10

Therapists in Goshen County, WY who prioritize treating:

100% Anxiety
100% Trauma and PTSD
75% Relationship Issues
75% Depression
75% Divorce
75% Emotional Disturbance
75% Peer Relationships

Average years in practice

5 Years

Top 3 insurances accepted

100% BlueCross and BlueShield
100% Cigna and Evernorth
100% Medicaid

How Therapists in Goshen County, WY see their clients

50% In Person and Online
50% Online Only

Gender breakdown

100% Female
FAQs - About Therapy and Counseling

How can I find a therapist in Goshen 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.