Therapists in Wyoming

View cities and counties in Wyoming
Photo of Kit Freedman, Counselor, MS, MA, PPC
Kit Freedman
Counselor, MS, MA, PPC
Laramie, WY 82070
My approach to counseling starts with the belief that within each individual exists a profound, intrinsic capacity for self-healing — a deep inner knowing. Similar to the way the body heals itself when cut or a bone is fractured, I believe the human psyche also comes equipped with an innate capacity for self-healing. The trick is learning how to slow down and quiet the mind enough to hear what the inner healer has to say. Hi, I’m Kit Freedman — a counselor in private practice located in Laramie, WY.
My approach to counseling starts with the belief that within each individual exists a profound, intrinsic capacity for self-healing — a deep inner knowing. Similar to the way the body heals itself when cut or a bone is fractured, I believe the human psyche also comes equipped with an innate capacity for self-healing. The trick is learning how to slow down and quiet the mind enough to hear what the inner healer has to say. Hi, I’m Kit Freedman — a counselor in private practice located in Laramie, WY.
(307) 392-7423 View (307) 392-7423
Photo of Janae Frank, Pre-Licensed Professional, MA, PPC
Janae Frank
Pre-Licensed Professional, MA, PPC
Cheyenne, WY 82001
I was born in Erie, Pennsylvania before moving to Wyoming when I was six years old. I have always been passionate about understanding behaviors and mental health and how it impacts our ability to live fulfilling lives. I have worked with the homeless population, adults and couples with an array of personal goals. In 2019 I graduated with my Bachelor of Science in Psychology from Grand Canyon University. I felt like I had a great understanding of how our mental health is tied to other important areas of our lives, but I wanted to use that understanding to work with individuals that were struggling for a variety of reasons.
I was born in Erie, Pennsylvania before moving to Wyoming when I was six years old. I have always been passionate about understanding behaviors and mental health and how it impacts our ability to live fulfilling lives. I have worked with the homeless population, adults and couples with an array of personal goals. In 2019 I graduated with my Bachelor of Science in Psychology from Grand Canyon University. I felt like I had a great understanding of how our mental health is tied to other important areas of our lives, but I wanted to use that understanding to work with individuals that were struggling for a variety of reasons.
(307) 227-6925 View (307) 227-6925
Photo of Chae Bybee - Kintsugi Counseling, Licensed Professional Counselor, MS, LPC
Kintsugi Counseling
Licensed Professional Counselor, MS, LPC
Sheridan, WY 82801
Waitlist for new clients
Welcome! My wife and I founded Kintsugi Counseling in 2021. The term kintsugi represents Japan's ancient art of repairing broken pottery by mending the areas of breakage with urushi lacquer dusted or mixed with powdered gold, silver, or platinum. For the Japanese, it's part of a broader philosophy of embracing the beauty of human flaws. Kintsugi Consulting and Counseling practice embraces the same philosophy in that life experiences, while some may be difficult, can lead to growth and change. Enjoy less anxiety, depression, or PTSD symptoms, and increased skills and confidence to live your life more fully.
Welcome! My wife and I founded Kintsugi Counseling in 2021. The term kintsugi represents Japan's ancient art of repairing broken pottery by mending the areas of breakage with urushi lacquer dusted or mixed with powdered gold, silver, or platinum. For the Japanese, it's part of a broader philosophy of embracing the beauty of human flaws. Kintsugi Consulting and Counseling practice embraces the same philosophy in that life experiences, while some may be difficult, can lead to growth and change. Enjoy less anxiety, depression, or PTSD symptoms, and increased skills and confidence to live your life more fully.
(307) 752-7349 View (307) 752-7349
Photo of Emily Pyska, Counselor, MS, LPC
Emily Pyska
Counselor, MS, LPC
Cheyenne, WY 82001
The choice to seek therapy services can be a difficult one. However, the challenges that motivate us towards change can become opportunities to create a deeper awareness of who we are, and who we wish to become. I believe we grow in connection to others, it’s in these relationships we learn the most about ourselves and what we want from our lives. I aim to co-create an attuned, safe, and collaborative relationship that supports your unique goals and individuality. I hope to accompany you through the discovery of your inherent resilience to pursue growth that enables you to live authentically and explore new possibilities.
The choice to seek therapy services can be a difficult one. However, the challenges that motivate us towards change can become opportunities to create a deeper awareness of who we are, and who we wish to become. I believe we grow in connection to others, it’s in these relationships we learn the most about ourselves and what we want from our lives. I aim to co-create an attuned, safe, and collaborative relationship that supports your unique goals and individuality. I hope to accompany you through the discovery of your inherent resilience to pursue growth that enables you to live authentically and explore new possibilities.
(307) 284-5355 View (307) 284-5355
Photo of Matthew Grovenstein, Licensed Professional Counselor, MS, LPC
Matthew Grovenstein
Licensed Professional Counselor, MS, LPC
2 Endorsed
Laramie, WY 82072
Sometimes life can be a bit too much: relationship struggles arise, worries seem too heavy, or direction is hard to find. That’s where I come in. As a counselor, I aim to meet each client where they are, building a deep understanding of who they are and collaboratively identifying what they need and how to get them there. I utilize an integrative approach, drawing on multiple counseling perspectives to meet each individual's needs through evidence-based approaches. I won’t force clients to do anything, but using my training and experience, I will both support and challenge them to make significant, lasting change.
Sometimes life can be a bit too much: relationship struggles arise, worries seem too heavy, or direction is hard to find. That’s where I come in. As a counselor, I aim to meet each client where they are, building a deep understanding of who they are and collaboratively identifying what they need and how to get them there. I utilize an integrative approach, drawing on multiple counseling perspectives to meet each individual's needs through evidence-based approaches. I won’t force clients to do anything, but using my training and experience, I will both support and challenge them to make significant, lasting change.
(307) 218-2839 View (307) 218-2839
Photo of Maureen Kirchhoff - Brightside Health, Clinical Social Work/Therapist, CSW
Brightside Health
Clinical Social Work/Therapist, CSW
Online Only
It gets much better from here. No matter what you're going through, our expert providers are here to help with online mental health care tailored to you. Brightside Health offers personalized psychiatry, proven therapy, or both to help you feel better. Get started right from home, with appointments in as little as 2 days.
It gets much better from here. No matter what you're going through, our expert providers are here to help with online mental health care tailored to you. Brightside Health offers personalized psychiatry, proven therapy, or both to help you feel better. Get started right from home, with appointments in as little as 2 days.
(307) 313-2035 View (307) 313-2035
Photo of Roberta Harper-McIntosh, Licensed Professional Counselor, MA, LPC, NCC
Roberta Harper-McIntosh
Licensed Professional Counselor, MA, LPC, NCC
1 Endorsed
Laramie, WY 82070
Wholeness is the natural state of every person. We live in an age that demands extensive coping skills, and also offers so many opportunities for healing. I'm honored every day to see the unique brilliance of each person I work with, and to offer some valuable new tools, experiences, and lenses to bring your own wisdom into focus.
Wholeness is the natural state of every person. We live in an age that demands extensive coping skills, and also offers so many opportunities for healing. I'm honored every day to see the unique brilliance of each person I work with, and to offer some valuable new tools, experiences, and lenses to bring your own wisdom into focus.
(307) 317-4519 View (307) 317-4519
Photo of Gretta Roth, Licensed Professional Counselor, LPC
Gretta Roth
Licensed Professional Counselor, LPC
Online Only
My name is Gretta. My therapy style is warm and personal. I work by getting to know you as a person and listen to your story. Together, we come up with goals and solutions that are going to work for you. I will treat you with sensitivity, respect, and warmth by getting to know you as a unique individual. I like to use ACT and Person Centered Therapy. We work together to set goals and homework each week to help you gain awareness and learn different coping tools to handle life's challenges. We will work through different life experiences and trials to help you gain awareness, process it, and work on moving forward.
My name is Gretta. My therapy style is warm and personal. I work by getting to know you as a person and listen to your story. Together, we come up with goals and solutions that are going to work for you. I will treat you with sensitivity, respect, and warmth by getting to know you as a unique individual. I like to use ACT and Person Centered Therapy. We work together to set goals and homework each week to help you gain awareness and learn different coping tools to handle life's challenges. We will work through different life experiences and trials to help you gain awareness, process it, and work on moving forward.
(307) 522-1106 View (307) 522-1106
Photo of Vicki Tellez - Animosque Therapy and Coaching, Clinical Social Work/Therapist, MSW, LCSW
Animosque Therapy and Coaching
Clinical Social Work/Therapist, MSW, LCSW
1 Endorsed
Sheridan, WY 82801
I'm so glad you're here. Seeking support is a courageous and empowering step, and I'd be honored to walk with you on your healing journey. Whether you're navigating trauma, anxiety, stress, life transitions my goal is to provide a safe, nonjudgemental space where you can feel seen, heard, and supported. I specialize in working with individuals who are experiencing emotional overwhelm, relationship struggles, self-doubt, stress, or those recovering from childhood wounds. I also specialize in working with children who have trauma, depression, or anxiety and need assistance with learning how to identify and regulate their emotions.
I'm so glad you're here. Seeking support is a courageous and empowering step, and I'd be honored to walk with you on your healing journey. Whether you're navigating trauma, anxiety, stress, life transitions my goal is to provide a safe, nonjudgemental space where you can feel seen, heard, and supported. I specialize in working with individuals who are experiencing emotional overwhelm, relationship struggles, self-doubt, stress, or those recovering from childhood wounds. I also specialize in working with children who have trauma, depression, or anxiety and need assistance with learning how to identify and regulate their emotions.
(307) 207-5533 View (307) 207-5533
Photo of Jennifer Reicosky, Marriage & Family Therapist, LMFT
Jennifer Reicosky
Marriage & Family Therapist, LMFT
Online Only
I am a Licensed Marriage and Family Therapist. I love to support couples and individuals see the heart of their intention and communicate their needs. I practice therapy from a very trauma-focused lens. I believe attachment-based support is the most important work we can do for other suffering humans. The Evidence-Based Practice that I use is Emotion-Focused Therapy. Not striving to fix or change someone but to help them to live the life they want is the heart of the work I strive to offer.
I am a Licensed Marriage and Family Therapist. I love to support couples and individuals see the heart of their intention and communicate their needs. I practice therapy from a very trauma-focused lens. I believe attachment-based support is the most important work we can do for other suffering humans. The Evidence-Based Practice that I use is Emotion-Focused Therapy. Not striving to fix or change someone but to help them to live the life they want is the heart of the work I strive to offer.
(307) 212-4288 View (307) 212-4288
Photo of Kristy Stromitis, Licensed Professional Counselor, MAE, LPC
Kristy Stromitis
Licensed Professional Counselor, MAE, LPC
Online Only
Now accepting clients in Michigan and Wyoming, waiting to hear from Washington. Yoda is one of my favorite characters because of his statement "do or do not, there is no try". But how does one do or not if one doesn't know what to do? Maybe you just feel stuck and don't know what you feel you need to do next or even want to do next. Helping you to identify the need, the goal, the ultimate issue is my goal. I work primarily with adults and senior adults who are experiencing anxiety, depression, PTSD, and a host of other mental health concerns. I am LGBTQI+ and kink friendly. I am a certified trauma professional.
Now accepting clients in Michigan and Wyoming, waiting to hear from Washington. Yoda is one of my favorite characters because of his statement "do or do not, there is no try". But how does one do or not if one doesn't know what to do? Maybe you just feel stuck and don't know what you feel you need to do next or even want to do next. Helping you to identify the need, the goal, the ultimate issue is my goal. I work primarily with adults and senior adults who are experiencing anxiety, depression, PTSD, and a host of other mental health concerns. I am LGBTQI+ and kink friendly. I am a certified trauma professional.
(307) 302-5486 View (307) 302-5486
Photo of John Marquiss, Clinical Social Work/Therapist, MSSA, LCSW
John Marquiss
Clinical Social Work/Therapist, MSSA, LCSW
3 Endorsed
Casper, WY 82601
Sometimes life feels overwhelming, past experiences hold us back, or anxiety and intrusive thoughts make even daily tasks feel unmanageable. I work with individuals who are interested in understanding their mental health, improving mind-body awareness, and taking an active role in their care. My goal is to help you move toward your ideal mental health so you can return to your life feeling capable, grounded, and confident in your coping skills and support system. My clinical expertise includes anxiety, trauma, grief, suicide, addiction, and obsessive-compulsive disorder (OCD).
Sometimes life feels overwhelming, past experiences hold us back, or anxiety and intrusive thoughts make even daily tasks feel unmanageable. I work with individuals who are interested in understanding their mental health, improving mind-body awareness, and taking an active role in their care. My goal is to help you move toward your ideal mental health so you can return to your life feeling capable, grounded, and confident in your coping skills and support system. My clinical expertise includes anxiety, trauma, grief, suicide, addiction, and obsessive-compulsive disorder (OCD).
(307) 335-4591 View (307) 335-4591
Photo of Madison Harlow, Licensed Professional Counselor, MA, LPC, NCC
Madison Harlow
Licensed Professional Counselor, MA, LPC, NCC
Cheyenne, WY 82001
Not accepting new clients
Finding someone you can talk to can be challenging, especially if you like to be the one supporting everyone else. Asking for help and taking the leap of being open and vulnerable can seem scary and frustrating. I see you, and I hear you. I am a Licensed Professional Counselor that works in the Cheyenne area and virtually for Colorado. I work with adults on a variety of issues like anxiety, depression, trauma, and more. As a previous teacher and middle school counselor, I also have a passion for working with children and adolescence.
Finding someone you can talk to can be challenging, especially if you like to be the one supporting everyone else. Asking for help and taking the leap of being open and vulnerable can seem scary and frustrating. I see you, and I hear you. I am a Licensed Professional Counselor that works in the Cheyenne area and virtually for Colorado. I work with adults on a variety of issues like anxiety, depression, trauma, and more. As a previous teacher and middle school counselor, I also have a passion for working with children and adolescence.
(307) 317-1510 View (307) 317-1510
Photo of Susan Schilt, Counselor, LPC, NCC
Susan Schilt
Counselor, LPC, NCC
1 Endorsed
Cheyenne, WY 82001
Life is not fair and can be overwhelmingly challenging. Some of us have learned this in very difficult or traumatic ways, and many of us bear the wounds and scars of broken or dysfunctional marriages, families, or abuse. No one is immune to feeling overwhelmed, alone, unloved, or rejected, having thoughts we cannot control, or being unable to stop behaviors we know hurt us and those we love. We also know deep down this is not how it is supposed to be. Those who seek help through therapy are the most courageous people I know.
Life is not fair and can be overwhelmingly challenging. Some of us have learned this in very difficult or traumatic ways, and many of us bear the wounds and scars of broken or dysfunctional marriages, families, or abuse. No one is immune to feeling overwhelmed, alone, unloved, or rejected, having thoughts we cannot control, or being unable to stop behaviors we know hurt us and those we love. We also know deep down this is not how it is supposed to be. Those who seek help through therapy are the most courageous people I know.
(307) 632-7771 View (307) 632-7771
Photo of Shannon Hurd, Licensed Professional Counselor, MA, LCP, LCPC
Shannon Hurd
Licensed Professional Counselor, MA, LCP, LCPC
Gillette, WY 82716
My ideal client is a person, couple, or family who knows that there are hard questions to be asked and is seeking a neutral, caring, and engaging third party to offer authentic insights and ask the hard questions. The goal is to help the client acknowledge, accept, and lift whatever is blocked and help validate what is seeking validation. This may be someone stuck in a pattern or a couple unable to see their strengths while navigating their weaknesses. A client may want someone to hold the space and trust that the clinician will also know when to move forward. My ideal client is open to a variety of modalities for healing.
My ideal client is a person, couple, or family who knows that there are hard questions to be asked and is seeking a neutral, caring, and engaging third party to offer authentic insights and ask the hard questions. The goal is to help the client acknowledge, accept, and lift whatever is blocked and help validate what is seeking validation. This may be someone stuck in a pattern or a couple unable to see their strengths while navigating their weaknesses. A client may want someone to hold the space and trust that the clinician will also know when to move forward. My ideal client is open to a variety of modalities for healing.
(631) 480-8925 View (631) 480-8925
Photo of Virginia Kuhn, Licensed Professional Counselor, LPC
Virginia Kuhn
Licensed Professional Counselor, LPC
Lander, WY 82520
Reaching out to a therapist can feeling overwhelming. I'm glad you did! I'm here to hold space for you, to help you grow and expand with caring support, and to gently challenge you. Whether you're looking to heal from trauma, reduce anxiety, navigate a life transition such as new motherhood, or reduce compulsions, I am here for you.
Reaching out to a therapist can feeling overwhelming. I'm glad you did! I'm here to hold space for you, to help you grow and expand with caring support, and to gently challenge you. Whether you're looking to heal from trauma, reduce anxiety, navigate a life transition such as new motherhood, or reduce compulsions, I am here for you.
(307) 387-5518 View (307) 387-5518
Photo of Jamie Espeland, Pre-Licensed Professional, MS, LPCC
Jamie Espeland
Pre-Licensed Professional, MS, LPCC
1 Endorsed
Cody, WY 82414
I believe that counseling should be specific to the person and their journey, and that individualized therapy is the pathway to success. Every person should have the tools to help them be the best version of themselves. Whether you are dealing with anxiety, depression, stress, or other issues I am here to help you find peace again. I enjoy helping others through a client centered approach. I have experience counseling children, adolescents, and adults. I believe that emotional well-being is a lifelong journey that is constantly changing. I am passionate about helping others regain their strength and feel empowered again.
I believe that counseling should be specific to the person and their journey, and that individualized therapy is the pathway to success. Every person should have the tools to help them be the best version of themselves. Whether you are dealing with anxiety, depression, stress, or other issues I am here to help you find peace again. I enjoy helping others through a client centered approach. I have experience counseling children, adolescents, and adults. I believe that emotional well-being is a lifelong journey that is constantly changing. I am passionate about helping others regain their strength and feel empowered again.
(307) 254-9222 View (307) 254-9222
Photo of Anne Ellingson, Licensed Professional Counselor, CAP179, LPC1244
Anne Ellingson
Licensed Professional Counselor, CAP179, LPC1244
Jackson, WY 83002
Anne L. Ellingson, LPC, CAP Anne is a Licensed Professional Counselor and Certified Addiction Professional who works with individuals navigating addiction, trauma, PTSD, depression, anxiety, and related challenges. She provides a compassionate and accepting space where clients can explore their experiences without judgment or expectation. Anne believes that open, honest communication is the foundation of meaningful therapeutic work. She approaches each client with gentleness and respect, helping them uncover their strengths and move toward healing at their own pace.
Anne L. Ellingson, LPC, CAP Anne is a Licensed Professional Counselor and Certified Addiction Professional who works with individuals navigating addiction, trauma, PTSD, depression, anxiety, and related challenges. She provides a compassionate and accepting space where clients can explore their experiences without judgment or expectation. Anne believes that open, honest communication is the foundation of meaningful therapeutic work. She approaches each client with gentleness and respect, helping them uncover their strengths and move toward healing at their own pace.
(307) 269-5371 View (307) 269-5371
Photo of Camden Moore, Clinical Social Work/Therapist, PPC
Camden Moore
Clinical Social Work/Therapist, PPC
1 Endorsed
Rock Springs, WY 82901
Are you or your loved ones struggling to navigate life's challenges, feeling overwhelmed, or stuck in a cycle of distress? You're not alone. Life can present us with unexpected twists and turns, leaving us feeling lost, anxious, or even hopeless. Whether you're seeking support for yourself, your child, or your relationship, I'm here to provide guidance and support every step of the way. I offer in person services in both Rock Springs and Green River.
Are you or your loved ones struggling to navigate life's challenges, feeling overwhelmed, or stuck in a cycle of distress? You're not alone. Life can present us with unexpected twists and turns, leaving us feeling lost, anxious, or even hopeless. Whether you're seeking support for yourself, your child, or your relationship, I'm here to provide guidance and support every step of the way. I offer in person services in both Rock Springs and Green River.
(307) 456-4897 View (307) 456-4897
Photo of Lyndsey Burton, Licensed Professional Counselor, MS, LPC , LCPC, CMHC
Lyndsey Burton
Licensed Professional Counselor, MS, LPC , LCPC, CMHC
Casper, WY 82601
I am a licensed clinician in Wyoming, Montana, Utah and Florida. I have a background in correctional services and community mental health. I tend to lean towards CBT, Motivational Interviewing, and Solution Focus. I work mainly with late teens and adults.
I am a licensed clinician in Wyoming, Montana, Utah and Florida. I have a background in correctional services and community mental health. I tend to lean towards CBT, Motivational Interviewing, and Solution Focus. I work mainly with late teens and adults.
(307) 448-1872 View (307) 448-1872

See more therapy options for Wyoming

How does your Therapist compare?

Average cost per session

$163

Therapists in Wyoming who prioritize treating:

89% Anxiety
85% Depression
73% Trauma and PTSD
72% Relationship Issues
68% Self Esteem
65% Stress
59% Grief

Average years in practice

11 Years

Top 3 insurances accepted

84% BlueCross and BlueShield
63% Aetna
57% Cigna and Evernorth

How Therapists in Wyoming see their clients

74% In Person and Online
26% Online Only

Gender breakdown

82% Female
17% Male
1% Non-Binary
FAQs - About Therapy and Counseling

How can I find a therapist in Wyoming?

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.