Therapists in 03031
![Photo of Deborah Sturm, PhD, Psychologist](https://photos.psychologytoday.com/40d7fa95-46cd-11ea-a6ad-06142c356176/2/320x400.jpeg)
Hi. I am a licensed psychologist lucky enough to love what I do. I have a thriving private practice working exclusively with adults in individual and couples/marital therapy. Whether you want help with personal/emotional struggles, relationships, stresses of everyday life, or a life crisis, I can help you feel more settled and confident about yourself and your life. Rooted in the present or past, issues including anxiety, depression and self-esteem may be interfering with your happiness and effectiveness. My approach varies with your particular needs but is always rooted in a safe and caring relationship and dedicated to promoting positive change.
Hi. I am a licensed psychologist lucky enough to love what I do. I have a thriving private practice working exclusively with adults in individual and couples/marital therapy. Whether you want help with personal/emotional struggles, relationships, stresses of everyday life, or a life crisis, I can help you feel more settled and confident about yourself and your life. Rooted in the present or past, issues including anxiety, depression and self-esteem may be interfering with your happiness and effectiveness. My approach varies with your particular needs but is always rooted in a safe and caring relationship and dedicated to promoting positive change.
![Photo of Jacqueline Pollner, LCMHC, Counselor](https://photos.psychologytoday.com/294c50db-eb05-48b8-93ce-03ebdffd40c6/1/320x400.jpeg)
Jacqueline Pollner
Counselor, LCMHC
Verified Verified
1 Endorsed
Amherst, NH 03031
Not accepting new clients
At times life presents challenges that can feel overwhelming, confusing and leave us questioning how to overcome them. However, I believe that teaching clients skills to develop greater self-awareness and self-acceptance can provide them the opportunities to manage and survive crisis situations, regulate their emotions, improve their communication in relationships and ultimately take control of their recovery. My approach to treatment can be described as collaborative, warm and supportive, while also being directive in coaching clients to practice evidence-based skills.
At times life presents challenges that can feel overwhelming, confusing and leave us questioning how to overcome them. However, I believe that teaching clients skills to develop greater self-awareness and self-acceptance can provide them the opportunities to manage and survive crisis situations, regulate their emotions, improve their communication in relationships and ultimately take control of their recovery. My approach to treatment can be described as collaborative, warm and supportive, while also being directive in coaching clients to practice evidence-based skills.
![Photo of Lauren M. Wood, MS, LCMHC, Counselor](https://photos.psychologytoday.com/ba3e5a4a-9048-4333-be1d-6979790d680d/3/320x400.jpeg)
I believe that individuals deserve to live their life with less difficulty no matter how their biosocial makeup has been developed. Life continues despite how intensely challenging it can be. We are not in control of most situations, except of our own thoughts and actions. We do have a choice to continue to move forward in any circumstance that we are in, even if we feel like we can not. This can feel overwhelming and difficult, or even lonely, to take that first step. With a safe therapeutic space and down to earth soothing tone, we can work through these vulnerable steps together.
I believe that individuals deserve to live their life with less difficulty no matter how their biosocial makeup has been developed. Life continues despite how intensely challenging it can be. We are not in control of most situations, except of our own thoughts and actions. We do have a choice to continue to move forward in any circumstance that we are in, even if we feel like we can not. This can feel overwhelming and difficult, or even lonely, to take that first step. With a safe therapeutic space and down to earth soothing tone, we can work through these vulnerable steps together.
![Photo of Katya Kalogeropoulos, LMHC, LCMHC, Counselor](https://photos.psychologytoday.com/3cd3717f-46cd-11ea-a6ad-06142c356176/3/320x400.jpeg)
Adolescents rock! Adolescence sucks... As the adult emerges, the need to separate and individuate is primal and the ensuing metamorphosis affects all important relationships. Adapting to the rights and responsibilities of the emerging adult can be confusing and frustrating and make for multitudes of conflicts. As a therapist, I am pragmatic and practical, look for ways to support the process of growing up, teach necessary skills to increase interpersonal effectiveness and mindful self-care. My goal is to help individuals understand their needs and as to achieve a sense of fulfillment and independence necessary to satisfying living.
Adolescents rock! Adolescence sucks... As the adult emerges, the need to separate and individuate is primal and the ensuing metamorphosis affects all important relationships. Adapting to the rights and responsibilities of the emerging adult can be confusing and frustrating and make for multitudes of conflicts. As a therapist, I am pragmatic and practical, look for ways to support the process of growing up, teach necessary skills to increase interpersonal effectiveness and mindful self-care. My goal is to help individuals understand their needs and as to achieve a sense of fulfillment and independence necessary to satisfying living.
![Photo of Julie Burke, MA, ATR, Art Therapist](https://photos.psychologytoday.com/39f3df72-0dc1-42d7-adb5-a06d3f49e24d/2/320x400.jpeg)
I am an experienced trauma informed Wellness Coach, Certified Brainspotting Practitioner, Registered Art Therapist, Tong Ren and Reiki healer. I have 15 years experience working with a variety of ages and populations. My clinical background includes training in DBT, CBT, and ACT. These therapeutic approaches provide practical tools for managing emotions, challenging negative thought patterns, and fostering personal growth.
I am an experienced trauma informed Wellness Coach, Certified Brainspotting Practitioner, Registered Art Therapist, Tong Ren and Reiki healer. I have 15 years experience working with a variety of ages and populations. My clinical background includes training in DBT, CBT, and ACT. These therapeutic approaches provide practical tools for managing emotions, challenging negative thought patterns, and fostering personal growth.
![Photo of Dr. Deborah Levasseur, PhD, Psychologist](https://photos.psychologytoday.com/d9aaaff4-08fc-4fc7-a05f-fa2048d7f9a6/2/320x400.jpeg)
I value creating a therapeutic plan for you that is effective and offers tangible outcomes tailored to meet your personal objectives.
I value creating a therapeutic plan for you that is effective and offers tangible outcomes tailored to meet your personal objectives.
![Photo of David Marshall, LICSW, Clinical Social Work/Therapist](https://photos.psychologytoday.com/4277b12f-f3fd-47f4-87a8-01a22046d34f/2/320x400.jpeg)
David Marshall
Clinical Social Work/Therapist, LICSW
Verified Verified
Amherst, NH 03031 (Online Only)
Therapy often leads to a significant reduction in feelings of distress, increased satisfaction in interpersonal relationships, greater personal awareness and insight, additional skills for managing stress, and resolutions to specific problems.
Therapy often leads to a significant reduction in feelings of distress, increased satisfaction in interpersonal relationships, greater personal awareness and insight, additional skills for managing stress, and resolutions to specific problems.
![Photo of Tara Colleen Mahoney, MA, LPC, ESMHL, Counselor](https://photos.psychologytoday.com/46b2447a-46cd-11ea-a6ad-06142c356176/3/320x400.jpeg)
Making a connection and being understood are essential to a positive and productive therapeutic alliance. My clients say they feel relief and gain insight which helps them enjoy a better quality of life and better relationships. I have 2 locations- the Wellness Seed Collective in Amherst and Stepping Stones Farm in Temple. We can meet in the office to explore struggles, develop strategies and resolve issues. We can also go outside to partner with horses for the powerful experiential method of Equine Facilitated Psychotherapy.
Making a connection and being understood are essential to a positive and productive therapeutic alliance. My clients say they feel relief and gain insight which helps them enjoy a better quality of life and better relationships. I have 2 locations- the Wellness Seed Collective in Amherst and Stepping Stones Farm in Temple. We can meet in the office to explore struggles, develop strategies and resolve issues. We can also go outside to partner with horses for the powerful experiential method of Equine Facilitated Psychotherapy.
![Photo of Barton W Bryant, PhD, Psychologist](https://photos.psychologytoday.com/42a57108-46cd-11ea-a6ad-06142c356176/3/320x400.jpeg)
I love my work. You may want a quiet, protected space where you can think out loud - with the freedom to follow your thoughts to their own (surprising?) conclusions. Or you may want a more active interaction, a back-and-forth exchange to wrestle with difficult emotions and come out the other side feeling more settled and self-directed in your life.
My first job is to meet you wherever you are - wanting help with an immediate crisis, or wishing to explore a past experience that continues to haunt you.
I love my work. You may want a quiet, protected space where you can think out loud - with the freedom to follow your thoughts to their own (surprising?) conclusions. Or you may want a more active interaction, a back-and-forth exchange to wrestle with difficult emotions and come out the other side feeling more settled and self-directed in your life.
My first job is to meet you wherever you are - wanting help with an immediate crisis, or wishing to explore a past experience that continues to haunt you.
![Photo of Kate Ledoux - Summit Counseling and Consulting, LLC, MA, LCMHC, Counselor](https://photos.psychologytoday.com/151a1211-e0c6-4268-a985-994756a95775/2/320x400.png)
Summit Counseling and Consulting, LLC
Counselor, MA, LCMHC
Verified Verified
1 Endorsed
Amherst, NH 03031
Are you seeking a transformative approach to mental health that goes beyond the conventional? Welcome to Summit Counseling and Consulting, LLC, your premier out-of-network private practice specializing in person-centered holistic mental health. We believe that true wellness encompasses the mind, body, and spirit, and our integrative treatments are designed to nurture all aspects of your well-being. At Summit Counseling, we understand that every individual is unique, which is why our personalized care plans are tailored to meet your specific needs to assist you through your healing process. We see preteens, teens and adults.
Are you seeking a transformative approach to mental health that goes beyond the conventional? Welcome to Summit Counseling and Consulting, LLC, your premier out-of-network private practice specializing in person-centered holistic mental health. We believe that true wellness encompasses the mind, body, and spirit, and our integrative treatments are designed to nurture all aspects of your well-being. At Summit Counseling, we understand that every individual is unique, which is why our personalized care plans are tailored to meet your specific needs to assist you through your healing process. We see preteens, teens and adults.
![Photo of Lori S Edwards, MSW, LICSW, Clinical Social Work/Therapist](https://photos.psychologytoday.com/3de12053-46cd-11ea-a6ad-06142c356176/2/320x400.jpeg)
I find the opportunity to work with people in their unique journeys a true blessing. I work with a diverse population, ranging from children to adults. I specialize in the treatment of adolescent females, and women in transitional life phases. I feel I provide a safe, nonjudgemental environment where individuals, couples, and families can work at their own pace to meet their goals. I see a wide variety of ages and have experience in treating many issues.
I find the opportunity to work with people in their unique journeys a true blessing. I work with a diverse population, ranging from children to adults. I specialize in the treatment of adolescent females, and women in transitional life phases. I feel I provide a safe, nonjudgemental environment where individuals, couples, and families can work at their own pace to meet their goals. I see a wide variety of ages and have experience in treating many issues.
![Photo of Catherine Vasilopoulos, LCMHC, Counselor](https://photos.psychologytoday.com/a7562058-085d-4d9f-97ea-7be29fa0455a/1/320x400.png)
Catherine Vasilopoulos
Counselor, LCMHC
Verified Verified
1 Endorsed
Amherst, NH 03031 (Online Only)
If you are going through something and need some support, it would be my honor to try to help you out. What you might face now may have something to do with the past, and may also impact the future for the worse if something isn't done now, in the present. I would enjoy working with you to consider the past and future while also focusing on the present as much as possible in order to glean what is most within your control, what are your resources and options, your abilities and limitations, how do we honor and validate these while also encouraging some change, and how do we tolerate what is outside of our control, etc.
If you are going through something and need some support, it would be my honor to try to help you out. What you might face now may have something to do with the past, and may also impact the future for the worse if something isn't done now, in the present. I would enjoy working with you to consider the past and future while also focusing on the present as much as possible in order to glean what is most within your control, what are your resources and options, your abilities and limitations, how do we honor and validate these while also encouraging some change, and how do we tolerate what is outside of our control, etc.
![Photo of Amy Szczechowicz, MA, LCMHC, MLADC, Counselor](https://photos.psychologytoday.com/de9adad9-fef9-4ec7-a6e4-482138f44d6d/2/320x400.jpeg)
Amy Szczechowicz
Counselor, MA, LCMHC, MLADC
Verified Verified
1 Endorsed
Amherst, NH 03031 (Online Only)
Not accepting new clients
Currently not accepting new clients. Life has its ups and downs. It can be extremely hard to cope with the many changes. Our relationships with ourselves and with others can be impacted. Sometimes we can manage, but sometimes we find ourselves losing control and life can become overwhelming. Are you feeling depressed, anxious, irritable, lost, or possibly turning to substances to cope? Do you feel out of control with your emotions and/or thoughts? Are your relationships with others strained? Are you constantly having negative thoughts about yourself? We all have struggled at some point in our lives with a lot of these things.
Currently not accepting new clients. Life has its ups and downs. It can be extremely hard to cope with the many changes. Our relationships with ourselves and with others can be impacted. Sometimes we can manage, but sometimes we find ourselves losing control and life can become overwhelming. Are you feeling depressed, anxious, irritable, lost, or possibly turning to substances to cope? Do you feel out of control with your emotions and/or thoughts? Are your relationships with others strained? Are you constantly having negative thoughts about yourself? We all have struggled at some point in our lives with a lot of these things.
![Photo of Merrill Beth Friedman, MA, LCMHC, PLLC, Counselor](https://photos.psychologytoday.com/4a52b279-4cbc-4532-ab7e-a80d51f2031a/2/320x400.jpeg)
I have been practicing as a licensed mental health professional for over 30 years. I have a Masters in Counseling Psychology obtained in 1989 from Lewis and Clark College in Portland, Oregon. I was licensed in Oregon until my move to New Hampshire where I became licensed in the state of NH. I am an active member of the NH Mental Health Counseling Association. I have experience working in inpatient and day treatment hospital settings, community mental health, private practices and have spent over 17 years with a regional hospital in both their group psychology practice and co-located in a medical practice.
I have been practicing as a licensed mental health professional for over 30 years. I have a Masters in Counseling Psychology obtained in 1989 from Lewis and Clark College in Portland, Oregon. I was licensed in Oregon until my move to New Hampshire where I became licensed in the state of NH. I am an active member of the NH Mental Health Counseling Association. I have experience working in inpatient and day treatment hospital settings, community mental health, private practices and have spent over 17 years with a regional hospital in both their group psychology practice and co-located in a medical practice.
![Photo of Marci Martel - Northeast Counseling & Coaching, Inc. , PhD, LCMHC, MA, Counselor](https://photos.psychologytoday.com/05e97ed6-6b0a-4067-a6f4-241decfc54d5/2/320x400.jpeg)
We are looking for clients that are motivated to make lasting changes in their lives. Most clients are looking for a nonjudgmental listener that can competently address their presenting issues and provide skills, tools and a trusting therapeutic relationship. As human beings we all have the need to be accepted, heard and understood. Our practice is supportive in nature and our approach is based in attachment and relational psychotherapy. Essentially, we work with people we like and who want to change their lives and the way they function. We manage an interactive client portal to allow supportive communication in between sessions.
We are looking for clients that are motivated to make lasting changes in their lives. Most clients are looking for a nonjudgmental listener that can competently address their presenting issues and provide skills, tools and a trusting therapeutic relationship. As human beings we all have the need to be accepted, heard and understood. Our practice is supportive in nature and our approach is based in attachment and relational psychotherapy. Essentially, we work with people we like and who want to change their lives and the way they function. We manage an interactive client portal to allow supportive communication in between sessions.
![Photo of Sari Lessard, PhD, Psychologist](https://photos.psychologytoday.com/ad3cc690-c4b1-40a8-a07e-56bb71de7f4f/2/320x400.jpeg)
Have you hit a sticky point? It happens! We hit them throughout our lives. From adolescence to adulthood. whether we are receiving care or giving it, we need to iron out the wrinkles now and again. As a teenager, you might be faced with tricky situations or struggle to have the types of relationships you want with family and friends. As an adult, the pressures of work, parenthood, or other caregiving might be triggering a lot of stress, anxiety, or depression. Or maybe you're heartbroken because it is your child who is struggling instead.
Have you hit a sticky point? It happens! We hit them throughout our lives. From adolescence to adulthood. whether we are receiving care or giving it, we need to iron out the wrinkles now and again. As a teenager, you might be faced with tricky situations or struggle to have the types of relationships you want with family and friends. As an adult, the pressures of work, parenthood, or other caregiving might be triggering a lot of stress, anxiety, or depression. Or maybe you're heartbroken because it is your child who is struggling instead.
![Photo of Jude Thaddeus Currier, LICSW, Clinical Social Work/Therapist](https://photos.psychologytoday.com/5397c694-46cd-11ea-a6ad-06142c356176/3/320x400.jpeg)
Jude Thaddeus Currier
Clinical Social Work/Therapist, LICSW
Verified Verified
3 Endorsed
Amherst, NH 03031 (Online Only)
I provide child-centered psychotherapy and coaching services to families struggling with relationship issues, behavior management and poor academic performance. My systemic approach to treatment provides guidance to parents that can help them guide their children and build resilience.
I provide child-centered psychotherapy and coaching services to families struggling with relationship issues, behavior management and poor academic performance. My systemic approach to treatment provides guidance to parents that can help them guide their children and build resilience.
![Photo of Jacqueline Pollner - Middle Path Counseling, LLC, LCMHC, Counselor](https://photos.psychologytoday.com/12b065c7-c268-4148-811a-cd58aca4d6a5/1/320x400.jpeg)
At times life presents challenges that can feel overwhelming, confusing and leave us questioning how to overcome them. However, we believe that teaching clients skills to develop greater self-awareness and self-acceptance can provide them the opportunities to manage and survive crisis situations, regulate their emotions, improve their communication in relationships and ultimately take control of their recovery.
At times life presents challenges that can feel overwhelming, confusing and leave us questioning how to overcome them. However, we believe that teaching clients skills to develop greater self-awareness and self-acceptance can provide them the opportunities to manage and survive crisis situations, regulate their emotions, improve their communication in relationships and ultimately take control of their recovery.
![Photo of Catherine Mandeville, LICSW, MSW, Clinical Social Work/Therapist](https://photos.psychologytoday.com/125517cc-93a6-4a9e-a7ca-0cc4dc7ff9e6/1/320x400.jpeg)
Catherine Mandeville
Clinical Social Work/Therapist, LICSW, MSW
Verified Verified
1 Endorsed
Amherst, NH 03031
It can feel overwhelming to work on who we are while we are also trying to work on the day to day challenges that arise in all of our lives. Often we're told we just need to change our mindset when we know it's bigger than that. You may find you're stuck making the same choices and falling into the same patterns and relationships all the while feeling disconnected from the people and the world around you.
It can feel overwhelming to work on who we are while we are also trying to work on the day to day challenges that arise in all of our lives. Often we're told we just need to change our mindset when we know it's bigger than that. You may find you're stuck making the same choices and falling into the same patterns and relationships all the while feeling disconnected from the people and the world around you.
![Photo of Stacy Esposito - Healing Roots Holistic Mental Health, MA, LCMHC, Counselor](https://photos.psychologytoday.com/2ef6a2b2-6dba-404b-8922-56fd4972c498/2/320x400.jpeg)
Healing Roots Holistic Mental Health
Counselor, MA, LCMHC
Verified Verified
1 Endorsed
Amherst, NH 03031
Offering neuroaffirming Autism and AD/HD evaluation for children and adults. I am a holistic, person-centered clinician and use a collaborative approach to support my clients in exploring the ways that societal, familial, and intergenerational trends have impacted their self-concept, sensed safety in relationship, and coping strategies. Utilizing a blend of Polyvagal theory, CBT, ACT, and mind-body interventions, I aim to support clients in understanding the root causes of their stuck points and challenges and replacing undesirable coping strategies with ones that align with their goals.
Offering neuroaffirming Autism and AD/HD evaluation for children and adults. I am a holistic, person-centered clinician and use a collaborative approach to support my clients in exploring the ways that societal, familial, and intergenerational trends have impacted their self-concept, sensed safety in relationship, and coping strategies. Utilizing a blend of Polyvagal theory, CBT, ACT, and mind-body interventions, I aim to support clients in understanding the root causes of their stuck points and challenges and replacing undesirable coping strategies with ones that align with their goals.
See more therapy options for 03031
How does your Therapist compare?
Number of Therapists in 03031
40+
Average cost per session
$145
Therapists in 03031 who prioritize treating:
98% | Anxiety |
85% | Depression |
80% | Relationship Issues |
80% | Trauma and PTSD |
80% | Coping Skills |
80% | Self Esteem |
78% | Stress |
Average years in practice
14 Years
Top 3 insurances accepted
85% | BlueCross and BlueShield |
79% | Elevance |
76% | Optum |
How Therapists in 03031 see their clients
64% | In Person and Online | |
36% | Online Only |
Gender breakdown
88% | Female | |
12% | Male |
FAQs - About Therapy and Counseling
How can I find a therapist in 03031?
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
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.
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.
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.