Jill Leppanen Lerner
Counselor, MA, LCMHC
Verified Verified
Manchester, NH 03102
Do you find yourself struggling with how to manage feelings of worry and sadness? Do these feelings have a negative impact on your relationships, self esteem and day to day functioning. I provide outpatient psychotherapy for individuals who are struggling to make sense of their emotions and have a desire to learn how to manage them better. I strongly believe people have the ability to make positive life change and that therapy is a collaborative effort. By working together, you can learn to become more successful with how to channel your emotions into more effective behaviors and thoughts.
Do you find yourself struggling with how to manage feelings of worry and sadness? Do these feelings have a negative impact on your relationships, self esteem and day to day functioning. I provide outpatient psychotherapy for individuals who are struggling to make sense of their emotions and have a desire to learn how to manage them better. I strongly believe people have the ability to make positive life change and that therapy is a collaborative effort. By working together, you can learn to become more successful with how to channel your emotions into more effective behaviors and thoughts.
(603) 318-3528 View (603) 318-3528
Photo of Deb Boniface, MEd, LCMHC, Counselor
Deb Boniface
Counselor, MEd, LCMHC
Verified Verified
Manchester, NH 03102  (Online Only)
My ideal client(s) are those who are ready to be in therapy, to make conscience choices to better their lives, are talkative, on-time, and ready to work. To hear the truth, even if it's painful, open to suggestions to better their lives, can tell me I'm wrong if they think I am, have open, honest dialogue.
My ideal client(s) are those who are ready to be in therapy, to make conscience choices to better their lives, are talkative, on-time, and ready to work. To hear the truth, even if it's painful, open to suggestions to better their lives, can tell me I'm wrong if they think I am, have open, honest dialogue.
(603) 874-1079 View (603) 874-1079
Photo of Jessica Janus, MA, LCMHC, Counselor
Jessica Janus
Counselor, MA, LCMHC
Verified Verified
3 Endorsed
Manchester, NH 03102
We all have a story. I believe our stories and experiences deserve a trusting space to process free from judgment. Within the therapeutic relationship, I aim to empower individuals to honor their stories with empathy through nuances of language and self-exploration. When we are given a validating space to understand ourselves in relation to our experiences, we are capable of making meaningful changes in our lives. Through curiosity and collaboration, I support people’s natural ability to heal in the wake of hardship.
We all have a story. I believe our stories and experiences deserve a trusting space to process free from judgment. Within the therapeutic relationship, I aim to empower individuals to honor their stories with empathy through nuances of language and self-exploration. When we are given a validating space to understand ourselves in relation to our experiences, we are capable of making meaningful changes in our lives. Through curiosity and collaboration, I support people’s natural ability to heal in the wake of hardship.
(603) 713-5916 View (603) 713-5916
Photo of Nia D Normand - Nia Normand Counseling, LICSW, Clinical Social Work/Therapist
Nia Normand Counseling
Clinical Social Work/Therapist, LICSW
Verified Verified
Manchester, NH 03102  (Online Only)
I have extensive experience working with children, adolescents, families and parents to work through mental health issues and behavioral problems.
I have extensive experience working with children, adolescents, families and parents to work through mental health issues and behavioral problems.
(603) 525-7697 View (603) 525-7697
Photo of Heidi Schlenz, LCMHC, Counselor
Heidi Schlenz
Counselor, LCMHC
Verified Verified
Manchester, NH 03102
Heidi Schlenz is a Licensed Mental Health Counselor in New Hampshire who has been practicing since 2021. She has an MS in Clinical Mental Health Counseling from Plymouth State University and a BS in Psychology from Brigham Young University Idaho. When working with clients, Heidi builds trust and rapport with them early on in the counseling process. She provides a welcoming environment in which children and adolescents can express their concerns and process their emotions and problems effectively.
Heidi Schlenz is a Licensed Mental Health Counselor in New Hampshire who has been practicing since 2021. She has an MS in Clinical Mental Health Counseling from Plymouth State University and a BS in Psychology from Brigham Young University Idaho. When working with clients, Heidi builds trust and rapport with them early on in the counseling process. She provides a welcoming environment in which children and adolescents can express their concerns and process their emotions and problems effectively.
(833) 659-9347 View (833) 659-9347
Photo of Diana Schryver - Northeast Family Services of New Hampshire, LICSW, Clinical Social Work/Therapist
Northeast Family Services of New Hampshire
Clinical Social Work/Therapist, LICSW
Verified Verified
Manchester, NH 03102
Northeast Family Services is a group practice comprised of dedicated, skilled professionals. Our clinicians are committed to improving the quality of life for our clients and their families. Our staff provide exceptional service and evidence-based treatment for each individual based on their unique needs. We strongly believe that no two clients are the same and it is our responsibility to create and provide individualized treatment. Northeast Family Services offers comprehensive clinical, diagnostic and consultative mental health services with specialized professionals. Using a clinical teamwork approach, we provide outpatient care
Northeast Family Services is a group practice comprised of dedicated, skilled professionals. Our clinicians are committed to improving the quality of life for our clients and their families. Our staff provide exceptional service and evidence-based treatment for each individual based on their unique needs. We strongly believe that no two clients are the same and it is our responsibility to create and provide individualized treatment. Northeast Family Services offers comprehensive clinical, diagnostic and consultative mental health services with specialized professionals. Using a clinical teamwork approach, we provide outpatient care
(844) 924-2121 View (844) 924-2121
Photo of Mackenzie Seely, LICSW, MLADC, Drug & Alcohol Counselor
Mackenzie Seely
Drug & Alcohol Counselor, LICSW, MLADC
Verified Verified
Manchester, NH 03102  (Online Only)
LICSW & MLADC! I have a strong personal belief that all individuals who seek to change their lives are capable of doing so. I enjoy working with both those who are just starting to explore areas of their lives they are unhappy with or those who know what they want to change and are looking for guidance or new perspectives. Many clients come in with goals targeting their mental health and addiction, others are seeking changes in lifestyle or just need someone to listen. I am also available to provide evaluations as requested by clients, courts, or other entities! Happy to help! Reach out today!
LICSW & MLADC! I have a strong personal belief that all individuals who seek to change their lives are capable of doing so. I enjoy working with both those who are just starting to explore areas of their lives they are unhappy with or those who know what they want to change and are looking for guidance or new perspectives. Many clients come in with goals targeting their mental health and addiction, others are seeking changes in lifestyle or just need someone to listen. I am also available to provide evaluations as requested by clients, courts, or other entities! Happy to help! Reach out today!
(978) 301-8794 View (978) 301-8794
Photo of Jessica Janus, LCHMC, Counselor
Jessica Janus
Counselor, LCHMC
Verified Verified
Manchester, NH 03102
Jessica Janus is a Licensed Clinical Mental Health Counselor in New Hampshire who has been practicing since 2018. She earned a Bachelor's in Psychology at Castleton University and a Master's in Clinical Mental Health Counseling at Antioch University New England. We all have a story. Jessica believes our stories and experiences deserve a trusting space to process free from judgment. Within the therapeutic relationship, Jessica aims to empower individuals to honor their stories with empathy through nuances of language and self-exploration.
Jessica Janus is a Licensed Clinical Mental Health Counselor in New Hampshire who has been practicing since 2018. She earned a Bachelor's in Psychology at Castleton University and a Master's in Clinical Mental Health Counseling at Antioch University New England. We all have a story. Jessica believes our stories and experiences deserve a trusting space to process free from judgment. Within the therapeutic relationship, Jessica aims to empower individuals to honor their stories with empathy through nuances of language and self-exploration.
(844) 714-3696 View (844) 714-3696
Photo of Christie Faella, LCMHC , MLADC, RN, Counselor
Christie Faella
Counselor, LCMHC , MLADC, RN
Verified Verified
Manchester, NH 03102  (Online Only)
Christie Faella is a Licensed Clinical Mental Health Counselor, a Licensed Master Alcohol and Drug Counselor and a Registered Nurse. She completed her Master of Arts in Counseling Psychology degree at Antioch University. Christie provides counseling for adults of all ages, couples and same sex couples. Christie’s treatment approach is client centered, integrative and holistic. Christie believes in the life transforming power of mindfulness and self-compassion to invite transformation of difficult places. Christie has experience working with those who are invested in finding recovery from a variety of mental health and addictions.
Christie Faella is a Licensed Clinical Mental Health Counselor, a Licensed Master Alcohol and Drug Counselor and a Registered Nurse. She completed her Master of Arts in Counseling Psychology degree at Antioch University. Christie provides counseling for adults of all ages, couples and same sex couples. Christie’s treatment approach is client centered, integrative and holistic. Christie believes in the life transforming power of mindfulness and self-compassion to invite transformation of difficult places. Christie has experience working with those who are invested in finding recovery from a variety of mental health and addictions.
(603) 207-8422 View (603) 207-8422
Photo of Kelly Schoonover, MS, LCMHC, MLADC, Counselor
Kelly Schoonover
Counselor, MS, LCMHC, MLADC
Verified Verified
Manchester, NH 03102  (Online Only)
Kelly Schoonover is a Licensed Clinical Mental Health Counselor and Master Licensed Alcohol & Drug Counselor in New Hampshire who has been practicing since 2017. She received her Master's Degree in Clinical Mental Health Counseling from the University at Albany, SUNY. Kelly has more than seven years of professional experience working with adults with diverse needs. She makes sure to use a person-centered approach with the clientele she works with, as no single approach works for all. Kelly loves spending as much time as possible with her family and her dog. Exercising at Orange Theory 4-5 times per week is very important to her.
Kelly Schoonover is a Licensed Clinical Mental Health Counselor and Master Licensed Alcohol & Drug Counselor in New Hampshire who has been practicing since 2017. She received her Master's Degree in Clinical Mental Health Counseling from the University at Albany, SUNY. Kelly has more than seven years of professional experience working with adults with diverse needs. She makes sure to use a person-centered approach with the clientele she works with, as no single approach works for all. Kelly loves spending as much time as possible with her family and her dog. Exercising at Orange Theory 4-5 times per week is very important to her.
(603) 697-7312 View (603) 697-7312
Photo of Michele Waldron - Sexual Health and Healing LLC, PsyD, LADC-I, CSCT, Psychologist
Sexual Health and Healing LLC
Psychologist, PsyD, LADC-I, CSCT
Verified Verified
1 Endorsed
Manchester, NH 03102  (Online Only)
We offer a sex positive approach to helping people with many sexual and relationship issues. We provide services for those with sexual dysfunction (problems with desire, arousal, orgasm, pain) and sexual compulsivity/infidelity. We utilize a trauma lens and support the relationship structure it may exist in. We support issues related desire, arousal, and orgasm. We help couples with desire discrepancies. Our clinicians use evidence-based approaches to offer guidance and education. They are kind, compassionate, empathic, and use humor to build a connection with you so they can walk beside you on your path.
We offer a sex positive approach to helping people with many sexual and relationship issues. We provide services for those with sexual dysfunction (problems with desire, arousal, orgasm, pain) and sexual compulsivity/infidelity. We utilize a trauma lens and support the relationship structure it may exist in. We support issues related desire, arousal, and orgasm. We help couples with desire discrepancies. Our clinicians use evidence-based approaches to offer guidance and education. They are kind, compassionate, empathic, and use humor to build a connection with you so they can walk beside you on your path.
(781) 676-3468 View (781) 676-3468
Photo of Heather D Ramm, MA, LCMHC, Counselor
Heather D Ramm
Counselor, MA, LCMHC
Verified Verified
1 Endorsed
Manchester, NH 03102
Not accepting new clients
Do you feel lonely, confused, self conscious, or depressed? Are you struggling with how you look and feel about yourself? I work with pre-teens through adults who struggle with eating disorders, depression, anxiety, or life changes to help them think differently.
Do you feel lonely, confused, self conscious, or depressed? Are you struggling with how you look and feel about yourself? I work with pre-teens through adults who struggle with eating disorders, depression, anxiety, or life changes to help them think differently.
(603) 769-1464 View (603) 769-1464
Photo of Tyler James Bristol, MA, LCMHC, Counselor
Tyler James Bristol
Counselor, MA, LCMHC
Verified Verified
Manchester, NH 03102
As a licensed therapist I offer counseling and consultation services to individuals, couples and families using primarily Cognitive Behavioral, Dialectical Behavioral, and Solution Focused techniques in addition to integrating techniques from other treatment modalities in order to provide a comprehensive treatment experience. My treatment approach is to provide support and practical feedback to help clients resolve current problems and long-standing patterns.
As a licensed therapist I offer counseling and consultation services to individuals, couples and families using primarily Cognitive Behavioral, Dialectical Behavioral, and Solution Focused techniques in addition to integrating techniques from other treatment modalities in order to provide a comprehensive treatment experience. My treatment approach is to provide support and practical feedback to help clients resolve current problems and long-standing patterns.
(603) 941-4789 View (603) 941-4789
Photo of Jessica Bennett, LCMHC, LADC, Drug & Alcohol Counselor
Jessica Bennett
Drug & Alcohol Counselor, LCMHC, LADC
Verified Verified
Manchester, NH 03102
I am a Licensed Clinical Mental Health Counselor as well as a Licensed Alcohol and Drug Counselor with over 11 years of experience working with individuals, families, and couples. I have a passion for helping people of all ages learn to manage their day to day stressors. Through the use of Cognitive Behavioral Therapy (CBT) and Motivational Interviewing my clients learn appropriate coping skills. I provide a safe environment free of judgment while also fostering a therapeutic relationship with my clients.
I am a Licensed Clinical Mental Health Counselor as well as a Licensed Alcohol and Drug Counselor with over 11 years of experience working with individuals, families, and couples. I have a passion for helping people of all ages learn to manage their day to day stressors. Through the use of Cognitive Behavioral Therapy (CBT) and Motivational Interviewing my clients learn appropriate coping skills. I provide a safe environment free of judgment while also fostering a therapeutic relationship with my clients.
(978) 883-3021 View (978) 883-3021
Photo of Matthew Kobs, PsyD
Matthew Kobs
PsyD
Verified Verified
Manchester, NH 03102
Everyone has a story to tell, a thread that consciously or unconsciously guides his or her behavior, wants, and motivations. In my practice, I try to help people who have become unhappy with their current pattern of living and have begun to think about building a clearer understanding of who they are and who they feel they would like to "be." I work to build a mutual appreciation for each other's story. Having received extensive training in Cognitive Behavioral and Analytical Theory, I am able to provide an eclectic approach to working with a wide variety of clients' needs.
Everyone has a story to tell, a thread that consciously or unconsciously guides his or her behavior, wants, and motivations. In my practice, I try to help people who have become unhappy with their current pattern of living and have begun to think about building a clearer understanding of who they are and who they feel they would like to "be." I work to build a mutual appreciation for each other's story. Having received extensive training in Cognitive Behavioral and Analytical Theory, I am able to provide an eclectic approach to working with a wide variety of clients' needs.
(855) 805-4668 View (855) 805-4668
Photo of Luke F Gagne - Luke Gagne Counseling &Life Coach, LCMHC, MLADC, BCC, CEAP, Counselor
Luke Gagne Counseling &Life Coach
Counselor, LCMHC, MLADC, BCC, CEAP
Verified Verified
Manchester, NH 03102
I provide counseling and coaching to those whose vision of their life purpose and direction has been blurred by self medicating painful experiences with alcohol and drugs, a DUI, overwhelming stress in their relationship or job, an episode of depression or anxiety, or the loss of a loved one. These are common issues and challenges that clients struggle with on their journey to live meaningful and satisfying lives. I have been privileged to assist clients in their journey As they regain awareness one day at a time of their life's purpose and direction.
I provide counseling and coaching to those whose vision of their life purpose and direction has been blurred by self medicating painful experiences with alcohol and drugs, a DUI, overwhelming stress in their relationship or job, an episode of depression or anxiety, or the loss of a loved one. These are common issues and challenges that clients struggle with on their journey to live meaningful and satisfying lives. I have been privileged to assist clients in their journey As they regain awareness one day at a time of their life's purpose and direction.
(734) 336-7450 View (734) 336-7450
Photo of Patricia Ann Fennelly, PhD, SEP, Psychologist
Patricia Ann Fennelly
Psychologist, PhD, SEP
Verified Verified
Manchester, NH 03102
Not accepting new clients
I truly love what I do for a living. I am grateful and honored to be trusted to help people emotionally work through difficult times from the past and challenges in the present. I enjoy working with a wide variety of clients, especially those who are open to learning new ways of seeing themselves and their relationships. Each client is unique and complex bringing multiple concerns. I am most effective treating anxiety, fears, psychological trauma, low self-esteem, trouble communicating, perfectionism and emotional exhaustion. Ideally, you also have a sense of humor. :)
I truly love what I do for a living. I am grateful and honored to be trusted to help people emotionally work through difficult times from the past and challenges in the present. I enjoy working with a wide variety of clients, especially those who are open to learning new ways of seeing themselves and their relationships. Each client is unique and complex bringing multiple concerns. I am most effective treating anxiety, fears, psychological trauma, low self-esteem, trouble communicating, perfectionism and emotional exhaustion. Ideally, you also have a sense of humor. :)
(603) 782-0998 View (603) 782-0998
Photo of James Foster - James Foster & Assoc. Counseling NH, LICSW, Counselor
James Foster & Assoc. Counseling NH
Counselor, LICSW
Verified Verified
Manchester, NH 03102
Not accepting New Clients at this time. At James Foster & Associates, we understand that seeking counseling is an important decision to make. Our goal is to provide clients with a safe, comfortable and private setting to address those areas that are causing them pain, discomfort or unhappiness. Clinicians provide treatment in areas of depression, anxiety, domestic violence, anger management, marriage, parenting, drug and alcohol and trauma. We welcome you to visit COUNSELINGNH.COM and this profile's homepage for information about TREATMENTS available for your particular concern and the SIGNS and SYMPTOMS you may be experiencing.
Not accepting New Clients at this time. At James Foster & Associates, we understand that seeking counseling is an important decision to make. Our goal is to provide clients with a safe, comfortable and private setting to address those areas that are causing them pain, discomfort or unhappiness. Clinicians provide treatment in areas of depression, anxiety, domestic violence, anger management, marriage, parenting, drug and alcohol and trauma. We welcome you to visit COUNSELINGNH.COM and this profile's homepage for information about TREATMENTS available for your particular concern and the SIGNS and SYMPTOMS you may be experiencing.
(603) 446-6055 View (603) 446-6055
Photo of Janet Curcio Wilson, MEd, ATR, Art Therapist
Janet Curcio Wilson
Art Therapist, MEd, ATR
Verified Verified
Manchester, NH 03102
ADHD? Anxiety/Depression? Autism? Learning Problems? We have 40 years experience in Special Education as a Teacher, Administrator and Art Therapist and Mindfulness/Hypnosis. Services: 1. Our Education Advocacy mediates IEP and 504 meetings to help you get the services you need to help your child do better in school. 2. Brain Retraining to permanently rewire your or your child's ADD/HD brain using EEG Neurofeedback. This is extremely effective and has been researched by Tufts University School of Medicine. 3. We teach Mindfulness and Meditation to help individuals ages 3 to 103.
ADHD? Anxiety/Depression? Autism? Learning Problems? We have 40 years experience in Special Education as a Teacher, Administrator and Art Therapist and Mindfulness/Hypnosis. Services: 1. Our Education Advocacy mediates IEP and 504 meetings to help you get the services you need to help your child do better in school. 2. Brain Retraining to permanently rewire your or your child's ADD/HD brain using EEG Neurofeedback. This is extremely effective and has been researched by Tufts University School of Medicine. 3. We teach Mindfulness and Meditation to help individuals ages 3 to 103.
(603) 945-8626 View (603) 945-8626
Photo of Nancy Foster Counselingnh, MS, LCMHC, Counselor
Nancy Foster Counselingnh
Counselor, MS, LCMHC
Verified Verified
Manchester, NH 03102  (Online Only)
Not accepting new clients at this time. I provide compassionate, supportive and caring counseling treating depression, anxiety and trauma for adults. I understand and appreciate how difficult the decision can be to seek counseling services. My first goal is to help you to feel welcomed, comfortable and safe. I will work with you from a place of respect and trust that allows for self exploration and growth. We will work to process the issues, gain perspective and work toward helpful solutions . Contact my office or visit website and request an appointment. I look forward to meeting with you.
Not accepting new clients at this time. I provide compassionate, supportive and caring counseling treating depression, anxiety and trauma for adults. I understand and appreciate how difficult the decision can be to seek counseling services. My first goal is to help you to feel welcomed, comfortable and safe. I will work with you from a place of respect and trust that allows for self exploration and growth. We will work to process the issues, gain perspective and work toward helpful solutions . Contact my office or visit website and request an appointment. I look forward to meeting with you.
(603) 819-4898 View (603) 819-4898
1

See more therapy options for 03102

How does your Therapist compare?

Number of Therapists in 03102

40+

Average cost per session

$130

Therapists in 03102 who prioritize treating:

91% Anxiety
89% Depression
70% Trauma and PTSD
70% Coping Skills
68% Relationship Issues
64% Grief
57% Stress

Average years in practice

14 Years

Top 3 insurances accepted

79% BlueCross and BlueShield
72% Cigna and Evernorth
72% Anthem | Elevance

How Therapists in 03102 see their clients

77% In Person and Online
23% Online Only

Gender breakdown

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

How can I find a therapist in 03102?

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.