Photo of Karen D Cooper-Haber, PhD, LMFT, Marriage & Family Therapist
Karen D Cooper-Haber
Marriage & Family Therapist, PhD, LMFT
Verified Verified
1 Endorsed
Columbia, SC 29204
After working with adolescents in various settings in my early career, I recognized the need to utilize the family and other support systems to affect more powerful and lasting change. I worked in several school settings where I developed systemic interventions that included family therapy, community outreach and service. I linked with the programs and universities training masters and PhD level clinicians in MFT. Upon retirement from the schools, I have continued seeing clients in private practice, where I now work with a diverse group of dedicated, energetic clinicians with shared commitment to positive outcomes.
After working with adolescents in various settings in my early career, I recognized the need to utilize the family and other support systems to affect more powerful and lasting change. I worked in several school settings where I developed systemic interventions that included family therapy, community outreach and service. I linked with the programs and universities training masters and PhD level clinicians in MFT. Upon retirement from the schools, I have continued seeing clients in private practice, where I now work with a diverse group of dedicated, energetic clinicians with shared commitment to positive outcomes.
(803) 828-0299 View (803) 828-0299
Photo of Pam Litchford - Pam Litchford Counseling, MA, LPC, Licensed Professional Counselor
Pam Litchford Counseling
Licensed Professional Counselor, MA, LPC
Verified Verified
2 Endorsed
Columbia, SC 29204
If you are a woman dealing with all the stressors we are faced with, I can help. Please go to my website for everything you need to know! www.pamlitchfordcounseling.com (Please do not email through the Psychology Today link.)
If you are a woman dealing with all the stressors we are faced with, I can help. Please go to my website for everything you need to know! www.pamlitchfordcounseling.com (Please do not email through the Psychology Today link.)
View
Photo of Shaka Abdul Moustafa-I, PhD, LPC, Licensed Professional Counselor
Shaka Abdul Moustafa-I
Licensed Professional Counselor, PhD, LPC
Verified Verified
Columbia, SC 29204
We are now accepting new patients at Turning Point Behavioral Health Services and Suboxone Clinic! Our primary objectives are to provide service delivery across disciplines via PSYCHIATRY, PSYCHOLOGY, OPIOID ADDICTION and PROFESSIONAL COUNSELING. We do so as an effort to to ensure that our patients regain the fullest extent of their remaining abilities to participate in their own lives and the lives of those that matters most to them. Therefore interdisciplinary teamwork is emphasized throughout all of our service delivery areas. Please let us help you?.
We are now accepting new patients at Turning Point Behavioral Health Services and Suboxone Clinic! Our primary objectives are to provide service delivery across disciplines via PSYCHIATRY, PSYCHOLOGY, OPIOID ADDICTION and PROFESSIONAL COUNSELING. We do so as an effort to to ensure that our patients regain the fullest extent of their remaining abilities to participate in their own lives and the lives of those that matters most to them. Therefore interdisciplinary teamwork is emphasized throughout all of our service delivery areas. Please let us help you?.
(803) 291-5378 View (803) 291-5378
Photo of Larissa Trapp, MMFT, LMFT-A, Marriage & Family Therapist Associate
Larissa Trapp
Marriage & Family Therapist Associate, MMFT, LMFT-A
Verified Verified
Columbia, SC 29204
I work with individuals, couples and families to reach goals that benefits the individual and family unit. I believe that everyone has the ability to attain those goals. I utilize Solution Focused and Narrative Therapy approaches. My goal is to help people be more successful in their interpersonal relationships.
I work with individuals, couples and families to reach goals that benefits the individual and family unit. I believe that everyone has the ability to attain those goals. I utilize Solution Focused and Narrative Therapy approaches. My goal is to help people be more successful in their interpersonal relationships.
(803) 918-6822 View (803) 918-6822
Photo of Victoria Frierson, MA, NCC, LPC, Licensed Professional Counselor
Victoria Frierson
Licensed Professional Counselor, MA, NCC, LPC
Verified Verified
1 Endorsed
Columbia, SC 29204
Not accepting new clients
Life is difficult and requires constant change, adjustment, and resilience. We need support at times. I am passionate about joining you in your journey to healing in spite of everything happening around you. By providing a safe space and therapeutic relationship I hope to be with you as you process your story, understand yourself in light of the pieces of your life, and identify a plan to restore health and hope. When we are unwell, it touches every part of our lives. I see therapy as an opportunity to build awareness of yourself, connect with what is happening internally in the presence of another, and begin implementing change.
Life is difficult and requires constant change, adjustment, and resilience. We need support at times. I am passionate about joining you in your journey to healing in spite of everything happening around you. By providing a safe space and therapeutic relationship I hope to be with you as you process your story, understand yourself in light of the pieces of your life, and identify a plan to restore health and hope. When we are unwell, it touches every part of our lives. I see therapy as an opportunity to build awareness of yourself, connect with what is happening internally in the presence of another, and begin implementing change.
(803) 921-0065 View (803) 921-0065
Photo of Tabatha Walker, EdS, LPC, Licensed Professional Counselor
Tabatha Walker
Licensed Professional Counselor, EdS, LPC
Verified Verified
Columbia, SC 29204
Through much of my life, I struggled to find a counselor who "spoke my language" or who seemed to understand my perspective. Today, I strive to be the therapist I never had by seeking to fully understand you and your story. I seek to offer presence, empathy, and personal investment while helping you reach your therapeutic goals. Therapy has taught me to question damaging beliefs I once held as truth, to understand and practice acceptance, and to cultivate skills that allow me to live life to the fullest. You are more than your past or your pain. I hope to provide a nonjudgmental and supportive environment for you and/or your family.
Through much of my life, I struggled to find a counselor who "spoke my language" or who seemed to understand my perspective. Today, I strive to be the therapist I never had by seeking to fully understand you and your story. I seek to offer presence, empathy, and personal investment while helping you reach your therapeutic goals. Therapy has taught me to question damaging beliefs I once held as truth, to understand and practice acceptance, and to cultivate skills that allow me to live life to the fullest. You are more than your past or your pain. I hope to provide a nonjudgmental and supportive environment for you and/or your family.
(803) 919-1597 View (803) 919-1597
Photo of Stacy Walden, MA, LPC, Licensed Professional Counselor
Stacy Walden
Licensed Professional Counselor, MA, LPC
Verified Verified
Columbia, SC 29204
Everyone of us has a story that is filled with beauty and hurt. How do we hold the hope and pain of our own lives? How do we navigate the distress, desire, ambivalence that lives in us and in our relationships? How can we lead our anxiety rather than it leading us? How can we engage emotions in ways that bring healing and foster connection with self and others? It's my desire to join clients in understanding their own story - past, present, and future - to identify the places in which hope has been shattered, how it has been sought, and consider the way of restoration.
Everyone of us has a story that is filled with beauty and hurt. How do we hold the hope and pain of our own lives? How do we navigate the distress, desire, ambivalence that lives in us and in our relationships? How can we lead our anxiety rather than it leading us? How can we engage emotions in ways that bring healing and foster connection with self and others? It's my desire to join clients in understanding their own story - past, present, and future - to identify the places in which hope has been shattered, how it has been sought, and consider the way of restoration.
(803) 805-4463 View (803) 805-4463
Photo of Samantha Wolfer, MA, LPC, NCC, Licensed Professional Counselor
Samantha Wolfer
Licensed Professional Counselor, MA, LPC, NCC
Verified Verified
1 Endorsed
Columbia, SC 29204
Do you find yourself weighed down by the thoughts in your head? Do you keep saying yes when you really want to say no? Do you find it hard to speak up for yourself or ask for what you need? Feeling disconnected from yourself and others? Have you had a lifelong bad relationship with your body? Let me come alongside you and help you navigate the sometimes choppy waters of life. If you're looking for a new way of being in the world, with yourself and others, I'd love to help. I enjoy working with individuals and couples dealing with anxiety, panic, depression, trauma, body image/food issues, and relationship conflict.
Do you find yourself weighed down by the thoughts in your head? Do you keep saying yes when you really want to say no? Do you find it hard to speak up for yourself or ask for what you need? Feeling disconnected from yourself and others? Have you had a lifelong bad relationship with your body? Let me come alongside you and help you navigate the sometimes choppy waters of life. If you're looking for a new way of being in the world, with yourself and others, I'd love to help. I enjoy working with individuals and couples dealing with anxiety, panic, depression, trauma, body image/food issues, and relationship conflict.
(803) 310-2365 View (803) 310-2365
Photo of Kelly Horwood - This Full Life Counseling, LPC, Counselor
This Full Life Counseling
Counselor, LPC
Verified Verified
3 Endorsed
Columbia, SC 29204
On the outside people see you as "put together" because you're gritty and tough even when you don't feel it. Yet inside its impossible to narrow down your symptoms to one category because you feel ALL of the things, maybe even all at the same time. Confusion, stress, pain, heartbreak, fear, loneliness, sadness and anger are your normal. Because when you've experienced hard, difficult things in your life, those feelings ARE normal. You're tired of "faking" being ok as life has become overwhelming. When was the last time you felt confident and present, able to be ENOUGH for yourself and others? Maybe its time to feel that again.
On the outside people see you as "put together" because you're gritty and tough even when you don't feel it. Yet inside its impossible to narrow down your symptoms to one category because you feel ALL of the things, maybe even all at the same time. Confusion, stress, pain, heartbreak, fear, loneliness, sadness and anger are your normal. Because when you've experienced hard, difficult things in your life, those feelings ARE normal. You're tired of "faking" being ok as life has become overwhelming. When was the last time you felt confident and present, able to be ENOUGH for yourself and others? Maybe its time to feel that again.
(803) 991-4907 View (803) 991-4907
Photo of Helen H Kluiters, LISW-CP, Clinical Social Work/Therapist
Helen H Kluiters
Clinical Social Work/Therapist, LISW-CP
Verified Verified
Columbia, SC 29204
I help adult individuals to better manage emotional issues that are causing conflict and concern. I will collaborate with you to help you to find solutions and to become more confident, peaceful, and satisfied in all areas of your life. I am committed to providing non-judgmental, compassionate, and professional services to all clients.
I help adult individuals to better manage emotional issues that are causing conflict and concern. I will collaborate with you to help you to find solutions and to become more confident, peaceful, and satisfied in all areas of your life. I am committed to providing non-judgmental, compassionate, and professional services to all clients.
(803) 219-8522 View (803) 219-8522
Photo of Jessica Fox - Jessica Fox - (re)flourish counseling, MA, LPC, Licensed Professional Counselor
Jessica Fox - (re)flourish counseling
Licensed Professional Counselor, MA, LPC
Verified Verified
1 Endorsed
Columbia, SC 29204
I help women and children who just haven’t felt like themselves lately; fatigued, moody, anxious, stressed. You used to feel like you were thriving in life, and then depression or anxiety crept in. You look back and wonder what changed and are unsure how to get back to feeling like your best self, or just YOU again. Or maybe it's your "once-so-sweet" child who is acting out or fearful and stressed all the time. Problems in school, lack of focus, and behavioral changes can all be part of stress, depression, or anxiety - not your parenting! Through supportive counseling, we can help you or your child RE-flourish in life.
I help women and children who just haven’t felt like themselves lately; fatigued, moody, anxious, stressed. You used to feel like you were thriving in life, and then depression or anxiety crept in. You look back and wonder what changed and are unsure how to get back to feeling like your best self, or just YOU again. Or maybe it's your "once-so-sweet" child who is acting out or fearful and stressed all the time. Problems in school, lack of focus, and behavioral changes can all be part of stress, depression, or anxiety - not your parenting! Through supportive counseling, we can help you or your child RE-flourish in life.
(803) 310-2398 View (803) 310-2398
Photo of Carol Reyner Barnett, MEd, EdS, LISW, Clinical Social Work/Therapist
Carol Reyner Barnett
Clinical Social Work/Therapist, MEd, EdS, LISW
Verified Verified
Columbia, SC 29204
I have over 30 years of experience with helping people with depression,anxiety,family issues, grief and loss, and codependency. My approach is solution focused with an emphasis on body,mind, and spirit. I accept Blue Cross, Value Options, Tricare Standard, Military One, and Medicare. I am also an EAP provider for First Sun, Deer Oaks,Cascade Centers, and Value Options. Call me today for a 15 minute free phone consultation to see if my approach is right for you.
I have over 30 years of experience with helping people with depression,anxiety,family issues, grief and loss, and codependency. My approach is solution focused with an emphasis on body,mind, and spirit. I accept Blue Cross, Value Options, Tricare Standard, Military One, and Medicare. I am also an EAP provider for First Sun, Deer Oaks,Cascade Centers, and Value Options. Call me today for a 15 minute free phone consultation to see if my approach is right for you.
(803) 459-1003 View (803) 459-1003
Photo of Shenna Ganzy, MA, LPCS, HPT, LAC, BC-TMH, Licensed Professional Counselor
Shenna Ganzy
Licensed Professional Counselor, MA, LPCS, HPT, LAC, BC-TMH
Verified Verified
Columbia, SC 29204
As the CEO and Founder of She's Counseling, I understand people suffer from a wide variety of self-destructive behaviors and each person is unique with unique treatment needs. At She's Counseling, my mission is to find what works best for each individual and to treat everyone with respect and compassion. I am committed to working with individuals with emotional struggles whether by hair loss due to Trichotillomania, family issues, or stress. Also a Board Certified Tele-Mental Health Provider.
As the CEO and Founder of She's Counseling, I understand people suffer from a wide variety of self-destructive behaviors and each person is unique with unique treatment needs. At She's Counseling, my mission is to find what works best for each individual and to treat everyone with respect and compassion. I am committed to working with individuals with emotional struggles whether by hair loss due to Trichotillomania, family issues, or stress. Also a Board Certified Tele-Mental Health Provider.
(803) 546-3896 View (803) 546-3896
Photo of Chelsea Witherspoon, LPCA, NCC
Chelsea Witherspoon
Licensed Professional Counselor Associate, LPCA, NCC
Verified Verified
1 Endorsed
Columbia, SC 29204
Hey there ! If you are reading this you are in the right place. A judgment free zone, where me and you can take the journey of getting you to where you want to be. Sometimes life can become difficult and too much to bear. It's okay to need a listening ear and guidance on how to sort things out. That is where I come in . With years of experience in the counseling field I am equipped to offer a great therapeutic environment.
Hey there ! If you are reading this you are in the right place. A judgment free zone, where me and you can take the journey of getting you to where you want to be. Sometimes life can become difficult and too much to bear. It's okay to need a listening ear and guidance on how to sort things out. That is where I come in . With years of experience in the counseling field I am equipped to offer a great therapeutic environment.
(803) 525-0667 View (803) 525-0667
Photo of Karla Castro Briseno, EdS, LMFT, LMFTS, Marriage & Family Therapist
Karla Castro Briseno
Marriage & Family Therapist, EdS, LMFT, LMFTS
Verified Verified
Columbia, SC 29204
Human beings are not born with a manual in their hands about how to face life; we just do the best we can. We try, we have questions, we look for answers, for change. But we often feel frustrated, angry, sad, and often, don’t know why? We search for happiness, but often don’t know where to find it. This is not an easy road, but I believe that we are resilient and capable of finding answers.
Human beings are not born with a manual in their hands about how to face life; we just do the best we can. We try, we have questions, we look for answers, for change. But we often feel frustrated, angry, sad, and often, don’t know why? We search for happiness, but often don’t know where to find it. This is not an easy road, but I believe that we are resilient and capable of finding answers.
(803) 918-6904 View (803) 918-6904
Photo of Ruth Strait Ellis, LISW-CP, LMSW, Clinical Social Work/Therapist
Ruth Strait Ellis
Clinical Social Work/Therapist, LISW-CP, LMSW
Verified Verified
Columbia, SC 29204
Thank you for taking a moment to visit my profile! Take the time to visit other professional profiles to find what you believe to be a "good fit" for you or your loved one. My professional passion is to provide quality, confidential and meaningful direction in your quest to improve your situation. My focus is client centered and it assumes that you have what you need inside of you to heal your wounds and reach a place of balance and peace. We focus on the disruptive behaviors that detract us from enjoying a healthy, productive, and prosperous lifestyle.
Thank you for taking a moment to visit my profile! Take the time to visit other professional profiles to find what you believe to be a "good fit" for you or your loved one. My professional passion is to provide quality, confidential and meaningful direction in your quest to improve your situation. My focus is client centered and it assumes that you have what you need inside of you to heal your wounds and reach a place of balance and peace. We focus on the disruptive behaviors that detract us from enjoying a healthy, productive, and prosperous lifestyle.
(803) 676-1925 View (803) 676-1925
Photo of Mark Stoll, MEd, LPC, NCC, Licensed Professional Counselor
Mark Stoll
Licensed Professional Counselor, MEd, LPC, NCC
Verified Verified
Columbia, SC 29204
I understand how chronic anxiety and stress create unhappiness. When you're struggling with anxiety or depression and constantly being bullied by intrusive thoughts you can't truly enjoy life. When you're struggling with overwhelm and burnout you can't find meaning and purpose. If you want to develop new effective coping skills, this approach is ideal for you. You will be empowered to take control over the direction of your life and cultivate healthy ways to deal with thoughts and feelings. You'll develop some breathing room to better engage your day to day behaviors and live the pleasurable, purposeful life you deserve.
I understand how chronic anxiety and stress create unhappiness. When you're struggling with anxiety or depression and constantly being bullied by intrusive thoughts you can't truly enjoy life. When you're struggling with overwhelm and burnout you can't find meaning and purpose. If you want to develop new effective coping skills, this approach is ideal for you. You will be empowered to take control over the direction of your life and cultivate healthy ways to deal with thoughts and feelings. You'll develop some breathing room to better engage your day to day behaviors and live the pleasurable, purposeful life you deserve.
(803) 373-7121 View (803) 373-7121
Photo of Mandy Null, EdS, LPC, Licensed Professional Counselor
Mandy Null
Licensed Professional Counselor, EdS, LPC
Verified Verified
3 Endorsed
Columbia, SC 29204
Whatever situation brought you to this page, I am glad you are here. You may be dealing with relational conflict, overwhelmed by or avoiding certain thoughts and emotions, or repeating patterns in life that do not serve you. Change is uncomfortable and scary, but therapy can help you let go of the things that keep you stuck while at the same time allowing new things to come in. My role as your therapist is to guide you through and out of these difficult experiences so that you can enjoy the beautiful moments in life but also cope with its challenges.
Whatever situation brought you to this page, I am glad you are here. You may be dealing with relational conflict, overwhelmed by or avoiding certain thoughts and emotions, or repeating patterns in life that do not serve you. Change is uncomfortable and scary, but therapy can help you let go of the things that keep you stuck while at the same time allowing new things to come in. My role as your therapist is to guide you through and out of these difficult experiences so that you can enjoy the beautiful moments in life but also cope with its challenges.
(803) 991-4981 View (803) 991-4981
Photo of Angela G Bright, M Ed, LPC A, GCDF
Angela G Bright
Licensed Professional Counselor Associate, M Ed, LPC A, GCDF
Verified Verified
Columbia, SC 29204
Overwhelmed? Stressed? Angry? Reactionary? Trouble in relationships - personal, professional, intimate? Feeling down or frustrated too often? I am here to listen and together we can find solutions that work for you. My primary goal is to help you develop strategies and interventions to improve your life and overall well-being. My counseling style is open and interactive. I encourage you to express your concerns, identify and face your struggles, and develop effective techniques and strategies to manage life's obstacles.
Overwhelmed? Stressed? Angry? Reactionary? Trouble in relationships - personal, professional, intimate? Feeling down or frustrated too often? I am here to listen and together we can find solutions that work for you. My primary goal is to help you develop strategies and interventions to improve your life and overall well-being. My counseling style is open and interactive. I encourage you to express your concerns, identify and face your struggles, and develop effective techniques and strategies to manage life's obstacles.
(803) 902-7978 View (803) 902-7978
Photo of Katherine Herring, LPC, Licensed Professional Counselor
Katherine Herring
Licensed Professional Counselor, LPC
Verified Verified
Columbia, SC 29204
Waitlist for new clients
As your therapist, I hope to help you experience long lasting relief and healing. Through our work together, you will learn to develop a relationship with your thoughts and emotions rather than trying to control or push them away, how to change the way you cope with and handle stressors, and how to unpack how your life experiences, family dynamics, and relationships have affected your sense of self, emotional health and ability to feel as though you have choice in your life.
As your therapist, I hope to help you experience long lasting relief and healing. Through our work together, you will learn to develop a relationship with your thoughts and emotions rather than trying to control or push them away, how to change the way you cope with and handle stressors, and how to unpack how your life experiences, family dynamics, and relationships have affected your sense of self, emotional health and ability to feel as though you have choice in your life.
(803) 592-6063 View (803) 592-6063

How does your Therapist compare?

Number of Therapists in 29204

70+

Average cost per session

$130

Therapists in 29204 who prioritize treating:

96% Anxiety
92% Depression
81% Relationship Issues
81% Self Esteem
76% Coping Skills
75% Trauma and PTSD
75% Stress

Average years in practice

8 Years

Top 3 insurances accepted

76% BlueCross and BlueShield
62% Aetna
60% Cigna and Evernorth

How Therapists in 29204 see their clients

82% In Person and Online
18% Online Only

Gender breakdown

84% Female
14% Male
2% Non-Binary
FAQs - About Therapy and Counseling

How can I find a therapist in 29204?

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.