Photo of Nancy Miller, MA, LMHC, Counselor
Nancy Miller
Counselor, MA, LMHC
Verified Verified
1 Endorsed
I work with adults and adolescents, assisting them in developing coping skills for issues such as anxiety, depression, self-esteem, trauma, grief, body image and relationship issues.
I work with adults and adolescents, assisting them in developing coping skills for issues such as anxiety, depression, self-esteem, trauma, grief, body image and relationship issues.
(904) 204-2436 View (904) 204-2436
Photo of Katherine Daly Flechaus, LCSW, Clinical Social Work/Therapist
Katherine Daly Flechaus
Clinical Social Work/Therapist, LCSW
Verified Verified
1 Endorsed
Saint Augustine, FL 32095  (Online Only)
Hello and thank you for viewing my profile. I am a Licensed Clinical Social Worker and have worked in counseling, personal development, and the health coaching field for 27 years. My work with you will be a collaborative, strength-based model of care that emphasizes the whole-person approach to mental wellness which focuses on dignity, respect, sensitivity, and choice.
Hello and thank you for viewing my profile. I am a Licensed Clinical Social Worker and have worked in counseling, personal development, and the health coaching field for 27 years. My work with you will be a collaborative, strength-based model of care that emphasizes the whole-person approach to mental wellness which focuses on dignity, respect, sensitivity, and choice.
(904) 875-0783 View (904) 875-0783
Photo of Susan Capitano, MS, LMHC, Counselor
Susan Capitano
Counselor, MS, LMHC
Verified Verified
4 Endorsed
Many times we are our own worst critic. Did you know that we have 60,000 thoughts a day, and most of them are negative and the majority of them are the same ones we had yesterday. Let me help you silence that critic in you, and teach you how to talk more nicely to yourself. It all starts with your thoughts, and once you change those, you change your entire life. Through personal experience and education, I have learned how to journey with others as they mange this thing we call "Life". I would consider it an honor to journey with you today!
Many times we are our own worst critic. Did you know that we have 60,000 thoughts a day, and most of them are negative and the majority of them are the same ones we had yesterday. Let me help you silence that critic in you, and teach you how to talk more nicely to yourself. It all starts with your thoughts, and once you change those, you change your entire life. Through personal experience and education, I have learned how to journey with others as they mange this thing we call "Life". I would consider it an honor to journey with you today!
(904) 606-9085 View (904) 606-9085
Photo of Sabrina Connelly, LMHC, CST, Counselor
Sabrina Connelly
Counselor, LMHC, CST
Verified Verified
Connection is hard. It requires a level of vulnerability that opens us up to the very pain we’ve been trying to avoid. Connection however, is vital to every person’s emotional, sexual, and mental well-being. We can’t understand ourselves or feel close to others without it. As a Licensed Mental Health Counselor and Certified Sex Therapist, I offer a safe, honest, and affirming environment where you can feel comfortable exploring whatever holds you back from connecting with yourself and others.
Connection is hard. It requires a level of vulnerability that opens us up to the very pain we’ve been trying to avoid. Connection however, is vital to every person’s emotional, sexual, and mental well-being. We can’t understand ourselves or feel close to others without it. As a Licensed Mental Health Counselor and Certified Sex Therapist, I offer a safe, honest, and affirming environment where you can feel comfortable exploring whatever holds you back from connecting with yourself and others.
(904) 593-2838 View (904) 593-2838
Photo of Nicole Ramos, LCSW, Clinical Social Work/Therapist
Nicole Ramos
Clinical Social Work/Therapist, LCSW
Verified Verified
1 Endorsed
Saint Augustine, FL 32095  (Online Only)
In life we finds ourselves in different seasons. Whether this is a season where you find yourself amidst transitions/life changes, feeling anxious, depressed, not feeling valued, coping with chronic pain, stress, or past traumas; you might desire to bring this season to a close or weather the storm with support until it passes.
In life we finds ourselves in different seasons. Whether this is a season where you find yourself amidst transitions/life changes, feeling anxious, depressed, not feeling valued, coping with chronic pain, stress, or past traumas; you might desire to bring this season to a close or weather the storm with support until it passes.
(904) 709-7569 View (904) 709-7569
Photo of Logan Sincavage-Cooper, LMHC, Counselor
Logan Sincavage-Cooper
Counselor, LMHC
Verified Verified
1 Endorsed
Saint Augustine, FL 32095  (Online Only)
If you are reading this you have already taken the first step on a courageous journey & I am proud of you. NO, you are not "too broken", "too damaged", "too f***ed up." Up until this point you have done the best you could with what you knew to do. It's time to stop punishing yourself for how you survived. If you need someone to believe in you & make you feel less alone in the world, you have found the right person. If you find yourself asking "what do I do now?" regarding healing, I am happy to help you find the way. It's never too late for you to make your future look completely different than your past. You are not unworthy.
If you are reading this you have already taken the first step on a courageous journey & I am proud of you. NO, you are not "too broken", "too damaged", "too f***ed up." Up until this point you have done the best you could with what you knew to do. It's time to stop punishing yourself for how you survived. If you need someone to believe in you & make you feel less alone in the world, you have found the right person. If you find yourself asking "what do I do now?" regarding healing, I am happy to help you find the way. It's never too late for you to make your future look completely different than your past. You are not unworthy.
(561) 220-2512 View (561) 220-2512
Photo of Samantha L Corley, RLMHCI, MA
Samantha L Corley
Registered Mental Health Counselor Intern, RLMHCI, MA
Verified Verified
Desiring to create something new yet feeling the weight of life’s burdens and brokenness? Whether it’s the pain of your past, broken pieces of relationships or fear that leaves you struggling in life there is a path to new growth where your life can begin to flourish. I believe that happens when you start to recognize your unhealthy behaviors and seek to find new ways of living. Meeting with a counselor can provide a place to find healing and develop healthy coping skills. Your environment plays an important role in that process. Counseling can offer a safe place to begin your journey towards new growth.
Desiring to create something new yet feeling the weight of life’s burdens and brokenness? Whether it’s the pain of your past, broken pieces of relationships or fear that leaves you struggling in life there is a path to new growth where your life can begin to flourish. I believe that happens when you start to recognize your unhealthy behaviors and seek to find new ways of living. Meeting with a counselor can provide a place to find healing and develop healthy coping skills. Your environment plays an important role in that process. Counseling can offer a safe place to begin your journey towards new growth.
(904) 209-9243 View (904) 209-9243
Photo of Sabrina Rensink, Marriage & Family Therapist Intern
Sabrina Rensink
Marriage & Family Therapist Intern
Verified Verified
1 Endorsed
After staying home with my children and helping my husband start an IT training business, I decided to pursue my passion for helping people by becoming a counselor. I completed a Bachelor of Science Degree in Psychology with an emphasis in Mental Health Counseling and a Master’s Degree in Clinical Mental Health Counseling with an emphasis in Marriage and Family Therapy, both from Colorado Christian University. If you’re struggling in life or your relationships, I would love to walk alongside you in your journey. I welcome you to come as you are and I will offer empathy and compassion. I look forward to working with you.
After staying home with my children and helping my husband start an IT training business, I decided to pursue my passion for helping people by becoming a counselor. I completed a Bachelor of Science Degree in Psychology with an emphasis in Mental Health Counseling and a Master’s Degree in Clinical Mental Health Counseling with an emphasis in Marriage and Family Therapy, both from Colorado Christian University. If you’re struggling in life or your relationships, I would love to walk alongside you in your journey. I welcome you to come as you are and I will offer empathy and compassion. I look forward to working with you.
(904) 842-3963 View (904) 842-3963
Photo of Vicki Glabb, MA, NCC, LPC, Counselor
Vicki Glabb
Counselor, MA, NCC, LPC
Verified Verified
Saint Augustine, FL 32095  (Online Only)
Not accepting new clients
Everyone deserves to be heard in a judgment-free zone, with warmth and understanding. I use a variety of modalities to enable my clients to reach their unique wants and needs. Among the issues that I provide counseling for are Depression, Anxiety, Panic Attacks, OCD, Trauma, Stress, Family Difficulties, Couples Therapy, Divorce, Military Life, and PTSD. I have experience working with adults of all ages, children, and families for over 20 years in a multitude of different settings. When necessary, clients will be helped to step outside of their comfort zone and explore new areas.
Everyone deserves to be heard in a judgment-free zone, with warmth and understanding. I use a variety of modalities to enable my clients to reach their unique wants and needs. Among the issues that I provide counseling for are Depression, Anxiety, Panic Attacks, OCD, Trauma, Stress, Family Difficulties, Couples Therapy, Divorce, Military Life, and PTSD. I have experience working with adults of all ages, children, and families for over 20 years in a multitude of different settings. When necessary, clients will be helped to step outside of their comfort zone and explore new areas.
(904) 709-7937 View (904) 709-7937
Photo of Jennifer Baker, MSSA, LISW-S, LCSW, Clinical Social Work/Therapist
Jennifer Baker
Clinical Social Work/Therapist, MSSA, LISW-S, LCSW
Verified Verified
Saint Augustine, FL 32095  (Online Only)
Hello, I’m Jennifer Baker, an early childhood mental health clinician specializing in how to foster positive relationships with young children, manage tough behaviors and support social-emotional growth and development. I have 20 plus years of experience working with young children and their families; 15 of it providing therapy to families of children under the age of 8. Together we can explore your family’s unique needs and talk about ways to achieve your goals through individual child and/or parent sessions. All my sessions are completed virtually and can be structured in a variety of ways to best fit what your family needs.
Hello, I’m Jennifer Baker, an early childhood mental health clinician specializing in how to foster positive relationships with young children, manage tough behaviors and support social-emotional growth and development. I have 20 plus years of experience working with young children and their families; 15 of it providing therapy to families of children under the age of 8. Together we can explore your family’s unique needs and talk about ways to achieve your goals through individual child and/or parent sessions. All my sessions are completed virtually and can be structured in a variety of ways to best fit what your family needs.
(440) 760-6508 View (440) 760-6508
Photo of Amy Ros, MS, LMHC, NCC, Counselor
Amy Ros
Counselor, MS, LMHC, NCC
Verified Verified
Saint Augustine, FL 32095  (Online Only)
WELCOME.... My practice is called Conversations with Amy... the reason is that I want our time together to feel like you are having a conversation with a close trusted friend. I always want my clients to feel seen and heard without judgment. I blend honesty, kindness, humor and lightheartedness to explore your "humanness" in a compassionate way... sometimes we have to laugh our way through our tears and pain... other time we may need to have someone just sit with us... every experience is different and valid.
WELCOME.... My practice is called Conversations with Amy... the reason is that I want our time together to feel like you are having a conversation with a close trusted friend. I always want my clients to feel seen and heard without judgment. I blend honesty, kindness, humor and lightheartedness to explore your "humanness" in a compassionate way... sometimes we have to laugh our way through our tears and pain... other time we may need to have someone just sit with us... every experience is different and valid.
(904) 560-8574 View (904) 560-8574
Photo of Stacie Sebastian, LMHC, MA, BC-TMH, Licensed Professional Counselor
Stacie Sebastian
Licensed Professional Counselor, LMHC, MA, BC-TMH
Verified Verified
Sorry, I am not accepting new clients at this time. With over 20 years of counseling experience, specializing in anxiety disorders, trauma, and depression, I understand the unique challenges individuals face when dealing with these conditions. I will offer you an individualized treatment, tailored to your specific needs, ensuring a personalized approach to your well-being. Utilizing techniques such as Cognitive-Behavioral Therapy, Dialectical Behavioral Therapy, and the Polyvagal Approach, I will provide you with comprehensive and effective solutions to help you overcome life's challenges.
Sorry, I am not accepting new clients at this time. With over 20 years of counseling experience, specializing in anxiety disorders, trauma, and depression, I understand the unique challenges individuals face when dealing with these conditions. I will offer you an individualized treatment, tailored to your specific needs, ensuring a personalized approach to your well-being. Utilizing techniques such as Cognitive-Behavioral Therapy, Dialectical Behavioral Therapy, and the Polyvagal Approach, I will provide you with comprehensive and effective solutions to help you overcome life's challenges.
(904) 560-5054 View (904) 560-5054
Photo of Amanda Payne, LMHC, NCC, CST, Counselor
Amanda Payne
Counselor, LMHC, NCC, CST
Verified Verified
5 Endorsed
Waitlist for new clients
I am a Licensed Mental Health Counselor and Certified Sex Therapist in Florida, and have worked in social services for over 20 years serving populations such as: at-risk youth, domestic violence survivors, couples, first responders, and veterans. In my private practice, I use mostly mindfulness and cognitive behavioral approaches including EMDR to treat Post Traumatic Stress, anxiety, sexual functioning, and relational problems. I am also a Certified Daring Way Facilitator. This is an intervention that aims to help people around concerns connected to vulnerability, shame, and courage.
I am a Licensed Mental Health Counselor and Certified Sex Therapist in Florida, and have worked in social services for over 20 years serving populations such as: at-risk youth, domestic violence survivors, couples, first responders, and veterans. In my private practice, I use mostly mindfulness and cognitive behavioral approaches including EMDR to treat Post Traumatic Stress, anxiety, sexual functioning, and relational problems. I am also a Certified Daring Way Facilitator. This is an intervention that aims to help people around concerns connected to vulnerability, shame, and courage.
(904) 474-5706 View (904) 474-5706
Photo of Arin Westpheling, MA, LMHC, Counselor
Arin Westpheling
Counselor, MA, LMHC
Verified Verified
Available appointments for early afternoons or mornings only at this time. Feeling stagnant, lacking purpose, enjoyment and fulfillment? Or maybe previous trauma or experiences are blocking you from success and happiness? I seek to help clients that are lacking connection, overall life dissatisfaction and belonging. Some of us might have negative core beliefs or life scripts that aren't helping us live the life we want. Focusing on your strengths and abilities, I help to unblock and uncover the life you want for yourself.
Available appointments for early afternoons or mornings only at this time. Feeling stagnant, lacking purpose, enjoyment and fulfillment? Or maybe previous trauma or experiences are blocking you from success and happiness? I seek to help clients that are lacking connection, overall life dissatisfaction and belonging. Some of us might have negative core beliefs or life scripts that aren't helping us live the life we want. Focusing on your strengths and abilities, I help to unblock and uncover the life you want for yourself.
(904) 265-7624 View (904) 265-7624
Photo of Heather Brinker, MS, LMHC, AAT-C, Counselor
Heather Brinker
Counselor, MS, LMHC, AAT-C
Verified Verified
1 Endorsed
Courage! The first step in seeking counseling is having the courage to ask for help. Hi, my name is Heather, and welcome! I specialize in supporting individuals with a current or past history of trauma or abuse, experiencing depression and/or anxiety, experiencing challenging relationship bonds, are in the midst of a life transition, or to learn effective healthy stress management skills. I am an integrative and experiential counselor meaning, I help clients utilizing techniques focused on healing the mind, body, and spirit through various modalities and experiences while based in a traditional counseling setting.
Courage! The first step in seeking counseling is having the courage to ask for help. Hi, my name is Heather, and welcome! I specialize in supporting individuals with a current or past history of trauma or abuse, experiencing depression and/or anxiety, experiencing challenging relationship bonds, are in the midst of a life transition, or to learn effective healthy stress management skills. I am an integrative and experiential counselor meaning, I help clients utilizing techniques focused on healing the mind, body, and spirit through various modalities and experiences while based in a traditional counseling setting.
(904) 906-3820 View (904) 906-3820
Photo of Michael James Brown, MSc, LMFT, Marriage & Family Therapist
Michael James Brown
Marriage & Family Therapist, MSc, LMFT
Verified Verified
Are you having relationship difficulties? Caught in a negative perspective of your partner and your relationship? Having difficulty managing conflict? Caught in gridlocked, perpetual conflict? Feeling lonely and isolated? In a relationship where one or both of you are in recovery from addiction? Concerned about the effects of addiction on your children or family? Having difficulty with child behavior or parent-child conflict? If yes, I would like to help you and have the knowledge, the training, and the skills to do so.
Are you having relationship difficulties? Caught in a negative perspective of your partner and your relationship? Having difficulty managing conflict? Caught in gridlocked, perpetual conflict? Feeling lonely and isolated? In a relationship where one or both of you are in recovery from addiction? Concerned about the effects of addiction on your children or family? Having difficulty with child behavior or parent-child conflict? If yes, I would like to help you and have the knowledge, the training, and the skills to do so.
(904) 574-4744 View (904) 574-4744
Photo of Rebecca McQuaig, MS, LMHC, MCAP, NCC, Counselor
Rebecca McQuaig
Counselor, MS, LMHC, MCAP, NCC
Verified Verified
1 Endorsed
Finding the right therapist is essential. I offer a safe and trusting environment where we can work together to explore what changes you would like to work towards and understand how your patterns developed over time. As a licensed mental health counselor, I hold certification as an addiction specialist (MCAP), with experience in both inpatient and outpatient settings. I have also achieved recognition as a National Certified Counselor (NCC).
Finding the right therapist is essential. I offer a safe and trusting environment where we can work together to explore what changes you would like to work towards and understand how your patterns developed over time. As a licensed mental health counselor, I hold certification as an addiction specialist (MCAP), with experience in both inpatient and outpatient settings. I have also achieved recognition as a National Certified Counselor (NCC).
(904) 606-1519 View (904) 606-1519
Photo of Vicki Glabb (Telehealth Only), MA, LPC, Licensed Professional Counselor
Vicki Glabb (Telehealth Only)
Licensed Professional Counselor, MA, LPC
Verified Verified
Saint Augustine, FL 32095  (Online Only)
Vicki is proud to offer Telehealth services at Reigle Therapeutics Group to meet your every day needs! Psychotherapeutic support to Adults, Adolescents, and Children in individual, couples, or family settings... Psychotherapeutic support to First Responder, Military, and Healthcare Workers trying to manage the personal and and professional impacts of the work they do.
Vicki is proud to offer Telehealth services at Reigle Therapeutics Group to meet your every day needs! Psychotherapeutic support to Adults, Adolescents, and Children in individual, couples, or family settings... Psychotherapeutic support to First Responder, Military, and Healthcare Workers trying to manage the personal and and professional impacts of the work they do.
(717) 265-9790 View (717) 265-9790
Photo of Natasha Turner, LCSW-S, Clinical Social Work/Therapist
Natasha Turner
Clinical Social Work/Therapist, LCSW-S
Verified Verified
4 Endorsed
Saint Augustine, FL 32095  (Online Only)
Do you find yourself struggling to find balance? Are you feeling overwhelmed or trying to navigate life transitions? You may be fed up with having a hard time making decisions for yourself, feeling stressed out, or be experiencing strained relationships with partners, family members, or friends. You might not even remember a time it didn’t feel this way. But one thing is for sure: you’re ready for some relief. You’re ready to find joy in the day-to-day again. You’re ready to enjoy deep relationships without your past getting in the way. Most of all, you’re ready to love yourself again and to face your future with a sense of hope.
Do you find yourself struggling to find balance? Are you feeling overwhelmed or trying to navigate life transitions? You may be fed up with having a hard time making decisions for yourself, feeling stressed out, or be experiencing strained relationships with partners, family members, or friends. You might not even remember a time it didn’t feel this way. But one thing is for sure: you’re ready for some relief. You’re ready to find joy in the day-to-day again. You’re ready to enjoy deep relationships without your past getting in the way. Most of all, you’re ready to love yourself again and to face your future with a sense of hope.
(817) 784-7599 View (817) 784-7599
Photo of Deborah K Schueren, LCSW, CSAC, TF-CBT, Clinical Social Work/Therapist
Deborah K Schueren
Clinical Social Work/Therapist, LCSW, CSAC, TF-CBT
Verified Verified
1 Endorsed
Saint Augustine, FL 32095  (Online Only)
Not accepting new clients
We're all trying to get through life....and we weren't meant to navigate it alone. Sometimes we just need an ear, a shoulder, or someone to even hold up the proverbial roadmap and walk alongside us to keep it moving forward. Life carries us through many seasons, often resulting in confusion, chaos, anxiety, depression, illness, grief, and traumatic events. Sometimes they happen as children and young adults, resulting in "stuff" we carry into our adulthood; this has an enormous impact on the quality of our lives. The good news is, there's help! You don't have to suffer alone and in silence.
We're all trying to get through life....and we weren't meant to navigate it alone. Sometimes we just need an ear, a shoulder, or someone to even hold up the proverbial roadmap and walk alongside us to keep it moving forward. Life carries us through many seasons, often resulting in confusion, chaos, anxiety, depression, illness, grief, and traumatic events. Sometimes they happen as children and young adults, resulting in "stuff" we carry into our adulthood; this has an enormous impact on the quality of our lives. The good news is, there's help! You don't have to suffer alone and in silence.
(757) 829-7057 View (757) 829-7057
1

How does your Therapist compare?

Number of Therapists in 32095

30+

Average cost per session

$127

Therapists in 32095 who prioritize treating:

90% Anxiety
85% Depression
79% Coping Skills
77% Self Esteem
77% Stress
74% Relationship Issues
72% Trauma and PTSD

Average years in practice

12 Years

Top 3 insurances accepted

78% Aetna
74% UnitedHealthcare UHC | UBH
59% Cigna and Evernorth

How Therapists in 32095 see their clients

67% In Person and Online
33% Online Only

Gender breakdown

89% Female
11% Male
FAQs - About Therapy and Counseling

How can I find a therapist in 32095?

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.