Therapists in Orcas, WA

Photo of James Michael Seehof, MS, LMFT, LCPC, Marriage & Family Therapist
James Michael Seehof
Marriage & Family Therapist, MS, LMFT, LCPC
Verified Verified
Orcas, WA 98280
James Michael Seehof attained a Masters Degree in Psychology and was a licensed psychotherapist with a private practice in Idaho for 15 years. He is now practicing in the state of Washington on Orcas Island at the Healing Arts Center in Eastsound. He is currently licensed as an LMFT in the state of Washington and an LCPC and LMFT in the state of Idaho. He is comfortable working with diverse clients and respects their individuality. He tailors his technique to the needs of his clients, comfortable listening and exploring as well as discussing strategies needed to create change or solidify boundaries.
James Michael Seehof attained a Masters Degree in Psychology and was a licensed psychotherapist with a private practice in Idaho for 15 years. He is now practicing in the state of Washington on Orcas Island at the Healing Arts Center in Eastsound. He is currently licensed as an LMFT in the state of Washington and an LCPC and LMFT in the state of Idaho. He is comfortable working with diverse clients and respects their individuality. He tailors his technique to the needs of his clients, comfortable listening and exploring as well as discussing strategies needed to create change or solidify boundaries.
(360) 506-6326 View (360) 506-6326
Photo of Danielle Trottier, MSW, LICSWA
Danielle Trottier
Social Worker Associate, MSW, LICSWA
Verified Verified
1 Endorsed
Orcas, WA 98280  (Online Only)
The journey to the life you want is well within your reach, and you don't have to navigate it alone. You can move beyond the challenge of figuring it out the hard way and finally start seeing the meaningful results you desire. I’m here to offer a fresh perspective to help you break free from the cycle of trial and error. Together we can forge a better way and develop a path forward that truly resonates with you. You can know the benefits of having a smoother relationship with yourself that extends to those around you. You can begin to see your relationships in a new light.
The journey to the life you want is well within your reach, and you don't have to navigate it alone. You can move beyond the challenge of figuring it out the hard way and finally start seeing the meaningful results you desire. I’m here to offer a fresh perspective to help you break free from the cycle of trial and error. Together we can forge a better way and develop a path forward that truly resonates with you. You can know the benefits of having a smoother relationship with yourself that extends to those around you. You can begin to see your relationships in a new light.
(509) 567-2504 View (509) 567-2504
Photo of Peg LeBlanc, MA, LMFT, C-DBT, Marriage & Family Therapist
Peg LeBlanc
Marriage & Family Therapist, MA, LMFT, C-DBT
Verified Verified
Orcas, WA 98280
If you need support to change a troubled relationship, a job or living situation, I can help you. If you have dreams or plans that you want help bringing about I can help with motivation and structure. People who can take action to seek help for difficulties feel better about themselves and move in the direction of greater happiness. I like to employ wisdom from many sources; Research based positive psychology, cognitive and dialectical behavioral therapy, mindfulness practices that restore emotional balance. I always seek to help you mobilize your own wisdom, sense of humor and courage.
If you need support to change a troubled relationship, a job or living situation, I can help you. If you have dreams or plans that you want help bringing about I can help with motivation and structure. People who can take action to seek help for difficulties feel better about themselves and move in the direction of greater happiness. I like to employ wisdom from many sources; Research based positive psychology, cognitive and dialectical behavioral therapy, mindfulness practices that restore emotional balance. I always seek to help you mobilize your own wisdom, sense of humor and courage.
(360) 226-7880 View (360) 226-7880
Photo of Michell Brockman, LMHC, Counselor
Michell Brockman
Counselor, LMHC
Verified Verified
1 Endorsed
Orcas, WA 98280  (Online Only)
Hello, I’m so glad you found your way here. My name is Michell and I am a neurodivergent therapist that understands the struggles of living in a world that has ​neuronormative expectations. I specialize in working with neurodivergent adults, those in the LGBTQIA community, people in kink and BDSM communities and those in poly relationships. I am a trauma-informed therapist and I enjoy using EMDR, parts work and somatic body-focused therapies in our work together to help you find healing and empowerment. I do telehealth only and I am not networked with any insurance but I can offer you a superbill to give to your insurance.
Hello, I’m so glad you found your way here. My name is Michell and I am a neurodivergent therapist that understands the struggles of living in a world that has ​neuronormative expectations. I specialize in working with neurodivergent adults, those in the LGBTQIA community, people in kink and BDSM communities and those in poly relationships. I am a trauma-informed therapist and I enjoy using EMDR, parts work and somatic body-focused therapies in our work together to help you find healing and empowerment. I do telehealth only and I am not networked with any insurance but I can offer you a superbill to give to your insurance.
View
Photo of Michael Franklin Elder, LMFT, CTTS, Marriage & Family Therapist
Michael Franklin Elder
Marriage & Family Therapist, LMFT, CTTS
Verified Verified
Orcas, WA 98280
(855) 642-1923 View (855) 642-1923

More Therapists Nearby

Photo of Hugh M. Grant, LICSW, Clinical Social Work/Therapist
Hugh M. Grant
Clinical Social Work/Therapist, LICSW
Verified Verified
Eastsound, WA 98245
Waitlist for new clients
I primarily use Internal Family System therapy with my clients, a non-pathologizing evidence-based model which helps a person access the life affirming qualities of their core self, and to bring that healing energy to the places inside that are tired and suffering. In addition, my work is informed by Somatic Experiencing, and I am trained in EMDR.
I primarily use Internal Family System therapy with my clients, a non-pathologizing evidence-based model which helps a person access the life affirming qualities of their core self, and to bring that healing energy to the places inside that are tired and suffering. In addition, my work is informed by Somatic Experiencing, and I am trained in EMDR.
(360) 209-7685 View (360) 209-7685
Photo of Rose Carmen Blair, MS, LMHC, Counselor
Rose Carmen Blair
Counselor, MS, LMHC
Verified Verified
Eastsound, WA 98245
As humans we are beautifully flawed. We all go through periods of instability, overwhelm, anxiety, depression, shame, and excessive stress, colored by our own unique life experiences. Sometimes we can manage on our own, and sometimes we need help. Perhaps you are feeling a sense of disconnect that is difficult to describe. Do you desire a sense of connection, healing, and empowerment? I am here to listen deeply, offer you some new tools, and introduce fresh perspectives.
As humans we are beautifully flawed. We all go through periods of instability, overwhelm, anxiety, depression, shame, and excessive stress, colored by our own unique life experiences. Sometimes we can manage on our own, and sometimes we need help. Perhaps you are feeling a sense of disconnect that is difficult to describe. Do you desire a sense of connection, healing, and empowerment? I am here to listen deeply, offer you some new tools, and introduce fresh perspectives.
(360) 234-3262 View (360) 234-3262
Photo of Maryann Syers - Maryann Syers, PhD, LLC, PhD, LICSW, Clinical Social Work/Therapist
Maryann Syers, PhD, LLC
Clinical Social Work/Therapist, PhD, LICSW
Verified Verified
1 Endorsed
Eastsound, WA 98245  (Online Only)
I am a licensed clinical social worker, consultant and educator with almost 30 years in private practice. Because the therapeutic relationship provides the primary component for healing, I seek to develop with my clients a safe relational space in which to explore the issues that bring them to therapy. The relationship serves not only as the backdrop, but also the vehicle for understanding one's internal world and learning new ways of thinking relating with others. Much of what troubles us stems not only from current external circumstances, but more importantly, from how we have learned to think about and cope with our experiences.
I am a licensed clinical social worker, consultant and educator with almost 30 years in private practice. Because the therapeutic relationship provides the primary component for healing, I seek to develop with my clients a safe relational space in which to explore the issues that bring them to therapy. The relationship serves not only as the backdrop, but also the vehicle for understanding one's internal world and learning new ways of thinking relating with others. Much of what troubles us stems not only from current external circumstances, but more importantly, from how we have learned to think about and cope with our experiences.
(360) 763-0787 View (360) 763-0787
Photo of Hannah Knapp, MA, LMHC, Counselor
Hannah Knapp
Counselor, MA, LMHC
Verified Verified
1 Endorsed
Eastsound, WA 98245
I have experience serving children, adolescents, and families in varied mental health settings. These have included working at an inpatient behavioral health hospital, supporting adults & youth with eating disorders, and providing individualized therapy in my private practice. Amongst a long list of various jobs, I also have lived experience with an eating disorder, as a full spectrum doula, and as a caregiver of children. I am passionate about helping people find their voice and developing a liberating relationship with themselves.
I have experience serving children, adolescents, and families in varied mental health settings. These have included working at an inpatient behavioral health hospital, supporting adults & youth with eating disorders, and providing individualized therapy in my private practice. Amongst a long list of various jobs, I also have lived experience with an eating disorder, as a full spectrum doula, and as a caregiver of children. I am passionate about helping people find their voice and developing a liberating relationship with themselves.
(206) 202-5296 View (206) 202-5296
Photo of Katelynn Saunders-Kosta, LMHC, Counselor
Katelynn Saunders-Kosta
Counselor, LMHC
Verified Verified
Lopez Island, WA 98261  (Online Only)
As a mother of three and a wife, I have firsthand experience with family dynamics and ADHD, which informs my empathetic and personalized approach. I understand the complexities of balancing personal and professional life, and I am here to support you through this journey. As a licensed therapist specializing in DBT, I am dedicated to helping individuals navigate emotional challenges and build a life worth living. DBT is an evidence-based approach that combines CBT techniques with mindfulness practices, designed to address intense emotions, relationship difficulties, and behaviors that interfere with a fulfilling life.
As a mother of three and a wife, I have firsthand experience with family dynamics and ADHD, which informs my empathetic and personalized approach. I understand the complexities of balancing personal and professional life, and I am here to support you through this journey. As a licensed therapist specializing in DBT, I am dedicated to helping individuals navigate emotional challenges and build a life worth living. DBT is an evidence-based approach that combines CBT techniques with mindfulness practices, designed to address intense emotions, relationship difficulties, and behaviors that interfere with a fulfilling life.
(323) 643-8569 View (323) 643-8569
Photo of Carol Anne Weiss, MA, LMFT, Marriage & Family Therapist
Carol Anne Weiss
Marriage & Family Therapist, MA, LMFT
Verified Verified
Lopez Island, WA 98261
Providing psychotherapy to adult and elder clients especially those facing aging and caregiving challenges. Jungian Dreamwork is also a specialty.
Providing psychotherapy to adult and elder clients especially those facing aging and caregiving challenges. Jungian Dreamwork is also a specialty.
(360) 535-7721 View (360) 535-7721
Photo of Sheila Simpson-Creps, MA, LMHC, MFA, AT, Counselor
Sheila Simpson-Creps
Counselor, MA, LMHC, MFA, AT
Verified Verified
Lopez Island, WA 98261  (Online Only)
Waitlist for new clients
At times in our lives we may find that the pain of events is seemingly more than one can handle, and life questions are too great. During these passages, healing and stress reduction can be aided through a therapeutic alliance with a mental health counselor. As a Licensed Mental Health Counselor, I listen to, and witness your story. I provide a safe and confidential environment to explore those issues which most challenge you. It is an honor for me to provide counseling services for those seeking healing and an increase in the quality of their lives. Currently, I work with adults via teletherapy only.
At times in our lives we may find that the pain of events is seemingly more than one can handle, and life questions are too great. During these passages, healing and stress reduction can be aided through a therapeutic alliance with a mental health counselor. As a Licensed Mental Health Counselor, I listen to, and witness your story. I provide a safe and confidential environment to explore those issues which most challenge you. It is an honor for me to provide counseling services for those seeking healing and an increase in the quality of their lives. Currently, I work with adults via teletherapy only.
(360) 234-3589 View (360) 234-3589
Photo of Derrick Hoard, MA, LMFT, Marriage & Family Therapist
Derrick Hoard
Marriage & Family Therapist, MA, LMFT
Verified Verified
Friday Harbor, WA 98250
Even after your diagnosis and medication, you are still having problems with ADHD. Why is that? Wasn't the medication supposed to treat the illness? You're not alone. Many people feel the relief of an ADHD diagnosis and finally understand that it isn't their fault, only to begin treatment and not see meaningful results. The problem is that ADHD medicine does not provide you with encouragement, support, and compassionate accountability. And by compassionate accountability, I mean reminding you that it is okay to make mistakes. You need more than just dopamine, you need a framework to understand yourself.
Even after your diagnosis and medication, you are still having problems with ADHD. Why is that? Wasn't the medication supposed to treat the illness? You're not alone. Many people feel the relief of an ADHD diagnosis and finally understand that it isn't their fault, only to begin treatment and not see meaningful results. The problem is that ADHD medicine does not provide you with encouragement, support, and compassionate accountability. And by compassionate accountability, I mean reminding you that it is okay to make mistakes. You need more than just dopamine, you need a framework to understand yourself.
(206) 208-2861 View (206) 208-2861
Photo of Michael Pretz, LPC, Licensed Professional Counselor
Michael Pretz
Licensed Professional Counselor, LPC
Verified Verified
Friday Harbor, WA 98250  (Online Only)
Michael Pretz grew up in Friday Harbor, WA playing Wolverine Football and Wrestling. He worked for the state of Alaska for 7 years working in Anchorage. In therapy, Michael's goal is to help and support people through an individualized growth and healing process. Michael is a client-centered therapist with an existential philosophy. Michael believes an empathetic, judgement free space is essential to any therapeutic process. Michael is an evidence-based clinician and diagnostician that is healing-focused.
Michael Pretz grew up in Friday Harbor, WA playing Wolverine Football and Wrestling. He worked for the state of Alaska for 7 years working in Anchorage. In therapy, Michael's goal is to help and support people through an individualized growth and healing process. Michael is a client-centered therapist with an existential philosophy. Michael believes an empathetic, judgement free space is essential to any therapeutic process. Michael is an evidence-based clinician and diagnostician that is healing-focused.
(877) 812-2474 View (877) 812-2474
Photo of Bonnie Burg, MA, LICSW, BCD, Clinical Social Work/Therapist
Bonnie Burg
Clinical Social Work/Therapist, MA, LICSW, BCD
Verified Verified
Eastsound, WA 98245
As a Licensed Clinical Social Worker in private practice for 40+ years, I provide relational psychotherapy for individuals and couples. In our initial meeting we identify the problem areas and conflicts causing psychological or emotional distress. Understanding the core issues will lead to a treatment approach, designed specifically for each client or couple. We utilize each persons strengths, coping skills, and life experience to reduce and manage anxiety, depression, self esteem issues and resolve internal or external conflicts. Effective psychotherapy can have a profound impact on mood, behavior and quality of life at all levels.
As a Licensed Clinical Social Worker in private practice for 40+ years, I provide relational psychotherapy for individuals and couples. In our initial meeting we identify the problem areas and conflicts causing psychological or emotional distress. Understanding the core issues will lead to a treatment approach, designed specifically for each client or couple. We utilize each persons strengths, coping skills, and life experience to reduce and manage anxiety, depression, self esteem issues and resolve internal or external conflicts. Effective psychotherapy can have a profound impact on mood, behavior and quality of life at all levels.
(360) 858-8531 View (360) 858-8531
Photo of Auralee Jameson, MSW, LICSW, RN, Clinical Social Work/Therapist
Auralee Jameson
Clinical Social Work/Therapist, MSW, LICSW, RN
Verified Verified
Friday Harbor, WA 98250
What I want you to know is that you are not alone in this world; there is hope that you can get through this challenging time in your life. When feeling overwhelmed it is difficult to know where to start when making a change. By integrating social work theories into practice, I recognize that all aspects of a person’s life can impact their wellbeing. Whether it's depression, anxiety, life transitions, or traumatic events I take an approach that helps to understand how the physical, emotional, spiritual, and social aspects of ones’ life interact together to create the individual and together we find the best way to reach your goals.
What I want you to know is that you are not alone in this world; there is hope that you can get through this challenging time in your life. When feeling overwhelmed it is difficult to know where to start when making a change. By integrating social work theories into practice, I recognize that all aspects of a person’s life can impact their wellbeing. Whether it's depression, anxiety, life transitions, or traumatic events I take an approach that helps to understand how the physical, emotional, spiritual, and social aspects of ones’ life interact together to create the individual and together we find the best way to reach your goals.
(360) 614-2687 x203 View (360) 614-2687 x203
Photo of Daniel Neighbors - Neighbors Psychological Services, PhD, Psychologist
Neighbors Psychological Services
Psychologist, PhD
Verified Verified
1 Endorsed
Eastsound, WA 98245
ACCEPTING NEW CLIENTS BY TELEHEALTH - NEW APPOINTMENTS WITHIN ONE WEEK: Beginning Counseling can be a vulnerable, intimidating process. It can also be one of the more fulfilling ventures in life. I love acting as your teammate in this process; you as the expert of your life and me as the expert of the therapy that guides us. If you are suffering from anxiety, depression, grief, PTSD (sexual or physical assault), problems adjusting, health concerns, men's issues, or would like to work on performance enhancement (athletic or academic), please contact me to find out more.
ACCEPTING NEW CLIENTS BY TELEHEALTH - NEW APPOINTMENTS WITHIN ONE WEEK: Beginning Counseling can be a vulnerable, intimidating process. It can also be one of the more fulfilling ventures in life. I love acting as your teammate in this process; you as the expert of your life and me as the expert of the therapy that guides us. If you are suffering from anxiety, depression, grief, PTSD (sexual or physical assault), problems adjusting, health concerns, men's issues, or would like to work on performance enhancement (athletic or academic), please contact me to find out more.
(425) 399-5233 View (425) 399-5233
Photo of Cheiron S McMahill, MS, LMHC, NCC, Counselor
Cheiron S McMahill
Counselor, MS, LMHC, NCC
Verified Verified
2 Endorsed
Lopez Island, WA 98261
Waitlist for new clients
Do you consider yourself a creative and introspective person? Are you interested in exploring and strengthening the connection between your conscious and unconscious mind? Would you like to better integrate and/or balance the inner (emotional, mental) and outer (bodily, physical, social) aspects of your experience? If so, I might be a good fit as a therapist. Let's chat to find out!
Do you consider yourself a creative and introspective person? Are you interested in exploring and strengthening the connection between your conscious and unconscious mind? Would you like to better integrate and/or balance the inner (emotional, mental) and outer (bodily, physical, social) aspects of your experience? If so, I might be a good fit as a therapist. Let's chat to find out!
(509) 519-1650 View (509) 519-1650
Photo of Anna Vaught - Griffin Bay Psychotherapy LLC, LICSW, NPT-C, Clinical Social Work/Therapist
Griffin Bay Psychotherapy LLC
Clinical Social Work/Therapist, LICSW, NPT-C
Verified Verified
5 Endorsed
Friday Harbor, WA 98250  (Online Only)
Struggles lead to new growth. I welcome you to my private practice where I provide women with wise, kind, non judgmental counsel. Although life may fall apart, our identity may seem lost, or we spiral into self hatred because of things we are afraid to talk about, this is an opportunity for healing and evolution. Liberate yourself and discover self love, purpose, strength and wholeness here. I invite you to bring your feelings of guilt, shame, fear and self loathing and know that it is safe. I approach the messiness of being human with non judgement, authenticity, and sometimes a good dose of humor as needed.
Struggles lead to new growth. I welcome you to my private practice where I provide women with wise, kind, non judgmental counsel. Although life may fall apart, our identity may seem lost, or we spiral into self hatred because of things we are afraid to talk about, this is an opportunity for healing and evolution. Liberate yourself and discover self love, purpose, strength and wholeness here. I invite you to bring your feelings of guilt, shame, fear and self loathing and know that it is safe. I approach the messiness of being human with non judgement, authenticity, and sometimes a good dose of humor as needed.
(360) 300-5889 View (360) 300-5889
Photo of Katherine Afuola, LMHC
Katherine Afuola
Mental Health Counselor, LMHC
Verified Verified
Eastsound, WA 98245  (Online Only)
I am an open-minded trauma-informed and compassionate licensed mental health professional License LH 61256941 and substance use counselor who is able, and ready, to assist in best practices toward the goals and needs of your current situation. I invite you to reach out and follow through with finding the assistance you need. It is not easy to make a change. I have been trained in EMDR, EFT/Tapping Therapy, Trauma-informed cared, and Dialectical Behavioral Therapy. I work with adults with trauma, addiction, and life issues.
I am an open-minded trauma-informed and compassionate licensed mental health professional License LH 61256941 and substance use counselor who is able, and ready, to assist in best practices toward the goals and needs of your current situation. I invite you to reach out and follow through with finding the assistance you need. It is not easy to make a change. I have been trained in EMDR, EFT/Tapping Therapy, Trauma-informed cared, and Dialectical Behavioral Therapy. I work with adults with trauma, addiction, and life issues.
(509) 213-0664 View (509) 213-0664

See more therapy options for Orcas

How does your Therapist compare?

Number of Therapists in Orcas, WA

< 10

Therapists in Orcas, WA who prioritize treating:

80% Relationship Issues
80% Anxiety
80% Life Transitions
60% Grief
60% Trauma and PTSD
60% Other
60% Anger Management

Average years in practice

27 Years

Top 3 insurances accepted

50% Aetna
50% First Choice Health | FCH
50% Medicaid

How Therapists in Orcas, WA see their clients

60% In Person and Online
40% Online Only

Gender breakdown

75% Female
25% Male
FAQs - About Therapy and Counseling

How can I find a therapist in Orcas?

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.