Therapists in Sugar Grove, IL

Photo of Michael W. Elgersma, MA, LCPC, Counselor
Michael W. Elgersma
Counselor, MA, LCPC
Verified Verified
Sugar Grove, IL 60554  (Online Only)
Life can be difficult and frustrating. Our lives can become messy and complicated. But there is hope. I am dedicated to walking alongside of others to help them find hope and make some sense of their life and experiences. I sincerely believe that counseling gives an individual the opportunity to experience significant growth and healing through a greater personal awareness and understanding of themselves and the world around them.
Life can be difficult and frustrating. Our lives can become messy and complicated. But there is hope. I am dedicated to walking alongside of others to help them find hope and make some sense of their life and experiences. I sincerely believe that counseling gives an individual the opportunity to experience significant growth and healing through a greater personal awareness and understanding of themselves and the world around them.
(815) 981-3239 View (815) 981-3239
Photo of Beth Plachetka Lcsw Edd, MSW, LCSW, MAEL, EdD, Clinical Social Work/Therapist
Beth Plachetka Lcsw Edd
Clinical Social Work/Therapist, MSW, LCSW, MAEL, EdD
Verified Verified
2 Endorsed
Sugar Grove, IL 60554
With 15+ years' experience as a school social worker and a clinical social worker, I am familiar with IEP and RTI procedures, best practices and certified staff evaluation procedures. I operate from a Christian foundation and am direct, honest and caring. I work with adolescents and adults to address issues relating to emotional regulation, behaviors, and decision making, and parenting, as well as supportive therapy during stressful life changes allowing the client to develop and implement strategies. I earned a Doctorate in 2014 with a dissertation entitled "A Systems Approach to Workplace Bullying in the K-12 Public Educational Setting".
With 15+ years' experience as a school social worker and a clinical social worker, I am familiar with IEP and RTI procedures, best practices and certified staff evaluation procedures. I operate from a Christian foundation and am direct, honest and caring. I work with adolescents and adults to address issues relating to emotional regulation, behaviors, and decision making, and parenting, as well as supportive therapy during stressful life changes allowing the client to develop and implement strategies. I earned a Doctorate in 2014 with a dissertation entitled "A Systems Approach to Workplace Bullying in the K-12 Public Educational Setting".
(630) 733-1620 View (630) 733-1620
Photo of Marguerite Stiefbold, LMFT, EdD, Marriage & Family Therapist
Marguerite Stiefbold
Marriage & Family Therapist, LMFT, EdD
Verified Verified
1 Endorsed
Sugar Grove, IL 60554
I am trained to work with a variety of clients and issues as a Licensed Marriage and Family Therapist. I have been practicing for over 30 years and work with families, couples, children, and individuals who are struggling with a variety of problems. Some of the things that I offer are; help to families in times of stress, assistance to couples confronted with challenges, help for children and parents experiencing developmental struggles, support for times of loss and the grief issues that result from death, divorce or separations, help for those experiencing depression and anxiety, etc.
I am trained to work with a variety of clients and issues as a Licensed Marriage and Family Therapist. I have been practicing for over 30 years and work with families, couples, children, and individuals who are struggling with a variety of problems. Some of the things that I offer are; help to families in times of stress, assistance to couples confronted with challenges, help for children and parents experiencing developmental struggles, support for times of loss and the grief issues that result from death, divorce or separations, help for those experiencing depression and anxiety, etc.
(630) 599-8818 View (630) 599-8818
Photo of Debbie Carsten, MSW, LCSW, Clinical Social Work/Therapist
Debbie Carsten
Clinical Social Work/Therapist, MSW, LCSW
Verified Verified
Sugar Grove, IL 60554
Life is rarely the "should be", always-thought-it-would-be one we imagined. We try lots of things that don't work. I know what that's like. But I've also built a loving, meaningful, fulfilling life on the ashes of an old one. So I know what's possible. I can help you understand what is going on and how you got here. By recognizing and defining a problem, we find clues to what's needed to move forward. It's not easy, but it is so worth it! Let's make the most of your pain so you can wake up to a better future.
Life is rarely the "should be", always-thought-it-would-be one we imagined. We try lots of things that don't work. I know what that's like. But I've also built a loving, meaningful, fulfilling life on the ashes of an old one. So I know what's possible. I can help you understand what is going on and how you got here. By recognizing and defining a problem, we find clues to what's needed to move forward. It's not easy, but it is so worth it! Let's make the most of your pain so you can wake up to a better future.
(630) 796-4173 View (630) 796-4173
Photo of Jessica M. Brumfield, LCSW, Clinical Social Work/Therapist
Jessica M. Brumfield
Clinical Social Work/Therapist, LCSW
Verified Verified
Sugar Grove, IL 60554  (Online Only)
Life can be full of fun as well as challenges. Even with all of the podcasts or self-help books available, none are a manual for your life, right? I have experience and enjoy working with individuals across the life span in age and issues. My areas of focus include but are not limited to Depression, Anxiety, Stress and Perinatal Mood Disorders. In session, we will discuss goals, expectations, and outline steps to apply to everyday-life situations. I am here for the hard stuff, the good stuff and the in-between stuff. If you are curious to find out if we would work well together, schedule a free 15 minute consultation using the link!
Life can be full of fun as well as challenges. Even with all of the podcasts or self-help books available, none are a manual for your life, right? I have experience and enjoy working with individuals across the life span in age and issues. My areas of focus include but are not limited to Depression, Anxiety, Stress and Perinatal Mood Disorders. In session, we will discuss goals, expectations, and outline steps to apply to everyday-life situations. I am here for the hard stuff, the good stuff and the in-between stuff. If you are curious to find out if we would work well together, schedule a free 15 minute consultation using the link!
(630) 580-1892 View (630) 580-1892
Photo of Kimberly C Rhodes, MS, LCPC, Counselor
Kimberly C Rhodes
Counselor, MS, LCPC
Verified Verified
2 Endorsed
Sugar Grove, IL 60554
"Most people come to counseling to find out what's wrong with them. I say, come on in, have a seat, and let's find out what's right with you". My belief is that the human capacity for healing is limitless. I also believe trauma can be healed. My specialty is working with trauma, PTSD, and Anxiety. My strength is in treating people according to their need and getting to the root of the issues bothering them.
"Most people come to counseling to find out what's wrong with them. I say, come on in, have a seat, and let's find out what's right with you". My belief is that the human capacity for healing is limitless. I also believe trauma can be healed. My specialty is working with trauma, PTSD, and Anxiety. My strength is in treating people according to their need and getting to the root of the issues bothering them.
(630) 756-5954 View (630) 756-5954
Photo of Elizabeth Marie Davy - Elizabeth M Davy, LCSW, MSW, LCSW, Clinical Social Work/Therapist
Elizabeth M Davy, LCSW
Clinical Social Work/Therapist, MSW, LCSW
Verified Verified
Sugar Grove, IL 60554
In addition to treating children, adolescents and adults with depression and anxiety, I have extensive training and experience in play therapy, particularly with children who have witnessed or directly experienced trauma (including childhood sexual abuse, parental murder, parental suicide, and child pornography), and chronic illness including childhood cancer and diabetes. I am developing an expertise with children who express gender variance. I enjoy working with women around issues of stress and life balance. I am passionate about therapy and supervision work with other therapists who are experiencing compassion fatigue.
In addition to treating children, adolescents and adults with depression and anxiety, I have extensive training and experience in play therapy, particularly with children who have witnessed or directly experienced trauma (including childhood sexual abuse, parental murder, parental suicide, and child pornography), and chronic illness including childhood cancer and diabetes. I am developing an expertise with children who express gender variance. I enjoy working with women around issues of stress and life balance. I am passionate about therapy and supervision work with other therapists who are experiencing compassion fatigue.
(630) 320-0401 View (630) 320-0401
Photo of Tracy Takeda, MA, LCPC
Tracy Takeda
Licensed Professional Clinical Counselor, MA, LCPC
Verified Verified
Sugar Grove, IL 60554
As I am expanding my practice, I currently have same or next week openings. My specialities include anxiety, depression, trauma, grief/loss, identity and meaning, faith/spirituality and family/relational concerns for ages elementary school to adult. Working together, I walk alongside you, supporting your process whether being present during difficult times or to help with change, insight and skills. I have an empathic and honest approach. I am honored to work with you as you share your story and might feel ambivalent about counseling, maybe coming for the first time, or are highly motivated for support.
As I am expanding my practice, I currently have same or next week openings. My specialities include anxiety, depression, trauma, grief/loss, identity and meaning, faith/spirituality and family/relational concerns for ages elementary school to adult. Working together, I walk alongside you, supporting your process whether being present during difficult times or to help with change, insight and skills. I have an empathic and honest approach. I am honored to work with you as you share your story and might feel ambivalent about counseling, maybe coming for the first time, or are highly motivated for support.
(331) 866-3597 View (331) 866-3597
Photo of Trevor Gregerson, LPC, Counselor
Trevor Gregerson
Counselor, LPC
Verified Verified
Sugar Grove, IL 60554
I have experience working with a wide range of different diagnoses including; Bipolar Disorder, Depression, Anxiety, PTSD, Schizophrenia, Borderline Personality Disorder, and ASPD. I work with clients from ages 12 and up. I have helped clients manage major life transitions, relationship problems, grief and loss, and other life challenges. I use a multicultural lens when working with each client. I see each client as an expert of their lived experience. For me, therapy as a collaborative process in which I help clients achieve their own goals.
I have experience working with a wide range of different diagnoses including; Bipolar Disorder, Depression, Anxiety, PTSD, Schizophrenia, Borderline Personality Disorder, and ASPD. I work with clients from ages 12 and up. I have helped clients manage major life transitions, relationship problems, grief and loss, and other life challenges. I use a multicultural lens when working with each client. I see each client as an expert of their lived experience. For me, therapy as a collaborative process in which I help clients achieve their own goals.
(708) 866-1491 View (708) 866-1491
Photo of Haley Christensen, LPC, Pre-Licensed Professional
Haley Christensen
Pre-Licensed Professional, LPC
Verified Verified
Sugar Grove, IL 60554
Every person is distinct, complex, and searching to make their own meaning in the world. Each person's path is uniquely their own. For many, this includes clarifying values and what it means to live a full, meaningful life. This includes committing to taking action and making goals that enrich our lives.
Every person is distinct, complex, and searching to make their own meaning in the world. Each person's path is uniquely their own. For many, this includes clarifying values and what it means to live a full, meaningful life. This includes committing to taking action and making goals that enrich our lives.
(630) 793-4816 View (630) 793-4816
Photo of Jean Ryan-Meyers, LCSW, PEL, Clinical Social Work/Therapist
Jean Ryan-Meyers
Clinical Social Work/Therapist, LCSW, PEL
Verified Verified
1 Endorsed
Sugar Grove, IL 60554
Having been raised to value service to others, Clinical Social Work is not only my profession, but my calling. During my years of supporting the social and emotional well being of others, I have developed an understanding of the importance of connection and the value of self-compassion and self-care. I strive to create an environment in which my clients can feel safe and supported in exploring their struggles free of judgment, knowing that they don’t have to carry their burdens alone. I believe that the foundation for effective treatment and development of mental health and wellness begins with the therapeutic relationship.
Having been raised to value service to others, Clinical Social Work is not only my profession, but my calling. During my years of supporting the social and emotional well being of others, I have developed an understanding of the importance of connection and the value of self-compassion and self-care. I strive to create an environment in which my clients can feel safe and supported in exploring their struggles free of judgment, knowing that they don’t have to carry their burdens alone. I believe that the foundation for effective treatment and development of mental health and wellness begins with the therapeutic relationship.
(630) 412-7365 View (630) 412-7365
Photo of Vanessa Osmer, MA, LCPC, NCC, Counselor
Vanessa Osmer
Counselor, MA, LCPC, NCC
Verified Verified
5 Endorsed
Sugar Grove, IL 60554
Reaching out for help during difficult times in your life can feel vulnerable. The truth is healthy people ask for help when they need it. I know, not ideal, but it is what it is. Building a strong connection with your therapist is one of the largest predictors for therapy success. I want my clients to know that I take their care seriously. I am a little fiery and I like to tell it like it is. I have my client's best interest in mind while guiding them toward their goals. It won't be easy, but that is what I am here for! I am proud of the work I do and I feel honored when clients trust me to be part of their journey.
Reaching out for help during difficult times in your life can feel vulnerable. The truth is healthy people ask for help when they need it. I know, not ideal, but it is what it is. Building a strong connection with your therapist is one of the largest predictors for therapy success. I want my clients to know that I take their care seriously. I am a little fiery and I like to tell it like it is. I have my client's best interest in mind while guiding them toward their goals. It won't be easy, but that is what I am here for! I am proud of the work I do and I feel honored when clients trust me to be part of their journey.
(331) 256-2767 View (331) 256-2767
Photo of Melanie Vause, MSW, Pre-Licensed Professional
Melanie Vause
Pre-Licensed Professional, MSW
Verified Verified
1 Endorsed
Sugar Grove, IL 60554
I love supporting clients through journeys of self-discovery of all kinds, and I am passionate about the support I provide. I am working towards specializations in depression, social anxiety, generalized anxiety disorder (worry), Trauma, Adjustment/Life Transitions, Self-Esteem, LGBTQIA+ Support, Relationship Concerns, Caregiver Support, ADHD, and Autism Spectrum Disorders. I work with adolescents and adults. I I have spent most of my professional career thus far specializing in supporting adolescents who hold marginalized sexual and/or gender identities and I find great joy and purpose in doing so.
I love supporting clients through journeys of self-discovery of all kinds, and I am passionate about the support I provide. I am working towards specializations in depression, social anxiety, generalized anxiety disorder (worry), Trauma, Adjustment/Life Transitions, Self-Esteem, LGBTQIA+ Support, Relationship Concerns, Caregiver Support, ADHD, and Autism Spectrum Disorders. I work with adolescents and adults. I I have spent most of my professional career thus far specializing in supporting adolescents who hold marginalized sexual and/or gender identities and I find great joy and purpose in doing so.
(331) 313-5191 View (331) 313-5191
Photo of Rachel Lagorio, LSW, Clinical Social Work/Therapist
Rachel Lagorio
Clinical Social Work/Therapist, LSW
Verified Verified
1 Endorsed
Sugar Grove, IL 60554
My clients tend to have struggles with attachment and relational wounds, boundaries, people-pleasing, depression, anxiety, rumination, or low self-esteem. You might struggle with asking for what you want, sharing how you feel, or showing up as your authentic self. You may find it hard to process your emotions or you may be realizing just how much your past experiences have influenced your present.
My clients tend to have struggles with attachment and relational wounds, boundaries, people-pleasing, depression, anxiety, rumination, or low self-esteem. You might struggle with asking for what you want, sharing how you feel, or showing up as your authentic self. You may find it hard to process your emotions or you may be realizing just how much your past experiences have influenced your present.
(331) 259-8525 View (331) 259-8525
Photo of Dr. Eleni Malamis, PsyD, MA, Psychologist
Dr. Eleni Malamis
Psychologist, PsyD, MA
Verified Verified
Sugar Grove, IL 60554
I am a licensed clinical psychologist who has devoted my clinical work to assisting adult individuals with a broad spectrum of concerns. I provide warm and caring support to those struggling with life's challenges. Specifically, I enjoy working with individuals in the following areas: depression, anxiety, substance abuse, life transitions, low self-esteem, communication, and relationship concerns.
I am a licensed clinical psychologist who has devoted my clinical work to assisting adult individuals with a broad spectrum of concerns. I provide warm and caring support to those struggling with life's challenges. Specifically, I enjoy working with individuals in the following areas: depression, anxiety, substance abuse, life transitions, low self-esteem, communication, and relationship concerns.
(331) 444-7455 View (331) 444-7455
Photo of Cagney Cappelli, LCPC, CADC, CODP II, Counselor
Cagney Cappelli
Counselor, LCPC, CADC, CODP II
Verified Verified
Sugar Grove, IL 60554
I have been working in the field of mental health and addictions since 1993. I feel fortunate to be able to provide individual, family, and couples counseling to those seeking to improve various aspects of their life.
I have been working in the field of mental health and addictions since 1993. I feel fortunate to be able to provide individual, family, and couples counseling to those seeking to improve various aspects of their life.
(815) 999-2552 View (815) 999-2552

More Therapists Nearby

Photo of LaTasha Keltner, LPC, Licensed Professional Counselor
LaTasha Keltner
Licensed Professional Counselor, LPC
Verified Verified
Elburn, IL 60119
It is a privilege to provide a safe space where the innermost thoughts, emotions, and fears of the human experience can be shared in an unfiltered way. This is a journey that has many twists and turns and if you are looking for compassionate, consistent support with a focus on growth and healing, you've made it to the right place. I specialize in the individualized care of those seeking to collaborate on changing their relationship with their anxiety, depression, and substance use.
It is a privilege to provide a safe space where the innermost thoughts, emotions, and fears of the human experience can be shared in an unfiltered way. This is a journey that has many twists and turns and if you are looking for compassionate, consistent support with a focus on growth and healing, you've made it to the right place. I specialize in the individualized care of those seeking to collaborate on changing their relationship with their anxiety, depression, and substance use.
(630) 315-0912 View (630) 315-0912
Photo of Michael C Lucas, MS, MA, Pre-Licensed Professional
Michael C Lucas
Pre-Licensed Professional, MS, MA
Verified Verified
Aurora, IL 60506
I am a mental health professional with over 25 years of experience specializing in the field of anxiety, particularly health anxiety. My career has spanned various professional settings including psychosocial rehabilitation, community mental health, and community corrections. I hold degrees in Psychology, Organizational Leadership, and Clinical Mental Health Counseling. Throughout my practice, I have worked with a diverse range of clients, including individuals, couples, people with substance use disorders, and those with severe and persistent mental illnesses.
I am a mental health professional with over 25 years of experience specializing in the field of anxiety, particularly health anxiety. My career has spanned various professional settings including psychosocial rehabilitation, community mental health, and community corrections. I hold degrees in Psychology, Organizational Leadership, and Clinical Mental Health Counseling. Throughout my practice, I have worked with a diverse range of clients, including individuals, couples, people with substance use disorders, and those with severe and persistent mental illnesses.
(773) 341-1849 View (773) 341-1849
Photo of Katherine Harris, PhD, LCP, Psychologist
Katherine Harris
Psychologist, PhD, LCP
Verified Verified
1 Endorsed
North Aurora, IL 60542
I am a Cognitive-Behavioral (CBT) Psychologist who specializes in OCD and Anxiety including panic, worry, social anxiety, health anxiety, and agoraphobia . I use highly effective treatments such as Exposure and Response Prevention and Panic Control Treatment. I am a member of the International OCD Foundation (IOCDF) and the Anxiety and Depression Association of America (ADAA). I completed my Doctoral Degree at Northern Illinois University, my Clinical Psychology Internship at the Ann Arbor VA, and my Postdoctoral Residency at the University of Michigan Consortium. I am a proud co-owner of OakHeart, Center for Counseling.
I am a Cognitive-Behavioral (CBT) Psychologist who specializes in OCD and Anxiety including panic, worry, social anxiety, health anxiety, and agoraphobia . I use highly effective treatments such as Exposure and Response Prevention and Panic Control Treatment. I am a member of the International OCD Foundation (IOCDF) and the Anxiety and Depression Association of America (ADAA). I completed my Doctoral Degree at Northern Illinois University, my Clinical Psychology Internship at the Ann Arbor VA, and my Postdoctoral Residency at the University of Michigan Consortium. I am a proud co-owner of OakHeart, Center for Counseling.
(331) 256-2138 View (331) 256-2138
Photo of Cheryl L Hejnal - Cheryl Hejnal P.C., LCSW, Clinical Social Work/Therapist
Cheryl Hejnal P.C.
Clinical Social Work/Therapist, LCSW
Verified Verified
2 Endorsed
Aurora, IL 60502  (Online Only)
My name is Cheryl, and I am a trauma therapist with over five years of experience helping individuals overcome the effects of poor mental health and attachment injuries. My commitment to this work is rooted in a genuine passion for supporting people on their healing journeys. I understand that trauma can profoundly impact mental and emotional well-being. I’m here to walk alongside you as you learn to skillfully navigate the complexities of recovery. Together, we can address the challenges that arise and find pathways to healing.
My name is Cheryl, and I am a trauma therapist with over five years of experience helping individuals overcome the effects of poor mental health and attachment injuries. My commitment to this work is rooted in a genuine passion for supporting people on their healing journeys. I understand that trauma can profoundly impact mental and emotional well-being. I’m here to walk alongside you as you learn to skillfully navigate the complexities of recovery. Together, we can address the challenges that arise and find pathways to healing.
(331) 321-7041 View (331) 321-7041

See more therapy options for Sugar Grove

How does your Therapist compare?

Number of Therapists in Sugar Grove, IL

10+

Average cost per session

$150

Therapists in Sugar Grove, IL who prioritize treating:

100% Depression
100% Anxiety
88% Relationship Issues
88% Self Esteem
88% Stress
81% Coping Skills
69% Parenting

Average years in practice

14 Years

Top 3 insurances accepted

93% BlueCross and BlueShield
80% Aetna
73% Cigna and Evernorth

How Therapists in Sugar Grove, IL see their clients

88% In Person and Online
12% Online Only

Gender breakdown

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

How can I find a therapist in Sugar Grove?

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.