Therapists in Anchorage, AK

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Photo of Rhonda Ann Pierlot - Pierlot Counseling, LPC, CDC, II, Licensed Professional Counselor
Pierlot Counseling
Licensed Professional Counselor, LPC, CDC, II
Verified Verified
Anchorage, AK 99503
I enjoy working with both adolescents and adults. I have worked in a wide variety of settings including Alternative High School, Outpatient and Inpatient Drug Treatment, State Hospital, Community Mental Health Center, and for the past 3 years private practice. My background and years of experience includes assessment, interventions, crisis counseling, individual and group therapy.
I enjoy working with both adolescents and adults. I have worked in a wide variety of settings including Alternative High School, Outpatient and Inpatient Drug Treatment, State Hospital, Community Mental Health Center, and for the past 3 years private practice. My background and years of experience includes assessment, interventions, crisis counseling, individual and group therapy.
(907) 312-2106 View (907) 312-2106
Photo of Maria Ballard, MS, LPC, Licensed Professional Counselor
Maria Ballard
Licensed Professional Counselor, MS, LPC
Verified Verified
1 Endorsed
Anchorage, AK 99503
Not accepting new clients
Are you a first responder, military/veteran or emergency medical staff? Does your life seems unrecognizable and you're wondering how the hell you got here? Do you constantly feel worried, on edge, nervous or anxious and don't know how to change it? Are you drinking more than you want just to cope with life, or make it through the end of the day? Perhaps you feel overwhelmed, confused, lost, or depressed. And the thought of the future scares you and you don't know where to go next. Are you sick and tired of being sick and tired?! If this sounds familiar then I am here for you!
Are you a first responder, military/veteran or emergency medical staff? Does your life seems unrecognizable and you're wondering how the hell you got here? Do you constantly feel worried, on edge, nervous or anxious and don't know how to change it? Are you drinking more than you want just to cope with life, or make it through the end of the day? Perhaps you feel overwhelmed, confused, lost, or depressed. And the thought of the future scares you and you don't know where to go next. Are you sick and tired of being sick and tired?! If this sounds familiar then I am here for you!
(907) 312-5357 View (907) 312-5357
Photo of Cheryl Childers, LCSW, ATR-BC, RPT, Clinical Social Work/Therapist
Cheryl Childers
Clinical Social Work/Therapist, LCSW, ATR-BC, RPT
Verified Verified
Anchorage, AK 99501  (Online Only)
As someone who has experienced past sexual / physical abuse, or chronic illness, do you often wonder how you can move past the overwhelming shame and pain? Have you tried “everything” but nothing seems to alleviate the flashbacks or unwanted memories. Do you want to stop dissociating? Do you long be free of anxiety, depression and suicidal thoughts; longing for connection, worthiness, and to tell your story with a safe, non-judgmental person. Are you willing to examine thoughts, emotions, behaviors and learn how to utilize your whole self, develop shame resilience—transforming the way you live & love in your current relationships?
As someone who has experienced past sexual / physical abuse, or chronic illness, do you often wonder how you can move past the overwhelming shame and pain? Have you tried “everything” but nothing seems to alleviate the flashbacks or unwanted memories. Do you want to stop dissociating? Do you long be free of anxiety, depression and suicidal thoughts; longing for connection, worthiness, and to tell your story with a safe, non-judgmental person. Are you willing to examine thoughts, emotions, behaviors and learn how to utilize your whole self, develop shame resilience—transforming the way you live & love in your current relationships?
(864) 501-3633 View (864) 501-3633
Photo of Jennifer Dolphin | Open Door Therapy, LPC, Licensed Professional Counselor
Jennifer Dolphin | Open Door Therapy
Licensed Professional Counselor, LPC
Verified Verified
2 Endorsed
Anchorage, AK 99515
Waitlist for new clients
Do you carry old hurts and wonder if you’re good enough? Maybe you struggle with feeling hopeless and unmotivated. You get stuck in cycles you don’t know how to break and feel like you make the same mistakes over and over. You feel overwhelmed with guilt and shame. Maybe you wonder if you’ll ever have healthy relationships. It’s tearing you down from the inside out because you just want to feel content within and connected to others. Whether you're married with kids or single and kid-free; hurt is hurt and you deserve peace.
Do you carry old hurts and wonder if you’re good enough? Maybe you struggle with feeling hopeless and unmotivated. You get stuck in cycles you don’t know how to break and feel like you make the same mistakes over and over. You feel overwhelmed with guilt and shame. Maybe you wonder if you’ll ever have healthy relationships. It’s tearing you down from the inside out because you just want to feel content within and connected to others. Whether you're married with kids or single and kid-free; hurt is hurt and you deserve peace.
(844) 948-1742 View (844) 948-1742
Photo of Sheryl Martin, PhD, LPA, Psychological Associate
Sheryl Martin
Psychological Associate, PhD, LPA
Verified Verified
Anchorage, AK 99522  (Online Only)
I understand the anxiety often associated with going to a therapist for the first time. There are times in life we all could benefit from talking with a professional trained to help us process difficult emotions. In a safe, nonjudgmental, and supportive therapeutic partnership, I incorporate a variety of methods to help clients problem-solve and work through challenges to a better mental health.
I understand the anxiety often associated with going to a therapist for the first time. There are times in life we all could benefit from talking with a professional trained to help us process difficult emotions. In a safe, nonjudgmental, and supportive therapeutic partnership, I incorporate a variety of methods to help clients problem-solve and work through challenges to a better mental health.
(844) 279-1926 View (844) 279-1926
Photo of Mary Williams, MS, Pre-Licensed Professional
Mary Williams
Pre-Licensed Professional, MS
Verified Verified
1 Endorsed
Anchorage, AK 99507  (Online Only)
To anyone else, things might look just fine. You put in a lot of work to keep things fine! But when you slow down, that put-together veneer leaves you all the more isolated as you cope with the self-criticism, frustration, pain, and general turmoil inside. Where is all this coming from? Holding it together takes so much effort. Is it like this for everyone? Is it just another stressful week? You might have spent a long time thinking or being told that you are somehow the problem, but inside, you know that this constant struggle, this inner conflict, isn’t really you.
To anyone else, things might look just fine. You put in a lot of work to keep things fine! But when you slow down, that put-together veneer leaves you all the more isolated as you cope with the self-criticism, frustration, pain, and general turmoil inside. Where is all this coming from? Holding it together takes so much effort. Is it like this for everyone? Is it just another stressful week? You might have spent a long time thinking or being told that you are somehow the problem, but inside, you know that this constant struggle, this inner conflict, isn’t really you.
(907) 444-4526 View (907) 444-4526
Photo of Verna M LOOSLI, LCSW, Clinical Social Work/Therapist
Verna M LOOSLI
Clinical Social Work/Therapist, LCSW
Verified Verified
1 Endorsed
Anchorage, AK 99503  (Online Only)
Most people seek a therapist when they want to make changes in their life and in their relationships. I value a collaborative relationship with my clients, providing support and offering proven tools to make positive changes. I enjoy working with individuals and couples who are experiencing difficulties, and who want to find a path toward relief from emotional pain, who are seeking growth, connection and joy in life. I specialize in the areas of life-stage transitions, woman’s issues, and relationship issues.
Most people seek a therapist when they want to make changes in their life and in their relationships. I value a collaborative relationship with my clients, providing support and offering proven tools to make positive changes. I enjoy working with individuals and couples who are experiencing difficulties, and who want to find a path toward relief from emotional pain, who are seeking growth, connection and joy in life. I specialize in the areas of life-stage transitions, woman’s issues, and relationship issues.
(855) 734-4508 View (855) 734-4508
Photo of Kristen McFee, MA, LPC, LPCC, LMHC, Counselor
Kristen McFee
Counselor, MA, LPC, LPCC, LMHC
Verified Verified
Anchorage, AK 99501  (Online Only)
Not accepting new clients
Life can be challenging and overwhelming. Are you looking for meaning and healing? Would it be helpful to have someone to talk to? I can help. I provide Individual, Online Therapy to adults 18+. I specialize in treating women with anxiety/stress, depression and trauma. Let's talk about some evidence-based skills to support you and identify faulty belief patterns that aren't moving you forward. It is important that we identify your specific needs and make a plan to move forward. For more info: kristen@ithrivetherapyalaska.com or Visit: www.ithrivetherapyalaska.com
Life can be challenging and overwhelming. Are you looking for meaning and healing? Would it be helpful to have someone to talk to? I can help. I provide Individual, Online Therapy to adults 18+. I specialize in treating women with anxiety/stress, depression and trauma. Let's talk about some evidence-based skills to support you and identify faulty belief patterns that aren't moving you forward. It is important that we identify your specific needs and make a plan to move forward. For more info: kristen@ithrivetherapyalaska.com or Visit: www.ithrivetherapyalaska.com
(907) 318-7626 View (907) 318-7626
Photo of Marta Muntean, LCSW, Clinical Social Work/Therapist
Marta Muntean
Clinical Social Work/Therapist, LCSW
Verified Verified
7 Endorsed
Anchorage, AK 99503
Waitlist for new clients
I believe that successful therapy work begins with a good relationship between therapist and client, and therefore seek to ensure a common ground to build upon. Early in my career I discovered that often presenting issues have roots from our childhood experiences and relationships. I have dedicated much of my training since to becoming proficient in working with trauma and dissociative symptoms. The good news is that we can process these experiences, and grow to create a greater quality of life!
I believe that successful therapy work begins with a good relationship between therapist and client, and therefore seek to ensure a common ground to build upon. Early in my career I discovered that often presenting issues have roots from our childhood experiences and relationships. I have dedicated much of my training since to becoming proficient in working with trauma and dissociative symptoms. The good news is that we can process these experiences, and grow to create a greater quality of life!
(907) 341-4184 View (907) 341-4184
Photo of Gabriele M Roschlau, MS, LPC, Licensed Professional Counselor
Gabriele M Roschlau
Licensed Professional Counselor, MS, LPC
Verified Verified
2 Endorsed
Anchorage, AK 99508
Do you experience times when you are controlled by intense emotions or are paralyzed by anxiety/fear, and at other times you feel detached and numb. Are you haunted by traumatic memories that overwhelm you or disturb your sleep with vivid nightmares. Is it difficult to get up in the morning to face another day of loneliness, regrets and even suicidal ideation. Perhaps your relationship suffers from conflict and lack of intimacy or you are going through a breakup. Are you a parent and teen who are locked in power struggles without solutions that result in endless frustration.
Do you experience times when you are controlled by intense emotions or are paralyzed by anxiety/fear, and at other times you feel detached and numb. Are you haunted by traumatic memories that overwhelm you or disturb your sleep with vivid nightmares. Is it difficult to get up in the morning to face another day of loneliness, regrets and even suicidal ideation. Perhaps your relationship suffers from conflict and lack of intimacy or you are going through a breakup. Are you a parent and teen who are locked in power struggles without solutions that result in endless frustration.
(907) 891-7986 View (907) 891-7986
Photo of Breanna James, OTD, OTR/L, Occupational Therapist
Breanna James
Occupational Therapist, OTD, OTR/L
Verified Verified
Anchorage, AK 99517  (Online Only)
Waitlist for new clients
Are you an adult with autism, ADHD or a traumatic brain injury who struggles with everyday activities? Do you want to implement healthy habits and routines into your daily life, but don't know where to start? Does sensory overload make it difficult for you to go to work, parent, and have fun? Or do you want to create a daily routine that makes you feel fulfilled and not burnt out? I am a board certified occupational therapist with specialty trainings, certifications, and experience in treating neurological conditions (i.e. traumatic brain injury; stroke), chronic illnesses, and mental conditions (i.e. autism, ADHD).
Are you an adult with autism, ADHD or a traumatic brain injury who struggles with everyday activities? Do you want to implement healthy habits and routines into your daily life, but don't know where to start? Does sensory overload make it difficult for you to go to work, parent, and have fun? Or do you want to create a daily routine that makes you feel fulfilled and not burnt out? I am a board certified occupational therapist with specialty trainings, certifications, and experience in treating neurological conditions (i.e. traumatic brain injury; stroke), chronic illnesses, and mental conditions (i.e. autism, ADHD).
(907) 531-9443 View (907) 531-9443
Photo of Amy Marie Dummann, LPC, Licensed Professional Counselor
Amy Marie Dummann
Licensed Professional Counselor, LPC
Verified Verified
1 Endorsed
Anchorage, AK 99518
I am a born and raised Alaskan and have been providing mental health services to individuals and families with a wide range of mental health challenges and developmental disabilities for over 20 years. I became a licensed professional counselor in 2015 and have worked in both inpatient and outpatient settings with individuals experiencing anxiety, mood disorders, trauma, and life transitions.
I am a born and raised Alaskan and have been providing mental health services to individuals and families with a wide range of mental health challenges and developmental disabilities for over 20 years. I became a licensed professional counselor in 2015 and have worked in both inpatient and outpatient settings with individuals experiencing anxiety, mood disorders, trauma, and life transitions.
(907) 312-0113 View (907) 312-0113
Photo of David D Root - Root Issues, LPC, Licensed Professional Counselor
Root Issues
Licensed Professional Counselor, LPC
Verified Verified
Anchorage, AK 99522  (Online Only)
Health, is about establishing and maintaining connections to self, community, our spirituality and those we love. When these connections are damaged by trauma, pain, fear, or other trials of life, we sometimes need help to rebuild, reconnect, and strengthen our current connections. My name is David Root. I am a licensed professional counselor and I would be honored to help with this journey.
Health, is about establishing and maintaining connections to self, community, our spirituality and those we love. When these connections are damaged by trauma, pain, fear, or other trials of life, we sometimes need help to rebuild, reconnect, and strengthen our current connections. My name is David Root. I am a licensed professional counselor and I would be honored to help with this journey.
(907) 891-8183 View (907) 891-8183
Photo of Julie Perez, LCSW, Clinical Social Work/Therapist
Julie Perez
Clinical Social Work/Therapist, LCSW
Verified Verified
Anchorage, AK 99501
My approach to therapy comes from the belief that within each of us is an inner wisdom, that when accessed will guide us to new insights, answers, relief and even healing from our burdens and struggles. I believe we are all designed to find healing, when we do our own, honest "soul searching" or inner exploration. Richard Schwartz, developer of the Internal Family Systems model, stumbled upon an approach to navigating our internal systems through work with his clients. He discovered that we all possess the positive qualities of calmness, compassion, confidence, courage, etc. when connected to this source of inner wisdom.
My approach to therapy comes from the belief that within each of us is an inner wisdom, that when accessed will guide us to new insights, answers, relief and even healing from our burdens and struggles. I believe we are all designed to find healing, when we do our own, honest "soul searching" or inner exploration. Richard Schwartz, developer of the Internal Family Systems model, stumbled upon an approach to navigating our internal systems through work with his clients. He discovered that we all possess the positive qualities of calmness, compassion, confidence, courage, etc. when connected to this source of inner wisdom.
(855) 780-0286 View (855) 780-0286
Photo of Claire Woster - Claire Woster Coastal Wellness & Counseling, LLC, LPC, MA, NBCC, Licensed Professional Counselor
Claire Woster Coastal Wellness & Counseling, LLC
Licensed Professional Counselor, LPC, MA, NBCC
Verified Verified
Anchorage, AK 99501
Throughout our lives we develop belief systems about how and who we 'should' be. These systems create thought, emotion, and behavior patterns that lead to an experience of separation and isolation. I view therapy as an odyssey that moves us back into intimate relationship with self and other.
Throughout our lives we develop belief systems about how and who we 'should' be. These systems create thought, emotion, and behavior patterns that lead to an experience of separation and isolation. I view therapy as an odyssey that moves us back into intimate relationship with self and other.
(907) 341-3849 View (907) 341-3849
Photo of Christina Wilson - Christina Wilson, Expressive Art Therapist, REAT, LPC, Licensed Professional Counselor
Christina Wilson, Expressive Art Therapist
Licensed Professional Counselor, REAT, LPC
Verified Verified
1 Endorsed
Anchorage, AK 99503
Do you need a more creative way to process in therapy? Join me for Art Therapy. The daily stressors in our life can become obstacles and can bring us to feelings of isolation, loneliness, and a feeling of not being understood. We are not operating from the true self in self energy when this occurs. You can harness your true nature through creativity and art. We as individuals deserve to be heard, wanted, and loved. I work in individual counseling with evidence-based treatment through Expressive Art Therapy and Talk Therapy. I believe you have the ability to heal within and offer my services as a gentle guide on that journey.
Do you need a more creative way to process in therapy? Join me for Art Therapy. The daily stressors in our life can become obstacles and can bring us to feelings of isolation, loneliness, and a feeling of not being understood. We are not operating from the true self in self energy when this occurs. You can harness your true nature through creativity and art. We as individuals deserve to be heard, wanted, and loved. I work in individual counseling with evidence-based treatment through Expressive Art Therapy and Talk Therapy. I believe you have the ability to heal within and offer my services as a gentle guide on that journey.
(907) 250-5058 View (907) 250-5058
Photo of Kelsey Carney - Ascent Wellness and Counseling, LLC, LCSW, Clinical Social Work/Therapist
Ascent Wellness and Counseling, LLC
Clinical Social Work/Therapist, LCSW
Verified Verified
Anchorage, AK 99502  (Online Only)
You are capable of reaching your full potential of living a fulfilling life. When we are overwhelmed by life transitions, relationship issues, and past traumas it becomes easy to forget what we want our lives to look like and who we want to be. Therapy provides the space to dedicate time to process and develop new skills to help you heal.
You are capable of reaching your full potential of living a fulfilling life. When we are overwhelmed by life transitions, relationship issues, and past traumas it becomes easy to forget what we want our lives to look like and who we want to be. Therapy provides the space to dedicate time to process and develop new skills to help you heal.
(907) 738-8005 View (907) 738-8005
Photo of Tashia Amstislavski - Tashia Amstislavski, MA, LCSW, LLC, MA, LCSW, Clinical Social Work/Therapist
Tashia Amstislavski, MA, LCSW, LLC
Clinical Social Work/Therapist, MA, LCSW
Verified Verified
Anchorage, AK 99503
I am currently accepting new clients with little to no wait time! I work with individuals, couples and families to develop healthy coping strategies to reduce anxiety and depression symptoms.
I am currently accepting new clients with little to no wait time! I work with individuals, couples and families to develop healthy coping strategies to reduce anxiety and depression symptoms.
(844) 942-0616 View (844) 942-0616
Photo of Wendi Joy Compton, MS, LPC (S), HT, Counselor
Wendi Joy Compton
Counselor, MS, LPC (S), HT
Verified Verified
Anchorage, AK 99515
I specialize in providing care to veterans, families, couples, and individuals facing overwhelming life struggles in need of guidance. My clients are typically committed to learning, processing, and mastering skill sets that will generate personal growth, better relationships, and, most importantly, improved quality of life. I have helped people navigate complicated marital problems, and parent-child relationships. I provide therapeutic support to single parents, grandparents, and multigenerational caregivers. I also work with people in recovery from addiction, religion-based abuse, toxic workplaces, and manipulation.
I specialize in providing care to veterans, families, couples, and individuals facing overwhelming life struggles in need of guidance. My clients are typically committed to learning, processing, and mastering skill sets that will generate personal growth, better relationships, and, most importantly, improved quality of life. I have helped people navigate complicated marital problems, and parent-child relationships. I provide therapeutic support to single parents, grandparents, and multigenerational caregivers. I also work with people in recovery from addiction, religion-based abuse, toxic workplaces, and manipulation.
(907) 917-4787 View (907) 917-4787
Photo of Lyn Freeman - Mind Matters Counseling, PhD, Licensed Professional Counselor
Mind Matters Counseling
Licensed Professional Counselor, PhD
Verified Verified
Anchorage, AK 99508
Medical challenges present many problems--sleep deprivation, implementing nutritional requirements, and family members unable to understand your medical challenges and pain. I offer several forms of therapy, based on preference. I have developed protocols based on a decade of research to help you manage your anxiety, depression, pain perception, and sleep and nutritional behaviors. Protocols help with medically-induced PTSD. Critical thinking protocols help make medical decisions when you are feeling overwhelmed but must choose from more than one recommendation. The shared practice model offers multiple skill sets.
Medical challenges present many problems--sleep deprivation, implementing nutritional requirements, and family members unable to understand your medical challenges and pain. I offer several forms of therapy, based on preference. I have developed protocols based on a decade of research to help you manage your anxiety, depression, pain perception, and sleep and nutritional behaviors. Protocols help with medically-induced PTSD. Critical thinking protocols help make medical decisions when you are feeling overwhelmed but must choose from more than one recommendation. The shared practice model offers multiple skill sets.
(907) 202-6448 View (907) 202-6448

How does your Therapist compare?

Number of Therapists in Anchorage, AK

300+

Average cost per session

$200

Therapists in Anchorage, AK who prioritize treating:

90% Anxiety
85% Depression
79% Trauma and PTSD
73% Relationship Issues
67% Self Esteem
65% Stress
63% Coping Skills

Average years in practice

13 Years

Top 3 insurances accepted

76% BlueCross and BlueShield
66% Aetna
55% Premera

How Therapists in Anchorage, AK see their clients

58% In Person and Online
42% Online Only

Gender breakdown

81% Female
18% Male
1% Non-Binary
FAQs - About Therapy and Counseling

How can I find a therapist in Anchorage?

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.