Therapists in Philadelphia, PA

View neighborhoods in Philadelphia
Photo of Dana Ginsburg, MSW, LCSW, Clinical Social Work/Therapist
Dana Ginsburg
Clinical Social Work/Therapist, MSW, LCSW
Verified Verified
Philadelphia, PA 19146
I believe that acceptance and surrender are the first steps towards making a change in ones life. I am a Licensed Clinical Social Worker who focuses on encouraging and empowering individuals on their road to recovery. I work with adults with addiction issues, as well as depression, anxiety, and mood disorders. I also treat couples dealing with troubles in their relationships. My approach is psycho-dynamic with emphasis on empowering my clients by using a short-term problem-solving approach.
I believe that acceptance and surrender are the first steps towards making a change in ones life. I am a Licensed Clinical Social Worker who focuses on encouraging and empowering individuals on their road to recovery. I work with adults with addiction issues, as well as depression, anxiety, and mood disorders. I also treat couples dealing with troubles in their relationships. My approach is psycho-dynamic with emphasis on empowering my clients by using a short-term problem-solving approach.
(856) 872-2890 View (856) 872-2890
Photo of Karen Rivera-Seda, LPC , MFT , NCC, Licensed Professional Counselor
Karen Rivera-Seda
Licensed Professional Counselor, LPC , MFT , NCC
Verified Verified
Philadelphia, PA 19103
I provide support to college students & adults in the areas of anxiety, grief, life transitions, postpartum anxiety, betrayal trauma, teen trauma, and being the adult child of immigrants. I also provide support to couples in the areas of communication, premarital, pre-engagement, and pre-cohabitation. I've worked with various populations & present issues/concerns, thus garnering my areas of specialty. Being a 1.5-generation immigrant has afforded me firsthand experience/knowledge of the difficulties and challenges that children of immigrants may face. My specialty areas in no way limits my ability to work with a variety of clients.
I provide support to college students & adults in the areas of anxiety, grief, life transitions, postpartum anxiety, betrayal trauma, teen trauma, and being the adult child of immigrants. I also provide support to couples in the areas of communication, premarital, pre-engagement, and pre-cohabitation. I've worked with various populations & present issues/concerns, thus garnering my areas of specialty. Being a 1.5-generation immigrant has afforded me firsthand experience/knowledge of the difficulties and challenges that children of immigrants may face. My specialty areas in no way limits my ability to work with a variety of clients.
(267) 376-8500 View (267) 376-8500
Photo of Lauren Sandulli, LPC, Licensed Professional Counselor
Lauren Sandulli
Licensed Professional Counselor, LPC
Verified Verified
Philadelphia, PA 19107
Hi there! I'm Lauren Sandulli, a Licensed Professional Counselor based in Pennsylvania. With over 15 years of experience across diverse clinical environments, I've honed my skills in working with a broad spectrum of people and employ an eclectic approach to therapy. My philosophy revolves around meeting clients at their current stage, rather than imposing arbitrary expectations. When meeting new clients, my aim is to alleviate any feelings of overwhelm about their goals, ensuring they feel empowered to progress at their own pace.
Hi there! I'm Lauren Sandulli, a Licensed Professional Counselor based in Pennsylvania. With over 15 years of experience across diverse clinical environments, I've honed my skills in working with a broad spectrum of people and employ an eclectic approach to therapy. My philosophy revolves around meeting clients at their current stage, rather than imposing arbitrary expectations. When meeting new clients, my aim is to alleviate any feelings of overwhelm about their goals, ensuring they feel empowered to progress at their own pace.
(267) 489-1523 x1 View (267) 489-1523 x1
Photo of Brittany Momah, LCSW, Clinical Social Work/Therapist
Brittany Momah
Clinical Social Work/Therapist, LCSW
Verified Verified
Philadelphia, PA 19129  (Online Only)
I have experience working with a diverse set of populations, including those who have struggled with anxiety, depression, intimate partner/domestic violence, sexual abuse, and trauma. I work with individuals struggling with unhealthy relationship patterns, relational violence, trauma, mood disruptions, and work dissatisfaction/burnout. I also work with couples on communication, trust, intimacy, and learning how to "fight fair." I am passionate about advocating for and working with BIPOC individuals, the LGBTQIA+ community, and survivors of relational and/or sexual abuse.
I have experience working with a diverse set of populations, including those who have struggled with anxiety, depression, intimate partner/domestic violence, sexual abuse, and trauma. I work with individuals struggling with unhealthy relationship patterns, relational violence, trauma, mood disruptions, and work dissatisfaction/burnout. I also work with couples on communication, trust, intimacy, and learning how to "fight fair." I am passionate about advocating for and working with BIPOC individuals, the LGBTQIA+ community, and survivors of relational and/or sexual abuse.
(484) 309-9296 View (484) 309-9296
Photo of Emily Nussdorfer, MA, BC-DMT, LPC, Licensed Professional Counselor
Emily Nussdorfer
Licensed Professional Counselor, MA, BC-DMT, LPC
Verified Verified
Philadelphia, PA 19119
Are you seeking to find relief from past pain and the courage and positive energy needed to recharge your life? Trauma experiences can have a crippling effect on the mind and body, causing depression, anxiety, rage reactions, grief, addiction, and other distressing symptoms. I offer a warm and safe space for you to unpack your burdens, and experience genuine and lasting relief. With over 20 years of combined experience in trauma therapy, expressive movement therapy, and mindfulness, I will guide you in developing practical tools to transform the immobilizing effects of trauma, PTSD and chronic stress so that you can move forward.
Are you seeking to find relief from past pain and the courage and positive energy needed to recharge your life? Trauma experiences can have a crippling effect on the mind and body, causing depression, anxiety, rage reactions, grief, addiction, and other distressing symptoms. I offer a warm and safe space for you to unpack your burdens, and experience genuine and lasting relief. With over 20 years of combined experience in trauma therapy, expressive movement therapy, and mindfulness, I will guide you in developing practical tools to transform the immobilizing effects of trauma, PTSD and chronic stress so that you can move forward.
(215) 608-1934 View (215) 608-1934
Photo of Roodlee Rheem Moisset - Sparrow Worth Counseling, LLC , Pre-Licensed Professional
Sparrow Worth Counseling, LLC
Pre-Licensed Professional
Verified Verified
1 Endorsed
Philadelphia, PA 19118
As a mental health professional I understand that mental health is vital, not only for the clients I work with, but also for their families and communities. I have a strong interest in helping others, which is why I choose this career path. I received my Bachelors in Psychology from Arcadia University and my Masters in Clinical and Counseling Psychology from Chestnut Hill College.
As a mental health professional I understand that mental health is vital, not only for the clients I work with, but also for their families and communities. I have a strong interest in helping others, which is why I choose this career path. I received my Bachelors in Psychology from Arcadia University and my Masters in Clinical and Counseling Psychology from Chestnut Hill College.
(215) 608-1047 View (215) 608-1047
Photo of Tiffany Harris, LCSW, Clinical Social Work/Therapist
Tiffany Harris
Clinical Social Work/Therapist, LCSW
Verified Verified
Philadelphia, PA 19120  (Online Only)
Not accepting new clients
Not accepting new clients until September 15, 2024
Not accepting new clients until September 15, 2024
(267) 705-6167 View (267) 705-6167
Photo of Nina Salerno, LPC, Licensed Professional Counselor
Nina Salerno
Licensed Professional Counselor, LPC
Verified Verified
Philadelphia, PA 19154  (Online Only)
If the voice in your head was a person, would you like them very much? It is my strong belief, and confirmed by research, that many people who struggle with feeling of anxiety and depression also struggle with a negative inner voice that keeps you from reaching your potential.
If the voice in your head was a person, would you like them very much? It is my strong belief, and confirmed by research, that many people who struggle with feeling of anxiety and depression also struggle with a negative inner voice that keeps you from reaching your potential.
(215) 515-7820 View (215) 515-7820
Photo of David Skowronski - PhilaTherapy, LLC, Owner, LPC, LPCMH, Licensed Professional Counselor
PhilaTherapy, LLC
Licensed Professional Counselor, Owner, LPC, LPCMH
Verified Verified
Philadelphia, PA 19103
PhilaTherapy is an established practice located in and around Philadelphia, PA. We established the practice to meet the growing mental health needs of individuals in the Greater Philadelphia area. We provide psychotherapy and educational services. Our clinicians and staff are here to help you overcome various mental health conditions and everyday challenges. Locations: 255 S 17th St. Phila, PA., 230 S. Broad St. Phila, PA., 43 Leopard Rd. Paoli, PA., 717 Bethlehem Pike, Erdenheim, PA.
PhilaTherapy is an established practice located in and around Philadelphia, PA. We established the practice to meet the growing mental health needs of individuals in the Greater Philadelphia area. We provide psychotherapy and educational services. Our clinicians and staff are here to help you overcome various mental health conditions and everyday challenges. Locations: 255 S 17th St. Phila, PA., 230 S. Broad St. Phila, PA., 43 Leopard Rd. Paoli, PA., 717 Bethlehem Pike, Erdenheim, PA.
(484) 696-2382 View (484) 696-2382
Photo of Kayte Roberts, LMFT, Marriage & Family Therapist
Kayte Roberts
Marriage & Family Therapist, LMFT
Verified Verified
2 Endorsed
Philadelphia, PA 19106  (Online Only)
Ever feel like you keep hitting the same wall over and over again? Does it seem like no matter what you do, you continue to feel lost/stuck? Our past traumas, experiences, relationships, societal & familial expectations can unconsciously start to dictate the ways that we think about ourselves and how we relate to the world; we start to have trouble seeing ourselves clearly. As a therapist, I strive to provide a safe and validating space to explore the issues and pain that might be holding you back from being your most authentic self; helping to refocus your vision so that you are able to witness your own resilience and unique power.
Ever feel like you keep hitting the same wall over and over again? Does it seem like no matter what you do, you continue to feel lost/stuck? Our past traumas, experiences, relationships, societal & familial expectations can unconsciously start to dictate the ways that we think about ourselves and how we relate to the world; we start to have trouble seeing ourselves clearly. As a therapist, I strive to provide a safe and validating space to explore the issues and pain that might be holding you back from being your most authentic self; helping to refocus your vision so that you are able to witness your own resilience and unique power.
(215) 770-0053 View (215) 770-0053
Photo of Linda Case, LPC, Licensed Professional Counselor
Linda Case
Licensed Professional Counselor, LPC
Verified Verified
Philadelphia, PA 19130  (Online Only)
"Accepting new clients" Are you struggling with stress that is creating anxiety, depression, conflicted relationships or job stress? I can help. I provide a safe and supportive environment to uncover limiting beliefs and behaviors that are preventing you from living your optimal life.
"Accepting new clients" Are you struggling with stress that is creating anxiety, depression, conflicted relationships or job stress? I can help. I provide a safe and supportive environment to uncover limiting beliefs and behaviors that are preventing you from living your optimal life.
(267) 592-6957 View (267) 592-6957
Photo of Maegan D'Amato, LCSW, Clinical Social Work/Therapist
Maegan D'Amato
Clinical Social Work/Therapist, LCSW
Verified Verified
1 Endorsed
Philadelphia, PA 19125
It is human nature to try and create understanding of the situations we experience, for once we understand what the experience is, what we feel and why we feel it, we can begin to take back our control. I believe that it is from this space that we can then begin to heal; to create necessary change and grow. As a therapist, it is my goal to help move you through the power of “why?” so that you may gain understanding, take back your control, and heal.
It is human nature to try and create understanding of the situations we experience, for once we understand what the experience is, what we feel and why we feel it, we can begin to take back our control. I believe that it is from this space that we can then begin to heal; to create necessary change and grow. As a therapist, it is my goal to help move you through the power of “why?” so that you may gain understanding, take back your control, and heal.
(267) 715-0693 View (267) 715-0693
Photo of Cristina Aicher - Betterment of Mind, therapy with Cristina Aicher , LPC, Licensed Professional Counselor
Betterment of Mind, therapy with Cristina Aicher
Licensed Professional Counselor, LPC
Verified Verified
1 Endorsed
Philadelphia, PA 19102
My speciality is working with individuals experiencing issues with stress, anxiety, depression, addiction, over-eating, grief and trauma. My approach is to first identify existing coping strategies to deal with the current stressors. Together, we sort out the underlying problems and identify and develop a tool kit with more effective coping strategies for the many challenges that the world throws at you. We examine and re-frame your emotional reactions to current and past trauma. The relationship between therapist and client is really important for change; and I do my best to provide a warm, natural, humorous and relaxed atmosphere.
My speciality is working with individuals experiencing issues with stress, anxiety, depression, addiction, over-eating, grief and trauma. My approach is to first identify existing coping strategies to deal with the current stressors. Together, we sort out the underlying problems and identify and develop a tool kit with more effective coping strategies for the many challenges that the world throws at you. We examine and re-frame your emotional reactions to current and past trauma. The relationship between therapist and client is really important for change; and I do my best to provide a warm, natural, humorous and relaxed atmosphere.
(215) 645-4299 View (215) 645-4299
Photo of Katrina Rose Serrano, LCSW, Clinical Social Work/Therapist
Katrina Rose Serrano
Clinical Social Work/Therapist, LCSW
Verified Verified
2 Endorsed
Philadelphia, PA 19146  (Online Only)
Currently taking individual and group therapy clients! Do you ever feel like you take care of everyone around you and can't find the time or energy to care for yourself? Do you experience imposter syndrome or anxiety and sometimes don't even know where it is coming from? Is there a part of you that tends to be self-critical and you don't know how to manage it? When we experience distressing events in our lives, they can create negative beliefs about ourselves that can impact the way we navigate our world. Your pain is real, you are not alone, and you are capable of healing. Let's get you started on that path.
Currently taking individual and group therapy clients! Do you ever feel like you take care of everyone around you and can't find the time or energy to care for yourself? Do you experience imposter syndrome or anxiety and sometimes don't even know where it is coming from? Is there a part of you that tends to be self-critical and you don't know how to manage it? When we experience distressing events in our lives, they can create negative beliefs about ourselves that can impact the way we navigate our world. Your pain is real, you are not alone, and you are capable of healing. Let's get you started on that path.
(267) 376-9379 View (267) 376-9379
Photo of Jill Slepman, LCSW , Clinical Social Work/Therapist
Jill Slepman
Clinical Social Work/Therapist, LCSW
Verified Verified
Philadelphia, PA 19125  (Online Only)
Living with a mind that never seems to stop running, or not knowing how to soothe that worried voice can feel incredibly exhausting. If you identify as a worrier, or an overthinker, or maybe you're finding that you are feeling anxious more often than you'd like, know you are not alone. Whatever your experience may be, we will work together to gain a deeper understanding of what's happening, ultimately finding relief, helping you break free from feeling stuck, and restoring a sense of confidence and grounding in your life.
Living with a mind that never seems to stop running, or not knowing how to soothe that worried voice can feel incredibly exhausting. If you identify as a worrier, or an overthinker, or maybe you're finding that you are feeling anxious more often than you'd like, know you are not alone. Whatever your experience may be, we will work together to gain a deeper understanding of what's happening, ultimately finding relief, helping you break free from feeling stuck, and restoring a sense of confidence and grounding in your life.
(267) 680-7217 View (267) 680-7217
Photo of Brandon Pace, LCSW, Clinical Social Work/Therapist
Brandon Pace
Clinical Social Work/Therapist, LCSW
Verified Verified
1 Endorsed
Philadelphia, PA 19103  (Online Only)
Are you feeling anxious or more stressed lately? Are you feeling stuck? Do you have a relationship issue that you want to work on? Therapy can help (I know how that sounds but it's true). My clients and I work collaboratively on relationship issues, LGBTQIA+ topics, anxiety, coping mechanisms, depression and Trauma. I often work with individuals who aren't happy with how their life is currently going &/or want to embrace a healthier version of themselves.
Are you feeling anxious or more stressed lately? Are you feeling stuck? Do you have a relationship issue that you want to work on? Therapy can help (I know how that sounds but it's true). My clients and I work collaboratively on relationship issues, LGBTQIA+ topics, anxiety, coping mechanisms, depression and Trauma. I often work with individuals who aren't happy with how their life is currently going &/or want to embrace a healthier version of themselves.
(484) 799-1253 View (484) 799-1253
Photo of Gregory Mairs, LMFT, Marriage & Family Therapist
Gregory Mairs
Marriage & Family Therapist, LMFT
Verified Verified
Philadelphia, PA 19103
I have an extensive professional history of working with families and couples in crisis. Many of us struggle in our relationships & find that clear communication is challenging for many reasons. The barriers may include issues with past trauma or failed attempts to find the right words during a conflict. I bring the structural therapy tools to help a family, couple, or individual recognize the triggers of their conflicts, explore past trauma & the impact it may have on the current relationship/situation, help the individual challenge automatic negative assumptions, & find a response which leads to clear communication.
I have an extensive professional history of working with families and couples in crisis. Many of us struggle in our relationships & find that clear communication is challenging for many reasons. The barriers may include issues with past trauma or failed attempts to find the right words during a conflict. I bring the structural therapy tools to help a family, couple, or individual recognize the triggers of their conflicts, explore past trauma & the impact it may have on the current relationship/situation, help the individual challenge automatic negative assumptions, & find a response which leads to clear communication.
(267) 478-1850 View (267) 478-1850
Photo of Kate Larsen, MA, LPC, Licensed Professional Counselor
Kate Larsen
Licensed Professional Counselor, MA, LPC
Verified Verified
1 Endorsed
Philadelphia, PA 19134  (Online Only)
Hello ! My name is Kate. I am a virtual therapist. I want to help you resolve the pain and struggle that keeps coming up and blocking your happiness. I specialize in helping people who are fighting complicated symptoms often related to trauma history. My experience and specialized training mean I am skilled at treating PTSD, Major depression, Social Anxiety, OCD, and Borderline Personality. The types of therapy I utilize will keep you motivated .Working together we can expect small changes to start soon. Small changes lead to big changes and the life you have dreamed about.
Hello ! My name is Kate. I am a virtual therapist. I want to help you resolve the pain and struggle that keeps coming up and blocking your happiness. I specialize in helping people who are fighting complicated symptoms often related to trauma history. My experience and specialized training mean I am skilled at treating PTSD, Major depression, Social Anxiety, OCD, and Borderline Personality. The types of therapy I utilize will keep you motivated .Working together we can expect small changes to start soon. Small changes lead to big changes and the life you have dreamed about.
(267) 458-5974 View (267) 458-5974
Photo of Adrienne Hermes, LPC, C-DBT, CYT, Licensed Professional Counselor
Adrienne Hermes
Licensed Professional Counselor, LPC, C-DBT, CYT
Verified Verified
3 Endorsed
Philadelphia, PA 19103
Whether you are struggling with anxiety, depression, PTSD, or addiction, exploring how to calm the body in order to sort out the mind can help you feel in control. Through our work together we can explore strategies, in addition to talk therapy, such as breathwork (lifeforce yoga), sitting with discomfort (DBT & somatic experiencing) and developing a growth mindset (CBT, DBT, & EMDR) to assist you with managing the challenges you experience.
Whether you are struggling with anxiety, depression, PTSD, or addiction, exploring how to calm the body in order to sort out the mind can help you feel in control. Through our work together we can explore strategies, in addition to talk therapy, such as breathwork (lifeforce yoga), sitting with discomfort (DBT & somatic experiencing) and developing a growth mindset (CBT, DBT, & EMDR) to assist you with managing the challenges you experience.
(215) 398-6298 View (215) 398-6298
Photo of Sherry Goldman, LCSW, Clinical Social Work/Therapist
Sherry Goldman
Clinical Social Work/Therapist, LCSW
Verified Verified
Philadelphia, PA 19146  (Online Only)
Anxiety, depression, and worry are making you miserable and keeping you up at night. Nothing you have tried is helping, and you've tried everything. There's never enough time to get it all done, and the pressure never ends. You’re at your wits ends. When you play it forward you only see things getting worse. The unavoidable consequences to your relationships and family, your work, and your health are constant lurking threats. You keep your stress buried inside because you don’t know what else to do. Everyone thinks you have it all figured out. But the truth is you feel lost. You've worked too hard to feel so unhappy.
Anxiety, depression, and worry are making you miserable and keeping you up at night. Nothing you have tried is helping, and you've tried everything. There's never enough time to get it all done, and the pressure never ends. You’re at your wits ends. When you play it forward you only see things getting worse. The unavoidable consequences to your relationships and family, your work, and your health are constant lurking threats. You keep your stress buried inside because you don’t know what else to do. Everyone thinks you have it all figured out. But the truth is you feel lost. You've worked too hard to feel so unhappy.
(267) 699-7404 View (267) 699-7404
1
...

See more therapy options for Philadelphia

How does your Therapist compare?

Number of Therapists in Philadelphia, PA

3,000+

Average cost per session

$147

Therapists in Philadelphia, PA who prioritize treating:

92% Anxiety
86% Depression
72% Self Esteem
69% Relationship Issues
68% Trauma and PTSD
64% Coping Skills
60% Stress

Average years in practice

10 Years

Top 3 insurances accepted

82% Aetna
69% UnitedHealthcare UHC | UBH
68% Cigna and Evernorth

How Therapists in Philadelphia, PA see their clients

51% Online Only
49% In Person and Online

Gender breakdown

77% Female
20% Male
3% Non-Binary
FAQs - About Therapy and Counseling

How can I find a therapist in Philadelphia?

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.