Therapists in Chouteau County, MT

Photo of Trish McCoy, LCPC, NCC, CHT, Counselor
Trish McCoy
Counselor, LCPC, NCC, CHT
Verified Verified
Fort Benton, MT 59442  (Online Only)
Your choice in considering assistance to overcome personal obstacles and progress forward indicates a level of commitment to improving your sense of well-being and overall contentment. Together, we can achieve your personal goals. Combining conventional and alternative approaches, a variety of styles and techniques are employed to incorporate what will be the most beneficial for the individual client. With sensitivity and compassion, I assist clients in discovering solutions to a wide range of life challenges and psychological issues. Specializing in adolescent issues, depression, anxiety, and relationship issues.
Your choice in considering assistance to overcome personal obstacles and progress forward indicates a level of commitment to improving your sense of well-being and overall contentment. Together, we can achieve your personal goals. Combining conventional and alternative approaches, a variety of styles and techniques are employed to incorporate what will be the most beneficial for the individual client. With sensitivity and compassion, I assist clients in discovering solutions to a wide range of life challenges and psychological issues. Specializing in adolescent issues, depression, anxiety, and relationship issues.
(406) 412-6203 View (406) 412-6203
Photo of Dawn M. Handa, LCPC, NCC, CCTP, ERPSCC, Counselor
Dawn M. Handa
Counselor, LCPC, NCC, CCTP, ERPSCC
Verified Verified
Fort Benton, MT 59442
Talking about our struggles in life can be extremely difficult and we often suffer in silence. Silence can lead to feeling angry, depressed, anxious, emotionally numb or even suicidal. You may find yourself often wondering "Why can't I ever be happy?" or "What is wrong with me?" Have you tried traditional "talk therapy" and find yourself still struggling? Often, your current life struggles can be the result of previous stressful/traumatic incidents you have experienced. I am specialty trained in specialized techniques such as Eye Movement and Desensitization (EMDR) and can help you overcome negative self-talk and trauma.
Talking about our struggles in life can be extremely difficult and we often suffer in silence. Silence can lead to feeling angry, depressed, anxious, emotionally numb or even suicidal. You may find yourself often wondering "Why can't I ever be happy?" or "What is wrong with me?" Have you tried traditional "talk therapy" and find yourself still struggling? Often, your current life struggles can be the result of previous stressful/traumatic incidents you have experienced. I am specialty trained in specialized techniques such as Eye Movement and Desensitization (EMDR) and can help you overcome negative self-talk and trauma.
(406) 296-5276 View (406) 296-5276

Online Therapists

Photo of Patricia Cooper, LCPC, LPC, NCC, Counselor
Patricia Cooper
Counselor, LCPC, LPC, NCC
Verified Verified
1 Endorsed
Great Falls, MT 59404  (Online Only)
Have you been struggling with OCD, ongoing anxiety, phobias, or trauma symptoms that have become a barrier to connection and success? I love to work with those who experience anxiety, OCD, and trauma and strive to provide therapeutic support to get you where you want to be. I am currently only accepting telehealth clients.
Have you been struggling with OCD, ongoing anxiety, phobias, or trauma symptoms that have become a barrier to connection and success? I love to work with those who experience anxiety, OCD, and trauma and strive to provide therapeutic support to get you where you want to be. I am currently only accepting telehealth clients.
(406) 909-4146 View (406) 909-4146
Photo of Victoria J Davenport - Enlightening Minds for everlasting recovery, LCPC, LAC, SAP, CAMS-II, Counselor
Enlightening Minds for everlasting recovery
Counselor, LCPC, LAC, SAP, CAMS-II
Verified Verified
Great Falls, MT 59401
"There came a time when the risk to remain tight in the bud was more painful than the risk it took to blossom." I am here to help you through the pain and to watch you blossom.
"There came a time when the risk to remain tight in the bud was more painful than the risk it took to blossom." I am here to help you through the pain and to watch you blossom.
(406) 412-2808 View (406) 412-2808
Photo of Jenn Jovin - Cowick Mental Health Services, LLC, MSW, SWLC, Pre-Licensed Professional
Cowick Mental Health Services, LLC
Pre-Licensed Professional, MSW, SWLC
Verified Verified
1 Endorsed
Great Falls, MT 59405  (Online Only)
Accepting New Clients Now! As a seasoned retired veteran, military spouse, and mother I can understand military culture and its challenges. I am a Social Work Licensed Candidate (SWLC) based in the heart of Montana. I bring a wealth of experience and empathy to my practice. My passion lies in working with adolescents to adults, as well as couples therapy. Guiding them through life's challenges and empowering them to become their best selves. With a focus on Cognitive Behavioral Therapy (CBT), Motivational Interviewing, and an array of other therapeutic techniques, I tailor my approach to suit the unique needs of each individual.
Accepting New Clients Now! As a seasoned retired veteran, military spouse, and mother I can understand military culture and its challenges. I am a Social Work Licensed Candidate (SWLC) based in the heart of Montana. I bring a wealth of experience and empathy to my practice. My passion lies in working with adolescents to adults, as well as couples therapy. Guiding them through life's challenges and empowering them to become their best selves. With a focus on Cognitive Behavioral Therapy (CBT), Motivational Interviewing, and an array of other therapeutic techniques, I tailor my approach to suit the unique needs of each individual.
(406) 926-0365 View (406) 926-0365
Photo of Kelli O'Brien, LCPC, Counselor
Kelli O'Brien
Counselor, LCPC
Verified Verified
Great Falls, MT 59404
Waitlist for new clients
My focus is to help each individual gain self-awareness, self-compassion, and overall confidence in his, her, or their ability to understand and manage overwhelming emotions, stress, and ongoing psychological and behavioral problems. When we are defeated or don’t feel like ourselves, it is easy to focus on the negatives; I help individuals, couples, and families rediscover their strengths and the positive attributes that empower them toward growth and happiness. I am passionate about kids, women’s issues, building healthy relationships, increasing self-esteem, and healing family dynamics (including teaching parenting skills).
My focus is to help each individual gain self-awareness, self-compassion, and overall confidence in his, her, or their ability to understand and manage overwhelming emotions, stress, and ongoing psychological and behavioral problems. When we are defeated or don’t feel like ourselves, it is easy to focus on the negatives; I help individuals, couples, and families rediscover their strengths and the positive attributes that empower them toward growth and happiness. I am passionate about kids, women’s issues, building healthy relationships, increasing self-esteem, and healing family dynamics (including teaching parenting skills).
(406) 760-1784 View (406) 760-1784
Photo of Ashley Kimmet, LCPC, Licensed Professional Counselor
Ashley Kimmet
Licensed Professional Counselor, LCPC
Verified Verified
Cut Bank, MT 59427
Ashley Kimmet, LCPC, is a Licensed Clinical Professional Counselor and Behavioral Health Director at Logan Health Rural Health Clinic – Cut Bank. She has a passion for helping others and felt a calling to Behavioral Health while wanting to better help her community. With over 4 years of experience in helping patients make positive changes through actions and thought processes, she encourages her patients to apply the insights they learn to their real life, which has shown to make positive behavior changes and outcomes.
Ashley Kimmet, LCPC, is a Licensed Clinical Professional Counselor and Behavioral Health Director at Logan Health Rural Health Clinic – Cut Bank. She has a passion for helping others and felt a calling to Behavioral Health while wanting to better help her community. With over 4 years of experience in helping patients make positive changes through actions and thought processes, she encourages her patients to apply the insights they learn to their real life, which has shown to make positive behavior changes and outcomes.
(406) 284-0742 View (406) 284-0742
Photo of Laurie Sweeney, SWLC, LAC, Clinical Social Work/Therapist
Laurie Sweeney
Clinical Social Work/Therapist, SWLC, LAC
Verified Verified
1 Endorsed
Lewistown, MT 59457
I believe that everyone has the capacity to heal and I will provide a space where you can feel safe to explore your feelings, thoughts, and experiences. In therapy, I will help facilitate self-discovery, acceptance, and personal growth in a supportive and non-judgmental environment. I recognize that everyone is different and each person has unique experiences that require different approaches to healing. I will help you tap into your own inner resources and find the solutions that work for you. Above all, I will walk with you, and hold space and hope for you, on your healing journey.
I believe that everyone has the capacity to heal and I will provide a space where you can feel safe to explore your feelings, thoughts, and experiences. In therapy, I will help facilitate self-discovery, acceptance, and personal growth in a supportive and non-judgmental environment. I recognize that everyone is different and each person has unique experiences that require different approaches to healing. I will help you tap into your own inner resources and find the solutions that work for you. Above all, I will walk with you, and hold space and hope for you, on your healing journey.
(406) 313-3871 View (406) 313-3871
Photo of Megan Dunlap, MA, PCLC, Counselor
Megan Dunlap
Counselor, MA, PCLC
Verified Verified
1 Endorsed
Great Falls, MT 59401
I am so glad you are here! This moment of seeking help is an incredibly brave step in healing. I believe there is healing for one’s relationship with their body and food. You are more than the number on a scale or jean size. I understand the grip an eating disorder can have on your body, heart, soul, and mind, especially when you are wrestling with other mental health struggles. Together, we can navigate the ins and outs of taking the next steps to healing.
I am so glad you are here! This moment of seeking help is an incredibly brave step in healing. I believe there is healing for one’s relationship with their body and food. You are more than the number on a scale or jean size. I understand the grip an eating disorder can have on your body, heart, soul, and mind, especially when you are wrestling with other mental health struggles. Together, we can navigate the ins and outs of taking the next steps to healing.
(406) 642-8665 View (406) 642-8665
Photo of Janet Schneider, LCPC, LMFT
Janet Schneider
Licensed Clinical Professional Counselor, LCPC, LMFT
Verified Verified
Great Falls, MT 59401
Waitlist for new clients
Through individual therapy, family counseling, or couples counseling I will give you information, tools and assistance you need to find relief from your pain and a solution to your difficulties. I have helped families, couples, and individual clients heal, grow, and change their lives. I work to enhance and expand people's ability to experience deeper connection with themselves and others. I believe in treating the whole person and not just mental health symptoms. Through therapy I help people in their desire to close the gap between where they are right now and where they want to be.
Through individual therapy, family counseling, or couples counseling I will give you information, tools and assistance you need to find relief from your pain and a solution to your difficulties. I have helped families, couples, and individual clients heal, grow, and change their lives. I work to enhance and expand people's ability to experience deeper connection with themselves and others. I believe in treating the whole person and not just mental health symptoms. Through therapy I help people in their desire to close the gap between where they are right now and where they want to be.
(406) 206-3940 View (406) 206-3940
Photo of Lawrence 'lance' P Bischoff III, MS-MFCT, LCPC, Licensed Professional Counselor
Lawrence 'lance' P Bischoff III
Licensed Professional Counselor, MS-MFCT, LCPC
Verified Verified
Great Falls, MT 59401  (Online Only)
Best combination includes a client motivated to make realistic changes. Open to the idea we are not "stuck!" He/she/they are ready to try new strategies or perspectives to alter their day, week and manage stresses with more confidence. The client ready to be candid and find a therapist with smarts, practical, insightful skills and compassion. "A new view" fits the goals for a person who can be a therapy "team member!"
Best combination includes a client motivated to make realistic changes. Open to the idea we are not "stuck!" He/she/they are ready to try new strategies or perspectives to alter their day, week and manage stresses with more confidence. The client ready to be candid and find a therapist with smarts, practical, insightful skills and compassion. "A new view" fits the goals for a person who can be a therapy "team member!"
(406) 612-4181 View (406) 612-4181
Photo of Becky Edmonds, LMFT, MA, Marriage & Family Therapist
Becky Edmonds
Marriage & Family Therapist, LMFT, MA
Verified Verified
1 Endorsed
Great Falls, MT 59401
Life has challenges for everyone. Whether you are an individual trying to find direction for your life, relationships, career, or a couple who has found themselves on opposite ends of the couch or compromise, or are a family who is trying to adjust to changes in the family or ongoing challenges. It takes strength and bravery to ask for help; to sit in vulnerability and worry about judgement, acknowledge the shame and guilt, and fear it could only get worse.
Life has challenges for everyone. Whether you are an individual trying to find direction for your life, relationships, career, or a couple who has found themselves on opposite ends of the couch or compromise, or are a family who is trying to adjust to changes in the family or ongoing challenges. It takes strength and bravery to ask for help; to sit in vulnerability and worry about judgement, acknowledge the shame and guilt, and fear it could only get worse.
(406) 359-6581 View (406) 359-6581
Photo of Sheila Murray - Sheila Murray, LCPC, LLC , MA, LCPC, Counselor
Sheila Murray, LCPC, LLC
Counselor, MA, LCPC
Verified Verified
1 Endorsed
Great Falls, MT 59405
Do you feel overwhelmed or stuck with a life change, loss or trauma? Are you desiring change and fearing it at the same time? When we go through life changes, loss or trauma we can get turned around and have a hard time finding our ground again. Sometimes we lose touch gradually, over years of not being seen or heard. Not feeling safe enough to speak our truth or be who we really are. This can show up as depression, anxiety, or feeling stuck and unable to trust ourselves. Sometimes it’s just a feeling of emptiness on the inside, even though things look good on the outside.
Do you feel overwhelmed or stuck with a life change, loss or trauma? Are you desiring change and fearing it at the same time? When we go through life changes, loss or trauma we can get turned around and have a hard time finding our ground again. Sometimes we lose touch gradually, over years of not being seen or heard. Not feeling safe enough to speak our truth or be who we really are. This can show up as depression, anxiety, or feeling stuck and unable to trust ourselves. Sometimes it’s just a feeling of emptiness on the inside, even though things look good on the outside.
(406) 426-5123 View (406) 426-5123
Photo of Jennifer Hurwitz, MS, LCPC, SEP, Counselor
Jennifer Hurwitz
Counselor, MS, LCPC, SEP
Verified Verified
Are you feeling disconnected from your sense of self or purpose? Has your life gone in a direction you are unhappy with? Are you struggling as a parent or in your relationships? We are all a work in progress. We have each developed our own unique way of experiencing the world and how we interact within it. At times, that experience can be challenging and uncomfortable. Engaging in counseling is a courageous and empowering opportunity to turn inward and actively invest in living your best life.
Are you feeling disconnected from your sense of self or purpose? Has your life gone in a direction you are unhappy with? Are you struggling as a parent or in your relationships? We are all a work in progress. We have each developed our own unique way of experiencing the world and how we interact within it. At times, that experience can be challenging and uncomfortable. Engaging in counseling is a courageous and empowering opportunity to turn inward and actively invest in living your best life.
(406) 215-4711 View (406) 215-4711
Photo of Chad Glen Stewart, MEd, LCPC, EMDR, Licensed Professional Counselor
Chad Glen Stewart
Licensed Professional Counselor, MEd, LCPC, EMDR
Verified Verified
Havre, MT 59501  (Online Only)
Do you find yourself down, depressed or misunderstood? You may emotionally exhausted feeling alone, rejected or lost and lacking in perspective in your life. This is where I can help. I believe that within us all is both the problem and the answer and it is my job to facilitate the connection between the two. In short, I am not here to take charge or lead the conversation or judge your situation, I am here to help you find your own answers. I am a person-centered counselor in Montana with five years of experience serving the students, parents and families of the local school district.
Do you find yourself down, depressed or misunderstood? You may emotionally exhausted feeling alone, rejected or lost and lacking in perspective in your life. This is where I can help. I believe that within us all is both the problem and the answer and it is my job to facilitate the connection between the two. In short, I am not here to take charge or lead the conversation or judge your situation, I am here to help you find your own answers. I am a person-centered counselor in Montana with five years of experience serving the students, parents and families of the local school district.
(406) 350-7721 View (406) 350-7721
Photo of Julie Shewman, LPC, LCPC, Licensed Professional Counselor
Julie Shewman
Licensed Professional Counselor, LPC, LCPC
Verified Verified
4 Endorsed
Cascade, MT 59421  (Online Only)
I serve Alaska and Montana clients virtually. People come to therapy seeking growth and healing. Many seek the benefits of more insight into themselves and their responses to their day to day lives. People seek relief from things like anxiety and depression, wanting to find another way to feel about themselves and their lives. I have a strong interest in working to support healing from trauma. For some trauma is the result of an isolated incident, for others trauma contributes to long-held patterns of thought and behavior that are no longer working well. I believe we are all able to grow, to experience relief, and to heal.
I serve Alaska and Montana clients virtually. People come to therapy seeking growth and healing. Many seek the benefits of more insight into themselves and their responses to their day to day lives. People seek relief from things like anxiety and depression, wanting to find another way to feel about themselves and their lives. I have a strong interest in working to support healing from trauma. For some trauma is the result of an isolated incident, for others trauma contributes to long-held patterns of thought and behavior that are no longer working well. I believe we are all able to grow, to experience relief, and to heal.
(907) 312-1461 View (907) 312-1461
Photo of Emily Shelton - Mountain Therapy, LLC, LCPC, LAC, C-DBT, Counselor
Mountain Therapy, LLC
Counselor, LCPC, LAC, C-DBT
Verified Verified
Great Falls, MT 59405
We will focus on personal strengths and teach you how to build on and improve self-image by way of lifestyle and behavior changes. We assess emotional, spiritual and physical health and work to improve the quality of your life. We take the time to listen to your story and meet you where you are. Positivity, encouragement and guidance is effective and part of the healing and recovery process. Our team is culturally diverse and ready to work with you today.
We will focus on personal strengths and teach you how to build on and improve self-image by way of lifestyle and behavior changes. We assess emotional, spiritual and physical health and work to improve the quality of your life. We take the time to listen to your story and meet you where you are. Positivity, encouragement and guidance is effective and part of the healing and recovery process. Our team is culturally diverse and ready to work with you today.
(406) 630-4114 View (406) 630-4114
Photo of Chelsey Fjeldheim, LCSW, Clinical Social Work/Therapist
Chelsey Fjeldheim
Clinical Social Work/Therapist, LCSW
Verified Verified
2 Endorsed
Lewistown, MT 59457
Childhood trauma often times comes with a feeling of deep shame, which turns into a core belief that you are bad, undeserving and unworthy of anything good. Shame comes from an old German word meaning “to cover.” You hide your feelings, keeping them secret. Because—if they really knew who you were, they couldn’t love you. You spend your life trying so hard to cover up the bad so no one will see. In doing this you lose your authenticity, your truth, your dreams. You become someone you are not. You lose your light. Working through trauma is hard, it takes courage, dedication and patience, but it is worth it. You are worth it.
Childhood trauma often times comes with a feeling of deep shame, which turns into a core belief that you are bad, undeserving and unworthy of anything good. Shame comes from an old German word meaning “to cover.” You hide your feelings, keeping them secret. Because—if they really knew who you were, they couldn’t love you. You spend your life trying so hard to cover up the bad so no one will see. In doing this you lose your authenticity, your truth, your dreams. You become someone you are not. You lose your light. Working through trauma is hard, it takes courage, dedication and patience, but it is worth it. You are worth it.
(406) 412-4589 View (406) 412-4589
Photo of Ryan Rominger, PhD, LCPC, CCATP, NCC, Counselor
Ryan Rominger
Counselor, PhD, LCPC, CCATP, NCC
Verified Verified
Great Falls, MT 59403  (Online Only)
You struggle with life’s stress. Striving to meet expectations is making you anxious, which can affect your health and even your motivation. As anxiety increases, you find yourself shutting down inside, creating walls in your relationships, managing through unhealthy activities, avoiding stressful situations or people.
You struggle with life’s stress. Striving to meet expectations is making you anxious, which can affect your health and even your motivation. As anxiety increases, you find yourself shutting down inside, creating walls in your relationships, managing through unhealthy activities, avoiding stressful situations or people.
(406) 315-4918 View (406) 315-4918
Photo of Lida Holst, LCSW, Clinical Social Work/Therapist
Lida Holst
Clinical Social Work/Therapist, LCSW
Verified Verified
1 Endorsed
Shelby, MT 59474
We all possess the innate capacity for healing and growth, despite how painful our current struggles or past experiences may be. I believe even the most difficult symptom or behavior began as a way to cope with something unmanageable, and that we are able to shed the symptoms and behaviors that no longer serve us by building authentic and compassionate relationships with ourselves and others. I practice from a humanistic and trauma-informed perspective, and believe that safety and trust are the foundation of an effective therapeutic relationship.
We all possess the innate capacity for healing and growth, despite how painful our current struggles or past experiences may be. I believe even the most difficult symptom or behavior began as a way to cope with something unmanageable, and that we are able to shed the symptoms and behaviors that no longer serve us by building authentic and compassionate relationships with ourselves and others. I practice from a humanistic and trauma-informed perspective, and believe that safety and trust are the foundation of an effective therapeutic relationship.
(406) 344-8309 View (406) 344-8309

See more therapy options for Chouteau County

How does your Therapist compare?

Number of Therapists in Chouteau County, MT

< 10

Therapists in Chouteau County, MT who prioritize treating:

100% Depression
100% Anxiety
100% Grief
100% Trauma and PTSD
100% Other
100% Sleep or Insomnia
100% Coping Skills

Average years in practice

14 Years

Top 3 insurances accepted

100% BlueCross and BlueShield
100% First Choice Health | FCH
100% Other

How Therapists in Chouteau County, MT see their clients

50% In Person and Online
50% Online Only

Gender breakdown

100% Female
FAQs - About Therapy and Counseling

How can I find a therapist in Chouteau County?

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.