Therapists in Lewis And Clark County, MT

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Photo of Robie J Marcoux, MSW, LCSW, CCTP, Clinical Social Work/Therapist
Robie J Marcoux
Clinical Social Work/Therapist, MSW, LCSW, CCTP
Verified Verified
Helena, MT 59602
As a therapist, my aim is to meet you where you are. I help by fostering a safe, non-judgmental environment, centered on exploring the unique issues and struggles which brought you to therapy. I will provide support and understanding within the therapeutic relationship for you to better understand yourself and the difficulties you are having. In this process you can learn to understand and manage the obstacles that have led to the struggles whether it be in your mood, behaviors, self-esteem, jobs, and/or relationships. I believe in the most difficult of times there is also an opportunity for change and growth.
As a therapist, my aim is to meet you where you are. I help by fostering a safe, non-judgmental environment, centered on exploring the unique issues and struggles which brought you to therapy. I will provide support and understanding within the therapeutic relationship for you to better understand yourself and the difficulties you are having. In this process you can learn to understand and manage the obstacles that have led to the struggles whether it be in your mood, behaviors, self-esteem, jobs, and/or relationships. I believe in the most difficult of times there is also an opportunity for change and growth.
(406) 412-2797 View (406) 412-2797
Photo of Erik Leithe, MSW, LCSW, Clinical Social Work/Therapist
Erik Leithe
Clinical Social Work/Therapist, MSW, LCSW
Verified Verified
Helena, MT 59601
Hi! I am currently seeing clients in person in Helena and providing telehealth across Western Montana. I am a relationship-oriented therapist striving to accept clients unconditionally wherever they are at in life. I believe (and research supports) therapy works best when client and therapist work together toward understanding the origins of dissatisfaction and finding freedom to truly be oneself. This process makes possible change that enhances the relationship with oneself and with others. I work with clients to develop greater openness to experience and greater capacity for the complexity of a richly lived life.
Hi! I am currently seeing clients in person in Helena and providing telehealth across Western Montana. I am a relationship-oriented therapist striving to accept clients unconditionally wherever they are at in life. I believe (and research supports) therapy works best when client and therapist work together toward understanding the origins of dissatisfaction and finding freedom to truly be oneself. This process makes possible change that enhances the relationship with oneself and with others. I work with clients to develop greater openness to experience and greater capacity for the complexity of a richly lived life.
(406) 412-6972 View (406) 412-6972
Photo of Hannah Nixon -Big River Psychology, PsyD, MP, Psychologist
Hannah Nixon -Big River Psychology
Psychologist, PsyD, MP
Verified Verified
Helena, MT 59601
Waitlist for new clients
With Neuropsychological testing, I help patients understand the relationship between brain functions, emotions, and behaviors. Testing can assist in the diagnosis, symptom monitoring, and treatment of neurological, medical, and psychiatric conditions. I use use a variety of sources to answer questions about intelligence, memory, executive functioning, learning delays, language, visual motor integration, developmental delays, emotional functioning, and personality traits. Common diagnostic questions may be related to Autism, ADHD, Dyslexia, Depression, Anxiety, Bipolar Disorder, ODD, OCD, trauma, and behavioral issues etc.
With Neuropsychological testing, I help patients understand the relationship between brain functions, emotions, and behaviors. Testing can assist in the diagnosis, symptom monitoring, and treatment of neurological, medical, and psychiatric conditions. I use use a variety of sources to answer questions about intelligence, memory, executive functioning, learning delays, language, visual motor integration, developmental delays, emotional functioning, and personality traits. Common diagnostic questions may be related to Autism, ADHD, Dyslexia, Depression, Anxiety, Bipolar Disorder, ODD, OCD, trauma, and behavioral issues etc.
(406) 296-5393 View (406) 296-5393
Photo of Heidi Palmquist Scanlon, LCPC
Heidi Palmquist Scanlon
Licensed Clinical Professional Counselor, LCPC
Verified Verified
Helena, MT 59601
As a therapist, I believe that therapy can be an extremely useful vehicle of change. Change can be obtained in a variety of ways depending on the needs & personality of each client. I emphasize listening, unconditional positive regard and respect, while providing a safe and caring environment. I focus on the individual strengths of each client, and his/her ability to manage their choices. My goal is to guide each client toward positive personal growth by providing him/her with support through therapy, coaching, education & resource sharing. These skills learned will not only be helpful between sessions, but throughout life.
As a therapist, I believe that therapy can be an extremely useful vehicle of change. Change can be obtained in a variety of ways depending on the needs & personality of each client. I emphasize listening, unconditional positive regard and respect, while providing a safe and caring environment. I focus on the individual strengths of each client, and his/her ability to manage their choices. My goal is to guide each client toward positive personal growth by providing him/her with support through therapy, coaching, education & resource sharing. These skills learned will not only be helpful between sessions, but throughout life.
(406) 510-1889 View (406) 510-1889
Photo of Lauren Leslie, LCPC, NCC, Counselor
Lauren Leslie
Counselor, LCPC, NCC
Verified Verified
Helena, MT 59601
Not accepting new clients
People navigating life’s changes and crafting healthy relationships are my favorite population. Children in the midst of transition, families looking to heal from difficulties of the past and grow for the future, or adults exploring their identities and pursuing happiness and the creation of their best selves—anyone who wants to create or maintain a hopeful and whole life is my ideal client. Often people looking for healing have experienced difficulties, pain, or fear in their pasts; therapy is a place those roots can turn into growth.
People navigating life’s changes and crafting healthy relationships are my favorite population. Children in the midst of transition, families looking to heal from difficulties of the past and grow for the future, or adults exploring their identities and pursuing happiness and the creation of their best selves—anyone who wants to create or maintain a hopeful and whole life is my ideal client. Often people looking for healing have experienced difficulties, pain, or fear in their pasts; therapy is a place those roots can turn into growth.
(406) 641-7045 View (406) 641-7045
Photo of Duane Cordiner - Perceptions Mental Health LLC, MMFT, LCPC, Counselor
Perceptions Mental Health LLC
Counselor, MMFT, LCPC
Verified Verified
Helena, MT 59601
Hello, and welcome to Perceptions Mental Health, LLC. My name is Duane Cordiner, and I am a Licensed Clinical Professional Counselor. I am trained in solution focused brief therapy (SFBT), cognitive behavioral therapy (CBT), dialectical behavioral therapy (DBT), trauma-focused cognitive behavioral therapy (TF-CBT), as well as good ol’ talk therapy. I have experience working with adolescents, adults, couples, and families in the areas of anxiety, depression, PTSD, bipolar, grief, loss, relationship issues, as well as other general mental health concerns.
Hello, and welcome to Perceptions Mental Health, LLC. My name is Duane Cordiner, and I am a Licensed Clinical Professional Counselor. I am trained in solution focused brief therapy (SFBT), cognitive behavioral therapy (CBT), dialectical behavioral therapy (DBT), trauma-focused cognitive behavioral therapy (TF-CBT), as well as good ol’ talk therapy. I have experience working with adolescents, adults, couples, and families in the areas of anxiety, depression, PTSD, bipolar, grief, loss, relationship issues, as well as other general mental health concerns.
(406) 416-5376 View (406) 416-5376
Photo of Andrew N Carter, LCPC, Counselor
Andrew N Carter
Counselor, LCPC
Verified Verified
1 Endorsed
Helena, MT 59601  (Online Only)
My goal for all my clients in the therapeutic process is to develop practical solutions, gain insights, and develop appropriate strategies to address acute and ongoing complex issues. I have a passion for helping clients struggling to achieve a personal balance, regain self-awareness, and rejuvenate a drive to approach and manage personal and mental health issues. I have experience in, but not limited to, working with substance use and gambling disorders, mood disorders, anxiety, depression and challenging life transitions.
My goal for all my clients in the therapeutic process is to develop practical solutions, gain insights, and develop appropriate strategies to address acute and ongoing complex issues. I have a passion for helping clients struggling to achieve a personal balance, regain self-awareness, and rejuvenate a drive to approach and manage personal and mental health issues. I have experience in, but not limited to, working with substance use and gambling disorders, mood disorders, anxiety, depression and challenging life transitions.
(406) 743-3261 View (406) 743-3261
Photo of Debbie M Micu, MS, LCPC, NCC, CCTP, Counselor
Debbie M Micu
Counselor, MS, LCPC, NCC, CCTP
Verified Verified
Helena, MT 59601
Whatever obstacles and struggles you may be going through in life; I consider it a privilege to help you deal with them. You may have a lot coming at you, trying to make decisions, maintain life balance and all while dealing with intense emotions. My goal is to help you look at options, identify solutions that work for you and help you to discover your true potential to create life as you want it to be. I see each individual and their situation as unique, there is no "quick-fix" or "one-size-fits all" solution. I collaborate to help you successfully work through the challenges you are now facing.
Whatever obstacles and struggles you may be going through in life; I consider it a privilege to help you deal with them. You may have a lot coming at you, trying to make decisions, maintain life balance and all while dealing with intense emotions. My goal is to help you look at options, identify solutions that work for you and help you to discover your true potential to create life as you want it to be. I see each individual and their situation as unique, there is no "quick-fix" or "one-size-fits all" solution. I collaborate to help you successfully work through the challenges you are now facing.
(406) 283-4751 View (406) 283-4751
Photo of Monica Glueckert, LCPC, MEd, NCC, Counselor
Monica Glueckert
Counselor, LCPC, MEd, NCC
Verified Verified
Helena, MT 59601
Not accepting new clients
I am a relational mental health therapist ready to help with many of the issues that come along with being alive. I am here to listen, sit with you through your uncomfortable feelings, celebrate your success and overall support you through life challenges. We can process the past, learn how to be at peace with the present moment, and cope with anxieties of the future. My hope is to create an environment where you have permission and space for your unique lived experience. I enjoy working with issues related to codependency, neurodivergence and attachment. I am an ally to the queer community and strive to be culturally aware.
I am a relational mental health therapist ready to help with many of the issues that come along with being alive. I am here to listen, sit with you through your uncomfortable feelings, celebrate your success and overall support you through life challenges. We can process the past, learn how to be at peace with the present moment, and cope with anxieties of the future. My hope is to create an environment where you have permission and space for your unique lived experience. I enjoy working with issues related to codependency, neurodivergence and attachment. I am an ally to the queer community and strive to be culturally aware.
(406) 936-3090 View (406) 936-3090
Photo of Gregory Kolwicz, M Ed, LCPC, Counselor
Gregory Kolwicz
Counselor, M Ed, LCPC
Verified Verified
Helena, MT 59601
We all need help finding direction at some point in our lives. I specialize in working with individuals and families who have been impacted by issues stemming from trauma, , family discontent, and difficult life transitions. I work with my clients in order to help them access their own inner wisdom; to process their past trauma and to adopt new strategies in dealing with life on life's terms. By creating a collaborative, trusting relationship with the individuals with whom I work, they are empowered to overcome challenges they face and become the best version of themselves.
We all need help finding direction at some point in our lives. I specialize in working with individuals and families who have been impacted by issues stemming from trauma, , family discontent, and difficult life transitions. I work with my clients in order to help them access their own inner wisdom; to process their past trauma and to adopt new strategies in dealing with life on life's terms. By creating a collaborative, trusting relationship with the individuals with whom I work, they are empowered to overcome challenges they face and become the best version of themselves.
(406) 602-0778 View (406) 602-0778
Photo of Kelly Downing, LCSW, Clinical Social Work/Therapist
Kelly Downing
Clinical Social Work/Therapist, LCSW
Verified Verified
Helena, MT 59601
I enjoy helping others make connections, whether with people, themselves, or their environments. I believe we are all 'perfectly imperfect'. To be human is to be fallible, to sometimes struggle and try to make sense of what at times seems senseless. In that struggle is where I help others as they find purpose and meaning in their lives.
I enjoy helping others make connections, whether with people, themselves, or their environments. I believe we are all 'perfectly imperfect'. To be human is to be fallible, to sometimes struggle and try to make sense of what at times seems senseless. In that struggle is where I help others as they find purpose and meaning in their lives.
(406) 415-8768 View (406) 415-8768
Photo of Kyrie Russ, MS, LCPC, Counselor
Kyrie Russ
Counselor, MS, LCPC
Verified Verified
1 Endorsed
Helena, MT 59601
Not accepting new clients
Are you tired of feeling constantly worried or held back by fear or negativity? I specialize in working with clients who feel stuck in their thoughts and habits. It's truly inspirational observing clients move into the change process and start living the lives they've imagined. My first priority as a therapist is helping clients feel heard and understand. Having a safe, confidential space to discuss your thoughts and feelings is the first step to feeling better. My second priority is to utilize an evidence-based treatment, often Cognitive-Behavioral Therapy, to help clients learn skills they can use outside of my office.
Are you tired of feeling constantly worried or held back by fear or negativity? I specialize in working with clients who feel stuck in their thoughts and habits. It's truly inspirational observing clients move into the change process and start living the lives they've imagined. My first priority as a therapist is helping clients feel heard and understand. Having a safe, confidential space to discuss your thoughts and feelings is the first step to feeling better. My second priority is to utilize an evidence-based treatment, often Cognitive-Behavioral Therapy, to help clients learn skills they can use outside of my office.
(406) 315-4580 View (406) 315-4580
Photo of Jadin Van Steenvort - Fire Tower Therapy, MS, LCPC, Counselor
Fire Tower Therapy
Counselor, MS, LCPC
Verified Verified
Helena, MT 59601
Let me introduce myself to you. I graduated from University of Phoenix Utah in 2010 and moved back home to Helena Montana shortly after that. Since returning home I have been practicing therapy in Helena. My style is more solution focused brief therapy which focuses on improving strengths to help manage stressors. It is my opinion that the client is the expert with the answers, my job is to help the client find those answers. For over a year I have been bringing my Yello lab Frank to sessions with me and have found great success with him.
Let me introduce myself to you. I graduated from University of Phoenix Utah in 2010 and moved back home to Helena Montana shortly after that. Since returning home I have been practicing therapy in Helena. My style is more solution focused brief therapy which focuses on improving strengths to help manage stressors. It is my opinion that the client is the expert with the answers, my job is to help the client find those answers. For over a year I have been bringing my Yello lab Frank to sessions with me and have found great success with him.
(406) 296-5375 View (406) 296-5375
Photo of Laura Gowen, LCSW, Clinical Social Work/Therapist
Laura Gowen
Clinical Social Work/Therapist, LCSW
Verified Verified
Helena, MT 59601
Not accepting new clients
Life can be challenging, and can leave you feeling alone and hopeless. Whether you are struggling with anxiety, depression, trauma, crisis or just day to day life, I am happy to provide a non judgmental and compassionate space for you to tell your story. It is vital that you feel heard, understood and safe and I strive to provide this for my clients. I utilize a person centered approach that focuses on solution focused thinking, Cognitive Behavioral Therapy, healthy coping, open and honest communication and engagement from all involved. I love providing EMDR and have specialized training in Structural Dissociation and Parts work.
Life can be challenging, and can leave you feeling alone and hopeless. Whether you are struggling with anxiety, depression, trauma, crisis or just day to day life, I am happy to provide a non judgmental and compassionate space for you to tell your story. It is vital that you feel heard, understood and safe and I strive to provide this for my clients. I utilize a person centered approach that focuses on solution focused thinking, Cognitive Behavioral Therapy, healthy coping, open and honest communication and engagement from all involved. I love providing EMDR and have specialized training in Structural Dissociation and Parts work.
(406) 369-6407 View (406) 369-6407
Photo of Katelyn Wilson, MS, LCPC, Counselor
Katelyn Wilson
Counselor, MS, LCPC
Verified Verified
3 Endorsed
Helena, MT 59602
Waitlist for new clients
I am committed to helping clients find their voice, empowering individuals, and inspiring them to pursue their passions. I work with clients that are struggling with anxiety, body image, self-esteem, life transitions, relationship issues and disordered eating/eating disorders. My hopes are to help clients reach their goals while helping them feel empowered and moving toward a full and meaningful life, doing this through support, therapy, use of coping skills and education. I work with a variety of clientele and enjoy working with individuals and couples through transitions and conflict that may be experiencing.
I am committed to helping clients find their voice, empowering individuals, and inspiring them to pursue their passions. I work with clients that are struggling with anxiety, body image, self-esteem, life transitions, relationship issues and disordered eating/eating disorders. My hopes are to help clients reach their goals while helping them feel empowered and moving toward a full and meaningful life, doing this through support, therapy, use of coping skills and education. I work with a variety of clientele and enjoy working with individuals and couples through transitions and conflict that may be experiencing.
(406) 412-1673 View (406) 412-1673
Photo of Genevieve Massey - My Best Life, LLC, LCPC, Counselor
My Best Life, LLC
Counselor, LCPC
Verified Verified
Helena, MT 59601
We all experience times in our lives where we need a little extra support, empathy, compassion, and understanding. Navigating the ebb and flows of life can be tedious and can take a toll on your mind, body, and spirit. Working through the barriers that our work life and family life can present can be difficult.
We all experience times in our lives where we need a little extra support, empathy, compassion, and understanding. Navigating the ebb and flows of life can be tedious and can take a toll on your mind, body, and spirit. Working through the barriers that our work life and family life can present can be difficult.
(406) 313-3709 View (406) 313-3709
Photo of Rebekah Price Orr, MS, LCPC, Counselor
Rebekah Price Orr
Counselor, MS, LCPC
Verified Verified
Helena, MT 59601
My belief is that everyone is deserving and capable of a full and meaningful life. Therapy offers a unique opportunity to explore the aspects of life that can be difficult to hike through alone. I believe in the healing power of a collaborative therapeutic relationship and work to provide a warm, supportive and empowering environment where lasting growth and change can take place.
My belief is that everyone is deserving and capable of a full and meaningful life. Therapy offers a unique opportunity to explore the aspects of life that can be difficult to hike through alone. I believe in the healing power of a collaborative therapeutic relationship and work to provide a warm, supportive and empowering environment where lasting growth and change can take place.
(406) 770-2302 View (406) 770-2302
Photo of Darcie Kelly, LCSW, MBA, Clinical Social Work/Therapist
Darcie Kelly
Clinical Social Work/Therapist, LCSW, MBA
Verified Verified
2 Endorsed
Helena, MT 59601  (Online Only)
Are you or a loved one facing the stress and uncertainty of an immigration process? It can feel overwhelming, navigating the legal system while worrying about your future. My focus is on providing thorough, unbiased immigration evaluations to support your case, whether it's for a VAWA, hardship waiver, T or U-visa, or asylum. You want a comprehensive, professional evaluation, and I can help. Separately, in private practice I specialize in helping people with traumatic experiences, anxiety, depression, body issues, body dysmorphia and eating disorders.
Are you or a loved one facing the stress and uncertainty of an immigration process? It can feel overwhelming, navigating the legal system while worrying about your future. My focus is on providing thorough, unbiased immigration evaluations to support your case, whether it's for a VAWA, hardship waiver, T or U-visa, or asylum. You want a comprehensive, professional evaluation, and I can help. Separately, in private practice I specialize in helping people with traumatic experiences, anxiety, depression, body issues, body dysmorphia and eating disorders.
(406) 200-8825 View (406) 200-8825
Photo of Kevin John Watson, LCPC, Counselor
Kevin John Watson
Counselor, LCPC
Verified Verified
1 Endorsed
Helena, MT 59601
If you suffer from depression, anxiety, trauma, poor impulse control, social difficulties, poor communication skills or relationship difficulties please understand that there are effective ways to overcome these issues.
If you suffer from depression, anxiety, trauma, poor impulse control, social difficulties, poor communication skills or relationship difficulties please understand that there are effective ways to overcome these issues.
(406) 430-3447 View (406) 430-3447
Photo of Dr. James V English - Montana Neuropsychological Corp PC, PsyD, ABPP, ABN, Psychologist
Montana Neuropsychological Corp PC
Psychologist, PsyD, ABPP, ABN
Verified Verified
Helena, MT 59601
Waitlist for new clients
The work of a clinical neuropsychologist is to clarify post-injury or developmental brain/behavior/cognitive problems caused by acquired brain injury, stroke, neurologic disease, verbal & non-verbal learning problems. The use of standard-of -care objective neuropsychological testing is the primary method used to clarify or support a diagnosis.
The work of a clinical neuropsychologist is to clarify post-injury or developmental brain/behavior/cognitive problems caused by acquired brain injury, stroke, neurologic disease, verbal & non-verbal learning problems. The use of standard-of -care objective neuropsychological testing is the primary method used to clarify or support a diagnosis.
(406) 412-1821 View (406) 412-1821

See more therapy options for Lewis And Clark County

How does your Therapist compare?

Number of Therapists in Lewis And Clark County, MT

100+

Average cost per session

$160

Therapists in Lewis And Clark County, MT who prioritize treating:

92% Anxiety
87% Depression
80% Trauma and PTSD
74% Relationship Issues
74% Self Esteem
73% Stress
68% Coping Skills

Average years in practice

9 Years

Top 3 insurances accepted

92% BlueCross and BlueShield
85% Allegiance
73% Cigna and Evernorth

How Therapists in Lewis And Clark County, MT see their clients

75% In Person and Online
25% Online Only

Gender breakdown

79% Female
19% Male
2% Non-Binary
FAQs - About Therapy and Counseling

How can I find a therapist in Lewis And Clark 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.