Therapists in Berlin, NH

Photo of Elizabeth Sapareto, PhD, Counselor
Elizabeth Sapareto
Counselor, PhD
Verified Verified
Berlin, NH 03570  (Online Only)
I hold a doctorate degree in clinical psychology from Walden University. I specialize in working with adults who need help with individual issues, relationships, family, and employment problems, health. This includes anxiety, depression, and all other chronic and acute conditions and emotional states. I create a safe space for my patients to be seen, heard and cared for!
I hold a doctorate degree in clinical psychology from Walden University. I specialize in working with adults who need help with individual issues, relationships, family, and employment problems, health. This includes anxiety, depression, and all other chronic and acute conditions and emotional states. I create a safe space for my patients to be seen, heard and cared for!
(929) 822-4390 View (929) 822-4390
Photo of Joy Cromwell, LMHC, LCPC, NCC, C-DBT, CCTP, Licensed Professional Counselor
Joy Cromwell
Licensed Professional Counselor, LMHC, LCPC, NCC, C-DBT, CCTP
Verified Verified
2 Endorsed
Berlin, NH 03570  (Online Only)
Not accepting new clients
I am a creative by heart, and a counselor by trade. It is my pleasure to hold space for people as they seek to get to know themselves better and learn how to best solve their own problems. I am a firm believer that deep down, people know what is right for them, and they know how to solve their own problems. My job as a counselor is to help you remove the layers of cultural conditioning, negative self-talk, trauma memories, and more to help you get reconnected with your self. My goal is to stand beside you as we examine barriers, explore possibilities, and help you find your inner strength to fight any battles that come your way.
I am a creative by heart, and a counselor by trade. It is my pleasure to hold space for people as they seek to get to know themselves better and learn how to best solve their own problems. I am a firm believer that deep down, people know what is right for them, and they know how to solve their own problems. My job as a counselor is to help you remove the layers of cultural conditioning, negative self-talk, trauma memories, and more to help you get reconnected with your self. My goal is to stand beside you as we examine barriers, explore possibilities, and help you find your inner strength to fight any battles that come your way.
(207) 506-2754 View (207) 506-2754
Photo of Irene Eastland, MA, LCMHC, Counselor
Irene Eastland
Counselor, MA, LCMHC
Verified Verified
Berlin, NH 03570  (Online Only)
Are you tired of feeling rundown, overwhelmed, stressed, anxious, and angry? Are you ready to take control over intrusive thoughts, unhelpful habits, and negative cycles in your life? Then you're in the right place.
Are you tired of feeling rundown, overwhelmed, stressed, anxious, and angry? Are you ready to take control over intrusive thoughts, unhelpful habits, and negative cycles in your life? Then you're in the right place.
(866) 725-1449 View (866) 725-1449
Photo of LaJuana Walker-McGill, PhD, LCMHC, NCC, Counselor
LaJuana Walker-McGill
Counselor, PhD, LCMHC, NCC
Verified Verified
Berlin, NH 03570  (Online Only)
Are you looking for ways to improve your quality of life? I am a Licensed Professional Counselor that is dedicated to helping others create positive outcomes for their lives. Through 24 years of experience in private practice, I have demonstrated my dedication to the empowerment of individuals and couples. My goal is to provide a safe and comfortable environment that promotes positive outcomes for the clients that I serve.
Are you looking for ways to improve your quality of life? I am a Licensed Professional Counselor that is dedicated to helping others create positive outcomes for their lives. Through 24 years of experience in private practice, I have demonstrated my dedication to the empowerment of individuals and couples. My goal is to provide a safe and comfortable environment that promotes positive outcomes for the clients that I serve.
(855) 201-9317 View (855) 201-9317
Photo of Michele Chapman, Pre-Licensed Professional
Michele Chapman
Pre-Licensed Professional
Verified Verified
1 Endorsed
Berlin, NH 03570  (Online Only)
Facing challenges like depression, anxiety, PTSD, or addiction can be daunting, but you're not alone. Michele Chapman is dedicated to guiding you through these struggles with personalized, evidence-based online therapy. Here, your unique journey is honored with care and understanding. In this safe, at-home therapeutic space, your path towards healing, resilience, and self-discovery is our primary focus, empowering you to reclaim a sense of well-being and joy in life.
Facing challenges like depression, anxiety, PTSD, or addiction can be daunting, but you're not alone. Michele Chapman is dedicated to guiding you through these struggles with personalized, evidence-based online therapy. Here, your unique journey is honored with care and understanding. In this safe, at-home therapeutic space, your path towards healing, resilience, and self-discovery is our primary focus, empowering you to reclaim a sense of well-being and joy in life.
(603) 483-3409 View (603) 483-3409
Photo of Dave Ferruolo - LifeWorks Counseling Associates, PLLC, LICSW, MLADC, EdD, Clinical Social Work/Therapist
LifeWorks Counseling Associates, PLLC
Clinical Social Work/Therapist, LICSW, MLADC, EdD
Verified Verified
1 Endorsed
Berlin, NH 03570  (Online Only)
At LifeWorks Counseling Associates, we understand the diverse needs of individuals across all ages and genders. Our Evidenced-Based Televideo/Online counseling is tailored to help you navigate through challenges like depression, anxiety, PTSD, and addictions. As patient-centered, solution-focused clinicians, our goal is to collaborate with you in creating a life that works. Your best interest is at the heart of our practice. Ready to start? Call us today!
At LifeWorks Counseling Associates, we understand the diverse needs of individuals across all ages and genders. Our Evidenced-Based Televideo/Online counseling is tailored to help you navigate through challenges like depression, anxiety, PTSD, and addictions. As patient-centered, solution-focused clinicians, our goal is to collaborate with you in creating a life that works. Your best interest is at the heart of our practice. Ready to start? Call us today!
(603) 255-5072 View (603) 255-5072
Photo of Hunter Green, BA, MSW, PhD-C, Pre-Licensed Professional
Hunter Green
Pre-Licensed Professional, BA, MSW, PhD-C
Verified Verified
1 Endorsed
Berlin, NH 03570  (Online Only)
Welcome to a space where your mental health journey is understood and valued. With 10 years experience, Hunter Green specializes in helping you navigate and manage Major Depression, Stress, Anxiety, and life events that create distress. His approach is tailored individually to your specific need - whether you are an adults or adolescent. Through comprehensive evaluations and a blend of therapeutic techniques in individual therapy, Hunter commits to your unique path to wellness.
Welcome to a space where your mental health journey is understood and valued. With 10 years experience, Hunter Green specializes in helping you navigate and manage Major Depression, Stress, Anxiety, and life events that create distress. His approach is tailored individually to your specific need - whether you are an adults or adolescent. Through comprehensive evaluations and a blend of therapeutic techniques in individual therapy, Hunter commits to your unique path to wellness.
(603) 803-4924 View (603) 803-4924
Photo of Alicia J. Porkka, LICSW, Clinical Social Work/Therapist
Alicia J. Porkka
Clinical Social Work/Therapist, LICSW
Verified Verified
1 Endorsed
Berlin, NH 03570
In our moments of quiet reflection, which are often fleeting in today's fast-paced world, we may find ourselves listening to an inner monologue that is in limbo. Perhaps you feel there is no time to sort through all of your thoughts and feelings, and you're stuck in "go-mode", juggling the day to day but not living your life to the fullest. This stress may manifest as substance misuse, relationship conflict, avoidance, feeling "numb", neglecting one's self-care, work or school problems, parenting challenges, and more. These challenges, if the origins are not understood, can reinforce feelings of failure and self-doubt.
In our moments of quiet reflection, which are often fleeting in today's fast-paced world, we may find ourselves listening to an inner monologue that is in limbo. Perhaps you feel there is no time to sort through all of your thoughts and feelings, and you're stuck in "go-mode", juggling the day to day but not living your life to the fullest. This stress may manifest as substance misuse, relationship conflict, avoidance, feeling "numb", neglecting one's self-care, work or school problems, parenting challenges, and more. These challenges, if the origins are not understood, can reinforce feelings of failure and self-doubt.
(603) 545-9386 View (603) 545-9386
Photo of Ramsay Dean, LICSW, Clinical Social Work/Therapist
Ramsay Dean
Clinical Social Work/Therapist, LICSW
Verified Verified
Berlin, NH 03570  (Online Only)
Are you grappling with depression, anxiety, or navigating challenges in areas like finances, relationships, employment, grief, or aspects related to your sexuality or gender identity? If so, I offer a therapeutic approach that equips you with practical and effective skills for your daily life. These tools are crafted to enhance your well-being and empower you to achieve your personal goals. I can guide you in understanding and addressing negative thought patterns and behaviors, leading you towards transforming them for a more joyful and fulfilling life.
Are you grappling with depression, anxiety, or navigating challenges in areas like finances, relationships, employment, grief, or aspects related to your sexuality or gender identity? If so, I offer a therapeutic approach that equips you with practical and effective skills for your daily life. These tools are crafted to enhance your well-being and empower you to achieve your personal goals. I can guide you in understanding and addressing negative thought patterns and behaviors, leading you towards transforming them for a more joyful and fulfilling life.
(866) 733-2413 View (866) 733-2413

More Therapists Nearby

Photo of Ray Howard, LICSW, Clinical Social Work/Therapist
Ray Howard
Clinical Social Work/Therapist, LICSW
Verified Verified
Randolph, NH 03593
Human beings are wired to attach and to exist in relationship. Disruption to primary relationships generates grief and fear, anger, shame and guilt, as well as an absence of joy. Despite our best intentions, we struggle with the same challenges repeatedly over the course of our lives, often with the people we love most, the people we work with, or we take up behaviors designed to protect us such as addictive, isolative, or extreme responses. Through all of this we feel alone and cutoff from the those we love and need most. Psychotherapy can jump start the healing process.
Human beings are wired to attach and to exist in relationship. Disruption to primary relationships generates grief and fear, anger, shame and guilt, as well as an absence of joy. Despite our best intentions, we struggle with the same challenges repeatedly over the course of our lives, often with the people we love most, the people we work with, or we take up behaviors designed to protect us such as addictive, isolative, or extreme responses. Through all of this we feel alone and cutoff from the those we love and need most. Psychotherapy can jump start the healing process.
(603) 329-3258 View (603) 329-3258
Photo of Donna Torney, MA, LCMHC, Counselor
Donna Torney
Counselor, MA, LCMHC
Verified Verified
1 Endorsed
Gorham, NH 03581
Chronic stress is not a requirement for success in work or relationships. If you are feeling depressed, anxious, or isolated, and/or coping with unhealthy habits, regaining balance is possible. Even the healthiest individuals can struggle to maintain physical, mental, and emotional balance in our high-tech, high-stress culture. In a judgment-free and solution-focused environment, we will work together to help you find more life satisfaction and confidence. I use only evidence-based, reliable practices in a safe, comfortable environment to help you feel better about your life direction.
Chronic stress is not a requirement for success in work or relationships. If you are feeling depressed, anxious, or isolated, and/or coping with unhealthy habits, regaining balance is possible. Even the healthiest individuals can struggle to maintain physical, mental, and emotional balance in our high-tech, high-stress culture. In a judgment-free and solution-focused environment, we will work together to help you find more life satisfaction and confidence. I use only evidence-based, reliable practices in a safe, comfortable environment to help you feel better about your life direction.
(603) 691-3843 View (603) 691-3843

Online Therapists

Photo of Joshua S Hagar, MS, LCPC, LCMHC, MLADC, Counselor
Joshua S Hagar
Counselor, MS, LCPC, LCMHC, MLADC
Verified Verified
Portsmouth, NH 03801
Waitlist for new clients
Hello, My name is Josh Hagar. I am a multi-licensed Mental Health Counselor (ME & NH) and Master's Level - Licensed Drug & Alcohol Counselor (NH) committed to helping those in need learn how to identify unhelpful thought patterns and behaviors. My work focuses on a progress based approach utilizing interventions that fit your specific needs. I believe in taking a collaborative path to helping clients reach their goals. I’m passionate about working with diverse clientele. My specialties include extensive work with addiction/alcoholism treatment, family issues, LGBTQIA+ challenges, and co-occurring disorders.
Hello, My name is Josh Hagar. I am a multi-licensed Mental Health Counselor (ME & NH) and Master's Level - Licensed Drug & Alcohol Counselor (NH) committed to helping those in need learn how to identify unhelpful thought patterns and behaviors. My work focuses on a progress based approach utilizing interventions that fit your specific needs. I believe in taking a collaborative path to helping clients reach their goals. I’m passionate about working with diverse clientele. My specialties include extensive work with addiction/alcoholism treatment, family issues, LGBTQIA+ challenges, and co-occurring disorders.
(603) 932-4652 View (603) 932-4652
Photo of Rebecca L Richards, PsyD, Psychologist
Rebecca L Richards
Psychologist, PsyD
Verified Verified
Portsmouth, NH 03801
Dr. Rebecca L. Richards is a Psychologist in New Hampshire who has been practicing since 2015. Dr. Richards specializes in adult and geriatric neuropsychology. She completed undergraduate training in psychology at Plymouth State University and went on to earn graduate degrees, a Master of Science (MS) and Doctor of Psychology (PsyD), in clinical psychology from Antioch University New England. She completed specialty training in neuropsychology during her clinical internship at Dartmouth Medical School, followed by a two-year postdoctoral residency at the VA Maine Healthcare System.
Dr. Rebecca L. Richards is a Psychologist in New Hampshire who has been practicing since 2015. Dr. Richards specializes in adult and geriatric neuropsychology. She completed undergraduate training in psychology at Plymouth State University and went on to earn graduate degrees, a Master of Science (MS) and Doctor of Psychology (PsyD), in clinical psychology from Antioch University New England. She completed specialty training in neuropsychology during her clinical internship at Dartmouth Medical School, followed by a two-year postdoctoral residency at the VA Maine Healthcare System.
(603) 803-6519 View (603) 803-6519
Photo of Barbara Steele Martin, MA, LMHC, Counselor
Barbara Steele Martin
Counselor, MA, LMHC
Verified Verified
4 Endorsed
Portsmouth, NH 03801
Mid-Year Reset: Strengthen Your Mental Health Today! Whether you're a couple struggling to reconnect or an individual facing depression, anxiety, or relational issues, I can help. With over 15 years of clinical experience, I specialize in couples' communication, conflict, infidelity, relational discernment, divorce, conscious uncoupling, coparenting & sexual issues. As a certified premarital counselor, I set couples up for success from the start. For individuals, I help with anxiety, depression, and relationships. Together, we’ll gain insight, make sense of your thoughts & feelings, and take actionable steps towards a healthier you.
Mid-Year Reset: Strengthen Your Mental Health Today! Whether you're a couple struggling to reconnect or an individual facing depression, anxiety, or relational issues, I can help. With over 15 years of clinical experience, I specialize in couples' communication, conflict, infidelity, relational discernment, divorce, conscious uncoupling, coparenting & sexual issues. As a certified premarital counselor, I set couples up for success from the start. For individuals, I help with anxiety, depression, and relationships. Together, we’ll gain insight, make sense of your thoughts & feelings, and take actionable steps towards a healthier you.
(617) 446-3066 View (617) 446-3066
Photo of S M, MS, LCMHC, Counselor
S M
Counselor, MS, LCMHC
Verified Verified
Bristol, NH 03222
Hello...I have had the priviledge of working with people from all walks of life for many years. I have expertise in anxiety disorders (including agoraphobia, OCD, separation anxiety and panic disorder) depression, adolescent behavioral/emotional issues, PTSD and trauma-related disorders. I have facilitated treatment groups for sexual abuse survivors as well as adolescents with behavioral/emotional problems. I truly enjoy working with people and I use my sense of humor to put us all at ease!
Hello...I have had the priviledge of working with people from all walks of life for many years. I have expertise in anxiety disorders (including agoraphobia, OCD, separation anxiety and panic disorder) depression, adolescent behavioral/emotional issues, PTSD and trauma-related disorders. I have facilitated treatment groups for sexual abuse survivors as well as adolescents with behavioral/emotional problems. I truly enjoy working with people and I use my sense of humor to put us all at ease!
(603) 391-5966 View (603) 391-5966
Photo of Anna West, LCMHC, Counselor
Anna West
Counselor, LCMHC
Verified Verified
Hanover, NH 03755
Anna B.T. West, LCMHC, is a Licensed Mental Health Clinician with 15 years of post-graduate experience working with adults. The therapeutic approaches that inform Anna's work include Cognitive Behavioral Therapy (CBT), Dialectical Behavioral Therapy (DBT), Behavioral Activation (BA), Acceptance and Commitment Therapy (ACT) and Prolonged Exposure Therapy for PTSD (PE for PTSD). Anna has a graduate degree from Lesley University in Expressive Art Therapy.
Anna B.T. West, LCMHC, is a Licensed Mental Health Clinician with 15 years of post-graduate experience working with adults. The therapeutic approaches that inform Anna's work include Cognitive Behavioral Therapy (CBT), Dialectical Behavioral Therapy (DBT), Behavioral Activation (BA), Acceptance and Commitment Therapy (ACT) and Prolonged Exposure Therapy for PTSD (PE for PTSD). Anna has a graduate degree from Lesley University in Expressive Art Therapy.
(603) 865-1321 View (603) 865-1321
Photo of Chris Chance, PhD, Psychologist
Chris Chance
Psychologist, PhD
Verified Verified
1 Endorsed
Durham, NH 03824
Currently accepting new clients with flexible daytime schedules! We each can find our path to resilience. It is my honor to witness your story and concerns. I approach clients with a collaborative, holistic, and direct style informed by my training in various individual and family therapy models as well as my experience facilitating therapeutic groups for over 20 years. I help people move forward into a more joyful life space, supporting toward growth of self-awareness to creatively cope with a wide range of personal and relational stresses. Please see WEBSITE for more detailed information: www.DrChrisChance.com
Currently accepting new clients with flexible daytime schedules! We each can find our path to resilience. It is my honor to witness your story and concerns. I approach clients with a collaborative, holistic, and direct style informed by my training in various individual and family therapy models as well as my experience facilitating therapeutic groups for over 20 years. I help people move forward into a more joyful life space, supporting toward growth of self-awareness to creatively cope with a wide range of personal and relational stresses. Please see WEBSITE for more detailed information: www.DrChrisChance.com
(603) 276-3709 View (603) 276-3709
Photo of Sara Paton, MSW, CYT, Pre-Licensed Professional
Sara Paton
Pre-Licensed Professional, MSW, CYT
Verified Verified
2 Endorsed
Lebanon, NH 03766
My clinical approach combines my formal training as a social worker and a holistic practitioner, allowing me to share my passion for exploration of the mind-body connection with my clients. My background includes studies in wilderness therapy and alternative medicine, and work with a variety of client populations including families, children with individualized learning needs, adults in substance use treatment, and clients healing from complex trauma.
My clinical approach combines my formal training as a social worker and a holistic practitioner, allowing me to share my passion for exploration of the mind-body connection with my clients. My background includes studies in wilderness therapy and alternative medicine, and work with a variety of client populations including families, children with individualized learning needs, adults in substance use treatment, and clients healing from complex trauma.
(888) 296-3352 View (888) 296-3352
Photo of Danielle Van Dusen, LCMHC, C-DBT, Counselor
Danielle Van Dusen
Counselor, LCMHC, C-DBT
Verified Verified
Concord, NH 03301  (Online Only)
Everyone's journey in counseling is unique. I believe healthy relationships are fundamental to our emotional well-being and fulfillment as humans and this includes relationship to self. I am passionate about addressing systemic barriers to care through social justice work and maintain an ongoing education focused on trauma-informed practices and cultural competence.
Everyone's journey in counseling is unique. I believe healthy relationships are fundamental to our emotional well-being and fulfillment as humans and this includes relationship to self. I am passionate about addressing systemic barriers to care through social justice work and maintain an ongoing education focused on trauma-informed practices and cultural competence.
(323) 438-2868 View (323) 438-2868
Photo of Dr. Lawrence R Carbonaro Jr, DSL
Dr. Lawrence R Carbonaro Jr
DSL
Verified Verified
1 Endorsed
North Conway, NH 03860
With coaching, you are not alone. My strength-based coaching approach is rooted with a blend of evidence-based methodologies and practical insights garnered through my 20-year career in leadership, Doctorate in Leadership development, and ICF and Gallup Strengths coach certifications. The focus of your guided coaching journey is empowering you to look inward and bring awareness. You are the leader - I am the guide.
With coaching, you are not alone. My strength-based coaching approach is rooted with a blend of evidence-based methodologies and practical insights garnered through my 20-year career in leadership, Doctorate in Leadership development, and ICF and Gallup Strengths coach certifications. The focus of your guided coaching journey is empowering you to look inward and bring awareness. You are the leader - I am the guide.
(833) 206-5157 View (833) 206-5157

See more therapy options for Berlin

How does your Therapist compare?

Number of Therapists in Berlin, NH

< 10

Therapists in Berlin, NH who prioritize treating:

100% Depression
100% Anxiety
88% Relationship Issues
75% Trauma and PTSD
63% Divorce
63% Coping Skills
63% Stress

Average years in practice

6 Years

Top 3 insurances accepted

100% Aetna
86% BlueCross and BlueShield
86% Cigna and Evernorth

How Therapists in Berlin, NH see their clients

87% Online Only
13% In Person and Online

Gender breakdown

50% Male
34% Female
16% Non-Binary
FAQs - About Therapy and Counseling

How can I find a therapist in Berlin?

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.