Therapists in Lancaster, PA

Photo of Rochelle Matthews Stoltzfus, MA, LPC, CDWF, Licensed Professional Counselor
Rochelle Matthews Stoltzfus
Licensed Professional Counselor, MA, LPC, CDWF
Verified Verified
12 Endorsed
Lancaster, PA 17601
Waitlist for new clients
People often believe the myth that therapy is just clients talking about their problems, the reality is much more complex! I love my work, because people show up with courage amid the difficulty of life to share honestly about the things that matter most deeply to them. In return, I offer engaged presence, kindness, and new ideas to those who bravely share their inspiring, beautiful, wounded, in-process selves. Then we work together to build insight and movement towards being whole and living their unique lives well.
People often believe the myth that therapy is just clients talking about their problems, the reality is much more complex! I love my work, because people show up with courage amid the difficulty of life to share honestly about the things that matter most deeply to them. In return, I offer engaged presence, kindness, and new ideas to those who bravely share their inspiring, beautiful, wounded, in-process selves. Then we work together to build insight and movement towards being whole and living their unique lives well.
(717) 454-2014 View (717) 454-2014
Photo of Jennifer DiCola, LCSW, Clinical Social Work/Therapist
Jennifer DiCola
Clinical Social Work/Therapist, LCSW
Verified Verified
Lancaster, PA 17603  (Online Only)
I am a professional therapist who specializes in helping individuals and families experiencing abuse, domestic violence, unhealthy relationships, trauma, and those interested in breaking generational cycles of unhealthy behaviors. I also counsel clients suffering from depression, anxiety, and difficulties with self-worth and provide support for those making transitions in their personal and professional relationships through life coaching and motivational support to improve emotional well-being.
I am a professional therapist who specializes in helping individuals and families experiencing abuse, domestic violence, unhealthy relationships, trauma, and those interested in breaking generational cycles of unhealthy behaviors. I also counsel clients suffering from depression, anxiety, and difficulties with self-worth and provide support for those making transitions in their personal and professional relationships through life coaching and motivational support to improve emotional well-being.
(223) 204-4029 View (223) 204-4029
Photo of Courtney Muzac, LCSW, Clinical Social Work/Therapist
Courtney Muzac
Clinical Social Work/Therapist, LCSW
Verified Verified
Lancaster, PA 17603  (Online Only)
My name is Courtney Muzac-Smith, and I am a Licensed Clinical Social Worker (LCSW) based in Georgia and Pennsylvania. I see clients statewide via telehealth. I work with adults and specialize in stress, anxiety, trauma, depression, and self-esteem. I use Cognitive Behavioral Therapy, Internal Family Systems, Breath, and Mindfulness to help my clients achieve their goals. My approach to therapy varies based on the needs of each client I work with. I use Cognitive Behavioral Therapy to help build a shared understanding of the client's reality.
My name is Courtney Muzac-Smith, and I am a Licensed Clinical Social Worker (LCSW) based in Georgia and Pennsylvania. I see clients statewide via telehealth. I work with adults and specialize in stress, anxiety, trauma, depression, and self-esteem. I use Cognitive Behavioral Therapy, Internal Family Systems, Breath, and Mindfulness to help my clients achieve their goals. My approach to therapy varies based on the needs of each client I work with. I use Cognitive Behavioral Therapy to help build a shared understanding of the client's reality.
(717) 402-8874 View (717) 402-8874
Photo of John Gordon Smith, DMin, PhD, CSC, Pastoral Counselor
John Gordon Smith
Pastoral Counselor, DMin, PhD, CSC
Verified Verified
Lancaster, PA 17602  (Online Only)
Are you seeking help to navigate your grief journey, recover from shame, practice forgiveness, address aging concerns, overcome loneliness, strengthen your relationship, or resolve sexual desire, arousal, or orgasmic issues? By sourcing help for any of these concerns, you have taken a bold step on your path to achieving the change you seek. By choosing me to help you achieve this change, you have found a caring, compassionate, competent, and committed counselor who will work with you to achieve the change you desire.
Are you seeking help to navigate your grief journey, recover from shame, practice forgiveness, address aging concerns, overcome loneliness, strengthen your relationship, or resolve sexual desire, arousal, or orgasmic issues? By sourcing help for any of these concerns, you have taken a bold step on your path to achieving the change you seek. By choosing me to help you achieve this change, you have found a caring, compassionate, competent, and committed counselor who will work with you to achieve the change you desire.
(717) 937-1866 View (717) 937-1866
Photo of Susan Leonor Cabouli, PhD, Psychologist
Susan Leonor Cabouli
Psychologist, PhD
Verified Verified
1 Endorsed
Lancaster, PA 17603
I have 32 years of experience as a psychotherapist in helping adults and teenagers with anxiety, depression, grief, unresolved trauma and abuse, limited self awareness and acceptance, and problems in navigating life changes and transitions. I have advanced training and experience in helping people recover from eating disorders. If you are a member of Overeaters Anonymous, welcome! I am also trained in integrating psychological and Christian spiritual health.
I have 32 years of experience as a psychotherapist in helping adults and teenagers with anxiety, depression, grief, unresolved trauma and abuse, limited self awareness and acceptance, and problems in navigating life changes and transitions. I have advanced training and experience in helping people recover from eating disorders. If you are a member of Overeaters Anonymous, welcome! I am also trained in integrating psychological and Christian spiritual health.
(717) 259-2730 View (717) 259-2730
Photo of Starlene Delp, LPC , Licensed Professional Counselor
Starlene Delp
Licensed Professional Counselor, LPC
Verified Verified
Lancaster, PA 17603  (Online Only)
My name is Starlene but I prefer Star and I am a Licensed Professional Counselor (LPC) based in Pittsburgh, Pennsylvania, and working with clients statewide via telehealth. I work with adults mostly within the focus areas of depression, anxiety, stage of life transitions, and stress management, using Cognitive Behavioral Therapy with other coping skills gathered from DBT, Mindfulness, and EMDR to help my clients find what skills work best for their needs.
My name is Starlene but I prefer Star and I am a Licensed Professional Counselor (LPC) based in Pittsburgh, Pennsylvania, and working with clients statewide via telehealth. I work with adults mostly within the focus areas of depression, anxiety, stage of life transitions, and stress management, using Cognitive Behavioral Therapy with other coping skills gathered from DBT, Mindfulness, and EMDR to help my clients find what skills work best for their needs.
(717) 402-8787 View (717) 402-8787
Photo of Lancaster White Deer Run - White Deer Run of Lancaster, Drug & Alcohol Counselor
White Deer Run of Lancaster
Drug & Alcohol Counselor
Not Verified Not Verified
Lancaster, PA 17603
From a beautiful tree-lined street in historic downtown Lancaster, we at White Deer Run of Lancaster have been helping men suffering from substance abuse disorders since 1999. Our short-term residential rehab program has proven successful at healing a variety of chemical dependency issues and some mild co-occurring mental health disorders. We know that each man's journey will be different and our goal is to provide empowering, personalized care unique to each patient's specific needs.
From a beautiful tree-lined street in historic downtown Lancaster, we at White Deer Run of Lancaster have been helping men suffering from substance abuse disorders since 1999. Our short-term residential rehab program has proven successful at healing a variety of chemical dependency issues and some mild co-occurring mental health disorders. We know that each man's journey will be different and our goal is to provide empowering, personalized care unique to each patient's specific needs.
(844) 326-6693 View (844) 326-6693
Photo of Nicole Henning, LPC, Licensed Professional Counselor
Nicole Henning
Licensed Professional Counselor, LPC
Verified Verified
Lancaster, PA 17601  (Online Only)
Hi there! My name is Nicole Henning. I’m a licensed professional counselor LPC out of the state of Pennsylvania. I have been practicing for about a decade now. I mainly work with adults 18 and above, and I enjoy focusing on cognitive behavioral therapy, dialectical, behavioral therapy, humanistic approaches, person-centered, approaches, trauma, informed, care, approaches, and being able to apply psychodynamic approaches as well. I have a big passion for working with neuroscience and enjoy many trainings in this and being able to help people understand their brain health.
Hi there! My name is Nicole Henning. I’m a licensed professional counselor LPC out of the state of Pennsylvania. I have been practicing for about a decade now. I mainly work with adults 18 and above, and I enjoy focusing on cognitive behavioral therapy, dialectical, behavioral therapy, humanistic approaches, person-centered, approaches, trauma, informed, care, approaches, and being able to apply psychodynamic approaches as well. I have a big passion for working with neuroscience and enjoy many trainings in this and being able to help people understand their brain health.
(323) 643-8569 View (323) 643-8569
Photo of Kay Bela, LPC, Licensed Professional Counselor
Kay Bela
Licensed Professional Counselor, LPC
Verified Verified
1 Endorsed
Lancaster, PA 17601
If you've been feeling overwhelmed, stuck, trapped, or like your brain just won't stop ruminating and you're tired, but don't know how to make it stop, I'm here for you. When we're low, life can feel scary, lonely and confusing without a roadmap. I help clients find energy, mental rest, and stability in their lives. We'll take it one step at a time and walk you through mental health recovery at the pace that feels right to you, so you can gain control of your life. I’ve personally dealt with severe anxiety, depression, suicide attempts, trauma, alcohol abuse, and the loss of a brother to addiction, so I'm no stranger to the journey.
If you've been feeling overwhelmed, stuck, trapped, or like your brain just won't stop ruminating and you're tired, but don't know how to make it stop, I'm here for you. When we're low, life can feel scary, lonely and confusing without a roadmap. I help clients find energy, mental rest, and stability in their lives. We'll take it one step at a time and walk you through mental health recovery at the pace that feels right to you, so you can gain control of your life. I’ve personally dealt with severe anxiety, depression, suicide attempts, trauma, alcohol abuse, and the loss of a brother to addiction, so I'm no stranger to the journey.
(717) 229-0116 View (717) 229-0116
Photo of Diane E Schulz, BA, MSW, CYT, Pre-Licensed Professional
Diane E Schulz
Pre-Licensed Professional, BA, MSW, CYT
Verified Verified
Lancaster, PA 17602
I recognize the importance of creating safe spaces and do so with an energy of warmth, validation and humor. I support clients from a healing-centered approach to identify goals, manage stress and process traumatic experiences through enhancing communication, somatic (body-focused) techniques, mindfulness and other creative practices for self-reflection and self-regulation. I recognize that processing grief or pain are important aspects of growth and that we can be more responsive and vulnerable without collapsing. As a collaborator on your healing journey, I approach our work together with genuine curiosity and open-mindedness.
I recognize the importance of creating safe spaces and do so with an energy of warmth, validation and humor. I support clients from a healing-centered approach to identify goals, manage stress and process traumatic experiences through enhancing communication, somatic (body-focused) techniques, mindfulness and other creative practices for self-reflection and self-regulation. I recognize that processing grief or pain are important aspects of growth and that we can be more responsive and vulnerable without collapsing. As a collaborator on your healing journey, I approach our work together with genuine curiosity and open-mindedness.
(223) 267-6040 View (223) 267-6040
Photo of Kim Melhorn - Child First Family Services, MS
Child First Family Services
MS
Verified Verified
Lancaster, PA 17602
I am a Certified School Psychologist and Director of Child First Family Services. I provide services related to Autism including autism evaluations, groups, workshops, and consultation. In addition, I specialize in custody/divorce issues including mediation, counseling, groups, and supervised visitation services. I also provide anger management assessments and groups approved by Lancaster County, PA judges.
I am a Certified School Psychologist and Director of Child First Family Services. I provide services related to Autism including autism evaluations, groups, workshops, and consultation. In addition, I specialize in custody/divorce issues including mediation, counseling, groups, and supervised visitation services. I also provide anger management assessments and groups approved by Lancaster County, PA judges.
(717) 925-3321 View (717) 925-3321
Photo of Hannah Mosser, MA, LPC, Licensed Professional Counselor
Hannah Mosser
Licensed Professional Counselor, MA, LPC
Verified Verified
Lancaster, PA 17603
I work with individuals that are experiencing difficulty in any aspect of their life and want to address it. Are you feeling anxious? Experiencing grief or loneliness? Conflict within your relationship? Difficulty managing trauma responses? Let's talk. Let's discover what is causing you distress and let's address it. My goal at BeSpoke is to help you identify what is off and customize your treatment to bring healing to what is causing pain in your life or circumstances.
I work with individuals that are experiencing difficulty in any aspect of their life and want to address it. Are you feeling anxious? Experiencing grief or loneliness? Conflict within your relationship? Difficulty managing trauma responses? Let's talk. Let's discover what is causing you distress and let's address it. My goal at BeSpoke is to help you identify what is off and customize your treatment to bring healing to what is causing pain in your life or circumstances.
(223) 223-9307 View (223) 223-9307
Photo of Kristina Jeanty, LSW, Clinical Social Work/Therapist
Kristina Jeanty
Clinical Social Work/Therapist, LSW
Verified Verified
1 Endorsed
Lancaster, PA 17603  (Online Only)
Not accepting new clients
Are you feeling overwhelmed by the pressures and stress of life? Has communication been difficult lately? Are you looking for support to navigate challenging situations or circumstances? Sometimes, it's about something other than change. It's about growth.
Are you feeling overwhelmed by the pressures and stress of life? Has communication been difficult lately? Are you looking for support to navigate challenging situations or circumstances? Sometimes, it's about something other than change. It's about growth.
View
Photo of Patricia Kathleen Tolle - Align Counseling, LLC, MSW, LCSW, Clinical Social Work/Therapist
Align Counseling, LLC
Clinical Social Work/Therapist, MSW, LCSW
Verified Verified
Lancaster, PA 17603
Are you are always in battle with your spouse or partner? Has communication has broken down and you don’t know how to talk to each other anymore? Are you hurt because of things that were said in anger? Do you feel that no matter what you do, nothing is ever good enough or you’re not good enough? In most marriage or couples counseling, all things can be improved, changed and made better, with just a little support, no matter how big or small. With couples therapy, you’ll learn how to communicate your feelings and needs, fight fair and get what you want out of your relationship.
Are you are always in battle with your spouse or partner? Has communication has broken down and you don’t know how to talk to each other anymore? Are you hurt because of things that were said in anger? Do you feel that no matter what you do, nothing is ever good enough or you’re not good enough? In most marriage or couples counseling, all things can be improved, changed and made better, with just a little support, no matter how big or small. With couples therapy, you’ll learn how to communicate your feelings and needs, fight fair and get what you want out of your relationship.
(717) 871-9220 View (717) 871-9220
Photo of Akia Izzard, LCSW, Clinical Social Work/Therapist
Akia Izzard
Clinical Social Work/Therapist, LCSW
Verified Verified
Lancaster, PA 17603  (Online Only)
Hello, my name is Kia Izzard. I’m a licensed clinical social worker. I’ve been a social worker for over 20 years. I assist clients in increasing their insight and awareness of their feelings, thoughts, and behaviors. I delve into what’s going on presently. I listen and help them to reflect and feel validated. I don’t subscribe to any one therapeutic modality other than telling your story, which I do with narrative therapy techniques. I believe that those who are marginalized, those who experience trauma, or those who feel like they don’t have a voice, can benefit from narrative therapy techniques.
Hello, my name is Kia Izzard. I’m a licensed clinical social worker. I’ve been a social worker for over 20 years. I assist clients in increasing their insight and awareness of their feelings, thoughts, and behaviors. I delve into what’s going on presently. I listen and help them to reflect and feel validated. I don’t subscribe to any one therapeutic modality other than telling your story, which I do with narrative therapy techniques. I believe that those who are marginalized, those who experience trauma, or those who feel like they don’t have a voice, can benefit from narrative therapy techniques.
(323) 643-8569 View (323) 643-8569
Photo of Dana D'Amicantonio, MA, Licensed Professional Counselor
Dana D'Amicantonio
Licensed Professional Counselor, MA
Verified Verified
4 Endorsed
Lancaster, PA 17601
Are you feeling stuck or unsure how to handle a situation or where you find yourself currently? Wanting more for your life, such as stronger connections, better coping, or a lifestyle that mirrors what you value most? Therapy can help us to focus on and process through past and present experiences, achieve new goals, reduce and stabilize symptom management, as well as achieve holistic healing. I hope to provide a safe and comfortable place that helps you to share and process through your story.
Are you feeling stuck or unsure how to handle a situation or where you find yourself currently? Wanting more for your life, such as stronger connections, better coping, or a lifestyle that mirrors what you value most? Therapy can help us to focus on and process through past and present experiences, achieve new goals, reduce and stabilize symptom management, as well as achieve holistic healing. I hope to provide a safe and comfortable place that helps you to share and process through your story.
(717) 276-4549 View (717) 276-4549
Photo of Stacy Martinez, LCSW, PMH-C, Clinical Social Work/Therapist
Stacy Martinez
Clinical Social Work/Therapist, LCSW, PMH-C
Verified Verified
3 Endorsed
Lancaster, PA 17601
Do you feel alone with your thoughts and feelings? Have you recently become pregnant, given birth or struggled with a loss? Do you have scary thoughts and you don't know why? Do you feel like you have lost your identity? Do you often feel sad, anxious or angry? This is just a handful of ways that mothers and mothers to be may feel and are not sure how to seek help or feel better. Becoming a mother, or having the desire to be a mother, brings a lot of changes into your life. These changes include but are not limited to, hormonal, relational, emotional, mental and physical.
Do you feel alone with your thoughts and feelings? Have you recently become pregnant, given birth or struggled with a loss? Do you have scary thoughts and you don't know why? Do you feel like you have lost your identity? Do you often feel sad, anxious or angry? This is just a handful of ways that mothers and mothers to be may feel and are not sure how to seek help or feel better. Becoming a mother, or having the desire to be a mother, brings a lot of changes into your life. These changes include but are not limited to, hormonal, relational, emotional, mental and physical.
(717) 294-0191 View (717) 294-0191
Photo of Debra Weikert, LPC , Licensed Professional Counselor
Debra Weikert
Licensed Professional Counselor, LPC
Verified Verified
Lancaster, PA 17603  (Online Only)
Hello! My name is Debbie Weikert. As a Licensed Professional Counselor, I am passionate about empowering individuals to overcome life's challenges, big and small with compassion and supportive guidance.
Hello! My name is Debbie Weikert. As a Licensed Professional Counselor, I am passionate about empowering individuals to overcome life's challenges, big and small with compassion and supportive guidance.
(323) 643-8569 View (323) 643-8569
Photo of Hugh Smith - Hugh S Smith, PhD & Associates, PC, Psychologist
Hugh S Smith, PhD & Associates, PC
Psychologist
Verified Verified
Lancaster, PA 17601
Hugh S. Smith, Ph.D. & Associates, P.C. (HSSA) was created in 1998 to meet the growing demand for excellence in psychological services. Comprised of licensed psychologists, psychological evaluators and therapists, HSSA has become a respected name in the community we serve. We are committed to excellence and integrity in the evaluation and treatment of the whole person. We strive to identify the unique strengths of each individual we serve. Our thorough and caring approach considers the roles of family, socio-cultural background, and the environments in which our clients live.
Hugh S. Smith, Ph.D. & Associates, P.C. (HSSA) was created in 1998 to meet the growing demand for excellence in psychological services. Comprised of licensed psychologists, psychological evaluators and therapists, HSSA has become a respected name in the community we serve. We are committed to excellence and integrity in the evaluation and treatment of the whole person. We strive to identify the unique strengths of each individual we serve. Our thorough and caring approach considers the roles of family, socio-cultural background, and the environments in which our clients live.
(717) 892-5342 View (717) 892-5342
Photo of Stefanie Scarborough, MEd, LPC, Counselor
Stefanie Scarborough
Counselor, MEd, LPC
Verified Verified
Lancaster, PA 17601
Accepting New Clients. Hello! I am a licensed counselor with over 20 years of experience, in a variety of settings, in the counseling profession. I pride myself on quickly building client rapport to be able to get therapeutic work started right away. My approaches emphasis client centered, solution focused counseling with cognitive behavior therapy techniques. I have experience working with children, adolescents, young adults and couples ranging in age from 15 to 50 years old. I have worked with families and specialize in working with individuals with anxiety, depression, grief & loss, career uncertainty, and relationship issues.
Accepting New Clients. Hello! I am a licensed counselor with over 20 years of experience, in a variety of settings, in the counseling profession. I pride myself on quickly building client rapport to be able to get therapeutic work started right away. My approaches emphasis client centered, solution focused counseling with cognitive behavior therapy techniques. I have experience working with children, adolescents, young adults and couples ranging in age from 15 to 50 years old. I have worked with families and specialize in working with individuals with anxiety, depression, grief & loss, career uncertainty, and relationship issues.
(717) 282-9235 View (717) 282-9235
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How does your Therapist compare?

Number of Therapists in Lancaster, PA

400+

Average cost per session

$125

Therapists in Lancaster, PA who prioritize treating:

93% Anxiety
87% Depression
77% Self Esteem
76% Relationship Issues
71% Stress
69% Coping Skills
68% Trauma and PTSD

Average years in practice

11 Years

Top 3 insurances accepted

82% Highmark
70% Aetna
65% BlueCross and BlueShield

How Therapists in Lancaster, PA see their clients

69% In Person and Online
31% Online Only

Gender breakdown

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

How can I find a therapist in Lancaster?

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.