Therapists in Cheyenne, WY

Photo of Amanda Bullock, MS, LPC, Licensed Professional Counselor
Amanda Bullock
Licensed Professional Counselor, MS, LPC
Verified Verified
Cheyenne, WY 82009  (Online Only)
Welcome! I am so grateful you are here, and I am honored to be a part of your healing journey. I strongly believe you are the expert on yourself. You know yourself best, and I am here to walk beside you as we gently and curiously explore your goals. I recognize the strength and bravery it takes to go to therapy and I applaud you for taking the steps you are taking to heal.
Welcome! I am so grateful you are here, and I am honored to be a part of your healing journey. I strongly believe you are the expert on yourself. You know yourself best, and I am here to walk beside you as we gently and curiously explore your goals. I recognize the strength and bravery it takes to go to therapy and I applaud you for taking the steps you are taking to heal.
(307) 323-4824 View (307) 323-4824
Photo of Bob Funk, MS, LPC, CTS, Licensed Professional Counselor
Bob Funk
Licensed Professional Counselor, MS, LPC, CTS
Verified Verified
Cheyenne, WY 82001
Over 40 years of experience in treating relationships, marriage counseling, anger, depression, anxiety and trauma. His experience is extensive including supervising psychologists, therapists, alcohol and drug counselors, and administrative staff. Bob is a nationally board certified professional counselor and a certified trauma specialist having been certified by 4 national trauma organizations.
Over 40 years of experience in treating relationships, marriage counseling, anger, depression, anxiety and trauma. His experience is extensive including supervising psychologists, therapists, alcohol and drug counselors, and administrative staff. Bob is a nationally board certified professional counselor and a certified trauma specialist having been certified by 4 national trauma organizations.
(307) 240-2928 View (307) 240-2928
Photo of Lexie Harper-Goodman, LCSW, Clinical Social Work/Therapist
Lexie Harper-Goodman
Clinical Social Work/Therapist, LCSW
Verified Verified
1 Endorsed
Cheyenne, WY 82001  (Online Only)
Everyone gets stuck and overwhelmed. Feelings of sadness, stress, fear, grief, loneliness, guilt and shame can be painful and make us feel trapped. You are not alone. Everyone requires more self-compassion, kindness and hope. With help, we can explore your thoughts and feelings and strengthen your ability to manage life's ongoing challenges. I appreciate and acknowledge the courage it takes to ask for help and make change. I would be delighted and honored to work with you through your journey.
Everyone gets stuck and overwhelmed. Feelings of sadness, stress, fear, grief, loneliness, guilt and shame can be painful and make us feel trapped. You are not alone. Everyone requires more self-compassion, kindness and hope. With help, we can explore your thoughts and feelings and strengthen your ability to manage life's ongoing challenges. I appreciate and acknowledge the courage it takes to ask for help and make change. I would be delighted and honored to work with you through your journey.
(307) 414-9113 View (307) 414-9113
Photo of Stephanie Kettl, LPC, Licensed Professional Counselor
Stephanie Kettl
Licensed Professional Counselor, LPC
Verified Verified
Cheyenne, WY 82001
Stephanie Kettl was born and raised in Casper, WY. She attended the University of Wyoming and graduated in 2003 with a Bachelor of Arts Degree in Secondary Education/Social Studies and a Minor in Sociology and then in 2005 she earned a Master of Science Degree in Counselor Education. She moved to Aurora, where she was a Treatment Coordinator at Excelsior Youth Center, treating severely at risk adolescent females from around the country. While at Excelsior, she facilitated individual, group, family therapy, along with canine and equine therapy groups. She has also completed Level I and Level II EMDR training.
Stephanie Kettl was born and raised in Casper, WY. She attended the University of Wyoming and graduated in 2003 with a Bachelor of Arts Degree in Secondary Education/Social Studies and a Minor in Sociology and then in 2005 she earned a Master of Science Degree in Counselor Education. She moved to Aurora, where she was a Treatment Coordinator at Excelsior Youth Center, treating severely at risk adolescent females from around the country. While at Excelsior, she facilitated individual, group, family therapy, along with canine and equine therapy groups. She has also completed Level I and Level II EMDR training.
(307) 224-7386 View (307) 224-7386
Photo of Allyson Crawford - Ellie Mental Health - Cheyenne, LCSW, LMFT, LPC, PCSW, PPC, Clinical Social Work/Therapist
Ellie Mental Health - Cheyenne
Clinical Social Work/Therapist, LCSW, LMFT, LPC, PCSW, PPC
Verified Verified
Cheyenne, WY 82001
Ellie Mental Health in Cheyenne, Wyoming, is more than your typical mental health clinic. We provide skilled and professional mental health care for people, period. This includes people of all ages and all backgrounds. Our clinic offers a warm, stigma-free and judgment-free zone where you can be authentic and get real about whatever is challenging you in your life and in your mental health. You deserve to receive compassionate and effective care, and we provide that for and with you. We strive to break down treatment barriers and provide you with the customized therapy services that meet your needs!
Ellie Mental Health in Cheyenne, Wyoming, is more than your typical mental health clinic. We provide skilled and professional mental health care for people, period. This includes people of all ages and all backgrounds. Our clinic offers a warm, stigma-free and judgment-free zone where you can be authentic and get real about whatever is challenging you in your life and in your mental health. You deserve to receive compassionate and effective care, and we provide that for and with you. We strive to break down treatment barriers and provide you with the customized therapy services that meet your needs!
(307) 317-7272 View (307) 317-7272
Photo of Stephanie A McMackin, MSW, LCSW, Clinical Social Work/Therapist
Stephanie A McMackin
Clinical Social Work/Therapist, MSW, LCSW
Verified Verified
Cheyenne, WY 82001
Waitlist for new clients
I love people and I have a passion for assisting others in finding ways unique to them to become more content and happier in their lives. At different times, everyone experiences life difficulties and oftentimes it helps to have a safe, secure, and confidential person to share and work through your burdens and thoughts with. I work with adolescents 10 years and older, teens, and adults experiencing a variety of life challenges.
I love people and I have a passion for assisting others in finding ways unique to them to become more content and happier in their lives. At different times, everyone experiences life difficulties and oftentimes it helps to have a safe, secure, and confidential person to share and work through your burdens and thoughts with. I work with adolescents 10 years and older, teens, and adults experiencing a variety of life challenges.
(307) 438-8021 View (307) 438-8021
Photo of Mary J Adams, LMFT, LAT, Marriage & Family Therapist
Mary J Adams
Marriage & Family Therapist, LMFT, LAT
Verified Verified
Cheyenne, WY 82001
Welcome! I enjoy working with couples, families, men, women, teens, and children. My specialties include trauma, communication/conflict, EMDR, mediation, play therapy, and addictions. My office is safe and confidential, a place to work through difficult times and situations.
Welcome! I enjoy working with couples, families, men, women, teens, and children. My specialties include trauma, communication/conflict, EMDR, mediation, play therapy, and addictions. My office is safe and confidential, a place to work through difficult times and situations.
(307) 241-4619 View (307) 241-4619
Photo of Frank Shablo, LPC, Licensed Professional Counselor
Frank Shablo
Licensed Professional Counselor, LPC
Verified Verified
Cheyenne, WY 82001
My name is Frank Shablo and I am a Licensed Professional Counselor based in Green River, Wyoming and offering services statewide via telehealth. My primary modalities are Cognitive Behavioral Therapy and Reality Therapy, and specialize in helping those struggling with depression, anxiety, serious and persistent mental illness, and substance dependence. I find the best approach to client communication is positive regard. Establishing a therapeutic relationship requires a warm and consistent temperament, active listening, and clearly expressing my understanding of my client's needs.
My name is Frank Shablo and I am a Licensed Professional Counselor based in Green River, Wyoming and offering services statewide via telehealth. My primary modalities are Cognitive Behavioral Therapy and Reality Therapy, and specialize in helping those struggling with depression, anxiety, serious and persistent mental illness, and substance dependence. I find the best approach to client communication is positive regard. Establishing a therapeutic relationship requires a warm and consistent temperament, active listening, and clearly expressing my understanding of my client's needs.
(307) 240-6093 View (307) 240-6093
Photo of Amanda Haight, LCP, Psychologist
Amanda Haight
Psychologist, LCP
Verified Verified
Cheyenne, WY 82001
Hi, I am Dr. Amanda Haight, a licensed clinical psychologist providing therapy via telehealth to individual adults (18 and over) in Nebraska and Wyoming. I see therapy as a tool to help you improve your quality of life. Life is a journey, and my job is to help you make forward progress when you get stuck. Therapy is a collaborative journey, and we will be traveling together, with you driving and me navigating. I use evidence-based treatments as the road map, including cognitive behavioral therapy, dialectical behavior therapy, acceptance and commitment therapy, written exposure therapy and cognitive processing therapy.
Hi, I am Dr. Amanda Haight, a licensed clinical psychologist providing therapy via telehealth to individual adults (18 and over) in Nebraska and Wyoming. I see therapy as a tool to help you improve your quality of life. Life is a journey, and my job is to help you make forward progress when you get stuck. Therapy is a collaborative journey, and we will be traveling together, with you driving and me navigating. I use evidence-based treatments as the road map, including cognitive behavioral therapy, dialectical behavior therapy, acceptance and commitment therapy, written exposure therapy and cognitive processing therapy.
(307) 295-0479 View (307) 295-0479
Photo of Kerry Anne Collins, LCSW, Clinical Social Work/Therapist
Kerry Anne Collins
Clinical Social Work/Therapist, LCSW
Verified Verified
Cheyenne, WY 82007
Hey there! I know that at times life feels overwhelming. The thought of reaching out for help often feels unsafe. However, I have been a counselor in Cheyenne, Wyoming for 22 years. I believe that you are the expert of your life, and it is my job to assist you in exploring your thoughts, feelings, beliefs, and emotions to grow your life and experiences into what you would love to see it become. I am here for you all the way through that journey. My job is to assist you through that journey in all ways possible until you have grown beyond needing counseling.
Hey there! I know that at times life feels overwhelming. The thought of reaching out for help often feels unsafe. However, I have been a counselor in Cheyenne, Wyoming for 22 years. I believe that you are the expert of your life, and it is my job to assist you in exploring your thoughts, feelings, beliefs, and emotions to grow your life and experiences into what you would love to see it become. I am here for you all the way through that journey. My job is to assist you through that journey in all ways possible until you have grown beyond needing counseling.
(307) 522-1210 View (307) 522-1210
Photo of Lisa Dorner-Zupancic, LPC, Licensed Professional Counselor
Lisa Dorner-Zupancic
Licensed Professional Counselor, LPC
Verified Verified
Cheyenne, WY 82001
Grounded and down to earth. Well educated and well-studied in the profession. I specialize in Trauma of all ages. Relaxed, natural, comfortable, safe. Animals and people have always been my passion. Helping and creating space for them to thrive is my goal.
Grounded and down to earth. Well educated and well-studied in the profession. I specialize in Trauma of all ages. Relaxed, natural, comfortable, safe. Animals and people have always been my passion. Helping and creating space for them to thrive is my goal.
(307) 240-2699 View (307) 240-2699
Photo of Lauren Smith, MSW, LCSW, Clinical Social Work/Therapist
Lauren Smith
Clinical Social Work/Therapist, MSW, LCSW
Verified Verified
1 Endorsed
Cheyenne, WY 82001
Waitlist for new clients
As Maya Angelou said- "There is no greater agony than bearing an untold story inside you." You no longer have to bear the weight alone. I am here to offer you a safe place, to share, explore, grow, and heal. I offer several modalities to assist you along the way, based on your individual needs and goals. Some of these include; Eye Movement Desensitization and Reprocessing (EMDR), Dialectical Behavioral Therapy (DBT) skills, Cognitive Behavioral Therapy (CBT), Solution Focused Brief Therapy, Thought Field Therapy (TFT), and Crisis/Suicide intervention.
As Maya Angelou said- "There is no greater agony than bearing an untold story inside you." You no longer have to bear the weight alone. I am here to offer you a safe place, to share, explore, grow, and heal. I offer several modalities to assist you along the way, based on your individual needs and goals. Some of these include; Eye Movement Desensitization and Reprocessing (EMDR), Dialectical Behavioral Therapy (DBT) skills, Cognitive Behavioral Therapy (CBT), Solution Focused Brief Therapy, Thought Field Therapy (TFT), and Crisis/Suicide intervention.
(307) 207-3924 View (307) 207-3924
Photo of Preston Hobbs, MS, PPC, Pre-Licensed Professional
Preston Hobbs
Pre-Licensed Professional, MS, PPC
Verified Verified
Cheyenne, WY 82001
Preston brings a calming presence into each of his sessions that helps to dissolve anxiety when seeking change. He is passionate about providing a healing space for each individual where they are allowed to express their unique story and feel understood without experiencing judgment or shame. Preston maintains a collaborative relationship with his clients to assist them in discovery and reclamation of their own authentic lived experience. He strives to view each individual in a holistic manner in order to help individuals, couples, and families become empowered to feel at their best.
Preston brings a calming presence into each of his sessions that helps to dissolve anxiety when seeking change. He is passionate about providing a healing space for each individual where they are allowed to express their unique story and feel understood without experiencing judgment or shame. Preston maintains a collaborative relationship with his clients to assist them in discovery and reclamation of their own authentic lived experience. He strives to view each individual in a holistic manner in order to help individuals, couples, and families become empowered to feel at their best.
(307) 312-9538 View (307) 312-9538
Photo of Emily Pyska, MS, PPC, Counselor
Emily Pyska
Counselor, MS, PPC
Verified Verified
Cheyenne, WY 82001
The choice to seek therapy services can be a difficult one. However, the challenges that motivate us towards change can become opportunities to create a deeper awareness of who we are, and who we wish to become. I believe we grow in connection to others, it’s in these relationships we learn the most about ourselves and what we want from our lives. I aim to co-create an attuned, safe, and collaborative relationship that supports your unique goals and individuality. I hope to accompany you through the discovery of your inherent resilience to pursue growth that enables you to live authentically and explore new possibilities.
The choice to seek therapy services can be a difficult one. However, the challenges that motivate us towards change can become opportunities to create a deeper awareness of who we are, and who we wish to become. I believe we grow in connection to others, it’s in these relationships we learn the most about ourselves and what we want from our lives. I aim to co-create an attuned, safe, and collaborative relationship that supports your unique goals and individuality. I hope to accompany you through the discovery of your inherent resilience to pursue growth that enables you to live authentically and explore new possibilities.
(307) 284-5355 View (307) 284-5355
Photo of Adam Stuart-Walker, MA, LPC, Licensed Professional Counselor
Adam Stuart-Walker
Licensed Professional Counselor, MA, LPC
Verified Verified
Cheyenne, WY 82001
My particular areas of interest lay in coming alongside families and couples by providing marriage-enrichment and communication skills. And specifically working with concerns of anxiety, depression, anger management and communication struggles. I find joy in helping people identify behaviors that negatively affect their lives and relationships with others. I work to bring an awareness to the other voices and instincts in our lives that tug at our hearts and help foster an ability to communicate with constructive and compelling reasonableness. ​
My particular areas of interest lay in coming alongside families and couples by providing marriage-enrichment and communication skills. And specifically working with concerns of anxiety, depression, anger management and communication struggles. I find joy in helping people identify behaviors that negatively affect their lives and relationships with others. I work to bring an awareness to the other voices and instincts in our lives that tug at our hearts and help foster an ability to communicate with constructive and compelling reasonableness. ​
(307) 227-4172 View (307) 227-4172
Photo of Jennifer Mumaugh, MSW, LCSW, ADS, Clinical Social Work/Therapist
Jennifer Mumaugh
Clinical Social Work/Therapist, MSW, LCSW, ADS
Verified Verified
Cheyenne, WY 82001
Waitlist for new clients
As a therapist, I strive to "hold space" with clients. Holding space for another person is incredibly profound bringing your entire presence to them. You walk along with them without judgment, willing to end up wherever they need to go by giving the energy of our attention to the pain and struggle of another human being. As a ally to a variety of communities, I make it a priority to learn about the complexities and intersections of a persons identity; to honor each person's journey and recognize the privileges I have in sharing such a vulnerable space.
As a therapist, I strive to "hold space" with clients. Holding space for another person is incredibly profound bringing your entire presence to them. You walk along with them without judgment, willing to end up wherever they need to go by giving the energy of our attention to the pain and struggle of another human being. As a ally to a variety of communities, I make it a priority to learn about the complexities and intersections of a persons identity; to honor each person's journey and recognize the privileges I have in sharing such a vulnerable space.
(307) 312-2082 View (307) 312-2082
Photo of Greg Stelzner, LCSW, Clinical Social Work/Therapist
Greg Stelzner
Clinical Social Work/Therapist, LCSW
Verified Verified
Cheyenne, WY 82001
Hi, I'm Greg Stelzner, LCSW, I've been practicing therapy for 10 years and have competency in treating many problem areas. Areas that I have come to specialize in are Chronic Pain, Trauma, Depressive and Anxiety disorders. Like many mental health struggles these tend to lead to a feeling of being stuck, a loss of quality of life, joy, vitality, etc, and one wonders if there is hope of recovery. Finding a quality, friendly and competent therapist is very helpful in unlocking the problem and healing. I strive to be this person for all my clients.
Hi, I'm Greg Stelzner, LCSW, I've been practicing therapy for 10 years and have competency in treating many problem areas. Areas that I have come to specialize in are Chronic Pain, Trauma, Depressive and Anxiety disorders. Like many mental health struggles these tend to lead to a feeling of being stuck, a loss of quality of life, joy, vitality, etc, and one wonders if there is hope of recovery. Finding a quality, friendly and competent therapist is very helpful in unlocking the problem and healing. I strive to be this person for all my clients.
(307) 296-1660 View (307) 296-1660
Photo of Valerie Mitchell, MA, LPC, Licensed Professional Counselor
Valerie Mitchell
Licensed Professional Counselor, MA, LPC
Verified Verified
Cheyenne, WY 82001
Hi. Welcome! I have been a counselor in Cheyenne for over 15 years. My practice is specialized in working with trauma, children, adolescents, women's issues, divorce, depression, and anxiety. I truly believe that you have the ability and capability to heal, and I will assist you in obtaining your goal.
Hi. Welcome! I have been a counselor in Cheyenne for over 15 years. My practice is specialized in working with trauma, children, adolescents, women's issues, divorce, depression, and anxiety. I truly believe that you have the ability and capability to heal, and I will assist you in obtaining your goal.
(307) 213-3441 View (307) 213-3441
Photo of Randy Basden, MS, LPC, Licensed Professional Counselor
Randy Basden
Licensed Professional Counselor, MS, LPC
Verified Verified
Cheyenne, WY 82001
Hello! I'm Randy Basden, a Licensed Professional Counselor with many years in the field. I was born in Missouri and grew up in Southern Illinois, moving to Wyoming twenty years ago. I received an MSEd in Educational Psychology from Southern Illinois University at Carbondale. I have extensive training in EMDR and trauma therapy in general. I see clients from adolescence throughout the lifespan for a variety of issues, including anxiety, mood disorders, and general life challenges. I am well-versed in various approaches to help individuals learn to manage emotions and behavior, and to examine how our thinking connects to these things.
Hello! I'm Randy Basden, a Licensed Professional Counselor with many years in the field. I was born in Missouri and grew up in Southern Illinois, moving to Wyoming twenty years ago. I received an MSEd in Educational Psychology from Southern Illinois University at Carbondale. I have extensive training in EMDR and trauma therapy in general. I see clients from adolescence throughout the lifespan for a variety of issues, including anxiety, mood disorders, and general life challenges. I am well-versed in various approaches to help individuals learn to manage emotions and behavior, and to examine how our thinking connects to these things.
(307) 314-0903 View (307) 314-0903
Photo of Mitsi Corwin Jones - Better Life Counseling llc, MS, LPC, NCC, Licensed Professional Counselor
Better Life Counseling llc
Licensed Professional Counselor, MS, LPC, NCC
Verified Verified
Cheyenne, WY 82001
Have you ever felt hopeless, anxious, or worried? Have you tried to get help and found it did not work? Then I am the therapist for you! I have years of experience. I especially enjoy helping families resolve conflict by figuring out what leads to it and working together. I am capable to do so, sometimes in as few as a couple sessions. I love working with young children. I have successfully used EMDR for stress and anxiety about health procedures.
Have you ever felt hopeless, anxious, or worried? Have you tried to get help and found it did not work? Then I am the therapist for you! I have years of experience. I especially enjoy helping families resolve conflict by figuring out what leads to it and working together. I am capable to do so, sometimes in as few as a couple sessions. I love working with young children. I have successfully used EMDR for stress and anxiety about health procedures.
(307) 202-4566 View (307) 202-4566

How does your Therapist compare?

Number of Therapists in Cheyenne, WY

100+

Average cost per session

$150

Therapists in Cheyenne, WY who prioritize treating:

89% Anxiety
86% Depression
77% Trauma and PTSD
76% Self Esteem
74% Relationship Issues
71% Stress
68% Coping Skills

Average years in practice

10 Years

Top 3 insurances accepted

81% BlueCross and BlueShield
77% Cigna and Evernorth
70% Aetna

How Therapists in Cheyenne, WY see their clients

74% In Person and Online
26% Online Only

Gender breakdown

82% Female
17% Male
1% Non-Binary
FAQs - About Therapy and Counseling

How can I find a therapist in Cheyenne?

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.