Therapists in Manchester, NH

Photo of Heidi Schlenz, LCMHC, Counselor
Heidi Schlenz
Counselor, LCMHC
Verified Verified
Manchester, NH 03102
Heidi Schlenz is a Licensed Mental Health Counselor in New Hampshire who has been practicing since 2021. She has an MS in Clinical Mental Health Counseling from Plymouth State University and a BS in Psychology from Brigham Young University Idaho. When working with clients, Heidi builds trust and rapport with them early on in the counseling process. She provides a welcoming environment in which children and adolescents can express their concerns and process their emotions and problems effectively.
Heidi Schlenz is a Licensed Mental Health Counselor in New Hampshire who has been practicing since 2021. She has an MS in Clinical Mental Health Counseling from Plymouth State University and a BS in Psychology from Brigham Young University Idaho. When working with clients, Heidi builds trust and rapport with them early on in the counseling process. She provides a welcoming environment in which children and adolescents can express their concerns and process their emotions and problems effectively.
(833) 659-9347 View (833) 659-9347
Photo of Darcy Killerby, MSW, LICSW, Clinical Social Work/Therapist
Darcy Killerby
Clinical Social Work/Therapist, MSW, LICSW
Verified Verified
1 Endorsed
Manchester, NH 03101
Not accepting new clients
Are you struggling with depression, anxiety, PTSD or having a hard time processing or moving on after a traumatic event, experience or memory? Do you struggle with low motivation, low energy, panic/anxiety attacks, or struggle to manage stress? EMDR and solution focused talk therapy can help with all of those symptoms.
Are you struggling with depression, anxiety, PTSD or having a hard time processing or moving on after a traumatic event, experience or memory? Do you struggle with low motivation, low energy, panic/anxiety attacks, or struggle to manage stress? EMDR and solution focused talk therapy can help with all of those symptoms.
(833) 537-1101 View (833) 537-1101
Photo of Tara Richard, MA,  LCMHC, Counselor
Tara Richard
Counselor, MA, LCMHC
Verified Verified
Manchester, NH 03103
Prior to joining LifeStance Health, Tara worked in an integrated health care setting. She worked as an employment counselor, case manager and therapist assisting individuals diagnosed with severe mental illness. Working in this capacity allowed her to expand her therapeutic skills in a unique way, further enabling her to provide support to a more diverse population.
Prior to joining LifeStance Health, Tara worked in an integrated health care setting. She worked as an employment counselor, case manager and therapist assisting individuals diagnosed with severe mental illness. Working in this capacity allowed her to expand her therapeutic skills in a unique way, further enabling her to provide support to a more diverse population.
(866) 898-2447 View (866) 898-2447
Photo of Laurence Merrill Kelly Sr, EdD, Psychologist
Laurence Merrill Kelly Sr
Psychologist, EdD
Verified Verified
Manchester, NH 03103
I think the ideal client is someone who is motivated to change. I am a practitioner of positive psychology and believe that every person has tremendous resources and just needs to discover these gifts. I think the Psychologist must build upon assets and strengths. I think that humans can build pyramids or travel to the moon when given the right encouragement and belief.
I think the ideal client is someone who is motivated to change. I am a practitioner of positive psychology and believe that every person has tremendous resources and just needs to discover these gifts. I think the Psychologist must build upon assets and strengths. I think that humans can build pyramids or travel to the moon when given the right encouragement and belief.
(603) 392-7341 x1 View (603) 392-7341 x1
Photo of Kimberly Sieper - Blue Lotus Wellness LLC, LCMHC, APRN, MLADC, PMHNP, Counselor
Blue Lotus Wellness LLC
Counselor, LCMHC, APRN, MLADC, PMHNP
Verified Verified
Manchester, NH 03104
Blue Lotus Wellness understands the difficulties that come with navigating mental health and finding a provider you can connect with. Our team of experienced counselors are here to support and guide you on your journey towards healing and personal growth. We work with adult men, women and couples experiencing a variety of mental health issues including but not limited to addictions, trauma, self-esteem, mood disorders, relationship difficulties, chronic pain and more. We can provide Ketamine Therapy and medication management by one of our Nurse Practitioners as well as counseling support from any of our professional counselors.
Blue Lotus Wellness understands the difficulties that come with navigating mental health and finding a provider you can connect with. Our team of experienced counselors are here to support and guide you on your journey towards healing and personal growth. We work with adult men, women and couples experiencing a variety of mental health issues including but not limited to addictions, trauma, self-esteem, mood disorders, relationship difficulties, chronic pain and more. We can provide Ketamine Therapy and medication management by one of our Nurse Practitioners as well as counseling support from any of our professional counselors.
(833) 658-8441 View (833) 658-8441
Photo of Samantha Houser, MSW, Pre-Licensed Professional
Samantha Houser
Pre-Licensed Professional, MSW
Verified Verified
Manchester, NH 03101
Samantha Houser is an experienced clinical social worker excelling in EMDR therapy. She focuses on assisting individuals in overcoming anxiety, trauma, and panic attacks. Known for her dedication, Samantha fosters a safe, non-judgmental environment where clients can confidently face and conquer their challenges. Her approach is centered on empowering individuals, guiding them towards enriched lives marked by newfound confidence and resilience. Samantha's commitment to her clients' well-being makes her a trusted professional in guiding them through their journey of healing and personal growth.
Samantha Houser is an experienced clinical social worker excelling in EMDR therapy. She focuses on assisting individuals in overcoming anxiety, trauma, and panic attacks. Known for her dedication, Samantha fosters a safe, non-judgmental environment where clients can confidently face and conquer their challenges. Her approach is centered on empowering individuals, guiding them towards enriched lives marked by newfound confidence and resilience. Samantha's commitment to her clients' well-being makes her a trusted professional in guiding them through their journey of healing and personal growth.
(844) 907-2715 View (844) 907-2715
Photo of Sophie Luppold, MSW, Pre-Licensed Professional
Sophie Luppold
Pre-Licensed Professional, MSW
Verified Verified
Manchester, NH 03101
Accepting new clients! Empowering lives at every stage. Welcome to a compassionate space where healing begins. I specialize in supporting children, teens and adults through the challenges of ADHD, depression, anxiety, low-self-esteem, bullying, and trauma. I have expertise in tailored to diverse age groups, creating a nurturing environment where individuals can explore grow, and find their inner strength. Offering tailored strategies of individuals for all ages to navigate and thrive with ADHD. Gentle guidance for understanding and managing and overcoming feelings of anxiety and depression. Caring support for trauma and esteem.
Accepting new clients! Empowering lives at every stage. Welcome to a compassionate space where healing begins. I specialize in supporting children, teens and adults through the challenges of ADHD, depression, anxiety, low-self-esteem, bullying, and trauma. I have expertise in tailored to diverse age groups, creating a nurturing environment where individuals can explore grow, and find their inner strength. Offering tailored strategies of individuals for all ages to navigate and thrive with ADHD. Gentle guidance for understanding and managing and overcoming feelings of anxiety and depression. Caring support for trauma and esteem.
(603) 803-4127 View (603) 803-4127
Photo of Paula Semakula, Pre-Licensed Professional
Paula Semakula
Pre-Licensed Professional
Verified Verified
Manchester, NH 03103  (Online Only)
Immediate openings for teens/adults in LGBTQ+ community! I am ready to join you on the journey to a healthier mind, body, and soul. To do this, we will have to look at what is not working in your present and possibly explore issues from the past, but always with an eye towards a better future. During this journey, you will learn coping skills, build safety, and create support. In this manner, we will work together to ensure you have the strengths you need to reach your ultimate goals.
Immediate openings for teens/adults in LGBTQ+ community! I am ready to join you on the journey to a healthier mind, body, and soul. To do this, we will have to look at what is not working in your present and possibly explore issues from the past, but always with an eye towards a better future. During this journey, you will learn coping skills, build safety, and create support. In this manner, we will work together to ensure you have the strengths you need to reach your ultimate goals.
(603) 625-0010 View (603) 625-0010
Photo of Fatma Salem, PhD, LCMHC, NCC, Counselor
Fatma Salem
Counselor, PhD, LCMHC, NCC
Verified Verified
Manchester, NH 03104  (Online Only)
Waitlist for new clients
I believe that human suffering happens when the way we live our lives falls out of alignment with our internal compass. We are inherently driven to self-actualize and become the best version possible of ourselves; however, the reality is that we live in a very complex world that often steers us away from what we value. We often fall into this trap and begin to chase what society deems valuable, while being convinced that it's our true calling. This behavioral pattern is often piloted by our anxieties and relational trauma, which is what I am most fluent in, as a fellow human first, and a therapist second.
I believe that human suffering happens when the way we live our lives falls out of alignment with our internal compass. We are inherently driven to self-actualize and become the best version possible of ourselves; however, the reality is that we live in a very complex world that often steers us away from what we value. We often fall into this trap and begin to chase what society deems valuable, while being convinced that it's our true calling. This behavioral pattern is often piloted by our anxieties and relational trauma, which is what I am most fluent in, as a fellow human first, and a therapist second.
(603) 810-7952 View (603) 810-7952
Photo of Julie St.onge, RN BSN , CPC-c , ACSTH, C-SASI
Julie St.onge
RN BSN , CPC-c , ACSTH, C-SASI
Verified Verified
Manchester, NH 03101
I am a trauma informed life coach with a background in extensive nursing experience over 20 years. I have been trained in the psychotherapy of brainspotting. This therapy has been used with 911 victims and the Sandy Hook School shooting community to bring healing to those who have suffered from deep emotional trauma. it is also effective in treating: anxiety, depression, focus issues, trauma, performance anxiety, phobias, OCD, eating disorders, and addictions. I have extensive experience in this therapy and typically see results within 4 sessions. Most levels of struggle drop by half at that point.
I am a trauma informed life coach with a background in extensive nursing experience over 20 years. I have been trained in the psychotherapy of brainspotting. This therapy has been used with 911 victims and the Sandy Hook School shooting community to bring healing to those who have suffered from deep emotional trauma. it is also effective in treating: anxiety, depression, focus issues, trauma, performance anxiety, phobias, OCD, eating disorders, and addictions. I have extensive experience in this therapy and typically see results within 4 sessions. Most levels of struggle drop by half at that point.
(603) 931-4717 View (603) 931-4717
Photo of Matthew Kobs, PsyD
Matthew Kobs
PsyD
Verified Verified
Manchester, NH 03101
Everyone has a story to tell, a thread that consciously or unconsciously guides his or her behavior, wants, and motivations. In my practice, I try to help people who have become unhappy with their current pattern of living and have begun to think about building a clearer understanding of who they are and who they feel they would like to "be." I work to build a mutual appreciation for each other's story. Having received extensive training in Cognitive Behavioral and Analytical Theory, I am able to provide an eclectic approach to working with a wide variety of clients' needs.
Everyone has a story to tell, a thread that consciously or unconsciously guides his or her behavior, wants, and motivations. In my practice, I try to help people who have become unhappy with their current pattern of living and have begun to think about building a clearer understanding of who they are and who they feel they would like to "be." I work to build a mutual appreciation for each other's story. Having received extensive training in Cognitive Behavioral and Analytical Theory, I am able to provide an eclectic approach to working with a wide variety of clients' needs.
(855) 805-4668 View (855) 805-4668
Photo of Darryl A Stewart, MA, CMHC, Pre-Licensed Professional
Darryl A Stewart
Pre-Licensed Professional, MA, CMHC
Verified Verified
2 Endorsed
Manchester, NH 03101  (Online Only)
Waitlist for new clients
I believe the one of the most important parts of a successful and positive experience in therapy is the therapuetic relationship. Starting off my first priority is to make you feel comfortable being yourself, in a judgement free space. It would be my pleasure to walk with you as you pursue your mental health goals, and help you work toward overcoming any obstacles preventing you from living the life you want to live.
I believe the one of the most important parts of a successful and positive experience in therapy is the therapuetic relationship. Starting off my first priority is to make you feel comfortable being yourself, in a judgement free space. It would be my pleasure to walk with you as you pursue your mental health goals, and help you work toward overcoming any obstacles preventing you from living the life you want to live.
(603) 270-9181 View (603) 270-9181
Photo of Christina Tremblay, Pre-Licensed Professional
Christina Tremblay
Pre-Licensed Professional
Verified Verified
2 Endorsed
Manchester, NH 03101
Waitlist for new clients
Do you struggle with anxiety, depression, grief, post-traumatic stress disorder, a challenging relationship, or loss of sense of self that affects your day-to-day life? Are you interested in the following forms of counseling; EMDR, art therapy, or play therapy?
Do you struggle with anxiety, depression, grief, post-traumatic stress disorder, a challenging relationship, or loss of sense of self that affects your day-to-day life? Are you interested in the following forms of counseling; EMDR, art therapy, or play therapy?
View
Photo of Yasmin Adam, MSW, MBA, Pre-Licensed Professional
Yasmin Adam
Pre-Licensed Professional, MSW, MBA
Verified Verified
Manchester, NH 03101  (Online Only)
Hi! I'm a pre-licensed therapist in NH trained in EMDR. I specialize in combining evidence based interventions with holistic techniques to support a solution-focused approach in healing the mind, body, and spirit. This includes Eye Movement Desensitization Reprocessing, Cognitive Behavioral Therapy, Acceptance and Commitment Therapy, reiki/energy healing, past life regression, somatic healing, meditation and hypnosis techniques. These techniques help me to navigate you through challenging healing work, so that you meet your goals and see symptoms improve.
Hi! I'm a pre-licensed therapist in NH trained in EMDR. I specialize in combining evidence based interventions with holistic techniques to support a solution-focused approach in healing the mind, body, and spirit. This includes Eye Movement Desensitization Reprocessing, Cognitive Behavioral Therapy, Acceptance and Commitment Therapy, reiki/energy healing, past life regression, somatic healing, meditation and hypnosis techniques. These techniques help me to navigate you through challenging healing work, so that you meet your goals and see symptoms improve.
(603) 207-2105 x702 View (603) 207-2105 x702
Photo of Pilara Bauer, MSW, Pre-Licensed Professional
Pilara Bauer
Pre-Licensed Professional, MSW
Verified Verified
1 Endorsed
Manchester, NH 03101  (Online Only)
Scary, upsetting or highly stressful things that happen to us can leave behind a lasting impression that can lead to problematic thoughts, behaviors and beliefs. You can feel stuck, trapped in the past or worried about what the future will hold. I love helping people to adapt their thinking so they can leave upsetting experiences in the past, enjoy their present and look forward to the future. This work can sound daunting, but I will meet you where you’re at, go at your speed, and work to build a strong connection based on respect and understanding.
Scary, upsetting or highly stressful things that happen to us can leave behind a lasting impression that can lead to problematic thoughts, behaviors and beliefs. You can feel stuck, trapped in the past or worried about what the future will hold. I love helping people to adapt their thinking so they can leave upsetting experiences in the past, enjoy their present and look forward to the future. This work can sound daunting, but I will meet you where you’re at, go at your speed, and work to build a strong connection based on respect and understanding.
(603) 270-9181 View (603) 270-9181
Photo of Akira Taylor, LCSW, Clinical Social Work/Therapist
Akira Taylor
Clinical Social Work/Therapist, LCSW
Verified Verified
Manchester, NH 03103  (Online Only)
I firmly believe that connecting with clients on a deep level and truly understanding their perspective is the cornerstone of effective support. My passion lies in illuminating the path for others along their personal journey, empowering them to heal and thrive. My professional background encompasses a diverse range of settings, including addiction treatment centers, in-patient psychiatric care, medical social work, crisis intervention, hospice care, and business, personal, and life coaching. I am licensed a LCSW in Utah, Florida, Arizona, Texas, New Hampshire, Vermont, Idaho, Nevada, Washington and Virginia.
I firmly believe that connecting with clients on a deep level and truly understanding their perspective is the cornerstone of effective support. My passion lies in illuminating the path for others along their personal journey, empowering them to heal and thrive. My professional background encompasses a diverse range of settings, including addiction treatment centers, in-patient psychiatric care, medical social work, crisis intervention, hospice care, and business, personal, and life coaching. I am licensed a LCSW in Utah, Florida, Arizona, Texas, New Hampshire, Vermont, Idaho, Nevada, Washington and Virginia.
(833) 685-5156 View (833) 685-5156
Photo of Celine P Jalbert, LCMHC, MLADC, Counselor
Celine P Jalbert
Counselor, LCMHC, MLADC
Verified Verified
Manchester, NH 03101
I obtained my Master of Arts degree in Clinical Mental Health Counseling from Rivier College in Nashua, NH and a Master of Arts in Communication Arts from St. Mary's University in San Antonio, Texas. I am a licensed Clinical Mental Health Counselor and a Master Licensed Alcohol and Drug Counselor. I specialize in assessing and treating mental health concerns, substance abuse, and adjustment disorders related to a wide variety of life issues. I work with adults aged 19 to 90. I am an Impaired Driver Services Provider.
I obtained my Master of Arts degree in Clinical Mental Health Counseling from Rivier College in Nashua, NH and a Master of Arts in Communication Arts from St. Mary's University in San Antonio, Texas. I am a licensed Clinical Mental Health Counselor and a Master Licensed Alcohol and Drug Counselor. I specialize in assessing and treating mental health concerns, substance abuse, and adjustment disorders related to a wide variety of life issues. I work with adults aged 19 to 90. I am an Impaired Driver Services Provider.
(833) 707-0075 View (833) 707-0075
Photo of Judy Gallagher, LCMHC, Counselor
Judy Gallagher
Counselor, LCMHC
Verified Verified
Manchester, NH 03103
Hi, my name is Judy Gallagher, I am a Licensed Clinical Mental Health Counselor and a Master Licensed Alcohol and Drug Counselor in the state of New Hampshire. I am trained in Eye Movement Desensitization and Reprocessing (EMDR) therapy and other evidence based practices. For over 20 years I have worked with adults facing a multitude of challenges that have included addiction, anxiety, depression, trauma, difficult life transitions, and involvement within the criminal justice system. I have experience working with people of different socio-economic backgrounds, cultural affiliations, religions, gender and sexual orientations.
Hi, my name is Judy Gallagher, I am a Licensed Clinical Mental Health Counselor and a Master Licensed Alcohol and Drug Counselor in the state of New Hampshire. I am trained in Eye Movement Desensitization and Reprocessing (EMDR) therapy and other evidence based practices. For over 20 years I have worked with adults facing a multitude of challenges that have included addiction, anxiety, depression, trauma, difficult life transitions, and involvement within the criminal justice system. I have experience working with people of different socio-economic backgrounds, cultural affiliations, religions, gender and sexual orientations.
(866) 540-6671 View (866) 540-6671
Photo of Tyler James Bristol, MA, LCMHC, Counselor
Tyler James Bristol
Counselor, MA, LCMHC
Verified Verified
Manchester, NH 03104
As a licensed therapist I offer counseling and consultation services to individuals, couples and families using primarily Cognitive Behavioral, Dialectical Behavioral, and Solution Focused techniques in addition to integrating techniques from other treatment modalities in order to provide a comprehensive treatment experience. My treatment approach is to provide support and practical feedback to help clients resolve current problems and long-standing patterns.
As a licensed therapist I offer counseling and consultation services to individuals, couples and families using primarily Cognitive Behavioral, Dialectical Behavioral, and Solution Focused techniques in addition to integrating techniques from other treatment modalities in order to provide a comprehensive treatment experience. My treatment approach is to provide support and practical feedback to help clients resolve current problems and long-standing patterns.
(603) 941-4789 View (603) 941-4789
Photo of Liz Vicente, LICSW, MLADC, Clinical Social Work/Therapist
Liz Vicente
Clinical Social Work/Therapist, LICSW, MLADC
Verified Verified
Manchester, NH 03104
Everyone encounters challenges in their life that may feel overwhelming. Seeking the help of a therapist during these times is a sign of strength, as it suggests the willingness to address problems rather than avoid them. Therapy can be a time of learning about yourself, facing your fears, and growing in different areas of life. I see my role as empowering you to achieve your best possible life. I enjoy working with my clients' strengths and goals to help them create happiness and health in their lives. I can help strengthen your positive coping strategies and regain a more balanced life.
Everyone encounters challenges in their life that may feel overwhelming. Seeking the help of a therapist during these times is a sign of strength, as it suggests the willingness to address problems rather than avoid them. Therapy can be a time of learning about yourself, facing your fears, and growing in different areas of life. I see my role as empowering you to achieve your best possible life. I enjoy working with my clients' strengths and goals to help them create happiness and health in their lives. I can help strengthen your positive coping strategies and regain a more balanced life.
(603) 810-8183 x2067 View (603) 810-8183 x2067
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How does your Therapist compare?

Number of Therapists in Manchester, NH

400+

Average cost per session

$140

Therapists in Manchester, NH who prioritize treating:

92% Anxiety
87% Depression
70% Trauma and PTSD
66% Relationship Issues
65% Self Esteem
61% Coping Skills
60% Stress

Average years in practice

11 Years

Top 3 insurances accepted

82% Cigna and Evernorth
81% BlueCross and BlueShield
80% UnitedHealthcare UHC | UBH

How Therapists in Manchester, NH see their clients

70% In Person and Online
30% Online Only

Gender breakdown

80% Female
19% Male
1% Non-Binary
FAQs - About Therapy and Counseling

How can I find a therapist in Manchester?

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.