Therapists in Lynchburg, VA

Photo of Tiffany Jackson Mioduszewski, LPC, Licensed Professional Counselor
Tiffany Jackson Mioduszewski
Licensed Professional Counselor, LPC
Verified Verified
Lynchburg, VA 24504  (Online Only)
Tiffany Jackson is a Licensed Professional Counselor (LPC) with over 6 years of experience. She specializes in treating trauma and understands how traumatic events can impact our mental health. Tiffany typically treats children, teens, adults, and seniors with depression, anxiety, grief, relationship issues, and major life issues/transitions.
Tiffany Jackson is a Licensed Professional Counselor (LPC) with over 6 years of experience. She specializes in treating trauma and understands how traumatic events can impact our mental health. Tiffany typically treats children, teens, adults, and seniors with depression, anxiety, grief, relationship issues, and major life issues/transitions.
(434) 771-2591 View (434) 771-2591
Photo of Ivan Resto, LPC, Licensed Professional Counselor
Ivan Resto
Licensed Professional Counselor, LPC
Verified Verified
Lynchburg, VA 24502
At Resto Family Services, we strive to provide individuals with the highest quality of care. Through compassion, knowledge, and respect, we work with children, teens, adults, and families to encourage personal growth and development. Whether struggling with anxiety, depression, family relational problems, ADHD, or any number of other difficulties, it is our goal to help you and your family in achieving your goals and improving your quality of life. At some point in our lives, we all will need assistance and someone with whom to talk. We are here to assist you on your journey toward a happier and healthier future.
At Resto Family Services, we strive to provide individuals with the highest quality of care. Through compassion, knowledge, and respect, we work with children, teens, adults, and families to encourage personal growth and development. Whether struggling with anxiety, depression, family relational problems, ADHD, or any number of other difficulties, it is our goal to help you and your family in achieving your goals and improving your quality of life. At some point in our lives, we all will need assistance and someone with whom to talk. We are here to assist you on your journey toward a happier and healthier future.
(434) 234-4131 View (434) 234-4131
Photo of Neil Binette, MA, LMFT, Marriage & Family Therapist
Neil Binette
Marriage & Family Therapist, MA, LMFT
Verified Verified
Lynchburg, VA 24502  (Online Only)
It is my hope that as a result of therapy, you will develop healthier ways of coping and find a new perspective on life. By progressing toward your goals, not only do I hope you feel better, but that you grow and learn more about yourself and how you want to relate to others. I work with clients through a relational approach to therapy using techniques from Emotionally Focused Therapy and the Gottman Method. We will enrich the quality of your relationships through self expression and normalizing your emotions.
It is my hope that as a result of therapy, you will develop healthier ways of coping and find a new perspective on life. By progressing toward your goals, not only do I hope you feel better, but that you grow and learn more about yourself and how you want to relate to others. I work with clients through a relational approach to therapy using techniques from Emotionally Focused Therapy and the Gottman Method. We will enrich the quality of your relationships through self expression and normalizing your emotions.
(434) 608-9425 View (434) 608-9425
Photo of Jim Meador, LPC, Licensed Professional Counselor
Jim Meador
Licensed Professional Counselor, LPC
Verified Verified
Lynchburg, VA 24503
My name is Jim Meador, and I am the owner of Rivermont Counseling. I am a Licensed Professional Counselor in the state of Virginia and have been working in the mental health field since 2006. I am a Virginia native, and the father of two amazing sons. I am passionate about helping people find hope and healing, and consider it an honor to be a witness to others' stories. I am an open and affirming therapist, and have experience with a wide range of clients, and enjoy working with others around faith-based issues, LGBTQIA+ experiences, relational difficulties, anxiety and depression. Ps... I regularly see my own counselor too...
My name is Jim Meador, and I am the owner of Rivermont Counseling. I am a Licensed Professional Counselor in the state of Virginia and have been working in the mental health field since 2006. I am a Virginia native, and the father of two amazing sons. I am passionate about helping people find hope and healing, and consider it an honor to be a witness to others' stories. I am an open and affirming therapist, and have experience with a wide range of clients, and enjoy working with others around faith-based issues, LGBTQIA+ experiences, relational difficulties, anxiety and depression. Ps... I regularly see my own counselor too...
(434) 280-3050 View (434) 280-3050
Photo of Pam Caldwell, LPC, Licensed Professional Counselor
Pam Caldwell
Licensed Professional Counselor, LPC
Verified Verified
Lynchburg, VA 24503  (Online Only)
I'm a seasoned counselor with 37 years as a licensed counselor. I have worked in emergency mental health in a hospital setting for 17 years and concurrently had a private practice. Prior to partial retirement, I worked in two local colleges as a mental health counselor. I took care of my ailing mother for 13 years and needed to be home more, so I signed on with Grow.
I'm a seasoned counselor with 37 years as a licensed counselor. I have worked in emergency mental health in a hospital setting for 17 years and concurrently had a private practice. Prior to partial retirement, I worked in two local colleges as a mental health counselor. I took care of my ailing mother for 13 years and needed to be home more, so I signed on with Grow.
(434) 442-5499 View (434) 442-5499
Photo of Rachel Schallon, Licensed Professional Counselor
Rachel Schallon
Licensed Professional Counselor
Verified Verified
Lynchburg, VA 24502  (Online Only)
Welcome to Sondermind! My name is Rachel. I am licensed in the state of Virginia where I have worked in the counseling field since 2014. I received a B.S. in Psychology from Radford University and a Master's in Professional Counseling from Liberty University. I have been fortunate to work with teens, adults, couples and families. I have experience working in both the hospital and outpatient settings. I specialize in working with anxiety, depression, mood disorders and adjustment challenges. I offer a warm and non-judgmental atmosphere to help clients formulate a plan to work on goals and create positive change.
Welcome to Sondermind! My name is Rachel. I am licensed in the state of Virginia where I have worked in the counseling field since 2014. I received a B.S. in Psychology from Radford University and a Master's in Professional Counseling from Liberty University. I have been fortunate to work with teens, adults, couples and families. I have experience working in both the hospital and outpatient settings. I specialize in working with anxiety, depression, mood disorders and adjustment challenges. I offer a warm and non-judgmental atmosphere to help clients formulate a plan to work on goals and create positive change.
(434) 505-8883 View (434) 505-8883
Photo of Rebeccah McCully, LPC, Licensed Professional Counselor
Rebeccah McCully
Licensed Professional Counselor, LPC
Verified Verified
Lynchburg, VA 24504  (Online Only)
Rebeccah is a Licensed Professional Counselor in the state of Virginia. Her professional journey has been focused on serving in school-based therapeutic programs, including group counseling, school-based outpatient services, and providing individual therapy. Rebeccah is deeply committed to supporting women through various challenges, including struggles with self-esteem, infertility, miscarriages, postpartum depression, and the complex stressors of motherhood and life. Her aim is to empower women to improve their self-perception and self-esteem and reframe negative thought patterns to pursue their desired life paths.
Rebeccah is a Licensed Professional Counselor in the state of Virginia. Her professional journey has been focused on serving in school-based therapeutic programs, including group counseling, school-based outpatient services, and providing individual therapy. Rebeccah is deeply committed to supporting women through various challenges, including struggles with self-esteem, infertility, miscarriages, postpartum depression, and the complex stressors of motherhood and life. Her aim is to empower women to improve their self-perception and self-esteem and reframe negative thought patterns to pursue their desired life paths.
(339) 218-3090 View (339) 218-3090
Photo of Ashlie Manuel, MA, LPC, RPT, CAPT, Licensed Professional Counselor
Ashlie Manuel
Licensed Professional Counselor, MA, LPC, RPT, CAPT
Verified Verified
Lynchburg, VA 24502
I am glad you are here taking the first step. I believe that counseling is a collaborative effort between the counselor and client to create a relationship that empowers clients to accomplish their mental health and wellness goals. I believe that this can be best done through a trauma informed approach that also focuses on the mind, body, and emotions.
I am glad you are here taking the first step. I believe that counseling is a collaborative effort between the counselor and client to create a relationship that empowers clients to accomplish their mental health and wellness goals. I believe that this can be best done through a trauma informed approach that also focuses on the mind, body, and emotions.
(434) 201-3319 View (434) 201-3319
Photo of Anita Stoudmire, Licensed Professional Counselor
Anita Stoudmire
Licensed Professional Counselor
Verified Verified
Lynchburg, VA 24502  (Online Only)
Hello! My name is Anita Stoudmire and I am a licensed professional therapist who specializes in couples therapy as well as individual therapy. I enjoy helping people to become their best selves and improve their relationships. I utilize Cognitive Behavioral Therapy as well as Acceptance and Commitment Therapy with most of my individual clients. I am trained in the Gottman Method for couples therapy and I am a certified Seven Principles Workshop leader. I believe we all have the ability to change and grow, especially if we have the compassion, guidance and unconditional positive regard that a good therapist can bring.
Hello! My name is Anita Stoudmire and I am a licensed professional therapist who specializes in couples therapy as well as individual therapy. I enjoy helping people to become their best selves and improve their relationships. I utilize Cognitive Behavioral Therapy as well as Acceptance and Commitment Therapy with most of my individual clients. I am trained in the Gottman Method for couples therapy and I am a certified Seven Principles Workshop leader. I believe we all have the ability to change and grow, especially if we have the compassion, guidance and unconditional positive regard that a good therapist can bring.
(434) 533-9112 View (434) 533-9112
Photo of Kristin Doan, PhD, LPC, NCC, Licensed Professional Counselor
Kristin Doan
Licensed Professional Counselor, PhD, LPC, NCC
Verified Verified
Lynchburg, VA 24502  (Online Only)
Waitlist for new clients
I have experience working in the field of mental health for over ten years, providing both inpatient and outpatient services. My experience includes treating adults and adolescents struggling with depression/anxiety and emotion regulation, substance abuse, trauma-related concerns, and serious mental illnesses. I use a variety of therapeutic techniques to assist my clients in reaching their goals and develop insight which leads to healing, peace, and acceptance.
I have experience working in the field of mental health for over ten years, providing both inpatient and outpatient services. My experience includes treating adults and adolescents struggling with depression/anxiety and emotion regulation, substance abuse, trauma-related concerns, and serious mental illnesses. I use a variety of therapeutic techniques to assist my clients in reaching their goals and develop insight which leads to healing, peace, and acceptance.
(434) 362-1474 View (434) 362-1474
Photo of Sunday Ayodeji, LPC, Licensed Professional Counselor
Sunday Ayodeji
Licensed Professional Counselor, LPC
Verified Verified
Lynchburg, VA 24502  (Online Only)
Sunday is an authentic, humorous, compassionate, and highly skilled licensed professional counselor with a specialization in Depression, Anxiety, Bipolar Disorder, ADHD, Addiction, Anger Management, Self-Esteem issues, Marital Conflict, Trauma, and PTSD.
Sunday is an authentic, humorous, compassionate, and highly skilled licensed professional counselor with a specialization in Depression, Anxiety, Bipolar Disorder, ADHD, Addiction, Anger Management, Self-Esteem issues, Marital Conflict, Trauma, and PTSD.
(434) 602-9731 View (434) 602-9731
Photo of Asia Hall, MA, LPC, LSATP, Licensed Professional Counselor
Asia Hall
Licensed Professional Counselor, MA, LPC, LSATP
Verified Verified
1 Endorsed
Lynchburg, VA 24502  (Online Only)
What does your picture look like? I firmly believe that we all have our own levels of success and happiness and sometime need assistance reaching that place in our lives. I have gained a wealth of knowledge and experience with over 16 years of experience working with individuals in various settings to include outpatient care, residential homes, hospice, and jails. I am no stranger to seeing the impact of trauma, addiction, depression, grief, and difficulty due to adjusting to stages of life. I am aware of how hard it is for you to face these issues alone! Let me help you.
What does your picture look like? I firmly believe that we all have our own levels of success and happiness and sometime need assistance reaching that place in our lives. I have gained a wealth of knowledge and experience with over 16 years of experience working with individuals in various settings to include outpatient care, residential homes, hospice, and jails. I am no stranger to seeing the impact of trauma, addiction, depression, grief, and difficulty due to adjusting to stages of life. I am aware of how hard it is for you to face these issues alone! Let me help you.
(434) 256-2975 View (434) 256-2975
Photo of Taylor McMillan, MA, Pre-Licensed Professional
Taylor McMillan
Pre-Licensed Professional, MA
Verified Verified
1 Endorsed
Lynchburg, VA 24502  (Online Only)
Are you wanting to make a change, but feel held back by the weight of anxiety, the suffocating grip of depression, or the invisible chains of trauma? These experiences often leave us feeling overwhelmed, frustrated, trapped, or defeated... but you are worthy of healing, hope, and a life filled with joy and satisfaction! I will do my best to make sure you feel understood, safe, and empowered to explore your innermost thoughts and emotions.
Are you wanting to make a change, but feel held back by the weight of anxiety, the suffocating grip of depression, or the invisible chains of trauma? These experiences often leave us feeling overwhelmed, frustrated, trapped, or defeated... but you are worthy of healing, hope, and a life filled with joy and satisfaction! I will do my best to make sure you feel understood, safe, and empowered to explore your innermost thoughts and emotions.
(434) 813-1696 View (434) 813-1696
Photo of Matt Runda, MA, LPC
Matt Runda
MA, LPC
Verified Verified
Lynchburg, VA 24502  (Online Only)
I am an LPC in the state of Virginia and currently a CSAT Candidate to treat sexual addiction. Through treatment, I enjoy helping clients build a sense of empowerment through the identification and implementation of resources and skills. I aim to assist clients with obtaining lasting change through holistic (physical, mental, emotional, spiritual, and social) consideration and collaboration to promote lasting progress. I have experience working with problematic pornography use, behavioral disorders in children, anxiety, and spiritual bypass/trauma.
I am an LPC in the state of Virginia and currently a CSAT Candidate to treat sexual addiction. Through treatment, I enjoy helping clients build a sense of empowerment through the identification and implementation of resources and skills. I aim to assist clients with obtaining lasting change through holistic (physical, mental, emotional, spiritual, and social) consideration and collaboration to promote lasting progress. I have experience working with problematic pornography use, behavioral disorders in children, anxiety, and spiritual bypass/trauma.
(434) 201-3884 View (434) 201-3884
Photo of Kimberly Plourde, LCSW, Clinical Social Work/Therapist
Kimberly Plourde
Clinical Social Work/Therapist, LCSW
Verified Verified
Lynchburg, VA 24504
Kimberly Plourde is a Licensed Clinical Social Worker (LCSW) in the states of Maine and Virginia with many years of experience in the fields of mental health and child welfare. We are all impacted by traumatic events or serious life stressors, which can make us stronger. Kimberly has a desire to help people find the strength and joy that can come through healing the wounds from those events. Kimberly enjoys working with individuals, couples, and families. She brings a warm and friendly approach to this very important process.
Kimberly Plourde is a Licensed Clinical Social Worker (LCSW) in the states of Maine and Virginia with many years of experience in the fields of mental health and child welfare. We are all impacted by traumatic events or serious life stressors, which can make us stronger. Kimberly has a desire to help people find the strength and joy that can come through healing the wounds from those events. Kimberly enjoys working with individuals, couples, and families. She brings a warm and friendly approach to this very important process.
(434) 602-6234 View (434) 602-6234
Photo of Berkley Holston, MA, LPC, Licensed Professional Counselor
Berkley Holston
Licensed Professional Counselor, MA, LPC
Verified Verified
2 Endorsed
Lynchburg, VA 24503
Waitlist for new clients
I was born and raised in Lynchburg, Virginia, but have had the amazing opportunity to live and work all over the country including: Washington, DC; New Orleans, LA; Miami, FL and Boulder, CO. Lynchburg is by far my favorite place and I was happy to return home in 2005. I enjoy cooking, gardening, reading and spending time with my family and friends. I'm a Licensed Professional Counselor (LPC). I graduated from the University of Northern Colorado in 2003 with an undergraduate degree in Psychology and a Masters degree in Community Counseling with an emphasis in Marriage and Family Counseling.
I was born and raised in Lynchburg, Virginia, but have had the amazing opportunity to live and work all over the country including: Washington, DC; New Orleans, LA; Miami, FL and Boulder, CO. Lynchburg is by far my favorite place and I was happy to return home in 2005. I enjoy cooking, gardening, reading and spending time with my family and friends. I'm a Licensed Professional Counselor (LPC). I graduated from the University of Northern Colorado in 2003 with an undergraduate degree in Psychology and a Masters degree in Community Counseling with an emphasis in Marriage and Family Counseling.
(434) 277-2074 View (434) 277-2074
Photo of Cassandra Johnson, LCSW, Clinical Social Work/Therapist
Cassandra Johnson
Clinical Social Work/Therapist, LCSW
Verified Verified
Lynchburg, VA 24504  (Online Only)
Cassandra Johnson, preferably called Cassie, is an experienced Licensed Clinical Social Worker and Registered Nurse (LCSW, RN). She more than 20 years of experience in holistic care, combining clinical counseling and health care to practice. Cassie is passionate about helping children, adolescents, adults, and couples address their unique challenges and live more fulfilled lives. She specializes in mood disorders, depression, anxiety, grief, trauma, relationship issues, and major life transitions.
Cassandra Johnson, preferably called Cassie, is an experienced Licensed Clinical Social Worker and Registered Nurse (LCSW, RN). She more than 20 years of experience in holistic care, combining clinical counseling and health care to practice. Cassie is passionate about helping children, adolescents, adults, and couples address their unique challenges and live more fulfilled lives. She specializes in mood disorders, depression, anxiety, grief, trauma, relationship issues, and major life transitions.
(434) 404-5061 View (434) 404-5061
Photo of Chuck Rodgers - Weekend Marriage Counseling Intensives Lynchburg, LPC, LMFT, Marriage & Family Therapist
Weekend Marriage Counseling Intensives Lynchburg
Marriage & Family Therapist, LPC, LMFT
Verified Verified
2 Endorsed
Lynchburg, VA 24502
Hi, I'm Chuck Rodgers, the founder and one of the therapists at our Center. I became frustrated with traditional 45 minute sessions & grew tired of seeing my clients leave frustrated & hurting at the end of yet one more session that drug therapy out week after week. Thus so, I decided that I was going to do it differently. Because of this I have narrowed my focus to working in 1 & 2 Day Intensive formats and have now made it available on the weekend. Marriage Trouble? Let's do a weekend and change that...
Hi, I'm Chuck Rodgers, the founder and one of the therapists at our Center. I became frustrated with traditional 45 minute sessions & grew tired of seeing my clients leave frustrated & hurting at the end of yet one more session that drug therapy out week after week. Thus so, I decided that I was going to do it differently. Because of this I have narrowed my focus to working in 1 & 2 Day Intensive formats and have now made it available on the weekend. Marriage Trouble? Let's do a weekend and change that...
(434) 260-5516 View (434) 260-5516
Photo of Melinda Dickinson, MA, LPC, Licensed Professional Counselor
Melinda Dickinson
Licensed Professional Counselor, MA, LPC
Verified Verified
Lynchburg, VA 24503  (Online Only)
Hello! I am a licensed professional therapist and have been actively working with children, teenagers and families/adults since 2014. I obtained my master's in professional counseling in 2015. My counseling perspective comes from an integrative style, tailoring treatment needs with wisdom and respect, based on client centered care.
Hello! I am a licensed professional therapist and have been actively working with children, teenagers and families/adults since 2014. I obtained my master's in professional counseling in 2015. My counseling perspective comes from an integrative style, tailoring treatment needs with wisdom and respect, based on client centered care.
(434) 216-0205 View (434) 216-0205
Photo of Jesse Byers, LPC, Licensed Professional Counselor
Jesse Byers
Licensed Professional Counselor, LPC
Verified Verified
Lynchburg, VA 24504
Jesse Byers is an LPC in the state of Virginia. The client-centered and cognitive approach that Jesse uses has shown to be helpful for clients who are facing issues such as, anxiety, depression, stress, grief, addiction, relationship conflicts, infidelity, men's issues, impulse control, life changes, and premarital counseling. Jesse maintains that people are multifaceted and that spiritual, physical, physiological, emotional, and historical factors can play a role in whether we are living healthy, fulfilling lives.
Jesse Byers is an LPC in the state of Virginia. The client-centered and cognitive approach that Jesse uses has shown to be helpful for clients who are facing issues such as, anxiety, depression, stress, grief, addiction, relationship conflicts, infidelity, men's issues, impulse control, life changes, and premarital counseling. Jesse maintains that people are multifaceted and that spiritual, physical, physiological, emotional, and historical factors can play a role in whether we are living healthy, fulfilling lives.
(434) 623-5784 View (434) 623-5784
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How does your Therapist compare?

Number of Therapists in Lynchburg, VA

200+

Average cost per session

$120

Therapists in Lynchburg, VA who prioritize treating:

94% Anxiety
90% Depression
73% Stress
69% Trauma and PTSD
63% Relationship Issues
62% Life Transitions
60% Self Esteem

Average years in practice

9 Years

Top 3 insurances accepted

86% Aetna
82% Cigna and Evernorth
77% Elevance

How Therapists in Lynchburg, VA see their clients

54% In Person and Online
46% Online Only

Gender breakdown

74% Female
25% Male
1% Non-Binary
FAQs - About Therapy and Counseling

How can I find a therapist in Lynchburg?

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.