Therapists in New York, NY

View neighborhoods in New York
Photo of Mariah Sujewicz, Clinical Social Work/Therapist in New York, NY
Mariah Sujewicz
Clinical Social Work/Therapist, LCSW
Verified Verified
New York, NY 10012
Not accepting new clients
In today’s world we could all use some extra support. My hope is to create a space that feels supportive, affirming and non-judgmental. Whether it is to manage day to day stressors, explore your identity, address microaggressions and systemic harm, relationship issues, navigating life transitions, anxiety, depression or trauma. Healing and personal growth are not linear and look different for everyone. I encourage my clients to approach therapy with an open mind and a sense of gentleness and compassion for themselves. I welcome LGBTQIA2S+ folx, sex workers, those practicing polyamory/ENM and folx in the BDSM/Kink community.
In today’s world we could all use some extra support. My hope is to create a space that feels supportive, affirming and non-judgmental. Whether it is to manage day to day stressors, explore your identity, address microaggressions and systemic harm, relationship issues, navigating life transitions, anxiety, depression or trauma. Healing and personal growth are not linear and look different for everyone. I encourage my clients to approach therapy with an open mind and a sense of gentleness and compassion for themselves. I welcome LGBTQIA2S+ folx, sex workers, those practicing polyamory/ENM and folx in the BDSM/Kink community.
(347) 970-6896 View (347) 970-6896
Photo of Dr. Manju Pradhan, Psychologist in New York, NY
Dr. Manju Pradhan
Psychologist, MA, EdM, PhD
Verified Verified
1 Endorsed
New York, NY 10065  (Online Only)
Life's bright spots waxes and wanes, especially if you who have felt invalidated throughout your life and may come from historically marginalized backgrounds. Perhaps your suffering has led to a piqued interest in a commitment to healing and working through life's challenges. My mission is to honor your humanity and work with you if you felt unsafe to be you. and you have one or more marginalized identities. I work with BIPOC and LGBTQA+ people, acculturative stress survivors, people with underlying and chronic medical conditions, and people outside of mainstream faiths.
Life's bright spots waxes and wanes, especially if you who have felt invalidated throughout your life and may come from historically marginalized backgrounds. Perhaps your suffering has led to a piqued interest in a commitment to healing and working through life's challenges. My mission is to honor your humanity and work with you if you felt unsafe to be you. and you have one or more marginalized identities. I work with BIPOC and LGBTQA+ people, acculturative stress survivors, people with underlying and chronic medical conditions, and people outside of mainstream faiths.
(646) 374-2379 View (646) 374-2379
Photo of Gabriella Mae Reamer, Pre-Licensed Professional in New York, NY
Gabriella Mae Reamer
Pre-Licensed Professional, MHC-I
Verified Verified
5 Endorsed
New York, NY 10007
Feeling disconnected from your empowerment, you often recognize the good in others but struggle to see yourself in the same positive light. Battling self-criticism, anxiety, and worst-case scenarios is keeping you awake at night and stubborn inner obstacles are hindering your needs and desires. Yearning to overcome unhelpful thought patterns and habits, you feel defeated by overwhelming emotions and alone in your experience. You long to establish nourishing practices and incorporate balance into your life, but a living with purpose feels like a faraway dream, and you feel stuck in a spiral of disappointment.
Feeling disconnected from your empowerment, you often recognize the good in others but struggle to see yourself in the same positive light. Battling self-criticism, anxiety, and worst-case scenarios is keeping you awake at night and stubborn inner obstacles are hindering your needs and desires. Yearning to overcome unhelpful thought patterns and habits, you feel defeated by overwhelming emotions and alone in your experience. You long to establish nourishing practices and incorporate balance into your life, but a living with purpose feels like a faraway dream, and you feel stuck in a spiral of disappointment.
(347) 830-7174 View (347) 830-7174
Photo of Vanessa Bruce-Miller, Clinical Social Work/Therapist in New York, NY
Vanessa Bruce-Miller
Clinical Social Work/Therapist, LMSW
Verified Verified
New York, NY 10011  (Online Only)
Not accepting new clients
Vanessa Bruce-Miller, LMSW is a Jamaican born woman whose identities have been integral in shaping her work towards an anti-oppressive, relational, artistic, and spiritual based path. Vanessa is deeply invested in utilizing relational, psychodynamic, and strength based approaches in supporting individuals in meeting their wellness goals. Vanessa holds a Bachelor’s in Sociology and a Master’s in Clinical Social Work from CUNY Hunter College that has bolstered her career and passion for advocacy, wellness, and creativity.
Vanessa Bruce-Miller, LMSW is a Jamaican born woman whose identities have been integral in shaping her work towards an anti-oppressive, relational, artistic, and spiritual based path. Vanessa is deeply invested in utilizing relational, psychodynamic, and strength based approaches in supporting individuals in meeting their wellness goals. Vanessa holds a Bachelor’s in Sociology and a Master’s in Clinical Social Work from CUNY Hunter College that has bolstered her career and passion for advocacy, wellness, and creativity.
(706) 810-0025 View (706) 810-0025
Photo of Dr. Kim Manuel, Psychologist in New York, NY
Dr. Kim Manuel
Psychologist, PhD, MA, MEd, PPS
Verified Verified
5 Endorsed
New York, NY 10011
My clients come to therapy with a desire to better understand themselves, their patterns, and the implicit beliefs they hold about themselves and the world. They are deep thinkers and feelers with a great appreciation for humor as part of the therapeutic process. They are often striving to become (and befriend) the best version of themselves. Together, we balance insights and perspectives with tools that guide transformation and growth.
My clients come to therapy with a desire to better understand themselves, their patterns, and the implicit beliefs they hold about themselves and the world. They are deep thinkers and feelers with a great appreciation for humor as part of the therapeutic process. They are often striving to become (and befriend) the best version of themselves. Together, we balance insights and perspectives with tools that guide transformation and growth.
(516) 540-2737 View (516) 540-2737
Photo of Margaret Dillon in New York, NY
Margaret Dillon
MHC
Verified Verified
New York, NY 10011  (Online Only)
Beginning the therapeutic process is the most valuable investment one can make in themselves and the ideal therapeutic relationship is the culprit for your meaningful progress. I have extensive and dynamic experience in working with individuals who are experiencing challenges including uncomfortable levels of anxiety, depression, unprocessed trauma, grief, and toxic relationships. I am confidently a person centered therapist who draws upon mindfulness and cognitive work with the goal of clarifying values, improving your critical thought processes, and attaining a type of self actualizing growth and development that
Beginning the therapeutic process is the most valuable investment one can make in themselves and the ideal therapeutic relationship is the culprit for your meaningful progress. I have extensive and dynamic experience in working with individuals who are experiencing challenges including uncomfortable levels of anxiety, depression, unprocessed trauma, grief, and toxic relationships. I am confidently a person centered therapist who draws upon mindfulness and cognitive work with the goal of clarifying values, improving your critical thought processes, and attaining a type of self actualizing growth and development that
(347) 960-4275 View (347) 960-4275
Photo of Samantha Wilson, Clinical Social Work/Therapist in New York, NY
Samantha Wilson
Clinical Social Work/Therapist, LCSW
Verified Verified
1 Endorsed
New York, NY 10013  (Online Only)
I am a licensed clinical social worker who believes in the power of understanding ones own story. I do not believe that you are “broken,” or that you need “fixing.” I use a combination of mindfulness, strength-based, and compassion-focused approaches to empower my clients to re-claim parts of their story and achieve self-acceptance. I strive to help clients interpret past experiences and to unburden emotional pain, which can improve your relationships, help you achieve your goals, and improve your overall quality of life.
I am a licensed clinical social worker who believes in the power of understanding ones own story. I do not believe that you are “broken,” or that you need “fixing.” I use a combination of mindfulness, strength-based, and compassion-focused approaches to empower my clients to re-claim parts of their story and achieve self-acceptance. I strive to help clients interpret past experiences and to unburden emotional pain, which can improve your relationships, help you achieve your goals, and improve your overall quality of life.
(332) 895-2792 View (332) 895-2792
Photo of Catherine Foley in New York, NY
Catherine Foley
MS, MFT-LP
Verified Verified
1 Endorsed
New York, NY 10001  (Online Only)
Thank you for considering me as part of your community of care. I am eager to collaborate with you with compassion and presence as we consider the complexities you are navigating, while we get curious about ways to build nourishment, healing, and regeneration in your life. Affirming your sense of agency and identity, and your capacity to thrive is paramount to my approach. I specialize in working with queer and trans individuals, couples, and families. Other areas of expertise include neurodivergence, relationship diversity and sex therapy, life transitions and adjustment, perinatal support, and grief and loss.
Thank you for considering me as part of your community of care. I am eager to collaborate with you with compassion and presence as we consider the complexities you are navigating, while we get curious about ways to build nourishment, healing, and regeneration in your life. Affirming your sense of agency and identity, and your capacity to thrive is paramount to my approach. I specialize in working with queer and trans individuals, couples, and families. Other areas of expertise include neurodivergence, relationship diversity and sex therapy, life transitions and adjustment, perinatal support, and grief and loss.
(929) 429-4856 View (929) 429-4856
Photo of Liz Nson, Clinical Social Work/Therapist in New York, NY
Liz Nson
Clinical Social Work/Therapist, LCSW
Verified Verified
New York, NY 10007
Are you looking to make a change but not sure where or how to start? Whether you are dealing with family stress, parenting challenges, career decisions, relationship issues, or simply wondering what is next for you, I am here to help you feel more in control of your life, your goals and your aspirations.
Are you looking to make a change but not sure where or how to start? Whether you are dealing with family stress, parenting challenges, career decisions, relationship issues, or simply wondering what is next for you, I am here to help you feel more in control of your life, your goals and your aspirations.
(917) 994-6244 View (917) 994-6244
Photo of Sandra Siegal, Clinical Social Work/Therapist in New York, NY
Sandra Siegal
Clinical Social Work/Therapist, LCSW
Verified Verified
New York, NY 10065
I am an experienced psychotherapist in practice for over 30 years,who is a supportive, non judgmental listener. Working with couples and individuals, I have treated depression, anxiety, addiction, relationship issues, gender/sexual identity issues and coping with illness (with a specialization in breast cancer). My clients include straight, lesbian and gay individuals and couples. My educational background includes training as a psychoanalyst with a psychodynamic, interactive focus.
I am an experienced psychotherapist in practice for over 30 years,who is a supportive, non judgmental listener. Working with couples and individuals, I have treated depression, anxiety, addiction, relationship issues, gender/sexual identity issues and coping with illness (with a specialization in breast cancer). My clients include straight, lesbian and gay individuals and couples. My educational background includes training as a psychoanalyst with a psychodynamic, interactive focus.
(917) 825-5867 View (917) 825-5867
Photo of Judith Zackson, Psychologist in New York, NY
Judith Zackson
Psychologist, PhD
Verified Verified
New York, NY 10022
You may have wondered whether therapy could be helpful to you. I offer a complimentary consultation to discuss any questions you may have. You can talk to me about anything; nothing you tell me will shock or surprise me. I can help you work through your difficulties and also help you become your own therapist by learning how to better deal with challenges that come up in life. I work well with clients struggling with anxiety, OCD, panic, depression, relationship, eating and body image, and addiction issues. Clients often see reduction in symptoms and improved well being early on in therapy.
You may have wondered whether therapy could be helpful to you. I offer a complimentary consultation to discuss any questions you may have. You can talk to me about anything; nothing you tell me will shock or surprise me. I can help you work through your difficulties and also help you become your own therapist by learning how to better deal with challenges that come up in life. I work well with clients struggling with anxiety, OCD, panic, depression, relationship, eating and body image, and addiction issues. Clients often see reduction in symptoms and improved well being early on in therapy.
(347) 657-5142 View (347) 657-5142
Photo of Lexa Rosean, Licensed Psychoanalyst in New York, NY
Lexa Rosean
Licensed Psychoanalyst, MA, LP
Verified Verified
New York, NY 10003
As a Modern Psychoanalyst, my technique focuses on the exploration of early and profound inner struggles. I welcome individuals from diverse backgrounds, including LGBTQ+, and BIPOC. My experience spans a wide range of challenges, including addiction, aging-related concerns, grief, social anxiety, depression, body dysmorphia, and relationship conflicts. I believe that talking is a powerful tool for healing, and I'm here to lend a caring and discerning ear and to gently guide you on your path toward inner growth and emotional well-being. Individual, couples, and group psychodynamic psychotherapy offered.
As a Modern Psychoanalyst, my technique focuses on the exploration of early and profound inner struggles. I welcome individuals from diverse backgrounds, including LGBTQ+, and BIPOC. My experience spans a wide range of challenges, including addiction, aging-related concerns, grief, social anxiety, depression, body dysmorphia, and relationship conflicts. I believe that talking is a powerful tool for healing, and I'm here to lend a caring and discerning ear and to gently guide you on your path toward inner growth and emotional well-being. Individual, couples, and group psychodynamic psychotherapy offered.
(332) 263-3631 View (332) 263-3631
Photo of William Groth, Clinical Social Work/Therapist in New York, NY
William Groth
Clinical Social Work/Therapist, LCSW
Verified Verified
New York, NY 10016
What prevents you from living fully in the here and now? What gets in the way of achieving your goals or having a happier and balanced life? For many, it is fear, anxiety, childhood trauma or depression. These uncertain times require particular problem-solving and coping skills. I believe that therapy can help not just with developing these skills but by supporting you in creating the life you want.
What prevents you from living fully in the here and now? What gets in the way of achieving your goals or having a happier and balanced life? For many, it is fear, anxiety, childhood trauma or depression. These uncertain times require particular problem-solving and coping skills. I believe that therapy can help not just with developing these skills but by supporting you in creating the life you want.
(929) 605-5487 View (929) 605-5487
Photo of Lindsay Lustgarten, Clinical Social Work/Therapist in New York, NY
Lindsay Lustgarten
Clinical Social Work/Therapist, LCSW-R
Verified Verified
1 Endorsed
New York, NY 10001  (Online Only)
At some point in our lives, we all experience feelings such as sadness, anger, grief, loneliness and disappointment. For some, these feelings can last longer than expected and start to interfere with daily life. Shame, guilt and fear of being judged often prevent people from reaching out for help. My hope is to create a safe and non judgmental environment for you to process difficult emotions and explore how to overcome obstacles.
At some point in our lives, we all experience feelings such as sadness, anger, grief, loneliness and disappointment. For some, these feelings can last longer than expected and start to interfere with daily life. Shame, guilt and fear of being judged often prevent people from reaching out for help. My hope is to create a safe and non judgmental environment for you to process difficult emotions and explore how to overcome obstacles.
(516) 614-6822 View (516) 614-6822
Photo of Victoria Blumberg, Licensed Psychoanalyst in New York, NY
Victoria Blumberg
Licensed Psychoanalyst, RDT, LCAT, LP
Verified Verified
6 Endorsed
New York, NY 10016
You’re here! Perhaps it’s your intuition saying you’re ready to get to know yourself more. Maybe you’re tired of feeling stuck, confused, and lonely, trying to break old cycles, yet finding yourself repeating the loop again and again. Whatever brings you to this page, welcome! As a trauma-informed therapist and psychoanalyst, I offer a safe space to explore all the parts of you, building awareness around where your unhealthy patterns were born, why they continue, and work towards breaking them.
You’re here! Perhaps it’s your intuition saying you’re ready to get to know yourself more. Maybe you’re tired of feeling stuck, confused, and lonely, trying to break old cycles, yet finding yourself repeating the loop again and again. Whatever brings you to this page, welcome! As a trauma-informed therapist and psychoanalyst, I offer a safe space to explore all the parts of you, building awareness around where your unhealthy patterns were born, why they continue, and work towards breaking them.
(631) 657-0619 View (631) 657-0619
Photo of Lisette Abreu, Marriage & Family Therapist in New York, NY
Lisette Abreu
Marriage & Family Therapist, LMFT
Verified Verified
New York, NY 10031
I am a bilingual Marriage and Family Therapist who values the uniqueness of each individual's experiences and prioritizes their needs, ensuring that therapy is a collaborative journey. I will help guide clients to discover their inner strength and resilience; allowing them to overcome challenges and embrace personal growth. My clients are not just patients but partners in their healing journey. I am committed to creating a non-judgemental and supportive environment, I understand that true healing can only occur when an individual can openly explore their thoughts without fear of criticism.
I am a bilingual Marriage and Family Therapist who values the uniqueness of each individual's experiences and prioritizes their needs, ensuring that therapy is a collaborative journey. I will help guide clients to discover their inner strength and resilience; allowing them to overcome challenges and embrace personal growth. My clients are not just patients but partners in their healing journey. I am committed to creating a non-judgemental and supportive environment, I understand that true healing can only occur when an individual can openly explore their thoughts without fear of criticism.
View
Photo of Annie Iannuzzi, Clinical Social Work/Therapist in New York, NY
Annie Iannuzzi
Clinical Social Work/Therapist, LCSW
Verified Verified
New York, NY 10012  (Online Only)
Acknowledging your desire to begin this process is a brave first step. Everyone has gone through periods of time where life feels overwhelming and challenging. Individual Therapy is a space for you to visit where you can feel understood, and not judged. Our time together can be short term if you are working through an acute crisis, or longer term if you need a place to work through deeply rooted feelings of low self worth, anxiety or depression. I am able to work with couples upon request.
Acknowledging your desire to begin this process is a brave first step. Everyone has gone through periods of time where life feels overwhelming and challenging. Individual Therapy is a space for you to visit where you can feel understood, and not judged. Our time together can be short term if you are working through an acute crisis, or longer term if you need a place to work through deeply rooted feelings of low self worth, anxiety or depression. I am able to work with couples upon request.
(718) 970-7156 View (718) 970-7156
Photo of Shaina Ramrattan, Clinical Social Work/Therapist in New York, NY
Shaina Ramrattan
Clinical Social Work/Therapist, LMSW
Verified Verified
New York, NY 10019
It is never too late or too early to work toward who you wish to be. You can feel happy, secure, hopeful, confident, and less stressed to enjoy your life fully. Life challenges can make it difficult to find peace, but engaging with therapy can help ease these symptoms and guide you in your healing process. With my experience working with adults and adolescents, I have helped people overcome symptoms of depression, anxiety, and trauma and improve their interpersonal skills.
It is never too late or too early to work toward who you wish to be. You can feel happy, secure, hopeful, confident, and less stressed to enjoy your life fully. Life challenges can make it difficult to find peace, but engaging with therapy can help ease these symptoms and guide you in your healing process. With my experience working with adults and adolescents, I have helped people overcome symptoms of depression, anxiety, and trauma and improve their interpersonal skills.
(347) 801-7320 View (347) 801-7320
Photo of Salih Murat Paker, Psychologist in New York, NY
Salih Murat Paker
Psychologist, PhD
Verified Verified
1 Endorsed
New York, NY 10001
I am a licensed psychologist (Ph.D.), also with an academic & medical background, working as a therapist since 1991. I have mostly worked around the issues of depression, anxiety, panic, stress, phobias, dissociation; trauma, violence, abuse; personality-related difficulties; relational difficulties; difficulties around identity, meaning, and self-esteem; & personal development. I have experience in individual, couple, group, short- & long-term therapies, psych counseling, clinical supervision, and psych evaluation. (Please refer to my web site for more information about my clinical/academic experience & my books/articles)....
I am a licensed psychologist (Ph.D.), also with an academic & medical background, working as a therapist since 1991. I have mostly worked around the issues of depression, anxiety, panic, stress, phobias, dissociation; trauma, violence, abuse; personality-related difficulties; relational difficulties; difficulties around identity, meaning, and self-esteem; & personal development. I have experience in individual, couple, group, short- & long-term therapies, psych counseling, clinical supervision, and psych evaluation. (Please refer to my web site for more information about my clinical/academic experience & my books/articles)....
(201) 800-5407 View (201) 800-5407
Photo of Alan J Barnett, Psychologist in New York, NY
Alan J Barnett
Psychologist, PhD
Verified Verified
New York, NY 10028
As a clinical psychologist and psychoanalyst for more than 40 years, I have had the privilege to work with different populations on a great variety of issues. I've helped individuals, couples and families cope with their problems (depression, anxiety, grief, relationships, career, life transitions, etc.) to attain significant and durable transformations in their lives; they gained valuable insights into past experiences, became resilient in achieving their goals, and developed successful relationships.
As a clinical psychologist and psychoanalyst for more than 40 years, I have had the privilege to work with different populations on a great variety of issues. I've helped individuals, couples and families cope with their problems (depression, anxiety, grief, relationships, career, life transitions, etc.) to attain significant and durable transformations in their lives; they gained valuable insights into past experiences, became resilient in achieving their goals, and developed successful relationships.
(646) 663-5224 View (646) 663-5224

How does your Therapist compare?

Number of Therapists in New York, NY

3,000+

Average cost per session

$200

Therapists in New York, NY who prioritize treating:

94% Anxiety
89% Depression
85% Relationship Issues
78% Self Esteem
67% Trauma and PTSD
66% Stress
63% Coping Skills

Average years in practice

12 Years

Top 3 insurances accepted

79% Aetna
62% UnitedHealthcare UHC | UBH
60% Cigna and Evernorth

How Therapists in New York, NY see their clients

59% In Person and Online
41% Online Only

Gender breakdown

78% Female
21% Male
1% Non-Binary
FAQs - About Therapy and Counseling

How can I find a therapist in New York?

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.