Therapists in Mount Vernon, OH

Photo of Lindsay A Miller, Counselor in Mount Vernon, OH
Lindsay A Miller
Counselor, MS, LPCC-S
Verified Verified
Mount Vernon, OH 43050
Resilience, adaptability, and the capacity to handle loss and hardship are core human traits. Sometimes life is really good, and sometimes it's really hard. I believe in the human spirit and the capacity for growth, healing, and fulfillment. We all deserve to live meaningful lives, and I will show you how to do that in a way that doesn't require you to judge yourself, that involves acceptance, flexibility, and commitment. Pain in life is inevitable; suffering is not. I can show you how to get out of your head and start living again.
Resilience, adaptability, and the capacity to handle loss and hardship are core human traits. Sometimes life is really good, and sometimes it's really hard. I believe in the human spirit and the capacity for growth, healing, and fulfillment. We all deserve to live meaningful lives, and I will show you how to do that in a way that doesn't require you to judge yourself, that involves acceptance, flexibility, and commitment. Pain in life is inevitable; suffering is not. I can show you how to get out of your head and start living again.
(740) 326-4329 View (740) 326-4329
Photo of Lisa Morrison, Counselor in Mount Vernon, OH
Lisa Morrison
Counselor, LPCC-S
Verified Verified
Mount Vernon, OH 43050  (Online Only)
Hi, I’m Lisa. You know that cartoon of the little dog at the kitchen table sipping coffee while the house burns around him? Is that you? Have you been saying, “This is fine, this is OK” for way too long? Whether you’re dealing with depression, anxiety, or overwhelming stress; if something happened to you that’s making life hurt; if you feel your house is on fire and it’s just not “fine” anymore – I am here to listen and to help. You will find in me warmth, compassion, and an ability to truly listen until you know you’ve been understood.
Hi, I’m Lisa. You know that cartoon of the little dog at the kitchen table sipping coffee while the house burns around him? Is that you? Have you been saying, “This is fine, this is OK” for way too long? Whether you’re dealing with depression, anxiety, or overwhelming stress; if something happened to you that’s making life hurt; if you feel your house is on fire and it’s just not “fine” anymore – I am here to listen and to help. You will find in me warmth, compassion, and an ability to truly listen until you know you’ve been understood.
(513) 845-1955 View (513) 845-1955
Photo of C. Christopher Fiumera, Psychologist in Mount Vernon, OH
C. Christopher Christopher Fiumera
Psychologist, PhD, DABFE, DABPS, FACFE
Verified Verified
Mount Vernon, OH 43050
My clientele spans across a wide age group with a diverse set of needs. Some individuals seek assistance with acute stressful situations, others with life transitions, and still others with ongoing mental health issues. Without exception, every individual is treated with dignity and offered the highest level of treatment available. Being in a small city sometimes requires collaboration with other providers such as primary care physicians or clinics for medication management, school districts for continuity of care, or nursing homes for consultation. My office has successfully maintained these type relationships for 25 years.
My clientele spans across a wide age group with a diverse set of needs. Some individuals seek assistance with acute stressful situations, others with life transitions, and still others with ongoing mental health issues. Without exception, every individual is treated with dignity and offered the highest level of treatment available. Being in a small city sometimes requires collaboration with other providers such as primary care physicians or clinics for medication management, school districts for continuity of care, or nursing homes for consultation. My office has successfully maintained these type relationships for 25 years.
(740) 200-3006 View (740) 200-3006
Photo of Dennis A. Marikis, Psychologist in Mount Vernon, OH
Dennis A. Marikis
Psychologist, PhD
Verified Verified
Mount Vernon, OH 43050
I have a large staff with expertise in a great variety of concerns with coverage for most insurance claims. I personally want to help people who are highly motivated and can benefit from coaching and open to alternative interventions such as my expertise in home based neurotherapy. I work with busy executives and professional athletes who desire peak performance or need to focus on roadblocks to success. My expertise is as a motivator and mentor for success.
I have a large staff with expertise in a great variety of concerns with coverage for most insurance claims. I personally want to help people who are highly motivated and can benefit from coaching and open to alternative interventions such as my expertise in home based neurotherapy. I work with busy executives and professional athletes who desire peak performance or need to focus on roadblocks to success. My expertise is as a motivator and mentor for success.
(740) 392-5416 View (740) 392-5416
Photo of Julia Armstrong, Counselor in Mount Vernon, OH
Julia Armstrong
Counselor, LPCC, ATR
Verified Verified
Mount Vernon, OH 43050
Are you anxious, depressed, or haunted by trauma? You may be wondering if there is hope for you or if your life can change course. I believe that we as people have an incredible capacity for change and healing. If you are ready to make real changes in your life, you have come to the right place. Life is hard, but we don't have to do it alone.
Are you anxious, depressed, or haunted by trauma? You may be wondering if there is hope for you or if your life can change course. I believe that we as people have an incredible capacity for change and healing. If you are ready to make real changes in your life, you have come to the right place. Life is hard, but we don't have to do it alone.
(740) 265-2608 View (740) 265-2608
Photo of Kathleen Holmes, Counselor in Mount Vernon, OH
Kathleen Holmes
Counselor, MA, LPCC
Verified Verified
3 Endorsed
Mount Vernon, OH 43050
Though qualified to work with a variety of mental health issues, I offer particular expertise in the areas of trauma, depression, anxiety, and abuse related issues. While the majority of clients are seen individually, I have a great desire to help couples strengthen and enhance their marriage relationships. If you are looking for extra support and guidance through a challenging situation or you're just ready to move in a new direction in your life, I look forward to working with you to achieve your goals.
Though qualified to work with a variety of mental health issues, I offer particular expertise in the areas of trauma, depression, anxiety, and abuse related issues. While the majority of clients are seen individually, I have a great desire to help couples strengthen and enhance their marriage relationships. If you are looking for extra support and guidance through a challenging situation or you're just ready to move in a new direction in your life, I look forward to working with you to achieve your goals.
(740) 396-8970 View (740) 396-8970
Photo of Katelyn Mason, Licensed Professional Counselor in Mount Vernon, OH
Katelyn Mason
Licensed Professional Counselor, LPC
Verified Verified
Mount Vernon, OH 43050  (Online Only)
I’m so glad you’re here! Starting anything to help yourself feel better and think healthier can be hard but so courageous, so congratulations for making this step. I love working with young adults (18-30) but I have experience and sincerely enjoy working with people of all ages and walks of life.
I’m so glad you’re here! Starting anything to help yourself feel better and think healthier can be hard but so courageous, so congratulations for making this step. I love working with young adults (18-30) but I have experience and sincerely enjoy working with people of all ages and walks of life.
(330) 859-4419 View (330) 859-4419
Photo of Jacqueline (Jackie) Sundol, Licensed Professional Counselor in Mount Vernon, OH
Jacqueline (Jackie) Sundol
Licensed Professional Counselor, MS, LPCC, NCC
Verified Verified
Mount Vernon, OH 43050  (Online Only)
Many variables may pose a barrier to a fulfilling life. I will support you in rediscovering what you are passionate about— a life worth living, regaining greater self-acceptance, emotional control, and healing, personally and in your relationships. I have aided clients’ reduction of anxiety and depression related to grief and loss, trauma, addiction and relationship stress. I provide a safe environment where clients can discover and reconnect with what is most important, discussing ways to overcome challenges, increasing hope, affecting positive change in client's life and relationship.
Many variables may pose a barrier to a fulfilling life. I will support you in rediscovering what you are passionate about— a life worth living, regaining greater self-acceptance, emotional control, and healing, personally and in your relationships. I have aided clients’ reduction of anxiety and depression related to grief and loss, trauma, addiction and relationship stress. I provide a safe environment where clients can discover and reconnect with what is most important, discussing ways to overcome challenges, increasing hope, affecting positive change in client's life and relationship.
(234) 602-3136 View (234) 602-3136
Photo of Beth Tamborski, Counselor in Mount Vernon, OH
Beth Tamborski
Counselor, LPCC-S
Verified Verified
Mount Vernon, OH 43050  (Online Only)
Welcome! I’m glad you’ve decided to reach out for counseling, as I know it can often be a difficult step to take. I look forward to getting to know you as you explore what brought you here. I have over 20 years of experience in the mental health field working with individuals of all age ranges. I enjoy working with individuals and couples and utilize a person-centered approach, where I meet each individual where they are at on their journey towards wellness. I believe in the mind-body connection and the importance of using a holistic approach to building resilience and meeting life’s challenges.
Welcome! I’m glad you’ve decided to reach out for counseling, as I know it can often be a difficult step to take. I look forward to getting to know you as you explore what brought you here. I have over 20 years of experience in the mental health field working with individuals of all age ranges. I enjoy working with individuals and couples and utilize a person-centered approach, where I meet each individual where they are at on their journey towards wellness. I believe in the mind-body connection and the importance of using a holistic approach to building resilience and meeting life’s challenges.
(614) 683-4113 View (614) 683-4113
Photo of Freedom Counseling, Coaching, and Consulting, LLC, Licensed Professional Counselor in Mount Vernon, OH
Freedom Counseling, Coaching, and Consulting, LLC
Licensed Professional Counselor, MEd, LPC
Verified Verified
1 Endorsed
Mount Vernon, OH 43050
I have been working with individuals and families in non-profit settings for 18 years. I have masters degrees in both education and clinical mental health counseling and years of experience in non-profit management, such as teaching, training, grant writing, policy writing, and research. I specialize in helping individuals, couples, and families identify and achieve their goals by overcoming those issues that cause distress and anxiety.
I have been working with individuals and families in non-profit settings for 18 years. I have masters degrees in both education and clinical mental health counseling and years of experience in non-profit management, such as teaching, training, grant writing, policy writing, and research. I specialize in helping individuals, couples, and families identify and achieve their goals by overcoming those issues that cause distress and anxiety.
(740) 218-4108 View (740) 218-4108
Photo of Ashley Critelli, Clinical Social Work/Therapist in Mount Vernon, OH
Ashley Critelli
Clinical Social Work/Therapist, LISW, MSW
Verified Verified
Mount Vernon, OH 43050
Trained in EMDR and Attachment-Focused Trauma Therapy for Adults, IFS-informed (parts work). If you're feeling stuck, weighed down by past traumas, or struggling with anxiety, depression, or feelings of disconnection, know that there's hope. I'm Ashley Critelli, and my approach is all about understanding you deeply and providing support that resonates with your unique experience. We'll work together to uncover the root of your challenges and embark on a journey toward healing, self-discovery, and empowerment. My aim is for you to forge stronger connections with yourself and others, reclaiming a life filled with purpose and peace.
Trained in EMDR and Attachment-Focused Trauma Therapy for Adults, IFS-informed (parts work). If you're feeling stuck, weighed down by past traumas, or struggling with anxiety, depression, or feelings of disconnection, know that there's hope. I'm Ashley Critelli, and my approach is all about understanding you deeply and providing support that resonates with your unique experience. We'll work together to uncover the root of your challenges and embark on a journey toward healing, self-discovery, and empowerment. My aim is for you to forge stronger connections with yourself and others, reclaiming a life filled with purpose and peace.
(419) 315-9772 View (419) 315-9772
Photo of Ulrike Jennifer Erika Martin, Clinical Social Work/Therapist in Mount Vernon, OH
Ulrike Jennifer Erika Martin
Clinical Social Work/Therapist, LISW
Verified Verified
Mount Vernon, OH 43050
I am here for you. You matter, and you are not alone. We all have times of change, challenge, or crisis that can be overwhelming. We can work together so that you can make sense of your experiences, look at what’s working and what’s not, and help you live in a way that feels right for you. I am interested in and influenced by mindfulness meditation and acceptance therapies.
I am here for you. You matter, and you are not alone. We all have times of change, challenge, or crisis that can be overwhelming. We can work together so that you can make sense of your experiences, look at what’s working and what’s not, and help you live in a way that feels right for you. I am interested in and influenced by mindfulness meditation and acceptance therapies.
(380) 201-9066 View (380) 201-9066
Photo of Bradley K. Fox, Psychologist in Mount Vernon, OH
Bradley K. Fox
Psychologist, PhD
Verified Verified
Mount Vernon, OH 43050
Not accepting new clients
Sometimes we hit a wall. Maybe we would usually describe our life as going pretty well, but lately we find it harder to find motivation, or we’re more irritable, anxious, or just plain sad. Sometimes we’ve struggled a long time (with nightmares, stress, bad memories, or feeling depressed) and it's beyond what a friend can help with. Whether your goals are to manage emotions, sleep better, think more clearly, feel better about yourself or key relationships, finally accept what can't be changed, better understand relationship patterns, or find a deeper sense of purpose and meaning in life, counseling / psychotherapy may be helpful.
Sometimes we hit a wall. Maybe we would usually describe our life as going pretty well, but lately we find it harder to find motivation, or we’re more irritable, anxious, or just plain sad. Sometimes we’ve struggled a long time (with nightmares, stress, bad memories, or feeling depressed) and it's beyond what a friend can help with. Whether your goals are to manage emotions, sleep better, think more clearly, feel better about yourself or key relationships, finally accept what can't be changed, better understand relationship patterns, or find a deeper sense of purpose and meaning in life, counseling / psychotherapy may be helpful.
(614) 924-7411 View (614) 924-7411

More Therapists Nearby

Photo of Richelle Walker, Counselor in Mount Vernon, OH
Richelle Walker
Counselor, LPCC
Verified Verified
2 Endorsed
Fredericktown, OH 43019  (Online Only)
Right now, life may feel hard. You’ve faced many challenges that seemed to have come out of nowhere, and you're constantly doing your best to navigate through them. You struggle to set healthy boundaries and often feel overwhelmed. Asking for help isn't always easy. You may say to yourself, “What will people think? I can figure it out on my own.” It’s tough because you usually go at it alone, carrying the load and bearing the burden. However, deep down inside, you know that something isn't quite right and that you could use some support. Does this sound familiar?
Right now, life may feel hard. You’ve faced many challenges that seemed to have come out of nowhere, and you're constantly doing your best to navigate through them. You struggle to set healthy boundaries and often feel overwhelmed. Asking for help isn't always easy. You may say to yourself, “What will people think? I can figure it out on my own.” It’s tough because you usually go at it alone, carrying the load and bearing the burden. However, deep down inside, you know that something isn't quite right and that you could use some support. Does this sound familiar?
(513) 949-4168 View (513) 949-4168
Photo of Trauma-Religious Trauma-Lgbtq+ Concerns || Kade Hirth, Clinical Social Work/Therapist in Mount Vernon, OH
Trauma-Religious Trauma-Lgbtq+ Concerns || Kade Hirth
Clinical Social Work/Therapist, LISW-S
Verified Verified
Gambier, OH 43022
Have you tried therapy before but felt that talking in a stale office didn't feel quite right? Have you felt like talk therapy helped a little, but didn't get you as far as you were hoping? Or maybe you feel nervous about even starting therapy when you envision sitting across from someone else and sharing your fears and worries? Perhaps it's time to try something a little less traditional!
Have you tried therapy before but felt that talking in a stale office didn't feel quite right? Have you felt like talk therapy helped a little, but didn't get you as far as you were hoping? Or maybe you feel nervous about even starting therapy when you envision sitting across from someone else and sharing your fears and worries? Perhaps it's time to try something a little less traditional!
(740) 847-1874 View (740) 847-1874
Photo of Jessica Singrey, Counselor in Mount Vernon, OH
Jessica Singrey
Counselor, LPCC-S
Verified Verified
Gambier, OH 43022  (Online Only)
Are you desiring to feel more confident in yourself and to have a healthier, more fulfilling life? Are you looking for freedom and hope in ongoing areas of struggle? Wanting more for yourself is a good thing! Seeking help is healthy and takes courage. Finding the right therapist can be intimidating and building a trusting relationship with a therapist can take time. I understand how difficult it can be to be vulnerable. We will work together to find an approach best suited to your unique challenges and goals.
Are you desiring to feel more confident in yourself and to have a healthier, more fulfilling life? Are you looking for freedom and hope in ongoing areas of struggle? Wanting more for yourself is a good thing! Seeking help is healthy and takes courage. Finding the right therapist can be intimidating and building a trusting relationship with a therapist can take time. I understand how difficult it can be to be vulnerable. We will work together to find an approach best suited to your unique challenges and goals.
(513) 506-9380 View (513) 506-9380
Photo of Megan Burden, Licensed Professional Clinical Counselor in Mount Vernon, OH
Megan Burden
Licensed Professional Clinical Counselor, MA, LPCC-S, LICDC
Verified Verified
Howard, OH 43028  (Online Only)
My name is Megan Burden I ‘m a Licensed Professional Clinical Counselor and a certified addictions Counselor. I’ve been a therapist for 5 years and absolutely love what I do. I’ve worked with teenagers overcome addictions, families evolved with children's services, first responders, young adults going off to college and become successful, and young adults overcome depression, major trauma, PTSD, self-esteem/ self-worth, human trafficking, relationship struggles, and anxiety.
My name is Megan Burden I ‘m a Licensed Professional Clinical Counselor and a certified addictions Counselor. I’ve been a therapist for 5 years and absolutely love what I do. I’ve worked with teenagers overcome addictions, families evolved with children's services, first responders, young adults going off to college and become successful, and young adults overcome depression, major trauma, PTSD, self-esteem/ self-worth, human trafficking, relationship struggles, and anxiety.
(740) 762-4230 View (740) 762-4230
Photo of Shayla Krecklow, Licensed Professional Clinical Counselor in Mount Vernon, OH
Shayla Krecklow
Licensed Professional Clinical Counselor, LPCC-S, RYT-200
Verified Verified
3 Endorsed
Gambier, OH 43022  (Online Only)
Not accepting new clients
Life can have a variety of challenges that can make us feel stuck. Whether it is current stressors or past events, sometimes we need help. I work with many concerns including depression, anxiety, dissociation, trauma, life transitions including entering or exiting college and grad school, and relationships. I believe my role is to offer exploration through tools, curiosity and support to move towards healing. I worked as trauma focused counselor, including supporting survivors of sexual assault and adult survivors of childhood trauma. I have a passion for working with queer folks, nonbinary folks, and trans individuals.
Life can have a variety of challenges that can make us feel stuck. Whether it is current stressors or past events, sometimes we need help. I work with many concerns including depression, anxiety, dissociation, trauma, life transitions including entering or exiting college and grad school, and relationships. I believe my role is to offer exploration through tools, curiosity and support to move towards healing. I worked as trauma focused counselor, including supporting survivors of sexual assault and adult survivors of childhood trauma. I have a passion for working with queer folks, nonbinary folks, and trans individuals.
(614) 418-6088 View (614) 418-6088

Online Therapists

Photo of Anchor Counseling Services, Counselor in Mount Vernon, OH
Anchor Counseling Services
Counselor, LPCC-S
Verified Verified
Westerville, OH 43081
Anchor Counseling Services is a Clinical counseling practice with two locations in Mentor and Westerville Ohio. We offer both Faith-Based and non-religious therapy, which is suited to the client's needs. Our staff believes in the inherent strength of all individuals to work toward wholeness and happiness. We recognize that starting the journey of counseling can be intimidating and scary. We work hard to provide a caring, safe, and comfortable environment where we use non-judgmental approaches in our care with clients.
Anchor Counseling Services is a Clinical counseling practice with two locations in Mentor and Westerville Ohio. We offer both Faith-Based and non-religious therapy, which is suited to the client's needs. Our staff believes in the inherent strength of all individuals to work toward wholeness and happiness. We recognize that starting the journey of counseling can be intimidating and scary. We work hard to provide a caring, safe, and comfortable environment where we use non-judgmental approaches in our care with clients.
(440) 693-2640 View (440) 693-2640
Photo of Joel R Gecht, Psychologist in Mount Vernon, OH
Joel R Gecht
Psychologist, PhD
Verified Verified
Beachwood, OH 44122  (Online Only)
I specialize in treating stress, depression, anxiety, relationship conflicts, work pressures, and change management. I work with individuals and couples using cognitive behavioral approaches. I am a Diplomate in Testing & Assessment and can offer a thorough assessment (if desired) in order to enhance treatment outcomes. In addition, I've also had a great deal of experience in providing coaching, counseling and assessment services to medical, legal and financial professionals, management level and executive leaders, and professional athletes.
I specialize in treating stress, depression, anxiety, relationship conflicts, work pressures, and change management. I work with individuals and couples using cognitive behavioral approaches. I am a Diplomate in Testing & Assessment and can offer a thorough assessment (if desired) in order to enhance treatment outcomes. In addition, I've also had a great deal of experience in providing coaching, counseling and assessment services to medical, legal and financial professionals, management level and executive leaders, and professional athletes.
(216) 672-5857 View (216) 672-5857

See more therapy options for Mount Vernon

How does your Therapist compare?

Number of Therapists in Mount Vernon, OH

10+

Average cost per session

$120

Therapists in Mount Vernon, OH who prioritize treating:

92% Anxiety
92% Trauma and PTSD
85% Relationship Issues
85% Depression
85% Grief
85% Self Esteem
77% Coping Skills

Average years in practice

8 Years

Top 3 insurances accepted

91% UnitedHealthcare UHC | UBH
82% BlueCross and BlueShield
82% Optum

How Therapists in Mount Vernon, OH see their clients

70% In Person and Online
30% Online Only

Gender breakdown

75% Female
25% Male
FAQs - About Therapy and Counseling

How can I find a therapist in Mount Vernon?

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.