Therapists in Novato, CA

Photo of Damoun Bozorgzadarbab, Clinical Social Work/Therapist in Novato, CA
Damoun Bozorgzadarbab
Clinical Social Work/Therapist, LCSW
Verified Verified
Novato, CA 94947  (Online Only)
So much of what life brings us is beyond our control- childhood trauma, loss of our loved ones, difficult transitions that we must make in order to remain true to ourselves or genes that make us susceptible to mental health disorders. In our busy lives, we sometimes forget to take a step back to re-evaluate how we are caring for our mind and heart. 2020 seemed like a call to action for the world to look inward and redefine goals such as our life style, career choices, relationship dynamics and tired old behaviors that get in our way over and over again.
So much of what life brings us is beyond our control- childhood trauma, loss of our loved ones, difficult transitions that we must make in order to remain true to ourselves or genes that make us susceptible to mental health disorders. In our busy lives, we sometimes forget to take a step back to re-evaluate how we are caring for our mind and heart. 2020 seemed like a call to action for the world to look inward and redefine goals such as our life style, career choices, relationship dynamics and tired old behaviors that get in our way over and over again.
(415) 301-6236 View (415) 301-6236
Photo of Jean Hayes, Marriage & Family Therapist in Novato, CA
Jean Hayes
Marriage & Family Therapist, PhD, MFT
Verified Verified
Novato, CA 94945  (Online Only)
I successfully treat relationship breakdowns, alcohol, drug, eating problems, depression, dual-diagnosis, anxiety, trauma, bariatric surgery patients. Individuals and couples address how the misuse of substances impacts their lives in negative and unproductive ways. We seek solutions together to more satisfying lifestyles and relationships. I work with couples and individuals having difficulties in relationships, wanting to resolve problems rather than separating or divorcing as their only solution. I work to separate past hurts from present reality. As an Equine Therapist, I use horses and exotic farm animals as requested.
I successfully treat relationship breakdowns, alcohol, drug, eating problems, depression, dual-diagnosis, anxiety, trauma, bariatric surgery patients. Individuals and couples address how the misuse of substances impacts their lives in negative and unproductive ways. We seek solutions together to more satisfying lifestyles and relationships. I work with couples and individuals having difficulties in relationships, wanting to resolve problems rather than separating or divorcing as their only solution. I work to separate past hurts from present reality. As an Equine Therapist, I use horses and exotic farm animals as requested.
(415) 574-0967 View (415) 574-0967
Photo of Lindsay Kittredge, Psychologist in Novato, CA
Lindsay Kittredge
Psychologist, PhD
Verified Verified
Novato, CA 94949
People call me because they (or a loved one) is hurting; they want to sort things out, understand themselves, improve their relationships, feel better. Working with individuals, families and couples is the heart of my work and skill set. Therapy is work and a form of neuroscience coupled with compassion and therapeutic guidance that can re-establish health, balance and well being. You can change your brain and heal your heart; you can learn to understand yourself and improve your relationships. I meet you where you are and work with you to heal ruptures, grieve losses and be the best version of yourself in body, mind & spirit.
People call me because they (or a loved one) is hurting; they want to sort things out, understand themselves, improve their relationships, feel better. Working with individuals, families and couples is the heart of my work and skill set. Therapy is work and a form of neuroscience coupled with compassion and therapeutic guidance that can re-establish health, balance and well being. You can change your brain and heal your heart; you can learn to understand yourself and improve your relationships. I meet you where you are and work with you to heal ruptures, grieve losses and be the best version of yourself in body, mind & spirit.
(415) 802-1055 View (415) 802-1055
Photo of Mary Bouse Barmann, Marriage & Family Therapist in Novato, CA
Mary Bouse Barmann
Marriage & Family Therapist, LMFT
Verified Verified
Novato, CA 94945
I work with people experiencing chronic anxiety that is eroding confidence, happiness, relationship quality, and fills your life with stress, doubt, and despair. I'll collaborate with you to create meaningful shifts in thought, feeling, action. My approach is short-term, evidenced-based, solution-focused and emphasizes Cognitive-Behavior Therapy. Our work together is designed to produce a solid understanding of your concern, identify core beliefs, key values, goals, and create innovative action plans to help you face fears, accept reasonable uncertainty, and deal effectively with anxiety so you move closer to the life you want.
I work with people experiencing chronic anxiety that is eroding confidence, happiness, relationship quality, and fills your life with stress, doubt, and despair. I'll collaborate with you to create meaningful shifts in thought, feeling, action. My approach is short-term, evidenced-based, solution-focused and emphasizes Cognitive-Behavior Therapy. Our work together is designed to produce a solid understanding of your concern, identify core beliefs, key values, goals, and create innovative action plans to help you face fears, accept reasonable uncertainty, and deal effectively with anxiety so you move closer to the life you want.
(844) 541-1019 View (844) 541-1019
Photo of Robert Carmignani, Psychologist in Novato, CA
Robert Carmignani
Psychologist, PhD
Verified Verified
Novato, CA 94949  (Online Only)
In individual therapy I join with the patient to establish a relationship in which we will explore developmental relational issues that cause pain and suffering. Such issues begin as intense emotions, but they can be understood, accepted, and integrated. This process leads to healing and change. Life takes on new perspectives as the emotional self provides new information about the external and internal world that brings stability and vitality to the personality. The relationship between us deepens allowing us to explore the complex dimensions of personality that allow for growth and development unique to the individual.
In individual therapy I join with the patient to establish a relationship in which we will explore developmental relational issues that cause pain and suffering. Such issues begin as intense emotions, but they can be understood, accepted, and integrated. This process leads to healing and change. Life takes on new perspectives as the emotional self provides new information about the external and internal world that brings stability and vitality to the personality. The relationship between us deepens allowing us to explore the complex dimensions of personality that allow for growth and development unique to the individual.
(415) 639-9908 View (415) 639-9908
Photo of Michelle Shariat-Hansen, Psychologist in Novato, CA
Michelle Shariat-Hansen
Psychologist, PsyD
Verified Verified
Novato, CA 94949  (Online Only)
My passion has always been to help people alleviate symptoms that interfere with their quality of life, in order to live a more fulfilling, purposeful and balanced life. To facilitate this process, I provide a warm and supportive environment with respectful and non-judgmental listening to your personal concerns. My style is active and goal-oriented, I use encouragement and offer new perspectives and tools. I help guide clients through challenging situations to discover solutions to the issues that bring them to therapy. Since each person's situation is unique, my treatment approach is individualized depending on your particular needs and goals.
My passion has always been to help people alleviate symptoms that interfere with their quality of life, in order to live a more fulfilling, purposeful and balanced life. To facilitate this process, I provide a warm and supportive environment with respectful and non-judgmental listening to your personal concerns. My style is active and goal-oriented, I use encouragement and offer new perspectives and tools. I help guide clients through challenging situations to discover solutions to the issues that bring them to therapy. Since each person's situation is unique, my treatment approach is individualized depending on your particular needs and goals.
(415) 968-6896 View (415) 968-6896
Photo of Sarah Kogut, Licensed Educational Psychologist in Novato, CA
Sarah Kogut
Licensed Educational Psychologist, EdS, NCSP, LEP
Verified Verified
Novato, CA 94947  (Online Only)
With over a decade as a school psychologist, I specialize in counseling and assessments to better understand educational or occupational performance. I am Licensed in California as a Licensed Educational Psychologist. Additionally, I assist educators facing burnout, providing tailored strategies for workplace challenges. Committed to holistic well-being, I offer personalized guidance for students, families, and professionals alike.
With over a decade as a school psychologist, I specialize in counseling and assessments to better understand educational or occupational performance. I am Licensed in California as a Licensed Educational Psychologist. Additionally, I assist educators facing burnout, providing tailored strategies for workplace challenges. Committed to holistic well-being, I offer personalized guidance for students, families, and professionals alike.
(415) 598-2247 View (415) 598-2247
Photo of Cynthia Montgomery, Psychologist in Novato, CA
Cynthia Montgomery
Psychologist, PhD
Verified Verified
Novato, CA 94947  (Online Only)
Most of my clients want to learn ways to cope with their uncomfortable feelings or dysfunctional behaviors. My cognitive behavioral background helps them reach their goals quickly.
Most of my clients want to learn ways to cope with their uncomfortable feelings or dysfunctional behaviors. My cognitive behavioral background helps them reach their goals quickly.
(415) 993-5151 View (415) 993-5151
Photo of Kaitlyn Lydell, L.M.F.T., Marriage & Family Therapist in Novato, CA
Kaitlyn Lydell, L.M.F.T.
Marriage & Family Therapist, MA, LMFT
Verified Verified
Novato, CA 94945
Are you hoping someone else will change so that you can feel okay? Are you interacting with someone who is confusing, withdrawn, chemically dependent, angry, has a mood/ behavioral disorder, or is emotionally unavailable? Do you have trouble asserting yourself or setting boundaries? Do you "over-function" with others? Do you feel stressed, anxious or depressed? I specialize in relationships- how you relate with others but also to yourself. I address total emotional and physical health. I have a compassionate, interactive approach to help you focus on changing what you can and coping with what you can't.
Are you hoping someone else will change so that you can feel okay? Are you interacting with someone who is confusing, withdrawn, chemically dependent, angry, has a mood/ behavioral disorder, or is emotionally unavailable? Do you have trouble asserting yourself or setting boundaries? Do you "over-function" with others? Do you feel stressed, anxious or depressed? I specialize in relationships- how you relate with others but also to yourself. I address total emotional and physical health. I have a compassionate, interactive approach to help you focus on changing what you can and coping with what you can't.
(415) 799-8389 View (415) 799-8389
Photo of Jenna Lane Marsala, Marriage & Family Therapist in Novato, CA
Jenna Lane Marsala
Marriage & Family Therapist, MA, LMFT
Verified Verified
1 Endorsed
Novato, CA 94945
Do you ever ask yourself, "Why do I keep doing the same things but expect different outcomes?" Or "Do I look at the world differently than all my family and friends?" Life can feel stressful, overwhelming, and out of control at times. I try to help life feel a little bit more manageable and work through issues at your own pace. Psychotherapy is about an exploration of self and the world around you. As a psychotherapist, I am here to provide guidance through this exploration in a safe place and to improve interaction with those you love.
Do you ever ask yourself, "Why do I keep doing the same things but expect different outcomes?" Or "Do I look at the world differently than all my family and friends?" Life can feel stressful, overwhelming, and out of control at times. I try to help life feel a little bit more manageable and work through issues at your own pace. Psychotherapy is about an exploration of self and the world around you. As a psychotherapist, I am here to provide guidance through this exploration in a safe place and to improve interaction with those you love.
(925) 261-7827 View (925) 261-7827
Photo of Anita C Marquez, Marriage & Family Therapist in Novato, CA
Anita C Marquez
Marriage & Family Therapist, LMFT
Verified Verified
Novato, CA 94947  (Online Only)
Life in general can be challenging and adjusting to the ebbs/flows can feel difficult. These moments can have us feeling sad, stuck, angry, regretful, anxious, and unsure. I am here to help and support you during these times. I believe that processing and dissecting our thoughts, patterns and perceived hurdles support a clearer mind.
Life in general can be challenging and adjusting to the ebbs/flows can feel difficult. These moments can have us feeling sad, stuck, angry, regretful, anxious, and unsure. I am here to help and support you during these times. I believe that processing and dissecting our thoughts, patterns and perceived hurdles support a clearer mind.
(415) 548-9489 View (415) 548-9489
Photo of Dan O'Donnell, Marriage & Family Therapist in Novato, CA
Dan O'Donnell
Marriage & Family Therapist, LMFT
Verified Verified
1 Endorsed
Novato, CA 94949
Problems with your teen or lack of purpose issues? I also work with adults, couples and families. As a solution-focused therapist, my goal is to help you uncover your true potential and lead a life that is worth celebrating. While we can't change difficult situations of the past, we can work together to better understand and resolve current challenges. If you're looking for extra support and guidance through a challenging situation or you're just ready to move in a new direction in your life, Please call or email me for an individual, couples or family therapy consultation today
Problems with your teen or lack of purpose issues? I also work with adults, couples and families. As a solution-focused therapist, my goal is to help you uncover your true potential and lead a life that is worth celebrating. While we can't change difficult situations of the past, we can work together to better understand and resolve current challenges. If you're looking for extra support and guidance through a challenging situation or you're just ready to move in a new direction in your life, Please call or email me for an individual, couples or family therapy consultation today
(707) 595-2303 View (707) 595-2303
Photo of Mary Paige, Marriage & Family Therapist in Novato, CA
Mary Paige
Marriage & Family Therapist, PsyD
Verified Verified
2 Endorsed
Novato, CA 94949
I have been practicing as a psychotherapist since 1987 in San Francisco and Novato. My specialty has been working with people who have grown up with a narcissistic parent or who have married or is working for someone with this very difficult disorder. Out of this work, I have developed ways of working with the anxiety and depression that comes along with the destruction to self esteem. Of course, I have also worked with other issues that we humans have such as fertility problems, marital problems, body image and weight, sexuality, sexual preference and coping with loss, grief and loneliness.
I have been practicing as a psychotherapist since 1987 in San Francisco and Novato. My specialty has been working with people who have grown up with a narcissistic parent or who have married or is working for someone with this very difficult disorder. Out of this work, I have developed ways of working with the anxiety and depression that comes along with the destruction to self esteem. Of course, I have also worked with other issues that we humans have such as fertility problems, marital problems, body image and weight, sexuality, sexual preference and coping with loss, grief and loneliness.
(415) 799-9616 View (415) 799-9616
Photo of Rick Scarpello Therapy , Marriage & Family Therapist in Novato, CA
Rick Scarpello Therapy
Marriage & Family Therapist, MS, LMFT
Verified Verified
7 Endorsed
Novato, CA 94945
Does this sound familiar? " I'm exhausted, I'm im irritated, I don't want to do this anymore!" Yeah, I get it. That is exactly what I did before I reached out and started making change. Welcome to Rick Scarpello Therapy, a real-talk space where honesty and collaboration lead the way. If you're seeking support and don’t mind real conversations blended with a little humor, you've arrived at the right place. Are you feeling the weight of burnout, depression, or anxiety?
Does this sound familiar? " I'm exhausted, I'm im irritated, I don't want to do this anymore!" Yeah, I get it. That is exactly what I did before I reached out and started making change. Welcome to Rick Scarpello Therapy, a real-talk space where honesty and collaboration lead the way. If you're seeking support and don’t mind real conversations blended with a little humor, you've arrived at the right place. Are you feeling the weight of burnout, depression, or anxiety?
(415) 921-9299 View (415) 921-9299
Photo of Dr. Norman Hering, Marriage & Family Therapist in Novato, CA
Dr. Norman Hering
Marriage & Family Therapist, LMFT
Verified Verified
Novato, CA 94949
Thank you for reading! I imagine you are here because you are searching for something; an answer to your pain and suffering. People don't typically come to therapy because all is well; they are looking for relief from the pain. We will sit together in that pain because pain shared is pain decreased. And then we begin to take action to feel more in control of our lives. Taking action is the perfect antidote to that crippling sense of powerlessness. Yes, there are many things we can't control; we identify them and let them go. And, there are many things we can control, primarily through a change in perspective.
Thank you for reading! I imagine you are here because you are searching for something; an answer to your pain and suffering. People don't typically come to therapy because all is well; they are looking for relief from the pain. We will sit together in that pain because pain shared is pain decreased. And then we begin to take action to feel more in control of our lives. Taking action is the perfect antidote to that crippling sense of powerlessness. Yes, there are many things we can't control; we identify them and let them go. And, there are many things we can control, primarily through a change in perspective.
(415) 366-2357 View (415) 366-2357
Photo of Allison Prine, Marriage & Family Therapist in Novato, CA
Allison Prine
Marriage & Family Therapist, BS, MA, LMFT
Verified Verified
Novato, CA 94945  (Online Only)
You deserve to experience a life that is authentic, connected, and rich with meaning. It takes courage to rewrite your story from a place of disconnection, struggle, and fear, transforming it into a narrative full of empowerment, growth, and healing. Whether you are struggling with balance and identity in new parenthood, grieving infertility or pregnancy loss, processing your own neurodivergence, parenting a child with complex needs, grappling with the anxiety of being a millennial navigating the impact of life transitions on your relationships, career, and purpose in this overwhelming world, I am here to hold space for you.
You deserve to experience a life that is authentic, connected, and rich with meaning. It takes courage to rewrite your story from a place of disconnection, struggle, and fear, transforming it into a narrative full of empowerment, growth, and healing. Whether you are struggling with balance and identity in new parenthood, grieving infertility or pregnancy loss, processing your own neurodivergence, parenting a child with complex needs, grappling with the anxiety of being a millennial navigating the impact of life transitions on your relationships, career, and purpose in this overwhelming world, I am here to hold space for you.
(415) 965-8631 View (415) 965-8631
Photo of Susan Kenny, Marriage & Family Therapist in Novato, CA
Susan Kenny
Marriage & Family Therapist, LMFT, SEP
Verified Verified
Novato, CA 94949
I work as a Somatic Psychotherapist helping adults understand and regulate their nervous system. I am trained as both a Somatic Experiencing Practitioner and a Transforming Touch Therapist to help clients with developmental trauma as well as depression, anxiety, stress, and loss. I use a body based approach to understand sensations in the body, and my style is active, warm and empathic. I provide a safe environment to learn how to harness your inner resources, manage stress and emotions in both the mind and the nervous system, and help you create more balance and ease in you life.
I work as a Somatic Psychotherapist helping adults understand and regulate their nervous system. I am trained as both a Somatic Experiencing Practitioner and a Transforming Touch Therapist to help clients with developmental trauma as well as depression, anxiety, stress, and loss. I use a body based approach to understand sensations in the body, and my style is active, warm and empathic. I provide a safe environment to learn how to harness your inner resources, manage stress and emotions in both the mind and the nervous system, and help you create more balance and ease in you life.
(415) 408-6891 View (415) 408-6891
Photo of Integrative Psychotherapy, Marriage & Family Therapist in Novato, CA
Integrative Psychotherapy
Marriage & Family Therapist, MA, LMFT
Verified Verified
Novato, CA 94949
Not accepting new clients
I have a warm, collaborative, relational and empowering style. At times we look at what holds you back, and at times we look at the evolving being who is struggling to emerge. Both polarities have something to offer when properly accessed and integrated. Since wounding frequently happens in relationship, healing may best be facilitated in relationship with someone who is accepting all of who you are. Trauma requires a safe and inviting space to move into, and needs delicate handling. I help couples find a way to communicate that makes it safer for both to come forward vulnerably.
I have a warm, collaborative, relational and empowering style. At times we look at what holds you back, and at times we look at the evolving being who is struggling to emerge. Both polarities have something to offer when properly accessed and integrated. Since wounding frequently happens in relationship, healing may best be facilitated in relationship with someone who is accepting all of who you are. Trauma requires a safe and inviting space to move into, and needs delicate handling. I help couples find a way to communicate that makes it safer for both to come forward vulnerably.
(415) 944-2103 View (415) 944-2103
Photo of Kristen E. Fong, Marriage & Family Therapist in Novato, CA
Kristen E. Fong
Marriage & Family Therapist, MA, MFT
Verified Verified
Novato, CA 94945  (Online Only)
You’re frustrated and unhappy in your relationship. Fear of being alone is keeping you stuck. You pretend everything is fine, so nobody knows things aren’t perfect. You’re overwhelmed, sad and at a loss as to what to do. You’ve tried to fix things, but hit a wall together. You just want to feel loved again. I hear you. I’ve been there.
You’re frustrated and unhappy in your relationship. Fear of being alone is keeping you stuck. You pretend everything is fine, so nobody knows things aren’t perfect. You’re overwhelmed, sad and at a loss as to what to do. You’ve tried to fix things, but hit a wall together. You just want to feel loved again. I hear you. I’ve been there.
(415) 689-9708 View (415) 689-9708
Photo of Larissa R. Wolford, Marriage & Family Therapist in Novato, CA
Larissa R. Wolford
Marriage & Family Therapist, MA, LMFT, LPPC, PPSC
Verified Verified
Novato, CA 94947
Life! It can be overwhelming, frustrating, upsetting, amazing and confusing. Counseling can provide the extra support, comfort and nudge we need to get through it. Please contact me to see how working with me can be the catalyst needed to feel more comfortable, confident and healthy. I would love to work with you in your journey through life and look forward to hearing from you.
Life! It can be overwhelming, frustrating, upsetting, amazing and confusing. Counseling can provide the extra support, comfort and nudge we need to get through it. Please contact me to see how working with me can be the catalyst needed to feel more comfortable, confident and healthy. I would love to work with you in your journey through life and look forward to hearing from you.
(415) 236-3089 View (415) 236-3089

How does your Therapist compare?

Number of Therapists in Novato, CA

200+

Average cost per session

$180

Therapists in Novato, CA who prioritize treating:

92% Anxiety
85% Depression
83% Relationship Issues
78% Self Esteem
72% Trauma and PTSD
67% Grief
66% Coping Skills

Average years in practice

18 Years

Top 3 insurances accepted

41% Other
34% Cigna and Evernorth
34% UnitedHealthcare UHC | UBH

How Therapists in Novato, CA see their clients

71% In Person and Online
29% Online Only

Gender breakdown

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

How can I find a therapist in Novato?

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.