Therapists in Columbus, OH

View neighborhoods in Columbus
Photo of Emily Getschman, Clinical Social Work/Therapist in Columbus, OH
Emily Getschman
Clinical Social Work/Therapist, MSW, LISW-S
Verified Verified
Columbus, OH 43220
I am a Licensed Independent Social Worker Supervisor through the State of Ohio Counselor and Social Work Board. I have over 10+ years of experience working with children, adolescents and families in a variety of settings (including the school setting and psychiatric hospital setting). I work with children and adolescents ages 10-21 and treat a range of concerns including: anxiety, depression, behavioral concerns, parenting challenges, school concerns and mood disorders. Whatever the presenting problem, I place a strong emphasis on family focused treatment and use a collaborative approach to every client.
I am a Licensed Independent Social Worker Supervisor through the State of Ohio Counselor and Social Work Board. I have over 10+ years of experience working with children, adolescents and families in a variety of settings (including the school setting and psychiatric hospital setting). I work with children and adolescents ages 10-21 and treat a range of concerns including: anxiety, depression, behavioral concerns, parenting challenges, school concerns and mood disorders. Whatever the presenting problem, I place a strong emphasis on family focused treatment and use a collaborative approach to every client.
(614) 858-8395 View (614) 858-8395
Photo of Tom Danis, Licensed Professional Clinical Counselor in Columbus, OH
Tom Danis
Licensed Professional Clinical Counselor, LPCC, MEd
Verified Verified
Columbus, OH 43214
Creating successful relationships and lives as an adolescent, adult or couple is one of the central challenges we all face. I am a Gestalt based psychotherapist who works to help clients discover their potential and explore the blocks that may be getting in their way. My work starts with the premise that each of us has within us what we need to live grounded and fulfilling lives. My goal with clients is to help them build awareness to what is occurring in the moment as a springboard for potential change. Through process oriented therapy, I believe we all can get through challenges that emerge in life.
Creating successful relationships and lives as an adolescent, adult or couple is one of the central challenges we all face. I am a Gestalt based psychotherapist who works to help clients discover their potential and explore the blocks that may be getting in their way. My work starts with the premise that each of us has within us what we need to live grounded and fulfilling lives. My goal with clients is to help them build awareness to what is occurring in the moment as a springboard for potential change. Through process oriented therapy, I believe we all can get through challenges that emerge in life.
(614) 963-3513 View (614) 963-3513
Photo of Bethany Conry, Clinical Social Work/Therapist in Columbus, OH
Bethany Conry
Clinical Social Work/Therapist, MSW, LISW-S
Verified Verified
Columbus, OH 43231  (Online Only)
Hi there! Let's talk. If you're struggling with depression, anxiety, career, or pregnancy-related issues, I'm here to help. Reaching out to begin therapy can be intimidating, but I hope you take the time to reach out for help. I'm here for you.
Hi there! Let's talk. If you're struggling with depression, anxiety, career, or pregnancy-related issues, I'm here to help. Reaching out to begin therapy can be intimidating, but I hope you take the time to reach out for help. I'm here for you.
(614) 412-5590 View (614) 412-5590
Photo of Thomas Nemerovsky, Licensed Professional Counselor in Columbus, OH
Thomas Nemerovsky
Licensed Professional Counselor, MEd, LPCC-S, LICDC-C, ICCS
Verified Verified
Columbus, OH 43221
I specialize in substance use disorders, mood disorders, stress management, trauma, and PTSD. I enjoy working with clients who are motivated for change and are open to exploring strategies to help them improve their mental health and quality of life. I appreciate individuals engaged in the therapeutic process and sharing their thoughts and feelings openly, allowing for a collaborative therapeutic relationship.
I specialize in substance use disorders, mood disorders, stress management, trauma, and PTSD. I enjoy working with clients who are motivated for change and are open to exploring strategies to help them improve their mental health and quality of life. I appreciate individuals engaged in the therapeutic process and sharing their thoughts and feelings openly, allowing for a collaborative therapeutic relationship.
(614) 768-2724 View (614) 768-2724
Photo of Melissa Elbert, Clinical Social Work/Therapist in Columbus, OH
Melissa Elbert
Clinical Social Work/Therapist, LISW
Verified Verified
Columbus, OH 43212  (Online Only)
Melissa Elbert is a Licensed Independent Social Worker (LISW) with over seven years of experience working with clients in their communities as well as in office. She is passionate about assisting clients meet their goals for treatment. She has experience working with adults and couples. Melissa has post graduate training in CBT, DBT, anxiety disorders, trauma-informed care, ADHD, and CPT. Melissa specializes in trauma, depression, anxiety, bipolar disorder, and substance use disorders including alcohol use and opioid use.
Melissa Elbert is a Licensed Independent Social Worker (LISW) with over seven years of experience working with clients in their communities as well as in office. She is passionate about assisting clients meet their goals for treatment. She has experience working with adults and couples. Melissa has post graduate training in CBT, DBT, anxiety disorders, trauma-informed care, ADHD, and CPT. Melissa specializes in trauma, depression, anxiety, bipolar disorder, and substance use disorders including alcohol use and opioid use.
(614) 968-9351 View (614) 968-9351
Photo of Lauren Devany, Licensed Professional Counselor in Columbus, OH
Lauren Devany
Licensed Professional Counselor, MA, LPC
Verified Verified
Columbus, OH 43212  (Online Only)
Lauren welcomes everyone as her client, and those most excited to work with her will be the explorers of the universe, deep-soul divers, pioneers of creative frontiers, and those willing to be real with themselves while seeking a better life. Lauren excels at assisting with many issues, especially those involving trauma or loss. She loves to be there for people as part of the solution and she knows how hard it is to try to do it alone.
Lauren welcomes everyone as her client, and those most excited to work with her will be the explorers of the universe, deep-soul divers, pioneers of creative frontiers, and those willing to be real with themselves while seeking a better life. Lauren excels at assisting with many issues, especially those involving trauma or loss. She loves to be there for people as part of the solution and she knows how hard it is to try to do it alone.
View
Photo of James P Braga, Clinical Social Work/Therapist in Columbus, OH
James P Braga
Clinical Social Work/Therapist, MSW, LISW-S
Verified Verified
1 Endorsed
Columbus, OH 43210  (Online Only)
I believe a fine tuned awareness of oneself and a well regulated body are essential to overall well-being. I support you in understanding your problems in new ways and clarifying novel, practical options you can take to increase satisfaction and reduce distress. I work to assist you in clarifying your personal needs, mapping repetitive patterns and noticing what interferes with feeling fulfilled or settled. Action toward change is complicated and usually feels risky. I am here to help you understand yourself better and work through patterns that keep you stuck. Usually these patterns feel “second nature” and difficult to change.
I believe a fine tuned awareness of oneself and a well regulated body are essential to overall well-being. I support you in understanding your problems in new ways and clarifying novel, practical options you can take to increase satisfaction and reduce distress. I work to assist you in clarifying your personal needs, mapping repetitive patterns and noticing what interferes with feeling fulfilled or settled. Action toward change is complicated and usually feels risky. I am here to help you understand yourself better and work through patterns that keep you stuck. Usually these patterns feel “second nature” and difficult to change.
(380) 207-9446 View (380) 207-9446
Photo of PriceIsR.Y.T.E Counseling and Consultation, LLC, Psychologist in Columbus, OH
PriceIsR.Y.T.E Counseling and Consultation, LLC
Psychologist, PsyD, NCC
Verified Verified
Columbus, OH 43206  (Online Only)
PriceIsR.Y.T.E Counseling and Consultation, LLC is a psychological private practice offering therapeutic and consultative services to those in need of “Realizing Your True Essence.” While there is no right way to be or live, there is a best way to live for you. I take a holistic approach to therapy that will meet you at whatever place you are in your journey and aid you in becoming your best self. I support clients across backgrounds and identities in their desire to find meaning, clarity, and hope by means of supportive and reflective therapeutic practice and training.
PriceIsR.Y.T.E Counseling and Consultation, LLC is a psychological private practice offering therapeutic and consultative services to those in need of “Realizing Your True Essence.” While there is no right way to be or live, there is a best way to live for you. I take a holistic approach to therapy that will meet you at whatever place you are in your journey and aid you in becoming your best self. I support clients across backgrounds and identities in their desire to find meaning, clarity, and hope by means of supportive and reflective therapeutic practice and training.
(614) 654-0915 View (614) 654-0915
Photo of Olivia Peterson, Licensed Professional Counselor in Columbus, OH
Olivia Peterson
Licensed Professional Counselor, MA, LPC
Verified Verified
Columbus, OH 43235
I love to help my clients strengthen their Curiosity, Confidence, and Joy. To me, this means helping them explore internally to build trust in themselves, and expand their capacity for love and happiness. My goal is to create a space where clients feel safe and secure enough to heal from their past wounds. I believe the relationship between the therapist and the client is essential and I spend as much time as needed to build trust and comfort. It's important to me that our relationship feels authentic.
I love to help my clients strengthen their Curiosity, Confidence, and Joy. To me, this means helping them explore internally to build trust in themselves, and expand their capacity for love and happiness. My goal is to create a space where clients feel safe and secure enough to heal from their past wounds. I believe the relationship between the therapist and the client is essential and I spend as much time as needed to build trust and comfort. It's important to me that our relationship feels authentic.
(740) 224-5759 View (740) 224-5759
Photo of Kathy Ortiz, LISW-S, Clinical Social Work/Therapist in Columbus, OH
Kathy Ortiz, LISW-S
Clinical Social Work/Therapist, LISW-S, MSW
Verified Verified
Columbus, OH 43214
Not accepting new clients
I have 43 years of experience, in both mental health counseling and administrative work. My current practice is focused on assisting adults (ages 19-85) who are struggling with life issues, emotional stress, depression, anxiety and other challenges. The approaches I use are person-centered and motivational, with a focus on achieving the goals of the individual, family or couple. Assisting with skill building and/or identifying new tools can make the difference toward individual happiness and better life contentment.
I have 43 years of experience, in both mental health counseling and administrative work. My current practice is focused on assisting adults (ages 19-85) who are struggling with life issues, emotional stress, depression, anxiety and other challenges. The approaches I use are person-centered and motivational, with a focus on achieving the goals of the individual, family or couple. Assisting with skill building and/or identifying new tools can make the difference toward individual happiness and better life contentment.
(614) 383-9926 View (614) 383-9926
Photo of Debbie Sherman, Licensed Professional Clinical Counselor in Columbus, OH
Debbie Sherman
Licensed Professional Clinical Counselor, LPCC
Verified Verified
Columbus, OH 43213
Debbie Sherman, LPCC, is a licensed professional clinical counselor. She received her bachelor's degree in psychology from The Ohio State University. She received her master's degree in clinical counseling from the University of Dayton. Debbie has over 25 years of experience providing individual counseling in a variety of settings which include community mental health, private practice and the Hospice of Columbus. Debbie works with adults dealing with a variety of concerns which include anxiety, depression, bipolar disorder, obsessive compulsive disorders, weight concerns, bereavement, stress and relationship concerns.
Debbie Sherman, LPCC, is a licensed professional clinical counselor. She received her bachelor's degree in psychology from The Ohio State University. She received her master's degree in clinical counseling from the University of Dayton. Debbie has over 25 years of experience providing individual counseling in a variety of settings which include community mental health, private practice and the Hospice of Columbus. Debbie works with adults dealing with a variety of concerns which include anxiety, depression, bipolar disorder, obsessive compulsive disorders, weight concerns, bereavement, stress and relationship concerns.
(380) 666-4948 View (380) 666-4948
Photo of Marilyn Morgan in Columbus, OH
Marilyn Morgan
PhD
Verified Verified
Columbus, OH 43215
Services offered include Individual, Family, and Groups working with Adults, Teens and Childrens. Challenging problems of Depression, Anxiety, Schizoaffective Disorder, Trauma, ADHD, PTSD, Bipolar and others. Marilyn has been in the Mental Health field for over 25 yrs. Dr. Morgan has built a new Private Practice , Psychological Consult, LLC located at 447 E. Main ST. Suite 220 D, Col, OH 43215-5661. 614-549-7690 office, Fax:614-564-9089.
Services offered include Individual, Family, and Groups working with Adults, Teens and Childrens. Challenging problems of Depression, Anxiety, Schizoaffective Disorder, Trauma, ADHD, PTSD, Bipolar and others. Marilyn has been in the Mental Health field for over 25 yrs. Dr. Morgan has built a new Private Practice , Psychological Consult, LLC located at 447 E. Main ST. Suite 220 D, Col, OH 43215-5661. 614-549-7690 office, Fax:614-564-9089.
(614) 924-8350 View (614) 924-8350
Photo of Katie Kovacs, Counselor in Columbus, OH
Katie Kovacs
Counselor, MSEd, LPCC-S
Verified Verified
1 Endorsed
Columbus, OH 43219
Katie specializes in the diagnosis, treatment and prevention of eating disorders (including anorexia, bulimia, binge eating, and disordered eating), anxiety, depression, relationship problems, and related issues. Other areas of clinical interest for Katie include: embodiment; shame and vulnerability; autoimmune issues and eating disorders; giftedness and eating disorders; sexual anorexia/bulimia; and eating disorders and spirituality. Katie is an EMDR trained therapist, and she strives to be client-centered, trauma-informed, and justice-informed in her practice.
Katie specializes in the diagnosis, treatment and prevention of eating disorders (including anorexia, bulimia, binge eating, and disordered eating), anxiety, depression, relationship problems, and related issues. Other areas of clinical interest for Katie include: embodiment; shame and vulnerability; autoimmune issues and eating disorders; giftedness and eating disorders; sexual anorexia/bulimia; and eating disorders and spirituality. Katie is an EMDR trained therapist, and she strives to be client-centered, trauma-informed, and justice-informed in her practice.
(614) 468-3915 View (614) 468-3915
Photo of Holly Mundon, Clinical Social Work/Therapist in Columbus, OH
Holly Mundon
Clinical Social Work/Therapist, MSW , LISW-S, CCTP , CDCA
Verified Verified
Columbus, OH 43220
Are you having struggles in your job or relationship? Have you been diagnosed with a mental illness and need coping skills as you learn to manage all that it entails? Do you need education, support, and encouragement? I work with grief/loss, trauma, Depression, Anxiety, coping skills & boundaries, relationship and job stressors, life transitions, and general support. I am passionate about helping those who are 'helping professions' and work with health professionals and first responders dealing with secondary trauma. We will work together to set goals for taking the next steps to feel better.
Are you having struggles in your job or relationship? Have you been diagnosed with a mental illness and need coping skills as you learn to manage all that it entails? Do you need education, support, and encouragement? I work with grief/loss, trauma, Depression, Anxiety, coping skills & boundaries, relationship and job stressors, life transitions, and general support. I am passionate about helping those who are 'helping professions' and work with health professionals and first responders dealing with secondary trauma. We will work together to set goals for taking the next steps to feel better.
(380) 214-2725 View (380) 214-2725
Photo of Jye Breckenridge, Clinical Social Work/Therapist in Columbus, OH
Jye Breckenridge
Clinical Social Work/Therapist, MSW, LISW-S
Verified Verified
Columbus, OH 43201  (Online Only)
Many people turn to psychotherapy or counseling for help with anxiety, depression, trauma, painful relationship patterns, feeling stuck, or sometimes just the feeling that something is missing from life. Sometimes we may not have the words to describe our feelings, struggles or suffering. However, with insight into past relationships and experiences, many people can make progress immediately towards overcoming these difficulties and becoming more effective in their work and relationships.
Many people turn to psychotherapy or counseling for help with anxiety, depression, trauma, painful relationship patterns, feeling stuck, or sometimes just the feeling that something is missing from life. Sometimes we may not have the words to describe our feelings, struggles or suffering. However, with insight into past relationships and experiences, many people can make progress immediately towards overcoming these difficulties and becoming more effective in their work and relationships.
(614) 953-5994 View (614) 953-5994
Photo of Liana Redmond, Licensed Professional Counselor in Columbus, OH
Liana Redmond
Licensed Professional Counselor, MS, LPC
Verified Verified
1 Endorsed
Columbus, OH 43214
I enjoy supporting clients on their unique journey of profound self-exploration and ongoing healing. In a safe and non-judgmental space, we will explore how identities and unconscious downloads collide with values, beliefs, thoughts, feelings, and behaviors. I take an integrated and person-centered approach that prioritizes the therapeutic relationship and emphasizes client agency and expertise. I am passionate about serving individuals from marginalized and historically underrepresented populations, especially members of the Global Majority and the LGBTQ+ community.
I enjoy supporting clients on their unique journey of profound self-exploration and ongoing healing. In a safe and non-judgmental space, we will explore how identities and unconscious downloads collide with values, beliefs, thoughts, feelings, and behaviors. I take an integrated and person-centered approach that prioritizes the therapeutic relationship and emphasizes client agency and expertise. I am passionate about serving individuals from marginalized and historically underrepresented populations, especially members of the Global Majority and the LGBTQ+ community.
(614) 665-0388 View (614) 665-0388
Photo of Megan Beebe, Clinical Social Work/Therapist in Columbus, OH
Megan Beebe
Clinical Social Work/Therapist, LISW, MSW
Verified Verified
Columbus, OH 43235
I am a Licensed Independent Social Worker who specializes in individual counseling for children, adolescents, and young adults. I help individuals manage anxiety, depression, anger, behavioral issues, disorders related to trauma, relationship issues, major life adjustments/ transitions, and other personal issues. I have a bachelor’s degree in Social Work from Miami University and a master’s degree in Social Work from Louisiana State University.
I am a Licensed Independent Social Worker who specializes in individual counseling for children, adolescents, and young adults. I help individuals manage anxiety, depression, anger, behavioral issues, disorders related to trauma, relationship issues, major life adjustments/ transitions, and other personal issues. I have a bachelor’s degree in Social Work from Miami University and a master’s degree in Social Work from Louisiana State University.
(740) 982-9023 View (740) 982-9023
Photo of Garth Heasley, Clinical Social Work/Therapist in Columbus, OH
Garth Heasley
Clinical Social Work/Therapist, LISW
Verified Verified
Columbus, OH 43235
Seeking help is an act of bravery that deserves an environment of trust and acceptance. I work to create a safe, welcoming space that encourages healing and positive change. If you are experiencing the effects of trauma, depression, anxiety, relationship issues, or other emotional concerns, I can help guide you through identifying and achieving your goals.
Seeking help is an act of bravery that deserves an environment of trust and acceptance. I work to create a safe, welcoming space that encourages healing and positive change. If you are experiencing the effects of trauma, depression, anxiety, relationship issues, or other emotional concerns, I can help guide you through identifying and achieving your goals.
(614) 504-4608 View (614) 504-4608
Photo of Kim Gillie, Clinical Social Work/Therapist in Columbus, OH
Kim Gillie
Clinical Social Work/Therapist, LISW-S, C-IAYT
Verified Verified
1 Endorsed
Columbus, OH 43220
At Eating and Behavioral Health Associates, I specialize in the treatment of eating disorders, PTSD and co-occurring emotional concerns. I help people to find their inner strength through connection of their mind and body, and use evidence-based treatments such as CBT-E and Cognitive Processing Therapy to help individuals become free of the burdens from eating disorders and trauma.
At Eating and Behavioral Health Associates, I specialize in the treatment of eating disorders, PTSD and co-occurring emotional concerns. I help people to find their inner strength through connection of their mind and body, and use evidence-based treatments such as CBT-E and Cognitive Processing Therapy to help individuals become free of the burdens from eating disorders and trauma.
(614) 412-0448 View (614) 412-0448
Photo of Lisa Turner, Licensed Professional Clinical Counselor in Columbus, OH
Lisa Turner
Licensed Professional Clinical Counselor, LPC
Verified Verified
Columbus, OH 43215  (Online Only)
Lisa has received a Master of Divinity from The Southern Baptist Theological Seminary and a Master of Arts from The Athenaeum of Ohio. She is a Supervising Professional Clinical Counselor for the State of Ohio and has supervised groups and individuals for licensure in the state. Lisa has experience working with individuals, couples, and families as they confront transitions in their journey through life. She also has experience working with complex trauma situations. Lisa has worked with diverse populations in diverse settings including community mental health, hospitals, residential, schools, private practice, and in-home.
Lisa has received a Master of Divinity from The Southern Baptist Theological Seminary and a Master of Arts from The Athenaeum of Ohio. She is a Supervising Professional Clinical Counselor for the State of Ohio and has supervised groups and individuals for licensure in the state. Lisa has experience working with individuals, couples, and families as they confront transitions in their journey through life. She also has experience working with complex trauma situations. Lisa has worked with diverse populations in diverse settings including community mental health, hospitals, residential, schools, private practice, and in-home.
(380) 666-4664 View (380) 666-4664

How does your Therapist compare?

Number of Therapists in Columbus, OH

1,000+

Average cost per session

$125

Therapists in Columbus, OH who prioritize treating:

92% Anxiety
87% Depression
72% Trauma and PTSD
69% Self Esteem
67% Relationship Issues
64% Coping Skills
63% Stress

Average years in practice

10 Years

Top 3 insurances accepted

84% Aetna
76% UnitedHealthcare UHC | UBH
69% Cigna and Evernorth

How Therapists in Columbus, OH see their clients

60% In Person and Online
40% Online Only

Gender breakdown

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

How can I find a therapist in Columbus?

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.