Therapists in Saint Charles, MO

Photo of Michelle De Villar, Pre-Licensed Professional in Saint Charles, MO
Michelle De Villar
Pre-Licensed Professional, PLPC
Verified Verified
Saint Charles, MO 63303  (Online Only)
Life has been rough lately, and your emotions are becoming more and more overwhelming and are affecting you more often and more intensely. You're having a difficult time managing your emotions for yourself, and you feel your relationships have been impacted. Or, maybe you are stuck in a cycle of the same fight with your partner and need to communicate more effectively. Or maybe still, someone close in your life has found a way to make anything wrong in the relationship your fault and well, you believe them! Repair is available, and I can help guide you!
Life has been rough lately, and your emotions are becoming more and more overwhelming and are affecting you more often and more intensely. You're having a difficult time managing your emotions for yourself, and you feel your relationships have been impacted. Or, maybe you are stuck in a cycle of the same fight with your partner and need to communicate more effectively. Or maybe still, someone close in your life has found a way to make anything wrong in the relationship your fault and well, you believe them! Repair is available, and I can help guide you!
(636) 500-0879 View (636) 500-0879
Photo of Shontavia Mason, Pre-Licensed Professional in Saint Charles, MO
Shontavia Mason
Pre-Licensed Professional, MS, PLPC, NCC
Verified Verified
Saint Charles, MO 63301
I am passionate about providing services to those who want to take that step forward to begin their journey to healing. I support clients to reach their individual goals by helping identify thoughts, behaviors, and emotions that keep them in a never-ending cycle. I enjoy providing my clients with the space to feel comfortable and open while guiding them to set realistic goals that lead them on a healthier path.
I am passionate about providing services to those who want to take that step forward to begin their journey to healing. I support clients to reach their individual goals by helping identify thoughts, behaviors, and emotions that keep them in a never-ending cycle. I enjoy providing my clients with the space to feel comfortable and open while guiding them to set realistic goals that lead them on a healthier path.
(314) 470-9814 View (314) 470-9814
Photo of Mareayna Caine, Licensed Professional Counselor in Saint Charles, MO
Mareayna Caine
Licensed Professional Counselor, MA, LPC, NCC, CTP
Verified Verified
2 Endorsed
Saint Charles, MO 63304
Online booking available! Working with clients means helping to develop an understanding of the thoughts that are plaguing your mind, the emotions that create the sense of overwhelm, and conquering your personal goals to live the life desired. There are always parts of ourselves that may need just a little more attention, awareness, and healing. Invest in you. Life may always toss challenges at us, it is up to us to not just survive but try our best to live. Lets start with consistent support for your mental wellness. Colorado, Nevada, & Iowa clients have access to telehealth services only. Schedule your virtual consultation today!
Online booking available! Working with clients means helping to develop an understanding of the thoughts that are plaguing your mind, the emotions that create the sense of overwhelm, and conquering your personal goals to live the life desired. There are always parts of ourselves that may need just a little more attention, awareness, and healing. Invest in you. Life may always toss challenges at us, it is up to us to not just survive but try our best to live. Lets start with consistent support for your mental wellness. Colorado, Nevada, & Iowa clients have access to telehealth services only. Schedule your virtual consultation today!
(636) 389-4034 View (636) 389-4034
Photo of Kristen Waterman, Licensed Professional Counselor in Saint Charles, MO
Kristen Waterman
Licensed Professional Counselor, LPC
Verified Verified
1 Endorsed
Saint Charles, MO 63303
I love working with children, parents, and adult women with a variety of issues. I am a trauma focused therapist and will walk beside a client through difficult and life changing processes. I am so grateful for all the people who want to better their lives and are reaching out to me. Please EMAIL or TEXT me for session inquiries.
I love working with children, parents, and adult women with a variety of issues. I am a trauma focused therapist and will walk beside a client through difficult and life changing processes. I am so grateful for all the people who want to better their lives and are reaching out to me. Please EMAIL or TEXT me for session inquiries.
(636) 339-4896 View (636) 339-4896
Photo of Katherine Kline, Licensed Professional Counselor in Saint Charles, MO
Katherine Kline
Licensed Professional Counselor, PhD, LPC, CRC
Verified Verified
3 Endorsed
Saint Charles, MO 63304  (Online Only)
Waitlist for new clients
My name is Dr. Katherine Kline and I am a Licensed Professional Counselor (LPC) as well as a Certified Rehabilitation Counselor (CRC) located in Saint Louis, Missouri. I hold a Masters Degree in Rehabilitation Counseling from Michigan State University, and a PhD in Counselor Education from Michigan State University. I have over 13 years of experience in the counseling profession and I have worked with a wide range of populations to include, teens/ adolescents, and adults that present with a variety of issues and concerns.
My name is Dr. Katherine Kline and I am a Licensed Professional Counselor (LPC) as well as a Certified Rehabilitation Counselor (CRC) located in Saint Louis, Missouri. I hold a Masters Degree in Rehabilitation Counseling from Michigan State University, and a PhD in Counselor Education from Michigan State University. I have over 13 years of experience in the counseling profession and I have worked with a wide range of populations to include, teens/ adolescents, and adults that present with a variety of issues and concerns.
(636) 228-6698 View (636) 228-6698
Photo of Emilie Paterson in Saint Charles, MO
Emilie Paterson
MA, PLPC
Verified Verified
Saint Charles, MO 63301
Waitlist for new clients
At Ellie Mental Health we strive to provide quality care and an inclusive environment. Providing services for all types of clients and addressing a vast variety of mental health issues. We recognize that taking the first step to finding support through a therapist can be incredibly challenging. Many fears and worries may cross your mind. At Ellie we strive to provide an emotionally safe and comfortable environment knowing that it took a great deal of courage to show up! And we are glad you did!
At Ellie Mental Health we strive to provide quality care and an inclusive environment. Providing services for all types of clients and addressing a vast variety of mental health issues. We recognize that taking the first step to finding support through a therapist can be incredibly challenging. Many fears and worries may cross your mind. At Ellie we strive to provide an emotionally safe and comfortable environment knowing that it took a great deal of courage to show up! And we are glad you did!
(314) 936-2329 View (314) 936-2329
Photo of Jennie Wilson, Licensed Professional Counselor in Saint Charles, MO
Jennie Wilson
Licensed Professional Counselor, MA, LPC, NCC, RPT-S
Verified Verified
4 Endorsed
Saint Charles, MO 63303
Do you have concerns about your child's mental health or their behaviors? I can help! Are you unsure of where to start or how to help your child? I currently have immediate openings or space available in my 10 hour/week SPARK program (ages 5-10), virtual Safe & Sound Protocol (all ages) and in-person groups (pre-school, elementary, middle). I am also the founder of parenthub.net, which provides additional support for parents & caregivers.
Do you have concerns about your child's mental health or their behaviors? I can help! Are you unsure of where to start or how to help your child? I currently have immediate openings or space available in my 10 hour/week SPARK program (ages 5-10), virtual Safe & Sound Protocol (all ages) and in-person groups (pre-school, elementary, middle). I am also the founder of parenthub.net, which provides additional support for parents & caregivers.
(636) 275-1383 View (636) 275-1383
Photo of Cindy Scanlon Play Therapy, LLC, Clinical Social Work/Therapist in Saint Charles, MO
Cindy Scanlon Play Therapy, LLC
Clinical Social Work/Therapist, LMSW, LCSW, RPT
Verified Verified
Saint Charles, MO 63301
I am a hardworking and empathetic registered play therapist. I work with children of all ages on a variety of concerns. I am dedicated to being a support to both children and their families.
I am a hardworking and empathetic registered play therapist. I work with children of all ages on a variety of concerns. I am dedicated to being a support to both children and their families.
(636) 223-4694 View (636) 223-4694
Photo of Jaime Nolle, Licensed Professional Counselor in Saint Charles, MO
Jaime Nolle
Licensed Professional Counselor, MA, LPC
Verified Verified
Saint Charles, MO 63303
I have a passion for helping people find their way. I have been a therapist for over a decade, helped hundreds of individuals and their families, but I have a particular interest in supporting those that are in the "odyssey years". That period of searching and wandering that often starts in late adolescence and for many, lasts upwards of around a decade. Trying to figure out who you are and how that relates to or is impacted by your family, your friends, your job/career, and your life aspirations can be simultaneously exhilarating and overwhelming. You are in the driver's seat, I can just help you navigate the twists and turns.
I have a passion for helping people find their way. I have been a therapist for over a decade, helped hundreds of individuals and their families, but I have a particular interest in supporting those that are in the "odyssey years". That period of searching and wandering that often starts in late adolescence and for many, lasts upwards of around a decade. Trying to figure out who you are and how that relates to or is impacted by your family, your friends, your job/career, and your life aspirations can be simultaneously exhilarating and overwhelming. You are in the driver's seat, I can just help you navigate the twists and turns.
(636) 337-2845 View (636) 337-2845
Photo of Garland Counseling Services LLC , Licensed Professional Counselor in Saint Charles, MO
Garland Counseling Services LLC
Licensed Professional Counselor, MEd , LPC, NCC
Verified Verified
Saint Charles, MO 63303
Suffering is a part of life that even the most perfect lives must endure. So, how do we make the most of our pain and suffering? How do we get through these difficult times, without coming out empty handed? Let me help you navigate and understand the meaning behind your pain and suffering, even if you believe that there couldn't possibly be meaning. Alone, you are left questioning yourself, wandering through the dark. Together we can try to find the light and explore how to transform your pain into strength and wisdom.
Suffering is a part of life that even the most perfect lives must endure. So, how do we make the most of our pain and suffering? How do we get through these difficult times, without coming out empty handed? Let me help you navigate and understand the meaning behind your pain and suffering, even if you believe that there couldn't possibly be meaning. Alone, you are left questioning yourself, wandering through the dark. Together we can try to find the light and explore how to transform your pain into strength and wisdom.
(314) 722-6540 View (314) 722-6540
Photo of Mr. Darwin Glenn Marriage and Family Counseling , Pastoral Counselor in Saint Charles, MO
Mr. Darwin Glenn Marriage and Family Counseling
Pastoral Counselor
Verified Verified
1 Endorsed
Saint Charles, MO 63303  (Online Only)
Are you feeling stressed at work, school or home? Would you like a safe non judgemental space to share? If you are single, married or in a committed relationship, I am available to provide support as you navigate a path to a peaceful, healthier, lifestyle. My wife, Marlena Glenn, also provides Marriage and Family Counseling. Her certifications and training include Gottman, Integrative Sex and Couples, Co Parenting, Family Mediation, & Prepare and Enrich Relationship Counseling. She provides a clinical perspective. We can meet with you together, if requested, for individual, pre-marital, couples or family counseling.
Are you feeling stressed at work, school or home? Would you like a safe non judgemental space to share? If you are single, married or in a committed relationship, I am available to provide support as you navigate a path to a peaceful, healthier, lifestyle. My wife, Marlena Glenn, also provides Marriage and Family Counseling. Her certifications and training include Gottman, Integrative Sex and Couples, Co Parenting, Family Mediation, & Prepare and Enrich Relationship Counseling. She provides a clinical perspective. We can meet with you together, if requested, for individual, pre-marital, couples or family counseling.
(314) 470-9317 View (314) 470-9317
Photo of Sarah Morgan Runk, Licensed Professional Counselor in Saint Charles, MO
Sarah Morgan Runk
Licensed Professional Counselor, LPC, MA, MAR
Verified Verified
1 Endorsed
Saint Charles, MO 63301  (Online Only)
Do you feel overwhelmed or disconnected? Have you experienced a life-altering event? One which you would need to work through? Are you encountering symptoms of sensitivity or isolation? Life can be difficult for a number of reasons. Traumatic incidents can cause a spectrum of symptoms which inhibit every day functions, and relationships. It can be difficult to reach out under these circumstance, but there is hope. Trauma-focused counseling can assist with the safety and freedom you are seeking.
Do you feel overwhelmed or disconnected? Have you experienced a life-altering event? One which you would need to work through? Are you encountering symptoms of sensitivity or isolation? Life can be difficult for a number of reasons. Traumatic incidents can cause a spectrum of symptoms which inhibit every day functions, and relationships. It can be difficult to reach out under these circumstance, but there is hope. Trauma-focused counseling can assist with the safety and freedom you are seeking.
(636) 428-2995 View (636) 428-2995
Photo of Celeste Daiber, Licensed Professional Counselor in Saint Charles, MO
Celeste Daiber
Licensed Professional Counselor, MEd, LPC-S, NBCC, RPT-S, EMDR
Verified Verified
2 Endorsed
Saint Charles, MO 63301
Not accepting new clients
Hello! I am a Licensed Professional Counselor-Registered Supervisor, Registered Play Therapist-Supervisor and EMDR Certified Therapist. My specialty is working with children, adolescents and adults that struggle with depression, anxiety, attachment issues, grief and complex trauma. Please note: only those who have RPT or RPT-S credentials have the qualifications and training required by the Association for Play Therapy to be certified as Play Therapists. EMDR “training” does not infer EMDR Certification or guarantee competency regarding ability to integrate EMDR therapy into clinical practice.
Hello! I am a Licensed Professional Counselor-Registered Supervisor, Registered Play Therapist-Supervisor and EMDR Certified Therapist. My specialty is working with children, adolescents and adults that struggle with depression, anxiety, attachment issues, grief and complex trauma. Please note: only those who have RPT or RPT-S credentials have the qualifications and training required by the Association for Play Therapy to be certified as Play Therapists. EMDR “training” does not infer EMDR Certification or guarantee competency regarding ability to integrate EMDR therapy into clinical practice.
(636) 442-4970 View (636) 442-4970
Photo of Darcie Brady, Clinical Social Work/Therapist in Saint Charles, MO
Darcie Brady
Clinical Social Work/Therapist, MSW, LCSW
Verified Verified
Saint Charles, MO 63303
It’s ok to need time to figure things out-that’s what life is all about. I love working with teens as they grow and become their own unique, independent selves. I have dedicated my career to work with adolescents both in my role in public education and in private practice as a social worker.
It’s ok to need time to figure things out-that’s what life is all about. I love working with teens as they grow and become their own unique, independent selves. I have dedicated my career to work with adolescents both in my role in public education and in private practice as a social worker.
View
Photo of Linda Denison, Licensed Professional Counselor in Saint Charles, MO
Linda Denison
Licensed Professional Counselor, MA, LPC, CFRC
Verified Verified
2 Endorsed
Saint Charles, MO 63301
There are so many reasons people choose to see a counselor; trauma, grief, anxiety, depression, relationship problems or situational stress for example. Sometimes, you feel that you can work through it alone. However, another perspective and a place to talk in a comfortable and safe environment is the most beneficial for change to occur. You can get your life on track and I can help! I will help you in developing realistic goals and the support and tools to reach those goals. I have also added a certification to assist First Responders to cope with the challenges of these roles with someone who understands them and their jobs.
There are so many reasons people choose to see a counselor; trauma, grief, anxiety, depression, relationship problems or situational stress for example. Sometimes, you feel that you can work through it alone. However, another perspective and a place to talk in a comfortable and safe environment is the most beneficial for change to occur. You can get your life on track and I can help! I will help you in developing realistic goals and the support and tools to reach those goals. I have also added a certification to assist First Responders to cope with the challenges of these roles with someone who understands them and their jobs.
(636) 229-1553 View (636) 229-1553
Photo of Mandy Hicks, Licensed Professional Counselor in Saint Charles, MO
Mandy Hicks
Licensed Professional Counselor, MA, LPC
Verified Verified
Saint Charles, MO 63301
Does life just suck right now? If just one of your problems went away what would that feel like? Would it feel like you could breathe again, maybe all of your anxiety or sadness is gone, or perhaps you are FINALLY getting the help you need from your loved ones. Trying to figure all of this out by yourself can be overwhelming, throw a life event in there such as relationship issues, divorce, or a change in employment, and you can lose your sense of self. I won't let that happen.
Does life just suck right now? If just one of your problems went away what would that feel like? Would it feel like you could breathe again, maybe all of your anxiety or sadness is gone, or perhaps you are FINALLY getting the help you need from your loved ones. Trying to figure all of this out by yourself can be overwhelming, throw a life event in there such as relationship issues, divorce, or a change in employment, and you can lose your sense of self. I won't let that happen.
(314) 328-8278 View (314) 328-8278
Photo of Lia A Roth, Clinical Social Work/Therapist in Saint Charles, MO
Lia A Roth
Clinical Social Work/Therapist, PsyaD, LCSW, CRAADC
Verified Verified
Saint Charles, MO 63303
Hello, my name is Dr. Lia A. Roth. I was born in Argentina, and later moved to St. Louis, MO. I have experience working in multicultural environments. I have helped individuals and families overcome judgmental attitudes that can result in concerns about not being fit to fit in. Individuals that often feel isolated, confused, or ashamed. In addition to my psychotherapy practice, many times I have provided professional support during legal procedures regarding immigration, family, and injury.
Hello, my name is Dr. Lia A. Roth. I was born in Argentina, and later moved to St. Louis, MO. I have experience working in multicultural environments. I have helped individuals and families overcome judgmental attitudes that can result in concerns about not being fit to fit in. Individuals that often feel isolated, confused, or ashamed. In addition to my psychotherapy practice, many times I have provided professional support during legal procedures regarding immigration, family, and injury.
(636) 202-0850 View (636) 202-0850
Photo of Stephanie Lessmeier, Licensed Professional Counselor in Saint Charles, MO
Stephanie Lessmeier
Licensed Professional Counselor, MEd, LPC, NCC
Verified Verified
Saint Charles, MO 63303
Loving your larger body is the shit. You don't need to take a quiz to know that society hating on large bodies has affected you. You may find yourself hating yourself, putting yourself down constantly, dieting, shifting the conversation back to other people so that you don’t have to talk about yourself, following all of the rules so that you don’t get hurtful critical feedback, putting everyone else’s needs first, or struggling to say no. If you're also LGBTQ+ in Missouri, you face even more hurdles. All of these things can add up to major feelings of unworthiness.
Loving your larger body is the shit. You don't need to take a quiz to know that society hating on large bodies has affected you. You may find yourself hating yourself, putting yourself down constantly, dieting, shifting the conversation back to other people so that you don’t have to talk about yourself, following all of the rules so that you don’t get hurtful critical feedback, putting everyone else’s needs first, or struggling to say no. If you're also LGBTQ+ in Missouri, you face even more hurdles. All of these things can add up to major feelings of unworthiness.
(314) 582-2245 View (314) 582-2245
Photo of Eileen Henry, Licensed Professional Counselor in Saint Charles, MO
Eileen Henry
Licensed Professional Counselor, LPC
Verified Verified
1 Endorsed
Saint Charles, MO 63303
We all seek to belong and to be accepted for who we are. When our experiences or relationships lead us to feel negative about ourselves or develop anxiety, we can lose hope. We can develop unhealthy coping strategies or ways of interacting with others that can be harmful to ourselves physically or emotionally. These can lead us to feeling out of control and present with conflicts in our relationships closest to us. I believe we can work together to find hope and create solutions. Let's work together to transform how you feel instead of living a life just coping with how you feel.
We all seek to belong and to be accepted for who we are. When our experiences or relationships lead us to feel negative about ourselves or develop anxiety, we can lose hope. We can develop unhealthy coping strategies or ways of interacting with others that can be harmful to ourselves physically or emotionally. These can lead us to feeling out of control and present with conflicts in our relationships closest to us. I believe we can work together to find hope and create solutions. Let's work together to transform how you feel instead of living a life just coping with how you feel.
(636) 306-5390 View (636) 306-5390
Photo of Helen I Thurman, Clinical Social Work/Therapist in Saint Charles, MO
Helen I Thurman
Clinical Social Work/Therapist, MSW, MPH, LMSW
Verified Verified
Saint Charles, MO 63301
Not accepting new clients
Using a trauma-informed, developmentally sensitive approach to understanding the impact of an individual’s history on current functioning, I work collaboratively with individuals and families/supportive networks to address psychological and behavioral challenges including: aggression, anger, and defiant behaviors; body image and eating concerns; stress, anxiety, depression, and coping difficulties; peer relationship and social problems; difficulties with problem solving and decision making; school-related difficulties; and adjustment to changes in family composition, bereavement, or health concerns.
Using a trauma-informed, developmentally sensitive approach to understanding the impact of an individual’s history on current functioning, I work collaboratively with individuals and families/supportive networks to address psychological and behavioral challenges including: aggression, anger, and defiant behaviors; body image and eating concerns; stress, anxiety, depression, and coping difficulties; peer relationship and social problems; difficulties with problem solving and decision making; school-related difficulties; and adjustment to changes in family composition, bereavement, or health concerns.
(636) 242-8829 View (636) 242-8829

See more therapy options for Saint Charles

How does your Therapist compare?

Number of Therapists in Saint Charles, MO

200+

Average cost per session

$120

Therapists in Saint Charles, MO who prioritize treating:

89% Anxiety
83% Depression
73% Relationship Issues
73% Self Esteem
69% Coping Skills
68% Trauma and PTSD
63% Grief

Average years in practice

11 Years

Top 3 insurances accepted

80% UnitedHealthcare UHC | UBH
76% Aetna
75% Cigna and Evernorth

How Therapists in Saint Charles, MO see their clients

79% In Person and Online
21% Online Only

Gender breakdown

86% Female
13% Male
1% Non-Binary
FAQs - About Therapy and Counseling

How can I find a therapist in Saint Charles?

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.