Therapists in Colorado Springs, CO
Emily Christensen
Licensed Professional Counselor Candidate, LPCC, MA
Verified Verified
1 Endorsed
Colorado Springs, CO 80904 (Online Only)
Not accepting new clients
Life is full of change– whether it is a marriage, divorce, break up, entering or leaving college, changing careers, etc. Even in the midst of change, it is also easy to feel like you are stagnating or can’t get a break from difficult emotions. Maybe you get up in the morning for another new day and feel like nothing will change. Maybe nothing is concretely wrong, but it definitely is not right. Maybe you are struggling to adjust to the changes life presents while still feeling stuck in painful emotions. Something has to change, but you aren’t sure how and what. I can help.
Life is full of change– whether it is a marriage, divorce, break up, entering or leaving college, changing careers, etc. Even in the midst of change, it is also easy to feel like you are stagnating or can’t get a break from difficult emotions. Maybe you get up in the morning for another new day and feel like nothing will change. Maybe nothing is concretely wrong, but it definitely is not right. Maybe you are struggling to adjust to the changes life presents while still feeling stuck in painful emotions. Something has to change, but you aren’t sure how and what. I can help.
Focused Learning Neuropsychology, PLLC
Psychologist, PhD
Verified Verified
Colorado Springs, CO 80906
My name is Dr. Gregory Wochos and I am a Clinical Neuropsychologist and Licensed Psychologist. I provide comprehensive neuropsychological assessment services for children and young adults (ages 6 through college ) who present with a variety of neurocognitive and academic challenges. I strive to provide the highest quality of care by going above and beyond to provide you with the answers you need to unlock your full potential. My evaluations include personalized and evidence-based treatment recommendations tailored to fit each client’s needs and learning style, using a strength-based approach.
My name is Dr. Gregory Wochos and I am a Clinical Neuropsychologist and Licensed Psychologist. I provide comprehensive neuropsychological assessment services for children and young adults (ages 6 through college ) who present with a variety of neurocognitive and academic challenges. I strive to provide the highest quality of care by going above and beyond to provide you with the answers you need to unlock your full potential. My evaluations include personalized and evidence-based treatment recommendations tailored to fit each client’s needs and learning style, using a strength-based approach.
Max Ziegenhagen
Marriage & Family Therapist, MA, MFT
Verified Verified
5 Endorsed
Colorado Springs, CO 80920
I work with families who feel stuck. Maybe you simply cannot seem to change the pattern of conflict in your marriage, or your teen’s behavior or emotional experience is more than you can handle. Maybe your son or daughter is depressed or addicted, or you have experienced a loss, an accident, or are finally ready to address the experience of abuse in your life that has held you back or kept you disconnected from yourself and others. Please come in and meet me in person so we can get you unstuck and reconnected!
I work with families who feel stuck. Maybe you simply cannot seem to change the pattern of conflict in your marriage, or your teen’s behavior or emotional experience is more than you can handle. Maybe your son or daughter is depressed or addicted, or you have experienced a loss, an accident, or are finally ready to address the experience of abuse in your life that has held you back or kept you disconnected from yourself and others. Please come in and meet me in person so we can get you unstuck and reconnected!
Elyse Jacobson
Licensed Professional Counselor, LPC, LAC
Verified Verified
Colorado Springs, CO 80921
Glennon Melton, an author I admire, has described life as “brutiful.” Brutiful blends the two words, “Beautiful” & “Brutal”, which summarizes how we often experience our journeys in life. Life has its beautiful moments, it also has some difficult, hard times. When life feels painful and you need someone to talk to, I am someone who can provide a safe place to feel supported & heard. My goal is to provide a place for you to explore your thoughts, feelings, and coping strategies in order to find clarity, to better understand yourself, and to strengthen healthy emotion management and interpersonal skills.
Glennon Melton, an author I admire, has described life as “brutiful.” Brutiful blends the two words, “Beautiful” & “Brutal”, which summarizes how we often experience our journeys in life. Life has its beautiful moments, it also has some difficult, hard times. When life feels painful and you need someone to talk to, I am someone who can provide a safe place to feel supported & heard. My goal is to provide a place for you to explore your thoughts, feelings, and coping strategies in order to find clarity, to better understand yourself, and to strengthen healthy emotion management and interpersonal skills.
Colleen Morrison
Pre-Licensed Professional
Verified Verified
1 Endorsed
Colorado Springs, CO 80919
Are you looking to find your place in the sun? Life is filled with many experiences from good to bad to everything in between. Certain moments of life can be hard to navigate and it can help to have a listening ear. Taking the steps to seek help can feel daunting and overwhelming. I am glad you are taking the first of many steps to work toward the change you want to see. The position that you find yourself in now does not have to be where you find yourself in the future, and I believe counseling can assist you in reaching your goals.
Are you looking to find your place in the sun? Life is filled with many experiences from good to bad to everything in between. Certain moments of life can be hard to navigate and it can help to have a listening ear. Taking the steps to seek help can feel daunting and overwhelming. I am glad you are taking the first of many steps to work toward the change you want to see. The position that you find yourself in now does not have to be where you find yourself in the future, and I believe counseling can assist you in reaching your goals.
Perinatal Wellness Center
Clinical Social Work/Therapist, LCSW
Verified Verified
Colorado Springs, CO 80916
I am passionate about holding the space for clients to find their path to their best selves. Life can be filled with so many challenges that are unexpected: becoming a parent, experiencing grief or trauma, or having had struggles as a child with your parents. When working with clients, I use the skills and knowledge that I have honed over the last 20 years which enables me to provide a vast toolbox to support the health and wellness of each person. Areas of specialty are birth trauma, perinatal work of all kinds, adjustment, loss, and trauma. I offer EMDR and perinatal consultations to other professionals.
I am passionate about holding the space for clients to find their path to their best selves. Life can be filled with so many challenges that are unexpected: becoming a parent, experiencing grief or trauma, or having had struggles as a child with your parents. When working with clients, I use the skills and knowledge that I have honed over the last 20 years which enables me to provide a vast toolbox to support the health and wellness of each person. Areas of specialty are birth trauma, perinatal work of all kinds, adjustment, loss, and trauma. I offer EMDR and perinatal consultations to other professionals.
Community Counseling Center at CCU
Licensed Professional Counselor
Verified Verified
1 Endorsed
Colorado Springs, CO 80920
The Community Counseling Center at Colorado Christian University offers evidence-based professional counseling to individuals and families struggling with an array of mental health problems. Our staff of highly trained master’s-level and doctoral-level clinicians have extensive experience integrating faith-based principles into ethical clinical mental health treatment. We provide treatment for: trauma, veteran-specific issues, adolescent behavioral and emotional issues, marriage and family related issues, substance abuse, mood disorders, personality disorders, and other general mental health issues.
The Community Counseling Center at Colorado Christian University offers evidence-based professional counseling to individuals and families struggling with an array of mental health problems. Our staff of highly trained master’s-level and doctoral-level clinicians have extensive experience integrating faith-based principles into ethical clinical mental health treatment. We provide treatment for: trauma, veteran-specific issues, adolescent behavioral and emotional issues, marriage and family related issues, substance abuse, mood disorders, personality disorders, and other general mental health issues.
Joanie Lewis
Drug & Alcohol Counselor, LPC, LAC
Verified Verified
1 Endorsed
Colorado Springs, CO 80903
I graduated with a Bachelor's Degree in Psychology from The Colorado College and a Master's Degree in Psychology from Regis University. I am dually credentialed as a Licensed Professional Counselor and a Licensed Addiction Counselor specializing in developing comprehensive treatment plans for the treatment of co-occurring disorders. My treatment focus has developed into a specialty area in treating trauma issues using body-focused somatic treatments including being a Level II EMDR certified clinician, and the incorporation of evidenced-based therapies such as CBT and DBT allowing more depth of resources in addressing individuals with life challenges.
I graduated with a Bachelor's Degree in Psychology from The Colorado College and a Master's Degree in Psychology from Regis University. I am dually credentialed as a Licensed Professional Counselor and a Licensed Addiction Counselor specializing in developing comprehensive treatment plans for the treatment of co-occurring disorders. My treatment focus has developed into a specialty area in treating trauma issues using body-focused somatic treatments including being a Level II EMDR certified clinician, and the incorporation of evidenced-based therapies such as CBT and DBT allowing more depth of resources in addressing individuals with life challenges.
Trinity Nyx
Licensed Professional Counselor, MA, LPC
Verified Verified
Colorado Springs, CO 80903 (Online Only)
You’re an outsider, different than the culture around you, pushed to the margins. And you’ve been keeping secrets. Dark, taboo secrets about money, death, sex, religion, female bodies, and politics. For yourself, for your family, for society. For a long time, it was easy enough to bury these secrets, to pretend it never happened, to pretend you didn’t know. But you can’t anymore. Lots of everyday and mundane things are calling these secrets to the surface; some you don’t even recognize as your own. You feel like you may crack apart. You’re paralyzed with anxiety, fiery with rage, sick with disgust, and perhaps just a bit mad.
You’re an outsider, different than the culture around you, pushed to the margins. And you’ve been keeping secrets. Dark, taboo secrets about money, death, sex, religion, female bodies, and politics. For yourself, for your family, for society. For a long time, it was easy enough to bury these secrets, to pretend it never happened, to pretend you didn’t know. But you can’t anymore. Lots of everyday and mundane things are calling these secrets to the surface; some you don’t even recognize as your own. You feel like you may crack apart. You’re paralyzed with anxiety, fiery with rage, sick with disgust, and perhaps just a bit mad.
Kendra Todd @ Forge Counseling Collective
Licensed Professional Counselor, MS, LPC, NCC
Verified Verified
2 Endorsed
Colorado Springs, CO 80903
Life is hard. Things are weird. And emotions are all over the place. You're always adapting, and it feels like more is being asked of you each time you feel like you're getting settled. But I'll let you in on a secret- you've got this. It may not feel that way right now, but deep inside you've been given, and have ALWAYS held, the ability to change. To adapt. To overcome. If you've read this far and you're thinking you want to know more about the ember that's kindling inside- I'm your gal (or therapist, in this instance).
Life is hard. Things are weird. And emotions are all over the place. You're always adapting, and it feels like more is being asked of you each time you feel like you're getting settled. But I'll let you in on a secret- you've got this. It may not feel that way right now, but deep inside you've been given, and have ALWAYS held, the ability to change. To adapt. To overcome. If you've read this far and you're thinking you want to know more about the ember that's kindling inside- I'm your gal (or therapist, in this instance).
Central Focus Psychological Group
Psychologist
Verified Verified
Colorado Springs, CO 80906
Central Focus Psychological Group specializes in testing/evaluation services. We work with community centers, attorneys, neurologists, general practitioners, and others to provide accurate diagnoses to assist with your overall treatment. Our evaluations include neurodevelopmental disorders, neurocognitive decline, and many other psychological issues. We competently diagnose an array of disorders, such as ADHD, Intellectual Disability, Autism Spectrum Disorder, Dementia, Personality Disorders, Depression, Anxiety, PTSD, and more. We can also schedule your evaluation quickly to avoid long wait times. Call us to book your appointment.
Central Focus Psychological Group specializes in testing/evaluation services. We work with community centers, attorneys, neurologists, general practitioners, and others to provide accurate diagnoses to assist with your overall treatment. Our evaluations include neurodevelopmental disorders, neurocognitive decline, and many other psychological issues. We competently diagnose an array of disorders, such as ADHD, Intellectual Disability, Autism Spectrum Disorder, Dementia, Personality Disorders, Depression, Anxiety, PTSD, and more. We can also schedule your evaluation quickly to avoid long wait times. Call us to book your appointment.
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MA, LPCC, NCC
Verified Verified
2 Endorsed
Colorado Springs, CO 80918
I have a heart for people who've suffered trauma, struggled in life, and who may feel like they're broken or damaged, thinking no one understands, or worse, that nobody cares. If that’s you, I’d like to help you on a path to healing.
I have a heart for people who've suffered trauma, struggled in life, and who may feel like they're broken or damaged, thinking no one understands, or worse, that nobody cares. If that’s you, I’d like to help you on a path to healing.
Summit Psychological Assessment & Consultation
Psychologist, PhD
Verified Verified
2 Endorsed
Colorado Springs, CO 80920
We provide Neuroeducational testing services addressing autism, learning disabilities, etc. Our philosophy is to rule out differential diagnoses, identify an individual’s strengths and areas of need and consult with parents to help them best advocate for their child. We provide families with Individualized Support Plans that are developed through meaningful and targeted assessment and consultation. All psychologists at Summit are dual-licensed clinical psychologists and school psychologists who specialize in evaluating and supporting children and young people.
We provide Neuroeducational testing services addressing autism, learning disabilities, etc. Our philosophy is to rule out differential diagnoses, identify an individual’s strengths and areas of need and consult with parents to help them best advocate for their child. We provide families with Individualized Support Plans that are developed through meaningful and targeted assessment and consultation. All psychologists at Summit are dual-licensed clinical psychologists and school psychologists who specialize in evaluating and supporting children and young people.
Emily Heuer
Pre-Licensed Professional, LPCC
Verified Verified
1 Endorsed
Colorado Springs, CO 80919 (Online Only)
I specialize in supporting adolescents, teens, and adults through life transitions or difficult mental health symptoms. Whether you are struggling with anxiety, depression, grief, self-harm, panic attacks, relationship issues, or navigating life transitions, I provide a supportive space for you to explore your thoughts, feelings, and behaviors. I use evidence-based interventions to help you meet your goals and work toward a healthy mind and body.
I specialize in supporting adolescents, teens, and adults through life transitions or difficult mental health symptoms. Whether you are struggling with anxiety, depression, grief, self-harm, panic attacks, relationship issues, or navigating life transitions, I provide a supportive space for you to explore your thoughts, feelings, and behaviors. I use evidence-based interventions to help you meet your goals and work toward a healthy mind and body.
Stephanie Perri
Licensed Professional Counselor Candidate, LPCC
Verified Verified
1 Endorsed
Colorado Springs, CO 80919
Sometimes life circumstances can leave us feeling overwhelmed or powerless. Fear and anxiety can be consuming and can make it hard to experience joy in our lives. You have the strength and wisdom within yourself to create the life you want and free yourself from fear, shame, and blame. I believe that collaboratively we can work together to find the freedom and balance you are looking for.
Sometimes life circumstances can leave us feeling overwhelmed or powerless. Fear and anxiety can be consuming and can make it hard to experience joy in our lives. You have the strength and wisdom within yourself to create the life you want and free yourself from fear, shame, and blame. I believe that collaboratively we can work together to find the freedom and balance you are looking for.
Caralee Frederic
Clinical Social Work/Therapist, LCSW, CGT, SRT
Verified Verified
2 Endorsed
Colorado Springs, CO 80920
I love working with couples who are passionate about the value of their marriage/relationship, regardless of its current state. Whether you want to strengthen your current relationship or are healing from deep wounds and painful interactions, you are ready to invest the time, energy and money to achieve an "Elevated" relationship and a more abundant life together. My couples are willing to grapple with hard things, such as affairs/infidelity, betrayal trauma, porn addiction and other sexually compulsive behaviors, Intimacy Anorexia, escalated conflict, and disconnect. I offer Discernment Counseling, for couples considering divorce.
I love working with couples who are passionate about the value of their marriage/relationship, regardless of its current state. Whether you want to strengthen your current relationship or are healing from deep wounds and painful interactions, you are ready to invest the time, energy and money to achieve an "Elevated" relationship and a more abundant life together. My couples are willing to grapple with hard things, such as affairs/infidelity, betrayal trauma, porn addiction and other sexually compulsive behaviors, Intimacy Anorexia, escalated conflict, and disconnect. I offer Discernment Counseling, for couples considering divorce.
Tommy Shaughnessy
LPC Intern, MA
Verified Verified
1 Endorsed
Colorado Springs, CO 80918
A wise man once said "We must never forget that we may also find meaning in life even when confronted with a hopeless situation, when facing a fate that cannot be changed."- Victor Frankl. With purpose a person can endure almost anything. With purpose hope can begin anew. Everyone has a story in life, that story can be used to bring forth life and purpose which are the foundations for lasting hope.
A wise man once said "We must never forget that we may also find meaning in life even when confronted with a hopeless situation, when facing a fate that cannot be changed."- Victor Frankl. With purpose a person can endure almost anything. With purpose hope can begin anew. Everyone has a story in life, that story can be used to bring forth life and purpose which are the foundations for lasting hope.
J Ashley Ward, LPC, PLLC
Licensed Professional Counselor, LPC, EMDR
Verified Verified
1 Endorsed
Colorado Springs, CO 80903
Do you identify with "being stuck" or struggle with making progress & feeling better? Do you have recurring anxiety, agitation, &/or depression? Or no one understands you? These concerns often need specialized treatment. Past trauma impedes the healing process. PTSD results from many types of experiences. EMDR is proven to cure PTSD, no matter how long or severe you have suffered its symptoms. So have you had enough yet? If so, you can benefit from my professional experience. Are you ready to change & undergo real transformation? Maybe you're ready now. Request a free consult by clicking on my "website," by email, or call me today!
Do you identify with "being stuck" or struggle with making progress & feeling better? Do you have recurring anxiety, agitation, &/or depression? Or no one understands you? These concerns often need specialized treatment. Past trauma impedes the healing process. PTSD results from many types of experiences. EMDR is proven to cure PTSD, no matter how long or severe you have suffered its symptoms. So have you had enough yet? If so, you can benefit from my professional experience. Are you ready to change & undergo real transformation? Maybe you're ready now. Request a free consult by clicking on my "website," by email, or call me today!
Jennifer Morales
Marriage & Family Therapist, LMFT
Verified Verified
Colorado Springs, CO 80923
I am a Licensed Marriage and Family therapist who uses a wide variety of treatment approaches including CBT, ACT, DBT, Narrative therapy, Solution-focused therapy, and Emotional Focused therapy. I enjoy working with kids (5+), adolescents, teens, young adults, and adults (including seniors). I also enjoy working with couples and families. I specialize in topics including ADHD, Anger Management, Anxiety, Depression, Family/Intimate/romantic relationships, Grief, Life transitions, Medical issues/physical health, military/veteran support, Stress, suicidal ideation/self harm, and trauma.
I am a Licensed Marriage and Family therapist who uses a wide variety of treatment approaches including CBT, ACT, DBT, Narrative therapy, Solution-focused therapy, and Emotional Focused therapy. I enjoy working with kids (5+), adolescents, teens, young adults, and adults (including seniors). I also enjoy working with couples and families. I specialize in topics including ADHD, Anger Management, Anxiety, Depression, Family/Intimate/romantic relationships, Grief, Life transitions, Medical issues/physical health, military/veteran support, Stress, suicidal ideation/self harm, and trauma.
Christine Sanyu Ogolla
Clinical Social Work/Therapist, LCSW
Verified Verified
1 Endorsed
Colorado Springs, CO 80918
Christine Ogolla is a dedicated professional with a master’s degree in social work. She is a licensed clinical social worker in the state of Colorado. With over two decades of experience, her focus lies in supporting vulnerable populations. She is deeply passionate about empowering individuals by listening to their stories, providing motivation, and fostering autonomy, believing in the inherent strength specialize in treatment planning and interventions for those with severe disabilities. I thrive on collaboration, having built strong partnerships with various community stakeholders to ensure comprehensive support for those in need.
Christine Ogolla is a dedicated professional with a master’s degree in social work. She is a licensed clinical social worker in the state of Colorado. With over two decades of experience, her focus lies in supporting vulnerable populations. She is deeply passionate about empowering individuals by listening to their stories, providing motivation, and fostering autonomy, believing in the inherent strength specialize in treatment planning and interventions for those with severe disabilities. I thrive on collaboration, having built strong partnerships with various community stakeholders to ensure comprehensive support for those in need.
See more therapy options for Colorado Springs
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How does your Therapist compare?
Number of Therapists in Colorado Springs, CO
1,000+
Average cost per session
$125
Therapists in Colorado Springs, CO who prioritize treating:
91% | Anxiety |
87% | Depression |
77% | Trauma and PTSD |
73% | Relationship Issues |
71% | Self Esteem |
68% | Coping Skills |
68% | Stress |
Average years in practice
9 Years
Top 3 insurances accepted
78% | Aetna |
73% | Cigna and Evernorth |
71% | UnitedHealthcare UHC | UBH |
How Therapists in Colorado Springs, CO see their clients
68% | In Person and Online | |
32% | Online Only |
Gender breakdown
78% | Female | |
21% | Male | |
1% | Non-Binary |
FAQs - About Therapy and Counseling
How can I find a therapist in Colorado Springs?
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
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.
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.
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.