Therapists in Easthampton, MA

Photo of Deslonde Parkinson, Counselor in Easthampton, MA
Deslonde Parkinson
Counselor, MA, LMHC
Verified Verified
Easthampton, MA 01027  (Online Only)
Not accepting new clients
Most people come to counseling because they want something to change in their lives, but they don't know how to achieve it and they need support along the way. My goal as a therapist is to guide you and support you to take actions for yourself that will improve your situation. Whether you are struggling with a life transition, substance abuse, anxiety, depression, trauma in the recent or distant past, or grieving a loss there are things you can do to reduce discomfort and start moving forward.
Most people come to counseling because they want something to change in their lives, but they don't know how to achieve it and they need support along the way. My goal as a therapist is to guide you and support you to take actions for yourself that will improve your situation. Whether you are struggling with a life transition, substance abuse, anxiety, depression, trauma in the recent or distant past, or grieving a loss there are things you can do to reduce discomfort and start moving forward.
(773) 819-2919 View (773) 819-2919
Photo of Vanessa Brackett, Counselor in Easthampton, MA
Vanessa Brackett
Counselor, LMHC
Verified Verified
Easthampton, MA 01027  (Online Only)
Waitlist for new clients
I help clients find ways to be present, accepting, adventurous and to have a more inclusive experience of living. I work with adults struggling with a wide range of challenges including mood concerns, addictive behavior, trauma, life transitions, and relationship issues. I support clients in becoming curious about their feelings, interrupting and shifting patterns that are no longer serving them and engaging in new ways of thinking, feeling, acting and meaning-making.
I help clients find ways to be present, accepting, adventurous and to have a more inclusive experience of living. I work with adults struggling with a wide range of challenges including mood concerns, addictive behavior, trauma, life transitions, and relationship issues. I support clients in becoming curious about their feelings, interrupting and shifting patterns that are no longer serving them and engaging in new ways of thinking, feeling, acting and meaning-making.
(413) 277-7087 View (413) 277-7087
Photo of Sarah Bleichfeld, Clinical Social Work/Therapist in Easthampton, MA
Sarah Bleichfeld
Clinical Social Work/Therapist, LICSW
Verified Verified
Easthampton, MA 01027
We all deserve to live our lives as fully and authentically as we can, and therapy can be a great support in that. I aim to create an open and safe space in which you can explore the patterns, behaviors, and beliefs that you may feel stuck in, and that are no longer serving you. As we build a trusting, supportive, and non-judgmental therapeutic relationship, we’ll work together to identify concrete goals and utilize evidence-based practices to achieve them.
We all deserve to live our lives as fully and authentically as we can, and therapy can be a great support in that. I aim to create an open and safe space in which you can explore the patterns, behaviors, and beliefs that you may feel stuck in, and that are no longer serving you. As we build a trusting, supportive, and non-judgmental therapeutic relationship, we’ll work together to identify concrete goals and utilize evidence-based practices to achieve them.
(413) 416-1439 View (413) 416-1439
Photo of Marcy Waliser, Clinical Social Work/Therapist in Easthampton, MA
Marcy Waliser
Clinical Social Work/Therapist, LICSW
Verified Verified
Easthampton, MA 01027  (Online Only)
Not accepting new clients
We're fortunate to be in a time where there is so much access to good psychological information. But there can also be a lot of pressure to figure things out on our own and get things right. Therapy can be enormously helpful in gaining clarity about what we think and feel and identify what is important to us. With clarity it is easier to make choices or change or even let go of some of the things that have been holding us back.
We're fortunate to be in a time where there is so much access to good psychological information. But there can also be a lot of pressure to figure things out on our own and get things right. Therapy can be enormously helpful in gaining clarity about what we think and feel and identify what is important to us. With clarity it is easier to make choices or change or even let go of some of the things that have been holding us back.
(413) 754-0614 View (413) 754-0614
Photo of Trish Hasper, Clinical Social Work/Therapist in Easthampton, MA
Trish Hasper
Clinical Social Work/Therapist, MEd, MSW, JD, LICSW
Verified Verified
2 Endorsed
Easthampton, MA 01027  (Online Only)
Not accepting new clients
I have enjoyed practicing psychotherapy for almost 29 years now. It is a great privilege to work with individuals from all backgrounds who are courageous enough to share the most intimate details of their lives and work towards self-improvement. I specialize in working with adults with a wide range of concerns, and am skilled in a variety of theoretical frameworks. As a licensed attorney, certified mediator and guardian ad litem I have significant experience helping couples divorce amicably and ensuring that special needs children secure their entitled supports and services through the public school system.
I have enjoyed practicing psychotherapy for almost 29 years now. It is a great privilege to work with individuals from all backgrounds who are courageous enough to share the most intimate details of their lives and work towards self-improvement. I specialize in working with adults with a wide range of concerns, and am skilled in a variety of theoretical frameworks. As a licensed attorney, certified mediator and guardian ad litem I have significant experience helping couples divorce amicably and ensuring that special needs children secure their entitled supports and services through the public school system.
(413) 274-4070 View (413) 274-4070
Photo of Hannah Tosi, Clinical Social Work/Therapist in Easthampton, MA
Hannah Tosi
Clinical Social Work/Therapist, LICSW, RYT
Verified Verified
Easthampton, MA 01027
Not accepting new clients
I provide Intensive Therapy Retreats. This treatment approach involves half day (i.e. 9AM-12PM, or 1 PM-4 PM), one-day long (9 AM-4 PM), or consecutive days working with me one-on-one. With this format you can make significant progress in your healing journey in a shorter period of time compared to the hour-per-week format. The retreat can be gentler on your nervous system, with more time to get to the heart of the matter and provide care once we get there. One to two half days a month works well for busy professionals as an alternative to once a week therapy.
I provide Intensive Therapy Retreats. This treatment approach involves half day (i.e. 9AM-12PM, or 1 PM-4 PM), one-day long (9 AM-4 PM), or consecutive days working with me one-on-one. With this format you can make significant progress in your healing journey in a shorter period of time compared to the hour-per-week format. The retreat can be gentler on your nervous system, with more time to get to the heart of the matter and provide care once we get there. One to two half days a month works well for busy professionals as an alternative to once a week therapy.
(413) 422-6954 View (413) 422-6954
Photo of Lauralee Sampere-Gagnon, Clinical Social Work/Therapist in Easthampton, MA
Lauralee Sampere-Gagnon
Clinical Social Work/Therapist, LICSW, SAC
Verified Verified
Easthampton, MA 01027
Are you feeling like you need to give yourself some time, space, thought and consideration with a twist that isn't just about finding the perfect "self-care" regimen or knowing the absolute right choice to make? This requires more than just talking about the stressors that happen on the daily or trying hard to understand the injustices that happen in life. I would like to offer you that time and space to guide the rediscovery of your ability to access values, accountability, and radical acceptance to name few in an effort to help you land in a place of living in peace amongst the chaos. Let's delve into some values work!
Are you feeling like you need to give yourself some time, space, thought and consideration with a twist that isn't just about finding the perfect "self-care" regimen or knowing the absolute right choice to make? This requires more than just talking about the stressors that happen on the daily or trying hard to understand the injustices that happen in life. I would like to offer you that time and space to guide the rediscovery of your ability to access values, accountability, and radical acceptance to name few in an effort to help you land in a place of living in peace amongst the chaos. Let's delve into some values work!
(413) 327-9981 View (413) 327-9981
Photo of Scott E Torquato, Clinical Social Work/Therapist in Easthampton, MA
Scott E Torquato
Clinical Social Work/Therapist, MS, LCSW, LICSW
Verified Verified
Easthampton, MA 01027
I am practicing TeleHealth and In-Person. I strongly believe that the trusting relationship with clients is the path to change, growth and healing through support, insight, and assistance past historic events and trauma. As a relational and psychodynamic therapist, I have over 35 years of diverse treatment experience, education, and training in multiple treatment modalities. Individual, Group, and Couples Treatment for adults, children, & families. Consultations & Evaluation services to Family Law Professionals & Law Enforcement Professionals, including Psycho-educational Presentations & Mediation.
I am practicing TeleHealth and In-Person. I strongly believe that the trusting relationship with clients is the path to change, growth and healing through support, insight, and assistance past historic events and trauma. As a relational and psychodynamic therapist, I have over 35 years of diverse treatment experience, education, and training in multiple treatment modalities. Individual, Group, and Couples Treatment for adults, children, & families. Consultations & Evaluation services to Family Law Professionals & Law Enforcement Professionals, including Psycho-educational Presentations & Mediation.
(413) 269-5241 View (413) 269-5241
Photo of Amanda Sposato, Clinical Social Work/Therapist in Easthampton, MA
Amanda Sposato
Clinical Social Work/Therapist, MSW, LICSW, LCSW
Verified Verified
Easthampton, MA 01027
I believe that every person makes sense in context. You might wonder why you often feel anxious, unfulfilled, or discontent. You might be curious about the patterns in your relationships or your reactions to others or events. You may wish to explore the ways you feel simultaneously connected and disconnected from yourself or the world. I'd love to work with you to help cultivate a curious stance to better understand yourself in the fuller context of your life. We will work together to expand your feelings of aliveness and acceptance while also helping you to more flexibly express needs, manage emotions, and deepen relationships.
I believe that every person makes sense in context. You might wonder why you often feel anxious, unfulfilled, or discontent. You might be curious about the patterns in your relationships or your reactions to others or events. You may wish to explore the ways you feel simultaneously connected and disconnected from yourself or the world. I'd love to work with you to help cultivate a curious stance to better understand yourself in the fuller context of your life. We will work together to expand your feelings of aliveness and acceptance while also helping you to more flexibly express needs, manage emotions, and deepen relationships.
(413) 588-7108 View (413) 588-7108
Photo of Ana Feliciano Ocd Anxiety Specialist, Counselor in Easthampton, MA
Ana Feliciano Ocd Anxiety Specialist
Counselor, LMHC, PsyD, BTTI
Verified Verified
Easthampton, MA 01027
My clients reach out to me for help when they are experiencing frightening or distressing intrusive thoughts or behaviors that seem to be out of their control. If you have been diagnosed and/or suspect, you have obsessive compulsive disorder and/or Anxiety related disorders and need someone who really understands what you are going through I can help.
My clients reach out to me for help when they are experiencing frightening or distressing intrusive thoughts or behaviors that seem to be out of their control. If you have been diagnosed and/or suspect, you have obsessive compulsive disorder and/or Anxiety related disorders and need someone who really understands what you are going through I can help.
(413) 324-5445 View (413) 324-5445
Photo of Randy Reed, Clinical Social Work/Therapist in Easthampton, MA
Randy Reed
Clinical Social Work/Therapist, LICSW
Verified Verified
1 Endorsed
Easthampton, MA 01027  (Online Only)
Everyone hopes to find a Therapist they will match well with in terms of personality and professional style, especially when they are suffering. Deep listening, compassion, and promotion of self-care and coping are values at the center of my practice. I attune topics and activities toward those that the client is most interested in exploring. Integrated Relational Therapy is the holistic, versatile framework that I use to meet teen and adult clients "where they're at" to address issues like trauma, grief, depression, anxiety, relationships, and addiction; through individual, family, and couples counseling.
Everyone hopes to find a Therapist they will match well with in terms of personality and professional style, especially when they are suffering. Deep listening, compassion, and promotion of self-care and coping are values at the center of my practice. I attune topics and activities toward those that the client is most interested in exploring. Integrated Relational Therapy is the holistic, versatile framework that I use to meet teen and adult clients "where they're at" to address issues like trauma, grief, depression, anxiety, relationships, and addiction; through individual, family, and couples counseling.
(413) 666-1970 View (413) 666-1970
Photo of Althea Zesk, Clinical Social Work/Therapist in Easthampton, MA
Althea Zesk
Clinical Social Work/Therapist, LICSW
Verified Verified
Easthampton, MA 01027
I work with individuals through all stages of adulthood, who are dealing with a variety of emotional or mental health issues. Some of these include anxiety, depression, trauma, chronic health issues, self esteem and confidence issues, and relationship problems. I enjoy helping my clients through the process of setting their goals for therapy, and helping them work toward them, leading to greater life satisfaction. I also work with individuals who have a history of being abused or devalued by others, whether in childhood, adulthood, or continuing into the present day.
I work with individuals through all stages of adulthood, who are dealing with a variety of emotional or mental health issues. Some of these include anxiety, depression, trauma, chronic health issues, self esteem and confidence issues, and relationship problems. I enjoy helping my clients through the process of setting their goals for therapy, and helping them work toward them, leading to greater life satisfaction. I also work with individuals who have a history of being abused or devalued by others, whether in childhood, adulthood, or continuing into the present day.
(413) 613-4705 View (413) 613-4705
Photo of Liz Anderson, Clinical Social Work/Therapist in Easthampton, MA
Liz Anderson
Clinical Social Work/Therapist, LICSW
Verified Verified
Easthampton, MA 01027
We live in a world that is both beautiful and painful. When the beauty seems hard to find, and the pain becomes too hard to hold, a therapist can help you find joy and meaning.  Therapy can help you move toward what matters most, feel more balanced and connected, and experience life intentionally in the imperfect present. If you have questions about my practice or would like to schedule a consultation, please visit my website at lizandersonlicswma.com or contact me via email (preferred) or phone.
We live in a world that is both beautiful and painful. When the beauty seems hard to find, and the pain becomes too hard to hold, a therapist can help you find joy and meaning.  Therapy can help you move toward what matters most, feel more balanced and connected, and experience life intentionally in the imperfect present. If you have questions about my practice or would like to schedule a consultation, please visit my website at lizandersonlicswma.com or contact me via email (preferred) or phone.
(413) 207-0988 View (413) 207-0988
Photo of Autumn Porubsky, Psychologist in Easthampton, MA
Autumn Porubsky
Psychologist, PsyD
Verified Verified
Easthampton, MA 01027  (Online Only)
I am a licensed psychologist with over 20 years of experience helping children, adolescents, and their parents recover from trauma. The experience of being abused or enduring a traumatic event can produce a range of challenges as a result. However, as a child or teen, navigating life thereafter can require specialized help. There is no need to face challenges alone. I specialize in helping kids and teenagers work through this process so that the trauma doesn’t define them. They can move forward with their lives in a positive, meaningful way, even discovering insights and strengths to empower them for the present and future.
I am a licensed psychologist with over 20 years of experience helping children, adolescents, and their parents recover from trauma. The experience of being abused or enduring a traumatic event can produce a range of challenges as a result. However, as a child or teen, navigating life thereafter can require specialized help. There is no need to face challenges alone. I specialize in helping kids and teenagers work through this process so that the trauma doesn’t define them. They can move forward with their lives in a positive, meaningful way, even discovering insights and strengths to empower them for the present and future.
(413) 414-4510 View (413) 414-4510
Photo of Rachel Lynch, Counselor in Easthampton, MA
Rachel Lynch
Counselor, MA, LMHC
Verified Verified
3 Endorsed
Easthampton, MA 01027  (Online Only)
Not accepting new clients
This shit is hard. Of course you need therapy! You get constant challenges that can make it feel like an uphill battle just to be yourself. From figuring out when to hit the hay to questioning your purpose in a wildly chaotic world, it's a lot to handle. Imagine taking a breather, stepping back, and unraveling the tangle of thoughts and emotions that often make life feel like a whirlwind.
This shit is hard. Of course you need therapy! You get constant challenges that can make it feel like an uphill battle just to be yourself. From figuring out when to hit the hay to questioning your purpose in a wildly chaotic world, it's a lot to handle. Imagine taking a breather, stepping back, and unraveling the tangle of thoughts and emotions that often make life feel like a whirlwind.
View
Photo of Simone Rainaud, Marriage & Family Therapist in Easthampton, MA
Simone Rainaud
Marriage & Family Therapist, MA, LMFT, LMT
Verified Verified
1 Endorsed
Easthampton, MA 01027  (Online Only)
Not accepting new clients
I work from a trauma-informed, systemic perspective, creating a safe supportive environment to allow for growth and change. I believe that clients have the power to heal themselves but can get stuck by past trauma and have difficulty accessing their own inner strength. I am here to help you access your own natural resources to navigate difficult times. I want to get you to your goals as quickly as possible and am happy to work short-term or long-term. My clients generally have relationship or family conflicts, PTSD, anxiety, behavioral issues or mood disorders.
I work from a trauma-informed, systemic perspective, creating a safe supportive environment to allow for growth and change. I believe that clients have the power to heal themselves but can get stuck by past trauma and have difficulty accessing their own inner strength. I am here to help you access your own natural resources to navigate difficult times. I want to get you to your goals as quickly as possible and am happy to work short-term or long-term. My clients generally have relationship or family conflicts, PTSD, anxiety, behavioral issues or mood disorders.
(774) 241-9618 View (774) 241-9618
Photo of Northeast Center for Youth & Families in Easthampton, MA
Northeast Center for Youth & Families
LICSW, LMHC
Verified Verified
3 Endorsed
Easthampton, MA 01027
NCYF offers a wide range of clinical options to children, teens, adults, and families. All of our clinical services are informed by evidence-based practices and services are delivered in a way that focuses on compassion and a respect for an individual's past trauma.
NCYF offers a wide range of clinical options to children, teens, adults, and families. All of our clinical services are informed by evidence-based practices and services are delivered in a way that focuses on compassion and a respect for an individual's past trauma.
(413) 624-7070 View (413) 624-7070
Photo of Danielle Martineau, Clinical Social Work/Therapist in Easthampton, MA
Danielle Martineau
Clinical Social Work/Therapist, MSW, LICSW
Verified Verified
1 Endorsed
Easthampton, MA 01027
Do you struggle with managing the challenges of everyday life because of overwhelming stress, anxiety, and/or depression? Are you constantly on edge, struggle to get out of bed due to fatigue, or stay up all night thinking about the past or future? Do you fear that you're not where you want to be in your life, and you're unsure as to how to get there? You're not alone and there is hope. On average, one in five adults and one in six children and adolescents, experience mental health struggles. Left untreated, mental health challenges can lead to financial loss, job instability, and relationship difficulties.
Do you struggle with managing the challenges of everyday life because of overwhelming stress, anxiety, and/or depression? Are you constantly on edge, struggle to get out of bed due to fatigue, or stay up all night thinking about the past or future? Do you fear that you're not where you want to be in your life, and you're unsure as to how to get there? You're not alone and there is hope. On average, one in five adults and one in six children and adolescents, experience mental health struggles. Left untreated, mental health challenges can lead to financial loss, job instability, and relationship difficulties.
(413) 216-4973 View (413) 216-4973
Photo of Carmarthen G Swift, Clinical Social Work/Therapist in Easthampton, MA
Carmarthen G Swift
Clinical Social Work/Therapist, LICSW
Verified Verified
Easthampton, MA 01027  (Online Only)
Maybe you're struggling to cope with life transitions like becoming a parent, changing a job, caring for a loved one, ending a relationship or starting a new one. Maybe life feels overwhelming and you feel lost at times. Perhaps you're struggling to cope with stress and anxiety. Maybe things that happened to you years ago, are getting in the way of living the life you want now. If you're ready to do the work and try some new strategies, I look forward to teaming up with you to pursue the life you envision. Wherever you are in life, I will meet you there with openness and compassion. I can help you identify what really matters.
Maybe you're struggling to cope with life transitions like becoming a parent, changing a job, caring for a loved one, ending a relationship or starting a new one. Maybe life feels overwhelming and you feel lost at times. Perhaps you're struggling to cope with stress and anxiety. Maybe things that happened to you years ago, are getting in the way of living the life you want now. If you're ready to do the work and try some new strategies, I look forward to teaming up with you to pursue the life you envision. Wherever you are in life, I will meet you there with openness and compassion. I can help you identify what really matters.
(413) 666-1654 View (413) 666-1654
Photo of Jay Sefton, Counselor in Easthampton, MA
Jay Sefton
Counselor, LMHC
Verified Verified
Easthampton, MA 01027
Not accepting new clients
It is our birthright to know who we truly are and experience our lives to their fullest potential. Each of us has a story, actually many stories, that reveal beliefs we hold about ourselves and the world. These stories and beliefs often stand in the way of expressing our full potential and experiencing the present moment more deeply. Within a supportive, judgment-free space, I help adults, couples, and adolescents claim their strengths and talents, and construct belief systems to support them so they can be shared with the world.
It is our birthright to know who we truly are and experience our lives to their fullest potential. Each of us has a story, actually many stories, that reveal beliefs we hold about ourselves and the world. These stories and beliefs often stand in the way of expressing our full potential and experiencing the present moment more deeply. Within a supportive, judgment-free space, I help adults, couples, and adolescents claim their strengths and talents, and construct belief systems to support them so they can be shared with the world.
(617) 675-4305 View (617) 675-4305

How does your Therapist compare?

Number of Therapists in Easthampton, MA

100+

Average cost per session

$150

Therapists in Easthampton, MA who prioritize treating:

92% Anxiety
90% Depression
77% Relationship Issues
75% Trauma and PTSD
74% Self Esteem
67% Coping Skills
61% Grief

Average years in practice

14 Years

Top 3 insurances accepted

92% BlueCross and BlueShield
53% Optum
50% UnitedHealthcare UHC | UBH

How Therapists in Easthampton, MA see their clients

65% In Person and Online
35% Online Only

Gender breakdown

82% Female
16% Male
2% Non-Binary
FAQs - About Therapy and Counseling

How can I find a therapist in Easthampton?

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.