Therapists in Mashpee, MA

Photo of Ronald G. Marcellus, Counselor in Mashpee, MA
Ronald G. Marcellus
Counselor, LMHC, LADCMA
Verified Verified
Mashpee, MA 02649  (Online Only)
Over 37 years in continuous Recovery from addiction offering support , understanding, education, and facilitation of the coping skills , recovering strategies and healing path you choose.
Over 37 years in continuous Recovery from addiction offering support , understanding, education, and facilitation of the coping skills , recovering strategies and healing path you choose.
(508) 500-8796 View (508) 500-8796
Photo of Glen A Freiband, Counselor in Mashpee, MA
Glen A Freiband
Counselor, LMHC
Verified Verified
Mashpee, MA 02649
I have been a human being for 64 years, a practicing psychotherapist for 22. I invite you to stand shoulder to shoulder with me in our journey to ease your suffering and achieve your goals. Therapy offers many possibilities- seeing old problems in a new and open way, being more alive in the world, celebrating the possibility of wonder, or learning more effective strategies for relating. This means exploring and addressing various kinds of dilemmas and pain. It may simply mean support with your creative process, or more commonly, with the feeling that you are “stuck”.
I have been a human being for 64 years, a practicing psychotherapist for 22. I invite you to stand shoulder to shoulder with me in our journey to ease your suffering and achieve your goals. Therapy offers many possibilities- seeing old problems in a new and open way, being more alive in the world, celebrating the possibility of wonder, or learning more effective strategies for relating. This means exploring and addressing various kinds of dilemmas and pain. It may simply mean support with your creative process, or more commonly, with the feeling that you are “stuck”.
(774) 316-7564 View (774) 316-7564
Photo of Karen Vernen Thompson LICSW, Clinical Social Work/Therapist in Mashpee, MA
Karen Vernen Thompson LICSW
Clinical Social Work/Therapist, LICW, CADACII, LADCI
Verified Verified
1 Endorsed
Mashpee, MA 02649
Addiction ,depression ,anxiety and trauma are my specialties.I have worked with thousands of adolescents,couples. adults and familes over the last 29 years. Extensive training PTSD. MSW BOSTON COLLEGE LICENCE CLINCAL SOCIAL WORK. DRUG COUNSELOR IN MA. LADCI LICENCE. CERTIFED ALCOHOL AND DRUG ADDICTION COUNSELOR CADACII RAPID RESOLUTION TREATMENT CERTIFIED RRT
Addiction ,depression ,anxiety and trauma are my specialties.I have worked with thousands of adolescents,couples. adults and familes over the last 29 years. Extensive training PTSD. MSW BOSTON COLLEGE LICENCE CLINCAL SOCIAL WORK. DRUG COUNSELOR IN MA. LADCI LICENCE. CERTIFED ALCOHOL AND DRUG ADDICTION COUNSELOR CADACII RAPID RESOLUTION TREATMENT CERTIFIED RRT
(774) 462-5399 View (774) 462-5399
Photo of Blue Lotus Behavioral Health & Wellness- Leah Rowe, Counselor in Mashpee, MA
Blue Lotus Behavioral Health & Wellness- Leah Rowe
Counselor, LMHC, Reiki 2, EFT 2
Verified Verified
Mashpee, MA 02649
Waitlist for new clients
I believe that if you are seeking help now, then you have made the first step onto the road of recovery. The process of change can be very different for everyone, and I tailor my approach to wherever you are in your journey. My approach is goal directed, yet patient and empathic. I strive to help those motivated for change begin to find their true path in life. I also identify a more holistic/integrative approach to therapy, by looking at how mental health impacts the whole person (mind, body, soul). My practice will eventually expand to offer behavioral health with holistic wellness techniques and services.
I believe that if you are seeking help now, then you have made the first step onto the road of recovery. The process of change can be very different for everyone, and I tailor my approach to wherever you are in your journey. My approach is goal directed, yet patient and empathic. I strive to help those motivated for change begin to find their true path in life. I also identify a more holistic/integrative approach to therapy, by looking at how mental health impacts the whole person (mind, body, soul). My practice will eventually expand to offer behavioral health with holistic wellness techniques and services.
(774) 250-3326 View (774) 250-3326
Photo of Dexter Smart, Clinical Social Work/Therapist in Mashpee, MA
Dexter Smart
Clinical Social Work/Therapist, MSW, LICSW
Verified Verified
Mashpee, MA 02649
All people are innately good and have the ability to heal themselves. Stressors are ever present in our everyday lives and are manifested through multiple ways. While these stressors can be the genesis of our problems, they are also the catalyst to starting the healing process. After making the decision to seek counseling and wellness care, the second most critical step is who will provide this care. At Westwind Counseling & Wellness we operate from a strong multicultural perspective providing time honored psychotherapy but with a focus on your whole health guided by the core values of Resiliency, Empowerment and Restoration.
All people are innately good and have the ability to heal themselves. Stressors are ever present in our everyday lives and are manifested through multiple ways. While these stressors can be the genesis of our problems, they are also the catalyst to starting the healing process. After making the decision to seek counseling and wellness care, the second most critical step is who will provide this care. At Westwind Counseling & Wellness we operate from a strong multicultural perspective providing time honored psychotherapy but with a focus on your whole health guided by the core values of Resiliency, Empowerment and Restoration.
(508) 691-8670 View (508) 691-8670
Photo of Yvonne Nickerson, Clinical Social Work/Therapist in Mashpee, MA
Yvonne Nickerson
Clinical Social Work/Therapist, LICSW
Verified Verified
Mashpee, MA 02649  (Online Only)
Currently accepting new clients! Telehealth Only Are you in a period of transition? Have had a recent loss? Are you struggling with depression and/or anxiety? A space that is non-judgmental, positive and supportive with an understanding and experienced therapist is a place to explore and work to resolve these issues, determine future goals and move forward. This is a starting point on your journey to recovery, wellness, contentment and the future.
Currently accepting new clients! Telehealth Only Are you in a period of transition? Have had a recent loss? Are you struggling with depression and/or anxiety? A space that is non-judgmental, positive and supportive with an understanding and experienced therapist is a place to explore and work to resolve these issues, determine future goals and move forward. This is a starting point on your journey to recovery, wellness, contentment and the future.
(508) 535-5375 View (508) 535-5375
Photo of Donlan Counseling Services in Mashpee, MA
Donlan Counseling Services
DBH, MBA, LADC I
Verified Verified
2 Endorsed
Mashpee, MA 02649
Not accepting new clients
I am a Doctor of Behavioral Health (DBH) with over 15 years of experience assisting individuals suffering from depression, anxiety, and addiction. I have worked with patients who have endured emotionally stressful experiences and I recognize the importance of having a supportive guide to help you through the journey to healing and recovery. I use my training in Cognitive Behavioral Therapy (CBT) and Motivational Interviewing (MI) to support a patient-centered model that I have developed for individualized care. I work with ages 14 + and I pride myself on the ability to connect with my patients on a personal level and instill hope.
I am a Doctor of Behavioral Health (DBH) with over 15 years of experience assisting individuals suffering from depression, anxiety, and addiction. I have worked with patients who have endured emotionally stressful experiences and I recognize the importance of having a supportive guide to help you through the journey to healing and recovery. I use my training in Cognitive Behavioral Therapy (CBT) and Motivational Interviewing (MI) to support a patient-centered model that I have developed for individualized care. I work with ages 14 + and I pride myself on the ability to connect with my patients on a personal level and instill hope.
(508) 796-8152 View (508) 796-8152
Photo of Sarah J Stevenson, Clinical Social Work/Therapist in Mashpee, MA
Sarah J Stevenson
Clinical Social Work/Therapist, MSW , LICSW
Verified Verified
Mashpee, MA 02649
I counsel my clients through various life transitions, grief & loss, relationship struggles, career challenges, medical issues, family conflicts, depression, anxiety and other psychological/social/emotional difficulties. I promote overall well-being and personal growth with a holistic approach. I ensure that our sessions are centered around client goals and I approach therapy with a focus on strengths, and work together towards achieving positive outcomes. I am experienced in counseling diverse populations and I strive to create a safe and non-judgmental environment where individuals can freely express themselves.
I counsel my clients through various life transitions, grief & loss, relationship struggles, career challenges, medical issues, family conflicts, depression, anxiety and other psychological/social/emotional difficulties. I promote overall well-being and personal growth with a holistic approach. I ensure that our sessions are centered around client goals and I approach therapy with a focus on strengths, and work together towards achieving positive outcomes. I am experienced in counseling diverse populations and I strive to create a safe and non-judgmental environment where individuals can freely express themselves.
(508) 501-9404 View (508) 501-9404
Photo of Joy Ferney, Clinical Social Work/Therapist in Mashpee, MA
Joy Ferney
Clinical Social Work/Therapist, LICSW
Verified Verified
1 Endorsed
Mashpee, MA 02649
Not accepting new clients
Life feels like it's spinning uncontrollably; where every task is overwhelming. Even if you're able to go to work and be productive, this feeling inside doesn't stop. The thoughts keep coming, you get stomach aches, head aches, you have trouble sleeping. You've tried everything. Drinking too much or abusing other substances becomes a coping method. There's no way things can change. Often, adults and teens feel this way and it can be scary and frustrating. If your a parent, it can be agonizing to watch your teen go through this. Feeling helpless and alone. I so often hear, "I know I need something different, but what?"
Life feels like it's spinning uncontrollably; where every task is overwhelming. Even if you're able to go to work and be productive, this feeling inside doesn't stop. The thoughts keep coming, you get stomach aches, head aches, you have trouble sleeping. You've tried everything. Drinking too much or abusing other substances becomes a coping method. There's no way things can change. Often, adults and teens feel this way and it can be scary and frustrating. If your a parent, it can be agonizing to watch your teen go through this. Feeling helpless and alone. I so often hear, "I know I need something different, but what?"
(774) 208-0754 View (774) 208-0754
Photo of Natalie Loewen, Clinical Social Work/Therapist in Mashpee, MA
Natalie Loewen
Clinical Social Work/Therapist, LICSW
Verified Verified
1 Endorsed
Mashpee, MA 02649
Not accepting new clients
I don't have any evening or late afternoon appointments available. Changes and transitions in life, whether positive or negative, can be overwhelming. At some time in our lives, we can find ourselves facing depression, life circumstances, or navigating life’s transitions like aging. We can become overwhelmed with being a caregiver to children or a loved one with an illness. It’s important to learn how to cope with life’s variety of stressors.
I don't have any evening or late afternoon appointments available. Changes and transitions in life, whether positive or negative, can be overwhelming. At some time in our lives, we can find ourselves facing depression, life circumstances, or navigating life’s transitions like aging. We can become overwhelmed with being a caregiver to children or a loved one with an illness. It’s important to learn how to cope with life’s variety of stressors.
(508) 718-2102 View (508) 718-2102
Photo of Lisa M Holmes, Clinical Social Work/Therapist in Mashpee, MA
Lisa M Holmes
Clinical Social Work/Therapist, LICSW, CCTP, CTMHP
Verified Verified
Mashpee, MA 02649  (Online Only)
Not accepting new clients
You're probably here because something in your life feels impossible right now. Just browsing around, looking at your options for a therapist is the first step in taking care of your mental health. You've chosen this moment because it's the right moment for you to start the work that will help you build the life you envision for yourself. I'm here to help and support you as you discover ways to create positive change and find a pathway to your true self. I believe in relentless empathy and constant curiosity and will partner with you in a non-judgmental way to help you build skills you will use for the rest of your life.
You're probably here because something in your life feels impossible right now. Just browsing around, looking at your options for a therapist is the first step in taking care of your mental health. You've chosen this moment because it's the right moment for you to start the work that will help you build the life you envision for yourself. I'm here to help and support you as you discover ways to create positive change and find a pathway to your true self. I believe in relentless empathy and constant curiosity and will partner with you in a non-judgmental way to help you build skills you will use for the rest of your life.
(508) 960-6617 View (508) 960-6617
Photo of Douglas Reichwein in Mashpee, MA
Douglas Reichwein
MA, MFT
Verified Verified
1 Endorsed
Mashpee, MA 02649
Is it possible to have a really good, satisfying relationship? I believe it is. Having a partnership that is growing, nurturing and fulfilling is not only possible - it is a skill that can be learned. As a Couple and Family Therapist, I have the latest training in relationship systems with an inclusive lens covering all types of relationships. Along with this evidence-based theory I bring a lifetime of psychological study and practice tested over time in my own partnership relationship. We never fight. Good communication skills and clear boundaries serve us well. Helping others find joy in their relationships is my highest calling.
Is it possible to have a really good, satisfying relationship? I believe it is. Having a partnership that is growing, nurturing and fulfilling is not only possible - it is a skill that can be learned. As a Couple and Family Therapist, I have the latest training in relationship systems with an inclusive lens covering all types of relationships. Along with this evidence-based theory I bring a lifetime of psychological study and practice tested over time in my own partnership relationship. We never fight. Good communication skills and clear boundaries serve us well. Helping others find joy in their relationships is my highest calling.
(508) 507-2276 View (508) 507-2276
Photo of Tracy Chapman, Counselor in Mashpee, MA
Tracy Chapman
Counselor, MA, LPC, LMHC, NCC
Verified Verified
1 Endorsed
Mashpee, MA 02649
Are you struggling with confidence and feeling like life isn’t what it used to be? Stuck in a pattern of behavior that is causing you anxiety, sadness or depression? Is negative self-talk and low self-esteem keeping you from achieving your goals or forming strong relationships? Maybe you’ve experienced childhood or relational trauma that has you trapped, doubting your ability to heal. Consider booking an appointment to start the journey of healing, getting unstuck, and equip yourself with the tools to live a happy, healthy, full life.
Are you struggling with confidence and feeling like life isn’t what it used to be? Stuck in a pattern of behavior that is causing you anxiety, sadness or depression? Is negative self-talk and low self-esteem keeping you from achieving your goals or forming strong relationships? Maybe you’ve experienced childhood or relational trauma that has you trapped, doubting your ability to heal. Consider booking an appointment to start the journey of healing, getting unstuck, and equip yourself with the tools to live a happy, healthy, full life.
(508) 514-5811 View (508) 514-5811
Photo of Susan Fornaro, Counselor in Mashpee, MA
Susan Fornaro
Counselor, MA, LMHC, ATR
Verified Verified
Mashpee, MA 02649  (Online Only)
My goal is to help you see yourself more clearly by helping you quiet the chatter in your mind, slow down and listen to that small voice inside that knows everything you need to know to have the life you want. Using traditional talking therapy, and combinations of meditation, art, writing and role playing, many people are able to carve out that route to the heart of the matter hidden inside. It's a wonderful journey and I'd love to go there with you.
My goal is to help you see yourself more clearly by helping you quiet the chatter in your mind, slow down and listen to that small voice inside that knows everything you need to know to have the life you want. Using traditional talking therapy, and combinations of meditation, art, writing and role playing, many people are able to carve out that route to the heart of the matter hidden inside. It's a wonderful journey and I'd love to go there with you.
(508) 232-4346 View (508) 232-4346
Photo of Zalis Counseling , Drug & Alcohol Counselor in Mashpee, MA
Zalis Counseling
Drug & Alcohol Counselor, MEd, LADC 1, CADC
Verified Verified
Mashpee, MA 02649
Are you tired of the way you have been feeling? Are you beginning to think your situation is hopeless? Have friends or relations mentioned your alcohol and/or drug use to you? Do you find you need to apologize for your behavior? Perhaps you have legal issues as a result of your use. Do you believe your alcohol and/or drug use may be to blame for the difficulty in your life? Or, instead, are you troubled by a loved one's substance use disorder? I am a professional who specializes in and has experience working with individuals, couples, and worried family members. If you are ready to take action, please contact me.
Are you tired of the way you have been feeling? Are you beginning to think your situation is hopeless? Have friends or relations mentioned your alcohol and/or drug use to you? Do you find you need to apologize for your behavior? Perhaps you have legal issues as a result of your use. Do you believe your alcohol and/or drug use may be to blame for the difficulty in your life? Or, instead, are you troubled by a loved one's substance use disorder? I am a professional who specializes in and has experience working with individuals, couples, and worried family members. If you are ready to take action, please contact me.
(508) 433-3083 View (508) 433-3083
Photo of Chase Psychotherapy Practice, Psychologist in Mashpee, MA
Chase Psychotherapy Practice
Psychologist, PhD
Verified Verified
Mashpee, MA 02649
The decision to seek therapy can be challenging, but once you begin, you may be surprised by the changes that unfold. Finding a therapist who makes you feel safe, supported and hopeful is central to this process. After reading about my approach to therapy, please feel free to reach out to me by phone or email so we can discuss your particular situation and whether I may be able to help.
The decision to seek therapy can be challenging, but once you begin, you may be surprised by the changes that unfold. Finding a therapist who makes you feel safe, supported and hopeful is central to this process. After reading about my approach to therapy, please feel free to reach out to me by phone or email so we can discuss your particular situation and whether I may be able to help.
(508) 841-3407 View (508) 841-3407
Photo of Donna Jackson, Psychologist in Mashpee, MA
Donna Jackson
Psychologist
Verified Verified
Mashpee, MA 02649
Not accepting new clients
I have found that when someone is truly heard and understood that an internal shift occurs. This shift allows for greater flexibility, coping, and decision making. I work with people to clarify what they want, the options available to them, and the course of action that works best for them. This may mean working with thoughts, feelings, and/or behaviors that inhibit the desired changes or learning new skills and attitudes that promote bringing about these changes. I work to support the inherent human capacity for adaptability which becomes worn down by daily stressors and/or stressful life events.
I have found that when someone is truly heard and understood that an internal shift occurs. This shift allows for greater flexibility, coping, and decision making. I work with people to clarify what they want, the options available to them, and the course of action that works best for them. This may mean working with thoughts, feelings, and/or behaviors that inhibit the desired changes or learning new skills and attitudes that promote bringing about these changes. I work to support the inherent human capacity for adaptability which becomes worn down by daily stressors and/or stressful life events.
(774) 251-2275 View (774) 251-2275
Photo of Debra Bravman, Clinical Social Work/Therapist in Mashpee, MA
Debra Bravman
Clinical Social Work/Therapist, MSW, LICSW
Verified Verified
Mashpee, MA 02649
Welcome, I encourage you to learn about my practice. My primary focus is working with you in a safe, supportive partnership. Together we will work to promote healing, skill development and creativity for a fuller, meaningful life. I provide compassionate care to help you explore positive change, overcome life's challenges and achieve fulfillment in loving relationships and work. I will thoughtfully listen to your concerns and assist you in problem solving, gaining insight and attaining a capacity for contentment, joy and connectedness.
Welcome, I encourage you to learn about my practice. My primary focus is working with you in a safe, supportive partnership. Together we will work to promote healing, skill development and creativity for a fuller, meaningful life. I provide compassionate care to help you explore positive change, overcome life's challenges and achieve fulfillment in loving relationships and work. I will thoughtfully listen to your concerns and assist you in problem solving, gaining insight and attaining a capacity for contentment, joy and connectedness.
(774) 228-4722 View (774) 228-4722
Photo of Robert L Holmes, Clinical Social Work/Therapist in Mashpee, MA
Robert L Holmes
Clinical Social Work/Therapist, LICSW
Verified Verified
Mashpee, MA 02649
Over the last 9 years, I have worked with children, adolescents, and adults. I have seen the impact I, and those in my profession, have on them. I have grown to be appreciative of my influence and impact on them in their daily lives.
Over the last 9 years, I have worked with children, adolescents, and adults. I have seen the impact I, and those in my profession, have on them. I have grown to be appreciative of my influence and impact on them in their daily lives.
(508) 290-8621 View (508) 290-8621
Photo of Jill Garvin, Clinical Social Work/Therapist in Mashpee, MA
Jill Garvin
Clinical Social Work/Therapist, LICSW
Verified Verified
1 Endorsed
Mashpee, MA 02649  (Online Only)
Not accepting new clients
Therapy is about talking through your problems, but that’s only the beginning. When you develop a relationship with a caring, attuned therapist you will find new ways to solve problems, heal old wounds, and change the way you live. I’ve been a therapist for the better part of two decades. Working as a counselor and supporting hundreds of clients over the years has been an immense privilege. I am so glad to call it my life’s work. And it’s only the beginning. My goal is to assist you in becoming your most authentic self.
Therapy is about talking through your problems, but that’s only the beginning. When you develop a relationship with a caring, attuned therapist you will find new ways to solve problems, heal old wounds, and change the way you live. I’ve been a therapist for the better part of two decades. Working as a counselor and supporting hundreds of clients over the years has been an immense privilege. I am so glad to call it my life’s work. And it’s only the beginning. My goal is to assist you in becoming your most authentic self.
(508) 286-7982 View (508) 286-7982

How does your Therapist compare?

Number of Therapists in Mashpee, MA

70+

Average cost per session

$150

Therapists in Mashpee, MA who prioritize treating:

96% Anxiety
91% Depression
80% Self Esteem
71% Relationship Issues
71% Coping Skills
69% Stress
67% Grief

Average years in practice

16 Years

Top 3 insurances accepted

95% BlueCross and BlueShield
85% UnitedHealthcare UHC | UBH
81% Optum

How Therapists in Mashpee, MA see their clients

73% In Person and Online
27% Online Only

Gender breakdown

76% Female
24% Male
FAQs - About Therapy and Counseling

How can I find a therapist in Mashpee?

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.