Therapists in Omaha, NE

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Photo of Worthwhile Counseling LLC, Counselor in Omaha, NE
Worthwhile Counseling LLC
Counselor, MS, LIMHP
Verified Verified
1 Endorsed
Omaha, NE 68144
Here at Worthwhile Counseling, we listen to hear you so we can customize and build your skills and abilities to obtain your goals. My name is Tony, and I am the provider at Worthwhile Counseling. I graduated with my master's in clinical counseling from Bellevue University in 2012. I began my career in a co-occurring facility gaining knowledge in addiction and mental health. I continued to broaden my skills and abilities through working with clients of all ages. That is where I gained my passion working with adolescents. I also gained more education in a wide variety of mental health concerns and general life difficulties.
Here at Worthwhile Counseling, we listen to hear you so we can customize and build your skills and abilities to obtain your goals. My name is Tony, and I am the provider at Worthwhile Counseling. I graduated with my master's in clinical counseling from Bellevue University in 2012. I began my career in a co-occurring facility gaining knowledge in addiction and mental health. I continued to broaden my skills and abilities through working with clients of all ages. That is where I gained my passion working with adolescents. I also gained more education in a wide variety of mental health concerns and general life difficulties.
(402) 698-4242 View (402) 698-4242
Photo of Tracy L Grothe, Counselor in Omaha, NE
Tracy L Grothe
Counselor, MEd, EdS, LIMHP, LPC-S
Verified Verified
5 Endorsed
Omaha, NE 68135
Sometimes life throws us a serious curve ball; whether it's coming to terms with a new medical diagnosis, adapting a disability, coping with the stress of career transition, or the loss of a significant relationship, these dilemmas can send us reeling. Any traumatic life event can leave us angry, sad, anxious, confused, isolated or just plain stuck and overwhelmed. My practical counseling philosophy supports clients with grief, trauma, relationship conflicts, financial stress, health issues, and vocational challenges presented by change, loss, new or existing disabilities.
Sometimes life throws us a serious curve ball; whether it's coming to terms with a new medical diagnosis, adapting a disability, coping with the stress of career transition, or the loss of a significant relationship, these dilemmas can send us reeling. Any traumatic life event can leave us angry, sad, anxious, confused, isolated or just plain stuck and overwhelmed. My practical counseling philosophy supports clients with grief, trauma, relationship conflicts, financial stress, health issues, and vocational challenges presented by change, loss, new or existing disabilities.
(402) 704-3519 View (402) 704-3519
Photo of Nichole Goebel, Counselor in Omaha, NE
Nichole Goebel
Counselor, MS, PLMHP, NCC
Verified Verified
1 Endorsed
Omaha, NE 68114
Waitlist for new clients
Only accepting clients ages 19 and up. Do you ever feel like breaking down? Do you ever feel out of place? Like somehow you just don’t belong, and no one understands you? Thanks for the great intro pop punk band Simple Plan. But seriously, have you ever felt any of these things? I know I have. It is hard to have all these sucky feelings and have no one to turn to for support. Unfortunately, many people out there will say “Depressed? Isn’t that just a fancy word for feeling bummed out?”, which I am sure makes you want to scream. That is where I come in!
Only accepting clients ages 19 and up. Do you ever feel like breaking down? Do you ever feel out of place? Like somehow you just don’t belong, and no one understands you? Thanks for the great intro pop punk band Simple Plan. But seriously, have you ever felt any of these things? I know I have. It is hard to have all these sucky feelings and have no one to turn to for support. Unfortunately, many people out there will say “Depressed? Isn’t that just a fancy word for feeling bummed out?”, which I am sure makes you want to scream. That is where I come in!
(402) 698-3615 View (402) 698-3615
Photo of Asia Lynn Sladek, Counselor in Omaha, NE
Asia Lynn Sladek
Counselor, MS, PLMHP, NCC
Verified Verified
Omaha, NE 68154
I completed my master's internship at UNMC Counseling and Psychological Services where I had the opportunity to work with graduate and medical students. During this time, I started integrating neuroscience into treatment planning. I have found this evidence-based approach resonates well with my clients because they can better understand the way that they respond to their environment and how their internal processing frames the way in which they view the world.
I completed my master's internship at UNMC Counseling and Psychological Services where I had the opportunity to work with graduate and medical students. During this time, I started integrating neuroscience into treatment planning. I have found this evidence-based approach resonates well with my clients because they can better understand the way that they respond to their environment and how their internal processing frames the way in which they view the world.
(402) 607-8948 View (402) 607-8948
Photo of Julia Dreamer, Counselor in Omaha, NE
Julia Dreamer
Counselor, MA, LIMHP
Verified Verified
Omaha, NE 68144
At some point in your life you may find yourself feeling unproductive, unsatisfied, stressed out, or even stuck in pattern's of self-destructive feelings and behaviors. Would you like to find yourself feeling more clear, hopeful, decisive and energetic? Would you like to learn mindfulness, interpersonal effectiveness, emotion regulation and distress tolerance?
At some point in your life you may find yourself feeling unproductive, unsatisfied, stressed out, or even stuck in pattern's of self-destructive feelings and behaviors. Would you like to find yourself feeling more clear, hopeful, decisive and energetic? Would you like to learn mindfulness, interpersonal effectiveness, emotion regulation and distress tolerance?
(402) 764-9711 View (402) 764-9711
Photo of Brittany Mrsny, Counselor in Omaha, NE
Brittany Mrsny
Counselor, MS, LIMHP
Verified Verified
5 Endorsed
Omaha, NE 68144
Are you an adult who is trying to overcome and unlearn behaviors and feelings from your childhood? Are you wanting to learn more about your attachment to others (children/partners)? Are you looking to help bring control to various areas of your life that currently feel overwhelming? It is my priority to work collaboratively with my clients to empower them to take control and bring quality back to their lives. I believe that the therapeutic relationship plays an extremely important role in what you get out of therapy, as well as having a safe and non-judgmental space in order to begin making life altering changes.
Are you an adult who is trying to overcome and unlearn behaviors and feelings from your childhood? Are you wanting to learn more about your attachment to others (children/partners)? Are you looking to help bring control to various areas of your life that currently feel overwhelming? It is my priority to work collaboratively with my clients to empower them to take control and bring quality back to their lives. I believe that the therapeutic relationship plays an extremely important role in what you get out of therapy, as well as having a safe and non-judgmental space in order to begin making life altering changes.
(531) 233-1068 View (531) 233-1068
Photo of Kim Story, Counselor in Omaha, NE
Kim Story
Counselor, MA, LIMHP
Verified Verified
1 Endorsed
Omaha, NE 68144
How did I get here? Why can’t I figure this out? Why do these thoughts/feelings overwhelm me? You are not alone in these ? These are common ?s most of my clients or families have. I empower you with tools to not just find answers, but the solutions. I am passionate about meeting you where you are, helping you redefine what is important and achievable, and creating a path to get there. I utilize a varied approach and have training in Accelerated Resolution Therapy to assist you in resolving distressing images and decreasing negative physical sensations. I look forward to meeting you, discussing your story and creating a new chapter.
How did I get here? Why can’t I figure this out? Why do these thoughts/feelings overwhelm me? You are not alone in these ? These are common ?s most of my clients or families have. I empower you with tools to not just find answers, but the solutions. I am passionate about meeting you where you are, helping you redefine what is important and achievable, and creating a path to get there. I utilize a varied approach and have training in Accelerated Resolution Therapy to assist you in resolving distressing images and decreasing negative physical sensations. I look forward to meeting you, discussing your story and creating a new chapter.
(531) 530-3297 View (531) 530-3297
Photo of Nicole Maher, Counselor in Omaha, NE
Nicole Maher
Counselor, LIMHP
Verified Verified
Omaha, NE 68102  (Online Only)
I’ve worked with individuals, couples, and families in an outpatient behavioral health office, at local schools, and provided consultation with my client’s preferred collateral contacts for over 3 years. I believe in taking a collaborative approach with my clients to help them with life changes, ineffective behaviors, grief and loss, conflict, trauma, emotional distress, and relationship difficulties.
I’ve worked with individuals, couples, and families in an outpatient behavioral health office, at local schools, and provided consultation with my client’s preferred collateral contacts for over 3 years. I believe in taking a collaborative approach with my clients to help them with life changes, ineffective behaviors, grief and loss, conflict, trauma, emotional distress, and relationship difficulties.
(402) 523-2191 View (402) 523-2191
Photo of Kris J Siemer-Daisley, Counselor in Omaha, NE
Kris J Siemer-Daisley
Counselor, LIMHP, LADC, LCPC
Verified Verified
4 Endorsed
Omaha, NE 68154
Waitlist for new clients
Therapy or Counseling is defined as "helping people live happier, healthier, and more productive lives". As a therapist I apply research-based techniques to help my clients develop more effective habits and behaviors. I approach counseling as a collaborative exercise; where we work together to resolve your goals.
Therapy or Counseling is defined as "helping people live happier, healthier, and more productive lives". As a therapist I apply research-based techniques to help my clients develop more effective habits and behaviors. I approach counseling as a collaborative exercise; where we work together to resolve your goals.
(402) 500-0555 View (402) 500-0555
Photo of Daniel J. Stava, Counselor in Omaha, NE
Daniel J. Stava
Counselor, PLMHP
Verified Verified
1 Endorsed
Omaha, NE 68137
Struggling to find balance in your life? Find yourself exhausted, overwhelmed, or anxious. Too often our compounding responsibilities leave us feeling that we are inadequate, or do not have mental or physical fortitude to thrive. You are able to break free from your current cycle and develop new habits that allow you to be the best version of yourself possible...
Struggling to find balance in your life? Find yourself exhausted, overwhelmed, or anxious. Too often our compounding responsibilities leave us feeling that we are inadequate, or do not have mental or physical fortitude to thrive. You are able to break free from your current cycle and develop new habits that allow you to be the best version of yourself possible...
(531) 228-4991 View (531) 228-4991
Photo of Kelly Hanny, Counselor in Omaha, NE
Kelly Hanny
Counselor, LIMHP, CMSW
Verified Verified
1 Endorsed
Omaha, NE 68116
Seeking therapy can be a scary and overwhelming first step; I am so glad you are here! I am a Licensed Independent Clinical Social Worker. I specialize in adolescents and adults with concerns of depression, anxiety, grief, parenting challenges, relationship concerns and trauma. My goal for every client is to assist them with identifying and addressing the root cause of their distress or mental health symptoms. It is also my goal to give clients tools and skills to utilize in their day to day living that can assist with finding a healthier, happier version of themselves. You deserve peace and resolution!
Seeking therapy can be a scary and overwhelming first step; I am so glad you are here! I am a Licensed Independent Clinical Social Worker. I specialize in adolescents and adults with concerns of depression, anxiety, grief, parenting challenges, relationship concerns and trauma. My goal for every client is to assist them with identifying and addressing the root cause of their distress or mental health symptoms. It is also my goal to give clients tools and skills to utilize in their day to day living that can assist with finding a healthier, happier version of themselves. You deserve peace and resolution!
(402) 539-5321 View (402) 539-5321
Photo of Braun Counseling Services LLC, Counselor in Omaha, NE
Braun Counseling Services LLC
Counselor, LIMHP, LADC, CPC, LMHP
Verified Verified
1 Endorsed
Omaha, NE 68124
Waitlist for new clients
Are you feeling sad, nervous, anxious? Do you drink more than you planned? Are you using prescribed drugs more than you should or using illegal drug? Have you recently received legal charges? I can help by providing the First Step in completing a comprehensive Co-Occurring Substance Use Mental Health Evaluation and provide you with guidance on your next step. We all struggle in life and we do not always know the healthiest way to address the struggles. I can help you develop your personal healthy coping skills and assist you getting where you would like to be.
Are you feeling sad, nervous, anxious? Do you drink more than you planned? Are you using prescribed drugs more than you should or using illegal drug? Have you recently received legal charges? I can help by providing the First Step in completing a comprehensive Co-Occurring Substance Use Mental Health Evaluation and provide you with guidance on your next step. We all struggle in life and we do not always know the healthiest way to address the struggles. I can help you develop your personal healthy coping skills and assist you getting where you would like to be.
(531) 208-1684 View (531) 208-1684
Photo of Irene Lines, Clinical Social Work/Therapist in Omaha, NE
Irene Lines
Clinical Social Work/Therapist, LCSW, LIMHP, CCTP
Verified Verified
Omaha, NE 68134
I understand it takes courage to come to therapy and work on issues you want to change. I work with your strengths in how you receive information, feel emotionally safe, communicate your needs, participate to resolve & move forward. I work with depression, anxiety, PTSD, moral injury, grief/loss, childhood trauma & personal growth. I offer these methods: CBT- talk therapy, NLP- neuro linguistic programming, EFT- Emotional Freedom Tapping, Strength Based Solution Focused Brief Therapy, EMDR, DBT, rewriting your story, visualization authentic self, practicing coping skills, stress management & I-CAR Integrated Calm Assertive Response.
I understand it takes courage to come to therapy and work on issues you want to change. I work with your strengths in how you receive information, feel emotionally safe, communicate your needs, participate to resolve & move forward. I work with depression, anxiety, PTSD, moral injury, grief/loss, childhood trauma & personal growth. I offer these methods: CBT- talk therapy, NLP- neuro linguistic programming, EFT- Emotional Freedom Tapping, Strength Based Solution Focused Brief Therapy, EMDR, DBT, rewriting your story, visualization authentic self, practicing coping skills, stress management & I-CAR Integrated Calm Assertive Response.
(531) 571-3898 x5 View (531) 571-3898 x5
Photo of Jenny Ratliff, Counselor in Omaha, NE
Jenny Ratliff
Counselor, LIMHP, LMHC, CPC
Verified Verified
2 Endorsed
Omaha, NE 68127
Hello! I am only accepting referrals for folks looking for couples therapy. If you and the person(s) you exist in relationships with are in need of guidance/support, please feel free to call or email. The majority of my work is with folks identifying in some way as LGBTQIA2S+. My treatment orientation is best suited for folks that find themselves in need of support navigating unconventional relationships such as: polyamorous, ethical non-monogamy, open relationships, relationship anarchy or any combination of alternative relationship styles.
Hello! I am only accepting referrals for folks looking for couples therapy. If you and the person(s) you exist in relationships with are in need of guidance/support, please feel free to call or email. The majority of my work is with folks identifying in some way as LGBTQIA2S+. My treatment orientation is best suited for folks that find themselves in need of support navigating unconventional relationships such as: polyamorous, ethical non-monogamy, open relationships, relationship anarchy or any combination of alternative relationship styles.
(402) 850-2241 View (402) 850-2241
Photo of Lovely Taylor, Counselor in Omaha, NE
Lovely Taylor
Counselor, LMHP
Verified Verified
5 Endorsed
Omaha, NE 68127
Waitlist for new clients
Are you looking for a space to put your "Super Hero Cape" down and just be your human self for a few minutes? Life has its normal ups and downs that can leave anyone feeling drained, overwhelmed, frustrated, and sometimes wondering what to do. I provide a safe and non judgmental space for the everyday person looking for realistic, down to earth, and usable skills to add to their toolkit and improve their daily life. These skills will offer a fresh perspective on how to manage behaviors, boost communication,  build self-esteem, repair marriages/relationships, improve mental and emotional health of individuals and families.
Are you looking for a space to put your "Super Hero Cape" down and just be your human self for a few minutes? Life has its normal ups and downs that can leave anyone feeling drained, overwhelmed, frustrated, and sometimes wondering what to do. I provide a safe and non judgmental space for the everyday person looking for realistic, down to earth, and usable skills to add to their toolkit and improve their daily life. These skills will offer a fresh perspective on how to manage behaviors, boost communication,  build self-esteem, repair marriages/relationships, improve mental and emotional health of individuals and families.
(531) 335-2063 View (531) 335-2063
Photo of Kayla Frodsham, Pre-Licensed Professional in Omaha, NE
Kayla Frodsham
Pre-Licensed Professional
Verified Verified
Omaha, NE 68104  (Online Only)
Licensed with supervision in Idaho, Nebraska, and Iowa. I specialize in tele-health treatment for clients recovering from significant injuries. Difficulties following such life-changing events can include depression, anxiety, adjustment disorder, and PTSD among others. Most everyone wants to re-engage in a meaningful life post-injury, but sometimes even the possibility feels distant. I feel confident there is always a next step toward our goals, no matter the situation. I enjoy coming to know and support clients who are courageously taking the next step.
Licensed with supervision in Idaho, Nebraska, and Iowa. I specialize in tele-health treatment for clients recovering from significant injuries. Difficulties following such life-changing events can include depression, anxiety, adjustment disorder, and PTSD among others. Most everyone wants to re-engage in a meaningful life post-injury, but sometimes even the possibility feels distant. I feel confident there is always a next step toward our goals, no matter the situation. I enjoy coming to know and support clients who are courageously taking the next step.
(402) 512-6172 View (402) 512-6172
Photo of Annie Bertsch, Counselor in Omaha, NE
Annie Bertsch
Counselor, MA, PLMHP
Verified Verified
Omaha, NE 68154
Annie has experience with diverse populations, and has supported all ages through crisis and self-harm. She has excelled in working with grief and loss, mood disorders, self-esteem, depression and anxiety. Annie is trained in Dialectical Behavioral Therapy (DBT) and utilizes Art Related Therapy, Narrative Therapy and more to best meet clients unique needs.
Annie has experience with diverse populations, and has supported all ages through crisis and self-harm. She has excelled in working with grief and loss, mood disorders, self-esteem, depression and anxiety. Annie is trained in Dialectical Behavioral Therapy (DBT) and utilizes Art Related Therapy, Narrative Therapy and more to best meet clients unique needs.
(402) 687-3536 View (402) 687-3536
Photo of Melissa Ellison, Counselor in Omaha, NE
Melissa Ellison
Counselor, MS, LIMHP
Verified Verified
Omaha, NE 68130
Is your preschooler running your household? Has your teenager been pushing you to the edge? There are many different theories on how to manage unwanted behaviors in children, and help your struggling teen. Some of these theories can leave parents with more questions than answers. You might ask yourself, "Does my child need more attention, or am I giving too much? Are my expectations of my teenager too high, or too low? If I ask for help, does that make me a good parent, or an incompetent one?" I specialize in working with children, adolescents, and their families, and I can help you find answers.
Is your preschooler running your household? Has your teenager been pushing you to the edge? There are many different theories on how to manage unwanted behaviors in children, and help your struggling teen. Some of these theories can leave parents with more questions than answers. You might ask yourself, "Does my child need more attention, or am I giving too much? Are my expectations of my teenager too high, or too low? If I ask for help, does that make me a good parent, or an incompetent one?" I specialize in working with children, adolescents, and their families, and I can help you find answers.
(531) 233-1075 View (531) 233-1075
Photo of Amy Riessland, Clinical Social Work/Therapist in Omaha, NE
Amy Riessland
Clinical Social Work/Therapist, LISW
Verified Verified
2 Endorsed
Omaha, NE 68144
"I enjoy working with individuals and family's of all ages. Anxiety, depression, and or trauma can all pile up and prevent us from living a fulfilling life. These pieces in life can feel like they are entangling or piling up. I can help unravel, sort through and process what life events have come up and find joy for the future by meeting you where you are at this time in life and finding a path".
"I enjoy working with individuals and family's of all ages. Anxiety, depression, and or trauma can all pile up and prevent us from living a fulfilling life. These pieces in life can feel like they are entangling or piling up. I can help unravel, sort through and process what life events have come up and find joy for the future by meeting you where you are at this time in life and finding a path".
(402) 749-5722 View (402) 749-5722
Photo of Lisa Merz, Clinical Social Work/Therapist in Omaha, NE
Lisa Merz
Clinical Social Work/Therapist, LIMHP, LICSW
Verified Verified
Omaha, NE 68144
Beginning therapy can be a vulnerable time for someone. Therapy provides a safe space to work on healing, increase feelings of hope and gain support. I provide therapy to children, teens and adults who are experiencing stress, life transitions/changes or who have experienced trauma. I have experience in working in the areas of grief and loss, anxiety, depression, divorce, abuse, neglect, domestic violence, sexual abuse and adoption. I also enjoy working with women on relationships, stress and fertility struggles.
Beginning therapy can be a vulnerable time for someone. Therapy provides a safe space to work on healing, increase feelings of hope and gain support. I provide therapy to children, teens and adults who are experiencing stress, life transitions/changes or who have experienced trauma. I have experience in working in the areas of grief and loss, anxiety, depression, divorce, abuse, neglect, domestic violence, sexual abuse and adoption. I also enjoy working with women on relationships, stress and fertility struggles.
(531) 233-3176 View (531) 233-3176

How does your Therapist compare?

Number of Therapists in Omaha, NE

900+

Average cost per session

$150

Therapists in Omaha, NE who prioritize treating:

93% Anxiety
91% Depression
78% Self Esteem
77% Relationship Issues
76% Trauma and PTSD
74% Coping Skills
68% Stress

Average years in practice

10 Years

Top 3 insurances accepted

94% BlueCross and BlueShield
69% UnitedHealthcare UHC | UBH
67% Aetna

How Therapists in Omaha, NE see their clients

86% In Person and Online
14% Online Only

Gender breakdown

82% Female
17% Male
1% Non-Binary
FAQs - About Therapy and Counseling

How can I find a therapist in Omaha?

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.