Therapists in Ogdensburg, NJ

Photo of Kristen Madden, Clinical Social Work/Therapist in Ogdensburg, NJ
Kristen Madden
Clinical Social Work/Therapist, MSSW, LCSW
Verified Verified
Ogdensburg, NJ 07439
Sometimes life brings about circumstances that cause you to feel stress, overwhelmed, anger, anxiety, or depression. Sometimes it is hard to identify what is causing those feelings or how to feel happy and healthy in the environments that are contributing to your feelings. Using a strengths based approach, I can help you develop stronger coping skills, build resiliency, improve relationships, communication, and overall well being. By using a strengths based approach, an individualized treatment plan is developed to best suit the client's therapy goals.
Sometimes life brings about circumstances that cause you to feel stress, overwhelmed, anger, anxiety, or depression. Sometimes it is hard to identify what is causing those feelings or how to feel happy and healthy in the environments that are contributing to your feelings. Using a strengths based approach, I can help you develop stronger coping skills, build resiliency, improve relationships, communication, and overall well being. By using a strengths based approach, an individualized treatment plan is developed to best suit the client's therapy goals.
(551) 227-3375 View (551) 227-3375

More Therapists Nearby

Photo of New Jersey Counseling Services, Licensed Professional Counselor in Ogdensburg, NJ
New Jersey Counseling Services
Licensed Professional Counselor, LPC
Verified Verified
Newton, NJ 07860  (Online Only)
Experienced clinician for various mental health disparities between adolescent and adult years. Experienced as an athlete competing at multiple levels of competition, and coaching high school sports. Experienced working with professionals under stress, conflict, career changes, and relationship strife. Friend of families with addiction history.
Experienced clinician for various mental health disparities between adolescent and adult years. Experienced as an athlete competing at multiple levels of competition, and coaching high school sports. Experienced working with professionals under stress, conflict, career changes, and relationship strife. Friend of families with addiction history.
(551) 296-7842 View (551) 296-7842
Photo of Eric S. Herschman, Psychologist in Ogdensburg, NJ
Eric S. Herschman
Psychologist, PsyD
Verified Verified
6 Endorsed
Sparta, NJ 07871
If you are struggling with issues related to feeling overwhelmed and stressed with life, work, family and/or your relationships, you need to talk with a professional. Working with an objective and professionally trained psychologist will empower you to move forward and be more productive, less stressed and happier. Sometimes, people feel alone and think that others will not understand their struggles. People often show improvements by having someone they can trust and who will be able to see their perspective without judgement. I understand the human experience and help people make changes to improve their quality of life. Call now.
If you are struggling with issues related to feeling overwhelmed and stressed with life, work, family and/or your relationships, you need to talk with a professional. Working with an objective and professionally trained psychologist will empower you to move forward and be more productive, less stressed and happier. Sometimes, people feel alone and think that others will not understand their struggles. People often show improvements by having someone they can trust and who will be able to see their perspective without judgement. I understand the human experience and help people make changes to improve their quality of life. Call now.
(862) 212-3495 View (862) 212-3495
Photo of Anxiety Therapy - Jenny McCallion, LCSW, Clinical Social Work/Therapist in Ogdensburg, NJ
Anxiety Therapy - Jenny McCallion, LCSW
Clinical Social Work/Therapist, LCSW
Verified Verified
Hamburg, NJ 07419  (Online Only)
Hi and Welcome! The Therapy Part is a practice for modern mental wellness and modern anxieties. I support young and ‘not so young’ adults struggling with anxiety, self-esteem, sleep disturbances, stress, and the harder parts of parenthood. I take pride in helping you feel at ease, safe, validated, and understood. I enjoy helping you find the motivation and strength you need to continue forward and find the hope you are looking for. Let's find the best way to help you heal! You can text me directly at 973-791-9784.
Hi and Welcome! The Therapy Part is a practice for modern mental wellness and modern anxieties. I support young and ‘not so young’ adults struggling with anxiety, self-esteem, sleep disturbances, stress, and the harder parts of parenthood. I take pride in helping you feel at ease, safe, validated, and understood. I enjoy helping you find the motivation and strength you need to continue forward and find the hope you are looking for. Let's find the best way to help you heal! You can text me directly at 973-791-9784.
(973) 264-0448 View (973) 264-0448
Photo of Ripples Of Change Counseling, LLC, Licensed Professional Counselor in Ogdensburg, NJ
Ripples Of Change Counseling, LLC
Licensed Professional Counselor, LPC
Verified Verified
1 Endorsed
Newton, NJ 07860  (Online Only)
Not accepting new clients
Welcome. My name is Kristel and I am a Licensed Professional Counselor in New Jersey. As a clinician with over 10 years of experience, I believe it is important to build a positive working relationship built on trust and respect and I strive to understand the challenges you are dealing with as well as your strengths and goals. My experience includes working with those struggling with anxiety and depression, trauma history, relationship and communication challenges, and those in need of coping skills and building confidence.
Welcome. My name is Kristel and I am a Licensed Professional Counselor in New Jersey. As a clinician with over 10 years of experience, I believe it is important to build a positive working relationship built on trust and respect and I strive to understand the challenges you are dealing with as well as your strengths and goals. My experience includes working with those struggling with anxiety and depression, trauma history, relationship and communication challenges, and those in need of coping skills and building confidence.
(856) 300-6452 View (856) 300-6452
Photo of Christie Giacobbe, Licensed Professional Counselor in Ogdensburg, NJ
Christie Giacobbe
Licensed Professional Counselor, LPC, LCADC, ACS, SAC
Verified Verified
Sparta, NJ 07871
Not accepting new clients
I have been working in the field of adolescent mental health and substance abuse counseling for over 14 years. I started my career working in a mental health partial hospitalization and intensive outpatient program for adolescents and eventually came to specialize and work with adolescents and their families with substance abuse and co-occurring disorders in an intensive outpatient program which I coordinated, before moving on to work with adolescents in a high school setting.
I have been working in the field of adolescent mental health and substance abuse counseling for over 14 years. I started my career working in a mental health partial hospitalization and intensive outpatient program for adolescents and eventually came to specialize and work with adolescents and their families with substance abuse and co-occurring disorders in an intensive outpatient program which I coordinated, before moving on to work with adolescents in a high school setting.
(862) 500-5854 View (862) 500-5854
Photo of Dr. Karen Sciaraffa, Psychologist in Ogdensburg, NJ
Dr. Karen Sciaraffa
Psychologist, PhD
Verified Verified
1 Endorsed
Highland Lakes, NJ 07422
My job is to help you step into your personal power. Life can be difficult and sometimes overwhelming. Shifting thoughts and behaviors that no longer serve you can lead a more satisfying and joyful life. Such emotions as grief, depression, anxiety, anger and fear often block you from enjoying a full life. Changing thoughts that manifest negative emotional states, learning more effective communication methods, stopping addictive or self destructive behaviors, and learning stress management techniques are some areas where I offer assistance. I specialize in the treatment of trauma from childhood abuse, as well as PTSD that is the result of other traumatic experiences.
My job is to help you step into your personal power. Life can be difficult and sometimes overwhelming. Shifting thoughts and behaviors that no longer serve you can lead a more satisfying and joyful life. Such emotions as grief, depression, anxiety, anger and fear often block you from enjoying a full life. Changing thoughts that manifest negative emotional states, learning more effective communication methods, stopping addictive or self destructive behaviors, and learning stress management techniques are some areas where I offer assistance. I specialize in the treatment of trauma from childhood abuse, as well as PTSD that is the result of other traumatic experiences.
(908) 509-4054 View (908) 509-4054
Photo of Charlene Armstrong Mayer, Licensed Professional Counselor in Ogdensburg, NJ
Charlene Armstrong Mayer
Licensed Professional Counselor, MA, EdS, LPC, NCC, ACS
Verified Verified
Hamburg, NJ 07419  (Online Only)
Hello, I’m Charlene Armstrong Mayer, owner of CAM Psychotherapy Services, and a licensed therapist dedicated to guiding individuals on their journey toward healing, self-discovery, and personal growth. I am passionate about providing a safe and compassionate space for you to explore your thoughts, emotions, and experiences. With a client-centered and trauma-informed approach, I tailor my therapeutic techniques to meet your unique needs and goals. My commitment is to foster a therapeutic alliance built on trust, empathy, and mutual respect.
Hello, I’m Charlene Armstrong Mayer, owner of CAM Psychotherapy Services, and a licensed therapist dedicated to guiding individuals on their journey toward healing, self-discovery, and personal growth. I am passionate about providing a safe and compassionate space for you to explore your thoughts, emotions, and experiences. With a client-centered and trauma-informed approach, I tailor my therapeutic techniques to meet your unique needs and goals. My commitment is to foster a therapeutic alliance built on trust, empathy, and mutual respect.
(201) 371-4323 View (201) 371-4323
Photo of Gia N Leo, Clinical Social Work/Therapist in Ogdensburg, NJ
Gia N Leo
Clinical Social Work/Therapist, LCSW, LCADC
Verified Verified
1 Endorsed
Sparta, NJ 07871
Waitlist for new clients
Together we can confront the issues getting in the way of your serenity. I enjoy working with tweens, adolescents, adults, couples, and families. I believe that ethical and responsible treatment is a cornerstone to the therapeutic relationship. Finding strengths within self can be a daunting task, however, using a unique approach tailored to your specific needs - change is possible and likely sustainable. Medication management and psychiatric assessment are available through our psy-APN for patients 13+
Together we can confront the issues getting in the way of your serenity. I enjoy working with tweens, adolescents, adults, couples, and families. I believe that ethical and responsible treatment is a cornerstone to the therapeutic relationship. Finding strengths within self can be a daunting task, however, using a unique approach tailored to your specific needs - change is possible and likely sustainable. Medication management and psychiatric assessment are available through our psy-APN for patients 13+
(973) 891-0921 View (973) 891-0921
Photo of Caitlin Zarro, Licensed Professional Counselor in Ogdensburg, NJ
Caitlin Zarro
Licensed Professional Counselor, MA, LPC, ACS, HNC
Verified Verified
Sparta, NJ 07871
I became a therapist years ago with the thought that I may be able to have some small part in other people's journey in a way that was helpful, supportive, and encouraging. I try my absolute best to do that every day and for every client. I believe that therapy is a facilitative process with no one being the expert on how to live your life better than you. My role is to help you find the best version of yourself and work with you so you may become that self. Additionally, I work from an integrative approach (when desired by the client) to use nutrition, physical health, and holistic approaches to help heal from the inside out.
I became a therapist years ago with the thought that I may be able to have some small part in other people's journey in a way that was helpful, supportive, and encouraging. I try my absolute best to do that every day and for every client. I believe that therapy is a facilitative process with no one being the expert on how to live your life better than you. My role is to help you find the best version of yourself and work with you so you may become that self. Additionally, I work from an integrative approach (when desired by the client) to use nutrition, physical health, and holistic approaches to help heal from the inside out.
(973) 755-2468 View (973) 755-2468
Photo of Elizabeth Fahrer, Licensed Professional Counselor in Ogdensburg, NJ
Elizabeth Fahrer
Licensed Professional Counselor, MA, LPC
Verified Verified
Sparta, NJ 07871
Sometimes it can be really difficult to manage what life throws at you. It’s not easy being a child or a young adult. There are stressors you find yourself having to deal with that you thought you would never have to deal with. Students in school may be getting to you, responsibilities of daily life can be overwhelming, you feel lonely, angry, sad or whatever it may be that can really impact your overall mood and day to day living. Even for those of you who are older and may be past those issues, there are still adjustments in your life that you are having to deal with that feel unmanageable!
Sometimes it can be really difficult to manage what life throws at you. It’s not easy being a child or a young adult. There are stressors you find yourself having to deal with that you thought you would never have to deal with. Students in school may be getting to you, responsibilities of daily life can be overwhelming, you feel lonely, angry, sad or whatever it may be that can really impact your overall mood and day to day living. Even for those of you who are older and may be past those issues, there are still adjustments in your life that you are having to deal with that feel unmanageable!
(862) 263-9726 View (862) 263-9726
Hillary Greene
Clinical Social Work/Therapist, LCSW
Verified Verified
Sparta, NJ 07871
My name is Hillary Greene. I have 30 plus years in the psychotherapy field. I am a skilled and experienced clinician treating many problems but specializing in depression and mood disorders, anxiety, stress related issues, ptsd, and relationship related problems in couples, friendships, the workplace, and the family.I work with grief and loss, not only thru a loved one dying but also many types of emotional losses which are sometimes even more difficult. I do a lot of work helping individuals to work thru family of origin issues so they can become "unstuck", and move on with their lives.
My name is Hillary Greene. I have 30 plus years in the psychotherapy field. I am a skilled and experienced clinician treating many problems but specializing in depression and mood disorders, anxiety, stress related issues, ptsd, and relationship related problems in couples, friendships, the workplace, and the family.I work with grief and loss, not only thru a loved one dying but also many types of emotional losses which are sometimes even more difficult. I do a lot of work helping individuals to work thru family of origin issues so they can become "unstuck", and move on with their lives.
(973) 850-5321 View (973) 850-5321
Photo of Meghan Colonna in Ogdensburg, NJ
Meghan Colonna
MSW, LSW
Verified Verified
1 Endorsed
Newton, NJ 07860
As an LSW, I have been trained to provide mental health services to children, adolescents, and adults. After graduating magna cum laude from Rutgers University, I spent time in the corporate sector before completing my masters in social work at the University of Central Florida. I have worked with families facing housing insecurity and children with developmental challenges such as autism spectrum disorder, attention deficit hyperactivity disorder, behavioral issues, and learning disabilities. Clients I have served have sought support for anxiety, depression, mood disorders, parenting education, C-PTSD, and interpersonal conflict.
As an LSW, I have been trained to provide mental health services to children, adolescents, and adults. After graduating magna cum laude from Rutgers University, I spent time in the corporate sector before completing my masters in social work at the University of Central Florida. I have worked with families facing housing insecurity and children with developmental challenges such as autism spectrum disorder, attention deficit hyperactivity disorder, behavioral issues, and learning disabilities. Clients I have served have sought support for anxiety, depression, mood disorders, parenting education, C-PTSD, and interpersonal conflict.
(908) 246-1480 View (908) 246-1480
Photo of Theresa M. Pedernera, Clinical Social Work/Therapist in Ogdensburg, NJ
Theresa M. Pedernera
Clinical Social Work/Therapist, MSW, LCSW, LCADC
Verified Verified
Newton, NJ 07860
If you are struggling with anxiety, depression, substance abuse or life challenges and you have reached a crossroad in your life, where you may feel troubled or unclear, therapy can be the place to help you reassess and refocus. My primary goal is to provide a safe, empathetic and warm environment to encourage personal exploration and growth. I assist clients to find relief from life's challenges so they can give themselves the life they truly deserve.
If you are struggling with anxiety, depression, substance abuse or life challenges and you have reached a crossroad in your life, where you may feel troubled or unclear, therapy can be the place to help you reassess and refocus. My primary goal is to provide a safe, empathetic and warm environment to encourage personal exploration and growth. I assist clients to find relief from life's challenges so they can give themselves the life they truly deserve.
(973) 756-3116 View (973) 756-3116
Photo of Sage Psychotherapy Services, Clinical Social Work/Therapist in Ogdensburg, NJ
Sage Psychotherapy Services
Clinical Social Work/Therapist, LCSW
Verified Verified
Sparta, NJ 07871
This is Sasha. She works with us at Sage Psychotherapy Services. She is a valuable member of our team. Sage Psychotherapy Services offers several providers who address a variety of issues. We work with both children and adults. We offer individual, group, couples and family therapy.
This is Sasha. She works with us at Sage Psychotherapy Services. She is a valuable member of our team. Sage Psychotherapy Services offers several providers who address a variety of issues. We work with both children and adults. We offer individual, group, couples and family therapy.
(973) 784-1068 View (973) 784-1068
Photo of Rachel A Ochieng, Counselor in Ogdensburg, NJ
Rachel A Ochieng
Counselor, MA, LPC, NCC
Verified Verified
1 Endorsed
Newton, NJ 07860
I am a Licensed Professional Counselor with a wide range of experience having worked in private practice, community partial care programs and at a hospital psychiatric intensive care unit. I currently practice at Lakeside Counseling Associates, with a group of wonderful therapists. My experience involves working with clients ranging from ages 12-65. I appreciate the fact that I can integrate various forms of therapeutic techniques to meet clients’ individual needs. I am a big believer in the WHOLE person as opposed to focusing on the mental challenge.
I am a Licensed Professional Counselor with a wide range of experience having worked in private practice, community partial care programs and at a hospital psychiatric intensive care unit. I currently practice at Lakeside Counseling Associates, with a group of wonderful therapists. My experience involves working with clients ranging from ages 12-65. I appreciate the fact that I can integrate various forms of therapeutic techniques to meet clients’ individual needs. I am a big believer in the WHOLE person as opposed to focusing on the mental challenge.
(862) 212-0982 View (862) 212-0982
Photo of Dr. Allan Dunkel, Psychologist in Ogdensburg, NJ
Dr. Allan Dunkel
Psychologist, PhD
Verified Verified
Branchville, NJ 07826  (Online Only)
Areas of specialty include: Depression,, Anxiety Disorders, alcohol abuse,Couples Therapy. Experienced, feedback oriented Psychologist . Works with adults,couples, adolescents, and families, Family Therapy, OCD, Anger Management, Addictive Illness, Domestic Violence, etc.
Areas of specialty include: Depression,, Anxiety Disorders, alcohol abuse,Couples Therapy. Experienced, feedback oriented Psychologist . Works with adults,couples, adolescents, and families, Family Therapy, OCD, Anger Management, Addictive Illness, Domestic Violence, etc.
(973) 750-9534 View (973) 750-9534
Photo of Andrea Magistro, Clinical Social Work/Therapist in Ogdensburg, NJ
Andrea Magistro
Clinical Social Work/Therapist, MSW, LCSW, CCS
Verified Verified
1 Endorsed
Sparta, NJ 07871
I am glad you are here. Taking the step to seek psychotherapy can be hard. I aim to provide a safe and welcoming space to adolescents and adults dealing with issues varying from trauma, depression, grief, bipolar, stress due to life transitions, anxiety, OCD, and more. As well, I enjoy working with couples. I use a person-centered approach to the meet the needs and goals of each client. I utilize therapeutic treatments like cognitive behavioral therapy (CBT), dialectical behavioral therapy (DBT), motivational interviewing, and psycho-education. I strongly believe there is no one size fits all approach.
I am glad you are here. Taking the step to seek psychotherapy can be hard. I aim to provide a safe and welcoming space to adolescents and adults dealing with issues varying from trauma, depression, grief, bipolar, stress due to life transitions, anxiety, OCD, and more. As well, I enjoy working with couples. I use a person-centered approach to the meet the needs and goals of each client. I utilize therapeutic treatments like cognitive behavioral therapy (CBT), dialectical behavioral therapy (DBT), motivational interviewing, and psycho-education. I strongly believe there is no one size fits all approach.
(908) 212-9100 View (908) 212-9100
Photo of Alyssa Wilson, Clinical Social Work/Therapist in Ogdensburg, NJ
Alyssa Wilson
Clinical Social Work/Therapist, LCSW
Verified Verified
1 Endorsed
Sparta, NJ 07871
Waitlist for new clients
My name is Alyssa Wilson and I am a Licensed Clinical Social Worker with 8 years post-graduate experience. I have worked with individuals ages 13+ and specialize in substance use disorders, anxiety, depression, mood disorders, and PTSD. It would be my pleasure to work with you on your journey to rediscovering your true self.
My name is Alyssa Wilson and I am a Licensed Clinical Social Worker with 8 years post-graduate experience. I have worked with individuals ages 13+ and specialize in substance use disorders, anxiety, depression, mood disorders, and PTSD. It would be my pleasure to work with you on your journey to rediscovering your true self.
(862) 362-1583 View (862) 362-1583
Photo of Catherine Ann Destefano, Clinical Social Work/Therapist in Ogdensburg, NJ
Catherine Ann Destefano
Clinical Social Work/Therapist, MSW, LCSW
Verified Verified
1 Endorsed
Sparta, NJ 07871
Call for a free phone consultation. I work with very young children, ages three and up and adolescents up to age eighteen and their families. I also work with adults who are experiencing life challenges that are making them anxious or fearful. My experience has centered around children and families who are experiencing divorce, trauma/abuse, familial upset, emotional disequilibrium, behavioral issues, anxiety, family conflict, mood disorders, self-harm, depression, PTSD, and self-medicating behaviors.
Call for a free phone consultation. I work with very young children, ages three and up and adolescents up to age eighteen and their families. I also work with adults who are experiencing life challenges that are making them anxious or fearful. My experience has centered around children and families who are experiencing divorce, trauma/abuse, familial upset, emotional disequilibrium, behavioral issues, anxiety, family conflict, mood disorders, self-harm, depression, PTSD, and self-medicating behaviors.
(973) 510-0007 View (973) 510-0007

How does your Therapist compare?

Number of Therapists in Ogdensburg, NJ

< 10

Therapists in Ogdensburg, NJ who prioritize treating:

100% Relationship Issues
100% Depression
100% Anxiety
100% Child
100% ADHD
100% Domestic Abuse
100% Grief

How Therapists in Ogdensburg, NJ see their clients

100% In Person and Online
FAQs - About Therapy and Counseling

How can I find a therapist in Ogdensburg?

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.