Therapists in Media, PA

Photo of Edward Friel, LPC, Licensed Professional Counselor
Edward Friel
Licensed Professional Counselor, LPC
Verified Verified
Media, PA 19063
Ted received his Masters in Professional Counseling from Lasalle University and is a Licensed Professional Counselor with over 15 years of experience with in-patient and out-patient services for a wide range of diagnoses, including Autism Spectrum Disorder, developmental delays, conduct disorders, addictions, mood disorders, anxiety, ADHD, and depression. He specializes in working with children, adolescents, and their families to help manage life while navigating their unique circumstances in a safe, caring environment. He also works with adult individuals and couples dealing with anxiety, depression, mood disorders, and addictions.
Ted received his Masters in Professional Counseling from Lasalle University and is a Licensed Professional Counselor with over 15 years of experience with in-patient and out-patient services for a wide range of diagnoses, including Autism Spectrum Disorder, developmental delays, conduct disorders, addictions, mood disorders, anxiety, ADHD, and depression. He specializes in working with children, adolescents, and their families to help manage life while navigating their unique circumstances in a safe, caring environment. He also works with adult individuals and couples dealing with anxiety, depression, mood disorders, and addictions.
(484) 989-9835 View (484) 989-9835
Photo of Carol Koehler, LCSW, Clinical Social Work/Therapist
Carol Koehler
Clinical Social Work/Therapist, LCSW
Verified Verified
Media, PA 19063
Imagine a life in which your challenges - depression, anxiety, fear, loneliness - are no longer holding you back. Feeling worried, guilty, lost, or unsure of how to connect with others can feel uncomfortable and intimidating. When we worry, struggle to find meaning, or feel a lack of motivation and clarity, it can affect our mood, relationships, and overall experience. When your challenges are not holding you back, you can have deeper relationships, greater satisfaction with work & personal pursuits, and less worry about issues like finances, happiness, family, etc.
Imagine a life in which your challenges - depression, anxiety, fear, loneliness - are no longer holding you back. Feeling worried, guilty, lost, or unsure of how to connect with others can feel uncomfortable and intimidating. When we worry, struggle to find meaning, or feel a lack of motivation and clarity, it can affect our mood, relationships, and overall experience. When your challenges are not holding you back, you can have deeper relationships, greater satisfaction with work & personal pursuits, and less worry about issues like finances, happiness, family, etc.
(610) 638-6575 View (610) 638-6575
Photo of Maria Lopez, MA, Pre-Licensed Professional
Maria Lopez
Pre-Licensed Professional, MA
Verified Verified
Media, PA 19063
I work with adolescents and adults faced with a variety of challenges including stress, anxiety, depression, trauma, and more. I also have experience working with family systems and interpersonal conflict. I believe that the therapeutic process looks different for each person. I use a person-centered style of therapy combined with a variety of counseling techniques to form an eclectic approach that can address each client's individual needs. My goal is to provide you with a safe & supportive space where you feel comfortable being your authentic self so we can begin the hard work of therapy.
I work with adolescents and adults faced with a variety of challenges including stress, anxiety, depression, trauma, and more. I also have experience working with family systems and interpersonal conflict. I believe that the therapeutic process looks different for each person. I use a person-centered style of therapy combined with a variety of counseling techniques to form an eclectic approach that can address each client's individual needs. My goal is to provide you with a safe & supportive space where you feel comfortable being your authentic self so we can begin the hard work of therapy.
(484) 285-4009 View (484) 285-4009
Photo of Sarah Johnson, LCSW, Clinical Social Work/Therapist
Sarah Johnson
Clinical Social Work/Therapist, LCSW
Verified Verified
Media, PA 19063  (Online Only)
Sarah Johnson is a Licensed Clinical Social Worker with 40 years of experience in the mental health field. She provides a safe and supportive environment in which clients can explore their needs and overcome barriers to their emotional wellness. She is an honorably discharged Army veteran who served in Vicenza, Italy. Her military service exposed her to world travel, women's issues, and military stressors and motivated her to become a therapist. This combined with her professional experience enables her to provide guidance in support to a wide variety of clients.
Sarah Johnson is a Licensed Clinical Social Worker with 40 years of experience in the mental health field. She provides a safe and supportive environment in which clients can explore their needs and overcome barriers to their emotional wellness. She is an honorably discharged Army veteran who served in Vicenza, Italy. Her military service exposed her to world travel, women's issues, and military stressors and motivated her to become a therapist. This combined with her professional experience enables her to provide guidance in support to a wide variety of clients.
(610) 601-2858 View (610) 601-2858
Photo of Brandon Gommer, LPC, Licensed Professional Counselor
Brandon Gommer
Licensed Professional Counselor, LPC
Verified Verified
Media, PA 19063
Brandon Gommer is a Licensed Professional Counselor and a Certified Clinical Trauma Professional. He has over 6 years of experience working in the mental health field. Brandon's experience in the field is vast and he has worked with individuals of adolescent and adult ages with various intensities of anxiety, depression, trauma, addiction, grief and loss, and daily life stressors. Brandon has a passion working with people and giving them a space they can finally feel safe in to talk about their difficulties or the goals they want to work on in treatment.
Brandon Gommer is a Licensed Professional Counselor and a Certified Clinical Trauma Professional. He has over 6 years of experience working in the mental health field. Brandon's experience in the field is vast and he has worked with individuals of adolescent and adult ages with various intensities of anxiety, depression, trauma, addiction, grief and loss, and daily life stressors. Brandon has a passion working with people and giving them a space they can finally feel safe in to talk about their difficulties or the goals they want to work on in treatment.
(610) 665-3284 View (610) 665-3284
Photo of Kevin Burns, LCSW, Clinical Social Work/Therapist
Kevin Burns
Clinical Social Work/Therapist, LCSW
Verified Verified
Media, PA 19063  (Online Only)
Hello, my name is Kevin. You have taken an important step by reaching out for help. Well done! I encourage you to take the time needed to find a therapist that will meet your needs. This is your journey and you deserve a therapist that is the right fit. I am a Licensed Clinical Social Worker with over 40 years of experience. I believe in a relationship-focused approach to therapy. I work with clients to build a safe space and to develop a supportive therapeutic relationship.
Hello, my name is Kevin. You have taken an important step by reaching out for help. Well done! I encourage you to take the time needed to find a therapist that will meet your needs. This is your journey and you deserve a therapist that is the right fit. I am a Licensed Clinical Social Worker with over 40 years of experience. I believe in a relationship-focused approach to therapy. I work with clients to build a safe space and to develop a supportive therapeutic relationship.
(484) 513-2027 View (484) 513-2027
Photo of Dr. Emily Johansen, PsyD, Psychologist
Dr. Emily Johansen
Psychologist, PsyD
Verified Verified
Media, PA 19063
Not accepting new clients
Life can feel very hard at times. Trauma can take different forms in life and have painful effects. I specialize in treating adults who struggle with complex trauma/PTSD (e.g., emotional, sexual, & religious abuse, family conflict, societal discrimination), dissociation, anxiety, depression, identity confusion (e.g., gender, racial), disordered eating/body dysmorphia, emotional instability, relationship problems, BPD, and grief/loss. My biggest passion is empowering clients who have felt misunderstood, unseen, or mistreated in their lives, and helping them learn everyday skills to handle overwhelming emotions and experiences.
Life can feel very hard at times. Trauma can take different forms in life and have painful effects. I specialize in treating adults who struggle with complex trauma/PTSD (e.g., emotional, sexual, & religious abuse, family conflict, societal discrimination), dissociation, anxiety, depression, identity confusion (e.g., gender, racial), disordered eating/body dysmorphia, emotional instability, relationship problems, BPD, and grief/loss. My biggest passion is empowering clients who have felt misunderstood, unseen, or mistreated in their lives, and helping them learn everyday skills to handle overwhelming emotions and experiences.
(267) 209-6643 View (267) 209-6643
Photo of Elizabeth Roberts, MA, LPC, BCBA, Licensed Professional Counselor
Elizabeth Roberts
Licensed Professional Counselor, MA, LPC, BCBA
Verified Verified
Media, PA 19063
I am a licensed professional counselor (LPC) with a Master of Arts degree in Counseling Psychology from Eastern University, graduate certificate in applied behavior analysis from Capella University, a license as a Professional Counselor in the state of Pennsylvania and am able to diagnose ADHD, anxiety and mood related disorders.
I am a licensed professional counselor (LPC) with a Master of Arts degree in Counseling Psychology from Eastern University, graduate certificate in applied behavior analysis from Capella University, a license as a Professional Counselor in the state of Pennsylvania and am able to diagnose ADHD, anxiety and mood related disorders.
(610) 572-3477 View (610) 572-3477
Photo of Ryoko Ohara, LPC, Licensed Professional Counselor
Ryoko Ohara
Licensed Professional Counselor, LPC
Verified Verified
Media, PA 19063  (Online Only)
Ryoko is a Licensed Professional Counselor who brings her person-centered mindful approach to individuals seeking fulfillment and inner peace. Experienced in inpatient and outpatient settings, Ryoko has helped adults using compassion, knowledge, experience and music therapy skills. Board-certified in music therapy with degrees in psychology, Ryoko has worked with both individuals and groups.
Ryoko is a Licensed Professional Counselor who brings her person-centered mindful approach to individuals seeking fulfillment and inner peace. Experienced in inpatient and outpatient settings, Ryoko has helped adults using compassion, knowledge, experience and music therapy skills. Board-certified in music therapy with degrees in psychology, Ryoko has worked with both individuals and groups.
(855) 982-2550 View (855) 982-2550
Photo of Sarah Manley, LPC, Licensed Professional Counselor
Sarah Manley
Licensed Professional Counselor, LPC
Verified Verified
Media, PA 19063
Sarah Manley is a Licensed Professional Counselor (LPC) and Board-Certified Art Therapist (AT-BC) with over 10 years of experience in supporting individuals in reaching their wellness goals. Sarah specializes in supporting individuals who struggle with anxiety, depression, self-esteem issues, and co-occurring symptoms. Sarah completed her graduate studies at Drexel University. Sarah utilizes a trauma informed care approach with each client and works to build compassionate rapport.
Sarah Manley is a Licensed Professional Counselor (LPC) and Board-Certified Art Therapist (AT-BC) with over 10 years of experience in supporting individuals in reaching their wellness goals. Sarah specializes in supporting individuals who struggle with anxiety, depression, self-esteem issues, and co-occurring symptoms. Sarah completed her graduate studies at Drexel University. Sarah utilizes a trauma informed care approach with each client and works to build compassionate rapport.
(610) 646-5866 View (610) 646-5866
Photo of Rachael Itescu, LPC, MS, NCC, Counselor
Rachael Itescu
Counselor, LPC, MS, NCC
Verified Verified
5 Endorsed
Media, PA 19063
My work is a privilege. I work with clients regarding a variety of issues including: anxiety, depression, relationships, and work-life balance. By developing an atmosphere of genuine acceptance and collaboration, clients and I work toward their particular goals - whether that is feeling better or living richer, more meaningful lives.
My work is a privilege. I work with clients regarding a variety of issues including: anxiety, depression, relationships, and work-life balance. By developing an atmosphere of genuine acceptance and collaboration, clients and I work toward their particular goals - whether that is feeling better or living richer, more meaningful lives.
(484) 209-9991 View (484) 209-9991
Photo of Lisa Nilon Redding, MA, LPC, BSL, CCPTII, Licensed Professional Counselor
Lisa Nilon Redding
Licensed Professional Counselor, MA, LPC, BSL, CCPTII
Verified Verified
Media, PA 19063
I am a licensed Professional Counselor in PA, DE, and NJ. With over 18 years of experience, I have worked with all different ages, populations, and concerns. I am a seasoned therapist with training in CBT, DBT, and Trauma. I will help bring back balance in the client's life by addressing their emotional and behavioral needs. I have extensive knowledge and experience addressing blended families, parenting challenges, and conflict resolution. We will work together to understand the "whys" and build better strategies to improve the areas in your life you want to change. We will look at ways to improve communication with others.
I am a licensed Professional Counselor in PA, DE, and NJ. With over 18 years of experience, I have worked with all different ages, populations, and concerns. I am a seasoned therapist with training in CBT, DBT, and Trauma. I will help bring back balance in the client's life by addressing their emotional and behavioral needs. I have extensive knowledge and experience addressing blended families, parenting challenges, and conflict resolution. We will work together to understand the "whys" and build better strategies to improve the areas in your life you want to change. We will look at ways to improve communication with others.
(610) 646-1440 View (610) 646-1440
Photo of Seneka LaBonde, MEd, LMFT, Marriage & Family Therapist
Seneka LaBonde
Marriage & Family Therapist, MEd, LMFT
Verified Verified
2 Endorsed
Media, PA 19063  (Online Only)
Sexuality is a complex, personal, and social experience. Many of us were raised with secrecy, silence, and shame. This often results in unsatisfactory or unhealthy sexual and emotional relationships. Many people today are struggling with sexuality and sex with their partners. We often don't know how to communicate about our wants, needs, desires, and boundaries. We may feel lonely, isolated, or misunderstood. There may be resentment or hurt in your relationships. Let's work together to heal the wounds and have a healthier, happier sexual life.
Sexuality is a complex, personal, and social experience. Many of us were raised with secrecy, silence, and shame. This often results in unsatisfactory or unhealthy sexual and emotional relationships. Many people today are struggling with sexuality and sex with their partners. We often don't know how to communicate about our wants, needs, desires, and boundaries. We may feel lonely, isolated, or misunderstood. There may be resentment or hurt in your relationships. Let's work together to heal the wounds and have a healthier, happier sexual life.
(484) 451-7358 View (484) 451-7358
Photo of Stephanie Pomante (Accepting New Clients), LPC, Licensed Professional Counselor
Stephanie Pomante (Accepting New Clients)
Licensed Professional Counselor, LPC
Verified Verified
Media, PA 19063  (Online Only)
Are you having difficulty with managing worry or feeling overwhelmed by life's challenges? Are you stuck in a cycle that you can not break free? Do you need support in working through a mix of emotions? You do not need to face these challenges alone. I am a licensed professional counselor in the state of Pennsylvania. I am a Certified Mindfulness Informed Professional. I offer a non-judgemental and warm experience to help my clients meet their goals and gain insight to their emotions. I support my clients in developing health coping skills though personal development and self-awareness.
Are you having difficulty with managing worry or feeling overwhelmed by life's challenges? Are you stuck in a cycle that you can not break free? Do you need support in working through a mix of emotions? You do not need to face these challenges alone. I am a licensed professional counselor in the state of Pennsylvania. I am a Certified Mindfulness Informed Professional. I offer a non-judgemental and warm experience to help my clients meet their goals and gain insight to their emotions. I support my clients in developing health coping skills though personal development and self-awareness.
(215) 234-7743 View (215) 234-7743
Photo of Valerie Daniel, PhD, LCSW, Clinical Social Work/Therapist
Valerie Daniel
Clinical Social Work/Therapist, PhD, LCSW
Verified Verified
5 Endorsed
Media, PA 19063
I empower women and individuals to navigate through the crossroads and transitions in life in order to help them live their best lives. Because research has shown that transitions in life trigger physical and emotional stress responses in the body, and having coping skills to effectively manage the stress of life's crossroads can provide the emotional stamina needed to thrive, I offer relationship counseling, individual counseling for anxiety, depression, grief and loss associated with life transitions, and relationship issues.
I empower women and individuals to navigate through the crossroads and transitions in life in order to help them live their best lives. Because research has shown that transitions in life trigger physical and emotional stress responses in the body, and having coping skills to effectively manage the stress of life's crossroads can provide the emotional stamina needed to thrive, I offer relationship counseling, individual counseling for anxiety, depression, grief and loss associated with life transitions, and relationship issues.
(267) 416-0825 View (267) 416-0825
Photo of Renee Balthrop, PhD, Psychologist
Renee Balthrop
Psychologist, PhD
Verified Verified
Media, PA 19063  (Online Only)
I am a clinical psychologist with over 30 years of experience as a psychotherapist. In doing this work, I have had the extraordinary experience of helping patients live more meaningful and satisfying lives. Patients often gain self-awareness, see others more clearly and make positive life changes. I use new research findings and the principles of depth psychology to better understand the way an individual's mind works, to identify longstanding patterns and to determine their effect on mood and life circumstances. This informs the identification of goals and supports their achievement. WEBSITE: BodySoulWorks.com
I am a clinical psychologist with over 30 years of experience as a psychotherapist. In doing this work, I have had the extraordinary experience of helping patients live more meaningful and satisfying lives. Patients often gain self-awareness, see others more clearly and make positive life changes. I use new research findings and the principles of depth psychology to better understand the way an individual's mind works, to identify longstanding patterns and to determine their effect on mood and life circumstances. This informs the identification of goals and supports their achievement. WEBSITE: BodySoulWorks.com
(610) 915-8431 View (610) 915-8431
Photo of Marie Miller, LPC, Licensed Professional Counselor
Marie Miller
Licensed Professional Counselor, LPC
Verified Verified
Media, PA 19063
Life is amazing, but it can also be messy and painful. I work with individuals, adolescents or adults, who are in stressful situations, feel anxious, or are making a life change. For some this may be a rough patch that they need help navigating. For others, something larger may be disrupting their lives. My specialty is helping people who have had a traumatic event or are dealing with anxiety.
Life is amazing, but it can also be messy and painful. I work with individuals, adolescents or adults, who are in stressful situations, feel anxious, or are making a life change. For some this may be a rough patch that they need help navigating. For others, something larger may be disrupting their lives. My specialty is helping people who have had a traumatic event or are dealing with anxiety.
(484) 441-0293 View (484) 441-0293
Photo of Marguerite Mesure, Licensed Professional Counselor
Marguerite Mesure
Licensed Professional Counselor
Verified Verified
Media, PA 19063
Marguerite "Molly" Mesure holds a Master's degree in Professional Counseling. She is passionate about working with adolescents, young adults, and adults who may struggle with depression, anxiety, relationship difficulties, self-esteem challenges, school issues, peer issues, substance abuse, women's issues, and grief and loss.
Marguerite "Molly" Mesure holds a Master's degree in Professional Counseling. She is passionate about working with adolescents, young adults, and adults who may struggle with depression, anxiety, relationship difficulties, self-esteem challenges, school issues, peer issues, substance abuse, women's issues, and grief and loss.
(610) 601-2381 View (610) 601-2381
Photo of Scott Giacomucci - Phoenix Center for Experiential Trauma Therapy, DSW, LCSW, BCD, FAAETS, TEP
Phoenix Center for Experiential Trauma Therapy
DSW, LCSW, BCD, FAAETS, TEP
Verified Verified
1 Endorsed
Media, PA 19063
While other programs claim to be 'trauma-informed', our practice revolves entirely around trauma therapy. This is what we do best. The Phoenix Center for Experiential Trauma Therapy is named after the legendary figure of the phoenix that dies and is reborn from its own ashes – it is a symbol of transformation and resilience. The phenomenon of growing after experiencing trauma has been labeled “Post-Traumatic Growth”. This is exactly what we help our clients cultivate in their lives. While we cannot change the past, we can change how past experiences live within us Low-Cost Options Available with Our Graduate Interns
While other programs claim to be 'trauma-informed', our practice revolves entirely around trauma therapy. This is what we do best. The Phoenix Center for Experiential Trauma Therapy is named after the legendary figure of the phoenix that dies and is reborn from its own ashes – it is a symbol of transformation and resilience. The phenomenon of growing after experiencing trauma has been labeled “Post-Traumatic Growth”. This is exactly what we help our clients cultivate in their lives. While we cannot change the past, we can change how past experiences live within us Low-Cost Options Available with Our Graduate Interns
(484) 653-5066 View (484) 653-5066
Photo of Jordan Lief, PsyD, CSAT, Psychologist
Jordan Lief
Psychologist, PsyD, CSAT
Verified Verified
1 Endorsed
Media, PA 19063
I have successfully treated people struggling with a variety of issues including depression, anxiety, addiction, trauma/PTSD, loss of a loved one, sexual difficulties, and relationship distress. I work with individuals, couples, and families, with the goal of helping people become more aware of and more comfortable with themselves and others. Life is complex, and I enjoy the challenges of assisting people through their unpredictable journeys. I create a supportive therapeutic environment where my clients feel safe to explore themselves, their relationships, and the world around them.
I have successfully treated people struggling with a variety of issues including depression, anxiety, addiction, trauma/PTSD, loss of a loved one, sexual difficulties, and relationship distress. I work with individuals, couples, and families, with the goal of helping people become more aware of and more comfortable with themselves and others. Life is complex, and I enjoy the challenges of assisting people through their unpredictable journeys. I create a supportive therapeutic environment where my clients feel safe to explore themselves, their relationships, and the world around them.
(610) 915-8043 View (610) 915-8043

How does your Therapist compare?

Number of Therapists in Media, PA

300+

Average cost per session

$148

Therapists in Media, PA who prioritize treating:

92% Anxiety
86% Depression
70% Relationship Issues
68% Self Esteem
67% Trauma and PTSD
60% Stress
59% Coping Skills

Average years in practice

12 Years

Top 3 insurances accepted

83% Aetna
66% Highmark
57% UnitedHealthcare UHC | UBH

How Therapists in Media, PA see their clients

69% In Person and Online
31% Online Only

Gender breakdown

78% Female
21% Male
1% Non-Binary
FAQs - About Therapy and Counseling

How can I find a therapist in Media?

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.