Therapists in Columbia, MD

Photo of Precious Wells
Precious Wells
Licensed Clinical Professional Counselor
Verified Verified
Columbia, MD 21044  (Online Only)
I am a licensed mental health therapist in Maryland with over 4 years of experience working with adults, adolescents, couples, families and group counseling. I have experience in helping clients with stress, anxiety, adjustment issues, anger management, work burn out, relationship issues, family conflicts, emotional adjustment, life transitioning, employment issues, grief, and depression. I work with my clients to create an open, caring, safe and judgment free environment where my clients thoughts and feelings can be shared without fear.
I am a licensed mental health therapist in Maryland with over 4 years of experience working with adults, adolescents, couples, families and group counseling. I have experience in helping clients with stress, anxiety, adjustment issues, anger management, work burn out, relationship issues, family conflicts, emotional adjustment, life transitioning, employment issues, grief, and depression. I work with my clients to create an open, caring, safe and judgment free environment where my clients thoughts and feelings can be shared without fear.
(866) 738-3081 View (866) 738-3081
Photo of Tammy Goldberg, LCSW-C, Clinical Social Work/Therapist
Tammy Goldberg
Clinical Social Work/Therapist, LCSW-C
Verified Verified
Columbia, MD 21044
Therapy is an opportunity to explore and challenge yourself to experience your life in a fulfilling way. I will work with you in a collaborative, non-judgmental manner to understand existing beliefs, thoughts and behaviors and then strive to help you reach your goals in terms of changing any of these areas. I respect your personal hopes regarding what you would like therapy to be. I have worked in a variety of settings with adults, children and adolescents who are struggling with relationships, anxiety, depression, and life transitions. I focus on providing support in a warm and accepting atmosphere.
Therapy is an opportunity to explore and challenge yourself to experience your life in a fulfilling way. I will work with you in a collaborative, non-judgmental manner to understand existing beliefs, thoughts and behaviors and then strive to help you reach your goals in terms of changing any of these areas. I respect your personal hopes regarding what you would like therapy to be. I have worked in a variety of settings with adults, children and adolescents who are struggling with relationships, anxiety, depression, and life transitions. I focus on providing support in a warm and accepting atmosphere.
(410) 449-4908 x5 View (410) 449-4908 x5
Photo of Gina L Rothbaum, LCPC
Gina L Rothbaum
Licensed Clinical Professional Counselor, LCPC
Verified Verified
Columbia, MD 21044
I am only offering virtual appointments at this time. My goal is to help my clients learn to cope with the problems and stress they may be experiencing and to help them identify ways to form healthier, happier relationships. To accomplish this, I seek to create a therapeutic relationship that promotes healing and growth, enhances insight and perspective, and helps clients figure out what they want from life and how to achieve those goals. The clients that I work with are individual adults and couples.
I am only offering virtual appointments at this time. My goal is to help my clients learn to cope with the problems and stress they may be experiencing and to help them identify ways to form healthier, happier relationships. To accomplish this, I seek to create a therapeutic relationship that promotes healing and growth, enhances insight and perspective, and helps clients figure out what they want from life and how to achieve those goals. The clients that I work with are individual adults and couples.
(301) 637-7580 View (301) 637-7580
Photo of Christine Highfill, LCPC, NCC
Christine Highfill
Licensed Clinical Professional Counselor, LCPC, NCC
Verified Verified
Columbia, MD 21045
Does life feel overwhelming? Your stress is unmanageable. Your relationships need repair. It feels difficult to move forward, and you are struggling. The constant feeling of being overwhelmed leads to physical, emotional, and mental exhaustion. You want to make peace with a painful past. The weight of unmanaged stress impacts every aspect of your life, influencing your work, health, and relationships. You know something needs to change. Starting therapy is a brave and proactive step toward well-being. I am here to be present to you, to validate your thoughts and feelings with compassion. I will support your healing.
Does life feel overwhelming? Your stress is unmanageable. Your relationships need repair. It feels difficult to move forward, and you are struggling. The constant feeling of being overwhelmed leads to physical, emotional, and mental exhaustion. You want to make peace with a painful past. The weight of unmanaged stress impacts every aspect of your life, influencing your work, health, and relationships. You know something needs to change. Starting therapy is a brave and proactive step toward well-being. I am here to be present to you, to validate your thoughts and feelings with compassion. I will support your healing.
(240) 201-2063 View (240) 201-2063
Photo of Nell Winer, LGPC, Counselor
Nell Winer
Counselor, LGPC
Verified Verified
1 Endorsed
Columbia, MD 21045  (Online Only)
You want things to be different but you don’t know where to start. You’re looking for a space to process the parts of your life that are feeling frustrating. You’re feeling stuck in roles and patterns that are not bringing fulfillment. You have experienced hardships in your past and want to begin or continue the courageous journey of working through these challenges and experiencing the freedom that exists on the other side. I get it and therapy can help. Through therapy, I aim to empower you, fostering confidence and resilience through recognizing your inherent strengths and potential.
You want things to be different but you don’t know where to start. You’re looking for a space to process the parts of your life that are feeling frustrating. You’re feeling stuck in roles and patterns that are not bringing fulfillment. You have experienced hardships in your past and want to begin or continue the courageous journey of working through these challenges and experiencing the freedom that exists on the other side. I get it and therapy can help. Through therapy, I aim to empower you, fostering confidence and resilience through recognizing your inherent strengths and potential.
(443) 727-1160 View (443) 727-1160
Photo of Daniel Koster, PsyD, Psychologist
Daniel Koster
Psychologist, PsyD
Verified Verified
1 Endorsed
Columbia, MD 21046  (Online Only)
Relationships are important to all of us. There are links between the quality of your relationships and your quality of life. That is why major life changes like starting or ending a relationship, grief and relationships conflicts can be so distressing. As our relationships suffer, so does our mood. And as our mood suffers, so do our relationships. Can this cycle be broken? Can it be reversed?
Relationships are important to all of us. There are links between the quality of your relationships and your quality of life. That is why major life changes like starting or ending a relationship, grief and relationships conflicts can be so distressing. As our relationships suffer, so does our mood. And as our mood suffers, so do our relationships. Can this cycle be broken? Can it be reversed?
(240) 690-6294 View (240) 690-6294
Photo of Najwa Awad, LCSW-C, PMH-C, Clinical Social Work/Therapist
Najwa Awad
Clinical Social Work/Therapist, LCSW-C, PMH-C
Verified Verified
Columbia, MD 21046  (Online Only)
I specialize in the clinical treatment of women, their children and families. Women are unique from any other clinical group and deserve to get individualized services tailored to meet their needs. My goal is to empower women, help alleviate their symptoms and address their personal goals for wellness. It is of utmost importance that my clients feel safe, respected and supported.
I specialize in the clinical treatment of women, their children and families. Women are unique from any other clinical group and deserve to get individualized services tailored to meet their needs. My goal is to empower women, help alleviate their symptoms and address their personal goals for wellness. It is of utmost importance that my clients feel safe, respected and supported.
(410) 343-7545 View (410) 343-7545
Photo of Sarah J Blake, LCSW-C, Clinical Social Work/Therapist
Sarah J Blake
Clinical Social Work/Therapist, LCSW-C
Verified Verified
3 Endorsed
Columbia, MD 21044
I am so excited that you are here, looking for help. That is the most important step you can take to get the help you need. The next best step you can take is therapist shopping. You are unlikely to be best friends with every person you meet and not every therapist will be the best match for you, so shop around and do your homework! Ask lots of questions and read everything you can find until you are satisfied and comfortable. I am here to answer those questions and help you take the next step. Then it will be one step at a time towards meeting your goals.
I am so excited that you are here, looking for help. That is the most important step you can take to get the help you need. The next best step you can take is therapist shopping. You are unlikely to be best friends with every person you meet and not every therapist will be the best match for you, so shop around and do your homework! Ask lots of questions and read everything you can find until you are satisfied and comfortable. I am here to answer those questions and help you take the next step. Then it will be one step at a time towards meeting your goals.
(410) 941-8671 View (410) 941-8671
Photo of Kathleen Van Meter, LCSW-C, C-DBT, Clinical Social Work/Therapist
Kathleen Van Meter
Clinical Social Work/Therapist, LCSW-C, C-DBT
Verified Verified
Columbia, MD 21044
I am currently licensed at the clinical level (LCSW-C) to practice social work in Maryland. I utilize a direct, yet warm and affirming approach in therapy. Each client is unique and I work hard to assist clients in achieving his or her treatment goals through Dialectical Behavioral Therapy, Cognitive Behavioral Therapy, and Solution- Focused Therapy. Much of my work focuses on Mindfulness and supportive therapies.
I am currently licensed at the clinical level (LCSW-C) to practice social work in Maryland. I utilize a direct, yet warm and affirming approach in therapy. Each client is unique and I work hard to assist clients in achieving his or her treatment goals through Dialectical Behavioral Therapy, Cognitive Behavioral Therapy, and Solution- Focused Therapy. Much of my work focuses on Mindfulness and supportive therapies.
View
Photo of Vanessa Senatus, LCPC
Vanessa Senatus
Licensed Clinical Professional Counselor, LCPC
Verified Verified
2 Endorsed
Columbia, MD 21045  (Online Only)
There are times when life feels hard, and it is natural to experience ups and downs. I am here to support you through those highs and lows. Together, we will celebrate your victories, both big and small, and navigate any setbacks. We will work towards fostering a greater sense of self-awareness, self-compassion, and emotional regulation, leading you to a life of increased fulfillment.
There are times when life feels hard, and it is natural to experience ups and downs. I am here to support you through those highs and lows. Together, we will celebrate your victories, both big and small, and navigate any setbacks. We will work towards fostering a greater sense of self-awareness, self-compassion, and emotional regulation, leading you to a life of increased fulfillment.
(410) 632-6502 View (410) 632-6502
Photo of Gloria Mathis, PhD, Psychologist
Gloria Mathis
Psychologist, PhD
Verified Verified
Columbia, MD 21045  (Online Only)
Dr. Mathis specializes in treating Obsessive Compulsive Disorder, anxiety disorders, and Body Focused Repetitive Behaviors (BFRBs), such as hair-pulling and skin-picking. She also works with individuals managing other areas of psychological difficulty, such as depression, stress management, sleep problems, and disruptive behavior. Dr. Mathis is trained in the Family Well-Being Approach for families of individuals who refuse treatment. Each individual has different goals for treatment, but generally Dr. Mathis focuses on collaboratively identifying goals to increase the client's quality of life in ways that matter to them.
Dr. Mathis specializes in treating Obsessive Compulsive Disorder, anxiety disorders, and Body Focused Repetitive Behaviors (BFRBs), such as hair-pulling and skin-picking. She also works with individuals managing other areas of psychological difficulty, such as depression, stress management, sleep problems, and disruptive behavior. Dr. Mathis is trained in the Family Well-Being Approach for families of individuals who refuse treatment. Each individual has different goals for treatment, but generally Dr. Mathis focuses on collaboratively identifying goals to increase the client's quality of life in ways that matter to them.
(410) 834-4889 x3 View (410) 834-4889 x3
Photo of Julie Furman, LMSW, MSN-RN, Clinical Social Work/Therapist
Julie Furman
Clinical Social Work/Therapist, LMSW, MSN-RN
Verified Verified
1 Endorsed
Columbia, MD 21045
Are you searching for inner peace, but just can’t seem to find it? Do the stressors of life feel like they keep getting in the way, resulting in increased helplessness, and fear? With a nonjudgemental, client-centered, and strength-based approach, I will work alongside you to help you achieve your maximum potential. Having spent years working as a Mental Health Nurse, I view my clients and their challenges holistically and come with a unique ability to incorporate mind, body, and soul into our work. Every individual has qualities to help them be resilient, and together, we will work towards achieving your personal goals.
Are you searching for inner peace, but just can’t seem to find it? Do the stressors of life feel like they keep getting in the way, resulting in increased helplessness, and fear? With a nonjudgemental, client-centered, and strength-based approach, I will work alongside you to help you achieve your maximum potential. Having spent years working as a Mental Health Nurse, I view my clients and their challenges holistically and come with a unique ability to incorporate mind, body, and soul into our work. Every individual has qualities to help them be resilient, and together, we will work towards achieving your personal goals.
(667) 382-8715 View (667) 382-8715
Photo of Dr. Karlissa Wise, LCSW-C, Clinical Social Work/Therapist
Dr. Karlissa Wise
Clinical Social Work/Therapist, LCSW-C
Verified Verified
1 Endorsed
Columbia, MD 21046  (Online Only)
The demands that life throws at us can be exhausting. Being unhappy at work, meeting deadlines, and co-parenting difficulties can all lead to stress. The stress of what we experience in life can lead to issues including anxiety, depression, and low self-esteem. Wise Counseling & Consultation specializes in treating clients with anxiety, depression, relationship conflict, and low self-esteem. Clients seeking therapy for these matters are looking for solutions to resolve problems that they are currently facing. Your goal is to obtain healthy coping skills to properly manage daily life stressors.
The demands that life throws at us can be exhausting. Being unhappy at work, meeting deadlines, and co-parenting difficulties can all lead to stress. The stress of what we experience in life can lead to issues including anxiety, depression, and low self-esteem. Wise Counseling & Consultation specializes in treating clients with anxiety, depression, relationship conflict, and low self-esteem. Clients seeking therapy for these matters are looking for solutions to resolve problems that they are currently facing. Your goal is to obtain healthy coping skills to properly manage daily life stressors.
(443) 230-5685 View (443) 230-5685
Photo of Joseph Ari Maravi, LCSW-C, Clinical Social Work/Therapist
Joseph Ari Maravi
Clinical Social Work/Therapist, LCSW-C
Verified Verified
Columbia, MD 21046
I treat clients from adolescence through adulthood, including the elderly. I have treated a range of psychiatric diagnoses from anxiety and mood disorders, psychotic disorders, ADHD, issues related to sexual and gender identity, grief and life stage/development.
I treat clients from adolescence through adulthood, including the elderly. I have treated a range of psychiatric diagnoses from anxiety and mood disorders, psychotic disorders, ADHD, issues related to sexual and gender identity, grief and life stage/development.
(301) 298-2776 x1002 View (301) 298-2776 x1002
Photo of Amy Meldau, LCSW-C, Clinical Social Work/Therapist
Amy Meldau
Clinical Social Work/Therapist, LCSW-C
Verified Verified
Columbia, MD 21046  (Online Only)
Are you feeling stuck, frustrated, or overwhelmed? Trying to make sense of past trauma or current life stressors? Or looking for healthier ways to cope with distressing emotions? I am here to help. I can assist you in developing insight & coping strategies to address your particular struggles. My therapeutic approach is holistic and tailored to each individual as I draw from Internal Family Systems, polyvagal theory, creative/arts-based expression, & mind-body healing. I have extensive training & experience in Mindfulness Based-Cognitive Behavioral Therapy, Cognitive Processing Therapy for C-PTSD, & Prolongued Exposure Therapy.
Are you feeling stuck, frustrated, or overwhelmed? Trying to make sense of past trauma or current life stressors? Or looking for healthier ways to cope with distressing emotions? I am here to help. I can assist you in developing insight & coping strategies to address your particular struggles. My therapeutic approach is holistic and tailored to each individual as I draw from Internal Family Systems, polyvagal theory, creative/arts-based expression, & mind-body healing. I have extensive training & experience in Mindfulness Based-Cognitive Behavioral Therapy, Cognitive Processing Therapy for C-PTSD, & Prolongued Exposure Therapy.
(240) 331-8853 View (240) 331-8853
Photo of Dayli Natasha Marrero, PhD, Psychologist
Dayli Natasha Marrero
Psychologist, PhD
Verified Verified
1 Endorsed
Columbia, MD 21044
I am a licensed psychologist with over 25 years of experience. My approach to therapy is eclectic with a focus on developing a strong therapeutic relationship in which the client feels listened to and understood on a deep level with genuine interest and acceptance. I work with IFS informed framework, as well as relaxation and mindfulness practices of awareness and acceptance. I focus on a person's strengths and resiliency to help them achieve the changes they are looking for.
I am a licensed psychologist with over 25 years of experience. My approach to therapy is eclectic with a focus on developing a strong therapeutic relationship in which the client feels listened to and understood on a deep level with genuine interest and acceptance. I work with IFS informed framework, as well as relaxation and mindfulness practices of awareness and acceptance. I focus on a person's strengths and resiliency to help them achieve the changes they are looking for.
(410) 927-5502 View (410) 927-5502
Photo of Daniel M Zimet, PhD, Psychologist
Daniel M Zimet
Psychologist, PhD
Verified Verified
1 Endorsed
Columbia, MD 21046
The decision to contact a therapist requires courage, self-awareness, and hope. Reaching out for help and guidance opens the door for growth, health, and a future of new possibilities. I respect and admire the decision you have made and wish you well on these first steps towards improving your life. My responsibility and pledge is a commitment to creating a safe environment that includes listening, compassion and support balanced with insightful feedback that provides outcome-oriented options to your issues. I see therapy as a collaborative dialogue.
The decision to contact a therapist requires courage, self-awareness, and hope. Reaching out for help and guidance opens the door for growth, health, and a future of new possibilities. I respect and admire the decision you have made and wish you well on these first steps towards improving your life. My responsibility and pledge is a commitment to creating a safe environment that includes listening, compassion and support balanced with insightful feedback that provides outcome-oriented options to your issues. I see therapy as a collaborative dialogue.
(443) 353-9996 View (443) 353-9996
Photo of Felisha C Pierce, MFC-MA, LCPC
Felisha C Pierce
Licensed Clinical Professional Counselor, MFC-MA, LCPC
Verified Verified
2 Endorsed
Columbia, MD 21044  (Online Only)
Providing collaborative efforts to help assist individuals who may be navigating through challenging times and are in need of support. In life there are moments of uncertainty and unpredictability that may yield the need for specific guidance that is unique to the individual or family. I am able to offer warm concern that is focused on achieving personal change and growth goals. My ultimate purpose is to connect, understand, and grow therapeutic relationships that are tailored to the needs and desires of the client as a tool to encourage, motivate, and empower the building of self-growth and effective development.
Providing collaborative efforts to help assist individuals who may be navigating through challenging times and are in need of support. In life there are moments of uncertainty and unpredictability that may yield the need for specific guidance that is unique to the individual or family. I am able to offer warm concern that is focused on achieving personal change and growth goals. My ultimate purpose is to connect, understand, and grow therapeutic relationships that are tailored to the needs and desires of the client as a tool to encourage, motivate, and empower the building of self-growth and effective development.
(240) 209-9668 View (240) 209-9668
Photo of Jillian Parente, LCSW-C, Clinical Social Work/Therapist
Jillian Parente
Clinical Social Work/Therapist, LCSW-C
Verified Verified
Columbia, MD 21046  (Online Only)
‘Change is constant’… but that does not mean it is easy. Deciding to make personal changes to enhance your quality of life is the first step. Therapy can provide support and perspective, through obtaining greater understanding and healing. As a result, personal growth occurs. Jillian Parente is a licensed clinical social worker, board-approved social work supervisor, board-approved counseling supervisor, peer recovery specialist supervisor, and an Adjunct Professor, with over 8 years of experience, specializing in women’s issues, such as trauma and perinatal mental health (including, but not limited to pregnancy and postpartum).
‘Change is constant’… but that does not mean it is easy. Deciding to make personal changes to enhance your quality of life is the first step. Therapy can provide support and perspective, through obtaining greater understanding and healing. As a result, personal growth occurs. Jillian Parente is a licensed clinical social worker, board-approved social work supervisor, board-approved counseling supervisor, peer recovery specialist supervisor, and an Adjunct Professor, with over 8 years of experience, specializing in women’s issues, such as trauma and perinatal mental health (including, but not limited to pregnancy and postpartum).
View
Photo of Elaine Williams - Columbia Associates - Columbia, LPC
Columbia Associates - Columbia
Licensed Clinical Professional Counselor, LPC
Verified Verified
Columbia, MD 21044
Columbia Associates is a group of local outpatient mental health clinics dedicated to serving the D.C. Metro Area and the local area of Columbia, Maryland. At our Columbia clinic, our diverse care team is committed to supporting clients through life’s challenges. We offer a full suite of personalized mental health services, including therapy, psychiatry, and medication management, as well as innovative interventional psychiatry services like TMS, Spravato, and Ketamine treatments.
Columbia Associates is a group of local outpatient mental health clinics dedicated to serving the D.C. Metro Area and the local area of Columbia, Maryland. At our Columbia clinic, our diverse care team is committed to supporting clients through life’s challenges. We offer a full suite of personalized mental health services, including therapy, psychiatry, and medication management, as well as innovative interventional psychiatry services like TMS, Spravato, and Ketamine treatments.
(443) 233-1710 View (443) 233-1710
1
...

How does your Therapist compare?

Number of Therapists in Columbia, MD

900+

Average cost per session

$150

Therapists in Columbia, MD who prioritize treating:

94% Anxiety
89% Depression
72% Relationship Issues
72% Self Esteem
68% Coping Skills
68% Stress
63% Life Transitions

Average years in practice

11 Years

Top 3 insurances accepted

77% Cigna and Evernorth
76% CareFirst
73% BlueCross and BlueShield

How Therapists in Columbia, MD see their clients

55% In Person and Online
45% Online Only

Gender breakdown

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

How can I find a therapist in Columbia?

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.