Photo of Joy Kassett, MSW, MPH, PhD, Psychologist
Joy Kassett
Psychologist, MSW, MPH, PhD
Verified Verified
Washington, DC 20015
I have been in practice for over 20 years, working with adults, children and adolescents in psychodynamic therapy and psychoanalysis. The frequency and duration of each treatment depends on the unique needs of every person; for example, a college student may be seeking short-term therapy to deal with the transition from home to school or an adult may be seeking longer term treatment to understand a pattern of failed relationships. Children are often referred by family members or school counselors, who provide valuable background information to help determine the best treatment. Ongoing collaboration with parents and professionals is essential.
I have been in practice for over 20 years, working with adults, children and adolescents in psychodynamic therapy and psychoanalysis. The frequency and duration of each treatment depends on the unique needs of every person; for example, a college student may be seeking short-term therapy to deal with the transition from home to school or an adult may be seeking longer term treatment to understand a pattern of failed relationships. Children are often referred by family members or school counselors, who provide valuable background information to help determine the best treatment. Ongoing collaboration with parents and professionals is essential.
(202) 417-3278 View (202) 417-3278
Photo of Barry M Wagner, PhD, Psychologist
Barry M Wagner
Psychologist, PhD
Verified Verified
1 Endorsed
Washington, DC 20015
My areas of expertise include: (1) Adolescents and adults having difficulties managing stress, anxiety and worries, depression, and interpersonal problems. (2) Adolescents with challenges in their social relationships, academic motivation, and behavioral adjustment. Depending on the situation, I may address such problems with individual therapy, family therapy, or parenting work. (3) Attention-deficit/hyperactivity disorder (ADHD) in youth and adults: providing useful skills and techniques for living a more productive and satisfying life with ADHD. (4) Couple therapy: Helping couples to improve communication, rebuild or deepen trust or intimacy, or understand and re-shape unsatisfying or distressing patterns of interaction.
My areas of expertise include: (1) Adolescents and adults having difficulties managing stress, anxiety and worries, depression, and interpersonal problems. (2) Adolescents with challenges in their social relationships, academic motivation, and behavioral adjustment. Depending on the situation, I may address such problems with individual therapy, family therapy, or parenting work. (3) Attention-deficit/hyperactivity disorder (ADHD) in youth and adults: providing useful skills and techniques for living a more productive and satisfying life with ADHD. (4) Couple therapy: Helping couples to improve communication, rebuild or deepen trust or intimacy, or understand and re-shape unsatisfying or distressing patterns of interaction.
(202) 759-8558 View (202) 759-8558
Photo of Joanne Zucchetto, LICSW, LCSW-C, Clinical Social Work/Therapist
Joanne Zucchetto
Clinical Social Work/Therapist, LICSW, LCSW-C
Verified Verified
Washington, DC 20015
My belief that the therapeutic relationship is the key element of successful treatment informs my practice. This working relationship, based on mutual trust and shared goals, allows for self-exploration and ultimately personal growth. In working with individuals, couples, families and/or groups I think that connecting the dots between past and present allows the client to have a better grasp on what is influencing her/his feelings and life choices leading to greater empowerment and life satisfaction.
My belief that the therapeutic relationship is the key element of successful treatment informs my practice. This working relationship, based on mutual trust and shared goals, allows for self-exploration and ultimately personal growth. In working with individuals, couples, families and/or groups I think that connecting the dots between past and present allows the client to have a better grasp on what is influencing her/his feelings and life choices leading to greater empowerment and life satisfaction.
(410) 988-2167 View (410) 988-2167
Photo of Vera C Sky - Vera C Sky, LiCSW, MSW, LICSW, LCSW, Clinical Social Work/Therapist
Vera C Sky, LiCSW
Clinical Social Work/Therapist, MSW, LICSW, LCSW
Verified Verified
Washington, DC 20015
Welcome to my practice!. What ever your needs, I approach our work with zest and empathy which comes from broad experience working in psychiatric and health settings. Whether with problems of elderly, families,couples or people facing job loss, academic problems, illness, bereavement, trauma or the loneliness of anxiety and depression, psychotherapy can bring relief and find inner strengths and possibilities. I focus especially on communication skills, and deprograming early dysfunctional messages which interfere with forming relationships in all aspects of life. Together we will meet your immediate needs and begin a longer journey towards fulfilling your deepest aspirations.
Welcome to my practice!. What ever your needs, I approach our work with zest and empathy which comes from broad experience working in psychiatric and health settings. Whether with problems of elderly, families,couples or people facing job loss, academic problems, illness, bereavement, trauma or the loneliness of anxiety and depression, psychotherapy can bring relief and find inner strengths and possibilities. I focus especially on communication skills, and deprograming early dysfunctional messages which interfere with forming relationships in all aspects of life. Together we will meet your immediate needs and begin a longer journey towards fulfilling your deepest aspirations.
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Photo of Karen Garman, MSW, LICSW, Clinical Social Work/Therapist
Karen Garman
Clinical Social Work/Therapist, MSW, LICSW
Verified Verified
Washington, DC 20015
I work with adults, adolescents and children to create a safe space in which to explore and understand struggles, develop healthy coping skills, and cultivate fulfilling relationships. I bring my understanding of development across the life span, listening skills, and a commitment to help each individual feel understood, supported, and challenged to move toward healing, growth, and the change they desire.
I work with adults, adolescents and children to create a safe space in which to explore and understand struggles, develop healthy coping skills, and cultivate fulfilling relationships. I bring my understanding of development across the life span, listening skills, and a commitment to help each individual feel understood, supported, and challenged to move toward healing, growth, and the change they desire.
(202) 729-9092 View (202) 729-9092
Photo of Eduardo Cortina, MA, LPC, SEP, Licensed Professional Counselor
Eduardo Cortina
Licensed Professional Counselor, MA, LPC, SEP
Verified Verified
Washington, DC 20015
Are you suffering from the effects of PTSD, anxiety, depression, sudden loss, and/or chronic pain? If so body-oriented psychotherapy may help facilitate your recovery. By working to address the root causes of nervous system imbalance, a body-psychotherapy approach can empower you with tools and skills to re-negotiate and resolve difficult and traumatic experiences. My approach in therapy is client-centered and my work is just to facilitate and provide the optimal conditions for healing to take place. I also hope to impart knowledge and skills for people to work with themselves effectively outside of therapy.
Are you suffering from the effects of PTSD, anxiety, depression, sudden loss, and/or chronic pain? If so body-oriented psychotherapy may help facilitate your recovery. By working to address the root causes of nervous system imbalance, a body-psychotherapy approach can empower you with tools and skills to re-negotiate and resolve difficult and traumatic experiences. My approach in therapy is client-centered and my work is just to facilitate and provide the optimal conditions for healing to take place. I also hope to impart knowledge and skills for people to work with themselves effectively outside of therapy.
(202) 933-6934 View (202) 933-6934
Photo of Ruthie T Arbit, LICSW, MA, Clinical Social Work/Therapist
Ruthie T Arbit
Clinical Social Work/Therapist, LICSW, MA
Verified Verified
2 Endorsed
Washington, DC 20015
My approach to therapy is to partner with you and your family to create an individualized and goal-directed treatment plan. I can help you uncover your strengths and use the skills you already have to make lasting changes. You will experience a warm, genuine, playful, and humorous treatment approach.
My approach to therapy is to partner with you and your family to create an individualized and goal-directed treatment plan. I can help you uncover your strengths and use the skills you already have to make lasting changes. You will experience a warm, genuine, playful, and humorous treatment approach.
(240) 230-3046 View (240) 230-3046
Photo of Lisa S Oakley, MSW, LICSW, Clinical Social Work/Therapist
Lisa S Oakley
Clinical Social Work/Therapist, MSW, LICSW
Verified Verified
Washington, DC 20015
I provide a positive and supportive approach to helping children, adolescents, adults and families who are navigating a variety of emotional or transitional challenges, including anxiety, mood disorders, school issues, family conflict and other sources of stress or disruption that may affect daily functioning or emotional well-being. I apply a person-centered and strength-based approach which involves respecting and encouraging a client's own goals and perspectives. I also work closely with parents to help identify practical and personalized strategies and interventions to address the many challenges that come with raising children and teenagers.
I provide a positive and supportive approach to helping children, adolescents, adults and families who are navigating a variety of emotional or transitional challenges, including anxiety, mood disorders, school issues, family conflict and other sources of stress or disruption that may affect daily functioning or emotional well-being. I apply a person-centered and strength-based approach which involves respecting and encouraging a client's own goals and perspectives. I also work closely with parents to help identify practical and personalized strategies and interventions to address the many challenges that come with raising children and teenagers.
(202) 759-3472 View (202) 759-3472
Photo of Stephanie Wolf, JD, PhD, Psychologist
Stephanie Wolf
Psychologist, JD, PhD
Verified Verified
Washington, DC 20015
Have you or a member of your family experienced a trauma, suffered a loss or are having trouble overcoming past events? I meet all children, individuals and families where they are. I try to put everyone at ease, answer all your questions and begin to instill hope that the problems will get better. I also have a specialty in forensic psychology and can put my assessment and clinical skills to use in the courtroom to help you achieve justice in the criminal or civil arena.
Have you or a member of your family experienced a trauma, suffered a loss or are having trouble overcoming past events? I meet all children, individuals and families where they are. I try to put everyone at ease, answer all your questions and begin to instill hope that the problems will get better. I also have a specialty in forensic psychology and can put my assessment and clinical skills to use in the courtroom to help you achieve justice in the criminal or civil arena.
(240) 671-0021 View (240) 671-0021
Photo of Liz Goll Lerner, LPC, LCPAT, ATR-BC, LCAT, Licensed Professional Counselor
Liz Goll Lerner
Licensed Professional Counselor, LPC, LCPAT, ATR-BC, LCAT
Verified Verified
Washington, DC 20015  (Online Only)
Not accepting new clients
Working with me is a collaborative process. We focus on making change a reality. We explore what isn't working in your life, relationship concerns, navigating life transitions, or the experience of a serious medical illness or a difficult childhood/adolescence. In my 30+ years as a clinician I have mastered many therapeutic techniques and methods. I love using all the tools in my toolbox to create an individualized therapeutic approach for each of my clients. Our work is action oriented, creative and encompasses healing mind, body and spirit. Free 20-minute phone consultation.
Working with me is a collaborative process. We focus on making change a reality. We explore what isn't working in your life, relationship concerns, navigating life transitions, or the experience of a serious medical illness or a difficult childhood/adolescence. In my 30+ years as a clinician I have mastered many therapeutic techniques and methods. I love using all the tools in my toolbox to create an individualized therapeutic approach for each of my clients. Our work is action oriented, creative and encompasses healing mind, body and spirit. Free 20-minute phone consultation.
(301) 859-3418 View (301) 859-3418
Photo of Brigit Van Widenfelt, PhD, Psychologist
Brigit Van Widenfelt
Psychologist, PhD
Verified Verified
Washington, DC 20015
Hello. In my practice I work with clients on relationship issues, anxiety, depression and related difficulties. I am a Clinical Psychologist and have worked at the University my entire career doing clinical research, mentoring, supervising, teaching, training and doing therapy. I keep up with empirically based approaches in the field of Psychology/ Psychiatry and integrate new developments into my work. I am licensed in Washington, DC and have a PSYPACT license for video therapy in most states. I look forward to meeting you!
Hello. In my practice I work with clients on relationship issues, anxiety, depression and related difficulties. I am a Clinical Psychologist and have worked at the University my entire career doing clinical research, mentoring, supervising, teaching, training and doing therapy. I keep up with empirically based approaches in the field of Psychology/ Psychiatry and integrate new developments into my work. I am licensed in Washington, DC and have a PSYPACT license for video therapy in most states. I look forward to meeting you!
(202) 868-8575 View (202) 868-8575
Photo of Helen Ann Rudinsky, MS, LPC, Licensed Professional Counselor
Helen Ann Rudinsky
Licensed Professional Counselor, MS, LPC
Verified Verified
Washington, DC 20015  (Online Only)
Do you feel misunderstood? Do you have trouble communicating? As a Marriage & Family Therapist, I help couples and individuals turn their relationships around for the better. We work on speaking and listening skills, using "I" statements, setting boundaries and other relationship skills. We use videos, personality tests, role plays and other tools to bring about rapid change. I work with clients on relationship issues, career choices, and other issues. What sets me apart from other therapists is my ability to keep clients on a systematic approach to change with a focused, short term program to help them achieve their goals quickly.
Do you feel misunderstood? Do you have trouble communicating? As a Marriage & Family Therapist, I help couples and individuals turn their relationships around for the better. We work on speaking and listening skills, using "I" statements, setting boundaries and other relationship skills. We use videos, personality tests, role plays and other tools to bring about rapid change. I work with clients on relationship issues, career choices, and other issues. What sets me apart from other therapists is my ability to keep clients on a systematic approach to change with a focused, short term program to help them achieve their goals quickly.
(833) 472-0501 View (833) 472-0501
Photo of Dr. Mariam Gregorian, PhD, Psychologist
Dr. Mariam Gregorian
Psychologist, PhD
Verified Verified
2 Endorsed
Washington, DC 20015  (Online Only)
When we are struggling with our mental health, the question often asked is “What’s wrong with you?” instead of “What happened to you?” Sadly, many people who have reached out for help have found themselves shamed, invalidated, and in worse shape than they were before. My goal is to provide an affirming and safe therapeutic environment for all identities, and I welcome individuals who are trying therapy for the first time, as well as those who have had previous experiences. I regularly work with clients who are experiencing anxiety, depression, grief and life transitions.
When we are struggling with our mental health, the question often asked is “What’s wrong with you?” instead of “What happened to you?” Sadly, many people who have reached out for help have found themselves shamed, invalidated, and in worse shape than they were before. My goal is to provide an affirming and safe therapeutic environment for all identities, and I welcome individuals who are trying therapy for the first time, as well as those who have had previous experiences. I regularly work with clients who are experiencing anxiety, depression, grief and life transitions.
(202) 930-8371 View (202) 930-8371
Photo of Danielle Miro, PhD, ABPP-Rp, Psychologist
Danielle Miro
Psychologist, PhD, ABPP-Rp
Verified Verified
1 Endorsed
Washington, DC 20015  (Online Only)
When your body is in distress, your mind and mood suffer. Whether you want to address your weight, pain, disordered eating, stress, living with a chronic disease, recovering from an illness, or adjusting to a new medical condition, I can help. I also support care partners of those with chronic illness. As a board-certified rehabilitation psychologist, I emphasize a holistic approach to well-being and support people in leading a values-filled life that recognizes personal strengths, reduces shame and promotes self-compassion, encourages collaboration, and meets you where you are non-judgmentally.
When your body is in distress, your mind and mood suffer. Whether you want to address your weight, pain, disordered eating, stress, living with a chronic disease, recovering from an illness, or adjusting to a new medical condition, I can help. I also support care partners of those with chronic illness. As a board-certified rehabilitation psychologist, I emphasize a holistic approach to well-being and support people in leading a values-filled life that recognizes personal strengths, reduces shame and promotes self-compassion, encourages collaboration, and meets you where you are non-judgmentally.
(202) 873-8048 View (202) 873-8048
Photo of Emma Kienzle, Pre-Licensed Professional
Emma Kienzle
Pre-Licensed Professional
Verified Verified
1 Endorsed
Washington, DC 20015  (Online Only)
Are you struggling with issues of gender and/or sexuality? Are you living with HIV/AIDS? Are you feeling anxious, depressed, or living with the aftermath of trauma? Then you have landed on the right profile! As a therapist, I provide a non-judgmental and affirming space for you to explore your thoughts, emotions, and experiences. Under the supervision of Maria A. Alfonso (License Number PRC14153) at Face to Face Counseling Services, LLC,
Are you struggling with issues of gender and/or sexuality? Are you living with HIV/AIDS? Are you feeling anxious, depressed, or living with the aftermath of trauma? Then you have landed on the right profile! As a therapist, I provide a non-judgmental and affirming space for you to explore your thoughts, emotions, and experiences. Under the supervision of Maria A. Alfonso (License Number PRC14153) at Face to Face Counseling Services, LLC,
(888) 524-4315 View (888) 524-4315
Photo of Cynthia Bloom, Licensed Professional Counselor
Cynthia Bloom
Licensed Professional Counselor
Verified Verified
Washington, DC 20015  (Online Only)
Remember when things felt easier? You felt valued, confident, and in control of your life or career? Now it's more bored, frustrated, or burnt out. Once you felt creative and productive; now it's tired and stuck. At home, it's like just going through through the motions - alone or with a partner. Maybe parenting is getting weird. Or you worry for a loved one. You worked hard to manage it all, but now realize: It's not getting better. You want to feel better, more alive, more in control.
Remember when things felt easier? You felt valued, confident, and in control of your life or career? Now it's more bored, frustrated, or burnt out. Once you felt creative and productive; now it's tired and stuck. At home, it's like just going through through the motions - alone or with a partner. Maybe parenting is getting weird. Or you worry for a loved one. You worked hard to manage it all, but now realize: It's not getting better. You want to feel better, more alive, more in control.
(202) 751-4179 View (202) 751-4179
Photo of Kara O'Leary, PhD, Psychologist
Kara O'Leary
Psychologist, PhD
Verified Verified
3 Endorsed
Washington, DC 20015
Waitlist for new clients
When life becomes hard, painful, stressful, or traumatic, as it sometimes will, a person needs both new tools and new support. I specialize in helping people heal from the past and thrive in the present. I have 15 years of experience working with individuals and couples to reduce their suffering and find their resilience when they have been experiencing PTSD, anxiety, depression, relationship difficulties, and health struggles.
When life becomes hard, painful, stressful, or traumatic, as it sometimes will, a person needs both new tools and new support. I specialize in helping people heal from the past and thrive in the present. I have 15 years of experience working with individuals and couples to reduce their suffering and find their resilience when they have been experiencing PTSD, anxiety, depression, relationship difficulties, and health struggles.
(202) 915-8990 View (202) 915-8990
Photo of John Jacob Hartman, PhD, FABP, Psychologist
John Jacob Hartman
Psychologist, PhD, FABP
Verified Verified
Washington, DC 20015  (Online Only)
I am seeing clients online only in Tampa, Florida and Washington DC. If you suffer from anxiety, depression, low self esteem, or find yourself in recurring patterns of relationship difficulties or if you feel that something is missing in your life or you just wish to understand yourself better, psychoanalytic psychotherapy may be the answer you are looking for.
I am seeing clients online only in Tampa, Florida and Washington DC. If you suffer from anxiety, depression, low self esteem, or find yourself in recurring patterns of relationship difficulties or if you feel that something is missing in your life or you just wish to understand yourself better, psychoanalytic psychotherapy may be the answer you are looking for.
(202) 937-3034 View (202) 937-3034
Photo of Shirley - Scribner, LCSW-C, Clinical Social Work/Therapist
Shirley - Scribner
Clinical Social Work/Therapist, LCSW-C
Verified Verified
Washington, DC 20015
I work with individual adults and couples in a supportive, constructive, and empathetic way. My style is encouraging, warm, and insightful. With over 20 years experience, I offer a safe environment in which to explore options for improving functioning and moving towards fulfillment of one's values and life goals.
I work with individual adults and couples in a supportive, constructive, and empathetic way. My style is encouraging, warm, and insightful. With over 20 years experience, I offer a safe environment in which to explore options for improving functioning and moving towards fulfillment of one's values and life goals.
(202) 519-4306 View (202) 519-4306
Photo of Lea Ebony - A Fresh Start Therapy, LICSW, LCSW-C, Clinical Social Work/Therapist
A Fresh Start Therapy
Clinical Social Work/Therapist, LICSW, LCSW-C
Verified Verified
4 Endorsed
Washington, DC 20015  (Online Only)
12/21/2023- Yes, we are currently accepting new clients. Welcome to A Fresh Start Therapy. FYI: This time of year is difficult for many as we get less sunlight and our days are shorter. Both Seasonal Affective Disorder (SAD) and Major Depressive Disorder flare up in the Fall. Consider making a small change in your environment like adding art to your sleeping area or tossing a piece of furniture or decor that no longer fits who you are. Making subtle updates to your home or work space can improve your mood a bit. Give it a try!
12/21/2023- Yes, we are currently accepting new clients. Welcome to A Fresh Start Therapy. FYI: This time of year is difficult for many as we get less sunlight and our days are shorter. Both Seasonal Affective Disorder (SAD) and Major Depressive Disorder flare up in the Fall. Consider making a small change in your environment like adding art to your sleeping area or tossing a piece of furniture or decor that no longer fits who you are. Making subtle updates to your home or work space can improve your mood a bit. Give it a try!
(202) 831-7039 View (202) 831-7039

How does your Therapist compare?

Number of Therapists in 20015

200+

Average cost per session

$195

Therapists in 20015 who prioritize treating:

94% Anxiety
89% Depression
82% Relationship Issues
79% Self Esteem
66% Stress
64% Trauma and PTSD
64% Coping Skills

Average years in practice

15 Years

Top 3 insurances accepted

59% BlueCross and BlueShield
56% CareFirst
37% Aetna

How Therapists in 20015 see their clients

65% In Person and Online
35% Online Only

Gender breakdown

87% Female
13% Male
FAQs - About Therapy and Counseling

How can I find a therapist in 20015?

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.