Therapists in 20170

Photo of Paige Townley, Pre-Licensed Professional in 20170, VA
Paige Townley
Pre-Licensed Professional, MA
Verified
1 Endorsed
Herndon, VA 20170
Paige Townley is a Resident in Counseling and a Nationally Certified Counselor under the supervision of Heidi Murphy, LPC-S. Paige's expertise is in treating eating disorders, body image concerns, anxiety and depression has worked in various treatment settings, including Acute Hospital, Partial Hospitalization and Intensive Outpatient Programs. Paige utilizes a trauma-informed and humanistic approach to therapy while incorporating aspects of Dialectical Behavior Therapy, Cognitive Behavior Therapy, and Acceptance and Commitment Therapy.
Paige Townley is a Resident in Counseling and a Nationally Certified Counselor under the supervision of Heidi Murphy, LPC-S. Paige's expertise is in treating eating disorders, body image concerns, anxiety and depression has worked in various treatment settings, including Acute Hospital, Partial Hospitalization and Intensive Outpatient Programs. Paige utilizes a trauma-informed and humanistic approach to therapy while incorporating aspects of Dialectical Behavior Therapy, Cognitive Behavior Therapy, and Acceptance and Commitment Therapy.
(757) 637-1377 x803 View (757) 637-1377 x803
Photo of Mary Rogers Kirby, Licensed Professional Counselor in 20170, VA
Mary Rogers Kirby
Licensed Professional Counselor, MEd, EdS, LPC, NCC
Verified
1 Endorsed
Herndon, VA 20170  (Online Only)
Seeking help and support is a significant step towards caring for yourself. Perhaps you just don't feel like yourself or are feeling overwhelmed. You're just doing the basics and floating through life. Maybe you experience intense moods. You're hurting and feel hopeless. You're just stuck. Parents, are you concerned about your child? Maybe they're starting to withdraw more or are struggling with school and friends.
Seeking help and support is a significant step towards caring for yourself. Perhaps you just don't feel like yourself or are feeling overwhelmed. You're just doing the basics and floating through life. Maybe you experience intense moods. You're hurting and feel hopeless. You're just stuck. Parents, are you concerned about your child? Maybe they're starting to withdraw more or are struggling with school and friends.
(703) 687-1548 View (703) 687-1548
Photo of Dina Friedman, Psychologist in 20170, VA
Dina Friedman
Psychologist, PsyD
Verified
Herndon, VA 20170
Not accepting new clients
I am a clinical psychologist with over 20 years of experience in private practice. I have helped many individuals to develop more peaceful lives, working through feelings of depression, anxiety and relationship struggles. I love working with parents, especially because their growth can have such a positive impact on their children. I have a special interest in working with caregivers of special needs children. This passion developed after facing the challenge of parenting my own special needs child. During COVID-19 I will discount rates to make therapy affordable to parents who have medically fragile or behaviorally challenged kids.
I am a clinical psychologist with over 20 years of experience in private practice. I have helped many individuals to develop more peaceful lives, working through feelings of depression, anxiety and relationship struggles. I love working with parents, especially because their growth can have such a positive impact on their children. I have a special interest in working with caregivers of special needs children. This passion developed after facing the challenge of parenting my own special needs child. During COVID-19 I will discount rates to make therapy affordable to parents who have medically fragile or behaviorally challenged kids.
(703) 828-0508 View (703) 828-0508
Photo of Benjamin Wagner, Licensed Professional Counselor in 20170, VA
Benjamin Wagner
Licensed Professional Counselor, MA, LPC
Verified
1 Endorsed
Herndon, VA 20170
I am Licensed Professional Counselor with over 16 years of clinical counseling experience providing services in the Tyson's Corner area. I have worked extensively with adults and adolescents through individual, group, couples and family treatment modalities. I have a diverse professional background including community mental health, independent counseling groups and private practice.
I am Licensed Professional Counselor with over 16 years of clinical counseling experience providing services in the Tyson's Corner area. I have worked extensively with adults and adolescents through individual, group, couples and family treatment modalities. I have a diverse professional background including community mental health, independent counseling groups and private practice.
(484) 602-2249 View (484) 602-2249
Photo of Dawn Perez, Licensed Professional Counselor in 20170, VA
Dawn Perez
Licensed Professional Counselor, MA, BCN, NCC, LPC
Verified
Herndon, VA 20170
I am the Clinical Director of BiofeedbackWORKS in Virginia, a clinic that offers NEUROFEEDBACK, GENERAL BIOFEEDBACK, and Accelerated Resolution Therapy (ART). We specialize in therapies that use positive reinforcement and plasticity of the brain to create better functionality & help regulate the body's parasympathetic nervous system. We offer services to a diverse population, ranging from young children to older adults. Our clients seek our services for mental health issues, traumatic brain injuries, and peak performance goals. At BiofeedbackWORKS we aim to help each client meet their individual goals.
I am the Clinical Director of BiofeedbackWORKS in Virginia, a clinic that offers NEUROFEEDBACK, GENERAL BIOFEEDBACK, and Accelerated Resolution Therapy (ART). We specialize in therapies that use positive reinforcement and plasticity of the brain to create better functionality & help regulate the body's parasympathetic nervous system. We offer services to a diverse population, ranging from young children to older adults. Our clients seek our services for mental health issues, traumatic brain injuries, and peak performance goals. At BiofeedbackWORKS we aim to help each client meet their individual goals.
(703) 997-7628 View (703) 997-7628
Photo of Cynthia Diane Stroud, Clinical Social Work/Therapist in 20170, VA
Cynthia Diane Stroud
Clinical Social Work/Therapist, LCSW
Verified
Herndon, VA 20170
A Licensed Professional Therapist holding a Master’s Degree in Social Work from Virginia Commonwealth University and a BA in Psychology. Experienced providing therapy for over 25 years helping all individuals with a variety of concerns and issues. Telehealth and/or phone sessions available, flexible hours. Compassion and empathy to all clients at all times meeting each person wherever they are in their journey of healing. I believe that everyone is capable of change, and by giving you my best, we will work together bring out the best in you!
A Licensed Professional Therapist holding a Master’s Degree in Social Work from Virginia Commonwealth University and a BA in Psychology. Experienced providing therapy for over 25 years helping all individuals with a variety of concerns and issues. Telehealth and/or phone sessions available, flexible hours. Compassion and empathy to all clients at all times meeting each person wherever they are in their journey of healing. I believe that everyone is capable of change, and by giving you my best, we will work together bring out the best in you!
(571) 380-7652 View (571) 380-7652
Photo of Melanie Fraim, Licensed Professional Counselor in 20170, VA
Melanie Fraim
Licensed Professional Counselor, MEd, LPC
Verified
Herndon, VA 20170
Life is hard. But you don't have to go through it alone. I have nearly 20 years of experience working in mental health treatment, and it would be my privilege to walk alongside you on your journey. In my practice, I will utilize cognitive-behavioral and strengths-based strategies to help you achieve your treatment goals. My approach is warm, compassionate, empathetic, non-judgmental, and encouraging.
Life is hard. But you don't have to go through it alone. I have nearly 20 years of experience working in mental health treatment, and it would be my privilege to walk alongside you on your journey. In my practice, I will utilize cognitive-behavioral and strengths-based strategies to help you achieve your treatment goals. My approach is warm, compassionate, empathetic, non-judgmental, and encouraging.
(571) 487-8650 View (571) 487-8650
Photo of Shannon Paige, Clinical Social Work/Therapist in 20170, VA
Shannon Paige
Clinical Social Work/Therapist, LCSW
Verified
Herndon, VA 20170
Finding someone to share your experiences with, whom you can trust is an important step in your journey. I believe challenging times and experiences offer you the greatest potential to create the life you have wanted and dreamt of. While reaching out for help is often the first and most difficult steps to initiating change in our lives and moving toward wholeness, I am so glad that you are here!
Finding someone to share your experiences with, whom you can trust is an important step in your journey. I believe challenging times and experiences offer you the greatest potential to create the life you have wanted and dreamt of. While reaching out for help is often the first and most difficult steps to initiating change in our lives and moving toward wholeness, I am so glad that you are here!
(571) 536-7065 View (571) 536-7065
Photo of Gabriela Marquez Canale, Clinical Social Work/Therapist in 20170, VA
Gabriela Marquez Canale
Clinical Social Work/Therapist, LCSW
Verified
1 Endorsed
Herndon, VA 20170
Waitlist for new clients
Why am I acting this way? Why am I like this? Can I feel better? I understand how painful and disconcerting feeling like this can be. And yet, I believe you deserve to truly know, accept, appreciate and love all of you. I will guide and support you in your therapeutic journey, and you will learn the skills to understand your past, face your present with more confidence, and ultimately look forward to enjoying your future. Self-discovery and healing are essential to leading a fulfilled life and they are a long-term investment in you and your loved ones.
Why am I acting this way? Why am I like this? Can I feel better? I understand how painful and disconcerting feeling like this can be. And yet, I believe you deserve to truly know, accept, appreciate and love all of you. I will guide and support you in your therapeutic journey, and you will learn the skills to understand your past, face your present with more confidence, and ultimately look forward to enjoying your future. Self-discovery and healing are essential to leading a fulfilled life and they are a long-term investment in you and your loved ones.
(571) 568-8072 View (571) 568-8072
Photo of Gurusher Khalsa, Licensed Professional Counselor in 20170, VA
Gurusher Khalsa
Licensed Professional Counselor, MEd, LPC
Verified
Herndon, VA 20170  (Online Only)
Gurusher has been a therapist in Northern Virginia for over 25 years and has extensive experience helping her clients to improve emotional health and well being. Her modality is working with individual adults on emotional adjustment, stress, family, work and relationship concerns, life transitions and perinatal/postpartum adjustment. She has specialized understanding of the gifted population and possible impacts on adult life. She is committed to the well being of her clients and dedicates time, planning and thoughtfulness to assist clients with their goals.
Gurusher has been a therapist in Northern Virginia for over 25 years and has extensive experience helping her clients to improve emotional health and well being. Her modality is working with individual adults on emotional adjustment, stress, family, work and relationship concerns, life transitions and perinatal/postpartum adjustment. She has specialized understanding of the gifted population and possible impacts on adult life. She is committed to the well being of her clients and dedicates time, planning and thoughtfulness to assist clients with their goals.
(540) 923-0926 View (540) 923-0926
Photo of Ashley Marks, Clinical Social Work/Therapist in 20170, VA
Ashley Marks
Clinical Social Work/Therapist, MSW, LCSW
Verified
Herndon, VA 20170  (Online Only)
Feeling stuck? Overwhelmed? Exhausted? It’s easy to neglect ourselves—to feel like life has so much going on that there isn’t time or space to prioritize our goals, our relationships, self-care. Life isn’t about getting through it, but rather creating the life we want every day. Through therapy, I seek to empower others to improve their well-being and quality of life. I believe every individual is doing the best they can with their circumstances and the skills they have, and I walk alongside my clients to support them in learning new skills and addressing what holds them back from their goals and creating a happy life for themselves
Feeling stuck? Overwhelmed? Exhausted? It’s easy to neglect ourselves—to feel like life has so much going on that there isn’t time or space to prioritize our goals, our relationships, self-care. Life isn’t about getting through it, but rather creating the life we want every day. Through therapy, I seek to empower others to improve their well-being and quality of life. I believe every individual is doing the best they can with their circumstances and the skills they have, and I walk alongside my clients to support them in learning new skills and addressing what holds them back from their goals and creating a happy life for themselves
(571) 306-1364 View (571) 306-1364
Photo of Lisa Lyons, Licensed Professional Counselor in 20170, VA
Lisa Lyons
Licensed Professional Counselor, LPC
Verified
Herndon, VA 20170
Are you feeling stuck? Are you struggling to cope with life, a significant change or wanting to improve your relationships? Therapy can help facilitate personal growth, as well as foster connection and overall wellness in your life. My approach is focused on creating a safe, respectful, and non-judgmental space, to support desired growth and change. Within my practice, treatment is a collaborative process tailored to each individual's needs and goals. Finding a therapist with whom you feel understood and connected with is instrumental in achieving your goals. I would love to talk to determine if we could be a good match.
Are you feeling stuck? Are you struggling to cope with life, a significant change or wanting to improve your relationships? Therapy can help facilitate personal growth, as well as foster connection and overall wellness in your life. My approach is focused on creating a safe, respectful, and non-judgmental space, to support desired growth and change. Within my practice, treatment is a collaborative process tailored to each individual's needs and goals. Finding a therapist with whom you feel understood and connected with is instrumental in achieving your goals. I would love to talk to determine if we could be a good match.
(703) 596-1622 View (703) 596-1622
Photo of Jennifer Batra, Clinical Social Work/Therapist in 20170, VA
Jennifer Batra
Clinical Social Work/Therapist, LCSW
Verified
1 Endorsed
Herndon, VA 20170  (Online Only)
Parenting is hard, parenting if you or your child (or both) are neurodivergent is another layer of hard. Find another piece of the puzzle with support for yourself and your family. I hope that this journey will allow you to feel like you have a parenting partner. You and your family are unique and may not fit the preconceived expectations that society and the traditional education and work environments have for us.
Parenting is hard, parenting if you or your child (or both) are neurodivergent is another layer of hard. Find another piece of the puzzle with support for yourself and your family. I hope that this journey will allow you to feel like you have a parenting partner. You and your family are unique and may not fit the preconceived expectations that society and the traditional education and work environments have for us.
(571) 351-1084 View (571) 351-1084
Photo of Connie Edens, Clinical Social Work/Therapist in 20170, VA
Connie Edens
Clinical Social Work/Therapist, LCSW
Verified
Herndon, VA 20170
I focus on providing a safe, secure non-judgmental space for healing and wholeness. I can help you move forward through anxiety, sadness, "stuck" relationships, or past issues that keep getting in the way. Maybe you're highly successful in most areas or a perfectionist, yet internally you often feel alone and struggle to keep it all together. Perhaps you have no one you trust who is truly there for you. My goal is helping you heal and grow so you can have the relationships and life you were made for.
I focus on providing a safe, secure non-judgmental space for healing and wholeness. I can help you move forward through anxiety, sadness, "stuck" relationships, or past issues that keep getting in the way. Maybe you're highly successful in most areas or a perfectionist, yet internally you often feel alone and struggle to keep it all together. Perhaps you have no one you trust who is truly there for you. My goal is helping you heal and grow so you can have the relationships and life you were made for.
(571) 485-9371 View (571) 485-9371
Photo of Juan Carlos Silva, Psychologist in 20170, VA
Juan Carlos Silva
Psychologist, PhD
Verified
Herndon, VA 20170
Are you ready to challenge yourself? Do you feel there is a gap between your true potential and your current achievements? Does your thinking pattern keep you from enjoying life? If your answer to any of these questions is Yes then we should probably talk. I have been a psychotherapist since 1991 and can certainly offer valuable, diagnostic, and therapeutic interventions to help you realistically define and achieve your goals. Whether you want to improve your relationship or marriage, get ahead in your career, put traumatic memories behind, or remain drug-free I can help you move in that direction.
Are you ready to challenge yourself? Do you feel there is a gap between your true potential and your current achievements? Does your thinking pattern keep you from enjoying life? If your answer to any of these questions is Yes then we should probably talk. I have been a psychotherapist since 1991 and can certainly offer valuable, diagnostic, and therapeutic interventions to help you realistically define and achieve your goals. Whether you want to improve your relationship or marriage, get ahead in your career, put traumatic memories behind, or remain drug-free I can help you move in that direction.
(703) 584-4766 View (703) 584-4766
Photo of Alexi Hilton, Psychologist in 20170, VA
Alexi Hilton
Psychologist, PsyD
Verified
1 Endorsed
Herndon, VA 20170
I am a licensed clinical psychologist with almost 20 years of experience working with children, adolescents and adults. In my training I worked with children with developmental disabilities and serious mental illness. I later worked in the Arlington County Public Schools working with both elementary and high school students providing individual and family therapy. I have spent the last 15 years in private practice. I primarily work from a cognitive-behavioral model and specialize in working with individuals with anxiety, depression, OCD and autism spectrum disorders (Asperger's).
I am a licensed clinical psychologist with almost 20 years of experience working with children, adolescents and adults. In my training I worked with children with developmental disabilities and serious mental illness. I later worked in the Arlington County Public Schools working with both elementary and high school students providing individual and family therapy. I have spent the last 15 years in private practice. I primarily work from a cognitive-behavioral model and specialize in working with individuals with anxiety, depression, OCD and autism spectrum disorders (Asperger's).
(703) 348-7036 View (703) 348-7036
Photo of Karla Fife, Clinical Social Work/Therapist in 20170, VA
Karla Fife
Clinical Social Work/Therapist, LCSW, BCBA
Verified
Herndon, VA 20170
Not accepting new clients
I work with adolescents, adolescents transitioning to adulthood, and adults, providing individual therapy, parent coaching, and family support. While I also work with neurotypical individuals, my expertise is Autism Spectrum Disorder (ASD) and anyone that experiences neurodivergence. I do a lot of work with ASD teens experiencing social difficulties, anxiety and depression. I have a strong background in ADHD, social anxiety, and families coping with stress and anger challenges. This includes students struggling with transitions to middle, high school or college, and parents needing support with a challenging teen or young adult.
I work with adolescents, adolescents transitioning to adulthood, and adults, providing individual therapy, parent coaching, and family support. While I also work with neurotypical individuals, my expertise is Autism Spectrum Disorder (ASD) and anyone that experiences neurodivergence. I do a lot of work with ASD teens experiencing social difficulties, anxiety and depression. I have a strong background in ADHD, social anxiety, and families coping with stress and anger challenges. This includes students struggling with transitions to middle, high school or college, and parents needing support with a challenging teen or young adult.
(703) 596-4209 View (703) 596-4209
Photo of Vivien E Lohmeyer, Clinical Social Work/Therapist in 20170, VA
Vivien E Lohmeyer
Clinical Social Work/Therapist, LCSW
Verified
Herndon, VA 20170
I am a Licensed Clinical Social Worker with 34 years experience practicing psychotherapy. I feel very fortunate to love my work. Although I only provide Telehealth therapy now, I place the utmost importance on creating a therapeutic setting where my clients feel safe and supported as we explore strengths and work to identify issues that underlie thoughts, perceptions, feelings and actions. I enjoy working with clients who have challenges in their interpersonal relationships, life transitions and unresolved conflicts and losses. I draw from many years of training that include but are not limited to the following:
I am a Licensed Clinical Social Worker with 34 years experience practicing psychotherapy. I feel very fortunate to love my work. Although I only provide Telehealth therapy now, I place the utmost importance on creating a therapeutic setting where my clients feel safe and supported as we explore strengths and work to identify issues that underlie thoughts, perceptions, feelings and actions. I enjoy working with clients who have challenges in their interpersonal relationships, life transitions and unresolved conflicts and losses. I draw from many years of training that include but are not limited to the following:
(703) 596-1100 View (703) 596-1100
Photo of Shannon Walsh, Clinical Social Work/Therapist in 20170, VA
Shannon Walsh
Clinical Social Work/Therapist, LCSW
Verified
Herndon, VA 20170  (Online Only)
Accepting new clients! The past few years have been very difficult for all of us. The anxiety, fear and worry can be overwhelming. I am here to help. I provide a caring and empathetic relationship with you to guide and achieve new goals and increase self-esteem. We will work together to identify and achieve goals while exploring any obstacles that may occur. I will partner with you to offer personalized care that addresses your needs and helps you find the right path forward.
Accepting new clients! The past few years have been very difficult for all of us. The anxiety, fear and worry can be overwhelming. I am here to help. I provide a caring and empathetic relationship with you to guide and achieve new goals and increase self-esteem. We will work together to identify and achieve goals while exploring any obstacles that may occur. I will partner with you to offer personalized care that addresses your needs and helps you find the right path forward.
(703) 686-8517 View (703) 686-8517
Photo of Steven H Steiner, Clinical Social Work/Therapist in 20170, VA
Steven H Steiner
Clinical Social Work/Therapist, MSW, LCSW, LSATP
Verified
Herndon, VA 20170
Are you feeling anxious, depressed? Struggling with substance use? In a relationship that seems to be lacking in empathy and/or successful communication? Suffering from a combination of emotional and physical problems? I have 40 years of experience as a clinical social worker, including 20 years in private practice. I am licensed in Virginia in clinical social work and substance abuse treatment.
Are you feeling anxious, depressed? Struggling with substance use? In a relationship that seems to be lacking in empathy and/or successful communication? Suffering from a combination of emotional and physical problems? I have 40 years of experience as a clinical social worker, including 20 years in private practice. I am licensed in Virginia in clinical social work and substance abuse treatment.
(703) 791-1316 View (703) 791-1316

See more therapy options for 20170

How does your Therapist compare?

Number of Therapists in 20170

100+

Average cost per session

$175

Therapists in 20170 who prioritize treating:

95% Anxiety
93% Depression
77% Relationship Issues
70% Self Esteem
65% Trauma and PTSD
64% Coping Skills
61% Grief

Average years in practice

16 Years

Top 3 insurances accepted

76% Cigna and Evernorth
74% Anthem | Elevance
66% BlueCross and BlueShield

How Therapists in 20170 see their clients

80% In Person and Online
20% Online Only

Gender breakdown

82% Female
18% Male

FAQs - About Therapy and Counseling

How can I find a therapist in 20170?

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.