Therapists in 20854

Photo of Michael Brachfeld, Psychologist, PhD
Michael Brachfeld
Psychologist, PhD
Online Only
What if life's stressors could feel a bit more manageable? What if we could set ambitious, yet realistic goals and accomplish them one-by-one? Despite all of the stressors facing us on a day-to-day basis, positive change is attainable. My approach to therapy is strength-based and involves a warm, collaborative process in which we assess barriers to success, set realistic goals, and monitor progress over time.
What if life's stressors could feel a bit more manageable? What if we could set ambitious, yet realistic goals and accomplish them one-by-one? Despite all of the stressors facing us on a day-to-day basis, positive change is attainable. My approach to therapy is strength-based and involves a warm, collaborative process in which we assess barriers to success, set realistic goals, and monitor progress over time.
(240) 201-2413 View (240) 201-2413
Photo of Shani C Missner, Clinical Social Work/Therapist, MD, PhD, LCSW-C
Shani C Missner
Clinical Social Work/Therapist, MD, PhD, LCSW-C
Potomac, MD 20854
I am proud to serve the community as a psychotherapist, working with individuals across the lifespan—including children, adolescents, families, and adults. My goal is to help heal the “psyche” or soul by integrating my extensive education in medicine, pharmacology, and social work. I specialize in mood and anxiety disorders, neurodiversity, tics, psychosis, disordered eating, substance abuse, and trauma, including intergenerational trauma and narcissistic abuse.
I am proud to serve the community as a psychotherapist, working with individuals across the lifespan—including children, adolescents, families, and adults. My goal is to help heal the “psyche” or soul by integrating my extensive education in medicine, pharmacology, and social work. I specialize in mood and anxiety disorders, neurodiversity, tics, psychosis, disordered eating, substance abuse, and trauma, including intergenerational trauma and narcissistic abuse.
(240) 221-5154 View (240) 221-5154
Photo of Phuong Nguyen, Clinical Social Work/Therapist, LCSW-R
Phuong Nguyen
Clinical Social Work/Therapist, LCSW-R
Potomac, MD 20854
I try to make the process of starting therapy as transparent and welcoming as possible. My approach is to get to know you by creating an atmosphere where you can speak freely and safely about all aspects of your life. I believe in the importance of enduring relationships, balance, community, and holistic wellness. I am available for consultations, individual therapy, couples therapy, and referrals to family therapy and medication management.
I try to make the process of starting therapy as transparent and welcoming as possible. My approach is to get to know you by creating an atmosphere where you can speak freely and safely about all aspects of your life. I believe in the importance of enduring relationships, balance, community, and holistic wellness. I am available for consultations, individual therapy, couples therapy, and referrals to family therapy and medication management.
(240) 743-3523 View (240) 743-3523
Laura Prosen
Clinical Social Work/Therapist, LCSW-C
1 Endorsed
Potomac, MD 20854
Are you ready to make positive changes in your life? I’m a licensed social worker, with a combined 27 years experience working with children, adolescents, and adults in private practice and a school setting. I focus on establishing and maintaining a trusting relationship in a safe, supportive environment and helping my clients address and identify roadblocks in life in order to set and achieve goals for future growth. I’m happy to offer a free 15-minute consult to see if we’d be a good fit!
Are you ready to make positive changes in your life? I’m a licensed social worker, with a combined 27 years experience working with children, adolescents, and adults in private practice and a school setting. I focus on establishing and maintaining a trusting relationship in a safe, supportive environment and helping my clients address and identify roadblocks in life in order to set and achieve goals for future growth. I’m happy to offer a free 15-minute consult to see if we’d be a good fit!
(240) 973-4081 View (240) 973-4081
Photo of Cecilia del Rio, Psychologist, PsyD
Cecilia del Rio
Psychologist, PsyD
Potomac, MD 20854
As a dedicated and passionate psychologist with over 30 years of clinical experience, I specialize in psychotherapy with adults, adolescents, and families facing various life challenges and emotional difficulties. Whether you are seeking therapy for depression, anxiety, grief and loss, trauma, job/ school related stress, I view establishing a trusting non-judgmental therapeutic relationship as central to the healing process. I use an eclectic individualized treatment approach based on your needs and concerns, emphasizing your unique strengths. Previous clients have described my therapy style as warm, authentic, and caring.
As a dedicated and passionate psychologist with over 30 years of clinical experience, I specialize in psychotherapy with adults, adolescents, and families facing various life challenges and emotional difficulties. Whether you are seeking therapy for depression, anxiety, grief and loss, trauma, job/ school related stress, I view establishing a trusting non-judgmental therapeutic relationship as central to the healing process. I use an eclectic individualized treatment approach based on your needs and concerns, emphasizing your unique strengths. Previous clients have described my therapy style as warm, authentic, and caring.
(240) 384-5042 View (240) 384-5042
Photo of Jennifer Udler, Clinical Social Work/Therapist, LCSW-C, SEP
Jennifer Udler
Clinical Social Work/Therapist, LCSW-C, SEP
5 Endorsed
Potomac, MD 20854
I’m here to support you through anxiety, depression, stress, or the lingering effects of trauma. Together, we can explore your emotions, build coping skills that feel right for you, and find ways to live more fully. With 25 years of experience, including Somatic Experiencing, I aim to help you feel safer in your body, stronger in your mind, and more connected to your life.
I’m here to support you through anxiety, depression, stress, or the lingering effects of trauma. Together, we can explore your emotions, build coping skills that feel right for you, and find ways to live more fully. With 25 years of experience, including Somatic Experiencing, I aim to help you feel safer in your body, stronger in your mind, and more connected to your life.
(301) 547-3281 View (301) 547-3281
Photo of Valerie Gordon Slattery, Psychologist, PsyD, PhD
Valerie Gordon Slattery
Psychologist, PsyD, PhD
Potomac, MD 20854
Making the decision to help a child or teen who is struggling academically, behaviorally, socially and/or emotionally may be the most important decision you make. I see each child/teen as a puzzle. Sometimes the pieces fit together perfectly and other times it is necessary to work really hard to find the right piece to complete the puzzle. I use a variety of techniques - CBT, DBT, CBIT, ERP, and trauma-focused cognitive behavioral therapy . I believe that a child is part of a larger system, including parents, siblings, and schools. I strive to work with all aspects of a child's world.
Making the decision to help a child or teen who is struggling academically, behaviorally, socially and/or emotionally may be the most important decision you make. I see each child/teen as a puzzle. Sometimes the pieces fit together perfectly and other times it is necessary to work really hard to find the right piece to complete the puzzle. I use a variety of techniques - CBT, DBT, CBIT, ERP, and trauma-focused cognitive behavioral therapy . I believe that a child is part of a larger system, including parents, siblings, and schools. I strive to work with all aspects of a child's world.
(240) 478-6249 View (240) 478-6249
Photo of Dr. Sharon Huang, Psychologist, PhD, LP, NCSP
Dr. Sharon Huang
Psychologist, PhD, LP, NCSP
1 Endorsed
Potomac, MD 20854
Does your child or adolescent struggle with anxiety, focus, impulsivity, social skills, school issues, executive functioning, or behavior? Do their struggles affect their daily life, education, relationships, and your ability to be an effective parent? Do you feel exhausted, overwhelmed, and frustrated by not knowing what to do to help them? In the present times, parents/caregivers and families are feeling anxious, overwhelmed, and uncertain about how to balance living a busy, modern life and helping their children and adolescents who are dealing with mental health and school challenges. I would love to support you and your family.
Does your child or adolescent struggle with anxiety, focus, impulsivity, social skills, school issues, executive functioning, or behavior? Do their struggles affect their daily life, education, relationships, and your ability to be an effective parent? Do you feel exhausted, overwhelmed, and frustrated by not knowing what to do to help them? In the present times, parents/caregivers and families are feeling anxious, overwhelmed, and uncertain about how to balance living a busy, modern life and helping their children and adolescents who are dealing with mental health and school challenges. I would love to support you and your family.
(240) 219-8186 View (240) 219-8186
Photo of Patricia Wolff Hartman, Clinical Social Work/Therapist, LCSW-C
Patricia Wolff Hartman
Clinical Social Work/Therapist, LCSW-C
Rockville, MD 20854
I have an unfailingly strong belief in the capacity of good psychotherapy to produce life-enhancing change. As an individual, couple and family psychotherapist with many years of training and experience, I provide a safe, respectful space for self exploration. I have a deep sense of commitment to helping people understand who they are, what they want and what gets in their way. Humor is helpful at times. I have been on the faculties of two advanced training programs in the D.C. area.
I have an unfailingly strong belief in the capacity of good psychotherapy to produce life-enhancing change. As an individual, couple and family psychotherapist with many years of training and experience, I provide a safe, respectful space for self exploration. I have a deep sense of commitment to helping people understand who they are, what they want and what gets in their way. Humor is helpful at times. I have been on the faculties of two advanced training programs in the D.C. area.
(301) 996-6015 View (301) 996-6015
Photo of Gloria Manko Silverberg - Gloria Silverberg Coaching, MS
Gloria Silverberg Coaching
Verified Verified
1 Endorsed
Potomac, MD 20854
As a Professional Counselor, School and Parenting Coach with 25 years of experience, I would love to help you and your child achieve your desired personal outcomes through Compassionate Coaching. I offer a safe space to talk through feelings, build healthy self-esteem, confidence and hopefulness. Awards: Montgomery County Public Schools Counselor of the Year, Maryland State Semi-Finalist Counselor of the Year.
As a Professional Counselor, School and Parenting Coach with 25 years of experience, I would love to help you and your child achieve your desired personal outcomes through Compassionate Coaching. I offer a safe space to talk through feelings, build healthy self-esteem, confidence and hopefulness. Awards: Montgomery County Public Schools Counselor of the Year, Maryland State Semi-Finalist Counselor of the Year.
(240) 663-5715 View (240) 663-5715
Photo of Zohreh Ahmadzadeh - Early Years ABA Therapy, BCBA, MA, LBA
Early Years ABA Therapy
Verified Verified
Potomac, MD 20854
We serve children and young adults, typically ages 2–21, with Autism Spectrum Disorder and related developmental needs. Many of our clients face challenges with communication, behavior, social interactions, and daily routines. Some are nonverbal, others struggle with transitions or emotional regulation. Families come to us seeking understanding, structure, and support. Whether it’s improving a child’s ability to express their needs or helping them build independence, we meet each family with compassion, cultural awareness, and a personalized plan grounded in evidence-based care.
We serve children and young adults, typically ages 2–21, with Autism Spectrum Disorder and related developmental needs. Many of our clients face challenges with communication, behavior, social interactions, and daily routines. Some are nonverbal, others struggle with transitions or emotional regulation. Families come to us seeking understanding, structure, and support. Whether it’s improving a child’s ability to express their needs or helping them build independence, we meet each family with compassion, cultural awareness, and a personalized plan grounded in evidence-based care.
(240) 980-1420 View (240) 980-1420
Photo of Sheila A Litwin - Sheila A. Litwin, psychotherapy, Counselor, MA, LCPC
Sheila A. Litwin, psychotherapy
Counselor, MA, LCPC
Potomac, MD 20854
Fears, anxiety, and depression can be debilitating. I have the ability to listen warmly and compassionately to what you're saying even if you are feeling jumbled or confused. I create a safe space for you to be able to vent. Often having a person listen with understanding of what you might be experiencing can ease your discomfort. I can offer gentle guidance if you are at a crossroad, a turning point or are feeling challenged by others in your life. Relationships are the most important things in our lives, yet often, the most difficult. Better communication skills can help.
Fears, anxiety, and depression can be debilitating. I have the ability to listen warmly and compassionately to what you're saying even if you are feeling jumbled or confused. I create a safe space for you to be able to vent. Often having a person listen with understanding of what you might be experiencing can ease your discomfort. I can offer gentle guidance if you are at a crossroad, a turning point or are feeling challenged by others in your life. Relationships are the most important things in our lives, yet often, the most difficult. Better communication skills can help.
(301) 983-5101 View (301) 983-5101
Photo of Judith Asner, Clinical Social Work/Therapist, MSW, LCSW, BCD
Judith Asner
Clinical Social Work/Therapist, MSW, LCSW, BCD
2 Endorsed
Potomac, MD 20854
I’m glad to be an elder. I've studied for many years but most of all, I have the wisdom that comes with age & the intuition to connect & mindshare with you. Maybe you’ve never felt understood & have a negative self-concept projected onto you by dysfunctional elders that you carried into the present. Know that you have the innate human ability to heal. You can be helped to see the roots of your old maladaptive beliefs & you can replace them with positive, realistic ones for today-a new narrative for your life.
I’m glad to be an elder. I've studied for many years but most of all, I have the wisdom that comes with age & the intuition to connect & mindshare with you. Maybe you’ve never felt understood & have a negative self-concept projected onto you by dysfunctional elders that you carried into the present. Know that you have the innate human ability to heal. You can be helped to see the roots of your old maladaptive beliefs & you can replace them with positive, realistic ones for today-a new narrative for your life.
(202) 746-4444 View (202) 746-4444
Photo of Claudia Niemtzoff, Licensed Clinical Professional Counselor, MA, LPC
Claudia Niemtzoff
Licensed Clinical Professional Counselor, MA, LPC
Potomac, MD 20854
I am experienced working on relationship conflicts, trauma, depression, anxiety, grief, postpartum depression, cross-cultural stress and life transitions. I combine my psychodynamic background with other therapeutic approaches in a culturally sensitive framework that allows me to tailor each treatment according to the individual needs. I provide psychotherapy in English and Spanish. We are going to work together in a strong, safe and warm therapeutic relationship where you can feel free to talk about anything that concerns you. Because I am a seasoned therapist, I am not scared to explore any topic. I get to the point.
I am experienced working on relationship conflicts, trauma, depression, anxiety, grief, postpartum depression, cross-cultural stress and life transitions. I combine my psychodynamic background with other therapeutic approaches in a culturally sensitive framework that allows me to tailor each treatment according to the individual needs. I provide psychotherapy in English and Spanish. We are going to work together in a strong, safe and warm therapeutic relationship where you can feel free to talk about anything that concerns you. Because I am a seasoned therapist, I am not scared to explore any topic. I get to the point.
(240) 202-3720 View (240) 202-3720
Photo of Arianne Waschler, Clinical Social Work/Therapist, LCSW-C
Arianne Waschler
Clinical Social Work/Therapist, LCSW-C
1 Endorsed
Potomac, MD 20854
I'm glad we've found each other. My name is Arianne and I have been partnering with individuals for 13 years, navigating the challenges, celebrating the victories, and working towards the life each person hopes for themselves. When life feels like it's too much to handle, you might know what you need to do to logically to make things better, but actually starting can feel paralyzing. These challenges that keep us stuck in a loop of negative thoughts and habits make it hard to shake off the guilt and truly move forward. I am here to listen to your story, identify the root of your struggles, and work to overcome it together.
I'm glad we've found each other. My name is Arianne and I have been partnering with individuals for 13 years, navigating the challenges, celebrating the victories, and working towards the life each person hopes for themselves. When life feels like it's too much to handle, you might know what you need to do to logically to make things better, but actually starting can feel paralyzing. These challenges that keep us stuck in a loop of negative thoughts and habits make it hard to shake off the guilt and truly move forward. I am here to listen to your story, identify the root of your struggles, and work to overcome it together.
(240) 557-3650 View (240) 557-3650
Photo of Benjamin Shapero, Psychologist, PhD
Benjamin Shapero
Psychologist, PhD
1 Endorsed
Potomac, MD 20854
We all experience stress in our lives, but sometimes that stress is overwhelming and we have trouble coping. Cognitive-behavioral therapy (CBT) can be an incredibly effective tool to help manage anxiety, depression, and other stress-related difficulties. CBT focuses on the relationship between one's thoughts, feelings, and behaviors in everyday life. As a cognitive-behavioral therapist, my approach is collaborative, individualized, and based on scientific evidence.
We all experience stress in our lives, but sometimes that stress is overwhelming and we have trouble coping. Cognitive-behavioral therapy (CBT) can be an incredibly effective tool to help manage anxiety, depression, and other stress-related difficulties. CBT focuses on the relationship between one's thoughts, feelings, and behaviors in everyday life. As a cognitive-behavioral therapist, my approach is collaborative, individualized, and based on scientific evidence.
(240) 823-5824 View (240) 823-5824
Photo of Bahar Javadi, Licensed Clinical Professional Counselor, MA, MS, LCPC
Bahar Javadi
Licensed Clinical Professional Counselor, MA, MS, LCPC
Potomac, MD 20854
Faulty habitual patterns can touch even the most successful and self-aware individuals. Outwardly, they may lead lives marked by achievement, discipline, and ambition. Internally, however, they may be fighting a daily battle with bad patterns, alcohol or other habits often in isolation, shame or quiet confusion. Our work is designed for those who are deeply aware of their inner world but find themselves caught in a cycle of habits that no longer aligns with their values, goals, or sense of self. They are not broken but often overwhelmed, burdened by past and present pain and seeking a path that honors their complexity and strength.
Faulty habitual patterns can touch even the most successful and self-aware individuals. Outwardly, they may lead lives marked by achievement, discipline, and ambition. Internally, however, they may be fighting a daily battle with bad patterns, alcohol or other habits often in isolation, shame or quiet confusion. Our work is designed for those who are deeply aware of their inner world but find themselves caught in a cycle of habits that no longer aligns with their values, goals, or sense of self. They are not broken but often overwhelmed, burdened by past and present pain and seeking a path that honors their complexity and strength.
(301) 850-2343 View (301) 850-2343
Photo of Rick Conway, Licensed Clinical Professional Counselor, LCPC, LCPAT, LPAT, ATR-BC
Rick Conway
Licensed Clinical Professional Counselor, LCPC, LCPAT, LPAT, ATR-BC
Rockville, MD 20854
When someone is struggling with today's news and events, processing a difficult upbringing, facing the challenges of education, or wrestling with their identity, words often aren’t enough to express what they feel inside. That’s where art psychotherapy and talk therapy come together – helping people explore and express emotions and experiences that go beyond what language can capture. If you choose to try art therapy in your sessions, you may find that thoughts and experiences you have kept hidden in your mind and body will unconsciously reveal themselves and be addressed in sessions.
When someone is struggling with today's news and events, processing a difficult upbringing, facing the challenges of education, or wrestling with their identity, words often aren’t enough to express what they feel inside. That’s where art psychotherapy and talk therapy come together – helping people explore and express emotions and experiences that go beyond what language can capture. If you choose to try art therapy in your sessions, you may find that thoughts and experiences you have kept hidden in your mind and body will unconsciously reveal themselves and be addressed in sessions.
(301) 579-0047 View (301) 579-0047
Photo of Lynne S Gots, Psychologist, PhD
Lynne S Gots
Psychologist, PhD
Rockville, MD 20854
Although by orientation I'm a cognitive-behavioral therapist--that is, I focus on how thoughts and actions affect how we feel and respond to situations--I don't follow a cookbook approach to treatment. Each individual brings a unique set of problems to therapy, and I start with a thorough evaluation to assess your needs and develop a collaborative treatment plan that is personal yet based on current research. This type of therapy is focused more on the present than the past and on developing coping skills to help you deal with the problems that are currently troubling you.
Although by orientation I'm a cognitive-behavioral therapist--that is, I focus on how thoughts and actions affect how we feel and respond to situations--I don't follow a cookbook approach to treatment. Each individual brings a unique set of problems to therapy, and I start with a thorough evaluation to assess your needs and develop a collaborative treatment plan that is personal yet based on current research. This type of therapy is focused more on the present than the past and on developing coping skills to help you deal with the problems that are currently troubling you.
(301) 744-8859 View (301) 744-8859
Photo of Dr. Myra Kaplan, Psychologist, PhD
Dr. Myra Kaplan
Psychologist, PhD
Potomac, MD 20854
Deciding to seek help for issues in your life takes courage. It isn’t easy to decide who the right person is to trust and open up to about your life or even to believe that doing so will result in improvements. I work with my clients collaboratively. Together we discuss how you are feeling, what is going on in your life, and how you would like to move forward. No matter what you are dealing with, whether it be anxiety, trauma, relationship issues, general stress, or something else, our discussions will be geared towards helping you understand what you want and developing skills to be resilient and thrive in your life ahead.
Deciding to seek help for issues in your life takes courage. It isn’t easy to decide who the right person is to trust and open up to about your life or even to believe that doing so will result in improvements. I work with my clients collaboratively. Together we discuss how you are feeling, what is going on in your life, and how you would like to move forward. No matter what you are dealing with, whether it be anxiety, trauma, relationship issues, general stress, or something else, our discussions will be geared towards helping you understand what you want and developing skills to be resilient and thrive in your life ahead.
(240) 899-7870 View (240) 899-7870

See more therapy options for 20854

How does your Therapist compare?

Number of Therapists in 20854

400+

Average cost per session

$190

Therapists in 20854 who prioritize treating:

94% Anxiety
87% Depression
80% Relationship Issues
80% Self Esteem
68% Stress
64% Trauma and PTSD
58% Grief

Average years in practice

15 Years

Top 3 insurances accepted

77% BlueCross and BlueShield
72% CareFirst
68% Cigna and Evernorth

How Therapists in 20854 see their clients

61% In Person and Online
39% Online Only

Gender breakdown

83% Female
16% Male
1% Non-Binary
FAQs - About Therapy and Counseling

How can I find a therapist in 20854?

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.