Therapists in 21140

Photo of Michael W Gombatz, Psychologist, Ed, D
Michael W Gombatz
Psychologist, Ed, D
Riva, MD 21140
With over 30 years of experience, I have come to know that most people are good and can solve their problems. Working with my patients has been a privilege. Life is not always easy, and it takes courage to face problems. I believe we can change. Those who do, regardless of age, can be happier and self-fulfilled. My work with patients is grounded in the belief that people are doing the best they can when they come to therapy. I believe change comes in the context of relationships, and relationships are the heart of good psychotherapy.
With over 30 years of experience, I have come to know that most people are good and can solve their problems. Working with my patients has been a privilege. Life is not always easy, and it takes courage to face problems. I believe we can change. Those who do, regardless of age, can be happier and self-fulfilled. My work with patients is grounded in the belief that people are doing the best they can when they come to therapy. I believe change comes in the context of relationships, and relationships are the heart of good psychotherapy.
(301) 970-4564 View (301) 970-4564
Photo of Mary Hales, Licensed Clinical Professional Counselor
Mary Hales
Licensed Clinical Professional Counselor
Online Only
I obtained a Master's in Mental Health Counseling, and a Licensed Clinical Professional Counselor, Licensed Clinical Mental Health Counselor, and Licensed Clinical Addiction Specialist. I have over 15 years of experience in various settings such as outpatient clinics, hospitals, residential settings, community-based agencies, and private practice. I have worked with clients experiencing a wide range of challenges: depression, anxiety, OCD, trauma and abuse, PTSD, domestic violence, relationship issues, parenting challenges, career transitions, LGBTQ issues, and grief and loss.
I obtained a Master's in Mental Health Counseling, and a Licensed Clinical Professional Counselor, Licensed Clinical Mental Health Counselor, and Licensed Clinical Addiction Specialist. I have over 15 years of experience in various settings such as outpatient clinics, hospitals, residential settings, community-based agencies, and private practice. I have worked with clients experiencing a wide range of challenges: depression, anxiety, OCD, trauma and abuse, PTSD, domestic violence, relationship issues, parenting challenges, career transitions, LGBTQ issues, and grief and loss.
(443) 785-7238 View (443) 785-7238
Photo of Heidi Trammell, Licensed Clinical Professional Counselor
Heidi Trammell
Licensed Clinical Professional Counselor
Online Only
Heidi has been in the counseling field for 12 years supporting individuals and families. With eclectic therapy approach, Heidi has a talent for picking targeted counseling interventions that work with a clients strength. The therapeutic rapport is first and foremost the most important aspect for a successful therapy experience, and Heidi works hard to ensure there is a good therapeutic fit which means creating an environment that is judgment free to allow honesty and growth.
Heidi has been in the counseling field for 12 years supporting individuals and families. With eclectic therapy approach, Heidi has a talent for picking targeted counseling interventions that work with a clients strength. The therapeutic rapport is first and foremost the most important aspect for a successful therapy experience, and Heidi works hard to ensure there is a good therapeutic fit which means creating an environment that is judgment free to allow honesty and growth.
(240) 557-2619 View (240) 557-2619
Photo of Augusta Sannoh, Clinical Social Work/Therapist
Augusta Sannoh
Clinical Social Work/Therapist
Online Only
People come to therapy for a variety of reasons. Therapy is about removing obstacles and developing the capacity for self-acceptance, self-expression, and joy. I help people who are experiencing problems in daily living, difficulty navigating life transitions, self-criticism, low self-esteem, self-defeating thoughts or behaviors, relationship and family discord, or who struggle with symptoms of anxiety, depression or loss. You are unique and so is your therapy process. We will work on building skills in the areas of negotiating distress, regulating emotions, solving problems, and improving interpersonal relationships. With compassio
People come to therapy for a variety of reasons. Therapy is about removing obstacles and developing the capacity for self-acceptance, self-expression, and joy. I help people who are experiencing problems in daily living, difficulty navigating life transitions, self-criticism, low self-esteem, self-defeating thoughts or behaviors, relationship and family discord, or who struggle with symptoms of anxiety, depression or loss. You are unique and so is your therapy process. We will work on building skills in the areas of negotiating distress, regulating emotions, solving problems, and improving interpersonal relationships. With compassio
(240) 363-9761 View (240) 363-9761
Photo of Leslie Stanbury, Licensed Clinical Professional Counselor, LCPC, CAC-AD, CHT
Leslie Stanbury
Licensed Clinical Professional Counselor, LCPC, CAC-AD, CHT
Riva, MD 21140
Are you experiencing anxiety or difficulty adjusting to a recent change in your life or relationship problems? Perhaps I can help you clarify and work through some of your concerns. I believe the relationship between patient and counselor is a crucial element in the process of making changes in therapy. Addressing issues of substance abuse, relationship problems, anxiety or depression can seem overwhelming and frightening. Taking this first step and exploring counseling indicates courage and a desire to change. I can help you navigate through this difficult time.
Are you experiencing anxiety or difficulty adjusting to a recent change in your life or relationship problems? Perhaps I can help you clarify and work through some of your concerns. I believe the relationship between patient and counselor is a crucial element in the process of making changes in therapy. Addressing issues of substance abuse, relationship problems, anxiety or depression can seem overwhelming and frightening. Taking this first step and exploring counseling indicates courage and a desire to change. I can help you navigate through this difficult time.
(410) 656-4889 View (410) 656-4889
Photo of Megan Kniffen, Clinical Social Work/Therapist
Megan Kniffen
Clinical Social Work/Therapist
Online Only
We are living in a time with so many stressors, but you are taking the right steps by seeking a partner in therapy. I have a passion for helping people get through the hurdles of life and come out with a new perspective. Whether you are struggling with anxiety, depression, trauma, medical issues, caregiver stress, parenting, end of life issues or something, else I want to join with you so you can work through these things and live a more fulfilled life. I have over 20 years of experience with all age groups in areas of Aging, Dementia, Caregiving, Adoption, School Services, Clinic based Therapy, Parenting and Residential Treatment.
We are living in a time with so many stressors, but you are taking the right steps by seeking a partner in therapy. I have a passion for helping people get through the hurdles of life and come out with a new perspective. Whether you are struggling with anxiety, depression, trauma, medical issues, caregiver stress, parenting, end of life issues or something, else I want to join with you so you can work through these things and live a more fulfilled life. I have over 20 years of experience with all age groups in areas of Aging, Dementia, Caregiving, Adoption, School Services, Clinic based Therapy, Parenting and Residential Treatment.
(240) 363-5767 View (240) 363-5767
Photo of Marcia Winter, Clinical Social Work/Therapist
Marcia Winter
Clinical Social Work/Therapist
Online Only
Have you felt you are stuck and need help reaching your goals or lack motivation to make the needed changes in your life? I hope to help you reach your goals and full potential through solutions based therapy. I have 25 years of clinical experience working with clients, children and families. I enjoy helping clients reach thier goals and find a focus in thier life. I am a licensed clinical social worker. I began my career in the child dependency field and worked with children and families. I currently work in the hospital setting and my current role is the emergency room social worker.
Have you felt you are stuck and need help reaching your goals or lack motivation to make the needed changes in your life? I hope to help you reach your goals and full potential through solutions based therapy. I have 25 years of clinical experience working with clients, children and families. I enjoy helping clients reach thier goals and find a focus in thier life. I am a licensed clinical social worker. I began my career in the child dependency field and worked with children and families. I currently work in the hospital setting and my current role is the emergency room social worker.
(443) 785-6931 View (443) 785-6931
Photo of Jacqueline Trombley - Inspiration Wellness, LLC, Clinical Social Work/Therapist, LCSW-C
Inspiration Wellness, LLC
Clinical Social Work/Therapist, LCSW-C
2 Endorsed
Online Only
Expert Mental Health Care in MD/DC - Now Accepting New Patients We're here to help you find relief and achieve your goals. Our experienced therapists provide a safe space for: Adolescents Adults Couples Families We understand the unique needs of diverse populations and are committed to delivering effective therapy with measurable results. We believe in transparency, open communication, and making sure you see progress quickly. If we're not the best fit for you, we'll help you find someone who is. Your well-being is our priority. Ready to take the next step? Schedule your appointment today!
Expert Mental Health Care in MD/DC - Now Accepting New Patients We're here to help you find relief and achieve your goals. Our experienced therapists provide a safe space for: Adolescents Adults Couples Families We understand the unique needs of diverse populations and are committed to delivering effective therapy with measurable results. We believe in transparency, open communication, and making sure you see progress quickly. If we're not the best fit for you, we'll help you find someone who is. Your well-being is our priority. Ready to take the next step? Schedule your appointment today!
(410) 346-5655 View (410) 346-5655
Photo of Lovannia Dofat, Clinical Social Work/Therapist, LCSW-C, LICSW
Lovannia Dofat
Clinical Social Work/Therapist, LCSW-C, LICSW
Online Only
Waitlist for new clients
Let us be real, life is difficult and even though we can have great days we cannot ignore the stressors and worries that occur in the background of our lives…the kids, marital issues, work, bills, family issues, friendships…the list of stressors can go on. During these times we ignore how this stress impacts our day-to-day functioning and our overall wellbeing. Stress knocks us off-kilter and throws us into a reactionary state and once there, we may not show up the way we want; aligned with our authentic self and values. I collaborate with individuals who find themselves in this situation and want to change how they show up.
Let us be real, life is difficult and even though we can have great days we cannot ignore the stressors and worries that occur in the background of our lives…the kids, marital issues, work, bills, family issues, friendships…the list of stressors can go on. During these times we ignore how this stress impacts our day-to-day functioning and our overall wellbeing. Stress knocks us off-kilter and throws us into a reactionary state and once there, we may not show up the way we want; aligned with our authentic self and values. I collaborate with individuals who find themselves in this situation and want to change how they show up.
(240) 318-7578 View (240) 318-7578
Photo of Amanda Pare Court, Counselor, NCC, LCPC, PhD
Amanda Pare Court
Counselor, NCC, LCPC, PhD
1 Endorsed
Serves Area
The clients I work with are those committed to better health. My clients are those seeking health in their relationships, mood, body, mind and spirit. I specialize in those looking to have peak performance, those going through a life transition, and parents looking to be better. When we start therapy, we are getting to know each other. I will take the time to learn all about you, your environment and what challenges you are facing. Then we develop goals together that you want to achieve during therapy. From there I can develop a tailored plan to help you find the life you seek.
The clients I work with are those committed to better health. My clients are those seeking health in their relationships, mood, body, mind and spirit. I specialize in those looking to have peak performance, those going through a life transition, and parents looking to be better. When we start therapy, we are getting to know each other. I will take the time to learn all about you, your environment and what challenges you are facing. Then we develop goals together that you want to achieve during therapy. From there I can develop a tailored plan to help you find the life you seek.
(667) 217-1653 View (667) 217-1653
Photo of Ebony N. Middleton, Clinical Social Work/Therapist, LMSW
Ebony N. Middleton
Clinical Social Work/Therapist, LMSW
1 Endorsed
Online Only
Hi! I'm Ebony, a psychotherapist and social worker passionate about supporting people through life’s many transitions. I work with adults from college age through later adulthood, offering compassionate guidance as they navigate emotional challenges and mental health concerns. My approach to therapy is warm, collaborative, and uniquely tailored to each person I work with.
Hi! I'm Ebony, a psychotherapist and social worker passionate about supporting people through life’s many transitions. I work with adults from college age through later adulthood, offering compassionate guidance as they navigate emotional challenges and mental health concerns. My approach to therapy is warm, collaborative, and uniquely tailored to each person I work with.
(410) 457-3322 View (410) 457-3322
Photo of Joelle Muganga, Clinical Social Work/Therapist
Joelle Muganga
Clinical Social Work/Therapist
Online Only
About me As a young adult during graduate school at Boston College in 2008 I began my social work/counseling career in a men's medium security prison in Massachusetts. There, I provided individual and group therapy to particularly vulnerable incarcerated individuals, who were dealing with mental health challenges on top of their incarceration. After several years working in correctional mental health I transitioned into an outpatient counseling role in an outpatient detox center and provided support to
About me As a young adult during graduate school at Boston College in 2008 I began my social work/counseling career in a men's medium security prison in Massachusetts. There, I provided individual and group therapy to particularly vulnerable incarcerated individuals, who were dealing with mental health challenges on top of their incarceration. After several years working in correctional mental health I transitioned into an outpatient counseling role in an outpatient detox center and provided support to
(762) 236-6887 View (762) 236-6887
Photo of Skyler Irons, Clinical Social Work/Therapist, LCSW
Skyler Irons
Clinical Social Work/Therapist, LCSW
Online Only
I am a Licensed Certified Clinical Social Worker with 11 years of experience serving those experiencing concerns such as stress management, interpersonal and partnership dynamics, family stressors, ADHD and autism spectrum disorder, gender and identity, mood disorders, anxiety, trauma, and depression. My work in the field has included community mental health, school-based therapy, inpatient psychiatric social work, community outreach and advocacy, and group and family therapy. I favor a person-centered, strengths-based approach and am passionate about helping clients become self-empowered through their journey.
I am a Licensed Certified Clinical Social Worker with 11 years of experience serving those experiencing concerns such as stress management, interpersonal and partnership dynamics, family stressors, ADHD and autism spectrum disorder, gender and identity, mood disorders, anxiety, trauma, and depression. My work in the field has included community mental health, school-based therapy, inpatient psychiatric social work, community outreach and advocacy, and group and family therapy. I favor a person-centered, strengths-based approach and am passionate about helping clients become self-empowered through their journey.
(443) 232-9246 View (443) 232-9246
Photo of Amanda Valltos, Clinical Social Work/Therapist, LCSW
Amanda Valltos
Clinical Social Work/Therapist, LCSW
Serves Area
I am Amanda Valltos, a Licensed Clinical Social Worker (LCSW) with over 5 years of experience, primarily working with children and adolescents. I am a caring advocate for my clients, patiently working through their anxieties and concerns by using a variety of mental health approaches that benefit each client's individual needs. I completed my Master’s degree in Social Work at Salisbury University. I have always been drawn to kids and teens, especially those who are struggling. I have personally experienced challenges socially and with my own self-confidence, which deepens my empathy and understanding for my clients.
I am Amanda Valltos, a Licensed Clinical Social Worker (LCSW) with over 5 years of experience, primarily working with children and adolescents. I am a caring advocate for my clients, patiently working through their anxieties and concerns by using a variety of mental health approaches that benefit each client's individual needs. I completed my Master’s degree in Social Work at Salisbury University. I have always been drawn to kids and teens, especially those who are struggling. I have personally experienced challenges socially and with my own self-confidence, which deepens my empathy and understanding for my clients.
(410) 431-0971 View (410) 431-0971
Photo of Carol Ann Robbins - Annapolis ADHD Center, Psychologist, PhD
Annapolis ADHD Center
Psychologist, PhD
4 Endorsed
Serves Area
Dr. Carol Robbins is a clinical psychologist who provides a specialty practice for all of your ADD needs with the expertise and compassion that you deserve. Are you tired of getting the run-around? Of being told that you are just stressed, depressed or anxious, but you know that there is more to it than that? Trust me to provide you with the consideration and understanding of a professional who has the clinical knowledge and the personal lived-experience of raising ADHD children and marrying an ADHD spouse. I care and I get it! Specializing in the diagnosis and treatment of ADHD across the lifespan.
Dr. Carol Robbins is a clinical psychologist who provides a specialty practice for all of your ADD needs with the expertise and compassion that you deserve. Are you tired of getting the run-around? Of being told that you are just stressed, depressed or anxious, but you know that there is more to it than that? Trust me to provide you with the consideration and understanding of a professional who has the clinical knowledge and the personal lived-experience of raising ADHD children and marrying an ADHD spouse. I care and I get it! Specializing in the diagnosis and treatment of ADHD across the lifespan.
(410) 701-0989 View (410) 701-0989
Photo of Steve Johnson, Clinical Social Work/Therapist, LCSW, MA
Steve Johnson
Clinical Social Work/Therapist, LCSW, MA
Serves Area
"There is the inside , there is the outside and then there is the bridge between the two." I work extensively with PTSD, addiction and trauma recovery. I have over 25 years of experience with EMDR. Panic attacks, addictions, nightmares and social phobia are also a large part of the work I do. I utilize emdr because talk therapy sometimes simply doesn't work.
"There is the inside , there is the outside and then there is the bridge between the two." I work extensively with PTSD, addiction and trauma recovery. I have over 25 years of experience with EMDR. Panic attacks, addictions, nightmares and social phobia are also a large part of the work I do. I utilize emdr because talk therapy sometimes simply doesn't work.
(301) 804-2284 View (301) 804-2284
Photo of Derek Sabedra, Licensed Clinical Professional Counselor, LCPC
Derek Sabedra
Licensed Clinical Professional Counselor, LCPC
Serves Area
I am Derek "Doc" Sabedra, a Licensed Clinical Professional Counselor (LCPC) with over 23 years of experience in the mental health field. I am passionate about helping children, adolescents, and adults address their daily challenges and live more productive lives. I specialize in depression, anxiety, anger management, school issues, and ADHD. I completed my Master's degree in Counseling Psychology from Bowie State University.
I am Derek "Doc" Sabedra, a Licensed Clinical Professional Counselor (LCPC) with over 23 years of experience in the mental health field. I am passionate about helping children, adolescents, and adults address their daily challenges and live more productive lives. I specialize in depression, anxiety, anger management, school issues, and ADHD. I completed my Master's degree in Counseling Psychology from Bowie State University.
(410) 881-8533 View (410) 881-8533
Photo of Lindsey Blades, Clinical Social Work/Therapist, LCSW-C, CCTP, CGCS, CSWHC
Lindsey Blades
Clinical Social Work/Therapist, LCSW-C, CCTP, CGCS, CSWHC
3 Endorsed
Serves Area
I enjoy helping people overcome obstacles to enjoy life again. Using a warm, compassionate approach to therapy I walk alongside my clients on their journey helping to guide them in reaching their goals and living the life they desire. Being a small private practice allows me to provide superior mental health care by connecting with each client and being able to focus on each personal story.
I enjoy helping people overcome obstacles to enjoy life again. Using a warm, compassionate approach to therapy I walk alongside my clients on their journey helping to guide them in reaching their goals and living the life they desire. Being a small private practice allows me to provide superior mental health care by connecting with each client and being able to focus on each personal story.
(410) 656-6735 View (410) 656-6735
Photo of Darwin Green, Counselor, LCPC
Darwin Green
Counselor, LCPC
Serves Area
Beginning in 2013, I trained as a substance abuse counselor as a civilian at a Marine Corps Base. Since then, I have continued my counseling studies and training, working with clients from diverse and varied backgrounds in a shifting and changing world. I started with a career diploma at Penn Foster Career School as a military spouse. I interned at the Marine Corps Base Camp Pendleton at their Consolidated Substance Abuse Counseling Center. From there, I earned a B.S. in Psychology from Penn State University. Afterward, I spent some time participating as a research assistant, where I was trained in PTSD assessment tools.
Beginning in 2013, I trained as a substance abuse counselor as a civilian at a Marine Corps Base. Since then, I have continued my counseling studies and training, working with clients from diverse and varied backgrounds in a shifting and changing world. I started with a career diploma at Penn Foster Career School as a military spouse. I interned at the Marine Corps Base Camp Pendleton at their Consolidated Substance Abuse Counseling Center. From there, I earned a B.S. in Psychology from Penn State University. Afterward, I spent some time participating as a research assistant, where I was trained in PTSD assessment tools.
(443) 594-8377 View (443) 594-8377

More Therapists Nearby

Photo of Kasie Frazer, Clinical Social Work/Therapist, LCSW-C, LCSW
Kasie Frazer
Clinical Social Work/Therapist, LCSW-C, LCSW
Online Only
Hello. My name is Kasie Frazer and I am a Licensed Clinical Social Worker. I received my bachelors degree from the University of California Los Angeles with a major in American Literature and I obtained my Master's in Social Work degree from the University of Michigan. Go Blue! I have the great privilege of being licensed to practice in Arizona, California, Colorado, Maryland and Michigan. I come to the Sondermind platform with 19 years of professional work experience including helping clients with LGBTQ+ related issues, coping with grief/loss, depression & anxiety. I also enjoy helping clients with executive.
Hello. My name is Kasie Frazer and I am a Licensed Clinical Social Worker. I received my bachelors degree from the University of California Los Angeles with a major in American Literature and I obtained my Master's in Social Work degree from the University of Michigan. Go Blue! I have the great privilege of being licensed to practice in Arizona, California, Colorado, Maryland and Michigan. I come to the Sondermind platform with 19 years of professional work experience including helping clients with LGBTQ+ related issues, coping with grief/loss, depression & anxiety. I also enjoy helping clients with executive.
(667) 243-9465 View (667) 243-9465

How does your Therapist compare?

Number of Therapists in 21140

10+

Average cost per session

$150

Therapists in 21140 who prioritize treating:

95% Anxiety
89% Depression
89% Stress
79% Life Transitions
68% Grief
58% Relationship Issues
53% Coping Skills

Average years in practice

14 Years

Top 3 insurances accepted

88% Cigna and Evernorth
81% Aetna
81% CareFirst

How Therapists in 21140 see their clients

52% Online Only
48% In Person and Online

Gender breakdown

75% Female
25% Male
FAQs - About Therapy and Counseling

How can I find a therapist in 21140?

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.