Therapists in 21203

Photo of William Nathaniel Kelly, Clinical Social Work/Therapist, LCSW, MSW, MBA
William Nathaniel Kelly
Clinical Social Work/Therapist, LCSW, MSW, MBA
1 Endorsed
Serves Area
Are you a Man who is tired of being governed by insecurities, the pressure of society, the void your absent father left, depression, trauma, depression, anxiety, and the unhealthy masculine connections we’ve had to create in order to emotionally (and sometimes physically) survive? Through my own journey dealing with these issues as a Man and as a Father, I have gained a passion to help other Men lean into their fears, embrace them and unleash the Strength it takes to be Vulnerable and…discover new Strength from being Vulnerable.
Are you a Man who is tired of being governed by insecurities, the pressure of society, the void your absent father left, depression, trauma, depression, anxiety, and the unhealthy masculine connections we’ve had to create in order to emotionally (and sometimes physically) survive? Through my own journey dealing with these issues as a Man and as a Father, I have gained a passion to help other Men lean into their fears, embrace them and unleash the Strength it takes to be Vulnerable and…discover new Strength from being Vulnerable.
(619) 493-3379 View (619) 493-3379
Photo of Ashley Francis, Clinical Social Work/Therapist, LCSW, LCSW-C, LISW-CP, LISW, PMH-C
Ashley Francis
Clinical Social Work/Therapist, LCSW, LCSW-C, LISW-CP, LISW, PMH-C
2 Endorsed
Serves Area
Navigating life’s transitions whether welcoming a baby, adjusting to family dynamics, managing work stress, or experiencing the challenges of adolescence can feel overwhelming. These moments of change bring uncertainty and emotional highs and lows. Finding peace and balance can feel like taking a deep breath after holding it in for too long-like finally standing on solid ground after feeling unsteady.
Navigating life’s transitions whether welcoming a baby, adjusting to family dynamics, managing work stress, or experiencing the challenges of adolescence can feel overwhelming. These moments of change bring uncertainty and emotional highs and lows. Finding peace and balance can feel like taking a deep breath after holding it in for too long-like finally standing on solid ground after feeling unsteady.
(813) 722-1877 View (813) 722-1877
Photo of Leila Fazeli, Counselor, MS, LCPC
Leila Fazeli
Counselor, MS, LCPC
Serves Area
I have lived an eventful life, full of both professional and personal experiences that have shaped my approach to therapy. I believe it is my calling to use these life lessons, resilience, and insights to support you. I work with losses, dreams, memories, wishes, thoughts, feelings, and words. Many clients have described me as intuitive and easy to talk to—you can feel comfortable sharing anything with me. Together, we can untangle and tackle the obstacles in your path. My background and cultural awareness allow me to offer a safe space where you feel truly understood. I adapt my therapeutic style to meet your unique needs.
I have lived an eventful life, full of both professional and personal experiences that have shaped my approach to therapy. I believe it is my calling to use these life lessons, resilience, and insights to support you. I work with losses, dreams, memories, wishes, thoughts, feelings, and words. Many clients have described me as intuitive and easy to talk to—you can feel comfortable sharing anything with me. Together, we can untangle and tackle the obstacles in your path. My background and cultural awareness allow me to offer a safe space where you feel truly understood. I adapt my therapeutic style to meet your unique needs.
(410) 642-5192 View (410) 642-5192
Photo of Donald C Jaskulske, Psychologist, PsyD, LCP
Donald C Jaskulske
Psychologist, PsyD, LCP
Serves Area
I provide psychological assessments to all individuals who are seeking an understanding of what causes their struggles in life. I provide an empathic and non-judgmental atmosphere for testing. I listen to the client's concerns and develop a personalized test battery based on their concerns and struggles.
I provide psychological assessments to all individuals who are seeking an understanding of what causes their struggles in life. I provide an empathic and non-judgmental atmosphere for testing. I listen to the client's concerns and develop a personalized test battery based on their concerns and struggles.
(703) 343-9206 View (703) 343-9206
Photo of Rayna Deltuva, Licensed Clinical Professional Counselor, MA, LCPC
Rayna Deltuva
Licensed Clinical Professional Counselor, MA, LCPC
1 Endorsed
Serves Area
Welcome, I am so glad you’re here! I utilize a safe, collaborative, and person-centered approach to my therapy, as each person has their own unique set of needs. I will be my client’s biggest advocate. Areas of interest include, but are not limited to kids, teens and adults with anxiety, autism, depression, ADHD, behavioral issues, career indecision, managing general life stressors, and sports performance. In addition to my practice, Deltuva Counseling & Coaching, I am also a therapist for the Mindset Training Institute, founded by Arman Taghizadeh, M.D. (Dr.T). (If you are an athlete, ask me about MTI!)
Welcome, I am so glad you’re here! I utilize a safe, collaborative, and person-centered approach to my therapy, as each person has their own unique set of needs. I will be my client’s biggest advocate. Areas of interest include, but are not limited to kids, teens and adults with anxiety, autism, depression, ADHD, behavioral issues, career indecision, managing general life stressors, and sports performance. In addition to my practice, Deltuva Counseling & Coaching, I am also a therapist for the Mindset Training Institute, founded by Arman Taghizadeh, M.D. (Dr.T). (If you are an athlete, ask me about MTI!)
(410) 680-3801 View (410) 680-3801
Photo of Marianna Chiokan, Licensed Mental Health Counselor, LMHC-D, LCPC, CGT, KAP
Marianna Chiokan
Licensed Mental Health Counselor, LMHC-D, LCPC, CGT, KAP
8 Endorsed
Serves Area
From the outside, you appear successful - capable, dependable, even thriving. You’re used to performing under pressure, pushing through, and getting things done. But beneath the surface, you may feel disconnected, unfulfilled, anxious, or uncertain about what’s next. You might be struggling with self-doubt, burnout, or relationship patterns that leave you feeling unseen or misunderstood - all while continuing to hold everything together.
From the outside, you appear successful - capable, dependable, even thriving. You’re used to performing under pressure, pushing through, and getting things done. But beneath the surface, you may feel disconnected, unfulfilled, anxious, or uncertain about what’s next. You might be struggling with self-doubt, burnout, or relationship patterns that leave you feeling unseen or misunderstood - all while continuing to hold everything together.
Photo of Lorin Kotz, Counselor
Lorin Kotz
Counselor
2 Endorsed
Serves Area
Life can feel overwhelming at times. Whether you are navigating anxiety, trauma, relationship strain, grief, ADHD, addiction, or an unexpected life transition, you deserve a space where you feel safe, understood, and genuinely supported. My approach is warm, collaborative, and grounded in the belief that healing happens within a trusting relationship. I meet you where you are and move at a pace that feels supportive, steady, and empowering. I believe growth begins when we feel truly heard. When your story is acknowledged, and your struggles are met with compassion, meaningful change becomes possible.
Life can feel overwhelming at times. Whether you are navigating anxiety, trauma, relationship strain, grief, ADHD, addiction, or an unexpected life transition, you deserve a space where you feel safe, understood, and genuinely supported. My approach is warm, collaborative, and grounded in the belief that healing happens within a trusting relationship. I meet you where you are and move at a pace that feels supportive, steady, and empowering. I believe growth begins when we feel truly heard. When your story is acknowledged, and your struggles are met with compassion, meaningful change becomes possible.
(443) 335-6259 View (443) 335-6259
Photo of Batsheva (Beth) Hartstein, Clinical Social Work/Therapist, LCSW-C, RPT-S
Batsheva (Beth) Hartstein
Clinical Social Work/Therapist, LCSW-C, RPT-S
1 Endorsed
Serves Area
Play therapy is my passion! As a registered play therapist, I conduct therapy using play to facilitate growth, change, communication, and work through a variety of issues using play techniques. Additionally, I work as a trainer sharing my knowledge and excitement of the incredible work that can be done using play!
Play therapy is my passion! As a registered play therapist, I conduct therapy using play to facilitate growth, change, communication, and work through a variety of issues using play techniques. Additionally, I work as a trainer sharing my knowledge and excitement of the incredible work that can be done using play!
(443) 679-5085 View (443) 679-5085
Photo of Christina McFarland, Counselor, LCPC
Christina McFarland
Counselor, LCPC
1 Endorsed
Serves Area
Passionate about transformation and empowerment, I'm not just a therapist—I'm your ally in the pursuit of joy, healing, and self-discovery. I offer a safe, supportive space where you can be seen, heard, and understood. Using a dynamic blend of compassion and evidence-based practices like CBT, ACT, and mindfulness, I help you navigate life’s challenges, tap into your inner strength, and create a life that truly inspires you. Whether you're facing anxiety, relationship struggles, or self-doubt, I'm here to walk with you every step of the way. Your journey to lasting transformation starts now—let’s begin it together.
Passionate about transformation and empowerment, I'm not just a therapist—I'm your ally in the pursuit of joy, healing, and self-discovery. I offer a safe, supportive space where you can be seen, heard, and understood. Using a dynamic blend of compassion and evidence-based practices like CBT, ACT, and mindfulness, I help you navigate life’s challenges, tap into your inner strength, and create a life that truly inspires you. Whether you're facing anxiety, relationship struggles, or self-doubt, I'm here to walk with you every step of the way. Your journey to lasting transformation starts now—let’s begin it together.
(301) 678-8368 View (301) 678-8368
Photo of Janis Kay C Jarvis - Hypnotherapy By The Bay LLC
Hypnotherapy By The Bay LLC
Verified Verified
Serves Area
On a mission to uplift and foster positive change in 1 BILLION people by Fall 2027! Are you stuck in destructive behavior, confusion, fear or frustration?  What if your best life is waiting for you, just beyond your reach? ​ Do you feel like you are taking one step forward and two steps back? ​ Are you sick of it? I can help you get to where you want to go! Experience the joy of m​y unique blend of hypnotherapy and life coaching. Reach for your best life and make it last!
On a mission to uplift and foster positive change in 1 BILLION people by Fall 2027! Are you stuck in destructive behavior, confusion, fear or frustration?  What if your best life is waiting for you, just beyond your reach? ​ Do you feel like you are taking one step forward and two steps back? ​ Are you sick of it? I can help you get to where you want to go! Experience the joy of m​y unique blend of hypnotherapy and life coaching. Reach for your best life and make it last!
(443) 516-9989 View (443) 516-9989
Photo of Jay Hodge - Relational Excellence, LLC, Licensed Clinical Professional Counselor, LCPC
Relational Excellence, LLC
Licensed Clinical Professional Counselor, LCPC
Serves Area
Are you looking for a different way to relate to the world? Are there areas in your life that you would like to change? Do you need help trying to find or take a different path? If so, come talk to the staff at Relational Excellence, LLC. We are a distinguished leader and provider of clinical services with medication management services. Our service offerings include individual and group options to help you meet your treatment needs. Our mission is to engage interactively and respectfully with every person, family, or agency that we come in contact with. We seek to inspire change in everyone that we serve.
Are you looking for a different way to relate to the world? Are there areas in your life that you would like to change? Do you need help trying to find or take a different path? If so, come talk to the staff at Relational Excellence, LLC. We are a distinguished leader and provider of clinical services with medication management services. Our service offerings include individual and group options to help you meet your treatment needs. Our mission is to engage interactively and respectfully with every person, family, or agency that we come in contact with. We seek to inspire change in everyone that we serve.
(202) 759-8061 View (202) 759-8061
Photo of Crystal Stewart, Licensed Clinical Professional Counselor, LCPC
Crystal Stewart
Licensed Clinical Professional Counselor, LCPC
Serves Area
Not accepting new clients
This has been a season of reflection for many of us. If you have noticed patterns of depression, anxiety, irritability or low self esteem in yourself or in your children, you are not alone. Therapy is unique relationship that can allow you to identify and address unhelpful patterns. I work with individuals across the lifespan with a wide range of concerns including, but not limited to trauma, spirituality, anxiety, depression, bipolar disorder, stress management.
This has been a season of reflection for many of us. If you have noticed patterns of depression, anxiety, irritability or low self esteem in yourself or in your children, you are not alone. Therapy is unique relationship that can allow you to identify and address unhelpful patterns. I work with individuals across the lifespan with a wide range of concerns including, but not limited to trauma, spirituality, anxiety, depression, bipolar disorder, stress management.
(667) 201-5364 View (667) 201-5364
Photo of Dr. Benjamin Dukes, Clinical Social Work/Therapist, PhD, LICSW, RDT, RYT
Dr. Benjamin Dukes
Clinical Social Work/Therapist, PhD, LICSW, RDT, RYT
Online Only
Looking for a safe, affirming, and nonjudgmental space to be seen, heard, and acknowledged for exactly who you are while identifying your unique path to wellbeing? Well, you may have come to the right place! I utilize an eclectic, integrative approach to help clients become the most authentic version of themselves by guiding them to: (1) reveal the parts of themselves that have been hidden away (for whatever reason), (2) embrace the beauty of who they are today and offer opportunities for reframing their past (as appropriate), and (3) empower clients to choose how they want to show up in their lives going forward.
Looking for a safe, affirming, and nonjudgmental space to be seen, heard, and acknowledged for exactly who you are while identifying your unique path to wellbeing? Well, you may have come to the right place! I utilize an eclectic, integrative approach to help clients become the most authentic version of themselves by guiding them to: (1) reveal the parts of themselves that have been hidden away (for whatever reason), (2) embrace the beauty of who they are today and offer opportunities for reframing their past (as appropriate), and (3) empower clients to choose how they want to show up in their lives going forward.
(202) 301-2744 View (202) 301-2744
Photo of Nicole Hester, Clinical Social Work/Therapist, LCSW-C
Nicole Hester
Clinical Social Work/Therapist, LCSW-C
Online Only
With over 10 years of experience as a Clinical Social Worker, I help adults navigate life’s most difficult challenges with compassion, evidence-based strategies, and a deep commitment to healing. I specialize in treating depression, anxiety disorders, trauma, and dual diagnoses (substance use and mental health conditions). I also have extensive experience supporting veterans through the Veteran's Administration. Healing is possible; you don’t have to do it alone. If you’re ready to take the next step, I’m here to support you.
With over 10 years of experience as a Clinical Social Worker, I help adults navigate life’s most difficult challenges with compassion, evidence-based strategies, and a deep commitment to healing. I specialize in treating depression, anxiety disorders, trauma, and dual diagnoses (substance use and mental health conditions). I also have extensive experience supporting veterans through the Veteran's Administration. Healing is possible; you don’t have to do it alone. If you’re ready to take the next step, I’m here to support you.
(410) 559-9728 View (410) 559-9728
Photo of LaShae Smith - Lashae Smith | Introspection Counseling Center, Clinical Social Work/Therapist, LCSW-C
Lashae Smith | Introspection Counseling Center
Clinical Social Work/Therapist, LCSW-C
1 Endorsed
Online Only
I specialize in working with women ages 18–35 who are ready to invest in themselves and prioritize their mental health. Many of my clients are high-achieving professionals, caregivers, and community leaders—women who are often seen as “the strong one.” But beneath the surface, they may be silently carrying the weight of grief, anxiety, depression, or trauma. They may struggle with imposter syndrome, low self-worth, or the belief that they must always appear “put together.” If this sounds like you, please know—you’re not alone. I help women just like you!
I specialize in working with women ages 18–35 who are ready to invest in themselves and prioritize their mental health. Many of my clients are high-achieving professionals, caregivers, and community leaders—women who are often seen as “the strong one.” But beneath the surface, they may be silently carrying the weight of grief, anxiety, depression, or trauma. They may struggle with imposter syndrome, low self-worth, or the belief that they must always appear “put together.” If this sounds like you, please know—you’re not alone. I help women just like you!
(301) 381-3414 View (301) 381-3414
Photo of Tiffani Smithson, Clinical Social Work/Therapist, LCSW-C, LICSW, LCSW
Tiffani Smithson
Clinical Social Work/Therapist, LCSW-C, LICSW, LCSW
1 Endorsed
Online Only
I know that asking for help can feel like a burden sometimes. Do you feel like you have to be “everything” to everyone but feel alone when your in need? Are you struggling to say “no” then resent your yes? Do you put everyone before you and then don't have enough time for you or your dreams? Do you feel “stuck” after giving so much and then realize your not making progress in your life? More often than we realize, we tend to lose ourselves giving what we don’t have while trying to manage it all; parenthood, relationships, careers, and life situations. We then become overwhelmed, depressed, anxious, or stuck about our next move.
I know that asking for help can feel like a burden sometimes. Do you feel like you have to be “everything” to everyone but feel alone when your in need? Are you struggling to say “no” then resent your yes? Do you put everyone before you and then don't have enough time for you or your dreams? Do you feel “stuck” after giving so much and then realize your not making progress in your life? More often than we realize, we tend to lose ourselves giving what we don’t have while trying to manage it all; parenthood, relationships, careers, and life situations. We then become overwhelmed, depressed, anxious, or stuck about our next move.
(240) 226-1392 View (240) 226-1392
Photo of Ashley V Lucas - PEM Wellness, CRNP
PEM Wellness
Verified Verified
Online Only
Medication Assisted Treatment, including: Suboxone, Zubsolv, and more. Medical Cannabis for individuals who qualify.
Medication Assisted Treatment, including: Suboxone, Zubsolv, and more. Medical Cannabis for individuals who qualify.
(410) 883-5966 View (410) 883-5966
Photo of Daniel Holler, Clinical Social Work/Therapist, LCSW-C
Daniel Holler
Clinical Social Work/Therapist, LCSW-C
Online Only
No one gets through life without collecting emotional cuts and scars. Some cuts seem too small to matter much, but continue to be triggers for anger, depression and anxiety. I have been using Emotional Freedom Techniques (also known as Tapping) to promote healing of the triggers. As the triggers heal anger, anxiety and depression lose their grip on life. Special notice for VETS: TheTapping method is the most effective treatment for battlefield traumas I have found. While working with IBM I acquired a Masters Degree in Counseling from Loyola of Baltimore and later I earned a Masters Degree in Clinical Social Work.
No one gets through life without collecting emotional cuts and scars. Some cuts seem too small to matter much, but continue to be triggers for anger, depression and anxiety. I have been using Emotional Freedom Techniques (also known as Tapping) to promote healing of the triggers. As the triggers heal anger, anxiety and depression lose their grip on life. Special notice for VETS: TheTapping method is the most effective treatment for battlefield traumas I have found. While working with IBM I acquired a Masters Degree in Counseling from Loyola of Baltimore and later I earned a Masters Degree in Clinical Social Work.
(410) 453-8667 View (410) 453-8667
Photo of Charmaine M Smith, Marriage & Family Therapist, LMFT, CEAP
Charmaine M Smith
Marriage & Family Therapist, LMFT, CEAP
Online Only
We are currently ONLY accepting virtual appointments. Does your relationship need a 'double dip' of enrichment? Is your adolescent experiencing behavioral issues at home or in school? Has a series of unforeseen events or toxic relationships resulted in your feeling 'weighed down'? Do you sense as though you are at a crossroad in your personal, professional or spiritual life? Are you in the midst of a divorce and need help with co-parenting counseling? Do you have unresolved emotions regarding your past? Are you unfulfilled in your current relationship?
We are currently ONLY accepting virtual appointments. Does your relationship need a 'double dip' of enrichment? Is your adolescent experiencing behavioral issues at home or in school? Has a series of unforeseen events or toxic relationships resulted in your feeling 'weighed down'? Do you sense as though you are at a crossroad in your personal, professional or spiritual life? Are you in the midst of a divorce and need help with co-parenting counseling? Do you have unresolved emotions regarding your past? Are you unfulfilled in your current relationship?
(682) 808-6537 View (682) 808-6537
Photo of Lillian Marie Streaker, Art Therapist, LCPAT
Lillian Marie Streaker
Art Therapist, LCPAT
1 Endorsed
Online Only
As a licensed therapist, I believe in the power of cultivating a strong therapist-client relationship and safe space for expression. By utilizing a strengths based, humanistic and client centered approach, I feel that we can work together as a team, to confront the complexities of the human existence. Using creative modalities as tools fosters connection with yourself and the world around you. I have worked in a variety of different settings with children, adolescents and adults. Throughout our work together, I will use Motivational Interviewing, CBT, mindfulness, DBT, strengths based, and solution focused approaches.
As a licensed therapist, I believe in the power of cultivating a strong therapist-client relationship and safe space for expression. By utilizing a strengths based, humanistic and client centered approach, I feel that we can work together as a team, to confront the complexities of the human existence. Using creative modalities as tools fosters connection with yourself and the world around you. I have worked in a variety of different settings with children, adolescents and adults. Throughout our work together, I will use Motivational Interviewing, CBT, mindfulness, DBT, strengths based, and solution focused approaches.
(667) 218-4281 View (667) 218-4281

See more therapy options for 21203

How does your Therapist compare?

Number of Therapists in 21203

30+

Average cost per session

$150

Therapists in 21203 who prioritize treating:

87% Anxiety
77% Depression
77% Self Esteem
68% Stress
65% Trauma and PTSD
58% Grief
52% Relationship Issues

Average years in practice

12 Years

Top 3 insurances accepted

83% Cigna and Evernorth
79% Aetna
75% BlueCross and BlueShield

How Therapists in 21203 see their clients

61% Online Only
39% In Person and Online

Gender breakdown

90% Female
10% Male
FAQs - About Therapy and Counseling

How can I find a therapist in 21203?

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.