Photo of Marrakesh S Spann, LMSW
Marrakesh S Spann
Licensed Master Social Worker, LMSW
Verified Verified
Online Only
Hello, my name is Marrakesh, and I am a Licensed Master Social Worker (LMSW) currently licensed in Maryland. I bring a diverse background in crisis intervention, educational settings, peer support, and mental health to my practice. I believe that the therapeutic journey is both healing and transformative, and I recognize that each client is unique. As such, my approach is Eclectic and Person-Centered, tailoring the treatment to fit each individual’s needs. I understand that opening up about personal struggles can be challenging. As we establish trust, we can begin to address the issues that are impacting your mental health.
Hello, my name is Marrakesh, and I am a Licensed Master Social Worker (LMSW) currently licensed in Maryland. I bring a diverse background in crisis intervention, educational settings, peer support, and mental health to my practice. I believe that the therapeutic journey is both healing and transformative, and I recognize that each client is unique. As such, my approach is Eclectic and Person-Centered, tailoring the treatment to fit each individual’s needs. I understand that opening up about personal struggles can be challenging. As we establish trust, we can begin to address the issues that are impacting your mental health.
(443) 726-1590 View (443) 726-1590
Photo of Megan Lynn Mullins, LCPC, LPCMH, ACE CPT, Pn1, Counselor
Megan Lynn Mullins
Counselor, LCPC, LPCMH, ACE CPT, Pn1
Verified Verified
1 Endorsed
Serves Area
Not accepting new clients
I am a Licensed Clinical Professional Counselor in MD and DE with 15 years of experience. I specialize in the use of EMDR, EMDR 2.0, BSP (Brain Spotting), Internal Family Systems Therapy as well as RLT, AEDP, DBT, and ERP. I am also an ACE Certified Personal Trainer and Precision Nutrition Certified Nutrition Coach. As a former D1 athlete, my approach to psychotherapy is a holistic one. My clients have specifically appreciated the rate at which they are able to experience benefits from therapy. I work out of two offices, one on Main Street in Newark (within walking distance of University of Delaware), the other in Elkton.
I am a Licensed Clinical Professional Counselor in MD and DE with 15 years of experience. I specialize in the use of EMDR, EMDR 2.0, BSP (Brain Spotting), Internal Family Systems Therapy as well as RLT, AEDP, DBT, and ERP. I am also an ACE Certified Personal Trainer and Precision Nutrition Certified Nutrition Coach. As a former D1 athlete, my approach to psychotherapy is a holistic one. My clients have specifically appreciated the rate at which they are able to experience benefits from therapy. I work out of two offices, one on Main Street in Newark (within walking distance of University of Delaware), the other in Elkton.
(302) 587-8395 View (302) 587-8395

More Therapists Nearby

Photo of James Rhoden, LCSW-C, Clinical Social Work/Therapist
James Rhoden
Clinical Social Work/Therapist, LCSW-C
Verified Verified
Online Only
Welcome! Finding the right therapist can be challenging and rewarding all at the same time. Are you seeking a compassionate guide to accompany you on your journey towards self-discovery and growth? I specialize in providing personalized therapy services to individuals and couples. With a focus on creating a safe, welcoming, and warm environment, I am dedicated to helping you navigate through life's challenges and achieve your goals.
Welcome! Finding the right therapist can be challenging and rewarding all at the same time. Are you seeking a compassionate guide to accompany you on your journey towards self-discovery and growth? I specialize in providing personalized therapy services to individuals and couples. With a focus on creating a safe, welcoming, and warm environment, I am dedicated to helping you navigate through life's challenges and achieve your goals.
(410) 809-2309 View (410) 809-2309
Photo of Chenelle Pettiford - Aspire Life Center, LLC, Clinical Social Work/Therapist
Aspire Life Center, LLC
Clinical Social Work/Therapist
Verified Verified
Chestertown, MD 21620
Aspire Life Center, LLC is a mental health agency that has been providing high-level, evidence-based mental health therapy services since 2018 in Delaware. Aspire Life Center was founded by Chenelle, with the mission to offer high-quality, client-centered care to individuals, families, and groups. Recognizing the importance of personalized treatment, Aspire Life Center is dedicated to listening to and collaborating with clients to address their unique needs and foster positive change.
Aspire Life Center, LLC is a mental health agency that has been providing high-level, evidence-based mental health therapy services since 2018 in Delaware. Aspire Life Center was founded by Chenelle, with the mission to offer high-quality, client-centered care to individuals, families, and groups. Recognizing the importance of personalized treatment, Aspire Life Center is dedicated to listening to and collaborating with clients to address their unique needs and foster positive change.
(410) 604-8176 View (410) 604-8176
Photo of W. M. Sheikh, LMSW, Clinical Social Work/Therapist
W. M. Sheikh
Clinical Social Work/Therapist, LMSW
Verified Verified
1 Endorsed
Online Only
I am currently accepting new Teletherapy clients for daytime, evenings and weekends. I am interested in helping adolescents, adults, and couples; I have a background in serving diverse clientele. I will use a mix of direct client-focused therapies to help you thrive with your specific challenges.
I am currently accepting new Teletherapy clients for daytime, evenings and weekends. I am interested in helping adolescents, adults, and couples; I have a background in serving diverse clientele. I will use a mix of direct client-focused therapies to help you thrive with your specific challenges.
(410) 267-3590 View (410) 267-3590
Photo of Stephanie M Streckfus, LCSW-C, Clinical Social Work/Therapist
Stephanie M Streckfus
Clinical Social Work/Therapist, LCSW-C
Verified Verified
Bel Air, MD 21014
It takes incredible strength to reach out for help when you are struggling. I am honored that you are considering me as someone to stand by you on your healing journey. I have experience working with individuals of all ages struggling with trauma, anxiety, depression, and life changes. My primary training focus is trauma treatment and attachment, most recently earning an Advanced Trauma Treatment certification through the Ferentz Institute.
It takes incredible strength to reach out for help when you are struggling. I am honored that you are considering me as someone to stand by you on your healing journey. I have experience working with individuals of all ages struggling with trauma, anxiety, depression, and life changes. My primary training focus is trauma treatment and attachment, most recently earning an Advanced Trauma Treatment certification through the Ferentz Institute.
(410) 904-6872 View (410) 904-6872
Photo of Maria Hudson, LGPC, NCC, Counselor
Maria Hudson
Counselor, LGPC, NCC
Verified Verified
Serves Area
Begin your journey towards personal growth and happiness with me, a Licensed Graduate Professional Counselor with a strong educational background. I hold a Bachelor's degree in Education and a Master's degree in Clinical Mental Health Counseling, equipping me with the skills and knowledge to help individuals transform their lives and achieve emotional well-being. I am dedicated to guiding you in making lasting changes that lead to healthier habits, stronger relationships, and overcoming challenges that hold you back.
Begin your journey towards personal growth and happiness with me, a Licensed Graduate Professional Counselor with a strong educational background. I hold a Bachelor's degree in Education and a Master's degree in Clinical Mental Health Counseling, equipping me with the skills and knowledge to help individuals transform their lives and achieve emotional well-being. I am dedicated to guiding you in making lasting changes that lead to healthier habits, stronger relationships, and overcoming challenges that hold you back.
(410) 639-3642 View (410) 639-3642
Photo of Anne Marie Porretti, LCPC
Anne Marie Porretti
Licensed Clinical Professional Counselor, LCPC
Verified Verified
Serves Area
I am a Psychotherapist in practice for 40 years. I work with clients from age 9 to 64 with depression, mood disorder, anxiety, obsessive compulsive disorders, and bi-polar disorders, OCD, adult transition and body dysphoria. My focus is client centered helping you to reach your goals. My values are to serve, teach, and implement effective ways to cope and enhance quality of life. Treatment practices include Psychodynamic therapy, Reality therapy, Cognitive behavioral therapy, Dialectical behavioral therapy, Acceptance and commitment therapy, Mindfulness based cognitive therapy and Couples therapy.
I am a Psychotherapist in practice for 40 years. I work with clients from age 9 to 64 with depression, mood disorder, anxiety, obsessive compulsive disorders, and bi-polar disorders, OCD, adult transition and body dysphoria. My focus is client centered helping you to reach your goals. My values are to serve, teach, and implement effective ways to cope and enhance quality of life. Treatment practices include Psychodynamic therapy, Reality therapy, Cognitive behavioral therapy, Dialectical behavioral therapy, Acceptance and commitment therapy, Mindfulness based cognitive therapy and Couples therapy.
(443) 981-2367 View (443) 981-2367
Photo of Amy L. Hull, LCSW-C, CCATP, CIMHP, Clinical Social Work/Therapist
Amy L. Hull
Clinical Social Work/Therapist, LCSW-C, CCATP, CIMHP
Verified Verified
1 Endorsed
Online Only
Feeling isolated, alone, or frustrated? Are you feeling stuck with no direction? As humans we sometimes experience these feelings and struggle to move forward. We become anxious, depressed, and lack the skills necessary to put one foot in front of the other, becoming overwhelmed and stressed. The ability to change our mindset and focus on our strengths is a major step in making the change necessary to move ahead in life, one step at a time. If you envision a happier, healthier version of yourself, I believe I can help you or someone you love find direction and take that first step.
Feeling isolated, alone, or frustrated? Are you feeling stuck with no direction? As humans we sometimes experience these feelings and struggle to move forward. We become anxious, depressed, and lack the skills necessary to put one foot in front of the other, becoming overwhelmed and stressed. The ability to change our mindset and focus on our strengths is a major step in making the change necessary to move ahead in life, one step at a time. If you envision a happier, healthier version of yourself, I believe I can help you or someone you love find direction and take that first step.
(410) 216-0807 View (410) 216-0807
Photo of Dawn Gomez, MSW, LCSW-C, Clinical Social Work/Therapist
Dawn Gomez
Clinical Social Work/Therapist, MSW, LCSW-C
Verified Verified
2 Endorsed
Bel Air, MD 21014
Do you just want to feel better? Are you experiencing symptoms that you would rather not pathologize (“I don’t want people to think I’m crazy!”)? Is it difficult for you to concentrate? Have you found yourself withdrawing socially? Do you struggle with intrusive thoughts? Maybe anxiety is part of your daily life, or perhaps your relationships are tumultuous. Do you find yourself avoiding people, places or things because they remind you of something negative you experienced? These symptoms could indicate that you have experienced trauma. Perhaps it’s a “capital T” trauma or a “small t” trauma. Either way, therapy could help.
Do you just want to feel better? Are you experiencing symptoms that you would rather not pathologize (“I don’t want people to think I’m crazy!”)? Is it difficult for you to concentrate? Have you found yourself withdrawing socially? Do you struggle with intrusive thoughts? Maybe anxiety is part of your daily life, or perhaps your relationships are tumultuous. Do you find yourself avoiding people, places or things because they remind you of something negative you experienced? These symptoms could indicate that you have experienced trauma. Perhaps it’s a “capital T” trauma or a “small t” trauma. Either way, therapy could help.
(410) 888-0946 View (410) 888-0946
Photo of Elizabeth Clemons, LPC, LCPC
Elizabeth Clemons
Licensed Clinical Professional Counselor, LPC, LCPC
Verified Verified
Online Only
Have you been looking for someone to help you navigate though life’s journey? And are you an adult suffering with, anxiety, depression, stress, chronic pain, or mood swings? Then, allow me to help you navigate through those journeys. I have used various therapies composed of dialectical, behavioral and cognitive therapies over the past 10 years with civilians and military members and their spouses. Also, I believe therapy is about you the client. Therefore, I structure therapy sessions around your needs at that particular time because, life changes daily and so should your therapy session.
Have you been looking for someone to help you navigate though life’s journey? And are you an adult suffering with, anxiety, depression, stress, chronic pain, or mood swings? Then, allow me to help you navigate through those journeys. I have used various therapies composed of dialectical, behavioral and cognitive therapies over the past 10 years with civilians and military members and their spouses. Also, I believe therapy is about you the client. Therefore, I structure therapy sessions around your needs at that particular time because, life changes daily and so should your therapy session.
(443) 351-6127 View (443) 351-6127
Photo of Jessica Lynn Lefler, LCSW-C, Clinical Social Work/Therapist
Jessica Lynn Lefler
Clinical Social Work/Therapist, LCSW-C
Verified Verified
Serves Area
Specializing in adolescent and young adult life transitions, collaborative family therapy, gender dysphoria, OCD, ADHD, anxiety and depression. Solution focused treatment utilizing Cognitive Behavioral Therapy and other eclectic approaches. I believe wellness is rooted in vulnerability, connection, acceptance and movement. It's more than just therapy. Insurance accepted via Superbill only.
Specializing in adolescent and young adult life transitions, collaborative family therapy, gender dysphoria, OCD, ADHD, anxiety and depression. Solution focused treatment utilizing Cognitive Behavioral Therapy and other eclectic approaches. I believe wellness is rooted in vulnerability, connection, acceptance and movement. It's more than just therapy. Insurance accepted via Superbill only.
(443) 233-0188 View (443) 233-0188
Photo of Latonya Cotton-Tilghman, LCSW-C, Clinical Social Work/Therapist
Latonya Cotton-Tilghman
Clinical Social Work/Therapist, LCSW-C
Verified Verified
Online Only
People seek therapy for a broad range of reasons, from dealing with anxiety or depression, coping with childhood trauma, managing stress, dealing with major life challenges, or simply wanting to achieve greater self-knowledge and personal growth. Regardless of the reasons, people want therapeutic intervention that is compassionate and non-judgmental. People want a provider who actively listens, appreciates a person's right to self-determination, and understands the importance of collaboration throughout the treatment process. Therapy is not about fixing what is broken, but about healing that which has been bruised and scarred.
People seek therapy for a broad range of reasons, from dealing with anxiety or depression, coping with childhood trauma, managing stress, dealing with major life challenges, or simply wanting to achieve greater self-knowledge and personal growth. Regardless of the reasons, people want therapeutic intervention that is compassionate and non-judgmental. People want a provider who actively listens, appreciates a person's right to self-determination, and understands the importance of collaboration throughout the treatment process. Therapy is not about fixing what is broken, but about healing that which has been bruised and scarred.
(410) 673-4786 View (410) 673-4786
Photo of Courtney Harris, LCSW-C, Clinical Social Work/Therapist
Courtney Harris
Clinical Social Work/Therapist, LCSW-C
Verified Verified
Online Only
Not accepting new clients
My ideal client is eager to forge a new path for themselves. Committed to showing up for themselves but in need of help. As a therapist, I provide my clients with a welcoming, safe and non-judgmental environment. It is extremely important to me that my clients trust me and therefore feel comfortable to be open and honest. I believe and help my clients to see that the way we perceive, and approach challenges plays a crucial role in how we experience and navigate them. A mindset that views challenges as opportunities for growth rather than insurmountable obstacles can lead to growth, more resilience and personal development.
My ideal client is eager to forge a new path for themselves. Committed to showing up for themselves but in need of help. As a therapist, I provide my clients with a welcoming, safe and non-judgmental environment. It is extremely important to me that my clients trust me and therefore feel comfortable to be open and honest. I believe and help my clients to see that the way we perceive, and approach challenges plays a crucial role in how we experience and navigate them. A mindset that views challenges as opportunities for growth rather than insurmountable obstacles can lead to growth, more resilience and personal development.
(443) 785-4548 View (443) 785-4548
Photo of Fatima Taylor - Taylor Wellness Center, Inc, LCSW-C
Taylor Wellness Center, Inc
LCSW-C
Verified Verified
1 Endorsed
Port Deposit, MD 21904
Trauma can leave you feeling defeated and disconnected from yourself and others. You want to keep everything from falling apart but it's getting harder and harder. Family and friends tell you to "be strong", but you're not sure if that's possible. Emotions are more intense than they've ever been and you're feeling overwhelmed, unsafe, scared, anxious and frustrated. You desperately want to share your feelings but fear no one will understand; you're feeling isolated and alone. Does this sound familiar?
Trauma can leave you feeling defeated and disconnected from yourself and others. You want to keep everything from falling apart but it's getting harder and harder. Family and friends tell you to "be strong", but you're not sure if that's possible. Emotions are more intense than they've ever been and you're feeling overwhelmed, unsafe, scared, anxious and frustrated. You desperately want to share your feelings but fear no one will understand; you're feeling isolated and alone. Does this sound familiar?
(443) 968-7074 View (443) 968-7074
Photo of Bente Uhlig, LMSW, Clinical Social Work/Therapist
Bente Uhlig
Clinical Social Work/Therapist, LMSW
Verified Verified
2 Endorsed
Bel Air, MD 21014
My passion is working with individuals who have ADHD symptoms, are twice exceptional, experience anxiety, have autism, or are adolescents/young adults who are looking to uncover their superpowers. We will explore life skills along with the vision of who they truly are and what they can become! Whether you are 2 or 52, I’m here to help you and your family live life to its fullest.  My experience comes from years of offering resources to individuals and families like yours, creating individual plans, and integrating solutions into everyday practices. Our journey together will make a difference!
My passion is working with individuals who have ADHD symptoms, are twice exceptional, experience anxiety, have autism, or are adolescents/young adults who are looking to uncover their superpowers. We will explore life skills along with the vision of who they truly are and what they can become! Whether you are 2 or 52, I’m here to help you and your family live life to its fullest.  My experience comes from years of offering resources to individuals and families like yours, creating individual plans, and integrating solutions into everyday practices. Our journey together will make a difference!
(443) 341-1955 View (443) 341-1955
Photo of Sarah Tacka, LCPC
Sarah Tacka
Licensed Clinical Professional Counselor, LCPC
Verified Verified
1 Endorsed
Bel Air, MD 21014
I aim to provide a safe, respectful, nonjudgmental environment for children, adolescents, and adults as they share their stories and gain insight into their current needs and challenges. I have a strong clinical background in providing services to those struggling with trauma, anxiety, and mood disorders.
I aim to provide a safe, respectful, nonjudgmental environment for children, adolescents, and adults as they share their stories and gain insight into their current needs and challenges. I have a strong clinical background in providing services to those struggling with trauma, anxiety, and mood disorders.
(443) 249-9164 View (443) 249-9164
Photo of Kristie Slaski, MS, LCPC
Kristie Slaski
Licensed Clinical Professional Counselor, MS, LCPC
Verified Verified
7 Endorsed
Online Only
I am a Licensed Clinical Professional Counselor with 18 years’ experience working in the mental health field. I have worked in several different capacities in the mental health since 2004. I have had the benefit of working in several different capacities including outpatient mental health, school based mental health, inpatient treatment, crisis intervention as well as the correctional system.
I am a Licensed Clinical Professional Counselor with 18 years’ experience working in the mental health field. I have worked in several different capacities in the mental health since 2004. I have had the benefit of working in several different capacities including outpatient mental health, school based mental health, inpatient treatment, crisis intervention as well as the correctional system.
(443) 233-0637 View (443) 233-0637
Photo of Deitra Fant, MA, NCC, LCPC-S
Deitra Fant
Licensed Clinical Professional Counselor, MA, NCC, LCPC-S
Verified Verified
Serves Area
I am a highly experienced and dedicated Board-Certified Licensed Clinical Professional Counselor with over 13 years of experience in the mental health field. Throughout my career, I've held various roles in employment, housing, ACT services, homeless services, case management, and leadership, showcasing my diverse skill set and commitment to helping others.
I am a highly experienced and dedicated Board-Certified Licensed Clinical Professional Counselor with over 13 years of experience in the mental health field. Throughout my career, I've held various roles in employment, housing, ACT services, homeless services, case management, and leadership, showcasing my diverse skill set and commitment to helping others.
(443) 933-8198 View (443) 933-8198
Photo of Kate Jones, LCSW-C, Clinical Social Work/Therapist
Kate Jones
Clinical Social Work/Therapist, LCSW-C
Verified Verified
1 Endorsed
Serves Area
Seeking someone dedicated to your overall well-being, regardless of your situation? Invest in the opportunity to reflect, gain clarity, and discover a profound sense of purpose in life. The pursuit of a balanced lifestyle can be challenging, as creating that balance may pose difficulties. In these instances, seeking guidance and support can be instrumental in facilitating transformative changes. My ultimate goal is to empower individuals to address their own needs and develop effective skills to achieve their goals. Therapy is a transformative experience that offers invaluable solace during turbulent and overwhelming periods.
Seeking someone dedicated to your overall well-being, regardless of your situation? Invest in the opportunity to reflect, gain clarity, and discover a profound sense of purpose in life. The pursuit of a balanced lifestyle can be challenging, as creating that balance may pose difficulties. In these instances, seeking guidance and support can be instrumental in facilitating transformative changes. My ultimate goal is to empower individuals to address their own needs and develop effective skills to achieve their goals. Therapy is a transformative experience that offers invaluable solace during turbulent and overwhelming periods.
(410) 204-2195 View (410) 204-2195

See more therapy options for 21922

How does your Therapist compare?

Number of Therapists in 21922

< 10

Therapists in 21922 who prioritize treating:

100% Relationship Issues
100% Depression
100% Anxiety
100% Spirituality
100% Trauma and PTSD
100% Career Counseling
100% School Issues

Average years in practice

15 Years

Top 3 insurances accepted

100% Aetna
100% BlueCross and BlueShield
100% Medicaid

How Therapists in 21922 see their clients

50% In Person and Online
50% Online Only

Gender breakdown

100% Female
FAQs - About Therapy and Counseling

How can I find a therapist in 21922?

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.