Therapists in 22134

Photo of Dr. Mariam Beshara, Psychologist, PsyD, LMHC, LPC
Dr. Mariam Beshara
Psychologist, PsyD, LMHC, LPC
Online Only
Your Well-Being Is in Good Hands! Have a particular life obstacle you’re trying to overcome? Sometimes, seeking help from a certified expert is the best way to put things into perspective. As a committed, professional Therapist and Clinical Psychologist, your well-being and mental strength is my number one priority. I'm happy to guide you through your life’s challenges with the attention and care you deserve.
Your Well-Being Is in Good Hands! Have a particular life obstacle you’re trying to overcome? Sometimes, seeking help from a certified expert is the best way to put things into perspective. As a committed, professional Therapist and Clinical Psychologist, your well-being and mental strength is my number one priority. I'm happy to guide you through your life’s challenges with the attention and care you deserve.
(571) 520-4047 View (571) 520-4047
Photo of Annah Mackin Applebaum, Pre-Licensed Professional
Annah Mackin Applebaum
Pre-Licensed Professional
Quantico, VA 22134
Picking fights with loved ones. Worrying about how we're perceived. Reacting defensively to criticism. Ruminating over social interactions. Avoiding difficult conversations. Punishing others when we’re hurt. We do all these things for reasons, but often our reasons are emotional wounds too vulnerable to acknowledge. Many of our behaviors are motivated by deeply held beliefs about ourselves and what we can expect from others. Often, our behaviors are strategic habits we learned in formative relationships that had unhealthy dynamics and imbalances of power.
Picking fights with loved ones. Worrying about how we're perceived. Reacting defensively to criticism. Ruminating over social interactions. Avoiding difficult conversations. Punishing others when we’re hurt. We do all these things for reasons, but often our reasons are emotional wounds too vulnerable to acknowledge. Many of our behaviors are motivated by deeply held beliefs about ourselves and what we can expect from others. Often, our behaviors are strategic habits we learned in formative relationships that had unhealthy dynamics and imbalances of power.
(571) 475-8712 View (571) 475-8712
Photo of Catherine Bumgarner Smith - Intuitive Counseling & Hypnotherapy Svcs, LLC, Licensed Professional Counselor, EdD, LPC-S, NCC, NBCCHF
Intuitive Counseling & Hypnotherapy Svcs, LLC
Licensed Professional Counselor, EdD, LPC-S, NCC, NBCCHF
8 Endorsed
Serves Area
Waitlist for new clients
I help people heal from deeply-rooted trauma—the kind that may have changed who you are at your core or impacted your performance as an artist or athlete. If you've tried talk therapy but still feel stuck and unable to move forward, Ketamine-Assisted Psychotherapy, Brainspotting or Hypnotherapy can help release those life-altering experiences from within. As a Marine Corps veteran, I understand the challenges trauma can bring, and I’m honored that you’ve taken the time to learn about my approach. Let's work together to find how I can best support your healing.
I help people heal from deeply-rooted trauma—the kind that may have changed who you are at your core or impacted your performance as an artist or athlete. If you've tried talk therapy but still feel stuck and unable to move forward, Ketamine-Assisted Psychotherapy, Brainspotting or Hypnotherapy can help release those life-altering experiences from within. As a Marine Corps veteran, I understand the challenges trauma can bring, and I’m honored that you’ve taken the time to learn about my approach. Let's work together to find how I can best support your healing.
(540) 412-8613 x2 View (540) 412-8613 x2
Photo of Tiara Upshur, Resident in Counseling, MEd, R-LPC, NCC
Tiara Upshur
Resident in Counseling, MEd, R-LPC, NCC
1 Endorsed
Serves Area
As the parent of a struggling child or adolescent, you often find yourself wondering what you can do to help them feel better. I believe it is important to understand “What is happening to me” versus “What is wrong with me.” I have had the pleasure of working with clients ages 3 to 55 years old and their families. I am familiar with Court-ordered clients, children in the foster care system, victims of sexual abuse and domestic violence, as well as active duty service members, veterans, and their families.
As the parent of a struggling child or adolescent, you often find yourself wondering what you can do to help them feel better. I believe it is important to understand “What is happening to me” versus “What is wrong with me.” I have had the pleasure of working with clients ages 3 to 55 years old and their families. I am familiar with Court-ordered clients, children in the foster care system, victims of sexual abuse and domestic violence, as well as active duty service members, veterans, and their families.
(540) 452-9298 View (540) 452-9298
Photo of Dr. Erik Wilkerson, Psychologist, PsyD, MS
Dr. Erik Wilkerson
Psychologist, PsyD, MS
3 Endorsed
Serves Area
The poet Rumi wrote, “The wound is where the light enters you.” These words invite us to view suffering as essential to our personal evolution. Having navigated to this webpage, it is likely that you or someone you care about is currently suffering from depression, anxiety, or interpersonal conflicts. Regardless of the source of your current difficulties, you deserve an empathic, well-trained psychologist who can walk with you through this period of your life as you turn your challenges into catalysts for growth.
The poet Rumi wrote, “The wound is where the light enters you.” These words invite us to view suffering as essential to our personal evolution. Having navigated to this webpage, it is likely that you or someone you care about is currently suffering from depression, anxiety, or interpersonal conflicts. Regardless of the source of your current difficulties, you deserve an empathic, well-trained psychologist who can walk with you through this period of your life as you turn your challenges into catalysts for growth.
(669) 338-1247 View (669) 338-1247
Photo of Meg McSherry - Courage Health & Wellness, Clinical Social Work/Therapist, LCSW
Courage Health & Wellness
Clinical Social Work/Therapist, LCSW
Serves Area
I help people overcome fear and sadness so they can have time for what matters most. I have found the most effective strategic tools which prove that change does not have to take years. With the right tools, any of us can make the change we desire. I teach you how to use tools from these proven treatment strategies so that you can spend time focusing on what matters to you. I work with all ages in additional areas of post-traumatic stress, grief and loss, low self-esteem, parenting, career transition, and life stressors.
I help people overcome fear and sadness so they can have time for what matters most. I have found the most effective strategic tools which prove that change does not have to take years. With the right tools, any of us can make the change we desire. I teach you how to use tools from these proven treatment strategies so that you can spend time focusing on what matters to you. I work with all ages in additional areas of post-traumatic stress, grief and loss, low self-esteem, parenting, career transition, and life stressors.
(540) 358-8677 View (540) 358-8677
Photo of Barbara Horn - Courage Health & Wellness, Licensed Professional Counselor, LPC
Courage Health & Wellness
Licensed Professional Counselor, LPC
Serves Area
I help individuals and couples break unhealthy patterns and remove barriers to create the life they want. I provide you with tools of proven treatment strategies to create solutions that work for your life. The combination of my experience as a registered nurse and licensed therapist creates my person-centered and highly individualized approach. I am fortunate to be able to give couples effective tools to learn how to resolve issues and regain hope in their relationship. In addition to working with couples, I greatly enjoy working with teenagers and their parents as they navigate this challenging life phase.
I help individuals and couples break unhealthy patterns and remove barriers to create the life they want. I provide you with tools of proven treatment strategies to create solutions that work for your life. The combination of my experience as a registered nurse and licensed therapist creates my person-centered and highly individualized approach. I am fortunate to be able to give couples effective tools to learn how to resolve issues and regain hope in their relationship. In addition to working with couples, I greatly enjoy working with teenagers and their parents as they navigate this challenging life phase.
(540) 684-5319 View (540) 684-5319
Photo of Breanna Elliott, Resident in Counseling
Breanna Elliott
Resident in Counseling
1 Endorsed
Online Only
Not accepting new clients
I welcome individuals who are struggling with anxiety, depression, maternal mental health, co-occurring disorders and those who may experience stress from daily life experiences. Clients with addiction-related challenges appropriate for outpatient care are welcome as well. Let's work together to make your ideal day happen!
I welcome individuals who are struggling with anxiety, depression, maternal mental health, co-occurring disorders and those who may experience stress from daily life experiences. Clients with addiction-related challenges appropriate for outpatient care are welcome as well. Let's work together to make your ideal day happen!
(571) 388-3852 View (571) 388-3852
Photo of Donna Sue Davis, Marriage & Family Therapist, MA
Donna Sue Davis
Marriage & Family Therapist, MA
Online Only
Are you where you want to be in life? Are you happy with your situation? Are you happy with yourself? Sometimes people aren’t even sure what it is they want but they know they want something to change. That is why I am here. I became a marriage and family therapist in 2009 after watching family and friends struggle with the pressures of today’s society and with keeping relationships together in a world that has become increasingly mobile and dependent on technology.
Are you where you want to be in life? Are you happy with your situation? Are you happy with yourself? Sometimes people aren’t even sure what it is they want but they know they want something to change. That is why I am here. I became a marriage and family therapist in 2009 after watching family and friends struggle with the pressures of today’s society and with keeping relationships together in a world that has become increasingly mobile and dependent on technology.
(336) 895-1276 View (336) 895-1276
Photo of Shana Storms, Licensed Professional Counselor, LPC, LSATP, NCC, ICGC
Shana Storms
Licensed Professional Counselor, LPC, LSATP, NCC, ICGC
Serves Area
Change can be frightening but exhilarating as well. As a psychotherapist helping people cope with various obstacles in life, I have come to believe we all have the potential to be successful and possess the tools we need to achieve our goals. The pace and direction will be up to you. I will help you think about your life issues and concerns differently and together we will develop strategies to handle them more effectively. Also, VASAP approved assessment and/ or sessions.
Change can be frightening but exhilarating as well. As a psychotherapist helping people cope with various obstacles in life, I have come to believe we all have the potential to be successful and possess the tools we need to achieve our goals. The pace and direction will be up to you. I will help you think about your life issues and concerns differently and together we will develop strategies to handle them more effectively. Also, VASAP approved assessment and/ or sessions.
(571) 586-9530 View (571) 586-9530
Photo of Sarah Kelley, Clinical Social Work/Therapist, LCSW, CCTP, LICSW
Sarah Kelley
Clinical Social Work/Therapist, LCSW, CCTP, LICSW
1 Endorsed
Online Only
I am a Licensed Clinical Social Worker (LCSW) and Certified Clinical Trauma Professional (CCTP), licensed in CT, VA, NC, MA, and FL. With over a decade of experience, I specialize in helping adults heal from the lasting impact of trauma. My clinical focus is on trauma-informed therapy, with advanced training in EMDR (Eye Movement Desensitization and Reprocessing) and Cognitive Processing Therapy (CPT)—both evidence-based approaches proven to reduce trauma-related symptoms and foster long-term healing.
I am a Licensed Clinical Social Worker (LCSW) and Certified Clinical Trauma Professional (CCTP), licensed in CT, VA, NC, MA, and FL. With over a decade of experience, I specialize in helping adults heal from the lasting impact of trauma. My clinical focus is on trauma-informed therapy, with advanced training in EMDR (Eye Movement Desensitization and Reprocessing) and Cognitive Processing Therapy (CPT)—both evidence-based approaches proven to reduce trauma-related symptoms and foster long-term healing.
(321) 471-1939 View (321) 471-1939
Photo of Alexandria Perry, Marriage & Family Therapist, LMFT, LPCC
Alexandria Perry
Marriage & Family Therapist, LMFT, LPCC
Online Only
Are you feeling like you’re constantly overwhelmed or worried, struggling with sleepless nights, or feeling like your past experiences are still impacting you? I’m Alexandria, but please call me Lexi! With over 9 years of experience in behavioral health, I specialize in helping individuals heal from trauma, navigate stress and life transitions, and manage anxiety and ADHD in ways that foster feeling truly seen and empowered. I’m passionate about supporting young adults and military members and their families who feel stuck, overwhelmed, or emotionally drained—helping you move forward with authenticity and resilience.
Are you feeling like you’re constantly overwhelmed or worried, struggling with sleepless nights, or feeling like your past experiences are still impacting you? I’m Alexandria, but please call me Lexi! With over 9 years of experience in behavioral health, I specialize in helping individuals heal from trauma, navigate stress and life transitions, and manage anxiety and ADHD in ways that foster feeling truly seen and empowered. I’m passionate about supporting young adults and military members and their families who feel stuck, overwhelmed, or emotionally drained—helping you move forward with authenticity and resilience.
(804) 455-8949 View (804) 455-8949
Photo of Hailey Kohler - Hailey Kohler LCSW, Clinical Supervisor , Clinical Social Work/Therapist, LCSW
Hailey Kohler LCSW, Clinical Supervisor
Clinical Social Work/Therapist, LCSW
Online Only
Waitlist for new clients
Welcome! I am a clinical social worker providing virtual sessions for clients in California, Virginia and Colorado. I'm dedicated to providing compassionate and effective therapy for individuals struggling with Obsessive-Compulsive Disorder (OCD) and Anxiety. Focusing on Exposure Response Prevention (ERP) therapy, I offer comprehensive support to help clients manage their symptoms and reclaim their lives. Those that suffer can often find symptoms to be distressful and disturbing, leading to isolation and major impacts on their lifestyle. You are not alone and this is treatable.
Welcome! I am a clinical social worker providing virtual sessions for clients in California, Virginia and Colorado. I'm dedicated to providing compassionate and effective therapy for individuals struggling with Obsessive-Compulsive Disorder (OCD) and Anxiety. Focusing on Exposure Response Prevention (ERP) therapy, I offer comprehensive support to help clients manage their symptoms and reclaim their lives. Those that suffer can often find symptoms to be distressful and disturbing, leading to isolation and major impacts on their lifestyle. You are not alone and this is treatable.
(831) 291-4360 View (831) 291-4360
Photo of Summer Catherine Seeley, Licensed Professional Counselor, MS, LPC, NCC
Summer Catherine Seeley
Licensed Professional Counselor, MS, LPC, NCC
Online Only
It is so nice to meet you! As a licensed professional counselor, I believe that investing in yourself, especially your mental health and wellness, can benefit you in so many other aspects of life. Seeking out help is just the first step, but often times, one of the most difficult. If you are here, you are in the right place! As each of us is a unique individual, I like to take the approach of meeting you “where you are at” and building therapy goals based upon where you would like to go.
It is so nice to meet you! As a licensed professional counselor, I believe that investing in yourself, especially your mental health and wellness, can benefit you in so many other aspects of life. Seeking out help is just the first step, but often times, one of the most difficult. If you are here, you are in the right place! As each of us is a unique individual, I like to take the approach of meeting you “where you are at” and building therapy goals based upon where you would like to go.
(276) 356-0767 View (276) 356-0767
Photo of Chasity Bilzing, Resident in Counseling, MS
Chasity Bilzing
Resident in Counseling, MS
1 Endorsed
Online Only
Hi! I am approved by the Virginia Board of Counseling as a Resident in Counseling to work with individuals, couples, families, and groups. I have earned my Masters in Marriage, Couple, and Family Counseling from Walden University with a specialization in Military Culture. I have over 10+ years working with children, adolescents, and their families for the Department of Defense and for Social Services that has enabled me to gain experience from a diverse population that included working directly in the community with families with special needs.
Hi! I am approved by the Virginia Board of Counseling as a Resident in Counseling to work with individuals, couples, families, and groups. I have earned my Masters in Marriage, Couple, and Family Counseling from Walden University with a specialization in Military Culture. I have over 10+ years working with children, adolescents, and their families for the Department of Defense and for Social Services that has enabled me to gain experience from a diverse population that included working directly in the community with families with special needs.
(571) 901-1840 View (571) 901-1840
Photo of Angel H. Fobbs, Clinical Social Work/Therapist, LCSW
Angel H. Fobbs
Clinical Social Work/Therapist, LCSW
Serves Area
Are you feeling overwhelmed, anxious, or burdened by persistent negative thoughts? If you’re struggling to manage daily responsibilities or cope with life’s uncertainties, support is available. I am dedicated to helping you identify and understand your emotions, recognize unhelpful thought patterns, and foster healing. Together, we will work toward resilience, personal growth, and meaningful change in your life.
Are you feeling overwhelmed, anxious, or burdened by persistent negative thoughts? If you’re struggling to manage daily responsibilities or cope with life’s uncertainties, support is available. I am dedicated to helping you identify and understand your emotions, recognize unhelpful thought patterns, and foster healing. Together, we will work toward resilience, personal growth, and meaningful change in your life.
(540) 413-0901 View (540) 413-0901
Photo of Samantha Singer, Clinical Social Work/Therapist, LMSW, LCSW
Samantha Singer
Clinical Social Work/Therapist, LMSW, LCSW
1 Endorsed
Online Only
Whether you're just beginning your journey or continuing your recovery, I am here to support you. I encourage and support clients through their journey of recovery through learning and implementing self-care, self-advocacy and increasing self-worth. I believe there is no perfect trajectory in recovery, and each success and challenge can benefit our work together. Most often underlying issues of depression, anxiety, and trauma can be addressed, which can help work through what purpose the eating disorder is serving. I practice through a person-centered lens, focusing on a Health at Every Size and All Foods Fit mentality.
Whether you're just beginning your journey or continuing your recovery, I am here to support you. I encourage and support clients through their journey of recovery through learning and implementing self-care, self-advocacy and increasing self-worth. I believe there is no perfect trajectory in recovery, and each success and challenge can benefit our work together. Most often underlying issues of depression, anxiety, and trauma can be addressed, which can help work through what purpose the eating disorder is serving. I practice through a person-centered lens, focusing on a Health at Every Size and All Foods Fit mentality.
(804) 587-8060 View (804) 587-8060

More Therapists Nearby

Photo of Yvette N. Watts, Clinical Social Work/Therapist, LCSW
Yvette N. Watts
Clinical Social Work/Therapist, LCSW
Online Only
Yvette is a Licensed Clinical Social Worker in VA & FL, holding 20+ years of experience working with children, families & adults. She has gained experience in the field of mental health through various state agencies and through her work with community-based programs. Yvette is a Red Cross Mental Health Volunteer and is currently strengthening her niche on issues that effect Older Adults/Couples with an emphasis on Sexual Health. This along with her foundation gained at Howard University and Virginia Commonwealth University, makes her a force in the field!
Yvette is a Licensed Clinical Social Worker in VA & FL, holding 20+ years of experience working with children, families & adults. She has gained experience in the field of mental health through various state agencies and through her work with community-based programs. Yvette is a Red Cross Mental Health Volunteer and is currently strengthening her niche on issues that effect Older Adults/Couples with an emphasis on Sexual Health. This along with her foundation gained at Howard University and Virginia Commonwealth University, makes her a force in the field!
(804) 587-7336 View (804) 587-7336
Photo of Alena Yaseva, Clinical Social Work/Therapist, LCSW
Alena Yaseva
Clinical Social Work/Therapist, LCSW
Online Only
Do you feel stuck in life or overwhelmed with hardships? Do you find yourself full of sadness, loneliness, uncertainty, fears, or worries? Do you struggle to trust or connect with others after going through a traumatic event? Are you dealing with complicated grief after losing a loved one? If so, you’ve come to the right place! It can be difficult to seek out therapy with a new, unfamiliar person, and I want to honor the courage it takes to go through this step by offering a warm, welcoming space to you where you feel safe and comfortable to talk about what’s on your mind.
Do you feel stuck in life or overwhelmed with hardships? Do you find yourself full of sadness, loneliness, uncertainty, fears, or worries? Do you struggle to trust or connect with others after going through a traumatic event? Are you dealing with complicated grief after losing a loved one? If so, you’ve come to the right place! It can be difficult to seek out therapy with a new, unfamiliar person, and I want to honor the courage it takes to go through this step by offering a warm, welcoming space to you where you feel safe and comfortable to talk about what’s on your mind.
(540) 517-6393 View (540) 517-6393
Photo of Kaiwen Liu, Psychologist, PsyD
Kaiwen Liu
Psychologist, PsyD
2 Endorsed
Serves Area
I am a clinical psychologist licensed in Virginia and New York, providing telehealth (NY & VA) and in-person (Harrisonburg, VA) services. I take an integrative, collaborative, and flexible approach to therapy. I am passionate about creating a safe space where clients can cultivate curiosity about their internal experiences, understand relational dynamics, and develop skills to regulate powerful emotions and change unhealthy patterns. I also help clients address sociocultural factors relevant to their daily lives, such as acculturation, systemic racism, white supremacist culture, etc.
I am a clinical psychologist licensed in Virginia and New York, providing telehealth (NY & VA) and in-person (Harrisonburg, VA) services. I take an integrative, collaborative, and flexible approach to therapy. I am passionate about creating a safe space where clients can cultivate curiosity about their internal experiences, understand relational dynamics, and develop skills to regulate powerful emotions and change unhealthy patterns. I also help clients address sociocultural factors relevant to their daily lives, such as acculturation, systemic racism, white supremacist culture, etc.
(540) 516-4405 View (540) 516-4405

See more therapy options for 22134

How does your Therapist compare?

Number of Therapists in 22134

10+

Average cost per session

$165

Therapists in 22134 who prioritize treating:

94% Anxiety
82% Depression
82% Stress
76% Self Esteem
71% Trauma and PTSD
71% Coping Skills
65% Relationship Issues

Average years in practice

11 Years

Top 3 insurances accepted

87% BlueCross and BlueShield
80% Aetna
73% Anthem

How Therapists in 22134 see their clients

53% Online Only
47% In Person and Online

Gender breakdown

100% Female
FAQs - About Therapy and Counseling

How can I find a therapist in 22134?

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.