Therapists in 22180

Photo of Sharyn Hunt, Licensed Professional Counselor in 22180, VA
Sharyn Hunt
Licensed Professional Counselor, MS, LPC
Verified Verified
1 Endorsed
Vienna, VA 22180
Waitlist for new clients
Do you have a teen struggling with anxiety, depression, or self-image? I am here to help. I am a Licensed Professional Counselor in Virginia. I have also been working with adolescents and young adults for over 10 years as a School Psychologist. I have extensive training in psychotherapy and counseling. Whether you are interested in exploring deep-seated, difficult/painful issues or simply need a supportive person, I provide a comfortable, non-judgmental place for you to get the help that you need. Choosing to attend therapy can be scary; however, it can also be positive.
Do you have a teen struggling with anxiety, depression, or self-image? I am here to help. I am a Licensed Professional Counselor in Virginia. I have also been working with adolescents and young adults for over 10 years as a School Psychologist. I have extensive training in psychotherapy and counseling. Whether you are interested in exploring deep-seated, difficult/painful issues or simply need a supportive person, I provide a comfortable, non-judgmental place for you to get the help that you need. Choosing to attend therapy can be scary; however, it can also be positive.
(703) 454-8375 View (703) 454-8375
Photo of Mary Mandell, Clinical Social Work/Therapist in 22180, VA
Mary Mandell
Clinical Social Work/Therapist, LCSW, LICSW
Verified Verified
Vienna, VA 22180  (Online Only)
Not accepting new clients
Hello and welcome, My name is Mary and I'm a LCSW in Virginia and an LICSW the District of Columbia. I’m dedicated to assisting in your journey to find support and encouragement to process life’s challenges. I commend you for your willingness to seek available resources.
Hello and welcome, My name is Mary and I'm a LCSW in Virginia and an LICSW the District of Columbia. I’m dedicated to assisting in your journey to find support and encouragement to process life’s challenges. I commend you for your willingness to seek available resources.
(703) 348-9639 View (703) 348-9639
Photo of Alyssa T. Poblete, Psychologist in 22180, VA
Alyssa T. Poblete
Psychologist, PhD
Verified Verified
Vienna, VA 22180  (Online Only)
Pursuing therapy takes courage. The process can often feel empowering as well as anxiety-provoking. Once you have made the decision to seek help, it is important to find a therapist who is the right fit for you. As a therapist, my approach is open, supportive, and fosters curiosity rather than judgment. I seek to provide a safe environment and to collaborate with my clients in order to meet their needs. As a licensed clinical psychologist, I use an evidence-based, integrative therapy approach, drawing from my training in mindfulness/acceptance-based, cognitive-behavioral models and relational therapies.
Pursuing therapy takes courage. The process can often feel empowering as well as anxiety-provoking. Once you have made the decision to seek help, it is important to find a therapist who is the right fit for you. As a therapist, my approach is open, supportive, and fosters curiosity rather than judgment. I seek to provide a safe environment and to collaborate with my clients in order to meet their needs. As a licensed clinical psychologist, I use an evidence-based, integrative therapy approach, drawing from my training in mindfulness/acceptance-based, cognitive-behavioral models and relational therapies.
(571) 536-7527 x313 View (571) 536-7527 x313
Photo of Alexandra Kaghan, Clinical Social Work/Therapist in 22180, VA
Alexandra Kaghan
Clinical Social Work/Therapist, LCSW
Verified Verified
Vienna, VA 22180  (Online Only)
Not accepting new clients
My first goal is to provide you with an open and trusting environment where you can feel safe to explore what has been troubling you. I know how hard it can be to contact a therapist for help. Whether it is a history of past trauma, depression, eating issues, or relationship struggles, I will work with you in a way that will help you better understand your thoughts and feelings so that you can move forward in your life. Using my years of experience treating depression, eating disorders, trauma and relationship issues, together we will tailor treatment goals to meet your individual needs.
My first goal is to provide you with an open and trusting environment where you can feel safe to explore what has been troubling you. I know how hard it can be to contact a therapist for help. Whether it is a history of past trauma, depression, eating issues, or relationship struggles, I will work with you in a way that will help you better understand your thoughts and feelings so that you can move forward in your life. Using my years of experience treating depression, eating disorders, trauma and relationship issues, together we will tailor treatment goals to meet your individual needs.
(703) 622-2048 View (703) 622-2048
Photo of Grace E Gray, Clinical Social Work/Therapist in 22180, VA
Grace E Gray
Clinical Social Work/Therapist, MSW, PhD
Verified Verified
2 Endorsed
Vienna, VA 22180
Not accepting new clients
If you are reading this, you may be going through a particularly rough patch. Or, you could be ready to face something that's been difficult for too long. How would it be to have a companion on the road--someone who knows short cuts, has walked similar terrain, and will stick with you when you lose your way and your temper? An individual therapist can serve as a guide to your own best self. I work primarily with adolescents and adults who have depression, anxiety disorders, ADHD, trauma, difficulty with emotional regulation, LGBTQ concerns, or (most often) some combination.
If you are reading this, you may be going through a particularly rough patch. Or, you could be ready to face something that's been difficult for too long. How would it be to have a companion on the road--someone who knows short cuts, has walked similar terrain, and will stick with you when you lose your way and your temper? An individual therapist can serve as a guide to your own best self. I work primarily with adolescents and adults who have depression, anxiety disorders, ADHD, trauma, difficulty with emotional regulation, LGBTQ concerns, or (most often) some combination.
(240) 428-2892 View (240) 428-2892
Photo of Chelsea Crawford in 22180, VA
Chelsea Crawford
MSW, LMSW
Verified Verified
Vienna, VA 22180  (Online Only)
Hi, I'm Chelsea, a Virginia-based psychotherapist dedicated to providing a safe and inclusive therapeutic space for young adults grappling with anxiety, depression, burnout, impostor syndrome, life/career transitions, self-medication with drugs and alcohol, or challenges creating meaningful relationships. I received my Master’s in Social Work from Columbia University, specializing in trauma-informed care and the profound ways in which macro-political, environmental, and systemic factors impact mental health.
Hi, I'm Chelsea, a Virginia-based psychotherapist dedicated to providing a safe and inclusive therapeutic space for young adults grappling with anxiety, depression, burnout, impostor syndrome, life/career transitions, self-medication with drugs and alcohol, or challenges creating meaningful relationships. I received my Master’s in Social Work from Columbia University, specializing in trauma-informed care and the profound ways in which macro-political, environmental, and systemic factors impact mental health.
(571) 562-7359 View (571) 562-7359
Photo of Laurie Nathan-Furtuna, Pre-Licensed Professional in 22180, VA
Laurie Nathan-Furtuna
Pre-Licensed Professional, MSW
Verified Verified
Vienna, VA 22180
I approach my clients from a relational perspective. I value attachment and strength-based modalities in developing a genuine relationship with each client so that healing and lasting change can take place. Through this relational approach, clients have the opportunity to gain perspective on their experienced difficulties and expand their insight into the root causes of these difficulties. I also strongly believe in bringing a holistic perspective to understand and support my clients’ growth. I feel that all clients need a different clinical approach to best meet their unique needs.
I approach my clients from a relational perspective. I value attachment and strength-based modalities in developing a genuine relationship with each client so that healing and lasting change can take place. Through this relational approach, clients have the opportunity to gain perspective on their experienced difficulties and expand their insight into the root causes of these difficulties. I also strongly believe in bringing a holistic perspective to understand and support my clients’ growth. I feel that all clients need a different clinical approach to best meet their unique needs.
(571) 248-3352 View (571) 248-3352
Photo of M.Forozmand: Jungian Psychoanalyst & Life coaching in 22180, VA
M.Forozmand: Jungian Psychoanalyst & Life coaching
MA,
Verified Verified
Vienna, VA 22180
I am a Jungian analyst in training and a life coach with more than 20 years of experience in the profession. We all face problems and issues in our personal, emotional, professional and social lives that sometimes make life difficult for us. We experience these problems in the form of depression, anger, frustration, anxiety, helplessness, problematic relationships, feelings of low value and other types of dissatisfaction.
I am a Jungian analyst in training and a life coach with more than 20 years of experience in the profession. We all face problems and issues in our personal, emotional, professional and social lives that sometimes make life difficult for us. We experience these problems in the form of depression, anger, frustration, anxiety, helplessness, problematic relationships, feelings of low value and other types of dissatisfaction.
(571) 200-1240 View (571) 200-1240
Photo of Kara Bath, Marriage & Family Therapist in 22180, VA
Kara Bath
Marriage & Family Therapist, MS, LMFT
Not Verified Not Verified
1 Endorsed
Vienna, VA 22180
Feeling overwhelmed, stuck or hopeless and not sure what to do? Having trouble with your spouse, child or other important people in your life? My passion is to collaboratively work with you to be better able to live life to its fullest and to foster healthier connections with the important people in your life. I am committed to teaming with you to foster the change and growth you want and deserve in your life.
Feeling overwhelmed, stuck or hopeless and not sure what to do? Having trouble with your spouse, child or other important people in your life? My passion is to collaboratively work with you to be better able to live life to its fullest and to foster healthier connections with the important people in your life. I am committed to teaming with you to foster the change and growth you want and deserve in your life.
(703) 940-1945 View (703) 940-1945
Photo of Virginia Inglese, Clinical Social Work/Therapist in 22180, VA
Virginia Inglese
Clinical Social Work/Therapist, LCSW, MA, RDN, EMDR, CEDS
Verified Verified
Vienna, VA 22180
Are you struggling with an eating disorder, low self-esteem, relationship issues, or self harming behaviors? Have you suffered from trauma and abuse, or have lost touch of your own needs and feelings? I use an integrative approach that emphasizes emotional and physical healing and addresses the underlying core issues that continue to sabotage the recovery process. My treatment approach helps you let go of negative beliefs, self destructive patterns, and learn to develop positive relationships and healthy coping skills. We build on your strengths and focus is on recovery and self care to find your true inner self.
Are you struggling with an eating disorder, low self-esteem, relationship issues, or self harming behaviors? Have you suffered from trauma and abuse, or have lost touch of your own needs and feelings? I use an integrative approach that emphasizes emotional and physical healing and addresses the underlying core issues that continue to sabotage the recovery process. My treatment approach helps you let go of negative beliefs, self destructive patterns, and learn to develop positive relationships and healthy coping skills. We build on your strengths and focus is on recovery and self care to find your true inner self.
(703) 634-9922 View (703) 634-9922
Photo of Virginia Family Counseling, Clinical Social Work/Therapist in 22180, VA
Virginia Family Counseling
Clinical Social Work/Therapist, LCSW
Verified Verified
Vienna, VA 22180
As the Director of Virginia Family Counseling, I work with a group of seasoned, highly skilled therapists who are caring, warm, dedicated and bring enthusiasm, humor, and over 20 years of experience to your healing process. We believe that people have wonderful strengths in many areas and can develop more by learning new tools through counseling. We believe that people usually do the best they can, but that normal life can be stressful and counseling can help people learn from painful situations. We believe in working as a partner with you to bring about the changes you want.
As the Director of Virginia Family Counseling, I work with a group of seasoned, highly skilled therapists who are caring, warm, dedicated and bring enthusiasm, humor, and over 20 years of experience to your healing process. We believe that people have wonderful strengths in many areas and can develop more by learning new tools through counseling. We believe that people usually do the best they can, but that normal life can be stressful and counseling can help people learn from painful situations. We believe in working as a partner with you to bring about the changes you want.
(703) 829-0982 View (703) 829-0982
Photo of Jasmine Nejat, Licensed Professional Counselor in 22180, VA
Jasmine Nejat
Licensed Professional Counselor, LPC
Verified Verified
Vienna, VA 22180  (Online Only)
Not accepting new clients
I use clinical approaches and mind-body coping strategies such as mindfulness, guided imagery, and breath work techniques to put tools on your tool belt to cope. In addition to being a licensed professional counselor (LPC) I am also a registered yoga and meditation teacher. My goal is to bridge the gap between mind, body, and spirit, and help make it safe to come home to yourself, to your body, and to your life. I'm not steering the course of our work; you are, and I will be there as a guide. I am grateful for each story I have been able to be apart of and am grateful for the chance to be a part of yours.
I use clinical approaches and mind-body coping strategies such as mindfulness, guided imagery, and breath work techniques to put tools on your tool belt to cope. In addition to being a licensed professional counselor (LPC) I am also a registered yoga and meditation teacher. My goal is to bridge the gap between mind, body, and spirit, and help make it safe to come home to yourself, to your body, and to your life. I'm not steering the course of our work; you are, and I will be there as a guide. I am grateful for each story I have been able to be apart of and am grateful for the chance to be a part of yours.
(703) 972-1936 View (703) 972-1936
Photo of Shaina Anderson, Supervisee in Clinical Social Work in 22180, VA
Shaina Anderson
Supervisee in Clinical Social Work, MSW
Verified Verified
Vienna, VA 22180
Shaina received her Master’s in Social Work from Howard University and is currently working towards LCSW Licensure. Shaina also has an MS degree in Sociology with a concentration in Criminal Justice from Longwood University. She has experience working with a variety of individuals, including children, adolescents, and families. She brings her passion and empathy for working with people to provide an outlet for healing and work through difficult times. Shaina also has experience working with individuals and families through traumatic and stressful experiences such as grief, depression, anxiety, addiction, and incarceration.
Shaina received her Master’s in Social Work from Howard University and is currently working towards LCSW Licensure. Shaina also has an MS degree in Sociology with a concentration in Criminal Justice from Longwood University. She has experience working with a variety of individuals, including children, adolescents, and families. She brings her passion and empathy for working with people to provide an outlet for healing and work through difficult times. Shaina also has experience working with individuals and families through traumatic and stressful experiences such as grief, depression, anxiety, addiction, and incarceration.
(571) 946-2519 View (571) 946-2519
Photo of Kathianne Smith, Clinical Social Work/Therapist in 22180, VA
Kathianne Smith
Clinical Social Work/Therapist, MSW, LCSW
Verified Verified
1 Endorsed
Vienna, VA 22180
I specialize in individual and family therapy and couples therapy. I work with children, adolescents, and adults in a LGTBTQ+ affirming environment. I have over 30 years of direct mental health experience and my areas of focus include child and family therapy including play therapy, parenting, trauma, attachment disorder, adoption, autism spectrum disorder, and more.
I specialize in individual and family therapy and couples therapy. I work with children, adolescents, and adults in a LGTBTQ+ affirming environment. I have over 30 years of direct mental health experience and my areas of focus include child and family therapy including play therapy, parenting, trauma, attachment disorder, adoption, autism spectrum disorder, and more.
(571) 570-9606 View (571) 570-9606
Photo of Shawn Rubin, Psychologist in 22180, VA
Shawn Rubin
Psychologist, PsyD
Verified Verified
1 Endorsed
Vienna, VA 22180
For over twenty-five years I have been privileged to work alongside parents, children, adolescents and adults of all ages to understand the deeper meanings of troubling thoughts, feelings and behaviors and other symptoms of distress. My collaborative approach is grounded in enhancing personal growth and the innate human capacities for loving, giving, healing painful traumas, and increasing enjoyment of one's life. My therapeutic relationships are respectful, caring, and support the freedom to fully express one's experience, uniqueness, vitality, and engagement of the depth and breadth of human existence.
For over twenty-five years I have been privileged to work alongside parents, children, adolescents and adults of all ages to understand the deeper meanings of troubling thoughts, feelings and behaviors and other symptoms of distress. My collaborative approach is grounded in enhancing personal growth and the innate human capacities for loving, giving, healing painful traumas, and increasing enjoyment of one's life. My therapeutic relationships are respectful, caring, and support the freedom to fully express one's experience, uniqueness, vitality, and engagement of the depth and breadth of human existence.
(571) 253-7526 View (571) 253-7526
Photo of Tammy Christman, Licensed Professional Counselor in 22180, VA
Tammy Christman
Licensed Professional Counselor, MEd, MA
Verified Verified
Vienna, VA 22180  (Online Only)
Waitlist for new clients
Tammy is a client-centered and emotion-focused counseling professional welcoming older children, teens and adults with transition concerns, life changes, eating disorders, mood disorders, problems with self-esteem and other maladaptive coping skills. Through therapy, Tammy helps clients identify their strengths and empowers them to regulate negative thoughts and behaviors. Thoughts, feelings and behaviors are all intertwined, which is why she will work with you to understand their origination change your thinking. Managing thoughts, emotions and behaviors is the key to important positive change.
Tammy is a client-centered and emotion-focused counseling professional welcoming older children, teens and adults with transition concerns, life changes, eating disorders, mood disorders, problems with self-esteem and other maladaptive coping skills. Through therapy, Tammy helps clients identify their strengths and empowers them to regulate negative thoughts and behaviors. Thoughts, feelings and behaviors are all intertwined, which is why she will work with you to understand their origination change your thinking. Managing thoughts, emotions and behaviors is the key to important positive change.
(571) 200-4516 View (571) 200-4516
Photo of Elisabeth Varkiani, Psychologist in 22180, VA
Elisabeth Varkiani
Psychologist, PsyD, LCP
Verified Verified
1 Endorsed
Vienna, VA 22180
Are you feeling down or stressed? Dr. Varkiani offers a caring, accepting approach to help you navigate through difficulties like depression, anxiety and trauma, relationship problems. and life transitions. She is currently accepting new clients for therapy (adolescents and adults) and for psychological testing (all ages). Please reach out if you would like a consultation; Dr. Varkiani looks forward to meeting you!
Are you feeling down or stressed? Dr. Varkiani offers a caring, accepting approach to help you navigate through difficulties like depression, anxiety and trauma, relationship problems. and life transitions. She is currently accepting new clients for therapy (adolescents and adults) and for psychological testing (all ages). Please reach out if you would like a consultation; Dr. Varkiani looks forward to meeting you!
(571) 554-1841 View (571) 554-1841
Photo of Nellis K Crigler, Licensed Professional Counselor in 22180, VA
Nellis K Crigler
Licensed Professional Counselor, LPC
Verified Verified
Vienna, VA 22180
Do you feel stuck in unproductive patterns or unhealthy relationships? Overwhelmed by negative emotions? Struggling with anxiety or depression? Unsettled by major life transitions? Life presents challenges that can be difficult to untangle on our own. But with meaningful exploration in a safe, understanding and accepting environment, we can make the changes necessary to thrive.
Do you feel stuck in unproductive patterns or unhealthy relationships? Overwhelmed by negative emotions? Struggling with anxiety or depression? Unsettled by major life transitions? Life presents challenges that can be difficult to untangle on our own. But with meaningful exploration in a safe, understanding and accepting environment, we can make the changes necessary to thrive.
(240) 342-3219 View (240) 342-3219
Photo of Lara Hammock Therapy & Couples Counseling, Clinical Social Work/Therapist in 22180, VA
Lara Hammock Therapy & Couples Counseling
Clinical Social Work/Therapist, MIS, MSW, LCSW
Verified Verified
1 Endorsed
Vienna, VA 22180
Hi, I'm Lara! I specialize in couples therapy, mood disorders (anxiety and depression), ADHD, and trauma. If you are dealing with an unsatisfying relationship or are struggling to manage anxiety or feelings of overwhelm, I can help you to feel better and to have a larger capacity to deal with life's challenges. I'm licensed in Virginia, Maryland, and the District of Columbia. I also have a YouTube channel (link on my website) with over 300 videos. Just a quick scan of my videos may give you an idea of my style and can help you determine whether we would be a good fit.
Hi, I'm Lara! I specialize in couples therapy, mood disorders (anxiety and depression), ADHD, and trauma. If you are dealing with an unsatisfying relationship or are struggling to manage anxiety or feelings of overwhelm, I can help you to feel better and to have a larger capacity to deal with life's challenges. I'm licensed in Virginia, Maryland, and the District of Columbia. I also have a YouTube channel (link on my website) with over 300 videos. Just a quick scan of my videos may give you an idea of my style and can help you determine whether we would be a good fit.
(571) 410-3178 View (571) 410-3178
Photo of Lauren Staadeker, Psychologist in 22180, VA
Lauren Staadeker
Psychologist, Psy D
Verified Verified
Vienna, VA 22180
I love working with adolescents and adults in a private practice setting. I view therapy as a partnership and requires a person's active involvement to help change their thoughts, feelings and behaviors. I enjoy adolescents the most because of their complex issues while trying to navigate the world with all the environmental stressors that arise.
I love working with adolescents and adults in a private practice setting. I view therapy as a partnership and requires a person's active involvement to help change their thoughts, feelings and behaviors. I enjoy adolescents the most because of their complex issues while trying to navigate the world with all the environmental stressors that arise.
(833) 928-0462 View (833) 928-0462

How does your Therapist compare?

Number of Therapists in 22180

100+

Average cost per session

$180

Therapists in 22180 who prioritize treating:

96% Anxiety
94% Depression
77% Relationship Issues
75% Self Esteem
70% Grief
70% Trauma and PTSD
67% Coping Skills

Average years in practice

14 Years

Top 3 insurances accepted

68% Anthem | Elevance
66% BlueCross and BlueShield
57% Cigna and Evernorth

How Therapists in 22180 see their clients

78% In Person and Online
22% Online Only

Gender breakdown

81% Female
18% Male
1% Non-Binary

FAQs - About Therapy and Counseling

How can I find a therapist in 22180?

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.