Therapists in 23224

Photo of Shalanda Jackson - J Group Counseling Services, LLC, Clinical Social Work/Therapist, LCSW, CSOTP, ABS
J Group Counseling Services, LLC
Clinical Social Work/Therapist, LCSW, CSOTP, ABS
Richmond, VA 23224
Ms. Shalanda Jackson, LCSW, CSOTP, ABS and a graduate from Virginia Commonwealth University. Ms. Jackson has an extensive mental health service background and worked in various capacities as an outpatient therapist, crisis services supervisor and sex offender treatment provider. Ms. Jackson is passionate about working with individuals who have an extensive history of trauma, relationship issues, anger management issues and incarceration.
Ms. Shalanda Jackson, LCSW, CSOTP, ABS and a graduate from Virginia Commonwealth University. Ms. Jackson has an extensive mental health service background and worked in various capacities as an outpatient therapist, crisis services supervisor and sex offender treatment provider. Ms. Jackson is passionate about working with individuals who have an extensive history of trauma, relationship issues, anger management issues and incarceration.
(804) 409-9112 View (804) 409-9112
Photo of Chelsea Young - Inspire Community & Wellness Services
Inspire Community & Wellness Services
Not Verified Not Verified
Richmond, VA 23224
Look no further! Let's get real in a space without judgement or comparison to create long-term sustainable changes in your life. We can discover the answers you need in order to move forward with purpose and clarity. I specialize in Wellness, Relationship, and Personal Coaching. Anger, Parenting, Stress/Anxiety Management, and Grief Support are also my areas of focus. All services are offered to Youth, as well as Adults.
Look no further! Let's get real in a space without judgement or comparison to create long-term sustainable changes in your life. We can discover the answers you need in order to move forward with purpose and clarity. I specialize in Wellness, Relationship, and Personal Coaching. Anger, Parenting, Stress/Anxiety Management, and Grief Support are also my areas of focus. All services are offered to Youth, as well as Adults.
(804) 793-8733 View (804) 793-8733
Photo of Maxine W. Fuller, Licensed Professional Counselor, MA, LPC, EdD
Maxine W. Fuller
Licensed Professional Counselor, MA, LPC, EdD
Richmond, VA 23224
I believe that we are all beautiful individuals with imperfections. I enjoy utilizing a positive, encouraging, holistic approach to therapy. It’s important for clients to feel safe and comfortable in the non-judgmental environment that I will create for them. As we embark upon your journey to becoming your best self, I will encourage you to stretch, grow and celebrate your achievements. I will also be there for you during the uncomfortable and challenging times. I believe that it’s important to strive to create balance in ones life. This often times begins with improving self-esteem, self awareness and self-empathy.
I believe that we are all beautiful individuals with imperfections. I enjoy utilizing a positive, encouraging, holistic approach to therapy. It’s important for clients to feel safe and comfortable in the non-judgmental environment that I will create for them. As we embark upon your journey to becoming your best self, I will encourage you to stretch, grow and celebrate your achievements. I will also be there for you during the uncomfortable and challenging times. I believe that it’s important to strive to create balance in ones life. This often times begins with improving self-esteem, self awareness and self-empathy.
(205) 964-5287 View (205) 964-5287
Photo of Andrea Renea Gregg-Martin, Licensed Professional Counselor, MA, LPC, LMHP
Andrea Renea Gregg-Martin
Licensed Professional Counselor, MA, LPC, LMHP
1 Endorsed
Richmond, VA 23224
CONGRATULATIONS for making the decision to pursue this therapeutic endeavor!! I applaud you for having the courage to gain insight and take the necessary steps in creating and maintaining a better life for yourself. It is my professional goals to aid in eliminating the stigma that has greatly plagued the subject of mental health and to continue to be a catalyst in assisting individuals and families in successfully navigating their distinctive healing journeys. I am looking forward to working with you.
CONGRATULATIONS for making the decision to pursue this therapeutic endeavor!! I applaud you for having the courage to gain insight and take the necessary steps in creating and maintaining a better life for yourself. It is my professional goals to aid in eliminating the stigma that has greatly plagued the subject of mental health and to continue to be a catalyst in assisting individuals and families in successfully navigating their distinctive healing journeys. I am looking forward to working with you.
(804) 336-3508 View (804) 336-3508
Photo of Mary Latoya Winford, Licensed Professional Counselor, LPC
Mary Latoya Winford
Licensed Professional Counselor, LPC
1 Endorsed
Richmond, VA 23224
I have around 4 years of experience working with a multitude of clients from different backgrounds. I enjoy helping with anxiety, depression, ADHD, OCD, BPD, and PTSD.
I have around 4 years of experience working with a multitude of clients from different backgrounds. I enjoy helping with anxiety, depression, ADHD, OCD, BPD, and PTSD.
(540) 900-0598 View (540) 900-0598
Photo of Andrea Addie, Clinical Social Work/Therapist, LCSW
Andrea Addie
Clinical Social Work/Therapist, LCSW
1 Endorsed
Richmond, VA 23224
Have you found yourself overwhelmed by the weight of past trauma either from childhood abuse, intergenerational trauma, or sexual assault & feeling stuck with the memories playing out in your head? Or maybe you’ve been saying “I need to get back to my old self,” or “I’ve been dealing with a lot lately” & hoping for the insight or tools to change that? I work with adults, veterans & LGBTQIA folks just like you: ones that have it within them to thrive again after trauma & life challenges, but just need the support to tap into their strengths to get there or support gathering & sorting pieces of life to make sense of everything.
Have you found yourself overwhelmed by the weight of past trauma either from childhood abuse, intergenerational trauma, or sexual assault & feeling stuck with the memories playing out in your head? Or maybe you’ve been saying “I need to get back to my old self,” or “I’ve been dealing with a lot lately” & hoping for the insight or tools to change that? I work with adults, veterans & LGBTQIA folks just like you: ones that have it within them to thrive again after trauma & life challenges, but just need the support to tap into their strengths to get there or support gathering & sorting pieces of life to make sense of everything.
(571) 576-3375 View (571) 576-3375
Photo of Emily Crutchfield, Licensed Professional Counselor, MA Ed, LPC, NCC
Emily Crutchfield
Licensed Professional Counselor, MA Ed, LPC, NCC
4 Endorsed
Richmond, VA 23224
I'm here to create a safe and welcoming space where you can show up exactly as you are, without fear of judgment or pressure to have it all figured out. Whether you’re feeling overwhelmed by life, stuck in patterns that no longer serve you, or simply desiring a place to talk things through, I'm here to listen, support you, and walk alongside you at your own pace. Together we will work to better understand what you're going through and move toward greater clarity, connection, and self-compassion.
I'm here to create a safe and welcoming space where you can show up exactly as you are, without fear of judgment or pressure to have it all figured out. Whether you’re feeling overwhelmed by life, stuck in patterns that no longer serve you, or simply desiring a place to talk things through, I'm here to listen, support you, and walk alongside you at your own pace. Together we will work to better understand what you're going through and move toward greater clarity, connection, and self-compassion.
(540) 305-3552 View (540) 305-3552
Photo of Byesheba Entzminger-Bullock - Changing Faces LLC, Clinical Social Work/Therapist
Changing Faces LLC
Clinical Social Work/Therapist
Richmond, VA 23224
It is the mission of CHANGING FACES LLC to impact the community through increased self-worth, leadership, and social connectedness of its members. Changing Faces LLC is committed to providing integrated service delivery systems for adolescents with mental health diagnoses. We provide a wide range of treatment and training programs to help our clients maintain and enhance their level of functioning in their community. We will help our clients meet their goals by providing individualized assessments and treatment plans.
It is the mission of CHANGING FACES LLC to impact the community through increased self-worth, leadership, and social connectedness of its members. Changing Faces LLC is committed to providing integrated service delivery systems for adolescents with mental health diagnoses. We provide a wide range of treatment and training programs to help our clients maintain and enhance their level of functioning in their community. We will help our clients meet their goals by providing individualized assessments and treatment plans.
(571) 253-7458 View (571) 253-7458
Photo of Alex Carroll, Clinical Social Work/Therapist, LCSW
Alex Carroll
Clinical Social Work/Therapist, LCSW
1 Endorsed
Serves Area
Many clients I work with are capable, thoughtful people who’ve spent years managing on their own, thinking their way through problems, holding it together for others, and pushing emotions aside until they become too loud to ignore. Despite insight and effort, they feel stuck in the same patterns. In therapy, I focus on building a relationship where you feel safe exploring what’s happening beneath the surface and supported in taking emotional risks that lead to real change. If you’re struggling with anxiety, depression, or repeating relationship patterns, therapy can be a space to move beyond coping and toward clarity and relief.
Many clients I work with are capable, thoughtful people who’ve spent years managing on their own, thinking their way through problems, holding it together for others, and pushing emotions aside until they become too loud to ignore. Despite insight and effort, they feel stuck in the same patterns. In therapy, I focus on building a relationship where you feel safe exploring what’s happening beneath the surface and supported in taking emotional risks that lead to real change. If you’re struggling with anxiety, depression, or repeating relationship patterns, therapy can be a space to move beyond coping and toward clarity and relief.
(804) 395-7027 View (804) 395-7027
Photo of Wayne David Prebor II, Clinical Social Work/Therapist, LCSW
Wayne David Prebor II
Clinical Social Work/Therapist, LCSW
Serves Area
My approach is grounded in kindness, empathy, and collaboration. I believe therapy should be a safe, supportive space where you can explore emotions, gain insight, and build tools for resilience. Together, we’ll navigate life’s challenges and work toward a more authentic, fulfilling life. I strive to create an environment that affirms your identity, honors your story, and supports your well-being—especially in times when care and connection are more important than ever.
My approach is grounded in kindness, empathy, and collaboration. I believe therapy should be a safe, supportive space where you can explore emotions, gain insight, and build tools for resilience. Together, we’ll navigate life’s challenges and work toward a more authentic, fulfilling life. I strive to create an environment that affirms your identity, honors your story, and supports your well-being—especially in times when care and connection are more important than ever.
(571) 506-2438 View (571) 506-2438
Photo of Dr. Meghan Rooney, Psychologist, Psy.D.
Dr. Meghan Rooney
Psychologist, Psy.D.
1 Endorsed
Serves Area
Update: 2 weekly slots open 2/26. I am a seasoned psychologist with extensive specialization and expertise in chronic pain and anxiety. I treat adults with chronic pain and/or health issues, autoimmune, EDS, Anxiety, OCD, ADHD, Trauma, Agitation, Relationship and Situational stress. If this is you, you’re likely exhausted from trying to push through symptoms. You may also feel stuck in your body, stuck in your thoughts, or caught in cycles that keep pulling you back no matter how hard you try. Treatment with me is focused on you and what you need, often lasting a few months, though some people find it helpful to continue longer.
Update: 2 weekly slots open 2/26. I am a seasoned psychologist with extensive specialization and expertise in chronic pain and anxiety. I treat adults with chronic pain and/or health issues, autoimmune, EDS, Anxiety, OCD, ADHD, Trauma, Agitation, Relationship and Situational stress. If this is you, you’re likely exhausted from trying to push through symptoms. You may also feel stuck in your body, stuck in your thoughts, or caught in cycles that keep pulling you back no matter how hard you try. Treatment with me is focused on you and what you need, often lasting a few months, though some people find it helpful to continue longer.
(804) 589-5903 View (804) 589-5903
Photo of Faith Bray - Saltwater Counseling and Wellness LLC , Resident in Counseling, MA
Saltwater Counseling and Wellness LLC
Resident in Counseling, MA
4 Endorsed
Serves Area
At Saltwater Counseling and Wellness, therapy is a place to exhale. When you have been carrying anxiety, trauma, grief, or overwhelming life stress for a long time, it can start to feel like this is just “how life is.” It is not. Healing is possible, and you do not have to do it alone. I work with adults, teens, and parents who feel stretched thin, emotionally exhausted, or stuck in patterns they cannot seem to shift.
At Saltwater Counseling and Wellness, therapy is a place to exhale. When you have been carrying anxiety, trauma, grief, or overwhelming life stress for a long time, it can start to feel like this is just “how life is.” It is not. Healing is possible, and you do not have to do it alone. I work with adults, teens, and parents who feel stretched thin, emotionally exhausted, or stuck in patterns they cannot seem to shift.
(757) 231-9380 View (757) 231-9380
Photo of Kyi L Sterling, Pre-Licensed Professional, MA
Kyi L Sterling
Pre-Licensed Professional, MA
1 Endorsed
Serves Area
You’re ambitious, intelligent, and everyone sees you as the person who “handles things,” but inside you’re exhausted. You overthink everything, replaying conversations, questioning your decisions, and carrying pressure that nobody seems to notice. Some days you feel anxious or burnt out, and other days you’re just numb. You crave rest and stability, but you don’t know how to put yourself first without feeling guilty. You want to feel confident again, to reconnect with who you are outside of being strong for everyone else, and to learn how to create space for your needs, not just the needs of others.
You’re ambitious, intelligent, and everyone sees you as the person who “handles things,” but inside you’re exhausted. You overthink everything, replaying conversations, questioning your decisions, and carrying pressure that nobody seems to notice. Some days you feel anxious or burnt out, and other days you’re just numb. You crave rest and stability, but you don’t know how to put yourself first without feeling guilty. You want to feel confident again, to reconnect with who you are outside of being strong for everyone else, and to learn how to create space for your needs, not just the needs of others.
(804) 352-6092 View (804) 352-6092
Photo of Denise Loveland, Resident in Counseling
Denise Loveland
Resident in Counseling
1 Endorsed
Serves Area
Hi there! I have a passion for helping you feel understood and supported as you navigate through Life's challenges. My approach is all about understanding your unique story and working together to find solutions that fit you. Whether you’re facing anxiety, stress, or just looking to explore your thoughts and feelings, I want you to know that you're not alone.
Hi there! I have a passion for helping you feel understood and supported as you navigate through Life's challenges. My approach is all about understanding your unique story and working together to find solutions that fit you. Whether you’re facing anxiety, stress, or just looking to explore your thoughts and feelings, I want you to know that you're not alone.
(757) 418-6452 View (757) 418-6452
Photo of Katy Perkins Coveney, Clinical Social Work/Therapist, LCSW-S
Katy Perkins Coveney
Clinical Social Work/Therapist, LCSW-S
1 Endorsed
Serves Area
In-person services available NC, telehealth available in CO, FL, IL, NC, TX, VA. All are welcome regardless of family structure, gender identity, sexual orientation, religion, race, or other minority status. Clients often ask: I'm tired of being sick, how can I be at peace with food? What's wrong with me? Who am I? Is this abuse? Why did my family keep secrets, and what do I do now that I know the truth? How do I move on? Does my provider support policies that harm me or my family? Why haven't I felt better despite overachieving? Or: Am I making too much of this? Others have it worse.
In-person services available NC, telehealth available in CO, FL, IL, NC, TX, VA. All are welcome regardless of family structure, gender identity, sexual orientation, religion, race, or other minority status. Clients often ask: I'm tired of being sick, how can I be at peace with food? What's wrong with me? Who am I? Is this abuse? Why did my family keep secrets, and what do I do now that I know the truth? How do I move on? Does my provider support policies that harm me or my family? Why haven't I felt better despite overachieving? Or: Am I making too much of this? Others have it worse.
(910) 415-1521 View (910) 415-1521
Photo of Elise Kindya, Clinical Social Work/Therapist, MSW, LCSW
Elise Kindya
Clinical Social Work/Therapist, MSW, LCSW
5 Endorsed
Serves Area
There has been so much opportunity for your inner critic to speak. A voice in your head constantly criticizes you, and you've had enough. It's time to change this voice. Often, your past memories are debilitating and you feel like you're back in that overwhelming situation. At times, you wish you could change what happened in the past but know you can't. What if you could change the way you relate to these memories and take back control over your body and emotions? I can help you see your past from the perspective of compassion, not judgment, and learn tools to move forward to an exciting future. We can meet in person or virtually.
There has been so much opportunity for your inner critic to speak. A voice in your head constantly criticizes you, and you've had enough. It's time to change this voice. Often, your past memories are debilitating and you feel like you're back in that overwhelming situation. At times, you wish you could change what happened in the past but know you can't. What if you could change the way you relate to these memories and take back control over your body and emotions? I can help you see your past from the perspective of compassion, not judgment, and learn tools to move forward to an exciting future. We can meet in person or virtually.
(804) 570-2308 View (804) 570-2308
Photo of Marie P Norton, Licensed Professional Counselor, LPC, SEP, NCC, MFA, MEd
Marie P Norton
Licensed Professional Counselor, LPC, SEP, NCC, MFA, MEd
7 Endorsed
Serves Area
Stuck? Frustrated or overwhelmed? You want to do better at work or school. Maybe relationships are strained. You know you’d like something to change. Everyone else seems to have their life together. Come as you are to counseling. There is nothing you have to do, or be, in order to feel better. Together, we’ll discover what would be a rich and meaningful life for you, and how to get there. I work frequently with clients wanting to discover whole mind and body connection. During our initial consultation we'll discover if I'm the best fit for your needs, and if not, help you find the right one. Let's chat.
Stuck? Frustrated or overwhelmed? You want to do better at work or school. Maybe relationships are strained. You know you’d like something to change. Everyone else seems to have their life together. Come as you are to counseling. There is nothing you have to do, or be, in order to feel better. Together, we’ll discover what would be a rich and meaningful life for you, and how to get there. I work frequently with clients wanting to discover whole mind and body connection. During our initial consultation we'll discover if I'm the best fit for your needs, and if not, help you find the right one. Let's chat.
(804) 259-0591 View (804) 259-0591
Photo of Victoria Allen, Resident in Counseling, MA, LMHP-R
Victoria Allen
Resident in Counseling, MA, LMHP-R
Serves Area
My clinical experience includes working with depression, anxiety, grief, and self-esteem. My areas of interest are self-esteem, self-worth, and anxiety, but I also enjoy working with individuals to navigate other personal life challenges they may endure. I enjoy using different modalities of therapy including Cognitive behavioral therapy (CBT), Dialectical behavioral therapy (DBT), and Acceptance and commitment therapy (ACT). I believe that by empowering individuals and helping them realize they have what it takes to overcome any fears or obstacles is extremely important to the healing process.
My clinical experience includes working with depression, anxiety, grief, and self-esteem. My areas of interest are self-esteem, self-worth, and anxiety, but I also enjoy working with individuals to navigate other personal life challenges they may endure. I enjoy using different modalities of therapy including Cognitive behavioral therapy (CBT), Dialectical behavioral therapy (DBT), and Acceptance and commitment therapy (ACT). I believe that by empowering individuals and helping them realize they have what it takes to overcome any fears or obstacles is extremely important to the healing process.
(804) 656-5216 View (804) 656-5216
Photo of Dreamel Spady - Renewal, Growth, & Healing, Clinical Social Work/Therapist, LCSW
Renewal, Growth, & Healing
Clinical Social Work/Therapist, LCSW
1 Endorsed
Serves Area
If you are dealing with depression, stress/anxiety, anger, a chronic medical condition, a recent change in your life, past or recent trauma, or body image issues, those are our wheelhouse areas - for teens and adults. Let's identify the root cause and dig deep to explore the "why" or we can use techniques and tools to help you make positive changes now. We meet you where you are with a geniune and nonjudgmental approach. Through our work together, you will find resilency, explore your strengths, learn to love yourself, heal those invisible wounds, discover happiness, and learn how to relax and clear your mind.
If you are dealing with depression, stress/anxiety, anger, a chronic medical condition, a recent change in your life, past or recent trauma, or body image issues, those are our wheelhouse areas - for teens and adults. Let's identify the root cause and dig deep to explore the "why" or we can use techniques and tools to help you make positive changes now. We meet you where you are with a geniune and nonjudgmental approach. Through our work together, you will find resilency, explore your strengths, learn to love yourself, heal those invisible wounds, discover happiness, and learn how to relax and clear your mind.
(804) 808-1187 View (804) 808-1187
Photo of Shaquanna Morgan, LPC Intern, MA, LPC-R
Shaquanna Morgan
LPC Intern, MA, LPC-R
Serves Area
I am a Licensed Professional Counselor Resident with over 7 years experience in the mental health field. I have a passion for working with individuals and families to assist them in managing and fulfilling goals of everyday living. I enjoy working with teenagers, adults, and especially individuals in college. Therapy does not have to be utilized only as a way of getting through things but also a way of getting to know yourself.
I am a Licensed Professional Counselor Resident with over 7 years experience in the mental health field. I have a passion for working with individuals and families to assist them in managing and fulfilling goals of everyday living. I enjoy working with teenagers, adults, and especially individuals in college. Therapy does not have to be utilized only as a way of getting through things but also a way of getting to know yourself.
(804) 294-3390 View (804) 294-3390

See more therapy options for 23224

How does your Therapist compare?

Number of Therapists in 23224

70+

Average cost per session

$127

Therapists in 23224 who prioritize treating:

95% Anxiety
85% Depression
68% Trauma and PTSD
65% Stress
62% Self Esteem
55% Grief
53% Relationship Issues

Average years in practice

11 Years

Top 3 insurances accepted

90% Aetna
84% Anthem
79% BlueCross and BlueShield

How Therapists in 23224 see their clients

53% Online Only
47% In Person and Online

Gender breakdown

91% Female
9% Male
FAQs - About Therapy and Counseling

How can I find a therapist in 23224?

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.