Therapists in Bethesda, MD

Photo of Shawn Macdonald, Psychologist in Bethesda, MD
Shawn Macdonald
Psychologist, PhD
Verified Verified
1 Endorsed
Bethesda, MD 20814
I work with clients to create a safe and affirming relationship so that there is room for healing and growth. My work with each client is unique, however central to my work is respect for your issues, concerns, and the challenges you face in your life. I see therapy as a partnership where we work together to create the changes that you are seeking in your life. I am comforatable working with a wide variety of issues from career and work life to recovering from childhood trauma and abuse.
I work with clients to create a safe and affirming relationship so that there is room for healing and growth. My work with each client is unique, however central to my work is respect for your issues, concerns, and the challenges you face in your life. I see therapy as a partnership where we work together to create the changes that you are seeking in your life. I am comforatable working with a wide variety of issues from career and work life to recovering from childhood trauma and abuse.
(301) 358-6421 View (301) 358-6421
Photo of Marissa Post, Clinical Social Work/Therapist in Bethesda, MD
Marissa Post
Clinical Social Work/Therapist, LMSW
Verified Verified
Bethesda, MD 20814
I work with young children, adolescents, and families who are struggling with behavioral challenges, anxiety, depression, self-esteem, executive functioning, trauma, ADHD, social skills, and family transitions. I believe that forming a strong judgement-free partnership is the basis for positive change and that therapy, although challenging at times, should be engaging and fun. I also recognize that treatment is not a “cookie-cutter” solution and prioritize working together to determine what is best for each individual client.
I work with young children, adolescents, and families who are struggling with behavioral challenges, anxiety, depression, self-esteem, executive functioning, trauma, ADHD, social skills, and family transitions. I believe that forming a strong judgement-free partnership is the basis for positive change and that therapy, although challenging at times, should be engaging and fun. I also recognize that treatment is not a “cookie-cutter” solution and prioritize working together to determine what is best for each individual client.
(301) 450-8981 View (301) 450-8981
Photo of Daniel McNulty, Clinical Social Work/Therapist in Bethesda, MD
Daniel McNulty
Clinical Social Work/Therapist, LMSW, LSW
Verified Verified
Bethesda, MD 20814
I am passionate about helping my clients improve their relationships and alleviate suffering to find meaning, purpose, and build a life worth living. I also recognize how difficult the path of seeking help and making change can be and I will provide my skills, support, and compassion to you as you navigate your journey. Whether you are feeling anxious, overwhelmed, depressed, isolated, burned out, or stuck, I will work with you to get through the challenges and difficulties you face.
I am passionate about helping my clients improve their relationships and alleviate suffering to find meaning, purpose, and build a life worth living. I also recognize how difficult the path of seeking help and making change can be and I will provide my skills, support, and compassion to you as you navigate your journey. Whether you are feeling anxious, overwhelmed, depressed, isolated, burned out, or stuck, I will work with you to get through the challenges and difficulties you face.
(240) 702-1413 View (240) 702-1413
Photo of Jody Tabner Thayer, Clinical Social Work/Therapist in Bethesda, MD
Jody Tabner Thayer
Clinical Social Work/Therapist, LCSW-C
Verified Verified
1 Endorsed
Bethesda, MD 20814
Not accepting new clients
A positive therapy experience centers on a collaborative relationship. Together we will work to understand you fully, so as to reduce your suffering and enhance your sense of contentment and purpose. With a compassionate and nonjudgmental partner, you will be able to look more closely, deeply and openly at the patterns that keep you from feeling your best.
A positive therapy experience centers on a collaborative relationship. Together we will work to understand you fully, so as to reduce your suffering and enhance your sense of contentment and purpose. With a compassionate and nonjudgmental partner, you will be able to look more closely, deeply and openly at the patterns that keep you from feeling your best.
(240) 623-2223 View (240) 623-2223
Photo of Bethesda Counseling Services, Marriage & Family Therapist in Bethesda, MD
Bethesda Counseling Services
Marriage & Family Therapist
Verified Verified
1 Endorsed
Bethesda, MD 20817
Are you having difficulty connecting with your loved one? Are you experiencing a recent major life change? Are you having trouble sleeping or concentrating because of an unresolved family conflict or other stressor? Do you feel like there's no room in your schedule to relax because you are always taking care of others or working on a never-ending "to-do list"? ​ Whether you have experienced a sudden unexpected event or you are going through a new change in your life, we can help! We specialize in working with individuals, couples and families who are going through a challenging time in their life or are trying to make sense of neg
Are you having difficulty connecting with your loved one? Are you experiencing a recent major life change? Are you having trouble sleeping or concentrating because of an unresolved family conflict or other stressor? Do you feel like there's no room in your schedule to relax because you are always taking care of others or working on a never-ending "to-do list"? ​ Whether you have experienced a sudden unexpected event or you are going through a new change in your life, we can help! We specialize in working with individuals, couples and families who are going through a challenging time in their life or are trying to make sense of neg
(240) 292-8977 View (240) 292-8977
Photo of Jessica Gada, Counselor in Bethesda, MD
Jessica Gada
Counselor, LPC, LCPC, LCPAT, ATR-BC
Verified Verified
7 Endorsed
Bethesda, MD 20814
Not accepting new clients
Are you a professional in the DC metro area, thriving in some areas of your life, but feeling "stuck" or "in the dark" in others? Are you grappling with a recent loss, a major decision or life transition, trauma, grief/loss, or symptoms related to anxiety or depression? Do you want more for your life, your career, your relationships? Sometimes the things that happen to us can lead to negative beliefs about our selves or the world, and these beliefs get in the way of living the lives we've always wanted. You are more than capable of untangling these beliefs. You are motivated and ready for change.
Are you a professional in the DC metro area, thriving in some areas of your life, but feeling "stuck" or "in the dark" in others? Are you grappling with a recent loss, a major decision or life transition, trauma, grief/loss, or symptoms related to anxiety or depression? Do you want more for your life, your career, your relationships? Sometimes the things that happen to us can lead to negative beliefs about our selves or the world, and these beliefs get in the way of living the lives we've always wanted. You are more than capable of untangling these beliefs. You are motivated and ready for change.
(240) 573-7656 View (240) 573-7656
Photo of Stephanie Helwig, Psychologist in Bethesda, MD
Stephanie Helwig
Psychologist, PsyD
Verified Verified
Bethesda, MD 20814
Feeling chronic negative emotions such as sadness, anger, anxiety, or loneliness is often a sign that something in our relationships has gone awry. By the time we attend psychotherapy, the task of altering our relationships may feel difficult or impossible to navigate alone. As a psychodynamic therapist, I am interested in how your early relationships impact your personality, worldview, attachment, perceptions, and coping mechanisms. Through compassion, challenge and sometimes humor, I aim to help my patients gain insight, learn new ways of relating to others, and implement change in order to heal, grow, and flourish.
Feeling chronic negative emotions such as sadness, anger, anxiety, or loneliness is often a sign that something in our relationships has gone awry. By the time we attend psychotherapy, the task of altering our relationships may feel difficult or impossible to navigate alone. As a psychodynamic therapist, I am interested in how your early relationships impact your personality, worldview, attachment, perceptions, and coping mechanisms. Through compassion, challenge and sometimes humor, I aim to help my patients gain insight, learn new ways of relating to others, and implement change in order to heal, grow, and flourish.
(202) 677-3546 View (202) 677-3546
Photo of Peggy DeCarlis, Clinical Social Work/Therapist in Bethesda, MD
Peggy DeCarlis
Clinical Social Work/Therapist, LISW, LCSW-C, LCSW, LSCSW
Verified Verified
Bethesda, MD 20817  (Online Only)
I am an experienced therapist, licensed in Maryland, Missouri, Ohio, and Kansas. I will be your partner and tailor our sessions and plan to meet your unique and specific needs. I practice a type of therapy that aims to help clients accept what is out of their control, and commit instead to actions that enrich their lives. Our goal is to help you create a rich and meaningful life. I have a master’s degree from the Mandel School of Applied Social Sciences at Case Western Reserve University.
I am an experienced therapist, licensed in Maryland, Missouri, Ohio, and Kansas. I will be your partner and tailor our sessions and plan to meet your unique and specific needs. I practice a type of therapy that aims to help clients accept what is out of their control, and commit instead to actions that enrich their lives. Our goal is to help you create a rich and meaningful life. I have a master’s degree from the Mandel School of Applied Social Sciences at Case Western Reserve University.
(301) 477-9775 View (301) 477-9775
Photo of Lisa Luse, Clinical Social Work/Therapist in Bethesda, MD
Lisa Luse
Clinical Social Work/Therapist, LCSW-C, LICSW
Verified Verified
3 Endorsed
Bethesda, MD 20814
I am a licensed clinical social worker in Bethesda, MD and have provided psychotherapy to individuals and families since 2009. My approach is warm, direct, and engaging with an emphasis on building trust and using the therapeutic relationship as a medium for change. I strive to create a space to explore patterns in relationships, emotional expression, and practicing new ways of being.
I am a licensed clinical social worker in Bethesda, MD and have provided psychotherapy to individuals and families since 2009. My approach is warm, direct, and engaging with an emphasis on building trust and using the therapeutic relationship as a medium for change. I strive to create a space to explore patterns in relationships, emotional expression, and practicing new ways of being.
(202) 759-3895 View (202) 759-3895
Photo of Nicole Grocki, Marriage & Family Therapist in Bethesda, MD
Nicole Grocki
Marriage & Family Therapist, MS, LMFT, LCMFT
Verified Verified
3 Endorsed
Bethesda, MD 20814
Hello, I'm Nicole Grocki, founder and owner of the private practice, Maternal Wellness Services. I provide therapy for women who are prenatal, postpartum and beyond. Many clients have experienced challenges during their reproductive journey, feel anxious, depressed, overwhelmed and some have experienced pregnancy loss and/or birth trauma. I have a deep compassion for women during this challenging time of life. I also see women dealing with identity changes, work stress, and relationship challenges. I approach clients with warmth and safety as they begin to unpack their story.
Hello, I'm Nicole Grocki, founder and owner of the private practice, Maternal Wellness Services. I provide therapy for women who are prenatal, postpartum and beyond. Many clients have experienced challenges during their reproductive journey, feel anxious, depressed, overwhelmed and some have experienced pregnancy loss and/or birth trauma. I have a deep compassion for women during this challenging time of life. I also see women dealing with identity changes, work stress, and relationship challenges. I approach clients with warmth and safety as they begin to unpack their story.
(202) 851-9077 View (202) 851-9077
Photo of Anna White, Marriage & Family Therapist in Bethesda, MD
Anna White
Marriage & Family Therapist, LCMFT, CFTP
Verified Verified
3 Endorsed
Bethesda, MD 20814  (Online Only)
Among families, kids, adults, and couples alike, feeling healthy, happy, connected, and confident can be hard. For so many people and families today, the pressures of the world, fast changes in life, and challenging or traumatic experiences interrupt the connections we wish to have. Maybe for you or your family, this means more and more conflicts, feeling alone and unsupported, being unsure how to make things better, or not knowing what you want or need. Whether you feel lost and disconnected, frustrated, overwhelmed, angry, scared, or lonely, there are ways to restore your feelings of connection, purpose, confidence, and direction.
Among families, kids, adults, and couples alike, feeling healthy, happy, connected, and confident can be hard. For so many people and families today, the pressures of the world, fast changes in life, and challenging or traumatic experiences interrupt the connections we wish to have. Maybe for you or your family, this means more and more conflicts, feeling alone and unsupported, being unsure how to make things better, or not knowing what you want or need. Whether you feel lost and disconnected, frustrated, overwhelmed, angry, scared, or lonely, there are ways to restore your feelings of connection, purpose, confidence, and direction.
(240) 541-5570 View (240) 541-5570
Photo of Shelleta Pleasant, Clinical Social Work/Therapist in Bethesda, MD
Shelleta Pleasant
Clinical Social Work/Therapist, LCSW -
Verified Verified
Bethesda, MD 20814  (Online Only)
Hi! I am a Licensed Clinical Social Worker in D.C, Maryland and Virginia. I have a Masters Degree from Howard University. I have a vast hx of Mental Health practice in a number of clinical settings. My goals of treatment is to provide a safe clinical space for clients’ to work through the barriers that impede function.
Hi! I am a Licensed Clinical Social Worker in D.C, Maryland and Virginia. I have a Masters Degree from Howard University. I have a vast hx of Mental Health practice in a number of clinical settings. My goals of treatment is to provide a safe clinical space for clients’ to work through the barriers that impede function.
(240) 868-6881 View (240) 868-6881
Photo of Debra A Neumann, Psychologist in Bethesda, MD
Debra A Neumann
Psychologist, PhD
Verified Verified
1 Endorsed
Bethesda, MD 20816
Not accepting new clients
I help individuals with relationship problems, depression, loss and grief, trauma, anxiety, and the emotional disruptions of difficult life transitions. I also help with blocks to the creative process, such as writer's block and stage fright. I provide a safe and caring environment in which we work together to explore and understand your current distress and find a path to greater ease and fulfillment in life. My approach is insight-oriented, collaborative and problem solving, depending on your particular situation and needs. I work with individuals and couples. I prepare forensic psychological evaluations related to trauma.
I help individuals with relationship problems, depression, loss and grief, trauma, anxiety, and the emotional disruptions of difficult life transitions. I also help with blocks to the creative process, such as writer's block and stage fright. I provide a safe and caring environment in which we work together to explore and understand your current distress and find a path to greater ease and fulfillment in life. My approach is insight-oriented, collaborative and problem solving, depending on your particular situation and needs. I work with individuals and couples. I prepare forensic psychological evaluations related to trauma.
(301) 842-6232 View (301) 842-6232
Photo of Ilene Marto Atiyah, Clinical Social Work/Therapist in Bethesda, MD
Ilene Marto Atiyah
Clinical Social Work/Therapist, MSW, LCSW-C
Verified Verified
Bethesda, MD 20814
I am deeply passionate about supporting every person I encounter to lead a life worth living. I offer a warm and mindful space to celebrate strengths and explore challenges while balancing the dialectics of acceptance and change.
I am deeply passionate about supporting every person I encounter to lead a life worth living. I offer a warm and mindful space to celebrate strengths and explore challenges while balancing the dialectics of acceptance and change.
(240) 245-2563 View (240) 245-2563
Photo of Hannah Schwartz, Clinical Social Work/Therapist in Bethesda, MD
Hannah Schwartz
Clinical Social Work/Therapist, LCSW
Verified Verified
Bethesda, MD 20814  (Online Only)
I specialize working with children, adolescents, young adults and adults with concerns related to trauma, complex trauma and generational trauma, parent-child relational problems, family conflict, grief, ADHD, depression, anxiety, oppositional defiant disorder, parent coaching and self-esteem. I have experience working with clients from a diverse array of identities and backgrounds. My approach is nonjudgmental, fun, collaborative, empathetic, and honest. I view the therapeutic relationship as a central component, building a trusting and safe connection with my clients that is adaptable, flexible, and collaborative.
I specialize working with children, adolescents, young adults and adults with concerns related to trauma, complex trauma and generational trauma, parent-child relational problems, family conflict, grief, ADHD, depression, anxiety, oppositional defiant disorder, parent coaching and self-esteem. I have experience working with clients from a diverse array of identities and backgrounds. My approach is nonjudgmental, fun, collaborative, empathetic, and honest. I view the therapeutic relationship as a central component, building a trusting and safe connection with my clients that is adaptable, flexible, and collaborative.
(240) 690-6912 View (240) 690-6912
Photo of Annie Bertran, Clinical Social Work/Therapist in Bethesda, MD
Annie Bertran
Clinical Social Work/Therapist, LCSW-C
Verified Verified
2 Endorsed
Bethesda, MD 20814
Hi everyone! I believe in providing a safe and supportive environment where I will collaborate with you to meet your goals by learning and practicing new skills to apply to your daily life. Throughout my career, I have learned how to remain calm no matter the crisis and provide a steady emotional rock for my clients to lean on throughout the difficult times in their lives. I work with a variety of clients with all types of struggles and needs. I provide a safe space to work through these and teach skills to manage the struggles that come in life. In-Person sessions are joined by my certified therapy dog, Bennet.
Hi everyone! I believe in providing a safe and supportive environment where I will collaborate with you to meet your goals by learning and practicing new skills to apply to your daily life. Throughout my career, I have learned how to remain calm no matter the crisis and provide a steady emotional rock for my clients to lean on throughout the difficult times in their lives. I work with a variety of clients with all types of struggles and needs. I provide a safe space to work through these and teach skills to manage the struggles that come in life. In-Person sessions are joined by my certified therapy dog, Bennet.
(240) 512-8428 View (240) 512-8428
Photo of Melanie Roserie, Clinical Social Work/Therapist in Bethesda, MD
Melanie Roserie
Clinical Social Work/Therapist, LCSW-C
Verified Verified
Bethesda, MD 20814  (Online Only)
Hi, I’m Melanie. Do you feel tired all the time, burned out, and detached from your loved ones? Are you constantly nervous or worried? Have you experienced a trauma that just keeps on replaying in your mind or in your dreams? I help people manage depression, anxiety, sleep, and/or work through trauma. Together, we can identify what's not working and get you back to feeling like yourself again. We'll use a whole self approach, addressing the needs of your mind, body and spirit.
Hi, I’m Melanie. Do you feel tired all the time, burned out, and detached from your loved ones? Are you constantly nervous or worried? Have you experienced a trauma that just keeps on replaying in your mind or in your dreams? I help people manage depression, anxiety, sleep, and/or work through trauma. Together, we can identify what's not working and get you back to feeling like yourself again. We'll use a whole self approach, addressing the needs of your mind, body and spirit.
(240) 792-7297 View (240) 792-7297
Photo of Afa Alizada, Counselor in Bethesda, MD
Afa Alizada
Counselor, LGPC, NCC, MEd
Verified Verified
2 Endorsed
Bethesda, MD 20814  (Online Only)
You’re introspective and self-aware. You may recognize self-sabotaging patterns and self-limiting beliefs that keep repeating in your professional life or intimate relationships. You may have even read self-help books or tried therapy before, and still struggle with low self-esteem, shame, anxiety, sadness, anger, or self-destructive behaviors. A part of you wonders if what happened to you has damaged you beyond “repair.” And yet, there’s a part inside that’s yearning for deep healing and knows it’s possible to feel radiantly alive, fulfilled, deeply connected, confident, and calm.
You’re introspective and self-aware. You may recognize self-sabotaging patterns and self-limiting beliefs that keep repeating in your professional life or intimate relationships. You may have even read self-help books or tried therapy before, and still struggle with low self-esteem, shame, anxiety, sadness, anger, or self-destructive behaviors. A part of you wonders if what happened to you has damaged you beyond “repair.” And yet, there’s a part inside that’s yearning for deep healing and knows it’s possible to feel radiantly alive, fulfilled, deeply connected, confident, and calm.
(301) 396-7448 View (301) 396-7448
Photo of Dr. Carlos J. Carmona-Goyena, Licensed Clinical Professional Counselor in Bethesda, MD
Dr. Carlos J. Carmona-Goyena
Licensed Clinical Professional Counselor, PhD
Verified Verified
Bethesda, MD 20817
Welcome! With over 18 years of experience and a Doctorate in Counseling Psychology granted at the Interamerican University of Puerto Rico, I am eager to start working together... You desire more than just relief from your symptoms; you seek understanding, connection, and lasting change. You want to rebuild your relationships, find peace within yourself, and develop the resilience to face life's challenges. You would be motivated by a deep desire for personal growth and a commitment to building a healthier, more fulfilling life.
Welcome! With over 18 years of experience and a Doctorate in Counseling Psychology granted at the Interamerican University of Puerto Rico, I am eager to start working together... You desire more than just relief from your symptoms; you seek understanding, connection, and lasting change. You want to rebuild your relationships, find peace within yourself, and develop the resilience to face life's challenges. You would be motivated by a deep desire for personal growth and a commitment to building a healthier, more fulfilling life.
(240) 670-1843 View (240) 670-1843
Photo of Angela Mazer, Licensed Clinical Professional Counselor in Bethesda, MD
Angela Mazer
Licensed Clinical Professional Counselor, LCPC
Verified Verified
Bethesda, MD 20817
My ideal client is ready to share, learn, and be curious about their wellness journey. They want to share their hopes and fears as a way to clarify what they want to gain from therapy. I have honed my skills of client connection, combined with clinical expertise, to learn & assess the client's current needs.
My ideal client is ready to share, learn, and be curious about their wellness journey. They want to share their hopes and fears as a way to clarify what they want to gain from therapy. I have honed my skills of client connection, combined with clinical expertise, to learn & assess the client's current needs.
(240) 339-2967 View (240) 339-2967

How does your Therapist compare?

Number of Therapists in Bethesda, MD

1,000+

Average cost per session

$180

Therapists in Bethesda, MD who prioritize treating:

94% Anxiety
90% Depression
78% Relationship Issues
74% Self Esteem
66% Coping Skills
64% Trauma and PTSD
61% Grief

Average years in practice

13 Years

Top 3 insurances accepted

63% BlueCross and BlueShield
63% CareFirst
57% Cigna and Evernorth

How Therapists in Bethesda, MD see their clients

60% In Person and Online
40% Online Only

Gender breakdown

82% Female
17% Male
1% Non-Binary
FAQs - About Therapy and Counseling

How can I find a therapist in Bethesda?

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.