Therapists in Catonsville, MD

Photo of Sibao Dunham, Counselor in Catonsville, MD
Sibao Dunham
Counselor, MS, LGPC
Verified Verified
1 Endorsed
Catonsville, MD 21228  (Online Only)
If you are seeking therapy and/or support in personal growth and emotional well-being, I have experience working with individuals, couples, premarital couples, and Veterans with ages ranging from 17 to senior adults.
If you are seeking therapy and/or support in personal growth and emotional well-being, I have experience working with individuals, couples, premarital couples, and Veterans with ages ranging from 17 to senior adults.
(410) 983-3545 View (410) 983-3545
Photo of Dr. Rachel Kovacs, Psychologist in Catonsville, MD
Dr. Rachel Kovacs
Psychologist, PsyD
Verified Verified
Catonsville, MD 21228
I am a clinical psychologist providing psychotherapy to children, adolescents and young adults. I specialize in working with individuals who have medical conditions (e.g., chronic pain, headaches, diabetes, sleep) and chronic illness. I am uniquely qualified to provide psychological services for illness management including adjustment to medical conditions and medically related treatment. I additionally work with healthcare professionals and students including medical and graduate students, psychology trainees, and undergraduates.My goal is to help you function in daily life not to just get by, but to live the life you want to live.
I am a clinical psychologist providing psychotherapy to children, adolescents and young adults. I specialize in working with individuals who have medical conditions (e.g., chronic pain, headaches, diabetes, sleep) and chronic illness. I am uniquely qualified to provide psychological services for illness management including adjustment to medical conditions and medically related treatment. I additionally work with healthcare professionals and students including medical and graduate students, psychology trainees, and undergraduates.My goal is to help you function in daily life not to just get by, but to live the life you want to live.
(410) 240-3708 View (410) 240-3708
Photo of April Moreno, Clinical Social Work/Therapist in Catonsville, MD
April Moreno
Clinical Social Work/Therapist, LCSW-C
Verified Verified
Catonsville, MD 21228
Not accepting new clients
April Moreno is a Psychotherapist and owner of Moreno Counseling and Consulting, LLC, which provides counseling services, mental health workshops and consulting. She is approved by the Maryland Board of Social Work Examiners as a certified clinical supervisor. She provides clinical supervision for social workers and mentoring for mental health professionals. April provides therapy for children, teenagers and adults. She helps clients address a range of issues such as depression, anxiety, low self esteem and life stressors. She has advanced certification in trauma and has experience treating clients diagnosed with Post Traumatic Stress Disorder (PTSD).
April Moreno is a Psychotherapist and owner of Moreno Counseling and Consulting, LLC, which provides counseling services, mental health workshops and consulting. She is approved by the Maryland Board of Social Work Examiners as a certified clinical supervisor. She provides clinical supervision for social workers and mentoring for mental health professionals. April provides therapy for children, teenagers and adults. She helps clients address a range of issues such as depression, anxiety, low self esteem and life stressors. She has advanced certification in trauma and has experience treating clients diagnosed with Post Traumatic Stress Disorder (PTSD).
(443) 578-3558 View (443) 578-3558
Photo of Ryan Logue, Counselor in Catonsville, MD
Ryan Logue
Counselor, LCPC, DBT-C, C-PD, CGCS, CTMH
Verified Verified
3 Endorsed
Catonsville, MD 21228
I use a variety of techniques to match the needs of each client throughout each session. I primarily use DBT, ACT, and IFS therapeutic modalities. These techniques emphasize mindfulness, personal strengths, resilience, and choice. Additionally, I use compassion and explore my clients’ values to gently challenge them to find more effective ways of getting their needs met. At times I use improv, humor, and a conversational and dynamic therapeutic style to create a judgment-free, supportive, and safe environment; disarming the self-critic; and allowing my clients to express themselves freely.
I use a variety of techniques to match the needs of each client throughout each session. I primarily use DBT, ACT, and IFS therapeutic modalities. These techniques emphasize mindfulness, personal strengths, resilience, and choice. Additionally, I use compassion and explore my clients’ values to gently challenge them to find more effective ways of getting their needs met. At times I use improv, humor, and a conversational and dynamic therapeutic style to create a judgment-free, supportive, and safe environment; disarming the self-critic; and allowing my clients to express themselves freely.
(240) 623-8121 View (240) 623-8121
Photo of Susan M Ashtianie, Counselor in Catonsville, MD
Susan M Ashtianie
Counselor, MS, LCPC, NCC
Verified Verified
2 Endorsed
Catonsville, MD 21228
Not accepting new clients
Has there been a time in your life when you just needed somebody to listen? Someone who wouldn't judge or make you feel that you're wrong? Someone who could help you see a way through a problem? None of us are immune to problems in our lives. Every one of us carries wounds. It's part of the package called Life. Yet how we think about our problems affects how we experience our problems. I would be honored to work with you as you manage some of the ups and downs you experience on Life's great journey.
Has there been a time in your life when you just needed somebody to listen? Someone who wouldn't judge or make you feel that you're wrong? Someone who could help you see a way through a problem? None of us are immune to problems in our lives. Every one of us carries wounds. It's part of the package called Life. Yet how we think about our problems affects how we experience our problems. I would be honored to work with you as you manage some of the ups and downs you experience on Life's great journey.
(443) 345-1509 View (443) 345-1509
Photo of Nicole Lanciotti, Licensed Professional Counselor in Catonsville, MD
Nicole Lanciotti
Licensed Professional Counselor, MA, LCPC
Verified Verified
5 Endorsed
Catonsville, MD 21228  (Online Only)
Do you or a loved one find yourself experiencing difficulties with anxiety, depression, family dynamics, trauma, or other issues? It can be beneficial to reach out to someone who can help you work through these difficulties and put you back on the path to discovering your ideal self.
Do you or a loved one find yourself experiencing difficulties with anxiety, depression, family dynamics, trauma, or other issues? It can be beneficial to reach out to someone who can help you work through these difficulties and put you back on the path to discovering your ideal self.
(410) 648-9094 View (410) 648-9094
Photo of Giovanna Ama Baisie-Arthur, Counselor in Catonsville, MD
Giovanna Ama Baisie-Arthur
Counselor, MS, LCPC, NCC
Verified Verified
Catonsville, MD 21228
Waitlist for new clients
My ideal client is someone who is ready to undergo the therapeutic experience. It's not an easy process and I want to support clients through this journey. The journey is a collaborative effort, and clients should be ready to work to become the person they want to be. In life, we go through many trials and tribulations and I strive to create a safe space for my clients to open up about their issues and heal. I think we can work through the struggles of your life together by building a strong therapeutic alliance.
My ideal client is someone who is ready to undergo the therapeutic experience. It's not an easy process and I want to support clients through this journey. The journey is a collaborative effort, and clients should be ready to work to become the person they want to be. In life, we go through many trials and tribulations and I strive to create a safe space for my clients to open up about their issues and heal. I think we can work through the struggles of your life together by building a strong therapeutic alliance.
(443) 233-0277 View (443) 233-0277
Photo of Suburban Crossroads Counseling, Counselor in Catonsville, MD
Suburban Crossroads Counseling
Counselor
Verified Verified
2 Endorsed
Catonsville, MD 21228
We provide counseling and psychotherapy to individuals, couples, and families who may be facing emotional stress. This stress can be brought on by any major event in a person's life: loss, failure, illness, or tension between people who interact closely. Treatment is focused on helping people explore the problems being faced, and the options available to resolve them. According to their needs and interests, our clients may explore the integration of their spirituality and counseling or psychotherapy.
We provide counseling and psychotherapy to individuals, couples, and families who may be facing emotional stress. This stress can be brought on by any major event in a person's life: loss, failure, illness, or tension between people who interact closely. Treatment is focused on helping people explore the problems being faced, and the options available to resolve them. According to their needs and interests, our clients may explore the integration of their spirituality and counseling or psychotherapy.
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TotalPsychCare / Equanimity
Psychologist, PsyD
Verified Verified
6 Endorsed
Catonsville, MD 21228
TotalPsychCare, Inc is a full service Psychology practice; specializing in psychological assessment services. Clinical services through our affiliate agency Equanimity: Psychotherapy for (Adult, Adolescent & Children), Family, and Couples therapy. Psychiatric Services for medication Management is also available. Substance Abuse counseling is also available - both Individual and group.
TotalPsychCare, Inc is a full service Psychology practice; specializing in psychological assessment services. Clinical services through our affiliate agency Equanimity: Psychotherapy for (Adult, Adolescent & Children), Family, and Couples therapy. Psychiatric Services for medication Management is also available. Substance Abuse counseling is also available - both Individual and group.
(410) 927-5151 View (410) 927-5151
Photo of Farah Shaikh, Clinical Social Work/Therapist in Catonsville, MD
Farah Shaikh
Clinical Social Work/Therapist, LCSW-C
Verified Verified
Catonsville, MD 21228  (Online Only)
Welcome! I'm delighted to have you here. Counseling is not a destination; it's the start of a journey toward healing and a brighter tomorrow. With nearly two decades of experience as a licensed therapist, I offer a safe and supportive space where you can freely share your feelings, thoughts, and struggles. Whether you seek help for yourself, your child, or your family, my goal is to provide a warm and compassionate environment coupled with practical advice and effective strategies to guide you or your loved one back on the path to well-being. Together, let's embark on this journey of healing and growth. Your healing starts today.
Welcome! I'm delighted to have you here. Counseling is not a destination; it's the start of a journey toward healing and a brighter tomorrow. With nearly two decades of experience as a licensed therapist, I offer a safe and supportive space where you can freely share your feelings, thoughts, and struggles. Whether you seek help for yourself, your child, or your family, my goal is to provide a warm and compassionate environment coupled with practical advice and effective strategies to guide you or your loved one back on the path to well-being. Together, let's embark on this journey of healing and growth. Your healing starts today.
(410) 517-7620 View (410) 517-7620
Photo of Dorothy C Whitehead, Licensed Clinical Professional Counselor in Catonsville, MD
Dorothy C Whitehead
Licensed Clinical Professional Counselor, PhD, LCPC, ACS
Verified Verified
Catonsville, MD 21228
Maybe you're having a hard time dealing with a particular problem or maybe something happened that you can't figure out how to handle and you're contemplating whether to seek counseling. I know that making that decision isn't always easy. But, I believe it will prove to be helpful and I believe I can help you. I handle all my clients with the greatest level of care by looking at the many aspects of their situations including emotional, social, physical health, relationships and personal goals so that I may help to promote meaningful and successful life changes.
Maybe you're having a hard time dealing with a particular problem or maybe something happened that you can't figure out how to handle and you're contemplating whether to seek counseling. I know that making that decision isn't always easy. But, I believe it will prove to be helpful and I believe I can help you. I handle all my clients with the greatest level of care by looking at the many aspects of their situations including emotional, social, physical health, relationships and personal goals so that I may help to promote meaningful and successful life changes.
(410) 618-0967 View (410) 618-0967
Photo of Tyrese Carter, Counselor in Catonsville, MD
Tyrese Carter
Counselor, MA, LGPC
Verified Verified
1 Endorsed
Catonsville, MD 21228  (Online Only)
Waitlist for new clients
Life can be full of challenges, making you feel overwhelmed, depressed, anxious, or just run down. Sometimes things need to change, to get better. Change is hard. Everyone needs support sometimes. I work with teens, adults, and couples facing issues of anxiety/panic attacks, overwhelming feelings, family/relationship issues, ADHD, mood disorders, low self-esteem, and setting healthy boundaries. I also work in treating trauma and I am a Certified Clinical Trauma Professional.
Life can be full of challenges, making you feel overwhelmed, depressed, anxious, or just run down. Sometimes things need to change, to get better. Change is hard. Everyone needs support sometimes. I work with teens, adults, and couples facing issues of anxiety/panic attacks, overwhelming feelings, family/relationship issues, ADHD, mood disorders, low self-esteem, and setting healthy boundaries. I also work in treating trauma and I am a Certified Clinical Trauma Professional.
(443) 383-4154 View (443) 383-4154
Photo of Melissa D Brown, Licensed Professional Counselor in Catonsville, MD
Melissa D Brown
Licensed Professional Counselor, LCPC
Verified Verified
Catonsville, MD 21228  (Online Only)
We all go through challenging periods in our lives, but there are times when a therapist can be a crucial presence during a particularly difficult time. I am a compassionate, trauma-informed therapist who can provide a safe space for you to unpack, examine and challenge negative thoughts or behaviors that leave you feeling stuck or unfulfilled. I believe that therapy is a collaborative process that provides a tremendous opportunity for individual growth. Our sessions will be an opportunity for you to gain clarity and put those insights into practice to create positive change.
We all go through challenging periods in our lives, but there are times when a therapist can be a crucial presence during a particularly difficult time. I am a compassionate, trauma-informed therapist who can provide a safe space for you to unpack, examine and challenge negative thoughts or behaviors that leave you feeling stuck or unfulfilled. I believe that therapy is a collaborative process that provides a tremendous opportunity for individual growth. Our sessions will be an opportunity for you to gain clarity and put those insights into practice to create positive change.
(410) 498-8943 View (410) 498-8943
Photo of Julianne Meagher, Clinical Social Work/Therapist in Catonsville, MD
Julianne Meagher
Clinical Social Work/Therapist, LCSW-C, RPT
Verified Verified
1 Endorsed
Catonsville, MD 21228
Julianne Meagher (she/her) is Licensed Clinical Social Worker, Board Approved Supervisor, and Registered Play Therapist. She specializes in child and adolescent mental health, trauma, and play therapy. She enjoys working with families and children of all ages who may be experiencing a variety of issues, including anxiety, depression, and trauma. She is especially passionate about helping very young children express themselves through play when they may not yet have the vocabulary to do so.
Julianne Meagher (she/her) is Licensed Clinical Social Worker, Board Approved Supervisor, and Registered Play Therapist. She specializes in child and adolescent mental health, trauma, and play therapy. She enjoys working with families and children of all ages who may be experiencing a variety of issues, including anxiety, depression, and trauma. She is especially passionate about helping very young children express themselves through play when they may not yet have the vocabulary to do so.
(410) 376-5797 View (410) 376-5797
Photo of Jaime Richardson, Clinical Social Work/Therapist in Catonsville, MD
Jaime Richardson
Clinical Social Work/Therapist, LMSW
Verified Verified
1 Endorsed
Catonsville, MD 21228  (Online Only)
Your therapist should be someone you trust and feel comfortable talking with. I work hard to create a safe and inviting environment for my clients. I have worked in the mental health field for over seven years, serving children, adolescents, and adults in community and school-based settings. I have experience working with clients who are dealing with ADHD, trauma, grief, school-related issues, adjustment disorders, anxiety, depression, and other emotional and behavioral struggles.
Your therapist should be someone you trust and feel comfortable talking with. I work hard to create a safe and inviting environment for my clients. I have worked in the mental health field for over seven years, serving children, adolescents, and adults in community and school-based settings. I have experience working with clients who are dealing with ADHD, trauma, grief, school-related issues, adjustment disorders, anxiety, depression, and other emotional and behavioral struggles.
(443) 251-4338 View (443) 251-4338
Photo of Brandi Harding, Clinical Social Work/Therapist in Catonsville, MD
Brandi Harding
Clinical Social Work/Therapist, LCSW-C
Verified Verified
Catonsville, MD 21228  (Online Only)
Brandi Harding, LCSW-C is the founder and lead therapist of Healing Holistically. She received her Bachelors of Social Work from Sojourner Douglas College and her Masters of Social Work from the University of Maryland School of Social Work. Brandi takes pride in helping others reach their full potential using creative and clinical therapeutic practices. She motivates others to gain the courage and strength needed to face life's obstacles. Brandi is currently licensed in Maryland, DC, and North Carolina.
Brandi Harding, LCSW-C is the founder and lead therapist of Healing Holistically. She received her Bachelors of Social Work from Sojourner Douglas College and her Masters of Social Work from the University of Maryland School of Social Work. Brandi takes pride in helping others reach their full potential using creative and clinical therapeutic practices. She motivates others to gain the courage and strength needed to face life's obstacles. Brandi is currently licensed in Maryland, DC, and North Carolina.
(410) 517-7938 View (410) 517-7938
Photo of Nini Gomes, Clinical Social Work/Therapist in Catonsville, MD
Nini Gomes
Clinical Social Work/Therapist, LCSW
Verified Verified
Catonsville, MD 21228  (Online Only)
Are you a young intuitive woman struggling to envision your future? Are you feeling anxious or stuck? Have you been hurt or traumatized? Feel like your full potential is unreachable? Or frustrated with life itself? Be still. Exhale. Seek deep within, for you have the power to change things! Are you ready to transform your life, by feeling fulfilled in life and your relationships? Are you ready to explore and journey into your own unique expression of self? Are you ready to tap into your magick and blessings? Become a new radiant you with my support and guidance! All of you is welcome.
Are you a young intuitive woman struggling to envision your future? Are you feeling anxious or stuck? Have you been hurt or traumatized? Feel like your full potential is unreachable? Or frustrated with life itself? Be still. Exhale. Seek deep within, for you have the power to change things! Are you ready to transform your life, by feeling fulfilled in life and your relationships? Are you ready to explore and journey into your own unique expression of self? Are you ready to tap into your magick and blessings? Become a new radiant you with my support and guidance! All of you is welcome.
(443) 241-6635 View (443) 241-6635
Photo of Connected Counseling, LLC, Licensed Clinical Professional Counselor in Catonsville, MD
Connected Counseling, LLC
Licensed Clinical Professional Counselor, LCPC
Verified Verified
Catonsville, MD 21228  (Online Only)
Not accepting new clients
“I’m responsible. I’m not good enough. I’m not safe.” These messages replay in your mind during conflict, in relationships, at your job, or in your day to day. These thoughts make it hard to set boundaries in your family or relationships, pursue your interests, passions, or personal goals without guilt, or feel connected to your emotions. These core beliefs developed throughout your life but they do not have to define your present.
“I’m responsible. I’m not good enough. I’m not safe.” These messages replay in your mind during conflict, in relationships, at your job, or in your day to day. These thoughts make it hard to set boundaries in your family or relationships, pursue your interests, passions, or personal goals without guilt, or feel connected to your emotions. These core beliefs developed throughout your life but they do not have to define your present.
(410) 650-6602 View (410) 650-6602
Photo of Ellen Sloh, Clinical Social Work/Therapist in Catonsville, MD
Ellen Sloh
Clinical Social Work/Therapist, LCSW-C
Verified Verified
2 Endorsed
Catonsville, MD 21228  (Online Only)
Congrats on taking the first step towards wellness and searching for a therapist! I believe that the therapeutic Alliance is important and you are the expert of your life and I bring in the professional guidance. Consistent daily practice of self-compassion, empathy, and healthy boundaries can overcome years of trauma and unhealthy coping skills. Everyone has the capacity to move towards mental wellness given appropriate resources and empathy. I utilize an eclectic style in my approach and implement CBT,DBT, EMDR along with a client centered approach because therapy is not one size fits all. I also provide Clinical Supervision.
Congrats on taking the first step towards wellness and searching for a therapist! I believe that the therapeutic Alliance is important and you are the expert of your life and I bring in the professional guidance. Consistent daily practice of self-compassion, empathy, and healthy boundaries can overcome years of trauma and unhealthy coping skills. Everyone has the capacity to move towards mental wellness given appropriate resources and empathy. I utilize an eclectic style in my approach and implement CBT,DBT, EMDR along with a client centered approach because therapy is not one size fits all. I also provide Clinical Supervision.
(410) 883-7872 View (410) 883-7872
Photo of Clinton Lewin, Psychologist in Catonsville, MD
Clinton Lewin
Psychologist, PsyD
Verified Verified
2 Endorsed
Catonsville, MD 21228  (Online Only)
I greatly value the opportunity to empower people in their pursuit of well being. You may have a specific concern or a general sense that you wish to move through life differently. I strive to incorporate your values, identities, and unique life circumstances into therapy, working with you as a whole person rather than as a collection of symptoms. I believe that stress and pain are unavoidable parts of life, and that reactions to these can add to distress. In developing and working towards goals together, I consider the quality of our relationship to be a powerful source of healing.
I greatly value the opportunity to empower people in their pursuit of well being. You may have a specific concern or a general sense that you wish to move through life differently. I strive to incorporate your values, identities, and unique life circumstances into therapy, working with you as a whole person rather than as a collection of symptoms. I believe that stress and pain are unavoidable parts of life, and that reactions to these can add to distress. In developing and working towards goals together, I consider the quality of our relationship to be a powerful source of healing.
(410) 403-0061 View (410) 403-0061

How does your Therapist compare?

Number of Therapists in Catonsville, MD

200+

Average cost per session

$145

Therapists in Catonsville, MD who prioritize treating:

94% Anxiety
85% Depression
78% Self Esteem
74% Coping Skills
69% Relationship Issues
65% Trauma and PTSD
63% Stress

Average years in practice

10 Years

Top 3 insurances accepted

77% Cigna and Evernorth
72% CareFirst
71% BlueCross and BlueShield

How Therapists in Catonsville, MD see their clients

51% In Person and Online
49% Online Only

Gender breakdown

84% Female
15% Male
1% Non-Binary
FAQs - About Therapy and Counseling

How can I find a therapist in Catonsville?

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.