Photo of Amy Oberson, Licensed Professional Counselor in 20018, DC
Amy Oberson
Licensed Professional Counselor, LPC, NCC, CCTP, LCPC
Verified Verified
2 Endorsed
Washington, DC 20018
Waitlist for new clients
I currently have limited weekday openings. I am licensed in both DC and MD and have experience working with adults, young adults, and adolescents. My counseling approach is warm, empathetic, and person-centered as I am passionate about meeting each client where they are and then collectively work to establish goals to achieve personal healing and growth. I also have experience working with women's health issues, depression, anxiety, grief and trauma. I offer support to adults as they navigate familial changes and life transitions.
I currently have limited weekday openings. I am licensed in both DC and MD and have experience working with adults, young adults, and adolescents. My counseling approach is warm, empathetic, and person-centered as I am passionate about meeting each client where they are and then collectively work to establish goals to achieve personal healing and growth. I also have experience working with women's health issues, depression, anxiety, grief and trauma. I offer support to adults as they navigate familial changes and life transitions.
View
Photo of Eclectic DC, Clinical Social Work/Therapist in 20018, DC
Eclectic DC
Clinical Social Work/Therapist, LICSW, PMH-C, WPA
Verified Verified
1 Endorsed
Washington, DC 20018  (Online Only)
Waitlist for new clients
I identify as an ethicist; a Womanist who advocates and practices feminist ideals, cultural humility through continuous learning, bodily integrity, reproductive justice, sex work is work, pacifism by utilizing non-violent resistance techniques. I believe children have rights, whistleblowers are vital in society, I embrace LGBTQ+, Black Lives Matter is factual, and representation matters. I practice mindfulness with the philosophy of ‘margin to center’ action. I embody, advocate, and support activism in action and respect of human rights. Neither ever ends, even when it is inconvenient or uncomfortable. We must remain firmly resolved
I identify as an ethicist; a Womanist who advocates and practices feminist ideals, cultural humility through continuous learning, bodily integrity, reproductive justice, sex work is work, pacifism by utilizing non-violent resistance techniques. I believe children have rights, whistleblowers are vital in society, I embrace LGBTQ+, Black Lives Matter is factual, and representation matters. I practice mindfulness with the philosophy of ‘margin to center’ action. I embody, advocate, and support activism in action and respect of human rights. Neither ever ends, even when it is inconvenient or uncomfortable. We must remain firmly resolved
(202) 968-3652 View (202) 968-3652
Photo of Dr. Victor D. Kidd, Clinical Social Work/Therapist in 20018, DC
Dr. Victor D. Kidd
Clinical Social Work/Therapist, PhD, LMSW
Verified Verified
5 Endorsed
Washington, DC 20018  (Online Only)
The therapeutic journey is a great way to challenge outdated perspectives while providing a new lens on emotional & mental well-being. Dr. Kidd will guide you through the journey of self-discovery & self-mastery, aligning you with your redefined perspective & life purpose. From challenges with anxiety & depression to trauma & family history, Dr. Kidd's purpose is to assist you in considering the various solutions for a more fulfilling life. It is together, through the therapeutic process, we will tackle your life challenges, leading to growth and prosperity. His hope is that we learn how to reflect, heal, and embrace new beginnings!
The therapeutic journey is a great way to challenge outdated perspectives while providing a new lens on emotional & mental well-being. Dr. Kidd will guide you through the journey of self-discovery & self-mastery, aligning you with your redefined perspective & life purpose. From challenges with anxiety & depression to trauma & family history, Dr. Kidd's purpose is to assist you in considering the various solutions for a more fulfilling life. It is together, through the therapeutic process, we will tackle your life challenges, leading to growth and prosperity. His hope is that we learn how to reflect, heal, and embrace new beginnings!
(202) 410-0685 View (202) 410-0685
Photo of Shiresse M Brewington, Clinical Social Work/Therapist in 20018, DC
Shiresse M Brewington
Clinical Social Work/Therapist, LICSW, LCSW-C
Verified Verified
Washington, DC 20018  (Online Only)
Not accepting new clients
The clients I like to focus on are people that have challenges with executive functioning, anxiety and depression. I want to help people to identify the past challenges or traumatic experiences that could be causing disruption in their lives, so that they can address it because awareness of the origin of an issue is half the battle. A lot of the habits that we do are signs and symptoms of adverse experiences that worked in one point of our lives, but now could be problematic. My goal is to provide a safe space for openness and expression to be heard while I guide you to your goal of being healed using a trauma informed approach.
The clients I like to focus on are people that have challenges with executive functioning, anxiety and depression. I want to help people to identify the past challenges or traumatic experiences that could be causing disruption in their lives, so that they can address it because awareness of the origin of an issue is half the battle. A lot of the habits that we do are signs and symptoms of adverse experiences that worked in one point of our lives, but now could be problematic. My goal is to provide a safe space for openness and expression to be heard while I guide you to your goal of being healed using a trauma informed approach.
(202) 914-5963 View (202) 914-5963
Photo of Janine Donnelly, Clinical Social Work/Therapist in 20018, DC
Janine Donnelly
Clinical Social Work/Therapist, LICSW
Verified Verified
4 Endorsed
Washington, DC 20018
Not accepting new clients
Therapy is the process of rediscovering clarity, purpose, and joy. While starting therapy can seem daunting, I offer a warm, nonjudgmental space in which we'll explore your concerns together. I use compassion and humor to help you move through pain and worry, so that you can be more fully present in your life, relationships, and community. I will work hard with you to release unhealthy or frustrating ways of thinking or behaving that stand between you and the life you want. I strive to meet my clients with empathy and authenticity, backed up by over twenty years of experience and a commitment to research-based methods.
Therapy is the process of rediscovering clarity, purpose, and joy. While starting therapy can seem daunting, I offer a warm, nonjudgmental space in which we'll explore your concerns together. I use compassion and humor to help you move through pain and worry, so that you can be more fully present in your life, relationships, and community. I will work hard with you to release unhealthy or frustrating ways of thinking or behaving that stand between you and the life you want. I strive to meet my clients with empathy and authenticity, backed up by over twenty years of experience and a commitment to research-based methods.
(240) 232-2738 View (240) 232-2738
Photo of Dr. Almeta T McCannon, Licensed Professional Counselor in 20018, DC
Dr. Almeta T McCannon
Licensed Professional Counselor, PhD, LPC, CRC
Verified Verified
Washington, DC 20018  (Online Only)
My ideal client is someone who is committed to self-love, self-exploration, and growth; yet may be unsure of how to use these tools to enact change. This person may be an apprehensive novice to the world of therapy or a veteran consumer. All are welcome.
My ideal client is someone who is committed to self-love, self-exploration, and growth; yet may be unsure of how to use these tools to enact change. This person may be an apprehensive novice to the world of therapy or a veteran consumer. All are welcome.
(202) 929-6545 View (202) 929-6545
Photo of Amber Thornton, Psychologist in 20018, DC
Amber Thornton
Psychologist, PsyD
Verified Verified
3 Endorsed
Washington, DC 20018  (Online Only)
Your mental health has felt unmanageable for too long and you’ve been afraid to admit it. You wish things could feel easier or more simple and it seems like things just wont improve. You’re tired of feeling ashamed and frustrated because you can’t seem to get this part your life together. You’ve finally realized that you can't continue to neglect and ignore your mental health. Not taking the steps necessary toward better mental health WILL be detrimental.
Your mental health has felt unmanageable for too long and you’ve been afraid to admit it. You wish things could feel easier or more simple and it seems like things just wont improve. You’re tired of feeling ashamed and frustrated because you can’t seem to get this part your life together. You’ve finally realized that you can't continue to neglect and ignore your mental health. Not taking the steps necessary toward better mental health WILL be detrimental.
(202) 902-9619 View (202) 902-9619
Photo of Madelyn Keefe, Clinical Social Work/Therapist in 20018, DC
Madelyn Keefe
Clinical Social Work/Therapist, LICSW
Verified Verified
Washington, DC 20018  (Online Only)
Madelyn is a Licensed Independent Clinical Social Worker in Washington, DC with experience providing individual therapy to clients living with depression, anxiety, and other mood related disorders. Madelyn has experience providing therapy to clients who have faced grief and loss, have difficulties managing life stressors, and have experienced trauma. Her sessions are culturally sensitive, person-centered, and take a strengths-based approach to care. Sessions are provided using Teletherapy services.
Madelyn is a Licensed Independent Clinical Social Worker in Washington, DC with experience providing individual therapy to clients living with depression, anxiety, and other mood related disorders. Madelyn has experience providing therapy to clients who have faced grief and loss, have difficulties managing life stressors, and have experienced trauma. Her sessions are culturally sensitive, person-centered, and take a strengths-based approach to care. Sessions are provided using Teletherapy services.
(202) 949-6913 View (202) 949-6913
Photo of Lily Anderson LLC, Clinical Social Work/Therapist in 20018, DC
Lily Anderson LLC
Clinical Social Work/Therapist, MSW, LCSW, LICSW
Verified Verified
Washington, DC 20018  (Online Only)
Not accepting new clients
Hello! I currently do telehealth therapy for DC, IL and SC. As an EMDR Certified Therapist and EMDR Approved Consultant, I understand our struggles are not about "what's wrong with us" but "what happened to us." Looking to resolve current symptoms sometimes means healing from the past, while strengthening resources in the present and preparing for the future. I work with children, adolescents, and adults - individually and in caregiver-child dynamics - and invite you to reach out for a free consultation!
Hello! I currently do telehealth therapy for DC, IL and SC. As an EMDR Certified Therapist and EMDR Approved Consultant, I understand our struggles are not about "what's wrong with us" but "what happened to us." Looking to resolve current symptoms sometimes means healing from the past, while strengthening resources in the present and preparing for the future. I work with children, adolescents, and adults - individually and in caregiver-child dynamics - and invite you to reach out for a free consultation!
(844) 524-0902 View (844) 524-0902
Photo of Marissa Nelson, Marriage & Family Therapist in 20018, DC
Marissa Nelson
Marriage & Family Therapist, LMFT, CST, CSE
Verified Verified
1 Endorsed
Washington, DC 20018
Couples therapy is my calling and life passion. I created IntimacyMoons for Couples as an intensive transformation model and was voted Best Couples Retreat by Women's Health, Bustle, Livestrong, Matador Network, Madame Noire and Black Enterprise Magazines. Not only am I a Licensed Marriage and Family Therapist but I am also a Certified Sex Therapist, and Certified Sexuality Educator by the American Association of Sexuality Educators and Therapists (AASECT).
Couples therapy is my calling and life passion. I created IntimacyMoons for Couples as an intensive transformation model and was voted Best Couples Retreat by Women's Health, Bustle, Livestrong, Matador Network, Madame Noire and Black Enterprise Magazines. Not only am I a Licensed Marriage and Family Therapist but I am also a Certified Sex Therapist, and Certified Sexuality Educator by the American Association of Sexuality Educators and Therapists (AASECT).
(202) 932-0332 View (202) 932-0332
Photo of Sophy Varghese, Clinical Social Work/Therapist in 20018, DC
Sophy Varghese
Clinical Social Work/Therapist, LCSW
Verified Verified
Washington, DC 20018  (Online Only)
Supporting, encouraging, and comforting others has been an integral part of my journey, leading me on a path to a rich and rewarding career as a clinical social worker. I am passionate about supporting individuals reach their behavioral health, relational and spiritual goals! I have a special interest in working with women who are seeking support for depression, anxiety, trauma, loss, low self-esteem, parenting, establishing healthy boundaries and navigating relationships.
Supporting, encouraging, and comforting others has been an integral part of my journey, leading me on a path to a rich and rewarding career as a clinical social worker. I am passionate about supporting individuals reach their behavioral health, relational and spiritual goals! I have a special interest in working with women who are seeking support for depression, anxiety, trauma, loss, low self-esteem, parenting, establishing healthy boundaries and navigating relationships.
(202) 918-2308 View (202) 918-2308
Photo of Jonathan Goode, Psychologist in 20018, DC
Jonathan Goode
Psychologist, PsyD, MA
Verified Verified
4 Endorsed
Washington, DC 20018
Not accepting new clients
Sometimes life stressors can leave you feeling directionless, confused, or overwhelmed. Overcoming these hurdles can be tough, but you don't have to travel this journey alone. GPS provides a unique approach to helping you map your journey to improved mental wellness. Fostering a genuine, supportive, empathic, and affirming relationship with my clients has helped them overcome many challenges. My objective is to help you feel more liberated and confident in expressing your feelings without fear of judgment. As your therapist, I will help you identify your inherent abilities, strengths, and resources to reach your goals in treatment.
Sometimes life stressors can leave you feeling directionless, confused, or overwhelmed. Overcoming these hurdles can be tough, but you don't have to travel this journey alone. GPS provides a unique approach to helping you map your journey to improved mental wellness. Fostering a genuine, supportive, empathic, and affirming relationship with my clients has helped them overcome many challenges. My objective is to help you feel more liberated and confident in expressing your feelings without fear of judgment. As your therapist, I will help you identify your inherent abilities, strengths, and resources to reach your goals in treatment.
(202) 831-2252 View (202) 831-2252
Photo of Wanda E Lumpkins in 20018, DC
Wanda E Lumpkins
DMSc, MPAS, PAC
Verified Verified
Washington, DC 20018  (Online Only)
This is a gentle reminder to make sure that you're covered with therapy and your medication. For medication management, give us a call. Provide us with your full name and your email address. We will schedule an appointment for you as soon as possible.
This is a gentle reminder to make sure that you're covered with therapy and your medication. For medication management, give us a call. Provide us with your full name and your email address. We will schedule an appointment for you as soon as possible.
(202) 717-9428 View (202) 717-9428
Photo of Alyssa Musse, Licensed Professional Counselor in 20018, DC
Alyssa Musse
Licensed Professional Counselor, LPC, CRC
Verified Verified
Washington, DC 20018  (Online Only)
Not accepting new clients
While each of our lives include their fair share of ups and downs, sometimes we need support to help us navigate what's going on. Life can be very stressful and it is normal to seek guidance when we need it. Whether you're dealing with general feelings of unhappiness, depression, anxiety, anger, resentment, low self-esteem, or experiencing challenging reactions to relationship issues, life transitions, grief, or trauma, I am here to help you on your path to healing. While I am located in New Jersey, I also maintain clinical licensure in Washington, DC and am certified to provide teletherapy in Florida and Vermont.
While each of our lives include their fair share of ups and downs, sometimes we need support to help us navigate what's going on. Life can be very stressful and it is normal to seek guidance when we need it. Whether you're dealing with general feelings of unhappiness, depression, anxiety, anger, resentment, low self-esteem, or experiencing challenging reactions to relationship issues, life transitions, grief, or trauma, I am here to help you on your path to healing. While I am located in New Jersey, I also maintain clinical licensure in Washington, DC and am certified to provide teletherapy in Florida and Vermont.
(973) 834-6278 View (973) 834-6278
Photo of Mairead Burke, Clinical Social Work/Therapist in 20018, DC
Mairead Burke
Clinical Social Work/Therapist, LCSW-C, LICSW
Verified Verified
Washington, DC 20018  (Online Only)
I specialize in supporting burned-out adults who feel overwhelmed and disconnected. I support you in defining what matters to you, reclaiming your self, and rediscovering joy. Whether you're wrestling with perfectionism, navigating people-pleasing, or feeling the strain of balancing parenthood with the rest of your life, I provide compassionate support tailored to your unique journey. Through a personalized approach, I empower you to navigate self-criticism, live authentically, and find fulfillment amidst life's challenges.
I specialize in supporting burned-out adults who feel overwhelmed and disconnected. I support you in defining what matters to you, reclaiming your self, and rediscovering joy. Whether you're wrestling with perfectionism, navigating people-pleasing, or feeling the strain of balancing parenthood with the rest of your life, I provide compassionate support tailored to your unique journey. Through a personalized approach, I empower you to navigate self-criticism, live authentically, and find fulfillment amidst life's challenges.
(240) 734-3143 View (240) 734-3143
Photo of Alicia Little Hodge, Psychologist in 20018, DC
Alicia Little Hodge
Psychologist, PsyD
Verified Verified
7 Endorsed
Washington, DC 20018  (Online Only)
This practice is 100% virtual based and serving over 38 states! Have you felt that despite your efforts you continue to feel anxious or unable to stop worrying? Perhaps you have unsuccessfully tried to make some changes and feel stuck? I believe that our thoughts directly influence our feelings and behaviors. Together, we can work to collaboratively identify your strengths to foster a sense of self-awareness and create new perspectives. By understanding your thinking styles and formulating a plan specifically tailored to YOU, we can face those challenges and overcome fears.
This practice is 100% virtual based and serving over 38 states! Have you felt that despite your efforts you continue to feel anxious or unable to stop worrying? Perhaps you have unsuccessfully tried to make some changes and feel stuck? I believe that our thoughts directly influence our feelings and behaviors. Together, we can work to collaboratively identify your strengths to foster a sense of self-awareness and create new perspectives. By understanding your thinking styles and formulating a plan specifically tailored to YOU, we can face those challenges and overcome fears.
(202) 851-8380 View (202) 851-8380
Photo of Maria Cocoros, Counselor in 20018, DC
Maria Cocoros
Counselor, PsyD, CHT, LCPC
Verified Verified
Washington, DC 20018
I provide therapy to adults with a wide variety of issues. I use a combination of psychoanalytic, cognitive, and hypnotherapy techniques. One or all of these techniques might be right for you at any given time during the course of treatment. I believe that a strong therapeutic alliance is of utmost importance. I provide a safe atmosphere of non-judgment and empathy. My approach is warm, supportive, and collaborative. I enjoy helping individuals utilize their personal creativity to manage emotions and take on life's challenges.
I provide therapy to adults with a wide variety of issues. I use a combination of psychoanalytic, cognitive, and hypnotherapy techniques. One or all of these techniques might be right for you at any given time during the course of treatment. I believe that a strong therapeutic alliance is of utmost importance. I provide a safe atmosphere of non-judgment and empathy. My approach is warm, supportive, and collaborative. I enjoy helping individuals utilize their personal creativity to manage emotions and take on life's challenges.
(240) 979-0132 View (240) 979-0132
Photo of Mary Eccles, Clinical Social Work/Therapist in 20018, DC
Mary Eccles
Clinical Social Work/Therapist, MSW, LICSW, PhD
Verified Verified
Washington, DC 20018
I work primarily with young adults, adults, and couples who experience difficulties in relationships or struggle with anxiety, depression, trauma, self-esteem, infidelity, infertility, pregnancy loss, or physical illness. Transitions at various times in life can become overwhelming. I am interested in helping people find their way forward, often identifying aspirations and choices which may be difficult to recognize when they are feeling worried or alone. In my private practice, psychotherapy sessions will usually be on a weekly basis.
I work primarily with young adults, adults, and couples who experience difficulties in relationships or struggle with anxiety, depression, trauma, self-esteem, infidelity, infertility, pregnancy loss, or physical illness. Transitions at various times in life can become overwhelming. I am interested in helping people find their way forward, often identifying aspirations and choices which may be difficult to recognize when they are feeling worried or alone. In my private practice, psychotherapy sessions will usually be on a weekly basis.
(240) 348-6273 View (240) 348-6273
Photo of Kim D Halback, Clinical Social Work/Therapist in 20018, DC
Kim D Halback
Clinical Social Work/Therapist, LICSW
Verified Verified
Washington, DC 20018
Halback & Associates is dedicated to providing effective and affordable therapuetic services to anyone having difficulty adjusting to life's obstacles. I provide services to individuals and families ages 4 to 100.
Halback & Associates is dedicated to providing effective and affordable therapuetic services to anyone having difficulty adjusting to life's obstacles. I provide services to individuals and families ages 4 to 100.
(202) 733-6662 View (202) 733-6662
Photo of Laura Luna, Clinical Social Work/Therapist in 20018, DC
Laura Luna
Clinical Social Work/Therapist, LICSW
Verified Verified
2 Endorsed
Washington, DC 20018
I am an experienced therapist who works with children, adults and couples. I provide treatment for a variety of issues, including: depression, anxiety, relationship issues, life transitions, conflict with family of origin and trauma. Through the use of evidence-based interventions including, Cognitive Behavioral Therapy, Emotionally Focused Therapy and play therapy techniques I help clients identify their triggers, and learn healthier ways to manage their emotions and deal with life stressors.
I am an experienced therapist who works with children, adults and couples. I provide treatment for a variety of issues, including: depression, anxiety, relationship issues, life transitions, conflict with family of origin and trauma. Through the use of evidence-based interventions including, Cognitive Behavioral Therapy, Emotionally Focused Therapy and play therapy techniques I help clients identify their triggers, and learn healthier ways to manage their emotions and deal with life stressors.
(703) 691-5886 View (703) 691-5886

How does your Therapist compare?

Number of Therapists in 20018

40+

Average cost per session

$175

Therapists in 20018 who prioritize treating:

89% Anxiety
82% Depression
75% Relationship Issues
73% Trauma and PTSD
73% Self Esteem
68% Coping Skills
66% Peer Relationships

Average years in practice

12 Years

Top 3 insurances accepted

78% BlueCross and BlueShield
67% CareFirst
48% UnitedHealthcare UHC | UBH

How Therapists in 20018 see their clients

53% In Person and Online
47% Online Only

Gender breakdown

93% Female
7% Male

FAQs - About Therapy and Counseling

How can I find a therapist in 20018?

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.