Therapists in Spring Valley, Washington, DC

Photo of RedemptionTriple-C , Counselor in Spring Valley, Washington, DC
RedemptionTriple-C
Counselor, MHS, MA, NCC, LPC
Verified Verified
Spring Valley, Washington, DC 20016
Are you suffering with anxiety, anger, severe grief, or relationship issues? Is your child experiencing behavior or academic issues in school? Is your partner in the throes of addiction, while creating a stressful environment at home? Maybe it's trauma, or a social issue that you or a family member is dealing with. I can help you create a plan that will leave you feeling supported, as opposed to just being heard. I am a highly skilled mental health clinician who understands the challenges of today's highly stressed world. Together, the solution awaits us!
Are you suffering with anxiety, anger, severe grief, or relationship issues? Is your child experiencing behavior or academic issues in school? Is your partner in the throes of addiction, while creating a stressful environment at home? Maybe it's trauma, or a social issue that you or a family member is dealing with. I can help you create a plan that will leave you feeling supported, as opposed to just being heard. I am a highly skilled mental health clinician who understands the challenges of today's highly stressed world. Together, the solution awaits us!
(844) 727-6441 View (844) 727-6441
Photo of Eleni Getachew, Licensed Professional Counselor in Spring Valley, Washington, DC
Eleni Getachew
Licensed Professional Counselor, PsyD, LPC
Verified Verified
1 Endorsed
Spring Valley, Washington, DC 20016  (Online Only)
You are the one who always worries, but that’s just how you are. It’s a part of your personality. However now, you are starting to feel stressed and overwhelmed by mundane things in life. The idea of doing simple things feels like too much. At times, you worry for not worrying! You are trapped in the mental chatter and you just wish the world would stop for a second so you could get a moment of relief. You don’t have to be lost in your thoughts, feeling hopeless. I help anxious people like you become aware of their emotions and thoughts. I give tools to help you feel calmer and to quiet your mind.
You are the one who always worries, but that’s just how you are. It’s a part of your personality. However now, you are starting to feel stressed and overwhelmed by mundane things in life. The idea of doing simple things feels like too much. At times, you worry for not worrying! You are trapped in the mental chatter and you just wish the world would stop for a second so you could get a moment of relief. You don’t have to be lost in your thoughts, feeling hopeless. I help anxious people like you become aware of their emotions and thoughts. I give tools to help you feel calmer and to quiet your mind.
(202) 600-2310 View (202) 600-2310
Photo of Kristin E Scopelliti, Licensed Professional Counselor in Spring Valley, Washington, DC
Kristin E Scopelliti
Licensed Professional Counselor, MA, LPC, LCPC
Verified Verified
Spring Valley, Washington, DC 20016  (Online Only)
Not accepting new clients
“The good life is a process, not a state of being. It is a direction not a destination.” Do you find yourself wondering what you can do to feel better—less anxious, more confident, even happy? It seems like you’ve tried everything but nothing seems to work, at least not for very long. You may be able to support others yet you fall short on supporting yourself. You no longer feel like yourself and worry that it could get worse. Imagine what it would feel like not to constantly worry and to be confident in your ability to handle challenging situations. Therapy is a step in practicing self-awareness and self-care.
“The good life is a process, not a state of being. It is a direction not a destination.” Do you find yourself wondering what you can do to feel better—less anxious, more confident, even happy? It seems like you’ve tried everything but nothing seems to work, at least not for very long. You may be able to support others yet you fall short on supporting yourself. You no longer feel like yourself and worry that it could get worse. Imagine what it would feel like not to constantly worry and to be confident in your ability to handle challenging situations. Therapy is a step in practicing self-awareness and self-care.
(202) 915-7212 View (202) 915-7212
Photo of Carole Palmer, Clinical Social Work/Therapist in Spring Valley, Washington, DC
Carole Palmer
Clinical Social Work/Therapist, LICSW
Verified Verified
Spring Valley, Washington, DC 20016
I will challenge you, help you with your goals, and focus on safety, support, and progress. I provide therapy to couples who want to resolve difficult issues effectively. I offer psychotherapy to adults and adolescents and promote trust in self so that much of the work continues outside the therapy room. I view 'eating disorders' as expressions, not pathologies and will work with you to find a healthy voice. For anxiety and depression I utilize imagery, relaxation and cognitive approaches while integrating the past as necessary. Please call or email me with any questions.
I will challenge you, help you with your goals, and focus on safety, support, and progress. I provide therapy to couples who want to resolve difficult issues effectively. I offer psychotherapy to adults and adolescents and promote trust in self so that much of the work continues outside the therapy room. I view 'eating disorders' as expressions, not pathologies and will work with you to find a healthy voice. For anxiety and depression I utilize imagery, relaxation and cognitive approaches while integrating the past as necessary. Please call or email me with any questions.
(202) 875-6713 View (202) 875-6713
Photo of Andrea Valletta, Clinical Social Work/Therapist in Spring Valley, Washington, DC
Andrea Valletta
Clinical Social Work/Therapist, MSW, LICSW, LCSW
Verified Verified
5 Endorsed
Spring Valley, Washington, DC 20016  (Online Only)
Not accepting new clients
Not taking new clients at this time. Making the decision to seek therapy is a strength-based step toward creating the life you want. Sometimes we hold on to old patterns that might have helped us in the past, but those patterns no longer serve us. If you're feeling stuck, overwhelmed or want to learn new coping skills, our work together can identify thoughts that just aren't helpful and we'll work towards finding healthier thought patterns. Then we'll work on building resources that will help you maintain positive changes.
Not taking new clients at this time. Making the decision to seek therapy is a strength-based step toward creating the life you want. Sometimes we hold on to old patterns that might have helped us in the past, but those patterns no longer serve us. If you're feeling stuck, overwhelmed or want to learn new coping skills, our work together can identify thoughts that just aren't helpful and we'll work towards finding healthier thought patterns. Then we'll work on building resources that will help you maintain positive changes.
(919) 634-6281 View (919) 634-6281
Photo of Leticia Lopez, Counselor in Spring Valley, Washington, DC
Leticia Lopez
Counselor, LGPC, MA
Verified Verified
Spring Valley, Washington, DC 20016
At times, we can feel that something is not working as well as it was. It could be a feeling that you are not functioning as you were before, or life became harder or even boring. Therapy and psychoanalysis is a singular process and I believe that your treatment is unique, that´s why I tailor treatment to the desires and needs of each of my clients
At times, we can feel that something is not working as well as it was. It could be a feeling that you are not functioning as you were before, or life became harder or even boring. Therapy and psychoanalysis is a singular process and I believe that your treatment is unique, that´s why I tailor treatment to the desires and needs of each of my clients
(202) 361-5498 View (202) 361-5498
Photo of Malca Gottlieb, Clinical Social Work/Therapist in Spring Valley, Washington, DC
Malca Gottlieb
Clinical Social Work/Therapist, LICSW, LCSW-C
Verified Verified
Spring Valley, Washington, DC 20016  (Online Only)
Malca Gottlieb is described by her clients as a wonderful listener -- calm, patient, and deeply insightful about people and their relationships. She works with clients who may feel routinized or feel that their passions and ambitions are being frustrated by their surroundings. She specializes in working with families and individuals who feel that family dynamics may be working against them, and who seek better relationships for themselves and their families. Malca helps her clients engage with the world in a way that prioritizes collaboration over conflict. Malca is a Licensed Independent Clinical Social Worker (LC50079200) in
Malca Gottlieb is described by her clients as a wonderful listener -- calm, patient, and deeply insightful about people and their relationships. She works with clients who may feel routinized or feel that their passions and ambitions are being frustrated by their surroundings. She specializes in working with families and individuals who feel that family dynamics may be working against them, and who seek better relationships for themselves and their families. Malca helps her clients engage with the world in a way that prioritizes collaboration over conflict. Malca is a Licensed Independent Clinical Social Worker (LC50079200) in
(202) 831-3282 View (202) 831-3282
Photo of Eisen Blackstone Group, Licensed Professional Counselor in Spring Valley, Washington, DC
Eisen Blackstone Group
Licensed Professional Counselor, MEd, LPC, NCC
Verified Verified
Spring Valley, Washington, DC 20016
Carly Blackstone - License: Virginia 0810003993; Washington, D.C. DC1000796 Roberta Eisen - License: Washington, D.C. PRC13872 We are a mother-daughter counseling team based in Washington, D.C. We help families navigate the emotional and logistical challenges of family transitions. We are here to help you look at your conflict and help guide you and your family on a path forward.
Carly Blackstone - License: Virginia 0810003993; Washington, D.C. DC1000796 Roberta Eisen - License: Washington, D.C. PRC13872 We are a mother-daughter counseling team based in Washington, D.C. We help families navigate the emotional and logistical challenges of family transitions. We are here to help you look at your conflict and help guide you and your family on a path forward.
(202) 831-3466 View (202) 831-3466
Photo of Sarah Litt, Licensed Professional Counselor in Spring Valley, Washington, DC
Sarah Litt
Licensed Professional Counselor, MA, LPC, NCC
Verified Verified
2 Endorsed
Spring Valley, Washington, DC 20016  (Online Only)
Seeking mental health support can be a daunting task. My goal as a therapist is to normalize the process of seeking help and to work on developing habits and tools that will allow you to thrive in all areas of your life.
Seeking mental health support can be a daunting task. My goal as a therapist is to normalize the process of seeking help and to work on developing habits and tools that will allow you to thrive in all areas of your life.
(202) 949-4870 View (202) 949-4870
Photo of Associates in Corporate Psychology, Licensed Professional Counselor in Spring Valley, Washington, DC
Associates in Corporate Psychology
Licensed Professional Counselor, PhD
Verified Verified
Spring Valley, Washington, DC 20016  (Online Only)
We deliver high-quality executive mental health and leadership development programs that drive business success. Unlock peak performance, elevate workplace mental health, and drive business growth. Led by a team of highly skilled corporate psychotherapists, executive performance coaches, and organizational psychologists, we support group and team relations, leadership, communication, high performance, and thriving for healthy, high-performing leaders and teams that drive business success.
We deliver high-quality executive mental health and leadership development programs that drive business success. Unlock peak performance, elevate workplace mental health, and drive business growth. Led by a team of highly skilled corporate psychotherapists, executive performance coaches, and organizational psychologists, we support group and team relations, leadership, communication, high performance, and thriving for healthy, high-performing leaders and teams that drive business success.
(877) 759-0919 View (877) 759-0919
Photo of Adrian S Hosler, Counselor in Spring Valley, Washington, DC
Adrian S Hosler
Counselor, MA, LGPC, NCC
Verified Verified
1 Endorsed
Spring Valley, Washington, DC 20016  (Online Only)
Do you feel stuck in a cycle of Anxiety and or Depression? Do you want help getting unstuck? Are you experiencing insomnia? Do you turn to your eating disorder to cope? Adrian can help! She believes by externalizing our problems, we start to get free from their grip on us and have the power to reshape relationships with ourselves and others in our lives. Find freedom from problem-saturated stories and make room to prioritize your values and grow tolerance for distress. You can unhook from rigid patterns and learn more sustainable ways to accept and cope with challenges.
Do you feel stuck in a cycle of Anxiety and or Depression? Do you want help getting unstuck? Are you experiencing insomnia? Do you turn to your eating disorder to cope? Adrian can help! She believes by externalizing our problems, we start to get free from their grip on us and have the power to reshape relationships with ourselves and others in our lives. Find freedom from problem-saturated stories and make room to prioritize your values and grow tolerance for distress. You can unhook from rigid patterns and learn more sustainable ways to accept and cope with challenges.
(240) 813-3088 View (240) 813-3088
Photo of Molly Louise Mattison, Clinical Social Work/Therapist in Spring Valley, Washington, DC
Molly Louise Mattison
Clinical Social Work/Therapist, LICSW, LCSW-C, LCSW
Verified Verified
Spring Valley, Washington, DC 20016
Life is full of challenges and sometimes we can get support from friends and family but often that comes with well intentioned but sometimes unsolicited advice or you need to choose what you say or not say in order to protect loved ones feelings. Sometimes you want and need to externalize your thoughts and feelings without having to filter them. I offer adult therapy that is strengths based and solution focused in a warm environment. I can help you identify the root causes of your struggles and implement changes so you feel more content. I also offer parenting work that strengthens parents skill sets.
Life is full of challenges and sometimes we can get support from friends and family but often that comes with well intentioned but sometimes unsolicited advice or you need to choose what you say or not say in order to protect loved ones feelings. Sometimes you want and need to externalize your thoughts and feelings without having to filter them. I offer adult therapy that is strengths based and solution focused in a warm environment. I can help you identify the root causes of your struggles and implement changes so you feel more content. I also offer parenting work that strengthens parents skill sets.
(202) 883-5909 View (202) 883-5909
Photo of Rebecca M Maxwell, Clinical Social Work/Therapist in Spring Valley, Washington, DC
Rebecca M Maxwell
Clinical Social Work/Therapist, LCSW-C
Verified Verified
Spring Valley, Washington, DC 20016
I believe the therapeutic relationship is one of the most important steps in developing trust and faith in your journey to seek clarity and healing within your life. I will provide you with a space that is safe, nonjudgmental, accepting and supportive to help you explore yourself more deeply which will enable you to draw new meanings to your experiences. This will be a collaborative effort working together toward your treatment goals. So often, we feel alone and just want to be heard and listened too, and then to find out we are anything but alone. I will be there with you through this journey.
I believe the therapeutic relationship is one of the most important steps in developing trust and faith in your journey to seek clarity and healing within your life. I will provide you with a space that is safe, nonjudgmental, accepting and supportive to help you explore yourself more deeply which will enable you to draw new meanings to your experiences. This will be a collaborative effort working together toward your treatment goals. So often, we feel alone and just want to be heard and listened too, and then to find out we are anything but alone. I will be there with you through this journey.
(252) 220-0159 View (252) 220-0159
Photo of Keltie Hawkins, Clinical Social Work/Therapist in Spring Valley, Washington, DC
Keltie Hawkins
Clinical Social Work/Therapist, LCSW-C, LICSW
Verified Verified
Spring Valley, Washington, DC 20016
I specialize in the treatment of unresolved trauma and difficult life experiences. But I also believe therapy is a comfortable space to get to know yourself better—and a vehicle for hope, whether you are in acute crisis, or simply feeling stuck. Through an integrative approach, I help you identify patterns of thoughts, feelings, and behaviors that may have begun early in life and continue to affect your relationships or your work.
I specialize in the treatment of unresolved trauma and difficult life experiences. But I also believe therapy is a comfortable space to get to know yourself better—and a vehicle for hope, whether you are in acute crisis, or simply feeling stuck. Through an integrative approach, I help you identify patterns of thoughts, feelings, and behaviors that may have begun early in life and continue to affect your relationships or your work.
(202) 918-4218 View (202) 918-4218
Photo of Melissa Gragert, Licensed Professional Counselor in Spring Valley, Washington, DC
Melissa Gragert
Licensed Professional Counselor, MEd, LPC
Verified Verified
Spring Valley, Washington, DC 20016  (Online Only)
Waitlist for new clients
I offer a safe space for individuals and couples to examine their lives, looking for places to develop and heal. I help clients to understand their personal histories, the fearful or anxious narratives they may be stuck in and to build positive change in their lives. My graduate studies at Harvard focused on trauma and resilience. I was drawn to my work by the question of how to help people tap into their internal resilience to heal from difficult experiences and to live their best life?
I offer a safe space for individuals and couples to examine their lives, looking for places to develop and heal. I help clients to understand their personal histories, the fearful or anxious narratives they may be stuck in and to build positive change in their lives. My graduate studies at Harvard focused on trauma and resilience. I was drawn to my work by the question of how to help people tap into their internal resilience to heal from difficult experiences and to live their best life?
(833) 590-0108 View (833) 590-0108
Photo of Annette M Levitine-Woodside, Licensed Professional Counselor in Spring Valley, Washington, DC
Annette M Levitine-Woodside
Licensed Professional Counselor, LCPC, LPC, NCC
Verified Verified
Spring Valley, Washington, DC 20016
My ideal clients are adolescents or young adults who need a safe place to explore issues relating to school, family, relationships, anxiety and depression, including gender identity. They may be dealing with high school or college stressors that are impacting their ability to function successfully. They want to be better equipped to manage the challenges that are disrupting their ability to have a satisfying personal/family life.
My ideal clients are adolescents or young adults who need a safe place to explore issues relating to school, family, relationships, anxiety and depression, including gender identity. They may be dealing with high school or college stressors that are impacting their ability to function successfully. They want to be better equipped to manage the challenges that are disrupting their ability to have a satisfying personal/family life.
(240) 557-3173 View (240) 557-3173
Photo of Kirsten Chadwick, Psychologist in Spring Valley, Washington, DC
Kirsten Chadwick
Psychologist, PhD, CGP
Verified Verified
1 Endorsed
Spring Valley, Washington, DC 20016
I specialize in working with depression, interpersonal relationships, parenting concerns, the motherhood transition, college transitions, loss and grief. I help clients think through strategies to enable them to better navigate transitions and the difficult circumstances they encounter. I also work with individuals to identify and interrupt patterns that are preventing them from succeeding, building and maintaining satisfying relationships and experiencing happiness. It is my experience that working hard in therapy, with honesty and openness, can lead to lower stress, better relationships and rewarding changes in your life.
I specialize in working with depression, interpersonal relationships, parenting concerns, the motherhood transition, college transitions, loss and grief. I help clients think through strategies to enable them to better navigate transitions and the difficult circumstances they encounter. I also work with individuals to identify and interrupt patterns that are preventing them from succeeding, building and maintaining satisfying relationships and experiencing happiness. It is my experience that working hard in therapy, with honesty and openness, can lead to lower stress, better relationships and rewarding changes in your life.
(202) 643-7901 View (202) 643-7901
Photo of Dr. Emilie B Joseph, Psychologist in Spring Valley, Washington, DC
Dr. Emilie B Joseph
Psychologist, PhD
Verified Verified
5 Endorsed
Spring Valley, Washington, DC 20016  (Online Only)
I currently work with adolescents and adults of all ages in individual therapy and specialize in working with clients with marginalized identities (e.g., racial/ethnic, sexual, and gender minorities). My ideal client is willing to bring as much of themselves into the room (e.g., social/cultural identities, personal experiences, emotions, thoughts, and behaviors) to foster more self-awareness and growth and make meaningful life changes.
I currently work with adolescents and adults of all ages in individual therapy and specialize in working with clients with marginalized identities (e.g., racial/ethnic, sexual, and gender minorities). My ideal client is willing to bring as much of themselves into the room (e.g., social/cultural identities, personal experiences, emotions, thoughts, and behaviors) to foster more self-awareness and growth and make meaningful life changes.
(202) 800-9645 View (202) 800-9645
Photo of Roberta Eisen, Licensed Professional Counselor in Spring Valley, Washington, DC
Roberta Eisen
Licensed Professional Counselor
Verified Verified
Spring Valley, Washington, DC 20016
Being a parent can be one of life’s greatest rewards. It also is one of life’s most challenging responsibilities. My goal is to assist parents and children through the transitions of divorce and beyond to achieve the best outcomes possible.
Being a parent can be one of life’s greatest rewards. It also is one of life’s most challenging responsibilities. My goal is to assist parents and children through the transitions of divorce and beyond to achieve the best outcomes possible.
(202) 517-7639 View (202) 517-7639
Photo of LaMesha McKenzie, Clinical Social Work/Therapist in Spring Valley, Washington, DC
LaMesha McKenzie
Clinical Social Work/Therapist, LMSW
Verified Verified
Spring Valley, Washington, DC 20016  (Online Only)
LaMesha’s approach to therapy is “person centered” as she aims to meet the client “where they are”. She considers the therapeutic relationship essential as she evaluates each person within the context of their environment and provides practical feedback to help effectively address their personal life challenges. Her areas of expertise include, but are not limited to: stress management, anxiety/depression, personal growth, and effective communication strategies while utilizing as needed,Trauma Focused Solutions, Brief Solution Focused Therapy, CBT, and Crisis Interventions and more. LaMesha is also licensed in DC and Alabama!
LaMesha’s approach to therapy is “person centered” as she aims to meet the client “where they are”. She considers the therapeutic relationship essential as she evaluates each person within the context of their environment and provides practical feedback to help effectively address their personal life challenges. Her areas of expertise include, but are not limited to: stress management, anxiety/depression, personal growth, and effective communication strategies while utilizing as needed,Trauma Focused Solutions, Brief Solution Focused Therapy, CBT, and Crisis Interventions and more. LaMesha is also licensed in DC and Alabama!
(202) 499-4007 View (202) 499-4007

See more therapy options for Spring Valley, Washington

How does your Therapist compare?

Number of Therapists in Spring Valley, Washington, DC

200+

Average cost per session

$195

Therapists in Spring Valley, Washington, DC who prioritize treating:

95% Anxiety
93% Depression
87% Relationship Issues
78% Self Esteem
69% Stress
64% Trauma and PTSD
63% Grief

Average years in practice

15 Years

Top 3 insurances accepted

74% BlueCross and BlueShield
58% CareFirst
39% Cigna and Evernorth

How Therapists in Spring Valley, Washington, DC see their clients

66% In Person and Online
34% Online Only

Gender breakdown

87% Female
12% Male
1% Non-Binary
FAQs - About Therapy and Counseling

How can I find a therapist in Spring Valley, Washington?

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.