Therapists in Bethesda, MD

Madisen Moody
Resident in Counseling, LPC-R
Verified Verified
2 Endorsed
Bethesda, MD 20814
What is Severe Mental Illness (SMI) and Forensic populations, you may ask? SMI includes Schizophrenia Spectrum Disorders, Personality Disorders, and Bipolar Disorders, etc. Madisen also enjoys working with the forensically connected populations, specifically, those adjudicated Not Guilty by Reasonable Insanity (NGRI) and Unrestorably Incompetent to Stand Trial (URIST).
What is Severe Mental Illness (SMI) and Forensic populations, you may ask? SMI includes Schizophrenia Spectrum Disorders, Personality Disorders, and Bipolar Disorders, etc. Madisen also enjoys working with the forensically connected populations, specifically, those adjudicated Not Guilty by Reasonable Insanity (NGRI) and Unrestorably Incompetent to Stand Trial (URIST).
Photo of Stephanie Prigal, Clinical Social Work/Therapist in Bethesda, MD
Stephanie Prigal
Clinical Social Work/Therapist, LCSW-C
Verified Verified
Bethesda, MD 20814
My therapeutic approach emphasizes the importance of meeting the client and family where they are at and building a connection through trust and understanding. I have experience working with children as young as 5 years old, adolescents, adults and families. I specialize in supporting clients with depression, anxiety, trauma, self-esteem challenges, socialization and attention deficit disorder. When working with adolescents or adults, I utilize a variety of modalities including Cognitive Behavioral Therapy, Dialectical Behavior Therapy, Motivational Interviewing and Mindfulness.
My therapeutic approach emphasizes the importance of meeting the client and family where they are at and building a connection through trust and understanding. I have experience working with children as young as 5 years old, adolescents, adults and families. I specialize in supporting clients with depression, anxiety, trauma, self-esteem challenges, socialization and attention deficit disorder. When working with adolescents or adults, I utilize a variety of modalities including Cognitive Behavioral Therapy, Dialectical Behavior Therapy, Motivational Interviewing and Mindfulness.
(240) 201-9566 View (240) 201-9566
Photo of Holistic Healing Counseling Center, LLC, Pre-Licensed Professional in Bethesda, MD
Holistic Healing Counseling Center, LLC
Pre-Licensed Professional, MA, LGPC
Verified Verified
1 Endorsed
Bethesda, MD 20814  (Online Only)
Are you someone who desires emotional support, coping strategies, and self-exploration to improve their well-being, professional success, and future relationships? I assist individuals in building a desire for happiness, fulfillment, and healthier connections, and aim to reduce anxiety, boost self-esteem, and develop effective coping mechanisms.
Are you someone who desires emotional support, coping strategies, and self-exploration to improve their well-being, professional success, and future relationships? I assist individuals in building a desire for happiness, fulfillment, and healthier connections, and aim to reduce anxiety, boost self-esteem, and develop effective coping mechanisms.
(240) 670-4318 View (240) 670-4318
Photo of Dr. Meg Blattner, Psychologist in Bethesda, MD
Dr. Meg Blattner
Psychologist, PhD
Verified Verified
2 Endorsed
Bethesda, MD 20814
Waitlist for new clients
Have your emotions or worries become unmanageable? Often my clients effectively managed low-level anxiety for years, but now irritability, uncontrollable worry, or depression prevent them from enjoying life. Difficult emotions interfere with our work, relationships, and ability to take care of responsibilities. Because I specialize in perinatal mental health and parenting, I often see the transition to parenthood as a tipping point. Are you noticing that how you were parented is influencing how you are parenting now and you seek to resolve these issues? Therapy can help you regain calm and confidence.
Have your emotions or worries become unmanageable? Often my clients effectively managed low-level anxiety for years, but now irritability, uncontrollable worry, or depression prevent them from enjoying life. Difficult emotions interfere with our work, relationships, and ability to take care of responsibilities. Because I specialize in perinatal mental health and parenting, I often see the transition to parenthood as a tipping point. Are you noticing that how you were parented is influencing how you are parenting now and you seek to resolve these issues? Therapy can help you regain calm and confidence.
(240) 759-2498 View (240) 759-2498
Photo of Mina Dadvar, Licensed Clinical Professional Counselor in Bethesda, MD
Mina Dadvar
Licensed Clinical Professional Counselor, LPC , CAGS
Verified Verified
Bethesda, MD 20814
Couples work is challenging and emotionally provocative. Feelings of frustration, pain, anger and discouragement alternating with relief, hopefulness, and excitement are common among couples who are trying to resolve their marital discord. Although each couple is unique the following principles hold true in treatment of the majority of partners. 1) A good marriage requires both spouses to psychologically separate from their family of origin and shift their primary love, loyalty to each other. An individual cannot fully participate in an interdepended relationship without being first an independent and autonomous person.
Couples work is challenging and emotionally provocative. Feelings of frustration, pain, anger and discouragement alternating with relief, hopefulness, and excitement are common among couples who are trying to resolve their marital discord. Although each couple is unique the following principles hold true in treatment of the majority of partners. 1) A good marriage requires both spouses to psychologically separate from their family of origin and shift their primary love, loyalty to each other. An individual cannot fully participate in an interdepended relationship without being first an independent and autonomous person.
(301) 530-4806 View (301) 530-4806
Photo of Ahuva Chefitz, Clinical Social Work/Therapist in Bethesda, MD
Ahuva Chefitz
Clinical Social Work/Therapist, LMSW
Verified Verified
Bethesda, MD 20814
It is my passion to empower my clients to thrive throughout their lives. My practice is built upon trust and an open and welcoming environment for my clients, where they truly feel heard and supported. I am specifically enthusiastic about employing all aspects of Cognitive Behavioral Therapy (CBT), especially exposure therapy. I have comprehensive training in Dialectical Behavior Therapy (DBT) and am eager to utilize DBT with my clients.
It is my passion to empower my clients to thrive throughout their lives. My practice is built upon trust and an open and welcoming environment for my clients, where they truly feel heard and supported. I am specifically enthusiastic about employing all aspects of Cognitive Behavioral Therapy (CBT), especially exposure therapy. I have comprehensive training in Dialectical Behavior Therapy (DBT) and am eager to utilize DBT with my clients.
(240) 221-6488 View (240) 221-6488
Photo of Robyn B Miller, Psychologist in Bethesda, MD
Robyn B Miller
Psychologist, PhD
Verified Verified
Bethesda, MD 20814
Welcome to my practice. I am a Harvard-trained clinical psychologist and I work with adolescents and adults in a warm, collaborative, and relational style. I am a generalist, with special interests in the treatment of depression, eating disorders, body image issues, as well as self-harming behavior and trauma. My practice focuses on helping individuals work through transitions in life, such as teen and young adult struggles, relationship issues, and parenting issues. I have launched a Menopause Info & Discussion Group to empower women with education and support during this life stage.
Welcome to my practice. I am a Harvard-trained clinical psychologist and I work with adolescents and adults in a warm, collaborative, and relational style. I am a generalist, with special interests in the treatment of depression, eating disorders, body image issues, as well as self-harming behavior and trauma. My practice focuses on helping individuals work through transitions in life, such as teen and young adult struggles, relationship issues, and parenting issues. I have launched a Menopause Info & Discussion Group to empower women with education and support during this life stage.
(301) 656-5111 View (301) 656-5111
Photo of Joanna Strait, Clinical Social Work/Therapist in Bethesda, MD
Joanna Strait
Clinical Social Work/Therapist, MSW, LICSW, LCSW-C, LCSW
Verified Verified
5 Endorsed
Bethesda, MD 20814
Joanna Strait is the founder of TogetherWell Therapy, a group practice dedicated to the unique mental health needs of hopeful, expectant, postpartum, and grieving mothers. TogetherWell clinicians specialize in supporting those who are experiencing perinatal mood and anxiety disorders, infertility, miscarriage, stillbirth, and birth trauma. Joanna is also a board approved clinical supervisor and offers supervision for clinicians based in Maryland and Washington D.C.
Joanna Strait is the founder of TogetherWell Therapy, a group practice dedicated to the unique mental health needs of hopeful, expectant, postpartum, and grieving mothers. TogetherWell clinicians specialize in supporting those who are experiencing perinatal mood and anxiety disorders, infertility, miscarriage, stillbirth, and birth trauma. Joanna is also a board approved clinical supervisor and offers supervision for clinicians based in Maryland and Washington D.C.
(240) 802-7287 View (240) 802-7287
Photo of Women's Wellness and Counseling Center (WWCC), Clinical Social Work/Therapist in Bethesda, MD
Women's Wellness and Counseling Center (WWCC)
Clinical Social Work/Therapist, LCSW-C, RYT200, RN
Verified Verified
Bethesda, MD 20817  (Online Only)
Maximizing wellness and functionality is our approach at WWCC. Life happens - chronic illness and pain, infertility, divorce, etc. Our goal is to help you adjust to your new 'normal' and to restore your mental health to a place where you can cope and function effectively regardless of circumstances. Our yoga instructors and therapists have a wide range of experience some with nursing backgrounds that help clients understand underlying medical issues that may be their impacting chronic pain, depression, anxiety, insomnia, and other issues.
Maximizing wellness and functionality is our approach at WWCC. Life happens - chronic illness and pain, infertility, divorce, etc. Our goal is to help you adjust to your new 'normal' and to restore your mental health to a place where you can cope and function effectively regardless of circumstances. Our yoga instructors and therapists have a wide range of experience some with nursing backgrounds that help clients understand underlying medical issues that may be their impacting chronic pain, depression, anxiety, insomnia, and other issues.
(301) 985-2621 View (301) 985-2621
Photo of Dr. Roslyn Sanchez, Psychologist in Bethesda, MD
Dr. Roslyn Sanchez
Psychologist, PhD
Verified Verified
Bethesda, MD 20814  (Online Only)
Are you seeking a deeper understanding of your emotions for healing and effective stress management? Do you aspire to self-improve and strengthen your connectivity with others through self-reflection, goal-setting, and self-discovery? Are you a couple aiming to enhance communication, emotional connectedness, and gain a better understanding of the unique dynamics of your relationship? Drawing from over 20 years of clinical and supervisory expertise, I am confident that we can collectively advance towards your goals. My services encompass individual, couples, and group tele-therapy as well as personalized, in-person wellness retreats.
Are you seeking a deeper understanding of your emotions for healing and effective stress management? Do you aspire to self-improve and strengthen your connectivity with others through self-reflection, goal-setting, and self-discovery? Are you a couple aiming to enhance communication, emotional connectedness, and gain a better understanding of the unique dynamics of your relationship? Drawing from over 20 years of clinical and supervisory expertise, I am confident that we can collectively advance towards your goals. My services encompass individual, couples, and group tele-therapy as well as personalized, in-person wellness retreats.
(301) 215-3439 View (301) 215-3439
Photo of Simone Collins, Clinical Social Work/Therapist in Bethesda, MD
Simone Collins
Clinical Social Work/Therapist, LCSW-C
Verified Verified
Bethesda, MD 20814  (Online Only)
Hi! I'm a Licensed Clinical Social Worker based in Maryland. I received my Master's from The University of Maryland and have eight years of experience. I help adults struggling with anxiety, depression, stress, peer relationships, and life transitions.
Hi! I'm a Licensed Clinical Social Worker based in Maryland. I received my Master's from The University of Maryland and have eight years of experience. I help adults struggling with anxiety, depression, stress, peer relationships, and life transitions.
(240) 363-2433 View (240) 363-2433
Photo of Mina Dadvar Klein, Licensed Clinical Professional Counselor in Bethesda, MD
Mina Dadvar Klein
Licensed Clinical Professional Counselor, CAGS, MS
Verified Verified
Bethesda, MD 20814
Individuals seek treatment because they are in pain. Facing one's own weaknesses is difficult and opening up even more so-particularly for people whose cultural background and/or family upbringing discourges transparency /self-disclosure. My priority is to create a safe environment where my clients may confront, accept and change aspects of their lives they consider shameful and/or self-destructive. I have been invited as a guest speaker by a number of organizations and regularly offer seminars and work shops on such themes as self-esteem,communication skills, stress management and the challenges of being married/single and dating
Individuals seek treatment because they are in pain. Facing one's own weaknesses is difficult and opening up even more so-particularly for people whose cultural background and/or family upbringing discourges transparency /self-disclosure. My priority is to create a safe environment where my clients may confront, accept and change aspects of their lives they consider shameful and/or self-destructive. I have been invited as a guest speaker by a number of organizations and regularly offer seminars and work shops on such themes as self-esteem,communication skills, stress management and the challenges of being married/single and dating
(301) 530-4806 View (301) 530-4806
Photo of Knekiya Harper, Counselor in Bethesda, MD
Knekiya Harper
Counselor, LGPC
Verified Verified
Bethesda, MD 20814  (Online Only)
Knekiya serves clients of all ages, particularly adolescents and young adults. Knekiya assists clients struggling with depression, anxiety, and trauma. Knekiya has worked extensively with survivors of domestic violence and sexual assault.Client's goals often include managing symptoms of depression, anxiety, and trauma.
Knekiya serves clients of all ages, particularly adolescents and young adults. Knekiya assists clients struggling with depression, anxiety, and trauma. Knekiya has worked extensively with survivors of domestic violence and sexual assault.Client's goals often include managing symptoms of depression, anxiety, and trauma.
(240) 679-8871 View (240) 679-8871
Photo of Rachel B Singer, Clinical Social Work/Therapist in Bethesda, MD
Rachel B Singer
Clinical Social Work/Therapist, LCSW-C, MSW
Verified Verified
5 Endorsed
Bethesda, MD 20814
I work with individuals, couples, families, and children. I specialize in addiction, relationship issues, depression, anxiety, self-esteem, trauma, family conflict and grief. My greatest intention is to help clients understand themselves better and improve their quality of life and relationships. I cater my approach to each client, responding to their own unique problems and personality style. This is not a "one-size-fits-all" practice.
I work with individuals, couples, families, and children. I specialize in addiction, relationship issues, depression, anxiety, self-esteem, trauma, family conflict and grief. My greatest intention is to help clients understand themselves better and improve their quality of life and relationships. I cater my approach to each client, responding to their own unique problems and personality style. This is not a "one-size-fits-all" practice.
(301) 960-3955 View (301) 960-3955
Photo of Lawrence I Sank, Psychologist in Bethesda, MD
Lawrence I Sank
Psychologist, PhD
Verified Verified
Bethesda, MD 20817  (Online Only)
I apply the science of Psychology in assisting individuals, couples and families in the pursuit of their goals. I strive to maximize their happiness and to live more effective lives. I have practiced in the Washington Metropolitan area since 1973. Trained by Drs. Aaron Beck and Albert Ellis, I have specialized training in cognitive-behavioral therapy and in the treatment of mood disorders. As a certified sex therapist I combine the application of psychological science with a compassionate, empathic approach to individuals and couples as they struggle with their problems in the area of sexual functioning and related difficulties.
I apply the science of Psychology in assisting individuals, couples and families in the pursuit of their goals. I strive to maximize their happiness and to live more effective lives. I have practiced in the Washington Metropolitan area since 1973. Trained by Drs. Aaron Beck and Albert Ellis, I have specialized training in cognitive-behavioral therapy and in the treatment of mood disorders. As a certified sex therapist I combine the application of psychological science with a compassionate, empathic approach to individuals and couples as they struggle with their problems in the area of sexual functioning and related difficulties.
(301) 304-4782 View (301) 304-4782
Photo of Regina Morales, Clinical Social Work/Therapist in Bethesda, MD
Regina Morales
Clinical Social Work/Therapist, LCSW-C
Verified Verified
1 Endorsed
Bethesda, MD 20814  (Online Only)
Waitlist for new clients
I am passionate about supporting people in being happier and healthier. This can mean a helping hand while launching into adulthood, understanding sexual, gender, spiritual, and cultural identities, and adjusting to changes in work, home, or personal relationships. I also work with individuals healing from trauma and people who want to use their spirituality as a resource for psychological wellness. My clients often seek to improve communication with family members or address anxiety, depression, a history of trauma, or family of origin issues.
I am passionate about supporting people in being happier and healthier. This can mean a helping hand while launching into adulthood, understanding sexual, gender, spiritual, and cultural identities, and adjusting to changes in work, home, or personal relationships. I also work with individuals healing from trauma and people who want to use their spirituality as a resource for psychological wellness. My clients often seek to improve communication with family members or address anxiety, depression, a history of trauma, or family of origin issues.
(240) 647-9231 View (240) 647-9231
Photo of David V Almeida, Clinical Social Work/Therapist in Bethesda, MD
David V Almeida
Clinical Social Work/Therapist, LCSW
Verified Verified
Bethesda, MD 20814
Are you struggling with issues that you feel are holding you back from reaching your goals? Are you looking to gain awareness, insight and understanding of the barriers that are standing in the way? With over 15 years of experience, I am passionate about helping individuals and families overcome struggles including substance use, anger issues, relationship problems and failure to launch. I have vast experience working with families and an intimate understanding of the the treatment landscape. I am trained in CBT, DBT, REBT, and am certified in anger management (CAMS-II).
Are you struggling with issues that you feel are holding you back from reaching your goals? Are you looking to gain awareness, insight and understanding of the barriers that are standing in the way? With over 15 years of experience, I am passionate about helping individuals and families overcome struggles including substance use, anger issues, relationship problems and failure to launch. I have vast experience working with families and an intimate understanding of the the treatment landscape. I am trained in CBT, DBT, REBT, and am certified in anger management (CAMS-II).
(561) 212-1363 View (561) 212-1363
Photo of Dara Goldberg, Clinical Social Work/Therapist in Bethesda, MD
Dara Goldberg
Clinical Social Work/Therapist, MSW, LCSW-C
Verified Verified
1 Endorsed
Bethesda, MD 20814
Reaching out to a therapist can be a difficult decision and a brave choice. In my practice, I work with my clients to build upon strengths that already exist to help you gain the skills to reach their fullest potential. I would like to help you have the opportunity to create meaningful change in your daily lives. I provide psychotherapy to children, adolescents, individuals and their families who are struggling with anxiety, depression, stress, ADHD, and learning challenges. I have experience advocating for clients in the form of working with teachers, participating in IEP meetings, and educating the community.
Reaching out to a therapist can be a difficult decision and a brave choice. In my practice, I work with my clients to build upon strengths that already exist to help you gain the skills to reach their fullest potential. I would like to help you have the opportunity to create meaningful change in your daily lives. I provide psychotherapy to children, adolescents, individuals and their families who are struggling with anxiety, depression, stress, ADHD, and learning challenges. I have experience advocating for clients in the form of working with teachers, participating in IEP meetings, and educating the community.
(301) 861-0746 View (301) 861-0746
Photo of Todd Handelman, Clinical Social Work/Therapist in Bethesda, MD
Todd Handelman
Clinical Social Work/Therapist, MSW
Verified Verified
Bethesda, MD 20817
Since 1992 I have helped clients age 13-73 respond to challenges facing them throughout their life cycles. Throughout my career I have facilitated my clients in developing skills and learning to ways to cope with the demands of school, socialization challenges, relationship dynamics, depression, anxiety, ADHD, sexuality, professional/career development and sports performance enhancement.
Since 1992 I have helped clients age 13-73 respond to challenges facing them throughout their life cycles. Throughout my career I have facilitated my clients in developing skills and learning to ways to cope with the demands of school, socialization challenges, relationship dynamics, depression, anxiety, ADHD, sexuality, professional/career development and sports performance enhancement.
(301) 859-7251 View (301) 859-7251
Photo of Natalie G Regier, Psychologist in Bethesda, MD
Natalie G Regier
Psychologist, PhD
Verified Verified
Bethesda, MD 20814
Not accepting new clients
I am a clinical psychologist with a geriatrics specialty, meaning I have advanced, specialized training in addressing the mental health needs of adults aged 60 and older. I primarily assist clients in coping with cognitive changes (e.g., a dementia diagnosis), life transitions, depression, anxiety, caregiver strain, trauma (e.g., Post-Traumatic Stress, Military Sexual Trauma), and grief/ bereavement. I also conduct cognitive/neuropsychological assessments. Clients feel comfortable with me because of my competency level in treating the unique needs of older adults.
I am a clinical psychologist with a geriatrics specialty, meaning I have advanced, specialized training in addressing the mental health needs of adults aged 60 and older. I primarily assist clients in coping with cognitive changes (e.g., a dementia diagnosis), life transitions, depression, anxiety, caregiver strain, trauma (e.g., Post-Traumatic Stress, Military Sexual Trauma), and grief/ bereavement. I also conduct cognitive/neuropsychological assessments. Clients feel comfortable with me because of my competency level in treating the unique needs of older adults.
(240) 209-9836 View (240) 209-9836

How does your Therapist compare?

Number of Therapists in Bethesda, MD

1,000+

Average cost per session

$180

Therapists in Bethesda, MD who prioritize treating:

94% Anxiety
90% Depression
78% Relationship Issues
74% Self Esteem
66% Coping Skills
63% Trauma and PTSD
61% Grief

Average years in practice

13 Years

Top 3 insurances accepted

64% BlueCross and BlueShield
62% CareFirst
57% Cigna and Evernorth

How Therapists in Bethesda, MD see their clients

60% In Person and Online
40% Online Only

Gender breakdown

82% Female
17% Male
1% Non-Binary

FAQs - About Therapy and Counseling

How can I find a therapist in Bethesda?

Search for nearby therapists or counselors by inputting your city, town, or suburb; or zip code; or a provider’s name into the search bar. From there, you can filter providers by the issues they treat, cost, insurance, gender, and other factors to find providers who are well-suited to your needs. To navigate between locations within the same country, enter a new city or zip code into the search bar.

Learn more about how to find a therapist

Is everyone in the Psychology Today Therapy Directory a licensed therapist?

The Psychology Today directory lists providers who offer legitimate mental health services to the public, including psychologists, psychiatrists, social workers, and counselors.

Many have been licensed by the country or state where they practice; providers whose license or primary credential has been verified by Psychology Today are signified by a “Verified” symbol. Some clinicians or organizations provide services for which their state or country does not offer licenses, such as pastoral counseling. They may be selectively included without the “Verified” seal.

What’s the difference between a psychologist, a therapist, and a counselor?

Therapists, psychologists, and counselors are all licensed mental health professionals. In the US, psychologists have earned a doctoral degree. The terms “therapist” and “counselor” are used somewhat interchangeably, but generally therapists offer longer-term, mental health care, while counselors offer shorter-term care that may focus on one domain, such as marriage, career, or academic challenges.

Clients should consider factors such as insurance coverage and their primary reason(s) for seeking therapy to determine the type of professional best suited to their needs. Someone struggling with mental health challenges such as depression or anxiety, for example, may wish to seek out a clinical psychologist or therapist, while someone navigating career obstacles or marital upheaval may benefit from seeing a counselor who can offer short-term, targeted support.

What type of therapy is right for me?

The type of therapy best suited to a particular individual depends on several factors, including their primary reason for seeking therapy, their preferred timeline (some therapy types last for a set number of sessions, while others are open-ended), and their personality and preferences—some may prefer a more structured approach. For many individuals, multiple types of therapy could provide a good fit.

How much does therapy cost?

The cost of therapy depends on a number of variables, including location and the therapist’s experience and training. On average, a therapy session in the United States could cost between $100 and $200 or more. If you have insurance, the expense of mental health care is typically lower, but it varies based on your insurance plan details and whether you choose an in-network or out-of-network mental healthcare provider.

What are more affordable or low cost therapy solutions?

Many therapists offer sliding scale payments, usually on a limited number of slots, which consists in an agreement between the therapist and a client to pay a reduced rate. Therapists who provide such arrangements often consider the client's income or ability to pay, but the extent of the discount is ultimately at the therapist's discretion. Furthermore, while group therapy may have different goals and benefits compared to individual therapy, it can be a more affordable solution to address certain types of issues.

Is online therapy cheaper than in-person therapy?

Many therapists charge the same amount for online therapy as they do for in-person therapy—though clients may still find this cost-effective if it cuts down on their transportation costs. Health insurance plans often offer equivalent coverage for online and in-person therapy; indeed, in many places, they are legally required to do so. Text-based or on-demand therapy apps may be cheaper than traditional one-on-one psychotherapy; however, the practice may be less effective and is not likely to be covered by insurance.

Is online therapy a good option?

Therapy conducted online can be just as effective as in-person therapy, as long as there is a strong alliance between the client and the therapist. To find a therapist who provides telehealth services to clients in your area, click “Online Therapy” on the directory homepage and search by your city or town or your zip code.

Are therapy sessions confidential?

Confidentiality is a crucial part of the therapeutic relationship. Therapists in the United States are bound by the regulations set out by the Health Insurance Portability and Accountability Act of 1996 (HIPAA), which aims to protect sensitive health information. With very few exceptions, a therapist will only discuss their client with others when the client has given their written permission. The instances in which a therapist would be required to disclose personal information are: if a client poses a danger to themselves or others, if the therapist suspects the abuse of a child or an elderly or otherwise dependent adult, or if they are legally forced to by court order. These exceptions to the confidentiality agreement are usually discussed with a client before their first session.