Therapists in Midlothian, VA

Photo of Alyssa Maxie - Beyond The Image Christian Counseling., Pre-Licensed Professional in Midlothian, VA
Alyssa Maxie - Beyond The Image Christian Counseling.
Pre-Licensed Professional, LRIC, MA
Verified Verified
Midlothian, VA 23112  (Online Only)
-Strength for Today- "This too shall pass". Our world is filled with people who fight silent battles every day, struggling to understand and cope with their mental health. I am here to tell them that they are not alone. I believe that in the midst of darkness, there is still hope and a light at the end of the tunnel. I believe strongly that everyone can benefit from attending therapy. My ultimate passion is to help others through their struggles in difficult times. I believe in an individualized, patient-centered approach because everyone’s needs are different and therapy is not "one-size-fits-all".
-Strength for Today- "This too shall pass". Our world is filled with people who fight silent battles every day, struggling to understand and cope with their mental health. I am here to tell them that they are not alone. I believe that in the midst of darkness, there is still hope and a light at the end of the tunnel. I believe strongly that everyone can benefit from attending therapy. My ultimate passion is to help others through their struggles in difficult times. I believe in an individualized, patient-centered approach because everyone’s needs are different and therapy is not "one-size-fits-all".
(804) 395-6861 View (804) 395-6861
Photo of Emily Gonzalez Tyre, Counselor in Midlothian, VA
Emily Gonzalez Tyre
Counselor, LPC, LCMHC, MFLC
Verified Verified
3 Endorsed
Midlothian, VA 23112
I am passionate about helping others that just may have not found the "right fit." I assertively work with clients on adjusting their A, B, C's... actions, behaviors, and cognitions. I appreciate clients that have shied away from therapy before, but are open and willing to give it another try! I meet people where they are- total judgement-free zone here. Experienced in working with crises intervention where there is unexpected loss for someone who always felt "therapy is not for me. I will never need it."
I am passionate about helping others that just may have not found the "right fit." I assertively work with clients on adjusting their A, B, C's... actions, behaviors, and cognitions. I appreciate clients that have shied away from therapy before, but are open and willing to give it another try! I meet people where they are- total judgement-free zone here. Experienced in working with crises intervention where there is unexpected loss for someone who always felt "therapy is not for me. I will never need it."
(804) 552-6561 View (804) 552-6561
Photo of Kara Walker, Clinical Social Work/Therapist in Midlothian, VA
Kara Walker
Clinical Social Work/Therapist, LICSW
Verified Verified
1 Endorsed
Midlothian, VA 23114
Kara Walker is a Licensed Independent Clinical Social Worker (LICSW) who has over 10 years of experience working with adolescents and adults across the lifespan with issues related to trauma, depression, undeveloped coping skills, grief, difficult life transitions, military and veteran's issues, low self-esteem, chronic stress, and anxiety. She enjoys working with clients who are committed to their journey of self-discovery and healing. Kara specializes in empowering women who are struggling to discover their self-worth and reach their goals.
Kara Walker is a Licensed Independent Clinical Social Worker (LICSW) who has over 10 years of experience working with adolescents and adults across the lifespan with issues related to trauma, depression, undeveloped coping skills, grief, difficult life transitions, military and veteran's issues, low self-esteem, chronic stress, and anxiety. She enjoys working with clients who are committed to their journey of self-discovery and healing. Kara specializes in empowering women who are struggling to discover their self-worth and reach their goals.
(804) 376-5978 View (804) 376-5978
Photo of Christopher Weed, Clinical Social Work/Therapist in Midlothian, VA
Christopher Weed
Clinical Social Work/Therapist, MAT, MSW, LCSW
Verified Verified
Midlothian, VA 23113  (Online Only)
A part of being human is dealing with things that feel painful. It has been said that pain is inevitable but suffering is a choice. Over my 16+ years of work, I have appreciated helping people ease their suffering and cope with painful feelings and experiences. Through safe, open and honest discussion people learn to invite and foster the changes they want to see in their lives and in themselves.
A part of being human is dealing with things that feel painful. It has been said that pain is inevitable but suffering is a choice. Over my 16+ years of work, I have appreciated helping people ease their suffering and cope with painful feelings and experiences. Through safe, open and honest discussion people learn to invite and foster the changes they want to see in their lives and in themselves.
(804) 373-2630 View (804) 373-2630
Photo of Daryl Carter, Resident in Counseling in Midlothian, VA
Daryl Carter
Resident in Counseling
Verified Verified
2 Endorsed
Midlothian, VA 23114
In life everyone has story, a narrative and as a therapist I would like to hear yours. Life can be difficult; we are bombarded with daily stress, which causes anxieties and depression. You may be struggling with career choices, decision making or substance addictions. I want to get to know you and, better yet, understand who you are and the way you might be feeling.
In life everyone has story, a narrative and as a therapist I would like to hear yours. Life can be difficult; we are bombarded with daily stress, which causes anxieties and depression. You may be struggling with career choices, decision making or substance addictions. I want to get to know you and, better yet, understand who you are and the way you might be feeling.
(804) 570-1812 View (804) 570-1812
Photo of Michael Carter, Marriage & Family Therapist in Midlothian, VA
Michael Carter
Marriage & Family Therapist, LMFT
Verified Verified
1 Endorsed
Midlothian, VA 23114  (Online Only)
I am a Licensed Marriage and Family Therapist. I have my Master of Divinity in Marriage & Family Therapy from Amridge University in Montgomery, Alabama. I have experience working with individuals & families from numerous cultural backgrounds as well as varying age groups. My experience also includes working with clients who are struggling with depression, anxiety, anger related issues, trauma, self-esteem issues, PTSD, substance abuse, behavioral problems, & parenting challenges. I am very knowledgeable about crisis related issues and has been working as a crisis counselor for the last several years.
I am a Licensed Marriage and Family Therapist. I have my Master of Divinity in Marriage & Family Therapy from Amridge University in Montgomery, Alabama. I have experience working with individuals & families from numerous cultural backgrounds as well as varying age groups. My experience also includes working with clients who are struggling with depression, anxiety, anger related issues, trauma, self-esteem issues, PTSD, substance abuse, behavioral problems, & parenting challenges. I am very knowledgeable about crisis related issues and has been working as a crisis counselor for the last several years.
(804) 390-8279 View (804) 390-8279
Photo of Mary Nell Donahue, Licensed Professional Counselor in Midlothian, VA
Mary Nell Donahue
Licensed Professional Counselor, LPC
Verified Verified
Midlothian, VA 23112
I strive to do my best to support individuals that are in search of establishing new skills to promote personal growth and comfort in response to any challenges they are facing. I have experience working with clients within various settings focusing on areas of anxiety management, anger management, grief processing, attachment issues, mindfulness skills, family dynamics, relationship conflict, self-esteem, boundary setting, depression, adjusting to life changes, and implementation of effective communication skills
I strive to do my best to support individuals that are in search of establishing new skills to promote personal growth and comfort in response to any challenges they are facing. I have experience working with clients within various settings focusing on areas of anxiety management, anger management, grief processing, attachment issues, mindfulness skills, family dynamics, relationship conflict, self-esteem, boundary setting, depression, adjusting to life changes, and implementation of effective communication skills
(804) 570-2723 View (804) 570-2723
Photo of Margie L Crow, Clinical Social Work/Therapist in Midlothian, VA
Margie L Crow
Clinical Social Work/Therapist, LCSW
Verified Verified
Midlothian, VA 23112
My primary goal is to enhance individual and family lives by assisting them in identifying new coping strategies. Participating in a personal counseling experience allows for an environment conducive to exploring personal growth, self awareness and change. I have been in private practice for over 30 years which has allowed me the opportunity to work with children, adolescents and adults of all ages. In my practice my initial emphasis is on identifying the , emotions and behaviors that are affecting our lives and gaining insights that will improve coping skills and awareness.
My primary goal is to enhance individual and family lives by assisting them in identifying new coping strategies. Participating in a personal counseling experience allows for an environment conducive to exploring personal growth, self awareness and change. I have been in private practice for over 30 years which has allowed me the opportunity to work with children, adolescents and adults of all ages. In my practice my initial emphasis is on identifying the , emotions and behaviors that are affecting our lives and gaining insights that will improve coping skills and awareness.
(804) 331-8468 View (804) 331-8468
Photo of Kelly Furr, Marriage & Family Therapist in Midlothian, VA
Kelly Furr
Marriage & Family Therapist, MS, LMFT
Verified Verified
Midlothian, VA 23112  (Online Only)
Hi, I’m Kelly. I currently have a few openings in my schedule! I own a teletherapy practice and see clients in VA, NC, AZ, and UT. I help adults and teens who want to work through relationship issues, perfectionism, life transitions, and grief/loss. Other common presenting problems include anxiety, depression, academic/professional stress, faith crises, gender/sexual identity issues, and a desire to improve athletic performance by improving your mental game. Many of my adult clients generally function well on their own but need help working through a specific issue such as how to set boundaries with a parent.
Hi, I’m Kelly. I currently have a few openings in my schedule! I own a teletherapy practice and see clients in VA, NC, AZ, and UT. I help adults and teens who want to work through relationship issues, perfectionism, life transitions, and grief/loss. Other common presenting problems include anxiety, depression, academic/professional stress, faith crises, gender/sexual identity issues, and a desire to improve athletic performance by improving your mental game. Many of my adult clients generally function well on their own but need help working through a specific issue such as how to set boundaries with a parent.
(804) 348-0601 View (804) 348-0601
Photo of A Brighter Day Therapy & Counseling, LLC, Marriage & Family Therapist in Midlothian, VA
A Brighter Day Therapy & Counseling, LLC
Marriage & Family Therapist, LMFT
Verified Verified
1 Endorsed
Midlothian, VA 23112  (Online Only)
Not accepting new clients
Here at A Brighter Day Therapy & Counseling, I approach therapy from a collaborative standpoint, and with the understanding that the client is the expert. This warm and collaborative approach to therapy has proven beneficial to clients and has helped effect change in their lives. Lets embark on this journey to a brighter day together.
Here at A Brighter Day Therapy & Counseling, I approach therapy from a collaborative standpoint, and with the understanding that the client is the expert. This warm and collaborative approach to therapy has proven beneficial to clients and has helped effect change in their lives. Lets embark on this journey to a brighter day together.
(804) 373-2877 View (804) 373-2877
Photo of Health in Mind - PCIT, Licensed Professional Counselor in Midlothian, VA
Health in Mind - PCIT
Licensed Professional Counselor, LPC
Verified Verified
6 Endorsed
Midlothian, VA 23113
Is your relationship with your child struggling due to behaviors? Are you in need of proven ways to handle disruptions and defiance? You may be seeking help because your child's behavior is contributing to distress for the whole family, or even in school. Parent Child Interaction Therapy (PCIT) is one of the most effective treatments known for children ages 2-7 and aims to teach YOU, the caregiver, many of the tools trained professionals use to improve a child's behavior. Treatment focuses on enhancing the quality of your relationship, helping your child to follow your lead, and learning ways to manage their BIG feelings.
Is your relationship with your child struggling due to behaviors? Are you in need of proven ways to handle disruptions and defiance? You may be seeking help because your child's behavior is contributing to distress for the whole family, or even in school. Parent Child Interaction Therapy (PCIT) is one of the most effective treatments known for children ages 2-7 and aims to teach YOU, the caregiver, many of the tools trained professionals use to improve a child's behavior. Treatment focuses on enhancing the quality of your relationship, helping your child to follow your lead, and learning ways to manage their BIG feelings.
(804) 417-6254 View (804) 417-6254
Photo of Stephen Strunk, Licensed Professional Counselor in Midlothian, VA
Stephen Strunk
Licensed Professional Counselor, PhD, LPC, CSOTP
Verified Verified
1 Endorsed
Midlothian, VA 23112
Due to the COVID-19 pandemic, I will be seeing clients via video sessions as well as in-person sessions with COVID-19 precautions in place. These tele-therapy sessions are HIPPA compliant and totally secure. Dealing with anxiety and depression is difficult but you can have a happier life with better coping skills to handle life problems. I work with adults, children, parents, and I also specialize in couples work. If you/your partner are struggling, therapy may help you to learn how to resovle issues in a productive way. I am also a member of the National Alliance on Mental Illness (NAMI).
Due to the COVID-19 pandemic, I will be seeing clients via video sessions as well as in-person sessions with COVID-19 precautions in place. These tele-therapy sessions are HIPPA compliant and totally secure. Dealing with anxiety and depression is difficult but you can have a happier life with better coping skills to handle life problems. I work with adults, children, parents, and I also specialize in couples work. If you/your partner are struggling, therapy may help you to learn how to resovle issues in a productive way. I am also a member of the National Alliance on Mental Illness (NAMI).
(804) 409-8997 View (804) 409-8997
Photo of Shaneka Owusu, LPC Intern in Midlothian, VA
Shaneka Owusu
LPC Intern, MS, RIC
Verified Verified
1 Endorsed
Midlothian, VA 23112
Choosing to engage in therapy is a deeply personal choice, and it's crucial to follow what resonates with you. Therapy can be a powerful tool for enhancing your mental health, nurturing your relationships, uplifting your self-esteem and augmenting your overall wellness. It's an act of courage and empowerment that propels you towards taking charge of your life and evolving into the best version of yourself. While the journey through therapy may seem daunting or tough at times, remember that with commitment and the right support system around you, it's possible to reach your aspirations and be the best version of yourself.
Choosing to engage in therapy is a deeply personal choice, and it's crucial to follow what resonates with you. Therapy can be a powerful tool for enhancing your mental health, nurturing your relationships, uplifting your self-esteem and augmenting your overall wellness. It's an act of courage and empowerment that propels you towards taking charge of your life and evolving into the best version of yourself. While the journey through therapy may seem daunting or tough at times, remember that with commitment and the right support system around you, it's possible to reach your aspirations and be the best version of yourself.
(804) 792-3525 View (804) 792-3525
Photo of Roxanne Dzierzewski, Psychologist in Midlothian, VA
Roxanne Dzierzewski
Psychologist, PsyD
Verified Verified
Midlothian, VA 23113  (Online Only)
At times, life can throw us major curveballs, and these struggles, no matter the size, can leave us feeling a whirlwind of emotions. Sharing these burdens can help alleviate some of the weight, making it possible to see other views and change for the better. With whatever difficulty you are currently facing, my aim is to provide a supportive, nonjudgmental, and safe space in order to help you gain insight, problem-solve, and make positive steps toward change. I hope to help you feel empowered over your difficulties so that you can achieve an improved quality of life.
At times, life can throw us major curveballs, and these struggles, no matter the size, can leave us feeling a whirlwind of emotions. Sharing these burdens can help alleviate some of the weight, making it possible to see other views and change for the better. With whatever difficulty you are currently facing, my aim is to provide a supportive, nonjudgmental, and safe space in order to help you gain insight, problem-solve, and make positive steps toward change. I hope to help you feel empowered over your difficulties so that you can achieve an improved quality of life.
(804) 409-0183 View (804) 409-0183
Photo of Merissa Costello in Midlothian, VA
Merissa Costello
ACNP-BC
Verified Verified
Midlothian, VA 23113
As a board-certified Adult Acute Nurse Practitioner, I graduated from Virginia Commonwealth University with a Bachelor's degree in Nursing in 2002 and a Master's degree in Nursing in 2003. I have experience in Emergency Medicine, Primary Care, Orthopaedics, and Medication Management of ADHD, anxiety, and depression.
As a board-certified Adult Acute Nurse Practitioner, I graduated from Virginia Commonwealth University with a Bachelor's degree in Nursing in 2002 and a Master's degree in Nursing in 2003. I have experience in Emergency Medicine, Primary Care, Orthopaedics, and Medication Management of ADHD, anxiety, and depression.
(804) 805-4086 View (804) 805-4086
Photo of Kimberly Williams, Licensed Professional Counselor in Midlothian, VA
Kimberly Williams
Licensed Professional Counselor, LPC, NCC
Verified Verified
Midlothian, VA 23113  (Online Only)
I have worked with adults, teenagers, families and couples. With empathy and understanding I can help my clients through life's challenges. I believe in the individual having the capacity for change within themselves and we can uncover that together. I offer Teletherapy for Virginia and Texas residents through HIPPA secure Simple Practice.
I have worked with adults, teenagers, families and couples. With empathy and understanding I can help my clients through life's challenges. I believe in the individual having the capacity for change within themselves and we can uncover that together. I offer Teletherapy for Virginia and Texas residents through HIPPA secure Simple Practice.
(804) 993-0085 View (804) 993-0085
Photo of Melanie Stephenson, Clinical Social Work/Therapist in Midlothian, VA
Melanie Stephenson
Clinical Social Work/Therapist, LCSW
Verified Verified
Midlothian, VA 23112
I provide empathetic support to help guide you towards the path of positive change and healing. Whether you are coping with a life transition, chronic physical or mental health issues, or family conflict, I will work with you to promote growth in your life. I have 15 years of clinical experience, the majority of which has been providing therapeutic counseling to persons coping with chronic mental health conditions.
I provide empathetic support to help guide you towards the path of positive change and healing. Whether you are coping with a life transition, chronic physical or mental health issues, or family conflict, I will work with you to promote growth in your life. I have 15 years of clinical experience, the majority of which has been providing therapeutic counseling to persons coping with chronic mental health conditions.
(804) 375-4304 View (804) 375-4304
Photo of David Matt Gamble, Pre-Licensed Professional in Midlothian, VA
David Matt Gamble
Pre-Licensed Professional, MA
Verified Verified
Midlothian, VA 23113  (Online Only)
Matt is a veteran of the mental health industry with 20+ years of progressive experience. Practicing from a cultural-relational perspective, he believes in everyone's potential for greatness. By building strong therapeutic rapport, Matt facilitates transformative work in therapy. Specializing in trauma, addiction, and mood disorders, he rejects a cookie-cutter approach to mental health. Committed to individualized care, Matt fosters healing and growth through tailored interventions. Ongoing professional development fuels his compassionate and client-centered approach.
Matt is a veteran of the mental health industry with 20+ years of progressive experience. Practicing from a cultural-relational perspective, he believes in everyone's potential for greatness. By building strong therapeutic rapport, Matt facilitates transformative work in therapy. Specializing in trauma, addiction, and mood disorders, he rejects a cookie-cutter approach to mental health. Committed to individualized care, Matt fosters healing and growth through tailored interventions. Ongoing professional development fuels his compassionate and client-centered approach.
(804) 902-2354 View (804) 902-2354
Photo of Gregory David Blake, Resident in Counseling in Midlothian, VA
Gregory David Blake
Resident in Counseling, MS Ed
Verified Verified
Midlothian, VA 23112  (Online Only)
My story is unusual. After a thirty-four-year career on a Wall St. trading floor, I decided to return to my alma mater to get a Masters of Mental Health Counseling degree forty-four years after receiving my undergraduate business degree at the University of Pennsylvania's Wharton School. The underlying impetus was losing my wife of thirty-nine years to cancer. My overall life's knowledge and experience coupled with my psychological training and a sincere desire to help others through their biggest challenges motivate my counseling style and enable it to be both unique and effective.
My story is unusual. After a thirty-four-year career on a Wall St. trading floor, I decided to return to my alma mater to get a Masters of Mental Health Counseling degree forty-four years after receiving my undergraduate business degree at the University of Pennsylvania's Wharton School. The underlying impetus was losing my wife of thirty-nine years to cancer. My overall life's knowledge and experience coupled with my psychological training and a sincere desire to help others through their biggest challenges motivate my counseling style and enable it to be both unique and effective.
(804) 409-3086 View (804) 409-3086
Photo of Dougan and Walden Wellness, PLLC, Psychologist in Midlothian, VA
Dougan and Walden Wellness, PLLC
Psychologist, PsyD, LCP
Verified Verified
1 Endorsed
Midlothian, VA 23113
Are you feeling stressed, depressed, or in pain? We all have our own challenges to overcome. I am passionate about helping each individual who walks into my office. I work with individuals and couples with mood, anxiety, or trauma symptoms. I believe a collaborative approach provides a safe space, which allows you to express thoughts and feelings , allows us to work on goals, and provides the opportunity to explore deeper aspects of life. We will approach your path to change with an empathetic, positive approach. We will work together to develop an approach to address your goals.
Are you feeling stressed, depressed, or in pain? We all have our own challenges to overcome. I am passionate about helping each individual who walks into my office. I work with individuals and couples with mood, anxiety, or trauma symptoms. I believe a collaborative approach provides a safe space, which allows you to express thoughts and feelings , allows us to work on goals, and provides the opportunity to explore deeper aspects of life. We will approach your path to change with an empathetic, positive approach. We will work together to develop an approach to address your goals.
(804) 409-3664 View (804) 409-3664

How does your Therapist compare?

Number of Therapists in Midlothian, VA

300+

Average cost per session

$130

Therapists in Midlothian, VA who prioritize treating:

92% Anxiety
88% Depression
72% Coping Skills
72% Self Esteem
71% Trauma and PTSD
69% Stress
68% Relationship Issues

Average years in practice

12 Years

Top 3 insurances accepted

81% Anthem | Elevance
80% Cigna and Evernorth
76% UnitedHealthcare UHC | UBH

How Therapists in Midlothian, VA see their clients

76% In Person and Online
24% Online Only

Gender breakdown

80% Female
19% Male
1% Non-Binary
FAQs - About Therapy and Counseling

How can I find a therapist in Midlothian?

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.