Therapists in Columbia, MD
Teri Tallent Burns
Licensed Clinical Professional Counselor, LCPC, NCC, MA
Verified Verified
1 Endorsed
Columbia, MD 21046
I believe that each one of us knows exactly how to heal ourselves; however, the message gets lost inside ourselves for various reasons. I see my job as merely helping the individual attain the clarity to see for themselves the choices they've made. Once they understand the unconscious decisions that drive their behavior they can begin to make positive changes.
My style is very relaxed and interactive. I try to create an environment that feels nonjudgmental and safe; where the individual feels cared about, encouraged and empowered.
I believe that each one of us knows exactly how to heal ourselves; however, the message gets lost inside ourselves for various reasons. I see my job as merely helping the individual attain the clarity to see for themselves the choices they've made. Once they understand the unconscious decisions that drive their behavior they can begin to make positive changes.
My style is very relaxed and interactive. I try to create an environment that feels nonjudgmental and safe; where the individual feels cared about, encouraged and empowered.
Alis Africano
Counselor, LCPC
Verified Verified
Columbia, MD 21045
Alis Africano is a Licensed Professional Clinical Counselor in Maryland who has been practicing since 2007. Alis has a vast experience working with families and individuals across their lifespan as well as working with depression, anxiety, ADHD, traumatic experiences, domestic violence, grief/loss, blended families, reunification, acculturation process, etc. In addition, she is able to provide services in the Spanish language. Alis wants her clients to feel confident that they can reach their goals in life.
Alis Africano is a Licensed Professional Clinical Counselor in Maryland who has been practicing since 2007. Alis has a vast experience working with families and individuals across their lifespan as well as working with depression, anxiety, ADHD, traumatic experiences, domestic violence, grief/loss, blended families, reunification, acculturation process, etc. In addition, she is able to provide services in the Spanish language. Alis wants her clients to feel confident that they can reach their goals in life.
Kit McFarlane
Clinical Social Work/Therapist, LCSW-C, MSW, MEd
Verified Verified
Columbia, MD 21045 (Online Only)
All of us encounter ups and downs in living our lives whether a bump in the road or a life-long challenge in which ongoing guidance is needed. I can help you understand why you are struggling; and more importantly, guide you to changes which will lead to more pleasure and productivity in your everyday life. More today than ever, we are finding that trauma – large and small is at the core of our difficulties. I am a graduate of the Ferentz Trauma Institute out of Baltimore with experience in EMDR and EFT Tapping.
All of us encounter ups and downs in living our lives whether a bump in the road or a life-long challenge in which ongoing guidance is needed. I can help you understand why you are struggling; and more importantly, guide you to changes which will lead to more pleasure and productivity in your everyday life. More today than ever, we are finding that trauma – large and small is at the core of our difficulties. I am a graduate of the Ferentz Trauma Institute out of Baltimore with experience in EMDR and EFT Tapping.
Sheela Reddy
Psychologist, MS, EdD
Verified Verified
Columbia, MD 21044
" If are looking for connection, caring, safe insight and expertise to transform you inside out holistically I am a good fit for you". I work with adults, families and adolescents. As a Holisitc Psychologist and Coach after 25 years of experience I have many tools like CBT, EMDR, yoga, mindfulness, divorce & executive coaching and more to bring to you. I specialize in working with anxiety, trauma, depression, marriage family & divorce, anger, abuse issues and more. Call or email me. My aim is to help you Recover now and Increase your Self-acceptance, Coping Strategies and hence live a Happier, Healthier lifestyle.
" If are looking for connection, caring, safe insight and expertise to transform you inside out holistically I am a good fit for you". I work with adults, families and adolescents. As a Holisitc Psychologist and Coach after 25 years of experience I have many tools like CBT, EMDR, yoga, mindfulness, divorce & executive coaching and more to bring to you. I specialize in working with anxiety, trauma, depression, marriage family & divorce, anger, abuse issues and more. Call or email me. My aim is to help you Recover now and Increase your Self-acceptance, Coping Strategies and hence live a Happier, Healthier lifestyle.
Racquel A. Knight - Hypnosis Columbia
MA, CH, NBC-HWC
Verified Verified
Columbia, MD 21044
Want to feel better at a more rapid pace than traditional talk therapy? We use hypnosis, NLP, and your subconscious mind to gain freedom or rapid relief from old unhealthy patterns, trauma, anxiety, fears, limiting beliefs and even stubborn medical symptoms. Please note that I am not a psychotherapist, nor do I take insurance, I help people like you feel better usually within one to six sessions. Most people find the lifetime changes they create are well worth their personal investment in themselves. That being said, for the highly motivated and financially challenged, we can often provide a sliding-scale fee.
Want to feel better at a more rapid pace than traditional talk therapy? We use hypnosis, NLP, and your subconscious mind to gain freedom or rapid relief from old unhealthy patterns, trauma, anxiety, fears, limiting beliefs and even stubborn medical symptoms. Please note that I am not a psychotherapist, nor do I take insurance, I help people like you feel better usually within one to six sessions. Most people find the lifetime changes they create are well worth their personal investment in themselves. That being said, for the highly motivated and financially challenged, we can often provide a sliding-scale fee.
Live.Balanced.Life.LLC
Counselor, PhD, LCPC, CCTP-II, DBT-C
Verified Verified
Columbia, MD 21045
What do you hope to gain from seeking therapy? Results? Whatever "results," look like for you, we are here to help you make that happen. We are experienced, outcome driven, and best of all, we do not judge you. We will work at your pace, but we will get things done none the less.
What do you hope to gain from seeking therapy? Results? Whatever "results," look like for you, we are here to help you make that happen. We are experienced, outcome driven, and best of all, we do not judge you. We will work at your pace, but we will get things done none the less.
Harriet Gailey
Clinical Social Work/Therapist, LCSW-C
Verified Verified
Columbia, MD 21046
Not accepting new clients
My goal as a therapist is to provide a warm environment that allows clients to safely explore areas of dissatisfaction in their lives and identify goals for growth. Much of my work is based on cognitive-behavioral therapy, but I believe the relationship between therapist and client is the most essential element in allowing therapy to progress. As an experienced clinician of over 25 years, I specialize in treating mood disorders (depression and bipolar) and anxiety, as well as working with family-related concerns such as divorce, parenting, and relationships.
My goal as a therapist is to provide a warm environment that allows clients to safely explore areas of dissatisfaction in their lives and identify goals for growth. Much of my work is based on cognitive-behavioral therapy, but I believe the relationship between therapist and client is the most essential element in allowing therapy to progress. As an experienced clinician of over 25 years, I specialize in treating mood disorders (depression and bipolar) and anxiety, as well as working with family-related concerns such as divorce, parenting, and relationships.
Amber L. Abell
Counselor, BS, MSCP, LCPC
Verified Verified
Columbia, MD 21045
I have 20 years’ experience in the mental health and substance use field. I have three years of direct clinical experience working with diverse populations. I am an eclectic therapist that practices using many counseling and psychology theories, including humanistic, behavioral, and evidence-based approaches. Interventions are tailored to the individual's needs and preferences.
I have 20 years’ experience in the mental health and substance use field. I have three years of direct clinical experience working with diverse populations. I am an eclectic therapist that practices using many counseling and psychology theories, including humanistic, behavioral, and evidence-based approaches. Interventions are tailored to the individual's needs and preferences.
Dr. Joanne Vizzini
Licensed Clinical Professional Counselor, PhD, LCPC, NCC
Verified Verified
1 Endorsed
Columbia, MD 21044 (Online Only)
I have a dynamic private practice in MD and VA. Virtual ONLY. The most important component of therapy is listening deeply to my clients. I specialize in ANXIETY issues, including GAD, OCD, specific phobias, panic disorder and social anxiety. Other specialties include healing past hurts, such as codependency and addictions for adults; helping families who are separating/divorcing; and, children/adults who struggle with ADD/ADHD and/or learning disabilities. Ages 5 -105 are welcome. I feel privileged to offer support and healing.I'm an out-of-network provider for most insurance companies and can offer some individuals a lowered rate.
I have a dynamic private practice in MD and VA. Virtual ONLY. The most important component of therapy is listening deeply to my clients. I specialize in ANXIETY issues, including GAD, OCD, specific phobias, panic disorder and social anxiety. Other specialties include healing past hurts, such as codependency and addictions for adults; helping families who are separating/divorcing; and, children/adults who struggle with ADD/ADHD and/or learning disabilities. Ages 5 -105 are welcome. I feel privileged to offer support and healing.I'm an out-of-network provider for most insurance companies and can offer some individuals a lowered rate.
Angelica Newsome
Clinical Social Work/Therapist, LCSW-C
Verified Verified
Columbia, MD 21044
Waitlist for new clients
With the demands life makes on us, sometimes it becomes too much. The same way we go to the doctor for physical ailments, sometimes we need assistance managing our mental and emotional wellbeing. Do you need support as you balance the many roles you have in your life? Have you noticed your physical health being impacted by the stress? Maybe you've had huge milestones or life events happen and are having a hard time adjusting? Or maybe you've been hearing buzz phrases like 'self care' and are wondering what that looks like beyond home spa days?
With the demands life makes on us, sometimes it becomes too much. The same way we go to the doctor for physical ailments, sometimes we need assistance managing our mental and emotional wellbeing. Do you need support as you balance the many roles you have in your life? Have you noticed your physical health being impacted by the stress? Maybe you've had huge milestones or life events happen and are having a hard time adjusting? Or maybe you've been hearing buzz phrases like 'self care' and are wondering what that looks like beyond home spa days?
Jennifer Helene Bozenski
Psychologist, PsyD
Verified Verified
2 Endorsed
Columbia, MD 21044 (Online Only)
Difficult feelings can be a doorway for personal growth. Living in modern society with it's many stressors, it is easy to lose connection with what gives us fulfillment. Relationships may fall apart, anxiety may plague us more hours than not, or we may just feel " stuck" and not living up to our full potential. Therapy can help. Although taking the first step to enter therapy can be anxiety provoking, the inner rewards of the experience can be well worth it.
Difficult feelings can be a doorway for personal growth. Living in modern society with it's many stressors, it is easy to lose connection with what gives us fulfillment. Relationships may fall apart, anxiety may plague us more hours than not, or we may just feel " stuck" and not living up to our full potential. Therapy can help. Although taking the first step to enter therapy can be anxiety provoking, the inner rewards of the experience can be well worth it.
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Marissa Josiah
Licensed Clinical Professional Counselor, NCC, LCPC, LPC, CCT, CCISM
Verified Verified
3 Endorsed
Columbia, MD 21045
Marissa Josiah is a Licensed Clinical Professional Counselor with over 15 years of experience serving couples and families. She has studied researched-backed models in the couples therapy field (EFT, Relational Therapy, Gottman, Imago, etc) and has advanced experience treating trauma. Marissa specializes in helping couples who are fighting all the time, have experienced infidelity, past or on-going trauma, and couples who have lost that “spark” for each other. Office locations in Columbia, MD and also offering virtual visits for MD, DC & VA. Please call for a free 10 minute consultation.
Marissa Josiah is a Licensed Clinical Professional Counselor with over 15 years of experience serving couples and families. She has studied researched-backed models in the couples therapy field (EFT, Relational Therapy, Gottman, Imago, etc) and has advanced experience treating trauma. Marissa specializes in helping couples who are fighting all the time, have experienced infidelity, past or on-going trauma, and couples who have lost that “spark” for each other. Office locations in Columbia, MD and also offering virtual visits for MD, DC & VA. Please call for a free 10 minute consultation.
Pamela Q Colbert
Clinical Social Work/Therapist, LCSW-C
Verified Verified
Columbia, MD 21044
There are many reasons why you may decide to begin therapy. The important thing is taking the first step toward an opportunity for you to discover ways of building new skills and gaining new knowledge to help you experience life in a more fulfilling way. My goal is to help you build skills to increase self awareness and self acceptance resulting in feeling empowered to reach your goals and improving your sense of well-being. I have worked with clients from children to adults in schools, clinics, and private settings. I believe in providing support in a peaceful and accepting atmosphere.
There are many reasons why you may decide to begin therapy. The important thing is taking the first step toward an opportunity for you to discover ways of building new skills and gaining new knowledge to help you experience life in a more fulfilling way. My goal is to help you build skills to increase self awareness and self acceptance resulting in feeling empowered to reach your goals and improving your sense of well-being. I have worked with clients from children to adults in schools, clinics, and private settings. I believe in providing support in a peaceful and accepting atmosphere.
Scott A Holzman
Psychologist, PhD
Verified Verified
1 Endorsed
Columbia, MD 21045
Selecting a therapist is an important decision. I believe that creating an environment where the client feels that the therapist has listened, shown empathy, and has genuine concern are some of the core conditions for a therapeutic relationship. Providing a client with helpful feedback in this safe, empathic environment promotes change and growth. A client that I work with may have a variety of concerns including having a relationship issue, going through a separation, having parenting concerns, experiencing depression, anxiety, or problems related to alcohol or drug misuse or abuse. Please visit my website www.scottholzmanphd.com.
Selecting a therapist is an important decision. I believe that creating an environment where the client feels that the therapist has listened, shown empathy, and has genuine concern are some of the core conditions for a therapeutic relationship. Providing a client with helpful feedback in this safe, empathic environment promotes change and growth. A client that I work with may have a variety of concerns including having a relationship issue, going through a separation, having parenting concerns, experiencing depression, anxiety, or problems related to alcohol or drug misuse or abuse. Please visit my website www.scottholzmanphd.com.
Beatrice Aina
Clinical Social Work/Therapist, LMSW
Verified Verified
Columbia, MD 21044 (Online Only)
“Mental health is not a destination, but a process. It’s about how you drive, not where you’re going” – Noam Shpancer, PHD. Sometimes in life we reach a point where we lose focus on the things critical to improving/maintaining our mental health and overall quality of life. I myself have once reached that point and it was then I realized the importance of having a strong network of support, including a therapist. I have come to learn that a tremendous amount of people feel alone, left out, or unheard; and so, I strive to create a safe space for people to be seen, heard, understood, and valued.
“Mental health is not a destination, but a process. It’s about how you drive, not where you’re going” – Noam Shpancer, PHD. Sometimes in life we reach a point where we lose focus on the things critical to improving/maintaining our mental health and overall quality of life. I myself have once reached that point and it was then I realized the importance of having a strong network of support, including a therapist. I have come to learn that a tremendous amount of people feel alone, left out, or unheard; and so, I strive to create a safe space for people to be seen, heard, understood, and valued.
Gabrielle “Ms. Gabby” Barrington
Counselor, MA, LCPC
Verified Verified
Columbia, MD 21044
Waitlist for new clients
Whether in session or at speaking engagements, I focus on solutions & growth. I'll help you, your child, or students overcome seemingly overnight changes in self-esteem, mood, behavior, or school. My therapeutic style is coach-like: this works best for people who are motivated to change. I love to see kids & teens learn new, positive behaviors that will set them up for future success. I get excited when I see women improve their self-esteem & ditch that job or boyfriend that doesn't respect them. I'm the right therapist for you if you want to overcome anxiety or depressive symptoms or if you're just tired of feeling stuck/helpless.
Whether in session or at speaking engagements, I focus on solutions & growth. I'll help you, your child, or students overcome seemingly overnight changes in self-esteem, mood, behavior, or school. My therapeutic style is coach-like: this works best for people who are motivated to change. I love to see kids & teens learn new, positive behaviors that will set them up for future success. I get excited when I see women improve their self-esteem & ditch that job or boyfriend that doesn't respect them. I'm the right therapist for you if you want to overcome anxiety or depressive symptoms or if you're just tired of feeling stuck/helpless.
Robin Ann Brown
Clinical Social Work/Therapist, LCSW-C
Verified Verified
1 Endorsed
Columbia, MD 21045
Waitlist for new clients
Robin Brown, LCSW-C, received her BS in psychology from Towson University and her Master's in Social Work from University of MD, Baltimore in 1995. Robin specializes in using a mindfulness framework to assist clients in finding their strength to flourish while dealing with anxiety, trauma, PTSD, domestic abuse or neurodevelopmental related issues. Drawing from various modalities ranging from cognitive behavioral, to guided imagery and art therapy, Robin works with children and adults to help them find their path to healing in a safe space.
Robin Brown, LCSW-C, received her BS in psychology from Towson University and her Master's in Social Work from University of MD, Baltimore in 1995. Robin specializes in using a mindfulness framework to assist clients in finding their strength to flourish while dealing with anxiety, trauma, PTSD, domestic abuse or neurodevelopmental related issues. Drawing from various modalities ranging from cognitive behavioral, to guided imagery and art therapy, Robin works with children and adults to help them find their path to healing in a safe space.
Don L Firmani
Clinical Social Work/Therapist, LCSW-C, LCSW
Verified Verified
Columbia, MD 21046 (Online Only)
I am a provider for ValueOptions Military OneSource working with veterans and their families, am trained in EMDR for treatment of anxiety, PTSD and related issues, and work with couples based on John Gottman's (Gottman Institute) and Susan Johnson's (Emotionally Focused Couples Therapy) treatment approaches. 35 years of experience as a private business owner/manager, 28 years of counseling experience, a loving marriage and parenting/grand-parenting experience informs my work with adults and couples. I work in private practice via virtual only and was formerly a clinical supervisor and therapist for Catholic Charities.
I am a provider for ValueOptions Military OneSource working with veterans and their families, am trained in EMDR for treatment of anxiety, PTSD and related issues, and work with couples based on John Gottman's (Gottman Institute) and Susan Johnson's (Emotionally Focused Couples Therapy) treatment approaches. 35 years of experience as a private business owner/manager, 28 years of counseling experience, a loving marriage and parenting/grand-parenting experience informs my work with adults and couples. I work in private practice via virtual only and was formerly a clinical supervisor and therapist for Catholic Charities.
Leah Frankel
Clinical Social Work/Therapist, MSW, LCSW-C, CLC
Verified Verified
Columbia, MD 21044
Do you have questions about discipline strategies, supporting your child's social and emotional development, feel concerned about your child's behavior or mood, or just want to be sure you're doing the best you can for your family? Do you ever feel triggered by parenting, overwhelmed, constantly worried or depressed? I work with parents, children, and families to help families thrive. Whether you're looking for mental health counseling for yourself, you and your partner, or your whole family, parenting support and education, or counseling for your child, we can work together to create a customized plan to reach your goals.
Do you have questions about discipline strategies, supporting your child's social and emotional development, feel concerned about your child's behavior or mood, or just want to be sure you're doing the best you can for your family? Do you ever feel triggered by parenting, overwhelmed, constantly worried or depressed? I work with parents, children, and families to help families thrive. Whether you're looking for mental health counseling for yourself, you and your partner, or your whole family, parenting support and education, or counseling for your child, we can work together to create a customized plan to reach your goals.
Ashleigh Roberts
Clinical Social Work/Therapist, LCSW-C
Verified Verified
1 Endorsed
Columbia, MD 21045 (Online Only)
You are so brave for stepping up to the plate to improve your life; to attain greater balance, achieve your goals, enhance your self-assurance, learn your strengths, and to feel empowered to live fully! I love working with adults who struggle with trying to manage it all. Between work, parenting, relationships, socializing with friends, and maintaining a meaningful spiritual life, many adults are just plain exhausted. You desire to feel greater peace with it all and to start enjoying life again. I see you and I hear you, and I cannot wait for us to work together so you can discover your needs and finally meet your goals.
You are so brave for stepping up to the plate to improve your life; to attain greater balance, achieve your goals, enhance your self-assurance, learn your strengths, and to feel empowered to live fully! I love working with adults who struggle with trying to manage it all. Between work, parenting, relationships, socializing with friends, and maintaining a meaningful spiritual life, many adults are just plain exhausted. You desire to feel greater peace with it all and to start enjoying life again. I see you and I hear you, and I cannot wait for us to work together so you can discover your needs and finally meet your goals.
See more therapy options for Columbia
How does your Therapist compare?
Number of Therapists in Columbia, MD
800+
Average cost per session
$150
Therapists in Columbia, MD who prioritize treating:
93% | Anxiety |
87% | Depression |
76% | Self Esteem |
74% | Relationship Issues |
70% | Coping Skills |
68% | Stress |
62% | Life Transitions |
Average years in practice
12 Years
Top 3 insurances accepted
77% | CareFirst |
76% | BlueCross and BlueShield |
72% | Cigna and Evernorth |
How Therapists in Columbia, MD see their clients
56% | In Person and Online | |
44% | Online Only |
Gender breakdown
81% | Female | |
18% | Male | |
1% | Non-Binary |
FAQs - About Therapy and Counseling
How can I find a therapist in Columbia?
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
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.
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.
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.