Therapists in Bethesda, MD

Photo of Basics Group Practice, LLC, Psychologist in Bethesda, MD
Basics Group Practice, LLC
Psychologist, PsyD
Verified
Bethesda, MD 20814
With principles founded in self-help and recovery, the dedicated staff of BASICS provide a comprehensive, integrated, and evidence-based system of community-centered services and programs. Our broad range of expertise include counseling and psychotherapy; diagnostic assessment services; community support programs; psycho-educational and rehabilitative programs; training and consultation; trauma recovery; and much more.
With principles founded in self-help and recovery, the dedicated staff of BASICS provide a comprehensive, integrated, and evidence-based system of community-centered services and programs. Our broad range of expertise include counseling and psychotherapy; diagnostic assessment services; community support programs; psycho-educational and rehabilitative programs; training and consultation; trauma recovery; and much more.
(301) 420-1972 View (301) 420-1972
Photo of Alanna Hay Thomas, Clinical Social Work/Therapist in Bethesda, MD
Alanna Hay Thomas
Clinical Social Work/Therapist, LCSW-C
Verified
Bethesda, MD 20814  (Online Only)
Hi! I am a licensed clinical social worker with 14 years of experience in the field. I support helping professionals with managing and improving their own mental health in order to be the best for their own clients. I have a passion for the importance of informed and personalized self care as a key strategy in navigating life's challenges.
Hi! I am a licensed clinical social worker with 14 years of experience in the field. I support helping professionals with managing and improving their own mental health in order to be the best for their own clients. I have a passion for the importance of informed and personalized self care as a key strategy in navigating life's challenges.
(240) 221-5410 View (240) 221-5410
Photo of Jeremy Brown, Counselor in Bethesda, MD
Jeremy Brown
Counselor, LCPC, MS
Verified
2 Endorsed
Bethesda, MD 20814  (Online Only)
A sense of well-being is something we all want, yet sometimes struggle to achieve. I am a licensed therapist in the state of Maryland and my goal is to help you rediscover the meaning, satisfaction, and overall feeling of wellness in your life. My practice is targeted at working with adults and adolescents struggling with issues related to anxiety, depression, grief, self-esteem, and relationship problems.
A sense of well-being is something we all want, yet sometimes struggle to achieve. I am a licensed therapist in the state of Maryland and my goal is to help you rediscover the meaning, satisfaction, and overall feeling of wellness in your life. My practice is targeted at working with adults and adolescents struggling with issues related to anxiety, depression, grief, self-esteem, and relationship problems.
(301) 579-4016 View (301) 579-4016
Photo of Dr. Ameena Ahmed, Psychologist in Bethesda, MD
Dr. Ameena Ahmed
Psychologist, PsyD
Verified
2 Endorsed
Bethesda, MD 20815  (Online Only)
Hi there! I’m Dr. Ameena, a licensed clinical psychologist, actively practicing in the DMV area. I am a generalist practitioner and treat individuals across the lifespan with a variety of presenting concerns (e.g., anxiety, depression, trauma, ADHD, autism spectrum disorder). Some of my specialties include working with individuals who have acute and chronic medical conditions (e.g., cancer, transplant recipient, chronic pain), as well as their caregivers. I have primarily worked in hospital settings, although have also worked in community mental health agencies and private practice.
Hi there! I’m Dr. Ameena, a licensed clinical psychologist, actively practicing in the DMV area. I am a generalist practitioner and treat individuals across the lifespan with a variety of presenting concerns (e.g., anxiety, depression, trauma, ADHD, autism spectrum disorder). Some of my specialties include working with individuals who have acute and chronic medical conditions (e.g., cancer, transplant recipient, chronic pain), as well as their caregivers. I have primarily worked in hospital settings, although have also worked in community mental health agencies and private practice.
(301) 433-7418 View (301) 433-7418
Photo of Dotty Sexton, Clinical Social Work/Therapist in Bethesda, MD
Dotty Sexton
Clinical Social Work/Therapist, LCSWC
Verified
3 Endorsed
Bethesda, MD 20816  (Online Only)
Have you ever felt stuck in a rut desired an accountability partner to help guide you back back out? Or what about misunderstood or unaccepted by the people you're closest to? Anxious about making decisions or initiating tasks? I could keep going, but you get the point. Life throws us curveballs throughout our unpredictable journeys and having professional support from a mental health therapist can certainly help. Hi, my name is Dotty and I help clients set achievable goals to be accomplished within a pre-determined time frame, then I act as their accountability partner throughout our weekly meetings to crush said goals.
Have you ever felt stuck in a rut desired an accountability partner to help guide you back back out? Or what about misunderstood or unaccepted by the people you're closest to? Anxious about making decisions or initiating tasks? I could keep going, but you get the point. Life throws us curveballs throughout our unpredictable journeys and having professional support from a mental health therapist can certainly help. Hi, my name is Dotty and I help clients set achievable goals to be accomplished within a pre-determined time frame, then I act as their accountability partner throughout our weekly meetings to crush said goals.
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Photo of Lily Gutmann, Psychologist in Bethesda, MD
Lily Gutmann
Psychologist, PhD, CYT
Verified
6 Endorsed
Bethesda, MD 20814
Not accepting new clients
Welcome. Looking for peace, calm, balance and tranquility? I use a collaborative, strength-based approach in my work with individuals, couples, and families. Clients come in to address difficulties such as depression, anxiety, and strained relationships. Parents often seek information and support regarding single parenting, parenting a child with ADHD, behavioral problems, learning difficulties, developmental delays, depression, and/or anxiety. Couples seek to improve their relationship or to cope with a difficult situation such as parenting in blended families and caring for elderly parents.
Welcome. Looking for peace, calm, balance and tranquility? I use a collaborative, strength-based approach in my work with individuals, couples, and families. Clients come in to address difficulties such as depression, anxiety, and strained relationships. Parents often seek information and support regarding single parenting, parenting a child with ADHD, behavioral problems, learning difficulties, developmental delays, depression, and/or anxiety. Couples seek to improve their relationship or to cope with a difficult situation such as parenting in blended families and caring for elderly parents.
(301) 685-0265 View (301) 685-0265
Photo of Nathaniel Eckland, Psychologist in Bethesda, MD
Nathaniel Eckland
Psychologist, PhD
Verified
Bethesda, MD 20814
Problems like depression and anxiety can hold us back from living the life we want. Therapy can be challenging but the rewards are often worth the investment. Through therapy we can learn to change habits (thinking and behavioral) that no longer serve us and learn to accept and face life’s difficulties rather than avoid them. My role is supporting you in envisioning and working towards a fulfilling life. I work to create a warm, collaborative, nonjudgmental environment where you can be comfortable expressing and challenging yourself.
Problems like depression and anxiety can hold us back from living the life we want. Therapy can be challenging but the rewards are often worth the investment. Through therapy we can learn to change habits (thinking and behavioral) that no longer serve us and learn to accept and face life’s difficulties rather than avoid them. My role is supporting you in envisioning and working towards a fulfilling life. I work to create a warm, collaborative, nonjudgmental environment where you can be comfortable expressing and challenging yourself.
(240) 366-2339 View (240) 366-2339
Photo of David B Sacks, Psychologist in Bethesda, MD
David B Sacks
Psychologist, PsyD, ABPP
Verified
Bethesda, MD 20815  (Online Only)
"Help! My stress is over the top!" Have you found yourself thinking this? Are you facing difficult circumstances? Is stress from events in the world, or concerns about oppression and privilege, affecting you and/or your relationships? Is it harder to meet your commitments to family, friends, and/or groups and causes you care about? I specialize in helping adults, adolescents and families draw upon their strengths, solve problems, and develop new understanding and new skills.
"Help! My stress is over the top!" Have you found yourself thinking this? Are you facing difficult circumstances? Is stress from events in the world, or concerns about oppression and privilege, affecting you and/or your relationships? Is it harder to meet your commitments to family, friends, and/or groups and causes you care about? I specialize in helping adults, adolescents and families draw upon their strengths, solve problems, and develop new understanding and new skills.
(301) 660-2117 View (301) 660-2117
Photo of Katy Gustafson, Counselor in Bethesda, MD
Katy Gustafson
Counselor, MS, LCPC
Verified
3 Endorsed
Bethesda, MD 20814
Perhaps you feel sad, incapable, overwhelmed or responsible for the hardships you've suffered either personally or between other people? Is your self-understanding based on how other people think or treat you? Whatever your struggle, the first step is finding support. I know asking for help can be hard and may seem to make things worse, like your fears are real. But let me pause and remind you that your life does not have to be dictated by others or negative feelings. Finding true freedom in relationships and with yourself is really possible! You just have to take that first step, in fact you're already doing it.
Perhaps you feel sad, incapable, overwhelmed or responsible for the hardships you've suffered either personally or between other people? Is your self-understanding based on how other people think or treat you? Whatever your struggle, the first step is finding support. I know asking for help can be hard and may seem to make things worse, like your fears are real. But let me pause and remind you that your life does not have to be dictated by others or negative feelings. Finding true freedom in relationships and with yourself is really possible! You just have to take that first step, in fact you're already doing it.
(202) 915-5567 View (202) 915-5567
Photo of Maureen McElroy, Marriage & Family Therapist in Bethesda, MD
Maureen McElroy
Marriage & Family Therapist, MA, MS, LCMFT
Verified
Bethesda, MD 20814
Life may be harder than you expected. You may feel stressed, depressed, or anxious. You may be struggling with a decision. Relationships with your family are complex. You may want to improve communication with your partner. Parenting is tough. You may have suffered a loss, & you don't know why it still affects you. You may have put a dream on hold while you attended to family matters, & now you wonder if you are still capable of fulfilling that dream. You may feel you have been given gifts, but you aren't using them to their full potential.
Life may be harder than you expected. You may feel stressed, depressed, or anxious. You may be struggling with a decision. Relationships with your family are complex. You may want to improve communication with your partner. Parenting is tough. You may have suffered a loss, & you don't know why it still affects you. You may have put a dream on hold while you attended to family matters, & now you wonder if you are still capable of fulfilling that dream. You may feel you have been given gifts, but you aren't using them to their full potential.
(301) 683-5751 View (301) 683-5751
Photo of Jeanne Marks, Clinical Social Work/Therapist in Bethesda, MD
Jeanne Marks
Clinical Social Work/Therapist, LICSW
Verified
Bethesda, MD 20817
In over 20 years of practice I have specialized in anxiety disorders and depression - working with individuals, couples and families. Life is forever changing, which can be both exciting and stressful. Transitioning into or out of marriage, loss of a loved one, job change or even retirement are all possible triggers for anxiety and or depression. Specific phobias can prevent you from making important life decisions, as you may try to avoid situations that pose too great a fear. While depression or anxiety can prevent you from connecting with others, therapy can be a safe place to do so with guidance, support and acceptance.
In over 20 years of practice I have specialized in anxiety disorders and depression - working with individuals, couples and families. Life is forever changing, which can be both exciting and stressful. Transitioning into or out of marriage, loss of a loved one, job change or even retirement are all possible triggers for anxiety and or depression. Specific phobias can prevent you from making important life decisions, as you may try to avoid situations that pose too great a fear. While depression or anxiety can prevent you from connecting with others, therapy can be a safe place to do so with guidance, support and acceptance.
(301) 760-2295 View (301) 760-2295
Photo of Jennifer Reynolds, Clinical Social Work/Therapist in Bethesda, MD
Jennifer Reynolds
Clinical Social Work/Therapist, MSW, LCSW-C
Verified
Bethesda, MD 20814  (Online Only)
Not accepting new clients
Therapy is a powerful tool that helps us heal from adult and childhood trauma and difficulties we are currently facing. Therapy helps us to develop new coping skills and helps us navigate life circumstances. We are often unaware that much of our early life experiences affect our self-esteem, the relationships we choose, how we interact with others, and our overall approach to life. My experience is in partnering with teens and adults to grow through and heal from a broad range of challenges and stressors, which can result in anxiety, depression, feeling isolated, anger, fear, worry, hopelessness, and other distress.
Therapy is a powerful tool that helps us heal from adult and childhood trauma and difficulties we are currently facing. Therapy helps us to develop new coping skills and helps us navigate life circumstances. We are often unaware that much of our early life experiences affect our self-esteem, the relationships we choose, how we interact with others, and our overall approach to life. My experience is in partnering with teens and adults to grow through and heal from a broad range of challenges and stressors, which can result in anxiety, depression, feeling isolated, anger, fear, worry, hopelessness, and other distress.
(301) 719-5734 View (301) 719-5734
Photo of Leonard Ellentuck, Clinical Social Work/Therapist in Bethesda, MD
Leonard Ellentuck
Clinical Social Work/Therapist, APHSW-C, MSW, LICSW, LCSW-C, OSW-C
Verified
Bethesda, MD 20817  (Online Only)
It has long been my view that the first step in healing and working through your issues is feeling understood. Although, there are a number of techniques that we can employ together for growth and change, my first goal is to understand you, your issues, and where you're coming from. Once understanding has progressed, we can adopt a plan that takes you as a whole person into consideration. I believe that different approaches work for different people and don't believe "in a one size fits all" or a "cookie-cutter" approach to therapy. If this works for you, I look forward to hearing from you.
It has long been my view that the first step in healing and working through your issues is feeling understood. Although, there are a number of techniques that we can employ together for growth and change, my first goal is to understand you, your issues, and where you're coming from. Once understanding has progressed, we can adopt a plan that takes you as a whole person into consideration. I believe that different approaches work for different people and don't believe "in a one size fits all" or a "cookie-cutter" approach to therapy. If this works for you, I look forward to hearing from you.
(301) 769-7416 View (301) 769-7416
Photo of Deborah J Gordis, Clinical Social Work/Therapist in Bethesda, MD
Deborah J Gordis
Clinical Social Work/Therapist, MPH, MSW, LCSW-C, LICSW
Verified
Bethesda, MD 20815
Not accepting new clients
NOT ACCEPTING NEW CLIENTS AT THIS TIME All of us at times find ourselves overwhelmed by problems that we struggle to cope with on our own, whether around difficult relationships, life transitions, family stress, disruptive traumatic memories, or a sense of isolation or despair. My goal is to help my clients better recognize and understand their feelings, thoughts and behaviors and to mobilize their own innate strengths to reduce suffering, create positive change, and feel stronger and more connected.
NOT ACCEPTING NEW CLIENTS AT THIS TIME All of us at times find ourselves overwhelmed by problems that we struggle to cope with on our own, whether around difficult relationships, life transitions, family stress, disruptive traumatic memories, or a sense of isolation or despair. My goal is to help my clients better recognize and understand their feelings, thoughts and behaviors and to mobilize their own innate strengths to reduce suffering, create positive change, and feel stronger and more connected.
(301) 273-7597 View (301) 273-7597
Christopher D'arpa
Clinical Social Work/Therapist, LMSW, LGSW
Verified
1 Endorsed
Bethesda, MD 20814
Chris D’Arpa joined the Healthy Foundation Group team in July 2023 after receiving a Master of Social Work from the University of Maryland. He specializes in clinical behavioral health and is a Substance Use Disorder Intervention Fellow (SUDIF). His undergraduate education background is in public policy and social justice.
Chris D’Arpa joined the Healthy Foundation Group team in July 2023 after receiving a Master of Social Work from the University of Maryland. He specializes in clinical behavioral health and is a Substance Use Disorder Intervention Fellow (SUDIF). His undergraduate education background is in public policy and social justice.
Photo of Jenn Lodico Ward, Clinical Social Work/Therapist in Bethesda, MD
Jenn Lodico Ward
Clinical Social Work/Therapist, LMSW, LCSW-C
Verified
3 Endorsed
Bethesda, MD 20814
I help individuals become in touch with their inner strength through self-exploration and engagement in positive behaviors. I support clients ready to address trauma and stress by promoting a safe, compassionate, and respectful space. I work with symptoms of anxiety, depression, and adjustment. I believe it is productive to teach the principles of positive communication and healthy boundaries. This promotes meaningful connection with the self and peers. I specialize in treating varying trauma histories, destructive behaviors and suicidal ideation.
I help individuals become in touch with their inner strength through self-exploration and engagement in positive behaviors. I support clients ready to address trauma and stress by promoting a safe, compassionate, and respectful space. I work with symptoms of anxiety, depression, and adjustment. I believe it is productive to teach the principles of positive communication and healthy boundaries. This promotes meaningful connection with the self and peers. I specialize in treating varying trauma histories, destructive behaviors and suicidal ideation.
(240) 219-4959 View (240) 219-4959
Photo of Kathleen M McNulty, Clinical Social Work/Therapist in Bethesda, MD
Kathleen M McNulty
Clinical Social Work/Therapist, LCSW-C, LICSW
Verified
Bethesda, MD 20814
Do you worry that you are not a good enough parent, partner or friend? Do you have trouble getting to sleep when you are overloaded with thoughts about mistakes you've made? Do you wake up most mornings feeling depressed or anxious? Are your moods swinging- you have a short fuse- or are you shutting down? If yes, you could be suffering from depression & anxiety. The cause could be chemical-due to a family history or it could be situational-due to a loss or traumatic event. Traumatic events include becoming a caregiver to a family member with mental illness.
Do you worry that you are not a good enough parent, partner or friend? Do you have trouble getting to sleep when you are overloaded with thoughts about mistakes you've made? Do you wake up most mornings feeling depressed or anxious? Are your moods swinging- you have a short fuse- or are you shutting down? If yes, you could be suffering from depression & anxiety. The cause could be chemical-due to a family history or it could be situational-due to a loss or traumatic event. Traumatic events include becoming a caregiver to a family member with mental illness.
(301) 825-8805 View (301) 825-8805
Photo of Amanda Mendizabal, Clinical Social Work/Therapist in Bethesda, MD
Amanda Mendizabal
Clinical Social Work/Therapist, MSS, LCSW-C, LICSW
Verified
1 Endorsed
Bethesda, MD 20814
Welcome to my practice. Regardless of what your struggle is at this time, I believe that through our relationship we can work together to help you look at your current patterns and potential changes you can make that can help you lead a fuller life. I realize that this can be difficult and I am grateful that I am able to help you in your journey.
Welcome to my practice. Regardless of what your struggle is at this time, I believe that through our relationship we can work together to help you look at your current patterns and potential changes you can make that can help you lead a fuller life. I realize that this can be difficult and I am grateful that I am able to help you in your journey.
(202) 957-4465 View (202) 957-4465
Photo of The Counseling Center Group, Washington DC, Licensed Professional Counselor in Bethesda, MD
The Counseling Center Group, Washington DC
Licensed Professional Counselor, LCPC, LPC
Verified
1 Endorsed
Bethesda, MD 20814
The mission of the Counseling Center Group is to offer expert counseling therapy services delivered by experienced therapists with diverse specialties. Our approach is rooted in the belief that equipping clients with effective tools can enhance their daily lives. As a result, we strive to empower our clients to live their lives independently, without relying on prolonged therapy.
The mission of the Counseling Center Group is to offer expert counseling therapy services delivered by experienced therapists with diverse specialties. Our approach is rooted in the belief that equipping clients with effective tools can enhance their daily lives. As a result, we strive to empower our clients to live their lives independently, without relying on prolonged therapy.
(301) 900-3642 View (301) 900-3642
Photo of Pat Webbink, Psychologist in Bethesda, MD
Pat Webbink
Psychologist, PhD, MA
Verified
1 Endorsed
Bethesda, MD 20816
With 50 years of clinical experience, a Duke U. Ph.D. in Clinical Psychology, I am an empathic, results-oriented psychologist. My specialties: relationships, anxiety, depression, stress reduction, intimacy, trauma & abuse. I work with adults, adolescents, & children in individual, couple, family & group therapy. I counsel in Spanish, French & Japanese. I've authored 4 books on intimacy & relationships & hold FREE monthly Zoom workshops on Mindfulness, Creative Movement & Relationships using guided imagery & music. My licensed associates and I serve MD, D.C. & VA. My interactive audio flyer is available at AacCounseling.com. Call me.
With 50 years of clinical experience, a Duke U. Ph.D. in Clinical Psychology, I am an empathic, results-oriented psychologist. My specialties: relationships, anxiety, depression, stress reduction, intimacy, trauma & abuse. I work with adults, adolescents, & children in individual, couple, family & group therapy. I counsel in Spanish, French & Japanese. I've authored 4 books on intimacy & relationships & hold FREE monthly Zoom workshops on Mindfulness, Creative Movement & Relationships using guided imagery & music. My licensed associates and I serve MD, D.C. & VA. My interactive audio flyer is available at AacCounseling.com. Call me.
(240) 435-4843 View (240) 435-4843

See more therapy options for Bethesda

How does your Therapist compare?

Number of Therapists in Bethesda, MD

1,000+

Average cost per session

$175

Therapists in Bethesda, MD who prioritize treating:

93% Anxiety
90% Depression
79% Relationship Issues
75% Self Esteem
67% Coping Skills
63% Trauma and PTSD
62% Grief

Average years in practice

14 Years

Top 3 insurances accepted

65% BlueCross and BlueShield
62% CareFirst
54% Cigna and Evernorth

How Therapists in Bethesda, MD see their clients

62% In Person and Online
38% 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.