Therapists in Bethesda, MD

Photo of Tonia Bravo Llanten, Licensed Clinical Professional Counselor in Bethesda, MD
Tonia Bravo Llanten
Licensed Clinical Professional Counselor, LCPC, CIMHP, VST
Verified Verified
2 Endorsed
Bethesda, MD 20814
Is your emotional state impacting your functioning or relationships? Are you stressed out or having difficulty handling your emotions? Are you struggling to achieve your goals? Do you want to increase self-awareness or improve your relationship(s)? Are you dealing w/ major life events? We all need help sometimes dealing with life's struggles & challenges. Congratulations on reaching out for help & support! Therapy has been proven to be helpful for many people. "A mind stretched by new experiences can never go back to it's old dimensions". If you want to see changes in your life, you have to take risks & try new things.
Is your emotional state impacting your functioning or relationships? Are you stressed out or having difficulty handling your emotions? Are you struggling to achieve your goals? Do you want to increase self-awareness or improve your relationship(s)? Are you dealing w/ major life events? We all need help sometimes dealing with life's struggles & challenges. Congratulations on reaching out for help & support! Therapy has been proven to be helpful for many people. "A mind stretched by new experiences can never go back to it's old dimensions". If you want to see changes in your life, you have to take risks & try new things.
(301) 781-7831 View (301) 781-7831
Photo of Jill Ginsburg At Postpartum Wellness, Clinical Social Work/Therapist in Bethesda, MD
Jill Ginsburg At Postpartum Wellness
Clinical Social Work/Therapist, LCSW-C, LCSW
Verified Verified
1 Endorsed
Bethesda, MD 20814  (Online Only)
My name is Jill and I have been a licensed clinical social worker for over 25 years. I offer insight-oriented supportive therapy in a safe and nurturing environment. I am interested in empowering women through life’s transitions, whether it is dealing with infertility, adjusting to motherhood, balancing work and home life, raising a child with special needs, recovering from infidelity, adjusting to divorce, dealing with menopause or supporting an aging parent. I understand the difficulty of taking care of yourself while raising a family. The quickest way to schedule your appointment is to send me an email.
My name is Jill and I have been a licensed clinical social worker for over 25 years. I offer insight-oriented supportive therapy in a safe and nurturing environment. I am interested in empowering women through life’s transitions, whether it is dealing with infertility, adjusting to motherhood, balancing work and home life, raising a child with special needs, recovering from infidelity, adjusting to divorce, dealing with menopause or supporting an aging parent. I understand the difficulty of taking care of yourself while raising a family. The quickest way to schedule your appointment is to send me an email.
(240) 887-1724 View (240) 887-1724
Photo of Dr. Daniel J. Meckel, Clinical Social Work/Therapist in Bethesda, MD
Dr. Daniel J. Meckel
Clinical Social Work/Therapist, PhD, LCSW-C
Verified Verified
Bethesda, MD 20814
As you search for the right therapist, I recommend looking for certain essential qualities: Close and empathic listening - do you feel heard? Seasoned knowledge and technique - do you feel understood and responded to helpfully? A good "fit" - do you feel comfortable with this person? It is impossible to discern these qualities from a profile alone. You may need to allow yourself a couple of sessions with more than one therapist before deciding. It takes time to know, but there's a lot at stake and much to gain.
As you search for the right therapist, I recommend looking for certain essential qualities: Close and empathic listening - do you feel heard? Seasoned knowledge and technique - do you feel understood and responded to helpfully? A good "fit" - do you feel comfortable with this person? It is impossible to discern these qualities from a profile alone. You may need to allow yourself a couple of sessions with more than one therapist before deciding. It takes time to know, but there's a lot at stake and much to gain.
(240) 697-2469 View (240) 697-2469
Photo of Fernanda Bianchi, Psychologist in Bethesda, MD
Fernanda Bianchi
Psychologist, PhD
Verified Verified
Bethesda, MD 20815
Waitlist for new clients
I am a Ph.D. level Licensed Psychologist who has been in the field of psychology for over 20 years. I provide individual/couple therapy to adults with various concerns, including anxiety, depression, relationship issues, trauma, loss, work related stress, and cross-cultural adjustment. I provide psychotherapy in English, Portuguese, and Spanish and have a special interest in working with individuals from diverse backgrounds. Prior to my current professional activities, I spent several years at the Department of Psychology of the George Washington University working with young adults and doing research with NIH.
I am a Ph.D. level Licensed Psychologist who has been in the field of psychology for over 20 years. I provide individual/couple therapy to adults with various concerns, including anxiety, depression, relationship issues, trauma, loss, work related stress, and cross-cultural adjustment. I provide psychotherapy in English, Portuguese, and Spanish and have a special interest in working with individuals from diverse backgrounds. Prior to my current professional activities, I spent several years at the Department of Psychology of the George Washington University working with young adults and doing research with NIH.
(240) 513-2275 View (240) 513-2275
Photo of Jessica Gottlieb, Counselor in Bethesda, MD
Jessica Gottlieb
Counselor, LCPC
Verified Verified
1 Endorsed
Bethesda, MD 20814
Navigating transition or change can be HARD; I partner with you to help make it easier. Together we will uncover and explore patterns of thinking, feeling, and acting to help you feel better and live the life you want for yourself. In our work, I hope you feel heard, understood, and cared for. I acknowledge societal inequities in our work together, such as racism, sexism, and ageism. I hope to do all this while maintaining a sense of humor and not taking myself too seriously. I work with adults and older adolescents throughout the state of Maryland online, and I also provide "Walk & Talk" Therapy outside in Bethesda, MD.
Navigating transition or change can be HARD; I partner with you to help make it easier. Together we will uncover and explore patterns of thinking, feeling, and acting to help you feel better and live the life you want for yourself. In our work, I hope you feel heard, understood, and cared for. I acknowledge societal inequities in our work together, such as racism, sexism, and ageism. I hope to do all this while maintaining a sense of humor and not taking myself too seriously. I work with adults and older adolescents throughout the state of Maryland online, and I also provide "Walk & Talk" Therapy outside in Bethesda, MD.
(240) 575-6645 View (240) 575-6645
Photo of Deborah L Horan, Clinical Social Work/Therapist in Bethesda, MD
Deborah L Horan
Clinical Social Work/Therapist, MSW, LCSW-C, LICSW
Verified Verified
Bethesda, MD 20814
Therapy is collaborative. I work closely with you to understand and explore the relationship between thoughts, feelings, and your behaviors because small changes in one area can lead to significant changes in other areas. Together we will identify and challenge unproductive thoughts and behaviors to bring about improved mood and a greater sense of well-being. I draw from a variety of therapeutic approaches to meet your individual needs and help you achieve your goals. I provide support and practical help so you can address current life challenges and long-standing issues.
Therapy is collaborative. I work closely with you to understand and explore the relationship between thoughts, feelings, and your behaviors because small changes in one area can lead to significant changes in other areas. Together we will identify and challenge unproductive thoughts and behaviors to bring about improved mood and a greater sense of well-being. I draw from a variety of therapeutic approaches to meet your individual needs and help you achieve your goals. I provide support and practical help so you can address current life challenges and long-standing issues.
(240) 813-3517 View (240) 813-3517
Photo of Phillip A Reynolds, Clinical Social Work/Therapist in Bethesda, MD
Phillip A Reynolds
Clinical Social Work/Therapist, LCSW, LICSW
Verified Verified
Bethesda, MD 20814
Recently voted "Reader's Pick, Best Family Therapist" 2014 in Bethesda Magazine, I believe the therapeutic relationship (between client and psychotherapist) is the most important element in the interpersonal and relational interventions of therapy. My goal is to meet you where you are, and to help you get to where you want to be: as an individual, a couple, and/or as a family.
Recently voted "Reader's Pick, Best Family Therapist" 2014 in Bethesda Magazine, I believe the therapeutic relationship (between client and psychotherapist) is the most important element in the interpersonal and relational interventions of therapy. My goal is to meet you where you are, and to help you get to where you want to be: as an individual, a couple, and/or as a family.
(202) 559-1003 View (202) 559-1003
Photo of Letia Bennett, Clinical Social Work/Therapist in Bethesda, MD
Letia Bennett
Clinical Social Work/Therapist, LCSW
Verified Verified
Bethesda, MD 20814  (Online Only)
Every approach used in therapy should be tailored to the needs of each individual client, as we are all unique. My goal is to support my clients with moving from where they are- in whatever areas of their lives that they identify- to where they want to be.
Every approach used in therapy should be tailored to the needs of each individual client, as we are all unique. My goal is to support my clients with moving from where they are- in whatever areas of their lives that they identify- to where they want to be.
(240) 219-7515 View (240) 219-7515
Behrens and Associates
Clinical Social Work/Therapist, MSW, LCSW-C
Verified Verified
Bethesda, MD 20817
My practice serves a wide range of patients. We are suited to help with depression, anxiety, relationship issues, behavioral issues,
My practice serves a wide range of patients. We are suited to help with depression, anxiety, relationship issues, behavioral issues,
(240) 395-2898 View (240) 395-2898
Photo of Robin J Belamaric, Psychologist in Bethesda, MD
Robin J Belamaric
Psychologist, PhD
Verified Verified
Bethesda, MD 20814
Not accepting new clients
It takes courage to face emotional and relationship problems. With over 20 years professional experience treating clients and consulting to businesses, I specialize in helping people find and utilize their strengths and sideline their difficulties. With children and adults, I specialize in treating complex anxiety, attachment, and learning issues and developing talent and leadership. Once clients are freed from the crippling impact of excessive anxiety, emotional dysregulation, or self defeating behavior patterns, drawing upon Positive Psychology and Mindfulness techniques helps us identify and capitalize on personal strengths. Clients are able to heal - thrive - grow - bloom into excellence.
It takes courage to face emotional and relationship problems. With over 20 years professional experience treating clients and consulting to businesses, I specialize in helping people find and utilize their strengths and sideline their difficulties. With children and adults, I specialize in treating complex anxiety, attachment, and learning issues and developing talent and leadership. Once clients are freed from the crippling impact of excessive anxiety, emotional dysregulation, or self defeating behavior patterns, drawing upon Positive Psychology and Mindfulness techniques helps us identify and capitalize on personal strengths. Clients are able to heal - thrive - grow - bloom into excellence.
(301) 852-5591 View (301) 852-5591
Photo of Todd Handelman, Clinical Social Work/Therapist in Bethesda, MD
Todd Handelman
Clinical Social Work/Therapist, MSW, LCSW-C
Verified Verified
Bethesda, MD 20817
Since 1992 I have helped clients age 13-73 respond to challenges facing them throughout their life cycles. Throughout my career I have facilitated my clients in developing skills and learning to ways to cope with the demands of school, socialization challenges, relationship dynamics, depression, anxiety, ADHD, sexuality, professional/career development and sports performance enhancement.
Since 1992 I have helped clients age 13-73 respond to challenges facing them throughout their life cycles. Throughout my career I have facilitated my clients in developing skills and learning to ways to cope with the demands of school, socialization challenges, relationship dynamics, depression, anxiety, ADHD, sexuality, professional/career development and sports performance enhancement.
(301) 859-7251 View (301) 859-7251
Photo of Mariel Farhi, Marriage & Family Therapist Associate in Bethesda, MD
Mariel Farhi
Marriage & Family Therapist Associate
Verified Verified
Bethesda, MD 20817
Life is a journey and therapy works best a meeting fellow travelers on the road. We can walk together for a while and through our conversations create a warm, genuine, and engaged space where you can be curious, explore, and uncover insights that are already within you. I specialize in working with adult individuals, teens, and couples facing internal and external challenges that throw up roadblocks to living a whole, authentic life. I have a particular affinity for working with artists, activists, other healing professionals, and intercultural and premarital couples.
Life is a journey and therapy works best a meeting fellow travelers on the road. We can walk together for a while and through our conversations create a warm, genuine, and engaged space where you can be curious, explore, and uncover insights that are already within you. I specialize in working with adult individuals, teens, and couples facing internal and external challenges that throw up roadblocks to living a whole, authentic life. I have a particular affinity for working with artists, activists, other healing professionals, and intercultural and premarital couples.
(301) 825-9609 x44 View (301) 825-9609 x44
Photo of Jill McCulloch, Psychologist in Bethesda, MD
Jill McCulloch
Psychologist, PhD
Verified Verified
Bethesda, MD 20814
Not accepting new clients
I am a licensed psychologist in a private practice setting, where I work with children, teens, adults and families dealing with stress, anxiety, depression, emotion regulation challenges, life transitions, school-related issues, and interpersonal difficulties. I strive to develop a trusting and supportive connection with my clients and their families. My therapeutic approach is individualized and collaborative, utilizing cognitive behavioral therapy (CBT) primarily, as well as mindfulness-oriented techniques and insight-oriented therapies.
I am a licensed psychologist in a private practice setting, where I work with children, teens, adults and families dealing with stress, anxiety, depression, emotion regulation challenges, life transitions, school-related issues, and interpersonal difficulties. I strive to develop a trusting and supportive connection with my clients and their families. My therapeutic approach is individualized and collaborative, utilizing cognitive behavioral therapy (CBT) primarily, as well as mindfulness-oriented techniques and insight-oriented therapies.
(240) 702-2190 View (240) 702-2190
Photo of Petra A. Elder, Psychologist in Bethesda, MD
Petra A. Elder
Psychologist, PsyD, MBA
Verified Verified
2 Endorsed
Bethesda, MD 20814
I am a Licensed Psychologist and Certified Health Coach with a broad range of experience in private practice, schools and universities, a private psychiatric hospital, and community mental health clinics. I believe that a strong, collaborative relationship between the client and therapist is instrumental in making change and growth possible. In a warm and caring environment, I help clients move forward with hope despite sometimes difficult circumstances; improve relationship and communication skills; and mobilize their strengths toward achieving life goals. I am insurance eligible, and many clients receive out-of-network coverage for their sessions.
I am a Licensed Psychologist and Certified Health Coach with a broad range of experience in private practice, schools and universities, a private psychiatric hospital, and community mental health clinics. I believe that a strong, collaborative relationship between the client and therapist is instrumental in making change and growth possible. In a warm and caring environment, I help clients move forward with hope despite sometimes difficult circumstances; improve relationship and communication skills; and mobilize their strengths toward achieving life goals. I am insurance eligible, and many clients receive out-of-network coverage for their sessions.
(240) 813-4309 View (240) 813-4309
Photo of Nicole Sandell, Counselor in Bethesda, MD
Nicole Sandell
Counselor, MS, LCPC, NCC
Verified Verified
Bethesda, MD 20817  (Online Only)
Waitlist for new clients
I am a Licensed Clinical Professional Counselor in Maryland. Prior to starting my private practice, I spent 5 years counseling students at the University of Maryland Health Center. Since starting my own practice I have focused on helping people struggling with anxiety, relationship issues, adjusting to parenthood, postpartum anxiety, postpartum depression, grief, ADHD, executive function, and other life transitions. I have recently completed PSI and 2020 Mom Professional Maternal Mental Health Certificate Training.
I am a Licensed Clinical Professional Counselor in Maryland. Prior to starting my private practice, I spent 5 years counseling students at the University of Maryland Health Center. Since starting my own practice I have focused on helping people struggling with anxiety, relationship issues, adjusting to parenthood, postpartum anxiety, postpartum depression, grief, ADHD, executive function, and other life transitions. I have recently completed PSI and 2020 Mom Professional Maternal Mental Health Certificate Training.
View
Photo of Kimberly Turner, Counselor in Bethesda, MD
Kimberly Turner
Counselor, LCPC
Verified Verified
Bethesda, MD 20814  (Online Only)
Since graduating with my Master's in 2018, I have served adolescents and adults from multiple cultural backgrounds who have experienced homelessness, anxiety, depression, and trauma. I have a Bachelor's of Arts degree in Psychology from North Carolina Central University, a Master's degree in Clinical Mental Health Counseling from The Chicago School of Professional Psychology in Washington, D.C. and I am a Licensed Clinical Professional Counselor in Maryland.
Since graduating with my Master's in 2018, I have served adolescents and adults from multiple cultural backgrounds who have experienced homelessness, anxiety, depression, and trauma. I have a Bachelor's of Arts degree in Psychology from North Carolina Central University, a Master's degree in Clinical Mental Health Counseling from The Chicago School of Professional Psychology in Washington, D.C. and I am a Licensed Clinical Professional Counselor in Maryland.
(240) 847-0465 View (240) 847-0465
Grant Chustz
Clinical Social Work/Therapist, LMSW
Verified Verified
2 Endorsed
Bethesda, MD 20814
Grant received his master’s degree in clinical social work from the University of Chicago, Crown School. While in graduate school, Grant was part of the Trauma Program of Study, which provided him with a strong foundation in trauma informed care, as well as Cognitive and Dialectical Behavioral Therapy. Grant studied Economics in his undergraduate course work at the University of Miami. Grant gained valuable field experience as a primary clinician on the inpatient psychiatry unit at Lurie Children’s Hospital of Chicago.
Grant received his master’s degree in clinical social work from the University of Chicago, Crown School. While in graduate school, Grant was part of the Trauma Program of Study, which provided him with a strong foundation in trauma informed care, as well as Cognitive and Dialectical Behavioral Therapy. Grant studied Economics in his undergraduate course work at the University of Miami. Grant gained valuable field experience as a primary clinician on the inpatient psychiatry unit at Lurie Children’s Hospital of Chicago.
Photo of Emily C. Greenberg, Licensed Clinical Professional Counselor in Bethesda, MD
Emily C. Greenberg
Licensed Clinical Professional Counselor, LCPC
Verified Verified
Bethesda, MD 20814
My passion lies in supporting young adults through the rollercoaster that is adolescence and the transition to adulthood. With over 10 years working as a counselor in the school setting, I am attuned to the stressors and pressures of today's preteens and adolescents, and the stressors and pressures of the parents that parent them. As the body, mind, and expectations grow during this period of life, it is essential that the adolescent feels that they are heard and has a safe and supportive place to unload all that they carry day in and day out.
My passion lies in supporting young adults through the rollercoaster that is adolescence and the transition to adulthood. With over 10 years working as a counselor in the school setting, I am attuned to the stressors and pressures of today's preteens and adolescents, and the stressors and pressures of the parents that parent them. As the body, mind, and expectations grow during this period of life, it is essential that the adolescent feels that they are heard and has a safe and supportive place to unload all that they carry day in and day out.
(301) 579-7843 View (301) 579-7843
Photo of Sina Jones, Clinical Social Work/Therapist in Bethesda, MD
Sina Jones
Clinical Social Work/Therapist, LMSW, LGSW
Verified Verified
1 Endorsed
Bethesda, MD 20814
Sina Jones is a Licensed Master of Social Work in Maryland and Virginia, and a Licensed Graduate of Social Work in Washington, D.C. She is a member of the multidisciplinary Ascend Intensive Outpatient Program treatment team and a Trauma Fellow at George Mason University. She is currently accepting new clients at Metropolitan Counseling Associates for individual, family and group therapy in Bethesda, Maryland. She provides in person and Telehealth options for treatment.
Sina Jones is a Licensed Master of Social Work in Maryland and Virginia, and a Licensed Graduate of Social Work in Washington, D.C. She is a member of the multidisciplinary Ascend Intensive Outpatient Program treatment team and a Trauma Fellow at George Mason University. She is currently accepting new clients at Metropolitan Counseling Associates for individual, family and group therapy in Bethesda, Maryland. She provides in person and Telehealth options for treatment.
(240) 905-5351 x717 View (240) 905-5351 x717
Photo of Brad Friedman, Clinical Social Work/Therapist in Bethesda, MD
Brad Friedman
Clinical Social Work/Therapist, LICSW, LMSW
Verified Verified
Bethesda, MD 20814
My approach to psychotherapy is to help you achieve emotional stability and personal growth. I understand that anxiety and depression can greatly impact your quality of life, and make it hard to engage in a fulfilling and meaningful daily experience. With the mental health services that I have to offer, you can learn to cope better with past, current, and even future problems, so that you may achieve a happy and healthy lifestyle. It is my deeply-held belief that utilizing a collaborative, adaptable, and individualized treatment approach is essential in identifying the underlying causes of challenges facing my clients.
My approach to psychotherapy is to help you achieve emotional stability and personal growth. I understand that anxiety and depression can greatly impact your quality of life, and make it hard to engage in a fulfilling and meaningful daily experience. With the mental health services that I have to offer, you can learn to cope better with past, current, and even future problems, so that you may achieve a happy and healthy lifestyle. It is my deeply-held belief that utilizing a collaborative, adaptable, and individualized treatment approach is essential in identifying the underlying causes of challenges facing my clients.
(240) 851-4187 View (240) 851-4187

How does your Therapist compare?

Number of Therapists in Bethesda, MD

1,000+

Average cost per session

$180

Therapists in Bethesda, MD who prioritize treating:

94% Anxiety
90% Depression
78% Relationship Issues
74% Self Esteem
66% Coping Skills
64% Trauma and PTSD
61% Grief

Average years in practice

13 Years

Top 3 insurances accepted

63% BlueCross and BlueShield
63% CareFirst
57% Cigna and Evernorth

How Therapists in Bethesda, MD see their clients

60% In Person and Online
40% Online Only

Gender breakdown

82% Female
17% Male
1% Non-Binary
FAQs - About Therapy and Counseling

How can I find a therapist in Bethesda?

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

Learn more about how to find a therapist

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

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

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

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

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

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

What type of therapy is right for me?

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

How much does therapy cost?

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

What are more affordable or low cost therapy solutions?

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

Is online therapy cheaper than in-person therapy?

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

Is online therapy a good option?

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

Are therapy sessions confidential?

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