Therapists in Columbia, MD

Photo of Alicia M Dorn, MS, LCPC, Counselor
Alicia M Dorn
Counselor, MS, LCPC
Verified Verified
6 Endorsed
Online Only
Whether you've been newly diagnosed or have been living with an illness for a while, you’ve been trying to push through to live the best you can. Every day is a battle because your body feels sick from aches, pains or other symptoms. You brace yourself for the worst to happen, because that’s unfortunately been your “new norm.” You miss being your old self - the one that could “do more things." Now, you feel like a failure in many areas of your life. The smile you wear covers what you really feel – alone, worried, helpless and angry. All of this has taken a toll on you emotionally and you want to feel more in control of your worries.
Whether you've been newly diagnosed or have been living with an illness for a while, you’ve been trying to push through to live the best you can. Every day is a battle because your body feels sick from aches, pains or other symptoms. You brace yourself for the worst to happen, because that’s unfortunately been your “new norm.” You miss being your old self - the one that could “do more things." Now, you feel like a failure in many areas of your life. The smile you wear covers what you really feel – alone, worried, helpless and angry. All of this has taken a toll on you emotionally and you want to feel more in control of your worries.
(410) 216-0930 View (410) 216-0930
Photo of Kimberly A Felder, MSW, LCSW-C, Clinical Social Work/Therapist
Kimberly A Felder
Clinical Social Work/Therapist, MSW, LCSW-C
Verified Verified
1 Endorsed
Online Only
I began my work in the trauma field while interning at a domestic violence shelter and have since held positions in the field doing crisis work, case management, group facilitation, and therapy. I have worked with children, individual adults, and families. I have provided services in a variety of settings and with diverse clients, including both long and short-term interventions. I currently work in Montgomery County Public Schools as a school social worker in special education.
I began my work in the trauma field while interning at a domestic violence shelter and have since held positions in the field doing crisis work, case management, group facilitation, and therapy. I have worked with children, individual adults, and families. I have provided services in a variety of settings and with diverse clients, including both long and short-term interventions. I currently work in Montgomery County Public Schools as a school social worker in special education.
(240) 540-4495 View (240) 540-4495
Photo of Leonor Lara, MA, LCPC, Counselor
Leonor Lara
Counselor, MA, LCPC
Verified Verified
Columbia, MD 21045
Leonor Lara, LPC, is a compassionate Licensed Clinical Professional Counselor (LCPC) serving clients in Maryland. With a focus on helping individuals navigate anxiety and depression, Leonor provides a safe, empathetic space where clients feel heard and supported. Using Cognitive Behavioral Therapy (CBT), she helps clients understand the connection between their thoughts, emotions, and behaviors, empowering them to develop practical strategies for improved mental health and wellbeing.
Leonor Lara, LPC, is a compassionate Licensed Clinical Professional Counselor (LCPC) serving clients in Maryland. With a focus on helping individuals navigate anxiety and depression, Leonor provides a safe, empathetic space where clients feel heard and supported. Using Cognitive Behavioral Therapy (CBT), she helps clients understand the connection between their thoughts, emotions, and behaviors, empowering them to develop practical strategies for improved mental health and wellbeing.
(866) 846-0024 View (866) 846-0024
Photo of Megan Kuminski, MS, LCPC, PMH-C, Counselor
Megan Kuminski
Counselor, MS, LCPC, PMH-C
Verified Verified
2 Endorsed
Online Only
This isn't what you expected and you just want to feel better. You're constantly thinking "what if...". You find yourself feeling guilty, questioning if you are a "good mom." It feels impossible to balance everything, and you're feeling like a stranger to yourself. I hear you. Whether you are a soon-to-be parent, a new parent, a new-again parent, a hopeful parent, a grieving parent, or a stressed parent navigating any life stage - you are not alone. The journey to (and through) parenthood is a transformative experience - one that reminds us that it really does take a village!
This isn't what you expected and you just want to feel better. You're constantly thinking "what if...". You find yourself feeling guilty, questioning if you are a "good mom." It feels impossible to balance everything, and you're feeling like a stranger to yourself. I hear you. Whether you are a soon-to-be parent, a new parent, a new-again parent, a hopeful parent, a grieving parent, or a stressed parent navigating any life stage - you are not alone. The journey to (and through) parenthood is a transformative experience - one that reminds us that it really does take a village!
(443) 272-4660 View (443) 272-4660
Photo of Josie Bodenstein, LCSW-C, Clinical Social Work/Therapist
Josie Bodenstein
Clinical Social Work/Therapist, LCSW-C
Verified Verified
Online Only
The past few years appear to have either been the catalyst to new stressors or have exacerbated what was already bothersome but manageable. What stumbling blocks are getting in your way? If you are trying to manage issues related to eating disordered behaviors , problems with your mood such as depression , anxiety or other stressors impeding your ability to manage more effectively, I would like to help you. I use multiple approaches such as CBT and DBT and psychodynamic therapy to help explore, understand and manage various symptoms and problems.
The past few years appear to have either been the catalyst to new stressors or have exacerbated what was already bothersome but manageable. What stumbling blocks are getting in your way? If you are trying to manage issues related to eating disordered behaviors , problems with your mood such as depression , anxiety or other stressors impeding your ability to manage more effectively, I would like to help you. I use multiple approaches such as CBT and DBT and psychodynamic therapy to help explore, understand and manage various symptoms and problems.
(443) 351-6665 View (443) 351-6665
Photo of Marla Vannucci, PhD, Psychologist
Marla Vannucci
Psychologist, PhD
Verified Verified
8 Endorsed
Online Only
UPDATE: I currently have openings for new telehealth clients (MD, IL, and PSYPACT states). My practice consists of a small group of psychologists focused on helping clients make changes toward more fulfilling, connected, and healthier lives. Knowing it can be difficult to reach out for help, I create a caring, safe space in which we work collaboratively to foster healing and eliminate barriers to finding meaning and living life more fully. Therapy is a collaborative endeavor, and it is key to develop an effective and nurturing relationship in which we have a common understanding of the challenges you face.
UPDATE: I currently have openings for new telehealth clients (MD, IL, and PSYPACT states). My practice consists of a small group of psychologists focused on helping clients make changes toward more fulfilling, connected, and healthier lives. Knowing it can be difficult to reach out for help, I create a caring, safe space in which we work collaboratively to foster healing and eliminate barriers to finding meaning and living life more fully. Therapy is a collaborative endeavor, and it is key to develop an effective and nurturing relationship in which we have a common understanding of the challenges you face.
(240) 201-9583 View (240) 201-9583
Photo of David C Swain, LCPC, Licensed Professional Counselor
David C Swain
Licensed Professional Counselor, LCPC
Verified Verified
3 Endorsed
Columbia, MD 21044
Whether you're looking to start your therapy journey or looking to give it another try, Whether you're facing childhood trauma, navigating compulsive behaviors, or simply feeling stuck in unhelpful patterns, I’m here to help. My ideal client is someone who has either had unsuccessful therapy experiences in the past and is not ready to give up on themselves or is trying for the first time and needs help navigating what therapy means for them. They want to make lasting and real changes, wanting to go deep and get to the root of their issues while learning new skills and tools along the way. If this sounds like you, welcome!
Whether you're looking to start your therapy journey or looking to give it another try, Whether you're facing childhood trauma, navigating compulsive behaviors, or simply feeling stuck in unhelpful patterns, I’m here to help. My ideal client is someone who has either had unsuccessful therapy experiences in the past and is not ready to give up on themselves or is trying for the first time and needs help navigating what therapy means for them. They want to make lasting and real changes, wanting to go deep and get to the root of their issues while learning new skills and tools along the way. If this sounds like you, welcome!
(240) 201-9623 View (240) 201-9623
Photo of Keith D. Jones, LMSW, LCSW-C, Clinical Social Work/Therapist
Keith D. Jones
Clinical Social Work/Therapist, LMSW, LCSW-C
Verified Verified
Online Only
I am a mental health clinician who practices in both Maryland and Michigan. Treatment will vary just as our individual personalities vary. I am looking for clients who are unsure of what they want or need but are willing to explore. I am looking for clients who have goals but need help starting the journey. I am also looking for clients who know what they want, they have begun the work, but need more support. No matter the stage or phase of treatment, I am looking for clients willing to do the work.
I am a mental health clinician who practices in both Maryland and Michigan. Treatment will vary just as our individual personalities vary. I am looking for clients who are unsure of what they want or need but are willing to explore. I am looking for clients who have goals but need help starting the journey. I am also looking for clients who know what they want, they have begun the work, but need more support. No matter the stage or phase of treatment, I am looking for clients willing to do the work.
(443) 707-3015 View (443) 707-3015
Photo of Teri Tallent Burns, LCPC, NCC, MA
Teri Tallent Burns
Licensed Clinical Professional Counselor, LCPC, NCC, MA
Verified Verified
1 Endorsed
Online Only
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.
(301) 852-7021 View (301) 852-7021
Photo of Courtney P. Keeton, PhD, Psychologist
Courtney P. Keeton
Psychologist, PhD
Verified Verified
4 Endorsed
Columbia, MD 21045
Not accepting new clients
**I am NOT currently accepting new patients ** I am a licensed clinical psychologist specializing in cognitive and behavioral treatment for child and adolescent anxiety-related disorders including selective mutism. I also am a part-time faculty member at The Johns Hopkins University School of Medicine, Division of Child & Adolescent Psychiatry.
**I am NOT currently accepting new patients ** I am a licensed clinical psychologist specializing in cognitive and behavioral treatment for child and adolescent anxiety-related disorders including selective mutism. I also am a part-time faculty member at The Johns Hopkins University School of Medicine, Division of Child & Adolescent Psychiatry.
(410) 346-5430 View (410) 346-5430
Photo of Brenda Fischel,  LCPC, Counselor
Brenda Fischel
Counselor, LCPC
Verified Verified
Columbia, MD 21045
Brenda Fischel is a Licensed Professional Counselor in Maryland who has been practicing since 2002. She earned her Bachelor's Degree in Psychology from the University of Maryland Baltimore County and her Master's Degree from Argosy University. Brenda works well with those needing support with anxiety, depression, general stress, relationship issues and co-occurring disorders with addictions. Whether you’re struggling with work, school, relationships, family, or behavioral concerns., Brenda is here to work with you.
Brenda Fischel is a Licensed Professional Counselor in Maryland who has been practicing since 2002. She earned her Bachelor's Degree in Psychology from the University of Maryland Baltimore County and her Master's Degree from Argosy University. Brenda works well with those needing support with anxiety, depression, general stress, relationship issues and co-occurring disorders with addictions. Whether you’re struggling with work, school, relationships, family, or behavioral concerns., Brenda is here to work with you.
(410) 204-2460 View (410) 204-2460
Photo of Pamela Bel Anu, MS, LCMFT, Marriage & Family Therapist
Pamela Bel Anu
Marriage & Family Therapist, MS, LCMFT
Verified Verified
1 Endorsed
Columbia, MD 21044
Is there something holding you back from the experience of feeling fully alive, safe, and satisfied in your own life; in your own skin? Experiencing internal and external difficulties long enough and under enough stress, we become disconnected to what makes life worth living. I believe my job is to provide a safe space and be a supportive, caring, non-judgmental presence as a guide and collaborator. Together we can face what is hurting or not helping you. I have worked over the years in a variety of settings with adults, children, teens, families and couples from diverse backgrounds and identities.
Is there something holding you back from the experience of feeling fully alive, safe, and satisfied in your own life; in your own skin? Experiencing internal and external difficulties long enough and under enough stress, we become disconnected to what makes life worth living. I believe my job is to provide a safe space and be a supportive, caring, non-judgmental presence as a guide and collaborator. Together we can face what is hurting or not helping you. I have worked over the years in a variety of settings with adults, children, teens, families and couples from diverse backgrounds and identities.
(240) 209-9116 View (240) 209-9116
Photo of Jasmine Burton, LCPC, Counselor
Jasmine Burton
Counselor, LCPC
Verified Verified
Online Only
Do you feel like you’re never enough? You think nothing goes in your favor, despite you trying over and over again. Other people’s paths seem laid out clearly while yours seems unclear and unpaved. You feel like your emotions whether anxiety, depression, frustration, uncertainty, etc. have clouded your way. Being human includes a great deal of suffering and discomfort.
Do you feel like you’re never enough? You think nothing goes in your favor, despite you trying over and over again. Other people’s paths seem laid out clearly while yours seems unclear and unpaved. You feel like your emotions whether anxiety, depression, frustration, uncertainty, etc. have clouded your way. Being human includes a great deal of suffering and discomfort.
(240) 980-1364 View (240) 980-1364
Photo of Theresa A Hoffmann - Adult Columbia Personal Therapy/Career Counseling, MA, LCPC, NCC
Adult Columbia Personal Therapy/Career Counseling
Licensed Clinical Professional Counselor, MA, LCPC, NCC
Verified Verified
Columbia, MD 21044
Take charge of your life...manage communications, thinking, emotions, behaviors and goals! When you and I meet in session, it will be a unique experience designed to meet what works for your needs and goals. I view each person in a holistic framework that encompasses cognitive, emotional, physical, and spiritual aspects. The goal of our work together is to achieve a sense of balance in your life where all aspects of you are working together in harmony to achieve wellness. My training and experience encompass an eclectic approach that combines the newest research and time tested theories, strategies, and techniques.
Take charge of your life...manage communications, thinking, emotions, behaviors and goals! When you and I meet in session, it will be a unique experience designed to meet what works for your needs and goals. I view each person in a holistic framework that encompasses cognitive, emotional, physical, and spiritual aspects. The goal of our work together is to achieve a sense of balance in your life where all aspects of you are working together in harmony to achieve wellness. My training and experience encompass an eclectic approach that combines the newest research and time tested theories, strategies, and techniques.
(301) 683-5296 View (301) 683-5296
Photo of Rosie Young, LMSW, Clinical Social Work/Therapist
Rosie Young
Clinical Social Work/Therapist, LMSW
Verified Verified
Columbia, MD 21044
Whether you're dealing with mental health struggles or simply seeking personal growth, you deserve a space to feel heard, understood, and supported every step of the way. My areas of expertise include anxiety, body image distress, eating disorders, substance use disorders, and working with survivors of sexual assault and intimate partner violence, including emotional abuse.
Whether you're dealing with mental health struggles or simply seeking personal growth, you deserve a space to feel heard, understood, and supported every step of the way. My areas of expertise include anxiety, body image distress, eating disorders, substance use disorders, and working with survivors of sexual assault and intimate partner violence, including emotional abuse.
(240) 202-2445 View (240) 202-2445
Photo of Amy Rabinove, PhD, Psychologist
Amy Rabinove
Psychologist, PhD
Verified Verified
1 Endorsed
Online Only
Are you anxious or depressed? Is anxiety or depression interfering with your life? Anxiety and depression can be paralyzing and may prevent you from living the kind of life that you seek. Typical coping strategies may provide limited but not lasting relief. I can help you to identify, modify, eliminate or manage the behaviors and beliefs that fuel anxiety and mood disorders. By learning a new set of skills, you can pursue the life you desire free from the burdens that have held you back.
Are you anxious or depressed? Is anxiety or depression interfering with your life? Anxiety and depression can be paralyzing and may prevent you from living the kind of life that you seek. Typical coping strategies may provide limited but not lasting relief. I can help you to identify, modify, eliminate or manage the behaviors and beliefs that fuel anxiety and mood disorders. By learning a new set of skills, you can pursue the life you desire free from the burdens that have held you back.
(443) 965-9153 View (443) 965-9153
Photo of Sarah J Blake, LCSW-C, Clinical Social Work/Therapist
Sarah J Blake
Clinical Social Work/Therapist, LCSW-C
Verified Verified
3 Endorsed
Columbia, MD 21044
I am so excited that you are here, looking for help. That is the most important step you can take to get the help you need. The next best step you can take is therapist shopping. You are unlikely to be best friends with every person you meet and not every therapist will be the best match for you, so shop around and do your homework! Ask lots of questions and read everything you can find until you are satisfied and comfortable. I am here to answer those questions and help you take the next step. Then it will be one step at a time towards meeting your goals.
I am so excited that you are here, looking for help. That is the most important step you can take to get the help you need. The next best step you can take is therapist shopping. You are unlikely to be best friends with every person you meet and not every therapist will be the best match for you, so shop around and do your homework! Ask lots of questions and read everything you can find until you are satisfied and comfortable. I am here to answer those questions and help you take the next step. Then it will be one step at a time towards meeting your goals.
(410) 941-8671 View (410) 941-8671
Photo of Beshaun J Davis, PhD, PSYPACT, Psychologist
Beshaun J Davis
Psychologist, PhD, PSYPACT
Verified Verified
Online Only
Accepting new clients. I understand how difficult it can be to entertain the idea that life can be different. Therapy is a space for you to interrogate beliefs, regain a sense of agency, and to rewrite your story. I will work with you to gently explore the origins of beliefs that no longer serve you and use evidenced based therapy to empower you. Additionally, I work with couples and those in ENM relationships to improve communication, repair trust, reduce conflict, and, strengthen bonds. As a Black, gay man, I am especially interested in creating a welcoming space for clients from the LGBTQ+ community.
Accepting new clients. I understand how difficult it can be to entertain the idea that life can be different. Therapy is a space for you to interrogate beliefs, regain a sense of agency, and to rewrite your story. I will work with you to gently explore the origins of beliefs that no longer serve you and use evidenced based therapy to empower you. Additionally, I work with couples and those in ENM relationships to improve communication, repair trust, reduce conflict, and, strengthen bonds. As a Black, gay man, I am especially interested in creating a welcoming space for clients from the LGBTQ+ community.
(443) 815-4609 View (443) 815-4609
Photo of Jennifer Hilton, LCPC, PMH-C, NCC, MS, Counselor
Jennifer Hilton
Counselor, LCPC, PMH-C, NCC, MS
Verified Verified
2 Endorsed
Columbia, MD 21046
I provide a safe, warm, and welcoming environment for individuals to do difficult therapeutic work. I specialize in treating anxiety disorders, depression, perinatal mental health disorders, relationship issues, self-esteem issues, and supporting individuals through life transitions. My clients have benefited from my individualized and integrated treatment approaches. I have been successful in utilizing a combination of CBT (cognitive behavioral therapy), strengths-based therapy, brief solution-focused therapy and other mindfulness-based approaches to address difficult issues.
I provide a safe, warm, and welcoming environment for individuals to do difficult therapeutic work. I specialize in treating anxiety disorders, depression, perinatal mental health disorders, relationship issues, self-esteem issues, and supporting individuals through life transitions. My clients have benefited from my individualized and integrated treatment approaches. I have been successful in utilizing a combination of CBT (cognitive behavioral therapy), strengths-based therapy, brief solution-focused therapy and other mindfulness-based approaches to address difficult issues.
(443) 583-3432 View (443) 583-3432
Photo of George Carlson, PhD, LCSW-C, Clinical Social Work/Therapist
George Carlson
Clinical Social Work/Therapist, PhD, LCSW-C
Verified Verified
1 Endorsed
Online Only
Waitlist for new clients
I believe that the power of therapy comes through the understanding of how self defeating patterns of behavior interfere with our ability to have a happy and productive life. I believe that focusing and building on our strengths will enhance our functioning. Examining our behavior is critical to developing healthy options for ourselves and in our relationships. Through an open and respectful process we will examine the areas in your life that have interfered with your ability to make positive, forward thinking choices. As you develop different coping strategies the hope of change will support healing and growth.
I believe that the power of therapy comes through the understanding of how self defeating patterns of behavior interfere with our ability to have a happy and productive life. I believe that focusing and building on our strengths will enhance our functioning. Examining our behavior is critical to developing healthy options for ourselves and in our relationships. Through an open and respectful process we will examine the areas in your life that have interfered with your ability to make positive, forward thinking choices. As you develop different coping strategies the hope of change will support healing and growth.
(410) 793-1303 View (410) 793-1303
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How does your Therapist compare?

Number of Therapists in Columbia, MD

1,000+

Average cost per session

$150

Therapists in Columbia, MD who prioritize treating:

93% Anxiety
88% Depression
74% Self Esteem
71% Relationship Issues
69% Coping Skills
66% Stress
64% Life Transitions

Average years in practice

10 Years

Top 3 insurances accepted

77% Cigna and Evernorth
76% BlueCross and BlueShield
73% CareFirst

How Therapists in Columbia, MD see their clients

56% In Person and Online
44% Online Only

Gender breakdown

82% Female
17% 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

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.