Therapists in Frederick, MD

Photo of Sandra Smith, Licensed Clinical Professional Counselor, LCPC, NCC, CHC
Sandra Smith
Licensed Clinical Professional Counselor, LCPC, NCC, CHC
Frederick, MD 21704
Not accepting new clients
Hello, I'm Sandra. I am a bilingual psychotherapist, fluent in English and Spanish, providing mental health services to children, adults, and families through traditional and innovative approaches, navigating life transitions. My approach uses evidence-based practices focusing on positive changes centered around your individual strengths, needs, abilities, and preferences to cultivate wellness and resilience while navigating the challenges of everyday life. My goal as a therapist is to help you learn the skills necessary to find the peace and healing necessary to live a healthy, happy life.
Hello, I'm Sandra. I am a bilingual psychotherapist, fluent in English and Spanish, providing mental health services to children, adults, and families through traditional and innovative approaches, navigating life transitions. My approach uses evidence-based practices focusing on positive changes centered around your individual strengths, needs, abilities, and preferences to cultivate wellness and resilience while navigating the challenges of everyday life. My goal as a therapist is to help you learn the skills necessary to find the peace and healing necessary to live a healthy, happy life.
(240) 823-5046 View (240) 823-5046
Photo of Laura Fernandez, Licensed Clinical Professional Counselor, LCPC, NCC
Laura Fernandez
Licensed Clinical Professional Counselor, LCPC, NCC
2 Endorsed
Online Only
Starting therapy can feel overwhelming, especially when emotional challenges have been present for some time. Children and teens may struggle to express what they’re feeling, and adults often find themselves holding stress, worry, or emotional exhaustion quietly. My goal is to create a warm, supportive space where clients feel safe, understood, and encouraged to permit themselves to begin meaningful change.
Starting therapy can feel overwhelming, especially when emotional challenges have been present for some time. Children and teens may struggle to express what they’re feeling, and adults often find themselves holding stress, worry, or emotional exhaustion quietly. My goal is to create a warm, supportive space where clients feel safe, understood, and encouraged to permit themselves to begin meaningful change.
(240) 868-6495 View (240) 868-6495
Photo of Nancy Welsh, Clinical Social Work/Therapist, LCSW
Nancy Welsh
Clinical Social Work/Therapist, LCSW
Online Only
Hello, my name is Nancy Welsh, a bilingual (English & Spanish) Licensed Clinical Social Worker. More specifically, I am a strong advocate and educator in mental health growth, insightfulness, development, and healing, while also normalizing the importance of mental health therapy. Apart from incorporating evidence-based treatment models in my work with clients, I integrate empowerment, hope, collaboration, and resiliency. I am of the firm belief that every person has room for growth and the ability for happiness and fulfillment.
Hello, my name is Nancy Welsh, a bilingual (English & Spanish) Licensed Clinical Social Worker. More specifically, I am a strong advocate and educator in mental health growth, insightfulness, development, and healing, while also normalizing the importance of mental health therapy. Apart from incorporating evidence-based treatment models in my work with clients, I integrate empowerment, hope, collaboration, and resiliency. I am of the firm belief that every person has room for growth and the ability for happiness and fulfillment.
(240) 219-5780 View (240) 219-5780
Photo of Katie Frazee, Licensed Clinical Professional Counselor, MS, LCPC, NCC, MAC
Katie Frazee
Licensed Clinical Professional Counselor, MS, LCPC, NCC, MAC
3 Endorsed
Frederick, MD 21703
The primary goal of counseling is to provide the most effective therapeutic experience available to you. The purpose is to help facilitate behavior change by improving the client's ability to establish and maintain relationships, enhancing the client's effectiveness and ability to cope, promoting the decision-making process, and facilitating client potential and development. Clinicians cannot fix other people's problems; our job is to provide a safe and supportive environment that allows the individual an opportunity to build the necessary skills needed to make better choices in their life.
The primary goal of counseling is to provide the most effective therapeutic experience available to you. The purpose is to help facilitate behavior change by improving the client's ability to establish and maintain relationships, enhancing the client's effectiveness and ability to cope, promoting the decision-making process, and facilitating client potential and development. Clinicians cannot fix other people's problems; our job is to provide a safe and supportive environment that allows the individual an opportunity to build the necessary skills needed to make better choices in their life.
(240) 356-2416 View (240) 356-2416
Photo of Adelle Deriquito, Licensed Clinical Professional Counselor, LCPC
Adelle Deriquito
Licensed Clinical Professional Counselor, LCPC
Online Only
I help clients navigate complex trauma, anxiety, and relationship challenges through a trauma-informed and relational approach. My goal is to create a safe, compassionate space where you can heal and find greater meaning. I specialize in supporting adults healing from childhood trauma—those intense, recurring attachments that can feel all-consuming. Many of my clients are high-functioning professionals who struggle privately with self-doubt or emotional overwhelm. Together, we work to create healthier patterns of connection, self-trust, and inner stability.
I help clients navigate complex trauma, anxiety, and relationship challenges through a trauma-informed and relational approach. My goal is to create a safe, compassionate space where you can heal and find greater meaning. I specialize in supporting adults healing from childhood trauma—those intense, recurring attachments that can feel all-consuming. Many of my clients are high-functioning professionals who struggle privately with self-doubt or emotional overwhelm. Together, we work to create healthier patterns of connection, self-trust, and inner stability.
(240) 557-8034 View (240) 557-8034
Photo of Kerri Easterbrook, Counselor, LCPC, NCC
Kerri Easterbrook
Counselor, LCPC, NCC
4 Endorsed
Frederick, MD 21701
Sometimes we need a little help feeling better and becoming our authentic self. I enjoy working with teenagers and adults who are struggling with the demands of life, mood (anxiety, depression, feeling "off"), and/or identity (masking, people-pleasing, etc.). I am a neurodivergent-affirming therapist with a welcoming and holistic approach. Whether you are new to therapy, nervous to begin, or an experienced client, I meet clients where they are at, allowing you to take therapy at your own pace. Together, we can help you feel your best and meet your goals.
Sometimes we need a little help feeling better and becoming our authentic self. I enjoy working with teenagers and adults who are struggling with the demands of life, mood (anxiety, depression, feeling "off"), and/or identity (masking, people-pleasing, etc.). I am a neurodivergent-affirming therapist with a welcoming and holistic approach. Whether you are new to therapy, nervous to begin, or an experienced client, I meet clients where they are at, allowing you to take therapy at your own pace. Together, we can help you feel your best and meet your goals.
(240) 896-2111 View (240) 896-2111
Photo of Sara Linnehan, Clinical Social Work/Therapist, MSW, LCSW-C, LCSW
Sara Linnehan
Clinical Social Work/Therapist, MSW, LCSW-C, LCSW
Online Only
After someone you love dies the world changes. You may even wonder how you will continue to live on carrying your grief that can be so heavy. Finding space to make sense of complex feelings such as love, regret, anger and sadness can be a difficult task. Grieving can feel so painful and so lonely. It can also feel messy or too quiet. Grief is a deeply personal experience that is also meant to be shared, so that you may find a path forward on your healing journey.
After someone you love dies the world changes. You may even wonder how you will continue to live on carrying your grief that can be so heavy. Finding space to make sense of complex feelings such as love, regret, anger and sadness can be a difficult task. Grieving can feel so painful and so lonely. It can also feel messy or too quiet. Grief is a deeply personal experience that is also meant to be shared, so that you may find a path forward on your healing journey.
(240) 663-8574 View (240) 663-8574
Photo of Gina Kerrigan, Licensed Clinical Professional Counselor, LCPC
Gina Kerrigan
Licensed Clinical Professional Counselor, LCPC
7 Endorsed
Frederick, MD 21702
Not accepting new clients
You've found yourself here because you're not feeling your best and know something has to change. Maybe you’re confused by emotions that come out of nowhere. You feel stuck in survival mode and everything in life feels urgent, all the time. You’re just going through the motions of life and not sure how to break free. Many of the people I've worked with have felt they had to ignore their own needs, stay constantly on alert, or out-do themselves for others. You may be left wondering, "Is this just who I am as a person, or is there more to life than getting everything done?" This is the little spark that’s gotten you here. Welcome!
You've found yourself here because you're not feeling your best and know something has to change. Maybe you’re confused by emotions that come out of nowhere. You feel stuck in survival mode and everything in life feels urgent, all the time. You’re just going through the motions of life and not sure how to break free. Many of the people I've worked with have felt they had to ignore their own needs, stay constantly on alert, or out-do themselves for others. You may be left wondering, "Is this just who I am as a person, or is there more to life than getting everything done?" This is the little spark that’s gotten you here. Welcome!
(240) 451-8617 View (240) 451-8617
Photo of Heather Michelle Tydings, Clinical Social Work/Therapist, LCSW-C, MSW, Coach
Heather Michelle Tydings
Clinical Social Work/Therapist, LCSW-C, MSW, Coach
5 Endorsed
Frederick, MD 21704
Waitlist for new clients
Clients find me when going through periods of reinvention, transition + when they are craving an authentic life. I work with women who feel unsettled and anxious, yet crave peace & are willing to go on a truth seeking mission to find it. Many are highly sensitive humans who are ready to create their own narrative in order to live potently & vibrantly. I believe the therapeutic process is about losing what is no longer needed rather than changing perceived flaws. My style is direct, lively & collaborative; assisting those who want to reclaim themselves & live from their heart.
Clients find me when going through periods of reinvention, transition + when they are craving an authentic life. I work with women who feel unsettled and anxious, yet crave peace & are willing to go on a truth seeking mission to find it. Many are highly sensitive humans who are ready to create their own narrative in order to live potently & vibrantly. I believe the therapeutic process is about losing what is no longer needed rather than changing perceived flaws. My style is direct, lively & collaborative; assisting those who want to reclaim themselves & live from their heart.
(301) 945-7233 View (301) 945-7233
Photo of Reed Howell, Licensed Master Social Worker, LMSW
Reed Howell
Licensed Master Social Worker, LMSW
Frederick, MD 21701
Waitlist for new clients
I am a nonbinary and neurodivergent therapist who seeks to cultivate therapeutic relationships with warmth and gentleness. I find that regardless of age, therapy can be a place to dig down into our most creative, emotional, honest selves and find new ways to make sure those parts are held. I have a particular interest in working with youth, neurodivergent folks, attachment, and exploring all facets of identity together.
I am a nonbinary and neurodivergent therapist who seeks to cultivate therapeutic relationships with warmth and gentleness. I find that regardless of age, therapy can be a place to dig down into our most creative, emotional, honest selves and find new ways to make sure those parts are held. I have a particular interest in working with youth, neurodivergent folks, attachment, and exploring all facets of identity together.
(301) 360-4349 View (301) 360-4349
Photo of Erin Goff, Clinical Social Work/Therapist, LCSW-C
Erin Goff
Clinical Social Work/Therapist, LCSW-C
2 Endorsed
Frederick, MD 21702
Do you struggle with feeling disconnected from yourself and others? Are you transitioning into a new stage or role and finding it overwhelming? Is it difficult to turn off your brain? Are you an adult with ADHD trying to make it through the day and all the responsibilities that come with it? Older teens and adult women and men are coming into my office to make change. Now more than ever, people are feeling anxious, overwhelmed, or sad and depressed about the uncertainty in the world. Pushing away your needs and not taking the time for yourself can lead to long-term issues for your mind and body. Change is possible.
Do you struggle with feeling disconnected from yourself and others? Are you transitioning into a new stage or role and finding it overwhelming? Is it difficult to turn off your brain? Are you an adult with ADHD trying to make it through the day and all the responsibilities that come with it? Older teens and adult women and men are coming into my office to make change. Now more than ever, people are feeling anxious, overwhelmed, or sad and depressed about the uncertainty in the world. Pushing away your needs and not taking the time for yourself can lead to long-term issues for your mind and body. Change is possible.
(301) 381-5222 View (301) 381-5222
Photo of Cessar Scott, MD
Cessar Scott
Verified Verified
Frederick, MD 21703
Dr. Scott is a dedicated and compassionate psychiatrist with a deep commitment to helping patients gain a better understanding of mental health and best practices to address confidential topics and navigate challenges where one may feel vulnerable or taboo to discuss.
Dr. Scott is a dedicated and compassionate psychiatrist with a deep commitment to helping patients gain a better understanding of mental health and best practices to address confidential topics and navigate challenges where one may feel vulnerable or taboo to discuss.
(240) 209-9659 View (240) 209-9659
Photo of Peter Wolff, Counselor, MS, LCPC
Peter Wolff
Counselor, MS, LCPC
1 Endorsed
Frederick, MD 21703
Not accepting new clients
Weary, tired, worn out, burned out, and struggling to find a way forward that makes sense. Regretful of choices. Filled with shame. Disconnected from God, others, and my own soul. Abandoned.
Weary, tired, worn out, burned out, and struggling to find a way forward that makes sense. Regretful of choices. Filled with shame. Disconnected from God, others, and my own soul. Abandoned.
(240) 410-5558 View (240) 410-5558
Photo of Laura Przybylek, Licensed Professional Counselor, MS, LCPC, ADHD-CC
Laura Przybylek
Licensed Professional Counselor, MS, LCPC, ADHD-CC
1 Endorsed
Frederick, MD 21701
Welcome! As a therapist, I am here to provide a warm, relaxed and compassionate space to explore your strengths and challenges. I specialize in treating anxiety, depression, ADHD and pregnancy/postpartum issues. As an ADHD-Certified Clinical Services Provider, I have extensive experience working with teens and adults with ADHD and executive function difficulties. When treating ADHD, you NEED a therapist who wholeheartedly understands it and whose strategies are flexible to meet your specific needs. I value my authentic approach to connecting with others which leads to my clients feeling heard, understood, accepted and supported.
Welcome! As a therapist, I am here to provide a warm, relaxed and compassionate space to explore your strengths and challenges. I specialize in treating anxiety, depression, ADHD and pregnancy/postpartum issues. As an ADHD-Certified Clinical Services Provider, I have extensive experience working with teens and adults with ADHD and executive function difficulties. When treating ADHD, you NEED a therapist who wholeheartedly understands it and whose strategies are flexible to meet your specific needs. I value my authentic approach to connecting with others which leads to my clients feeling heard, understood, accepted and supported.
(240) 759-2896 View (240) 759-2896
Photo of Nicole Nakagama, Clinical Social Work/Therapist, LCSW-C
Nicole Nakagama
Clinical Social Work/Therapist, LCSW-C
1 Endorsed
Frederick, MD 21703
Hi, my name is Nicole, and I am a Licensed Clinical Social Worker (LCSW-C). Starting therapy can feel overwhelming, especially during times of stress or transition. My goal is to provide a supportive, collaborative space where clients feel respected, heard, and understood. While I have extensive experience supporting teenagers and young adults, all ages are welcome. I work with individuals navigating anxiety, depression, self-esteem concerns, relationship challenges, life transitions, and the unique challenges athletes face. With adolescents, I focus on healthy emotional development, identity formation, and effective coping skills.
Hi, my name is Nicole, and I am a Licensed Clinical Social Worker (LCSW-C). Starting therapy can feel overwhelming, especially during times of stress or transition. My goal is to provide a supportive, collaborative space where clients feel respected, heard, and understood. While I have extensive experience supporting teenagers and young adults, all ages are welcome. I work with individuals navigating anxiety, depression, self-esteem concerns, relationship challenges, life transitions, and the unique challenges athletes face. With adolescents, I focus on healthy emotional development, identity formation, and effective coping skills.
(240) 301-1805 View (240) 301-1805
Photo of Beth Frederick, Psychologist, PsyD
Beth Frederick
Psychologist, PsyD
1 Endorsed
Frederick, MD 21704
Waitlist for new clients
I have practiced psychology for over 15 years and have worked in a variety of settings, including Center for Eating Disorders at Sheppard Pratt, Johns Hopkins University, and Eating Recovery Center. I have a diverse range of skills and work to personalize treatment to meet people’s needs. I practice cognitive behavioral therapy (CBT) and Interpersonal Therapy (IPT). These treatments are “evidenced-based,” meaning they have been studied and demonstrated to effectively treat a variety of concerns, including depression, anxiety and eating disorders.
I have practiced psychology for over 15 years and have worked in a variety of settings, including Center for Eating Disorders at Sheppard Pratt, Johns Hopkins University, and Eating Recovery Center. I have a diverse range of skills and work to personalize treatment to meet people’s needs. I practice cognitive behavioral therapy (CBT) and Interpersonal Therapy (IPT). These treatments are “evidenced-based,” meaning they have been studied and demonstrated to effectively treat a variety of concerns, including depression, anxiety and eating disorders.
(443) 383-4035 View (443) 383-4035
Photo of Talya Van Den Berg, Clinical Social Work/Therapist, CA LCSW
Talya Van Den Berg
Clinical Social Work/Therapist, CA LCSW
1 Endorsed
Online Only
I've worked in California and Maryland, in many settings including with young adults and hospice care. I grew up overseas and have an awareness of culture, and cultural effects related to mental health. I have helped clients with ADHD, Anxiety, grief, and adjustment to life changes. I work well with clients of all parts of the social economic spectrum, from individuals struggling to connect with resources, to high functioning, highly educated individuals. I work on two platforms, so if you can’t schedule directly with me on Headway (through the connected webpage), send me a message to see if my other platform takes your insurance.
I've worked in California and Maryland, in many settings including with young adults and hospice care. I grew up overseas and have an awareness of culture, and cultural effects related to mental health. I have helped clients with ADHD, Anxiety, grief, and adjustment to life changes. I work well with clients of all parts of the social economic spectrum, from individuals struggling to connect with resources, to high functioning, highly educated individuals. I work on two platforms, so if you can’t schedule directly with me on Headway (through the connected webpage), send me a message to see if my other platform takes your insurance.
(240) 692-3817 View (240) 692-3817
Photo of Anne Mader, Clinical Social Work/Therapist, MSW, LCSW, LICSW
Anne Mader
Clinical Social Work/Therapist, MSW, LCSW, LICSW
Online Only
Reaching out for help takes courage; I know how intimidating that first call or email can be. I want to acknowledge this step you’re taking toward healing—it's not easy, and I’m grateful to be part of your journey. As a trauma-informed therapist, I have advanced training in mindfulness, parts work, and sensorimotor psychology. While my training informs my approach, what truly matters is creating a space where you feel seen, heard, and met with compassion—without judgment. I specialize in working with women navigating anxiety, relationship challenges, grief, and life transitions, including perimenopause and menopause.
Reaching out for help takes courage; I know how intimidating that first call or email can be. I want to acknowledge this step you’re taking toward healing—it's not easy, and I’m grateful to be part of your journey. As a trauma-informed therapist, I have advanced training in mindfulness, parts work, and sensorimotor psychology. While my training informs my approach, what truly matters is creating a space where you feel seen, heard, and met with compassion—without judgment. I specialize in working with women navigating anxiety, relationship challenges, grief, and life transitions, including perimenopause and menopause.
(202) 979-9841 View (202) 979-9841
Photo of Matthew Goodwin, Licensed Clinical Professional Counselor, LCPC
Matthew Goodwin
Licensed Clinical Professional Counselor, LCPC
1 Endorsed
Frederick, MD 21702
Very often, our lives can begin to overwhelm what we are able to handle on our own. In these times it can be very easy to begin feeling lost, out of control, or simply out of ideas. I have made it my focus to be able to help people not only identify what is happening in these situations, but helping clients develop skills and personal strength which will help them be able to deal with these struggles in an ongoing fashion.
Very often, our lives can begin to overwhelm what we are able to handle on our own. In these times it can be very easy to begin feeling lost, out of control, or simply out of ideas. I have made it my focus to be able to help people not only identify what is happening in these situations, but helping clients develop skills and personal strength which will help them be able to deal with these struggles in an ongoing fashion.
(301) 945-7214 View (301) 945-7214
Photo of Connie Wesley, Marriage & Family Therapist, LCMFT
Connie Wesley
Marriage & Family Therapist, LCMFT
4 Endorsed
Frederick, MD 21701
Whether you are struggling with anxiety, depression, infidelity in your relationship, communication problems, or life transitions, I will support you in your journey toward personal growth. I honor the important relationship between client and therapist, and recognize the privilege of being invited into your story. With a curious and non-judgmental stance, I welcome clients from all backgrounds. I enjoy working with adolescents, adults, couples, and families.
Whether you are struggling with anxiety, depression, infidelity in your relationship, communication problems, or life transitions, I will support you in your journey toward personal growth. I honor the important relationship between client and therapist, and recognize the privilege of being invited into your story. With a curious and non-judgmental stance, I welcome clients from all backgrounds. I enjoy working with adolescents, adults, couples, and families.
(443) 232-9418 View (443) 232-9418

See more therapy options for Frederick

How does your Therapist compare?

Number of Therapists in Frederick, MD

700+

Average cost per session

$150

Therapists in Frederick, MD who prioritize treating:

91% Anxiety
91% Social Anxiety
91% Health Anxiety
91% Driving Anxiety
86% Depression
74% Relationship Issues
73% Self Esteem

Average years in practice

10 Years

Top 3 insurances accepted

78% BlueCross and BlueShield
76% Cigna and Evernorth
70% CareFirst

How Therapists in Frederick, MD see their clients

52% In Person and Online
48% Online Only

Gender breakdown

82% Female
16% Male
2% Non-Binary
FAQs - About Therapy and Counseling

How can I find a therapist in Frederick?

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.