Therapists in Highland, MD

Photo of Angela R Mullins, Clinical Social Work/Therapist, LMSW
Angela R Mullins
Clinical Social Work/Therapist, LMSW
Online Only
I support adults who are struggling to cope with stress, anxiety, depression, trauma, self-esteem issues, and grief & loss. Many of my clients are navigating life transitions, including personal identity challenges, relationship beginnings and endings, menopause, the loss of a loved one, career changes, and evolving family dynamics. I also support clients who are seeking to overcome the negative impacts of traumatic experiences and find a greater sense of wellbeing. I welcome clients with diverse identities & backgrounds, including those who identify as LGBT+.
I support adults who are struggling to cope with stress, anxiety, depression, trauma, self-esteem issues, and grief & loss. Many of my clients are navigating life transitions, including personal identity challenges, relationship beginnings and endings, menopause, the loss of a loved one, career changes, and evolving family dynamics. I also support clients who are seeking to overcome the negative impacts of traumatic experiences and find a greater sense of wellbeing. I welcome clients with diverse identities & backgrounds, including those who identify as LGBT+.
(240) 262-4606 View (240) 262-4606
Photo of Rudolph Thomas Francin, Psychologist, PhD, ABPP
Rudolph Thomas Francin
Psychologist, PhD, ABPP
2 Endorsed
Highland, MD 20777
Every journey begins with the first step. In therapy, that can be an uncomfortable step and you may not know where to begin. I take a client-centered approach to understand my clients needs and build a course of treatment that helps clients meet their goals.
Every journey begins with the first step. In therapy, that can be an uncomfortable step and you may not know where to begin. I take a client-centered approach to understand my clients needs and build a course of treatment that helps clients meet their goals.
(240) 973-3355 View (240) 973-3355
Photo of Alexandra L. Flynn, Clinical Social Work/Therapist, LCSW-C
Alexandra L. Flynn
Clinical Social Work/Therapist, LCSW-C
Highland, MD 20777
I know how challenging life can be, especially during transition or stress. Going to college, starting a new career, dealing with family and/or relationship changes, and experiencing an illness can all cause anxiety and mood changes. These times can be even more difficult if you already struggle with a lack of confidence and low self-esteem and don't have the tools to manage your stress and anxiety. Finding mental health treatment is no easy task. It can be frustrating to navigate insurance and find the right provider. But don't worry; I'm here to help!
I know how challenging life can be, especially during transition or stress. Going to college, starting a new career, dealing with family and/or relationship changes, and experiencing an illness can all cause anxiety and mood changes. These times can be even more difficult if you already struggle with a lack of confidence and low self-esteem and don't have the tools to manage your stress and anxiety. Finding mental health treatment is no easy task. It can be frustrating to navigate insurance and find the right provider. But don't worry; I'm here to help!
(240) 730-2788 View (240) 730-2788
Photo of Mario Esposito Faraone, Clinical Social Work/Therapist, LCSW-C
Mario Esposito Faraone
Clinical Social Work/Therapist, LCSW-C
1 Endorsed
Highland, MD 20777
The spiritual journey has to be at the heart of our human existence and experience. Why are you here? What is driving you to seek a different approach or answer to concerns or difficulties in your own life? What is your story? Explore the patterns and energies that drive your life. I want to invite you on a journey of self discovery. Find answers to difficult circumstances and challenges in a safe and supportive environment. This is your journey to find your unique answers and possibilities!
The spiritual journey has to be at the heart of our human existence and experience. Why are you here? What is driving you to seek a different approach or answer to concerns or difficulties in your own life? What is your story? Explore the patterns and energies that drive your life. I want to invite you on a journey of self discovery. Find answers to difficult circumstances and challenges in a safe and supportive environment. This is your journey to find your unique answers and possibilities!
(301) 888-6127 View (301) 888-6127
Photo of Dr. Brooke Greyhart - Neuroscape Diagnostics, Psychologist, PhD, LP
Neuroscape Diagnostics
Psychologist, PhD, LP
Serves Area
We provide comprehensive neuropsychological, psychoeducational, and psychological assessments that truly make a difference. We explore your unique cognitive landscape—whether you're a child just beginning your educational path, an adult navigating life's challenges, or a senior embracing the wisdom years. We blend cutting-edge technology with trusted assessment tools, all wrapped in thoughtful clinical expertise to help us discover potential diagnoses and create strength-based plans that celebrate who you are. ​
We provide comprehensive neuropsychological, psychoeducational, and psychological assessments that truly make a difference. We explore your unique cognitive landscape—whether you're a child just beginning your educational path, an adult navigating life's challenges, or a senior embracing the wisdom years. We blend cutting-edge technology with trusted assessment tools, all wrapped in thoughtful clinical expertise to help us discover potential diagnoses and create strength-based plans that celebrate who you are. ​
(301) 246-8354 View (301) 246-8354
Photo of Katrina Williams - Insightful Minds Clinical Services, LLC. , Psychologist, PsyD
Insightful Minds Clinical Services, LLC.
Psychologist, PsyD
Online Only
Welcome! I’m Dr. Katrina Williams. Life can feel overwhelming, leaving you frustrated and uncertain about change. It takes courage to face challenges in relationships, career, and finding your path. Using evidence-based approaches, I help you build self-compassion, balance, and empowerment. Together, we’ll create a personalized therapy book—your guide to daily growth and becoming the person you aspire to be. Let’s work together to help you gain clarity, build self-compassion, and take confident steps toward the life you truly desire. Your path to healing and fulfillment starts here.
Welcome! I’m Dr. Katrina Williams. Life can feel overwhelming, leaving you frustrated and uncertain about change. It takes courage to face challenges in relationships, career, and finding your path. Using evidence-based approaches, I help you build self-compassion, balance, and empowerment. Together, we’ll create a personalized therapy book—your guide to daily growth and becoming the person you aspire to be. Let’s work together to help you gain clarity, build self-compassion, and take confident steps toward the life you truly desire. Your path to healing and fulfillment starts here.
(240) 571-3003 View (240) 571-3003
Photo of Nicole Otis, Marriage & Family Therapist, MA, LMFT, CSAT
Nicole Otis
Marriage & Family Therapist, MA, LMFT, CSAT
Serves Area
Are you struggling with Pornography or Sexual Compulsivity, betrayal trauma, or a loss of trust and intimacy in your relationship? You’re not alone—My husband and I have personally walked this journey and have been helping individuals and couples heal since 2011. I’m a Certified Sex Addiction Therapist (CSAT) and Certified Brainspotting Therapist; Hunter is a Certified Mentor Coach and in long-term recovery. Together, we help clients heal, rebuild self-worth, trust, communication, and deep connection. We've helped clients through porn, sexting, prostitution, emotional affairs, physical affairs, and much more.
Are you struggling with Pornography or Sexual Compulsivity, betrayal trauma, or a loss of trust and intimacy in your relationship? You’re not alone—My husband and I have personally walked this journey and have been helping individuals and couples heal since 2011. I’m a Certified Sex Addiction Therapist (CSAT) and Certified Brainspotting Therapist; Hunter is a Certified Mentor Coach and in long-term recovery. Together, we help clients heal, rebuild self-worth, trust, communication, and deep connection. We've helped clients through porn, sexting, prostitution, emotional affairs, physical affairs, and much more.
(856) 888-4612 View (856) 888-4612
Photo of April Donohue, Psychologist, PhD
April Donohue
Psychologist, PhD
1 Endorsed
Serves Area
Youth experience a variety of transitions, challenges, and pressures. Coping with such difficulties while going to school and managing relationships is hard. Kids may show symptoms of anxiety, mood changes, behavior problems, struggles with friends, or trouble in school as a result. I want to help youth and their families get back on track. My primary approach is CBT, which focuses on how thoughts, feelings, and behavior all work together and affect our mental health. Although I use treatments backed by research, I believe my relationship with my clients is the foundation of our work together.
Youth experience a variety of transitions, challenges, and pressures. Coping with such difficulties while going to school and managing relationships is hard. Kids may show symptoms of anxiety, mood changes, behavior problems, struggles with friends, or trouble in school as a result. I want to help youth and their families get back on track. My primary approach is CBT, which focuses on how thoughts, feelings, and behavior all work together and affect our mental health. Although I use treatments backed by research, I believe my relationship with my clients is the foundation of our work together.
(301) 691-4254 View (301) 691-4254
Photo of Dr. Farnaz Namin, Psychologist, PhD, MS, MA, EQ-i, CCC
Dr. Farnaz Namin
Psychologist, PhD, MS, MA, EQ-i, CCC
Online Only
Dual trained in clinical psychology and I/O psychology, I help my clients gain the understanding they need to create self awareness, undo dysfunctional habits, detach from trauma & live fulfilled lives with love & hope. You may be struggling with past trauma, complex relationships, amidst a life transition, a career change, living with mental illness or, caretaking a loved one with mental illness. You may want to talk through your experiences or to strategize. This may be exactly what you need to make that world of difference.
Dual trained in clinical psychology and I/O psychology, I help my clients gain the understanding they need to create self awareness, undo dysfunctional habits, detach from trauma & live fulfilled lives with love & hope. You may be struggling with past trauma, complex relationships, amidst a life transition, a career change, living with mental illness or, caretaking a loved one with mental illness. You may want to talk through your experiences or to strategize. This may be exactly what you need to make that world of difference.
(646) 430-9527 View (646) 430-9527
Photo of Suzanne Lescht, Clinical Social Work/Therapist, LCSW-C
Suzanne Lescht
Clinical Social Work/Therapist, LCSW-C
Online Only
Over twenty five years of private practice has helped me understand that my success in providing exceptional counseling for my clients, lies in the ability to customize my therapy techniques, depending on your needs. Whether your issue stems from depression, anxiety, or you have work related, or a relationship problem, I believe that I can help you. Every individual has a story. I look forward to connecting with you, and developing a rapport. Together we can make changes, and hopefully we can improve your life.
Over twenty five years of private practice has helped me understand that my success in providing exceptional counseling for my clients, lies in the ability to customize my therapy techniques, depending on your needs. Whether your issue stems from depression, anxiety, or you have work related, or a relationship problem, I believe that I can help you. Every individual has a story. I look forward to connecting with you, and developing a rapport. Together we can make changes, and hopefully we can improve your life.
(667) 200-3778 View (667) 200-3778

More Therapists Nearby

Photo of Veronica Murphy, Licensed Clinical Professional Counselor, LCPC
Veronica Murphy
Licensed Clinical Professional Counselor, LCPC
Online Only
I am a Licensed Clinical Professional Counselor (LCPC) with more than 15 years of experience in the mental health field. I am passionate about helping adults overcome the obstacles that keep them from living their happiest, most fulfilled lives.
I am a Licensed Clinical Professional Counselor (LCPC) with more than 15 years of experience in the mental health field. I am passionate about helping adults overcome the obstacles that keep them from living their happiest, most fulfilled lives.
(240) 998-8481 View (240) 998-8481
Photo of Barbara Levin Abrams, Clinical Social Work/Therapist, MSW, LICSW, LCSW-C
Barbara Levin Abrams
Clinical Social Work/Therapist, MSW, LICSW, LCSW-C
1 Endorsed
North Bethesda, MD 20852
My approach to therapy is both client-centered as well as strength based. My warmth and support for clients utilizes a curious and non-judgmental nature. Finding the right "fit" with a therapist can prove central in attaining the most positive outcome in a therapeutic relationship. I strive to provide an environment rich in understanding and empathy while helping clients achieve personal goals and reduction of emotional symptoms such as anxiety and depression. My goal is to provide clients with a strong sense of self- awareness while building on individual strengths.
My approach to therapy is both client-centered as well as strength based. My warmth and support for clients utilizes a curious and non-judgmental nature. Finding the right "fit" with a therapist can prove central in attaining the most positive outcome in a therapeutic relationship. I strive to provide an environment rich in understanding and empathy while helping clients achieve personal goals and reduction of emotional symptoms such as anxiety and depression. My goal is to provide clients with a strong sense of self- awareness while building on individual strengths.
(202) 738-5121 View (202) 738-5121
Photo of Summer Bryant, Counselor, MA, LCPC
Summer Bryant
Counselor, MA, LCPC
2 Endorsed
Online Only
Are you desperately trying to reconnect with your partner after experiencing infidelity or betrayal? Do you struggle with codependency? Is there lingering trauma from past relationships or childhood that impacts how you relate to your partner? Or maybe your life has been fractured by addiction and you're struggling to find emotional equilibrium. Even though you’re committed to saving your relationship or, perhaps, have quit using substances, you may still feel like you haven’t addressed the core issues that keep you stuck. If only you knew how to truly connect with yourself, you could move your life in a more positive direction.
Are you desperately trying to reconnect with your partner after experiencing infidelity or betrayal? Do you struggle with codependency? Is there lingering trauma from past relationships or childhood that impacts how you relate to your partner? Or maybe your life has been fractured by addiction and you're struggling to find emotional equilibrium. Even though you’re committed to saving your relationship or, perhaps, have quit using substances, you may still feel like you haven’t addressed the core issues that keep you stuck. If only you knew how to truly connect with yourself, you could move your life in a more positive direction.
(410) 498-7123 View (410) 498-7123
Photo of Robert Ernest Jones Jr, Clinical Social Work/Therapist, LICSW, LCSW
Robert Ernest Jones Jr
Clinical Social Work/Therapist, LICSW, LCSW
Crofton, MD 21114
Our clients are seeking effective, rapid solutions to manage stress and overcome addiction. They need more than just insight; they require a practical toolkit to take back control of their lives. We offer a unique integration of Cognitive Behavioral Therapy (CBT) and Solution-Focused Theory (SFT). CBT provides the essential skills to identify and modify the negative thought patterns and triggers that drive addiction and anxiety, giving you concrete coping strategies. Simultaneously, SFT maintains a positive, future-oriented focus. We collaborate to define your ideal future, leveraging your existing strengths and tracking your goals
Our clients are seeking effective, rapid solutions to manage stress and overcome addiction. They need more than just insight; they require a practical toolkit to take back control of their lives. We offer a unique integration of Cognitive Behavioral Therapy (CBT) and Solution-Focused Theory (SFT). CBT provides the essential skills to identify and modify the negative thought patterns and triggers that drive addiction and anxiety, giving you concrete coping strategies. Simultaneously, SFT maintains a positive, future-oriented focus. We collaborate to define your ideal future, leveraging your existing strengths and tracking your goals
(667) 274-0063 View (667) 274-0063
Photo of Hannah Kaitlin Thiessen, Clinical Social Work/Therapist, LMSW, EMDR, KAP
Hannah Kaitlin Thiessen
Clinical Social Work/Therapist, LMSW, EMDR, KAP
Baltimore, MD 21218
I am currently accepting new clients! I aim to develop a warm, accepting, and non-judgmental therapeutic relationship with my clients to give them a safe and empathic space to process painful emotions and experiences. I'm a licensed master social worker (LMSW) providing virtual and in person traditional talk therapy and Eye Movement Desensitization Reprocessing (EMDR). I completed my Master of Social Work with a specialization in behavioral health from the University of Maryland School of Social Work. I hold a Bachelor of Arts in Music from Wake Forest University.
I am currently accepting new clients! I aim to develop a warm, accepting, and non-judgmental therapeutic relationship with my clients to give them a safe and empathic space to process painful emotions and experiences. I'm a licensed master social worker (LMSW) providing virtual and in person traditional talk therapy and Eye Movement Desensitization Reprocessing (EMDR). I completed my Master of Social Work with a specialization in behavioral health from the University of Maryland School of Social Work. I hold a Bachelor of Arts in Music from Wake Forest University.
(410) 834-4778 View (410) 834-4778
Photo of Gina Strong, Licensed Professional Counselor, MA, LPC
Gina Strong
Licensed Professional Counselor, MA, LPC
Online Only
I support individuals navigating life transitions, clarifying goals, and taking actionable steps forward. I view the therapeutic alliance as a partnership grounded in trust, respect, and open communication. I'm certified in trauma, anxiety, ADHD, and anger management, and use a client-centered, CBT-informed approach. I have experience as a grief counselor with Hospice and work with clients exploring identity and sexual orientation. I'm committed to creating a safe space, especially for LGBTQIA individuals.
I support individuals navigating life transitions, clarifying goals, and taking actionable steps forward. I view the therapeutic alliance as a partnership grounded in trust, respect, and open communication. I'm certified in trauma, anxiety, ADHD, and anger management, and use a client-centered, CBT-informed approach. I have experience as a grief counselor with Hospice and work with clients exploring identity and sexual orientation. I'm committed to creating a safe space, especially for LGBTQIA individuals.
(940) 329-5378 View (940) 329-5378
Photo of Jenevra Owen, LPCC, LCPC, CMHC, NCC
Jenevra Owen
Verified Verified
2 Endorsed
Online Only
I provide individual therapy for concerns like complex PTSD, anxiety and panic, religious trauma, scrupulosity and moral injury, identity development, relationship and family strain, political stress, and body image. If you are navigating a faith transition or life after a high-demand group, you may feel thoughtful yet anxious or numb, worn down by shame and people-pleasing. You want language for what happened, relief in your body, and a steadier sense of self. Together we will process trauma, set boundaries, separate fear from values, and rebuild relationships based on consent and choice.
I provide individual therapy for concerns like complex PTSD, anxiety and panic, religious trauma, scrupulosity and moral injury, identity development, relationship and family strain, political stress, and body image. If you are navigating a faith transition or life after a high-demand group, you may feel thoughtful yet anxious or numb, worn down by shame and people-pleasing. You want language for what happened, relief in your body, and a steadier sense of self. Together we will process trauma, set boundaries, separate fear from values, and rebuild relationships based on consent and choice.
(760) 292-3391 View (760) 292-3391
Photo of Marie Fonrose, Counselor, PhD, LCPC, NBCT
Marie Fonrose
Counselor, PhD, LCPC, NBCT
2 Endorsed
Beltsville, MD 20705
Have you ever heard the phrase "we solve our own problems". Or that it is a weakness to express your emotions. Are you from a culture where it is not okay to see a therapist? Are you overwhelmed with thoughts? If you could just talk to someone about it...Well you are in the right place. Here you will find a warm and safe place to express these feelings or emotions, manage stress, reduce anxiety, cope with depression or grief, understand anger, and deal with life's transitions without violating your family or cultural principles.
Have you ever heard the phrase "we solve our own problems". Or that it is a weakness to express your emotions. Are you from a culture where it is not okay to see a therapist? Are you overwhelmed with thoughts? If you could just talk to someone about it...Well you are in the right place. Here you will find a warm and safe place to express these feelings or emotions, manage stress, reduce anxiety, cope with depression or grief, understand anger, and deal with life's transitions without violating your family or cultural principles.
(301) 850-2431 View (301) 850-2431
Photo of Chaya Lencz, Clinical Social Work/Therapist, LMSW
Chaya Lencz
Clinical Social Work/Therapist, LMSW
Baltimore, MD 21286
Immediate Tues/Thur Daytime Openings - Has life been overwhelming lately? Have you been feeling more anxious, stuck, or stressed than usual? Or maybe you’re not even sure what emotions you’re feeling, but you know you’ve been struggling. I understand that life, especially when you’re going through transitions and changes, can be challenging. As a therapist, I aim to help you meet those challenges with warmth, a non-judgmental environment, and a sense of humor. We’ll work together to empower you to confidently achieve real growth.
Immediate Tues/Thur Daytime Openings - Has life been overwhelming lately? Have you been feeling more anxious, stuck, or stressed than usual? Or maybe you’re not even sure what emotions you’re feeling, but you know you’ve been struggling. I understand that life, especially when you’re going through transitions and changes, can be challenging. As a therapist, I aim to help you meet those challenges with warmth, a non-judgmental environment, and a sense of humor. We’ll work together to empower you to confidently achieve real growth.
(443) 574-6663 View (443) 574-6663
Photo of Bolanle Ayinde - Carefirst Uhc Medicaid Medicare Md Dc, Clinical Social Work/Therapist, LCSW-C
Bolanle Ayinde - Carefirst Uhc Medicaid Medicare Md Dc
Clinical Social Work/Therapist, LCSW-C
1 Endorsed
Bladensburg, MD 20710
Having had decades of experience helping clients, I have now embarked on my own private practice. I am looking forward to working with clients of all ages, nationalities and genders. Let us work together to alleviate the issues being faced. Come and let us talk! We will do so virtually for our own safety, but you will experience the same comfort as consulting face to face. Let's start working together today!
Having had decades of experience helping clients, I have now embarked on my own private practice. I am looking forward to working with clients of all ages, nationalities and genders. Let us work together to alleviate the issues being faced. Come and let us talk! We will do so virtually for our own safety, but you will experience the same comfort as consulting face to face. Let's start working together today!
(301) 205-5250 View (301) 205-5250

See more therapy options for Highland

How does your Therapist compare?

Number of Therapists in Highland, MD

10+

Average cost per session

$197

Therapists in Highland, MD who prioritize treating:

100% Depression
90% Anxiety
80% Relationship Issues
80% Trauma and PTSD
80% Self Esteem
80% Stress
70% Grief

Average years in practice

14 Years

Top 3 insurances accepted

83% Aetna
67% BlueCross and BlueShield
67% Cigna and Evernorth

How Therapists in Highland, MD see their clients

60% In Person and Online
40% Online Only

Gender breakdown

67% Female
33% Male
FAQs - About Therapy and Counseling

How can I find a therapist in Highland?

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.