Therapists in Lutherville, MD

Photo of Lisa D'Antonio, Clinical Social Work/Therapist, LCSW-C
Lisa D'Antonio
Clinical Social Work/Therapist, LCSW-C
2 Endorsed
Lutherville, MD 21093
Not accepting new clients
I am Lisa D'Antonio, a Certified Clinical Social Worker. I have been practicing therapy for over ten years and I love to empower clients to accomplish goals that are important to them. I have worked in outpatient, inpatient, and partial hospitalization settings and can assist families in navigating the mental health system. I have a strong passion for women's issues, specifically Eating Disorders and Postpartum Depression. I have extensive experience working with both of these illnesses. I am aligned with the Heathy At Every Size (HAES) framework and support the Intuitive Eating guiding principles.
I am Lisa D'Antonio, a Certified Clinical Social Worker. I have been practicing therapy for over ten years and I love to empower clients to accomplish goals that are important to them. I have worked in outpatient, inpatient, and partial hospitalization settings and can assist families in navigating the mental health system. I have a strong passion for women's issues, specifically Eating Disorders and Postpartum Depression. I have extensive experience working with both of these illnesses. I am aligned with the Heathy At Every Size (HAES) framework and support the Intuitive Eating guiding principles.
(410) 844-5193 View (410) 844-5193
Photo of Joe Guidi, Psychologist, PsyD
Joe Guidi
Psychologist, PsyD
Lutherville, MD 21093
I value a collaborative approach to therapy that encourages self-efficacy and personal choice. I do not believe in telling you that you must change, or in telling you how you must change. Instead, we'll work together to determine what you are experiencing, clarify what your personal goals are, and support you in determining how you can best meet your needs. I have particular experience and training in helping individuals navigate relationship challenges, anxiety, depression, life transitions, identity development, trauma/traumatic stress, and boys' & men's issues.
I value a collaborative approach to therapy that encourages self-efficacy and personal choice. I do not believe in telling you that you must change, or in telling you how you must change. Instead, we'll work together to determine what you are experiencing, clarify what your personal goals are, and support you in determining how you can best meet your needs. I have particular experience and training in helping individuals navigate relationship challenges, anxiety, depression, life transitions, identity development, trauma/traumatic stress, and boys' & men's issues.
(410) 431-1043 View (410) 431-1043
Photo of Candace Ellrich - Charm City Counseling, Licensed Clinical Professional Counselor, LCPC
Charm City Counseling
Licensed Clinical Professional Counselor, LCPC
2 Endorsed
Lutherville, MD 21093
Accepting New Clients! At Charm City Counseling, we offer a custom approach for each of our clients. We are a group of experienced trauma informed therapists, specializing in therapy for adults, teens and families with varying issues including: difficulty in relationships, anxiety, neurodivergence, trauma, grief/loss, Perinatal Mood and Anxiety Disorders, Infertility, Maternal Mental Health, depression, and self-esteem.
Accepting New Clients! At Charm City Counseling, we offer a custom approach for each of our clients. We are a group of experienced trauma informed therapists, specializing in therapy for adults, teens and families with varying issues including: difficulty in relationships, anxiety, neurodivergence, trauma, grief/loss, Perinatal Mood and Anxiety Disorders, Infertility, Maternal Mental Health, depression, and self-esteem.
(410) 777-5699 View (410) 777-5699
Photo of Adam Baldridge, Counselor, LGPC
Adam Baldridge
Counselor, LGPC
1 Endorsed
Lutherville, MD 21093
Openings available! Do you want to change the way you feel or the behavior patterns that don't work for you? My goal is to provide hope and encouragement, helping those who feel lost to discover a renewed sense of purpose and direction. My approach is rooted in Cognitive Behavioral Therapy (CBT), a well-established method that focuses on identifying and challenging negative thought patterns and behaviors. By highlighting unhelpful thinking and behavior patterns and learning how to replace these patterns with healthier, more productive ways of thinking and acting, people are able to make lasting changes in their lives.
Openings available! Do you want to change the way you feel or the behavior patterns that don't work for you? My goal is to provide hope and encouragement, helping those who feel lost to discover a renewed sense of purpose and direction. My approach is rooted in Cognitive Behavioral Therapy (CBT), a well-established method that focuses on identifying and challenging negative thought patterns and behaviors. By highlighting unhelpful thinking and behavior patterns and learning how to replace these patterns with healthier, more productive ways of thinking and acting, people are able to make lasting changes in their lives.
(443) 373-0704 View (443) 373-0704
Photo of Nancy Piccicuto, Clinical Social Work/Therapist, MSW, LCSW-C
Nancy Piccicuto
Clinical Social Work/Therapist, MSW, LCSW-C
Online Only
My ideal client is curious, insightful, and ready to better understand themselves, even if they currently feel overwhelmed or stuck. They want to like themselves more, strengthen their relationships, and make sense of what they are feeling rather than push it away. Many are navigating anxiety, depression, stress, neurodivergence, or a difficult season of life and are ready for support that feels real, collaborative, and compassionate. I especially connect with people who think deeply, notice details, ask big questions, and still appreciate humor along the way.
My ideal client is curious, insightful, and ready to better understand themselves, even if they currently feel overwhelmed or stuck. They want to like themselves more, strengthen their relationships, and make sense of what they are feeling rather than push it away. Many are navigating anxiety, depression, stress, neurodivergence, or a difficult season of life and are ready for support that feels real, collaborative, and compassionate. I especially connect with people who think deeply, notice details, ask big questions, and still appreciate humor along the way.
Photo of Alan Kutner, Clinical Social Work/Therapist, LCSW-C
Alan Kutner
Clinical Social Work/Therapist, LCSW-C
Lutherville, MD 21093
Honesty. Vulnerability. Courage. If you're reading this, you're seeking positive change. It takes honesty to reach out and courage to follow through. I work with adults from diverse backgrounds and experiences, with a specialty in men's mental health. I help individuals turn pain into strength, addressing challenges many men face—often hard to talk about—including anger, stress, anxiety, depression, addiction, trauma, and relationship issues. I offer convenient in-person sessions from my Lutherville office and statewide telehealth.
Honesty. Vulnerability. Courage. If you're reading this, you're seeking positive change. It takes honesty to reach out and courage to follow through. I work with adults from diverse backgrounds and experiences, with a specialty in men's mental health. I help individuals turn pain into strength, addressing challenges many men face—often hard to talk about—including anger, stress, anxiety, depression, addiction, trauma, and relationship issues. I offer convenient in-person sessions from my Lutherville office and statewide telehealth.
(301) 273-1583 View (301) 273-1583
Photo of Julie Seechuk, Clinical Social Work/Therapist, LMSW
Julie Seechuk
Clinical Social Work/Therapist, LMSW
3 Endorsed
Lutherville, MD 21093
Do you feel stressed or overwhelmed these days? Do you feel like you need someone to listen and understand how you feel? As a therapist for Resilient Psychiatry, I provide empathy and a listening ear for you to openly talk about the issues that you are facing.
Do you feel stressed or overwhelmed these days? Do you feel like you need someone to listen and understand how you feel? As a therapist for Resilient Psychiatry, I provide empathy and a listening ear for you to openly talk about the issues that you are facing.
(410) 941-3695 View (410) 941-3695
Photo of Katia Callan, Clinical Social Work/Therapist, MSW, LCSW-C
Katia Callan
Clinical Social Work/Therapist, MSW, LCSW-C
7 Endorsed
Lutherville, MD 21093
Daily stress? Uncertainty? Anxious? Avoiding life? Finding someone to connect with is the first step in changing your life and you have looked in the right place! Insight therapists assist you in identifying triggers and examining your thinking patterns. Together we use your strengths to change how you handle stress, face problems, and overcome challenges. Our Specialty areas: depression, anxiety, ADHD, life transitions, prolonged stress, difficulty with adjustments, trauma, EMDR, body image, perinatal mood and anxiety disorders, parenting issues, and teen issues.
Daily stress? Uncertainty? Anxious? Avoiding life? Finding someone to connect with is the first step in changing your life and you have looked in the right place! Insight therapists assist you in identifying triggers and examining your thinking patterns. Together we use your strengths to change how you handle stress, face problems, and overcome challenges. Our Specialty areas: depression, anxiety, ADHD, life transitions, prolonged stress, difficulty with adjustments, trauma, EMDR, body image, perinatal mood and anxiety disorders, parenting issues, and teen issues.
(410) 753-2189 View (410) 753-2189
Photo of Amie C Myrick, Licensed Clinical Professional Counselor, MS, LCPC
Amie C Myrick
Licensed Clinical Professional Counselor, MS, LCPC
2 Endorsed
Lutherville, MD 21093
Are you or your child struggling with overwhelming feelings, thoughts, or behaviors? Are you looking for someone to support you and assist you in making changes? I believe therapy is most effective when a trusting relationship exists between a counselor and client. This is my approach as I work with children, adolescents, and adults. Together, we can collaborate to make some of those overwhelming experiences feel more manageable.
Are you or your child struggling with overwhelming feelings, thoughts, or behaviors? Are you looking for someone to support you and assist you in making changes? I believe therapy is most effective when a trusting relationship exists between a counselor and client. This is my approach as I work with children, adolescents, and adults. Together, we can collaborate to make some of those overwhelming experiences feel more manageable.
(443) 879-9905 View (443) 879-9905
Photo of Robyn P Waxman, Psychologist, PhD
Robyn P Waxman
Psychologist, PhD
Lutherville, MD 21093
I have been working with children and adolescents, as well as their families, for over twenty years. I believe that parents want to be the best parents possible but may need help developing the tools to do so. I also think kids want to succeed but don't always know how to do it on their own. I try to make therapy appealing with humor and a down-to-Earth practical approach. In addition to therapy, I also specialize in comprehensive academic evaluations for learning differences and ADHD. I also have 3 amazing clinicians who treat little ones through adults and couples. Please visit my website to learn more about each of us!
I have been working with children and adolescents, as well as their families, for over twenty years. I believe that parents want to be the best parents possible but may need help developing the tools to do so. I also think kids want to succeed but don't always know how to do it on their own. I try to make therapy appealing with humor and a down-to-Earth practical approach. In addition to therapy, I also specialize in comprehensive academic evaluations for learning differences and ADHD. I also have 3 amazing clinicians who treat little ones through adults and couples. Please visit my website to learn more about each of us!
(443) 470-5611 View (443) 470-5611
Photo of Barbara Perry, Clinical Social Work/Therapist, LCSW-C
Barbara Perry
Clinical Social Work/Therapist, LCSW-C
Online Only
Waitlist for new clients
In therapy, there is no "one size fits all!" I work with adults, adolescents and children on an individual basis on many issues, especially issues of loss, trauma, depression and anxiety. Many people suffering from these issues also develop substance abuse, eating disorders and phobias. I believe therapy is a collaboration of therapist and client to understand and treat the issues that keep you from living the life you want.
In therapy, there is no "one size fits all!" I work with adults, adolescents and children on an individual basis on many issues, especially issues of loss, trauma, depression and anxiety. Many people suffering from these issues also develop substance abuse, eating disorders and phobias. I believe therapy is a collaboration of therapist and client to understand and treat the issues that keep you from living the life you want.
(410) 205-1941 View (410) 205-1941
Photo of Brenda L. Merrill, Counselor, LCPC, NCC
Brenda L. Merrill
Counselor, LCPC, NCC
1 Endorsed
Lutherville, MD 21093
Reaching out for help is difficult, but giving yourself the opportunity for emotional healing is an incredible gift to offer yourself and your loved ones. Symptoms of depression, anxiety, and anger can surface from a multitude of stressors: relationships, work, parenting, or a difficult past resurfacing in your present life. I work with people to help create meaning out of difficulty and embrace a healthier life. Through identifying and coming to grips with fears, we are better able to know ourselves so we can connect in healthy ways in existing relationships, as well as build valuable new ones.
Reaching out for help is difficult, but giving yourself the opportunity for emotional healing is an incredible gift to offer yourself and your loved ones. Symptoms of depression, anxiety, and anger can surface from a multitude of stressors: relationships, work, parenting, or a difficult past resurfacing in your present life. I work with people to help create meaning out of difficulty and embrace a healthier life. Through identifying and coming to grips with fears, we are better able to know ourselves so we can connect in healthy ways in existing relationships, as well as build valuable new ones.
(443) 856-4767 View (443) 856-4767
Photo of Michelle Dunn, Licensed Clinical Professional Counselor, MA, LCPC, NCC
Michelle Dunn
Licensed Clinical Professional Counselor, MA, LCPC, NCC
2 Endorsed
Lutherville, MD 21093
Feeling overwhelmed, stuck, or ready for a change? You don’t have to navigate this alone. Whether you're working through trauma, facing relational challenges, adjusting to life transitions, or striving for peak performance, therapy can help you move forward. Together, we’ll create a personalized plan tailored to your needs and supporting your growth.
Feeling overwhelmed, stuck, or ready for a change? You don’t have to navigate this alone. Whether you're working through trauma, facing relational challenges, adjusting to life transitions, or striving for peak performance, therapy can help you move forward. Together, we’ll create a personalized plan tailored to your needs and supporting your growth.
(443) 227-5768 View (443) 227-5768
Photo of Cathryne Lynn Maciolek, Psychologist, PsyD
Cathryne Lynn Maciolek
Psychologist, PsyD
4 Endorsed
Lutherville, MD 21093
Making a decision to begin the journey of therapy takes courage, commitment, and the willingness to change. It is not an easy decision, but well worth the effort and with much to gain. I will provide you with a safe haven to explore obstacles impacting your ability to succeed and make lasting changes in your daily life. My approach is collaborative, strength-based, and multidimensional. I use a myriad of approaches such as cognitive-behavioral therapy, family systems, and mindfulness-based techniques.
Making a decision to begin the journey of therapy takes courage, commitment, and the willingness to change. It is not an easy decision, but well worth the effort and with much to gain. I will provide you with a safe haven to explore obstacles impacting your ability to succeed and make lasting changes in your daily life. My approach is collaborative, strength-based, and multidimensional. I use a myriad of approaches such as cognitive-behavioral therapy, family systems, and mindfulness-based techniques.
(410) 734-2978 View (410) 734-2978
Photo of Jo Ellyn Pederson, Psychologist, PhD
Jo Ellyn Pederson
Psychologist, PhD
Online Only
Welcome to my practice! I was an ICU and ER nurse for many years before becoming a psychologist, and this experience gave me a unique understanding of the important role that healthy emotional functioning plays in our physical well-being and relationships. I specialize in the treatment of adults struggling with anxiety, heightened stress, grief, and interpersonal conflicts/crises. If attempts to resolve a personal problem have been unsuccessful or if conflicts in your relationship are ongoing, I seek to provide the personal support, insight and guidance needed to find a positive resolution, and the skills needed to live a healthier, more satisfying life.
Welcome to my practice! I was an ICU and ER nurse for many years before becoming a psychologist, and this experience gave me a unique understanding of the important role that healthy emotional functioning plays in our physical well-being and relationships. I specialize in the treatment of adults struggling with anxiety, heightened stress, grief, and interpersonal conflicts/crises. If attempts to resolve a personal problem have been unsuccessful or if conflicts in your relationship are ongoing, I seek to provide the personal support, insight and guidance needed to find a positive resolution, and the skills needed to live a healthier, more satisfying life.
(410) 849-0688 View (410) 849-0688
Photo of Rayna Deltuva, Licensed Clinical Professional Counselor, MA, LCPC
Rayna Deltuva
Licensed Clinical Professional Counselor, MA, LCPC
1 Endorsed
Lutherville, MD 21093
Welcome, I am so glad you’re here! I utilize a safe, collaborative, and person-centered approach to my therapy, as each person has their own unique set of needs. I will be my client’s biggest advocate. Areas of interest include, but are not limited to kids, teens and adults with anxiety, autism, depression, ADHD, behavioral issues, career indecision, managing general life stressors, and sports performance. In addition to my practice, Deltuva Counseling & Coaching, I am also a therapist for the Mindset Training Institute, founded by Arman Taghizadeh, M.D. (Dr.T). (If you are an athlete, ask me about MTI!)
Welcome, I am so glad you’re here! I utilize a safe, collaborative, and person-centered approach to my therapy, as each person has their own unique set of needs. I will be my client’s biggest advocate. Areas of interest include, but are not limited to kids, teens and adults with anxiety, autism, depression, ADHD, behavioral issues, career indecision, managing general life stressors, and sports performance. In addition to my practice, Deltuva Counseling & Coaching, I am also a therapist for the Mindset Training Institute, founded by Arman Taghizadeh, M.D. (Dr.T). (If you are an athlete, ask me about MTI!)
(410) 680-3801 View (410) 680-3801
Photo of Saniha Makhzoumi, Psychologist, PhD
Saniha Makhzoumi
Psychologist, PhD
2 Endorsed
Lutherville, MD 21093
I specialize in the treatment of eating disorders, including anorexia nervosa, bulimia nervosa, binge eating disorder, and disordered eating. I also have experience treating anxiety disorders, problems with self-esteem or body image, depression, and emotion dysregulation. I provide evidence-based treatment that incorporates Cognitive Behavioral Therapy, Dialectical Behavioral Therapy, Interpersonal Psychotherapy, and Family-based Treatment principles. I am committed to and passionate about helping improve emotional and behavioral health.
I specialize in the treatment of eating disorders, including anorexia nervosa, bulimia nervosa, binge eating disorder, and disordered eating. I also have experience treating anxiety disorders, problems with self-esteem or body image, depression, and emotion dysregulation. I provide evidence-based treatment that incorporates Cognitive Behavioral Therapy, Dialectical Behavioral Therapy, Interpersonal Psychotherapy, and Family-based Treatment principles. I am committed to and passionate about helping improve emotional and behavioral health.
(667) 206-3693 View (667) 206-3693
Photo of Cindy Mason, Licensed Clinical Professional Counselor, MS, LCPC, NCC, ACS
Cindy Mason
Licensed Clinical Professional Counselor, MS, LCPC, NCC, ACS
Online Only
I believe that change is quite possible, though often difficult. The good part is that you are taking that first big step by contacting me! I enjoy working with adults and adolescents in individual, couples, and family sessions. I have a strong foundation in multiple therapeutic approaches that I can call on to meet your specific needs. My passion is guiding individuals toward insight and the ability to discover their happiest, and most vital, fulfilled, and authentic selves!
I believe that change is quite possible, though often difficult. The good part is that you are taking that first big step by contacting me! I enjoy working with adults and adolescents in individual, couples, and family sessions. I have a strong foundation in multiple therapeutic approaches that I can call on to meet your specific needs. My passion is guiding individuals toward insight and the ability to discover their happiest, and most vital, fulfilled, and authentic selves!
(443) 906-0667 View (443) 906-0667
Photo of Beth Katz - Beth Katz, LCSW/C, LLC, Clinical Social Work/Therapist, LCSW-C
Beth Katz, LCSW/C, LLC
Clinical Social Work/Therapist, LCSW-C
Online Only
My ideal client is someone who is finished with doing the same things over-and-over and expecting different results. My clients are ready and committed to change. I am a hands-on therapist who has seen and experienced a lot in life. These experiences allow me to speak from a voice of understanding and empathy. For best results, my clients should be willing to share, listen and do the homework necessary to achieve the results desired. I also welcome those clients who would like a therapist who is just willing to listen & lend an ear.
My ideal client is someone who is finished with doing the same things over-and-over and expecting different results. My clients are ready and committed to change. I am a hands-on therapist who has seen and experienced a lot in life. These experiences allow me to speak from a voice of understanding and empathy. For best results, my clients should be willing to share, listen and do the homework necessary to achieve the results desired. I also welcome those clients who would like a therapist who is just willing to listen & lend an ear.
(410) 983-3097 View (410) 983-3097
Photo of Mimi Thomas, Clinical Social Work/Therapist, LCSW-C
Mimi Thomas
Clinical Social Work/Therapist, LCSW-C
1 Endorsed
Lutherville, MD 21093
Are you having difficulties with anxiety, depression, grief/loss, or intimate relationships? I work with adults ages 18 to 100 who are experiencing problems and life stressors interfering with work,; relationships, family or friends. Many of these issues involve these symptoms. I can help by working with you to achieve a happier quality of life and improved communications. I use a variety of approaches to fit each client. I occasionally use humor in sessions when appropriate. :
Are you having difficulties with anxiety, depression, grief/loss, or intimate relationships? I work with adults ages 18 to 100 who are experiencing problems and life stressors interfering with work,; relationships, family or friends. Many of these issues involve these symptoms. I can help by working with you to achieve a happier quality of life and improved communications. I use a variety of approaches to fit each client. I occasionally use humor in sessions when appropriate. :
(443) 334-8751 View (443) 334-8751

See more therapy options for Lutherville

How does your Therapist compare?

Number of Therapists in Lutherville, MD

80+

Average cost per session

$166

Therapists in Lutherville, MD who prioritize treating:

98% Anxiety
93% Depression
82% Relationship Issues
80% Self Esteem
64% Grief
62% Family Conflict
59% Stress

Average years in practice

16 Years

Top 3 insurances accepted

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

How Therapists in Lutherville, MD see their clients

79% In Person and Online
21% Online Only

Gender breakdown

82% Female
18% Male
FAQs - About Therapy and Counseling

How can I find a therapist in Lutherville?

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.