Therapists in Rockville, MD

Photo of Johanté Wood, Licensed Clinical Professional Counselor, LCPC
Johanté Wood
Licensed Clinical Professional Counselor, LCPC
Rockville, MD 20850
My ideal client would be someone either navigating life stressors, anxiety, or depression. My client is someone hoping to reconnect with their strengths as well as create a better balance in their life. My client could potentially be experiencing trauma or issues with attachment concerns and relationships. My client expresses their goals of needing to manage emotions better, find balance within their routine, and build more confidence, which is helpful for communication of desires/ interests. The client wants to accomplish these goals for the first time or as a result of transition/trauma.
My ideal client would be someone either navigating life stressors, anxiety, or depression. My client is someone hoping to reconnect with their strengths as well as create a better balance in their life. My client could potentially be experiencing trauma or issues with attachment concerns and relationships. My client expresses their goals of needing to manage emotions better, find balance within their routine, and build more confidence, which is helpful for communication of desires/ interests. The client wants to accomplish these goals for the first time or as a result of transition/trauma.
(240) 213-9360 View (240) 213-9360
Photo of Irene Opabajo, Licensed Clinical Professional Counselor, MA, LCPC
Irene Opabajo
Licensed Clinical Professional Counselor, MA, LCPC
Online Only
Welcome! Life has a tendency to throw challenges at us unexpectedly. How we handle these challenges can make all the difference in our overall well being. I am a licensed clinical professional counselor and I would like to help foster the resiliency within you to mange life's stressors. I have experience providing counseling, and care coordination for teens, families and adults from diverse cultural backgrounds struggling with depression, anxiety, trauma, eating disorders, self-esteem, and various other mental health challenges. I believe everyone has the ability to be resilient and overcome obstacles standing in their way.
Welcome! Life has a tendency to throw challenges at us unexpectedly. How we handle these challenges can make all the difference in our overall well being. I am a licensed clinical professional counselor and I would like to help foster the resiliency within you to mange life's stressors. I have experience providing counseling, and care coordination for teens, families and adults from diverse cultural backgrounds struggling with depression, anxiety, trauma, eating disorders, self-esteem, and various other mental health challenges. I believe everyone has the ability to be resilient and overcome obstacles standing in their way.
(240) 221-5794 View (240) 221-5794
Photo of Natalie Mevs, Clinical Social Work/Therapist, LCSW-C
Natalie Mevs
Clinical Social Work/Therapist, LCSW-C
Rockville, MD 20850
My ideal client is prepared to engage in therapy and commit to the work, even when challenges arise. I seek clients who are dedicated to their healing journey and have a long-term vision of achieving independence and self-sufficiency rather than developing a co-dependent relationship with their therapist. I take a holistic approach to healing and work best with clients who are open to examining the environmental factors, behaviors, relationships, and experiences that shape their everyday lives and current state.
My ideal client is prepared to engage in therapy and commit to the work, even when challenges arise. I seek clients who are dedicated to their healing journey and have a long-term vision of achieving independence and self-sufficiency rather than developing a co-dependent relationship with their therapist. I take a holistic approach to healing and work best with clients who are open to examining the environmental factors, behaviors, relationships, and experiences that shape their everyday lives and current state.
(240) 213-7559 View (240) 213-7559
Photo of Madison O'Beirne, Clinical Social Work/Therapist, LMSW
Madison O'Beirne
Clinical Social Work/Therapist, LMSW
Rockville, MD 20850
My clients typically face challenges with anxiety, depression, and interpersonal relationships. They benefit from a supportive, safe environment to explore and heal. My clients are also often looking to improve mental wellness, healthier relationships, and personal empowerment with the tools learned and practiced in therapy.
My clients typically face challenges with anxiety, depression, and interpersonal relationships. They benefit from a supportive, safe environment to explore and heal. My clients are also often looking to improve mental wellness, healthier relationships, and personal empowerment with the tools learned and practiced in therapy.
(301) 321-8638 View (301) 321-8638
Photo of Inna Zusman, Counselor, LGPC, IMAGO, EMDR
Inna Zusman
Counselor, LGPC, IMAGO, EMDR
6 Endorsed
Rockville, MD 20850
Feeling lonely or dissatisfied in your relationships? You’re not alone. Conflict often spikes in blended, multicultural, or multigenerational families—especially Russian-English, American-Israeli, Asian, or Indian-American couples, and immigrant parents with teens or grown-up children. I help partners who feel unheard or overwhelmed by language and culture gaps (including during divorce) to improve communication, reduce fights, and reconnect with warmth and respect. Let’s build a calmer, more loving home together
Feeling lonely or dissatisfied in your relationships? You’re not alone. Conflict often spikes in blended, multicultural, or multigenerational families—especially Russian-English, American-Israeli, Asian, or Indian-American couples, and immigrant parents with teens or grown-up children. I help partners who feel unheard or overwhelmed by language and culture gaps (including during divorce) to improve communication, reduce fights, and reconnect with warmth and respect. Let’s build a calmer, more loving home together
(301) 381-3083 View (301) 381-3083
Photo of Kamakshi Sankar Boyle, Clinical Social Work/Therapist, LCSW-C, EMDR-C, RYT-500
Kamakshi Sankar Boyle
Clinical Social Work/Therapist, LCSW-C, EMDR-C, RYT-500
2 Endorsed
Online Only
I am a Licensed Trauma Therapist with over 20 years of clinical experience supporting children, teens, adults, and families. I specialize in helping individuals heal from trauma, grief, anxiety, depression, stress, and relationship challenges. My approach is integrative and holistic, drawing from EMDR, yoga, and Mindfulness-Based Cognitive Therapy to support both emotional and physiological healing. I have extensive experience working with culturally diverse and neurodiverse populations, and I strive to create a compassionate, inclusive space where clients feel seen, safe, and empowered.
I am a Licensed Trauma Therapist with over 20 years of clinical experience supporting children, teens, adults, and families. I specialize in helping individuals heal from trauma, grief, anxiety, depression, stress, and relationship challenges. My approach is integrative and holistic, drawing from EMDR, yoga, and Mindfulness-Based Cognitive Therapy to support both emotional and physiological healing. I have extensive experience working with culturally diverse and neurodiverse populations, and I strive to create a compassionate, inclusive space where clients feel seen, safe, and empowered.
(301) 701-4955 View (301) 701-4955
Photo of Dr. Aubrey Berry, Counselor, EdD, LGPC
Dr. Aubrey Berry
Counselor, EdD, LGPC
2 Endorsed
Rockville, MD 20852
I am so happy you’re here! As a client-centered counselor who specializes in trauma, anxiety, & relationships, my therapy focuses on providing a safe, supportive environment for you to express & explore your emotions while gaining practical coping skills. While working with me, you will receive a non-judgmental approach that is individually tailored to meet your specific needs & goals. My goal as a counselor is to partner with you to help you feel heard as we work to remove the obstacles and barriers in our lives and relationships that leave us feeling stuck and unfulfilled. All are welcome here: this is a nondiscriminatory space :)
I am so happy you’re here! As a client-centered counselor who specializes in trauma, anxiety, & relationships, my therapy focuses on providing a safe, supportive environment for you to express & explore your emotions while gaining practical coping skills. While working with me, you will receive a non-judgmental approach that is individually tailored to meet your specific needs & goals. My goal as a counselor is to partner with you to help you feel heard as we work to remove the obstacles and barriers in our lives and relationships that leave us feeling stuck and unfulfilled. All are welcome here: this is a nondiscriminatory space :)
(301) 901-8304 View (301) 901-8304
Photo of Angela Hamilton Serrano, Clinical Social Work/Therapist, LCSW-C
Angela Hamilton Serrano
Clinical Social Work/Therapist, LCSW-C
Rockville, MD 20850
There is no time like the present to prioritize your mental wellbeing. We are living in challenging times right now and for so many we are plagued with feelings of emptiness and hopelessness. Fortunately, there is help available for those who are thinking about or are ready for change. I am ready to partner with you to make the change a reality.
There is no time like the present to prioritize your mental wellbeing. We are living in challenging times right now and for so many we are plagued with feelings of emptiness and hopelessness. Fortunately, there is help available for those who are thinking about or are ready for change. I am ready to partner with you to make the change a reality.
(301) 579-8492 View (301) 579-8492
Photo of Geraldine E McBrinn, Clinical Social Work/Therapist, MSW, LCSW-C
Geraldine E McBrinn
Clinical Social Work/Therapist, MSW, LCSW-C
Rockville, MD 20852
The idea of therapy can be overwhelming for anyone that hasn't sought it before or for someone who desires to restart therapy. My job as a licensed clinical social worker is not only to support you with whatever issue is taking place, but also to make you feel comfortable and safe to communicate what is usually very personal.
The idea of therapy can be overwhelming for anyone that hasn't sought it before or for someone who desires to restart therapy. My job as a licensed clinical social worker is not only to support you with whatever issue is taking place, but also to make you feel comfortable and safe to communicate what is usually very personal.
(301) 273-1728 View (301) 273-1728
Photo of Mara Glover, Licensed Clinical Professional Counselor, MA, LCPC
Mara Glover
Licensed Clinical Professional Counselor, MA, LCPC
2 Endorsed
Online Only
Maybe you are interested in learning skills to cope with specific behaviors or thoughts. Perhaps you are seeking validation and a non-judgmental listener. Or, you are not sure what you want from therapy, but you know something in your life does not feel right. If any of this resonates with you, I am here to help your struggles with anxiety, eating disorders, depression, life changes, self-esteem and more. I am confident we can work as a team to move your life toward a path that feels right to you, and help you feel in control of the present and future.
Maybe you are interested in learning skills to cope with specific behaviors or thoughts. Perhaps you are seeking validation and a non-judgmental listener. Or, you are not sure what you want from therapy, but you know something in your life does not feel right. If any of this resonates with you, I am here to help your struggles with anxiety, eating disorders, depression, life changes, self-esteem and more. I am confident we can work as a team to move your life toward a path that feels right to you, and help you feel in control of the present and future.
(301) 637-5249 View (301) 637-5249
Photo of Masha Levy, Clinical Social Work/Therapist, LCSW-C
Masha Levy
Clinical Social Work/Therapist, LCSW-C
Rockville, MD 20850
Thank you for taking the time to read about me and my approach to therapy. My goal is to help you feel validated and well-supported as you work on increasing your coping skills and gaining valuable insights about yourself, your situation and your options for moving forward. My style is interactive, collaborative and client-centered. I use a variety of evidence-based interventions to help my clients create lasting positive changes. Prior to becoming a psychotherapist, I spent 12 years working as a trauma-informed massage therapist, teacher and mentor in the bodywork community.
Thank you for taking the time to read about me and my approach to therapy. My goal is to help you feel validated and well-supported as you work on increasing your coping skills and gaining valuable insights about yourself, your situation and your options for moving forward. My style is interactive, collaborative and client-centered. I use a variety of evidence-based interventions to help my clients create lasting positive changes. Prior to becoming a psychotherapist, I spent 12 years working as a trauma-informed massage therapist, teacher and mentor in the bodywork community.
(301) 205-5784 View (301) 205-5784
Photo of Ellen Carol Singer, Clinical Social Work/Therapist, MSW, LCSW-C, LCSW
Ellen Carol Singer
Clinical Social Work/Therapist, MSW, LCSW-C, LCSW
3 Endorsed
Rockville, MD 20850
Ellen Singer is a Licensed Clinical Social Worker who has specialized in helping couples and families for 35+ years. She trained with Dr. Richard Schwartz in the evidence-based Internal Family Systems (IFS) therapeutic model. She’s also studied and incorporates tools from highly reputable Emotionally Focused Therapy, Gottman Therapy, and Imago Therapy. She sees all couples and specializes in high conflict, infidelity/affairs, intimacy/sexual relationships, ADHD impact, and coping with parent-related concerns. She also specializes in couples coping with infertiity, connected to adoption, blended families, and LGBTQ families.
Ellen Singer is a Licensed Clinical Social Worker who has specialized in helping couples and families for 35+ years. She trained with Dr. Richard Schwartz in the evidence-based Internal Family Systems (IFS) therapeutic model. She’s also studied and incorporates tools from highly reputable Emotionally Focused Therapy, Gottman Therapy, and Imago Therapy. She sees all couples and specializes in high conflict, infidelity/affairs, intimacy/sexual relationships, ADHD impact, and coping with parent-related concerns. She also specializes in couples coping with infertiity, connected to adoption, blended families, and LGBTQ families.
(240) 702-2188 View (240) 702-2188
Photo of Lauren Kosc, Licensed Professional Counselor, LCPC
Lauren Kosc
Licensed Professional Counselor, LCPC
Online Only
While I specialize in working with first responders, I enjoy treating diverse populations and have 15+ years of experience in community mental health. I primarily work from a trauma-informed approach to help clients understand how thoughts fundamentally shape their emotions, behavioral patterns, and responses to life’s challenges. As a Licensed Clinical Professional Counselor and National Board Certified Counselor (NCC), I incorporate skills and practice into the therapy process. Using a personalized treatment plan, I help clients build distress tolerance, tackle avoidance, and reframe toxic thoughts.
While I specialize in working with first responders, I enjoy treating diverse populations and have 15+ years of experience in community mental health. I primarily work from a trauma-informed approach to help clients understand how thoughts fundamentally shape their emotions, behavioral patterns, and responses to life’s challenges. As a Licensed Clinical Professional Counselor and National Board Certified Counselor (NCC), I incorporate skills and practice into the therapy process. Using a personalized treatment plan, I help clients build distress tolerance, tackle avoidance, and reframe toxic thoughts.
(301) 368-6557 View (301) 368-6557
Photo of Shelby Eugene Fisher, Counselor, LCPC
Shelby Eugene Fisher
Counselor, LCPC
Online Only
My ideal client is someone who is looking to better understand the functions of their behavior and take evidence based action to help manage their mental health. I'm looking for clients who want to discover themselves and better understand the triggers that keep them from achieving their particular ideal of wellness.I specialize in utilizing Acceptance and Commitment Therapy to help my clients better understand the function of their behaviors along with assessing the costs associated with their behavior followed by creating a plan to help the client use evidence based practices to help them achieve their mental health goals.
My ideal client is someone who is looking to better understand the functions of their behavior and take evidence based action to help manage their mental health. I'm looking for clients who want to discover themselves and better understand the triggers that keep them from achieving their particular ideal of wellness.I specialize in utilizing Acceptance and Commitment Therapy to help my clients better understand the function of their behaviors along with assessing the costs associated with their behavior followed by creating a plan to help the client use evidence based practices to help them achieve their mental health goals.
(301) 804-1235 View (301) 804-1235
Photo of Kavita Pallod Sekhsaria, Psychologist, PsyD
Kavita Pallod Sekhsaria
Psychologist, PsyD
12 Endorsed
Rockville, MD 20850
You’re accomplished and self-aware—but something still feels “off.” Maybe it’s the weight of generational expectations, the silent pressure to be everything for everyone, or a quiet inner voice asking, Is this all there is? As a culturally attuned therapist with deep roots in South Asian identity, spirituality, and mindful healing, I support individuals and couples who are ready to slow down, tune in, and move forward with clarity and compassion. I firmly believe that therapy is a space to equip you to access your strengths, so you can more forward feeling more confident in your ability to bring your life in line with your goals.
You’re accomplished and self-aware—but something still feels “off.” Maybe it’s the weight of generational expectations, the silent pressure to be everything for everyone, or a quiet inner voice asking, Is this all there is? As a culturally attuned therapist with deep roots in South Asian identity, spirituality, and mindful healing, I support individuals and couples who are ready to slow down, tune in, and move forward with clarity and compassion. I firmly believe that therapy is a space to equip you to access your strengths, so you can more forward feeling more confident in your ability to bring your life in line with your goals.
(240) 202-3313 View (240) 202-3313
Photo of Patricia M Cooper, Counselor, MS, LCPC
Patricia M Cooper
Counselor, MS, LCPC
Online Only
Are you struggling to find acceptance and understanding in your relationships with others? Do you wish you had more peace and compassion towards yourself? Whether you are looking to foster more connection and communication with your loved ones, or you are embarking on a journey of self-love and growth, it is my aim to help empower you to reach your goals.
Are you struggling to find acceptance and understanding in your relationships with others? Do you wish you had more peace and compassion towards yourself? Whether you are looking to foster more connection and communication with your loved ones, or you are embarking on a journey of self-love and growth, it is my aim to help empower you to reach your goals.
(410) 618-0852 View (410) 618-0852
Photo of Tonya Pleasant, Licensed Clinical Professional Counselor, MEd, LCPC, LMFT
Tonya Pleasant
Licensed Clinical Professional Counselor, MEd, LCPC, LMFT
Rockville, MD 20852
For more than 25 years, I have worked in the counseling and mental health field helping clients from various cultural backgrounds and multicultural interests and mental health concerns. I’m grateful to avail myself to effectively help my clients make positive, targeted, measurable changes in their lives in achieving their identified goals; using a strengths-based therapeutic model of care. My primary therapeutic approaches are Person Centered, Adlerian and Cognitive Behavioral Therapy (CBT). Adlerian therapy takes an optimistic view and focuses on your unique strengths, creativity and capabilities.
For more than 25 years, I have worked in the counseling and mental health field helping clients from various cultural backgrounds and multicultural interests and mental health concerns. I’m grateful to avail myself to effectively help my clients make positive, targeted, measurable changes in their lives in achieving their identified goals; using a strengths-based therapeutic model of care. My primary therapeutic approaches are Person Centered, Adlerian and Cognitive Behavioral Therapy (CBT). Adlerian therapy takes an optimistic view and focuses on your unique strengths, creativity and capabilities.
(240) 512-6375 View (240) 512-6375
Photo of Sarah Puskavich, Counselor, LCPC
Sarah Puskavich
Counselor, LCPC
4 Endorsed
Rockville, MD 20855
Hi, I'm Sarah. I work with individuals experiencing anxiety, trauma, and complicated family relationships often connected to perfectionism, over-achieving, self-doubt, and issues with mood. In our work, we explore how past experiences, current stressors, and relationships have shaped who you are today. We use that information to develop skills to better understand, tolerate, and regulate emotions, creating space for more ease and self-trust. Together we work towards goals that make sense of your needs, whether that’s setting boundaries in relationships, rebuilding self-trust, or lessening the effects of anxiety and depression.
Hi, I'm Sarah. I work with individuals experiencing anxiety, trauma, and complicated family relationships often connected to perfectionism, over-achieving, self-doubt, and issues with mood. In our work, we explore how past experiences, current stressors, and relationships have shaped who you are today. We use that information to develop skills to better understand, tolerate, and regulate emotions, creating space for more ease and self-trust. Together we work towards goals that make sense of your needs, whether that’s setting boundaries in relationships, rebuilding self-trust, or lessening the effects of anxiety and depression.
(240) 209-9775 View (240) 209-9775
Photo of Brad Bryk, Psychologist, PsyD
Brad Bryk
Psychologist, PsyD
3 Endorsed
Online Only
As an expert in Sport and Performance Psychology, I work with current and former athletes (age 14 and up), coaches, caregivers of athletes, and individuals in high-stress jobs, particularly individuals who experience physical injury, burnout, relationship distress, performance anxiety, self-esteem struggles, identity development, perfectionism, managing change, and body image concerns. My goal as a therapist is to create a supportive and collaborative space and relationship with my clients to allow for in-depth exploration and perspective taking.
As an expert in Sport and Performance Psychology, I work with current and former athletes (age 14 and up), coaches, caregivers of athletes, and individuals in high-stress jobs, particularly individuals who experience physical injury, burnout, relationship distress, performance anxiety, self-esteem struggles, identity development, perfectionism, managing change, and body image concerns. My goal as a therapist is to create a supportive and collaborative space and relationship with my clients to allow for in-depth exploration and perspective taking.
(240) 209-9662 View (240) 209-9662
Photo of Deneen Rayne, Counselor, LGPC
Deneen Rayne
Counselor, LGPC
Online Only
Are you and your partner stuck in the same arguments, feeling more like roommates than a team? Do you struggle to feel heard, understood, or connected? I primarily work with couples who want to improve communication, rebuild trust, and strengthen their relationship. I also support neurodivergent adults and individuals navigating life transitions or the stress of parenting children with special needs who feel overwhelmed, stuck, or unsure how to move forward.
Are you and your partner stuck in the same arguments, feeling more like roommates than a team? Do you struggle to feel heard, understood, or connected? I primarily work with couples who want to improve communication, rebuild trust, and strengthen their relationship. I also support neurodivergent adults and individuals navigating life transitions or the stress of parenting children with special needs who feel overwhelmed, stuck, or unsure how to move forward.
(301) 857-4604 View (301) 857-4604

See more therapy options for Rockville

How does your Therapist compare?

Number of Therapists in Rockville, MD

1,000+

Average cost per session

$177

Therapists in Rockville, MD who prioritize treating:

94% Anxiety
89% Depression
77% Relationship Issues
77% Self Esteem
67% Stress
66% Trauma and PTSD
59% Grief

Average years in practice

14 Years

Top 3 insurances accepted

81% BlueCross and BlueShield
76% CareFirst
72% Cigna and Evernorth

How Therapists in Rockville, MD see their clients

56% In Person and Online
44% Online Only

Gender breakdown

84% Female
15% Male
1% Non-Binary
FAQs - About Therapy and Counseling

How can I find a therapist in Rockville?

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.