Therapists in Bethesda, MD

Photo of Andrew Won, Licensed Professional Counselor in Bethesda, MD
Andrew Won
Licensed Professional Counselor, LCPC
Verified Verified
Bethesda, MD 20817  (Online Only)
If you are suffering from burnout, stress, anxiety, depression, trauma or simply feeling overwhelmed or stuck, I can help you. I have devoted the last 6 years of my life to studying and practicing mental health and have an incredibly deep passion for it. In addition, I have an innate ability for empathizing and connecting with others and I promise you that I will make our therapy sessions a place where you feel safe and understood. Every person is unique and we will develop a specialized approach that works for you.
If you are suffering from burnout, stress, anxiety, depression, trauma or simply feeling overwhelmed or stuck, I can help you. I have devoted the last 6 years of my life to studying and practicing mental health and have an incredibly deep passion for it. In addition, I have an innate ability for empathizing and connecting with others and I promise you that I will make our therapy sessions a place where you feel safe and understood. Every person is unique and we will develop a specialized approach that works for you.
(410) 881-8302 View (410) 881-8302
Photo of Julie Derby, Clinical Social Work/Therapist in Bethesda, MD
Julie Derby
Clinical Social Work/Therapist, LCSW-C
Verified Verified
1 Endorsed
Bethesda, MD 20814
I believe that therapy is a collaborative process that allows trust and authenticity to foster insight and growth. A willingness to look inward and allow space for vulnerability will bring you stronger, more authentic connections to both yourself and to the people in your life. I provide psychotherapy for adults, young adults and older adolescents in an empathetic non-judgmental environment with a focus on self-awareness, self-compassion and self-kindness. I use a variety of techniques and theories as well as warmth and a touch of humor to help move your towards healing and reaching your goals.
I believe that therapy is a collaborative process that allows trust and authenticity to foster insight and growth. A willingness to look inward and allow space for vulnerability will bring you stronger, more authentic connections to both yourself and to the people in your life. I provide psychotherapy for adults, young adults and older adolescents in an empathetic non-judgmental environment with a focus on self-awareness, self-compassion and self-kindness. I use a variety of techniques and theories as well as warmth and a touch of humor to help move your towards healing and reaching your goals.
(240) 428-2957 View (240) 428-2957
Photo of Rosario de Gregorio, Marriage & Family Therapist in Bethesda, MD
Rosario de Gregorio
Marriage & Family Therapist, LCMFT
Verified Verified
Bethesda, MD 20814
I am a bilingual Marriage and Family Therapist I believe therapy can help individuals find new ways of functioning and increase self-knowledge that can help them move forward in life. Every crisis, obstacle and challenge in life can offer an opportunity for personal growth and self-discovery that can help us learn new things about ourselves. As an immigrant myself I know the individual and family challenges of living in a different culture. I enjoy working with immigrant families helping them navigate the benefits and challenges of living in a new culture.
I am a bilingual Marriage and Family Therapist I believe therapy can help individuals find new ways of functioning and increase self-knowledge that can help them move forward in life. Every crisis, obstacle and challenge in life can offer an opportunity for personal growth and self-discovery that can help us learn new things about ourselves. As an immigrant myself I know the individual and family challenges of living in a different culture. I enjoy working with immigrant families helping them navigate the benefits and challenges of living in a new culture.
(240) 233-4407 View (240) 233-4407
Photo of Matt Korbon, Licensed Graduate Professional Counselor in Bethesda, MD
Matt Korbon
Licensed Graduate Professional Counselor, LGPC
Verified Verified
Bethesda, MD 20814
I weave together various treatments, including Cognitive Behavioral Therapy (CBT), Dialectical Behavioral Therapy (DBT,) and Acceptance and Commitment Therapy (ACT), to help meet clients with an approach tailored to their individual experience. I have a background working with mood disorders, anxiety, and trauma work within an adult partial-hospitalization program, ensuring evidence-based treatment for patients stepping down from an inpatient stay or those in need of more intense treatment. I also have experience in both individual and group therapy settings and deeply appreciates the unique benefits both can offer.
I weave together various treatments, including Cognitive Behavioral Therapy (CBT), Dialectical Behavioral Therapy (DBT,) and Acceptance and Commitment Therapy (ACT), to help meet clients with an approach tailored to their individual experience. I have a background working with mood disorders, anxiety, and trauma work within an adult partial-hospitalization program, ensuring evidence-based treatment for patients stepping down from an inpatient stay or those in need of more intense treatment. I also have experience in both individual and group therapy settings and deeply appreciates the unique benefits both can offer.
(240) 376-2442 View (240) 376-2442
Photo of Thrive! Executive Functioning Center, Clinical Social Work/Therapist in Bethesda, MD
Thrive! Executive Functioning Center
Clinical Social Work/Therapist, NCC, LCSW-C, MEd
Verified Verified
Bethesda, MD 20817
Our center works with teens and adults that are struggling to meet their goals. We have providers licensed in school counseling and therapy specializing in ADHD to help our clients realize their barriers and help them improve efficiency. We partner with community resources to provide the needed services to our clients to address their limitations and make improvements. Contact us today so we can help you thrive!
Our center works with teens and adults that are struggling to meet their goals. We have providers licensed in school counseling and therapy specializing in ADHD to help our clients realize their barriers and help them improve efficiency. We partner with community resources to provide the needed services to our clients to address their limitations and make improvements. Contact us today so we can help you thrive!
(240) 734-2662 View (240) 734-2662
Photo of Victoria Parson, Clinical Social Work/Therapist in Bethesda, MD
Victoria Parson
Clinical Social Work/Therapist, LCSW
Verified Verified
Bethesda, MD 20814  (Online Only)
I am a licensed clinical social worker practicing as a therapist. I am licensed in Maryland with and have 8 years of professional work experience. I have worked in many settings from hospitals, a community mental health clinic, and an eating disorder clinic (to name a few). I believe that you are the expert of your story and that you have many strengths.
I am a licensed clinical social worker practicing as a therapist. I am licensed in Maryland with and have 8 years of professional work experience. I have worked in many settings from hospitals, a community mental health clinic, and an eating disorder clinic (to name a few). I believe that you are the expert of your story and that you have many strengths.
(240) 728-2083 x1 View (240) 728-2083 x1
Photo of Gelisa Lewis, Clinical Social Work/Therapist in Bethesda, MD
Gelisa Lewis
Clinical Social Work/Therapist, LCSW
Verified Verified
Bethesda, MD 20814  (Online Only)
I am a licensed clinical social worker and trauma specialist that has been practicing for over 7 years. As my client, I want to empower you, to empower yourself. My goal in practice is to empower you to restore balance in your life. To help you to combat depression, anxiety, stress, self-esteem issues or trauma. My background is in individual, family, and crisis counseling. I work with children, adolescents, families, couples, and adults. I use a person-centered approach to helping individuals and families, and in order to promote coping, healing, and personal growth.
I am a licensed clinical social worker and trauma specialist that has been practicing for over 7 years. As my client, I want to empower you, to empower yourself. My goal in practice is to empower you to restore balance in your life. To help you to combat depression, anxiety, stress, self-esteem issues or trauma. My background is in individual, family, and crisis counseling. I work with children, adolescents, families, couples, and adults. I use a person-centered approach to helping individuals and families, and in order to promote coping, healing, and personal growth.
(240) 257-7885 View (240) 257-7885
Photo of Devon C King, Psychologist in Bethesda, MD
Devon C King
Psychologist, PhD
Verified Verified
7 Endorsed
Bethesda, MD 20814
I have tremendous respect for people who make the difficult decision to enter in to psychotherapy. I work collaboratively with older children, adolescents, and adults, in individual, couples, and family therapy. My goal is to explore collaboratively the troubles that have led them to seek treatment at this time. I try to provide a safe, non-judgemental environment, where one can develop insight to better understand and ultimately change behavioral and relational patterns that get in the way of happiness and fulfillment. I have extensive experience working with depression, anxiety, and trauma, as well as relationship difficulties and life transitions.
I have tremendous respect for people who make the difficult decision to enter in to psychotherapy. I work collaboratively with older children, adolescents, and adults, in individual, couples, and family therapy. My goal is to explore collaboratively the troubles that have led them to seek treatment at this time. I try to provide a safe, non-judgemental environment, where one can develop insight to better understand and ultimately change behavioral and relational patterns that get in the way of happiness and fulfillment. I have extensive experience working with depression, anxiety, and trauma, as well as relationship difficulties and life transitions.
(240) 262-4455 View (240) 262-4455
Photo of Your Health Concierge, Inc, Clinical Social Work/Therapist in Bethesda, MD
Your Health Concierge, Inc
Clinical Social Work/Therapist, LCSW-C, CCDC
Verified Verified
Bethesda, MD 20815
“Treat people as if they were, what they should be, and you will help them become what they are capable of becoming.” ~Johann Wolfgang Von Goethe. At times, life does not go the way we expect. Guidance and support are often needed in working through situations. I see my work with individuals as a relationship that helps them build, strengthen, and navigate through various issues in life.
“Treat people as if they were, what they should be, and you will help them become what they are capable of becoming.” ~Johann Wolfgang Von Goethe. At times, life does not go the way we expect. Guidance and support are often needed in working through situations. I see my work with individuals as a relationship that helps them build, strengthen, and navigate through various issues in life.
(240) 800-7245 x708 View (240) 800-7245 x708
Photo of Chris Lee, Licensed Clinical Professional Counselor in Bethesda, MD
Chris Lee
Licensed Clinical Professional Counselor, MA, NCC, LCPC
Verified Verified
Bethesda, MD 20814
The hardest part of overcoming a challenge is knowing where to start. In counseling, we can discover together what is getting in the way of living your best life. Whether you're struggling to manage emotions (e.g. anxiety, sadness), keep up with work/school, master your relationship with technology, or navigate recent life transitions, it can feel overwhelming at times to go it alone! I will work with you to identify your "stuck points", collaboratively create a plan to address the areas you want to work on, and support you in replacing approaches that don't work with ones that do. Change is hard but worth the effort!
The hardest part of overcoming a challenge is knowing where to start. In counseling, we can discover together what is getting in the way of living your best life. Whether you're struggling to manage emotions (e.g. anxiety, sadness), keep up with work/school, master your relationship with technology, or navigate recent life transitions, it can feel overwhelming at times to go it alone! I will work with you to identify your "stuck points", collaboratively create a plan to address the areas you want to work on, and support you in replacing approaches that don't work with ones that do. Change is hard but worth the effort!
(240) 771-1458 View (240) 771-1458
Photo of Temple Morris, Clinical Social Work/Therapist in Bethesda, MD
Temple Morris
Clinical Social Work/Therapist, LCSW-C
Verified Verified
Bethesda, MD 20814
Being a human is hard. Anxiety keeps us up at night. Depression weighs us down. And that critical voice never fails to let us know exactly how we screwed up. We feel numb, unsettled -- disconnected from those we love and disengaged from what matters most. Looking at our lives, we realize that this is not what we had planned on, and the life we yearn for seems out of reach.
Being a human is hard. Anxiety keeps us up at night. Depression weighs us down. And that critical voice never fails to let us know exactly how we screwed up. We feel numb, unsettled -- disconnected from those we love and disengaged from what matters most. Looking at our lives, we realize that this is not what we had planned on, and the life we yearn for seems out of reach.
(301) 433-7360 View (301) 433-7360
Photo of Stephanie Helwig, Psychologist in Bethesda, MD
Stephanie Helwig
Psychologist, PsyD
Verified Verified
Bethesda, MD 20814
Feeling chronic negative emotions such as sadness, anger, anxiety, or loneliness is often a sign that something in our relationships has gone awry. By the time we attend psychotherapy, the task of altering our relationships may feel difficult or impossible to navigate alone. As a psychodynamic therapist, I am interested in how your early relationships impact your personality, worldview, attachment, perceptions, and coping mechanisms. Through compassion, challenge and sometimes humor, I aim to help my patients gain insight, learn new ways of relating to others, and implement change in order to heal, grow, and flourish.
Feeling chronic negative emotions such as sadness, anger, anxiety, or loneliness is often a sign that something in our relationships has gone awry. By the time we attend psychotherapy, the task of altering our relationships may feel difficult or impossible to navigate alone. As a psychodynamic therapist, I am interested in how your early relationships impact your personality, worldview, attachment, perceptions, and coping mechanisms. Through compassion, challenge and sometimes humor, I aim to help my patients gain insight, learn new ways of relating to others, and implement change in order to heal, grow, and flourish.
(202) 677-3546 View (202) 677-3546
Photo of Amy Greaser, Licensed Clinical Professional Counselor in Bethesda, MD
Amy Greaser
Licensed Clinical Professional Counselor, LCPC
Verified Verified
Bethesda, MD 20817
Everyone struggles with difficulties in their life. Working with a therapist provides a safe environment to face these issues directly and learn healthier coping skills. I believe that the client-therapist relationship is of the utmost importance in the therapeutic process and is an important predictor of the success of therapy. I enjoy helping clients to achieve their fullest potential through the development of realistic and measurable goals for therapy. I have 16 years of experience working with adults and adolescents and have targeted working with those individuals 18 years and older.
Everyone struggles with difficulties in their life. Working with a therapist provides a safe environment to face these issues directly and learn healthier coping skills. I believe that the client-therapist relationship is of the utmost importance in the therapeutic process and is an important predictor of the success of therapy. I enjoy helping clients to achieve their fullest potential through the development of realistic and measurable goals for therapy. I have 16 years of experience working with adults and adolescents and have targeted working with those individuals 18 years and older.
(301) 701-2316 View (301) 701-2316
Photo of Mina Dadvar, Licensed Clinical Professional Counselor in Bethesda, MD
Mina Dadvar
Licensed Clinical Professional Counselor, LPC , CAGS
Verified Verified
Bethesda, MD 20814
Couples work is challenging and emotionally provocative. Feelings of frustration, pain, anger and discouragement alternating with relief, hopefulness, and excitement are common among couples who are trying to resolve their marital discord. Although each couple is unique the following principles hold true in treatment of the majority of partners. 1) A good marriage requires both spouses to psychologically separate from their family of origin and shift their primary love, loyalty to each other. An individual cannot fully participate in an interdepended relationship without being first an independent and autonomous person.
Couples work is challenging and emotionally provocative. Feelings of frustration, pain, anger and discouragement alternating with relief, hopefulness, and excitement are common among couples who are trying to resolve their marital discord. Although each couple is unique the following principles hold true in treatment of the majority of partners. 1) A good marriage requires both spouses to psychologically separate from their family of origin and shift their primary love, loyalty to each other. An individual cannot fully participate in an interdepended relationship without being first an independent and autonomous person.
(301) 530-4806 View (301) 530-4806
Photo of Devin Maroney, Clinical Social Work/Therapist in Bethesda, MD
Devin Maroney
Clinical Social Work/Therapist, LCSW-C
Verified Verified
Bethesda, MD 20814
Waitlist for new clients
I help individuals, couples and families reconnect with and draw strength from the goodness in themselves as they cultivate positive behaviors and new perspectives on life. I specialize in untangling the patterns that cause us harm, including avoidance, addiction, depression, anxiety, post-traumatic suffering, self harm, suicidal ideation, and low self esteem. I help couples and families find more wholesome and supportive ways to connect and care for each other.
I help individuals, couples and families reconnect with and draw strength from the goodness in themselves as they cultivate positive behaviors and new perspectives on life. I specialize in untangling the patterns that cause us harm, including avoidance, addiction, depression, anxiety, post-traumatic suffering, self harm, suicidal ideation, and low self esteem. I help couples and families find more wholesome and supportive ways to connect and care for each other.
(240) 774-1893 View (240) 774-1893
Photo of Alexander Purring, Psychologist in Bethesda, MD
Alexander Purring
Psychologist, PsyD
Verified Verified
Bethesda, MD 20814  (Online Only)
What prevents us from being the best version of ourselves? If we are optimal, life is more gratifying - we accomplish goals, we feel good, and we tend to have daily satisfaction. The challenge - life happens, and this challenges us. My objective is to be your life coordinator, therapist, no. 1 fan, to help you strive and be the best version of yourself, physically and mentally. I currently serve in our United States Air Force, and my area of focus has been performance enhancement work with High-Reliability Organizations, to include Special Forces, pilots, and other operators, both male and female, with a wide range of demographics.
What prevents us from being the best version of ourselves? If we are optimal, life is more gratifying - we accomplish goals, we feel good, and we tend to have daily satisfaction. The challenge - life happens, and this challenges us. My objective is to be your life coordinator, therapist, no. 1 fan, to help you strive and be the best version of yourself, physically and mentally. I currently serve in our United States Air Force, and my area of focus has been performance enhancement work with High-Reliability Organizations, to include Special Forces, pilots, and other operators, both male and female, with a wide range of demographics.
(240) 774-2616 View (240) 774-2616
Photo of Women's Wellness and Counseling Center (WWCC), Clinical Social Work/Therapist in Bethesda, MD
Women's Wellness and Counseling Center (WWCC)
Clinical Social Work/Therapist, LCSW-C, RYT200, RN
Verified Verified
Bethesda, MD 20817  (Online Only)
Maximizing wellness and functionality is our approach at WWCC. Life happens - chronic illness and pain, infertility, divorce, etc. Our goal is to help you adjust to your new 'normal' and to restore your mental health to a place where you can cope and function effectively regardless of circumstances. Our yoga instructors and therapists have a wide range of experience some with nursing backgrounds that help clients understand underlying medical issues that may be their impacting chronic pain, depression, anxiety, insomnia, and other issues.
Maximizing wellness and functionality is our approach at WWCC. Life happens - chronic illness and pain, infertility, divorce, etc. Our goal is to help you adjust to your new 'normal' and to restore your mental health to a place where you can cope and function effectively regardless of circumstances. Our yoga instructors and therapists have a wide range of experience some with nursing backgrounds that help clients understand underlying medical issues that may be their impacting chronic pain, depression, anxiety, insomnia, and other issues.
(301) 985-2621 View (301) 985-2621
Judy Brazen
Clinical Social Work/Therapist, LMSW
Verified Verified
2 Endorsed
Bethesda, MD 20814
Judy Brazen graduated with a master’s degree in clinical social work from the University of Maryland. Judy’s practice focuses on providing a safe and compassionate space for her clients to address issues surrounding depression, anxiety, life transitions, and a wide array of challenges which impair their quality of life. She enjoys partnering with adults of all ages to focus on what is most important to them.
Judy Brazen graduated with a master’s degree in clinical social work from the University of Maryland. Judy’s practice focuses on providing a safe and compassionate space for her clients to address issues surrounding depression, anxiety, life transitions, and a wide array of challenges which impair their quality of life. She enjoys partnering with adults of all ages to focus on what is most important to them.
Photo of Dr. Leanna Brisson, Psychologist in Bethesda, MD
Dr. Leanna Brisson
Psychologist, PsyD
Verified Verified
2 Endorsed
Bethesda, MD 20816  (Online Only)
You are always on call for the people in your life. But where do you fit into the equation? Sometimes life moves so fast, there's so much to get done, that we don't stop and truly experience how we're feeling about the way things are going. And when things don't naturally click, you might move into people-pleasing mode, leading to confusion of how we got here and a loss of ownership of your life. Imagine a life where you steer through your world, finding it deeply satisfying, rewarding, and completely your own. I will take this journey with you as we venture into finding you again.
You are always on call for the people in your life. But where do you fit into the equation? Sometimes life moves so fast, there's so much to get done, that we don't stop and truly experience how we're feeling about the way things are going. And when things don't naturally click, you might move into people-pleasing mode, leading to confusion of how we got here and a loss of ownership of your life. Imagine a life where you steer through your world, finding it deeply satisfying, rewarding, and completely your own. I will take this journey with you as we venture into finding you again.
(202) 838-5095 View (202) 838-5095
Photo of Lily Kaufmann, Psychologist in Bethesda, MD
Lily Kaufmann
Psychologist, PhD
Verified Verified
4 Endorsed
Bethesda, MD 20814  (Online Only)
You might be anxious a lot of the time: feeling overwhelmed and panicky, caught in a spiral of "what ifs", and unable to stay present or think about other things. It's affecting your sleep, your relationships, and your ability to enjoy your life. Maybe you've experienced trauma, are going through life changes, or just noticed that you're not really feeling like yourself lately. You're here because it's time to talk to someone.
You might be anxious a lot of the time: feeling overwhelmed and panicky, caught in a spiral of "what ifs", and unable to stay present or think about other things. It's affecting your sleep, your relationships, and your ability to enjoy your life. Maybe you've experienced trauma, are going through life changes, or just noticed that you're not really feeling like yourself lately. You're here because it's time to talk to someone.
(301) 701-5532 View (301) 701-5532

How does your Therapist compare?

Number of Therapists in Bethesda, MD

1,000+

Average cost per session

$180

Therapists in Bethesda, MD who prioritize treating:

94% Anxiety
90% Depression
78% Relationship Issues
74% Self Esteem
66% Coping Skills
63% Trauma and PTSD
61% Grief

Average years in practice

13 Years

Top 3 insurances accepted

64% BlueCross and BlueShield
62% CareFirst
57% Cigna and Evernorth

How Therapists in Bethesda, MD see their clients

60% In Person and Online
40% Online Only

Gender breakdown

82% Female
17% Male
1% Non-Binary
FAQs - About Therapy and Counseling

How can I find a therapist in Bethesda?

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.