Therapists in Washington, DC

View neighborhoods in Washington
Photo of Kirsten Chadwick, Psychologist in Washington, DC
Kirsten Chadwick
Psychologist, PhD, CGP
Verified Verified
1 Endorsed
Washington, DC 20016
I specialize in working with depression, interpersonal relationships, parenting concerns, the motherhood transition, college transitions, loss and grief. I help clients think through strategies to enable them to better navigate transitions and the difficult circumstances they encounter. I also work with individuals to identify and interrupt patterns that are preventing them from succeeding, building and maintaining satisfying relationships and experiencing happiness. It is my experience that working hard in therapy, with honesty and openness, can lead to lower stress, better relationships and rewarding changes in your life.
I specialize in working with depression, interpersonal relationships, parenting concerns, the motherhood transition, college transitions, loss and grief. I help clients think through strategies to enable them to better navigate transitions and the difficult circumstances they encounter. I also work with individuals to identify and interrupt patterns that are preventing them from succeeding, building and maintaining satisfying relationships and experiencing happiness. It is my experience that working hard in therapy, with honesty and openness, can lead to lower stress, better relationships and rewarding changes in your life.
(202) 643-7901 View (202) 643-7901
Photo of Takia Richardson, Clinical Social Work/Therapist in Washington, DC
Takia Richardson
Clinical Social Work/Therapist, LCSW, LICSW, LCSW-C
Verified Verified
Washington, DC 20002  (Online Only)
Not accepting new clients
Do you experience anxiety? Are you dealing with issues related to depression? Or are you going through a transition in your life? With a comprehensive background in therapy and a strong commitment to professional development, I bring a wealth of knowledge to our therapeutic partnership. My training includes proficiency in Cognitive-Behavioral Therapy (CBT) and Acceptance and Commitment Therapy (ACT), two evidence-based approaches that empower individuals to manage their thoughts, emotions, and behaviors effectively.
Do you experience anxiety? Are you dealing with issues related to depression? Or are you going through a transition in your life? With a comprehensive background in therapy and a strong commitment to professional development, I bring a wealth of knowledge to our therapeutic partnership. My training includes proficiency in Cognitive-Behavioral Therapy (CBT) and Acceptance and Commitment Therapy (ACT), two evidence-based approaches that empower individuals to manage their thoughts, emotions, and behaviors effectively.
(240) 883-7881 View (240) 883-7881
Photo of Frog Point Therapy, Licensed Professional Counselor in Washington, DC
Frog Point Therapy
Licensed Professional Counselor, PhD , MFT, LPC
Verified Verified
Washington, DC 20037
Frog Point Therapy are DC's relationship experts. Relationships are one of the most important aspects of being human: relationship to self, others, and the world. Our therapists specialize in curating a highly individualized treatment experience. We integrate classic western psychotherapeutic approaches, eastern wisdom traditions, and modern research on human development to help clients create stronger bonds with ourselves, the people in our lives, and the world around us and believe that healthy relationships on all three levels are essential to well-being and happiness.
Frog Point Therapy are DC's relationship experts. Relationships are one of the most important aspects of being human: relationship to self, others, and the world. Our therapists specialize in curating a highly individualized treatment experience. We integrate classic western psychotherapeutic approaches, eastern wisdom traditions, and modern research on human development to help clients create stronger bonds with ourselves, the people in our lives, and the world around us and believe that healthy relationships on all three levels are essential to well-being and happiness.
(202) 519-1046 x1 View (202) 519-1046 x1
Photo of Carole Palmer, Clinical Social Work/Therapist in Washington, DC
Carole Palmer
Clinical Social Work/Therapist, LICSW
Verified Verified
Washington, DC 20016
I will challenge you, help you with your goals, and focus on safety, support, and progress. I provide therapy to couples who want to resolve difficult issues effectively. I offer psychotherapy to adults and adolescents and promote trust in self so that much of the work continues outside the therapy room. I view 'eating disorders' as expressions, not pathologies and will work with you to find a healthy voice. For anxiety and depression I utilize imagery, relaxation and cognitive approaches while integrating the past as necessary. Please call or email me with any questions.
I will challenge you, help you with your goals, and focus on safety, support, and progress. I provide therapy to couples who want to resolve difficult issues effectively. I offer psychotherapy to adults and adolescents and promote trust in self so that much of the work continues outside the therapy room. I view 'eating disorders' as expressions, not pathologies and will work with you to find a healthy voice. For anxiety and depression I utilize imagery, relaxation and cognitive approaches while integrating the past as necessary. Please call or email me with any questions.
(202) 875-6713 View (202) 875-6713
Photo of Jennifer Ortega, Clinical Social Work/Therapist in Washington, DC
Jennifer Ortega
Clinical Social Work/Therapist, MSW, LCSW
Verified Verified
Washington, DC 20006  (Online Only)
Hello! My Name is Jennifer. I am a therapist with Arelis Perez Psychotherapy Services. We are a multicultural and multi-lingual practice offering therapeutic services to children, teenager, and adults. Our clinicians are trained to utilize a variety of therapeutic modalities to support and empower a diverse population.
Hello! My Name is Jennifer. I am a therapist with Arelis Perez Psychotherapy Services. We are a multicultural and multi-lingual practice offering therapeutic services to children, teenager, and adults. Our clinicians are trained to utilize a variety of therapeutic modalities to support and empower a diverse population.
(202) 931-5971 View (202) 931-5971
Photo of Natalie Nichols, Licensed Professional Counselor in Washington, DC
Natalie Nichols
Licensed Professional Counselor, LPC
Verified Verified
Washington, DC 20005  (Online Only)
I have worked for nearly 20 years with various human and social services programs. I have worked for programs focused on those with developmental disabilities, those needing supported employment, and those needing housing, and outpatient mental health services. Working with various human services populations has allowed me to work with diverse people. I am well versed in several counseling techniques and have compassion for being a service to others.
I have worked for nearly 20 years with various human and social services programs. I have worked for programs focused on those with developmental disabilities, those needing supported employment, and those needing housing, and outpatient mental health services. Working with various human services populations has allowed me to work with diverse people. I am well versed in several counseling techniques and have compassion for being a service to others.
(202) 759-3160 View (202) 759-3160
Photo of Dr. Kelly Lewis-Arthur, Psychologist in Washington, DC
Dr. Kelly Lewis-Arthur
Psychologist, PhD
Verified Verified
Washington, DC 20016
Congratulations! You just made an important step in the change process and are on your way to positive growth and wellness. This is an essential ingredient in your future success! You are not alone. Healing and success are possible and I want to help you get there. Through empirically supported teletherapy and virtual consultation and supervision services, I will work with you to overcome adversity and secure fresh perspectives and new directions for the next phase of life. You are wonderfully made in body, mind, and spirit. Wholeness and success are within reach. Let me support you in your journey!
Congratulations! You just made an important step in the change process and are on your way to positive growth and wellness. This is an essential ingredient in your future success! You are not alone. Healing and success are possible and I want to help you get there. Through empirically supported teletherapy and virtual consultation and supervision services, I will work with you to overcome adversity and secure fresh perspectives and new directions for the next phase of life. You are wonderfully made in body, mind, and spirit. Wholeness and success are within reach. Let me support you in your journey!
(202) 931-7772 View (202) 931-7772
Photo of Dana Payes, Clinical Social Work/Therapist in Washington, DC
Dana Payes
Clinical Social Work/Therapist, LICSW, LCSW-C
Verified Verified
Washington, DC 20001  (Online Only)
Welcome! Thank you for taking the time to visit my page! Whether you are just beginning your therapy journey, find yourself searching for help with continued healing or are you getting back in touch with yourself after time away from therapy, I would like to be there for you to help! I work with clients aged preteen-adulthood who have experienced trauma, mood disorders, ADHD, and learning disabilities. Additionally, I work with individuals in transitional life stages and caregivers who want to work through challenges in parenting/caretaking and also hope to prioritize their own mental health or life challenges.
Welcome! Thank you for taking the time to visit my page! Whether you are just beginning your therapy journey, find yourself searching for help with continued healing or are you getting back in touch with yourself after time away from therapy, I would like to be there for you to help! I work with clients aged preteen-adulthood who have experienced trauma, mood disorders, ADHD, and learning disabilities. Additionally, I work with individuals in transitional life stages and caregivers who want to work through challenges in parenting/caretaking and also hope to prioritize their own mental health or life challenges.
(202) 998-5610 View (202) 998-5610
Photo of Meaghon Omobude, Pre-Licensed Professional in Washington, DC
Meaghon Omobude
Pre-Licensed Professional, LGPC
Verified Verified
2 Endorsed
Washington, DC 20005  (Online Only)
As a Black, Queer therapist I am passionate about working with people of diverse backgrounds, specifically individuals who identify as BIPOC, Queer, and/or neurodivergent in the D.C area. I believe that clients are the experts of their own lived experiences and that my role is to empower you through cultivating a space of healing. I help clients navigate challenges associated with anxiety, depression, and life transitions. As well as working with concerns related to ADHD, Autism, and gender and/or sexual identity.
As a Black, Queer therapist I am passionate about working with people of diverse backgrounds, specifically individuals who identify as BIPOC, Queer, and/or neurodivergent in the D.C area. I believe that clients are the experts of their own lived experiences and that my role is to empower you through cultivating a space of healing. I help clients navigate challenges associated with anxiety, depression, and life transitions. As well as working with concerns related to ADHD, Autism, and gender and/or sexual identity.
(855) 626-1711 View (855) 626-1711
Photo of Megan Goldberg, Clinical Social Work/Therapist in Washington, DC
Megan Goldberg
Clinical Social Work/Therapist, LGSW
Verified Verified
Washington, DC 20036
Are you seeking support to address thoughts, feelings, or actions that no longer serve you? I can help you manage anxiety, ADHD, relationship challenges, or your relationship with substances with thoughtfulness and kindness. Together we can tackle the hard questions with balance and levity. Life is filled with challenges and it's crucial to have a toolbox of coping strategies to navigate them successfully. I work with individuals and couples to also manage relationship issues, life transitions, and work and academic stress throughout the lifespan. Together we can build a balanced lifestyle, self-awareness, and personal growth.
Are you seeking support to address thoughts, feelings, or actions that no longer serve you? I can help you manage anxiety, ADHD, relationship challenges, or your relationship with substances with thoughtfulness and kindness. Together we can tackle the hard questions with balance and levity. Life is filled with challenges and it's crucial to have a toolbox of coping strategies to navigate them successfully. I work with individuals and couples to also manage relationship issues, life transitions, and work and academic stress throughout the lifespan. Together we can build a balanced lifestyle, self-awareness, and personal growth.
(202) 929-0995 View (202) 929-0995
Photo of Natalie Rusch, Psychologist in Washington, DC
Natalie Rusch
Psychologist, PhD
Verified Verified
4 Endorsed
Washington, DC 20036
Welcome! It takes strength and courage to pursue therapy, and it is wonderful that you are considering taking this step. As a clinician, I strive to create an environment filled with warmth, empathy, and trust where my clients feel supported and understood. I work with a diverse group of adults and young professionals experiencing a range of concerns, including relationship issues, anxiety, depression, life transitions, grief, and general feelings of being overwhelmed or stuck. I believe that developing a positive therapeutic relationship with each client is an essential part of helping them grow, heal, and achieve their goals.
Welcome! It takes strength and courage to pursue therapy, and it is wonderful that you are considering taking this step. As a clinician, I strive to create an environment filled with warmth, empathy, and trust where my clients feel supported and understood. I work with a diverse group of adults and young professionals experiencing a range of concerns, including relationship issues, anxiety, depression, life transitions, grief, and general feelings of being overwhelmed or stuck. I believe that developing a positive therapeutic relationship with each client is an essential part of helping them grow, heal, and achieve their goals.
(202) 798-1894 View (202) 798-1894
Photo of Anna Rieper, Counselor in Washington, DC
Anna Rieper
Counselor, MA, LGPC
Verified Verified
Washington, DC 20036  (Online Only)
I work mainly with individuals and couples on issues related to depression, anxiety, relationships, and major life transitions.
I work mainly with individuals and couples on issues related to depression, anxiety, relationships, and major life transitions.
(202) 410-6463 View (202) 410-6463
Photo of Terrance York, Clinical Social Work/Therapist in Washington, DC
Terrance York
Clinical Social Work/Therapist, LCSW
Verified Verified
Washington, DC 20005  (Online Only)
I take a strengths approach that is free from judgment. I believe in the importance of relationships and connection. I am a Licensed Independent Social Worker in the District of Columbia with a Master’s in Social Work from Howard University. I've worked with youth and adults who have experienced trauma. I've served clients ages 18+ with anxiety, depression, grief, PTSD, and racial, and LGBTQIA+ issues.
I take a strengths approach that is free from judgment. I believe in the importance of relationships and connection. I am a Licensed Independent Social Worker in the District of Columbia with a Master’s in Social Work from Howard University. I've worked with youth and adults who have experienced trauma. I've served clients ages 18+ with anxiety, depression, grief, PTSD, and racial, and LGBTQIA+ issues.
(202) 335-6852 View (202) 335-6852
Photo of Kate Gilles in Washington, DC
Kate Gilles
LGSW, LMSW, MPH
Verified Verified
Washington, DC 20036
I believe in the fundamental strength and resilience of every individual. There are times, however, when we need extra support to address the challenges that life throws at us. I work with individuals and couples to gain insight and develop helpful strategies for navigating those difficult times. Clients often come to me for help with issues such as anxiety, gender identity, sexuality, relationships, depression, ADHD, seasonal affective disorder, and life transitions. I have a particular interest in helping clients address issues related to sex, sexuality, and gender identity.
I believe in the fundamental strength and resilience of every individual. There are times, however, when we need extra support to address the challenges that life throws at us. I work with individuals and couples to gain insight and develop helpful strategies for navigating those difficult times. Clients often come to me for help with issues such as anxiety, gender identity, sexuality, relationships, depression, ADHD, seasonal affective disorder, and life transitions. I have a particular interest in helping clients address issues related to sex, sexuality, and gender identity.
(202) 998-5932 View (202) 998-5932
Photo of Laura Luna, Clinical Social Work/Therapist in Washington, DC
Laura Luna
Clinical Social Work/Therapist, LICSW
Verified Verified
2 Endorsed
Washington, DC 20007
I am an experienced therapist who works with children, adults and couples. I provide treatment for a variety of issues, including: depression, anxiety, relationship issues, life transitions, conflict with family of origin and trauma. Through the use of evidence-based interventions including, Cognitive Behavioral Therapy, Emotionally Focused Therapy and play therapy techniques I help clients identify their triggers, and learn healthier ways to manage their emotions and deal with life stressors.
I am an experienced therapist who works with children, adults and couples. I provide treatment for a variety of issues, including: depression, anxiety, relationship issues, life transitions, conflict with family of origin and trauma. Through the use of evidence-based interventions including, Cognitive Behavioral Therapy, Emotionally Focused Therapy and play therapy techniques I help clients identify their triggers, and learn healthier ways to manage their emotions and deal with life stressors.
(703) 691-5886 View (703) 691-5886
Photo of Cheryl Hughes, Clinical Social Work/Therapist in Washington, DC
Cheryl Hughes
Clinical Social Work/Therapist, LICSW, LCSW
Verified Verified
1 Endorsed
Washington, DC 20036
Does it feel like you are surrounded by darkness? Perhaps you've experienced the death of someone close to you. Or perhaps you're facing a life-threatening illness, or anxiety is keeping you stuck in an unsatisfying lifestyle. My goal is to help you find peace and purpose in every possible life transition and challenge. I want to work with you to uncover any negative patterns that may be getting in the way of your best life. Together, we will develop and implement a plan that will allow you to achieve your goals. A rich, full, satisfying life is possible. We can get there together.
Does it feel like you are surrounded by darkness? Perhaps you've experienced the death of someone close to you. Or perhaps you're facing a life-threatening illness, or anxiety is keeping you stuck in an unsatisfying lifestyle. My goal is to help you find peace and purpose in every possible life transition and challenge. I want to work with you to uncover any negative patterns that may be getting in the way of your best life. Together, we will develop and implement a plan that will allow you to achieve your goals. A rich, full, satisfying life is possible. We can get there together.
(202) 929-0440 View (202) 929-0440
Photo of Therapeutic Links Behavioral Health Services LLC, Clinical Social Work/Therapist in Washington, DC
Therapeutic Links Behavioral Health Services LLC
Clinical Social Work/Therapist, LGSW, LMSW
Verified Verified
Washington, DC 20036
As a licensed graduate social worker with a rich background in serving diverse populations, my ideal clients encompass a wide spectrum of individuals facing various mental health challenges. Whether it's battling anxiety, depression, or grappling with relationship difficulties, I understand the complexities each person brings to the therapeutic space. My ideal clients seek support not just for themselves but also to navigate life transitions, understand LGBTQ+ concerns, or cope with autism. They are individuals who recognize the value of seeking help and are motivated to work towards positive change in their lives.
As a licensed graduate social worker with a rich background in serving diverse populations, my ideal clients encompass a wide spectrum of individuals facing various mental health challenges. Whether it's battling anxiety, depression, or grappling with relationship difficulties, I understand the complexities each person brings to the therapeutic space. My ideal clients seek support not just for themselves but also to navigate life transitions, understand LGBTQ+ concerns, or cope with autism. They are individuals who recognize the value of seeking help and are motivated to work towards positive change in their lives.
(202) 644-8904 x1 View (202) 644-8904 x1
Photo of Sarah Jesup, LPC Intern in Washington, DC
Sarah Jesup
LPC Intern
Verified Verified
Washington, DC 20036
I am currently completing my Master of Arts degree in Clinical Mental Health Counseling at Northwestern University. My clinical focus includes young adults and couples, LGBTQIA+ individuals, and providing guidance during major life transitions, especially marriage and the perinatal/birth phase. I specialize in working with overachievers and perfectionists, assisting them in managing self-imposed pressures and achieving a healthier balance. I look forward to helping you feel understood, validated, and empowered to make positive changes in your lives.
I am currently completing my Master of Arts degree in Clinical Mental Health Counseling at Northwestern University. My clinical focus includes young adults and couples, LGBTQIA+ individuals, and providing guidance during major life transitions, especially marriage and the perinatal/birth phase. I specialize in working with overachievers and perfectionists, assisting them in managing self-imposed pressures and achieving a healthier balance. I look forward to helping you feel understood, validated, and empowered to make positive changes in your lives.
(202) 517-0280 View (202) 517-0280
Photo of Betsy Mencher, Ph.D. and Associates, LLC, Psychologist in Washington, DC
Betsy Mencher, Ph.D. and Associates, LLC
Psychologist, PhD
Verified Verified
Washington, DC 20036
Therapy provides the opportunity for a collaborative conversation about how to manage life's challenges and address the issues that are causing you distress. Together with one of our therapists, you can identify and understand your feelings better, gain insight into patterns of behavior that leave you frustrated and unsatisfied and develop the needed tools to manage your emotions and communicate more effectively in relationships. Our therapists have varied specialties and use an integrative and personalized approach to best meet your needs.
Therapy provides the opportunity for a collaborative conversation about how to manage life's challenges and address the issues that are causing you distress. Together with one of our therapists, you can identify and understand your feelings better, gain insight into patterns of behavior that leave you frustrated and unsatisfied and develop the needed tools to manage your emotions and communicate more effectively in relationships. Our therapists have varied specialties and use an integrative and personalized approach to best meet your needs.
(202) 760-2152 x297 View (202) 760-2152 x297
Photo of Vicki Goodman, Clinical Social Work/Therapist in Washington, DC
Vicki Goodman
Clinical Social Work/Therapist, LICSW, LCSW-C
Verified Verified
Washington, DC 20015
People come for psychotherapy when they are hurting or feeling stuck in unproductive thinking and behavior. This can manifest in depression, anxiety, relationship difficulties, issues with career and work performance and self deprecating behaviors. Loss, grief and illnesses can be hard to bear and cause feelings of aloneness. What is often needed is a safe environment for the cultivation of acceptance and compassion and the willingness to wisely explore in a trusting relationship. Developing space to have a new understanding of difficulties can open to greater awareness, sense of possibility and the capacity to live more fully.
People come for psychotherapy when they are hurting or feeling stuck in unproductive thinking and behavior. This can manifest in depression, anxiety, relationship difficulties, issues with career and work performance and self deprecating behaviors. Loss, grief and illnesses can be hard to bear and cause feelings of aloneness. What is often needed is a safe environment for the cultivation of acceptance and compassion and the willingness to wisely explore in a trusting relationship. Developing space to have a new understanding of difficulties can open to greater awareness, sense of possibility and the capacity to live more fully.
(202) 949-6462 View (202) 949-6462

How does your Therapist compare?

Number of Therapists in Washington, DC

2,000+

Average cost per session

$180

Therapists in Washington, DC who prioritize treating:

93% Anxiety
89% Depression
81% Relationship Issues
77% Self Esteem
68% Trauma and PTSD
68% Stress
65% Coping Skills

Average years in practice

13 Years

Top 3 insurances accepted

62% BlueCross and BlueShield
57% CareFirst
53% Cigna and Evernorth

How Therapists in Washington, DC see their clients

55% In Person and Online
45% Online Only

Gender breakdown

80% Female
19% Male
1% Non-Binary
FAQs - About Therapy and Counseling

How can I find a therapist in Washington?

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.