Photo of True Life Change , Counselor in 21704, MD
True Life Change
Counselor
Verified Verified
Frederick, MD 21704  (Online Only)
NOW ACCEPTING NEW CLIENTS! True Life Change is an integrated mental health group of Professional Licensed Counselors, Clinical Social Workers, and Master Level Interns. We will connect you to one of our thoughtful, competent, compassionate providers who will create an individualized treatment plan with special consideration of psychological, social, physical, and environmental factors. Our goal is to help improve ones mental health, assist with achieving goals, and create overall wellness.
NOW ACCEPTING NEW CLIENTS! True Life Change is an integrated mental health group of Professional Licensed Counselors, Clinical Social Workers, and Master Level Interns. We will connect you to one of our thoughtful, competent, compassionate providers who will create an individualized treatment plan with special consideration of psychological, social, physical, and environmental factors. Our goal is to help improve ones mental health, assist with achieving goals, and create overall wellness.
(240) 512-6734 View (240) 512-6734
Photo of Cedric Rashaw, Licensed Clinical Professional Counselor in 21704, MD
Cedric Rashaw
Licensed Clinical Professional Counselor, LCPC
Verified Verified
Frederick, MD 21704
Cedric is a Licensed Clinical Professional Counselor (Maryland, DC, Virginia, Texas, Minnesota and Connecticut), and a Maryland Board Approved Clinical Supervisor. His clinical work experience spans 15 years and has included providing mental health services to a variety of clients including young children, pre-teens, adolescents, college students, adults, families, couples/marriage and at-risk males. He believes in empowering clients to accomplish their health and wellness goals through use of evidenced-based practices, outreach, and positive role modeling.
Cedric is a Licensed Clinical Professional Counselor (Maryland, DC, Virginia, Texas, Minnesota and Connecticut), and a Maryland Board Approved Clinical Supervisor. His clinical work experience spans 15 years and has included providing mental health services to a variety of clients including young children, pre-teens, adolescents, college students, adults, families, couples/marriage and at-risk males. He believes in empowering clients to accomplish their health and wellness goals through use of evidenced-based practices, outreach, and positive role modeling.
(240) 908-5584 View (240) 908-5584
Photo of Beth Frederick, Psychologist in 21704, MD
Beth Frederick
Psychologist, PsyD
Verified Verified
1 Endorsed
Frederick, MD 21704
Waitlist for new clients
I have practiced psychology for over 15 years and have worked in a variety of settings, including Center for Eating Disorders at Sheppard Pratt, Johns Hopkins University, and Eating Recovery Center. I have a diverse range of skills and work to personalize treatment to meet people’s needs. I practice cognitive behavioral therapy (CBT) and Interpersonal Therapy (IPT). These treatments are “evidenced-based,” meaning they have been studied and demonstrated to effectively treat a variety of concerns, including depression, anxiety and eating disorders.
I have practiced psychology for over 15 years and have worked in a variety of settings, including Center for Eating Disorders at Sheppard Pratt, Johns Hopkins University, and Eating Recovery Center. I have a diverse range of skills and work to personalize treatment to meet people’s needs. I practice cognitive behavioral therapy (CBT) and Interpersonal Therapy (IPT). These treatments are “evidenced-based,” meaning they have been studied and demonstrated to effectively treat a variety of concerns, including depression, anxiety and eating disorders.
(443) 383-4035 View (443) 383-4035
Photo of Allied Counseling Group, Drug & Alcohol Counselor in 21704, MD
Allied Counseling Group
Drug & Alcohol Counselor, LCADC, SAP
Verified Verified
1 Endorsed
Frederick, MD 21704  (Online Only)
In crisis? I specialize in same-day phone/on-site/on-line sessions/ interventions; teens, chronic relapse, Internet/cyber addictions, co-occurring issues, trauma & failure to launch young adult & family conflicts. I am certified for evaluations, treatment, pre-employment/random drug testing. I offer indiv., group sessions, EAP, custody evaluations, case management, anger/stress management, certified domestic violence batterer's intervention counseling, alcohol/drug treatment, including SMART non-12-Step & cognitive therapies. Inpatient evals & referrals & post-discharge continuing care & family therapy targeting "failure to launch" young adult issues. Most insurance accepted.
In crisis? I specialize in same-day phone/on-site/on-line sessions/ interventions; teens, chronic relapse, Internet/cyber addictions, co-occurring issues, trauma & failure to launch young adult & family conflicts. I am certified for evaluations, treatment, pre-employment/random drug testing. I offer indiv., group sessions, EAP, custody evaluations, case management, anger/stress management, certified domestic violence batterer's intervention counseling, alcohol/drug treatment, including SMART non-12-Step & cognitive therapies. Inpatient evals & referrals & post-discharge continuing care & family therapy targeting "failure to launch" young adult issues. Most insurance accepted.
(301) 278-8808 View (301) 278-8808
Photo of Hanna Chandler, Counselor in 21704, MD
Hanna Chandler
Counselor, MS, LGPC, NCC
Verified Verified
3 Endorsed
Frederick, MD 21704
I am passionate about assisting clients in learning to accept themselves and build self-esteem. I work with my clients to create change in their daily lives. We work together to set and achieve goals, overcome challenges, and accept ourselves unconditionally.
I am passionate about assisting clients in learning to accept themselves and build self-esteem. I work with my clients to create change in their daily lives. We work together to set and achieve goals, overcome challenges, and accept ourselves unconditionally.
(240) 245-2570 View (240) 245-2570
Photo of Renee Hoeckel, Clinical Social Work/Therapist in 21704, MD
Renee Hoeckel
Clinical Social Work/Therapist, LCSW-C
Verified Verified
Urbana, MD 21704  (Online Only)
We have all struggled with something in our lives, and all too often we are kept busy by the stressors and demands of everyday life. Therapy can be a space to take pause and work to understand our individual challenges. As a psychodynamically trained therapist, I can help you explore your emotions, thoughts, and experiences to gain insight into "stuck points" that you may be facing.
We have all struggled with something in our lives, and all too often we are kept busy by the stressors and demands of everyday life. Therapy can be a space to take pause and work to understand our individual challenges. As a psychodynamically trained therapist, I can help you explore your emotions, thoughts, and experiences to gain insight into "stuck points" that you may be facing.
(410) 627-4013 View (410) 627-4013
Photo of Tanya Varley, Counselor in 21704, MD
Tanya Varley
Counselor, LCPC, PCC, CIHMP
Verified Verified
Frederick, MD 21704  (Online Only)
If you are someone who is experiencing inertia, confusion, emotional exhaustion, burnout, frustration, or anything similar to these in any area of your life, exploring the root causes of these symptoms and more profoundly understanding your own natural rhythms and "recipe" for health, combined with the latest data and research, will help you gain much needed insight as well as a formula, of sorts, that will guide you toward better understanding about how to turn things around. My therapeutic approach is integrative, holistic & multifaceted. I believe that our emotions, health, relationships, and circumstances are all interconnected.
If you are someone who is experiencing inertia, confusion, emotional exhaustion, burnout, frustration, or anything similar to these in any area of your life, exploring the root causes of these symptoms and more profoundly understanding your own natural rhythms and "recipe" for health, combined with the latest data and research, will help you gain much needed insight as well as a formula, of sorts, that will guide you toward better understanding about how to turn things around. My therapeutic approach is integrative, holistic & multifaceted. I believe that our emotions, health, relationships, and circumstances are all interconnected.
(240) 301-1394 View (240) 301-1394
Photo of Kimberly DiGiorgio, Psychologist in 21704, MD
Kimberly DiGiorgio
Psychologist, PhD
Verified Verified
Urbana, MD 21704  (Online Only)
Not accepting new clients
Individual therapy is a way for people to explore their thoughts and feelings in a non-judgmental and healing therapeutic setting. You may aspire toward growth and development, may seek to learn ways to cope with ongoing stressors, or may be searching for ways to achieve mind-body connectedness. I consider myself to be eclectic in my approach to psychotherapy, and will often use components from different treatment modalities based on your needs. My goal is to help you feel a sense of empowerment over your psychological well-being.
Individual therapy is a way for people to explore their thoughts and feelings in a non-judgmental and healing therapeutic setting. You may aspire toward growth and development, may seek to learn ways to cope with ongoing stressors, or may be searching for ways to achieve mind-body connectedness. I consider myself to be eclectic in my approach to psychotherapy, and will often use components from different treatment modalities based on your needs. My goal is to help you feel a sense of empowerment over your psychological well-being.
(240) 594-9836 x102 View (240) 594-9836 x102
Photo of Chelsea Hayas-Keller, Clinical Social Work/Therapist in 21704, MD
Chelsea Hayas-Keller
Clinical Social Work/Therapist, LCSW-C, PMH-C
Verified Verified
4 Endorsed
Frederick, MD 21704  (Online Only)
As a therapist, I have a strong passion for working with parents throughout the pregnancy and postpartum period. This includes the whole perinatal period, birth, postpartum, infertility, and loss. In addition to those populations, I have over 12 years of experience working with specializations such as major life transitions, anxiety, adult adhd, depression, PTSD and complex trauma. I strive to provide therapy through a trauma-informed lens and integrate movement/breathwork in my practice to facilitate your overall wellbeing.
As a therapist, I have a strong passion for working with parents throughout the pregnancy and postpartum period. This includes the whole perinatal period, birth, postpartum, infertility, and loss. In addition to those populations, I have over 12 years of experience working with specializations such as major life transitions, anxiety, adult adhd, depression, PTSD and complex trauma. I strive to provide therapy through a trauma-informed lens and integrate movement/breathwork in my practice to facilitate your overall wellbeing.
(240) 557-8649 View (240) 557-8649
Photo of Kelsey Dugan, Art Therapist in 21704, MD
Kelsey Dugan
Art Therapist, MPS, LCPAT, ATR-BC
Verified Verified
2 Endorsed
Frederick, MD 21704
Not accepting new clients
I’m Kelsey (she/they) & I’m a Licensed Clinical Art Therapist from Portland OR working in Frederick with 10 years of experience as an Art Therapist in the US & abroad. I help clients work through the pain of trauma, grief, anxiety, self-esteem issues, depression, relationships & family dynamics, & toxic masculinity. Clients come to me wanting to manage tough emotions, improve communication, deal with conflict & find healthy coping skills to replace the ones they started using as a means of survival that maybe aren't the safest for them. My approach is warm, patient & empowering with a bit of sass & playful humor mixed in as a treat.
I’m Kelsey (she/they) & I’m a Licensed Clinical Art Therapist from Portland OR working in Frederick with 10 years of experience as an Art Therapist in the US & abroad. I help clients work through the pain of trauma, grief, anxiety, self-esteem issues, depression, relationships & family dynamics, & toxic masculinity. Clients come to me wanting to manage tough emotions, improve communication, deal with conflict & find healthy coping skills to replace the ones they started using as a means of survival that maybe aren't the safest for them. My approach is warm, patient & empowering with a bit of sass & playful humor mixed in as a treat.
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Photo of Sarah Kahn, Licensed Clinical Professional Counselor in 21704, MD
Sarah Kahn
Licensed Clinical Professional Counselor, LCPC, CCTP
Verified Verified
Frederick, MD 21704  (Online Only)
Immediate Openings for new telehealth clients! I specialize in treating trauma and OCD. I also have extensive experience in treating depression, anxiety, ADHD, and stress.
Immediate Openings for new telehealth clients! I specialize in treating trauma and OCD. I also have extensive experience in treating depression, anxiety, ADHD, and stress.
(443) 499-9037 View (443) 499-9037
Photo of Beth Frederick, Psychologist in 21704, MD
Beth Frederick
Psychologist, PsyD
Verified Verified
Frederick, MD 21704
Waitlist for new clients
I have practiced psychology for over 15 years and have worked in a variety of settings, including Center for Eating Disorders at Sheppard Pratt, Johns Hopkins University, and Eating Recovery Center. I have a diverse range of skills and work to personalize treatment to meet people’s needs. I practice cognitive behavioral therapy (CBT) and Interpersonal Therapy (IPT). These treatments are “evidenced-based,” meaning they have been studied and demonstrated to effectively treat a variety of concerns, including depression, anxiety and eating disorders.
I have practiced psychology for over 15 years and have worked in a variety of settings, including Center for Eating Disorders at Sheppard Pratt, Johns Hopkins University, and Eating Recovery Center. I have a diverse range of skills and work to personalize treatment to meet people’s needs. I practice cognitive behavioral therapy (CBT) and Interpersonal Therapy (IPT). These treatments are “evidenced-based,” meaning they have been studied and demonstrated to effectively treat a variety of concerns, including depression, anxiety and eating disorders.
(240) 730-2646 View (240) 730-2646
Photo of Jennifer Atwell, Clinical Social Work/Therapist in 21704, MD
Jennifer Atwell
Clinical Social Work/Therapist, LCSW-C
Verified Verified
Frederick, MD 21704  (Online Only)
Accepting New Clients- Feeling misunderstood? Wishing there was a way to make sense of your actions when you're feeling worried, overwhelmed, down or irritable. At a loss for how to make things different?
Accepting New Clients- Feeling misunderstood? Wishing there was a way to make sense of your actions when you're feeling worried, overwhelmed, down or irritable. At a loss for how to make things different?
(240) 549-3876 View (240) 549-3876
Photo of Accepting New Clients! Contact Us to Schedule! , Counselor in 21704, MD
Accepting New Clients! Contact Us to Schedule!
Counselor, #1, MD, 5, Star, Rating
Verified Verified
Frederick, MD 21704  (Online Only)
Are you going through a stage in your life where you feel lost, confused, or conflicted? Is your mental health making you feel like you’re disconnected with your peers, friends, co-worker’s, or even with yourself? Are you feeling a lack of motivation, or understanding of your true purpose? Do you struggle with functioning socially, mentally or emotionally? With my specialization in Cognitive-Behavioral Therapy, I frequently work with my clients on improving their mental health by helping them to develop coping mechanisms to overcome any current mental health struggle
Are you going through a stage in your life where you feel lost, confused, or conflicted? Is your mental health making you feel like you’re disconnected with your peers, friends, co-worker’s, or even with yourself? Are you feeling a lack of motivation, or understanding of your true purpose? Do you struggle with functioning socially, mentally or emotionally? With my specialization in Cognitive-Behavioral Therapy, I frequently work with my clients on improving their mental health by helping them to develop coping mechanisms to overcome any current mental health struggle
(301) 918-5583 View (301) 918-5583
Mark Springston
Psychologist, PhD
Verified Verified
Urbana, MD 21704
Now accepting Medicare and BC/BS. I am a licensed clinical psychologist with over twenty years of psychotherapy experience treating adults, children, and adolescents with all types of mental health problems, including severe conditions and co-occurring disorders. If you or your child are suffering from depression, anxiety, substance abuse, problems in relationships----I have a lot of experience helping these get better. I have expertise in the treatment of substance abuse/addictions, adolescents, domestic violence and anger management, and health psychology. I am a Certified Clinical Trauma Professional and trained in EMDR.
Now accepting Medicare and BC/BS. I am a licensed clinical psychologist with over twenty years of psychotherapy experience treating adults, children, and adolescents with all types of mental health problems, including severe conditions and co-occurring disorders. If you or your child are suffering from depression, anxiety, substance abuse, problems in relationships----I have a lot of experience helping these get better. I have expertise in the treatment of substance abuse/addictions, adolescents, domestic violence and anger management, and health psychology. I am a Certified Clinical Trauma Professional and trained in EMDR.
(301) 850-6736 View (301) 850-6736
Photo of Blu Haven Wellness Center, Licensed Clinical Professional Counselor in 21704, MD
Blu Haven Wellness Center
Licensed Clinical Professional Counselor, LCPC
Verified Verified
1 Endorsed
Frederick, MD 21704  (Online Only)
You’re struggling to overcome feelings of shock after an extremely stressful event. You’re experiencing unpredictable emotions, flashbacks, relationship difficulties, or even physical symptoms like headaches or nausea. You feel sad & unmotivated about the future. Constantly, you worry that something bad will happen. You have a hard time sleeping. You can't shake the negative thoughts. You want to connect with others but you think its better to avoid situations that cause any anxiety. You find yourself worrying about different topics, events or activities. You’re trying to heal from the things that are causing pain!
You’re struggling to overcome feelings of shock after an extremely stressful event. You’re experiencing unpredictable emotions, flashbacks, relationship difficulties, or even physical symptoms like headaches or nausea. You feel sad & unmotivated about the future. Constantly, you worry that something bad will happen. You have a hard time sleeping. You can't shake the negative thoughts. You want to connect with others but you think its better to avoid situations that cause any anxiety. You find yourself worrying about different topics, events or activities. You’re trying to heal from the things that are causing pain!
(301) 710-0386 View (301) 710-0386
Photo of Erin Spoales, Counselor in 21704, MD
Erin Spoales
Counselor, LGPC
Verified Verified
2 Endorsed
Frederick, MD 21704
My experience as a teacher and professional school counselor, allows for an increased understanding of school related challenges and needs, such as: ADHD, emotional and behavioral difficulties, stress, anxiety, emotional regulation, social and friendship skills, self-esteem, nutrition and body image, grief and loss, divorce and family changes and confidence building. Helping children understand and accept themselves is the first step to making positive changes.
My experience as a teacher and professional school counselor, allows for an increased understanding of school related challenges and needs, such as: ADHD, emotional and behavioral difficulties, stress, anxiety, emotional regulation, social and friendship skills, self-esteem, nutrition and body image, grief and loss, divorce and family changes and confidence building. Helping children understand and accept themselves is the first step to making positive changes.
(443) 345-8590 View (443) 345-8590
Photo of Elizabeth Diaz, Clinical Social Work/Therapist in 21704, MD
Elizabeth Diaz
Clinical Social Work/Therapist, MSW, LMSW
Verified Verified
Frederick, MD 21704  (Online Only)
Hello and welcome! Starting a therapy journey can come with many emotions and sometimes worry... will the therapist be the "right fit," or someone who "gets me/us" or "who can just help?" These are common questions and I hope that learning a little bit about me and my approach is helpful as you make your decision.
Hello and welcome! Starting a therapy journey can come with many emotions and sometimes worry... will the therapist be the "right fit," or someone who "gets me/us" or "who can just help?" These are common questions and I hope that learning a little bit about me and my approach is helpful as you make your decision.
(240) 896-1922 View (240) 896-1922
Photo of Donna Troisi, LCSW-C, Clinical Social Work/Therapist in 21704, MD
Donna Troisi, LCSW-C
Clinical Social Work/Therapist, LCSW-C
Verified Verified
Urbana, MD 21704
I bring a knowledge of family systems thinking to consultations to broaden your understanding of the challenges experienced in your social, emotional, and physical functioning, as they are opportunities to evolve and increase our Best Self. One aspect of my role is to challenge automatic thinking and perceptions to promote better thinking, problem-solving, and decision-making by developing: a broader way of thinking about and solving relationship problems, ways of managing Self in anxious situations, principles that can guide you in your actions.
I bring a knowledge of family systems thinking to consultations to broaden your understanding of the challenges experienced in your social, emotional, and physical functioning, as they are opportunities to evolve and increase our Best Self. One aspect of my role is to challenge automatic thinking and perceptions to promote better thinking, problem-solving, and decision-making by developing: a broader way of thinking about and solving relationship problems, ways of managing Self in anxious situations, principles that can guide you in your actions.
(240) 560-5762 View (240) 560-5762
Photo of Veronica Bannon - Creative Therapeutic Connections, Licensed Clinical Professional Counselor in 21704, MD
Veronica Bannon - Creative Therapeutic Connections
Licensed Clinical Professional Counselor, LCPC, NCC, MA, BC-DMT
Verified Verified
1 Endorsed
Frederick, MD 21704
With over 30 years of clinical experience, I utilize CBT, imagery/relaxation, mindfulness/meditation, role play, play therapy and expressive therapies to address the challenges that children, adolescents and adults face. Therapeutic goals of clients may include increasing self-esteem, improving self-expression, decreasing anxiety, improving self/other awareness, increasing attention span, improving self-control, increasing frustration tolerance, improving anger management, decreasing teasing/bullying, and improving interpersonal relating skills. Clients develop coping mechanisms for high stress, low mood and/or poor communication.
With over 30 years of clinical experience, I utilize CBT, imagery/relaxation, mindfulness/meditation, role play, play therapy and expressive therapies to address the challenges that children, adolescents and adults face. Therapeutic goals of clients may include increasing self-esteem, improving self-expression, decreasing anxiety, improving self/other awareness, increasing attention span, improving self-control, increasing frustration tolerance, improving anger management, decreasing teasing/bullying, and improving interpersonal relating skills. Clients develop coping mechanisms for high stress, low mood and/or poor communication.
(301) 842-6011 View (301) 842-6011

How does your Therapist compare?

Number of Therapists in 21704

100+

Average cost per session

$150

Therapists in 21704 who prioritize treating:

95% Anxiety
90% Depression
81% Relationship Issues
75% Self Esteem
74% Coping Skills
73% Stress
72% Trauma and PTSD

Average years in practice

14 Years

Top 3 insurances accepted

76% BlueCross and BlueShield
72% CareFirst
64% Cigna and Evernorth

How Therapists in 21704 see their clients

59% In Person and Online
41% Online Only

Gender breakdown

92% Female
8% Male
FAQs - About Therapy and Counseling

How can I find a therapist in 21704?

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.