Therapists in Alexandria, VA

View neighborhoods in Alexandria
Photo of Meghan Levinson, Clinical Social Work/Therapist, LCSW
Meghan Levinson
Clinical Social Work/Therapist, LCSW
2 Endorsed
Alexandria, VA 22301
As a clinician, it is my goal to provide a safe, comforting, and encouraging environment for personal growth. I work from a strengths-based model to highlight the various systems in your life and work to address the needs and concerns that you bring into the counseling session. I strive to ensure that you feel supported and valued in our counseling relationship, this is one of the main benefits of seeing an independent provider. I am virtual only at the moment with office space in the city of Alexandria for Fall 2026.
As a clinician, it is my goal to provide a safe, comforting, and encouraging environment for personal growth. I work from a strengths-based model to highlight the various systems in your life and work to address the needs and concerns that you bring into the counseling session. I strive to ensure that you feel supported and valued in our counseling relationship, this is one of the main benefits of seeing an independent provider. I am virtual only at the moment with office space in the city of Alexandria for Fall 2026.
(571) 200-0749 View (571) 200-0749
Photo of Valerie L. Johnson, Licensed Professional Counselor, LPC, LCPC, CGP, CGC
Valerie L. Johnson
Licensed Professional Counselor, LPC, LCPC, CGP, CGC
Alexandria, VA 22314
Are you feeling stuck, overwhelmed, or unsure about your next step especially after a major life change, loss, or career shift? You may be navigating grief, burnout, or uncertainty about your future and struggling to find clarity or direction. I specialize in working with adults who are experiencing grief, life transitions, and career challenges. Many of my clients are professionals or individuals in their 30s and beyond who are balancing responsibilities while trying to process change, loss, or emotional stress.
Are you feeling stuck, overwhelmed, or unsure about your next step especially after a major life change, loss, or career shift? You may be navigating grief, burnout, or uncertainty about your future and struggling to find clarity or direction. I specialize in working with adults who are experiencing grief, life transitions, and career challenges. Many of my clients are professionals or individuals in their 30s and beyond who are balancing responsibilities while trying to process change, loss, or emotional stress.
(402) 749-5882 View (402) 749-5882
Photo of Hallie Fleisch, Clinical Social Work/Therapist, LCSW
Hallie Fleisch
Clinical Social Work/Therapist, LCSW
4 Endorsed
Alexandria, VA 22314
Seeking therapy is a courageous choice. Your path to healing starts here. Together we will navigate life’s challenges and uncover your inner strength. I have extensive experience treating eating disorders, disordered eating, depression, trauma, and anxiety. I am committed to providing a safe, non-judgemental space for all individuals.
Seeking therapy is a courageous choice. Your path to healing starts here. Together we will navigate life’s challenges and uncover your inner strength. I have extensive experience treating eating disorders, disordered eating, depression, trauma, and anxiety. I am committed to providing a safe, non-judgemental space for all individuals.
(571) 520-6265 View (571) 520-6265
Photo of Crystal Davis, Clinical Social Work/Therapist, LCSW
Crystal Davis
Clinical Social Work/Therapist, LCSW
2 Endorsed
Alexandria, VA 22314
Are you feeling off balance? Have your relationship issues reached a new peak? Are you struggling to manage day to day tasks and relationships? These are common questions which have developed from the current climate. I am committed to helping individuals address these emotions and feelings to improve their overall well-being. As a clinician, I strive to meet my clients where they are by providing a nonjudgmental and safe space. I aim to empower individuals to overcome obstacles, improve relationships, and develop coping skills to deal with the challenges that life may bring along.
Are you feeling off balance? Have your relationship issues reached a new peak? Are you struggling to manage day to day tasks and relationships? These are common questions which have developed from the current climate. I am committed to helping individuals address these emotions and feelings to improve their overall well-being. As a clinician, I strive to meet my clients where they are by providing a nonjudgmental and safe space. I aim to empower individuals to overcome obstacles, improve relationships, and develop coping skills to deal with the challenges that life may bring along.
(571) 982-8476 View (571) 982-8476
Photo of Alexandria Da Ponte-Cheatham, Pre-Licensed Professional, MEd, MDiv
Alexandria Da Ponte-Cheatham
Pre-Licensed Professional, MEd, MDiv
7 Endorsed
Online Only
Are you looking for a therapist you can talk to openly about intimacy, sex, or desire without fear of judgment or shame? Are you struggling with desire discrepancy, pain with sex, pelvic floor concerns, purity culture, or navigating your first sexual experiences? Or trying to understand how your cultural, racial, or religious background has shaped your relationship with your body, identity, and relationships? You don’t have to figure this out alone. I provide individual and couples trauma-informed therapy for adults, with a focus on sexual wellness, intimacy concerns, and identity development.
Are you looking for a therapist you can talk to openly about intimacy, sex, or desire without fear of judgment or shame? Are you struggling with desire discrepancy, pain with sex, pelvic floor concerns, purity culture, or navigating your first sexual experiences? Or trying to understand how your cultural, racial, or religious background has shaped your relationship with your body, identity, and relationships? You don’t have to figure this out alone. I provide individual and couples trauma-informed therapy for adults, with a focus on sexual wellness, intimacy concerns, and identity development.
(804) 589-5353 View (804) 589-5353
Photo of Kaitlyn Zito, Licensed Professional Counselor, LPC
Kaitlyn Zito
Licensed Professional Counselor, LPC
1 Endorsed
Alexandria, VA 22310
I have over 17 years of experience in the mental health field working with clients of all ages and presentations. I take a holistic, integrative approach to therapy and tailor treatment to individual client needs. I work with individuals, couples, and families who are struggling with a variety of issues. Some of my specialties include trauma, eating disorders, depression, anxiety disorders, addictive disorders, and dysfunctional relational patterns. www.crescentcounselingva.com Accepting New Clients! Telehealth available!
I have over 17 years of experience in the mental health field working with clients of all ages and presentations. I take a holistic, integrative approach to therapy and tailor treatment to individual client needs. I work with individuals, couples, and families who are struggling with a variety of issues. Some of my specialties include trauma, eating disorders, depression, anxiety disorders, addictive disorders, and dysfunctional relational patterns. www.crescentcounselingva.com Accepting New Clients! Telehealth available!
(571) 450-9908 View (571) 450-9908
Photo of Ebony Fenwick, Licensed Professional Counselor, LPC, CSAC
Ebony Fenwick
Licensed Professional Counselor, LPC, CSAC
Online Only
I can assist you with identifying blind spots while navigating tough roads. We collaborate on increasing ways to help you manage the ebbs and flows of life. Whether you’re struggling with mental health issues like depression or anxiety, trauma, substance use, or relationship challenges, I am here to help you navigate these obstacles. There is an emphasis on psychoeducation so that you are armed with information to be your best caregiver and advocate. I believe in validating and exploring the impact of the intersectionality of oppression on components of life.
I can assist you with identifying blind spots while navigating tough roads. We collaborate on increasing ways to help you manage the ebbs and flows of life. Whether you’re struggling with mental health issues like depression or anxiety, trauma, substance use, or relationship challenges, I am here to help you navigate these obstacles. There is an emphasis on psychoeducation so that you are armed with information to be your best caregiver and advocate. I believe in validating and exploring the impact of the intersectionality of oppression on components of life.
(571) 463-7408 View (571) 463-7408
Photo of Susan L Miller, Clinical Social Work/Therapist, MSW, LCSW, BCD
Susan L Miller
Clinical Social Work/Therapist, MSW, LCSW, BCD
Online Only
Not accepting new clients
"Entering therapy can be a humbling experience. It takes courage and strength to ask for help. I'm a seasoned therapist with over forty years of clinical practice. I bring wisdom, maturity, compassion, and life experience which inform and deepen my work with individuals and couples. I seek to create a safe, respectful, empathic, and collaborative enviornment which maximizes individual's strengths and facilitates problem solving and growth. My style is one of being active, flexible, and fully engaged.
"Entering therapy can be a humbling experience. It takes courage and strength to ask for help. I'm a seasoned therapist with over forty years of clinical practice. I bring wisdom, maturity, compassion, and life experience which inform and deepen my work with individuals and couples. I seek to create a safe, respectful, empathic, and collaborative enviornment which maximizes individual's strengths and facilitates problem solving and growth. My style is one of being active, flexible, and fully engaged.
(540) 491-4500 View (540) 491-4500
Photo of Rachel Dougherty, Supervisee in Clinical Social Work, MA
Rachel Dougherty
Supervisee in Clinical Social Work, MA
Online Only
Life can feel overwhelming at times, whether you're struggling with anxiety, depression, grief, relationship challenges, or navigating a significant life transition. You may feel stuck, uncertain, or disconnected from the person you want to be. Therapy offers a space to slow down, gain clarity, and develop the tools needed to move forward with greater confidence and purpose. I strive to create a warm environment where you feel heard, understood, and comfortable showing up as your authentic self. My goal is to help you recognize and build upon the strengths you already possess while working toward meaningful and lasting change.
Life can feel overwhelming at times, whether you're struggling with anxiety, depression, grief, relationship challenges, or navigating a significant life transition. You may feel stuck, uncertain, or disconnected from the person you want to be. Therapy offers a space to slow down, gain clarity, and develop the tools needed to move forward with greater confidence and purpose. I strive to create a warm environment where you feel heard, understood, and comfortable showing up as your authentic self. My goal is to help you recognize and build upon the strengths you already possess while working toward meaningful and lasting change.
(571) 556-1650 View (571) 556-1650
Photo of Jennifer Smith - Unlock U Counseling, L.L.C., Clinical Social Work/Therapist, LCSW-C, C-DBT, CCTP, CGP, CSAM
Unlock U Counseling, L.L.C.
Clinical Social Work/Therapist, LCSW-C, C-DBT, CCTP, CGP, CSAM
Online Only
My ideal client is someone who finds themselves at a crossroads — someone who knows they are capable of more but feels stuck, uncertain, or overwhelmed. You may be navigating a major life transition, struggling with self-doubt, or searching for clarity. You're not looking for quick fixes or surface-level advice; you want a deeper, more sustainable change. You're seeking someone who will challenge you kindly, help you untangle complexity, and guidance toward goals that feel meaningful and aligned with who you truly are. My work is to help bridge that gap between where you are and where you want to be — with practical steps forward.
My ideal client is someone who finds themselves at a crossroads — someone who knows they are capable of more but feels stuck, uncertain, or overwhelmed. You may be navigating a major life transition, struggling with self-doubt, or searching for clarity. You're not looking for quick fixes or surface-level advice; you want a deeper, more sustainable change. You're seeking someone who will challenge you kindly, help you untangle complexity, and guidance toward goals that feel meaningful and aligned with who you truly are. My work is to help bridge that gap between where you are and where you want to be — with practical steps forward.
(301) 409-5415 View (301) 409-5415
Photo of William Hollingsworth, Licensed Professional Counselor, MEd, LPC
William Hollingsworth
Licensed Professional Counselor, MEd, LPC
Online Only
As a therapist, I strive to create a safe and warm space where therapeutic rapport can thrive. I love working with clients to not only work on symptomology, but to create deep and meaningful change at the identity level. My practice seeks to attack symptoms while creating space for powerful growth. I believe that the heart, mind, and soul are all connected, and that therapy should focus on this intersectionality as a mechanism for change!
As a therapist, I strive to create a safe and warm space where therapeutic rapport can thrive. I love working with clients to not only work on symptomology, but to create deep and meaningful change at the identity level. My practice seeks to attack symptoms while creating space for powerful growth. I believe that the heart, mind, and soul are all connected, and that therapy should focus on this intersectionality as a mechanism for change!
(571) 470-5264 View (571) 470-5264
Photo of Bernard Mungin, Clinical Social Work/Therapist, LCSW, LISCW, LCSW-C
Bernard Mungin
Clinical Social Work/Therapist, LCSW, LISCW, LCSW-C
Alexandria, VA 22301
I am a psychotherapist who works with a diverse population of people. My goal is to collaborate with individuals to assist them in achieving their therapy goal(S). I am licensed in DC (LICSW), VA (LCSW), MD (LCSW-C), and PA (LCSW). I have BS in Human Ecology, BA in Humanities from The Ohio State University, MSW from San Jose State University and Post Masters fellowship in mental health from Stanford University.
I am a psychotherapist who works with a diverse population of people. My goal is to collaborate with individuals to assist them in achieving their therapy goal(S). I am licensed in DC (LICSW), VA (LCSW), MD (LCSW-C), and PA (LCSW). I have BS in Human Ecology, BA in Humanities from The Ohio State University, MSW from San Jose State University and Post Masters fellowship in mental health from Stanford University.
(571) 556-3353 View (571) 556-3353
Photo of Gabrielle Jocelyn Foladare, Resident in Counseling, LPC-R
Gabrielle Jocelyn Foladare
Resident in Counseling, LPC-R
1 Endorsed
Online Only
My clients are young people experiencing depression, anxiety and difficulty coping with daily stressors. Many of them are navigating life transitions like graduating school, starting careers, or moving somewhere new – none of which come with a clear roadmap to success.
My clients are young people experiencing depression, anxiety and difficulty coping with daily stressors. Many of them are navigating life transitions like graduating school, starting careers, or moving somewhere new – none of which come with a clear roadmap to success.
(571) 701-1044 View (571) 701-1044
Photo of Yimin Li, Resident in Counseling, MA
Yimin Li
Resident in Counseling, MA
Alexandria, VA 22314
I work with children, teens, and adults especially those from multicultural or immigrant backgrounds who feel overwhelmed balancing emotions, family expectations, and life transitions. Many of my clients are navigating identity, cultural pressure, or major changes and feel stuck, anxious, or unsure of how to move forward. They want to feel more confident, understood, and at peace within themselves while honoring both their personal needs and cultural values.
I work with children, teens, and adults especially those from multicultural or immigrant backgrounds who feel overwhelmed balancing emotions, family expectations, and life transitions. Many of my clients are navigating identity, cultural pressure, or major changes and feel stuck, anxious, or unsure of how to move forward. They want to feel more confident, understood, and at peace within themselves while honoring both their personal needs and cultural values.
(571) 630-3972 View (571) 630-3972
Photo of Sally Valerio, Licensed Professional Counselor, M Ed, LPC
Sally Valerio
Licensed Professional Counselor, M Ed, LPC
1 Endorsed
Online Only
Therapy can sometimes feel awkward at first; it may bring out feelings of vulnerability and may be emotionally taxing. That's why building trust and rapport early on is crucial, making you feel comfortable, safe, and heard. Once trust is established, we can collaboratively set goals and develop coping skills to tackle any challenges you face. Each client's situation is unique, guiding my therapeutic approach. I often use an eclectic mix of treatments, including Cognitive Behavioral Therapy, Solution-Focused Therapy, Motivational Interviewing, Emotion-Focused Therapy, and Person-Centered Therapy.
Therapy can sometimes feel awkward at first; it may bring out feelings of vulnerability and may be emotionally taxing. That's why building trust and rapport early on is crucial, making you feel comfortable, safe, and heard. Once trust is established, we can collaboratively set goals and develop coping skills to tackle any challenges you face. Each client's situation is unique, guiding my therapeutic approach. I often use an eclectic mix of treatments, including Cognitive Behavioral Therapy, Solution-Focused Therapy, Motivational Interviewing, Emotion-Focused Therapy, and Person-Centered Therapy.
(757) 908-3585 View (757) 908-3585
Photo of Amy Papinchak, Psychologist, PsyD
Amy Papinchak
Psychologist, PsyD
Alexandria, VA 22314
Taking the first step to start therapy for yourself or your child can be scary, but I am so glad that you are. We can work together to foster your growth and resilience. Therapy is about understanding your unique experiences and goals so that you can develop skills that will help you navigate the anxiety, stress, change, and emotional toll that life gives us. It is a safe and supportive space to reflect on your thoughts, feelings, and behaviors – the good ones and the ones you would like to change. The focus is on creating the best version of you that you can be.
Taking the first step to start therapy for yourself or your child can be scary, but I am so glad that you are. We can work together to foster your growth and resilience. Therapy is about understanding your unique experiences and goals so that you can develop skills that will help you navigate the anxiety, stress, change, and emotional toll that life gives us. It is a safe and supportive space to reflect on your thoughts, feelings, and behaviors – the good ones and the ones you would like to change. The focus is on creating the best version of you that you can be.
(703) 291-3185 View (703) 291-3185
Photo of Kimberly Makonnen - Wright Group Counseling, Drug & Alcohol Counselor, LSATP
Wright Group Counseling
Drug & Alcohol Counselor, LSATP
1 Endorsed
Online Only
Welcome! I am accepting new clients. Whether you’re considering therapy for the first time or returning, finding a provider that you can connect with and develop trust with is important. I work with adolescents, adults and couples to address a range of concerns (e.g. anxiety, depression, trauma, grief, life transitions, relationships, and addictions). I help clients develop greater self-understanding and better relate in relationships.
Welcome! I am accepting new clients. Whether you’re considering therapy for the first time or returning, finding a provider that you can connect with and develop trust with is important. I work with adolescents, adults and couples to address a range of concerns (e.g. anxiety, depression, trauma, grief, life transitions, relationships, and addictions). I help clients develop greater self-understanding and better relate in relationships.
(434) 204-6941 View (434) 204-6941
Photo of Madison Tincha, Licensed Professional Counselor, MA, LPC, LGPC, NCC
Madison Tincha
Licensed Professional Counselor, MA, LPC, LGPC, NCC
4 Endorsed
Online Only
Do you find yourself attracted to the same kind of relationships or partners? Are you stuck in the same patterns and stories? I believe I can help you. I work with adult individuals and couples struggling with various relationship issues including the early stages of dating, maintaining secure relationships, attachment trauma/issues, anxiety, and self-esteem. Additionally, I am passionate about integrative couples and sex therapy. I provide support in areas such as infidelity, sexual dissatisfaction, sexual trauma, and sexual disorders. I hope to foster a sex-positive environment that is free of judgment.
Do you find yourself attracted to the same kind of relationships or partners? Are you stuck in the same patterns and stories? I believe I can help you. I work with adult individuals and couples struggling with various relationship issues including the early stages of dating, maintaining secure relationships, attachment trauma/issues, anxiety, and self-esteem. Additionally, I am passionate about integrative couples and sex therapy. I provide support in areas such as infidelity, sexual dissatisfaction, sexual trauma, and sexual disorders. I hope to foster a sex-positive environment that is free of judgment.
(571) 470-5460 View (571) 470-5460
Photo of Gabrielle Katz, Clinical Social Work/Therapist, LCSW, CEDS-C
Gabrielle Katz
Clinical Social Work/Therapist, LCSW, CEDS-C
11 Endorsed
Alexandria, VA 22314
When food, your body, or your thoughts feel all-consuming, it can be exhausting and hard to manage. You might look fine on the outside, while inside you’re stuck in patterns of restricting, bingeing, intrusive thoughts, rigidity, or feeling disconnected from yourself. I specialize in working with adolescents and adults navigating eating disorders, OCD, trauma, anxiety, and depression. As a Certified Eating Disorders Specialist (CEDS-C), I bring depth of experience helping clients move through complex and overwhelming patterns.
When food, your body, or your thoughts feel all-consuming, it can be exhausting and hard to manage. You might look fine on the outside, while inside you’re stuck in patterns of restricting, bingeing, intrusive thoughts, rigidity, or feeling disconnected from yourself. I specialize in working with adolescents and adults navigating eating disorders, OCD, trauma, anxiety, and depression. As a Certified Eating Disorders Specialist (CEDS-C), I bring depth of experience helping clients move through complex and overwhelming patterns.
(703) 386-7021 View (703) 386-7021
Photo of Emma Flintrop, Clinical Social Work/Therapist, LCSW, MSW
Emma Flintrop
Clinical Social Work/Therapist, LCSW, MSW
4 Endorsed
Alexandria, VA 22304
It is a difficult task to find a therapist that will meet you where you are at and be comfortable sharing who you really are. That is why I strive to create an open and accepting environment that is tailored to the unique needs of each individual client. My name is Emma Flintrop (She/Her) a licensed social worker in the state of Virginia. I have received my Masters of social work at Rutgers University. I have past experience with working with anxiety, depression, self harming, suicidal ideation, life transitions, communication, grief, and finding ones true self.
It is a difficult task to find a therapist that will meet you where you are at and be comfortable sharing who you really are. That is why I strive to create an open and accepting environment that is tailored to the unique needs of each individual client. My name is Emma Flintrop (She/Her) a licensed social worker in the state of Virginia. I have received my Masters of social work at Rutgers University. I have past experience with working with anxiety, depression, self harming, suicidal ideation, life transitions, communication, grief, and finding ones true self.
(571) 200-8757 View (571) 200-8757

See more therapy options for Alexandria

How does your Therapist compare?

Number of Therapists in Alexandria, VA

1,000+

Average cost per session

$164

Therapists in Alexandria, VA who prioritize treating:

94% Anxiety
94% Social Anxiety
94% Health Anxiety
94% Driving Anxiety
89% Depression
76% Self Esteem
75% Stress

Average years in practice

11 Years

Top 3 insurances accepted

81% BlueCross and BlueShield
78% Aetna
72% Cigna and Evernorth

How Therapists in Alexandria, VA see their clients

50% Online Only
50% In Person and Online

Gender breakdown

85% Female
14% Male
1% Non-Binary
FAQs - About Therapy and Counseling

How can I find a therapist in Alexandria?

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.