Therapists in Landmark, Alexandria, VA

Photo of Jordan L. Costen-Sumpter, MSW, QMHP-A
Jordan L. Costen-Sumpter
Supervisee in Clinical Social Work, MSW, QMHP-A
Verified Verified
2 Endorsed
Landmark, Alexandria, VA 22304
Well, hello. I am glad you decided to meet. Let me pour you some tea or coffee and let’s discuss what is on your mind. Sometimes it can be pretty difficult to seek out help. Especially for those who either thought they didn’t need it or were convinced that their issues are manageable. That often occurs with members of the LGBTQ+ community. Regardless, you took the first step, as difficult as it may have been. As a next step I want to work with you and build trust. Once that has been established and you feel comfortable, we can address the items that cause you concern.
Well, hello. I am glad you decided to meet. Let me pour you some tea or coffee and let’s discuss what is on your mind. Sometimes it can be pretty difficult to seek out help. Especially for those who either thought they didn’t need it or were convinced that their issues are manageable. That often occurs with members of the LGBTQ+ community. Regardless, you took the first step, as difficult as it may have been. As a next step I want to work with you and build trust. Once that has been established and you feel comfortable, we can address the items that cause you concern.
(571) 901-1072 View (571) 901-1072
Photo of Michelle Reeves, MSW, Pre-Licensed Professional
Michelle Reeves
Pre-Licensed Professional, MSW
Verified Verified
Landmark, Alexandria, VA 22304
Life can sometimes be messy, challenging, and just plain hard. My mission is to support, uplift, and meet each individual where they are. I have experience helping children, adolescents, and adults navigate a variety of challenges, including anxiety, depression, self-harm, loss, and difficult life transitions. I strive to create a safe environment where clients of all ages feel comfortable and at ease.
Life can sometimes be messy, challenging, and just plain hard. My mission is to support, uplift, and meet each individual where they are. I have experience helping children, adolescents, and adults navigate a variety of challenges, including anxiety, depression, self-harm, loss, and difficult life transitions. I strive to create a safe environment where clients of all ages feel comfortable and at ease.
(571) 556-6386 View (571) 556-6386
Photo of Majeed Abu Nimer, MSW, LCSW, Clinical Social Work/Therapist
Majeed Abu Nimer
Clinical Social Work/Therapist, MSW, LCSW
Verified Verified
Landmark, Alexandria, VA 22304
If you are struggling with depression, anxiety, grief, adjustment to new culture or trauma, I can help you manage daily issues such as Stress Management, Interpersonal Difficulties, Life Transitions, Career issues, and other struggles that affect your ability to enjoy life. I can also help with a cultural adjustment which can be a unique challenge that many immigrants face. My background includes an MSW from Howard Univ. and my unique experience can guide you in making a smooth cultural transition.
If you are struggling with depression, anxiety, grief, adjustment to new culture or trauma, I can help you manage daily issues such as Stress Management, Interpersonal Difficulties, Life Transitions, Career issues, and other struggles that affect your ability to enjoy life. I can also help with a cultural adjustment which can be a unique challenge that many immigrants face. My background includes an MSW from Howard Univ. and my unique experience can guide you in making a smooth cultural transition.
(571) 351-1137 View (571) 351-1137
Photo of James Willie Jenkins, LPC, ACS, LMHP, Licensed Professional Counselor
James Willie Jenkins
Licensed Professional Counselor, LPC, ACS, LMHP
Verified Verified
1 Endorsed
Landmark, Alexandria, VA 22304  (Online Only)
I am a solution focused Licensed Professional Counselor with over 10 years of experience working in both rural and metropolitan locations. It is my hopes to provide a supportive safe space to assist you in making progress towards your goals. I have extensive experience working with children, adolescents, and adults. I also have 5 years of experience working closely with active duty military and their dependents.
I am a solution focused Licensed Professional Counselor with over 10 years of experience working in both rural and metropolitan locations. It is my hopes to provide a supportive safe space to assist you in making progress towards your goals. I have extensive experience working with children, adolescents, and adults. I also have 5 years of experience working closely with active duty military and their dependents.
(804) 656-5373 View (804) 656-5373
Photo of Leemon C. Hoyle, MA, LPC, Licensed Professional Counselor
Leemon C. Hoyle
Licensed Professional Counselor, MA, LPC
Verified Verified
1 Endorsed
Landmark, Alexandria, VA 22304
I view my engagement with individuals who are focused on building a life worth living as a core passion that supports a positive treatment experience. I enjoy working with teenagers, adults and couples who are navigating life issues that are preventing them from fulfilling their highest potential or accessing their best self. I also take pleasure in partnering with individuals on their journey as the therapeutic process can be just as enriching as the realization of the identified treatment goal.
I view my engagement with individuals who are focused on building a life worth living as a core passion that supports a positive treatment experience. I enjoy working with teenagers, adults and couples who are navigating life issues that are preventing them from fulfilling their highest potential or accessing their best self. I also take pleasure in partnering with individuals on their journey as the therapeutic process can be just as enriching as the realization of the identified treatment goal.
(571) 520-7311 x6 View (571) 520-7311 x6
Photo of Sarah Tovcimak, Pre-Licensed Professional
Sarah Tovcimak
Pre-Licensed Professional
Verified Verified
Landmark, Alexandria, VA 22304
While expressing yourself and sharing vulnerable moments can be challenging, sometimes finding new methods of expression can help. My name is Sarah Tovcimak (She/Her), and I am a graduate art therapy student and intern at Cloud Break Therapy. While I may be newer to the field, I nonetheless aim to create a safe and understanding environment where together we can explore the art of creative expression and art therapy. I recognize that art therapy is new to many, and I would love to share some more about it.
While expressing yourself and sharing vulnerable moments can be challenging, sometimes finding new methods of expression can help. My name is Sarah Tovcimak (She/Her), and I am a graduate art therapy student and intern at Cloud Break Therapy. While I may be newer to the field, I nonetheless aim to create a safe and understanding environment where together we can explore the art of creative expression and art therapy. I recognize that art therapy is new to many, and I would love to share some more about it.
(571) 496-9016 View (571) 496-9016
Photo of undefined - Pearl Vitality, LCSW, Clinical Social Work/Therapist
Pearl Vitality
Clinical Social Work/Therapist, LCSW
Verified Verified
Landmark, Alexandria, VA 22304
Kathleen Fountain is a Licensed Clinical Social Worker with significant clinical experience working with individuals, couples, families, and children. Her work experiences include crisis response, interpersonal violence, inpatient, outpatient, and community-based therapy, as well as 5 years working with the military and military dependent population at Quantico. She is passionate about the uniqueness of every individual and providing a safe and empowering space to support clients create meaningful, positive, and lasting change.
Kathleen Fountain is a Licensed Clinical Social Worker with significant clinical experience working with individuals, couples, families, and children. Her work experiences include crisis response, interpersonal violence, inpatient, outpatient, and community-based therapy, as well as 5 years working with the military and military dependent population at Quantico. She is passionate about the uniqueness of every individual and providing a safe and empowering space to support clients create meaningful, positive, and lasting change.
(571) 200-5159 View (571) 200-5159
Photo of undefined - Pearl Vitality Counseling, LLC, LPC, Licensed Professional Counselor
Pearl Vitality Counseling, LLC
Licensed Professional Counselor, LPC
Verified Verified
Landmark, Alexandria, VA 22304
Seferino started his clinical career in a private practice and moved on to a community setting in order to help marginalized and underprivileged individuals. He years of experience working with co-occurring disorders and substance abuse. He has worked with individuals experiencing PTSD, Mood Disorders, Personality Disorders, Trauma, Anxiety, Substance Use Disorders, and overall unexpected adversities stemming from an unstable life. Seferino enjoys helping individuals, and couples from diverse backgrounds using several interventions to include Cognitive Behavioral Therapy, Emotion Focused Therapy, Mindfulness and Solution Focused
Seferino started his clinical career in a private practice and moved on to a community setting in order to help marginalized and underprivileged individuals. He years of experience working with co-occurring disorders and substance abuse. He has worked with individuals experiencing PTSD, Mood Disorders, Personality Disorders, Trauma, Anxiety, Substance Use Disorders, and overall unexpected adversities stemming from an unstable life. Seferino enjoys helping individuals, and couples from diverse backgrounds using several interventions to include Cognitive Behavioral Therapy, Emotion Focused Therapy, Mindfulness and Solution Focused
(571) 200-8596 View (571) 200-8596
Photo of Bianca Quiles, LPC, NCC, Licensed Professional Counselor
Bianca Quiles
Licensed Professional Counselor, LPC, NCC
Verified Verified
1 Endorsed
Landmark, Alexandria, VA 22304  (Online Only)
“You gain strength, courage and confidence by every experience in which you really stop to look fear in the face… You must do the thing you think you cannot do.” - Eleanor Roosevelt. As a dedicated Licensed Professional Counselor with over 8 years of experience, my primary goal is to provide individuals with an environment that nurtures authenticity and personal growth. Clients seeking my guidance desire to be challenged and to actively work towards tangible, transformative goals. I aim to address the potential challenges of therapy with transparency and safety essential for self-exploration.
“You gain strength, courage and confidence by every experience in which you really stop to look fear in the face… You must do the thing you think you cannot do.” - Eleanor Roosevelt. As a dedicated Licensed Professional Counselor with over 8 years of experience, my primary goal is to provide individuals with an environment that nurtures authenticity and personal growth. Clients seeking my guidance desire to be challenged and to actively work towards tangible, transformative goals. I aim to address the potential challenges of therapy with transparency and safety essential for self-exploration.
(571) 520-3919 View (571) 520-3919
Photo of undefined - Finding Clarity, LCSW
Finding Clarity
LCSW
Verified Verified
Landmark, Alexandria, VA 22304
Your mental and emotional health is just as important as your physical health and well being. Just as you would see your primary doctor to maintain your physical health, counseling is here to help maintain your emotional health. I provide counseling to help individuals and their loved ones address various life issues including (but not limited to): Family and marital conflicts, Problems in school, Depression, family separation, Adoption issues, Feelings of anxiety or nervousness, child and adolescent behavioral issues and Addiction issues. Weekend sessions are available.
Your mental and emotional health is just as important as your physical health and well being. Just as you would see your primary doctor to maintain your physical health, counseling is here to help maintain your emotional health. I provide counseling to help individuals and their loved ones address various life issues including (but not limited to): Family and marital conflicts, Problems in school, Depression, family separation, Adoption issues, Feelings of anxiety or nervousness, child and adolescent behavioral issues and Addiction issues. Weekend sessions are available.
(571) 586-9024 x1002 View (571) 586-9024 x1002
Photo of Erica R Turner, LMFT, Marriage & Family Therapist
Erica R Turner
Marriage & Family Therapist, LMFT
Verified Verified
Landmark, Alexandria, VA 22304
Waitlist for new clients
Relationships are a dual edged sword. When healthy, they are one of our greatest sources of strength. They provide a sense of comfort, joy, opportunities for growth, connection, and support. When broken or non-existent, they leave us feeling anxious, down, detached, and alone.
Relationships are a dual edged sword. When healthy, they are one of our greatest sources of strength. They provide a sense of comfort, joy, opportunities for growth, connection, and support. When broken or non-existent, they leave us feeling anxious, down, detached, and alone.
(703) 496-4094 View (703) 496-4094
Photo of Polly Garcia, MA, MS, NCC
Polly Garcia
Resident in Counseling, MA, MS, NCC
Verified Verified
Landmark, Alexandria, VA 22304  (Online Only)
My focus is primarily working with adults dealing with anxiety, depression, life transitions, relationship issues, family stressors, career challenges, and people looking to find a stronger mind/body connection. My theoretical approach is based strongly in Cognitive Behavioral Therapy (CBT). Using CBT with my clients means that some of the time will be spent exploring core beliefs, values systems, and how negative self-talk might be influencing present behavior. I also like to establish short and long-term goals with my clients and, together, discover ways in which to achieve them.
My focus is primarily working with adults dealing with anxiety, depression, life transitions, relationship issues, family stressors, career challenges, and people looking to find a stronger mind/body connection. My theoretical approach is based strongly in Cognitive Behavioral Therapy (CBT). Using CBT with my clients means that some of the time will be spent exploring core beliefs, values systems, and how negative self-talk might be influencing present behavior. I also like to establish short and long-term goals with my clients and, together, discover ways in which to achieve them.
(571) 474-2073 View (571) 474-2073
Photo of undefined - Pearl Vitality Counseling, LPC, Licensed Professional Counselor
Pearl Vitality Counseling
Licensed Professional Counselor, LPC
Verified Verified
Landmark, Alexandria, VA 22304
BILINGUAL (SPANISH/ENGLISH SPEAKING) THERAPIST .I believe the purpose of therapy is for you to more deeply discover who you are, what you want, and how to get it. During therapy, I will do my best to honor your personal experiences and perspective. You can count on me to provide you with honest feedback, and to offer suggestions based on my clinical training and life experiences. I encourage your active participation and collaboration as we develop our therapeutic relationship and work to meet your chosen goals.
BILINGUAL (SPANISH/ENGLISH SPEAKING) THERAPIST .I believe the purpose of therapy is for you to more deeply discover who you are, what you want, and how to get it. During therapy, I will do my best to honor your personal experiences and perspective. You can count on me to provide you with honest feedback, and to offer suggestions based on my clinical training and life experiences. I encourage your active participation and collaboration as we develop our therapeutic relationship and work to meet your chosen goals.
(703) 260-9352 View (703) 260-9352
Photo of Margaret Luckey, MA, LPC, Licensed Professional Counselor
Margaret Luckey
Licensed Professional Counselor, MA, LPC
Verified Verified
1 Endorsed
Landmark, Alexandria, VA 22304
I provide therapy and clinical supervision in Alexandria, Virginia. I am currently taking both new clients and new clinical supervisees. I want therapy to be an enjoyable experience. I want people to look forward to their sessions and it's also important to me that my client's feel like we are working together in a collaboration. My assistant's name is Donna, she helps me with scheduling and answering my phone.
I provide therapy and clinical supervision in Alexandria, Virginia. I am currently taking both new clients and new clinical supervisees. I want therapy to be an enjoyable experience. I want people to look forward to their sessions and it's also important to me that my client's feel like we are working together in a collaboration. My assistant's name is Donna, she helps me with scheduling and answering my phone.
(571) 297-1723 View (571) 297-1723
Photo of Dr. Barbara S Wallace, DMin, MA, Pastoral Counselor
Dr. Barbara S Wallace
Pastoral Counselor, DMin, MA
Verified Verified
Landmark, Alexandria, VA 22304
Rev. Dr. Barbara S. Wallace provides pastoral counseling services virtually or in person by creating a safe, caring, respectful, and honest environment so you feel relaxed and comfortable sharing. As a licensed minister ordained reverend, I am committed to active listening in a non-judgmental manner to build a trusting space for you to vent, be authentic, identify your feelings, and be empowered because I support you, and God does, too. Isaiah 43:18-19, God tells us to stop dwelling on our past and to look forward with anticipation for the blessings He has for us in our futures. Allow me to help you accept it and hope in God.
Rev. Dr. Barbara S. Wallace provides pastoral counseling services virtually or in person by creating a safe, caring, respectful, and honest environment so you feel relaxed and comfortable sharing. As a licensed minister ordained reverend, I am committed to active listening in a non-judgmental manner to build a trusting space for you to vent, be authentic, identify your feelings, and be empowered because I support you, and God does, too. Isaiah 43:18-19, God tells us to stop dwelling on our past and to look forward with anticipation for the blessings He has for us in our futures. Allow me to help you accept it and hope in God.
(571) 568-7559 View (571) 568-7559
Photo of Ana Lee Marie Lee Palou-Miranda, PhD, Psychologist
Ana Lee Marie Lee Palou-Miranda
Psychologist, PhD
Verified Verified
1 Endorsed
Landmark, Alexandria, VA 22304  (Online Only)
I enjoy working with a variety of patients and have gained great experience with victims of sexual abuse and their families. I have extensive experience with (PTSD) symptoms, anxiety, major Depression Disorder, Axis II Disorders (i.e. Antisocial Behavior Personality, Borderline Personality Disorder), Bipolar Disorder, Schizophrenia, Schizoaffective disorder, and suicidal patients.
I enjoy working with a variety of patients and have gained great experience with victims of sexual abuse and their families. I have extensive experience with (PTSD) symptoms, anxiety, major Depression Disorder, Axis II Disorders (i.e. Antisocial Behavior Personality, Borderline Personality Disorder), Bipolar Disorder, Schizophrenia, Schizoaffective disorder, and suicidal patients.
(571) 487-8236 View (571) 487-8236
Photo of Iris Elizabeth Baly, PhD, Psychologist
Iris Elizabeth Baly
Psychologist, PhD
Verified Verified
Landmark, Alexandria, VA 22304  (Online Only)
Not accepting new clients
The majority of clients( 75%) that I have worked with over the last eight years in my private practice, tended to be female, of diverse groups, ages 23-80 y.o., presenting with issues associated with relationship conflicts/dynamics, work conflicts, impairment in work performance, etc. The adjustment to which creates disturbances in mood-depression, anxiety, self-doubt, low self-esteem as well as different degrees of impairment in functioning, ie, sleep, appetite, energy level, social withdrawal. They are motivated to seek relief from the emotional distress they experience, and are motivated to fully engage/participate in treatment.
The majority of clients( 75%) that I have worked with over the last eight years in my private practice, tended to be female, of diverse groups, ages 23-80 y.o., presenting with issues associated with relationship conflicts/dynamics, work conflicts, impairment in work performance, etc. The adjustment to which creates disturbances in mood-depression, anxiety, self-doubt, low self-esteem as well as different degrees of impairment in functioning, ie, sleep, appetite, energy level, social withdrawal. They are motivated to seek relief from the emotional distress they experience, and are motivated to fully engage/participate in treatment.
(571) 487-8533 View (571) 487-8533
Photo of Ann Benner, LCSW, Clinical Social Work/Therapist
Ann Benner
Clinical Social Work/Therapist, LCSW
Verified Verified
Landmark, Alexandria, VA 22304
I am Ann Bohr Benner, LCSW. I like to work with adults of all ages who are dealing with depression, anxiety, life transitions, and/or grief. We start with and come back to client goals. I think holistically about people who are in distress. Sleep, diet, relaxation, exercise, social support, and spiritual life all can contribute to change. Then self-awareness, insight, and intentional behavior change are important. I endeavor to create a safe space in which each person can be exactly where they are, and eventually, the natural inclination to heal and grow can flourish.
I am Ann Bohr Benner, LCSW. I like to work with adults of all ages who are dealing with depression, anxiety, life transitions, and/or grief. We start with and come back to client goals. I think holistically about people who are in distress. Sleep, diet, relaxation, exercise, social support, and spiritual life all can contribute to change. Then self-awareness, insight, and intentional behavior change are important. I endeavor to create a safe space in which each person can be exactly where they are, and eventually, the natural inclination to heal and grow can flourish.
(703) 947-0837 View (703) 947-0837
Photo of undefined - Pearl Vitality Counseling, LLC, LPC, Licensed Professional Counselor
Pearl Vitality Counseling, LLC
Licensed Professional Counselor, LPC
Verified Verified
Landmark, Alexandria, VA 22304
Aaron Whitehead is a Licensed Professional Counselor (LPC) with an extensive counseling background in the community and private practice sector. Aaron received his Bachelor's degree from James Madison University and obtained his Masters Degree from George Mason University. Aaron has been provided mental health services in the Northern VA area for over 12 years.
Aaron Whitehead is a Licensed Professional Counselor (LPC) with an extensive counseling background in the community and private practice sector. Aaron received his Bachelor's degree from James Madison University and obtained his Masters Degree from George Mason University. Aaron has been provided mental health services in the Northern VA area for over 12 years.
(571) 336-0974 View (571) 336-0974
Photo of undefined - Each One Reach One, PsyD, LPC, Counselor
Each One Reach One
Counselor, PsyD, LPC
Verified Verified
Landmark, Alexandria, VA 22304
Not accepting new clients
My ideal client is someone that has an area of their life that is causing them some angst and they would like to openly and honestly discuss this area and identify ways of resolving this issue or at least living more comfortably with it. The client is willing to have consistent dialogue about how to improve this area of their life and is willing to try new ideas and/or behaviors suggested during therapy within their daily life.
My ideal client is someone that has an area of their life that is causing them some angst and they would like to openly and honestly discuss this area and identify ways of resolving this issue or at least living more comfortably with it. The client is willing to have consistent dialogue about how to improve this area of their life and is willing to try new ideas and/or behaviors suggested during therapy within their daily life.
(571) 200-7657 View (571) 200-7657

See more therapy options for Landmark, Alexandria

How does your Therapist compare?

Number of Therapists in Landmark, Alexandria, VA

100+

Average cost per session

$150

Therapists in Landmark, Alexandria, VA who prioritize treating:

92% Depression
92% Anxiety
79% Self Esteem
77% Coping Skills
75% Relationship Issues
75% Stress
70% Trauma and PTSD

Average years in practice

11 Years

Top 3 insurances accepted

81% Cigna and Evernorth
77% BlueCross and BlueShield
68% Anthem | Elevance

How Therapists in Landmark, Alexandria, VA see their clients

58% In Person and Online
42% Online Only

Gender breakdown

81% Female
18% Male
1% Non-Binary
FAQs - About Therapy and Counseling

How can I find a therapist in Landmark, 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.