Therapists in Arlington, VA

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Nouveau Psychological Wellness
Psychologist, PsyD
1 Endorsed
Arlington, VA 22209
At Nouveau, we offer therapy and psychological assessment services across the lifespan. Dr. Vianca Escudero specializes in conditions involving emotion dysregulation and chronic suicidality in children, teens, adults, and families. She also offers Spanish speaking services. Dr. Jack Baker treats chronic shame and difficulties with uncertainty and low self-esteem in teens/adults. Dr. Paige Victorine works with adults, specializing in perfectionism and burnout, chronic illness, and ADHD and Autism. We specialize in neurodiversity-affirming assessment to support our clients' self-knowledge and identify individualized supports.
At Nouveau, we offer therapy and psychological assessment services across the lifespan. Dr. Vianca Escudero specializes in conditions involving emotion dysregulation and chronic suicidality in children, teens, adults, and families. She also offers Spanish speaking services. Dr. Jack Baker treats chronic shame and difficulties with uncertainty and low self-esteem in teens/adults. Dr. Paige Victorine works with adults, specializing in perfectionism and burnout, chronic illness, and ADHD and Autism. We specialize in neurodiversity-affirming assessment to support our clients' self-knowledge and identify individualized supports.
(571) 534-3825 View (571) 534-3825
Dr. Sarah Grace Shirey (Helton)
Psychologist, PhD
2 Endorsed
Arlington, VA 22209
Not accepting new clients
My goal is to help clients live a full and meaningful life by coping healthily with stress. I integrate a flexible, person-centered approach with evidence-based practices. Specifically, I collaboratively and non-judgmentally work with clients to identify strengths and values. Together, we explore how to “open up” to difficult thoughts and emotions to create a more satisfying life. I use evidence-based therapies and skills, including Cognitive Behavioral Therapy (CBT), Acceptance and Commitment Therapy (ACT), and Motivational Enhancement Therapy (MET), as well as mindfulness/relaxation-based and trauma-informed approaches.
My goal is to help clients live a full and meaningful life by coping healthily with stress. I integrate a flexible, person-centered approach with evidence-based practices. Specifically, I collaboratively and non-judgmentally work with clients to identify strengths and values. Together, we explore how to “open up” to difficult thoughts and emotions to create a more satisfying life. I use evidence-based therapies and skills, including Cognitive Behavioral Therapy (CBT), Acceptance and Commitment Therapy (ACT), and Motivational Enhancement Therapy (MET), as well as mindfulness/relaxation-based and trauma-informed approaches.
(571) 901-2006 View (571) 901-2006
Dr. Tram Huynh
Psychologist, PhD, PMH-C
3 Endorsed
Arlington, VA 22201
Do you feel caught between holding everything together and wondering why daily life feels so exhausting? Whether you are navigating college exams, entering the workplace, or balancing intense professional and family demands, it is easy to feel stretched to the limit. You might dread high-stakes deadlines, find yourself trapped in persistent cycles of anxiety and procrastination, or mask your self-doubt behind high-achieving perfectionism to feel "good enough." Demanding relationships or workplace pressures can leave you feeling defeated, disconnected from your authentic self, and questioning your self-worth.
Do you feel caught between holding everything together and wondering why daily life feels so exhausting? Whether you are navigating college exams, entering the workplace, or balancing intense professional and family demands, it is easy to feel stretched to the limit. You might dread high-stakes deadlines, find yourself trapped in persistent cycles of anxiety and procrastination, or mask your self-doubt behind high-achieving perfectionism to feel "good enough." Demanding relationships or workplace pressures can leave you feeling defeated, disconnected from your authentic self, and questioning your self-worth.
(571) 348-3603 View (571) 348-3603
SC Nealy
Licensed Professional Counselor, LPC, ACS, NCC, CCMHC, MA
10 Endorsed
Arlington, VA 22207
With over 16 years working in the mental health field, SC Nealy has their second Master's degree in Clinical Mental Health Counseling and is the Clinical Director at a group therapy practice. With a person-centered, attachment informed, emotion-focused approach aimed at finding solutions, healing trauma, building resilience, improving interpersonal relationships, connecting the mind and body, and working through triggers and past pain, SC wants their clients to feel heard, understood, and valued in the therapeutic space and in their lives. SC also wrote 30+ novels, and their non-fiction book "Healing Sacred Wounds" releases in 2026.
With over 16 years working in the mental health field, SC Nealy has their second Master's degree in Clinical Mental Health Counseling and is the Clinical Director at a group therapy practice. With a person-centered, attachment informed, emotion-focused approach aimed at finding solutions, healing trauma, building resilience, improving interpersonal relationships, connecting the mind and body, and working through triggers and past pain, SC wants their clients to feel heard, understood, and valued in the therapeutic space and in their lives. SC also wrote 30+ novels, and their non-fiction book "Healing Sacred Wounds" releases in 2026.
(703) 688-8812 View (703) 688-8812
Calvin Rabago
Clinical Social Work/Therapist, LCSW
Online Only
I am currently practicing virtually in DC, Virginia and Maryland. My work focuses on understanding how past relationships and experiences influence the ways we relate to others, experience difficult emotions, and navigate life today. We work to uncover patterns in your relationships and the ways you may have learned to manage, avoid, or protect yourself from painful feelings. Exploring and experiencing these emotions in a safe, supportive, and nonjudgmental space can help loosen patterns that no longer serve you, resolve internal conflicts, and create freedom to decide how you want to live and what feels meaningful to you.
I am currently practicing virtually in DC, Virginia and Maryland. My work focuses on understanding how past relationships and experiences influence the ways we relate to others, experience difficult emotions, and navigate life today. We work to uncover patterns in your relationships and the ways you may have learned to manage, avoid, or protect yourself from painful feelings. Exploring and experiencing these emotions in a safe, supportive, and nonjudgmental space can help loosen patterns that no longer serve you, resolve internal conflicts, and create freedom to decide how you want to live and what feels meaningful to you.
(703) 691-5209 View (703) 691-5209
Lauren Levine
Psychologist, PsyD
2 Endorsed
Arlington, VA 22201
If anxiety, intrusive thoughts, or fears are starting to run your life, you’re not alone and it doesn’t have to stay this way. Many of my clients enter therapy feeling stuck, caught in cycles of overthinking, avoidance, or self-doubt. I also work with clients navigating life transitions, relationship challenges, and adjustment stress. Together, we work to change your relationship with those thoughts and feelings so they have less control over your choices. Rather than just managing symptoms, my goal is to help you build a life that feels meaningful, flexible, and aligned with what matters most to you.
If anxiety, intrusive thoughts, or fears are starting to run your life, you’re not alone and it doesn’t have to stay this way. Many of my clients enter therapy feeling stuck, caught in cycles of overthinking, avoidance, or self-doubt. I also work with clients navigating life transitions, relationship challenges, and adjustment stress. Together, we work to change your relationship with those thoughts and feelings so they have less control over your choices. Rather than just managing symptoms, my goal is to help you build a life that feels meaningful, flexible, and aligned with what matters most to you.
(571) 281-7994 View (571) 281-7994
Psychological Testing & Evaluations - Dr. Dean
Psychologist, PsyD, QME, Author
Arlington, VA 22203
I’m Dr. Dean Leav. I've been featured on ABC, NBC, KCAL, and other programs as an expert psychologist. I conduct ADHD / autism / learning disability evaluations, legal / forensic evaluations for court, risk assessment (violence / sexual), cognitive / neuropsychological evaluations, diagnostic psychological evaluations, immigration evaluations, adoption evaluations, parenting / bonding assessments, drug & alcohol evaluations, fitness for duty evaluations, workers' compensation (QME/AME) evaluations, and other types of psychological evaluations / assessments.
I’m Dr. Dean Leav. I've been featured on ABC, NBC, KCAL, and other programs as an expert psychologist. I conduct ADHD / autism / learning disability evaluations, legal / forensic evaluations for court, risk assessment (violence / sexual), cognitive / neuropsychological evaluations, diagnostic psychological evaluations, immigration evaluations, adoption evaluations, parenting / bonding assessments, drug & alcohol evaluations, fitness for duty evaluations, workers' compensation (QME/AME) evaluations, and other types of psychological evaluations / assessments.
(571) 410-3076 View (571) 410-3076
Melissa McCarthy
Clinical Social Work/Therapist, MSW
Arlington, VA 22203
Melissa McCarthy earned her undergraduate degree in Economics from Lehigh University in 2021. After developing a strong passion for working with children, she went on to earn her Master of Social Work in May 2026, pursuing clinical social work to support individuals in a therapeutic setting.
Melissa McCarthy earned her undergraduate degree in Economics from Lehigh University in 2021. After developing a strong passion for working with children, she went on to earn her Master of Social Work in May 2026, pursuing clinical social work to support individuals in a therapeutic setting.
(571) 739-8407 View (571) 739-8407
Amanda Rigney
Licensed Professional Counselor, LPC
Online Only
I strongly believe that clients already possess the strength they need to overcome past hurts and reach their mental health goals. I believe it is my privilege to walk alongside you in your journey and empower you to use your own strengths to solve problems and achieve your goals. I enjoy working with clients from any age or background. I treat a wide range of issues including anxiety, depression, anger management, and trauma. I have a special interest in working with woman suffering from abusive relationships, co-dependency, or parenting issues.
I strongly believe that clients already possess the strength they need to overcome past hurts and reach their mental health goals. I believe it is my privilege to walk alongside you in your journey and empower you to use your own strengths to solve problems and achieve your goals. I enjoy working with clients from any age or background. I treat a wide range of issues including anxiety, depression, anger management, and trauma. I have a special interest in working with woman suffering from abusive relationships, co-dependency, or parenting issues.
(540) 501-6345 View (540) 501-6345
Discover Me Therapy, PLLC
Licensed Professional Counselor, MEd, LPC
Arlington, VA 22203
Many people reach out for therapy when life becomes heavier than expected — stress builds, relationships strain, old wounds resurface, or habits begin to feel out of control. You don’t have to sort through that alone. I help adults and couples understand the patterns shaped by trauma, anxiety, depression, addiction, and relationship conflict so they can move toward steadiness, clarity, and meaningful change. My style is warm, grounded, and straightforward. I integrate evidence‑based approaches such as CBT, DBT, ACT, trauma‑focused therapy, and neurofeedback to support both the mind and the nervous system.
Many people reach out for therapy when life becomes heavier than expected — stress builds, relationships strain, old wounds resurface, or habits begin to feel out of control. You don’t have to sort through that alone. I help adults and couples understand the patterns shaped by trauma, anxiety, depression, addiction, and relationship conflict so they can move toward steadiness, clarity, and meaningful change. My style is warm, grounded, and straightforward. I integrate evidence‑based approaches such as CBT, DBT, ACT, trauma‑focused therapy, and neurofeedback to support both the mind and the nervous system.
(703) 972-7512 View (703) 972-7512
Resolve Psychological Services
Verified Verified
1 Endorsed
Arlington, VA 22209
Resolve Psychological Services provides top of the line treatment for anxiety/anxiety-related conditions, depression, eating disorders, trauma, maternal mental health, high achievers, and couples. Resolve treats adults, adolescents, children, and families, and uses cutting-edge, evidence based interventions so you know you are receiving the best treatment available when you are in care at Resolve. Relationships are our speciality, including help for the chronically single. We welcome you to begin a relationship with us! You will be so glad you did.
Resolve Psychological Services provides top of the line treatment for anxiety/anxiety-related conditions, depression, eating disorders, trauma, maternal mental health, high achievers, and couples. Resolve treats adults, adolescents, children, and families, and uses cutting-edge, evidence based interventions so you know you are receiving the best treatment available when you are in care at Resolve. Relationships are our speciality, including help for the chronically single. We welcome you to begin a relationship with us! You will be so glad you did.
(703) 997-7356 View (703) 997-7356
Mary Patton
Clinical Social Work/Therapist
Online Only
Hi, I'm Mary. If you're experiencing stress, anxiety, depression, pain from trauma, or self-medicating with drugs or alcohol, it may be time to reach out for help. I work with adults in individual therapy who have faced these same struggles, and with treatment, it is possible to feel better. As a trauma specialist, I use Cognitive Behavioral Therapy (CBT) and Eye Movement Desensitization and Reprocessing (EMDR) in the treatment of PTSD. By identifying the underlying reasons for your symptoms, we can better manage and even alleviate them altogether.
Hi, I'm Mary. If you're experiencing stress, anxiety, depression, pain from trauma, or self-medicating with drugs or alcohol, it may be time to reach out for help. I work with adults in individual therapy who have faced these same struggles, and with treatment, it is possible to feel better. As a trauma specialist, I use Cognitive Behavioral Therapy (CBT) and Eye Movement Desensitization and Reprocessing (EMDR) in the treatment of PTSD. By identifying the underlying reasons for your symptoms, we can better manage and even alleviate them altogether.
(703) 348-4293 View (703) 348-4293
Amy Taddeo Jimenez
Licensed Professional Counselor, MA, LPC
1 Endorsed
Online Only
Eating disorders are known for hiding in plain sight, often under-diagnosed and misunderstood by many healthcare professionals. Because of this, I have dedicated my career to serving this population. I have eight years of experience across multiple levels of care, including outpatient, intensive outpatient (IOP) and partial hospitalization (PHP) programs. I enjoy working with people across the age and gender spectrum, at any phase of their recovery journey. Whether you're someone that is brand new to treatment or you have been in a long-term space of recovery and are just looking for some extra support, I'd love to work with you.
Eating disorders are known for hiding in plain sight, often under-diagnosed and misunderstood by many healthcare professionals. Because of this, I have dedicated my career to serving this population. I have eight years of experience across multiple levels of care, including outpatient, intensive outpatient (IOP) and partial hospitalization (PHP) programs. I enjoy working with people across the age and gender spectrum, at any phase of their recovery journey. Whether you're someone that is brand new to treatment or you have been in a long-term space of recovery and are just looking for some extra support, I'd love to work with you.
(571) 520-5917 View (571) 520-5917
Dana Lipsky
Psychologist, PsyD, LCP
4 Endorsed
Arlington, VA 22201
Life can feel overwhelming, and it’s common to feel stuck when facing anxiety, depression, relationship stress, or major life transitions. Therapy provides a supportive, structured space to gain clarity, develop insight, and build practical coping skills. Together, we will set meaningful goals, explore patterns that may be holding you back, and create realistic strategies that lead to lasting change. I use a warm, interactive approach grounded in empathy, honesty, and thoughtful humor to foster comfort and trust. Growth begins with a willingness to challenge unhelpful thoughts and perspectives. Ready to dig in?
Life can feel overwhelming, and it’s common to feel stuck when facing anxiety, depression, relationship stress, or major life transitions. Therapy provides a supportive, structured space to gain clarity, develop insight, and build practical coping skills. Together, we will set meaningful goals, explore patterns that may be holding you back, and create realistic strategies that lead to lasting change. I use a warm, interactive approach grounded in empathy, honesty, and thoughtful humor to foster comfort and trust. Growth begins with a willingness to challenge unhelpful thoughts and perspectives. Ready to dig in?
(703) 831-6008 View (703) 831-6008
Allison Hahn
Psychologist, PsyD
Arlington, VA 22203
Emotional suffering, while it can be scary and challenging, usually represents an enormous opportunity for growth. Embarking on psychotherapy represents an important step towards that growth. Although this process may seem daunting, psychotherapy represents a unique opportunity to learn about yourself, your relationships and your history and their impact on your life. We will work with the here-and-now experience to more deeply understand your relational patterns and their origins. Working through your unique experiences and patterns, will generate self-acceptance, compassion, greater insight and clarity and help you navigate life and relationships with greater authenticity, integrity and wisdom.
Emotional suffering, while it can be scary and challenging, usually represents an enormous opportunity for growth. Embarking on psychotherapy represents an important step towards that growth. Although this process may seem daunting, psychotherapy represents a unique opportunity to learn about yourself, your relationships and your history and their impact on your life. We will work with the here-and-now experience to more deeply understand your relational patterns and their origins. Working through your unique experiences and patterns, will generate self-acceptance, compassion, greater insight and clarity and help you navigate life and relationships with greater authenticity, integrity and wisdom.
(703) 957-7453 View (703) 957-7453
The LGBT+ Counseling Collaborative
Verified Verified
9 Endorsed
Arlington, VA 22207
The LGBT+ Counseling Collaborative is a group of licensed psychotherapists who specialize in gay, queer, and gender expansive topics and themes, and have lived experiences in those communities. We work with anyone over 11 years old, including couples/relationships to offer individual counseling, group counseling, and relationship counseling, including non-faith based premarital counseling, discernment counseling, sex therapy, and more. Our mission is to provide culturally competent, social justice oriented, queer affirming, and trauma informed therapeutic services to clients who want to actively engage in the healing process.
The LGBT+ Counseling Collaborative is a group of licensed psychotherapists who specialize in gay, queer, and gender expansive topics and themes, and have lived experiences in those communities. We work with anyone over 11 years old, including couples/relationships to offer individual counseling, group counseling, and relationship counseling, including non-faith based premarital counseling, discernment counseling, sex therapy, and more. Our mission is to provide culturally competent, social justice oriented, queer affirming, and trauma informed therapeutic services to clients who want to actively engage in the healing process.
(571) 556-9869 View (571) 556-9869
Latrell Sherrard Holland
Clinical Social Work/Therapist, MSW, LCSW, LICSW
Online Only
I am a Licensed Clinical Social Worker who specializes in psychotherapy in VA and DC. I believe that the therapeutic relationship is the main driver of trying to create change within your life. I consider my clients to be the experts of their experiences as I walk alongside them. I want to help you discover your inner strengths to be able to thrive in life and not just survive.
I am a Licensed Clinical Social Worker who specializes in psychotherapy in VA and DC. I believe that the therapeutic relationship is the main driver of trying to create change within your life. I consider my clients to be the experts of their experiences as I walk alongside them. I want to help you discover your inner strengths to be able to thrive in life and not just survive.
(571) 487-8551 View (571) 487-8551
Startasha Dillard
Licensed Professional Counselor, LPC
1 Endorsed
Online Only
I’m Startasha Dillard, a Licensed Professional Counselor in Virginia and the District of Columbia, with 19 years of experience in the behavioral health field. I’ve worked with individuals facing both mental health and substance use disorders, helping adults navigate issues such as addiction, anxiety, stress, depression, trauma, anger, and relationship challenges. I strive to create a safe and non-judgmental space where you can share openly. My approach involves maintaining an open ear, flexibility, and the awareness needed to meet your unique needs.
I’m Startasha Dillard, a Licensed Professional Counselor in Virginia and the District of Columbia, with 19 years of experience in the behavioral health field. I’ve worked with individuals facing both mental health and substance use disorders, helping adults navigate issues such as addiction, anxiety, stress, depression, trauma, anger, and relationship challenges. I strive to create a safe and non-judgmental space where you can share openly. My approach involves maintaining an open ear, flexibility, and the awareness needed to meet your unique needs.
(571) 931-2681 View (571) 931-2681
Michael Magenheimer
Psychologist, PsyD, CGP
6 Endorsed
Arlington, VA 22209
Many of us face difficult times in our lives, which may lead us to seek out help from others. I believe that psychotherapy can facilitate gaining a better understanding of ourselves, helping you to become more resilient and improve your sense of self. Those who engage in therapy often find that as a result they are able to live more open, genuine, and fulfilling lives.
Many of us face difficult times in our lives, which may lead us to seek out help from others. I believe that psychotherapy can facilitate gaining a better understanding of ourselves, helping you to become more resilient and improve your sense of self. Those who engage in therapy often find that as a result they are able to live more open, genuine, and fulfilling lives.
(703) 783-5630 View (703) 783-5630
Mirjana Ivanisevic
Psychologist, PhD
Arlington, VA 22209
My therapeutic approach includes empathetic listening, compassionate guidance, and a collaborative process to built a strong rapport. I strive to help my clients meet their goals for therapy. I use a combination of active listening, validation, challenging unhealthy patterns, as well as insight-building to help my clients work through their distress. I emphasize solution-focused strategies (e.g., skill building, cognitive and emotional processing) to introduce healthier coping strategies, strengthen their psychological health, and improve their quality of life.
My therapeutic approach includes empathetic listening, compassionate guidance, and a collaborative process to built a strong rapport. I strive to help my clients meet their goals for therapy. I use a combination of active listening, validation, challenging unhealthy patterns, as well as insight-building to help my clients work through their distress. I emphasize solution-focused strategies (e.g., skill building, cognitive and emotional processing) to introduce healthier coping strategies, strengthen their psychological health, and improve their quality of life.
(571) 556-3277 View (571) 556-3277

See more therapy options for Arlington

How does your Therapist compare?

Number of Therapists in Arlington, VA

2,000+

Average cost per session

$181

Therapists in Arlington, VA who prioritize treating:

93% Anxiety
93% Social Anxiety
93% Health Anxiety
93% Driving Anxiety
85% Depression
78% Relationship Issues
75% Relationship Anxiety

Average years in practice

12 Years

Top 3 insurances accepted

73% Aetna
73% BlueCross and BlueShield
61% Cigna and Evernorth

How Therapists in Arlington, VA see their clients

53% In Person and Online
47% Online Only

Gender breakdown

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

How can I find a therapist in Arlington?

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.