Therapists in Franconia, VA

Photo of Ellainna In Hong, Clinical Social Work/Therapist, LICSW, LCSW
Ellainna In Hong
Clinical Social Work/Therapist, LICSW, LCSW
Online Only
Not accepting new clients
I enjoy working with adults who are dealing with everything from stress and relationships, anxiety, depression, to complex trauma, and those considered neurodivergent. As a clinician who is foundationally a culturally humble clinical social worker, my clientele would represent a wide range of individuals with varying needs, including cultivating a self-care routine and working through complex trauma that impacts their day-to-day lives. Like most people experiencing general stress or personal tragedies, my client would want to heal and understands that healing is not an overnight process.
I enjoy working with adults who are dealing with everything from stress and relationships, anxiety, depression, to complex trauma, and those considered neurodivergent. As a clinician who is foundationally a culturally humble clinical social worker, my clientele would represent a wide range of individuals with varying needs, including cultivating a self-care routine and working through complex trauma that impacts their day-to-day lives. Like most people experiencing general stress or personal tragedies, my client would want to heal and understands that healing is not an overnight process.
(703) 596-1540 View (703) 596-1540
Photo of Rachael Caffrey, Licensed Professional Counselor
Rachael Caffrey
Licensed Professional Counselor
Online Only
Hi! My name is Rachael, I am a Licensed Professional Counselor (LPC) and I have worked in the mental health field for ten years. I have a Masters degree in Professional Counseling from the University of Georgia and I've worked primarily with adolescents and adults. My experience includes working with issues involving anger management, life transitions and stressors, substance use/abuse, trauma, depression, grief and loss, and anxiety. I've learned that I am drawn to and typically use an eclectic approach. In therapy, I draw from different theories and techniques to best address your presenting concern(s).
Hi! My name is Rachael, I am a Licensed Professional Counselor (LPC) and I have worked in the mental health field for ten years. I have a Masters degree in Professional Counseling from the University of Georgia and I've worked primarily with adolescents and adults. My experience includes working with issues involving anger management, life transitions and stressors, substance use/abuse, trauma, depression, grief and loss, and anxiety. I've learned that I am drawn to and typically use an eclectic approach. In therapy, I draw from different theories and techniques to best address your presenting concern(s).
(571) 603-6134 View (571) 603-6134
Photo of Jennifer Shotlander, Clinical Social Work/Therapist, LCSW
Jennifer Shotlander
Clinical Social Work/Therapist, LCSW
Online Only
I have 20 years of experience counseling a diverse array of adult clients. In my office, each person is treated as the unique individual they are without judgment or comparison. I start by listening to understand your story, your strengths, your needs, and your goals.
I have 20 years of experience counseling a diverse array of adult clients. In my office, each person is treated as the unique individual they are without judgment or comparison. I start by listening to understand your story, your strengths, your needs, and your goals.
(571) 548-3389 View (571) 548-3389
Photo of Dr. Anita Haley Reed - Dr. Anita H. Reed at NobleTrust Consulting, LLC, Clinical Social Work/Therapist, LCSW
Dr. Anita H. Reed at NobleTrust Consulting, LLC
Clinical Social Work/Therapist, LCSW
Serves Area
Sometimes we find ourselves faced with challenges and have difficulty navigating through them. Feeling overwhelmed, defeated, helpless and hopeless, we feel ‘stuck’ and may not know where to start. It is at this time, where help is needed. We will collaborate with you to create an individualized approach that will address your challenges and speak to your strengths and goals. We are compassionate and are adept at facilitating exploration of your thoughts, feelings and actions in an effort to relieve distress, develop insight, improve coping strategies, and have healthier, more satisfying relationships.
Sometimes we find ourselves faced with challenges and have difficulty navigating through them. Feeling overwhelmed, defeated, helpless and hopeless, we feel ‘stuck’ and may not know where to start. It is at this time, where help is needed. We will collaborate with you to create an individualized approach that will address your challenges and speak to your strengths and goals. We are compassionate and are adept at facilitating exploration of your thoughts, feelings and actions in an effort to relieve distress, develop insight, improve coping strategies, and have healthier, more satisfying relationships.
(571) 450-8906 View (571) 450-8906
Photo of Kristi Gannon, Clinical Social Work/Therapist, LCSW
Kristi Gannon
Clinical Social Work/Therapist, LCSW
Online Only
I am Kristi Gannon, a Licensed Clinical Social Worker (LCSW) in both Virginia and Florida, and I currently offer telehealth sessions in these states. I specialize in working with adults and seniors who are navigating the challenges of anxiety, depression, anger, relationship issues, ADHD, poor coping skills, gender identity issues, stress, trauma, PTSD, women’s issues, and more.
I am Kristi Gannon, a Licensed Clinical Social Worker (LCSW) in both Virginia and Florida, and I currently offer telehealth sessions in these states. I specialize in working with adults and seniors who are navigating the challenges of anxiety, depression, anger, relationship issues, ADHD, poor coping skills, gender identity issues, stress, trauma, PTSD, women’s issues, and more.
(339) 244-7023 View (339) 244-7023
Photo of Melayna Schiff, Pre-Licensed Professional, PhD, MSW
Melayna Schiff
Pre-Licensed Professional, PhD, MSW
Serves Area
If the path ahead feels uncertain—or if your old ways of navigating no longer help—you’re not alone. Maybe you feel stuck in patterns you can’t explain. Maybe you’re overwhelmed by emotions that come out of nowhere—or feel like you can’t feel anything at all. Perhaps you’re exhausted from holding it all together, shaping yourself around roles, expectations, or survival strategies that once helped but now leave you disconnected. When the past feels too present or the future unclear, therapy offers space to make sense of your experience and reconnect with what truly matters.
If the path ahead feels uncertain—or if your old ways of navigating no longer help—you’re not alone. Maybe you feel stuck in patterns you can’t explain. Maybe you’re overwhelmed by emotions that come out of nowhere—or feel like you can’t feel anything at all. Perhaps you’re exhausted from holding it all together, shaping yourself around roles, expectations, or survival strategies that once helped but now leave you disconnected. When the past feels too present or the future unclear, therapy offers space to make sense of your experience and reconnect with what truly matters.
(571) 240-4598 View (571) 240-4598
Photo of Kirimi Fuller, Psychologist, PsyD
Kirimi Fuller
Psychologist, PsyD
Serves Area
Dealing with stressors can create a deep sense of isolation, from others and your own internal experience. You don't have to manage your distressing feelings alone. Recognizing that the therapeutic relationship is paramount to success, I focus on creating a safe and non-judgmental environment to learn new skills and address challenges together. I have over 15 years experience working with children, adolescents, and adults experiencing anxiety, mood challenges, life/adjustment stress, behavioral dysregulation, as well as specific interest in assisting individuals who have experienced trauma.
Dealing with stressors can create a deep sense of isolation, from others and your own internal experience. You don't have to manage your distressing feelings alone. Recognizing that the therapeutic relationship is paramount to success, I focus on creating a safe and non-judgmental environment to learn new skills and address challenges together. I have over 15 years experience working with children, adolescents, and adults experiencing anxiety, mood challenges, life/adjustment stress, behavioral dysregulation, as well as specific interest in assisting individuals who have experienced trauma.
(703) 775-1662 View (703) 775-1662
Photo of Donna Sue Zientek, Clinical Social Work/Therapist, MSW, LCSW, LICSW
Donna Sue Zientek
Clinical Social Work/Therapist, MSW, LCSW, LICSW
Online Only
Feeling overwhelmed by stress, anxiety, or loss? Many of us face life's challenges feeling a loss of control, but you don't have to navigate them alone. I offer a gentle and client-centered approach to help you find your footing again. My practice is built on proven strategies designed to empower you with "life tools" and a renewed sense of purpose. Together, we'll focus on building resilience and fostering overall healthy functioning so you can move forward with confidence and strength. My passion lies in supporting you through these difficult times, helping you to feel empowered and regain a sense of self.
Feeling overwhelmed by stress, anxiety, or loss? Many of us face life's challenges feeling a loss of control, but you don't have to navigate them alone. I offer a gentle and client-centered approach to help you find your footing again. My practice is built on proven strategies designed to empower you with "life tools" and a renewed sense of purpose. Together, we'll focus on building resilience and fostering overall healthy functioning so you can move forward with confidence and strength. My passion lies in supporting you through these difficult times, helping you to feel empowered and regain a sense of self.
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Photo of Tasha Dodson, Counselor, LCPC, LPC, CCTP-II, CTMH, CMC-1
Tasha Dodson
Counselor, LCPC, LPC, CCTP-II, CTMH, CMC-1
2 Endorsed
Online Only
I am a licensed professional counselor passionate about helping individuals overcome traumatic and adverse experiences that hinder them from living life abundantly. I believe one's heart begins to heal as the mind is silenced. Building a solid therapeutic alliance is essential to this process. I believe this is achieved by offering a warm, open, nurturing, humorous and challenging environment for healing and growth. I also use a direct therapeutic approach to cultivate growth and change when interacting with clients.
I am a licensed professional counselor passionate about helping individuals overcome traumatic and adverse experiences that hinder them from living life abundantly. I believe one's heart begins to heal as the mind is silenced. Building a solid therapeutic alliance is essential to this process. I believe this is achieved by offering a warm, open, nurturing, humorous and challenging environment for healing and growth. I also use a direct therapeutic approach to cultivate growth and change when interacting with clients.
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Photo of Morganne V Owens, Psychologist
Morganne V Owens
Psychologist
Serves Area
Hi! My name is Morganne (she/her). I am an Afro-Asian, queer, intuitive empath and intersectional environmentalist, who is a therapist and psychologist. I show people how to navigate their subconscious thoughts while healing. Decolonized holistic healing incorporates intersectionality and centers on discovering true mental health—rooted in self-assurance, authentic self-love, and a deep connection to your true self, the Earth, and the universe around you. I view health holistically and believe that real healing begins from within.
Hi! My name is Morganne (she/her). I am an Afro-Asian, queer, intuitive empath and intersectional environmentalist, who is a therapist and psychologist. I show people how to navigate their subconscious thoughts while healing. Decolonized holistic healing incorporates intersectionality and centers on discovering true mental health—rooted in self-assurance, authentic self-love, and a deep connection to your true self, the Earth, and the universe around you. I view health holistically and believe that real healing begins from within.
(571) 601-1809 View (571) 601-1809
Photo of Anna Bergin, Licensed Professional Counselor, MA
Anna Bergin
Licensed Professional Counselor, MA
1 Endorsed
Serves Area
Hi. My name is Anna Bergin, my pronouns are she/her/hers. I provide counseling to individuals (teens 16+ and adults), couples, and polycules working to cope with life’s challenges. I work with individuals experiencing a wide variety of concerns including anxiety, depression, adjusting to life transitions, gender and sexuality questioning, and addictions. As a queer counselor I am especially passionate about working with members of the LGBTQIAP+ community. I am a kink-aware counselor.
Hi. My name is Anna Bergin, my pronouns are she/her/hers. I provide counseling to individuals (teens 16+ and adults), couples, and polycules working to cope with life’s challenges. I work with individuals experiencing a wide variety of concerns including anxiety, depression, adjusting to life transitions, gender and sexuality questioning, and addictions. As a queer counselor I am especially passionate about working with members of the LGBTQIAP+ community. I am a kink-aware counselor.
(571) 470-5226 View (571) 470-5226
Photo of Sundar Cook, Psychologist, PsyD
Sundar Cook
Psychologist, PsyD
1 Endorsed
Serves Area
If you’ve landed on this page, there’s a good chance something in your life feels hard to carry right now. Maybe you’re feeling stuck, overwhelmed, disconnected, or unsure of how to move forward. You don’t have to navigate that alone. My goal is to create a therapeutic relationship that not only eases emotional pain, but also fosters meaningful personal growth and lasting change. I invite you to speak openly—what we call “free talk”—because important insights emerge when you feel safe enough to express yourself without judgment. My role is to listen carefully and offer perspectives that deepen your self-understanding.
If you’ve landed on this page, there’s a good chance something in your life feels hard to carry right now. Maybe you’re feeling stuck, overwhelmed, disconnected, or unsure of how to move forward. You don’t have to navigate that alone. My goal is to create a therapeutic relationship that not only eases emotional pain, but also fosters meaningful personal growth and lasting change. I invite you to speak openly—what we call “free talk”—because important insights emerge when you feel safe enough to express yourself without judgment. My role is to listen carefully and offer perspectives that deepen your self-understanding.
(571) 384-2646 View (571) 384-2646
Photo of Catherine M Eager, Licensed Professional Counselor, MA, LPC, NCC, NATC
Catherine M Eager
Licensed Professional Counselor, MA, LPC, NCC, NATC
Online Only
Do you feel like you're constantly walking on eggshells, even when you're alone? If you've spent years second-guessing your reality or managing someone else's moods, I help you clear the "fog" and reclaim your voice. At the core of my work is supporting adults who feel weighed down by anxiety or the pressure to keep it all together. Whether you are navigating a painful breakup with a high-conflict partner, setting boundaries with an emotionally manipulative family member, or managing a racing mind that won't turn off, you deserve a space there you are genuinely seen and validated.
Do you feel like you're constantly walking on eggshells, even when you're alone? If you've spent years second-guessing your reality or managing someone else's moods, I help you clear the "fog" and reclaim your voice. At the core of my work is supporting adults who feel weighed down by anxiety or the pressure to keep it all together. Whether you are navigating a painful breakup with a high-conflict partner, setting boundaries with an emotionally manipulative family member, or managing a racing mind that won't turn off, you deserve a space there you are genuinely seen and validated.
(609) 451-0280 View (609) 451-0280
Photo of Matt Burghdoff, Licensed Professional Counselor, MEd, LPC
Matt Burghdoff
Licensed Professional Counselor, MEd, LPC
Serves Area
Whatever challenge you, your family, or your team face, you can overcome it. This is the guiding principle of my work as a therapist and corporate consulting clinician. My job is to put the skills, experiences, and resources I have accumulated over years of national & international work and training at your disposal to help you reach the next stage of your growth.
Whatever challenge you, your family, or your team face, you can overcome it. This is the guiding principle of my work as a therapist and corporate consulting clinician. My job is to put the skills, experiences, and resources I have accumulated over years of national & international work and training at your disposal to help you reach the next stage of your growth.
(571) 200-0795 View (571) 200-0795
Photo of Lenée N. Essig, Clinical Social Work/Therapist, LCSW, SEP, LFYP-1, RYT200, LLC
Lenée N. Essig
Clinical Social Work/Therapist, LCSW, SEP, LFYP-1, RYT200, LLC
1 Endorsed
Serves Area
Sometimes we just need a safe space to collect our thoughts, name our hurts, explore our desires and work through our fears. I can offer you a space of hope and reprieve. Together, you and I, will work through the anxiety and sadness that is overshadowing your life, and not allowing you to live the full and authentic life that you desire. I work from a somatic (body-centered) approach, while emphasizing mindfulness and eastern philosophy, as well as incorporating cognitive behavioral therapy.
Sometimes we just need a safe space to collect our thoughts, name our hurts, explore our desires and work through our fears. I can offer you a space of hope and reprieve. Together, you and I, will work through the anxiety and sadness that is overshadowing your life, and not allowing you to live the full and authentic life that you desire. I work from a somatic (body-centered) approach, while emphasizing mindfulness and eastern philosophy, as well as incorporating cognitive behavioral therapy.
(571) 200-8460 View (571) 200-8460
Photo of Olivia Stevens, Licensed Professional Counselor, LPC
Olivia Stevens
Licensed Professional Counselor, LPC
Serves Area
I love working with kids, teens, and adults who feel stuck, anxious, or weighed down by past experiences. I also have a passion for supporting individuals with ADHD and autism who may struggle with emotional regulation, sensory challenges, or feeling misunderstood. My goal is to provide a safe and supportive space to sort through big feelings, build practical tools, and foster self-understanding. Whether it is a child learning to manage strong emotions or an adult seeking healing and growth, the goal is the same: to feel calmer, more connected, and hopeful about the future.
I love working with kids, teens, and adults who feel stuck, anxious, or weighed down by past experiences. I also have a passion for supporting individuals with ADHD and autism who may struggle with emotional regulation, sensory challenges, or feeling misunderstood. My goal is to provide a safe and supportive space to sort through big feelings, build practical tools, and foster self-understanding. Whether it is a child learning to manage strong emotions or an adult seeking healing and growth, the goal is the same: to feel calmer, more connected, and hopeful about the future.
(571) 621-7069 View (571) 621-7069
Photo of Brian Ede, Clinical Social Work/Therapist, LCSW
Brian Ede
Clinical Social Work/Therapist, LCSW
Serves Area
Life's journey can be rough. Not every path is smooth or easy, and many are difficult and even dangerous. There are times when we need someone to walk with us, perhaps to help us find a new direction. Having someone who understands because they've been there makes all the difference in the world. I am a Licensed Clinical Social Worker in the Commonwealth of Virginia, with 30 years of experience working alongside individuals, couples, and families seeking help with depression, anxiety, addiction, life transitions, relationship issues, men's issues, trauma, and PTSD.
Life's journey can be rough. Not every path is smooth or easy, and many are difficult and even dangerous. There are times when we need someone to walk with us, perhaps to help us find a new direction. Having someone who understands because they've been there makes all the difference in the world. I am a Licensed Clinical Social Worker in the Commonwealth of Virginia, with 30 years of experience working alongside individuals, couples, and families seeking help with depression, anxiety, addiction, life transitions, relationship issues, men's issues, trauma, and PTSD.
(339) 244-7023 View (339) 244-7023
Photo of Luis C Marcano, Counselor, LPC
Luis C Marcano
Counselor, LPC
3 Endorsed
Online Only
During these uncertain times, most people are reporting feeling anxious, helpless, and in need of connection. If you are struggling to manage any of these emotions or experiencing recurrent negative thoughts; there is hope. My goal is to provide a safe space for you to be able to express yourself in an authentic and truthful way. I've been providing counseling services for over 15 years in the DC Metro Area. Above all, I value our therapeutic relationship and your culture. I take time and care in getting to know what's important to you. I currently provide Telehealth counseling for the Virginia and Washington D.C. communities.
During these uncertain times, most people are reporting feeling anxious, helpless, and in need of connection. If you are struggling to manage any of these emotions or experiencing recurrent negative thoughts; there is hope. My goal is to provide a safe space for you to be able to express yourself in an authentic and truthful way. I've been providing counseling services for over 15 years in the DC Metro Area. Above all, I value our therapeutic relationship and your culture. I take time and care in getting to know what's important to you. I currently provide Telehealth counseling for the Virginia and Washington D.C. communities.
(202) 935-7064 View (202) 935-7064
Photo of Shaquana Mercer, Licensed Professional Counselor, LPC
Shaquana Mercer
Licensed Professional Counselor, LPC
Online Only
Hello! My name is Shaquana Mercer, and I am a Licensed Professional Counselor. I am so excited to start this mental health journey with you. My approach to therapy is Cognitive Behavioral Therapy (CBT). My focus areas vary from anger management to anxiety and more. My ideal client is ready and eager to work and do their part on this mental health journey. If you are ready for change, you are my ideal client.
Hello! My name is Shaquana Mercer, and I am a Licensed Professional Counselor. I am so excited to start this mental health journey with you. My approach to therapy is Cognitive Behavioral Therapy (CBT). My focus areas vary from anger management to anxiety and more. My ideal client is ready and eager to work and do their part on this mental health journey. If you are ready for change, you are my ideal client.
(336) 828-3910 View (336) 828-3910
Photo of Darrell Jones, Licensed Professional Counselor
Darrell Jones
Licensed Professional Counselor
Online Only
My work focuses on targeting ineffective behaviors, habits, and beliefs with a trauma-informed, collaborative approach to treatment. My theoretical foundation is rooted in Rational Emotive Behavior Therapy, and I incorporate an integrative approach utilizing cognitive, behavioral, imaginative, and emotive techniques to cultivate change specific to your needs. Let us face it, sometimes, despite our best efforts, we may find ourselves struggling to cope. You may need support and a safe place to be share, be valued, and encouraged.
My work focuses on targeting ineffective behaviors, habits, and beliefs with a trauma-informed, collaborative approach to treatment. My theoretical foundation is rooted in Rational Emotive Behavior Therapy, and I incorporate an integrative approach utilizing cognitive, behavioral, imaginative, and emotive techniques to cultivate change specific to your needs. Let us face it, sometimes, despite our best efforts, we may find ourselves struggling to cope. You may need support and a safe place to be share, be valued, and encouraged.
(757) 799-1861 View (757) 799-1861

See more therapy options for Franconia

How does your Therapist compare?

Number of Therapists in Franconia, VA

20+

Average cost per session

$175

Therapists in Franconia, VA who prioritize treating:

96% Anxiety
89% Stress
85% Depression
78% Trauma and PTSD
74% Self Esteem
70% Relationship Issues
63% Grief

Average years in practice

15 Years

Top 3 insurances accepted

75% BlueCross and BlueShield
71% Aetna
63% Cigna and Evernorth

How Therapists in Franconia, VA see their clients

52% In Person and Online
48% Online Only

Gender breakdown

68% Female
28% Male
4% Non-Binary
FAQs - About Therapy and Counseling

How can I find a therapist in Franconia?

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.