Therapists in McLean, VA

Photo of Lorena C Lewis, Resident in Marriage and Family Therapy, MS
Lorena C Lewis
Resident in Marriage and Family Therapy, MS
1 Endorsed
Online Only
I am an MS, Resident in Marriage and Family Therapy in Virginia, providing bilingual (English/Spanish) therapy under licensed supervision. I welcome individuals, couples, and families from all backgrounds, no matter what challenges they are facing. Whether it’s stress, relationship struggles, cultural transitions, or personal growth, my goal is to offer a safe, supportive space where clients feel understood and empowered to create meaningful change.
I am an MS, Resident in Marriage and Family Therapy in Virginia, providing bilingual (English/Spanish) therapy under licensed supervision. I welcome individuals, couples, and families from all backgrounds, no matter what challenges they are facing. Whether it’s stress, relationship struggles, cultural transitions, or personal growth, my goal is to offer a safe, supportive space where clients feel understood and empowered to create meaningful change.
(202) 569-8845 View (202) 569-8845
Photo of Heather Hall, Clinical Social Work/Therapist, MSW, MTS, LMSW
Heather Hall
Clinical Social Work/Therapist, MSW, MTS, LMSW
Online Only
Change is hard for everyone. It can be painful and exhausting to manage change but we all have to do it from time to time whether that means facing internal problems or external ones. You don't have to do it alone. I am a social worker with a clinical focus and a pastoral counselor (interfaith/ecumenical focus - I am not here to tell anyone who to be or what to believe), and I have extensive experience with a wide range of mental health challenges.
Change is hard for everyone. It can be painful and exhausting to manage change but we all have to do it from time to time whether that means facing internal problems or external ones. You don't have to do it alone. I am a social worker with a clinical focus and a pastoral counselor (interfaith/ecumenical focus - I am not here to tell anyone who to be or what to believe), and I have extensive experience with a wide range of mental health challenges.
(571) 487-8627 x345 View (571) 487-8627 x345
Photo of Sindhu Elagandhala, Pre-Licensed Professional, RIC
Sindhu Elagandhala
Pre-Licensed Professional, RIC
McLean, VA 22101
I am Sindhu Elagandhala (they/them & she/her), a Licensed Professional Counselor (LPC). I have years of experience and am passionate about working with clients navigating comorbidities of mood, anxiety, personality, and trauma disorders, as well as those seeking to integrate neurotypes such as ADHD and autism. I work with adults, couples, and families who are motivated for the work of therapy.
I am Sindhu Elagandhala (they/them & she/her), a Licensed Professional Counselor (LPC). I have years of experience and am passionate about working with clients navigating comorbidities of mood, anxiety, personality, and trauma disorders, as well as those seeking to integrate neurotypes such as ADHD and autism. I work with adults, couples, and families who are motivated for the work of therapy.
(339) 244-7023 View (339) 244-7023
Photo of Robyn Lacy, Clinical Social Work/Therapist
Robyn Lacy
Clinical Social Work/Therapist
Online Only
Experienced Mental Health clinician with a strengths based, collaborative approach with patients. She has a demonstrated history of working in the mental health care industry, education, military, courts and medical (health) including international service. Skilled in Cognitive Behavioral Therapy (CBT), Eye Movement Desensitization Reprocessing (EMDR)- EMDRIA certified therapist) Trauma-informed Yoga therapy, Prolonged Exposure (PET), Cognitive Processing Therapy (CPT), strengths perspective, solution-focused brief therapy, and PolyVagal theory. She has years experience with the service delivery inpatient and outpatient including th
Experienced Mental Health clinician with a strengths based, collaborative approach with patients. She has a demonstrated history of working in the mental health care industry, education, military, courts and medical (health) including international service. Skilled in Cognitive Behavioral Therapy (CBT), Eye Movement Desensitization Reprocessing (EMDR)- EMDRIA certified therapist) Trauma-informed Yoga therapy, Prolonged Exposure (PET), Cognitive Processing Therapy (CPT), strengths perspective, solution-focused brief therapy, and PolyVagal theory. She has years experience with the service delivery inpatient and outpatient including th
(844) 982-4087 View (844) 982-4087
Photo of Paola Brianna Paredes, Pre-Licensed Professional
Paola Brianna Paredes
Pre-Licensed Professional
1 Endorsed
McLean, VA 22101
Are you feeling overwhelmed? Stuck? Alone? You don’t have to have the right words to begin. I believe therapy should be a place where support and collaboration guide you to success. My goal as a counselor is to help a client feel seen, heard, and empowered.
Are you feeling overwhelmed? Stuck? Alone? You don’t have to have the right words to begin. I believe therapy should be a place where support and collaboration guide you to success. My goal as a counselor is to help a client feel seen, heard, and empowered.
(571) 200-5182 View (571) 200-5182
Photo of Erika Davis, Licensed Professional Counselor, LPC
Erika Davis
Licensed Professional Counselor, LPC
1 Endorsed
McLean, VA 22101
It is my belief that by creating a caring, nonjudgmental, authentic and safe therapeutic relationship, clients can feel empowered to create the life they want to lead. I work with children, adolescents, and adults in various life stages through a combination of Cognitive Behavioral Therapy (CBT) and person-centered therapy, Mindfulness practices and psychodynamic approaches. I have an extensive background in working with children of all ages and their families. I love helping clients to realize they have many of the skills needed to get themselves where they want to go.
It is my belief that by creating a caring, nonjudgmental, authentic and safe therapeutic relationship, clients can feel empowered to create the life they want to lead. I work with children, adolescents, and adults in various life stages through a combination of Cognitive Behavioral Therapy (CBT) and person-centered therapy, Mindfulness practices and psychodynamic approaches. I have an extensive background in working with children of all ages and their families. I love helping clients to realize they have many of the skills needed to get themselves where they want to go.
(703) 457-9072 View (703) 457-9072
Photo of Dr. Ashley Sweet - Dr. Ashley Sweet, Sex + Relationship Therapist, Licensed Professional Counselor, PhD, LPC, LMHC, LCPC, CST
Dr. Ashley Sweet, Sex + Relationship Therapist
Licensed Professional Counselor, PhD, LPC, LMHC, LCPC, CST
3 Endorsed
Online Only
You deserve a life that feels as good on the inside as it looks on the outside. I provide an expert, pleasure-positive space to help you move from "surviving" to thriving in your skin and your bedroom. Many of my clients come to me feeling a quiet disconnect—from their partners, their bodies, or their sense of joy. You might be struggling with communication loops that lead nowhere, untangling years of religious shame, or navigating the unique nuances of Poly/ENM and LGBTQ+ relationships. With nearly two decades of experience as a "sexpert", I am passionate about sexual wellbeing. Fees are $250/ $225 per session; NO Insurance).
You deserve a life that feels as good on the inside as it looks on the outside. I provide an expert, pleasure-positive space to help you move from "surviving" to thriving in your skin and your bedroom. Many of my clients come to me feeling a quiet disconnect—from their partners, their bodies, or their sense of joy. You might be struggling with communication loops that lead nowhere, untangling years of religious shame, or navigating the unique nuances of Poly/ENM and LGBTQ+ relationships. With nearly two decades of experience as a "sexpert", I am passionate about sexual wellbeing. Fees are $250/ $225 per session; NO Insurance).
(757) 720-2613 View (757) 720-2613
Photo of Jessie Nolasco-Sandino, Clinical Social Work/Therapist, LCSW, ella
Jessie Nolasco-Sandino
Clinical Social Work/Therapist, LCSW, ella
1 Endorsed
McLean, VA 22102
Life can be challenging and having the tools to deal with tough times is invaluable. I love helping clients heal, grow and gain mastery of effective coping skills. I also emphasize the connection between internal feelings, thoughts and behaviors that affect external life events such as interpersonal relationships and life stresses. I am truly committed to utilizing effective therapeutic techniques and tools to best assist you.
Life can be challenging and having the tools to deal with tough times is invaluable. I love helping clients heal, grow and gain mastery of effective coping skills. I also emphasize the connection between internal feelings, thoughts and behaviors that affect external life events such as interpersonal relationships and life stresses. I am truly committed to utilizing effective therapeutic techniques and tools to best assist you.
(571) 470-4125 View (571) 470-4125
Photo of Robyne Davis, Counselor, MA, LPC, BC-DMT
Robyne Davis
Counselor, MA, LPC, BC-DMT
1 Endorsed
McLean, VA 22101
With over 20 years experience as a Licensed Professional Counselor, I offer a variety of effective counseling approaches to address symptoms of Anxiety, Depression, Autism, Relationship Issues, and ADHD. Some of these approaches include Cognitive Behavioral Therapy (CBT), Acceptance and Commitment Therapy (ACT), Creative Arts Therapy, and Mindfulness. Together, we will determine what treatment approaches work best and strive to meet your goals, such as improving coping skills, overcoming fears, and regulating emotions. It would be my honor to work with you on the journey towards wellness. Sessions are offered in person and online.
With over 20 years experience as a Licensed Professional Counselor, I offer a variety of effective counseling approaches to address symptoms of Anxiety, Depression, Autism, Relationship Issues, and ADHD. Some of these approaches include Cognitive Behavioral Therapy (CBT), Acceptance and Commitment Therapy (ACT), Creative Arts Therapy, and Mindfulness. Together, we will determine what treatment approaches work best and strive to meet your goals, such as improving coping skills, overcoming fears, and regulating emotions. It would be my honor to work with you on the journey towards wellness. Sessions are offered in person and online.
(571) 487-8210 View (571) 487-8210
Photo of Maria G. D'Agostino, Pre-Licensed Professional, MA, LPC-R, ATR-P
Maria G. D'Agostino
Pre-Licensed Professional, MA, LPC-R, ATR-P
1 Endorsed
McLean, VA 22101
My clients often face mental and emotional challenges such as anxiety, depression, trauma, low self-worth, grief, and life stressors. They may struggle with relationships or feel their thoughts, emotions, behaviors, and circumstances have negatively impacted their well-being and quality of life. Seeking to process their experiences both verbally and creatively, they aim to build coping skills, solve problems, and find relaxation through art-making. I'm dedicated to making therapy accessible for neurodiverse clients and those with disabilities or chronic illnesses who may have felt stigmatized or faced barriers to mental health care.
My clients often face mental and emotional challenges such as anxiety, depression, trauma, low self-worth, grief, and life stressors. They may struggle with relationships or feel their thoughts, emotions, behaviors, and circumstances have negatively impacted their well-being and quality of life. Seeking to process their experiences both verbally and creatively, they aim to build coping skills, solve problems, and find relaxation through art-making. I'm dedicated to making therapy accessible for neurodiverse clients and those with disabilities or chronic illnesses who may have felt stigmatized or faced barriers to mental health care.
(571) 506-0223 View (571) 506-0223
Photo of Dr. Katherine Kelly, Psychologist, PsyD, PSYPACT
Dr. Katherine Kelly
Psychologist, PsyD, PSYPACT
5 Endorsed
Online Only
Perhaps you are struggling with anxiety, feeling down, or are experiencing chronic stress. Maybe you are adjusting to a new life change, seeking to achieve balance, or have experienced trauma. It may feel like the past or future is running the present. Collaboratively, we can achieve your goals so that you can feel better and connect to your authentic self.
Perhaps you are struggling with anxiety, feeling down, or are experiencing chronic stress. Maybe you are adjusting to a new life change, seeking to achieve balance, or have experienced trauma. It may feel like the past or future is running the present. Collaboratively, we can achieve your goals so that you can feel better and connect to your authentic self.
(571) 556-9460 View (571) 556-9460
Photo of Gwenna Blanden, Psychologist, PhD
Gwenna Blanden
Psychologist, PhD
1 Endorsed
McLean, VA 22101
I specialize in working with children, teens, and young adults with a broad range of emotional and behavioral concerns, including depression, anxiety, mood, trauma, self-harm, ADHD, defiance/oppositionality, stress/adjustment and life transitions. I also have specialized expertise in providing gender-affirming care and am passionate about working with individuals who identify as transgender, are gender expansive, actively exploring gender and identity, and who may be experiencing the complex emotional concerns that may coincide such as feelings of isolation and depression.
I specialize in working with children, teens, and young adults with a broad range of emotional and behavioral concerns, including depression, anxiety, mood, trauma, self-harm, ADHD, defiance/oppositionality, stress/adjustment and life transitions. I also have specialized expertise in providing gender-affirming care and am passionate about working with individuals who identify as transgender, are gender expansive, actively exploring gender and identity, and who may be experiencing the complex emotional concerns that may coincide such as feelings of isolation and depression.
(571) 493-3021 View (571) 493-3021
Photo of Zach Lehman, Clinical Social Work/Therapist, LCSW
Zach Lehman
Clinical Social Work/Therapist, LCSW
McLean, VA 22101
Thank you for viewing my profile. I am currently booked and unavailable to see new clients... If you are an adult with anxiety or low self-esteem or if you are feeling stuck and unable to make progress, I can offer you insights, support, and practical strategies needed to overcome these challenges.
Thank you for viewing my profile. I am currently booked and unavailable to see new clients... If you are an adult with anxiety or low self-esteem or if you are feeling stuck and unable to make progress, I can offer you insights, support, and practical strategies needed to overcome these challenges.
(703) 372-9441 View (703) 372-9441
Photo of Kris Lamb, Resident in Counseling, MA
Kris Lamb
Resident in Counseling, MA
1 Endorsed
McLean, VA 22101
Sometimes it is difficult to navigate life and the curve-balls that it throws at us! Having to get through the day and struggling with anxiety or feelings of depression are just a few. Maybe you endured a traumatic event and it's been causing you trauma and distress. Perhaps you have a child that has been diagnosed with Autism Spectrum Disorder (ASD) or Attention Deficit hypo/hyperactive Disorder? If so, your child may be having difficulty with paying attention, controlling emotions, communication or social interactions. I'd love to help build upon your strengths and help you further succeed in this world that we are navigating!
Sometimes it is difficult to navigate life and the curve-balls that it throws at us! Having to get through the day and struggling with anxiety or feelings of depression are just a few. Maybe you endured a traumatic event and it's been causing you trauma and distress. Perhaps you have a child that has been diagnosed with Autism Spectrum Disorder (ASD) or Attention Deficit hypo/hyperactive Disorder? If so, your child may be having difficulty with paying attention, controlling emotions, communication or social interactions. I'd love to help build upon your strengths and help you further succeed in this world that we are navigating!
(571) 568-8744 View (571) 568-8744
Photo of Taylor Lee, Clinical Social Work/Therapist
Taylor Lee
Clinical Social Work/Therapist
1 Endorsed
Online Only
With over 15 years of experience supporting children, adults, and older adults, I am deeply passionate about helping individuals navigate life’s challenges. I draw from a variety of therapeutic frameworks and evidence-based strategies to empower my clients in overcoming both past and present obstacles, fostering resilience, healing, and personal growth. My goal is to create a safe, supportive, and confidential space where individuals can feel heard, validated, and equipped to enhance their overall well-being. I am committed to being a compassionate guide and trusted resource for those seeking meaningful change.
With over 15 years of experience supporting children, adults, and older adults, I am deeply passionate about helping individuals navigate life’s challenges. I draw from a variety of therapeutic frameworks and evidence-based strategies to empower my clients in overcoming both past and present obstacles, fostering resilience, healing, and personal growth. My goal is to create a safe, supportive, and confidential space where individuals can feel heard, validated, and equipped to enhance their overall well-being. I am committed to being a compassionate guide and trusted resource for those seeking meaningful change.
(804) 374-8745 View (804) 374-8745
Photo of Rebecca Rossiter, Counselor, LPC
Rebecca Rossiter
Counselor, LPC
McLean, VA 22101
Healing happens through many different mediums, and unique to each person. I work with adults who are trying to improve their relationships and gain clarity on their circumstances. I work with people trying to understand their identities. I work with families and children trying to cope with a variety of concerns from anxiety to challenging behaviors.
Healing happens through many different mediums, and unique to each person. I work with adults who are trying to improve their relationships and gain clarity on their circumstances. I work with people trying to understand their identities. I work with families and children trying to cope with a variety of concerns from anxiety to challenging behaviors.
(571) 621-5967 View (571) 621-5967
Photo of Anne Speckhard, Licensed Professional Counselor
Anne Speckhard
Licensed Professional Counselor
1 Endorsed
McLean, VA 22101
I am an Adjunct Associate Professor of Psychiatry at Georgetown University School of Medicine & Director of a think tank with decades of experience. My specialities include attachment issues, PTSD & dissociation, family of origin work, complicated grief, depression & anxiety, marriage & family issues, childbirth prep & pregnancy loss, transgender & sexuality, overcoming rape, incest & child abuse or even a difficult childhood, negotiating relationships with parents & adult children, achieving health goals including weight loss, maximizing your full health potential & joyfulness in life and energy healing.
I am an Adjunct Associate Professor of Psychiatry at Georgetown University School of Medicine & Director of a think tank with decades of experience. My specialities include attachment issues, PTSD & dissociation, family of origin work, complicated grief, depression & anxiety, marriage & family issues, childbirth prep & pregnancy loss, transgender & sexuality, overcoming rape, incest & child abuse or even a difficult childhood, negotiating relationships with parents & adult children, achieving health goals including weight loss, maximizing your full health potential & joyfulness in life and energy healing.
(571) 601-1743 View (571) 601-1743
Photo of Lora Larcomb, Marriage & Family Therapist
Lora Larcomb
Marriage & Family Therapist
Online Only
I have a desire to help individuals, couples, and families overcome challenges in everyday life. Whether you may be struggling with conflict in marriage, parent-child relationships, or individual struggles such as: anxiety, depression, major life transitions, spiritual issues, addiction, grief, or trauma, I would love the opportunity to come along side you to assist you navigating through these difficult times. I have been counseling in various capacities for over 10 years, and as a wife, mom of three teenage boys, and military veteran and spouse, I also bring a vast amount of life experience to the table.
I have a desire to help individuals, couples, and families overcome challenges in everyday life. Whether you may be struggling with conflict in marriage, parent-child relationships, or individual struggles such as: anxiety, depression, major life transitions, spiritual issues, addiction, grief, or trauma, I would love the opportunity to come along side you to assist you navigating through these difficult times. I have been counseling in various capacities for over 10 years, and as a wife, mom of three teenage boys, and military veteran and spouse, I also bring a vast amount of life experience to the table.
(434) 337-5878 View (434) 337-5878
Photo of Stacey Dershewitz, Psychologist, JD, PsyD
Stacey Dershewitz
Psychologist, JD, PsyD
1 Endorsed
McLean, VA 22101
If you’re considering therapy, chances are there are aspects of your life that aren’t going well. Maybe your relationships are unfulfilling. Maybe you’re having a hard time adjusting to a change or traumatic experience. Maybe you’ve been feeling down, on edge, defeated, or inadequate. Maybe you’re not even sure why, but you know you’re not as satisfied as you want to be. Therapy is a place where you can better understand the issues that are getting in the way of your happiness, explore options for a more fulfilling future, and get support as you contemplate change or adjust to a difficult reality.
If you’re considering therapy, chances are there are aspects of your life that aren’t going well. Maybe your relationships are unfulfilling. Maybe you’re having a hard time adjusting to a change or traumatic experience. Maybe you’ve been feeling down, on edge, defeated, or inadequate. Maybe you’re not even sure why, but you know you’re not as satisfied as you want to be. Therapy is a place where you can better understand the issues that are getting in the way of your happiness, explore options for a more fulfilling future, and get support as you contemplate change or adjust to a difficult reality.
(703) 337-3481 View (703) 337-3481
Photo of Caroline Cooney, Marriage & Family Therapist, LMFT
Caroline Cooney
Marriage & Family Therapist, LMFT
McLean, VA 22101
I am a licensed Marriage and Family Therapist with a private practice located in McLean, Virginia. I provide individual therapy, family therapy and parent coaching sessions to clients of all ages dealing with a variety of issues. Often clients come to therapy to process feelings related to anxiety, depression, strained relationships, crisis, trauma, self-esteem and conflict. I work from an evidence-based approach in order to create an individualized treatment plan for each client and family. I utilize a myriad of models dependent on the therapeutic circumstances and incorporate elements of relevant neuroscience and mindfulness.
I am a licensed Marriage and Family Therapist with a private practice located in McLean, Virginia. I provide individual therapy, family therapy and parent coaching sessions to clients of all ages dealing with a variety of issues. Often clients come to therapy to process feelings related to anxiety, depression, strained relationships, crisis, trauma, self-esteem and conflict. I work from an evidence-based approach in order to create an individualized treatment plan for each client and family. I utilize a myriad of models dependent on the therapeutic circumstances and incorporate elements of relevant neuroscience and mindfulness.
(571) 536-7451 View (571) 536-7451

See more therapy options for McLean

How does your Therapist compare?

Number of Therapists in McLean, VA

600+

Average cost per session

$190

Therapists in McLean, VA who prioritize treating:

94% Anxiety
88% Depression
78% Relationship Issues
72% Self Esteem
68% Stress
66% Trauma and PTSD
66% Coping Skills

Average years in practice

15 Years

Top 3 insurances accepted

69% BlueCross and BlueShield
59% CareFirst
54% Aetna

How Therapists in McLean, VA see their clients

62% In Person and Online
38% Online Only

Gender breakdown

83% Female
16% Male
1% Non-Binary
FAQs - About Therapy and Counseling

How can I find a therapist in McLean?

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.