Therapists in Springfield, VA

Photo of Janis Manalang, Licensed Professional Counselor in Springfield, VA
Janis Manalang
Licensed Professional Counselor, EdD, MS, ACS, LMHC, LPC
Verified Verified
1 Endorsed
Springfield, VA 22150
During these global uncertain times, I am welcoming you to join me via Telehealth. We are all dealing with many different feelings and thoughts, the good news you are not alone. We are all dealing with queries and feeling lack of control as things continue to change to create the new normal. My goal is to meet you where you are and to gain access to unraveling what has caused the cycles of dysfunctions of life. Honesty and readiness are keys to a successful working therapeutic relationship. It is my ethical and professional duty to empower and assist all my clients to their utmost potential (emotionally, mentally and physically).
During these global uncertain times, I am welcoming you to join me via Telehealth. We are all dealing with many different feelings and thoughts, the good news you are not alone. We are all dealing with queries and feeling lack of control as things continue to change to create the new normal. My goal is to meet you where you are and to gain access to unraveling what has caused the cycles of dysfunctions of life. Honesty and readiness are keys to a successful working therapeutic relationship. It is my ethical and professional duty to empower and assist all my clients to their utmost potential (emotionally, mentally and physically).
(703) 554-2746 View (703) 554-2746
Photo of Haleh Royanian, Clinical Social Work/Therapist in Springfield, VA
Haleh Royanian
Clinical Social Work/Therapist, LCSW
Verified Verified
Springfield, VA 22152  (Online Only)
Waitlist for new clients
Have you tried to solve the problems in your life on your own and realized you need help from someone else? Are you stressed out and anxious? I utilize a variety of therapeutic approaches and techniques based on the client's needs. Regardless of the approach, I assist my clients think about the issues they’re facing from a different lens. By changing the way you think, you can feel empowered to enact great change in your life. Together, we can break down the seemingly insurmountable barriers you feel in your life.
Have you tried to solve the problems in your life on your own and realized you need help from someone else? Are you stressed out and anxious? I utilize a variety of therapeutic approaches and techniques based on the client's needs. Regardless of the approach, I assist my clients think about the issues they’re facing from a different lens. By changing the way you think, you can feel empowered to enact great change in your life. Together, we can break down the seemingly insurmountable barriers you feel in your life.
(703) 775-4734 View (703) 775-4734
Photo of Saara Amri, Licensed Professional Counselor in Springfield, VA
Saara Amri
Licensed Professional Counselor, LPC
Verified Verified
2 Endorsed
Springfield, VA 22153  (Online Only)
I believe therapists are the keepers of hope and the navigators of difficult journeys. We walk alongside our clients as they move through challenging moments and changes in their lives. I have witnessed people become stuck and unsure how to navigate these moments. Some of those challenges include traumatic events, relationship and social identity, career and educational transitions, phase of life changes, and immigration and acculturative stress. Sometimes it feels as though there is no way forward. But there is always a path forward and I believe counseling is one of those paths.
I believe therapists are the keepers of hope and the navigators of difficult journeys. We walk alongside our clients as they move through challenging moments and changes in their lives. I have witnessed people become stuck and unsure how to navigate these moments. Some of those challenges include traumatic events, relationship and social identity, career and educational transitions, phase of life changes, and immigration and acculturative stress. Sometimes it feels as though there is no way forward. But there is always a path forward and I believe counseling is one of those paths.
(571) 946-6922 View (571) 946-6922
Photo of Miranda Life Coaching and Psychotherapy, LLC, Licensed Professional Counselor in Springfield, VA
Miranda Life Coaching and Psychotherapy, LLC
Licensed Professional Counselor, PhD, MA, LPC, CCTP II, CCATP
Verified Verified
1 Endorsed
Springfield, VA 22152  (Online Only)
For the past 19 years I have enjoyed working with a diverse group of patients that are challenged with depression, anxiety, PTSD, ADHD and obsessive compulsive behaviors. It is remarkable how patients begin to feel happier and important when they stop ignoring their physical and emotional needs. I love working with patients that seek to create a balance between their body, mind and spirit. I enjoy being flexible and learning what each individual is comfortable with, and work from their baseline to establish reasonable goals.
For the past 19 years I have enjoyed working with a diverse group of patients that are challenged with depression, anxiety, PTSD, ADHD and obsessive compulsive behaviors. It is remarkable how patients begin to feel happier and important when they stop ignoring their physical and emotional needs. I love working with patients that seek to create a balance between their body, mind and spirit. I enjoy being flexible and learning what each individual is comfortable with, and work from their baseline to establish reasonable goals.
(571) 285-0392 View (571) 285-0392
Photo of Danielle Rothrock, Supervisee in Clinical Social Work in Springfield, VA
Danielle Rothrock
Supervisee in Clinical Social Work, MSW
Verified Verified
Springfield, VA 22151
Have you ever felt stuck and just can't seem to do the things you know you need to? Do you feel like you keep repeating the same thing over and over? Are you concerned about a loved one and where their life is headed? I have been in social work practice for over 20 years. I have worked extensively with children and families in a variety of settings. I work with issues of depression, anxiety, trauma, attachment, ADHD and many more. If you are ready to take steps to change...to try a new path, I am here for you.
Have you ever felt stuck and just can't seem to do the things you know you need to? Do you feel like you keep repeating the same thing over and over? Are you concerned about a loved one and where their life is headed? I have been in social work practice for over 20 years. I have worked extensively with children and families in a variety of settings. I work with issues of depression, anxiety, trauma, attachment, ADHD and many more. If you are ready to take steps to change...to try a new path, I am here for you.
(571) 556-3302 View (571) 556-3302
Photo of United Hands Counseling & Consulting , Clinical Social Work/Therapist in Springfield, VA
United Hands Counseling & Consulting
Clinical Social Work/Therapist, LCSW
Verified Verified
1 Endorsed
Springfield, VA 22150  (Online Only)
We are a group of therapist who offers services in the state of Florida and Virginia. Collectively we have experience partnering with adults, children, couples, and families seeking help with depression, anxiety, schizophrenia, PTSD, grief, life transitions, family conflict, and relationship concerns. We have worked in a verity of mental health settings, providing each of us with a unique set of skills to aid in your mental wellness journey.
We are a group of therapist who offers services in the state of Florida and Virginia. Collectively we have experience partnering with adults, children, couples, and families seeking help with depression, anxiety, schizophrenia, PTSD, grief, life transitions, family conflict, and relationship concerns. We have worked in a verity of mental health settings, providing each of us with a unique set of skills to aid in your mental wellness journey.
(571) 554-6595 View (571) 554-6595
Photo of Hannah Whitney Jones, Psychologist in Springfield, VA
Hannah Whitney Jones
Psychologist, PhD
Verified Verified
1 Endorsed
Springfield, VA 22150
We often look for answers outside of ourselves because of the chaos we carry within. In therapy, you can begin to peel back the layers that are keeping you stuck in order to more freely move towards your personal values and goals.
We often look for answers outside of ourselves because of the chaos we carry within. In therapy, you can begin to peel back the layers that are keeping you stuck in order to more freely move towards your personal values and goals.
(757) 792-8297 View (757) 792-8297
Photo of Julia Wigfall, Pre-Licensed Professional in Springfield, VA
Julia Wigfall
Pre-Licensed Professional
Verified Verified
1 Endorsed
Springfield, VA 22153
Welcome, My name is Julia Wigfall and I am an intern with Kinder Mind. Currently, I am graduate student in my last semester at the University of Texas at Arlington’s Master of Social Work program. My concentration is in Mental Health and Substance Misuse.
Welcome, My name is Julia Wigfall and I am an intern with Kinder Mind. Currently, I am graduate student in my last semester at the University of Texas at Arlington’s Master of Social Work program. My concentration is in Mental Health and Substance Misuse.
(571) 497-4633 View (571) 497-4633
Photo of Wendy Umbarger, Clinical Social Work/Therapist in Springfield, VA
Wendy Umbarger
Clinical Social Work/Therapist, LCSW
Verified Verified
Springfield, VA 22151
Hello! My name is Wendy Umbarger, owner of Umbarger Counseling Services, LLC. I am a Licensed Clinical Social Worker in the state of Virginia and a Certified Trauma Specialist. I have over 20 years of experience working with children and families.
Hello! My name is Wendy Umbarger, owner of Umbarger Counseling Services, LLC. I am a Licensed Clinical Social Worker in the state of Virginia and a Certified Trauma Specialist. I have over 20 years of experience working with children and families.
(703) 382-5402 View (703) 382-5402
Photo of Healing Touch Counseling and Wellness, LLC, Licensed Professional Counselor in Springfield, VA
Healing Touch Counseling and Wellness, LLC
Licensed Professional Counselor, EdD, LPC, LMHC, CSAT, ACS
Verified Verified
1 Endorsed
Springfield, VA 22150
Where did things go so wrong? Your marriage used to be a source of strength and comfort. Now, it feels like a cage that you can’t escape from. You and your husband avoid each other – staying late at work, running unnecessary chores, and always taking the long way home. When you do spend time together, it feels more like being around a hostile roommate than your “soulmate.” A part of you wants to just call it quits – cut your losses and start over. But what about the kids? What about the future you’ve worked so hard to build? You’re not ready to throw in the towel yet, but you don’t if there’s a way forward. It feels hopeless.
Where did things go so wrong? Your marriage used to be a source of strength and comfort. Now, it feels like a cage that you can’t escape from. You and your husband avoid each other – staying late at work, running unnecessary chores, and always taking the long way home. When you do spend time together, it feels more like being around a hostile roommate than your “soulmate.” A part of you wants to just call it quits – cut your losses and start over. But what about the kids? What about the future you’ve worked so hard to build? You’re not ready to throw in the towel yet, but you don’t if there’s a way forward. It feels hopeless.
(571) 200-7119 View (571) 200-7119
Photo of Kerry Bowling, Clinical Social Work/Therapist in Springfield, VA
Kerry Bowling
Clinical Social Work/Therapist, MSW, LCSW
Verified Verified
1 Endorsed
Springfield, VA 22153  (Online Only)
Not accepting new clients
I understand people come to therapy looking for solutions to the problems impacting their daily lives. My therapeutic approach is interactive, strength-based, solution-focused and practical. Using empathy, compassion, humor, and an objective perspective, I collaborate with clients to develop an effective, pragmatic approach to their current life challenges, as well as addressing long-standing personal concerns. My goal is to assist clients with accessing their own unique strengths and personal resources to create a realistic, attainable plan to reduce their own suffering.
I understand people come to therapy looking for solutions to the problems impacting their daily lives. My therapeutic approach is interactive, strength-based, solution-focused and practical. Using empathy, compassion, humor, and an objective perspective, I collaborate with clients to develop an effective, pragmatic approach to their current life challenges, as well as addressing long-standing personal concerns. My goal is to assist clients with accessing their own unique strengths and personal resources to create a realistic, attainable plan to reduce their own suffering.
(540) 385-0301 View (540) 385-0301
Photo of Katie Bly, Clinical Social Work/Therapist in Springfield, VA
Katie Bly
Clinical Social Work/Therapist, LCSW, MSW, BSW
Verified Verified
2 Endorsed
Springfield, VA 22151
Please note: I am not taking new clients at this time. I plan to be available to take new clients in Fall of 2024. My name is Katie Bly and I am a Licensed Clinical Social Worker in the state of Virginia. I have clinical experience working with adults and teens experiencing anxiety, depression, OCD, and trauma. I enjoy working with military members and their families, those coping with chronic illness, codependency, boundary issues, as well as navigating life living with or caring for family members with significant mental health concerns.
Please note: I am not taking new clients at this time. I plan to be available to take new clients in Fall of 2024. My name is Katie Bly and I am a Licensed Clinical Social Worker in the state of Virginia. I have clinical experience working with adults and teens experiencing anxiety, depression, OCD, and trauma. I enjoy working with military members and their families, those coping with chronic illness, codependency, boundary issues, as well as navigating life living with or caring for family members with significant mental health concerns.
(703) 783-5779 View (703) 783-5779
Photo of Elizabeth Diaz, Counselor in Springfield, VA
Elizabeth Diaz
Counselor, MS, LMHC, LPC, NCC
Verified Verified
2 Endorsed
Springfield, VA 22152  (Online Only)
Accepting new clients— Some of our most joyful moments in life are also fraught with the discomfort that change can bring. Being a teen in today's world, becoming a young adult, parenting through the struggles, dealing with unexpected changes, living though a pandemic; so many things we experience that can bring on confusion, discomfort, and even feelings of hopelessness or helplessness. Sometimes the changes and challenges become overwhelming and you might find yourself thinking “How do I find my way forward?" We offer 30 min sessions for reduced rates or traditional 50 min sessions.
Accepting new clients— Some of our most joyful moments in life are also fraught with the discomfort that change can bring. Being a teen in today's world, becoming a young adult, parenting through the struggles, dealing with unexpected changes, living though a pandemic; so many things we experience that can bring on confusion, discomfort, and even feelings of hopelessness or helplessness. Sometimes the changes and challenges become overwhelming and you might find yourself thinking “How do I find my way forward?" We offer 30 min sessions for reduced rates or traditional 50 min sessions.
(571) 470-6747 View (571) 470-6747
Photo of Mahogany Counseling and Consulting Services, Clinical Social Work/Therapist in Springfield, VA
Mahogany Counseling and Consulting Services
Clinical Social Work/Therapist, LCSW, MSW
Verified Verified
1 Endorsed
Springfield, VA 22152
I’ve practiced as a licensed mental health professional for over 20 years. I’m passionate about working with adolescents and deeply committed to empowering my clients to reach their goals. I use a holistic approach that incorporates the varied cultural backgrounds of the community I serve. I value creating an affirming safe space for clients of all ages to explore patterns that no longer serve them. My clinical orientation is rooted in narrative therapy. This approach is client directed and empowers you to objectively examine aspects of your identity and stories that impact the challenges you want to address in therapy.
I’ve practiced as a licensed mental health professional for over 20 years. I’m passionate about working with adolescents and deeply committed to empowering my clients to reach their goals. I use a holistic approach that incorporates the varied cultural backgrounds of the community I serve. I value creating an affirming safe space for clients of all ages to explore patterns that no longer serve them. My clinical orientation is rooted in narrative therapy. This approach is client directed and empowers you to objectively examine aspects of your identity and stories that impact the challenges you want to address in therapy.
(703) 936-9151 View (703) 936-9151
Photo of Julie Sutliff, Clinical Social Work/Therapist in Springfield, VA
Julie Sutliff
Clinical Social Work/Therapist, LCSW
Verified Verified
Springfield, VA 22151  (Online Only)
My name is Julie Sutliff and I am a LCSW in Maryland, New York, and Virginia and owner of JES Counseling, LLC providing telehealth services. I have 10+ years of experience providing mental and emotional health services in both inpatient and outpatient settings, individual and group therapy with young adults, adults, athletes, veterans, and first responders. My passion is to help individuals learn how to cope and understand latent symptoms (below the surface) which can be helpful in improving mental and emotional health to improve quality of life, strengthen the ability to function, learn resilience, and gain empowerment.
My name is Julie Sutliff and I am a LCSW in Maryland, New York, and Virginia and owner of JES Counseling, LLC providing telehealth services. I have 10+ years of experience providing mental and emotional health services in both inpatient and outpatient settings, individual and group therapy with young adults, adults, athletes, veterans, and first responders. My passion is to help individuals learn how to cope and understand latent symptoms (below the surface) which can be helpful in improving mental and emotional health to improve quality of life, strengthen the ability to function, learn resilience, and gain empowerment.
(703) 547-8146 View (703) 547-8146
Photo of Hiyawkal Gizachew, Clinical Social Work/Therapist in Springfield, VA
Hiyawkal Gizachew
Clinical Social Work/Therapist, LCSW
Verified Verified
Springfield, VA 22152
"The day came when the risk it took to remain tight in a bud was more painful than the risk it took to blossom." --Anais Nin. When people migrate to a different culture from their own they may experience significant stress and anxiety.Culture Shock is a term used to describe the stress and anxiety one feels in a new culture. As a result of the challenges and cultural shock they experience, a person may feel sad, lonely, angry, lost and confused. Having gone through the immigration process, I know some of the challenges others experience.
"The day came when the risk it took to remain tight in a bud was more painful than the risk it took to blossom." --Anais Nin. When people migrate to a different culture from their own they may experience significant stress and anxiety.Culture Shock is a term used to describe the stress and anxiety one feels in a new culture. As a result of the challenges and cultural shock they experience, a person may feel sad, lonely, angry, lost and confused. Having gone through the immigration process, I know some of the challenges others experience.
(225) 414-5708 View (225) 414-5708
Photo of Shannon Dufour, Licensed Professional Counselor in Springfield, VA
Shannon Dufour
Licensed Professional Counselor, MA, LPC
Verified Verified
1 Endorsed
Springfield, VA 22152
In-person sessions available in Springfield, VA. Virtual sessions available in Virginia. Each person has a story filled with obstacles and challenges that make them who they are. Sometimes, those challenges and obstacles become too much to clearly think through. My goal as a therapist is to create a safe, judgement-free zone to help you process your story and come out stronger and happier at the end. Through our work together, we can challenge who you are, and make you who you want to be, by understanding your foundation as an individual and how your thoughts, feelings, and environment impact you.
In-person sessions available in Springfield, VA. Virtual sessions available in Virginia. Each person has a story filled with obstacles and challenges that make them who they are. Sometimes, those challenges and obstacles become too much to clearly think through. My goal as a therapist is to create a safe, judgement-free zone to help you process your story and come out stronger and happier at the end. Through our work together, we can challenge who you are, and make you who you want to be, by understanding your foundation as an individual and how your thoughts, feelings, and environment impact you.
(571) 200-4970 View (571) 200-4970
Photo of Megan Dunbar, Psychologist in Springfield, VA
Megan Dunbar
Psychologist, PsyD
Verified Verified
1 Endorsed
Springfield, VA 22152
I am a Licensed Clinical Psychologist and have been providing out-patient mental health services in Northern Virginia since September 2008. I strive to create a supportive environment for individuals, couples, and families in order to facilitate insightful awareness and help individuals recognize patterns in their thoughts, feelings, behaviors. I take an integrated approach to psychotherapy, blending a rational-solution focused approach with supportive based techniques with the goal of helping people improve their quality of life by building upon their natural strengths.
I am a Licensed Clinical Psychologist and have been providing out-patient mental health services in Northern Virginia since September 2008. I strive to create a supportive environment for individuals, couples, and families in order to facilitate insightful awareness and help individuals recognize patterns in their thoughts, feelings, behaviors. I take an integrated approach to psychotherapy, blending a rational-solution focused approach with supportive based techniques with the goal of helping people improve their quality of life by building upon their natural strengths.
(703) 854-9964 View (703) 854-9964
Photo of Ruben C Gonzalez, Licensed Professional Counselor in Springfield, VA
Ruben C Gonzalez
Licensed Professional Counselor, LPC, LPCC
Verified Verified
2 Endorsed
Springfield, VA 22152  (Online Only)
In today’s ever changing world, the need for mental health support is vital to understanding yourself and to feel a sense of belonging and purpose. I believe taking a more holistic approach is key. Before becoming a therapist, I spent 32 years as an actor, director, and writer in the performing arts. This experience has allowed me a unique understanding of human beings and how personalities are formed and expressed through relationships. Most importantly, I have learned to build rapport with others which is a vital aspect of therapy.
In today’s ever changing world, the need for mental health support is vital to understanding yourself and to feel a sense of belonging and purpose. I believe taking a more holistic approach is key. Before becoming a therapist, I spent 32 years as an actor, director, and writer in the performing arts. This experience has allowed me a unique understanding of human beings and how personalities are formed and expressed through relationships. Most importantly, I have learned to build rapport with others which is a vital aspect of therapy.
(703) 782-3604 View (703) 782-3604
Photo of Nina Franco Angeles, Licensed Professional Counselor in Springfield, VA
Nina Franco Angeles
Licensed Professional Counselor, MA, LPC, NCC
Verified Verified
Springfield, VA 22151
Do you often ask yourself if you matter? or if you're good enough? Are the "what ifs" of life getting you down? If there are unresolved issues from the past, and you are stuck and can't "get it together?" Or if you bleeding from emotional wounds inflicted on you by people you trusted - RECLAIM your life. You deserve to live an enjoyable, purposeful life. I will walk with you as you journey towards healing and purpose.
Do you often ask yourself if you matter? or if you're good enough? Are the "what ifs" of life getting you down? If there are unresolved issues from the past, and you are stuck and can't "get it together?" Or if you bleeding from emotional wounds inflicted on you by people you trusted - RECLAIM your life. You deserve to live an enjoyable, purposeful life. I will walk with you as you journey towards healing and purpose.
(571) 470-6847 View (571) 470-6847

How does your Therapist compare?

Number of Therapists in Springfield, VA

100+

Average cost per session

$150

Therapists in Springfield, VA who prioritize treating:

94% Anxiety
89% Depression
84% Relationship Issues
78% Self Esteem
77% Coping Skills
70% Trauma and PTSD
66% Stress

Average years in practice

10 Years

Top 3 insurances accepted

67% BlueCross and BlueShield
61% Cigna and Evernorth
60% CareFirst

How Therapists in Springfield, VA see their clients

61% In Person and Online
39% Online Only

Gender breakdown

88% Female
12% Male

FAQs - About Therapy and Counseling

How can I find a therapist in Springfield?

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.