Therapists in Baltimore, MD

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Photo of Annick Barker, Clinical Social Work/Therapist in Baltimore, MD
Annick Barker
Clinical Social Work/Therapist, LCSW-C, LLC
Verified Verified
Baltimore, MD 21211
Waitlist for new clients
During stressful times, it's easy to lose your bearings and feel at sea. While family or friends can offer support, sometimes you need a different kind of help. That's when working with a therapist can make a difference. For close to two decades, I've been helping people restore hope and get back to feeling like themselves again.
During stressful times, it's easy to lose your bearings and feel at sea. While family or friends can offer support, sometimes you need a different kind of help. That's when working with a therapist can make a difference. For close to two decades, I've been helping people restore hope and get back to feeling like themselves again.
(410) 835-9691 View (410) 835-9691
Photo of James E Finkelstein, Psychologist in Baltimore, MD
James E Finkelstein
Psychologist, PsyD
Verified Verified
1 Endorsed
Baltimore, MD 21209
If you're here, part of you knows it's time for a change. What if I told you that there is a way to stop struggling with the parts of yourself that feel so uncomfortable? That is the heart of the work that I do: in a safe and confidential space, identify where you are stuck and what is holding you back from living the life that you want. As a Clinical Psychologist, I have extensive training and experience treating a wide range of difficulties, specializing in the treatment of anxiety, addictions, chronic health issues, grief/bereavement, and shame-based symptoms. I see clients in-person or via telehealth (all Psypact.org states)
If you're here, part of you knows it's time for a change. What if I told you that there is a way to stop struggling with the parts of yourself that feel so uncomfortable? That is the heart of the work that I do: in a safe and confidential space, identify where you are stuck and what is holding you back from living the life that you want. As a Clinical Psychologist, I have extensive training and experience treating a wide range of difficulties, specializing in the treatment of anxiety, addictions, chronic health issues, grief/bereavement, and shame-based symptoms. I see clients in-person or via telehealth (all Psypact.org states)
(410) 504-1580 View (410) 504-1580
Photo of Khadejah McDougald, Clinical Social Work/Therapist in Baltimore, MD
Khadejah McDougald
Clinical Social Work/Therapist, LCSW-C
Verified Verified
2 Endorsed
Baltimore, MD 21218  (Online Only)
I have worked with adults and families helping them to overcome anxiety, depression and life transitions. Life transitions such as changing jobs or losing a job, taking on new roles or buying a home for the first time can come with worries, fears and anxieties. I use a strength's based approach to help individuals identify what's already in them.
I have worked with adults and families helping them to overcome anxiety, depression and life transitions. Life transitions such as changing jobs or losing a job, taking on new roles or buying a home for the first time can come with worries, fears and anxieties. I use a strength's based approach to help individuals identify what's already in them.
(410) 936-4773 View (410) 936-4773
Photo of Mindy Lais, Psychologist in Baltimore, MD
Mindy Lais
Psychologist, PsyD
Verified Verified
2 Endorsed
Baltimore, MD 21210
I feel that therapy can be a wonderful resource to help you cope with and heal from life's challenges. Understanding how your life experiences have led to relationship and behavior patterns can help you make lasting changes and lead a more fulfilling life. I work hard to create a safe environment and partnership with clients to facilitate personal growth. I utilize an integrative therapy model to create a personalized approach for each individual I work with. I also provide consultation.
I feel that therapy can be a wonderful resource to help you cope with and heal from life's challenges. Understanding how your life experiences have led to relationship and behavior patterns can help you make lasting changes and lead a more fulfilling life. I work hard to create a safe environment and partnership with clients to facilitate personal growth. I utilize an integrative therapy model to create a personalized approach for each individual I work with. I also provide consultation.
(410) 498-6523 View (410) 498-6523
Photo of Brittany Trexler, Licensed Clinical Professional Counselor in Baltimore, MD
Brittany Trexler
Licensed Clinical Professional Counselor, LCPC, LPC
Verified Verified
Baltimore, MD 21201
I have Immediate availability for Couples, Polycules, & Individuals In-Person and Telehealth Mon & Thurs (In Person): 12pm - 8:30pm Tues & Wed (Telehealth): 12pm - 8:30pm
I have Immediate availability for Couples, Polycules, & Individuals In-Person and Telehealth Mon & Thurs (In Person): 12pm - 8:30pm Tues & Wed (Telehealth): 12pm - 8:30pm
(443) 892-7129 View (443) 892-7129
Photo of James DeMaio, Clinical Social Work/Therapist in Baltimore, MD
James DeMaio
Clinical Social Work/Therapist, MSW, LMSW
Verified Verified
3 Endorsed
Baltimore, MD 21211  (Online Only)
Are you struggling with stress from work, family relationships, addictions, or life transitions? Have you suffered loss of a child, parent, friend or significant other? You don't need to bare your burden alone. Life is filled with ups and downs, and therapy can be a valuable tool in building upon your own strengths to cope with challenges. With a diverse background in social work with families, post-incarceration, addictions, job searching and job coaching, I am experienced working with clients dealing with loss, trauma, anxiety, depression, and addiction.
Are you struggling with stress from work, family relationships, addictions, or life transitions? Have you suffered loss of a child, parent, friend or significant other? You don't need to bare your burden alone. Life is filled with ups and downs, and therapy can be a valuable tool in building upon your own strengths to cope with challenges. With a diverse background in social work with families, post-incarceration, addictions, job searching and job coaching, I am experienced working with clients dealing with loss, trauma, anxiety, depression, and addiction.
(410) 936-3161 View (410) 936-3161
Photo of Bianca Lee Ribbon In The Sky Wellness Center, Licensed Clinical Professional Counselor in Baltimore, MD
Bianca Lee Ribbon In The Sky Wellness Center
Licensed Clinical Professional Counselor, LCPC-S
Verified Verified
Baltimore, MD 21216  (Online Only)
Hello there! If you are ready to explore strategies to improve your mental health as well as create a more balanced and cohesive lifestyle, you’ve come to the right place. Thank you for being brave. RITS Wellness Center serves children, youth, & adults in the following areas: depression, anxiety, trauma, and social/relationship challenges. Together, we will create goals and action steps catered to focus areas that you identify. The hope is that as a result of this collaboration, you will learn how to utilize the tools needed to provide growth in your area of struggle. We look forward to partnering with you on this journey.
Hello there! If you are ready to explore strategies to improve your mental health as well as create a more balanced and cohesive lifestyle, you’ve come to the right place. Thank you for being brave. RITS Wellness Center serves children, youth, & adults in the following areas: depression, anxiety, trauma, and social/relationship challenges. Together, we will create goals and action steps catered to focus areas that you identify. The hope is that as a result of this collaboration, you will learn how to utilize the tools needed to provide growth in your area of struggle. We look forward to partnering with you on this journey.
(410) 498-8221 View (410) 498-8221
Photo of Courtney Nazzaro, Clinical Social Work/Therapist in Baltimore, MD
Courtney Nazzaro
Clinical Social Work/Therapist, LCSW-C
Verified Verified
1 Endorsed
Baltimore, MD 21211
Currently accepting new clients! Welcome! I provide a safe and non judgmental environment where teens and adults can process their stories, gain insight and work through past and current challenges. I have over fifteen years experience providing therapy in a variety of treatment settings to adolescents through adulthood in all different stages of life. I work with clients who are experiencing depression, anxiety, marital and/or family conflict, low self esteem, difficulty navigating a current or recent change in life experiences, adjustment to college, parenthood and/or experiencing increased stress managing day to day life.
Currently accepting new clients! Welcome! I provide a safe and non judgmental environment where teens and adults can process their stories, gain insight and work through past and current challenges. I have over fifteen years experience providing therapy in a variety of treatment settings to adolescents through adulthood in all different stages of life. I work with clients who are experiencing depression, anxiety, marital and/or family conflict, low self esteem, difficulty navigating a current or recent change in life experiences, adjustment to college, parenthood and/or experiencing increased stress managing day to day life.
(410) 824-5434 View (410) 824-5434
Photo of Makenna Wheeler, Clinical Social Work/Therapist in Baltimore, MD
Makenna Wheeler
Clinical Social Work/Therapist, LMSW
Verified Verified
1 Endorsed
Baltimore, MD 21211
Embarking on the journey of therapy can be exhilarating, but it can also be daunting, especially when faced with mental health challenges along the way. You might be facing mental health challenges, grappling with perinatal mental illness, mood disorders, depression, or anxiety. Perhaps you're on the brink of parenthood, feeling the weight of this significant life transition bearing down on you. You yearn for guidance, understanding, and support to navigate these uncharted waters with grace and confidence. You desire a safe space where you can openly express your emotions and concerns without fear of judgment.
Embarking on the journey of therapy can be exhilarating, but it can also be daunting, especially when faced with mental health challenges along the way. You might be facing mental health challenges, grappling with perinatal mental illness, mood disorders, depression, or anxiety. Perhaps you're on the brink of parenthood, feeling the weight of this significant life transition bearing down on you. You yearn for guidance, understanding, and support to navigate these uncharted waters with grace and confidence. You desire a safe space where you can openly express your emotions and concerns without fear of judgment.
(410) 346-0066 View (410) 346-0066
Photo of Becky Miller, Psychologist in Baltimore, MD
Becky Miller
Psychologist, PhD
Verified Verified
Baltimore, MD 21218  (Online Only)
Waitlist for new clients
Sometimes, core parts of who we are fall outside of what is considered normal or acceptable. It can feel impossible to understand yourself. You might feel invisible or wonder if you’re really the problem. You know that hiding these parts of yourself doesn’t feel right and isn’t sustainable. At the same time, you question whether it’s worth all the pain that might come from fully exploring and expressing yourself without hiding your identity, isolating from others, or masking. You may already have a strong sense of your identity and know what would help but feel that it's not accessible or possible.
Sometimes, core parts of who we are fall outside of what is considered normal or acceptable. It can feel impossible to understand yourself. You might feel invisible or wonder if you’re really the problem. You know that hiding these parts of yourself doesn’t feel right and isn’t sustainable. At the same time, you question whether it’s worth all the pain that might come from fully exploring and expressing yourself without hiding your identity, isolating from others, or masking. You may already have a strong sense of your identity and know what would help but feel that it's not accessible or possible.
(877) 893-5480 View (877) 893-5480
Photo of Megan Kelly, Clinical Social Work/Therapist in Baltimore, MD
Megan Kelly
Clinical Social Work/Therapist, MSW, LCSW-C
Verified Verified
1 Endorsed
Baltimore, MD 21211  (Online Only)
Waitlist for new clients
My hope is that in visiting this page you are on the first step of offering yourself a new approach to the challenges you are facing. It means a lot to be heard and no one likes to feel lonely or alone. That is the beauty I believe in the therapeutic process— a bond with an unbiased, non-judgmental person who listens. I aim to offer you just that! My belief is that caring for our mental health is vital in living well and asking for help is a part of that.
My hope is that in visiting this page you are on the first step of offering yourself a new approach to the challenges you are facing. It means a lot to be heard and no one likes to feel lonely or alone. That is the beauty I believe in the therapeutic process— a bond with an unbiased, non-judgmental person who listens. I aim to offer you just that! My belief is that caring for our mental health is vital in living well and asking for help is a part of that.
(410) 609-9386 View (410) 609-9386
Photo of Mary-Elizabeth Kurz, Counselor in Baltimore, MD
Mary-Elizabeth Kurz
Counselor, LCPC
Verified Verified
2 Endorsed
Baltimore, MD 21281  (Online Only)
Whether you are struggling with depression, anxiety, traumatic experiences, adjustment disorders, suicidal ideation, or self-harm or just trying to maintain in this changing society, I can help support you along the way.
Whether you are struggling with depression, anxiety, traumatic experiences, adjustment disorders, suicidal ideation, or self-harm or just trying to maintain in this changing society, I can help support you along the way.
(410) 517-7818 View (410) 517-7818
Photo of Isaac M Friedman, Psychologist in Baltimore, MD
Isaac M Friedman
Psychologist, MA, PsyD
Verified Verified
1 Endorsed
Baltimore, MD 21209
The single most important factor in helping children and adolescents heal after experiencing potentially traumatic events is having a supportive and responsive caregiver. This crucial piece of information applies to children and families who have experiences potentially traumatic events, or are struggling with depression, anxiety, emotional dysregulation, or behavioral/relational difficulties. As a licensed psychologist, I have had the opportunity to work with children, adolescents, and their families who have experienced a wide range of traumatic events.
The single most important factor in helping children and adolescents heal after experiencing potentially traumatic events is having a supportive and responsive caregiver. This crucial piece of information applies to children and families who have experiences potentially traumatic events, or are struggling with depression, anxiety, emotional dysregulation, or behavioral/relational difficulties. As a licensed psychologist, I have had the opportunity to work with children, adolescents, and their families who have experienced a wide range of traumatic events.
(410) 983-3366 View (410) 983-3366
Photo of Rebecca Wenstrom, Clinical Social Work/Therapist in Baltimore, MD
Rebecca Wenstrom
Clinical Social Work/Therapist, LCSW-C, MST
Verified Verified
1 Endorsed
Baltimore, MD 21211
I practice from a stance of radical inclusion, meaning I seek to welcome all parts of your experience and identity, even those that may feel shameful. I provide a warm and steady space to explore and uncover what feels true and we move at your pace. I have worked effectively with adults and adolescents who are healing from traumatic experiences, including interpersonal violence and abuse, sexual violence, adverse childhood experiences, and the impact of identity-based oppressions. I value the innate wisdom that clients bring to their own healing journeys and see you as the most important expert on your own experiences and desires.
I practice from a stance of radical inclusion, meaning I seek to welcome all parts of your experience and identity, even those that may feel shameful. I provide a warm and steady space to explore and uncover what feels true and we move at your pace. I have worked effectively with adults and adolescents who are healing from traumatic experiences, including interpersonal violence and abuse, sexual violence, adverse childhood experiences, and the impact of identity-based oppressions. I value the innate wisdom that clients bring to their own healing journeys and see you as the most important expert on your own experiences and desires.
(410) 421-7225 View (410) 421-7225
Photo of Maggie J Welling, Clinical Social Work/Therapist in Baltimore, MD
Maggie J Welling
Clinical Social Work/Therapist, LMSW
Verified Verified
4 Endorsed
Baltimore, MD 21230
Looking for a down to earth, inclusive therapist who celebrates authenticity? It is so important to me that I create a sense of humility and ease for you to be your authentic self, no more masking with me! I specialize in anxiety, depression, trauma, ADHD, and sport psychology. I create a trauma informed, collaborative, and calm atmosphere with sometimes a little bit of humor! I incorporate elements from Psychodynamic Therapy, CBT, ACT, Play Therapy, & Somatic Practices for a holistic therapeutic approach.
Looking for a down to earth, inclusive therapist who celebrates authenticity? It is so important to me that I create a sense of humility and ease for you to be your authentic self, no more masking with me! I specialize in anxiety, depression, trauma, ADHD, and sport psychology. I create a trauma informed, collaborative, and calm atmosphere with sometimes a little bit of humor! I incorporate elements from Psychodynamic Therapy, CBT, ACT, Play Therapy, & Somatic Practices for a holistic therapeutic approach.
(443) 448-8733 View (443) 448-8733
Photo of Meghan Meyer, Clinical Social Work/Therapist in Baltimore, MD
Meghan Meyer
Clinical Social Work/Therapist, LCSW-C
Verified Verified
1 Endorsed
Baltimore, MD 21212  (Online Only)
For those of you struggling to navigate life's ups and downs: I see you. I take a holistic healing approach with a special attention to navigating life’s transitions and thresholds. Life transitions at any age can be hard and present mental illness and symptoms you may have never experienced. I will assist you in adjusting to, and navigating, chronic illness, aging, onset of and commitment to working through anxiety and/or depression. Together, we can awaken your mind, body and spirit to your potential for healing and wellness so that you can live more fully, love more deeply, and become your most authentic self.
For those of you struggling to navigate life's ups and downs: I see you. I take a holistic healing approach with a special attention to navigating life’s transitions and thresholds. Life transitions at any age can be hard and present mental illness and symptoms you may have never experienced. I will assist you in adjusting to, and navigating, chronic illness, aging, onset of and commitment to working through anxiety and/or depression. Together, we can awaken your mind, body and spirit to your potential for healing and wellness so that you can live more fully, love more deeply, and become your most authentic self.
(443) 233-1354 View (443) 233-1354
Photo of Denise Supik, Licensed Clinical Professional Counselor in Baltimore, MD
Denise Supik
Licensed Clinical Professional Counselor, MS, LCPC
Verified Verified
1 Endorsed
Baltimore, MD 21210
How long has it been since you've felt joy? Have you ever felt empty, as though a part of you is missing? Are you often disappointed in your relationships? In an effort to fill the void, do you find yourself turning to food, overworking, or shopping, but without relief? Are you so hard on yourself that you find it difficult to risk change? In our very busy world, we often lose touch with ourselves and our own healing abilities. We can often feel as though we're caught up in a whirlwind, helpless to get out.
How long has it been since you've felt joy? Have you ever felt empty, as though a part of you is missing? Are you often disappointed in your relationships? In an effort to fill the void, do you find yourself turning to food, overworking, or shopping, but without relief? Are you so hard on yourself that you find it difficult to risk change? In our very busy world, we often lose touch with ourselves and our own healing abilities. We can often feel as though we're caught up in a whirlwind, helpless to get out.
(443) 731-6926 View (443) 731-6926
Photo of Matriarch Mental Health, Licensed Clinical Professional Counselor in Baltimore, MD
Matriarch Mental Health
Licensed Clinical Professional Counselor, LCPC, NCC, PMH-C
Verified Verified
Baltimore, MD 21209
***Telehealth Services for Residents of MD, NJ, PA*** Pregnancy can be an incredible journey. But for some women, it's not. That's why we're here. Matriarch Mental Health serves the perinatal population with psychotherapy and consulting services that are Specialized, Individualized, Comprehensive, and Convenient. If you're having trouble keeping up or feeling "not like myself," then self-compassion and professional support can help be the difference between you burning out or regaining your strength.
***Telehealth Services for Residents of MD, NJ, PA*** Pregnancy can be an incredible journey. But for some women, it's not. That's why we're here. Matriarch Mental Health serves the perinatal population with psychotherapy and consulting services that are Specialized, Individualized, Comprehensive, and Convenient. If you're having trouble keeping up or feeling "not like myself," then self-compassion and professional support can help be the difference between you burning out or regaining your strength.
(410) 431-3940 View (410) 431-3940
Perfected Promise
Clinical Social Work/Therapist
Verified Verified
Baltimore, MD 21214
Welcome to Perfected Promise where we declare "Strength over Struggles". We understand that clients bring their whole self into the therapy session, including their emotional, spiritual, psychological, and cultural needs. Our goal is to meet our clients where they are and partner with them to get to where they want to go. Our virtual services are trauma informed and culturally responsive with a specialization in person centered approaches. Our team of specialized counselors and social workers are here to partner with you on your journey of self-discovery, to wholeness, and healing!
Welcome to Perfected Promise where we declare "Strength over Struggles". We understand that clients bring their whole self into the therapy session, including their emotional, spiritual, psychological, and cultural needs. Our goal is to meet our clients where they are and partner with them to get to where they want to go. Our virtual services are trauma informed and culturally responsive with a specialization in person centered approaches. Our team of specialized counselors and social workers are here to partner with you on your journey of self-discovery, to wholeness, and healing!
(410) 936-4398 View (410) 936-4398
Photo of Abbey Peko-Spicer, Clinical Social Work/Therapist in Baltimore, MD
Abbey Peko-Spicer
Clinical Social Work/Therapist, LCSW-C
Verified Verified
Baltimore, MD 21212  (Online Only)
Waitlist for new clients
We all have the capacity for growth and change, and the pain we carry usually develops from unhelpful stories that we've learned to tell ourselves over time. These stories - which we often learn through the systems we operate within - can impact the way we move, respond and connect, and can sometimes keep us stuck. I think we can grow by understanding how our stories started, by noticing the powerful information that our bodies give us about our emotional pain, and by working to unravel and re-craft our stories in a way that leaves us feeling more empowered, flexible, and whole.
We all have the capacity for growth and change, and the pain we carry usually develops from unhelpful stories that we've learned to tell ourselves over time. These stories - which we often learn through the systems we operate within - can impact the way we move, respond and connect, and can sometimes keep us stuck. I think we can grow by understanding how our stories started, by noticing the powerful information that our bodies give us about our emotional pain, and by working to unravel and re-craft our stories in a way that leaves us feeling more empowered, flexible, and whole.
(410) 264-1579 View (410) 264-1579

How does your Therapist compare?

Number of Therapists in Baltimore, MD

1,000+

Average cost per session

$150

Therapists in Baltimore, MD who prioritize treating:

92% Anxiety
88% Depression
75% Self Esteem
73% Relationship Issues
69% Coping Skills
67% Stress
66% Trauma and PTSD

Average years in practice

10 Years

Top 3 insurances accepted

70% BlueCross and BlueShield
68% Cigna and Evernorth
68% CareFirst

How Therapists in Baltimore, MD see their clients

51% Online Only
49% In Person and Online

Gender breakdown

78% Female
20% Male
2% Non-Binary
FAQs - About Therapy and Counseling

How can I find a therapist in Baltimore?

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.