Photo of Aleksandr Kronik, ScD, Psychologist
Aleksandr Kronik
Psychologist, ScD
Verified Verified
Award Winning Psychologist with 20 years experience in Private Practice with a United States Patented mental health software that helps improve your life vision to simplify personal healing.
Award Winning Psychologist with 20 years experience in Private Practice with a United States Patented mental health software that helps improve your life vision to simplify personal healing.
(301) 660-3570 View (301) 660-3570
Photo of Vivien B Deitz, LCSW-C, BCD, Clinical Social Work/Therapist
Vivien B Deitz
Clinical Social Work/Therapist, LCSW-C, BCD
Verified Verified
The root word of curious is CURE..... Are you curious about the internal landscape of your own life? Do you suffer from depression, anxiety, relationship issues or chronic medical problems? By promoting growth and self-understanding, I can help you improve the quality of your life through individual, couples and group psychotherapy as well as self-help training. As a registered nurse, I have an understanding of the human body and physical illness and I am dedicated to helping you move into a healing energy - motivating you to grow, move forward, and gain control of your life.
The root word of curious is CURE..... Are you curious about the internal landscape of your own life? Do you suffer from depression, anxiety, relationship issues or chronic medical problems? By promoting growth and self-understanding, I can help you improve the quality of your life through individual, couples and group psychotherapy as well as self-help training. As a registered nurse, I have an understanding of the human body and physical illness and I am dedicated to helping you move into a healing energy - motivating you to grow, move forward, and gain control of your life.
(301) 678-8772 View (301) 678-8772
Photo of Jane Nielson, LCSW-C, Clinical Social Work/Therapist
Jane Nielson
Clinical Social Work/Therapist, LCSW-C
Verified Verified
Rockville, MD 20852
Maybe you've noticed that it's difficult to get up in the morning or that you are less interested in getting together with family and friends. Perhaps you've noticed destructive patterns in your relationships or that you keep "shooting yourself in the foot" at work. Conversations in therapy deepen understanding of distress and unproductive patterns of behavior. This new understanding and the tools you and I develop together can decrease distress and increase satisfaction with life.
Maybe you've noticed that it's difficult to get up in the morning or that you are less interested in getting together with family and friends. Perhaps you've noticed destructive patterns in your relationships or that you keep "shooting yourself in the foot" at work. Conversations in therapy deepen understanding of distress and unproductive patterns of behavior. This new understanding and the tools you and I develop together can decrease distress and increase satisfaction with life.
(301) 852-5307 View (301) 852-5307
Photo of Anita M Roy, MA, LCPC, NCC, Counselor
Anita M Roy
Counselor, MA, LCPC, NCC
Verified Verified
Do you wish to be happy again, and get back control of your life? Has your self esteem plummeted so that daily functioning has become difficult? Has anxiety, depression and anger taken control of you and won't let you function in peace? My ideal adult client is the multitasking adult, often juggling multiple tasks but are unable to cope with their own anger, anxiety, sadness, or stress which seem to be controlling their lives. My ideal adolescent client is one who is dealing with impulsivity, anger, anxiety, peer relations, self esteem issues or are just too depressed to pay attention to their important last years of school.
Do you wish to be happy again, and get back control of your life? Has your self esteem plummeted so that daily functioning has become difficult? Has anxiety, depression and anger taken control of you and won't let you function in peace? My ideal adult client is the multitasking adult, often juggling multiple tasks but are unable to cope with their own anger, anxiety, sadness, or stress which seem to be controlling their lives. My ideal adolescent client is one who is dealing with impulsivity, anger, anxiety, peer relations, self esteem issues or are just too depressed to pay attention to their important last years of school.
(240) 221-5614 View (240) 221-5614
Photo of Karen Rosen, LCSW-C, Clinical Social Work/Therapist
Karen Rosen
Clinical Social Work/Therapist, LCSW-C
Verified Verified
2 Endorsed
Rockville, MD 20852
You may be feeling dissatisfied with your life, your relationships or your work. Or, perhaps you have had a dramatic change recently that has disrupted your emotional wellbeing. Maybe you or a family member been diagnosed with a chronic medical condition. Together we can find your path to contentment and satisfaction. I provide compassionate counseling for people a seeking greater balance, self-acceptance and tools for managing personal and health challenges.
You may be feeling dissatisfied with your life, your relationships or your work. Or, perhaps you have had a dramatic change recently that has disrupted your emotional wellbeing. Maybe you or a family member been diagnosed with a chronic medical condition. Together we can find your path to contentment and satisfaction. I provide compassionate counseling for people a seeking greater balance, self-acceptance and tools for managing personal and health challenges.
(301) 605-9180 View (301) 605-9180
Photo of Derwin Harris, LCSW, Clinical Social Work/Therapist
Derwin Harris
Clinical Social Work/Therapist, LCSW
Verified Verified
I believe in meeting clients where they are and empowering them to explore their own path. I specialize in mental health and substance abuse interventions. I've found that a client-centered approach, coupled with Solution Focused Therapy, is effective. My integrative approach addresses issues like depression, anxiety, trauma, domestic violence, and substance abuse in individuals, couples, and families. I'm trained in applying ASAM criteria for appropriate recommendations. Together, let's shape the narrative of your story and work towards the recovery you desire. If needed, I'm here to make referrals for additional support.
I believe in meeting clients where they are and empowering them to explore their own path. I specialize in mental health and substance abuse interventions. I've found that a client-centered approach, coupled with Solution Focused Therapy, is effective. My integrative approach addresses issues like depression, anxiety, trauma, domestic violence, and substance abuse in individuals, couples, and families. I'm trained in applying ASAM criteria for appropriate recommendations. Together, let's shape the narrative of your story and work towards the recovery you desire. If needed, I'm here to make referrals for additional support.
(301) 450-6094 View (301) 450-6094
Photo of Nadine Lavender-Petersen, LCSW-C, MSW, Clinical Social Work/Therapist
Nadine Lavender-Petersen
Clinical Social Work/Therapist, LCSW-C, MSW
Verified Verified
Rockville, MD 20852
TELETHERAPY AVAILABLE. I enjoy working with patients who are curious about themselves and are interested and capable of self-reflection and who can enjoy an enlivened and meaningful collaboration.
TELETHERAPY AVAILABLE. I enjoy working with patients who are curious about themselves and are interested and capable of self-reflection and who can enjoy an enlivened and meaningful collaboration.
(240) 453-4250 View (240) 453-4250
Photo of Ellen Cohen Ottenstein, LCSW-C, Clinical Social Work/Therapist
Ellen Cohen Ottenstein
Clinical Social Work/Therapist, LCSW-C
Verified Verified
Rockville, MD 20852
Finding the right therapist is the first step toward achieving the life you desire. As a psychotherapist and Life Coach, I work with adults, couples and families on a wide range of issues including depression, anxiety, trauma and major life changes. In feeling safe to fully express yourself in the warm environment of my office, you make continuous progress toward reaching your goals.
Finding the right therapist is the first step toward achieving the life you desire. As a psychotherapist and Life Coach, I work with adults, couples and families on a wide range of issues including depression, anxiety, trauma and major life changes. In feeling safe to fully express yourself in the warm environment of my office, you make continuous progress toward reaching your goals.
(301) 812-4382 View (301) 812-4382
Photo of Pamela Newman - PRN Counseling, LCSW-C, Clinical Social Work/Therapist
PRN Counseling
Clinical Social Work/Therapist, LCSW-C
Verified Verified
10 Endorsed
Rockville, MD 20852
Did you wake up one day and feel as if you no longer recognize yourself? Are you beginning to struggle at work or with relationships? Do you feel like you know what you "should do," but you can't motivate yourself to do it? Our therapists are action-based and can help support you or your teen/tween to get unstuck, gain insights, build more self-awareness, and work toward a positive future. We aim to help you improve your self esteem, strengthen relationships, and work toward your goals. We teach skills that can be used outside of the office and in the real world and implement strategies to start feeling better.
Did you wake up one day and feel as if you no longer recognize yourself? Are you beginning to struggle at work or with relationships? Do you feel like you know what you "should do," but you can't motivate yourself to do it? Our therapists are action-based and can help support you or your teen/tween to get unstuck, gain insights, build more self-awareness, and work toward a positive future. We aim to help you improve your self esteem, strengthen relationships, and work toward your goals. We teach skills that can be used outside of the office and in the real world and implement strategies to start feeling better.
(301) 710-9815 View (301) 710-9815
Photo of Megan A Szczepanik, LCSW, Clinical Social Work/Therapist
Megan A Szczepanik
Clinical Social Work/Therapist, LCSW
Verified Verified
Rockville, MD 20852
Whether you’ve spent a lifetime together or are just beginning your journey, relationships provide us with priceless opportunities to learn, grow, and heal. So often, we see conflict and power struggles as “warning signs” rather than precious growth gifts. How can this be when conflict with our partner is so painful? The answer lies in the struggle itself. Beneath the anger, there nearly always lies hurt, disappointment, fear, or sadness. The Imago relationship approach challenges us to embrace our vulnerability and communicate with our partner openly and without fear. When we are heard and truly seen, healing begins.
Whether you’ve spent a lifetime together or are just beginning your journey, relationships provide us with priceless opportunities to learn, grow, and heal. So often, we see conflict and power struggles as “warning signs” rather than precious growth gifts. How can this be when conflict with our partner is so painful? The answer lies in the struggle itself. Beneath the anger, there nearly always lies hurt, disappointment, fear, or sadness. The Imago relationship approach challenges us to embrace our vulnerability and communicate with our partner openly and without fear. When we are heard and truly seen, healing begins.
(727) 269-5426 View (727) 269-5426
Photo of Rowan Blackmon, MA, LCPC
Rowan Blackmon
Licensed Clinical Professional Counselor, MA, LCPC
Verified Verified
Rockville, MD 20852  (Online Only)
Because no two patients are alike, therapy should be tailored to each patient, rather than trying to treat everyone with the same theoretical approach. I believe that a therapist’s job is to guide the patient as they learn to change the behaviors and thinking styles that may have once been helpful, but are now getting in their way. Most importantly, I believe it is a therapist's job to teach their patients the skills necessary to eventually function independent of their therapist, allowing them to eventually leave therapy instead of being stuck with having weekly sessions for the rest of their lives!
Because no two patients are alike, therapy should be tailored to each patient, rather than trying to treat everyone with the same theoretical approach. I believe that a therapist’s job is to guide the patient as they learn to change the behaviors and thinking styles that may have once been helpful, but are now getting in their way. Most importantly, I believe it is a therapist's job to teach their patients the skills necessary to eventually function independent of their therapist, allowing them to eventually leave therapy instead of being stuck with having weekly sessions for the rest of their lives!
(301) 517-9939 View (301) 517-9939
Photo of Emily Pitocchelli, LCPC, Licensed Professional Counselor
Emily Pitocchelli
Licensed Professional Counselor, LCPC
Verified Verified
1 Endorsed
Rockville, MD 20852
I aim to create a therapeutic environment that is both inviting and focused on achieving specific goals. Recognizing the unique qualities of each client, I customize our sessions based on your individual requirements, beginning from your current point. The utmost priority is to establish a warm, compassionate, and tranquil atmosphere, providing a secure space for us to delve into your emotions. My approach is integrative, incorporating elements from mindfulness-based techniques along with traditional practices.
I aim to create a therapeutic environment that is both inviting and focused on achieving specific goals. Recognizing the unique qualities of each client, I customize our sessions based on your individual requirements, beginning from your current point. The utmost priority is to establish a warm, compassionate, and tranquil atmosphere, providing a secure space for us to delve into your emotions. My approach is integrative, incorporating elements from mindfulness-based techniques along with traditional practices.
(301) 579-7655 x5 View (301) 579-7655 x5
Photo of Chia-May C Dougherty, PhD, LCPC, LPC, NCC, BC-TMH, Counselor
Chia-May C Dougherty
Counselor, PhD, LCPC, LPC, NCC, BC-TMH
Verified Verified
North Bethesda, MD 20852  (Online Only)
We, as human beings, have our habitual way to think, feel, and behave which may not always help us cope well. We may feel stuck in the past, fearful for the unknown future, and not being able to be present in the moment. Yet, the present is the only time that we can do something to make a change and feel better. We can stop struggling and begin to practice acceptance and grow through our experiences. In the practice of mindfulness, we are able to observe and become aware of the attachment to our habitual pattern of unhelpful thoughts and be present in the now moment by cultivating a non-judgmental mind and a new beginner's mind.
We, as human beings, have our habitual way to think, feel, and behave which may not always help us cope well. We may feel stuck in the past, fearful for the unknown future, and not being able to be present in the moment. Yet, the present is the only time that we can do something to make a change and feel better. We can stop struggling and begin to practice acceptance and grow through our experiences. In the practice of mindfulness, we are able to observe and become aware of the attachment to our habitual pattern of unhelpful thoughts and be present in the now moment by cultivating a non-judgmental mind and a new beginner's mind.
(240) 453-4343 View (240) 453-4343
Photo of Marilyn B. Spenadel - Authentically U Counseling, LLC - Marilyn Spenadel, MS, LCPC, ACS
Authentically U Counseling, LLC - Marilyn Spenadel
Licensed Clinical Professional Counselor, MS, LCPC, ACS
Verified Verified
9 Endorsed
Rockville, MD 20852
WELCOME to your Therapeutic HOLISTIC WELLNESS ENRICHMENT CENTER. Do you want to learn to go with the flow DAILY, live in the here and now, and manage uncertainty? As an experienced Somatic Integrative Psychotherapist, Spiritual Coach I specialize in helping individuals gain insight and mind/body & spiritual strength. While we can't change difficult situations of the past, we can collaborate to help you accept feelings, let go of mind/body connections to stress, trauma, illness and triggers. Our body CERTAINLY hears what our mind says! By using healing techniques, you can let go of epigenetic traumas by their roots to become unstuck.
WELCOME to your Therapeutic HOLISTIC WELLNESS ENRICHMENT CENTER. Do you want to learn to go with the flow DAILY, live in the here and now, and manage uncertainty? As an experienced Somatic Integrative Psychotherapist, Spiritual Coach I specialize in helping individuals gain insight and mind/body & spiritual strength. While we can't change difficult situations of the past, we can collaborate to help you accept feelings, let go of mind/body connections to stress, trauma, illness and triggers. Our body CERTAINLY hears what our mind says! By using healing techniques, you can let go of epigenetic traumas by their roots to become unstuck.
(240) 426-8344 View (240) 426-8344
Photo of Rahel Schwartz, PhD, LCSW-C, EMDR-C, SEP, Clinical Social Work/Therapist
Rahel Schwartz
Clinical Social Work/Therapist, PhD, LCSW-C, EMDR-C, SEP
Verified Verified
4 Endorsed
The human ability to change and grow is boundless. I customize treatment to each client's individual needs. I believe in using evidence based practices and I am always interested in expanding my knowledge base. Somatic experiencing and EMDR are excellent for seeing results. I have studied and worked with issues pertaining to trauma for over ten years. I am particularly interested in the body's innate capacity to heal and coping strategies to optimize functioning. I am comfortable treating a wide variety of presenting problems and working with a diverse client population. A warm, nurturing, creative environment is important to me.
The human ability to change and grow is boundless. I customize treatment to each client's individual needs. I believe in using evidence based practices and I am always interested in expanding my knowledge base. Somatic experiencing and EMDR are excellent for seeing results. I have studied and worked with issues pertaining to trauma for over ten years. I am particularly interested in the body's innate capacity to heal and coping strategies to optimize functioning. I am comfortable treating a wide variety of presenting problems and working with a diverse client population. A warm, nurturing, creative environment is important to me.
(202) 499-2573 View (202) 499-2573
Photo of Aida Sanchez - Gentle Grief LLC, MA, LPMT, MT-BC, A-GRMS
Gentle Grief LLC
MA, LPMT, MT-BC, A-GRMS
Verified Verified
Rockville, MD 20852  (Online Only)
If you've experienced loss in your life, I am here for you. At Gentle Grief, you will be receiving a compassionate, non-judgemental listening ear, complete confidentiality, and a companion to walk this journey alongside you. When grief hits us, the world keeps moving and we can feel like we are stuck in time. Are you having trouble getting up in the mornings? Do you experience difficulty meeting your basic needs? Some of the issues I support individuals with: death of a loved one, terminal illness/diagnosis, life transitioning, supporting parents with grieving children, self worth, severed relationships, and others.
If you've experienced loss in your life, I am here for you. At Gentle Grief, you will be receiving a compassionate, non-judgemental listening ear, complete confidentiality, and a companion to walk this journey alongside you. When grief hits us, the world keeps moving and we can feel like we are stuck in time. Are you having trouble getting up in the mornings? Do you experience difficulty meeting your basic needs? Some of the issues I support individuals with: death of a loved one, terminal illness/diagnosis, life transitioning, supporting parents with grieving children, self worth, severed relationships, and others.
(301) 298-8577 View (301) 298-8577
Photo of Lester Scheuermann, LCSW-C, BCD, Clinical Social Work/Therapist
Lester Scheuermann
Clinical Social Work/Therapist, LCSW-C, BCD
Verified Verified
Rockville, MD 20852  (Online Only)
All things are possible! When feeling distressed you need someone who can objectively lead you through the obstacles that keep you stuck in a life of fear or hopelessness. My role is to provide the therapeutic skills to help you understand and resolve your problems and achieve optimal mental health and joy. I specialize in trauma, unresolved relational issues, mood, anxiety and obsessive disorders as well as recovery issues.
All things are possible! When feeling distressed you need someone who can objectively lead you through the obstacles that keep you stuck in a life of fear or hopelessness. My role is to provide the therapeutic skills to help you understand and resolve your problems and achieve optimal mental health and joy. I specialize in trauma, unresolved relational issues, mood, anxiety and obsessive disorders as well as recovery issues.
(301) 852-5383 View (301) 852-5383
Photo of Julie Bindeman, PsyD, Psychologist
Julie Bindeman
Psychologist, PsyD
Verified Verified
14 Endorsed
Rockville, MD 20852
My specialty is centered around those who are undergoing reproductive challenges including struggling to become pregnant, stay pregnant, or adjust post-pregnancy. Whether I'm working with an individual, couple, or a group, I continually seek out feedback as to how treatment is progressing for them. Therapy should be an effective collaborative effort. Additionally, I'm certified in EMDR which helps to alleviate what might be stuck in the body so that the mind can heal.
My specialty is centered around those who are undergoing reproductive challenges including struggling to become pregnant, stay pregnant, or adjust post-pregnancy. Whether I'm working with an individual, couple, or a group, I continually seek out feedback as to how treatment is progressing for them. Therapy should be an effective collaborative effort. Additionally, I'm certified in EMDR which helps to alleviate what might be stuck in the body so that the mind can heal.
(301) 246-0980 View (301) 246-0980
Photo of Katharina Von Gersdorff, MS, LCPC, Counselor
Katharina Von Gersdorff
Counselor, MS, LCPC
Verified Verified
Rockville, MD 20852
TELETHERAPY AVAILABLE. I enjoy working with adolescents, adults, couples, children and families who are facing a challenge and are looking for support. My experience in clinical practice allows me to assist with goal directed activities and work to achieve significant changes. A large part of my work is helping clients manage their anxiety or depression and to take concrete steps towards a more positive future. We work together to accomplish goals that the client has chosen to gain a greater understanding of themselves and their behaviors.We focus on changing relationship dynamics and learning new coping skills.
TELETHERAPY AVAILABLE. I enjoy working with adolescents, adults, couples, children and families who are facing a challenge and are looking for support. My experience in clinical practice allows me to assist with goal directed activities and work to achieve significant changes. A large part of my work is helping clients manage their anxiety or depression and to take concrete steps towards a more positive future. We work together to accomplish goals that the client has chosen to gain a greater understanding of themselves and their behaviors.We focus on changing relationship dynamics and learning new coping skills.
(301) 804-2350 View (301) 804-2350
Photo of Ginny Kurilla, PhD, LPC, Licensed Professional Counselor
Ginny Kurilla
Licensed Professional Counselor, PhD, LPC
Verified Verified
Rockville, MD 20852  (Online Only)
Not accepting new clients
There are times when life stressors and personal problems feel insurmountable and too much to handle. It happens to the best of us. You may feel frustrated, anxious, confused, and depressed. You may also feel unsure who to turn to and confide in about your concerns. Issues such as these will eventually serve to isolate you further and grow into greater problems over time.
There are times when life stressors and personal problems feel insurmountable and too much to handle. It happens to the best of us. You may feel frustrated, anxious, confused, and depressed. You may also feel unsure who to turn to and confide in about your concerns. Issues such as these will eventually serve to isolate you further and grow into greater problems over time.
(202) 499-6672 View (202) 499-6672

How does your Therapist compare?

Number of Therapists in 20852

400+

Average cost per session

$178

Therapists in 20852 who prioritize treating:

96% Anxiety
91% Depression
81% Self Esteem
80% Relationship Issues
73% Coping Skills
67% Trauma and PTSD
66% Stress

Average years in practice

14 Years

Top 3 insurances accepted

74% CareFirst
73% BlueCross and BlueShield
63% Cigna and Evernorth

How Therapists in 20852 see their clients

67% In Person and Online
33% Online Only

Gender breakdown

87% Female
12% Male
1% Non-Binary
FAQs - About Therapy and Counseling

How can I find a therapist in 20852?

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.