Photo of Doha Chibani, LCSW-C, Clinical Social Work/Therapist
Doha Chibani
Clinical Social Work/Therapist, LCSW-C
Verified Verified
2 Endorsed
Silver Spring, MD 20904  (Online Only)
As your counselor my goal is to serve as your guide while you navigate through life's transitions. My goal is to guide you unpack the barriers that hinder you from reaching your potential. I tailor treatment to meet your needs and will work collaboratively with you to move forward. I have experience working with clients from all backgrounds and experiences and I specialize in working with the LGB, Trans and Non binary community, racial and ethnic minority identity exploration. I have experience helping heal the trauma experienced by refugees, asylees and immigrants, and from childhood abuse.
As your counselor my goal is to serve as your guide while you navigate through life's transitions. My goal is to guide you unpack the barriers that hinder you from reaching your potential. I tailor treatment to meet your needs and will work collaboratively with you to move forward. I have experience working with clients from all backgrounds and experiences and I specialize in working with the LGB, Trans and Non binary community, racial and ethnic minority identity exploration. I have experience helping heal the trauma experienced by refugees, asylees and immigrants, and from childhood abuse.
(301) 478-8859 View (301) 478-8859
Photo of Dr. Hannah Gilfix, PhD, Psychologist
Dr. Hannah Gilfix
Psychologist, PhD
Verified Verified
3 Endorsed
Silver Spring, MD 20904  (Online Only)
Are you a young professional, college student, or millennial struggling with the pressures of everyday life while also battling intrusive thoughts, obsessions and compulsions, or past traumas? Do you lay in bed thinking about all the choices you made today or worrying about other people’s opinions? Or maybe you're trying juggle excelling in your career, maintaining friendships, attending countless social events, and navigating the complexities of dating apps. Wouldn't it be amazing to finally have the energy to accomplish your goals and stop feeling stuck all the time? It doesn't have to be this hard. With therapy, I can help you.
Are you a young professional, college student, or millennial struggling with the pressures of everyday life while also battling intrusive thoughts, obsessions and compulsions, or past traumas? Do you lay in bed thinking about all the choices you made today or worrying about other people’s opinions? Or maybe you're trying juggle excelling in your career, maintaining friendships, attending countless social events, and navigating the complexities of dating apps. Wouldn't it be amazing to finally have the energy to accomplish your goals and stop feeling stuck all the time? It doesn't have to be this hard. With therapy, I can help you.
(952) 592-6220 View (952) 592-6220
Photo of Maggie McGuire, PsyD, Psychologist
Maggie McGuire
Psychologist, PsyD
Verified Verified
1 Endorsed
Silver Spring, MD 20904  (Online Only)
Choosing the right therapist may feel like an overwhelming, daunting, yet rewarding task. I will do my best to tailor each therapy experience to your specific needs by creating a warm, empathic, and trusting relationship. I view therapy as an opportunity to work collaboratively with you in order to allow you to uncover your own strengths, explore issues through a new perspective, and effectively manage your thoughts and emotions.
Choosing the right therapist may feel like an overwhelming, daunting, yet rewarding task. I will do my best to tailor each therapy experience to your specific needs by creating a warm, empathic, and trusting relationship. I view therapy as an opportunity to work collaboratively with you in order to allow you to uncover your own strengths, explore issues through a new perspective, and effectively manage your thoughts and emotions.
(301) 381-5188 View (301) 381-5188
Photo of Toyosi Ajayi, MA, LGPC , Counselor
Toyosi Ajayi
Counselor, MA, LGPC
Verified Verified
Silver Spring, MD 20904  (Online Only)
Not accepting new clients
This is for you! In life, we have various roles and responsibilities that stretch us thin. Therapy is the one safe space that is catered to you. We focus on the natural unique strengths and capabilities we all have to help you on your journey to healing. In your personalized sessions, we aim to be genuine while fostering a space of comfort, humor, empathy, and growth. While we embark on your journey we will prioritize progress, not perfection. As a therapist working for Yvonna Love and Associates, we have been trained in Strengths Perspective, Cognitive- Behavioral Therapy, Multicultural Counseling, and Trauma Informed Therapy.
This is for you! In life, we have various roles and responsibilities that stretch us thin. Therapy is the one safe space that is catered to you. We focus on the natural unique strengths and capabilities we all have to help you on your journey to healing. In your personalized sessions, we aim to be genuine while fostering a space of comfort, humor, empathy, and growth. While we embark on your journey we will prioritize progress, not perfection. As a therapist working for Yvonna Love and Associates, we have been trained in Strengths Perspective, Cognitive- Behavioral Therapy, Multicultural Counseling, and Trauma Informed Therapy.
(240) 384-5812 View (240) 384-5812
Photo of Katie Culbertson, LMSW, Clinical Social Work/Therapist
Katie Culbertson
Clinical Social Work/Therapist, LMSW
Verified Verified
1 Endorsed
Silver Spring, MD 20904
My focus in therapy is to meet clients where they are and help them get to where they want to be. I believe this begins with providing a supportive and trusting relationship where clients feel comfortable to share and explore their experiences. I enjoy working collaboratively with clients to help them navigate through challenges and develop a deeper understanding of themselves and their strengths.
My focus in therapy is to meet clients where they are and help them get to where they want to be. I believe this begins with providing a supportive and trusting relationship where clients feel comfortable to share and explore their experiences. I enjoy working collaboratively with clients to help them navigate through challenges and develop a deeper understanding of themselves and their strengths.
(301) 349-1631 View (301) 349-1631
Photo of Dr. Maura Mulloy, PhD, Psychologist
Dr. Maura Mulloy
Psychologist, PhD
Verified Verified
Silver Spring, MD 20904  (Online Only)
You are already taking an important step towards feeling better, just by reaching out for support. You might be struggling to manage anxiety or depression, feeling burnt-out by the demands of work and family life, and/or coping with a neurodivergent brain in a neurotypical world. You yearn to feel understood and appreciated for who you are, and to feel release from the self-judgment that weighs heavily in your mind and heart. You may be hoping for more resilient ways of handling stress, a better ability to set boundaries to protect your energy, or help with strengthening your motivation for positive change.
You are already taking an important step towards feeling better, just by reaching out for support. You might be struggling to manage anxiety or depression, feeling burnt-out by the demands of work and family life, and/or coping with a neurodivergent brain in a neurotypical world. You yearn to feel understood and appreciated for who you are, and to feel release from the self-judgment that weighs heavily in your mind and heart. You may be hoping for more resilient ways of handling stress, a better ability to set boundaries to protect your energy, or help with strengthening your motivation for positive change.
(301) 786-3994 View (301) 786-3994
Photo of Shana Jones - Sport And Performance Psychology, LCPC, Counselor
Shana Jones - Sport And Performance Psychology
Counselor, LCPC
Verified Verified
Silver Spring, MD 20904  (Online Only)
In my practice I work to provide performance enhancement and mental health services to athletes, performers, and first responders. Although your daily routine may already include physical training, I believe it is just as important to train mental skills for holistic wellness and performance. In efforts to support my clients common topics discussed in session include: confidence, anxiety, injury and return to play, stress management, communication, recruiting, relationship dynamics, relaxation, focus, performing with pressure, and self-talk.
In my practice I work to provide performance enhancement and mental health services to athletes, performers, and first responders. Although your daily routine may already include physical training, I believe it is just as important to train mental skills for holistic wellness and performance. In efforts to support my clients common topics discussed in session include: confidence, anxiety, injury and return to play, stress management, communication, recruiting, relationship dynamics, relaxation, focus, performing with pressure, and self-talk.
(301) 750-1653 View (301) 750-1653
Photo of Rebecca Peffer, LCSW-C, Clinical Social Work/Therapist
Rebecca Peffer
Clinical Social Work/Therapist, LCSW-C
Verified Verified
1 Endorsed
Silver Spring, MD 20904
Whether it’s anxiety, depression, stress, or your own self-doubt that you feel is holding you back in life, I am here to help you navigate it. My goal is to offer a safe, judgment-free environment for individuals to explore their authentic selves and discover their own strength and resiliency. I believe that everyone has the capacity for growth and change, and I am passionate about helping people learn tools to overcome barriers and reach their highest potential.
Whether it’s anxiety, depression, stress, or your own self-doubt that you feel is holding you back in life, I am here to help you navigate it. My goal is to offer a safe, judgment-free environment for individuals to explore their authentic selves and discover their own strength and resiliency. I believe that everyone has the capacity for growth and change, and I am passionate about helping people learn tools to overcome barriers and reach their highest potential.
(301) 273-7419 View (301) 273-7419
Elite Performance Psychology- Sport Psychology
Psychologist
Verified Verified
Silver Spring, MD 20904  (Online Only)
Our practice focuses on providing performance and mental health services to athletes, performers and first responders. Our providers have years of experiences working with professional, collegiate and club athletes as well as performers and first responders. We work with you to help you become elite in your field. Common reasons that our clients reach out to us include building strategies to overcome performance anxiety, return to play from injury, increase confidence and focus and build skills to perform in high stress situations. We want to help you improve by building your mental game.
Our practice focuses on providing performance and mental health services to athletes, performers and first responders. Our providers have years of experiences working with professional, collegiate and club athletes as well as performers and first responders. We work with you to help you become elite in your field. Common reasons that our clients reach out to us include building strategies to overcome performance anxiety, return to play from injury, increase confidence and focus and build skills to perform in high stress situations. We want to help you improve by building your mental game.
(301) 750-1532 View (301) 750-1532
Photo of Natasha Deen, LCPC, NCC, Counselor
Natasha Deen
Counselor, LCPC, NCC
Verified Verified
4 Endorsed
Silver Spring, MD 20904  (Online Only)
You’re feeling overwhelmed with life’s struggles and want to feel heard, seen, and understood. Your identities and history of marginalization impact how you move through the world and can make living an authentic, fulfilling life seemingly impossible. Your unique lived experiences can leave you feeling misunderstood, alone, and plagued with worry. You might have trouble sleeping or concentrating, and you feel guilty, shameful, and irritable. Becoming your most empowered and confident self comes with challenges, and may come with isolation and other relationship changes.
You’re feeling overwhelmed with life’s struggles and want to feel heard, seen, and understood. Your identities and history of marginalization impact how you move through the world and can make living an authentic, fulfilling life seemingly impossible. Your unique lived experiences can leave you feeling misunderstood, alone, and plagued with worry. You might have trouble sleeping or concentrating, and you feel guilty, shameful, and irritable. Becoming your most empowered and confident self comes with challenges, and may come with isolation and other relationship changes.
(301) 889-9624 View (301) 889-9624
Photo of Jeannette Mwangacucu - M Mental Health and Wellness Plus, LCSW-C, LICSW, Clinical Social Work/Therapist
M Mental Health and Wellness Plus
Clinical Social Work/Therapist, LCSW-C, LICSW
Verified Verified
Silver Spring, MD 20904
I believe in the inseparable aspects of mental wellness and healthy lifestyle changes as each complements the other. We offer a blend of therapeutic services aimed at integrating mental health techniques with lifestyle changes. I work with parents with children with behavioral problems and attend EIP meetings to support parents. The program offers medication management.
I believe in the inseparable aspects of mental wellness and healthy lifestyle changes as each complements the other. We offer a blend of therapeutic services aimed at integrating mental health techniques with lifestyle changes. I work with parents with children with behavioral problems and attend EIP meetings to support parents. The program offers medication management.
(301) 918-5349 View (301) 918-5349
Photo of Marcia C Tindall, LCPC, Counselor
Marcia C Tindall
Counselor, LCPC
Verified Verified
1 Endorsed
Silver Spring, MD 20904  (Online Only)
Not accepting new clients
What brought you to this site? Perhaps you are distressed about a relationship or something from the past. Maybe you feel stuck in certain ways of behaving. Or do you long to set aside time to gain clarity about your life, who you want to be in this journey? Sometimes we know exactly where we are going, how we want to get there, who is going with us. At other times we feel lost, in need of new maps or less baggage, or a better connection to our traveling companions. Therapy can help you feel more genuine, effective, creative and resilient.
What brought you to this site? Perhaps you are distressed about a relationship or something from the past. Maybe you feel stuck in certain ways of behaving. Or do you long to set aside time to gain clarity about your life, who you want to be in this journey? Sometimes we know exactly where we are going, how we want to get there, who is going with us. At other times we feel lost, in need of new maps or less baggage, or a better connection to our traveling companions. Therapy can help you feel more genuine, effective, creative and resilient.
(410) 709-3952 View (410) 709-3952
Photo of Rosemary Moulton, MSW, LCSW, Clinical Social Work/Therapist
Rosemary Moulton
Clinical Social Work/Therapist, MSW, LCSW
Verified Verified
1 Endorsed
Silver Spring, MD 20904  (Online Only)
Have you felt misunderstood because of your sexual orientation, lifestyle, age, disability, or nonconforming body? Have you tried traditional psychotherapy and been disappointed with results? Since 2006, I have provided services to adults and seniors dealing with a wide array of issues. I help people arrive at their own answers and live their most authentic lives using the power of a therapeutic, healing relationship. I help lead people through difficult territory and highlight their successes as they align their lives with their truths. Do you want to change your life but don't know where to start?
Have you felt misunderstood because of your sexual orientation, lifestyle, age, disability, or nonconforming body? Have you tried traditional psychotherapy and been disappointed with results? Since 2006, I have provided services to adults and seniors dealing with a wide array of issues. I help people arrive at their own answers and live their most authentic lives using the power of a therapeutic, healing relationship. I help lead people through difficult territory and highlight their successes as they align their lives with their truths. Do you want to change your life but don't know where to start?
(703) 991-1034 View (703) 991-1034
Photo of David L Hill - David L Hill & Associates, LCSW-C, SAP, LICSW, Clinical Social Work/Therapist
David L Hill & Associates
Clinical Social Work/Therapist, LCSW-C, SAP, LICSW
Verified Verified
Silver Spring, MD 20904  (Online Only)
Are you struggling with addiction, grief and loss, trauma, anxiety and depression? Do you feel alone? Do you feel stuck in your life? Are you looking for help navigating life, looking for help escaping the past trauma holding you back? Problems show up and people try their best to cope. I can help you navigate your thoughts and feelings.
Are you struggling with addiction, grief and loss, trauma, anxiety and depression? Do you feel alone? Do you feel stuck in your life? Are you looking for help navigating life, looking for help escaping the past trauma holding you back? Problems show up and people try their best to cope. I can help you navigate your thoughts and feelings.
(301) 888-6130 View (301) 888-6130
Shalom Shapiro
Psychologist, PsyD
Verified Verified
Silver Spring, MD 20904  (Online Only)
I am a licensed psychologist in Maryland and have broad experience helping individuals with both cognitive- and emotional concerns. At GY Counseling, I am prepared to help patients address a range of issues, including anxiety, depression, stress, ADHD, relationships, feelings of ineffectiveness and underachievement, and sleep. The treatment process begins with an initial session that focuses on clarifying the patient's goals and establishing a treatment plan. Throughout the process, I emphasize the client-therapist relationship, a goal-oriented approach, listening and respect, and collaboration.
I am a licensed psychologist in Maryland and have broad experience helping individuals with both cognitive- and emotional concerns. At GY Counseling, I am prepared to help patients address a range of issues, including anxiety, depression, stress, ADHD, relationships, feelings of ineffectiveness and underachievement, and sleep. The treatment process begins with an initial session that focuses on clarifying the patient's goals and establishing a treatment plan. Throughout the process, I emphasize the client-therapist relationship, a goal-oriented approach, listening and respect, and collaboration.
(301) 281-4697 View (301) 281-4697
Photo of Julie Murphy, PhD, Psychologist
Julie Murphy
Psychologist, PhD
Verified Verified
1 Endorsed
Silver Spring, MD 20904
Not accepting new clients
If you are exploring your identity, making a transition, or coping with negative moods or experiences that you can't change on your own, it is a brave and impressive decision to seek therapy. My years of experience have allowed me to witness the power, hope, and change that can come through therapy that creates a safe, warm, and confidential environment for growth. I provide individuals and couples therapy that focuses on strengths, empowerment, relational change, and healthy strategies for coping with oppression and trauma.
If you are exploring your identity, making a transition, or coping with negative moods or experiences that you can't change on your own, it is a brave and impressive decision to seek therapy. My years of experience have allowed me to witness the power, hope, and change that can come through therapy that creates a safe, warm, and confidential environment for growth. I provide individuals and couples therapy that focuses on strengths, empowerment, relational change, and healthy strategies for coping with oppression and trauma.
(240) 392-6302 View (240) 392-6302
Photo of Donna Mason Mitchell - Wellspring Restorative Therapy Services, LLC, LCPC, MBA, GC-C, Supervi
Wellspring Restorative Therapy Services, LLC
Licensed Clinical Professional Counselor, LCPC, MBA, GC-C, Supervi
Verified Verified
1 Endorsed
Silver Spring, MD 20904  (Online Only)
We can assist clients with healing based on trauma (including childhood, sexual, PTSD), grief, and other mental health issues through a holistic approach of treating mind, body and spirit. We help children, Adolescents and Adults with Anxiety Disorders, Bi-Polar Disorders, Conduct/Disruptive/Impulse-Control Disorders Depressive Disorders, Eating and Feeding Disorders, Death and Survivor Grief, Mood Disorders, and Trauma Disorders.
We can assist clients with healing based on trauma (including childhood, sexual, PTSD), grief, and other mental health issues through a holistic approach of treating mind, body and spirit. We help children, Adolescents and Adults with Anxiety Disorders, Bi-Polar Disorders, Conduct/Disruptive/Impulse-Control Disorders Depressive Disorders, Eating and Feeding Disorders, Death and Survivor Grief, Mood Disorders, and Trauma Disorders.
(240) 453-4723 View (240) 453-4723
Photo of Heather Lee Williams, MSW, LCSW-C, Clinical Social Work/Therapist
Heather Lee Williams
Clinical Social Work/Therapist, MSW, LCSW-C
Verified Verified
Silver Spring, MD 20904  (Online Only)
If you're worried about your future, struggling to stay positive, fed up with work, longing for more joy, wondering whether to stay or leave, irritated all the time: I can help you. You don't have to stay "stuck." We'll work together until you get clear and move forward. Over a long career I've helped hundreds of individuals, couples and families navigate difficult situations, painful losses - and even welcome, but (who knew?) surprisingly challenging successes: graduating; getting married; becoming a parent; finally landing a job. Find Testimonials to my help on my website, https://www.heatherwilliamslcsw-c.com.
If you're worried about your future, struggling to stay positive, fed up with work, longing for more joy, wondering whether to stay or leave, irritated all the time: I can help you. You don't have to stay "stuck." We'll work together until you get clear and move forward. Over a long career I've helped hundreds of individuals, couples and families navigate difficult situations, painful losses - and even welcome, but (who knew?) surprisingly challenging successes: graduating; getting married; becoming a parent; finally landing a job. Find Testimonials to my help on my website, https://www.heatherwilliamslcsw-c.com.
(240) 512-6269 View (240) 512-6269
Photo of Penny Zimmerman, LCSW-C, Clinical Social Work/Therapist
Penny Zimmerman
Clinical Social Work/Therapist, LCSW-C
Verified Verified
1 Endorsed
Silver Spring, MD 20904  (Online Only)
My clients are smart, successful people who want to create change in their lives. Does your life look good on paper, but you don't feel happy or fulfilled? Experiencing mild to moderate anxiety or depression? Maybe, like many, you suffered trauma, now interfering with your quality of life. You want insight and action, process and results, to feel and perform better. Maybe you are the concerned parent of a child, seeking help for emotional or behavior problems. You want a trusted therapist for your child who will include you in their treatment, and who will provide you with information and realistic strategies you can use at home.
My clients are smart, successful people who want to create change in their lives. Does your life look good on paper, but you don't feel happy or fulfilled? Experiencing mild to moderate anxiety or depression? Maybe, like many, you suffered trauma, now interfering with your quality of life. You want insight and action, process and results, to feel and perform better. Maybe you are the concerned parent of a child, seeking help for emotional or behavior problems. You want a trusted therapist for your child who will include you in their treatment, and who will provide you with information and realistic strategies you can use at home.
(301) 888-5343 View (301) 888-5343
Danielle Royo
Clinical Social Work/Therapist, LCSW
Verified Verified
Silver Spring, MD 20904
Feeling depressed or anxious or unable to manage stress? see individuals, groups and families. I specialize in helping people with depression, anxiety, relationship stress / divorce, setting appropriate boundaries, managing grief, and navigating stressful life events.
Feeling depressed or anxious or unable to manage stress? see individuals, groups and families. I specialize in helping people with depression, anxiety, relationship stress / divorce, setting appropriate boundaries, managing grief, and navigating stressful life events.
(240) 512-9116 View (240) 512-9116
1

How does your Therapist compare?

Number of Therapists in 20904

100+

Average cost per session

$150

Therapists in 20904 who prioritize treating:

91% Anxiety
89% Depression
75% Coping Skills
72% Relationship Issues
71% Self Esteem
64% Stress
62% Trauma and PTSD

Average years in practice

11 Years

Top 3 insurances accepted

82% CareFirst
71% BlueCross and BlueShield
67% Cigna and Evernorth

How Therapists in 20904 see their clients

50% In Person and Online
50% Online Only

Gender breakdown

80% Female
18% Male
2% Non-Binary
FAQs - About Therapy and Counseling

How can I find a therapist in 20904?

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.