Photo of Scott Smith, PhD, Psychologist
Scott Smith
Psychologist, PhD
Verified Verified
Arnold, MD 21012
Dr Scott Smith, PhD, is a clinical psychologist with over 25 years experience working with children, adolescents, and adults. He is a native of Severna Park and attended local schools. While at Severna Park High School he graduated with honors, captained the football team and was recognized by the National Football Foundation Scholar-Athlete. Dr. Smith attended college at Washington and Lee University where he majored in psychology and minored in journalism. He was captain of the football team, awarded an ROTC scholarship, and selected as the Outstanding Psychology Student his senior year.
Dr Scott Smith, PhD, is a clinical psychologist with over 25 years experience working with children, adolescents, and adults. He is a native of Severna Park and attended local schools. While at Severna Park High School he graduated with honors, captained the football team and was recognized by the National Football Foundation Scholar-Athlete. Dr. Smith attended college at Washington and Lee University where he majored in psychology and minored in journalism. He was captain of the football team, awarded an ROTC scholarship, and selected as the Outstanding Psychology Student his senior year.
(443) 323-1683 View (443) 323-1683
Photo of Anna Batyan, LGPC,  LPC-R, Counselor
Anna Batyan
Counselor, LGPC, LPC-R
Verified Verified
Arnold, MD 21012
Anna Batyan is a Licensed Graduate Professional Counselor in Maryland who has been practicing since 2019. She earned a Bachelor’s Degree in Psychology and Master’s Degree in Clinical Mental Health Counseling, both of which she completed with excellence at George Mason University. Anna brings a wealth of experience in working at different levels of care with diverse populations struggling with a range of mental health issues, including anxiety, depression, substance use, eating disorders, OCD, ADD/ADHD, and co-occurring diagnosis.
Anna Batyan is a Licensed Graduate Professional Counselor in Maryland who has been practicing since 2019. She earned a Bachelor’s Degree in Psychology and Master’s Degree in Clinical Mental Health Counseling, both of which she completed with excellence at George Mason University. Anna brings a wealth of experience in working at different levels of care with diverse populations struggling with a range of mental health issues, including anxiety, depression, substance use, eating disorders, OCD, ADD/ADHD, and co-occurring diagnosis.
(443) 360-3920 View (443) 360-3920
Photo of Shannon Harig-Blaine, LCSW-C, Clinical Social Work/Therapist
Shannon Harig-Blaine
Clinical Social Work/Therapist, LCSW-C
Verified Verified
Arnold, MD 21012  (Online Only)
Hi! I am an experienced clinician that has focused my career on emotional health. I am person-focused meaning I will spend the time necessary to get to know you and what you are wanting to focus on and change. I practice under the fundamental knowledge and research that emotions are important and necessary as they are communicating needs that are not being met in a person's life. Our job together will be to discover what your emotions are communicating as well as how to get into routine practice of taking care of your overall health. I love my work and look forward to working with you!
Hi! I am an experienced clinician that has focused my career on emotional health. I am person-focused meaning I will spend the time necessary to get to know you and what you are wanting to focus on and change. I practice under the fundamental knowledge and research that emotions are important and necessary as they are communicating needs that are not being met in a person's life. Our job together will be to discover what your emotions are communicating as well as how to get into routine practice of taking care of your overall health. I love my work and look forward to working with you!
(410) 793-7201 View (410) 793-7201
Photo of James M Ballard III, PhD, Psychologist
James M Ballard III
Psychologist, PhD
Verified Verified
Arnold, MD 21012
Are you a performing artist and/or an athlete weighed down by life and its challenges? You know there's more inside you - music, lyrics, creativity, athletic and rhythmic expression - but your mind is busy or your body physically paused? All-county/-district, all-metro, or all-state athletes can experience social-emotional challenges. Similarly, lyricists or writers can experience creative blocks and singers and dancers cope with performance anxiety. Even bands, groups, and teams can experience interpersonal conflict.
Are you a performing artist and/or an athlete weighed down by life and its challenges? You know there's more inside you - music, lyrics, creativity, athletic and rhythmic expression - but your mind is busy or your body physically paused? All-county/-district, all-metro, or all-state athletes can experience social-emotional challenges. Similarly, lyricists or writers can experience creative blocks and singers and dancers cope with performance anxiety. Even bands, groups, and teams can experience interpersonal conflict.
(443) 843-0711 View (443) 843-0711
Photo of Meredith Roberts, LCPC
Meredith Roberts
Licensed Clinical Professional Counselor, LCPC
Verified Verified
Arnold, MD 21012  (Online Only)
Meredith is a License Clinical Professional Counselor (LCPC) who is passionate about working with those seeking extra support on their journey. She is certified in Trauma Focused Cognitive Behavioral Therapy (TF-CBT) and has received training on other modalities such as play therapy, EMDR, PCIT, and utilizes a personalized approach for each client. Meredith received her training in a trauma clinic focused on child maltreatment, which allows her to understand trauma in a thorough and complex way, both with the individual, but also through the systems connected such as family, social services, schools, medical, and legal system.
Meredith is a License Clinical Professional Counselor (LCPC) who is passionate about working with those seeking extra support on their journey. She is certified in Trauma Focused Cognitive Behavioral Therapy (TF-CBT) and has received training on other modalities such as play therapy, EMDR, PCIT, and utilizes a personalized approach for each client. Meredith received her training in a trauma clinic focused on child maltreatment, which allows her to understand trauma in a thorough and complex way, both with the individual, but also through the systems connected such as family, social services, schools, medical, and legal system.
(443) 381-6497 View (443) 381-6497
Photo of Jen Dugan, MSMFT, LCMFT, Marriage & Family Therapist
Jen Dugan
Marriage & Family Therapist, MSMFT, LCMFT
Verified Verified
Arnold, MD 21012
When meeting any client, I am excited to hear their stories and join them on their journey. I love supporting individuals and families who are growing and changing and adjusting, as this is a significant and intense time. Transition in any form is something that I love to focus on, because with transition, comes growth. Sometimes a helping hand is the most useful. Contact me to find out about my in-home services
When meeting any client, I am excited to hear their stories and join them on their journey. I love supporting individuals and families who are growing and changing and adjusting, as this is a significant and intense time. Transition in any form is something that I love to focus on, because with transition, comes growth. Sometimes a helping hand is the most useful. Contact me to find out about my in-home services
(410) 871-8850 View (410) 871-8850
Photo of Kimberly Gillette, LCSW-C, Clinical Social Work/Therapist
Kimberly Gillette
Clinical Social Work/Therapist, LCSW-C
Verified Verified
3 Endorsed
Arnold, MD 21012
Are you an adolescent or young adult in need of extra support around gender identity, sexuality, and/or mental health issues? Are you looking to explore your identity and for guidance around transitioning to your full self? If you are a parent, are you are struggling with how to help your child through the process or with managing your own ambivalence or fears? Perhaps you feel stuck or overwhelmed and need help navigating the impasse and could benefit from strategies to improve your relationships, employment, or quality of life because of depression or anxiety. Sometimes we just need a little extra encouragement and validation.
Are you an adolescent or young adult in need of extra support around gender identity, sexuality, and/or mental health issues? Are you looking to explore your identity and for guidance around transitioning to your full self? If you are a parent, are you are struggling with how to help your child through the process or with managing your own ambivalence or fears? Perhaps you feel stuck or overwhelmed and need help navigating the impasse and could benefit from strategies to improve your relationships, employment, or quality of life because of depression or anxiety. Sometimes we just need a little extra encouragement and validation.
(240) 201-2166 View (240) 201-2166
Photo of Carol H Corcoran, LCMFT, LMFT, Marriage & Family Therapist
Carol H Corcoran
Marriage & Family Therapist, LCMFT, LMFT
Verified Verified
Arnold, MD 21012  (Online Only)
My passion is helping couples and family members deeply connect with Emotionally Focused Therapy which has a 70-90% success rate.
My passion is helping couples and family members deeply connect with Emotionally Focused Therapy which has a 70-90% success rate.
(443) 543-8417 View (443) 543-8417
Photo of Devin Kiessling, LCSW, LSW, Clinical Social Work/Therapist
Devin Kiessling
Clinical Social Work/Therapist, LCSW, LSW
Verified Verified
Arnold, MD 21012
Devin Kiessling is a Licensed Certified Social Worker Clinical (LCSW-C). He is a graduate of the University of Maryland, Baltimore School of Social Work where he received his Master of Social Work with a clinical concentration in behavioral health. During his time at UMB, he completed two internships, the second of which was an international placement where he lived, interned, and studied in Kochi, Kerala, India. Devin has experience working with children and adolescents with multiple issues including behavioral problems such as ADHD, depression, anxiety, trauma, and stress related disorders.
Devin Kiessling is a Licensed Certified Social Worker Clinical (LCSW-C). He is a graduate of the University of Maryland, Baltimore School of Social Work where he received his Master of Social Work with a clinical concentration in behavioral health. During his time at UMB, he completed two internships, the second of which was an international placement where he lived, interned, and studied in Kochi, Kerala, India. Devin has experience working with children and adolescents with multiple issues including behavioral problems such as ADHD, depression, anxiety, trauma, and stress related disorders.
(443) 233-0831 View (443) 233-0831
Photo of Dr. Alysia M. Sierra, PsyD, Psychologist
Dr. Alysia M. Sierra
Psychologist, PsyD
Verified Verified
3 Endorsed
Arnold, MD 21012  (Online Only)
You're here because you've tried talking to friends and family; you've tried self-help books and podcasts; you've tried meditation and exercise…you’ve maybe even tried therapy before. You've tried to do it alone. And yet, here you are still struggling with anxiety or your mood; struggling with your relationships; struggling as a parent; struggling in your profession, your sport or your craft. Your worries don’t stop, you imagine the worst, somehow you never feel good enough no matter what you accomplish. You are not alone! More importantly, it’s not your fault! I have been there as have all of my clients.
You're here because you've tried talking to friends and family; you've tried self-help books and podcasts; you've tried meditation and exercise…you’ve maybe even tried therapy before. You've tried to do it alone. And yet, here you are still struggling with anxiety or your mood; struggling with your relationships; struggling as a parent; struggling in your profession, your sport or your craft. Your worries don’t stop, you imagine the worst, somehow you never feel good enough no matter what you accomplish. You are not alone! More importantly, it’s not your fault! I have been there as have all of my clients.
(410) 421-7178 View (410) 421-7178
Photo of Ilana Posner, MSW, LMSW, Clinical Social Work/Therapist
Ilana Posner
Clinical Social Work/Therapist, MSW, LMSW
Verified Verified
Arnold, MD 21012
Have you experienced chronic pain or chronic illness that took years to diagnose? Or are you struggling with an invisible illness and still seeking the validation of a diagnosis/treatment plan? I know the road to a diagnosis & living with a diagnosis can be isolating, invalidating, stressful, & traumatic. As a Certified Health Coach and Trauma-Informed Therapist, I utilize EMDR, parts work, and Motivational Interviewing to access & reprocess traumatic memories/experiences so they no longer rule our lives, while finding ways to create and maintain lifestyle habits that work for you.
Have you experienced chronic pain or chronic illness that took years to diagnose? Or are you struggling with an invisible illness and still seeking the validation of a diagnosis/treatment plan? I know the road to a diagnosis & living with a diagnosis can be isolating, invalidating, stressful, & traumatic. As a Certified Health Coach and Trauma-Informed Therapist, I utilize EMDR, parts work, and Motivational Interviewing to access & reprocess traumatic memories/experiences so they no longer rule our lives, while finding ways to create and maintain lifestyle habits that work for you.
(443) 342-3692 View (443) 342-3692
Photo of Heather Joy Silver And The Silverleaf Counseling Crew, LCSW-C, CPLC, Clinical Social Work/Therapist
Heather Joy Silver And The Silverleaf Counseling Crew
Clinical Social Work/Therapist, LCSW-C, CPLC
Verified Verified
1 Endorsed
Arnold, MD 21012
Have you been devastated by miscarriage, stillbirth or the death of a baby? Are you struggling with perinatal or postpartum depression? Are you having a hard time with a subsequent pregnancy after a loss? Have you received a pregnancy diagnosis of a life-threatening illness. I assist parents with difficult decision making and counseling through a difficult journey. With any type of grief there are challenges, different grieving styles, and communication. I am honored to come alongside families at their most difficult times and help them find hope, establish goals, and help advocate for their wants, needs, and wishes.
Have you been devastated by miscarriage, stillbirth or the death of a baby? Are you struggling with perinatal or postpartum depression? Are you having a hard time with a subsequent pregnancy after a loss? Have you received a pregnancy diagnosis of a life-threatening illness. I assist parents with difficult decision making and counseling through a difficult journey. With any type of grief there are challenges, different grieving styles, and communication. I am honored to come alongside families at their most difficult times and help them find hope, establish goals, and help advocate for their wants, needs, and wishes.
(410) 782-3575 View (410) 782-3575
Photo of Jamie Christy, LCSW-C, Clinical Social Work/Therapist
Jamie Christy
Clinical Social Work/Therapist, LCSW-C
Verified Verified
1 Endorsed
Arnold, MD 21012  (Online Only)
As a therapist, I specialize in complex trauma work. My clients typically want to build safe and authentic relationships with themself and others. I understand how important it is to be seen and heard by your therapist; I work to meet you where you are and understand your life through your perspective. I want to assist you to use your innate strengths to meet your needs in an environment where you can be free to express yourself without fear of judgement.
As a therapist, I specialize in complex trauma work. My clients typically want to build safe and authentic relationships with themself and others. I understand how important it is to be seen and heard by your therapist; I work to meet you where you are and understand your life through your perspective. I want to assist you to use your innate strengths to meet your needs in an environment where you can be free to express yourself without fear of judgement.
(667) 226-0048 View (667) 226-0048
Photo of Kyle Brent Johnson, PhD, LP, Psychologist
Kyle Brent Johnson
Psychologist, PhD, LP
Verified Verified
Arnold, MD 21012
Waitlist for new clients
I have experience working with individuals with a diverse set of present concerns including Autism Spectrum Disorder, grief, depression, anxiety, and developmental disorders. I also provide assessments for children, adolescences, and adults facing a variety of learning, cognitive and social/emotional difficulties. I work with clients from children to adults. I utilize an integrative approach with a focus on using play-based techniques with younger children.
I have experience working with individuals with a diverse set of present concerns including Autism Spectrum Disorder, grief, depression, anxiety, and developmental disorders. I also provide assessments for children, adolescences, and adults facing a variety of learning, cognitive and social/emotional difficulties. I work with clients from children to adults. I utilize an integrative approach with a focus on using play-based techniques with younger children.
(410) 981-9093 View (410) 981-9093
Photo of Laurie Scheidle, PsyD, Psychologist
Laurie Scheidle
Psychologist, PsyD
Verified Verified
Arnold, MD 21012
Laurie has been practicing as a licensed clinical psychologist since 2011. Over the years she has learned that each individual she has had the honor to serve has been just that “ an individual, unlike any other. There is no cookie cutter approach to psychotherapy. The therapeutic services she provides is catered to each person, based on their goals, values, and capabilities as well as evidence-based research.
Laurie has been practicing as a licensed clinical psychologist since 2011. Over the years she has learned that each individual she has had the honor to serve has been just that “ an individual, unlike any other. There is no cookie cutter approach to psychotherapy. The therapeutic services she provides is catered to each person, based on their goals, values, and capabilities as well as evidence-based research.
(443) 888-2146 View (443) 888-2146
Photo of Angelica Shiels, PsyD, Psychologist
Angelica Shiels
Psychologist, PsyD
Verified Verified
Arnold, MD 21012
Hi! Find me on TikTok at dr..angelica.shie , where I discuss attachment styles, family systems, child development, communication, emotional regulation, and attunement. My associate, Amanda, is immediately available for relationship consultation! Check out the couples workshop tab at marylandfamilypsychology.com
Hi! Find me on TikTok at dr..angelica.shie , where I discuss attachment styles, family systems, child development, communication, emotional regulation, and attunement. My associate, Amanda, is immediately available for relationship consultation! Check out the couples workshop tab at marylandfamilypsychology.com
(240) 468-4773 View (240) 468-4773
Photo of T.j. Jones-Rouse, LCSW-C, Clinical Social Work/Therapist
T.j. Jones-Rouse
Clinical Social Work/Therapist, LCSW-C
Verified Verified
Arnold, MD 21012
Waitlist for new clients
Over the course of my career I have become increasingly aware of a demand in the community for Sex Therapy, and have decided to recalibrate my practice accordingly. I am engaged in a comprehensive training program facilitated by the Sexual Health Alliance on my path to becoming an AASECT-certified Sex Therapist. My background in substance abuse and trauma has largely informed this decision. I continue to serve individuals seeking to manage compulsive behaviors, AD(H)D, anxiety disorders, and mood symptoms through this transition to a sex-centered practice.
Over the course of my career I have become increasingly aware of a demand in the community for Sex Therapy, and have decided to recalibrate my practice accordingly. I am engaged in a comprehensive training program facilitated by the Sexual Health Alliance on my path to becoming an AASECT-certified Sex Therapist. My background in substance abuse and trauma has largely informed this decision. I continue to serve individuals seeking to manage compulsive behaviors, AD(H)D, anxiety disorders, and mood symptoms through this transition to a sex-centered practice.
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Photo of Jaime E Harn - Healing Harbor Psychotherapy, LCPC, Counselor
Healing Harbor Psychotherapy
Counselor, LCPC
Verified Verified
Arnold, MD 21012
As dedicated trauma therapists, we are here to support you through challenging times and help you heal from past experiences. Specializing in complex traumatic stress disorder (CPTSD) and post-traumatic stress disorder (PTSD), we provide a safe and confidential space where you can share your experiences and work towards healing. With compassion and expertise, we aim to guide you towards a brighter and more fulfilling future. Together, we can achieve lasting transformation and well-being.
As dedicated trauma therapists, we are here to support you through challenging times and help you heal from past experiences. Specializing in complex traumatic stress disorder (CPTSD) and post-traumatic stress disorder (PTSD), we provide a safe and confidential space where you can share your experiences and work towards healing. With compassion and expertise, we aim to guide you towards a brighter and more fulfilling future. Together, we can achieve lasting transformation and well-being.
(443) 323-2739 View (443) 323-2739
Photo of Anthony Wolff, PhD, Psychologist
Anthony Wolff
Psychologist, PhD
Verified Verified
Arnold, MD 21012
Anthony B. Wolff, a licensed psychologist, earned his degree from McGill University. He also holds a Master of Science in Computer Systems, and has worked as a professional musician. Dr. Wolff is on the medical staff of Anne Arundel Medical Center and was formerly a consulting psychologist with Pathways Chemical Dependency Program. He previously was a Research Scientist at Gallaudet University, Project Director for Children’s Services in the New York State Office of Mental Health, Chief Psychologist at the Albany County (NY) Mental Health Clinic, and adjunct faculty member at the State University of New York at Albany.
Anthony B. Wolff, a licensed psychologist, earned his degree from McGill University. He also holds a Master of Science in Computer Systems, and has worked as a professional musician. Dr. Wolff is on the medical staff of Anne Arundel Medical Center and was formerly a consulting psychologist with Pathways Chemical Dependency Program. He previously was a Research Scientist at Gallaudet University, Project Director for Children’s Services in the New York State Office of Mental Health, Chief Psychologist at the Albany County (NY) Mental Health Clinic, and adjunct faculty member at the State University of New York at Albany.
(443) 290-5580 View (443) 290-5580
Photo of Jennifer Brady, LCPC, Counselor
Jennifer Brady
Counselor, LCPC
Verified Verified
3 Endorsed
Arnold, MD 21012
Are you doing all the things you're "supposed" to be doing, but can't seem to find joy and peace in them? Are you overwhelmed, burnt out and just over it all. Are you sick and tired of being sick and tired? Whether you're struggling with anxiety, depression, relationship issues, or simply seeking personal growth, I'm here to guide you towards a place of inner peace and contentment. I am dedicated to helping women build resilience, confidence, and a strong sense of self so they can lead more fulfilling lives. If you're ready to embark on a journey of self-exploration and healing, I am here to support you every step of the way.
Are you doing all the things you're "supposed" to be doing, but can't seem to find joy and peace in them? Are you overwhelmed, burnt out and just over it all. Are you sick and tired of being sick and tired? Whether you're struggling with anxiety, depression, relationship issues, or simply seeking personal growth, I'm here to guide you towards a place of inner peace and contentment. I am dedicated to helping women build resilience, confidence, and a strong sense of self so they can lead more fulfilling lives. If you're ready to embark on a journey of self-exploration and healing, I am here to support you every step of the way.
(410) 231-7147 View (410) 231-7147
1

How does your Therapist compare?

Number of Therapists in 21012

100+

Average cost per session

$150

Therapists in 21012 who prioritize treating:

95% Anxiety
90% Depression
74% Self Esteem
69% Relationship Issues
68% Trauma and PTSD
66% Coping Skills
66% Life Transitions

Average years in practice

14 Years

Top 3 insurances accepted

72% CareFirst
65% Cigna and Evernorth
64% BlueCross and BlueShield

How Therapists in 21012 see their clients

66% In Person and Online
34% Online Only

Gender breakdown

79% Female
21% Male
FAQs - About Therapy and Counseling

How can I find a therapist in 21012?

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.