Photo of Kevin Heinecke, MCMH, LGPC, Counselor
Kevin Heinecke
Counselor, MCMH, LGPC
Verified Verified
Forest Hill, MD 21050  (Online Only)
Being human comes with its challenges! Our brains and the thoughts they generate don't come with an instruction manual, making it tough to navigate. Often, our lack of understanding about what's going on within us creates the suffering we seek to escape.
Being human comes with its challenges! Our brains and the thoughts they generate don't come with an instruction manual, making it tough to navigate. Often, our lack of understanding about what's going on within us creates the suffering we seek to escape.
(443) 313-7251 View (443) 313-7251
Photo of Earlene M Williams, MEd, LCPC
Earlene M Williams
Licensed Clinical Professional Counselor, MEd, LCPC
Verified Verified
1 Endorsed
Forest Hill, MD 21050
I provide psychotherapy services to individuals. Treatment is individualized to clients' specific needs and I help to empower clients seeking to move forward, to achieve their wellness goals through a process of reflection and reasoning. I take a multicultural approach to treatment that considers racial and ethnic diversity as well as diversity in spirituality.
I provide psychotherapy services to individuals. Treatment is individualized to clients' specific needs and I help to empower clients seeking to move forward, to achieve their wellness goals through a process of reflection and reasoning. I take a multicultural approach to treatment that considers racial and ethnic diversity as well as diversity in spirituality.
(443) 879-7530 View (443) 879-7530
Photo of Alyna Rushing, LCPC, CAC-AD, Counselor
Alyna Rushing
Counselor, LCPC, CAC-AD
Verified Verified
1 Endorsed
Forest Hill, MD 21050
My core approach is person centered and guided with an emphasis on self-love, mindfulness, holistic, and cognitive behavioral in nature. I meet the client where they are and honor all different complexities that life can bring. I want to empower my clients to be the best versions of themselves and aim to create and hold a safe space in order to achieve that goal. I challenge my clients to overcome their negative thinking, negative self-talk, and destructive behaviors by cultivating the special skills needed to do so. As a guide along the way my hope is to light the path of healing for all people that seek a better life
My core approach is person centered and guided with an emphasis on self-love, mindfulness, holistic, and cognitive behavioral in nature. I meet the client where they are and honor all different complexities that life can bring. I want to empower my clients to be the best versions of themselves and aim to create and hold a safe space in order to achieve that goal. I challenge my clients to overcome their negative thinking, negative self-talk, and destructive behaviors by cultivating the special skills needed to do so. As a guide along the way my hope is to light the path of healing for all people that seek a better life
(410) 618-1046 View (410) 618-1046
Photo of Kim Maher, LCPC, Counselor
Kim Maher
Counselor, LCPC
Not Verified Not Verified
Forest Hill, MD 21050  (Online Only)
Congratulations on reaching out to get yourself some help. Feelings Redefined, LLC is my private practice is which we explore ways to allow yourself to get in empoweredand to refocus your attention back onto yourself. Therapy is a journey where you get to recreate your own path for yourself, and redefined your feelings about self, others, experiences, etc. We will work together, as I view therapy is a team appraoch as you are the expert of you. I have experience working with ages 4 and up. Preferred population is 12 and up. I enjoy working with first responders, medical professionals, anxiety, depression, and bipolar disorder
Congratulations on reaching out to get yourself some help. Feelings Redefined, LLC is my private practice is which we explore ways to allow yourself to get in empoweredand to refocus your attention back onto yourself. Therapy is a journey where you get to recreate your own path for yourself, and redefined your feelings about self, others, experiences, etc. We will work together, as I view therapy is a team appraoch as you are the expert of you. I have experience working with ages 4 and up. Preferred population is 12 and up. I enjoy working with first responders, medical professionals, anxiety, depression, and bipolar disorder
(410) 834-0698 View (410) 834-0698
Photo of Kayla Stansberry - Intuitive Growth Counseling, LCPC, IEC, Counselor
Intuitive Growth Counseling
Counselor, LCPC, IEC
Verified Verified
2 Endorsed
Forest Hill, MD 21050
Waitlist for new clients
Neuroaffirming Autistic, Feminist & HAES aligned. Finding the right therapist should be about connection, involving an immediate sense of comfort and security. Taking this step towards self care and growth involves courage and vulnerability. My name is Kayla Stansberry, LCPC/ Certified Intuitive Eating Counselor and I would like to act as a supportive guide on your journey. I believe in creating an empathetic, supportive and non judgmental environmental for my clients in order to foster emotional exploration and achieve your personal goals. I operate from an anti-racist lens and integrate processing societal stressors in session.
Neuroaffirming Autistic, Feminist & HAES aligned. Finding the right therapist should be about connection, involving an immediate sense of comfort and security. Taking this step towards self care and growth involves courage and vulnerability. My name is Kayla Stansberry, LCPC/ Certified Intuitive Eating Counselor and I would like to act as a supportive guide on your journey. I believe in creating an empathetic, supportive and non judgmental environmental for my clients in order to foster emotional exploration and achieve your personal goals. I operate from an anti-racist lens and integrate processing societal stressors in session.
(443) 383-4195 View (443) 383-4195
Photo of Leah S. Brody, LCSW-C, Clinical Social Work/Therapist
Leah S. Brody
Clinical Social Work/Therapist, LCSW-C
Verified Verified
Forest Hill, MD 21050
Are you a parent of a young child feeling frustrated by your child's temper tantrums and behavioral problems in school? Are you the parent of a teenager(s) who is tired of dealing with seemingly never-ending disrespect, and you long for drama-free nights and weekends at home? Perhaps you're a teenager dealing with anxiety, depression, relationship and/or friendship problems, and need someone to talk to who can listen objectively. Alternatively, maybe you're a millennial or Gen Z'er struggling to manage anxiety and juggling responsibilities- parenting, working, relationships, finances, etc. You are not alone!
Are you a parent of a young child feeling frustrated by your child's temper tantrums and behavioral problems in school? Are you the parent of a teenager(s) who is tired of dealing with seemingly never-ending disrespect, and you long for drama-free nights and weekends at home? Perhaps you're a teenager dealing with anxiety, depression, relationship and/or friendship problems, and need someone to talk to who can listen objectively. Alternatively, maybe you're a millennial or Gen Z'er struggling to manage anxiety and juggling responsibilities- parenting, working, relationships, finances, etc. You are not alone!
(410) 498-5962 View (410) 498-5962
Photo of Melissa L Kramer, LCPC, NCC, CAC-AD
Melissa L Kramer
Licensed Clinical Professional Counselor, LCPC, NCC, CAC-AD
Verified Verified
Forest Hill, MD 21050
Are your ready to unlock your potential? Are you ready to live a life of purpose & connection? The process of change is possible & usually begins with an honest exploration of your past to understand your present. My style is collaborative, rooted in a strong therapeutic relationship & direct. Taking ownership of one's actions is essential. I specialize in addiction, & also treat mood disorders, adjustment disorders, grief, co-occurring disorders, & more. I believe we strive to find meaning in life, & that connection to others is essential. There is more than one path to recovery, & the past does not have to define you. Ready?
Are your ready to unlock your potential? Are you ready to live a life of purpose & connection? The process of change is possible & usually begins with an honest exploration of your past to understand your present. My style is collaborative, rooted in a strong therapeutic relationship & direct. Taking ownership of one's actions is essential. I specialize in addiction, & also treat mood disorders, adjustment disorders, grief, co-occurring disorders, & more. I believe we strive to find meaning in life, & that connection to others is essential. There is more than one path to recovery, & the past does not have to define you. Ready?
(240) 774-2585 View (240) 774-2585
Photo of Mark Hedlund, PhD, Psychologist
Mark Hedlund
Psychologist, PhD
Verified Verified
Forest Hill, MD 21050
I have been working within a medical pediatric practice for the duration of my career, and as a result see a number of children and adolescents in the Maryland and Washington DC area. Treatment with this population generally focuses on developmental, behavioral, academic, social, and family issues. I also see a number of adults on an outpatient basis and greatly value this aspect of my practice as well. Anxiety, depression, loss, and relationship issues are the primary focus of my work with adults, adolescents, and children. If you are planning to use health insurance please indicate whom your provider is.
I have been working within a medical pediatric practice for the duration of my career, and as a result see a number of children and adolescents in the Maryland and Washington DC area. Treatment with this population generally focuses on developmental, behavioral, academic, social, and family issues. I also see a number of adults on an outpatient basis and greatly value this aspect of my practice as well. Anxiety, depression, loss, and relationship issues are the primary focus of my work with adults, adolescents, and children. If you are planning to use health insurance please indicate whom your provider is.
(410) 648-4581 View (410) 648-4581
Photo of Jessica Magrath, LGPC, Counselor
Jessica Magrath
Counselor, LGPC
Verified Verified
2 Endorsed
Forest Hill, MD 21050
Do memories of the past keep you from living in the present moment? When we try to bury the past, it continues to show up in our relationships and deteriorates our mental health. When we carefully reprocess the memories with a skilled EMDR therapist, you can finally let go and truly live our authentic lives. You can learn to heal deep rooted trauma and shame and finally live the life you deserve. Through EMDR, we can heal trauma at its root in the nervous system and disengage the triggering response of traumatic memories. You deserve resolution. The life you want is ready for you to grab hold of it, and I can help you get there.
Do memories of the past keep you from living in the present moment? When we try to bury the past, it continues to show up in our relationships and deteriorates our mental health. When we carefully reprocess the memories with a skilled EMDR therapist, you can finally let go and truly live our authentic lives. You can learn to heal deep rooted trauma and shame and finally live the life you deserve. Through EMDR, we can heal trauma at its root in the nervous system and disengage the triggering response of traumatic memories. You deserve resolution. The life you want is ready for you to grab hold of it, and I can help you get there.
(443) 360-5895 View (443) 360-5895
Photo of Kathrine Orpilla, LCPC, NCC
Kathrine Orpilla
Licensed Clinical Professional Counselor, LCPC, NCC
Verified Verified
2 Endorsed
Forest Hill, MD 21050
It shows courage and strength to reach out for help. As a therapist, my intention is to guide you through a process of growth and healing. We will work together in creating realistic goals that inspire positive changes. I will help you develop healthy thoughts and behaviors and practice compassion for yourself. I will offer you a caring, judgment-free, respectful and confidential environment that will allow you to express yourself and begin your journey towards a meaningful and balanced life. I have experience with mental health and addiction counseling. I work with adults and elders from diverse backgrounds.
It shows courage and strength to reach out for help. As a therapist, my intention is to guide you through a process of growth and healing. We will work together in creating realistic goals that inspire positive changes. I will help you develop healthy thoughts and behaviors and practice compassion for yourself. I will offer you a caring, judgment-free, respectful and confidential environment that will allow you to express yourself and begin your journey towards a meaningful and balanced life. I have experience with mental health and addiction counseling. I work with adults and elders from diverse backgrounds.
(443) 870-4511 View (443) 870-4511
Photo of Karen Jean Albright, MSW, LCSW-C, Clinical Social Work/Therapist
Karen Jean Albright
Clinical Social Work/Therapist, MSW, LCSW-C
Verified Verified
Forest Hill, MD 21050  (Online Only)
Hello, I understand that while the idea therapy can be scary and overwhelming, the reality is, it does not have to be. I believe counseling is a partnership where the ultimate goal is improving one's quality of life.
Hello, I understand that while the idea therapy can be scary and overwhelming, the reality is, it does not have to be. I believe counseling is a partnership where the ultimate goal is improving one's quality of life.
(443) 417-1834 View (443) 417-1834
Photo of Erric L Hetzer, MSW, LCSW-C, Clinical Social Work/Therapist
Erric L Hetzer
Clinical Social Work/Therapist, MSW, LCSW-C
Verified Verified
1 Endorsed
Forest Hill, MD 21050
I believe that everyone has within them the strength to face any challenge life brings. My duty as a Licensed Clinical Social Worker is to help people understand their problem, find that internal strength, and develop the supports needed to take back control and find success in their lives. I have been working with children, adolescents, and adults Harford County, MD for over 11 years. I have an excellent reputation among my peers and clients for successfully providing compassionate and innovative services.
I believe that everyone has within them the strength to face any challenge life brings. My duty as a Licensed Clinical Social Worker is to help people understand their problem, find that internal strength, and develop the supports needed to take back control and find success in their lives. I have been working with children, adolescents, and adults Harford County, MD for over 11 years. I have an excellent reputation among my peers and clients for successfully providing compassionate and innovative services.
(410) 695-4801 View (410) 695-4801
Photo of Katelyn P. Trentalange, LCSW-C, MSW, Clinical Social Work/Therapist
Katelyn P. Trentalange
Clinical Social Work/Therapist, LCSW-C, MSW
Verified Verified
8 Endorsed
Forest Hill, MD 21050
I believe every individual has the ability to change their circumstances by focusing on the elements which are within their control. Equally as important, we must learn to let go of situations over which we are powerless. By sharing experiences with another person and working through the obstacles that inhibit the life we desire, it is possible to create a life which allows us to thrive. My goal is to assist you in this process by providing a safe environment where you can be open and honest with yourself.
I believe every individual has the ability to change their circumstances by focusing on the elements which are within their control. Equally as important, we must learn to let go of situations over which we are powerless. By sharing experiences with another person and working through the obstacles that inhibit the life we desire, it is possible to create a life which allows us to thrive. My goal is to assist you in this process by providing a safe environment where you can be open and honest with yourself.
(410) 892-1158 View (410) 892-1158
Photo of Kendra O'Hora, PhD, LCMFT, Marriage & Family Therapist
Kendra O'Hora
Marriage & Family Therapist, PhD, LCMFT
Verified Verified
3 Endorsed
Forest Hill, MD 21050
If ya'll are ready to grow, I'm ready to walk alongside of you. Are you motivated yet confused and hurting, too? You’re not alone. Relationships are tough and require a lot of work. That becomes even more tricky when the world is in crisis. Or, when you feel like you are in the midst of crisis. To be honest, your partner needs you, your children need you, your friends need you, and your family needs you. But mostly, you need you. You deserve the freedom to vent, unload your fear, and make space for peace and change.
If ya'll are ready to grow, I'm ready to walk alongside of you. Are you motivated yet confused and hurting, too? You’re not alone. Relationships are tough and require a lot of work. That becomes even more tricky when the world is in crisis. Or, when you feel like you are in the midst of crisis. To be honest, your partner needs you, your children need you, your friends need you, and your family needs you. But mostly, you need you. You deserve the freedom to vent, unload your fear, and make space for peace and change.
(410) 449-7329 View (410) 449-7329
Photo of Kelly Bragg, LCPC
Kelly Bragg
Licensed Clinical Professional Counselor, LCPC
Verified Verified
4 Endorsed
Forest Hill, MD 21050
Everyone deserves to live a fulfilling and purposeful life. Let's face it- life can be hard. We are often faced with challenges that are outside of our control. Together we will identify factors within your control and discuss ways to make positive changes in your life. Using a strength-based solution-focused approach, we will strive for personal growth and healing. Concepts from cognitive behavioral therapy (CBT) will likely be incorporated into treatment to help modify your unhealthy thoughts and behaviors.
Everyone deserves to live a fulfilling and purposeful life. Let's face it- life can be hard. We are often faced with challenges that are outside of our control. Together we will identify factors within your control and discuss ways to make positive changes in your life. Using a strength-based solution-focused approach, we will strive for personal growth and healing. Concepts from cognitive behavioral therapy (CBT) will likely be incorporated into treatment to help modify your unhealthy thoughts and behaviors.
(443) 218-2651 View (443) 218-2651
Photo of Mara Swan, LCPC, Counselor
Mara Swan
Counselor, LCPC
Verified Verified
5 Endorsed
Forest Hill, MD 21050
This has been a very trying time for everyone. Taking the journey to improve selfcare can be a complex task but necessary for all of us. Reaching out takes courage. I provide a 15 minute phone consult of you would like to explore the counseling process. I look forward to assisting you in your journey toward balance and wellness.
This has been a very trying time for everyone. Taking the journey to improve selfcare can be a complex task but necessary for all of us. Reaching out takes courage. I provide a 15 minute phone consult of you would like to explore the counseling process. I look forward to assisting you in your journey toward balance and wellness.
(443) 879-9941 View (443) 879-9941
Photo of Shana McNew, LCSW-C, Clinical Social Work/Therapist
Shana McNew
Clinical Social Work/Therapist, LCSW-C
Verified Verified
1 Endorsed
Forest Hill, MD 21050
It is not uncommon to find ourselves overwhelmed or struggling at some point in our lives. During those times, having an objective and unbiased person to talk to can provide clarity and support to ultimately foster growth and resilience in your personal narrative. I absolutely love working with clients through difficult life transitions, relationship issues, intimacy, LGBTQ+ and sexuality, kink, and ENM relationships. Being able to find your own boundaries and personal integrity through this can be so rewarding. Additionally, I have a soft spot for clients with infertility struggles and determining their own definition of family.
It is not uncommon to find ourselves overwhelmed or struggling at some point in our lives. During those times, having an objective and unbiased person to talk to can provide clarity and support to ultimately foster growth and resilience in your personal narrative. I absolutely love working with clients through difficult life transitions, relationship issues, intimacy, LGBTQ+ and sexuality, kink, and ENM relationships. Being able to find your own boundaries and personal integrity through this can be so rewarding. Additionally, I have a soft spot for clients with infertility struggles and determining their own definition of family.
(443) 775-3897 View (443) 775-3897
Photo of Emily Needles, LCPC, LPCMH, NCC, MAC
Emily Needles
Licensed Clinical Professional Counselor, LCPC, LPCMH, NCC, MAC
Verified Verified
Forest Hill, MD 21050
Not accepting new clients
I am a Licensed Clinical Professional Counselor in Maryland who serves primarily young adults, adults, and seniors. I work with a variety of theoretical orientations including Acceptance and Commitment Therapy, Cognitive-Behavioral Therapy, Person Centered Therapy, mindfulness based strategies, and trauma informed skills to include being certified in EMDR. This allows the person who walks through my door to know that we have options on how to proceed in our work together. I offer an abundance of psychoeducation, make many recommendations, and can create more structure in session if it’s of service to the client.
I am a Licensed Clinical Professional Counselor in Maryland who serves primarily young adults, adults, and seniors. I work with a variety of theoretical orientations including Acceptance and Commitment Therapy, Cognitive-Behavioral Therapy, Person Centered Therapy, mindfulness based strategies, and trauma informed skills to include being certified in EMDR. This allows the person who walks through my door to know that we have options on how to proceed in our work together. I offer an abundance of psychoeducation, make many recommendations, and can create more structure in session if it’s of service to the client.
(443) 903-2464 View (443) 903-2464
Photo of Shana McNew - Quality Connections Counseling Services, LLC, Clinical Social Work/Therapist
Quality Connections Counseling Services, LLC
Clinical Social Work/Therapist
Verified Verified
1 Endorsed
Forest Hill, MD 21050
Did you know that your connection and relationship with your therapist is one of the biggest indicators for success in your personal growth and healing? We are an open-minded and intentionally mindful practice that provides encouraging, supportive, and personalized counseling services for individuals, couples, and families. We strive to alleviate the disconnection you may be feeling in your everyday lives by offering an authentic and accepting relationship with your therapist.
Did you know that your connection and relationship with your therapist is one of the biggest indicators for success in your personal growth and healing? We are an open-minded and intentionally mindful practice that provides encouraging, supportive, and personalized counseling services for individuals, couples, and families. We strive to alleviate the disconnection you may be feeling in your everyday lives by offering an authentic and accepting relationship with your therapist.
(410) 261-4510 View (410) 261-4510
Photo of Levity Counseling Llc. Katie White, LCSWC, Clinical Social Work/Therapist
Levity Counseling Llc. Katie White
Clinical Social Work/Therapist, LCSWC
Verified Verified
1 Endorsed
Forest Hill, MD 21050
*Daytime Appointments Available* My goal for therapy is to connect with people and work side-by-side creating motivation for positive change in their lives. I have worked with a wide range of concerns including depression, anxiety, relationship issues, parenting problems, various economic and vocational issues, communication problems, LGBT-Q topics, and ADHD. I have also helped many people who have experienced physical trauma or emotional abuse. My approach combines cognitive-behavioral, humanistic, mindfulness, strengths based, and positive psychology.
*Daytime Appointments Available* My goal for therapy is to connect with people and work side-by-side creating motivation for positive change in their lives. I have worked with a wide range of concerns including depression, anxiety, relationship issues, parenting problems, various economic and vocational issues, communication problems, LGBT-Q topics, and ADHD. I have also helped many people who have experienced physical trauma or emotional abuse. My approach combines cognitive-behavioral, humanistic, mindfulness, strengths based, and positive psychology.
(667) 201-6131 View (667) 201-6131

How does your Therapist compare?

Number of Therapists in 21050

30+

Average cost per session

$150

Therapists in 21050 who prioritize treating:

88% Anxiety
85% Relationship Issues
85% Depression
82% Coping Skills
82% Self Esteem
76% Stress
71% Trauma and PTSD

Average years in practice

11 Years

Top 3 insurances accepted

85% BlueCross and BlueShield
81% CareFirst
70% Cigna and Evernorth

How Therapists in 21050 see their clients

83% In Person and Online
17% Online Only

Gender breakdown

83% Female
17% Male
FAQs - About Therapy and Counseling

How can I find a therapist in 21050?

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.