Photo of LeTisha Jones, LCSW-C, MSW, Clinical Social Work/Therapist
LeTisha Jones
Clinical Social Work/Therapist, LCSW-C, MSW
Verified Verified
Baltimore, MD 21218
Not accepting new clients
I am driven by a deep commitment to break the stigma surrounding mental health and create a safe haven for individuals to embark on a transformative journey toward nurturing their emotional well-being. My mission is to empower and guide you on the path to mental and emotional wellness, employing evidence-based and person-centered approaches that honor the unique essence of your mind, body, and soul.
I am driven by a deep commitment to break the stigma surrounding mental health and create a safe haven for individuals to embark on a transformative journey toward nurturing their emotional well-being. My mission is to empower and guide you on the path to mental and emotional wellness, employing evidence-based and person-centered approaches that honor the unique essence of your mind, body, and soul.
(410) 705-2941 View (410) 705-2941
Photo of Winterford Mensah, LMSW, Clinical Social Work/Therapist
Winterford Mensah
Clinical Social Work/Therapist, LMSW
Verified Verified
Baltimore, MD 21218  (Online Only)
In the words of Marsha Linehan, “I am one of you.” Hi, my name is Winterford, but I insist you call me Win. I am a licensed therapist who believes in the power and restoration of therapy. Although I am a clinician, I am no different from any of you and experience my own struggles with anxiety, depression, and self-worth. I’m transparent about my lived experiences because I believe it not only makes me a better version of myself and therapist but allows me to accept the power of vulnerability.
In the words of Marsha Linehan, “I am one of you.” Hi, my name is Winterford, but I insist you call me Win. I am a licensed therapist who believes in the power and restoration of therapy. Although I am a clinician, I am no different from any of you and experience my own struggles with anxiety, depression, and self-worth. I’m transparent about my lived experiences because I believe it not only makes me a better version of myself and therapist but allows me to accept the power of vulnerability.
(443) 323-2175 View (443) 323-2175
Photo of Karen Ayala, LCSW-C, Clinical Social Work/Therapist
Karen Ayala
Clinical Social Work/Therapist, LCSW-C
Verified Verified
Baltimore, MD 21218  (Online Only)
Are you struggling to cope with the pain or symptoms associated with a trauma? Maybe you have been abused, suffered a significant loss, or witnessed violence at home or in your community. l, listen to help you feel heard. You are strong and are living with the pain. People come to me for lots of reasons, including wanting help with painful relationships, family conflict, mood and anxiety symptoms, a general feeling that something isn’t right, or the desire to simply know themselves better.
Are you struggling to cope with the pain or symptoms associated with a trauma? Maybe you have been abused, suffered a significant loss, or witnessed violence at home or in your community. l, listen to help you feel heard. You are strong and are living with the pain. People come to me for lots of reasons, including wanting help with painful relationships, family conflict, mood and anxiety symptoms, a general feeling that something isn’t right, or the desire to simply know themselves better.
(410) 505-7509 View (410) 505-7509
Photo of Susan R. White - Ruby Road, MA, LPCMH, LPC, CEAP, NCC
Ruby Road
Licensed Clinical Professional Counselor, MA, LPCMH, LPC, CEAP, NCC
Verified Verified
1 Endorsed
Baltimore, MD 21218  (Online Only)
**NOW ACCEPTING CLIENTS ON GrowTherapy & ALMA.** I feel life is a journey & not a destination. You are 1 STEP closer to a new you where you feel EMPOWERED and on a POSITIVE path to growth and well-being. My goal is to help you uncover your true potential and lead a life that is worth celebrating & balanced. While we can't change difficult situations of the past, we can work together to better understand and resolve challenges in your life. By applying various approaches & techniques, we'll explore long-standing patterns & "stinking thinking" that may be holding you back from experiencing a more fulfilling & meaningful life.
**NOW ACCEPTING CLIENTS ON GrowTherapy & ALMA.** I feel life is a journey & not a destination. You are 1 STEP closer to a new you where you feel EMPOWERED and on a POSITIVE path to growth and well-being. My goal is to help you uncover your true potential and lead a life that is worth celebrating & balanced. While we can't change difficult situations of the past, we can work together to better understand and resolve challenges in your life. By applying various approaches & techniques, we'll explore long-standing patterns & "stinking thinking" that may be holding you back from experiencing a more fulfilling & meaningful life.
(667) 303-1666 View (667) 303-1666
Photo of Latesha Edmerson, LCPC, Counselor
Latesha Edmerson
Counselor, LCPC
Verified Verified
Baltimore, MD 21218  (Online Only)
Hello! I am a Licensed Professional Counselor based in Maryland (LCPC). I have over 20 years in the mental health field/substance abuse field. I have worked in various settings and have a wealth of knowledge in both areas. I help youth, adolescents, young adults, and adults with unlocking their true best selves! I will embark upon your journey with you, as your guide to optimal mental wellness.
Hello! I am a Licensed Professional Counselor based in Maryland (LCPC). I have over 20 years in the mental health field/substance abuse field. I have worked in various settings and have a wealth of knowledge in both areas. I help youth, adolescents, young adults, and adults with unlocking their true best selves! I will embark upon your journey with you, as your guide to optimal mental wellness.
(410) 914-1621 View (410) 914-1621
Photo of James Edwardaro Willey, MS, Psychological Associate
James Edwardaro Willey
Psychological Associate, MS
Verified Verified
1 Endorsed
Baltimore, MD 21218  (Online Only)
Understanding who you are or what you are feeling is difficult when you are not even sure what words to use to describe your experience or what questions to ask yourself. Naming that is a big step. You may put on a mask to navigate the world in order to reduce the pressures you feel from society. High expectations when you were younger may make mistakes seem unacceptable. The journey to explore who you are may seem lonely. You may notice similarities in the relationships you form now with the relationship you have with your family. The early traumas in your life may be triggering you now in ways that are frustrating and upsetting.
Understanding who you are or what you are feeling is difficult when you are not even sure what words to use to describe your experience or what questions to ask yourself. Naming that is a big step. You may put on a mask to navigate the world in order to reduce the pressures you feel from society. High expectations when you were younger may make mistakes seem unacceptable. The journey to explore who you are may seem lonely. You may notice similarities in the relationships you form now with the relationship you have with your family. The early traumas in your life may be triggering you now in ways that are frustrating and upsetting.
(877) 893-5480 View (877) 893-5480
Photo of Jesse Lee Robertson, LCSW-C, Clinical Social Work/Therapist
Jesse Lee Robertson
Clinical Social Work/Therapist, LCSW-C
Verified Verified
Baltimore, MD 21218  (Online Only)
I have had experience with a very wide range of folks that I've liked to work with and have found all of that work valuable and fulfilling. I think I am hoping to work with folks who are curious and open about themselves or at least would like to be. Therapy can be hard work at times and without that curiousness it can be hard to sit with those tough times. I think all folks coming into therapy are hoping to get better which I think is the earliest sign of hope in this process.
I have had experience with a very wide range of folks that I've liked to work with and have found all of that work valuable and fulfilling. I think I am hoping to work with folks who are curious and open about themselves or at least would like to be. Therapy can be hard work at times and without that curiousness it can be hard to sit with those tough times. I think all folks coming into therapy are hoping to get better which I think is the earliest sign of hope in this process.
(410) 862-2708 View (410) 862-2708
Photo of De'Trece Lavender, NCC, LCPC, CCATP, CAGCS, C-DBT
De'Trece Lavender
Licensed Clinical Professional Counselor, NCC, LCPC, CCATP, CAGCS, C-DBT
Verified Verified
3 Endorsed
Baltimore, MD 21218  (Online Only)
De'Trece (affectionately called Ms.Dee) comes with over 20 years experience as an arts educator and administrator, music therapist and mental health clinician. In addition to providing professional development trainings and consulting services around social emotional learning, diversity/inclusion in urban educational settings, and arts integration, she is passionate about supporting educators, clergy and other helping professionals around issues of identity, spirituality, compassion fatigue and burnout, trauma and grief.
De'Trece (affectionately called Ms.Dee) comes with over 20 years experience as an arts educator and administrator, music therapist and mental health clinician. In addition to providing professional development trainings and consulting services around social emotional learning, diversity/inclusion in urban educational settings, and arts integration, she is passionate about supporting educators, clergy and other helping professionals around issues of identity, spirituality, compassion fatigue and burnout, trauma and grief.
(410) 881-8571 View (410) 881-8571
Photo of Becky Miller, PhD, Psychologist
Becky Miller
Psychologist, PhD
Verified Verified
Baltimore, MD 21218
Waitlist for new clients
Sometimes, core parts of who we are fall outside of what is considered normal or acceptable. It can feel impossible to understand yourself. You might feel invisible or wonder if you’re really the problem. You know that hiding these parts of yourself doesn’t feel right and isn’t sustainable. At the same time, you question whether it’s worth all the pain that might come from fully exploring and expressing yourself without hiding your identity, isolating from others, or masking. You may already have a strong sense of your identity and know what would help but feel that it's not accessible or possible.
Sometimes, core parts of who we are fall outside of what is considered normal or acceptable. It can feel impossible to understand yourself. You might feel invisible or wonder if you’re really the problem. You know that hiding these parts of yourself doesn’t feel right and isn’t sustainable. At the same time, you question whether it’s worth all the pain that might come from fully exploring and expressing yourself without hiding your identity, isolating from others, or masking. You may already have a strong sense of your identity and know what would help but feel that it's not accessible or possible.
(877) 893-5480 View (877) 893-5480
Photo of Juliet Dixon, LCSW, Clinical Social Work/Therapist
Juliet Dixon
Clinical Social Work/Therapist, LCSW
Verified Verified
Baltimore, MD 21218  (Online Only)
Are you at the point where you know something has to change? I help adults cope with the challenges of being a caregiver while struggling with anxiety and depression, teaching you techniques that will allow you to realize your strengths and maximize your potential. The fact that so many of us work to make ends meet or support our passions, along with juggling family life and work responsibilities, leaves us feeling overwhelmed.
Are you at the point where you know something has to change? I help adults cope with the challenges of being a caregiver while struggling with anxiety and depression, teaching you techniques that will allow you to realize your strengths and maximize your potential. The fact that so many of us work to make ends meet or support our passions, along with juggling family life and work responsibilities, leaves us feeling overwhelmed.
(410) 881-8587 View (410) 881-8587
Photo of Elizabeth Holmes, LCPC
Elizabeth Holmes
Licensed Clinical Professional Counselor, LCPC
Verified Verified
Baltimore, MD 21218  (Online Only)
Everyone experiences moments in our lives that feel overwhelming. These moments may seem like a brick wall. We may feel beaten and torn by stressful situations or experiences. With assistance, these experiences can act as an opportunity for personal growth. I would love to have the chance to assist you in gaining control of your life, making desired changes and to adjust to life challenges. I utilize evidence based cognitive behavioral therapy techniques to give you the treatment you need. Treatment focus includes substance abuse counseling, depression, anxiety, stress, trauma, and adjustment issues.
Everyone experiences moments in our lives that feel overwhelming. These moments may seem like a brick wall. We may feel beaten and torn by stressful situations or experiences. With assistance, these experiences can act as an opportunity for personal growth. I would love to have the chance to assist you in gaining control of your life, making desired changes and to adjust to life challenges. I utilize evidence based cognitive behavioral therapy techniques to give you the treatment you need. Treatment focus includes substance abuse counseling, depression, anxiety, stress, trauma, and adjustment issues.
(502) 889-0046 View (502) 889-0046
Photo of Jaree Cottman, Clinical Social Work/Therapist
Jaree Cottman
Clinical Social Work/Therapist
Verified Verified
3 Endorsed
Baltimore, MD 21218  (Online Only)
Not accepting new clients
Do you want to learn how to turn your story of feeling depressed, anxious and overwhelmed to one of healing and transformation? Let's journey together to change your "Why Me?" to "Wow Me!" I am passionate about supporting women across the lifespan in addressing the mental and emotional strain stemming from life transitions. From issues of identity and self-esteem building among teens, to relationships, career and belongingness in young adulthood and to the multifaceted transitions of motherhood. I am someone who gets it!
Do you want to learn how to turn your story of feeling depressed, anxious and overwhelmed to one of healing and transformation? Let's journey together to change your "Why Me?" to "Wow Me!" I am passionate about supporting women across the lifespan in addressing the mental and emotional strain stemming from life transitions. From issues of identity and self-esteem building among teens, to relationships, career and belongingness in young adulthood and to the multifaceted transitions of motherhood. I am someone who gets it!
(443) 486-7614 View (443) 486-7614
Photo of Brenna Neimanis, LCSW-C, Clinical Social Work/Therapist
Brenna Neimanis
Clinical Social Work/Therapist, LCSW-C
Verified Verified
2 Endorsed
Baltimore, MD 21218  (Online Only)
Waitlist for new clients
I currently have a waitlist - Welcome to therapy, I’m so happy you are here! My practice is focused on feeling at home within yourself & providing a safe place to explore your whole self through individual, partnered, and/or family therapy. I use an inclusive, holistic approach & understand that each client is a unique individual & is impacted by their experiences, as well as societal structures & norms. I work with clients experiencing anxiety, depression, burn-out, disordered eating, body dysmorphia, mood disorders, difficulty coping, family/partner conflict, concerns with self-worth, & those who have experienced trauma.
I currently have a waitlist - Welcome to therapy, I’m so happy you are here! My practice is focused on feeling at home within yourself & providing a safe place to explore your whole self through individual, partnered, and/or family therapy. I use an inclusive, holistic approach & understand that each client is a unique individual & is impacted by their experiences, as well as societal structures & norms. I work with clients experiencing anxiety, depression, burn-out, disordered eating, body dysmorphia, mood disorders, difficulty coping, family/partner conflict, concerns with self-worth, & those who have experienced trauma.
(443) 457-9293 View (443) 457-9293
Photo of Hannah Kaitlin Thiessen, MSW, LMSW, Clinical Social Work/Therapist
Hannah Kaitlin Thiessen
Clinical Social Work/Therapist, MSW, LMSW
Verified Verified
1 Endorsed
Baltimore, MD 21218  (Online Only)
Currently accepting new clients! Hannah aims to develop a warm, accepting, and non-judgmental therapeutic relationship with her clients to give them a safe and empathic space to process painful emotions and experiences. Hannah Thiessen is a licensed master social worker (LMSW) providing virtual-only traditional talk therapy and Eye Movement Desensitization Reprocessing (EMDR). She has completed her Master of Social Work with a specialization in behavioral health from the University of Maryland School of Social Work. She holds a Bachelor of Arts in Music from Wake Forest University.
Currently accepting new clients! Hannah aims to develop a warm, accepting, and non-judgmental therapeutic relationship with her clients to give them a safe and empathic space to process painful emotions and experiences. Hannah Thiessen is a licensed master social worker (LMSW) providing virtual-only traditional talk therapy and Eye Movement Desensitization Reprocessing (EMDR). She has completed her Master of Social Work with a specialization in behavioral health from the University of Maryland School of Social Work. She holds a Bachelor of Arts in Music from Wake Forest University.
(410) 834-4778 View (410) 834-4778
Photo of Maggie Donegan, LCSW-C, Clinical Social Work/Therapist
Maggie Donegan
Clinical Social Work/Therapist, LCSW-C
Verified Verified
1 Endorsed
Baltimore, MD 21218
Not accepting new clients
All people need to feel safe, connected and capable. When something interferes with our ability to get these needs met in a healthy way, we develop alternative solutions or avoidance strategies that may help in the short-term but cause harm in the long run. I provide a safe space for people to explore and process difficult experiences and the self-defeating beliefs and over-adaptive behaviors that may have developed in response. I have a genuine interest in others and bring warmth, authenticity, and a non-judgmental presence to sessions to help you get unstuck and to walk with you on your journey of healing and transformation.
All people need to feel safe, connected and capable. When something interferes with our ability to get these needs met in a healthy way, we develop alternative solutions or avoidance strategies that may help in the short-term but cause harm in the long run. I provide a safe space for people to explore and process difficult experiences and the self-defeating beliefs and over-adaptive behaviors that may have developed in response. I have a genuine interest in others and bring warmth, authenticity, and a non-judgmental presence to sessions to help you get unstuck and to walk with you on your journey of healing and transformation.
(410) 936-7383 View (410) 936-7383
Photo of Felisha Pierce, LCPC
Felisha Pierce
Licensed Clinical Professional Counselor, LCPC
Verified Verified
Baltimore, MD 21218  (Online Only)
I believe it is important in therapy to provide collaborative efforts to help assist individuals who may be navigating through challenging times and are in need of support. In life there are moments of uncertainty and unpredictability that may yield the need for specific guidance that is unique to the individual or family.
I believe it is important in therapy to provide collaborative efforts to help assist individuals who may be navigating through challenging times and are in need of support. In life there are moments of uncertainty and unpredictability that may yield the need for specific guidance that is unique to the individual or family.
(443) 290-7529 View (443) 290-7529
Photo of Danielle Bostic, LCSW, Clinical Social Work/Therapist
Danielle Bostic
Clinical Social Work/Therapist, LCSW
Verified Verified
Baltimore, MD 21218  (Online Only)
I am here to support you in your journey to achieving a life of emotional, mental and spiritual wellness!
I am here to support you in your journey to achieving a life of emotional, mental and spiritual wellness!
(410) 873-9656 View (410) 873-9656
Photo of Dr. Lillian Sylvester, LCPC
Dr. Lillian Sylvester
Licensed Clinical Professional Counselor, LCPC
Verified Verified
Baltimore, MD 21218
There are many moments in life when the authentic you becomes hidden from view. Troubles related to depressive symptoms, trauma, grief, and family can all make it difficult for you to express who you truly are or how you feel. These concerns can hold you back from reaching your goals or receiving the support you deserve.
There are many moments in life when the authentic you becomes hidden from view. Troubles related to depressive symptoms, trauma, grief, and family can all make it difficult for you to express who you truly are or how you feel. These concerns can hold you back from reaching your goals or receiving the support you deserve.
(443) 221-2806 View (443) 221-2806
Photo of Devino Sinclair- Accepting New Clients, LCSW-C, Clinical Social Work/Therapist
Devino Sinclair- Accepting New Clients
Clinical Social Work/Therapist, LCSW-C
Verified Verified
2 Endorsed
Baltimore, MD 21218  (Online Only)
Are you struggling with depression, anxiety, or feeling overwhelmed? Whether you're dealing with a new life transition, challenging relationships or a traumatic event, I'm glad you're here. It's time to step out of your comfort zone and prioritize your mental health. To heal and grow, you must be fearless and embrace discomfort. I offer myself as a source of support in your healing journey. I encourage you to start living authentically and establish your own path. It's time to embrace the challenges and rewards of self-fulfilment. Its time to take that small step towards self-discovery.
Are you struggling with depression, anxiety, or feeling overwhelmed? Whether you're dealing with a new life transition, challenging relationships or a traumatic event, I'm glad you're here. It's time to step out of your comfort zone and prioritize your mental health. To heal and grow, you must be fearless and embrace discomfort. I offer myself as a source of support in your healing journey. I encourage you to start living authentically and establish your own path. It's time to embrace the challenges and rewards of self-fulfilment. Its time to take that small step towards self-discovery.
(443) 672-4760 View (443) 672-4760
Photo of Michael M Librie - Dr. Michael M. Librie, PsyD, LCSW-C , PsyD, LCSW-C, LICSW, Clinical Social Work/Therapist
Dr. Michael M. Librie, PsyD, LCSW-C
Clinical Social Work/Therapist, PsyD, LCSW-C, LICSW
Verified Verified
Baltimore, MD 21218  (Online Only)
I'm Michael Librie, Psy.D, LCSW-C, LICSW. I'm a Psychotherapist with over 35 years experience, qualified to provide integrative psychotherapy, combining techniques from various therapeutic schools to suit the needs of the client. I am delivering therapy virtually at this time in Maryland, Washington, DC and North Carolina. My approach combines traditional dynamic psychotherapy with awareness and internal inquiry processes. I partner with you to help guide you to focus inward so that you may experience your core self, listen to your soul and find your personal truth.
I'm Michael Librie, Psy.D, LCSW-C, LICSW. I'm a Psychotherapist with over 35 years experience, qualified to provide integrative psychotherapy, combining techniques from various therapeutic schools to suit the needs of the client. I am delivering therapy virtually at this time in Maryland, Washington, DC and North Carolina. My approach combines traditional dynamic psychotherapy with awareness and internal inquiry processes. I partner with you to help guide you to focus inward so that you may experience your core self, listen to your soul and find your personal truth.
(410) 376-8209 View (410) 376-8209
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How does your Therapist compare?

Number of Therapists in 21218

200+

Average cost per session

$131

Therapists in 21218 who prioritize treating:

93% Anxiety
85% Depression
71% Coping Skills
68% Self Esteem
65% Trauma and PTSD
56% Relationship Issues
56% Grief

Average years in practice

10 Years

Top 3 insurances accepted

82% Cigna and Evernorth
71% CareFirst
66% UnitedHealthcare UHC | UBH

How Therapists in 21218 see their clients

67% Online Only
33% In Person and Online

Gender breakdown

72% Female
22% Male
6% Non-Binary
FAQs - About Therapy and Counseling

How can I find a therapist in 21218?

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.