Therapists in Columbia, MD
Kemi Adelakun
Clinical Social Work/Therapist, LCSW -C
Verified Verified
Columbia, MD 21044 (Online Only)
Hi! I am a licensed clinical social worker (LCSW) based in the DMV (D.C., Maryland, Virgina) area. I am a compassionate and dedicated therapist committed to helping you navigate life's challenges and achieve your personal goals. My approach is grounded in empathy, respect, and collaboration, providing you with a safe and supportive space to explore your thoughts, feelings, and experiences. Recognizing that culture plays a significant role in shaping beliefs, behaviors, and coping mechanisms, I am dedicated to providing interventions that are culturally responsive as well.
Hi! I am a licensed clinical social worker (LCSW) based in the DMV (D.C., Maryland, Virgina) area. I am a compassionate and dedicated therapist committed to helping you navigate life's challenges and achieve your personal goals. My approach is grounded in empathy, respect, and collaboration, providing you with a safe and supportive space to explore your thoughts, feelings, and experiences. Recognizing that culture plays a significant role in shaping beliefs, behaviors, and coping mechanisms, I am dedicated to providing interventions that are culturally responsive as well.
Matteo Ricci
Licensed Clinical Professional Counselor
Verified Verified
Columbia, MD 21044 (Online Only)
Hello! I'm glad you have taken a therapeutic risk and considered pursuing therapy. A rapport and therapeutic connection with your therapist is a cornerstone for success. Here is a bit about me and some of the approaches I apply in helping my clients address their current life stresses and symptoms. Success with my clients in large part stems from 18 years of direct care experience in the mental health field and 13 years as a licensed clinician in clinical settings which have included inpatient hospital programs, general hospitals, psychiatric day programs, long term residential substance abuse facilities and within his own practice.
Hello! I'm glad you have taken a therapeutic risk and considered pursuing therapy. A rapport and therapeutic connection with your therapist is a cornerstone for success. Here is a bit about me and some of the approaches I apply in helping my clients address their current life stresses and symptoms. Success with my clients in large part stems from 18 years of direct care experience in the mental health field and 13 years as a licensed clinician in clinical settings which have included inpatient hospital programs, general hospitals, psychiatric day programs, long term residential substance abuse facilities and within his own practice.
Irene Christin
Licensed Clinical Professional Counselor, LCPC, MS
Verified Verified
Columbia, MD 21044
I specialize in working mostly with children and families. Also, I see couples and individual adults. I offer help with managing high level of stress, anxiety, depression, and other mental health conditions. In my practice, I use an integrative approach that includes several evidence-based techniques. The foundation of my method is empathic understanding and unconditional positive regard. I am truly convinced that every person has the potential to grow and achieve positive life change.
I specialize in working mostly with children and families. Also, I see couples and individual adults. I offer help with managing high level of stress, anxiety, depression, and other mental health conditions. In my practice, I use an integrative approach that includes several evidence-based techniques. The foundation of my method is empathic understanding and unconditional positive regard. I am truly convinced that every person has the potential to grow and achieve positive life change.
Halcyon Clinical Services, LLC
Clinical Social Work/Therapist, PhD, LCSW-C
Verified Verified
1 Endorsed
Columbia, MD 21045 (Online Only)
Halcyon Clinical a multi-disciplinary practice, is currently accepting new clients via the teletherapy platform and at our location in Howard County. Sessions are structured using evidence-based interventions, and our proprietary Care Measured tool examines a client's progress during treatment. Currently, offering clinical supervision for LMSW/LGPC.
Halcyon Clinical a multi-disciplinary practice, is currently accepting new clients via the teletherapy platform and at our location in Howard County. Sessions are structured using evidence-based interventions, and our proprietary Care Measured tool examines a client's progress during treatment. Currently, offering clinical supervision for LMSW/LGPC.
Onika Walker
Clinical Social Work/Therapist, LMSW
Verified Verified
Columbia, MD 21044 (Online Only)
As an empathetic therapist with a burgeoning expertise, I am dedicated to cultivating a salutogenic approach to therapy, which places emphasis on the holistic well-being of each individual. Grounded in mindfulness and a deep understanding of the interconnectedness between mind, body, and emotions, I prioritize fostering emotional regulation as a fundamental aspect of our work together. Through a compassionate lens, I guide clients in exploring their inner landscape, empowering them to harness their innate strengths and resources to navigate life's challenges with resilience and authenticity.
As an empathetic therapist with a burgeoning expertise, I am dedicated to cultivating a salutogenic approach to therapy, which places emphasis on the holistic well-being of each individual. Grounded in mindfulness and a deep understanding of the interconnectedness between mind, body, and emotions, I prioritize fostering emotional regulation as a fundamental aspect of our work together. Through a compassionate lens, I guide clients in exploring their inner landscape, empowering them to harness their innate strengths and resources to navigate life's challenges with resilience and authenticity.
Paul McClellan, LCSW-C completed his Master’s degree in Social Work at the University of Chicago in 2015, and he has over 4 years of clinical experience in one on one counseling, family work, and group therapy. His primary focus is providing honest and authentic communication with clients, and being a resource for active listening and problem solving. He enjoys working with adults, children, and families.
Paul McClellan, LCSW-C completed his Master’s degree in Social Work at the University of Chicago in 2015, and he has over 4 years of clinical experience in one on one counseling, family work, and group therapy. His primary focus is providing honest and authentic communication with clients, and being a resource for active listening and problem solving. He enjoys working with adults, children, and families.
Octavia Brown
Clinical Social Work/Therapist, LCSW-C
Verified Verified
Columbia, MD 21044 (Online Only)
Octavia Brown, LCSW-C has dedicated her clinical practice to restoring the lives of those who live with one or more marginalized identities. She believes in healing the whole self (mind, body, and spirit) and utilizes indigenous techniques which include; but, are not limited to: insight-oriented practice; mindfulness techniques & awareness of self; ancestral healing; and spiritual practice (upon request). Octavia challenges each individual she works with to decolonize their way of existing and to boldly live in their own uniqueness and true authenticity.
Octavia Brown, LCSW-C has dedicated her clinical practice to restoring the lives of those who live with one or more marginalized identities. She believes in healing the whole self (mind, body, and spirit) and utilizes indigenous techniques which include; but, are not limited to: insight-oriented practice; mindfulness techniques & awareness of self; ancestral healing; and spiritual practice (upon request). Octavia challenges each individual she works with to decolonize their way of existing and to boldly live in their own uniqueness and true authenticity.
I believe one of the bravest things you can do is begin to understand your own story. I want to help you achieve whatever solutions and life changes you are looking for while enjoying the therapeutic process as much as possible and experiencing yourself in new ways. Reaching out to a therapist can often be hard. You may fear being judged or being vulnerable with a stranger. But I am confident that given the chance, you will see the benefits in talking with me as I really want to help you succeed. My hope is that you take this leap of faith and see how I can best support you. We can only do the best that we can.
I believe one of the bravest things you can do is begin to understand your own story. I want to help you achieve whatever solutions and life changes you are looking for while enjoying the therapeutic process as much as possible and experiencing yourself in new ways. Reaching out to a therapist can often be hard. You may fear being judged or being vulnerable with a stranger. But I am confident that given the chance, you will see the benefits in talking with me as I really want to help you succeed. My hope is that you take this leap of faith and see how I can best support you. We can only do the best that we can.
Jennifer Helene Bozenski
Psychologist, PsyD
Verified Verified
2 Endorsed
Columbia, MD 21044 (Online Only)
Difficult feelings can be a doorway for personal growth. Living in modern society with it's many stressors, it is easy to lose connection with what gives us fulfillment. Relationships may fall apart, anxiety may plague us more hours than not, or we may just feel " stuck" and not living up to our full potential. Therapy can help. Although taking the first step to enter therapy can be anxiety provoking, the inner rewards of the experience can be well worth it.
Difficult feelings can be a doorway for personal growth. Living in modern society with it's many stressors, it is easy to lose connection with what gives us fulfillment. Relationships may fall apart, anxiety may plague us more hours than not, or we may just feel " stuck" and not living up to our full potential. Therapy can help. Although taking the first step to enter therapy can be anxiety provoking, the inner rewards of the experience can be well worth it.
I believe in empowering my clients to discover their inner strengths. Therapy is a journey in self exploration, self awareness and change. I use a multicultural perspective to inform my clinical practice. I offer tele-health services to my clients accessibility to care .Self pay clients can expect an appointment within 24 hours. My sessions use mindfulness, practicing self regulation, cognitive restructuring, imago skills, play therapy and many other techniques that are relevant to a client's treatment plan. I am available to my clients between sessions via text and secure video chatting. I offer financial therapy.
I believe in empowering my clients to discover their inner strengths. Therapy is a journey in self exploration, self awareness and change. I use a multicultural perspective to inform my clinical practice. I offer tele-health services to my clients accessibility to care .Self pay clients can expect an appointment within 24 hours. My sessions use mindfulness, practicing self regulation, cognitive restructuring, imago skills, play therapy and many other techniques that are relevant to a client's treatment plan. I am available to my clients between sessions via text and secure video chatting. I offer financial therapy.
Welcome. I am a licensed psychologist concerned for individuals experiencing problems with attention, concentration, memory, and learning (which often goes along with some anxiety and depression). Effective treatment begins with an accurate diagnosis. I provide psychological testing and assessment for all cultural groups to secure accurate diagnosis. This service includes a comprehensive report, including recommendations and accommodations for academic success. I also provide psychotherapy to help clients improve quality of life and to reach personal goals.
Welcome. I am a licensed psychologist concerned for individuals experiencing problems with attention, concentration, memory, and learning (which often goes along with some anxiety and depression). Effective treatment begins with an accurate diagnosis. I provide psychological testing and assessment for all cultural groups to secure accurate diagnosis. This service includes a comprehensive report, including recommendations and accommodations for academic success. I also provide psychotherapy to help clients improve quality of life and to reach personal goals.
15 Second Videos
Halcyon Clinical Services, LLC
Ohana Counseling Services
Berni J. Antelman
Sandra Anderson
Jennifer Shepard Payne
Gillian McCusker
Jesse Ludwig
Lynn S. Owens
Gabrielle “Ms. Gabby” Barrington
Shawn Schroeder
Thriveworks Counseling & Psychiatry Columbia
Allison Tate-Booker
Maria Bonello
Jake Ferentz
MPB Group, Inc-An Outpatient Mental Health Clinic
Christine Highfill
Wellness Space Couple's Counseling
Therapy for Thinkers
Alicia M Dorn
Zoe Ziman
Megan Williams
Sheela Reddy
Couples & Family Institute of MPB Group, Inc
Carilyn Rego
Matt Mazick
Kelly Streit
Naomi Johnson
Rosie Young
Angela Alborn
The Green Garden
Russell Claver-Obinna
Lionela Jean
Dr. Mitch PsyD and Lisa Life Coaching Specialists
Tennille Warren-Phillips
GY COUNSELING, LLC
Russell Beebe
Nyasha Grayman | Counseling Psychologist
Donald Rinker
Viktoriya Karakcheyeva
Shirria D McCullough
Alyson Davis
Restoring Minds Wellness & Consulting, LLC
Rebecca Maria Schaffner Board Approved Supervisor
Kristie Franklin
Kelcee Molen
Piumi Rajasekera
Thomas K. Swisher, J.D., Ph.D.
Mary D Hill
Michael P. Malone
Lisa Maria Maslar
Sarah J Blake
Clinical Social Work/Therapist, LCSW-C
Verified Verified
3 Endorsed
Columbia, MD 21044
I am so excited that you are here, looking for help. That is the most important step you can take to get the help you need. The next best step you can take is therapist shopping. You are unlikely to be best friends with every person you meet and not every therapist will be the best match for you, so shop around and do your homework! Ask lots of questions and read everything you can find until you are satisfied and comfortable. I am here to answer those questions and help you take the next step. Then it will be one step at a time towards meeting your goals.
I am so excited that you are here, looking for help. That is the most important step you can take to get the help you need. The next best step you can take is therapist shopping. You are unlikely to be best friends with every person you meet and not every therapist will be the best match for you, so shop around and do your homework! Ask lots of questions and read everything you can find until you are satisfied and comfortable. I am here to answer those questions and help you take the next step. Then it will be one step at a time towards meeting your goals.
Andrew Stanton
Clinical Social Work/Therapist, LCSW-C, SAP
Verified Verified
4 Endorsed
Columbia, MD 21045
Voted best in Howard County! Andrew's experience includes 25 years of specialization with children, adolescents, and families. Through working in a variety of settings he has developed exceptional skills working with trauma, emotional, and behavioral issues. He has had tremendous success working with some of the most at risk clients. He works with individuals, families and couples to help produce positive changes. He practices EMDR to help clients overcome traumas.
Voted best in Howard County! Andrew's experience includes 25 years of specialization with children, adolescents, and families. Through working in a variety of settings he has developed exceptional skills working with trauma, emotional, and behavioral issues. He has had tremendous success working with some of the most at risk clients. He works with individuals, families and couples to help produce positive changes. He practices EMDR to help clients overcome traumas.
Arise Health Clinic
Drug & Alcohol Counselor, CAC-ADS, NCA-AD/
Verified Verified
1 Endorsed
Columbia, MD 21044
Hello, I'm Gregory Palmer, a seasoned certified addiction counselor with over two decades of experience in the healthcare field. At Arise Health Clinic, our mission is to guide individuals towards a life of sobriety and wellness. As a trusted provider, I specialize in counseling patients grappling with addiction, offering unwavering support and evidence-based interventions to aid them on their journey to recovery. With a compassionate approach and a commitment to personalized care, I collaborate closely with each patient to develop tailored treatment plans that address their unique needs and goals
Hello, I'm Gregory Palmer, a seasoned certified addiction counselor with over two decades of experience in the healthcare field. At Arise Health Clinic, our mission is to guide individuals towards a life of sobriety and wellness. As a trusted provider, I specialize in counseling patients grappling with addiction, offering unwavering support and evidence-based interventions to aid them on their journey to recovery. With a compassionate approach and a commitment to personalized care, I collaborate closely with each patient to develop tailored treatment plans that address their unique needs and goals
Ohana Counseling Services
Licensed Clinical Professional Counselor
Verified Verified
1 Endorsed
Columbia, MD 21044 (Online Only)
We are specialized and trained to help you— a mom navigating the highs and lows of motherhood, from conception to pregnancy, postpartum and beyond. You may be feeling overwhelmed, anxious, or isolated, wondering if you’re doing enough or if your feelings are "normal." You’re seeking understanding, validation, and tools to feel more in control. We're here to walk alongside you, helping you process, heal, and embrace your role as both a mother and an individual - to find strength and joy in both motherhood and in being you!
We are specialized and trained to help you— a mom navigating the highs and lows of motherhood, from conception to pregnancy, postpartum and beyond. You may be feeling overwhelmed, anxious, or isolated, wondering if you’re doing enough or if your feelings are "normal." You’re seeking understanding, validation, and tools to feel more in control. We're here to walk alongside you, helping you process, heal, and embrace your role as both a mother and an individual - to find strength and joy in both motherhood and in being you!
Rick Conway
Art Therapist, LCPAT, LCPC, ATR-BC
Verified Verified
Columbia, MD 21045
Not accepting new clients
My approach to therapy is creative and collaborative. I believe each individual – no matter their age or gender identity – is unique and should have a therapist who is genuine, practices unconditional positive regard, and has empathic understanding. In session, I will approach the client where they are and with what they may currently be experiencing. My approach starts with building a positive, warm, and trusting relationship. This will provide a foundation of support, encouragement, and connection, and after that the work can truly begin. I do not expect a client to work harder in our relationship than I am willing to do myself.
My approach to therapy is creative and collaborative. I believe each individual – no matter their age or gender identity – is unique and should have a therapist who is genuine, practices unconditional positive regard, and has empathic understanding. In session, I will approach the client where they are and with what they may currently be experiencing. My approach starts with building a positive, warm, and trusting relationship. This will provide a foundation of support, encouragement, and connection, and after that the work can truly begin. I do not expect a client to work harder in our relationship than I am willing to do myself.
I take an integrative approach to my work that cultivates gentleness, acceptance, and compassion towards ourselves and others. I provide a safe space for you to process emotions and experiences, self-reflect without judgment, and explore ambivalence to change. My style is sincere, authentic, and direct when needed, placing an emphasis on the importance of self-awareness and how one’s thoughts can impact feelings and behaviors. I view my role in the therapeutic process less as the “expert” in the room and more as a collaborator helping clients move towards insight, authenticity, and lasting change.
I take an integrative approach to my work that cultivates gentleness, acceptance, and compassion towards ourselves and others. I provide a safe space for you to process emotions and experiences, self-reflect without judgment, and explore ambivalence to change. My style is sincere, authentic, and direct when needed, placing an emphasis on the importance of self-awareness and how one’s thoughts can impact feelings and behaviors. I view my role in the therapeutic process less as the “expert” in the room and more as a collaborator helping clients move towards insight, authenticity, and lasting change.
Ashleigh Roberts
Clinical Social Work/Therapist, LCSW-C
Verified Verified
2 Endorsed
Columbia, MD 21045
You are so brave for stepping up to the plate to improve your life; to attain greater balance, achieve your goals, enhance your self-assurance, learn your strengths, and to feel empowered to live fully! I love working with adults who struggle with trying to manage it all. Between work, parenting, relationships, socializing with friends, and maintaining a meaningful spiritual life, many adults are just plain exhausted. You desire to feel greater peace with it all and to start enjoying life again. I see you and I hear you, and I cannot wait for us to work together so you can discover your needs and finally meet your goals.
You are so brave for stepping up to the plate to improve your life; to attain greater balance, achieve your goals, enhance your self-assurance, learn your strengths, and to feel empowered to live fully! I love working with adults who struggle with trying to manage it all. Between work, parenting, relationships, socializing with friends, and maintaining a meaningful spiritual life, many adults are just plain exhausted. You desire to feel greater peace with it all and to start enjoying life again. I see you and I hear you, and I cannot wait for us to work together so you can discover your needs and finally meet your goals.
Lindsey Krauss, a Licensed Professional Counselor at LifeStance Health, offers dedicated mental health support to individuals across Wisconsin. Specializing in individual therapy, Lindsey addresses a variety of mental health concerns, including anxiety, depression, PTSD, and trauma. Her practice is designed to support adults ranging from young adults to seniors, providing compassionate and evidence-based care. Lindsey is particularly adept at working with individuals affected by trauma, grief, and substance use issues.
Lindsey Krauss, a Licensed Professional Counselor at LifeStance Health, offers dedicated mental health support to individuals across Wisconsin. Specializing in individual therapy, Lindsey addresses a variety of mental health concerns, including anxiety, depression, PTSD, and trauma. Her practice is designed to support adults ranging from young adults to seniors, providing compassionate and evidence-based care. Lindsey is particularly adept at working with individuals affected by trauma, grief, and substance use issues.
Gina Teranto
Licensed Clinical Professional Counselor, LCPC, CCATP, CIMHP
Verified Verified
Columbia, MD 21044
Not accepting new clients
My ideal client is struggling with the complexities of life, they yearn for a compassionate ally who understands their unique challenges. They desire a therapist with a wealth of experience and capable of tailoring treatment to suit their individual needs. Their goal isn't just symptom alleviation but fostering sustainable mental well-being. They seek a therapist who fosters a safe space, where their vulnerabilities are met with understanding, not judgment. This client values authenticity and craves a therapeutic relationship built on trust and mutual respect. They are ready to embark on a journey of self-discovery.
My ideal client is struggling with the complexities of life, they yearn for a compassionate ally who understands their unique challenges. They desire a therapist with a wealth of experience and capable of tailoring treatment to suit their individual needs. Their goal isn't just symptom alleviation but fostering sustainable mental well-being. They seek a therapist who fosters a safe space, where their vulnerabilities are met with understanding, not judgment. This client values authenticity and craves a therapeutic relationship built on trust and mutual respect. They are ready to embark on a journey of self-discovery.
See more therapy options for Columbia
How does your Therapist compare?
Number of Therapists in Columbia, MD
1,000+
Average cost per session
$150
Therapists in Columbia, MD who prioritize treating:
93% | Anxiety |
88% | Depression |
73% | Self Esteem |
71% | Relationship Issues |
68% | Coping Skills |
67% | Stress |
63% | Trauma and PTSD |
Average years in practice
10 Years
Top 3 insurances accepted
77% | Cigna and Evernorth |
75% | BlueCross and BlueShield |
75% | CareFirst |
How Therapists in Columbia, MD see their clients
55% | In Person and Online | |
45% | Online Only |
Gender breakdown
82% | Female | |
17% | Male | |
1% | Non-Binary |
FAQs - About Therapy and Counseling
How can I find a therapist in Columbia?
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
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.
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.
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.