Therapists in Frederick, MD

Photo of Leslee Bry - Mindful Marriage and Family Therapy, LLC, MS, LCMFT, Marriage & Family Therapist
Mindful Marriage and Family Therapy, LLC
Marriage & Family Therapist, MS, LCMFT
Verified Verified
4 Endorsed
Frederick, MD 21701
At Mindful Marriage and Family Therapy we believe that meaningful, healthy relationships and systems are the foundation of a fulfilling life. Whether you’re an adult seeking personal growth, have a teen longing to be heard and understood, a couple navigating the complexities of partnership, or a family striving for harmony, we are here to guide you every step of the way. With years of experience and a deep understanding of the holistic dynamics that shape connection, our dedicated team of experts are committed to helping you build the relationships you seek with yourself and your community.
At Mindful Marriage and Family Therapy we believe that meaningful, healthy relationships and systems are the foundation of a fulfilling life. Whether you’re an adult seeking personal growth, have a teen longing to be heard and understood, a couple navigating the complexities of partnership, or a family striving for harmony, we are here to guide you every step of the way. With years of experience and a deep understanding of the holistic dynamics that shape connection, our dedicated team of experts are committed to helping you build the relationships you seek with yourself and your community.
(301) 485-5256 View (301) 485-5256
Photo of Morgan Neibich-Gianni, LCSW-C, LICSW, Clinical Social Work/Therapist
Morgan Neibich-Gianni
Clinical Social Work/Therapist, LCSW-C, LICSW
Verified Verified
Frederick, MD 21701
I work with adults and provide care for patients who struggle with grief, loss, relationship issues, and major life transitions. I have extensive experience with Mindfulness Based Cognitive Therapy, but utilize an eclectic approach to therapy based on your past experiences and needs. If you’re stressed out, burned out, grieving, struggling with relationships, or need to process a rough patch in your life I’m here to help. If therapy is a puzzle I support you while you put the pieces together and help you see the bigger picture. I hope to encourage and support you, while helping you strengthen your mind-body connection.
I work with adults and provide care for patients who struggle with grief, loss, relationship issues, and major life transitions. I have extensive experience with Mindfulness Based Cognitive Therapy, but utilize an eclectic approach to therapy based on your past experiences and needs. If you’re stressed out, burned out, grieving, struggling with relationships, or need to process a rough patch in your life I’m here to help. If therapy is a puzzle I support you while you put the pieces together and help you see the bigger picture. I hope to encourage and support you, while helping you strengthen your mind-body connection.
(240) 376-2251 View (240) 376-2251
Photo of Ariana Cook, LCPC
Ariana Cook
Licensed Clinical Professional Counselor, LCPC
Verified Verified
2 Endorsed
Frederick, MD 21703
Waitlist for new clients
As a therapist, my hope is that you feel safe, empowered, and validated as we work together to find solutions to the various challenges you are facing. I believe self-awareness and self-compassion are foundational to personal healing and growth and are integral parts of the work we do in therapy. I've had the joy and privilege of helping individuals navigate through addiction and recovery, anxiety, traumatic experiences, depression, and life stressors. I use multiple therapeutic approaches, based off the needs and cultures of my clients, as therapy should be unique and tailored to the individual.
As a therapist, my hope is that you feel safe, empowered, and validated as we work together to find solutions to the various challenges you are facing. I believe self-awareness and self-compassion are foundational to personal healing and growth and are integral parts of the work we do in therapy. I've had the joy and privilege of helping individuals navigate through addiction and recovery, anxiety, traumatic experiences, depression, and life stressors. I use multiple therapeutic approaches, based off the needs and cultures of my clients, as therapy should be unique and tailored to the individual.
(240) 269-2906 View (240) 269-2906
Photo of Kristin Milne-Glasser - Allied Counseling Group, LCADC, SAP, Drug & Alcohol Counselor
Allied Counseling Group
Drug & Alcohol Counselor, LCADC, SAP
Verified Verified
Frederick, MD 21703  (Online Only)
The Intervention Center offers discreet on-site employee, family, and impaired professional interventions that work! Licensed interventionist with over 20 years' expertise in coaching, guiding, and delivering powerful intervention experiences that save lives and restore trust, health and productivity to companies, professionals and families. From helping pre-cert and authorize insurance plans for treatment admission, researching best options for care, arranging and providing travel and companion care during transit, and educating the intervention team, we dedicate our work in every step toward intervening on addictive behavior that has impacted your workplace and family relationships.
The Intervention Center offers discreet on-site employee, family, and impaired professional interventions that work! Licensed interventionist with over 20 years' expertise in coaching, guiding, and delivering powerful intervention experiences that save lives and restore trust, health and productivity to companies, professionals and families. From helping pre-cert and authorize insurance plans for treatment admission, researching best options for care, arranging and providing travel and companion care during transit, and educating the intervention team, we dedicate our work in every step toward intervening on addictive behavior that has impacted your workplace and family relationships.
(240) 696-7725 View (240) 696-7725
Photo of Jamie Metzler, LCSW-C, Clinical Social Work/Therapist
Jamie Metzler
Clinical Social Work/Therapist, LCSW-C
Verified Verified
Frederick, MD 21702
Congratulations on seeking help! You have taken your first step on what may be a long but rewarding journey of healing and self-discovery. It takes real courage to face what may be overwhelming fear, despair and self-blame. But you don't have to struggle with the burden of hopelessness alone. Others that suffered in similar ways have gotten help even when therapy has not worked in the past. Whether one struggles with stress, relationship difficulties or crippling self-doubt, therapy is used to identify barriers and cultivate tools that bring fresh perspective and resources to address the problem at hand. Tele-therapy available.
Congratulations on seeking help! You have taken your first step on what may be a long but rewarding journey of healing and self-discovery. It takes real courage to face what may be overwhelming fear, despair and self-blame. But you don't have to struggle with the burden of hopelessness alone. Others that suffered in similar ways have gotten help even when therapy has not worked in the past. Whether one struggles with stress, relationship difficulties or crippling self-doubt, therapy is used to identify barriers and cultivate tools that bring fresh perspective and resources to address the problem at hand. Tele-therapy available.
(443) 396-3230 View (443) 396-3230
Photo of Kristen Reese, LGPC, Counselor
Kristen Reese
Counselor, LGPC
Verified Verified
Frederick, MD 21702  (Online Only)
Thanks for visiting my page! I'm Kristen, a Licensed Graduate Professional Counselor specializing in individual psychotherapy for adults, children, and adolescents alike. As a therapist I understand that engaging in therapy for the first time can be an overwhelming experience and I aim to create a safe space for my clients to express themselves and feel empowered to overcome life’s obstacles.
Thanks for visiting my page! I'm Kristen, a Licensed Graduate Professional Counselor specializing in individual psychotherapy for adults, children, and adolescents alike. As a therapist I understand that engaging in therapy for the first time can be an overwhelming experience and I aim to create a safe space for my clients to express themselves and feel empowered to overcome life’s obstacles.
(240) 690-6534 x1 View (240) 690-6534 x1
Photo of Briana Rahming,  LCSW-C, Clinical Social Work/Therapist
Briana Rahming
Clinical Social Work/Therapist, LCSW-C
Verified Verified
Frederick, MD 21702
My ideal client is motivated for therapy. Their issues can include spiritual confusion, perinatal struggles, relationship concerns, family conflict, boundary needs, and/or a desire for greater self-awareness. They desire true change, which comes with a combination of empathy, education, and constructive feedback, if necessary, from the clinician.
My ideal client is motivated for therapy. Their issues can include spiritual confusion, perinatal struggles, relationship concerns, family conflict, boundary needs, and/or a desire for greater self-awareness. They desire true change, which comes with a combination of empathy, education, and constructive feedback, if necessary, from the clinician.
(240) 702-1145 View (240) 702-1145
Photo of Larry Stouter, MA, LCPC
Larry Stouter
Licensed Clinical Professional Counselor, MA, LCPC
Verified Verified
Frederick, MD 21701
I am a practical consultant for getting movement towards the life you want. I have enjoyed being a practicing psychotherapist for over 25 years having worked with thousands of clients. This experience enables me to quickly clarify issues and help you develop a plan to have the life you want. Being gentle and simultaneously direct is my forte so I will use your time effectively. I use Acceptance and Commitment Therapy as a primary intervention with other approaches woven in as needed. I do not take myself too seriously and laughter is an essential therapeutic ingredient.
I am a practical consultant for getting movement towards the life you want. I have enjoyed being a practicing psychotherapist for over 25 years having worked with thousands of clients. This experience enables me to quickly clarify issues and help you develop a plan to have the life you want. Being gentle and simultaneously direct is my forte so I will use your time effectively. I use Acceptance and Commitment Therapy as a primary intervention with other approaches woven in as needed. I do not take myself too seriously and laughter is an essential therapeutic ingredient.
(301) 256-0340 View (301) 256-0340
Photo of Karen Clarence, LCSW-C, Clinical Social Work/Therapist
Karen Clarence
Clinical Social Work/Therapist, LCSW-C
Verified Verified
2 Endorsed
Frederick, MD 21704  (Online Only)
The journey towards discovery and healing can be rewarding. The decision to seek counseling can be difficult. I am here to help. I am a social worker with over 20 years of experience. I have experience working with children and adults. I am passionate about my work and understand the importance of offering a nonjudgmental safe space for clients. We will work towards identifying your strengths to help you get to where you want to be. I will utilize a holistic approach to help equip clients with the tools needed to maintain a balanced life. I value moments when my client’s smile, thrive, or triumph over difficulties.
The journey towards discovery and healing can be rewarding. The decision to seek counseling can be difficult. I am here to help. I am a social worker with over 20 years of experience. I have experience working with children and adults. I am passionate about my work and understand the importance of offering a nonjudgmental safe space for clients. We will work towards identifying your strengths to help you get to where you want to be. I will utilize a holistic approach to help equip clients with the tools needed to maintain a balanced life. I value moments when my client’s smile, thrive, or triumph over difficulties.
(301) 781-6110 View (301) 781-6110
Photo of Tina Millard, MS, LGPC, Counselor
Tina Millard
Counselor, MS, LGPC
Verified Verified
1 Endorsed
Frederick, MD 21704
I enjoy empowering clients to be their best selves, and in order to do that, I believe there must be a strong client-counselor relationship based on trust and respect. I use an interest-based approach to engage clients.
I enjoy empowering clients to be their best selves, and in order to do that, I believe there must be a strong client-counselor relationship based on trust and respect. I use an interest-based approach to engage clients.
(240) 358-6658 View (240) 358-6658
Photo of Radha C Moldover, LCSW, MA, Clinical Social Work/Therapist
Radha C Moldover
Clinical Social Work/Therapist, LCSW, MA
Verified Verified
Frederick, MD 21702  (Online Only)
I'm a mixed race (Mexican/Japanese/White) Licensed Clinical Social Worker using she/her pronouns and I use Internal Family Systems (IFS) to partner with adults to transform their relationship with themselves. With warmth and compassion, I support motivated individuals through their journey towards profound self-expression, self-love, and authentic being. In our work together, you'll be received with a full, grounded and welcoming presence and you'll be supported to move at a pace that is right for you.
I'm a mixed race (Mexican/Japanese/White) Licensed Clinical Social Worker using she/her pronouns and I use Internal Family Systems (IFS) to partner with adults to transform their relationship with themselves. With warmth and compassion, I support motivated individuals through their journey towards profound self-expression, self-love, and authentic being. In our work together, you'll be received with a full, grounded and welcoming presence and you'll be supported to move at a pace that is right for you.
(240) 820-2090 View (240) 820-2090
Photo of Arielle Jordan - Mindset Quality LLC, MS, NCC, LCPC, Counselor
Mindset Quality LLC
Counselor, MS, NCC, LCPC
Verified Verified
1 Endorsed
Frederick, MD 21702  (Online Only)
Waitlist for new clients
If you're a veteran, first responder, or anyone struggling with PTSD or anxiety, you've come to the right place. As an Army veteran myself, I get the hurdles you face and the courage it takes to ask for help. I specialize in EMDR, a powerful tool for tackling trauma head-on. In our sessions, we'll craft coping strategies tailored just for you, aimed at strengthening your resilience and restoring your sense of control. Let’s work together to turn the tide on trauma and pave the way to a more hopeful, fulfilling life. Let's take this step by step, aiming for healing and lasting change.
If you're a veteran, first responder, or anyone struggling with PTSD or anxiety, you've come to the right place. As an Army veteran myself, I get the hurdles you face and the courage it takes to ask for help. I specialize in EMDR, a powerful tool for tackling trauma head-on. In our sessions, we'll craft coping strategies tailored just for you, aimed at strengthening your resilience and restoring your sense of control. Let’s work together to turn the tide on trauma and pave the way to a more hopeful, fulfilling life. Let's take this step by step, aiming for healing and lasting change.
(240) 220-9211 View (240) 220-9211
Photo of Deborah Enyidah, LCSW-C, Clinical Social Work/Therapist
Deborah Enyidah
Clinical Social Work/Therapist, LCSW-C
Verified Verified
1 Endorsed
Frederick, MD 21703  (Online Only)
Do you have difficulty setting boundaries, saying no and being assertive? Do you have a pattern in your relationships where you consistently prioritize others needs over your own? Do you tend to feel taken advantage of, resentful or drained? If so, you may struggle with codependency and find yourself in one sided relationships. You over give and take on excessive responsibilities to help ease the burden of others. You have trouble expressing your emotions and opinions to maintain peace and get your sense of self-worth by people pleasing. Codependency is not a clinical diagnosis, but it can contribute to anxiety and depression.
Do you have difficulty setting boundaries, saying no and being assertive? Do you have a pattern in your relationships where you consistently prioritize others needs over your own? Do you tend to feel taken advantage of, resentful or drained? If so, you may struggle with codependency and find yourself in one sided relationships. You over give and take on excessive responsibilities to help ease the burden of others. You have trouble expressing your emotions and opinions to maintain peace and get your sense of self-worth by people pleasing. Codependency is not a clinical diagnosis, but it can contribute to anxiety and depression.
(301) 804-1131 View (301) 804-1131
Photo of Noah Matthew Stevens, LCPC
Noah Matthew Stevens
Licensed Clinical Professional Counselor, LCPC
Verified Verified
3 Endorsed
Frederick, MD 21701
I am comfortable working with serious persistent mental health issues, harmful family dynamics, personality disorders, and addiction problems. I also have a straightforward, lifestyle-based approach to issues like mood swings, anxiety, and insomnia.
I am comfortable working with serious persistent mental health issues, harmful family dynamics, personality disorders, and addiction problems. I also have a straightforward, lifestyle-based approach to issues like mood swings, anxiety, and insomnia.
(240) 332-1566 View (240) 332-1566
Photo of Andrea Bieljeski, LCSW-C, Clinical Social Work/Therapist
Andrea Bieljeski
Clinical Social Work/Therapist, LCSW-C
Verified Verified
Frederick, MD 21701  (Online Only)
Are you finding it difficult to navigate through some of life's challenges? I am a Licensed Clinical Social Worker (LCSW-C) who works with adults in a wide range of areas and I believe it is important to create a compassionate and supportive environment for my clients. My goal is to help you identify and utilize your already existing personal strengths in addition to building new skills that will help you feel empowered and able to cope effectively in challenging times.
Are you finding it difficult to navigate through some of life's challenges? I am a Licensed Clinical Social Worker (LCSW-C) who works with adults in a wide range of areas and I believe it is important to create a compassionate and supportive environment for my clients. My goal is to help you identify and utilize your already existing personal strengths in addition to building new skills that will help you feel empowered and able to cope effectively in challenging times.
(443) 214-0890 View (443) 214-0890
Photo of Monique Harris - Blu Haven Wellness Center, LCPC
Blu Haven Wellness Center
Licensed Clinical Professional Counselor, LCPC
Verified Verified
1 Endorsed
Frederick, MD 21704  (Online Only)
You’re struggling to overcome feelings of shock after an extremely stressful event. You’re experiencing unpredictable emotions, flashbacks, relationship difficulties, or even physical symptoms like headaches or nausea. You feel sad & unmotivated about the future. Constantly, you worry that something bad will happen. You have a hard time sleeping. You can't shake the negative thoughts. You want to connect with others but you think its better to avoid situations that cause any anxiety. You find yourself worrying about different topics, events or activities. You’re trying to heal from the things that are causing pain!
You’re struggling to overcome feelings of shock after an extremely stressful event. You’re experiencing unpredictable emotions, flashbacks, relationship difficulties, or even physical symptoms like headaches or nausea. You feel sad & unmotivated about the future. Constantly, you worry that something bad will happen. You have a hard time sleeping. You can't shake the negative thoughts. You want to connect with others but you think its better to avoid situations that cause any anxiety. You find yourself worrying about different topics, events or activities. You’re trying to heal from the things that are causing pain!
(301) 710-0386 View (301) 710-0386
Photo of Carly Lebherz, LCSW-C, LICSW, CTRP-C, Clinical Social Work/Therapist
Carly Lebherz
Clinical Social Work/Therapist, LCSW-C, LICSW, CTRP-C
Verified Verified
2 Endorsed
Frederick, MD 21701
If you or your teen are struggling with issues related to anxiety, depression, relationship stressors, focus, and low motivation, I can help. You deserve to take the time to stop and process how you are feeling, what you are thinking, and what change you would like to see. In doing so you will create a deep and meaningful relationship with yourself and others. My therapeutic process helps you explore your inner dialogue to see what impact your thoughts have on your mood, behavior, and self-worth.
If you or your teen are struggling with issues related to anxiety, depression, relationship stressors, focus, and low motivation, I can help. You deserve to take the time to stop and process how you are feeling, what you are thinking, and what change you would like to see. In doing so you will create a deep and meaningful relationship with yourself and others. My therapeutic process helps you explore your inner dialogue to see what impact your thoughts have on your mood, behavior, and self-worth.
(240) 816-3841 View (240) 816-3841
Photo of Stephanie Miller, LCPC, RPT, Counselor
Stephanie Miller
Counselor, LCPC, RPT
Verified Verified
1 Endorsed
Frederick, MD 21704
People of all ages come to me-sometimes they feel "stuck" in a routine or they're feeling like they just don't fit in. Parents often come to me for help with understanding their child and learning ways to connect with them. I work with children with big feelings, teenagers who are trying to figure out where they fit in the world, and adults who are looking for a fun, unique approach to therapy.
People of all ages come to me-sometimes they feel "stuck" in a routine or they're feeling like they just don't fit in. Parents often come to me for help with understanding their child and learning ways to connect with them. I work with children with big feelings, teenagers who are trying to figure out where they fit in the world, and adults who are looking for a fun, unique approach to therapy.
View
Photo of Jennifer Barnett
Jennifer Barnett
Licensed Clinical Professional Counselor
Verified Verified
Frederick, MD 21702  (Online Only)
My passion is to assist individuals with improving their lives by providing a safe, non-judgmental atmosphere for growth, self-reflection/insight building, processing trauma/managing related triggers, building strategies to improve relationships with self and others, building skills to decrease depressive/anxious/obsessive thoughts and compete with stress, while also building hope, resiliency and motivation.
My passion is to assist individuals with improving their lives by providing a safe, non-judgmental atmosphere for growth, self-reflection/insight building, processing trauma/managing related triggers, building strategies to improve relationships with self and others, building skills to decrease depressive/anxious/obsessive thoughts and compete with stress, while also building hope, resiliency and motivation.
(866) 738-3081 View (866) 738-3081
Photo of Brandy L Brandenburg, LCSW-C, MSSW, Clinical Social Work/Therapist
Brandy L Brandenburg
Clinical Social Work/Therapist, LCSW-C, MSSW
Verified Verified
1 Endorsed
Frederick, MD 21703  (Online Only)
Everyone faces challenges at some point in their lives. I believe the key to enduring these challenges is having a solid anchor to hold us in place amidst life's storms. Whether this be healing from trauma, enduring life transitions, or facing paralyzing tragedy- being fully anchored is where we can find hope. My goal is to compassionately come alongside my clients in a supportive and empowering way. By drawing upon their strengths we will work together to formalize realistic and attainable goals. I believe there is hope for everyone and I feel blessed to intersect with my clients wherever they are in their journey.
Everyone faces challenges at some point in their lives. I believe the key to enduring these challenges is having a solid anchor to hold us in place amidst life's storms. Whether this be healing from trauma, enduring life transitions, or facing paralyzing tragedy- being fully anchored is where we can find hope. My goal is to compassionately come alongside my clients in a supportive and empowering way. By drawing upon their strengths we will work together to formalize realistic and attainable goals. I believe there is hope for everyone and I feel blessed to intersect with my clients wherever they are in their journey.
(301) 701-2328 View (301) 701-2328
1
...

How does your Therapist compare?

Number of Therapists in Frederick, MD

600+

Average cost per session

$150

Therapists in Frederick, MD who prioritize treating:

93% Anxiety
90% Depression
74% Self Esteem
73% Relationship Issues
73% Stress
68% Trauma and PTSD
68% Coping Skills

Average years in practice

10 Years

Top 3 insurances accepted

76% CareFirst
75% BlueCross and BlueShield
72% Cigna and Evernorth

How Therapists in Frederick, MD see their clients

54% In Person and Online
46% Online Only

Gender breakdown

82% Female
17% Male
1% Non-Binary
FAQs - About Therapy and Counseling

How can I find a therapist in Frederick?

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.