Therapists in Leesburg, VA

Photo of Allison Swisher, LPC-S, RPT, NCC, NCSC, Licensed Professional Counselor
Allison Swisher
Licensed Professional Counselor, LPC-S, RPT, NCC, NCSC
Verified Verified
1 Endorsed
Leesburg, VA 20176
As a Licensed Professional Counselor, Registered Play Therapist, National Certified Counselor, and National Certified School Counselor, I provide mental health services for children, adolescents, adults, and families. My focus is helping clients who are struggling with parenting, anxiety, adjustment disorders, relationship issues, school adjustment, trauma, and issues involving separation and divorce.
As a Licensed Professional Counselor, Registered Play Therapist, National Certified Counselor, and National Certified School Counselor, I provide mental health services for children, adolescents, adults, and families. My focus is helping clients who are struggling with parenting, anxiety, adjustment disorders, relationship issues, school adjustment, trauma, and issues involving separation and divorce.
(703) 791-9942 View (703) 791-9942
Photo of Shannon Lanzerotta, MSC/CC, CTP, Licensed Professional Counselor
Shannon Lanzerotta
Licensed Professional Counselor, MSC/CC, CTP
Verified Verified
Leesburg, VA 20175  (Online Only)
I specialize in trauma informed, outside of the box therapy. I enjoy working with people who find conforming to societal norms a bit challenging. I like to highlight the strengths of such uniqueness, while also giving resources that can help manage every day "normal" life. I prefer a holistic approach that focuses on the mind-body connection. I've had success in reducing anxiety, depression, ADHD and autism symptoms with a combination of diet and behavioral interventions.
I specialize in trauma informed, outside of the box therapy. I enjoy working with people who find conforming to societal norms a bit challenging. I like to highlight the strengths of such uniqueness, while also giving resources that can help manage every day "normal" life. I prefer a holistic approach that focuses on the mind-body connection. I've had success in reducing anxiety, depression, ADHD and autism symptoms with a combination of diet and behavioral interventions.
(844) 980-0460 View (844) 980-0460
Photo of Dylan Beckner, MSW, LCSW, Clinical Social Work/Therapist
Dylan Beckner
Clinical Social Work/Therapist, MSW, LCSW
Verified Verified
5 Endorsed
Leesburg, VA 20175
I have a passion for treating clients motivated in overcoming symptoms related to anxiety, depression, trauma, and eating disorders (utilizing the Health At Every Size and All Foods Fit approach). While therapy isn't always easy, I like to take a friendly and casual, yet professional approach to our therapeutic relationship. I want your experience in therapy to be a positive one. I enjoy working with people of all ages, and do particularly well with adolescents and young adults!
I have a passion for treating clients motivated in overcoming symptoms related to anxiety, depression, trauma, and eating disorders (utilizing the Health At Every Size and All Foods Fit approach). While therapy isn't always easy, I like to take a friendly and casual, yet professional approach to our therapeutic relationship. I want your experience in therapy to be a positive one. I enjoy working with people of all ages, and do particularly well with adolescents and young adults!
(571) 473-5352 View (571) 473-5352
Photo of Christine Vandertol, MA, LMFT, LPC, Licensed Professional Counselor
Christine Vandertol
Licensed Professional Counselor, MA, LMFT, LPC
Verified Verified
Leesburg, VA 20175  (Online Only)
Military spouses and family members are my main focus, I am in network for both Tricare East and TriWest and I am licensed in both Virginia and California and can typically see clients in any state via telehealth. My practice is 100% teletherapy either online or by phone. In addition, I offer support to those grieving loss and those experiencing chronic illness/chronic pain issues.
Military spouses and family members are my main focus, I am in network for both Tricare East and TriWest and I am licensed in both Virginia and California and can typically see clients in any state via telehealth. My practice is 100% teletherapy either online or by phone. In addition, I offer support to those grieving loss and those experiencing chronic illness/chronic pain issues.
(818) 416-5979 View (818) 416-5979
Photo of Karishma Snider, LPC, NCC, Licensed Professional Counselor
Karishma Snider
Licensed Professional Counselor, LPC, NCC
Verified Verified
Leesburg, VA 20175
Karishma Snider is a Licensed Professional Counselor (LPC) from London, England. She completed her MS in Mental Health Counseling in Mississippi and is licensed in both the State of Mississippi and the State of Virginia, as well as a National Board Certified Counselor (NCC). She has 10 years of experience working in various treatment settings including inpatient, outpatient, long-term residential facilities and schools. She has worked with clients ranging from 7-55 years of age.
Karishma Snider is a Licensed Professional Counselor (LPC) from London, England. She completed her MS in Mental Health Counseling in Mississippi and is licensed in both the State of Mississippi and the State of Virginia, as well as a National Board Certified Counselor (NCC). She has 10 years of experience working in various treatment settings including inpatient, outpatient, long-term residential facilities and schools. She has worked with clients ranging from 7-55 years of age.
(540) 296-2518 View (540) 296-2518
Photo of Mary Klein, LCSW, Clinical Social Work/Therapist
Mary Klein
Clinical Social Work/Therapist, LCSW
Verified Verified
6 Endorsed
Leesburg, VA 20175  (Online Only)
Now accepting new clients! I believe that anyone who has the desire to change has the power to change. I am passionate about helping my clients become the best version of themselves. I am results-oriented, and get my greatest fulfillment from my clients experiencing positive outcomes. I strive to provide a safe, nurturing environment where my clients feel heard, understood, and accepted. I have experience with a variety of mental and emotional challenges, and enjoy working with adults and older teens. I am dedicated to providing a holistic approach and focus on whole-person wellness.
Now accepting new clients! I believe that anyone who has the desire to change has the power to change. I am passionate about helping my clients become the best version of themselves. I am results-oriented, and get my greatest fulfillment from my clients experiencing positive outcomes. I strive to provide a safe, nurturing environment where my clients feel heard, understood, and accepted. I have experience with a variety of mental and emotional challenges, and enjoy working with adults and older teens. I am dedicated to providing a holistic approach and focus on whole-person wellness.
(571) 901-1108 View (571) 901-1108
Photo of Matthew Rich, MSSA, LMSW, Pre-Licensed Professional
Matthew Rich
Pre-Licensed Professional, MSSA, LMSW
Verified Verified
3 Endorsed
Leesburg, VA 20175
In life, we are constantly faced with trials and obstacles that can cause us to worry about our futures and what they hold for us. This often leads to spending much of our time and energy fixated on things that are out of our control, which causes more suffering than is needed. I have found that helping my patients to accept what they cannot control and focus their efforts on what they can control to be an effective way of creating a life worth living, regardless of whether they are facing problems like anxiety, depression, trauma, or eating disorders.
In life, we are constantly faced with trials and obstacles that can cause us to worry about our futures and what they hold for us. This often leads to spending much of our time and energy fixated on things that are out of our control, which causes more suffering than is needed. I have found that helping my patients to accept what they cannot control and focus their efforts on what they can control to be an effective way of creating a life worth living, regardless of whether they are facing problems like anxiety, depression, trauma, or eating disorders.
(571) 601-2966 View (571) 601-2966
Photo of Jacqueline Bitanga, LPC, Licensed Professional Counselor
Jacqueline Bitanga
Licensed Professional Counselor, LPC
Verified Verified
Leesburg, VA 20176
We all need support, validation, and empathy in the midst of conflict and everyday struggles. Jacque has over 15 years of experience working as a psychotherapist and a diagnostic assessment specialist licensed at the master's level. She has completed half of her coursework in the doctoral program in educational psychology from the American School of Psychology at Argosy University. She has helped adults, families, children, and adolescents of diverse backgrounds and concerns. Jacque's approach to counseling is warm and empathetic. She prides herself on treating everyone with kindness, respect, and sensitivity.
We all need support, validation, and empathy in the midst of conflict and everyday struggles. Jacque has over 15 years of experience working as a psychotherapist and a diagnostic assessment specialist licensed at the master's level. She has completed half of her coursework in the doctoral program in educational psychology from the American School of Psychology at Argosy University. She has helped adults, families, children, and adolescents of diverse backgrounds and concerns. Jacque's approach to counseling is warm and empathetic. She prides herself on treating everyone with kindness, respect, and sensitivity.
(540) 712-8465 View (540) 712-8465
Photo of Ashley DeCamp, PsyD, RPT, Psychologist
Ashley DeCamp
Psychologist, PsyD, RPT
Verified Verified
1 Endorsed
Leesburg, VA 20175
The transition to motherhood can feel utterly indescribable. Let me help you acknowledge the layers, stop comparing yourself to others, and give yourself some grace. Being a child or teen can be tough with the demands of today's fast paced world. I empower children to explore their experiences, thoughts, and feelings in their own way. I offer teens the autonomy and confidentiality to confront their personal challenges. For young adults, I give them the space to feel heard and supported while working to address personal, social, relational, or emotional difficulties as they navigate the new responsibilities of adulthood.
The transition to motherhood can feel utterly indescribable. Let me help you acknowledge the layers, stop comparing yourself to others, and give yourself some grace. Being a child or teen can be tough with the demands of today's fast paced world. I empower children to explore their experiences, thoughts, and feelings in their own way. I offer teens the autonomy and confidentiality to confront their personal challenges. For young adults, I give them the space to feel heard and supported while working to address personal, social, relational, or emotional difficulties as they navigate the new responsibilities of adulthood.
(703) 297-8600 View (703) 297-8600
Photo of Gigi Prichard, BSN, Pre-Licensed Professional
Gigi Prichard
Pre-Licensed Professional, BSN
Verified Verified
Leesburg, VA 20176
I look forward to collaborating with you on your personal counseling goals so that you may experience better quality of life and positive desired outcomes. Together we will explore and evoke your strengths and skills with the intent to improve your overall wellness and foster better relationships.
I look forward to collaborating with you on your personal counseling goals so that you may experience better quality of life and positive desired outcomes. Together we will explore and evoke your strengths and skills with the intent to improve your overall wellness and foster better relationships.
(540) 346-3176 View (540) 346-3176
Photo of Dawn Van Berkel, NCC
Dawn Van Berkel
Resident in Counseling, NCC
Verified Verified
2 Endorsed
Leesburg, VA 20175
You're not broken and you don't have to suffer! There are times when life is overwhelming - you feel that your relationships, work, stress, your trauma, your moods are more in control than you are. Are you 35 or older and are suddenly experiencing severe mood changes, irritability, emotional flatness, or anxiety, that you never had before? You could be in perimenopause! It's so much more than 'just' hot flashes. Are you going through life transitions like empty-nest, divorce, or reevaluating your life? Have you spent years prioritizing the expectations of everyone else, leaving your own goals neglected and unexplored?
You're not broken and you don't have to suffer! There are times when life is overwhelming - you feel that your relationships, work, stress, your trauma, your moods are more in control than you are. Are you 35 or older and are suddenly experiencing severe mood changes, irritability, emotional flatness, or anxiety, that you never had before? You could be in perimenopause! It's so much more than 'just' hot flashes. Are you going through life transitions like empty-nest, divorce, or reevaluating your life? Have you spent years prioritizing the expectations of everyone else, leaving your own goals neglected and unexplored?
(703) 215-1338 View (703) 215-1338
Photo of Michelle Jabbour, LPC, CSAT, CMAT, IFS, IFIO, Licensed Professional Counselor
Michelle Jabbour
Licensed Professional Counselor, LPC, CSAT, CMAT, IFS, IFIO
Verified Verified
6 Endorsed
Leesburg, VA 20176  (Online Only)
Waitlist for new clients
Are you grappling with the aftermath of infidelity or betrayal trauma? Whether you're experiencing heartbreak, shattered trust, or grappling with your role as the betraying partner, I offer understanding, stability, and hope. My expertise spans relational issues, infidelity, betrayal trauma, love addiction, complex PTSD, family of origin dynamics, and concerns related to compulsive sexual behaviors.
Are you grappling with the aftermath of infidelity or betrayal trauma? Whether you're experiencing heartbreak, shattered trust, or grappling with your role as the betraying partner, I offer understanding, stability, and hope. My expertise spans relational issues, infidelity, betrayal trauma, love addiction, complex PTSD, family of origin dynamics, and concerns related to compulsive sexual behaviors.
(703) 457-9562 View (703) 457-9562
Photo of Kimberly Culpepper, MA, LPC, NCC, Licensed Professional Counselor
Kimberly Culpepper
Licensed Professional Counselor, MA, LPC, NCC
Verified Verified
Leesburg, VA 20175  (Online Only)
Since 2010, I have been in private practice helping women and adolescents work through anxiety, depression, bipolar disorder, OCD, relationship issues, trauma, chronic health issues, everyday stressors and adjustments to life’s everchanging dynamics and stressors. I am trained in EMDR therapy through EMDRIA and can provide this effectively via telehealth. I love EMDR because it is a root-cause approach and can be used for the vast majority of presenting issues. Together, with the client, we work as a team to achieve their desired goals.
Since 2010, I have been in private practice helping women and adolescents work through anxiety, depression, bipolar disorder, OCD, relationship issues, trauma, chronic health issues, everyday stressors and adjustments to life’s everchanging dynamics and stressors. I am trained in EMDR therapy through EMDRIA and can provide this effectively via telehealth. I love EMDR because it is a root-cause approach and can be used for the vast majority of presenting issues. Together, with the client, we work as a team to achieve their desired goals.
(571) 200-0797 View (571) 200-0797
Photo of Jenny Sexton, MA, CSAC, QMHP, FAC, CSAM, Drug & Alcohol Counselor
Jenny Sexton
Drug & Alcohol Counselor, MA, CSAC, QMHP, FAC, CSAM
Verified Verified
Leesburg, VA 20176
As a substance abuse counselor & certified interventionist, who specializes in treatment services for adolescents & adults, it is my goal to address the individual's addiction, identify their needs, & goals for long-term success. As a clinician, it is important to understand the full spectrum of the individual's substance use, the impact their use has had on their family members, and identify goals to ensure their long-term success. It is important to address one issue at a time & help the individual understand the road to recovery is long & challenging but with diligence, will be met with success & freedom from addiction.
As a substance abuse counselor & certified interventionist, who specializes in treatment services for adolescents & adults, it is my goal to address the individual's addiction, identify their needs, & goals for long-term success. As a clinician, it is important to understand the full spectrum of the individual's substance use, the impact their use has had on their family members, and identify goals to ensure their long-term success. It is important to address one issue at a time & help the individual understand the road to recovery is long & challenging but with diligence, will be met with success & freedom from addiction.
(571) 620-5624 View (571) 620-5624
Photo of Melissa Jackson, MSW, Pre-Licensed Professional
Melissa Jackson
Pre-Licensed Professional, MSW
Verified Verified
Leesburg, VA 20176
Life's challenges can often leave us feeling fragmented, with our physical, spiritual, emotional, and social aspects in disarray. It is easy to lose sight of our authentic selves when faced with life’s hardships and as a therapist, I will act as your co-captain throughout your therapeutic journey. Maybe you're experiencing a mix of emotions like sadness, frustration, stress, insecurity, and lack of motivation. Whatever it is, know that you are not alone. My goal is to guide you toward the equilibrium that fosters your well-being, tailoring evidence-based techniques that will suit your individuality best!
Life's challenges can often leave us feeling fragmented, with our physical, spiritual, emotional, and social aspects in disarray. It is easy to lose sight of our authentic selves when faced with life’s hardships and as a therapist, I will act as your co-captain throughout your therapeutic journey. Maybe you're experiencing a mix of emotions like sadness, frustration, stress, insecurity, and lack of motivation. Whatever it is, know that you are not alone. My goal is to guide you toward the equilibrium that fosters your well-being, tailoring evidence-based techniques that will suit your individuality best!
(540) 712-8642 View (540) 712-8642
Photo of Tai Neng Feng, LRC, Clinical Social Work/Therapist
Tai Neng Feng
Clinical Social Work/Therapist, LRC
Verified Verified
Leesburg, VA 20176
Tai Feng, LRC Tai Feng is a Licensed Resident Counselor in Virginia who has been practicing since 2021. He has a Bachelor of Arts in East Asian Studies and Minor in Psychology from the University of Virginia and a Master of Arts in Clinical Mental Health Counseling from Marymount University. Tai believes that everyone is unique, and that people have their own world views and abilities to navigate the world.
Tai Feng, LRC Tai Feng is a Licensed Resident Counselor in Virginia who has been practicing since 2021. He has a Bachelor of Arts in East Asian Studies and Minor in Psychology from the University of Virginia and a Master of Arts in Clinical Mental Health Counseling from Marymount University. Tai believes that everyone is unique, and that people have their own world views and abilities to navigate the world.
(540) 390-7693 View (540) 390-7693
Photo of Corinne Hunter, MA, LPC, RPT, Licensed Professional Counselor
Corinne Hunter
Licensed Professional Counselor, MA, LPC, RPT
Verified Verified
Leesburg, VA 20175
Life can be challenging, uncertain, and just plain hard. We all go through difficult changes, unplanned circumstances, disappointments, and, sometimes, intense pain and suffering. Our past experiences shape our behaviors, relationships, and how we function in the world. You are not your behaviors. There is always hope for healing, growth, and change in the future from the bottom-up and the inside-out. We are all on this journey together. You are not alone. I offer help to children, teens, adults, and parents who are in need of a place to heal, grow, and become the best version of themselves.
Life can be challenging, uncertain, and just plain hard. We all go through difficult changes, unplanned circumstances, disappointments, and, sometimes, intense pain and suffering. Our past experiences shape our behaviors, relationships, and how we function in the world. You are not your behaviors. There is always hope for healing, growth, and change in the future from the bottom-up and the inside-out. We are all on this journey together. You are not alone. I offer help to children, teens, adults, and parents who are in need of a place to heal, grow, and become the best version of themselves.
(571) 200-2087 View (571) 200-2087
Photo of Sharon Hamilton, LPC, Licensed Professional Counselor
Sharon Hamilton
Licensed Professional Counselor, LPC
Verified Verified
1 Endorsed
Leesburg, VA 20175
I work with all couples and relationships including couples who have experienced an affair, couples who are “fighting all the time”, and couples who have lost that “spark” for each other.
I work with all couples and relationships including couples who have experienced an affair, couples who are “fighting all the time”, and couples who have lost that “spark” for each other.
(703) 440-7413 View (703) 440-7413
Photo of Bansri Patel, LRC
Bansri Patel
Resident in Counseling, LRC
Verified Verified
Leesburg, VA 20175
Bansri Patel is a Resident in Counseling in Virginia who has been practicing since 2022. She has a Bachelor's degree in Psychology from the University of Connecticut and a Master's degree in Clinical Mental Health Counseling from Marymount University. She also holds a Master's degree in Forensic & Legal Psychology from Marymount University. As a resident, she is working towards her licensure to become an LPC. Bansri provides services for adolescents, individuals, and couples. Bansri works with clients experiencing anxiety, depression, relationship dysfunction, transitional stressors, and well as family conflicts.
Bansri Patel is a Resident in Counseling in Virginia who has been practicing since 2022. She has a Bachelor's degree in Psychology from the University of Connecticut and a Master's degree in Clinical Mental Health Counseling from Marymount University. She also holds a Master's degree in Forensic & Legal Psychology from Marymount University. As a resident, she is working towards her licensure to become an LPC. Bansri provides services for adolescents, individuals, and couples. Bansri works with clients experiencing anxiety, depression, relationship dysfunction, transitional stressors, and well as family conflicts.
(540) 583-4311 View (540) 583-4311
Photo of Amy Hughes - Connections4life Professional Therapy Services, PC, MA, LPC, LMHP, CCTP, Licensed Professional Counselor
Connections4life Professional Therapy Services, PC
Licensed Professional Counselor, MA, LPC, LMHP, CCTP
Verified Verified
Leesburg, VA 20176
Amy Hughes is an LPC and the founder of Connections4life Professional Therapy Services, PC. She is also a VA board approved supervisor of student interns and residents in counseling. In addition, she is trained in EMDR, EFT and is a level 2 Certified Clinical Trauma Professional. Connections4life offers customized care. We specialize in C-PTSD, PTSD, developmental trauma, anxiety & depression. We believe in the power of connections and that we are all capable of change and growth. Our passion for what we do reflects in the connections we are able to make with the individuals we treat.
Amy Hughes is an LPC and the founder of Connections4life Professional Therapy Services, PC. She is also a VA board approved supervisor of student interns and residents in counseling. In addition, she is trained in EMDR, EFT and is a level 2 Certified Clinical Trauma Professional. Connections4life offers customized care. We specialize in C-PTSD, PTSD, developmental trauma, anxiety & depression. We believe in the power of connections and that we are all capable of change and growth. Our passion for what we do reflects in the connections we are able to make with the individuals we treat.
(571) 620-6350 View (571) 620-6350
1
...

How does your Therapist compare?

Number of Therapists in Leesburg, VA

400+

Average cost per session

$150

Therapists in Leesburg, VA who prioritize treating:

94% Anxiety
90% Depression
74% Self Esteem
71% Coping Skills
69% Relationship Issues
64% Trauma and PTSD
56% Stress

Average years in practice

12 Years

Top 3 insurances accepted

72% BlueCross and BlueShield
72% Cigna and Evernorth
66% UnitedHealthcare UHC | UBH

How Therapists in Leesburg, VA see their clients

65% In Person and Online
35% Online Only

Gender breakdown

86% Female
14% Male
FAQs - About Therapy and Counseling

How can I find a therapist in Leesburg?

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.