Therapists in Washington, DC
Laura Niver
Psychologist, PsyD
Verified Verified
Washington, DC 20004
We all have unique stories. Our pasts form us into who we are today, and oftentimes what once worked for us, no longer does. Therapy can help us gain the insight to understand our stories, but more importantly, help us to choose new ways of living and engaging with ourselves, others, and the world. In the context of a supportive relationship, we will work together to move towards a life that is more meaningful, satisfying, and free.
We all have unique stories. Our pasts form us into who we are today, and oftentimes what once worked for us, no longer does. Therapy can help us gain the insight to understand our stories, but more importantly, help us to choose new ways of living and engaging with ourselves, others, and the world. In the context of a supportive relationship, we will work together to move towards a life that is more meaningful, satisfying, and free.
Ramona Jones
Clinical Social Work/Therapist, LCSW-C, LICSW
Verified Verified
1 Endorsed
Washington, DC 20002 (Online Only)
Feeling lost? Stressed? Unbalanced? Asking for help is a courageous step. Begin to live your life fully today! I provide individual, couples and family therapy to adults by empowering people to realize their inner power and strength to handle life’s full variety of stressors. I have experience working with a wide range of behavioral health disorders and believe in forming connections with others so that they can fully reconnect with themselves. I provide a safe, nurturing and supportive environment for you to unload your stressors to gain clarity and peace of mind.
Feeling lost? Stressed? Unbalanced? Asking for help is a courageous step. Begin to live your life fully today! I provide individual, couples and family therapy to adults by empowering people to realize their inner power and strength to handle life’s full variety of stressors. I have experience working with a wide range of behavioral health disorders and believe in forming connections with others so that they can fully reconnect with themselves. I provide a safe, nurturing and supportive environment for you to unload your stressors to gain clarity and peace of mind.
Chasity Deal
Clinical Social Work/Therapist, LGSW
Verified Verified
Washington, DC 20016 (Online Only)
Chasity is a Licensed Psychotherapist. She is licensed in Mississippi, Tennessee, and Washington D.C. Chasity’s therapy style is warm, open, non-judgmental, and collaborative. She fosters self-determination and resiliency in her clients to create self-confidence, accountability, and growth. She also engages in a psycho-educational approach to therapy, providing information and awareness to the client about their triggers, patterns, or behaviors that create stronger outcomes towards goal setting and achieving goals.
Chasity is a Licensed Psychotherapist. She is licensed in Mississippi, Tennessee, and Washington D.C. Chasity’s therapy style is warm, open, non-judgmental, and collaborative. She fosters self-determination and resiliency in her clients to create self-confidence, accountability, and growth. She also engages in a psycho-educational approach to therapy, providing information and awareness to the client about their triggers, patterns, or behaviors that create stronger outcomes towards goal setting and achieving goals.
Chinwendu (Chewy) Utom
Clinical Social Work/Therapist, LICSW
Verified Verified
1 Endorsed
Washington, DC 20006 (Online Only)
Waitlist for new clients
Greetings! My name is Chinwendu "Chewy" Utom-Toe and I am a psychotherapist at Revo Well. I am a psychotherapist at Revo Well. We are a tribe of extraordinary clinicians. My goal is to provide clinical services tailored to meet the needs of each specific client - no cookie cutter model here! Anxiety, ADHD, depression, and/or unresolved trauma getting in your way? I can help. Struggling with navigating the dynamics of a difficult, coparenting relationship? I can help. Is your child displaying challenging behaviors? I can help. Not sure if your current romantic relationship or career is where you really want to/should be? I can help.
Greetings! My name is Chinwendu "Chewy" Utom-Toe and I am a psychotherapist at Revo Well. I am a psychotherapist at Revo Well. We are a tribe of extraordinary clinicians. My goal is to provide clinical services tailored to meet the needs of each specific client - no cookie cutter model here! Anxiety, ADHD, depression, and/or unresolved trauma getting in your way? I can help. Struggling with navigating the dynamics of a difficult, coparenting relationship? I can help. Is your child displaying challenging behaviors? I can help. Not sure if your current romantic relationship or career is where you really want to/should be? I can help.
Carey Schwartz
Psychologist, PsyD
Verified Verified
1 Endorsed
Washington, DC 20003
Dr. Schwartz is a psychologist with many specialties including anxiety (OCD, GAD, Specific Phobias, Panic Disorder, Social Anxiety), depression, eating disorders, trauma and PTSD, insomnia, and substance use disorders. He typically works with late adolescents and adults from a variety of backgrounds. Dr. Schwartz primarily uses Cognitive Behavioral Therapy (CBT) though he frequently incorporates Dialectical Behavior Therapy (DBT) skills training and acceptance-based approaches into his treatment.
Dr. Schwartz is a psychologist with many specialties including anxiety (OCD, GAD, Specific Phobias, Panic Disorder, Social Anxiety), depression, eating disorders, trauma and PTSD, insomnia, and substance use disorders. He typically works with late adolescents and adults from a variety of backgrounds. Dr. Schwartz primarily uses Cognitive Behavioral Therapy (CBT) though he frequently incorporates Dialectical Behavior Therapy (DBT) skills training and acceptance-based approaches into his treatment.
David Pellegrini
Psychologist, PhD
Verified Verified
Washington, DC 20007
I draw on 40+ years of experience in the practice of individual, group, and couples therapy. I work with a diversity of adult clients from varied circumstances and backgrounds. Nevertheless, they generally share a common aspiration to discover a more vital, passionate, and creative approach to meeting life's challenges. My intention is to establish a safe and authentic collaboration in pursuit of your aspirations and goals. I bring compassion, humor, insight and engagement to the therapeutic work. My approach integrates elements of the best, well-established therapeutic approaches, tailored to your unique needs and challenges.
I draw on 40+ years of experience in the practice of individual, group, and couples therapy. I work with a diversity of adult clients from varied circumstances and backgrounds. Nevertheless, they generally share a common aspiration to discover a more vital, passionate, and creative approach to meeting life's challenges. My intention is to establish a safe and authentic collaboration in pursuit of your aspirations and goals. I bring compassion, humor, insight and engagement to the therapeutic work. My approach integrates elements of the best, well-established therapeutic approaches, tailored to your unique needs and challenges.
Sheryl Aaron
Clinical Social Work/Therapist, LICSW, LCSW-C
Verified Verified
8 Endorsed
Washington, DC 20009
Not accepting new clients
Whether you're struggling with relationships, navigating life transitions, feeling paralyzed by depression or anxiety, or trying to overcome trauma, I'd like to help you feel less stuck and more empowered to live a healthier, more meaningful life. Clients say they appreciate my warmth, humor and collaborative style as we tackle the sometimes difficult work of therapy as a team.
Whether you're struggling with relationships, navigating life transitions, feeling paralyzed by depression or anxiety, or trying to overcome trauma, I'd like to help you feel less stuck and more empowered to live a healthier, more meaningful life. Clients say they appreciate my warmth, humor and collaborative style as we tackle the sometimes difficult work of therapy as a team.
George H. Johnson, MSS, LICSW
Clinical Social Work/Therapist, MSS, LICSW
Verified Verified
Washington, DC 20036
What's wrong with this relationship? The same problems keep on repeating time after time. So what does a study of psychology reveal? A well-trained and experienced psychotherapist can help to shine a light into the dark unconscious places which shroud the mysteries. This helps to bring the issues into consciousness, and once there, allows you to work with them. This work involves change. There may be many underlying issues including: mental states of anxiety and depression, an addiction, anger, lack of trust, various stressors, poor communication, extended family interferences, and more.
What's wrong with this relationship? The same problems keep on repeating time after time. So what does a study of psychology reveal? A well-trained and experienced psychotherapist can help to shine a light into the dark unconscious places which shroud the mysteries. This helps to bring the issues into consciousness, and once there, allows you to work with them. This work involves change. There may be many underlying issues including: mental states of anxiety and depression, an addiction, anger, lack of trust, various stressors, poor communication, extended family interferences, and more.
Julia Rosenfield
Clinical Social Work/Therapist, LICSW, LCSW-C
Verified Verified
3 Endorsed
Washington, DC 20036
Not accepting new clients
Welcome to my practice, conveniently located in the heart of Dupont Circle. I offer therapy for individuals of all backgrounds experiencing a range of concerns, including: anxiety, depression, life transitions, identity issues, relationship challenges, grief and loss, chronic health conditions, adoption-related concerns, and more. My style is warm, nonjudgmental, and collaborative. I will work with you to help you increase your insight, enhance your relationships, build on your strengths, develop new coping skills, and live a more fulfilling life.
Welcome to my practice, conveniently located in the heart of Dupont Circle. I offer therapy for individuals of all backgrounds experiencing a range of concerns, including: anxiety, depression, life transitions, identity issues, relationship challenges, grief and loss, chronic health conditions, adoption-related concerns, and more. My style is warm, nonjudgmental, and collaborative. I will work with you to help you increase your insight, enhance your relationships, build on your strengths, develop new coping skills, and live a more fulfilling life.
Roshni Chatterjee
Licensed Professional Counselor, LPC, LCPC
Verified Verified
Washington, DC 20036
My practice is built on the core principles of Trauma-Informed Care. I serve diverse group of adults in my practice who struggle with anxiety, depression, childhood trauma, relationship issues, grief etc. Clients benefit from psychoeducation, expressing conflicting feelings, increased self-awareness and implementing cognitive strategies. I also have a sub-speciality that focuses on serving the South Asian diaspora - specifically around issues of generational clashes, agency and choice, and other immigrant issues.
My practice is built on the core principles of Trauma-Informed Care. I serve diverse group of adults in my practice who struggle with anxiety, depression, childhood trauma, relationship issues, grief etc. Clients benefit from psychoeducation, expressing conflicting feelings, increased self-awareness and implementing cognitive strategies. I also have a sub-speciality that focuses on serving the South Asian diaspora - specifically around issues of generational clashes, agency and choice, and other immigrant issues.
Valerie Lovenheim
Licensed Professional Counselor, LPC, MHC
Verified Verified
Washington, DC 20009
I provide my clients with the respect, privacy, and confidentiality that we all deserve. I focus on creating a safe and nurturing environment, free of judgment and criticism, where you can search within to find your own answers through greater self-awareness and self-directed growth. My goal is to help you gain insight and understanding of your capabilities and choices in life. If you're looking for extra support and guidance through a challenging situation or if you're ready to move in a new direction in your life, I look forward to working with you.
I provide my clients with the respect, privacy, and confidentiality that we all deserve. I focus on creating a safe and nurturing environment, free of judgment and criticism, where you can search within to find your own answers through greater self-awareness and self-directed growth. My goal is to help you gain insight and understanding of your capabilities and choices in life. If you're looking for extra support and guidance through a challenging situation or if you're ready to move in a new direction in your life, I look forward to working with you.
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Clinical Social Work/Therapist, LCSW
Verified Verified
1 Endorsed
Washington, DC 20002 (Online Only)
Are you a young adult/person of color who has a history of trauma and you're ready to start your healing journey? Are you finding it hard to navigate life transitions or relationships? Are you struggling with depression? Are you having difficulty managing your anxiety? Our goal is to provide a life-changing experience that will help you cope, heal and promote individual changes which leads to growth and development. If you are ready to improve your behaviors, your relationships, heal from past trauma or reach your highest potential, we can help. If you're interested in learning more, visit our website, therapyishealing.com
Are you a young adult/person of color who has a history of trauma and you're ready to start your healing journey? Are you finding it hard to navigate life transitions or relationships? Are you struggling with depression? Are you having difficulty managing your anxiety? Our goal is to provide a life-changing experience that will help you cope, heal and promote individual changes which leads to growth and development. If you are ready to improve your behaviors, your relationships, heal from past trauma or reach your highest potential, we can help. If you're interested in learning more, visit our website, therapyishealing.com
Katy Levine
Clinical Social Work/Therapist, LMSW, LGSW
Verified Verified
1 Endorsed
Washington, DC 20036 (Online Only)
Accepting new clients! Do you feel stressed, overwhelmed, and ready for change? We might be good fit if you want to understand why you feel miserable or anxious despite "doing it all". Maybe you are compassionate to everyone in your life, except YOU. Maybe you have been in talk therapy and you are feeling stuck or ready to try something different. I help my clients move beyond talk therapy toward healing recurring negative patterns in their life, anxiety, depression, anger, overwhelm, relationship issues, trouble getting new habits to stick, compulsively using external things to feel better (i.e. work, people, alcohol), and more.
Accepting new clients! Do you feel stressed, overwhelmed, and ready for change? We might be good fit if you want to understand why you feel miserable or anxious despite "doing it all". Maybe you are compassionate to everyone in your life, except YOU. Maybe you have been in talk therapy and you are feeling stuck or ready to try something different. I help my clients move beyond talk therapy toward healing recurring negative patterns in their life, anxiety, depression, anger, overwhelm, relationship issues, trouble getting new habits to stick, compulsively using external things to feel better (i.e. work, people, alcohol), and more.
Tyra Moore
Clinical Social Work/Therapist, DSW, LICSW, LCSW-C
Verified Verified
Washington, DC 20002 (Online Only)
Many of us go through life suffering in silence. We may feel that even when we share with people we trust, it is still hard to find relief. This may feel like anxiety, grief, shame, or intense sadness, and may be leaving you feeling lost, exhausted, overwhelmed, unfulfilled, and unhappy. In this practice we are committed to creating a safe, supportive, non-judgmental space where you can bring your full self with all of your challenges, and engage in the journey to relief and healing.
Many of us go through life suffering in silence. We may feel that even when we share with people we trust, it is still hard to find relief. This may feel like anxiety, grief, shame, or intense sadness, and may be leaving you feeling lost, exhausted, overwhelmed, unfulfilled, and unhappy. In this practice we are committed to creating a safe, supportive, non-judgmental space where you can bring your full self with all of your challenges, and engage in the journey to relief and healing.
SafePaces Counseling, Coaching & Consulting
Licensed Professional Counselor, PhD, LPC
Verified Verified
Washington, DC 20006
Hi! My name is Dr. Andre Marseille. I am an internationally trained Existentialist and Positive Psychotherapist (PPT). Not to be confused with Positive Psychology, my goals in therapy are to help clients achieve Life-Balance. According to PPT, life can be viewed in four domains including: (1) body/health, (2) work/achievement, (3) relationships/traditions, and (4) meaning/fantasy/spirituality. The demands of globalization and an evolving, cross-cultural world make it more and more difficult for people to find and maintain their Life-Balance. Nonetheless, maintaining life balance is the key to a mentally healthy & meaningful life.
Hi! My name is Dr. Andre Marseille. I am an internationally trained Existentialist and Positive Psychotherapist (PPT). Not to be confused with Positive Psychology, my goals in therapy are to help clients achieve Life-Balance. According to PPT, life can be viewed in four domains including: (1) body/health, (2) work/achievement, (3) relationships/traditions, and (4) meaning/fantasy/spirituality. The demands of globalization and an evolving, cross-cultural world make it more and more difficult for people to find and maintain their Life-Balance. Nonetheless, maintaining life balance is the key to a mentally healthy & meaningful life.
Justine Kalas Reeves
Clinical Social Work/Therapist, LICSW, DPsych
Verified Verified
Washington, DC 20008
In addition to my work with creative and ambitious adults, I work with young children and adolescents to increase harmony, pleasure and satisfaction in life. I treat people who are underachieving in work or school despite clear talent; overachieving in work or school yet at a high price; people who are highly anxious; people who feel hopeless about change; people who are trying to achieve greatness in sports or career; and people who know they deserve so much more but for whom it feels elusive. Let's strengthen your capacity to hear yourself better so your relationships and creativity can continue to flourish.
In addition to my work with creative and ambitious adults, I work with young children and adolescents to increase harmony, pleasure and satisfaction in life. I treat people who are underachieving in work or school despite clear talent; overachieving in work or school yet at a high price; people who are highly anxious; people who feel hopeless about change; people who are trying to achieve greatness in sports or career; and people who know they deserve so much more but for whom it feels elusive. Let's strengthen your capacity to hear yourself better so your relationships and creativity can continue to flourish.
Steve Donovan
Counselor, LPC, NCC
Verified Verified
Washington, DC 20007
Real Men. Real Addiction Help. Real Talk Therapy. How does addiction work? How do I counteract it? What is behind my addictive behavior? In addiction recovery since 2006 and professionally helping others since 2011 to realize their own recovery, I am uniquely positioned to help you with your struggles with addictive substances and behaviors. Let’s start right now. Today your life changes from suffering to success.
Real Men. Real Addiction Help. Real Talk Therapy. How does addiction work? How do I counteract it? What is behind my addictive behavior? In addiction recovery since 2006 and professionally helping others since 2011 to realize their own recovery, I am uniquely positioned to help you with your struggles with addictive substances and behaviors. Let’s start right now. Today your life changes from suffering to success.
Suzanne A. Black
Psychologist, PsyD
Verified Verified
Washington, DC 20009
Clinical Psychologist licensed in CA, NY, Washington, DC, over 25 years experience nationally/internationally. Eclectic approach tailored to the individual. Various modalities, solution-focused. Conduct online therapy. Training: Medical Ctr: Neuropsychology; UCLA postdoctoral fellowship: Emergency Room Psychiatry. Fmr Asst Clinical Professor of Psychiatry UCSF. Work w large range of cultures internationally, with embassies, international treaty organisations, university abroad programs, terrorist attack victims, PTSD, bipolar, depression, anxiety, eating disorders, medical challenges, couples, group therapies, adults, adolescents.
Clinical Psychologist licensed in CA, NY, Washington, DC, over 25 years experience nationally/internationally. Eclectic approach tailored to the individual. Various modalities, solution-focused. Conduct online therapy. Training: Medical Ctr: Neuropsychology; UCLA postdoctoral fellowship: Emergency Room Psychiatry. Fmr Asst Clinical Professor of Psychiatry UCSF. Work w large range of cultures internationally, with embassies, international treaty organisations, university abroad programs, terrorist attack victims, PTSD, bipolar, depression, anxiety, eating disorders, medical challenges, couples, group therapies, adults, adolescents.
Melissa Ballen
Clinical Social Work/Therapist, LICSW
Verified Verified
Washington, DC 20037 (Online Only)
Hi! I’m a Licensed Independent Clinical Social Worker (LICSW) practicing in Washington, DC and Maryland. I received my Masters from University of Maryland, Baltimore and have been practicing for 14 years. I have primarily worked in child welfare and am now expanding my knowledge and skills to work in a therapeutic setting to help those work on being the best versions of themselves.
Hi! I’m a Licensed Independent Clinical Social Worker (LICSW) practicing in Washington, DC and Maryland. I received my Masters from University of Maryland, Baltimore and have been practicing for 14 years. I have primarily worked in child welfare and am now expanding my knowledge and skills to work in a therapeutic setting to help those work on being the best versions of themselves.
Jeanily Cruz
Clinical Social Work/Therapist, MSW, LICSW, LCSW-C
Verified Verified
1 Endorsed
Washington, DC 20011 (Online Only)
I am a trauma-informed therapist who is deeply passionate about working with communities of color, those in the LGBTQ community and other marginalized individuals. Whether you are struggling with anxiety, relational issues, self esteem, boundaries or you come from a family or culture where mental health is swept under the rug. If you find yourself stuck, shrinking, or sometimes unable to use your voice- I am here to help gently guide you back to your authentic self by creating a safe space to process and make meaning of your experiences. Healing is a birth right. No matter what you've experienced and gone through-you deserve joy!
I am a trauma-informed therapist who is deeply passionate about working with communities of color, those in the LGBTQ community and other marginalized individuals. Whether you are struggling with anxiety, relational issues, self esteem, boundaries or you come from a family or culture where mental health is swept under the rug. If you find yourself stuck, shrinking, or sometimes unable to use your voice- I am here to help gently guide you back to your authentic self by creating a safe space to process and make meaning of your experiences. Healing is a birth right. No matter what you've experienced and gone through-you deserve joy!
See more therapy options for Washington
How does your Therapist compare?
Number of Therapists in Washington, DC
2,000+
Average cost per session
$180
Therapists in Washington, DC who prioritize treating:
93% | Anxiety |
89% | Depression |
81% | Relationship Issues |
77% | Self Esteem |
68% | Trauma and PTSD |
68% | Stress |
65% | Coping Skills |
Average years in practice
13 Years
Top 3 insurances accepted
63% | BlueCross and BlueShield |
57% | CareFirst |
53% | Cigna and Evernorth |
How Therapists in Washington, DC see their clients
55% | In Person and Online | |
45% | Online Only |
Gender breakdown
80% | Female | |
19% | Male | |
1% | Non-Binary |
FAQs - About Therapy and Counseling
How can I find a therapist in Washington?
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.