Therapists in Columbia, MD

Photo of Jehlisa Hillocks, Clinical Social Work/Therapist in Columbia, MD
Jehlisa Hillocks
Clinical Social Work/Therapist, MSW, LMSW
Verified Verified
Columbia, MD 21044  (Online Only)
Not accepting new clients
My goal is to create a space for you where you feel seen and heard and to help you reconnect with yourself. Together we can work through symptoms or experiences you might be dealing with from depression, anxiety, life transitions, and past trauma. I use a Strengths-Based and Humanistic approach, Psychoeducation, Cognitive Behavioral Therapy, and Motivational Interviewing to support you as you find empowerment, become self-aware, and find inner peace.
My goal is to create a space for you where you feel seen and heard and to help you reconnect with yourself. Together we can work through symptoms or experiences you might be dealing with from depression, anxiety, life transitions, and past trauma. I use a Strengths-Based and Humanistic approach, Psychoeducation, Cognitive Behavioral Therapy, and Motivational Interviewing to support you as you find empowerment, become self-aware, and find inner peace.
(240) 743-2841 View (240) 743-2841
Photo of Matthew Stevens, Clinical Social Work/Therapist in Columbia, MD
Matthew Stevens
Clinical Social Work/Therapist, LCSW-C
Verified Verified
Columbia, MD 21045
My name is Matthew Stevens and I am a Licensed Certified Social Worker-Clinical (LCSW-C). I have over ten years of experience as a mental health therapist, both in an outpatient clinic and an acute care inpatient setting. Being a therapist in two extremely different settings provided me the opportunity acquire and hone my clinical skills with adults seeking treatment for a variety of challenges and issues These include depression, anxiety, substance abuse, relationship concerns, mood disorders, and life transitions, among others.
My name is Matthew Stevens and I am a Licensed Certified Social Worker-Clinical (LCSW-C). I have over ten years of experience as a mental health therapist, both in an outpatient clinic and an acute care inpatient setting. Being a therapist in two extremely different settings provided me the opportunity acquire and hone my clinical skills with adults seeking treatment for a variety of challenges and issues These include depression, anxiety, substance abuse, relationship concerns, mood disorders, and life transitions, among others.
(240) 898-4423 View (240) 898-4423
Photo of Felisha C Pierce, Licensed Clinical Professional Counselor in Columbia, MD
Felisha C Pierce
Licensed Clinical Professional Counselor, MFC-MA, LCPC
Verified Verified
2 Endorsed
Columbia, MD 21044  (Online Only)
Providing collaborative efforts to help assist individuals who may be navigating through challenging times and are in need of support. In life there are moments of uncertainty and unpredictability that may yield the need for specific guidance that is unique to the individual or family. I am able to offer warm concern that is focused on achieving personal change and growth goals. My ultimate purpose is to connect, understand, and grow therapeutic relationships that are tailored to the needs and desires of the client as a tool to encourage, motivate, and empower the building of self-growth and effective development.
Providing collaborative efforts to help assist individuals who may be navigating through challenging times and are in need of support. In life there are moments of uncertainty and unpredictability that may yield the need for specific guidance that is unique to the individual or family. I am able to offer warm concern that is focused on achieving personal change and growth goals. My ultimate purpose is to connect, understand, and grow therapeutic relationships that are tailored to the needs and desires of the client as a tool to encourage, motivate, and empower the building of self-growth and effective development.
(240) 209-9668 View (240) 209-9668
Photo of Stephanie K Glassman, Psychologist in Columbia, MD
Stephanie K Glassman
Psychologist, PsyD
Verified Verified
1 Endorsed
Columbia, MD 21046
With more than 20 years of psychotherapy, testing and consulting experience, I have a broad range of skills and personalize treatment to people's needs. My style is collaborative, and my therapy orientation is integrative; (i.e., I use several therapeutic theories and techniques). My clients often appreciate my genuine caring and kind but firm manner, and they tend not to terminate therapy prematurely.
With more than 20 years of psychotherapy, testing and consulting experience, I have a broad range of skills and personalize treatment to people's needs. My style is collaborative, and my therapy orientation is integrative; (i.e., I use several therapeutic theories and techniques). My clients often appreciate my genuine caring and kind but firm manner, and they tend not to terminate therapy prematurely.
(410) 657-8455 View (410) 657-8455
Photo of Dennis J Blair, Clinical Social Work/Therapist in Columbia, MD
Dennis J Blair
Clinical Social Work/Therapist, LCSW-C
Verified Verified
Columbia, MD 21046
I am a Maryland Licensed Certified Social Worker with a Clinical Specialty. I received my MSW from the University of Maryland at Baltimore. I work with adults, couples and adolescents. I have over 30 years in the field of behavioral health as a therapist and an administrator. My work with people is based on understanding their unique strengths and using these to address the challenges and goals they have identified. I believe the values of empathy, compassion and understanding provide the foundation for a successful therapy experience. My work includes individual therapy, family therapy, couples therapy and group therapy.
I am a Maryland Licensed Certified Social Worker with a Clinical Specialty. I received my MSW from the University of Maryland at Baltimore. I work with adults, couples and adolescents. I have over 30 years in the field of behavioral health as a therapist and an administrator. My work with people is based on understanding their unique strengths and using these to address the challenges and goals they have identified. I believe the values of empathy, compassion and understanding provide the foundation for a successful therapy experience. My work includes individual therapy, family therapy, couples therapy and group therapy.
(443) 957-4063 View (443) 957-4063
Photo of Robin Barnes, Pre-Licensed Professional in Columbia, MD
Robin Barnes
Pre-Licensed Professional, MA
Verified Verified
Columbia, MD 21046
Hi, I'm Robin and it is my humble privilege to work with you on your journey of growth and healing. Many people who come to counseling may feel nervous or unsure about the process at first. My goal is to provide a safe and welcoming space for you to share and work through the struggles and challenges you are facing. Whether it be anxiety, women's issues, life transitions, or parenting matters, together we will go at a pace that is right for you. I am a Clinical Mental Health Graduate intern at Anchor Counseling Centers and am accepting new clients in person and virtually.
Hi, I'm Robin and it is my humble privilege to work with you on your journey of growth and healing. Many people who come to counseling may feel nervous or unsure about the process at first. My goal is to provide a safe and welcoming space for you to share and work through the struggles and challenges you are facing. Whether it be anxiety, women's issues, life transitions, or parenting matters, together we will go at a pace that is right for you. I am a Clinical Mental Health Graduate intern at Anchor Counseling Centers and am accepting new clients in person and virtually.
(240) 466-9954 View (240) 466-9954
Photo of Kit McFarlane, Clinical Social Work/Therapist in Columbia, MD
Kit McFarlane
Clinical Social Work/Therapist, LCSW-C, MSW, MEd
Verified Verified
Columbia, MD 21045  (Online Only)
All of us encounter ups and downs in living our lives whether a bump in the road or a life-long challenge in which ongoing guidance is needed. I can help you understand why you are struggling; and more importantly, guide you to changes which will lead to more pleasure and productivity in your everyday life. More today than ever, we are finding that trauma – large and small is at the core of our difficulties. I am a graduate of the Ferentz Trauma Institute out of Baltimore with experience in EMDR and EFT Tapping.
All of us encounter ups and downs in living our lives whether a bump in the road or a life-long challenge in which ongoing guidance is needed. I can help you understand why you are struggling; and more importantly, guide you to changes which will lead to more pleasure and productivity in your everyday life. More today than ever, we are finding that trauma – large and small is at the core of our difficulties. I am a graduate of the Ferentz Trauma Institute out of Baltimore with experience in EMDR and EFT Tapping.
(443) 856-6251 View (443) 856-6251
Photo of Bob Denmark, Counselor in Columbia, MD
Bob Denmark
Counselor, LCPC
Verified Verified
Columbia, MD 21044  (Online Only)
I believe that people have the ability to change and reach their greatest potential. My role as a therapist is to encourage personal growth and help clients to reexamine their thoughts and feelings, gain insight into the underlying purpose behind their behavior and their goals for living, and ultimately to effect positive life changes.
I believe that people have the ability to change and reach their greatest potential. My role as a therapist is to encourage personal growth and help clients to reexamine their thoughts and feelings, gain insight into the underlying purpose behind their behavior and their goals for living, and ultimately to effect positive life changes.
(443) 686-9966 View (443) 686-9966
Photo of Andrew Stanton, Clinical Social Work/Therapist in Columbia, MD
Andrew Stanton
Clinical Social Work/Therapist, LCSW-C, SAP
Verified Verified
4 Endorsed
Columbia, MD 21045
Voted best in Howard County! Andrew's experience includes 25 years of specialization with children, adolescents, and families. Through working in a variety of settings he has developed exceptional skills working with trauma, emotional, and behavioral issues. He has had tremendous success working with some of the most at risk clients. He works with individuals, families and couples to help produce positive changes. He practices EMDR to help clients overcome traumas.
Voted best in Howard County! Andrew's experience includes 25 years of specialization with children, adolescents, and families. Through working in a variety of settings he has developed exceptional skills working with trauma, emotional, and behavioral issues. He has had tremendous success working with some of the most at risk clients. He works with individuals, families and couples to help produce positive changes. He practices EMDR to help clients overcome traumas.
(443) 380-4527 View (443) 380-4527
Photo of Ann Aspnes, Psychologist in Columbia, MD
Ann Aspnes
Psychologist, PhD, ABPP
Verified Verified
7 Endorsed
Columbia, MD 21044
You have probably tried therapy before, but you're still hurting. You still feel stuck. I work differently than traditional therapists - using Evidence Based Psychotherapies - treatments proven to work by research. Cognitive Behavioral Therapy (CBT) and Dialectical Behavior Therapy (DBT) are based in brain science. We can retrain your brain. We can work to build new coping skills and a different approach to emotional pain. Research shows these therapies work to help people like you feel more calm and connected to their lives. You can feel better. You can live better!
You have probably tried therapy before, but you're still hurting. You still feel stuck. I work differently than traditional therapists - using Evidence Based Psychotherapies - treatments proven to work by research. Cognitive Behavioral Therapy (CBT) and Dialectical Behavior Therapy (DBT) are based in brain science. We can retrain your brain. We can work to build new coping skills and a different approach to emotional pain. Research shows these therapies work to help people like you feel more calm and connected to their lives. You can feel better. You can live better!
(410) 267-4076 View (410) 267-4076
Photo of Irene Christin, Licensed Clinical Professional Counselor in Columbia, MD
Irene Christin
Licensed Clinical Professional Counselor, LCPC, MS
Verified Verified
Columbia, MD 21044  (Online Only)
I specialize in working mostly with children and families. Also, I see couples and individual adults. I offer help with managing high level of stress, anxiety, depression, and other mental health conditions. In my practice, I use an integrative approach that includes several evidence-based techniques. The foundation of my method is empathic understanding and unconditional positive regard. I am truly convinced that every person has the potential to grow and achieve positive life change.
I specialize in working mostly with children and families. Also, I see couples and individual adults. I offer help with managing high level of stress, anxiety, depression, and other mental health conditions. In my practice, I use an integrative approach that includes several evidence-based techniques. The foundation of my method is empathic understanding and unconditional positive regard. I am truly convinced that every person has the potential to grow and achieve positive life change.
(571) 471-9410 View (571) 471-9410
Photo of Marla Vannucci, Psychologist in Columbia, MD
Marla Vannucci
Psychologist, PhD
Verified Verified
8 Endorsed
Columbia, MD 21045  (Online Only)
UPDATE: I currently have openings for new telehealth clients (MD, IL, and PSYPACT states). My practice consists of a small group of psychologists focused on helping clients make changes toward more fulfilling, connected, and healthier lives. Knowing it can be difficult to reach out for help, I create a caring, safe space in which we work collaboratively to foster healing and eliminate barriers to finding meaning and living life more fully. Therapy is a collaborative endeavor, and it is key to develop an effective and nurturing relationship in which we have a common understanding of the challenges you face.
UPDATE: I currently have openings for new telehealth clients (MD, IL, and PSYPACT states). My practice consists of a small group of psychologists focused on helping clients make changes toward more fulfilling, connected, and healthier lives. Knowing it can be difficult to reach out for help, I create a caring, safe space in which we work collaboratively to foster healing and eliminate barriers to finding meaning and living life more fully. Therapy is a collaborative endeavor, and it is key to develop an effective and nurturing relationship in which we have a common understanding of the challenges you face.
(240) 201-9583 View (240) 201-9583
Photo of Beatrice Aina, Clinical Social Work/Therapist in Columbia, MD
Beatrice Aina
Clinical Social Work/Therapist, LMSW
Verified Verified
Columbia, MD 21044  (Online Only)
“Mental health is not a destination, but a process. It’s about how you drive, not where you’re going” – Noam Shpancer, PHD. Sometimes in life we reach a point where we lose focus on the things critical to improving/maintaining our mental health and overall quality of life. I myself have once reached that point and it was then I realized the importance of having a strong network of support, including a therapist. I have come to learn that a tremendous amount of people feel alone, left out, or unheard; and so, I strive to create a safe space for people to be seen, heard, understood, and valued.
“Mental health is not a destination, but a process. It’s about how you drive, not where you’re going” – Noam Shpancer, PHD. Sometimes in life we reach a point where we lose focus on the things critical to improving/maintaining our mental health and overall quality of life. I myself have once reached that point and it was then I realized the importance of having a strong network of support, including a therapist. I have come to learn that a tremendous amount of people feel alone, left out, or unheard; and so, I strive to create a safe space for people to be seen, heard, understood, and valued.
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Photo of Mackenzie Meskin, Counselor in Columbia, MD
Mackenzie Meskin
Counselor, LGPC
Verified Verified
Columbia, MD 21044  (Online Only)
I have immediate availability for new clients. I understand that the first step in reaching out can be so difficult, so if you have made it this far you should be so proud of yourself. I provide a safe, open, and non judgmental space for you as we work together towards your goals. I have a passion for helping others. I work with all ages, presenting with all areas of concern. Whether it be anxiety, depression, addiction, grief, trauma, etc., I am here to work with you on this journey.
I have immediate availability for new clients. I understand that the first step in reaching out can be so difficult, so if you have made it this far you should be so proud of yourself. I provide a safe, open, and non judgmental space for you as we work together towards your goals. I have a passion for helping others. I work with all ages, presenting with all areas of concern. Whether it be anxiety, depression, addiction, grief, trauma, etc., I am here to work with you on this journey.
(240) 820-2775 View (240) 820-2775
Photo of Lauren Ilene Mirkin, Licensed Clinical Professional Counselor in Columbia, MD
Lauren Ilene Mirkin
Licensed Clinical Professional Counselor, LPCP, NCC, LDN, NBC-HWC
Verified Verified
Columbia, MD 21044
Are you feeling stuck, down, depressed, unmotivated, unfocused? Are you trapped in overwhelming emotions or unhelpful thinking? Are your relationships causing you distress? I am here to help you on your journey to greater inner harmony, balance, joy, and aliveness. I am an experienced psychotherapist who finds great fulfillment in helping my clients overcome their emotional hurdles and enabling them to live more productive and fulfilling lives. I work with adults, adolescents, couples, and families. I am here to help you discover your strengths and see the sunny side of life more often.
Are you feeling stuck, down, depressed, unmotivated, unfocused? Are you trapped in overwhelming emotions or unhelpful thinking? Are your relationships causing you distress? I am here to help you on your journey to greater inner harmony, balance, joy, and aliveness. I am an experienced psychotherapist who finds great fulfillment in helping my clients overcome their emotional hurdles and enabling them to live more productive and fulfilling lives. I work with adults, adolescents, couples, and families. I am here to help you discover your strengths and see the sunny side of life more often.
(410) 472-5625 View (410) 472-5625
Photo of Cathy Brookman, Psychologist in Columbia, MD
Cathy Brookman
Psychologist, PhD
Verified Verified
Columbia, MD 21044
I believe that people are naturally resilient. Therapy offers an opportunity to boost resilience by nurturing awareness and finding greater strength and fulfillment. Most of us have found ways to manage stress, but the things that worked in the past might not work today. We often feel stuck. I seek to provide a space for observation, reflection, and exploration so that new narratives and choice can emerge. Understanding linkages between early, implicit learning experiences, including attachment patterns, and present modes of thinking and behaving is key to sustainable growth and change. Together we'll address your personal goals.
I believe that people are naturally resilient. Therapy offers an opportunity to boost resilience by nurturing awareness and finding greater strength and fulfillment. Most of us have found ways to manage stress, but the things that worked in the past might not work today. We often feel stuck. I seek to provide a space for observation, reflection, and exploration so that new narratives and choice can emerge. Understanding linkages between early, implicit learning experiences, including attachment patterns, and present modes of thinking and behaving is key to sustainable growth and change. Together we'll address your personal goals.
(443) 502-0995 View (443) 502-0995
Photo of Cynthia Canner, Counselor in Columbia, MD
Cynthia Canner
Counselor, MS, LGPC, NCC
Verified Verified
1 Endorsed
Columbia, MD 21044
If you are feeling stuck, unsure, hurt, or angry, I would like to journey alongside you to help you discover the path and healing that is right for you. I have also worked with members of the clergy, military, police, and firefighters, along with their spouses. In conjunction with my studies, I have done research with clergy and their families.
If you are feeling stuck, unsure, hurt, or angry, I would like to journey alongside you to help you discover the path and healing that is right for you. I have also worked with members of the clergy, military, police, and firefighters, along with their spouses. In conjunction with my studies, I have done research with clergy and their families.
(833) 548-0492 View (833) 548-0492
Photo of Risa J Garon, Clinical Social Work/Therapist in Columbia, MD
Risa J Garon
Clinical Social Work/Therapist, LCSW-C, BCD, CFLE
Verified Verified
Columbia, MD 21044
I work with individuals and couples, facilitate groups, provide marital, separation, and remarriage therapy as well as blended family counseling. I help clients of all ages make decisions and, most importantly, strengthen relationships. I enjoy working with teens, either individually or within a group. I specialize in working with separating and divorcing couples to improve their communication, make decisions, and create parenting plans that focus on each child’s developmental needs and challenges. I believe that children benefit from a loving and healthy relationship with both parents and caregivers.
I work with individuals and couples, facilitate groups, provide marital, separation, and remarriage therapy as well as blended family counseling. I help clients of all ages make decisions and, most importantly, strengthen relationships. I enjoy working with teens, either individually or within a group. I specialize in working with separating and divorcing couples to improve their communication, make decisions, and create parenting plans that focus on each child’s developmental needs and challenges. I believe that children benefit from a loving and healthy relationship with both parents and caregivers.
(410) 942-9335 x203 View (410) 942-9335 x203
Photo of Shelia Lipscomb, Licensed Clinical Professional Counselor in Columbia, MD
Shelia Lipscomb
Licensed Clinical Professional Counselor, LCPC
Verified Verified
Columbia, MD 21044  (Online Only)
Shelia Lipscomb is a Licensed Graduate Professional Counselor (LGPC) who has more than 2 years of experience working with teens, adults, and seniors who are suffering the effects of anxiety, anger, depression, ADHD, chronic stress, relationship issues, family conflict, academic issues, behavioral disorders, and more.
Shelia Lipscomb is a Licensed Graduate Professional Counselor (LGPC) who has more than 2 years of experience working with teens, adults, and seniors who are suffering the effects of anxiety, anger, depression, ADHD, chronic stress, relationship issues, family conflict, academic issues, behavioral disorders, and more.
(240) 201-2790 View (240) 201-2790
Photo of Mental Health Matters, LLC., Counselor in Columbia, MD
Mental Health Matters, LLC.
Counselor, LCPC, CPT, MS
Verified Verified
Columbia, MD 21045  (Online Only)
Are you struggling? Do you need support? I’ll work to meet you where you are, no matter what stage of life you’re experiencing. I have experience working with children/adolescents/teens, and I also worked with adults experiencing trauma and a variety of other mental health challenges such as relationship problems, anxiety, and depression. Whatever challenge you’re troubled with, I will work with you by creating a SAFE SPACE. I collaborate with you, assisting you towards your goals. My approach is to listen and understand, and I will work to support you unconditionally, without judgement, and with empathy. You deserve a safe space.
Are you struggling? Do you need support? I’ll work to meet you where you are, no matter what stage of life you’re experiencing. I have experience working with children/adolescents/teens, and I also worked with adults experiencing trauma and a variety of other mental health challenges such as relationship problems, anxiety, and depression. Whatever challenge you’re troubled with, I will work with you by creating a SAFE SPACE. I collaborate with you, assisting you towards your goals. My approach is to listen and understand, and I will work to support you unconditionally, without judgement, and with empathy. You deserve a safe space.
(240) 306-7586 View (240) 306-7586

How does your Therapist compare?

Number of Therapists in Columbia, MD

800+

Average cost per session

$150

Therapists in Columbia, MD who prioritize treating:

93% Anxiety
87% Depression
76% Self Esteem
75% Relationship Issues
70% Coping Skills
68% Stress
62% Trauma and PTSD

Average years in practice

12 Years

Top 3 insurances accepted

77% BlueCross and BlueShield
77% CareFirst
72% Cigna and Evernorth

How Therapists in Columbia, MD see their clients

56% In Person and Online
44% Online Only

Gender breakdown

81% Female
18% Male
1% Non-Binary
FAQs - About Therapy and Counseling

How can I find a therapist in Columbia?

Search for nearby therapists or counselors by inputting your city, town, or suburb; or zip code; or a provider’s name into the search bar. From there, you can filter providers by the issues they treat, cost, insurance, gender, and other factors to find providers who are well-suited to your needs. To navigate between locations within the same country, enter a new city or zip code into the search bar.

Learn more about how to find a therapist

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.