Therapists in Bethesda, MD

Photo of Mina Dadvar Klein, Licensed Clinical Professional Counselor in Bethesda, MD
Mina Dadvar Klein
Licensed Clinical Professional Counselor, CAGS, MS
Verified Verified
Bethesda, MD 20814
Individuals seek treatment because they are in pain. Facing one's own weaknesses is difficult and opening up even more so-particularly for people whose cultural background and/or family upbringing discourges transparency /self-disclosure. My priority is to create a safe environment where my clients may confront, accept and change aspects of their lives they consider shameful and/or self-destructive. I have been invited as a guest speaker by a number of organizations and regularly offer seminars and work shops on such themes as self-esteem,communication skills, stress management and the challenges of being married/single and dating
Individuals seek treatment because they are in pain. Facing one's own weaknesses is difficult and opening up even more so-particularly for people whose cultural background and/or family upbringing discourges transparency /self-disclosure. My priority is to create a safe environment where my clients may confront, accept and change aspects of their lives they consider shameful and/or self-destructive. I have been invited as a guest speaker by a number of organizations and regularly offer seminars and work shops on such themes as self-esteem,communication skills, stress management and the challenges of being married/single and dating
(301) 530-4806 View (301) 530-4806
Photo of Hannah Schwartz, Clinical Social Work/Therapist in Bethesda, MD
Hannah Schwartz
Clinical Social Work/Therapist, LCSW
Verified Verified
Bethesda, MD 20814  (Online Only)
I specialize working with children, adolescents, young adults and adults with concerns related to trauma, complex trauma and generational trauma, parent-child relational problems, family conflict, grief, ADHD, depression, anxiety, oppositional defiant disorder, parent coaching and self-esteem. I have experience working with clients from a diverse array of identities and backgrounds. My approach is nonjudgmental, fun, collaborative, empathetic, and honest. I view the therapeutic relationship as a central component, building a trusting and safe connection with my clients that is adaptable, flexible, and collaborative.
I specialize working with children, adolescents, young adults and adults with concerns related to trauma, complex trauma and generational trauma, parent-child relational problems, family conflict, grief, ADHD, depression, anxiety, oppositional defiant disorder, parent coaching and self-esteem. I have experience working with clients from a diverse array of identities and backgrounds. My approach is nonjudgmental, fun, collaborative, empathetic, and honest. I view the therapeutic relationship as a central component, building a trusting and safe connection with my clients that is adaptable, flexible, and collaborative.
(240) 690-6912 View (240) 690-6912
Photo of Len Guedalia, Psychologist in Bethesda, MD
Len Guedalia
Psychologist, PhD
Verified Verified
Bethesda, MD 20824  (Online Only)
Individuals, families and couples realize, at some time, they need assistance to effectively deal with overwhelming life events, strained relationships, loss, anger, and life transitions. For over 20 years I have successfully helped people break self-defeating, unfulfilling patterns of relating and behaving so they can experience more joy, happiness and success in their personal and professional lives. I use a blend of psychodynamic, cognitive, behavioral and family systems therapy. My clients find me to be a very direct, open and engaging therapist, who provides safe space for even the most difficult issues and conflicts to be addressed and resolved.
Individuals, families and couples realize, at some time, they need assistance to effectively deal with overwhelming life events, strained relationships, loss, anger, and life transitions. For over 20 years I have successfully helped people break self-defeating, unfulfilling patterns of relating and behaving so they can experience more joy, happiness and success in their personal and professional lives. I use a blend of psychodynamic, cognitive, behavioral and family systems therapy. My clients find me to be a very direct, open and engaging therapist, who provides safe space for even the most difficult issues and conflicts to be addressed and resolved.
(301) 943-9346 View (301) 943-9346
Photo of Rachel Hayden, Clinical Social Work/Therapist in Bethesda, MD
Rachel Hayden
Clinical Social Work/Therapist, MSW, LCSW-C
Verified Verified
2 Endorsed
Bethesda, MD 20814
Not accepting new clients
"I don't feel like me anymore." "I feel overwhelmed with my problems and I don't know how to change things." If you have had these kinds of thoughts, you are not alone. Many people find that life stresses, strained relationships, and difficult emotions are hard to handle. You don't have to do it alone. Counseling provides a safe place to talk about your experiences and helps you feel better.
"I don't feel like me anymore." "I feel overwhelmed with my problems and I don't know how to change things." If you have had these kinds of thoughts, you are not alone. Many people find that life stresses, strained relationships, and difficult emotions are hard to handle. You don't have to do it alone. Counseling provides a safe place to talk about your experiences and helps you feel better.
(301) 850-3623 View (301) 850-3623
Photo of Monica Bachabi, Clinical Social Work/Therapist in Bethesda, MD
Monica Bachabi
Clinical Social Work/Therapist, LCSW-C
Verified Verified
Bethesda, MD 20814  (Online Only)
I'm Monica, a bilingual psychotherapist providing therapeutic services in Maryland. I believe in collaboration, acknowledging that clients are the experts of their own lives. My passion is empowering clients to overcome mental health barriers through challenge and education. Together, we'll lay the foundation by identifying your challenges, understanding your emotions, and recognizing your ability to reshape your thoughts. My goal is to empower you to advocate for yourself by fostering new insights and self-awareness. I understand that discussing past traumas can be daunting, but I'm here to support you through it.
I'm Monica, a bilingual psychotherapist providing therapeutic services in Maryland. I believe in collaboration, acknowledging that clients are the experts of their own lives. My passion is empowering clients to overcome mental health barriers through challenge and education. Together, we'll lay the foundation by identifying your challenges, understanding your emotions, and recognizing your ability to reshape your thoughts. My goal is to empower you to advocate for yourself by fostering new insights and self-awareness. I understand that discussing past traumas can be daunting, but I'm here to support you through it.
(301) 701-2376 View (301) 701-2376
Photo of Abigail Osei-Tutu, Clinical Social Work/Therapist in Bethesda, MD
Abigail Osei-Tutu
Clinical Social Work/Therapist, LICSW
Verified Verified
1 Endorsed
Bethesda, MD 20814
As a Licensed Independent Clinician, I specialize in supporting adults of diverse backgrounds and orientations in their mental health journeys. I am committed to creating a confidential and nonjudgmental therapeutic space where clients can feel safe to explore and navigate their thoughts, emotions, and life experiences. My therapeutic approach is both warm and direct, aimed at empowering clients to engage in personal growth and self-discovery. I have a particular focus on working with young adults and adults who are struggling with depression, anxiety, navigating life transitions, and coping with chronic illnesses.
As a Licensed Independent Clinician, I specialize in supporting adults of diverse backgrounds and orientations in their mental health journeys. I am committed to creating a confidential and nonjudgmental therapeutic space where clients can feel safe to explore and navigate their thoughts, emotions, and life experiences. My therapeutic approach is both warm and direct, aimed at empowering clients to engage in personal growth and self-discovery. I have a particular focus on working with young adults and adults who are struggling with depression, anxiety, navigating life transitions, and coping with chronic illnesses.
(301) 761-8823 View (301) 761-8823
Photo of Sarah Thompson, Counselor in Bethesda, MD
Sarah Thompson
Counselor, MA, LCPC
Verified Verified
10 Endorsed
Bethesda, MD 20814
Waitlist for new clients
I'm dedicated to guiding neurodivergent and gender-expansive youth on a journey of growth from the inside out. As a neurodivergent therapist, I truly believe in the power of affirming therapy—a collaborative journey built on trust, validation, and empathy. My goal is to create a safe, non-judgmental, and inclusive space where you, as the expert of your own experiences, can freely share your story and feel deeply heard.
I'm dedicated to guiding neurodivergent and gender-expansive youth on a journey of growth from the inside out. As a neurodivergent therapist, I truly believe in the power of affirming therapy—a collaborative journey built on trust, validation, and empathy. My goal is to create a safe, non-judgmental, and inclusive space where you, as the expert of your own experiences, can freely share your story and feel deeply heard.
(240) 255-9065 x125 View (240) 255-9065 x125
Photo of Samantha Congdon, Marriage & Family Therapist in Bethesda, MD
Samantha Congdon
Marriage & Family Therapist, LMFT
Verified Verified
Bethesda, MD 20814  (Online Only)
I am Sam Congdon, a Licensed Marriage Family Therapist providing teletherapy in the states of Maryland, Virginia and California. My speciality is with adolescents, teens, young adults, and college students. I also have experience with adults, couples and families utilizing a collaborative approach to fit each client's individual needs. I grew up in California and went to school at the California State University of Chico, where I received my Bachelors of Art in Psychology, and Master's of Science in Marriage Family Therapy. My goal is to help you, be your best you.
I am Sam Congdon, a Licensed Marriage Family Therapist providing teletherapy in the states of Maryland, Virginia and California. My speciality is with adolescents, teens, young adults, and college students. I also have experience with adults, couples and families utilizing a collaborative approach to fit each client's individual needs. I grew up in California and went to school at the California State University of Chico, where I received my Bachelors of Art in Psychology, and Master's of Science in Marriage Family Therapy. My goal is to help you, be your best you.
(240) 713-5748 x105 View (240) 713-5748 x105
Photo of Holistic Healing Counseling Center, LLC, Pre-Licensed Professional in Bethesda, MD
Holistic Healing Counseling Center, LLC
Pre-Licensed Professional, MA, LGPC
Verified Verified
2 Endorsed
Bethesda, MD 20814  (Online Only)
Are you someone who desires emotional support, coping strategies, and self-exploration to improve their well-being, professional success, and future relationships? I assist individuals in building a desire for happiness, fulfillment, and healthier connections, and aim to reduce anxiety, boost self-esteem, and develop effective coping mechanisms.
Are you someone who desires emotional support, coping strategies, and self-exploration to improve their well-being, professional success, and future relationships? I assist individuals in building a desire for happiness, fulfillment, and healthier connections, and aim to reduce anxiety, boost self-esteem, and develop effective coping mechanisms.
(240) 670-4318 View (240) 670-4318
Photo of Janet Dante, Clinical Social Work/Therapist in Bethesda, MD
Janet Dante
Clinical Social Work/Therapist, MA, MSW, LCSW-C
Verified Verified
Bethesda, MD 20814
Not accepting new clients
Everyone feels anxious, or depressed sometimes. We turn to psychotherapy when we are feeling bad too much of the time. Maybe relationships aren't working, or you are dealing with loss. Maybe you haven't achieved what you wanted, or there are things about yourself you want to change. You want it to be different, but it hasn't happened yet. Therapy helps change the things that keep you from getting what you need, and being who you want to be. I work with adults, both individuals and couples.
Everyone feels anxious, or depressed sometimes. We turn to psychotherapy when we are feeling bad too much of the time. Maybe relationships aren't working, or you are dealing with loss. Maybe you haven't achieved what you wanted, or there are things about yourself you want to change. You want it to be different, but it hasn't happened yet. Therapy helps change the things that keep you from getting what you need, and being who you want to be. I work with adults, both individuals and couples.
(301) 651-3889 View (301) 651-3889
Photo of Matthew Burgess Leary, Psychologist in Bethesda, MD
Matthew Burgess Leary
Psychologist, PhD
Verified Verified
4 Endorsed
Bethesda, MD 20814  (Online Only)
I believe it shows courage to seek out therapy, especially couples and family therapy. You may be struggling with serious emotional issues, deep personal crises, relationship distress, or a sense of distance with your child or adolescent. Many couples I work with have lost a sense of connection and/or find themselves hurting each other over and over again. Many individuals I work with simply want to get more from their lives - more love, joy, and connection. I collaborate with you to create a therapy environment that is warm, safe, supportive, challenging when needed, and authentic.
I believe it shows courage to seek out therapy, especially couples and family therapy. You may be struggling with serious emotional issues, deep personal crises, relationship distress, or a sense of distance with your child or adolescent. Many couples I work with have lost a sense of connection and/or find themselves hurting each other over and over again. Many individuals I work with simply want to get more from their lives - more love, joy, and connection. I collaborate with you to create a therapy environment that is warm, safe, supportive, challenging when needed, and authentic.
(240) 221-5449 View (240) 221-5449
Photo of Maggie Smith, Clinical Social Work/Therapist in Bethesda, MD
Maggie Smith
Clinical Social Work/Therapist, LCSW
Verified Verified
Bethesda, MD 20814  (Online Only)
Everyone needs to reach out for help at some time in their lives. In an atmosphere of caring and support I'll help you explore the feelings and thoughts that make you believe you're stuck with anxiety, depression, or the effects of trauma and grief. We’ll create a calm, comfortable space where change feels natural and safe. Starting therapy takes courage, but it allows you to explore your past in a way that improves your future.
Everyone needs to reach out for help at some time in their lives. In an atmosphere of caring and support I'll help you explore the feelings and thoughts that make you believe you're stuck with anxiety, depression, or the effects of trauma and grief. We’ll create a calm, comfortable space where change feels natural and safe. Starting therapy takes courage, but it allows you to explore your past in a way that improves your future.
(240) 376-4360 View (240) 376-4360
Photo of Access to Clarity LLC (Christian Counseling), Clinical Social Work/Therapist in Bethesda, MD
Access to Clarity LLC (Christian Counseling)
Clinical Social Work/Therapist, LCSW -C
Verified Verified
Bethesda, MD 20814  (Online Only)
Hi! Are you looking for a faith-based therapist to help you address your mental health needs and spirituality? You have come to the right place! I specialize in helping women who want to live Christ-centered lives but struggle to find balance and understand their purposes. I believe that now is the time for all of us to step out on faith and experience the freedom that comes with being women of God. I’d be honored to join you alongside of your journey!
Hi! Are you looking for a faith-based therapist to help you address your mental health needs and spirituality? You have come to the right place! I specialize in helping women who want to live Christ-centered lives but struggle to find balance and understand their purposes. I believe that now is the time for all of us to step out on faith and experience the freedom that comes with being women of God. I’d be honored to join you alongside of your journey!
(240) 339-8043 View (240) 339-8043
Photo of Kim Witkowski, Licensed Clinical Professional Counselor in Bethesda, MD
Kim Witkowski
Licensed Clinical Professional Counselor, LPC
Verified Verified
Bethesda, MD 20814  (Online Only)
Dr. Kim Witkowski, M.A., M.Ed.,Ph.D. is a Licensed Clinical Professional Counselor providing services for clients in Maryland, South Carolina and New Jersey. With 30 years of clinical experience her specialty areas are addressed incorporating a holistic approach which includes work/life balance and a healthy lifestyle. Dr. Witkowski recognizes the importance of an individual's spiritual life. This practice welcomes clients of all faiths.
Dr. Kim Witkowski, M.A., M.Ed.,Ph.D. is a Licensed Clinical Professional Counselor providing services for clients in Maryland, South Carolina and New Jersey. With 30 years of clinical experience her specialty areas are addressed incorporating a holistic approach which includes work/life balance and a healthy lifestyle. Dr. Witkowski recognizes the importance of an individual's spiritual life. This practice welcomes clients of all faiths.
(240) 213-5167 x1 View (240) 213-5167 x1
Photo of Knekiya Harper, Counselor in Bethesda, MD
Knekiya Harper
Counselor, LGPC
Verified Verified
Bethesda, MD 20814  (Online Only)
Knekiya serves clients of all ages, particularly adolescents and young adults. Knekiya assists clients struggling with depression, anxiety, and trauma. Knekiya has worked extensively with survivors of domestic violence and sexual assault.Client's goals often include managing symptoms of depression, anxiety, and trauma.
Knekiya serves clients of all ages, particularly adolescents and young adults. Knekiya assists clients struggling with depression, anxiety, and trauma. Knekiya has worked extensively with survivors of domestic violence and sexual assault.Client's goals often include managing symptoms of depression, anxiety, and trauma.
(240) 679-8871 View (240) 679-8871
Photo of Jennifer H Greenberg, Clinical Social Work/Therapist in Bethesda, MD
Jennifer H Greenberg
Clinical Social Work/Therapist, LICSW, LCSW-C, LCSW, CST, CSCT
Verified Verified
1 Endorsed
Bethesda, MD 20815  (Online Only)
Not accepting new clients
As an AASECT certified Sex Therapist and ISTI Certified Sex and Couples Therapist, I know that life and relationships take a lot of work. My practice is dedicated to helping individuals, couples, and relationship(s) who need support and/or seeking growth and change. From anxiety and depression to sexual functioning and communication, I can help you and your partner(s) work on bringing authenticity back into your lives. I have extensive experience working with military (Active Duty/Vets & Spouses), LGBTQ+, kink/poly relationships, HAES/Intuitive Eating, as well as Ex-pats and International Aid Workers stationed overseas.
As an AASECT certified Sex Therapist and ISTI Certified Sex and Couples Therapist, I know that life and relationships take a lot of work. My practice is dedicated to helping individuals, couples, and relationship(s) who need support and/or seeking growth and change. From anxiety and depression to sexual functioning and communication, I can help you and your partner(s) work on bringing authenticity back into your lives. I have extensive experience working with military (Active Duty/Vets & Spouses), LGBTQ+, kink/poly relationships, HAES/Intuitive Eating, as well as Ex-pats and International Aid Workers stationed overseas.
(301) 812-4780 View (301) 812-4780
Photo of Danielle Spitelle, Clinical Social Work/Therapist in Bethesda, MD
Danielle Spitelle
Clinical Social Work/Therapist, LCSW -C
Verified Verified
Bethesda, MD 20814  (Online Only)
Hi! I'm a licensed Clinical Social Worker (LCSW-C) based in Maryland. I received my Masters degree in Social Work at the University of Maryland School of Social Work.
Hi! I'm a licensed Clinical Social Worker (LCSW-C) based in Maryland. I received my Masters degree in Social Work at the University of Maryland School of Social Work.
(240) 213-1029 View (240) 213-1029
Photo of The Mindful Heart LLC, Clinical Social Work/Therapist in Bethesda, MD
The Mindful Heart LLC
Clinical Social Work/Therapist
Verified Verified
Bethesda, MD 20814
We work with individuals, couples, families, and children. We specialize in addiction, eating disorders, relationship issues, depression, anxiety, self-esteem, trauma, family conflict and grief. Our greatest intention is to help clients understand themselves better and improve their quality of life and relationships. We cater our approach to each client, responding to their own unique problems and personality style. This is not a "one-size-fits-all" practice.
We work with individuals, couples, families, and children. We specialize in addiction, eating disorders, relationship issues, depression, anxiety, self-esteem, trauma, family conflict and grief. Our greatest intention is to help clients understand themselves better and improve their quality of life and relationships. We cater our approach to each client, responding to their own unique problems and personality style. This is not a "one-size-fits-all" practice.
(240) 258-2870 View (240) 258-2870
Photo of Alison Johnson, Clinical Social Work/Therapist in Bethesda, MD
Alison Johnson
Clinical Social Work/Therapist, LCSWC
Verified Verified
1 Endorsed
Bethesda, MD 20814  (Online Only)
Hello and welcome. I'm Alison, a compassionate and dedicated therapist specializing in guiding teenagers and young adults through their journey of healing and growth. With a deep understanding of the challenges that anxiety, depression, and trauma can bring into one's life, I am committed to providing a supportive and nurturing environment where you can find your way back to a place of strength and well-being
Hello and welcome. I'm Alison, a compassionate and dedicated therapist specializing in guiding teenagers and young adults through their journey of healing and growth. With a deep understanding of the challenges that anxiety, depression, and trauma can bring into one's life, I am committed to providing a supportive and nurturing environment where you can find your way back to a place of strength and well-being
(240) 913-6286 View (240) 913-6286
Photo of Mysia Jackson, Licensed Clinical Professional Counselor in Bethesda, MD
Mysia Jackson
Licensed Clinical Professional Counselor, LCPC
Verified Verified
Bethesda, MD 20814  (Online Only)
Welcome to the first step in finding YOUR therapist! You've taken the first step by visiting one of the numerous providers for accessible treatment, and you've stumbled upon my profile. Well, lets get started! My name is Mysia and I am a professional counselor in Maryland. I have experience working with individuals who are experiencing difficulties with implementing healthy coping skills, overcoming the highs and lows of mood disorders, and navigating life on life's terms. Sometimes, we just need someone to talk us through it and help us reflect on what is going on.
Welcome to the first step in finding YOUR therapist! You've taken the first step by visiting one of the numerous providers for accessible treatment, and you've stumbled upon my profile. Well, lets get started! My name is Mysia and I am a professional counselor in Maryland. I have experience working with individuals who are experiencing difficulties with implementing healthy coping skills, overcoming the highs and lows of mood disorders, and navigating life on life's terms. Sometimes, we just need someone to talk us through it and help us reflect on what is going on.
(240) 332-1152 View (240) 332-1152

How does your Therapist compare?

Number of Therapists in Bethesda, MD

1,000+

Average cost per session

$180

Therapists in Bethesda, MD who prioritize treating:

94% Anxiety
90% Depression
77% Relationship Issues
74% Self Esteem
66% Coping Skills
64% Trauma and PTSD
61% Grief

Average years in practice

13 Years

Top 3 insurances accepted

63% BlueCross and BlueShield
63% CareFirst
58% Cigna and Evernorth

How Therapists in Bethesda, MD see their clients

60% In Person and Online
40% Online Only

Gender breakdown

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

How can I find a therapist in Bethesda?

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.