Therapists in Germantown, MD

Photo of Ningqi Ann Yu Natterer, Licensed Clinical Professional Counselor in Germantown, MD
Ningqi Ann Yu Natterer
Licensed Clinical Professional Counselor, MA, LCPC
Verified Verified
Germantown, MD 20874  (Online Only)
I am a Licensed Clinical Professional Counselor in the DC (Maryland) area. My focus is to meet my clients where they are, whether they've been in therapy before or are seeking it for the first time.
I am a Licensed Clinical Professional Counselor in the DC (Maryland) area. My focus is to meet my clients where they are, whether they've been in therapy before or are seeking it for the first time.
(240) 734-2790 View (240) 734-2790
Photo of Tia Butler, Clinical Social Work/Therapist in Germantown, MD
Tia Butler
Clinical Social Work/Therapist, LCSW, LCSW-C, LICSW, CIGP, C-ASWCM
Verified Verified
Germantown, MD 20876  (Online Only)
Life is a journey filled with many obstacles and challenges that often make one feel stressed, overwhelmed and can result in a diminished sense of self. For nearly twenty years, I have provided a myriad of services to individuals of all ages and backgrounds in various mental health settings. I am passionate about working with adults experiencing grief and loss, life transitions, mood disorders, anxiety disorders, and other life challenges. I also hold a certification specializing in working with adults 65 years old and older.
Life is a journey filled with many obstacles and challenges that often make one feel stressed, overwhelmed and can result in a diminished sense of self. For nearly twenty years, I have provided a myriad of services to individuals of all ages and backgrounds in various mental health settings. I am passionate about working with adults experiencing grief and loss, life transitions, mood disorders, anxiety disorders, and other life challenges. I also hold a certification specializing in working with adults 65 years old and older.
(240) 318-7436 View (240) 318-7436
Photo of Karina Campbell, Clinical Social Work/Therapist in Germantown, MD
Karina Campbell
Clinical Social Work/Therapist, LCSW-C
Verified Verified
Germantown, MD 20876  (Online Only)
Life's challenges can be so overwhelming that it leaves us feeling angry, anxious, misunderstood, stressed, and even discouraged about the future. I provide a warm and safe environment where we discover together how to best address these challenges so you are able to feel ease and fulfillment in your life. I promote a caring and respectful therapeutic relationship.
Life's challenges can be so overwhelming that it leaves us feeling angry, anxious, misunderstood, stressed, and even discouraged about the future. I provide a warm and safe environment where we discover together how to best address these challenges so you are able to feel ease and fulfillment in your life. I promote a caring and respectful therapeutic relationship.
(301) 798-4637 View (301) 798-4637
Photo of Audrey Elkinson, Clinical Social Work/Therapist in Germantown, MD
Audrey Elkinson
Clinical Social Work/Therapist, LCSW
Verified Verified
Germantown, MD 20874  (Online Only)
Audrey Elkinson is a Licensed Certified Clinical Social Worker and Board-Certified Art Therapist (LCSW-C, ATR-BC)with more than 10 years of professional experience working with children, teens, and adults who have been struggling to cope with anxiety, depression, family conflict, dysfunctional relationships, behavioral issues, poor coping skills, oppositional defiance disorder, low self-esteem, women's issues, chronic stress, and more. Audrey received her Master's degree in Social Work from the University of Maryland, where she was a research assistant to the Financial Social Work Initiative.
Audrey Elkinson is a Licensed Certified Clinical Social Worker and Board-Certified Art Therapist (LCSW-C, ATR-BC)with more than 10 years of professional experience working with children, teens, and adults who have been struggling to cope with anxiety, depression, family conflict, dysfunctional relationships, behavioral issues, poor coping skills, oppositional defiance disorder, low self-esteem, women's issues, chronic stress, and more. Audrey received her Master's degree in Social Work from the University of Maryland, where she was a research assistant to the Financial Social Work Initiative.
(301) 298-3347 View (301) 298-3347
Photo of Natalie Edwards, Counselor in Germantown, MD
Natalie Edwards
Counselor, MEd, LPC, LCPC, QMHP
Verified Verified
Germantown, MD 20876  (Online Only)
Welcome and congrats to taking the first step in becoming the best version of yourself. We all know that life can be difficult but what better way to address life issues than to have someone with you on this journey who is understanding, non-judgmental, and compassionate.
Welcome and congrats to taking the first step in becoming the best version of yourself. We all know that life can be difficult but what better way to address life issues than to have someone with you on this journey who is understanding, non-judgmental, and compassionate.
(571) 339-5663 View (571) 339-5663
Photo of Norita Prather, Clinical Social Work/Therapist in Germantown, MD
Norita Prather
Clinical Social Work/Therapist, LCSW-C
Verified Verified
1 Endorsed
Germantown, MD 20875  (Online Only)
Are you a teen and feel like no one understands you? Or need someone to talk to and relate to? Are you having difficulties with your day-to-day, school, work, home, or relationships? Are you constantly worrying about the "what ifs"? Are you struggling to keep everything together? Or are you a parent and having trouble connecting with your teenager? Well, it is time to take back that control and you don't have to do it alone!
Are you a teen and feel like no one understands you? Or need someone to talk to and relate to? Are you having difficulties with your day-to-day, school, work, home, or relationships? Are you constantly worrying about the "what ifs"? Are you struggling to keep everything together? Or are you a parent and having trouble connecting with your teenager? Well, it is time to take back that control and you don't have to do it alone!
(240) 222-5873 View (240) 222-5873
Photo of Insightful Minds Clinical Services, LLC. , Psychologist in Germantown, MD
Insightful Minds Clinical Services, LLC.
Psychologist, PsyD
Verified Verified
Germantown, MD 20876  (Online Only)
Welcome! I am Dr. Katrina Williams! Often life can seem overwhelming and lead to feelings of frustration and low hope for positive change. It takes courage to face challenges in relationships, career development, and knowing what you want in life. I incorporate evidenced-based approaches while promoting learning, exploring, self-empathy, empowerment, and balance. Through the process I also offer steps toward building your own personalized therapy book to be used in daily life in becoming the person you want to be! The ultimate goal being to take steps on the path that leads you to explore the life you desire to live.
Welcome! I am Dr. Katrina Williams! Often life can seem overwhelming and lead to feelings of frustration and low hope for positive change. It takes courage to face challenges in relationships, career development, and knowing what you want in life. I incorporate evidenced-based approaches while promoting learning, exploring, self-empathy, empowerment, and balance. Through the process I also offer steps toward building your own personalized therapy book to be used in daily life in becoming the person you want to be! The ultimate goal being to take steps on the path that leads you to explore the life you desire to live.
(571) 339-5229 View (571) 339-5229
Photo of Keisha Hawthorne-Jones, Clinical Social Work/Therapist in Germantown, MD
Keisha Hawthorne-Jones
Clinical Social Work/Therapist, LCSW-C, LICSW, LCSW
Verified Verified
1 Endorsed
Germantown, MD 20876  (Online Only)
Are you feeling isolated while experiencing a major life change? Are you looking for a safe space to share and grow? Would you like to address the issues of your past, abandonment, toxic relationships, grief/loss or workplace stress? Do you need practical skills managing depression and anxiety? Need help with communication in your relationship? Congratulations, you’re looking in the right place! You decided to take the initial step on your quest of healing and self-discovery. It takes courage to put yourself and your well-being first and I applaud you! Allow me to join you on the journey to prioritize your mental health.
Are you feeling isolated while experiencing a major life change? Are you looking for a safe space to share and grow? Would you like to address the issues of your past, abandonment, toxic relationships, grief/loss or workplace stress? Do you need practical skills managing depression and anxiety? Need help with communication in your relationship? Congratulations, you’re looking in the right place! You decided to take the initial step on your quest of healing and self-discovery. It takes courage to put yourself and your well-being first and I applaud you! Allow me to join you on the journey to prioritize your mental health.
(443) 294-7346 View (443) 294-7346
Photo of Tobi B Goldfus, Clinical Social Work/Therapist in Germantown, MD
Tobi B Goldfus
Clinical Social Work/Therapist, LCSW-C, BCD
Verified Verified
Germantown, MD 20876
Are you stuck in unhelpful mind or behavior patterns, difficult times in a relationship or stressed in a way that is affecting all of the above? I believe that we all possess the resources to experience ourselves "new and improved" and move toward being the best that we can be. We know what has worked for us and what hasn't. Finding ways to make lasting changes and experience relief that is tailored to who YOU are, is my commitment to you. It will be an exciting journey into self-discovery, relief of unwanted symptoms and new confidence.
Are you stuck in unhelpful mind or behavior patterns, difficult times in a relationship or stressed in a way that is affecting all of the above? I believe that we all possess the resources to experience ourselves "new and improved" and move toward being the best that we can be. We know what has worked for us and what hasn't. Finding ways to make lasting changes and experience relief that is tailored to who YOU are, is my commitment to you. It will be an exciting journey into self-discovery, relief of unwanted symptoms and new confidence.
(301) 842-4351 View (301) 842-4351
Photo of Alexis Bell, Clinical Social Work/Therapist in Germantown, MD
Alexis Bell
Clinical Social Work/Therapist, LMSW
Verified Verified
1 Endorsed
Germantown, MD 20875  (Online Only)
Do you find yourself worrying a lot or feel overwhelmed by your thoughts and emotions that you become stuck and stagnant? Do you put a lot of pressure on yourself that you feel like a failure or are failing? Do you feel like parts of life are falling apart and no one understands? Well life can be overwhelming and leave you with so much uncertainty about ourselves, relationships, career, parenthood, and life situations that we become depressed, anxious, stressed out, and stuck about our next move.
Do you find yourself worrying a lot or feel overwhelmed by your thoughts and emotions that you become stuck and stagnant? Do you put a lot of pressure on yourself that you feel like a failure or are failing? Do you feel like parts of life are falling apart and no one understands? Well life can be overwhelming and leave you with so much uncertainty about ourselves, relationships, career, parenthood, and life situations that we become depressed, anxious, stressed out, and stuck about our next move.
(240) 474-9377 View (240) 474-9377
Photo of Chantell Prestcott-Hollander, Licensed Clinical Professional Counselor in Germantown, MD
Chantell Prestcott-Hollander
Licensed Clinical Professional Counselor, MEd, LCPC, NCC
Verified Verified
Germantown, MD 20876  (Online Only)
You’re not sure when it happened, but you don’t recognize the person you see in the mirror. As far as everyone else can tell, you’ve got a great life. You’re accomplished, driven, and dependable. But on the inside, you never feel good enough and the voice in your head is quick to remind you of all the ways you’re falling short, or of events from the past pulling your focus away from the here and now. You spend your time and energy trying to keep it all together and giving your time to everyone but yourself. You feel exhausted and you know something needs to change. And you know the time is now!
You’re not sure when it happened, but you don’t recognize the person you see in the mirror. As far as everyone else can tell, you’ve got a great life. You’re accomplished, driven, and dependable. But on the inside, you never feel good enough and the voice in your head is quick to remind you of all the ways you’re falling short, or of events from the past pulling your focus away from the here and now. You spend your time and energy trying to keep it all together and giving your time to everyone but yourself. You feel exhausted and you know something needs to change. And you know the time is now!
(301) 298-3367 View (301) 298-3367
Photo of Leah Howard, Counselor in Germantown, MD
Leah Howard
Counselor, LCPC, MS
Verified Verified
1 Endorsed
Germantown, MD 20876
Waitlist for new clients
Leah helps adults who are anxious, depressed, stressed, have low self-esteem, are having difficulty adjusting, are having trouble maintaining healthy relationships, and have other counseling needs by taking a proactive and client-centered approach to therapy.
Leah helps adults who are anxious, depressed, stressed, have low self-esteem, are having difficulty adjusting, are having trouble maintaining healthy relationships, and have other counseling needs by taking a proactive and client-centered approach to therapy.
(240) 652-2774 View (240) 652-2774
Photo of Fred F Goudarznia, Licensed Clinical Professional Counselor in Germantown, MD
Fred F Goudarznia
Licensed Clinical Professional Counselor, MA, LCPC
Verified Verified
Germantown, MD 20874
Specialize in crisis intervention,Trauma recovery and post-trauma growth,Trauma is the breaking point in life, it leaves you transformed, however it's a transformation with capacity to become stronger ,more adaptive .
Specialize in crisis intervention,Trauma recovery and post-trauma growth,Trauma is the breaking point in life, it leaves you transformed, however it's a transformation with capacity to become stronger ,more adaptive .
(240) 393-6720 View (240) 393-6720
Photo of Tiffani Smithson, Clinical Social Work/Therapist in Germantown, MD
Tiffani Smithson
Clinical Social Work/Therapist, LCSW-C, LICSW, LCSW
Verified Verified
1 Endorsed
Germantown, MD 20875  (Online Only)
I know that asking for help can feel like a burden sometimes. Do you feel like you have to be “everything” to everyone but feel alone when your in need? Are you struggling to say “no” then resent your yes? Do you put everyone before you and then don't have enough time for you or your dreams? Do you feel “stuck” after giving so much and then realize your not making progress in your life? More often than we realize, we tend to lose ourselves giving what we don’t have while trying to manage it all; parenthood, relationships, careers, and life situations. We then become overwhelmed, depressed, anxious, or stuck about our next move.
I know that asking for help can feel like a burden sometimes. Do you feel like you have to be “everything” to everyone but feel alone when your in need? Are you struggling to say “no” then resent your yes? Do you put everyone before you and then don't have enough time for you or your dreams? Do you feel “stuck” after giving so much and then realize your not making progress in your life? More often than we realize, we tend to lose ourselves giving what we don’t have while trying to manage it all; parenthood, relationships, careers, and life situations. We then become overwhelmed, depressed, anxious, or stuck about our next move.
(240) 226-1392 View (240) 226-1392
Photo of Dr. Shannon Howard, Licensed Clinical Professional Counselor in Germantown, MD
Dr. Shannon Howard
Licensed Clinical Professional Counselor, PsyD, LCPC, LPC, CSOTP
Verified Verified
Germantown, MD 20876  (Online Only)
She believes that every client is unique in their own way and that each person’s story is different. This is the catalyst behind her coaching methodology. Using targeted strategies and personalized coaching approaches, she works with couples and individuals to help them transition from victim to victor. Dr. Howard helps clients face their past trauma by uncovering and resolving the root issue, assess desired outcomes, and implement a plan of action that leads them toward living a more optimal life experience.
She believes that every client is unique in their own way and that each person’s story is different. This is the catalyst behind her coaching methodology. Using targeted strategies and personalized coaching approaches, she works with couples and individuals to help them transition from victim to victor. Dr. Howard helps clients face their past trauma by uncovering and resolving the root issue, assess desired outcomes, and implement a plan of action that leads them toward living a more optimal life experience.
(240) 222-1039 View (240) 222-1039
Photo of Diana Andrea Gayle, Counselor in Germantown, MD
Diana Andrea Gayle
Counselor, LGPC
Verified Verified
Germantown, MD 20874  (Online Only)
Life is filled with issues whether it is dealing with past adult or childhood traumas, the loss of a loved one, or battling with anxiety or depression we all need support and guidance with the most difficult of our circumstances. I am a Clinical Mental Health therapist with over 10 years of experience in counseling and crisis/ behavioral interventions to address the diverse needs of my clients. My treatment foundation is in Applied Behavioral Analytic therapy which involves behavioral interventions w/ CBT to use to address the needs of my mental health clients specifically to manage traumas and substance abuse.
Life is filled with issues whether it is dealing with past adult or childhood traumas, the loss of a loved one, or battling with anxiety or depression we all need support and guidance with the most difficult of our circumstances. I am a Clinical Mental Health therapist with over 10 years of experience in counseling and crisis/ behavioral interventions to address the diverse needs of my clients. My treatment foundation is in Applied Behavioral Analytic therapy which involves behavioral interventions w/ CBT to use to address the needs of my mental health clients specifically to manage traumas and substance abuse.
(240) 816-4452 View (240) 816-4452
Photo of Katie Giganti, Clinical Social Work/Therapist in Germantown, MD
Katie Giganti
Clinical Social Work/Therapist, LCSW-C
Verified Verified
Germantown, MD 20874  (Online Only)
Virtual openings as of 5/9. Hi, I'm Katie! Do you struggle with high stress or feeling down, but not sure how to feel better? Daily challenges, emotional burdens, and past experiences can leave you feeling drained and stuck in a rut. I specialize in helping women who want to exit the vicious cycle & feel themselves again. I can help you identify triggers, set goals and maintain them. I use techniques known as "CBT," or Cognitive Behavioral Therapy (using the way you think to improve mood or stress) and distress tolerance skills so that you build that resiliency muscle- just like an athletic trainer would in a gym.
Virtual openings as of 5/9. Hi, I'm Katie! Do you struggle with high stress or feeling down, but not sure how to feel better? Daily challenges, emotional burdens, and past experiences can leave you feeling drained and stuck in a rut. I specialize in helping women who want to exit the vicious cycle & feel themselves again. I can help you identify triggers, set goals and maintain them. I use techniques known as "CBT," or Cognitive Behavioral Therapy (using the way you think to improve mood or stress) and distress tolerance skills so that you build that resiliency muscle- just like an athletic trainer would in a gym.
(301) 945-8097 View (301) 945-8097
Photo of Nina Anagnostopoulos, Counselor in Germantown, MD
Nina Anagnostopoulos
Counselor, MA, LCPC
Verified Verified
9 Endorsed
Germantown, MD 20874  (Online Only)
Welcome! I specialize in working with adults who experience persistent anxiety, relationship concerns, trauma, family conflict, multicultural issues, and difficulty around life transitions. More specifically, I support clients with challenges around mood, assertiveness, self-esteem, boundary-setting, “people pleasing”, frequent guilt, neglect, or just not feeling good enough. I work especially well with those who have experienced unhealthy relationship dynamics, such as emotional abuse or manipulation. My background as a first-generation Greek-American has also contributed to my knowledge of and interest in cross-cultural concerns.
Welcome! I specialize in working with adults who experience persistent anxiety, relationship concerns, trauma, family conflict, multicultural issues, and difficulty around life transitions. More specifically, I support clients with challenges around mood, assertiveness, self-esteem, boundary-setting, “people pleasing”, frequent guilt, neglect, or just not feeling good enough. I work especially well with those who have experienced unhealthy relationship dynamics, such as emotional abuse or manipulation. My background as a first-generation Greek-American has also contributed to my knowledge of and interest in cross-cultural concerns.
(301) 321-8787 View (301) 321-8787
Photo of Kathleen Pechan, Clinical Social Work/Therapist in Germantown, MD
Kathleen Pechan
Clinical Social Work/Therapist, LCSW-C, LISW
Verified Verified
Germantown, MD 20874  (Online Only)
*** CURRENTLY ACCEPTING TELEHEALTH APPTS*** I am a licensed clinical social worker committed to helping people learn how to address concerns related to depression, anxiety, trauma, relationships and aging. My work focuses on learning how past decisions, ineffective thoughts and belief systems are affecting your current functioning. I called my therapy business, Caring Connection, because I believe healthy interpersonal connections are so important in our lives. We have to understand how to develop connections that bring us joy and satisfaction.
*** CURRENTLY ACCEPTING TELEHEALTH APPTS*** I am a licensed clinical social worker committed to helping people learn how to address concerns related to depression, anxiety, trauma, relationships and aging. My work focuses on learning how past decisions, ineffective thoughts and belief systems are affecting your current functioning. I called my therapy business, Caring Connection, because I believe healthy interpersonal connections are so important in our lives. We have to understand how to develop connections that bring us joy and satisfaction.
(301) 701-3919 View (301) 701-3919
Photo of Shamara Quinonez, Clinical Social Work/Therapist in Germantown, MD
Shamara Quinonez
Clinical Social Work/Therapist, LCSW-C
Verified Verified
Germantown, MD 20874
Do you struggle with trauma, post traumatic stress disorder (PTSD), anxiety, depression, bipolar I/II, or adhd? I am here to create a safe space to discuss your concerns; as life can bring about worry, overwhelm, depression, sadness, mood dysregulation, lack of motivation, procrastination, loneliness, worthlessness, and/or suicidal ideation and self-harm. During our first session we’ll discuss your stressors and needs. We’ll discuss your expectations (and questions) of our time together.
Do you struggle with trauma, post traumatic stress disorder (PTSD), anxiety, depression, bipolar I/II, or adhd? I am here to create a safe space to discuss your concerns; as life can bring about worry, overwhelm, depression, sadness, mood dysregulation, lack of motivation, procrastination, loneliness, worthlessness, and/or suicidal ideation and self-harm. During our first session we’ll discuss your stressors and needs. We’ll discuss your expectations (and questions) of our time together.
(240) 470-7141 View (240) 470-7141

How does your Therapist compare?

Number of Therapists in Germantown, MD

200+

Average cost per session

$150

Therapists in Germantown, MD who prioritize treating:

96% Anxiety
93% Depression
78% Coping Skills
77% Self Esteem
71% Relationship Issues
68% Stress
67% Trauma and PTSD

Average years in practice

12 Years

Top 3 insurances accepted

79% CareFirst
75% BlueCross and BlueShield
71% Cigna and Evernorth

How Therapists in Germantown, MD see their clients

54% Online Only
46% In Person and Online

Gender breakdown

80% Female
20% Male
FAQs - About Therapy and Counseling

How can I find a therapist in Germantown?

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.