Therapists in Silver Spring, MD

Photo of Barbara Frame Logan, Clinical Social Work/Therapist in Silver Spring, MD
Barbara Frame Logan
Clinical Social Work/Therapist, LCSW-C, LICSW
Verified Verified
Silver Spring, MD 20910  (Online Only)
Emotional growth is a lifelong process. Sometimes we get weighed down by old scripts or events that have left emotional scars. I draw on 40 years of accumulated wisdom from clinical practice to help patients navigate life's challenges, including grief, life transitions, parenthood, and challenging family-of-origin issues. A practical, interactive therapist, I bring humor, compassion and a good analytic skill set to my work. I'm trained in relaxation techniques, cognitive behavioral therapy, and structural family therapy. I have extensive experience working with clients of all ages.
Emotional growth is a lifelong process. Sometimes we get weighed down by old scripts or events that have left emotional scars. I draw on 40 years of accumulated wisdom from clinical practice to help patients navigate life's challenges, including grief, life transitions, parenthood, and challenging family-of-origin issues. A practical, interactive therapist, I bring humor, compassion and a good analytic skill set to my work. I'm trained in relaxation techniques, cognitive behavioral therapy, and structural family therapy. I have extensive experience working with clients of all ages.
(301) 396-7359 View (301) 396-7359
Photo of Jennifer Purnell-Joe, Clinical Social Work/Therapist in Silver Spring, MD
Jennifer Purnell-Joe
Clinical Social Work/Therapist, LCSW-C
Verified Verified
Silver Spring, MD 20910  (Online Only)
I work with clients who struggle with anxiety, depression, grief, trauma, relationship issues, etc. Learning distress tolerance skills is a way to improve the quality of life and allows for a person to be empowered.
I work with clients who struggle with anxiety, depression, grief, trauma, relationship issues, etc. Learning distress tolerance skills is a way to improve the quality of life and allows for a person to be empowered.
(240) 384-5875 View (240) 384-5875
Photo of Dr. Todd DeRose in Silver Spring, MD
Dr. Todd DeRose
PhD
Verified Verified
Silver Spring, MD 20902
A myriad of reasons can lead someone to therapy. What if you aren't necessarily struggling, but you just want to know yourself better? Maybe you're an intellectually curious person who's tried to make sense of things for a while, but you aren't necessarily ill. Therapists can be unsure how to work with this as they're often pathology-based. Philosophy, which ponders the deeper "whys" of things, can help--but it can be overwhelming without a guide. We, as a team, can examine where you are and where you want to go.
A myriad of reasons can lead someone to therapy. What if you aren't necessarily struggling, but you just want to know yourself better? Maybe you're an intellectually curious person who's tried to make sense of things for a while, but you aren't necessarily ill. Therapists can be unsure how to work with this as they're often pathology-based. Philosophy, which ponders the deeper "whys" of things, can help--but it can be overwhelming without a guide. We, as a team, can examine where you are and where you want to go.
(301) 205-5921 View (301) 205-5921
Photo of Naeem Thompson, Clinical Social Work/Therapist in Silver Spring, MD
Naeem Thompson
Clinical Social Work/Therapist, LMSW
Verified Verified
Silver Spring, MD 20910  (Online Only)
In my years of practice as a therapist, I've had the privilege of working with a diverse range of clients, each with their unique stories and struggles. However, when envisioning an ideal client, it's not so much about perfection as it is about the qualities and characteristics that create a harmonious and productive therapeutic relationship.
In my years of practice as a therapist, I've had the privilege of working with a diverse range of clients, each with their unique stories and struggles. However, when envisioning an ideal client, it's not so much about perfection as it is about the qualities and characteristics that create a harmonious and productive therapeutic relationship.
(301) 381-5604 View (301) 381-5604
Photo of Joel Kanter, Clinical Social Work/Therapist in Silver Spring, MD
Joel Kanter
Clinical Social Work/Therapist, MSW, LCSW-C
Verified Verified
Silver Spring, MD 20910
In my practice, I work with a diverse clientele: children, adolescents and adults from all backgrounds. My approach is practical and conversational as we explore together the stressors of daily living, relationship concerns, parenting issues, and in some instances, severe psychiatric disorders. Often, clients seek short-term interventions, though for some difficulties therapy continues for an extended period. I allow my clients to set the agenda for our work together and decide what sort of help is needed.
In my practice, I work with a diverse clientele: children, adolescents and adults from all backgrounds. My approach is practical and conversational as we explore together the stressors of daily living, relationship concerns, parenting issues, and in some instances, severe psychiatric disorders. Often, clients seek short-term interventions, though for some difficulties therapy continues for an extended period. I allow my clients to set the agenda for our work together and decide what sort of help is needed.
(240) 436-2792 View (240) 436-2792
Photo of Jasmine B., Counselor in Silver Spring, MD
Jasmine B.
Counselor, MA, LGPC
Verified Verified
Silver Spring, MD 20910
I am a Licensed Graduate Professional Counselor (LGPC) and have experience supporting individuals who experience affective disorders, anxiety, depression, intellectual and developmental disabilities, trauma, and recovering from substance use. I utilize person-centered therapy, cognitive behavioral therapy, dialectical behavioral therapy, and motivational interviewing to support clients in obtaining their goals. I have experience in supporting clients and facilitating groups focusing on anger management, women’s trauma, mood regulation, and mindfulness.
I am a Licensed Graduate Professional Counselor (LGPC) and have experience supporting individuals who experience affective disorders, anxiety, depression, intellectual and developmental disabilities, trauma, and recovering from substance use. I utilize person-centered therapy, cognitive behavioral therapy, dialectical behavioral therapy, and motivational interviewing to support clients in obtaining their goals. I have experience in supporting clients and facilitating groups focusing on anger management, women’s trauma, mood regulation, and mindfulness.
(240) 332-5116 View (240) 332-5116
Photo of Lauren Silberman, Marriage & Family Therapist in Silver Spring, MD
Lauren Silberman
Marriage & Family Therapist, LCMFT
Verified Verified
6 Endorsed
Silver Spring, MD 20910
My office is a place where individuals, couples, families and more can talk through all kinds of relationships with a healthy dose of warmth, encouragement, kindness and humor. I take an active approach, meaning I offer honest dialogue rather than passive listening. I pro-actively help connect the different threads of your life–because no one’s troubles exist in a vacuum. I also respect that while I have expertise in my field, you are the foremost expert on yourself. Whether or not you've been to therapy before, you are welcome.
My office is a place where individuals, couples, families and more can talk through all kinds of relationships with a healthy dose of warmth, encouragement, kindness and humor. I take an active approach, meaning I offer honest dialogue rather than passive listening. I pro-actively help connect the different threads of your life–because no one’s troubles exist in a vacuum. I also respect that while I have expertise in my field, you are the foremost expert on yourself. Whether or not you've been to therapy before, you are welcome.
(301) 960-5531 View (301) 960-5531
Photo of Lizzie Liu, Licensed Clinical Professional Counselor in Silver Spring, MD
Lizzie Liu
Licensed Clinical Professional Counselor, MEd(s), LCPC, NCC, CSTIP
Verified Verified
4 Endorsed
Silver Spring, MD 20910  (Online Only)
Are you tired of fighting with your partner constantly without finding a path to move forward? Are you from a culture that is different from your partner's culture? Do you feel like the intimacy and passion have escaped your relationship? Your relationship doesn't have to suffer through those conflicts in the dark, nor does it have to be a battleground for your differences; it can be a rich soil for meeting your unmet needs. Therapy is the right place for you and your partner to explore complex emotions. If you are not sure what you are experiencing, therapy also allows you to get closer to the unknown.
Are you tired of fighting with your partner constantly without finding a path to move forward? Are you from a culture that is different from your partner's culture? Do you feel like the intimacy and passion have escaped your relationship? Your relationship doesn't have to suffer through those conflicts in the dark, nor does it have to be a battleground for your differences; it can be a rich soil for meeting your unmet needs. Therapy is the right place for you and your partner to explore complex emotions. If you are not sure what you are experiencing, therapy also allows you to get closer to the unknown.
(240) 209-9592 View (240) 209-9592
Photo of Healing Harmony Health & Wellness with Shana LLC, Clinical Social Work/Therapist in Silver Spring, MD
Healing Harmony Health & Wellness with Shana LLC
Clinical Social Work/Therapist, LCSW-C
Verified Verified
Silver Spring, MD 20902  (Online Only)
Trauma shatters your world and the world around you, including your personal and professional relationships. Finding your wellness requires having a therapist who understands your needs. We specialize in working with trauma and its related disorders. We bring creativity and above all else sincere caring for our clients. With children, we use play therapy and emotional regulation tools to facilitate and increase the child's wellness. For adolescents and adults, we create a warm self-honoring environment that increases in their ability to develop positive tools to navigate through their traumas, relationships, anxieties, and fears.
Trauma shatters your world and the world around you, including your personal and professional relationships. Finding your wellness requires having a therapist who understands your needs. We specialize in working with trauma and its related disorders. We bring creativity and above all else sincere caring for our clients. With children, we use play therapy and emotional regulation tools to facilitate and increase the child's wellness. For adolescents and adults, we create a warm self-honoring environment that increases in their ability to develop positive tools to navigate through their traumas, relationships, anxieties, and fears.
(240) 453-4828 View (240) 453-4828
Photo of Kristie Trahan, Clinical Social Work/Therapist in Silver Spring, MD
Kristie Trahan
Clinical Social Work/Therapist, LCSW-C
Verified Verified
Silver Spring, MD 20906
Waitlist for new clients
What if I told you that you can stop having anxiety, intrusive thoughts or that pit in your stomach feeling? You might think, ‘Doesn’t everyone feel like this? This is just life, right?’ The answer is no! You don’t have to carry this yuck around with you anymore. Change is possible with EMDR therapy. We all have life experiences that impact us in minor and major ways that leave a lasting impression on us. Imagine a life where you have lessened anxiety or depression symptoms. You can have less inner conflict, better decision making, and enhanced self-control.
What if I told you that you can stop having anxiety, intrusive thoughts or that pit in your stomach feeling? You might think, ‘Doesn’t everyone feel like this? This is just life, right?’ The answer is no! You don’t have to carry this yuck around with you anymore. Change is possible with EMDR therapy. We all have life experiences that impact us in minor and major ways that leave a lasting impression on us. Imagine a life where you have lessened anxiety or depression symptoms. You can have less inner conflict, better decision making, and enhanced self-control.
(240) 202-3840 View (240) 202-3840
Photo of Alyssa Duda, Clinical Social Work/Therapist in Silver Spring, MD
Alyssa Duda
Clinical Social Work/Therapist, LCSW-C, RYT-200
Verified Verified
4 Endorsed
Silver Spring, MD 20902  (Online Only)
Waitlist for new clients
The people I work with want to change the way they are feeling and relating to others. They struggle to cope with triggers, emotions or experiences day to day, and tend to judge themselves for this and its impact on their lives. Whether acute or chronic trauma, relationship issues or emotional challenges, I work with clients to process physical, emotional and mental symptoms that cause them to feel stuck, isolated and unworthy of healthy connections. Building on your strengths, we will work together towards an outcome of added joy, aliveness and connection to self and others.
The people I work with want to change the way they are feeling and relating to others. They struggle to cope with triggers, emotions or experiences day to day, and tend to judge themselves for this and its impact on their lives. Whether acute or chronic trauma, relationship issues or emotional challenges, I work with clients to process physical, emotional and mental symptoms that cause them to feel stuck, isolated and unworthy of healthy connections. Building on your strengths, we will work together towards an outcome of added joy, aliveness and connection to self and others.
(301) 246-8699 View (301) 246-8699
Photo of Mindology Counseling and Wellness Center in Silver Spring, MD
Mindology Counseling and Wellness Center
Verified Verified
1 Endorsed
Silver Spring, MD 20904
IF YOU HAVE BEEN FEELING: Worried about future; Stressed about work; Discouraged and not motivated for life; Feeling I am not good enough; Feeling lost, loneliness, hopeless, and confused...WE WILL HELP YOU FEEL: Fulfilled life with purpose and joy; Ready for whatever life obstacles are ahead of you; Connected with the people who you are close to! You have been struggling for some time with negative thoughts and feelings that just won't seem to go away. You are in the right place. We can help! Mindology is a professional and licensed private counseling practice that is specialized in treatment for Trauma, Substance Abuse and other mental/behavioral disorders, in order to empower and help our clients to overcome day-to-day life challenges; achieve personal goals and improve the qualities of life.
IF YOU HAVE BEEN FEELING: Worried about future; Stressed about work; Discouraged and not motivated for life; Feeling I am not good enough; Feeling lost, loneliness, hopeless, and confused...WE WILL HELP YOU FEEL: Fulfilled life with purpose and joy; Ready for whatever life obstacles are ahead of you; Connected with the people who you are close to! You have been struggling for some time with negative thoughts and feelings that just won't seem to go away. You are in the right place. We can help! Mindology is a professional and licensed private counseling practice that is specialized in treatment for Trauma, Substance Abuse and other mental/behavioral disorders, in order to empower and help our clients to overcome day-to-day life challenges; achieve personal goals and improve the qualities of life.
(301) 701-2481 View (301) 701-2481
Photo of Ron Kelly, Psychologist in Silver Spring, MD
Ron Kelly
Psychologist, PsyD
Verified Verified
1 Endorsed
Silver Spring, MD 20910  (Online Only)
I believe that when problems surface, people do the best they can to cope. Therapy provides a way to increase our coping skills and can give us a sense of relief. With my empathetic style and collaborative problem-solving approach, I can help you create the kind of life you have always imagined for yourself. I seek to empower people with the tools and skills that they need to understand, confront, cope with and manage their life stressors. You'll gain important skills to cope with stress, manage troublesome feelings and improve relationships.
I believe that when problems surface, people do the best they can to cope. Therapy provides a way to increase our coping skills and can give us a sense of relief. With my empathetic style and collaborative problem-solving approach, I can help you create the kind of life you have always imagined for yourself. I seek to empower people with the tools and skills that they need to understand, confront, cope with and manage their life stressors. You'll gain important skills to cope with stress, manage troublesome feelings and improve relationships.
(240) 839-4721 View (240) 839-4721
Photo of Liz Schroth, Licensed Clinical Professional Counselor in Silver Spring, MD
Liz Schroth
Licensed Clinical Professional Counselor, MA, LCPC, BCN, BCC
Verified Verified
Silver Spring, MD 20910
Are you going through a transition in your life? Feeling stuck and find it difficult to move forward? Many times, when things do not go as planned or the way we hope, it can feel stressful, confusing and sometimes overwhelming. I specialize in helping individuals, particularly young adults, teenagers, and school-age children, in navigating these challenging transitions (e.g., struggling in school, failure to progress in college, experiencing anxiety or depression, etc.). I work with people who need more than just “talking” with a therapist. My approach to therapy is unique.
Are you going through a transition in your life? Feeling stuck and find it difficult to move forward? Many times, when things do not go as planned or the way we hope, it can feel stressful, confusing and sometimes overwhelming. I specialize in helping individuals, particularly young adults, teenagers, and school-age children, in navigating these challenging transitions (e.g., struggling in school, failure to progress in college, experiencing anxiety or depression, etc.). I work with people who need more than just “talking” with a therapist. My approach to therapy is unique.
(301) 960-3911 View (301) 960-3911
Photo of Yudi Benamou, Clinical Social Work/Therapist in Silver Spring, MD
Yudi Benamou
Clinical Social Work/Therapist, LMSW
Verified Verified
1 Endorsed
Silver Spring, MD 20902
You have a life story. You have had challenges and struggles, and although you are doing your best, sometimes it just gets to be too much. You may be struggling in a way that stops you from functioning, you may want to live a more fulfilling life, or you may just want to get to know more about yourself. You want to find a deeper sense of contentment and fulfillment, and become more mindful of the world around you.
You have a life story. You have had challenges and struggles, and although you are doing your best, sometimes it just gets to be too much. You may be struggling in a way that stops you from functioning, you may want to live a more fulfilling life, or you may just want to get to know more about yourself. You want to find a deeper sense of contentment and fulfillment, and become more mindful of the world around you.
(301) 396-7394 x104 View (301) 396-7394 x104
Amina Avion
Psychological Associate
Verified Verified
Silver Spring, MD 20910
I am a psychology associate at Kingsbury Wellness & Learning Group, a nonprofit serving the DMV area. I help teens and young adults overcome challenges related to identity development and interpersonal relationships, so that they can build their confidence and forge fulfilling relationships. I work with adults to help them recognize and overcome unhelpful patterns, so that they can address mental and emotional stuck points.
I am a psychology associate at Kingsbury Wellness & Learning Group, a nonprofit serving the DMV area. I help teens and young adults overcome challenges related to identity development and interpersonal relationships, so that they can build their confidence and forge fulfilling relationships. I work with adults to help them recognize and overcome unhelpful patterns, so that they can address mental and emotional stuck points.
(240) 816-4018 x111 View (240) 816-4018 x111
Photo of Wright Fuller Doss, Clinical Social Work/Therapist in Silver Spring, MD
Wright Fuller Doss
Clinical Social Work/Therapist, LCSW-C, LICSW, LCSW
Verified Verified
1 Endorsed
Silver Spring, MD 20910  (Online Only)
In 23 years of clinical experience, I have helped clients learn how to manage anxiety and depression due to work stress, a cancer diagnosis, and other significant life changes. I specialize in working with medical professionals as well as other career professionals who have found themselves burned out because of their experiences during the pandemic. I have successfully found ways to help people find ways to rekindle the passion for the work they do.
In 23 years of clinical experience, I have helped clients learn how to manage anxiety and depression due to work stress, a cancer diagnosis, and other significant life changes. I specialize in working with medical professionals as well as other career professionals who have found themselves burned out because of their experiences during the pandemic. I have successfully found ways to help people find ways to rekindle the passion for the work they do.
(240) 887-0783 View (240) 887-0783
Photo of Laurie Wevers, Marriage & Family Therapist in Silver Spring, MD
Laurie Wevers
Marriage & Family Therapist, MA, LMFT
Verified Verified
5 Endorsed
Silver Spring, MD 20910
As a Queer therapist and spiritual companion, I like to do things a little differently. At this time in my career, I’m mostly working with beloved humans who are bravely journeying through deconstructing their religion of origin and are wanting to explore a spirituality beyond religion. I’m doing this because it was part of my story and was a life-altering transformation I wrestled on my own. The good news for me was coming out the other side as my truest self, and with a new expansive spirituality that feeds my seeker-soul and fills me with awe and wonder (without the rules and guilt/shame). You’re not alone! You belong here.
As a Queer therapist and spiritual companion, I like to do things a little differently. At this time in my career, I’m mostly working with beloved humans who are bravely journeying through deconstructing their religion of origin and are wanting to explore a spirituality beyond religion. I’m doing this because it was part of my story and was a life-altering transformation I wrestled on my own. The good news for me was coming out the other side as my truest self, and with a new expansive spirituality that feeds my seeker-soul and fills me with awe and wonder (without the rules and guilt/shame). You’re not alone! You belong here.
(651) 433-6276 View (651) 433-6276
Photo of Ashley Wilson, Clinical Social Work/Therapist in Silver Spring, MD
Ashley Wilson
Clinical Social Work/Therapist, LGSW, LMSW
Verified Verified
1 Endorsed
Silver Spring, MD 20910
I enjoy working with clients seeking healing, peace and understanding in the face of various mental health challenges including depression, anxiety, mood instability and/or trauma. I realize that many of us may not know where to begin when we feel stuck or hopeless. If you are willing to take the chance and even consider what a "light at the end of the tunnel" might look like, I know we could work together to get you to a place where you feel you have the tools and knowledge to move forward on a path of wellness.
I enjoy working with clients seeking healing, peace and understanding in the face of various mental health challenges including depression, anxiety, mood instability and/or trauma. I realize that many of us may not know where to begin when we feel stuck or hopeless. If you are willing to take the chance and even consider what a "light at the end of the tunnel" might look like, I know we could work together to get you to a place where you feel you have the tools and knowledge to move forward on a path of wellness.
(240) 410-6874 View (240) 410-6874
Photo of Gretchen Pearl Gaines, Clinical Social Work/Therapist in Silver Spring, MD
Gretchen Pearl Gaines
Clinical Social Work/Therapist, LCSW-C,
Verified Verified
Silver Spring, MD 20901  (Online Only)
Not accepting new clients
Living with today's stresses it helps to connect with someone who listens and provides a new perspective. I am trained to treat people with anxiety, illness, grief, depression and relationship concerns.
Living with today's stresses it helps to connect with someone who listens and provides a new perspective. I am trained to treat people with anxiety, illness, grief, depression and relationship concerns.
(301) 381-4077 View (301) 381-4077

See more therapy options for Silver Spring

How does your Therapist compare?

Number of Therapists in Silver Spring, MD

900+

Average cost per session

$160

Therapists in Silver Spring, MD who prioritize treating:

93% Anxiety
88% Depression
78% Relationship Issues
75% Self Esteem
70% Coping Skills
67% Trauma and PTSD
65% Stress

Average years in practice

13 Years

Top 3 insurances accepted

74% CareFirst
72% BlueCross and BlueShield
64% Cigna and Evernorth

How Therapists in Silver Spring, MD see their clients

54% In Person and Online
46% Online Only

Gender breakdown

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

How can I find a therapist in Silver Spring?

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.