Therapists in 20852
Derwin Harris
Clinical Social Work/Therapist, LCSW
Verified Verified
North Bethesda, MD 20852
I believe in meeting clients where they are and empowering them to explore their own path. I specialize in mental health and substance abuse interventions. I've found that a client-centered approach, coupled with Solution Focused Therapy, is effective. My integrative approach addresses issues like depression, anxiety, trauma, domestic violence, and substance abuse in individuals, couples, and families. I'm trained in applying ASAM criteria for appropriate recommendations. Together, let's shape the narrative of your story and work towards the recovery you desire. If needed, I'm here to make referrals for additional support.
I believe in meeting clients where they are and empowering them to explore their own path. I specialize in mental health and substance abuse interventions. I've found that a client-centered approach, coupled with Solution Focused Therapy, is effective. My integrative approach addresses issues like depression, anxiety, trauma, domestic violence, and substance abuse in individuals, couples, and families. I'm trained in applying ASAM criteria for appropriate recommendations. Together, let's shape the narrative of your story and work towards the recovery you desire. If needed, I'm here to make referrals for additional support.
Paula L Ellman
Psychologist, PhD
Verified Verified
North Bethesda, MD 20852
I work to help you address the painful challenges you are facing in your life, whether it be in your relationships, your work, or internally with yourself. With depression, self-esteem worries, anxiety and panic, separation and loss, sexual/intimacy conflicts, work/achievement difficulties, parenting problems or addictions, my efforts with you are to use understanding and problem-solving to find relief and direction. I teach and train other mental health professionals, and emphasize the active collaboration needed to bring about change and growth.
I work to help you address the painful challenges you are facing in your life, whether it be in your relationships, your work, or internally with yourself. With depression, self-esteem worries, anxiety and panic, separation and loss, sexual/intimacy conflicts, work/achievement difficulties, parenting problems or addictions, my efforts with you are to use understanding and problem-solving to find relief and direction. I teach and train other mental health professionals, and emphasize the active collaboration needed to bring about change and growth.
Nicole Rollins-Lamar
Licensed Clinical Professional Counselor, PsyD, LCPC
Verified Verified
Rockville, MD 20852
TELETHERAPY For more than 15 years I've worked with adults, couples, families, and adolescents in Illinois, DC, and Maryland. I often use a diverse and ethnically sensitive and relevant approach to treatment. It is my goal to provide a non-judgmental and welcoming space for clients to ultimately experience joy, develop more effective coping strategies, and best understand their life's purpose. I value the therapeutic connection and relationship that includes a non judgmental and empathetic environment.
TELETHERAPY For more than 15 years I've worked with adults, couples, families, and adolescents in Illinois, DC, and Maryland. I often use a diverse and ethnically sensitive and relevant approach to treatment. It is my goal to provide a non-judgmental and welcoming space for clients to ultimately experience joy, develop more effective coping strategies, and best understand their life's purpose. I value the therapeutic connection and relationship that includes a non judgmental and empathetic environment.
Farha Mowlana
Licensed Clinical Professional Counselor, MA, LCPC
Verified Verified
Rockville, MD 20852
Not accepting new clients
Sometimes we go through experiences that plant the seeds of self-doubt and shame or leave us confused and grappling for answers. My goal as a therapist is to create a safe environment for you to be able to process the complexities of life by self exploration, to garner a deeper understanding of yourself through a holistic approach; taking into account the body, mind, spirit, and emotions in the quest for optimal wellness.
Sometimes we go through experiences that plant the seeds of self-doubt and shame or leave us confused and grappling for answers. My goal as a therapist is to create a safe environment for you to be able to process the complexities of life by self exploration, to garner a deeper understanding of yourself through a holistic approach; taking into account the body, mind, spirit, and emotions in the quest for optimal wellness.
Janet B Connors
Clinical Social Work/Therapist, MSW, LCSW-C
Verified Verified
Rockville, MD 20852
TELETHERAPY AVAILABLE. I am invested in reducing the stress in your life that may be limiting your potential to heal and thrive. With 25+ years of experience, I am a Stress Management Skills Educator, Licensed Clinical Social Worker, Certified Family Psychotherapist; I have advanced training in a lifestyle approach to health and wellbeing from the Andrew Weil Center for Integrative Medicine. Stress reduction activities are among the most important skills to build into a lifestyle to maximize the body’s healing response. You will learn self-care techniques to promote relaxation and resilience and improve your quality of life.
TELETHERAPY AVAILABLE. I am invested in reducing the stress in your life that may be limiting your potential to heal and thrive. With 25+ years of experience, I am a Stress Management Skills Educator, Licensed Clinical Social Worker, Certified Family Psychotherapist; I have advanced training in a lifestyle approach to health and wellbeing from the Andrew Weil Center for Integrative Medicine. Stress reduction activities are among the most important skills to build into a lifestyle to maximize the body’s healing response. You will learn self-care techniques to promote relaxation and resilience and improve your quality of life.
Jake Hollander
Clinical Social Work/Therapist, LMSW
Verified Verified
Rockville, MD 20852 (Online Only)
Feeling overwhelmed, anxious, empty, or stuck? You are not alone. These feelings can go beyond sadness, worry, or loneliness. Intense emotions and stressors may prevent us from enjoying activities, connecting with others, and finding deeper meaning. Overwhelming emotions combined with difficult environments may lead to a sense of hopelessness. Tools like therapy can empower you to overcome obstacles, increase well-being, and meaningfully thrive.
Feeling overwhelmed, anxious, empty, or stuck? You are not alone. These feelings can go beyond sadness, worry, or loneliness. Intense emotions and stressors may prevent us from enjoying activities, connecting with others, and finding deeper meaning. Overwhelming emotions combined with difficult environments may lead to a sense of hopelessness. Tools like therapy can empower you to overcome obstacles, increase well-being, and meaningfully thrive.
Courtney Schaefer
Clinical Social Work/Therapist, MSW, LCSW, RPT
Verified Verified
Rockville, MD 20852 (Online Only)
Are you looking for support for a young person or need your own support? Does your person have trouble finding people and or places who get them? Do you need support wading through the educational processes required to make sure your child's needs. I am honored to have worked for more than thirty years supporting skill development for dealing with a variety of emotional and developmental issues, while at the same time supporting families. I also have a unique understanding of special education from both inside the system (Special Education Social Worker) and as a parent of a student with a neurodifferent brain.
Are you looking for support for a young person or need your own support? Does your person have trouble finding people and or places who get them? Do you need support wading through the educational processes required to make sure your child's needs. I am honored to have worked for more than thirty years supporting skill development for dealing with a variety of emotional and developmental issues, while at the same time supporting families. I also have a unique understanding of special education from both inside the system (Special Education Social Worker) and as a parent of a student with a neurodifferent brain.
Janell Harris
Counselor, MS, LCPC
Verified Verified
Rockville, MD 20852
I seek to cultivate a collaborative, trusting, and explorative experience to work alongside you on your path to wholeness. My ideal client is ready to address stagnant behavior and unravel complex emotions. I understand that a well-established therapeutic alliance is imperative to successful outcomes. This is crucial in ensuring a safe and supportive environment to be vulnerable, open, and authentic. My training is oriented around Cognitive Behavioral Therapy (CBT), Attachment-styles, and Psychodynamic approach. I also integrate concepts from other frameworks to best suit your specific needs.
I seek to cultivate a collaborative, trusting, and explorative experience to work alongside you on your path to wholeness. My ideal client is ready to address stagnant behavior and unravel complex emotions. I understand that a well-established therapeutic alliance is imperative to successful outcomes. This is crucial in ensuring a safe and supportive environment to be vulnerable, open, and authentic. My training is oriented around Cognitive Behavioral Therapy (CBT), Attachment-styles, and Psychodynamic approach. I also integrate concepts from other frameworks to best suit your specific needs.
Kelly M Champion
Psychologist, PhD, ABPP
Verified Verified
1 Endorsed
Rockville, MD 20852
Clients come to my office to reduce distress, anxiety, and problems with others. They seek treatment for children who struggle in school, at home or with friends. Together we identify strengths and difficulties, set goals and monitor progress. Treatment can help you to make changes, find more peace, get healthy, and get everyone back to their lives. I have expertise treating behavioral problems, trauma and health related problems including eating disorders in children and adults. With 15+ years of experience studying, teaching, and practicing psychology, I can help you take the next step.
Clients come to my office to reduce distress, anxiety, and problems with others. They seek treatment for children who struggle in school, at home or with friends. Together we identify strengths and difficulties, set goals and monitor progress. Treatment can help you to make changes, find more peace, get healthy, and get everyone back to their lives. I have expertise treating behavioral problems, trauma and health related problems including eating disorders in children and adults. With 15+ years of experience studying, teaching, and practicing psychology, I can help you take the next step.
Vicki B. Klein
Clinical Social Work/Therapist, MSW, LCSW-C
Verified Verified
1 Endorsed
North Bethesda, MD 20852
Deciding to see a therapist can be a difficult decision, whether it is for yourself, or your teen/child. In my practice, I use a supportive, non-judgmental, cognitive behavioral approach. My work will be practical and oriented towards results. It will ultimately increase your self-confidence. I have had great success working with people of all ages on their various fears using CBT.
Deciding to see a therapist can be a difficult decision, whether it is for yourself, or your teen/child. In my practice, I use a supportive, non-judgmental, cognitive behavioral approach. My work will be practical and oriented towards results. It will ultimately increase your self-confidence. I have had great success working with people of all ages on their various fears using CBT.
Alexis Vauss — Kids, Teens, Adults: Gain Balance
LMSW
Verified Verified
Rockville, MD 20852
Are you or your children struggling because of anxiety, depression, trauma, relationship challenges, or stress? In therapy, get the support that you need to recover from mental health challenges, build self-esteem, move past anxiety, and create healthy habits. Adults, teens, and children can heal from trauma and develop practical tools for living a more balanced, more confident, and more focused life. Difficult experiences in your past or mental health struggles in the present don't have to dictate your future. Therapy is available for residents of VA and MD. Reach out today. I am looking forward to hearing your story!
Are you or your children struggling because of anxiety, depression, trauma, relationship challenges, or stress? In therapy, get the support that you need to recover from mental health challenges, build self-esteem, move past anxiety, and create healthy habits. Adults, teens, and children can heal from trauma and develop practical tools for living a more balanced, more confident, and more focused life. Difficult experiences in your past or mental health struggles in the present don't have to dictate your future. Therapy is available for residents of VA and MD. Reach out today. I am looking forward to hearing your story!
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The Snow Psychology Group, LLC
Psychologist, PhD
Verified Verified
1 Endorsed
Rockville, MD 20852
Are you or your teen feeling depressed or anxious? Experiencing difficulty in a personal relationship? Have you been feeling stuck? Our therapists understand how you may feel overwhelmed when dealing with stress and sadness or adjusting to major life changes. Let us help you to feel better and move forward to reach your personal goals. We provide a warm and supportive environment where you can openly discuss your concerns as we work together to resolve them and access your own strengths. We work with ages 12+ across the lifespan. Individual, couples, and group therapy services are available in-person and via telehealth.
Are you or your teen feeling depressed or anxious? Experiencing difficulty in a personal relationship? Have you been feeling stuck? Our therapists understand how you may feel overwhelmed when dealing with stress and sadness or adjusting to major life changes. Let us help you to feel better and move forward to reach your personal goals. We provide a warm and supportive environment where you can openly discuss your concerns as we work together to resolve them and access your own strengths. We work with ages 12+ across the lifespan. Individual, couples, and group therapy services are available in-person and via telehealth.
Elicia McIntyre
Clinical Social Work/Therapist, MSW, LCSW-C
Verified Verified
Rockville, MD 20852 (Online Only)
Not accepting new clients
I work with adults, with a passion for empowering women to live their most fulfilling lives. My approach is determined by your needs and pays attention to your strengths, guided by the belief that you already possess the answers to what will work best for you. My job is to come alongside you and facilitate the process. Together we’ll look at the strengths and strategies that have served you, and explore what you might desire to let go of, or add in this current season of life. I provide individual therapy grounded in psychodynamic and cognitive-behavioral theories, with a flexible approach to understanding challenges and solutions.
I work with adults, with a passion for empowering women to live their most fulfilling lives. My approach is determined by your needs and pays attention to your strengths, guided by the belief that you already possess the answers to what will work best for you. My job is to come alongside you and facilitate the process. Together we’ll look at the strengths and strategies that have served you, and explore what you might desire to let go of, or add in this current season of life. I provide individual therapy grounded in psychodynamic and cognitive-behavioral theories, with a flexible approach to understanding challenges and solutions.
Phyllis Agyapong
Marriage & Family Therapist, MS, LCMFT
Verified Verified
North Bethesda, MD 20852
Open for Online and In-Person Sessions- Hey there! My name is Phyllis and I'm a Licensed Clinical Marriage and Family Therapist. I am a level-2 certified Gottman Couples Therapist providing counseling for couples, adults, and families. I help clients improve communication, trust, and security in their relationships. I work collaboratively with my clients and believe they are the expert on their lives. I focus on their strengths and help build upon them to overcome difficulties. I identify what is already working well for them and we build the skills that they can implement and use in their everyday lives.
Open for Online and In-Person Sessions- Hey there! My name is Phyllis and I'm a Licensed Clinical Marriage and Family Therapist. I am a level-2 certified Gottman Couples Therapist providing counseling for couples, adults, and families. I help clients improve communication, trust, and security in their relationships. I work collaboratively with my clients and believe they are the expert on their lives. I focus on their strengths and help build upon them to overcome difficulties. I identify what is already working well for them and we build the skills that they can implement and use in their everyday lives.
Deborah Kirch
Psychologist, PhD
Verified Verified
1 Endorsed
Rockville, MD 20852
Are past traumas holding you back from living your life fully? Do you struggle with restrictive eating, binge eating, or purging? Are you feeling overwhelmed by medical illness or grief? I am an empathic licensed psychologist who can help you gain greater self-awareness and find solutions to grow and achieve your desired changes. I provide an interactive, warm, and supportive relationship so you can move forward and reach your goals. I have over 30 years’ experience counseling diverse people in a safe, non-judgmental environment and I strive to empower you with the essential tools to successfully cope with your particular situation.
Are past traumas holding you back from living your life fully? Do you struggle with restrictive eating, binge eating, or purging? Are you feeling overwhelmed by medical illness or grief? I am an empathic licensed psychologist who can help you gain greater self-awareness and find solutions to grow and achieve your desired changes. I provide an interactive, warm, and supportive relationship so you can move forward and reach your goals. I have over 30 years’ experience counseling diverse people in a safe, non-judgmental environment and I strive to empower you with the essential tools to successfully cope with your particular situation.
Nancy Anne Lamberti
Counselor, MSc, LCPC, LPC
Verified Verified
Rockville, MD 20852 (Online Only)
TELETHERAPY APPOINTMENTS. I am an experienced, mature therapist who has provided therapy to those fighting addictions and mental health issues for over 15 years. I offer supportive counseling combined with assessment, planning and evidence-based techniques (CBT, DBT) to teach clients new ways to cope and move forward toward their goals. If you are struggling with problem behaviors, painful moods and other mental health issues, there is hope. I know that together, we can create a plan that supports the change you want.
TELETHERAPY APPOINTMENTS. I am an experienced, mature therapist who has provided therapy to those fighting addictions and mental health issues for over 15 years. I offer supportive counseling combined with assessment, planning and evidence-based techniques (CBT, DBT) to teach clients new ways to cope and move forward toward their goals. If you are struggling with problem behaviors, painful moods and other mental health issues, there is hope. I know that together, we can create a plan that supports the change you want.
Hassan Karimi
Marriage & Family Therapist, PhD
Verified Verified
Rockville, MD 20852
I do believe each person and family has unique resources to activate healing processes. Brief Therapy requires a highly collaborative approach between therapist and clients, and focuses on practical solutions and clear communication. Brief Therapy offers a maximum of 10 sessions but usually don't need that many to promote change in the problem that is presented. I work with individuals, couples and families with a variety of problems: marital conflict and affairs, depression and anxiety, children and adolescent problems, addiction, eating disorders, stress and work related problems. I also provide online-therapy services.
I do believe each person and family has unique resources to activate healing processes. Brief Therapy requires a highly collaborative approach between therapist and clients, and focuses on practical solutions and clear communication. Brief Therapy offers a maximum of 10 sessions but usually don't need that many to promote change in the problem that is presented. I work with individuals, couples and families with a variety of problems: marital conflict and affairs, depression and anxiety, children and adolescent problems, addiction, eating disorders, stress and work related problems. I also provide online-therapy services.
Diana Stewart
Clinical Social Work/Therapist, MSW, LCSW-C
Verified Verified
North Bethesda, MD 20852 (Online Only)
I have seen many clients over the years and each one has been a unique individual with their own story to tell. Just as no two snowflakes are alike, no two people are alike. Allow me to help you find your own path and solutions through empowerment utilizing your unique strengths. Individuals come to see me for many reasons: Trauma, Grief, Anxiety, ADHD, Depression, OCD, changes in family dynamics and other life changes. I want to provide an open, relaxed, non-judgmental environment that allows you to reach your full potential. Whatever your reason, therapy can be the first step.
I have seen many clients over the years and each one has been a unique individual with their own story to tell. Just as no two snowflakes are alike, no two people are alike. Allow me to help you find your own path and solutions through empowerment utilizing your unique strengths. Individuals come to see me for many reasons: Trauma, Grief, Anxiety, ADHD, Depression, OCD, changes in family dynamics and other life changes. I want to provide an open, relaxed, non-judgmental environment that allows you to reach your full potential. Whatever your reason, therapy can be the first step.
Lee Chase
Psychologist, PhD
Verified Verified
Rockville, MD 20852
I view therapy as a collaborative process. It is a place to learn about yourself, how you relate to others, and the ways in which your thoughts, feelings or actions can inhibit your growth or help you meet your goals. My style is compassionate, client-focused, and interactive, informed by psychodynamic and cognitive behavioral schools of thought. I look forward to working with you to help you make real, positive changes in your life.
I view therapy as a collaborative process. It is a place to learn about yourself, how you relate to others, and the ways in which your thoughts, feelings or actions can inhibit your growth or help you meet your goals. My style is compassionate, client-focused, and interactive, informed by psychodynamic and cognitive behavioral schools of thought. I look forward to working with you to help you make real, positive changes in your life.
Lucid Clinical Services
DSW, LCSW
Verified Verified
1 Endorsed
Rockville, MD 20852
We believe treatment should provide lasting benefits, lasting well beyond your time in therapy. As such, we believe successful therapy comes from fully understanding your goals and challenges. Your therapist can work with you to develop tangible skills, insight, and focused changes that can support you through a lifetime of positive growth and healing. We have expertise in helping individuals, couples, and families across the life-span address depression, anxiety, severe stress, PTSD, and prolonged grief. In addition, individual therapy can assist you in dealing with intimacy problems, relational concerns, anger issues, and poor-self esteem. We offer cognitive-behavioral therapy (CBT), solution-focused treatment, and insight-oriented relational therapy depending on your needs and desires. Following an initial assessment with your therapist, you will help develop a treatment plan based on your goals
We believe treatment should provide lasting benefits, lasting well beyond your time in therapy. As such, we believe successful therapy comes from fully understanding your goals and challenges. Your therapist can work with you to develop tangible skills, insight, and focused changes that can support you through a lifetime of positive growth and healing. We have expertise in helping individuals, couples, and families across the life-span address depression, anxiety, severe stress, PTSD, and prolonged grief. In addition, individual therapy can assist you in dealing with intimacy problems, relational concerns, anger issues, and poor-self esteem. We offer cognitive-behavioral therapy (CBT), solution-focused treatment, and insight-oriented relational therapy depending on your needs and desires. Following an initial assessment with your therapist, you will help develop a treatment plan based on your goals
See more therapy options for 20852
How does your Therapist compare?
Number of Therapists in 20852
400+
Average cost per session
$175
Therapists in 20852 who prioritize treating:
| 96% | Anxiety |
| 91% | Depression |
| 81% | Relationship Issues |
| 81% | Self Esteem |
| 75% | Coping Skills |
| 67% | Stress |
| 66% | Trauma and PTSD |
Average years in practice
14 Years
Top 3 insurances accepted
| 75% | BlueCross and BlueShield |
| 74% | CareFirst |
| 61% | Cigna and Evernorth |
How Therapists in 20852 see their clients
| 69% | In Person and Online | |
| 31% | Online Only |
Gender breakdown
| 87% | Female | |
| 12% | Male | |
| 1% | Non-Binary |
FAQs - About Therapy and Counseling
How can I find a therapist in 20852?
Search for nearby therapists or counselors by inputting your city, town, or suburb; or zip code; or a provider’s name into the search bar. From there, you can filter providers by the issues they treat, cost, insurance, gender, and other factors to find providers who are well-suited to your needs. To navigate between locations within the same country, enter a new city or zip code into the search bar.
Learn more about how to find a therapist
Learn more about how to find a therapist
Is everyone in the Psychology Today Therapy Directory a licensed therapist?
The Psychology Today directory lists providers who offer legitimate mental health services to the public, including psychologists, psychiatrists, social workers, and counselors.
Many have been licensed by the country or state where they practice; providers whose license or primary credential has been verified by Psychology Today are signified by a “Verified” symbol. Some clinicians or organizations provide services for which their state or country does not offer licenses, such as pastoral counseling. They may be selectively included without the “Verified” seal.
Many have been licensed by the country or state where they practice; providers whose license or primary credential has been verified by Psychology Today are signified by a “Verified” symbol. Some clinicians or organizations provide services for which their state or country does not offer licenses, such as pastoral counseling. They may be selectively included without the “Verified” seal.
What’s the difference between a psychologist, a therapist, and a counselor?
Therapists, psychologists, and counselors are all licensed mental health professionals. In the US, psychologists have earned a doctoral degree. The terms “therapist” and “counselor” are used somewhat interchangeably, but generally therapists offer longer-term, mental health care, while counselors offer shorter-term care that may focus on one domain, such as marriage, career, or academic challenges.
Clients should consider factors such as insurance coverage and their primary reason(s) for seeking therapy to determine the type of professional best suited to their needs. Someone struggling with mental health challenges such as depression or anxiety, for example, may wish to seek out a clinical psychologist or therapist, while someone navigating career obstacles or marital upheaval may benefit from seeing a counselor who can offer short-term, targeted support.
Clients should consider factors such as insurance coverage and their primary reason(s) for seeking therapy to determine the type of professional best suited to their needs. Someone struggling with mental health challenges such as depression or anxiety, for example, may wish to seek out a clinical psychologist or therapist, while someone navigating career obstacles or marital upheaval may benefit from seeing a counselor who can offer short-term, targeted support.
What type of therapy is right for me?
The type of therapy best suited to a particular individual depends on several factors, including their primary reason for seeking therapy, their preferred timeline (some therapy types last for a set number of sessions, while others are open-ended), and their personality and preferences—some may prefer a more structured approach. For many individuals, multiple types of therapy could provide a good fit.
How much does therapy cost?
The cost of therapy depends on a number of variables, including location and the therapist’s experience and training. On average, a therapy session in the United States could cost between $100 and $200 or more. If you have insurance, the expense of mental health care is typically lower, but it varies based on your insurance plan details and whether you choose an in-network or out-of-network mental healthcare provider.
What are more affordable or low cost therapy solutions?
Many therapists offer sliding scale payments, usually on a limited number of slots, which consists in an agreement between the therapist and a client to pay a reduced rate. Therapists who provide such arrangements often consider the client's income or ability to pay, but the extent of the discount is ultimately at the therapist's discretion. Furthermore, while group therapy may have different goals and benefits compared to individual therapy, it can be a more affordable solution to address certain types of issues.
Is online therapy cheaper than in-person therapy?
Many therapists charge the same amount for online therapy as they do for in-person therapy—though clients may still find this cost-effective if it cuts down on their transportation costs. Health insurance plans often offer equivalent coverage for online and in-person therapy; indeed, in many places, they are legally required to do so. Text-based or on-demand therapy apps may be cheaper than traditional one-on-one psychotherapy; however, the practice may be less effective and is not likely to be covered by insurance.
Is online therapy a good option?
Therapy conducted online can be just as effective as in-person therapy, as long as there is a strong alliance between the client and the therapist. To find a therapist who provides telehealth services to clients in your area, click “Online Therapy” on the directory homepage and search by your city or town or your zip code.
Are therapy sessions confidential?
Confidentiality is a crucial part of the therapeutic relationship. Therapists in the United States are bound by the regulations set out by the Health Insurance Portability and Accountability Act of 1996 (HIPAA), which aims to protect sensitive health information. With very few exceptions, a therapist will only discuss their client with others when the client has given their written permission. The instances in which a therapist would be required to disclose personal information are: if a client poses a danger to themselves or others, if the therapist suspects the abuse of a child or an elderly or otherwise dependent adult, or if they are legally forced to by court order. These exceptions to the confidentiality agreement are usually discussed with a client before their first session.