Therapists in Richmond, VA

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Photo of Infinite Abilities Counseling, LLC, Clinical Social Work/Therapist in Richmond, VA
Infinite Abilities Counseling, LLC
Clinical Social Work/Therapist, LCSW
Verified Verified
Richmond, VA 23226  (Online Only)
Hi there, I'm Aryn. Are you someone that finds yourself in a place of life transition? Feeling anxious or depressed about how your life is changing? Are you facing a divorce, new to being a single parent, graduating school, transitioning to adulthood or making some other big life change? I'm here to help clients facing tough life transitions overcome the barriers they are facing and take the leap into their new and improved lives. Together, we can identify what parts of yourself are struggling and what stressors you are facing in order to become your best self.
Hi there, I'm Aryn. Are you someone that finds yourself in a place of life transition? Feeling anxious or depressed about how your life is changing? Are you facing a divorce, new to being a single parent, graduating school, transitioning to adulthood or making some other big life change? I'm here to help clients facing tough life transitions overcome the barriers they are facing and take the leap into their new and improved lives. Together, we can identify what parts of yourself are struggling and what stressors you are facing in order to become your best self.
(804) 552-6889 View (804) 552-6889
Photo of Jahira James, Clinical Social Work/Therapist in Richmond, VA
Jahira James
Clinical Social Work/Therapist, LICSW
Verified Verified
Richmond, VA 23225  (Online Only)
I am a licensed clinical social worker in the state of Virginia and Washington D.C. with over 20+ years of experience working with people experiencing depression, self-esteem, severe mental illness, trauma, attachment issues, anxiety, and other mood disorders. I've also conducted structural family therapy, couples therapy, child therapy, and worked with individuals experiencing separation and loss, and parenting problems.
I am a licensed clinical social worker in the state of Virginia and Washington D.C. with over 20+ years of experience working with people experiencing depression, self-esteem, severe mental illness, trauma, attachment issues, anxiety, and other mood disorders. I've also conducted structural family therapy, couples therapy, child therapy, and worked with individuals experiencing separation and loss, and parenting problems.
(804) 979-2416 View (804) 979-2416
Photo of W. Tracy Atkinson, Licensed Professional Counselor in Richmond, VA
W. Tracy Atkinson
Licensed Professional Counselor, MS, LPC
Verified Verified
7 Endorsed
Richmond, VA 23230  (Online Only)
Please note that I am only doing telehealth right now, I do not file insurance claims for clients (but can provide the information needed to do so), my 2024 fee is $175 per session, and I am only licensed to work with Virginia residents.
Please note that I am only doing telehealth right now, I do not file insurance claims for clients (but can provide the information needed to do so), my 2024 fee is $175 per session, and I am only licensed to work with Virginia residents.
(804) 980-7207 View (804) 980-7207
Photo of Paula Schoenau, Licensed Professional Counselor in Richmond, VA
Paula Schoenau
Licensed Professional Counselor, MA, LPC, NCC, CGP, CCTP
Verified Verified
1 Endorsed
Richmond, VA 23230  (Online Only)
I provide trauma-informed care to people experiencing symptoms of depression, anxiety, grief and trauma. I work with clients on developing a treatment plan and establishing achievable goals together - YOU are the expert on yourself, right? I encourage clients to develop a toolbox with coping skills that will help deal with moments of struggle, and increase self-love and self-acceptance.
I provide trauma-informed care to people experiencing symptoms of depression, anxiety, grief and trauma. I work with clients on developing a treatment plan and establishing achievable goals together - YOU are the expert on yourself, right? I encourage clients to develop a toolbox with coping skills that will help deal with moments of struggle, and increase self-love and self-acceptance.
(804) 361-6852 View (804) 361-6852
Photo of The MARCS Agency LLC, Supervisee in Clinical Social Work in Richmond, VA
The MARCS Agency LLC
Supervisee in Clinical Social Work
Verified Verified
Richmond, VA 23220
We “Motivate Adolescents and Adults to Reinforce Change for Success” through comprehensive, collaborative, programs and services. We believe all people can learn to become responsible, contributing and self-reliant members of society. We strive to offer individuals from all economic, cultural and social backgrounds access to the resources, support and opportunities that will enable them to overcome barriers and achieve their positive potential in life. Our services are person-centered, with the needs and strengths of the individual and family dictating the types and mix of services provided.
We “Motivate Adolescents and Adults to Reinforce Change for Success” through comprehensive, collaborative, programs and services. We believe all people can learn to become responsible, contributing and self-reliant members of society. We strive to offer individuals from all economic, cultural and social backgrounds access to the resources, support and opportunities that will enable them to overcome barriers and achieve their positive potential in life. Our services are person-centered, with the needs and strengths of the individual and family dictating the types and mix of services provided.
(804) 644-4444 View (804) 644-4444
Photo of Erika Bischof, Clinical Social Work/Therapist in Richmond, VA
Erika Bischof
Clinical Social Work/Therapist, LCSW
Verified Verified
Richmond, VA 23223  (Online Only)
Are you working through a life transition? Are there concerns with relationships in your life that you're hoping to work through? The best place to start is where you are. You may be seeking support in making changes to your life to support your overall health. My practice focuses on highlighting the strengths you have and how to identify areas of growth. If you're looking to improve your relationships, your ability to cope with stress, or are in a life transition, then we might be a good match. I also have many years of experience working with people with autism and other disabilities and can support people with those unique needs.
Are you working through a life transition? Are there concerns with relationships in your life that you're hoping to work through? The best place to start is where you are. You may be seeking support in making changes to your life to support your overall health. My practice focuses on highlighting the strengths you have and how to identify areas of growth. If you're looking to improve your relationships, your ability to cope with stress, or are in a life transition, then we might be a good match. I also have many years of experience working with people with autism and other disabilities and can support people with those unique needs.
(804) 552-3203 View (804) 552-3203
Photo of Leslie Davis, Clinical Social Work/Therapist in Richmond, VA
Leslie Davis
Clinical Social Work/Therapist, LCSW
Verified Verified
Richmond, VA 23225  (Online Only)
My role is not to “Save the world” or “Empower” my clients. I believe together my clients and I can work alongside to reach their goals. I became a mental health provider because our mental health shapes and forms other aspects of our lives. Mental Health is vital! I have been a Doctor of Social Work; and Licensed Clinical Social Worker since 2019, and I have experience supporting children, adolescents/young adults, and adults with concerns such as trauma, depression, anxiety, PTSD, marital counseling, anger management, acute inpatient, partial hospitalization.
My role is not to “Save the world” or “Empower” my clients. I believe together my clients and I can work alongside to reach their goals. I became a mental health provider because our mental health shapes and forms other aspects of our lives. Mental Health is vital! I have been a Doctor of Social Work; and Licensed Clinical Social Worker since 2019, and I have experience supporting children, adolescents/young adults, and adults with concerns such as trauma, depression, anxiety, PTSD, marital counseling, anger management, acute inpatient, partial hospitalization.
(804) 494-7319 View (804) 494-7319
Photo of Andria Stokes, Clinical Social Work/Therapist in Richmond, VA
Andria Stokes
Clinical Social Work/Therapist, LCSW
Verified Verified
2 Endorsed
Richmond, VA 23225
Are you feeling lost, hopeless, or anxious? Have you had unexplainable emotions, irritability, or challenges with managing the day-to-day? As a Licensed Clinical Social Worker, Andria is dedicated to understanding mental health and the impact it has on the mind, body, & soul. Our mental health serves as the foundation for our every day functions. We need to THRIVE, not just survive!
Are you feeling lost, hopeless, or anxious? Have you had unexplainable emotions, irritability, or challenges with managing the day-to-day? As a Licensed Clinical Social Worker, Andria is dedicated to understanding mental health and the impact it has on the mind, body, & soul. Our mental health serves as the foundation for our every day functions. We need to THRIVE, not just survive!
(804) 373-2806 View (804) 373-2806
Photo of Rachel Walls, Clinical Social Work/Therapist in Richmond, VA
Rachel Walls
Clinical Social Work/Therapist, LCSW
Verified Verified
2 Endorsed
Richmond, VA 23219
Waitlist for new clients
I pursued this work because I know what it is like to be knocked off course. Over the years, I have found that assisting people heal from trauma is what I am meant to do. I focus on empowering my clients through education, proven therapies, and allowing my clients to lead their treatment. You are the expert on your own experience! I'm here to safely offer you an alternate path to your goals. You are experiencing a normal reaction to something that is abnormal. Trauma and grief are heavy - you don't have to carry it alone and it does not have to be a part of your identity.
I pursued this work because I know what it is like to be knocked off course. Over the years, I have found that assisting people heal from trauma is what I am meant to do. I focus on empowering my clients through education, proven therapies, and allowing my clients to lead their treatment. You are the expert on your own experience! I'm here to safely offer you an alternate path to your goals. You are experiencing a normal reaction to something that is abnormal. Trauma and grief are heavy - you don't have to carry it alone and it does not have to be a part of your identity.
(804) 601-6810 View (804) 601-6810
Photo of Betrayal, Sex/Porn Addiction, Narcissistic Abuse in Richmond, VA
Betrayal, Sex/Porn Addiction, Narcissistic Abuse
Debbie, Allen
Verified Verified
Richmond, VA 23219  (Online Only)
Are you struggling with betrayal trauma, sex addiction, porn addiction, infidelity, relationship issues, narcissistic abuse, isolation, self esteem, anxiety or other feelings. You may not even know what brings you here, just a feeling of being stuck or that life is missing meaning or purpose. I provide a safe space to explore your thoughts that may be difficult to talk about with family & friends. My approach is non-judgmental, supportive & compassionate. My experience, education & training has been invaluable while helping clients achieve long term & resilient change. You no longer have to be alone. I offer a free meet & greet.
Are you struggling with betrayal trauma, sex addiction, porn addiction, infidelity, relationship issues, narcissistic abuse, isolation, self esteem, anxiety or other feelings. You may not even know what brings you here, just a feeling of being stuck or that life is missing meaning or purpose. I provide a safe space to explore your thoughts that may be difficult to talk about with family & friends. My approach is non-judgmental, supportive & compassionate. My experience, education & training has been invaluable while helping clients achieve long term & resilient change. You no longer have to be alone. I offer a free meet & greet.
(804) 251-3198 View (804) 251-3198
Photo of Christopher Adcock, Clinical Social Work/Therapist in Richmond, VA
Christopher Adcock
Clinical Social Work/Therapist, LCSW
Verified Verified
Richmond, VA 23220
Christopher "C.J." Adcock is a Licensed Clinical Social Worker (LCSW) who has over 5 years of experience providing social work therapeutic interventions to assist with those struggling with life’s challenges. C.J. has experience working with individuals in all walks of life from the emergency room to retirement communities, including those struggling with anxiety/depression, grief/bereavement, trauma, and caregiving for those with Alzheimer’s/dementia. C.J. completed his Master of Social Work (MSW) at Virginia Commonwealth University and was trained as a clinician at MCV/VCU Health.
Christopher "C.J." Adcock is a Licensed Clinical Social Worker (LCSW) who has over 5 years of experience providing social work therapeutic interventions to assist with those struggling with life’s challenges. C.J. has experience working with individuals in all walks of life from the emergency room to retirement communities, including those struggling with anxiety/depression, grief/bereavement, trauma, and caregiving for those with Alzheimer’s/dementia. C.J. completed his Master of Social Work (MSW) at Virginia Commonwealth University and was trained as a clinician at MCV/VCU Health.
(804) 635-3518 View (804) 635-3518
Photo of Rebecca Perkins, Licensed Professional Counselor in Richmond, VA
Rebecca Perkins
Licensed Professional Counselor, LPC
Verified Verified
Richmond, VA 23235
Welcome! I'm Rebecca Perkins, a Licensed Professional Counselor who is passionate about helping others take the first steps towards making changes to feel more empowered and experience healing in their lives. I work with individuals who experience symptoms of depression, anxiety, ADHD, stress, and life transitions. I help individuals to navigate these situations as well as form new strategies to cope with symptoms and empower the individuals to have more control over their lives. When one feels in control of their life, they no longer feel controlled by symptoms.
Welcome! I'm Rebecca Perkins, a Licensed Professional Counselor who is passionate about helping others take the first steps towards making changes to feel more empowered and experience healing in their lives. I work with individuals who experience symptoms of depression, anxiety, ADHD, stress, and life transitions. I help individuals to navigate these situations as well as form new strategies to cope with symptoms and empower the individuals to have more control over their lives. When one feels in control of their life, they no longer feel controlled by symptoms.
(804) 635-2611 View (804) 635-2611
Photo of Cynthia Repanshek, Psychologist in Richmond, VA
Cynthia Repanshek
Psychologist, LCP
Verified Verified
Richmond, VA 23235
My name is Cynthia (Cyndi) Repanshek, and I am a Licensed Clinical Psychologist. I am located in Fredericksburg, VA, but I see patients throughout Virginia via telehealth. I work with adults and specialize in anxiety, stress, depression, and OCD. I see therapy as a collaborative process. I am not dedicated to a sole modality, and I would like to work with you to determine what type of therapy is the best fit. I work with adults of all ages. I have treated a wide range of diagnoses, including adult ADHD, anxiety, depression, and OCD.
My name is Cynthia (Cyndi) Repanshek, and I am a Licensed Clinical Psychologist. I am located in Fredericksburg, VA, but I see patients throughout Virginia via telehealth. I work with adults and specialize in anxiety, stress, depression, and OCD. I see therapy as a collaborative process. I am not dedicated to a sole modality, and I would like to work with you to determine what type of therapy is the best fit. I work with adults of all ages. I have treated a wide range of diagnoses, including adult ADHD, anxiety, depression, and OCD.
(804) 567-7441 View (804) 567-7441
Photo of Jaclyn Boykin, Licensed Professional Counselor in Richmond, VA
Jaclyn Boykin
Licensed Professional Counselor, LPC
Verified Verified
Richmond, VA 23220
Jaclyn Boykin is a Licensed Professional Counselor (LPC) who has 5 years of experience working with adults, children, families, couples, and the military who are seeking help with depression, anxiety, life transitions, relationship issues, parenting, and serious mental illness. Jaclyn completed her Bachelor of Science (BS) in Psychology at Troy University and her Master of Science (MS) in Clinical Psychology at Walden University. She is currently working towards her Doctor of Philosophy (PhD) in Counseling Education and Supervision at Walden University.
Jaclyn Boykin is a Licensed Professional Counselor (LPC) who has 5 years of experience working with adults, children, families, couples, and the military who are seeking help with depression, anxiety, life transitions, relationship issues, parenting, and serious mental illness. Jaclyn completed her Bachelor of Science (BS) in Psychology at Troy University and her Master of Science (MS) in Clinical Psychology at Walden University. She is currently working towards her Doctor of Philosophy (PhD) in Counseling Education and Supervision at Walden University.
(804) 373-7605 View (804) 373-7605
Photo of Michael Keaveny, Psychologist in Richmond, VA
Michael Keaveny
Psychologist, PsyD
Verified Verified
Richmond, VA 23219
I am a Licensed Clinical Psychologist who specializes in mindfulness and acceptance based therapies. I help my clients become more aware of their thoughts and emotions and to learn how to manage them in a way that creates a sense of peace and freedom. I try to balance processed based therapy with skills training in order to give space for insight development but also to teach practical tools for managing distress. With a strong emphasis on values clarification, I help clients discover what is truly meaningful in their lives and work together to find ways to make active, long lasting change.
I am a Licensed Clinical Psychologist who specializes in mindfulness and acceptance based therapies. I help my clients become more aware of their thoughts and emotions and to learn how to manage them in a way that creates a sense of peace and freedom. I try to balance processed based therapy with skills training in order to give space for insight development but also to teach practical tools for managing distress. With a strong emphasis on values clarification, I help clients discover what is truly meaningful in their lives and work together to find ways to make active, long lasting change.
(804) 587-8109 View (804) 587-8109
Photo of Taylor Hayden, Licensed Professional Counselor in Richmond, VA
Taylor Hayden
Licensed Professional Counselor, LPC
Verified Verified
Richmond, VA 23225  (Online Only)
Does the thought of therapy feel boring and pointless to you? Need someone who can help explain what is going on in your brain (or spouse or adolescent's brain), how it impacts you, and practical ways to help deal with your challenges (anxiety, depression, OCD, ADHD, conflict, anger, addiction, men's issues, etc)? Let's meet to figure out how to get you to the place where you are becoming the person you want to be. I work with people from all backgrounds, but primarily work with adult and adolescent males.
Does the thought of therapy feel boring and pointless to you? Need someone who can help explain what is going on in your brain (or spouse or adolescent's brain), how it impacts you, and practical ways to help deal with your challenges (anxiety, depression, OCD, ADHD, conflict, anger, addiction, men's issues, etc)? Let's meet to figure out how to get you to the place where you are becoming the person you want to be. I work with people from all backgrounds, but primarily work with adult and adolescent males.
(804) 552-6045 View (804) 552-6045
Photo of Deborah Sabatino, Licensed Professional Counselor in Richmond, VA
Deborah Sabatino
Licensed Professional Counselor, LPC
Not Verified Not Verified
Richmond, VA 23235
My name is Deb Sabatino and I am and Licensed Professional Counselor in Virginia. I use a gentle wholistic approach which is trauma-informed when working with clients. My speciality is working with young adults ages 18-30 who are experiencing anxiety due to life transitions. I also specialize in relationship trauma and helping clients restore themselves back to health after they have experienced abuse of any kind. I have experience working with Military, Law Enforcement and their families.
My name is Deb Sabatino and I am and Licensed Professional Counselor in Virginia. I use a gentle wholistic approach which is trauma-informed when working with clients. My speciality is working with young adults ages 18-30 who are experiencing anxiety due to life transitions. I also specialize in relationship trauma and helping clients restore themselves back to health after they have experienced abuse of any kind. I have experience working with Military, Law Enforcement and their families.
(804) 492-8383 View (804) 492-8383
Photo of Cora Matthews, Pre-Licensed Professional in Richmond, VA
Cora Matthews
Pre-Licensed Professional
Verified Verified
Richmond, VA 23223
Life is messy. And hard and complicated. It doesn't matter if you are a kid, a parent, a teen, or adult we all thrive when we have relationships to connect us to ourselves, families, and our world during stressful times. What I do best is create a space (physical or emotional) for healing within ourselves and relationships. I work with people of all ages, and especially love working with kids and their caregivers, to focus on healing and understanding.
Life is messy. And hard and complicated. It doesn't matter if you are a kid, a parent, a teen, or adult we all thrive when we have relationships to connect us to ourselves, families, and our world during stressful times. What I do best is create a space (physical or emotional) for healing within ourselves and relationships. I work with people of all ages, and especially love working with kids and their caregivers, to focus on healing and understanding.
(804) 886-1892 View (804) 886-1892
Photo of Enhancing Your Walk, LLC, Clinical Social Work/Therapist in Richmond, VA
Enhancing Your Walk, LLC
Clinical Social Work/Therapist, LCSW-C, LICSW
Verified Verified
Richmond, VA 23225  (Online Only)
Hi there, I am Tracy, How do you feel right now? What is the quality of your life? Are you experiencing pain or discomfort in your life? Do you feel like your life is out of control, and you cannot make sense of it? What do you believe you need to do to gain inner strength and create the happier, more confident life you deserve? Being honest about where you stand is a good start. If you are looking for a change, hoping to turn something negative into something more positive. There is hope! With your commitment, you can shift from the burdens you are experiencing and feel inspired about living life.
Hi there, I am Tracy, How do you feel right now? What is the quality of your life? Are you experiencing pain or discomfort in your life? Do you feel like your life is out of control, and you cannot make sense of it? What do you believe you need to do to gain inner strength and create the happier, more confident life you deserve? Being honest about where you stand is a good start. If you are looking for a change, hoping to turn something negative into something more positive. There is hope! With your commitment, you can shift from the burdens you are experiencing and feel inspired about living life.
(301) 825-5072 View (301) 825-5072
Photo of Amanda Lewis, Licensed Professional Counselor in Richmond, VA
Amanda Lewis
Licensed Professional Counselor, LPC
Verified Verified
Richmond, VA 23225  (Online Only)
Hi! I'm Amanda and I'm a Licensed Professional Counselor with 10 years of experience working with people from various backgrounds and lifestyles. Settings that I've worked in include client's homes, community facilities, schools, prisons, and hospitals.
Hi! I'm Amanda and I'm a Licensed Professional Counselor with 10 years of experience working with people from various backgrounds and lifestyles. Settings that I've worked in include client's homes, community facilities, schools, prisons, and hospitals.
(804) 635-3616 View (804) 635-3616

How does your Therapist compare?

Number of Therapists in Richmond, VA

1,000+

Average cost per session

$135

Therapists in Richmond, VA who prioritize treating:

93% Anxiety
89% Depression
75% Self Esteem
74% Coping Skills
71% Trauma and PTSD
68% Relationship Issues
68% Stress

Average years in practice

11 Years

Top 3 insurances accepted

79% Aetna
77% UnitedHealthcare UHC | UBH
76% Cigna and Evernorth

How Therapists in Richmond, VA see their clients

55% In Person and Online
45% Online Only

Gender breakdown

83% Female
16% Male
1% Non-Binary
FAQs - About Therapy and Counseling

How can I find a therapist in Richmond?

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.