Therapists in Fairfax, VA

Photo of Megan Wills, Clinical Social Work/Therapist in Fairfax, VA
Megan Wills
Clinical Social Work/Therapist, LCSW
Verified Verified
Fairfax, VA 22030  (Online Only)
Hi there, I'm Megan. You being here already means you have a lot of self-awareness, courage and strength. Whatever it is that brought you to this moment, I'm glad you're here. My aim is to help you get to the root of certain behaviors, thoughts and patterns so that you can make conscious choices for yourself and your future to live your healthiest and most whole life.
Hi there, I'm Megan. You being here already means you have a lot of self-awareness, courage and strength. Whatever it is that brought you to this moment, I'm glad you're here. My aim is to help you get to the root of certain behaviors, thoughts and patterns so that you can make conscious choices for yourself and your future to live your healthiest and most whole life.
(571) 992-0204 View (571) 992-0204
Photo of Megan Elizabeth Fellows, Licensed Professional Counselor in Fairfax, VA
Megan Elizabeth Fellows
Licensed Professional Counselor, MA, LPC
Verified Verified
4 Endorsed
Fairfax, VA 22030
Waitlist for new clients
As a Licensed Professional Counselor with over years experience in the mental health field, I thoroughly enjoy my role in helping others to reach their goals. I have worked with individuals, families, and groups in both inpatient and outpatient settings within the DC Metro area. Specifically, I have experience with adults, adolescents, and children presenting with a variety of concerns and needs. I have also had the privilege of serving individuals with intellectual disabilities and developmental delays in both private, in-home, and educational settings.
As a Licensed Professional Counselor with over years experience in the mental health field, I thoroughly enjoy my role in helping others to reach their goals. I have worked with individuals, families, and groups in both inpatient and outpatient settings within the DC Metro area. Specifically, I have experience with adults, adolescents, and children presenting with a variety of concerns and needs. I have also had the privilege of serving individuals with intellectual disabilities and developmental delays in both private, in-home, and educational settings.
(571) 374-1726 View (571) 374-1726
Photo of Niah Richardson, Licensed Professional Counselor in Fairfax, VA
Niah Richardson
Licensed Professional Counselor, MS, LPC
Verified Verified
1 Endorsed
Fairfax, VA 22031  (Online Only)
I am a compassionate, warm, empathetic person who is passionate about helping people find solutions to life's obstacles. I accomplish this by helping clients identify healthy ways of coping so they may thrive during hardship. Life can be full of stressors that can have an impact on your ability to function and getting the help you need with someone you feel comfortable with is vital to your growth during therapy. My greatest satisfaction lies in helping my clients feel empowered to take control of their lives.
I am a compassionate, warm, empathetic person who is passionate about helping people find solutions to life's obstacles. I accomplish this by helping clients identify healthy ways of coping so they may thrive during hardship. Life can be full of stressors that can have an impact on your ability to function and getting the help you need with someone you feel comfortable with is vital to your growth during therapy. My greatest satisfaction lies in helping my clients feel empowered to take control of their lives.
(571) 200-3709 View (571) 200-3709
Photo of Matthew Partlow, Pre-Licensed Professional in Fairfax, VA
Matthew Partlow
Pre-Licensed Professional, LCSW-S
Verified Verified
1 Endorsed
Fairfax, VA 22030
I am passionate about helping people who are seeking a therapist who can help restore balance and happiness in their life. I have worked with diverse populations, addressing a wide range of needs including trauma, depression, anxiety, crisis counseling, personal growth, grief, identity exploration, young adults, men's concerns, veterans’ issues, and emotional intelligence enhancement.
I am passionate about helping people who are seeking a therapist who can help restore balance and happiness in their life. I have worked with diverse populations, addressing a wide range of needs including trauma, depression, anxiety, crisis counseling, personal growth, grief, identity exploration, young adults, men's concerns, veterans’ issues, and emotional intelligence enhancement.
(571) 487-8719 View (571) 487-8719
Paul Hart
Clinical Social Work/Therapist, LCSW
Verified Verified
Fairfax, VA 22031
I believe that everyone can benefit from psychotherapy. Utilizing this process can help you to identify, develop, and implement behavioral, emotional, and cognitive change that can allow you to feel more centered and self-confident, and can provide an increased sense of empowerment to address future challenges. I view seeking help through psychotherapy as a sign of strength rather than of weakness. Taking this step often makes one feel anxious, but my experience is that once taken, people usually feel a sense of relief, combined with an increase in hopefulness. In a way, seeking help is the first step on the path to healing.
I believe that everyone can benefit from psychotherapy. Utilizing this process can help you to identify, develop, and implement behavioral, emotional, and cognitive change that can allow you to feel more centered and self-confident, and can provide an increased sense of empowerment to address future challenges. I view seeking help through psychotherapy as a sign of strength rather than of weakness. Taking this step often makes one feel anxious, but my experience is that once taken, people usually feel a sense of relief, combined with an increase in hopefulness. In a way, seeking help is the first step on the path to healing.
(703) 348-9234 View (703) 348-9234
Photo of Isabel J Park, Licensed Professional Counselor in Fairfax, VA
Isabel J Park
Licensed Professional Counselor, LPC, LMHC
Verified Verified
1 Endorsed
Fairfax, VA 22031  (Online Only)
Not accepting new clients
Long before the pandemic I have been delivering teletherapy to the Bay Sate after HealinGrace in Harvard Sq moved to NoVA. As a certified EMDR therapist I have developed refined ways to conduct as powerful EMDR sessions over the phone or video as in person. My clients have experienced profound transformations as we identify the root of their issues, process painful memories, develop healthy beliefs, and amplify their strengths. Chronically depressed client started seeing life "in color" and severely anxious client drove cross country. Couples on the brink of divorce renewed their covenant and a divorced couple remarried one another.
Long before the pandemic I have been delivering teletherapy to the Bay Sate after HealinGrace in Harvard Sq moved to NoVA. As a certified EMDR therapist I have developed refined ways to conduct as powerful EMDR sessions over the phone or video as in person. My clients have experienced profound transformations as we identify the root of their issues, process painful memories, develop healthy beliefs, and amplify their strengths. Chronically depressed client started seeing life "in color" and severely anxious client drove cross country. Couples on the brink of divorce renewed their covenant and a divorced couple remarried one another.
(703) 722-6355 View (703) 722-6355
Photo of Jennifer Rulli, Clinical Social Work/Therapist in Fairfax, VA
Jennifer Rulli
Clinical Social Work/Therapist, LCSW
Verified Verified
1 Endorsed
Fairfax, VA 22030
Our early family of origin experiences lay the foundation for internal and relational patterns that continue to play out in later life. Many of our patterns include our best and most creative efforts to adapt to the tough stuff of life such as trauma, misattunement, and loss. Though these patterns are not set in stone, they are often automatic and hard to recognize, change, or understand. Together we can explore the ways in which our adaptations may have served you well in earlier times but are no longer proving to be helpful, effective, or authentic. I work with clients to create connection, healing, safety, and satisfaction.
Our early family of origin experiences lay the foundation for internal and relational patterns that continue to play out in later life. Many of our patterns include our best and most creative efforts to adapt to the tough stuff of life such as trauma, misattunement, and loss. Though these patterns are not set in stone, they are often automatic and hard to recognize, change, or understand. Together we can explore the ways in which our adaptations may have served you well in earlier times but are no longer proving to be helpful, effective, or authentic. I work with clients to create connection, healing, safety, and satisfaction.
(571) 470-7292 View (571) 470-7292
Photo of Sara Fodil-Cherif, Resident in Counseling in Fairfax, VA
Sara Fodil-Cherif
Resident in Counseling, MEd
Verified Verified
1 Endorsed
Fairfax, VA 22030
I am a trauma-informed resident therapist in Northern Virginia and I specialize in trauma, PTSD, abuse and mood disorders. I work with adults, youth and families both virtually and in-person. I also work extensively with the immigrant population providing support in areas like acculturation and resettlement, relationship issues, multicultural issues, intergenerational trauma, and social advocacy.
I am a trauma-informed resident therapist in Northern Virginia and I specialize in trauma, PTSD, abuse and mood disorders. I work with adults, youth and families both virtually and in-person. I also work extensively with the immigrant population providing support in areas like acculturation and resettlement, relationship issues, multicultural issues, intergenerational trauma, and social advocacy.
(571) 200-8753 View (571) 200-8753
Photo of Jessica O. Hunter, Psychologist in Fairfax, VA
Jessica O. Hunter
Psychologist, MA, PsyD
Verified Verified
7 Endorsed
Fairfax, VA 22030  (Online Only)
I enjoy any opportunity to work with a individual psychotherapy clients (adolescents,adult, older adults and enjoy the challenge of sitting with couples/families. I do take the opportunity to conduct psychological evaluations and wish to expand this in my practice. Many of my clients are challenged by depression, anxiety, relation ship, low self-esteem, mood disorders, eating disorders, grief and life transition struggles. I work with a combination of cognitive behavioral therapy (CBT), psychodynamic theory, and attachment-based couples treatment and to work with the client collaboratively in the treatment process.
I enjoy any opportunity to work with a individual psychotherapy clients (adolescents,adult, older adults and enjoy the challenge of sitting with couples/families. I do take the opportunity to conduct psychological evaluations and wish to expand this in my practice. Many of my clients are challenged by depression, anxiety, relation ship, low self-esteem, mood disorders, eating disorders, grief and life transition struggles. I work with a combination of cognitive behavioral therapy (CBT), psychodynamic theory, and attachment-based couples treatment and to work with the client collaboratively in the treatment process.
(703) 634-9965 x1026 View (703) 634-9965 x1026
Photo of Dr. Sheena Horsford, Marriage & Family Therapist in Fairfax, VA
Dr. Sheena Horsford
Marriage & Family Therapist, PhD, LMFT
Verified Verified
3 Endorsed
Fairfax, VA 22031  (Online Only)
Through couple and family therapy, I help individuals, couples, and families manage their emotions effectively so they are able to communicate them to others. This creates a secure attachment in marriages hurt by infidelity, mistrust, and lack of sexual intimacy. As a licensed marriage and family therapist, you will learn how to have an emotionally safe sexual relationship with your significant other. Continue reading to learn how to book a session with me.
Through couple and family therapy, I help individuals, couples, and families manage their emotions effectively so they are able to communicate them to others. This creates a secure attachment in marriages hurt by infidelity, mistrust, and lack of sexual intimacy. As a licensed marriage and family therapist, you will learn how to have an emotionally safe sexual relationship with your significant other. Continue reading to learn how to book a session with me.
(804) 207-5503 View (804) 207-5503
Photo of Dr. Nicole Hashemian, Psychologist in Fairfax, VA
Dr. Nicole Hashemian
Psychologist, PsyD
Verified Verified
Fairfax, VA 22031
Dr. Nicole Hashemian is a licensed clinical psychologist and neuropsychologist and has broad experience working with individuals and families with a wide variety of mental health disorders.
Dr. Nicole Hashemian is a licensed clinical psychologist and neuropsychologist and has broad experience working with individuals and families with a wide variety of mental health disorders.
(571) 462-6864 View (571) 462-6864
Photo of Y. Juan Kim, Clinical Social Work/Therapist in Fairfax, VA
Y. Juan Kim
Clinical Social Work/Therapist, LCSW
Verified Verified
Fairfax, VA 22030
I'm a Licensed Clinical Social Worker who for the past 12 years has been serving members of our community facing the demoralizing effects of pervasive depression, anxiety, compulsions, addictions, mania, and psychosis.  What drives me as a clinician is the privilege of witnessing clients who were once stuck in a place of helplessness take intentional and decisive action toward their better future.
I'm a Licensed Clinical Social Worker who for the past 12 years has been serving members of our community facing the demoralizing effects of pervasive depression, anxiety, compulsions, addictions, mania, and psychosis.  What drives me as a clinician is the privilege of witnessing clients who were once stuck in a place of helplessness take intentional and decisive action toward their better future.
(571) 444-6960 x11 View (571) 444-6960 x11
Photo of Lifebulb Counseling & Therapy, Clinical Social Work/Therapist in Fairfax, VA
Lifebulb Counseling & Therapy
Clinical Social Work/Therapist, LCSW
Verified Verified
Fairfax, VA 22031
Working with us you'll get results. Because we believe you're best served by a clinician who's passionate about not only their work, but who they work with as well. That's why Lifebulb exists - our therapists truly enjoy their work, so you can receive the highest quality therapy services. We hire only highly trained and educated, licensed clinicians dedicated to the therapy process. We're confident we can help you achieve your therapy goals. And we're looking forward to hearing from you soon.
Working with us you'll get results. Because we believe you're best served by a clinician who's passionate about not only their work, but who they work with as well. That's why Lifebulb exists - our therapists truly enjoy their work, so you can receive the highest quality therapy services. We hire only highly trained and educated, licensed clinicians dedicated to the therapy process. We're confident we can help you achieve your therapy goals. And we're looking forward to hearing from you soon.
(571) 475-9053 View (571) 475-9053
Photo of Kelly Smith, Licensed Professional Counselor in Fairfax, VA
Kelly Smith
Licensed Professional Counselor, LPC, NCC, CSAC, CCPS-C
Verified Verified
Fairfax, VA 22030
I am a Licensed Professional Counselor in VA who believes that each of us has inner strength to help us cope with life’s struggles. My passion for working with others has been life long and my desire to help others is my greatest gift. I am passionate about helping those who are struggling with addictions, couples and/or spouses whose relationships have been affected by infidelity, and those who have gone through or are going through the process of separation and/or divorce. My goal as a therapist is to help my clients begin the recovery process to repair their marriages or learn to live healthy lives as separate individuals.
I am a Licensed Professional Counselor in VA who believes that each of us has inner strength to help us cope with life’s struggles. My passion for working with others has been life long and my desire to help others is my greatest gift. I am passionate about helping those who are struggling with addictions, couples and/or spouses whose relationships have been affected by infidelity, and those who have gone through or are going through the process of separation and/or divorce. My goal as a therapist is to help my clients begin the recovery process to repair their marriages or learn to live healthy lives as separate individuals.
(703) 991-4012 View (703) 991-4012
Photo of Alice McGuin, Pre-Licensed Professional in Fairfax, VA
Alice McGuin
Pre-Licensed Professional, MSW
Verified Verified
Fairfax, VA 22030
Do you feel like you've "checked all the boxes" yet something is still missing? Are you a high achiever, doing all the right things, yet find yourself still struggling to feel fulfilled? I am a therapist who helps teens and adults struggling with understanding themselves and those with trauma histories to build self-trust to feel more peaceful and live more authentically. I strive to provide a safe, warm, and even fun environment where you can feel understood and challenged to create positive change in your life.
Do you feel like you've "checked all the boxes" yet something is still missing? Are you a high achiever, doing all the right things, yet find yourself still struggling to feel fulfilled? I am a therapist who helps teens and adults struggling with understanding themselves and those with trauma histories to build self-trust to feel more peaceful and live more authentically. I strive to provide a safe, warm, and even fun environment where you can feel understood and challenged to create positive change in your life.
(571) 339-0382 View (571) 339-0382
Photo of Michelle Booth, Clinical Social Work/Therapist in Fairfax, VA
Michelle Booth
Clinical Social Work/Therapist, LCSW
Verified Verified
1 Endorsed
Fairfax, VA 22030  (Online Only)
I specialize in trauma work and can help you with relief from emotions and relationships that are intense or emotionally painful. By working with me you can recover from traumatic childhood memories, combat experiences, and eating disorders; you can experience recovery and live a productive life. I will invest myself in helping you transform the relationship with your life stressors and put an end to nightmares and flashbacks. I am a certified instructor and practitioner of Traumatic Incident Reduction (TIR) and Life Stress Reduction (LSR), which are highly effective and resolve conditions in months instead of years.
I specialize in trauma work and can help you with relief from emotions and relationships that are intense or emotionally painful. By working with me you can recover from traumatic childhood memories, combat experiences, and eating disorders; you can experience recovery and live a productive life. I will invest myself in helping you transform the relationship with your life stressors and put an end to nightmares and flashbacks. I am a certified instructor and practitioner of Traumatic Incident Reduction (TIR) and Life Stress Reduction (LSR), which are highly effective and resolve conditions in months instead of years.
(571) 512-7631 View (571) 512-7631
Photo of Gillian Alexander, Licensed Professional Counselor in Fairfax, VA
Gillian Alexander
Licensed Professional Counselor, MA, LPC
Verified Verified
Fairfax, VA 22031
Waitlist for new clients
Welcome! Seeking therapy can feel like a daunting process and I am here to help ease that transition with you. I have served the NOVA area for 5 years as a mental health professional working in mobile crisis, therapeutic day programming and private practice. I specialize in the treatment of mood disorders, personality disorders, self-injury, anxiety disorders and chronic suicidality.
Welcome! Seeking therapy can feel like a daunting process and I am here to help ease that transition with you. I have served the NOVA area for 5 years as a mental health professional working in mobile crisis, therapeutic day programming and private practice. I specialize in the treatment of mood disorders, personality disorders, self-injury, anxiety disorders and chronic suicidality.
(703) 951-4922 View (703) 951-4922
Photo of Nabila Hassan, Licensed Professional Counselor in Fairfax, VA
Nabila Hassan
Licensed Professional Counselor, NCC, CAADC, CCTP-I, CCTP-II
Verified Verified
Fairfax, VA 22030  (Online Only)
Waitlist for new clients
Are you anxious, overwhelmed, overthinking, ruminating, feeling stuck with thoughts of past events & don't know how to control or change this pattern? Do you feel paralyzed with emotions, self-judgement, fear, regrets, shame or rigid thinking? Are you struggling with never feeling good enough? Have you experienced childhood trauma or neglect? Do you have a pattern of dissociating or engage in self-destructive behavioral pattern? Are life circumstances, thoughts or emotions causing you to feel shutdown, disconnected or angry? Are your symptoms impacting your relationship? Do you feel lonely or empty? I may be able to help!
Are you anxious, overwhelmed, overthinking, ruminating, feeling stuck with thoughts of past events & don't know how to control or change this pattern? Do you feel paralyzed with emotions, self-judgement, fear, regrets, shame or rigid thinking? Are you struggling with never feeling good enough? Have you experienced childhood trauma or neglect? Do you have a pattern of dissociating or engage in self-destructive behavioral pattern? Are life circumstances, thoughts or emotions causing you to feel shutdown, disconnected or angry? Are your symptoms impacting your relationship? Do you feel lonely or empty? I may be able to help!
(703) 879-6964 View (703) 879-6964
Photo of Mary Sedrak Bissada, Psychologist in Fairfax, VA
Mary Sedrak Bissada
Psychologist, PsyD
Verified Verified
2 Endorsed
Fairfax, VA 22030
Whether you are hoping to work through a specific difficulty, or you want a space to explore your life experiences and gain a better understanding of who you are, I’m glad you’re here. My goal is to help you identify and communicate your needs and better understand why it has been challenging to connect with others and with your life in a meaningful way. I do this by providing a warm, open, supportive environment. I want to get to know the whole you – your background and your history, as well as the moments, places, and people that have shaped you to be who you are today.
Whether you are hoping to work through a specific difficulty, or you want a space to explore your life experiences and gain a better understanding of who you are, I’m glad you’re here. My goal is to help you identify and communicate your needs and better understand why it has been challenging to connect with others and with your life in a meaningful way. I do this by providing a warm, open, supportive environment. I want to get to know the whole you – your background and your history, as well as the moments, places, and people that have shaped you to be who you are today.
(571) 520-3635 View (571) 520-3635
Photo of Nancy Wachtenheim, LCSW, Clinical Social Work/Therapist in Fairfax, VA
Nancy Wachtenheim, LCSW
Clinical Social Work/Therapist, LCSW, ACSW
Verified Verified
Fairfax, VA 22030
Making the initial contact with a therapist can be frightening and my first task is to assist you in feeling comfortable getting help for yourself. This can also bring a sense of relief. My early career experiences at a crisis center and community mental health center have given me the ability to diagnose and treat a wide variety of problems. My specialty is in treating acute and/or chronic depression and anxiety; adults with a history of abuse; and longstanding relationship and personality issues. I welcome into treatment older adolescents, adults of all ages, couples and partners, and families.
Making the initial contact with a therapist can be frightening and my first task is to assist you in feeling comfortable getting help for yourself. This can also bring a sense of relief. My early career experiences at a crisis center and community mental health center have given me the ability to diagnose and treat a wide variety of problems. My specialty is in treating acute and/or chronic depression and anxiety; adults with a history of abuse; and longstanding relationship and personality issues. I welcome into treatment older adolescents, adults of all ages, couples and partners, and families.
(703) 634-4814 View (703) 634-4814

How does your Therapist compare?

Number of Therapists in Fairfax, VA

1,000+

Average cost per session

$150

Therapists in Fairfax, VA who prioritize treating:

93% Anxiety
88% Depression
78% Self Esteem
73% Coping Skills
71% Relationship Issues
67% Trauma and PTSD
62% Stress

Average years in practice

12 Years

Top 3 insurances accepted

74% BlueCross and BlueShield
64% Cigna and Evernorth
58% UnitedHealthcare UHC | UBH

How Therapists in Fairfax, VA see their clients

58% In Person and Online
42% Online Only

Gender breakdown

84% Female
15% Male
1% Non-Binary
FAQs - About Therapy and Counseling

How can I find a therapist in Fairfax?

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.