Therapists in Richmond, VA

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Photo of Michelle Gorden, Licensed Professional Counselor in Richmond, VA
Michelle Gorden
Licensed Professional Counselor, LPC
Verified Verified
Richmond, VA 23234
Hi, I'm Michelle Gorden, a Licensed Professional Counselor (LPC) in Virginia and a Nationally Certified Counselor (NCC). I specialize in treating mood disorders, trauma, and PTSD. My background is diverse and supports my ability to help my clients reach their highest potential. I strive to work collaboratively with each client in a non-judgmental space to improve overall happiness and well-being. Counseling can help you with many stressors in life such as anxiety, depression, grief, eating disorders, family conflict, and self-exploration.
Hi, I'm Michelle Gorden, a Licensed Professional Counselor (LPC) in Virginia and a Nationally Certified Counselor (NCC). I specialize in treating mood disorders, trauma, and PTSD. My background is diverse and supports my ability to help my clients reach their highest potential. I strive to work collaboratively with each client in a non-judgmental space to improve overall happiness and well-being. Counseling can help you with many stressors in life such as anxiety, depression, grief, eating disorders, family conflict, and self-exploration.
(804) 429-1007 View (804) 429-1007
Photo of Jeff T. Lloyd, Clinical Social Work/Therapist in Richmond, VA
Jeff T. Lloyd
Clinical Social Work/Therapist, LCSW, SAP
Verified Verified
Richmond, VA 23220  (Online Only)
Hello! My name is Jeffrey Lloyd and I’m a board-certified psychotherapist. I attended Virginia Commonwealth University and have been practicing therapy for 20 years. I specialize in helping individuals overcome relationship issues, anxiety, depression, low self-esteem, substance abuse related issues, work stress, and unresolved grief. I offer professional experience, focused attention, encouragement and where appropriate, humor. I’m happy to help you. Let's get started!
Hello! My name is Jeffrey Lloyd and I’m a board-certified psychotherapist. I attended Virginia Commonwealth University and have been practicing therapy for 20 years. I specialize in helping individuals overcome relationship issues, anxiety, depression, low self-esteem, substance abuse related issues, work stress, and unresolved grief. I offer professional experience, focused attention, encouragement and where appropriate, humor. I’m happy to help you. Let's get started!
(804) 390-8506 View (804) 390-8506
Photo of Sarah Falzone, Resident in Counseling in Richmond, VA
Sarah Falzone
Resident in Counseling, MA, LPC-R, JD
Verified Verified
1 Endorsed
Richmond, VA 23220  (Online Only)
Not accepting new clients
Do you feel like no matter what you do, you keep ending up in the same place with the same problems? Maybe you’re trying to manage anxiety, depression, or anger. It could be a past trauma or an ongoing battle with substance use, which can also impact your job, your relationships, etc. Feeling lost, overwhelmed, or stuck can make daily life a struggle, not to mention the pain of feeling disconnected from who you really are or want to be. I believe we all can grow beyond old patterns, reactions, and less healthy ways of coping so we can experience emotional security, confident connection, and lasting recovery.
Do you feel like no matter what you do, you keep ending up in the same place with the same problems? Maybe you’re trying to manage anxiety, depression, or anger. It could be a past trauma or an ongoing battle with substance use, which can also impact your job, your relationships, etc. Feeling lost, overwhelmed, or stuck can make daily life a struggle, not to mention the pain of feeling disconnected from who you really are or want to be. I believe we all can grow beyond old patterns, reactions, and less healthy ways of coping so we can experience emotional security, confident connection, and lasting recovery.
(804) 587-8906 View (804) 587-8906
Photo of Tiera Williams, Licensed Professional Counselor in Richmond, VA
Tiera Williams
Licensed Professional Counselor
Verified Verified
Richmond, VA 23235
Hello, I am Dr. Tiera Williams, a Licensed Professional Counselor with a doctorate degree in community and care counseling who has provided mental health services to individuals and families for over 13 years. I specialize in helping manage issues of depression, anxiety, women issues, anger management, self-esteem, behavior issues, ADHD, adjustment/military, and trauma through a safe and supportive environment. My therapy approach is individualized and consists of Cognitive Behavioral Therapy , Cognitive Processing Therapy, Dialectical Behavior Therapy, and Motivational Interviewing to address challenging issues.
Hello, I am Dr. Tiera Williams, a Licensed Professional Counselor with a doctorate degree in community and care counseling who has provided mental health services to individuals and families for over 13 years. I specialize in helping manage issues of depression, anxiety, women issues, anger management, self-esteem, behavior issues, ADHD, adjustment/military, and trauma through a safe and supportive environment. My therapy approach is individualized and consists of Cognitive Behavioral Therapy , Cognitive Processing Therapy, Dialectical Behavior Therapy, and Motivational Interviewing to address challenging issues.
(804) 597-6379 View (804) 597-6379
Photo of Denise M Hill, Licensed Professional Counselor in Richmond, VA
Denise M Hill
Licensed Professional Counselor, LPC
Verified Verified
1 Endorsed
Richmond, VA 23219  (Online Only)
Making the first step is the most difficult but the most rewarding. Do you possess an open mind? Do you desire personal growth? Have you started to think that "something has to change?" I am here for you. Let us explore your full potential with a goal-oriented mindset.
Making the first step is the most difficult but the most rewarding. Do you possess an open mind? Do you desire personal growth? Have you started to think that "something has to change?" I am here for you. Let us explore your full potential with a goal-oriented mindset.
(804) 376-8677 View (804) 376-8677
Photo of Cynthia Holshoe, Clinical Social Work/Therapist in Richmond, VA
Cynthia Holshoe
Clinical Social Work/Therapist, LCSW
Verified Verified
Richmond, VA 23220
Hi there, I'm Cynthia, a Licensed Clinical Social Worker in the state of Virginia. As a clinical social worker with over 30 years of experience, I have provided therapeutic services to all age groups utilizing a range of modalities including motivational interviewing, CBT, EMDR, and prolonged exposure. I specialize in anxiety, depression, and trauma and have extensive work experience with military active duty and their dependents. If you think we may be a good match, please reach out today to get started!
Hi there, I'm Cynthia, a Licensed Clinical Social Worker in the state of Virginia. As a clinical social worker with over 30 years of experience, I have provided therapeutic services to all age groups utilizing a range of modalities including motivational interviewing, CBT, EMDR, and prolonged exposure. I specialize in anxiety, depression, and trauma and have extensive work experience with military active duty and their dependents. If you think we may be a good match, please reach out today to get started!
(804) 294-2696 View (804) 294-2696
Photo of Virginia Therapy & Forensic Services, Clinical Social Work/Therapist in Richmond, VA
Virginia Therapy & Forensic Services
Clinical Social Work/Therapist, LCSW, CSAC
Verified Verified
1 Endorsed
Richmond, VA 23219
Welcome to VTFS. Currently, we are offering individual, family, and group therapy. We also offer clinical supervision for social workers, consultation for various subject matter, and juvenile competency evaluations. It has been rewarding to start a private practice; where we strive to help address issues and everyday struggles people may have. Clients who want to seek therapy services with the practice; want to seek services were therapists are personable, competent, and passionate about helping individuals and families. Give us a call or send us a email to inquiry about services.
Welcome to VTFS. Currently, we are offering individual, family, and group therapy. We also offer clinical supervision for social workers, consultation for various subject matter, and juvenile competency evaluations. It has been rewarding to start a private practice; where we strive to help address issues and everyday struggles people may have. Clients who want to seek therapy services with the practice; want to seek services were therapists are personable, competent, and passionate about helping individuals and families. Give us a call or send us a email to inquiry about services.
(804) 361-8470 View (804) 361-8470
Photo of Terica Brown, Clinical Social Work/Therapist in Richmond, VA
Terica Brown
Clinical Social Work/Therapist, LCSW
Verified Verified
Richmond, VA 23225  (Online Only)
Hi! I'm Terica Brown. Congratulations for the choice to invest in yourself! It can be a stressful proposition to choose to engage in therapy and you have made that choice. I believe therapy is one of the best things anyone can do to care for themselves. It's like a spa for your heart and mind; minus the spa amenities! I specialize in meeting people where they are in a down to earth way, assisting them with identifying their needs and goals, and working with them to address the issues that keep them stuck.
Hi! I'm Terica Brown. Congratulations for the choice to invest in yourself! It can be a stressful proposition to choose to engage in therapy and you have made that choice. I believe therapy is one of the best things anyone can do to care for themselves. It's like a spa for your heart and mind; minus the spa amenities! I specialize in meeting people where they are in a down to earth way, assisting them with identifying their needs and goals, and working with them to address the issues that keep them stuck.
(804) 463-6393 View (804) 463-6393
Photo of Pamela A Schalow, Psychologist in Richmond, VA
Pamela A Schalow
Psychologist, PhD, LCP
Verified Verified
Richmond, VA 23226
Waitlist for new clients
Whatever your reasons are for considering therapy, feeling comfortable with your therapist is very important. My goal is to not only offer you a comfortable space to speak freely about your thoughts and experiences, but also to provide you with tools and strategies to incorporate into your daily routine. Your time with me is important. I will listen to you, ask questions to gain further understanding, and offer insight and ideas in an objective, thoughtful, and supportive way.
Whatever your reasons are for considering therapy, feeling comfortable with your therapist is very important. My goal is to not only offer you a comfortable space to speak freely about your thoughts and experiences, but also to provide you with tools and strategies to incorporate into your daily routine. Your time with me is important. I will listen to you, ask questions to gain further understanding, and offer insight and ideas in an objective, thoughtful, and supportive way.
(804) 615-2222 View (804) 615-2222
Photo of Kendal F Harris in Richmond, VA
Kendal F Harris
LSATP, MAC, CSAC
Verified Verified
Richmond, VA 23220
Are you ready to embark on a journey of self-discovery, healing, and transformation? As a seasoned therapist with over two decades of experience, I specialize in helping individuals overcome the challenges of mental health, addiction, trauma, and more. My approach is deeply rooted in compassion, evidence-based techniques, and a commitment to your well-being. Together, we'll navigate the path to recovery, resilience, and empowerment. Whether you're seeking relief from anxiety, depression, addiction, or simply looking to improve your quality of life, I'm here to guide and support you every step of the way. Your healing begins here.
Are you ready to embark on a journey of self-discovery, healing, and transformation? As a seasoned therapist with over two decades of experience, I specialize in helping individuals overcome the challenges of mental health, addiction, trauma, and more. My approach is deeply rooted in compassion, evidence-based techniques, and a commitment to your well-being. Together, we'll navigate the path to recovery, resilience, and empowerment. Whether you're seeking relief from anxiety, depression, addiction, or simply looking to improve your quality of life, I'm here to guide and support you every step of the way. Your healing begins here.
(804) 367-3777 View (804) 367-3777
Photo of Catherine Chewning, Supervisee in Clinical Social Work in Richmond, VA
Catherine Chewning
Supervisee in Clinical Social Work, LMSW
Verified Verified
Richmond, VA 23230
Catherine Chewning is a Supervisee in Social Work in Virginia who has been practicing since 2011. She graduated with a Bachelor's in Psychology in 2007 and began to work full time at Virginia Treatment Center for Children after volunteering there prior to graduation. After three years, she resigned to complete the practicum requirements to obtain a Master's in Clinical Social Work. Catherine has worked with a diverse population of children from inpatient care (residential and acute) to a juvenile detention center, to public schools within different counties.
Catherine Chewning is a Supervisee in Social Work in Virginia who has been practicing since 2011. She graduated with a Bachelor's in Psychology in 2007 and began to work full time at Virginia Treatment Center for Children after volunteering there prior to graduation. After three years, she resigned to complete the practicum requirements to obtain a Master's in Clinical Social Work. Catherine has worked with a diverse population of children from inpatient care (residential and acute) to a juvenile detention center, to public schools within different counties.
(804) 589-4254 View (804) 589-4254
Photo of Grace J Hadeed, Clinical Social Work/Therapist in Richmond, VA
Grace J Hadeed
Clinical Social Work/Therapist, EdD, LCSW, LPC
Verified Verified
Richmond, VA 23221
Dr. Grace Hadeed primarily offers Family Therapy, Marital Therapy, Education,Clinical Supervision and Individual/Professional Consultation. We also assist clients who have difficulty "launching" into adulthood. She offers therapy specializing in family and intergenerational systems, providing therapy to couples and families to address issues at the source.
Dr. Grace Hadeed primarily offers Family Therapy, Marital Therapy, Education,Clinical Supervision and Individual/Professional Consultation. We also assist clients who have difficulty "launching" into adulthood. She offers therapy specializing in family and intergenerational systems, providing therapy to couples and families to address issues at the source.
(804) 409-2482 View (804) 409-2482
Photo of Gregory Medley, Licensed Professional Counselor in Richmond, VA
Gregory Medley
Licensed Professional Counselor, LPC
Verified Verified
Richmond, VA 23225  (Online Only)
Hello! My name is Greg and I have over 20 years of experience in the counseling profession working with clients from various mental health settings.
Hello! My name is Greg and I have over 20 years of experience in the counseling profession working with clients from various mental health settings.
(804) 391-7914 View (804) 391-7914
Photo of Erin Delp, Clinical Social Work/Therapist in Richmond, VA
Erin Delp
Clinical Social Work/Therapist, LCSW, CSOTP-R
Verified Verified
Richmond, VA 23225  (Online Only)
Recovering from trauma is the most inspiring and difficult things one can do in their lifetime. I am a believer that post traumatic growth is possible in all people. I utilize an eclectic approach pulling from a base of radical feminism utilizing approaches from DBT, somatic experiencing, and mindfulness and acceptance based approaches. I firmly believe that everyone has the tools within them to heal and grow and my primary job as therapist is to provide a safe non-judgmental setting for you to discover your healed self.
Recovering from trauma is the most inspiring and difficult things one can do in their lifetime. I am a believer that post traumatic growth is possible in all people. I utilize an eclectic approach pulling from a base of radical feminism utilizing approaches from DBT, somatic experiencing, and mindfulness and acceptance based approaches. I firmly believe that everyone has the tools within them to heal and grow and my primary job as therapist is to provide a safe non-judgmental setting for you to discover your healed self.
(804) 979-2958 View (804) 979-2958
Photo of Tracy C Kuhnert, Clinical Social Work/Therapist in Richmond, VA
Tracy C Kuhnert
Clinical Social Work/Therapist, MSW, LCSW, RYT
Verified Verified
Richmond, VA 23225
Often difficult life experiences like pain, suffering, confusion, intense emotions, and things just not going right bring us to therapy. Sometimes it's our relationship with ourselves, or with significant others or family members that creates the pain point. It can also be a specific event (breakup, move, feeling left out socially) or a specific felt experience (sad, lonely, angry, scared). AND although it can feel otherwise, there's no shame in receiving support. My hope is that therapy helps you experience greater self-acceptance, compassion, and ease with yourself and your life - it's a worthy and doable endeavor.
Often difficult life experiences like pain, suffering, confusion, intense emotions, and things just not going right bring us to therapy. Sometimes it's our relationship with ourselves, or with significant others or family members that creates the pain point. It can also be a specific event (breakup, move, feeling left out socially) or a specific felt experience (sad, lonely, angry, scared). AND although it can feel otherwise, there's no shame in receiving support. My hope is that therapy helps you experience greater self-acceptance, compassion, and ease with yourself and your life - it's a worthy and doable endeavor.
(804) 373-2960 View (804) 373-2960
Photo of Dr. Onzie Luke, Licensed Professional Counselor in Richmond, VA
Dr. Onzie Luke
Licensed Professional Counselor, PhD, LPC
Verified Verified
2 Endorsed
Richmond, VA 23223
I am a Licensed Professional Counselor with over 10 years of experience in the mental health field. I have a passion for working with survivors of trauma, and especially enjoy working with teenagers. I enjoy working with individuals and families in an effort to help each person reach their goals. I believe therapy is a way to explore our deepest thoughts, worries, and concerns in a safe environment and to improve overall quality of life.
I am a Licensed Professional Counselor with over 10 years of experience in the mental health field. I have a passion for working with survivors of trauma, and especially enjoy working with teenagers. I enjoy working with individuals and families in an effort to help each person reach their goals. I believe therapy is a way to explore our deepest thoughts, worries, and concerns in a safe environment and to improve overall quality of life.
(804) 469-0972 View (804) 469-0972
Photo of erin O'Toole-Lyon, Clinical Social Work/Therapist in Richmond, VA
erin O'Toole-Lyon
Clinical Social Work/Therapist, LCSW, CCTP
Verified Verified
Richmond, VA 23223
Not accepting new clients
I'm a pretty versatile therapist, and boy, do I like a challenge. I feel qualified with a range of presenting problems but I know my strengths. I have experience and interest in all kinds of anxiety disorders, gender dysphoria, trauma, polyamory/kink. I'm also keen on adolescents with emotional and behavioral challenges that may make family dynamics hard. We'll figure out the big question: what's this about?
I'm a pretty versatile therapist, and boy, do I like a challenge. I feel qualified with a range of presenting problems but I know my strengths. I have experience and interest in all kinds of anxiety disorders, gender dysphoria, trauma, polyamory/kink. I'm also keen on adolescents with emotional and behavioral challenges that may make family dynamics hard. We'll figure out the big question: what's this about?
(804) 764-0060 View (804) 764-0060
Photo of Tiquana Hill, Licensed Professional Counselor in Richmond, VA
Tiquana Hill
Licensed Professional Counselor, MA, LPC
Verified Verified
1 Endorsed
Richmond, VA 23223  (Online Only)
My name is Tiquana Hill and I am a Licensed Professional Counselor in Virginia and Texas with approximately 10 years of experience providing mental health services to adults, adolescents and children in a variety of settings. I have 4 years of experience providing outpatient therapy to adults and adolescents. I have experience with a variety of stressors including family trauma, depression, anxiety, low self-esteem/ self-image, career development, romantic/pre-marital, PTSD/Trauma, lack of communication and several other undesirable behaviors that may effect your daily living. Check out my website peacementalhealthservices.com
My name is Tiquana Hill and I am a Licensed Professional Counselor in Virginia and Texas with approximately 10 years of experience providing mental health services to adults, adolescents and children in a variety of settings. I have 4 years of experience providing outpatient therapy to adults and adolescents. I have experience with a variety of stressors including family trauma, depression, anxiety, low self-esteem/ self-image, career development, romantic/pre-marital, PTSD/Trauma, lack of communication and several other undesirable behaviors that may effect your daily living. Check out my website peacementalhealthservices.com
(804) 636-3715 View (804) 636-3715
Photo of Helen I. Lodge, Licensed Professional Counselor in Richmond, VA
Helen I. Lodge
Licensed Professional Counselor, LPC
Verified Verified
Richmond, VA 23220
Not accepting new clients
Life can be a struggle at times. In those moments when we get stuck, therapy can offer guidance, education, and comfort. I appreciate the courage it takes to reach out for support, and I enjoy helping clients make changes in their lives. My approach is collaborative and guided by my client's preference: some people do best with a directive approach, while others need a supportive listener. I emphasize self-compassion and draw from both short-term approaches and in-depth orientations that look at the influence of family history on the development of identity.
Life can be a struggle at times. In those moments when we get stuck, therapy can offer guidance, education, and comfort. I appreciate the courage it takes to reach out for support, and I enjoy helping clients make changes in their lives. My approach is collaborative and guided by my client's preference: some people do best with a directive approach, while others need a supportive listener. I emphasize self-compassion and draw from both short-term approaches and in-depth orientations that look at the influence of family history on the development of identity.
(804) 599-3912 View (804) 599-3912
Photo of MEPS Centered Psychological & Evaluation Services, Psychologist in Richmond, VA
MEPS Centered Psychological & Evaluation Services
Psychologist, PsyD, LCP
Verified Verified
Richmond, VA 23225  (Online Only)
Hi, my name is Sharon. I’m a military spouse of 26 years and counting, with 17 years of experience in the mental health field. Traveling the country and meeting people from all walks of life helped solidify my passion and desire to help others achieve their personal self-care goals and become the best versions of themselves. Caring for others is my small way of helping to make a difference in the lives of others during these challenges times. I believe in treating the whole person, the mental, emotional, spiritual, and physical aspects.
Hi, my name is Sharon. I’m a military spouse of 26 years and counting, with 17 years of experience in the mental health field. Traveling the country and meeting people from all walks of life helped solidify my passion and desire to help others achieve their personal self-care goals and become the best versions of themselves. Caring for others is my small way of helping to make a difference in the lives of others during these challenges times. I believe in treating the whole person, the mental, emotional, spiritual, and physical aspects.
(804) 626-5530 View (804) 626-5530

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
70% Trauma and PTSD
68% Relationship Issues
67% 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

56% In Person and Online
44% 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.