Therapists in Bel Air, MD

Photo of Donica Harper, Licensed Clinical Professional Counselor in Bel Air, MD
Donica Harper
Licensed Clinical Professional Counselor, MA, LCPC-S
Verified Verified
5 Endorsed
Bel Air, MD 21015
Are you feeling invisible? Angry about a breakup? Have you recently experienced a loss/death? Do you feel misunderstood? Are you experiencing more pain, burnout, and/or fatigue than normal? Does your adolescent need extra support? Is your family/relationship falling apart? If your answer to any of these questions is "Yes," or even if you have questions of your own, it may be time to reach out and talk through those thoughts and feelings. I would be delighted to be the person you reach out to.
Are you feeling invisible? Angry about a breakup? Have you recently experienced a loss/death? Do you feel misunderstood? Are you experiencing more pain, burnout, and/or fatigue than normal? Does your adolescent need extra support? Is your family/relationship falling apart? If your answer to any of these questions is "Yes," or even if you have questions of your own, it may be time to reach out and talk through those thoughts and feelings. I would be delighted to be the person you reach out to.
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Photo of Taylored Living Coaching in Bel Air, MD
Taylored Living Coaching
LMFT, MBA
Verified Verified
1 Endorsed
Bel Air, MD 21014
My ideal client is ready for change and growth. They're open to self-reflection and understanding in order to have a better, happier, and healthier relationship. While we work on reaching a goal, we're also making sure we understand ourselves and our partners too. Therapy clients I can work with if you live in Illinois. All coaching clients can be anywhere. All sessions are virtual.
My ideal client is ready for change and growth. They're open to self-reflection and understanding in order to have a better, happier, and healthier relationship. While we work on reaching a goal, we're also making sure we understand ourselves and our partners too. Therapy clients I can work with if you live in Illinois. All coaching clients can be anywhere. All sessions are virtual.
(571) 520-9172 View (571) 520-9172
Photo of Kathrine Orpilla, Licensed Clinical Professional Counselor in Bel Air, MD
Kathrine Orpilla
Licensed Clinical Professional Counselor, LCPC, NCC
Verified Verified
2 Endorsed
Bel Air, MD 21014
It shows courage and strength to reach out for help. As a therapist, my intention is to guide you through a process of growth and healing. We will work together in creating realistic goals that inspire positive changes. I will help you develop healthy thoughts and behaviors and practice compassion for yourself. I will offer you a caring, judgment-free, respectful and confidential environment that will allow you to express yourself and begin your journey towards a meaningful and balanced life. I have experience with mental health and addiction counseling. I work with adults and elders from diverse backgrounds.
It shows courage and strength to reach out for help. As a therapist, my intention is to guide you through a process of growth and healing. We will work together in creating realistic goals that inspire positive changes. I will help you develop healthy thoughts and behaviors and practice compassion for yourself. I will offer you a caring, judgment-free, respectful and confidential environment that will allow you to express yourself and begin your journey towards a meaningful and balanced life. I have experience with mental health and addiction counseling. I work with adults and elders from diverse backgrounds.
(443) 870-4511 View (443) 870-4511
Photo of Munisa Juma, Counselor in Bel Air, MD
Munisa Juma
Counselor, LGPC
Verified Verified
Bel Air, MD 21014
You’ve found this page because you might have been searching for something- a safe space to process an experience, a hope for finding a way through pain, or a desire to seek a deeper understanding of yourself and work towards personal growth. Therapy is an opportunity for you to explore your experiences, thoughts, and feelings more deeply. By sharing your story and processing your experiences, it is possible to shift towards a life where you can thrive and grow. While the decision to start therapy may not be an easy step, it is an important step towards change.
You’ve found this page because you might have been searching for something- a safe space to process an experience, a hope for finding a way through pain, or a desire to seek a deeper understanding of yourself and work towards personal growth. Therapy is an opportunity for you to explore your experiences, thoughts, and feelings more deeply. By sharing your story and processing your experiences, it is possible to shift towards a life where you can thrive and grow. While the decision to start therapy may not be an easy step, it is an important step towards change.
(410) 847-7453 View (410) 847-7453
Photo of Rony Kusnadi, Licensed Clinical Professional Counselor in Bel Air, MD
Rony Kusnadi
Licensed Clinical Professional Counselor, PhD, LCPC, CMNLP, CCTP, VSTCP
Verified Verified
Bel Air, MD 21015
I am a Licensed Clinical Professional Counselor with more than 30 years of working as a mental health clinician. I have extensive experience helping children, adults, and families. I have a heart for people who are struggling with issues of everyday life. Day after day, we feel pressures and struggles that can turn us into people we don't want to be. I want to help you overcome these problems and difficult situations. I believe everyone can change because personalities and brains are flexible and adaptive.
I am a Licensed Clinical Professional Counselor with more than 30 years of working as a mental health clinician. I have extensive experience helping children, adults, and families. I have a heart for people who are struggling with issues of everyday life. Day after day, we feel pressures and struggles that can turn us into people we don't want to be. I want to help you overcome these problems and difficult situations. I believe everyone can change because personalities and brains are flexible and adaptive.
(240) 754-2796 View (240) 754-2796
Photo of Dr. Laura Danielle Crowder, Counselor in Bel Air, MD
Dr. Laura Danielle Crowder
Counselor, LCPC
Verified Verified
1 Endorsed
Bel Air, MD 21014  (Online Only)
Are you ready to embrace your authentic self, including those quirks that make you unmistakably you? Trying to figure out how to move forward in a world that sometimes seems to have gone mad? Need a professional who is skilled and down-to-earth? Let's talk! My style is highly collaborative and elemental. I'm here to celebrate your individuality and diversity while being direct and responsive in a safe, non-judgmental atmosphere. It's time to reclaim your smile and your shine!
Are you ready to embrace your authentic self, including those quirks that make you unmistakably you? Trying to figure out how to move forward in a world that sometimes seems to have gone mad? Need a professional who is skilled and down-to-earth? Let's talk! My style is highly collaborative and elemental. I'm here to celebrate your individuality and diversity while being direct and responsive in a safe, non-judgmental atmosphere. It's time to reclaim your smile and your shine!
(667) 201-6329 View (667) 201-6329
Photo of Karey Skinner-Steiner, Clinical Social Work/Therapist in Bel Air, MD
Karey Skinner-Steiner
Clinical Social Work/Therapist, MSW, MS, LCSW-C, RPT tm
Verified Verified
2 Endorsed
Bel Air, MD 21014  (Online Only)
Are you feeling overwhelmed, lost, or emotionally stuck? I want to hear your story and assist you in your journey towards healing. Currently I am providing therapy to children (4 years and older), adolescents, and adults.
Are you feeling overwhelmed, lost, or emotionally stuck? I want to hear your story and assist you in your journey towards healing. Currently I am providing therapy to children (4 years and older), adolescents, and adults.
(443) 903-2885 View (443) 903-2885
Photo of Christine Babcock, Clinical Social Work/Therapist in Bel Air, MD
Christine Babcock
Clinical Social Work/Therapist, LMSW
Verified Verified
Bel Air, MD 21014
Seeking professional help when “life happens” can be a challenging step to take. A positive step, regardless! Nonetheless, you can anticipate a safe, comfortable, and trusting atmosphere where you will have the freedom to express yourself at your own pace. As a therapist working with individuals and families, my objective is to collaborate with you, in a manner that best fits your wants, needs, aspirations, and preferences.
Seeking professional help when “life happens” can be a challenging step to take. A positive step, regardless! Nonetheless, you can anticipate a safe, comfortable, and trusting atmosphere where you will have the freedom to express yourself at your own pace. As a therapist working with individuals and families, my objective is to collaborate with you, in a manner that best fits your wants, needs, aspirations, and preferences.
(410) 988-3321 View (410) 988-3321
Photo of Danielle Scott, Counselor in Bel Air, MD
Danielle Scott
Counselor, LGPC
Verified Verified
Bel Air, MD 21014
I am here to empower you! I want to help you work toward positive changes in your life& learn new perspectives while gaining insight. I understand that it can be tough to ask for help, and by coming to therapy, it demonstrates courage. Every person deserves to have a better understanding of themselves. My therapeutic approach is solution-focused, to teach coping skills & replacement behaviors. I'm here to support you, be genuine, honest, & non-judgmental with all clients. As a gymnastics/ tumbling coach of 20 years, I specialize in providing therapy to athletes whom have mental blocks & other related performance anxieties.
I am here to empower you! I want to help you work toward positive changes in your life& learn new perspectives while gaining insight. I understand that it can be tough to ask for help, and by coming to therapy, it demonstrates courage. Every person deserves to have a better understanding of themselves. My therapeutic approach is solution-focused, to teach coping skills & replacement behaviors. I'm here to support you, be genuine, honest, & non-judgmental with all clients. As a gymnastics/ tumbling coach of 20 years, I specialize in providing therapy to athletes whom have mental blocks & other related performance anxieties.
(410) 862-3887 View (410) 862-3887
Photo of Shelley Mason, Counselor in Bel Air, MD
Shelley Mason
Counselor, LGPC, MEd, CYT, TCTSY-F
Verified Verified
1 Endorsed
Bel Air, MD 21014  (Online Only)
Waitlist for new clients
I offer online counseling to assist with struggles, unmet needs, relationship difficulties, negative thought or behavior patterns, disappointments, limitations, injustice, devastation or other mental health issues that have hindered one's ability to live life to the fullest. I have specialized training in EMDR, Cognitive Processing Therapy, and in utilizing movement, breath, and yoga to facilitate healing trauma (TCTSY-F, 300 hours).
I offer online counseling to assist with struggles, unmet needs, relationship difficulties, negative thought or behavior patterns, disappointments, limitations, injustice, devastation or other mental health issues that have hindered one's ability to live life to the fullest. I have specialized training in EMDR, Cognitive Processing Therapy, and in utilizing movement, breath, and yoga to facilitate healing trauma (TCTSY-F, 300 hours).
(410) 862-0506 View (410) 862-0506
Photo of W. M. Sheikh, Clinical Social Work/Therapist in Bel Air, MD
W. M. Sheikh
Clinical Social Work/Therapist, LMSW
Verified Verified
1 Endorsed
Bel Air, MD 21014  (Online Only)
I am currently accepting new Teletherapy clients for daytime, evenings and weekends. I am interested in helping adolescents, adults, and couples; I have a background in serving diverse clientele. I will use a mix of direct client-focused therapies to help you thrive with your specific challenges.
I am currently accepting new Teletherapy clients for daytime, evenings and weekends. I am interested in helping adolescents, adults, and couples; I have a background in serving diverse clientele. I will use a mix of direct client-focused therapies to help you thrive with your specific challenges.
(410) 267-3590 View (410) 267-3590
Photo of Katelyn P. Trentalange, Clinical Social Work/Therapist in Bel Air, MD
Katelyn P. Trentalange
Clinical Social Work/Therapist, LCSW-C, MSW
Verified Verified
8 Endorsed
Bel Air, MD 21014
I believe every individual has the ability to change their circumstances by focusing on the elements which are within their control. Equally as important, we must learn to let go of situations over which we are powerless. By sharing experiences with another person and working through the obstacles that inhibit the life we desire, it is possible to create a life which allows us to thrive. My goal is to assist you in this process by providing a safe environment where you can be open and honest with yourself.
I believe every individual has the ability to change their circumstances by focusing on the elements which are within their control. Equally as important, we must learn to let go of situations over which we are powerless. By sharing experiences with another person and working through the obstacles that inhibit the life we desire, it is possible to create a life which allows us to thrive. My goal is to assist you in this process by providing a safe environment where you can be open and honest with yourself.
(410) 892-1158 View (410) 892-1158
Photo of Kimberly Maher, Counselor in Bel Air, MD
Kimberly Maher
Counselor, LCPC
Verified Verified
Bel Air, MD 21014
It is time for you to be empowered, time for you to leave your worries at the door, time to create a safe space to process your stressors, and redefine your feelings/thoughts/distress. I have been a therapist for over 10 years and believe that therapy is a team approach. You have the voice to work together to create your own new path. Each person is unique and the therapeutic approach should be that way as well. I do not believe in therapy being a "one shoe fits all" approach and as a result I am more of an eclectic therapist. I have worked with ages 4 and up, but my true passion is working with 13 and up.
It is time for you to be empowered, time for you to leave your worries at the door, time to create a safe space to process your stressors, and redefine your feelings/thoughts/distress. I have been a therapist for over 10 years and believe that therapy is a team approach. You have the voice to work together to create your own new path. Each person is unique and the therapeutic approach should be that way as well. I do not believe in therapy being a "one shoe fits all" approach and as a result I am more of an eclectic therapist. I have worked with ages 4 and up, but my true passion is working with 13 and up.
(443) 201-7729 View (443) 201-7729
Photo of Mindfulness Mental Health Services, LLC, Clinical Social Work/Therapist in Bel Air, MD
Mindfulness Mental Health Services, LLC
Clinical Social Work/Therapist, LMSW, CCTP
Verified Verified
Bel Air, MD 21015
Not accepting new clients
As the founder, Licensed Therapist, Life Coach & Certified Clinical Trauma Professional, my goal is to assist all clients with life goal attainment, encourage self-determination, emotional regulation, use of healthier coping skills to live productive lives. Ongoing mindfulness is encouraged to decrease distorted negative thinking. The following techniques, Here & Now, Cognitive Behavioral & Mindfulness will be implemented. I strive to provide a safe environment where all clients can express their struggles & effectively manage their mental health symptoms, thereby leading to a healthier, happy and productive lives.
As the founder, Licensed Therapist, Life Coach & Certified Clinical Trauma Professional, my goal is to assist all clients with life goal attainment, encourage self-determination, emotional regulation, use of healthier coping skills to live productive lives. Ongoing mindfulness is encouraged to decrease distorted negative thinking. The following techniques, Here & Now, Cognitive Behavioral & Mindfulness will be implemented. I strive to provide a safe environment where all clients can express their struggles & effectively manage their mental health symptoms, thereby leading to a healthier, happy and productive lives.
(410) 671-0865 View (410) 671-0865
Photo of Dr. Jessica R. Rothstein, Psychologist in Bel Air, MD
Dr. Jessica R. Rothstein
Psychologist, PsyD
Verified Verified
1 Endorsed
Bel Air, MD 21015  (Online Only)
If you are looking for a therapist who will help you explore your childhood and early relationships, to understand your current challenges, I would be a great fit. I help my patients recognize their strengths, while supporting them as they examine their life patterns. Through our collaboration, patients will decide what changes they want to make. Patients often say that in our work they realize aspects of themselves that they previously underappreciated, and they recognize that these aspects do not need to be changed but can instead be celebrated.
If you are looking for a therapist who will help you explore your childhood and early relationships, to understand your current challenges, I would be a great fit. I help my patients recognize their strengths, while supporting them as they examine their life patterns. Through our collaboration, patients will decide what changes they want to make. Patients often say that in our work they realize aspects of themselves that they previously underappreciated, and they recognize that these aspects do not need to be changed but can instead be celebrated.
(410) 632-6505 x1 View (410) 632-6505 x1
Photo of Amy L. Hull, Clinical Social Work/Therapist in Bel Air, MD
Amy L. Hull
Clinical Social Work/Therapist, LCSW-C, CCATP
Verified Verified
1 Endorsed
Bel Air, MD 21014
Feeling isolated, alone, or frustrated? Are you stuck in a “rut” with no direction? As humans we sometimes experience these feelings and struggle to move forward. We become anxious, depressed, and lack the skills necessary to put one foot in front of the other, becoming overwhelmed and stressed. The ability to change our mindset and focus on our strengths is a major step in making the change necessary to move ahead in life, one step at a time. If you envision a happier, healthier version of yourself, I believe I can help you or someone you love find direction and take that first step.
Feeling isolated, alone, or frustrated? Are you stuck in a “rut” with no direction? As humans we sometimes experience these feelings and struggle to move forward. We become anxious, depressed, and lack the skills necessary to put one foot in front of the other, becoming overwhelmed and stressed. The ability to change our mindset and focus on our strengths is a major step in making the change necessary to move ahead in life, one step at a time. If you envision a happier, healthier version of yourself, I believe I can help you or someone you love find direction and take that first step.
(410) 216-0807 View (410) 216-0807
Photo of Steven B Andrus, Licensed Clinical Professional Counselor in Bel Air, MD
Steven B Andrus
Licensed Clinical Professional Counselor, MS, LCPC-S
Verified Verified
1 Endorsed
Bel Air, MD 21014
I am passionate about helping individuals, couples, and families rediscover hope through the counseling process. Whether you struggle with mental, emotional, relational, or spiritual issues I believe professional counseling can be a great benefit to you. I have training in Internal Family Systems (IFS) and Cognitive Behavioral Therapy (CBT) cognitive behavioral therapy (CBT).
I am passionate about helping individuals, couples, and families rediscover hope through the counseling process. Whether you struggle with mental, emotional, relational, or spiritual issues I believe professional counseling can be a great benefit to you. I have training in Internal Family Systems (IFS) and Cognitive Behavioral Therapy (CBT) cognitive behavioral therapy (CBT).
(410) 401-8218 View (410) 401-8218
Photo of Dr. LA McCrae, Drug & Alcohol Counselor in Bel Air, MD
Dr. LA McCrae
Drug & Alcohol Counselor, LGADC, CCTSA, CCTP, RCP
Verified Verified
Bel Air, MD 21015  (Online Only)
You may be wondering how you are possibly going to put your life back together. Or, maybe, perhaps you're praying that you can finally put the vice down. Maybe the heartbreak of loss and unexpected endings is eating you up. We might be a good fit for one another if you're queer, poly, considering recovery, interested in a somatics based practitioner, and vibe with crystals and energy. Whatever it is, let's share a cup of coffee and figure it out together. If you are committed to your wellness and have a desire to seek restoration for a weary soul, hit my line. Let's Get Well, Y'all!
You may be wondering how you are possibly going to put your life back together. Or, maybe, perhaps you're praying that you can finally put the vice down. Maybe the heartbreak of loss and unexpected endings is eating you up. We might be a good fit for one another if you're queer, poly, considering recovery, interested in a somatics based practitioner, and vibe with crystals and energy. Whatever it is, let's share a cup of coffee and figure it out together. If you are committed to your wellness and have a desire to seek restoration for a weary soul, hit my line. Let's Get Well, Y'all!
(410) 970-3237 View (410) 970-3237
Photo of Shana McNew, Clinical Social Work/Therapist in Bel Air, MD
Shana McNew
Clinical Social Work/Therapist, LCSW-C
Verified Verified
1 Endorsed
Bel Air, MD 21014
It is not uncommon to find ourselves overwhelmed or struggling at some point in our lives. During those times, having an objective and unbiased person to talk to can provide clarity and support to ultimately foster growth and resilience in your personal narrative. I absolutely love working with clients through difficult life transitions, relationship issues, intimacy, LGBTQ+ and sexuality, kink, and ENM relationships. Being able to find your own boundaries and personal integrity through this can be so rewarding. Additionally, I have a soft spot for clients with infertility struggles and determining their own definition of family.
It is not uncommon to find ourselves overwhelmed or struggling at some point in our lives. During those times, having an objective and unbiased person to talk to can provide clarity and support to ultimately foster growth and resilience in your personal narrative. I absolutely love working with clients through difficult life transitions, relationship issues, intimacy, LGBTQ+ and sexuality, kink, and ENM relationships. Being able to find your own boundaries and personal integrity through this can be so rewarding. Additionally, I have a soft spot for clients with infertility struggles and determining their own definition of family.
(443) 775-3897 View (443) 775-3897
Photo of A Renee Wheeler, Psychologist in Bel Air, MD
A Renee Wheeler
Psychologist, PsyD
Verified Verified
Bel Air, MD 21015  (Online Only)
As a therapist I work to offer compassionate care without judgement. I believe that the relationship between the client and the therapist is integral to the healing and growth process. I work to integrate a multitude of techniques into my work with clients that are aimed at developing a safe place to process feelings, building a foundation for skill building and problem-solving and to work on addressing any issue that is generating stress or mental health problems. I have 25 years of training and experience working in the field of mental health and truly enjoy every day I work with clients offering them care and support.
As a therapist I work to offer compassionate care without judgement. I believe that the relationship between the client and the therapist is integral to the healing and growth process. I work to integrate a multitude of techniques into my work with clients that are aimed at developing a safe place to process feelings, building a foundation for skill building and problem-solving and to work on addressing any issue that is generating stress or mental health problems. I have 25 years of training and experience working in the field of mental health and truly enjoy every day I work with clients offering them care and support.
(410) 970-3515 View (410) 970-3515

How does your Therapist compare?

Number of Therapists in Bel Air, MD

200+

Average cost per session

$150

Therapists in Bel Air, MD who prioritize treating:

92% Anxiety
88% Depression
80% Self Esteem
76% Coping Skills
74% Relationship Issues
72% Stress
65% Trauma and PTSD

Average years in practice

11 Years

Top 3 insurances accepted

82% BlueCross and BlueShield
80% Cigna and Evernorth
77% CareFirst

How Therapists in Bel Air, MD see their clients

68% In Person and Online
32% Online Only

Gender breakdown

81% Female
17% Male
2% Non-Binary
FAQs - About Therapy and Counseling

How can I find a therapist in Bel Air?

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.