Therapists in Arlington, VA

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Photo of Brooke Kahn, Psychologist in Arlington, VA
Brooke Kahn
Psychologist, PsyD
Verified Verified
4 Endorsed
Arlington, VA 22201  (Online Only)
Welcome! Does life feels harder than you think it should? Are you feeling lost, stressed, or dissatisfied with your relationships? Do you feel a constant sense of not being "good enough" as you navigate multiple roles and responsibilities? Have you experienced a loss that is hard to overcome? We all go through struggles in our lives, and it can help to have someone in your corner. For 15 years I have had the privilege of supporting people as they navigate these types of challenges.
Welcome! Does life feels harder than you think it should? Are you feeling lost, stressed, or dissatisfied with your relationships? Do you feel a constant sense of not being "good enough" as you navigate multiple roles and responsibilities? Have you experienced a loss that is hard to overcome? We all go through struggles in our lives, and it can help to have someone in your corner. For 15 years I have had the privilege of supporting people as they navigate these types of challenges.
(571) 339-5266 View (571) 339-5266
Photo of Sarah Moore, Licensed Professional Counselor in Arlington, VA
Sarah Moore
Licensed Professional Counselor, MA, LPC
Verified Verified
12 Endorsed
Arlington, VA 22209
As a licensed professional counselor in Virginia and Washington, DC, I offer support to individuals navigating various life challenges. I provide a safe and nurturing space for clients to explore their emotions, overcome obstacles, and achieve personal growth. Whether you're a professional seeking work-life balance, a new mom adjusting to parenthood, or a caretaker managing family responsibilities, I am here to help.
As a licensed professional counselor in Virginia and Washington, DC, I offer support to individuals navigating various life challenges. I provide a safe and nurturing space for clients to explore their emotions, overcome obstacles, and achieve personal growth. Whether you're a professional seeking work-life balance, a new mom adjusting to parenthood, or a caretaker managing family responsibilities, I am here to help.
(703) 454-8182 View (703) 454-8182
Photo of Christina Tripodi Mitchell, Psychologist in Arlington, VA
Christina Tripodi Mitchell
Psychologist, PsyD, NCSP
Verified Verified
Arlington, VA 22201
The Child & Family Practice of Washington, DC is committed to providing comprehensive, evidence-based psychological and educational support services to children, families, schools, and other organizations. We specialize in the assessment of learning and behavioral concerns and in the creation of targeted, supportive programming designed to equip individuals with the tools they need to succeed in school, work, and beyond. We also provide psychological and educational consultation and support to families, schools, and organizations based in the Washington, DC metro area, nation-wide, and abroad.
The Child & Family Practice of Washington, DC is committed to providing comprehensive, evidence-based psychological and educational support services to children, families, schools, and other organizations. We specialize in the assessment of learning and behavioral concerns and in the creation of targeted, supportive programming designed to equip individuals with the tools they need to succeed in school, work, and beyond. We also provide psychological and educational consultation and support to families, schools, and organizations based in the Washington, DC metro area, nation-wide, and abroad.
(703) 596-1360 View (703) 596-1360
Photo of Caroline Cheslak, Licensed Professional Counselor in Arlington, VA
Caroline Cheslak
Licensed Professional Counselor, LPC
Verified Verified
Arlington, VA 22201  (Online Only)
We all struggle from time to time. Whether you are struggling with short-term stresses or long term issues like depression or anxiety, taking the step to ask for help is huge. I would be honored to join you on your journey to wellness and feeling better.
We all struggle from time to time. Whether you are struggling with short-term stresses or long term issues like depression or anxiety, taking the step to ask for help is huge. I would be honored to join you on your journey to wellness and feeling better.
(703) 775-4546 View (703) 775-4546
Photo of Peter Gould, Psychologist in Arlington, VA
Peter Gould
Psychologist, PhD
Verified Verified
Arlington, VA 22209  (Online Only)
I am a warm, caring therapist with a sense of humor and extensive experience working with adolescents and young adults. I specialize in helping people with problems resulting from anxiety, depression, anger, and relationship difficulties at work and in school. I am particularly skilled at building rapport with difficult and treatment resistant clients. As a clinical psychologist I have extensive training in cognitive-behavioral therapy (CBT) and have seen many clients improve with these techniques. I have helped people overcome their problems in a variety of settings including hospitals, university counseling centers, community mental health clinics, and schools.
I am a warm, caring therapist with a sense of humor and extensive experience working with adolescents and young adults. I specialize in helping people with problems resulting from anxiety, depression, anger, and relationship difficulties at work and in school. I am particularly skilled at building rapport with difficult and treatment resistant clients. As a clinical psychologist I have extensive training in cognitive-behavioral therapy (CBT) and have seen many clients improve with these techniques. I have helped people overcome their problems in a variety of settings including hospitals, university counseling centers, community mental health clinics, and schools.
(703) 468-8163 View (703) 468-8163
Photo of Barbara Folcini, Pre-Licensed Professional in Arlington, VA
Barbara Folcini
Pre-Licensed Professional, MA
Verified Verified
1 Endorsed
Arlington, VA 22209  (Online Only)
Life is a journey where we are not alone. Family, friends, and acquaintances play a key role at different moments. Communication is key to identifying our challenges and opportunities and I speak your language. I am committed to understanding what you are going through and jointly designing a plan that is suited to your needs. As we go through life we face changes and there are phases that may prove challenging for us. Going to college, having a child, moving, marriage, divorce, career changes, etc. Are you feeling overwhelmed? Talking will help.
Life is a journey where we are not alone. Family, friends, and acquaintances play a key role at different moments. Communication is key to identifying our challenges and opportunities and I speak your language. I am committed to understanding what you are going through and jointly designing a plan that is suited to your needs. As we go through life we face changes and there are phases that may prove challenging for us. Going to college, having a child, moving, marriage, divorce, career changes, etc. Are you feeling overwhelmed? Talking will help.
(954) 696-4012 View (954) 696-4012
Photo of Eagles Wings Counseling, LLC, Licensed Professional Counselor in Arlington, VA
Eagles Wings Counseling, LLC
Licensed Professional Counselor, LPC, CCTP
Verified Verified
Arlington, VA 22202
Compassionate, Bilingual Therapist uniquely trained to treat the sensitive needs of the whole person, integrating Spirituality with Psychology in helping you overcome personal obstacles to living your best life! Specializing in inner healing, resolving simple and complex marital issues, career changes, midlife and adolescent struggles, treating depression, anxiety, PTSD, sexual abuse and domestic violence. I also offer Clinical Assessments for Immigration Situations dealing with Asylum, Hardship Waivers, U Visa and VAWA cases. Christian Counseling available upon request.
Compassionate, Bilingual Therapist uniquely trained to treat the sensitive needs of the whole person, integrating Spirituality with Psychology in helping you overcome personal obstacles to living your best life! Specializing in inner healing, resolving simple and complex marital issues, career changes, midlife and adolescent struggles, treating depression, anxiety, PTSD, sexual abuse and domestic violence. I also offer Clinical Assessments for Immigration Situations dealing with Asylum, Hardship Waivers, U Visa and VAWA cases. Christian Counseling available upon request.
(706) 550-9567 View (706) 550-9567
Photo of Amanda Thenor, Clinical Social Work/Therapist in Arlington, VA
Amanda Thenor
Clinical Social Work/Therapist, LCSW
Verified Verified
Arlington, VA 22204
Hola, my name is Amanda Thenor. I am a Licensed Clinical Social Worker and Licensed Master Social Worker in Virginia. I have 10 years of professional work experience. I am here to support you in taking the first step to seeking a more fulfilling and happier life and regaining a sense of self. I have experience in helping clients of all ages (children, teens, and adults) with stress, depression, family conflict, self-image, anxiety, psychosis, relationship issues, trauma, sleep disorders, addiction, anger management, mood disorders, and much more.
Hola, my name is Amanda Thenor. I am a Licensed Clinical Social Worker and Licensed Master Social Worker in Virginia. I have 10 years of professional work experience. I am here to support you in taking the first step to seeking a more fulfilling and happier life and regaining a sense of self. I have experience in helping clients of all ages (children, teens, and adults) with stress, depression, family conflict, self-image, anxiety, psychosis, relationship issues, trauma, sleep disorders, addiction, anger management, mood disorders, and much more.
(571) 462-2455 View (571) 462-2455
Photo of Margaret Kei, Clinical Social Work/Therapist in Arlington, VA
Margaret Kei
Clinical Social Work/Therapist, LCSW
Verified Verified
Arlington, VA 22201  (Online Only)
I am a Licensed Clinical Social Worker in Virginia with 11 years of experience providing support and therapy to individuals (adults and adolescents), families, and groups. I have experience providing services to clients with presenting needs that include: depression, anxiety, history of trauma, anger management, grief, adjustment to life changes, along with other presenting challenges. My approach with clients is supportive and warm.
I am a Licensed Clinical Social Worker in Virginia with 11 years of experience providing support and therapy to individuals (adults and adolescents), families, and groups. I have experience providing services to clients with presenting needs that include: depression, anxiety, history of trauma, anger management, grief, adjustment to life changes, along with other presenting challenges. My approach with clients is supportive and warm.
(571) 497-5494 x1 View (571) 497-5494 x1
Photo of Kellie Zundel, Clinical Social Work/Therapist in Arlington, VA
Kellie Zundel
Clinical Social Work/Therapist, MSW, LCSW
Verified Verified
1 Endorsed
Arlington, VA 22202
I love working with teens and adults who are exhausted from constantly thinking about food and their body, hate what they see when they look in the mirror, and are sick and tired of feeling trapped by an eating disorder.
I love working with teens and adults who are exhausted from constantly thinking about food and their body, hate what they see when they look in the mirror, and are sick and tired of feeling trapped by an eating disorder.
(571) 336-0958 View (571) 336-0958
Photo of Jordan Ohanesian, Psychologist in Arlington, VA
Jordan Ohanesian
Psychologist, PsyD
Verified Verified
Arlington, VA 22201
I understand that each person’s experience and background is unique and aim to provide a collaborative space where you are able to feel understood, supported, and gently challenged as you embark on your personal journey. I take an active and individualized approach to treatment, integrating interventions from a variety of theories and orientations that are best suited to your specific strengths, needs and identities. I primarily incorporate principles from psychodynamic, emotion focused, and cognitive behavioral theories, as well as utilize mindfulness-based and relational techniques.
I understand that each person’s experience and background is unique and aim to provide a collaborative space where you are able to feel understood, supported, and gently challenged as you embark on your personal journey. I take an active and individualized approach to treatment, integrating interventions from a variety of theories and orientations that are best suited to your specific strengths, needs and identities. I primarily incorporate principles from psychodynamic, emotion focused, and cognitive behavioral theories, as well as utilize mindfulness-based and relational techniques.
(703) 634-3792 x706 View (703) 634-3792 x706
Photo of Annaka Welty, Clinical Social Work/Therapist in Arlington, VA
Annaka Welty
Clinical Social Work/Therapist, LCSW
Verified Verified
1 Endorsed
Arlington, VA 22201  (Online Only)
I aspire to help clients overcome challenges and to find purpose. I believe therapeutic techniques like logo therapy, cognitive behavioral therapy, and solutions focused therapy can help clients to reach their goals. I have experience working with a variety of issues, including trauma, relationship building, and mood issues including depression and anxiety. I consider myself a life-long learner and continue to learn new therapies and techniques to help support the clients I work with. I look forward to meeting and working with you!
I aspire to help clients overcome challenges and to find purpose. I believe therapeutic techniques like logo therapy, cognitive behavioral therapy, and solutions focused therapy can help clients to reach their goals. I have experience working with a variety of issues, including trauma, relationship building, and mood issues including depression and anxiety. I consider myself a life-long learner and continue to learn new therapies and techniques to help support the clients I work with. I look forward to meeting and working with you!
(571) 200-4041 View (571) 200-4041
Photo of Karen Karafin, Clinical Social Work/Therapist in Arlington, VA
Karen Karafin
Clinical Social Work/Therapist, LCSW
Verified Verified
Arlington, VA 22204  (Online Only)
Wish the important people in your life could really hear you? An experienced therapist who can see all sides can be just what is needed to untangle old knots. I work with people of all sexual and gender orientations. I help people in all kinds of relationships - romantic, parent/child, sibling, friends, and all ways of structuring their lives together - monogamous, open, polyamorous, platonic. I have years of experience supporting both the neurotypical and neurodivergent communities, and I especially enjoy working with couples who might have differing neurotypes, or otherwise have trouble understanding each other.
Wish the important people in your life could really hear you? An experienced therapist who can see all sides can be just what is needed to untangle old knots. I work with people of all sexual and gender orientations. I help people in all kinds of relationships - romantic, parent/child, sibling, friends, and all ways of structuring their lives together - monogamous, open, polyamorous, platonic. I have years of experience supporting both the neurotypical and neurodivergent communities, and I especially enjoy working with couples who might have differing neurotypes, or otherwise have trouble understanding each other.
(703) 671-7668 View (703) 671-7668
Photo of Jodi Harris, Clinical Social Work/Therapist in Arlington, VA
Jodi Harris
Clinical Social Work/Therapist, LCSW
Verified Verified
1 Endorsed
Arlington, VA 22206
I am a Licensed Clinical Social Worker who works with adults, parents, and teens who are struggling with anxiety, depression, adjustment to life transitions, stress, health issues, and other challenges. I have a particular interest and skillset in supporting people living or working across cultures – including immigrant and migrant communities, individuals seeking refuge from community violence, expats, Foreign Service, military, and third culture kids (TCKs) and their families. I also have direct experience with and special interest in working with families effected by Type 1 Diabetes.
I am a Licensed Clinical Social Worker who works with adults, parents, and teens who are struggling with anxiety, depression, adjustment to life transitions, stress, health issues, and other challenges. I have a particular interest and skillset in supporting people living or working across cultures – including immigrant and migrant communities, individuals seeking refuge from community violence, expats, Foreign Service, military, and third culture kids (TCKs) and their families. I also have direct experience with and special interest in working with families effected by Type 1 Diabetes.
(571) 410-3408 View (571) 410-3408
Photo of Tara R. Edwards, Licensed Professional Counselor in Arlington, VA
Tara R. Edwards
Licensed Professional Counselor, MA, LPC, NCC
Verified Verified
19 Endorsed
Arlington, VA 22209
Have the events of your life or the world around you got you feeling overwhelmed, anxious, depressed, or stressed? Is your inner critic getting louder? Are you finding yourself numbing out with food, alcohol, shopping or streaming? Are you longing for meaningful connection? You are not alone. Perhaps I can help. I am a BIPOC, LGBTQI+, and Disability affirming therapist. I offer brief, standard, and extended session lengths. I welcome an opportunity to collaborate with you as you bravely or not so bravely make your way in this world of ours. Questions? Please call or email. It's okay to reach out and ask for help.
Have the events of your life or the world around you got you feeling overwhelmed, anxious, depressed, or stressed? Is your inner critic getting louder? Are you finding yourself numbing out with food, alcohol, shopping or streaming? Are you longing for meaningful connection? You are not alone. Perhaps I can help. I am a BIPOC, LGBTQI+, and Disability affirming therapist. I offer brief, standard, and extended session lengths. I welcome an opportunity to collaborate with you as you bravely or not so bravely make your way in this world of ours. Questions? Please call or email. It's okay to reach out and ask for help.
(703) 420-7173 View (703) 420-7173
Photo of Dr. Alexandra Snead, Psychologist in Arlington, VA
Dr. Alexandra Snead
Psychologist, PhD
Verified Verified
Arlington, VA 22201
I offer a custom approach for each of my patients. I start with understanding where you are now and the challenges you are facing. I help you put a plan in place to help you move forward, and we celebrate your successes along the way. I specialize in evidence-based treatments such as Cognitive Behavioral Therapy (CBT). CBT is a highly effective approach that focuses on changing patterns of thinking and behavior to improve emotional well-being. By addressing unhelpful thought patterns and implementing practical coping strategies, I help you overcome challenges and build resilience for long-lasting change.
I offer a custom approach for each of my patients. I start with understanding where you are now and the challenges you are facing. I help you put a plan in place to help you move forward, and we celebrate your successes along the way. I specialize in evidence-based treatments such as Cognitive Behavioral Therapy (CBT). CBT is a highly effective approach that focuses on changing patterns of thinking and behavior to improve emotional well-being. By addressing unhelpful thought patterns and implementing practical coping strategies, I help you overcome challenges and build resilience for long-lasting change.
(703) 215-9001 View (703) 215-9001
Photo of Diana Furrow, Licensed Professional Counselor in Arlington, VA
Diana Furrow
Licensed Professional Counselor, LPC
Verified Verified
3 Endorsed
Arlington, VA 22203
Waitlist for new clients
I am a licensed professional counselor and have worked for the past 25 years in residential and private practice. I provide individual and group counseling for adolescents and adults struggling with trauma and mood disorders, which includes depression and anxiety and any behavioral related problems. My approach to therapy is typically goal-directed, which means your counseling sessions will be designed to help you overcome your current challenges and reach satisfaction.
I am a licensed professional counselor and have worked for the past 25 years in residential and private practice. I provide individual and group counseling for adolescents and adults struggling with trauma and mood disorders, which includes depression and anxiety and any behavioral related problems. My approach to therapy is typically goal-directed, which means your counseling sessions will be designed to help you overcome your current challenges and reach satisfaction.
(703) 468-8279 View (703) 468-8279
Photo of Dodini Behavioral Health, Psychologist in Arlington, VA
Dodini Behavioral Health
Psychologist, PhD, PsyD, LCSW, LMFT, LPC
Verified Verified
Arlington, VA 22209
Dodini Behavioral Health is a multidisciplinary private group practice for personal growth, healing, and development currently open to virtual and in person. We help individuals, couples, and families get beyond symptoms and into living the fullest version of their life and self. Our clinical providers are among the top in their fields and have a variety of areas of interest and expertise, and all are devoted to exceptionally good psychotherapy, therapeutic alliance, and continual education. We often work as a team and as co-therapists to give the absolute best in personalized and expert care for you and those you love.
Dodini Behavioral Health is a multidisciplinary private group practice for personal growth, healing, and development currently open to virtual and in person. We help individuals, couples, and families get beyond symptoms and into living the fullest version of their life and self. Our clinical providers are among the top in their fields and have a variety of areas of interest and expertise, and all are devoted to exceptionally good psychotherapy, therapeutic alliance, and continual education. We often work as a team and as co-therapists to give the absolute best in personalized and expert care for you and those you love.
(703) 844-9909 View (703) 844-9909
Photo of Risa Broudy, Psychologist in Arlington, VA
Risa Broudy
Psychologist, PhD
Verified Verified
1 Endorsed
Arlington, VA 22209
Becoming your best self, managing natural life transitions, and staying on top of daily stressors takes work. It can be particularly challenging if you are experiencing an unexpected life transition, struggling with emotion regulation, engaging in unhealthy behaviors, or feeling distress and unfulfillment in your relationships. I work from a client-centered approach and aim to achieve supportive, nonjudgmental and collaborative relationships with my clients. My approach draws from my training in family systems, cognitive behavioral therapy, motivational interviewing, Accceptance & Commitment Therapy, & Dialectical Behavior Therapy.
Becoming your best self, managing natural life transitions, and staying on top of daily stressors takes work. It can be particularly challenging if you are experiencing an unexpected life transition, struggling with emotion regulation, engaging in unhealthy behaviors, or feeling distress and unfulfillment in your relationships. I work from a client-centered approach and aim to achieve supportive, nonjudgmental and collaborative relationships with my clients. My approach draws from my training in family systems, cognitive behavioral therapy, motivational interviewing, Accceptance & Commitment Therapy, & Dialectical Behavior Therapy.
(703) 537-5866 View (703) 537-5866
Photo of Kassidy Schmidt, Licensed Professional Counselor in Arlington, VA
Kassidy Schmidt
Licensed Professional Counselor, LPC, NCC
Verified Verified
Arlington, VA 22201
I help clients achieve their goals by utilizing research-based interventions within a warm, nonjudgmental, and supportive therapeutic space. In this fast-paced and often high-pressure region in which we live, having a place to talk about the things going on in your life without having to worry about how it might impact others can be a relief within itself. I specialize in working with children (ages 10+), adolescents, and adults.
I help clients achieve their goals by utilizing research-based interventions within a warm, nonjudgmental, and supportive therapeutic space. In this fast-paced and often high-pressure region in which we live, having a place to talk about the things going on in your life without having to worry about how it might impact others can be a relief within itself. I specialize in working with children (ages 10+), adolescents, and adults.
(571) 581-6364 View (571) 581-6364

How does your Therapist compare?

Number of Therapists in Arlington, VA

1,000+

Average cost per session

$175

Therapists in Arlington, VA who prioritize treating:

95% Anxiety
91% Depression
78% Relationship Issues
75% Self Esteem
67% Trauma and PTSD
67% Coping Skills
65% Stress

Average years in practice

13 Years

Top 3 insurances accepted

67% BlueCross and BlueShield
61% UnitedHealthcare UHC | UBH
58% Aetna

How Therapists in Arlington, VA see their clients

54% In Person and Online
46% Online Only

Gender breakdown

80% Female
19% Male
1% Non-Binary
FAQs - About Therapy and Counseling

How can I find a therapist in Arlington?

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.