Therapists in Richmond, VA

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Photo of Erika Brooks, Licensed Professional Counselor in Richmond, VA
Erika Brooks
Licensed Professional Counselor, MS, LPC, CSAC
Verified Verified
4 Endorsed
Richmond, VA 23231
I provide sound therapeutic counseling and support to people who are dealing with depression, anxiety, trauma, and substance abuse concerns. Using an ecclectic therapeutic approach, I will help you rediscover effective coping skills (and maybe learn new ones) to faces challenges and make change in your life. I enjoy working with adolescents and adults in an individual, family, or group setting. If you are ready to begin the journey, please call or email me.
I provide sound therapeutic counseling and support to people who are dealing with depression, anxiety, trauma, and substance abuse concerns. Using an ecclectic therapeutic approach, I will help you rediscover effective coping skills (and maybe learn new ones) to faces challenges and make change in your life. I enjoy working with adolescents and adults in an individual, family, or group setting. If you are ready to begin the journey, please call or email me.
(804) 457-6689 View (804) 457-6689
Photo of Caitie Posey, Pre-Licensed Professional in Richmond, VA
Caitie Posey
Pre-Licensed Professional, MSW
Verified Verified
1 Endorsed
Richmond, VA 23222  (Online Only)
Hi there! My name is Caitie, and I'm a supervisee in social work in the state of Virginia. I received my Masters in Social Work from George Mason University and am dedicated to helping people overcome their struggles and live fulfilling lives. My approach is centered around creating a safe and supportive environment where you feel heard, seen, and validated. I am here to guide you on your journey towards healing and growth. Let's work together to uncover your strengths and achieve your goals. Outside of work, I enjoy reading, visiting museums, and spending time with friends and family.
Hi there! My name is Caitie, and I'm a supervisee in social work in the state of Virginia. I received my Masters in Social Work from George Mason University and am dedicated to helping people overcome their struggles and live fulfilling lives. My approach is centered around creating a safe and supportive environment where you feel heard, seen, and validated. I am here to guide you on your journey towards healing and growth. Let's work together to uncover your strengths and achieve your goals. Outside of work, I enjoy reading, visiting museums, and spending time with friends and family.
(571) 253-7640 View (571) 253-7640
Photo of Brittany Rush, Clinical Social Work/Therapist in Richmond, VA
Brittany Rush
Clinical Social Work/Therapist, MSW, LCSW
Verified Verified
1 Endorsed
Richmond, VA 23223  (Online Only)
My ideal client is an adult aspiring to work towards becoming the best version of themself, whatever that means to them. They desire to build a life for themself in which they wake up every day feeling purposeful, meaningful and healthy. In a world where it is so easy to becoming overwhelmed due to constant exposure to negativity, the perspectives and opinions of others, the pressures of society and secondary/vicarious trauma, my ideal clients (whom I refer to as "my people") seek a safe space to process their world, their perspectives, their goals and to figure themselves out from the inside out.
My ideal client is an adult aspiring to work towards becoming the best version of themself, whatever that means to them. They desire to build a life for themself in which they wake up every day feeling purposeful, meaningful and healthy. In a world where it is so easy to becoming overwhelmed due to constant exposure to negativity, the perspectives and opinions of others, the pressures of society and secondary/vicarious trauma, my ideal clients (whom I refer to as "my people") seek a safe space to process their world, their perspectives, their goals and to figure themselves out from the inside out.
(804) 492-7300 View (804) 492-7300
Photo of Kathryn Kumar, Pre-Licensed Professional in Richmond, VA
Kathryn Kumar
Pre-Licensed Professional, LCSW-S, LMHP
Verified Verified
2 Endorsed
Richmond, VA 23235
My goal is to create a warm and welcoming space where you can lean into self-discovery and growth. The human experience is a complicated one, but you don’t have to do it alone. Whether you are experiencing anxiety, feeling overwhelmed, stressed, having relationship struggles, or are simply in a new phase of life I can help you navigate these obstacles. I believe using a holistic approach is pivotal to the therapeutic process. Past experiences may be at the root of current behaviors and patterns. Let’s navigate the past together to better understand and empower your present self.
My goal is to create a warm and welcoming space where you can lean into self-discovery and growth. The human experience is a complicated one, but you don’t have to do it alone. Whether you are experiencing anxiety, feeling overwhelmed, stressed, having relationship struggles, or are simply in a new phase of life I can help you navigate these obstacles. I believe using a holistic approach is pivotal to the therapeutic process. Past experiences may be at the root of current behaviors and patterns. Let’s navigate the past together to better understand and empower your present self.
(804) 597-6086 View (804) 597-6086
Photo of Constance L Parker, Clinical Social Work/Therapist in Richmond, VA
Constance L Parker
Clinical Social Work/Therapist, MBA, LCSW
Verified Verified
1 Endorsed
Richmond, VA 23222  (Online Only)
Not accepting new clients
I am a Licensed Clinical Social Worker (LCSW) and DONA-trained Birth Doula, who has worked in maternal mental health, veteran health, and healthcare for unhoused individuals. I have experience working with those who are struggling with anxiety, depression, and the effects of sexual and race-based traumas.
I am a Licensed Clinical Social Worker (LCSW) and DONA-trained Birth Doula, who has worked in maternal mental health, veteran health, and healthcare for unhoused individuals. I have experience working with those who are struggling with anxiety, depression, and the effects of sexual and race-based traumas.
(804) 567-8658 View (804) 567-8658
Photo of Jeri Cox, Licensed Professional Counselor in Richmond, VA
Jeri Cox
Licensed Professional Counselor, LPC
Verified Verified
Richmond, VA 23225  (Online Only)
Hi, I’m Dr. Jeri Cox Do you feel as if you are not your best self? Are you wanting to improve your self-confidence and being. Are you ready to recognize and be the resilient individual you truly are? I help individuals who desire to better manage life challenges and hardships whether from current situations or from past experiences that impact current functioning. We will use a holistic approach that is designed to meet your individualized needs and goals and empowering you to be the individual you want to be.
Hi, I’m Dr. Jeri Cox Do you feel as if you are not your best self? Are you wanting to improve your self-confidence and being. Are you ready to recognize and be the resilient individual you truly are? I help individuals who desire to better manage life challenges and hardships whether from current situations or from past experiences that impact current functioning. We will use a holistic approach that is designed to meet your individualized needs and goals and empowering you to be the individual you want to be.
(804) 587-8997 View (804) 587-8997
Photo of Alexis Tuttle, Pre-Licensed Professional in Richmond, VA
Alexis Tuttle
Pre-Licensed Professional, LMHP-S
Verified Verified
1 Endorsed
Richmond, VA 23220  (Online Only)
Deciding to start therapy is a significant step! Recognizing your capacity for change is truly empowering. As your therapist, I'm here to support you through this transformative journey, whether you're a teenager or an adult navigating life's complexities. I specialize in Cognitive Behavioral Therapy, offering a holistic and evidence-based approach tailored to your unique needs. My therapy approach encompasses strength-based techniques, motivational interviewing, mindfulness, and solution-focused strategies.
Deciding to start therapy is a significant step! Recognizing your capacity for change is truly empowering. As your therapist, I'm here to support you through this transformative journey, whether you're a teenager or an adult navigating life's complexities. I specialize in Cognitive Behavioral Therapy, offering a holistic and evidence-based approach tailored to your unique needs. My therapy approach encompasses strength-based techniques, motivational interviewing, mindfulness, and solution-focused strategies.
(804) 395-6951 View (804) 395-6951
Photo of Michelle O'Brien, Licensed Professional Counselor in Richmond, VA
Michelle O'Brien
Licensed Professional Counselor, LPC, NCC
Verified Verified
2 Endorsed
Richmond, VA 23219  (Online Only)
Would you like to feel more in control of your life? More comfortable in your own skin? To finally heal old wounds? Change is possible and you will be warmly welcomed here. Therapy isn't always easy but it can be energizing, fun, and something you look forward to. It's vital to find a therapist who is a great match for you. My style is direct, friendly & collaborative using humor & psychoeducation without judgment. Together we'll discover unmet needs that may be blocking you. Other services available are pre-bariatric surgery assessments and follow-up care. I especially enjoy working on anger management and self-confidence!
Would you like to feel more in control of your life? More comfortable in your own skin? To finally heal old wounds? Change is possible and you will be warmly welcomed here. Therapy isn't always easy but it can be energizing, fun, and something you look forward to. It's vital to find a therapist who is a great match for you. My style is direct, friendly & collaborative using humor & psychoeducation without judgment. Together we'll discover unmet needs that may be blocking you. Other services available are pre-bariatric surgery assessments and follow-up care. I especially enjoy working on anger management and self-confidence!
(804) 215-0873 View (804) 215-0873
Photo of Alex Carroll, Clinical Social Work/Therapist in Richmond, VA
Alex Carroll
Clinical Social Work/Therapist, LCSW
Verified Verified
Richmond, VA 23229
Alex Carroll is a Licensed Clinical Social Worker (LCSW) who has 9 years of experience providing therapy. Alex has developed competency working with a diverse group of individuals, as he has worked in a multitude of settings in the mental health field. Alex specializes in working with adults looking for help with anxiety, depression, substance use, trauma, grief, and loss, as well as other areas. He completed his Bachelor of Science in Psychology from the College of Charleston and received his Master of Social Work from Virginia Commonwealth University.
Alex Carroll is a Licensed Clinical Social Worker (LCSW) who has 9 years of experience providing therapy. Alex has developed competency working with a diverse group of individuals, as he has worked in a multitude of settings in the mental health field. Alex specializes in working with adults looking for help with anxiety, depression, substance use, trauma, grief, and loss, as well as other areas. He completed his Bachelor of Science in Psychology from the College of Charleston and received his Master of Social Work from Virginia Commonwealth University.
(804) 395-7027 View (804) 395-7027
Photo of Matt Bitsko, Psychologist in Richmond, VA
Matt Bitsko
Psychologist, PhD, LCP
Verified Verified
1 Endorsed
Richmond, VA 23229
Over the past 20 years, I have helped children, adolescents, young adults and adults reach their full potential in many areas of their lives - school, career, health, family, and social settings. While working with individuals, I often incorporate their family or other close relationships to both identify problems and create effective solutions. A trusted therapy environment is often the best place to chart specific goals for a healthier and happier life.
Over the past 20 years, I have helped children, adolescents, young adults and adults reach their full potential in many areas of their lives - school, career, health, family, and social settings. While working with individuals, I often incorporate their family or other close relationships to both identify problems and create effective solutions. A trusted therapy environment is often the best place to chart specific goals for a healthier and happier life.
(804) 655-0977 x700 View (804) 655-0977 x700
Photo of Stephanie Tingler, Pre-Licensed Professional in Richmond, VA
Stephanie Tingler
Pre-Licensed Professional
Verified Verified
Richmond, VA 23223
Stephanie Tingler is a Resident in Counseling (RIC) with over 7 years of experience in the counseling field. She is extremely passionate about walking alongside clients and providing the support and tools to help them reach their personal goals and live the life they desire. Stephanie completed her Master's degree in Professional Counseling at Liberty University. She has experienced many different mental health challenges and knows what it’s like to work through them and experience true happiness through hardship.
Stephanie Tingler is a Resident in Counseling (RIC) with over 7 years of experience in the counseling field. She is extremely passionate about walking alongside clients and providing the support and tools to help them reach their personal goals and live the life they desire. Stephanie completed her Master's degree in Professional Counseling at Liberty University. She has experienced many different mental health challenges and knows what it’s like to work through them and experience true happiness through hardship.
(804) 391-8890 View (804) 391-8890
Photo of Rejuvenation and Wellness Counseling Services, LLC, Clinical Social Work/Therapist in Richmond, VA
Rejuvenation and Wellness Counseling Services, LLC
Clinical Social Work/Therapist, MSW, LCSW
Verified Verified
Richmond, VA 23225
Hello! Thank you for visiting my profile on Psychology Today! My name is Tyler Taylor, MSW, LCSW. My ideal client would be someone who may struggle with anxiety and depression related issues, but wants to truly heal and gain insight about themselves. They may want to increase their healthy coping skills, improve their relationships and improve their quality of life. They would be receptive to feedback and also be willing to give their honest perspective on their life and their experience of therapy.
Hello! Thank you for visiting my profile on Psychology Today! My name is Tyler Taylor, MSW, LCSW. My ideal client would be someone who may struggle with anxiety and depression related issues, but wants to truly heal and gain insight about themselves. They may want to increase their healthy coping skills, improve their relationships and improve their quality of life. They would be receptive to feedback and also be willing to give their honest perspective on their life and their experience of therapy.
(804) 570-1320 View (804) 570-1320
Photo of Rachael Scholl, Clinical Social Work/Therapist in Richmond, VA
Rachael Scholl
Clinical Social Work/Therapist, LCSW
Verified Verified
2 Endorsed
Richmond, VA 23235
In my practice, I work with clients to explore past experiences and how they might be influencing current thoughts, feelings, and behaviors — nurturing insight and awareness to elicit growth and desired change. I view therapy as a collaborative process that can assist in identifying and working through challenges so that life can be lived with greater balance and self-compassion. I strive to create a safe space for individuals to freely express their authentic selves, while working together to set and progress toward therapeutic goals.
In my practice, I work with clients to explore past experiences and how they might be influencing current thoughts, feelings, and behaviors — nurturing insight and awareness to elicit growth and desired change. I view therapy as a collaborative process that can assist in identifying and working through challenges so that life can be lived with greater balance and self-compassion. I strive to create a safe space for individuals to freely express their authentic selves, while working together to set and progress toward therapeutic goals.
(804) 376-9410 View (804) 376-9410
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 Summer Jeirles, Licensed Professional Counselor in Richmond, VA
Summer Jeirles
Licensed Professional Counselor
Verified Verified
Richmond, VA 23225  (Online Only)
Do any of these describe you: pregnant or perinatal woman who is feeling overwhelmed or "out of sorts?"....older adult trying to navigate retirement, becoming an empty nester, (or other life change) while trying to find a "new" sense of purpose? ...person in recovery trying to live "life on life's terms?" If so, we may be a good fit. I am a licensed professional counselor, with extensive experience helping pregnant and postpartum women, older adults, and people of all ages who are "newer" to navigating recovery.
Do any of these describe you: pregnant or perinatal woman who is feeling overwhelmed or "out of sorts?"....older adult trying to navigate retirement, becoming an empty nester, (or other life change) while trying to find a "new" sense of purpose? ...person in recovery trying to live "life on life's terms?" If so, we may be a good fit. I am a licensed professional counselor, with extensive experience helping pregnant and postpartum women, older adults, and people of all ages who are "newer" to navigating recovery.
(203) 902-9351 View (203) 902-9351
Photo of JacLovelle Coaching & Consulting Group, LLC, Drug & Alcohol Counselor in Richmond, VA
JacLovelle Coaching & Consulting Group, LLC
Drug & Alcohol Counselor, DSL, CSAC, CAC, AGRMS
Verified Verified
2 Endorsed
Richmond, VA 23234
Are you desiring to reclaim your life after a painful loss? Are recent changes in your normal routine have you feeling emotionally drained? Grief is the normal and natural reaction to loss of any kind. Whether it's the death of a loved one, a divorce, career change, a move, change in health, loss of freedom, or any of the 40+ losses a person may experience during their life time; I will walk this journey with you! Also, with 35 years as Substance Abuse Treatment Professional and an Advanced Grief Recovery Method Specialist, an additional aspect of my work is centered in the correlation between addiction, grief and relapse.
Are you desiring to reclaim your life after a painful loss? Are recent changes in your normal routine have you feeling emotionally drained? Grief is the normal and natural reaction to loss of any kind. Whether it's the death of a loved one, a divorce, career change, a move, change in health, loss of freedom, or any of the 40+ losses a person may experience during their life time; I will walk this journey with you! Also, with 35 years as Substance Abuse Treatment Professional and an Advanced Grief Recovery Method Specialist, an additional aspect of my work is centered in the correlation between addiction, grief and relapse.
(804) 485-1933 View (804) 485-1933
Photo of Amanda Lewis, Licensed Professional Counselor in Richmond, VA
Amanda Lewis
Licensed Professional Counselor, LPC
Verified Verified
Richmond, VA 23225  (Online Only)
Hi! I'm Amanda and I'm a Licensed Professional Counselor with 10 years of experience working with people from various backgrounds and lifestyles. Settings that I've worked in include client's homes, community facilities, schools, prisons, and hospitals.
Hi! I'm Amanda and I'm a Licensed Professional Counselor with 10 years of experience working with people from various backgrounds and lifestyles. Settings that I've worked in include client's homes, community facilities, schools, prisons, and hospitals.
(804) 635-3616 View (804) 635-3616
Photo of Erin Dabrowski, Pre-Licensed Professional in Richmond, VA
Erin Dabrowski
Pre-Licensed Professional, MEd
Verified Verified
1 Endorsed
Richmond, VA 23225
I am a resident in counseling who loves working with people who are going through transitional times and the difficulties of change. I have a special interest in supporting you in making sense of family dynamics, exploring identity questions, and confronting social issues. I believe in helping you to look at problems from different perspectives. I am queer affirming, and enjoy working with clients who are neurodivergent, ADHD, adolescents, and parents. By working together in a trusting, supportive relationship, we can navigate life’s challenges with greater ease.
I am a resident in counseling who loves working with people who are going through transitional times and the difficulties of change. I have a special interest in supporting you in making sense of family dynamics, exploring identity questions, and confronting social issues. I believe in helping you to look at problems from different perspectives. I am queer affirming, and enjoy working with clients who are neurodivergent, ADHD, adolescents, and parents. By working together in a trusting, supportive relationship, we can navigate life’s challenges with greater ease.
(804) 255-9597 View (804) 255-9597
Photo of Tawanda McPhatter, Licensed Professional Counselor in Richmond, VA
Tawanda McPhatter
Licensed Professional Counselor, LCMHC
Verified Verified
Richmond, VA 23225  (Online Only)
Hello! My name is Ms. Tawanda McPhatter and I'm a Licensed Professional Counselor based in Virginia. I received my Master's Degree from Virginia Commonwealth University, and I have been providing therapy services for 12 years. I allow my clients a safe space to discuss their issues, concerns, and needs for themselves using behavioral approaches. I am a very avid listener and I feel that listening is very important when assisting my clients and helps identify their feelings and thoughts on things so that I can identify ways that I can be of assistance in helping to work through and/or address these issues and/or concerns.
Hello! My name is Ms. Tawanda McPhatter and I'm a Licensed Professional Counselor based in Virginia. I received my Master's Degree from Virginia Commonwealth University, and I have been providing therapy services for 12 years. I allow my clients a safe space to discuss their issues, concerns, and needs for themselves using behavioral approaches. I am a very avid listener and I feel that listening is very important when assisting my clients and helps identify their feelings and thoughts on things so that I can identify ways that I can be of assistance in helping to work through and/or address these issues and/or concerns.
(804) 494-5674 View (804) 494-5674
Photo of Pamela Morris, Clinical Social Work/Therapist in Richmond, VA
Pamela Morris
Clinical Social Work/Therapist, LCSW
Verified Verified
Richmond, VA 23230
Lauren Morris, LCSW Lauren Morris is a Licensed Clinical Social Worker in Virginia who has been practicing since 2013. She received her Master's degree from NC State University. Lauren's work in the medical field provides a unique skillset to offer guidance around insurance awareness/navigation, end of life needs, grief counseling, medical trauma, and life adjustment needs. As certified yoga teacher, Lauren has the skillset to offer mindfulness-based therapy and meditation techniques. Outside of work, Lauren enjoys knitting, crocheting, gardening, and biking.
Lauren Morris, LCSW Lauren Morris is a Licensed Clinical Social Worker in Virginia who has been practicing since 2013. She received her Master's degree from NC State University. Lauren's work in the medical field provides a unique skillset to offer guidance around insurance awareness/navigation, end of life needs, grief counseling, medical trauma, and life adjustment needs. As certified yoga teacher, Lauren has the skillset to offer mindfulness-based therapy and meditation techniques. Outside of work, Lauren enjoys knitting, crocheting, gardening, and biking.
(804) 886-1594 View (804) 886-1594

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.