Photo of Mary Blackwood - Couples & Family Institute of MPB Group, Inc, MS, LCMFT, Marriage & Family Therapist
Couples & Family Institute of MPB Group, Inc
Marriage & Family Therapist, MS, LCMFT
Verified Verified
1 Endorsed
Columbia, MD 21045
I serve as the Program Director for the Couples & Family Institute. I envisioned & created the Couples & Family Institute in 2018, a program that focuses on providing comprehensive and systemic care for families & couples. My love & respect for the importance of happy families, positioned myself to share this passion with MPB Group for the last 10 + years. I have a team of highly motivated therapists who wish to help heal couples & families with their challenging relational dynamics. The team has expertise in depression, anxiety, ADHD, pre-marital, divorce. blended families, and trauma.
I serve as the Program Director for the Couples & Family Institute. I envisioned & created the Couples & Family Institute in 2018, a program that focuses on providing comprehensive and systemic care for families & couples. My love & respect for the importance of happy families, positioned myself to share this passion with MPB Group for the last 10 + years. I have a team of highly motivated therapists who wish to help heal couples & families with their challenging relational dynamics. The team has expertise in depression, anxiety, ADHD, pre-marital, divorce. blended families, and trauma.
(667) 230-5781 View (667) 230-5781
Photo of Georgiana Avram, MSEd, LCPC, LMHC, Licensed Professional Counselor
Georgiana Avram
Licensed Professional Counselor, MSEd, LCPC, LMHC
Verified Verified
7 Endorsed
Columbia, MD 21045
Waitlist for new clients
Do you want to achieve a level of self mastery where you deeply understand yourself and how you operate in this world? Do you want to make conscious choices in your life that bring you fulfillment and joy? Do you want to increase your self compassion and empathy and have an easier time navigating your relationships? Psychotherapy can help with all of this and more. As a therapist, I see us on a journey traveling together. I am a guide and I am here to understand your world. From that understanding, we will begin to explore possibilities, solutions, and ideas which foster growth.
Do you want to achieve a level of self mastery where you deeply understand yourself and how you operate in this world? Do you want to make conscious choices in your life that bring you fulfillment and joy? Do you want to increase your self compassion and empathy and have an easier time navigating your relationships? Psychotherapy can help with all of this and more. As a therapist, I see us on a journey traveling together. I am a guide and I am here to understand your world. From that understanding, we will begin to explore possibilities, solutions, and ideas which foster growth.
(301) 205-5922 View (301) 205-5922
Photo of Jacqueline Segue-Wilkins, LCPC, NCC
Jacqueline Segue-Wilkins
Licensed Clinical Professional Counselor, LCPC, NCC
Verified Verified
Columbia, MD 21045
Do you struggle with negative feelings about yourself? Do you frequently compare yourself to others? Are you experiencing feelings of hopelessness and helplessness? Do you find yourself in chronic cycles of addictive behavior (overeating, binging & purging, alcohol or drug abuse, overspending. etc.) ? Are these addictive behaviors followed by feelings of guilt and depression? Are you easily overwhelmed? Are you feeling tired and discouraged? Are you suffering in silence with anxiety or visions of abuse? You no longer have to suffer. Emotional pain is an invitation to change!
Do you struggle with negative feelings about yourself? Do you frequently compare yourself to others? Are you experiencing feelings of hopelessness and helplessness? Do you find yourself in chronic cycles of addictive behavior (overeating, binging & purging, alcohol or drug abuse, overspending. etc.) ? Are these addictive behaviors followed by feelings of guilt and depression? Are you easily overwhelmed? Are you feeling tired and discouraged? Are you suffering in silence with anxiety or visions of abuse? You no longer have to suffer. Emotional pain is an invitation to change!
(410) 489-1986 View (410) 489-1986
Photo of Danielle Ford, LGPC, PMH-C, Counselor
Danielle Ford
Counselor, LGPC, PMH-C
Verified Verified
2 Endorsed
Columbia, MD 21045  (Online Only)
I take an integrative approach to my work that cultivates gentleness, acceptance, and compassion towards ourselves and others. I provide a safe space for you to process emotions and experiences, self-reflect without judgment, and explore ambivalence to change. My style is sincere, authentic, and direct when needed, placing an emphasis on the importance of self-awareness and how one’s thoughts can impact feelings and behaviors. I view my role in the therapeutic process less as the “expert” in the room and more as a collaborator helping clients move towards insight, authenticity, and lasting change.
I take an integrative approach to my work that cultivates gentleness, acceptance, and compassion towards ourselves and others. I provide a safe space for you to process emotions and experiences, self-reflect without judgment, and explore ambivalence to change. My style is sincere, authentic, and direct when needed, placing an emphasis on the importance of self-awareness and how one’s thoughts can impact feelings and behaviors. I view my role in the therapeutic process less as the “expert” in the room and more as a collaborator helping clients move towards insight, authenticity, and lasting change.
View
Photo of Aysha Wells, LGPC, Counselor
Aysha Wells
Counselor, LGPC
Verified Verified
Columbia, MD 21045  (Online Only)
Hello and welcome! Emotional health and wellness is essential to living your best life. I am passionate about helping clients on their therapeutic journey, and strive to empower individuals to support their emotional health. Seeking support in your life to help navigate feelings, emotions, and responses is courageous. If you are ready to explore strategies to enhance your emotional wellbeing I am here to assist you.
Hello and welcome! Emotional health and wellness is essential to living your best life. I am passionate about helping clients on their therapeutic journey, and strive to empower individuals to support their emotional health. Seeking support in your life to help navigate feelings, emotions, and responses is courageous. If you are ready to explore strategies to enhance your emotional wellbeing I am here to assist you.
(443) 842-5760 View (443) 842-5760
The Columbia Counseling Center of Maryland
Licensed Clinical Professional Counselor, LCPC
Verified Verified
1 Endorsed
Columbia, MD 21045
Life today is difficult with all the demands placed on us by our family, work and our own need to achieve. Add to this the emotional stress of family conflict, divorce, defiant children, an illness or death in the family, and you begin to understand why more and more people are seeking the help of mental health professionals.
Life today is difficult with all the demands placed on us by our family, work and our own need to achieve. Add to this the emotional stress of family conflict, divorce, defiant children, an illness or death in the family, and you begin to understand why more and more people are seeking the help of mental health professionals.
(443) 247-0097 View (443) 247-0097
Photo of Nelly Sandeep, LCSW-C, Clinical Social Work/Therapist
Nelly Sandeep
Clinical Social Work/Therapist, LCSW-C
Verified Verified
3 Endorsed
Columbia, MD 21045  (Online Only)
Congratulations on taking the first step towards healing! People deserve the right to heal from their past experiences and it would be an honor to walk through that journey with you. I prioritize having an open and warm therapeutic space so that you feel empowered when we may end up face to face with the uncomfortable, which is often where the healing happens! My therapeutic approach is guided with compassion, empathy, and the idea that every person deserves the right to heal and has the capacity to do so internally.
Congratulations on taking the first step towards healing! People deserve the right to heal from their past experiences and it would be an honor to walk through that journey with you. I prioritize having an open and warm therapeutic space so that you feel empowered when we may end up face to face with the uncomfortable, which is often where the healing happens! My therapeutic approach is guided with compassion, empathy, and the idea that every person deserves the right to heal and has the capacity to do so internally.
(667) 220-8499 View (667) 220-8499
Photo of Stacey Jaundoo, LCPC, LPC, Licensed Professional Counselor
Stacey Jaundoo
Licensed Professional Counselor, LCPC, LPC
Verified Verified
Columbia, MD 21045  (Online Only)
Welcome to MasterLife with Stacey Coaching & Consulting LLC. As professionals, it's sometimes difficult to balance personal and professional demands. Setting boundaries and managing stressful, overwhelming feelings can make it difficult to navigate daily responsibilities and enjoy life. I understand how challenging it can be, and I’m here to help you find a path to a more balanced and fulfilling life. If you have a demanding profession or a provider in private practice, new counseling/social work graduate or newly licensed it can be a lonely and overwhelming journey. My practice offers supervision and coaching.
Welcome to MasterLife with Stacey Coaching & Consulting LLC. As professionals, it's sometimes difficult to balance personal and professional demands. Setting boundaries and managing stressful, overwhelming feelings can make it difficult to navigate daily responsibilities and enjoy life. I understand how challenging it can be, and I’m here to help you find a path to a more balanced and fulfilling life. If you have a demanding profession or a provider in private practice, new counseling/social work graduate or newly licensed it can be a lonely and overwhelming journey. My practice offers supervision and coaching.
(443) 390-5465 View (443) 390-5465
Photo of Ryan Muffi, LCPC, MA
Ryan Muffi
Licensed Clinical Professional Counselor, LCPC, MA
Verified Verified
6 Endorsed
Columbia, MD 21045  (Online Only)
Not accepting new clients
I believe that we are all wired to connect, change and heal. As a therapist, I work with adults (18+) who want to spark and kindle these innate abilities. Consider reaching out to me if you want help with anxiety, shame, low self-esteem, and/or depression. I aim to heal the root of pain, such as adversity, trauma, grief/loss, and toxic messages from society. I also enjoy working with clients who want help expanding on growth and change and effectively integrating them into existing life and relationships.
I believe that we are all wired to connect, change and heal. As a therapist, I work with adults (18+) who want to spark and kindle these innate abilities. Consider reaching out to me if you want help with anxiety, shame, low self-esteem, and/or depression. I aim to heal the root of pain, such as adversity, trauma, grief/loss, and toxic messages from society. I also enjoy working with clients who want help expanding on growth and change and effectively integrating them into existing life and relationships.
(410) 364-4476 View (410) 364-4476
Photo of Erica Ardinger, LCSW-C, Clinical Social Work/Therapist
Erica Ardinger
Clinical Social Work/Therapist, LCSW-C
Verified Verified
Columbia, MD 21045
Waitlist for new clients
Taking care of your whole self means focusing on the parts that are blooming and the parts that are healing. It can be important to have a calming and non-judgmental space to process your growth. My focus is to align with your needs to create the opportunity to reach your goals for mental health. I believe every person is capable of achieving self-love and happiness. I utilize person-centered and strengths-based approach to empower personal growth. I offer both in person or telehealth.
Taking care of your whole self means focusing on the parts that are blooming and the parts that are healing. It can be important to have a calming and non-judgmental space to process your growth. My focus is to align with your needs to create the opportunity to reach your goals for mental health. I believe every person is capable of achieving self-love and happiness. I utilize person-centered and strengths-based approach to empower personal growth. I offer both in person or telehealth.
(443) 232-1760 View (443) 232-1760
Photo of Christina deGraft-Johnson, LCPC, Counselor
Christina deGraft-Johnson
Counselor, LCPC
Verified Verified
2 Endorsed
Columbia, MD 21045
I believe one of the bravest things you can do is begin to understand your own story. I want to help you achieve whatever solutions and life changes you are looking for while enjoying the therapeutic process as much as possible and experiencing yourself in new ways. Reaching out to a therapist can often be hard. You may fear being judged or being vulnerable with a stranger. But I am confident that given the chance, you will see the benefits in talking with me as I really want to help you succeed. My hope is that you take this leap of faith and see how I can best support you. We can only do the best that we can.
I believe one of the bravest things you can do is begin to understand your own story. I want to help you achieve whatever solutions and life changes you are looking for while enjoying the therapeutic process as much as possible and experiencing yourself in new ways. Reaching out to a therapist can often be hard. You may fear being judged or being vulnerable with a stranger. But I am confident that given the chance, you will see the benefits in talking with me as I really want to help you succeed. My hope is that you take this leap of faith and see how I can best support you. We can only do the best that we can.
(301) 691-4066 View (301) 691-4066
Photo of Tiffany Cruz, LCSW-C, CCATP, CMIP, Clinical Social Work/Therapist
Tiffany Cruz
Clinical Social Work/Therapist, LCSW-C, CCATP, CMIP
Verified Verified
Columbia, MD 21045  (Online Only)
Let's keep it real. Self work is difficult. Yet, you realized that you want to do things differently in your life. Keep going!! You want to once again experience happiness, a sense of control, a sense of peace, but are unsure how to get those things back. At times the picture seems blurry. It is difficult to see hope or even positives in lieu of emotional distress. Let me help you to clearly define the change you want to make to live a life of fulfillment. Through self-exploration we create hope, define our preferred future, and lessen fear. Add in a strong therapeutic relationship, and together, we create real change!
Let's keep it real. Self work is difficult. Yet, you realized that you want to do things differently in your life. Keep going!! You want to once again experience happiness, a sense of control, a sense of peace, but are unsure how to get those things back. At times the picture seems blurry. It is difficult to see hope or even positives in lieu of emotional distress. Let me help you to clearly define the change you want to make to live a life of fulfillment. Through self-exploration we create hope, define our preferred future, and lessen fear. Add in a strong therapeutic relationship, and together, we create real change!
(240) 201-2477 View (240) 201-2477
Photo of Vanessa Senatus, LCPC
Vanessa Senatus
Licensed Clinical Professional Counselor, LCPC
Verified Verified
2 Endorsed
Columbia, MD 21045  (Online Only)
There are times when life feels hard, and it is natural to experience ups and downs. I am here to support you through those highs and lows. Together, we will celebrate your victories, both big and small, and navigate any setbacks. We will work towards fostering a greater sense of self-awareness, self-compassion, and emotional regulation, leading you to a life of increased fulfillment.
There are times when life feels hard, and it is natural to experience ups and downs. I am here to support you through those highs and lows. Together, we will celebrate your victories, both big and small, and navigate any setbacks. We will work towards fostering a greater sense of self-awareness, self-compassion, and emotional regulation, leading you to a life of increased fulfillment.
(410) 632-6502 View (410) 632-6502
Photo of Dr. Carmen Rickman, DSW, LCSW-C, Clinical Social Work/Therapist
Dr. Carmen Rickman
Clinical Social Work/Therapist, DSW, LCSW-C
Verified Verified
Columbia, MD 21045  (Online Only)
Not accepting new clients
Warm welcomes! How have you been feeling lately? Confused? Anxious? Angry? Overwhelmed? Stuck? I specialize in helping individuals navigate difficulties with accessing their emotions, understanding how their childhood experiences impact them as adults, exploring their sense of self, strengthening the mind-body connection, managing change and transitions, and healing from trauma.
Warm welcomes! How have you been feeling lately? Confused? Anxious? Angry? Overwhelmed? Stuck? I specialize in helping individuals navigate difficulties with accessing their emotions, understanding how their childhood experiences impact them as adults, exploring their sense of self, strengthening the mind-body connection, managing change and transitions, and healing from trauma.
(410) 632-6896 View (410) 632-6896
Photo of Revolon M Schmidt, MEd, LCPC, NCC, Counselor
Revolon M Schmidt
Counselor, MEd, LCPC, NCC
Verified Verified
2 Endorsed
Columbia, MD 21045  (Online Only)
Talking about your concerns, and feelings, can help reduce stress. You will appreciate having someone to listen to you and realize that you are not alone. Whether you are struggling with a difficult situation, adjusting to a major change in your life, grieving the loss of someone you loved, or just needing to make some personal changes. As a mental health counselor, I have assisted others as they work through and move on from their problems. It takes time but aren't you worth it? We can schedule your appointments based on your availability.
Talking about your concerns, and feelings, can help reduce stress. You will appreciate having someone to listen to you and realize that you are not alone. Whether you are struggling with a difficult situation, adjusting to a major change in your life, grieving the loss of someone you loved, or just needing to make some personal changes. As a mental health counselor, I have assisted others as they work through and move on from their problems. It takes time but aren't you worth it? We can schedule your appointments based on your availability.
(410) 983-6815 View (410) 983-6815
Photo of Nell Winer, LGPC, Counselor
Nell Winer
Counselor, LGPC
Verified Verified
1 Endorsed
Columbia, MD 21045  (Online Only)
You want things to be different but you don’t know where to start. You’re looking for a space to process the parts of your life that are feeling frustrating. You’re feeling stuck in roles and patterns that are not bringing fulfillment. You have experienced hardships in your past and want to begin or continue the courageous journey of working through these challenges and experiencing the freedom that exists on the other side. I get it and therapy can help. Through therapy, I aim to empower you, fostering confidence and resilience through recognizing your inherent strengths and potential.
You want things to be different but you don’t know where to start. You’re looking for a space to process the parts of your life that are feeling frustrating. You’re feeling stuck in roles and patterns that are not bringing fulfillment. You have experienced hardships in your past and want to begin or continue the courageous journey of working through these challenges and experiencing the freedom that exists on the other side. I get it and therapy can help. Through therapy, I aim to empower you, fostering confidence and resilience through recognizing your inherent strengths and potential.
(443) 727-1160 View (443) 727-1160
Photo of Christine Highfill, LCPC, NCC
Christine Highfill
Licensed Clinical Professional Counselor, LCPC, NCC
Verified Verified
Columbia, MD 21045
Does life feel overwhelming? Your stress is unmanageable. Your relationships need repair. It feels difficult to move forward, and you are struggling. The constant feeling of being overwhelmed leads to physical, emotional, and mental exhaustion. You want to make peace with a painful past. The weight of unmanaged stress impacts every aspect of your life, influencing your work, health, and relationships. You know something needs to change. Starting therapy is a brave and proactive step toward well-being. I am here to be present to you, to validate your thoughts and feelings with compassion. I will support your healing.
Does life feel overwhelming? Your stress is unmanageable. Your relationships need repair. It feels difficult to move forward, and you are struggling. The constant feeling of being overwhelmed leads to physical, emotional, and mental exhaustion. You want to make peace with a painful past. The weight of unmanaged stress impacts every aspect of your life, influencing your work, health, and relationships. You know something needs to change. Starting therapy is a brave and proactive step toward well-being. I am here to be present to you, to validate your thoughts and feelings with compassion. I will support your healing.
(240) 201-2063 View (240) 201-2063
Photo of Kelly Drake, PhD, Psychologist
Kelly Drake
Psychologist, PhD
Verified Verified
2 Endorsed
Columbia, MD 21045  (Online Only)
Waitlist for new clients
I am a licensed psychologist, co-founder and director of the Anxiety Treatment Center of Maryland, and part-time Assistant Professor of Child and Adolescent Psychiatry at The Johns Hopkins University (JHU) School of Medicine. I specialize in treating and preventing all forms of anxiety, depression, and related problems in children, adolescents, and adults using cognitive-behavioral therapy (CBT).
I am a licensed psychologist, co-founder and director of the Anxiety Treatment Center of Maryland, and part-time Assistant Professor of Child and Adolescent Psychiatry at The Johns Hopkins University (JHU) School of Medicine. I specialize in treating and preventing all forms of anxiety, depression, and related problems in children, adolescents, and adults using cognitive-behavioral therapy (CBT).
(410) 660-2602 View (410) 660-2602
Photo of Andrew Stanton, LCSW-C, SAP, Clinical Social Work/Therapist
Andrew Stanton
Clinical Social Work/Therapist, LCSW-C, SAP
Verified Verified
4 Endorsed
Columbia, MD 21045
Voted best in Howard County! Andrew's experience includes 25 years of specialization with children, adolescents, and families. Through working in a variety of settings he has developed exceptional skills working with trauma, emotional, and behavioral issues. He has had tremendous success working with some of the most at risk clients. He works with individuals, families and couples to help produce positive changes. He practices EMDR to help clients overcome traumas.
Voted best in Howard County! Andrew's experience includes 25 years of specialization with children, adolescents, and families. Through working in a variety of settings he has developed exceptional skills working with trauma, emotional, and behavioral issues. He has had tremendous success working with some of the most at risk clients. He works with individuals, families and couples to help produce positive changes. He practices EMDR to help clients overcome traumas.
(443) 380-4527 View (443) 380-4527
Photo of Karen Mcclelland, LCSW, Clinical Social Work/Therapist
Karen Mcclelland
Clinical Social Work/Therapist, LCSW
Verified Verified
1 Endorsed
Columbia, MD 21045
I started 911 Help For Parents & Relationships after many years of working with children, adolescents, and families. I discovered that not only were the children struggling, but so were their parents. I sought out more training to develop a specialty in Parenting Coaching, and later Relationship Coaching. In addition, I now have a special expertise and interest in Infidelity Recovery as many of the individuals, families, and couples I've worked with have been affected by this complex and little-understood issue.
I started 911 Help For Parents & Relationships after many years of working with children, adolescents, and families. I discovered that not only were the children struggling, but so were their parents. I sought out more training to develop a specialty in Parenting Coaching, and later Relationship Coaching. In addition, I now have a special expertise and interest in Infidelity Recovery as many of the individuals, families, and couples I've worked with have been affected by this complex and little-understood issue.
(240) 693-3758 View (240) 693-3758
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How does your Therapist compare?

Number of Therapists in 21045

300+

Average cost per session

$150

Therapists in 21045 who prioritize treating:

94% Anxiety
89% Depression
74% Self Esteem
73% Relationship Issues
68% Stress
67% Coping Skills
63% Life Transitions

Average years in practice

9 Years

Top 3 insurances accepted

82% BlueCross and BlueShield
77% CareFirst
73% Cigna and Evernorth

How Therapists in 21045 see their clients

68% In Person and Online
32% Online Only

Gender breakdown

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

How can I find a therapist in 21045?

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.