Therapists in Alexandria, VA
BlueJay Counseling and Support Services, LLC
Licensed Professional Counselor, MA
Verified Verified
Alexandria, VA 22314 (Online Only)
Hello, my name is Michelle Wapnick. Acknowledging that you need support and want to improve is the first step. My hope for you is that you will achieve your goals, feel empowered and become more self-actualized through this journey. My role is to support you on your unique path toward healing and wellness. I work with patients struggling with anxiety, depression, self-esteem and body-image issues, eating disorders, ADHD and executive functioning concerns, interpersonal struggles, and life-transitions. I have a special affinity for those dealing with with chronic illnesses or health-related concerns for themselves or loved ones.
Hello, my name is Michelle Wapnick. Acknowledging that you need support and want to improve is the first step. My hope for you is that you will achieve your goals, feel empowered and become more self-actualized through this journey. My role is to support you on your unique path toward healing and wellness. I work with patients struggling with anxiety, depression, self-esteem and body-image issues, eating disorders, ADHD and executive functioning concerns, interpersonal struggles, and life-transitions. I have a special affinity for those dealing with with chronic illnesses or health-related concerns for themselves or loved ones.
Natasha Benfer
Psychologist, PhD, PSYPACT
Verified Verified
2 Endorsed
Alexandria, VA 22314 (Online Only)
I primarily work with clients with anxiety (including obsessive-compulsive disorder and specific phobias), PTSD, and moral injury. My clients tend to work in high-stress occupational settings, such as healthcare (medical doctors, nurses), law enforcement, and military (current or Veteran). I work best with people who have problems stemming from a desire to be in control all the time, extremely high standards leading to disappointment and self-doubt, and struggle to 'let things go.' My clients want to learn how they can function better in their life, without sacrificing their high standards. I can serve clients living in most states.
I primarily work with clients with anxiety (including obsessive-compulsive disorder and specific phobias), PTSD, and moral injury. My clients tend to work in high-stress occupational settings, such as healthcare (medical doctors, nurses), law enforcement, and military (current or Veteran). I work best with people who have problems stemming from a desire to be in control all the time, extremely high standards leading to disappointment and self-doubt, and struggle to 'let things go.' My clients want to learn how they can function better in their life, without sacrificing their high standards. I can serve clients living in most states.
Aileen Elsaesser
Licensed Professional Counselor, LPC
Verified Verified
3 Endorsed
Alexandria, VA 22314 (Online Only)
Seeking counseling for yourself or a loved one can be daunting. I strive to create a warm, welcoming environment to support you as you work toward a happier and healthier life. I work collaboratively with adolescents and adults who are seeking a deeper understanding of themselves, their patterns, and are ready to make changes to feel better. I have experience working with various concerns including anxiety, OCD, depression, low self-confidence, issues with peers, life transitions, and parenting. I hope to shine a light on each client’s strengths and resiliency even when times are tough.
Seeking counseling for yourself or a loved one can be daunting. I strive to create a warm, welcoming environment to support you as you work toward a happier and healthier life. I work collaboratively with adolescents and adults who are seeking a deeper understanding of themselves, their patterns, and are ready to make changes to feel better. I have experience working with various concerns including anxiety, OCD, depression, low self-confidence, issues with peers, life transitions, and parenting. I hope to shine a light on each client’s strengths and resiliency even when times are tough.
Jamal Claiborne- Comprehensive Clinical Solutions
Supervisee in Clinical Social Work, MSW
Verified Verified
1 Endorsed
Alexandria, VA 22304 (Online Only)
Mr. Claiborne received a Bachelor's degree in Psychology from Virginia State University and a Master's in Social Work from Norfolk State University. As a Supervisee in Social Work, Mr. Claiborne worked with several different populations: individual, group therapy, inmates transitioning out of prison, Intensive In-home with children and adolescents who were at risk of out of home placement , family therapy, mental health skill building services and therapeutic day treatment in the community and in the school setting.
Mr. Claiborne received a Bachelor's degree in Psychology from Virginia State University and a Master's in Social Work from Norfolk State University. As a Supervisee in Social Work, Mr. Claiborne worked with several different populations: individual, group therapy, inmates transitioning out of prison, Intensive In-home with children and adolescents who were at risk of out of home placement , family therapy, mental health skill building services and therapeutic day treatment in the community and in the school setting.
Kristin Nygaard-Daugherty
Pre-Licensed Professional, MA , LPC-R
Verified Verified
1 Endorsed
Alexandria, VA 22314
Taking the leap to find a therapist can feel overwhelming. The thought of talking to a complete stranger about the deepest darkest parts of your mind may feel frightening, but seeking help is something to celebrate. If you are searching for someone to help lighten the load of the weight of the world or even just the thoughts swirling around in your mind, I am here to help.
Taking the leap to find a therapist can feel overwhelming. The thought of talking to a complete stranger about the deepest darkest parts of your mind may feel frightening, but seeking help is something to celebrate. If you are searching for someone to help lighten the load of the weight of the world or even just the thoughts swirling around in your mind, I am here to help.
Caroline Shea Veatch
Pre-Licensed Professional, BA
Verified Verified
1 Endorsed
Alexandria, VA 22314
My ideal client is someone who is willing to show up to a safe space and embark on a journey of learning and growth with me. They are open and vulnerable, understanding that therapy is a process of exploration and development. Their needs may involve understanding why they feel distracted or why they experience persistent worry. This client may be a child struggling in school or with social relationships. They are motivated to make changes and are committed to putting in the work necessary for their personal growth and well-being.
My ideal client is someone who is willing to show up to a safe space and embark on a journey of learning and growth with me. They are open and vulnerable, understanding that therapy is a process of exploration and development. Their needs may involve understanding why they feel distracted or why they experience persistent worry. This client may be a child struggling in school or with social relationships. They are motivated to make changes and are committed to putting in the work necessary for their personal growth and well-being.
Cherie Taylor
Licensed Professional Counselor, LCPC
Verified Verified
Alexandria, VA 22314 (Online Only)
Congratulations on making a commitment to invest in your growth and positive life changes! Therapy isn't always easy, but if you are willing to do the work, I can provide the tools needed to help you be your best self. I have dedicated my professional career to helping people help themselves through life's biggest challenges. I have experience working with teens and adults in obtaining and maintaining every facet of healthy living. I adhere to a strengths-based, CBT approach that is client-centered and solution-focused.
Congratulations on making a commitment to invest in your growth and positive life changes! Therapy isn't always easy, but if you are willing to do the work, I can provide the tools needed to help you be your best self. I have dedicated my professional career to helping people help themselves through life's biggest challenges. I have experience working with teens and adults in obtaining and maintaining every facet of healthy living. I adhere to a strengths-based, CBT approach that is client-centered and solution-focused.
With more than twenty years of experience, I have had the opportunity and privilege to participate in the hard work that individuals, couples and families have done to lead fuller and more satisfying lives. I work with adults and families dealing with anxiety, depression, adoption, trauma, divorce, deployment, grief and loss. I am a Certified Clinical Trauma Practitioner. In addition to therapy, I provide individual and group Clinical Supervision for Licensure.
With more than twenty years of experience, I have had the opportunity and privilege to participate in the hard work that individuals, couples and families have done to lead fuller and more satisfying lives. I work with adults and families dealing with anxiety, depression, adoption, trauma, divorce, deployment, grief and loss. I am a Certified Clinical Trauma Practitioner. In addition to therapy, I provide individual and group Clinical Supervision for Licensure.
Anwar Taylor
Pre-Licensed Professional, LMFT-R
Verified Verified
1 Endorsed
Alexandria, VA 22314 (Online Only)
When we are in conflict, disconnection, or misunderstanding with a loved one, we all experience distress. Our protective strategies come alive- we shut down, criticize, go numb, or pursue for reconnection. We find ourselves in the same old dance, talking different relational languages we can’t seem to reconcile, having the same old fight. I help individuals and couples talk about what is happening inside them, identify their needs, and understand what is at the core of any recurring patterns. I make space for all the ways life has shaped each of you, how this impacts your interactions, and where the misses are taking place.
When we are in conflict, disconnection, or misunderstanding with a loved one, we all experience distress. Our protective strategies come alive- we shut down, criticize, go numb, or pursue for reconnection. We find ourselves in the same old dance, talking different relational languages we can’t seem to reconcile, having the same old fight. I help individuals and couples talk about what is happening inside them, identify their needs, and understand what is at the core of any recurring patterns. I make space for all the ways life has shaped each of you, how this impacts your interactions, and where the misses are taking place.
Vanessa Cushing
Licensed Professional Counselor, LPC, NCC, MS
Verified Verified
1 Endorsed
Alexandria, VA 22314 (Online Only)
As a counselor I compassionately support and challenge those I work with to grow, reflect, and flourish in order to meet their treatment goals. My collective aim is to help clients eliminate distress, build more adaptive coping skills, gain insight into unhealthy patterns, and most importantly facilitate growth and healing. I am committed to creating a safe and trusting environment for all clients wherein they feel seen, affirmed, respected, and free to express themselves authentically.
As a counselor I compassionately support and challenge those I work with to grow, reflect, and flourish in order to meet their treatment goals. My collective aim is to help clients eliminate distress, build more adaptive coping skills, gain insight into unhealthy patterns, and most importantly facilitate growth and healing. I am committed to creating a safe and trusting environment for all clients wherein they feel seen, affirmed, respected, and free to express themselves authentically.
Marissa Paraggio
Clinical Social Work/Therapist, LCSW
Verified Verified
4 Endorsed
Alexandria, VA 22314
I strongly believe my clients are the experts in their own lives and can experience healing and personal growth through regaining self-efficacy in their own abilities. My goals are to provide an empathetic, genuine, and constructive space for growth and healing. I utilize evidence-based modalities of Cognitive Behavioral Therapy (CBT), Dialectical Behavioral Therapy (DBT), Acceptance and Commitment Therapy (ACT), and motivational interviewing to assist clients in addressing negative thought patterns, gain acceptance towards themselves, and increase their tool box of helpful coping skills.
I strongly believe my clients are the experts in their own lives and can experience healing and personal growth through regaining self-efficacy in their own abilities. My goals are to provide an empathetic, genuine, and constructive space for growth and healing. I utilize evidence-based modalities of Cognitive Behavioral Therapy (CBT), Dialectical Behavioral Therapy (DBT), Acceptance and Commitment Therapy (ACT), and motivational interviewing to assist clients in addressing negative thought patterns, gain acceptance towards themselves, and increase their tool box of helpful coping skills.
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Pearl Vitality Counseling
Clinical Social Work/Therapist, MSW, LCSW
Verified Verified
Alexandria, VA 22304
My main focus is relationship/ couples therapy. I have extensive experience working with individuals across the life span, couples, families and groups from various backgrounds i.e cultures and age groups with a wide range of psychosocial stressors with areas of focus, including but not limited to, testing for ADHD, marital/ relationship conflicts, divorce, mental health, eating disorders, substance abuse, domestic violence, maturational stress, military lifestyle, interpersonal/intrapersonal conflicts, suicidal ideations, grief and loss, child/adult abuse, parent child -relational issues.
My main focus is relationship/ couples therapy. I have extensive experience working with individuals across the life span, couples, families and groups from various backgrounds i.e cultures and age groups with a wide range of psychosocial stressors with areas of focus, including but not limited to, testing for ADHD, marital/ relationship conflicts, divorce, mental health, eating disorders, substance abuse, domestic violence, maturational stress, military lifestyle, interpersonal/intrapersonal conflicts, suicidal ideations, grief and loss, child/adult abuse, parent child -relational issues.
Shirria McCullough
Clinical Social Work/Therapist
Verified Verified
Alexandria, VA 22304 (Online Only)
I’m a mother of 5 and an introvert! As an introvert, I spend more than enough time in my own head, thinking of what I could have done differently, questioning my life decisions, and ways to better develop myself. At the age of 25, I got my “life together” in 2006 following the death of my brother. His death made my mortality a reality and the thought of leaving my 3 children without anything if I passed, I got myself “together.” I received my Bachelor in Social Work from Barton College 2008, Master in Social Work from East Carolina University 2012 and became a Licensed Clinical Social Worker in 2014.
I’m a mother of 5 and an introvert! As an introvert, I spend more than enough time in my own head, thinking of what I could have done differently, questioning my life decisions, and ways to better develop myself. At the age of 25, I got my “life together” in 2006 following the death of my brother. His death made my mortality a reality and the thought of leaving my 3 children without anything if I passed, I got myself “together.” I received my Bachelor in Social Work from Barton College 2008, Master in Social Work from East Carolina University 2012 and became a Licensed Clinical Social Worker in 2014.
Natalie Danielle Baker
LPC Intern, MA, RC
Verified Verified
Alexandria, VA 22314 (Online Only)
Not accepting new clients
My ideal client(s) are those struggling with both trauma and relationships. Trauma can deeply impact how we relate to others, whether it be experiences from childhood that have persisted in creating struggles over the life course, or impactful instances in adulthood a person still struggles with. I am especially interested in people who struggle with attachment issues in relationships. The ideal client is one who is receptive to change, can take ownership of their life, and has the capacity for self-reflection. They would be interested in creating a more fulfilling life for them, based on the meanings the create in their own lives.
My ideal client(s) are those struggling with both trauma and relationships. Trauma can deeply impact how we relate to others, whether it be experiences from childhood that have persisted in creating struggles over the life course, or impactful instances in adulthood a person still struggles with. I am especially interested in people who struggle with attachment issues in relationships. The ideal client is one who is receptive to change, can take ownership of their life, and has the capacity for self-reflection. They would be interested in creating a more fulfilling life for them, based on the meanings the create in their own lives.
Dr. Catchings Women's Emotional Wellness Center
Clinical Social Work/Therapist, PhD, LCSW-S, CFTP, EMDR, LCSWC
Verified Verified
1 Endorsed
Alexandria, VA 22314 (Online Only)
Emotional issues are a community matter that affects us all. I am dedicated to meeting your needs through support, education, and direct services. I believe in a new high standard of response, helping you at the earliest stage and preventing unnecessary impairment and suffering for you and your family. I specialize in relationships, depression, anxiety, and family violence. I also assist with immigration and home studies. My main goal is to ensure you live a happy life, free of pain and negativity. You are not alone. We can walk together until you feel ready to fly. Cynthia V. Catchings, LCSW-S, CMHIMP, CLYL, CFTP, CMS, EMDR-T
Emotional issues are a community matter that affects us all. I am dedicated to meeting your needs through support, education, and direct services. I believe in a new high standard of response, helping you at the earliest stage and preventing unnecessary impairment and suffering for you and your family. I specialize in relationships, depression, anxiety, and family violence. I also assist with immigration and home studies. My main goal is to ensure you live a happy life, free of pain and negativity. You are not alone. We can walk together until you feel ready to fly. Cynthia V. Catchings, LCSW-S, CMHIMP, CLYL, CFTP, CMS, EMDR-T
My ideal client navigates the multifaceted challenges of anxiety and stress, often originating from academic, personal, and professional spheres. Frequently entangled in a cycle of worry and negative self-talk, their ability to focus, make decisions, and fully savor life is obstructed. The core of their needs centers around crafting coping strategies, honing emotional regulation, and developing a toolkit to manage anxiety across various scenarios. Their objectives anchor in stabilizing mental tranquility, nurturing a positive self-image, and unlocking pathways to richly experience life’s abundances.
My ideal client navigates the multifaceted challenges of anxiety and stress, often originating from academic, personal, and professional spheres. Frequently entangled in a cycle of worry and negative self-talk, their ability to focus, make decisions, and fully savor life is obstructed. The core of their needs centers around crafting coping strategies, honing emotional regulation, and developing a toolkit to manage anxiety across various scenarios. Their objectives anchor in stabilizing mental tranquility, nurturing a positive self-image, and unlocking pathways to richly experience life’s abundances.
Leslie Noble
Licensed Professional Counselor, LPC
Verified Verified
Alexandria, VA 22311 (Online Only)
Hi there, I'm Leslie, a Licensed Professional Counselor. I work with clients who are feeling "stuck" and are struggling to make positive changes. Together, we can work towards value based decision making and create a better vision for yourself and your future. I love brainstorming creative solutions with clients and view you as the expert of your own life. I enjoy untangling and reorganizing issues into manageable pieces for us to tackle together.
Hi there, I'm Leslie, a Licensed Professional Counselor. I work with clients who are feeling "stuck" and are struggling to make positive changes. Together, we can work towards value based decision making and create a better vision for yourself and your future. I love brainstorming creative solutions with clients and view you as the expert of your own life. I enjoy untangling and reorganizing issues into manageable pieces for us to tackle together.
Rising Recovery and Psychotherapy
Clinical Social Work/Therapist, LCSW
Verified Verified
Alexandria, VA 22314
Have you always felt like an outsider? Has substance use or trauma left you feeling like a spectator in your own life? Are you burnt out, frustrated, or tired of dealing with the same old patterns in your relationships? I am passionate about helping people to better understand and trust themselves and feel empowered in their lives. Together we can address challenges from anger, anxiety and depression to family history, relationship and parenting issues. You will find my therapeutic style is warm, active and direct. I will bring authenticity, humor and connection to our work, and am skilled in enhancing motivation and accountability.
Have you always felt like an outsider? Has substance use or trauma left you feeling like a spectator in your own life? Are you burnt out, frustrated, or tired of dealing with the same old patterns in your relationships? I am passionate about helping people to better understand and trust themselves and feel empowered in their lives. Together we can address challenges from anger, anxiety and depression to family history, relationship and parenting issues. You will find my therapeutic style is warm, active and direct. I will bring authenticity, humor and connection to our work, and am skilled in enhancing motivation and accountability.
Towanta Barrettt, MS — Anxiety, depression, trauma
Pre-Licensed Professional, LPC-R, MS, LMHP-R
Verified Verified
Alexandria, VA 22314 (Online Only)
Are feelings of anxiety or low energy affecting your work and home life? Do you need to heal from a recent or past trauma? Do you have difficulty forming and sustaining healthy relationships? In therapy, you can build coping skills and get practical help. Difficult experiences in your past or mental health struggles in the present don't have to dictate your future. You can recover from trauma, build self-esteem, improve your relationships, move past anxiety, and feel more confident. Therapy can build hope and support tangible progress. Live a fuller, happier, and more balanced life. Online therapy — all residents of VA.
Are feelings of anxiety or low energy affecting your work and home life? Do you need to heal from a recent or past trauma? Do you have difficulty forming and sustaining healthy relationships? In therapy, you can build coping skills and get practical help. Difficult experiences in your past or mental health struggles in the present don't have to dictate your future. You can recover from trauma, build self-esteem, improve your relationships, move past anxiety, and feel more confident. Therapy can build hope and support tangible progress. Live a fuller, happier, and more balanced life. Online therapy — all residents of VA.
Bernard Adam Stoltz
Psychologist, PsyD
Verified Verified
1 Endorsed
Alexandria, VA 22301
Not accepting new clients
I enjoy working with people of diverse backgrounds, cultures and orientations. The clients I have served include troubled adolescents, undergraduate and graduate students, military personnel, working adults, single mothers, and people suffering from severe and persistent mental illness. My areas of specialty include anxiety, depression, relationship problems, development of self-esteem, trauma/PTSD, insomnia, fertility concerns, childhood abuse, ADHD, eating disorders, and obsessive-compulsive disorder. I also have experience coaching individuals through career changes as well as other life transitions.
I enjoy working with people of diverse backgrounds, cultures and orientations. The clients I have served include troubled adolescents, undergraduate and graduate students, military personnel, working adults, single mothers, and people suffering from severe and persistent mental illness. My areas of specialty include anxiety, depression, relationship problems, development of self-esteem, trauma/PTSD, insomnia, fertility concerns, childhood abuse, ADHD, eating disorders, and obsessive-compulsive disorder. I also have experience coaching individuals through career changes as well as other life transitions.
See more therapy options for Alexandria
How does your Therapist compare?
Number of Therapists in Alexandria, VA
1,000+
Average cost per session
$160
Therapists in Alexandria, VA who prioritize treating:
94% | Anxiety |
90% | Depression |
76% | Self Esteem |
75% | Stress |
73% | Relationship Issues |
70% | Trauma and PTSD |
70% | Coping Skills |
Average years in practice
11 Years
Top 3 insurances accepted
73% | BlueCross and BlueShield |
72% | Cigna and Evernorth |
67% | Aetna |
How Therapists in Alexandria, VA see their clients
55% | In Person and Online | |
45% | Online Only |
Gender breakdown
86% | Female | |
13% | Male | |
1% | Non-Binary |
FAQs - About Therapy and Counseling
How can I find a therapist in Alexandria?
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
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.
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.
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.