Therapists in Dallas, TX

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Mary Elizabeth Berger
Clinical Social Work/Therapist, LCSW-S
Verified Verified
Dallas, TX 75209  (Online Only)
I really don't have an ideal client. However, I prefer to work with people who are motivated to address their issues. I have experience in working with depression and anxiety. Issues of crisis intervention, post-traumatic stress, veterans concerns, and sexual abuse are all part of my skill set. Most people need support and compassion. The presenting problem may be related to other issues. Family of origin circumstances are frequently an issue. I work in conjunction with the client to develop a treatment plan. We devise goals and define what they hope to accomplish.
I really don't have an ideal client. However, I prefer to work with people who are motivated to address their issues. I have experience in working with depression and anxiety. Issues of crisis intervention, post-traumatic stress, veterans concerns, and sexual abuse are all part of my skill set. Most people need support and compassion. The presenting problem may be related to other issues. Family of origin circumstances are frequently an issue. I work in conjunction with the client to develop a treatment plan. We devise goals and define what they hope to accomplish.
(214) 239-1597 View (214) 239-1597
Photo of Lori Askew, Licensed Professional Counselor in Dallas, TX
Lori Askew
Licensed Professional Counselor, MA, LPC-S
Verified Verified
Dallas, TX 75206
Many of us feel very alone when we are managing difficult times in our lives. However, you do not have to manage these challenges by yourself! I am here to join you and provide support, compassion, and guidance as you navigate relational issues, life transitions and mental health challenges. I assist my clients by helping them gain insight into their situation as well as by helping them develop skills to better manage their specific challenges.
Many of us feel very alone when we are managing difficult times in our lives. However, you do not have to manage these challenges by yourself! I am here to join you and provide support, compassion, and guidance as you navigate relational issues, life transitions and mental health challenges. I assist my clients by helping them gain insight into their situation as well as by helping them develop skills to better manage their specific challenges.
(512) 456-9048 View (512) 456-9048
Photo of Josh Kirby, Psychologist in Dallas, TX
Josh Kirby
Psychologist, PhD, MBA
Verified Verified
2 Endorsed
Dallas, TX 75206
A connected, healthy, and successful marriage is possible. If your relationship has been knocked off balance or off course, I can help. Feeling desired, loved, and secure may have been a reality for you in the past and you aren't sure how to find it again. Perhaps that type of intimacy has eluded you, despite trying over and over to achieve it. But, it doesn't have to anymore.
A connected, healthy, and successful marriage is possible. If your relationship has been knocked off balance or off course, I can help. Feeling desired, loved, and secure may have been a reality for you in the past and you aren't sure how to find it again. Perhaps that type of intimacy has eluded you, despite trying over and over to achieve it. But, it doesn't have to anymore.
(972) 860-1736 View (972) 860-1736
Photo of Claire Christian Moody, Clinical Social Work/Therapist in Dallas, TX
Claire Christian Moody
Clinical Social Work/Therapist, LCSW
Verified Verified
Dallas, TX 75206
As a dedicated and compassionate licensed clinical social worker, I specialize in providing support for individuals, families, and children facing trauma, anxiety, and depression. With a deep commitment to mental health and well-being, I offer a safe and nurturing space for clients to explore their innermost struggles and embark on a journey towards healing and resilience.
As a dedicated and compassionate licensed clinical social worker, I specialize in providing support for individuals, families, and children facing trauma, anxiety, and depression. With a deep commitment to mental health and well-being, I offer a safe and nurturing space for clients to explore their innermost struggles and embark on a journey towards healing and resilience.
(214) 530-0021 View (214) 530-0021
Photo of Erin Wysong-Warren, Counselor in Dallas, TX
Erin Wysong-Warren
Counselor, LPC-S, NCC, CSAT, CPTT, SEP
Verified Verified
7 Endorsed
Dallas, TX 75204
If you struggle with sexually compulsive behaviors, addiction, or have a partner who has caused devastation in your life, I can help. Trying to stop compulsive behaviors on your own is difficult, and you may find yourself failing and experiencing shame because you don't have the tools you need. Whether these compulsive behaviors come from being betrayed by a partner, experiencing PTSD, being enmeshed with a partner or parent, or grieving a divorce, I can teach you the necessary skills to handle life's challenges. I'm passionate about my work and want to help you.
If you struggle with sexually compulsive behaviors, addiction, or have a partner who has caused devastation in your life, I can help. Trying to stop compulsive behaviors on your own is difficult, and you may find yourself failing and experiencing shame because you don't have the tools you need. Whether these compulsive behaviors come from being betrayed by a partner, experiencing PTSD, being enmeshed with a partner or parent, or grieving a divorce, I can teach you the necessary skills to handle life's challenges. I'm passionate about my work and want to help you.
(469) 518-2342 View (469) 518-2342
Photo of Dr. James Parker, Psychologist in Dallas, TX
Dr. James Parker
Psychologist, PhD
Verified Verified
1 Endorsed
Dallas, TX 75206  (Online Only)
My approach to therapy lies largely within the framework of Coherence Therapy - a newer approach to treatment that is different from many others. Instead of viewing something as "negative" or "wrong" and trying to change it, the focus is to genuinely understand a person's symptoms on a deep emotional level. Sometimes the symptoms we experience lead to us feeling "stuck." A deep understanding of why someone feels stuck entails addressing the cause of a problem to eliminate it at its roots rather than simply maintaining management of the symptom. I strongly believe that this approach leads to genuinely meaningful and lasting change.
My approach to therapy lies largely within the framework of Coherence Therapy - a newer approach to treatment that is different from many others. Instead of viewing something as "negative" or "wrong" and trying to change it, the focus is to genuinely understand a person's symptoms on a deep emotional level. Sometimes the symptoms we experience lead to us feeling "stuck." A deep understanding of why someone feels stuck entails addressing the cause of a problem to eliminate it at its roots rather than simply maintaining management of the symptom. I strongly believe that this approach leads to genuinely meaningful and lasting change.
(469) 530-3512 View (469) 530-3512
Photo of Mazzy Health (Therapy for Teens & Young Adults), Psychologist in Dallas, TX
Mazzy Health (Therapy for Teens & Young Adults)
Psychologist, PhD, ABPP
Verified Verified
Dallas, TX 75225
Welcome to Mazzy Health. We're an evidence-based therapy practice with telehealth appointments available today.
Welcome to Mazzy Health. We're an evidence-based therapy practice with telehealth appointments available today.
(469) 754-8798 View (469) 754-8798
Photo of Alex Krueger, Licensed Professional Counselor in Dallas, TX
Alex Krueger
Licensed Professional Counselor, MS, LPC
Verified Verified
Dallas, TX 75204
I specialize in treating adults experiencing anxiety, depression, grief, trauma, and PTSD. I also have expertise in treating ADHD and disordered eating. I have a passion for working with members of the LGBTQ+ community and helping people overcome religious trauma to live a life aligned with their values.
I specialize in treating adults experiencing anxiety, depression, grief, trauma, and PTSD. I also have expertise in treating ADHD and disordered eating. I have a passion for working with members of the LGBTQ+ community and helping people overcome religious trauma to live a life aligned with their values.
(512) 768-2731 View (512) 768-2731
Photo of Dr. Nichelle Chandler, Licensed Professional Counselor in Dallas, TX
Dr. Nichelle Chandler
Licensed Professional Counselor, PhD, LPC-S, LCDC , RPT, CEAP
Verified Verified
1 Endorsed
Dallas, TX 75248
You did it! You've bravely taken the first step towards realizing the life you've envisioned, one free from stress, anxiety, depression, and low self-esteem. I admire your courage and readiness to embrace a life of fulfillment and well-being. ‍I'm here to support you every step of the way. ARE YOU: Facing challenges in your relationship? Wondering if there's more to life than just going through the motions? Struggling to balance work, family, and personal obligations? DO YOU: Feel consumed by depression, stress or anxiety?
You did it! You've bravely taken the first step towards realizing the life you've envisioned, one free from stress, anxiety, depression, and low self-esteem. I admire your courage and readiness to embrace a life of fulfillment and well-being. ‍I'm here to support you every step of the way. ARE YOU: Facing challenges in your relationship? Wondering if there's more to life than just going through the motions? Struggling to balance work, family, and personal obligations? DO YOU: Feel consumed by depression, stress or anxiety?
(469) 529-8692 View (469) 529-8692
Photo of Alisha Massey-Dalton, Licensed Professional Counselor in Dallas, TX
Alisha Massey-Dalton
Licensed Professional Counselor, LPC-S
Verified Verified
Dallas, TX 75254  (Online Only)
Hi there, I'm Alisha. Do you feel that you have not discovered your purpose in life? Do you feel that life has handed you some obstacles that are unmanageable? Do you struggle with setting boundaries and self-care? I believe therapy should be a safe place where you can be completely transparent, not feel judged, or feel uncomfortable when unpacking trauma or dealing with internal conflict. Most individuals benefit from working with a qualified and experienced therapist to assist with identifying their problem areas and finding effective solutions to resolve personal issues.
Hi there, I'm Alisha. Do you feel that you have not discovered your purpose in life? Do you feel that life has handed you some obstacles that are unmanageable? Do you struggle with setting boundaries and self-care? I believe therapy should be a safe place where you can be completely transparent, not feel judged, or feel uncomfortable when unpacking trauma or dealing with internal conflict. Most individuals benefit from working with a qualified and experienced therapist to assist with identifying their problem areas and finding effective solutions to resolve personal issues.
(225) 396-5778 View (225) 396-5778
Photo of M.I.M Counseling & Associates LLC. Alicia Muhammad, Licensed Professional Counselor in Dallas, TX
M.I.M Counseling & Associates LLC. Alicia Muhammad
Licensed Professional Counselor, MS, LPC, LCDC
Verified Verified
Dallas, TX 75228
Let the Healing begin, mind, body and spirit with M.I.M Counseling & Associates. Life is a journey and sometimes on that journey there are difficulties. Are you, a loved one or your teen, struggling with depression, anxiety, substance dependence, domestic violence, relationship issues or other life challenging concerns? You do not have to be alone. I have over 20 years of experience helping others to navigate the challenges in their lives. My approach to therapy is to meet you at your current situation and work together to develop a treatment plan that will foster healing and well being, utilizing a holistic approach.
Let the Healing begin, mind, body and spirit with M.I.M Counseling & Associates. Life is a journey and sometimes on that journey there are difficulties. Are you, a loved one or your teen, struggling with depression, anxiety, substance dependence, domestic violence, relationship issues or other life challenging concerns? You do not have to be alone. I have over 20 years of experience helping others to navigate the challenges in their lives. My approach to therapy is to meet you at your current situation and work together to develop a treatment plan that will foster healing and well being, utilizing a holistic approach.
(469) 754-9859 View (469) 754-9859
Photo of Beth Carpenter, Marriage & Family Therapist in Dallas, TX
Beth Carpenter
Marriage & Family Therapist, LMFT-S, LPC-S, CEDS
Verified Verified
3 Endorsed
Dallas, TX 75248
There are many reasons to seek therapy, and I consider it an honor to support clients during this courageous journey. I work hard to provide a nurturing, non-judgmental space where it is safe to be vulnerable, and I help my clients feel empowered to make changes towards growth and healing. Having specialized training and fifteen years experience as a Marriage and Family Therapist, I believe in the power of relationships and the transformative experience of feeling truly accepted and seen. It can feel scary to open up, and I can support you by collaborating with you throughout the process.
There are many reasons to seek therapy, and I consider it an honor to support clients during this courageous journey. I work hard to provide a nurturing, non-judgmental space where it is safe to be vulnerable, and I help my clients feel empowered to make changes towards growth and healing. Having specialized training and fifteen years experience as a Marriage and Family Therapist, I believe in the power of relationships and the transformative experience of feeling truly accepted and seen. It can feel scary to open up, and I can support you by collaborating with you throughout the process.
(469) 423-8709 View (469) 423-8709
Photo of Michelle Turner, Marriage & Family Therapist in Dallas, TX
Michelle Turner
Marriage & Family Therapist, LMFT, LCDC
Verified Verified
3 Endorsed
Dallas, TX 75251  (Online Only)
You’re hitting a breaking point in your life or relationship and need help from someone who gets it. You feel overwhelmed and worried about your relationship all the time. There’s this voice inside your head telling you that “I’m the problem” when things go wrong. Before you know it, you learn to downplay your needs or bargain your values to “fix it.” Yet the problem is still there. Instead of feeling valued and loved, you feel lost and hurt in the relationship that once cheered you up and gave you the encouragement to be you. You find yourself wondering if your partner still wants you and if you’re enough.
You’re hitting a breaking point in your life or relationship and need help from someone who gets it. You feel overwhelmed and worried about your relationship all the time. There’s this voice inside your head telling you that “I’m the problem” when things go wrong. Before you know it, you learn to downplay your needs or bargain your values to “fix it.” Yet the problem is still there. Instead of feeling valued and loved, you feel lost and hurt in the relationship that once cheered you up and gave you the encouragement to be you. You find yourself wondering if your partner still wants you and if you’re enough.
(972) 734-1822 View (972) 734-1822
Photo of Carol Cahill, Pre-Licensed Professional in Dallas, TX
Carol Cahill
Pre-Licensed Professional, BSc, SWT
Verified Verified
1 Endorsed
Dallas, TX 75229  (Online Only)
Hello, I'm Carol (she/her). I am currently earning my Master of Social Work degree and my Clinical Social Work certificate. I've had the opportunity to work with children, young adults, and adults with a range of experiences. This includes, but isn't limited to, substance use, mental health diagnoses, physical health issues, family issues, legal issues and LGBTQIA+ matters. My goal is to create a safe environment for people to explore their thoughts, feelings, goals, and experiences. I believe that honesty and humor are two of the best tools to use in therapy. I would be grateful for the opportunity to work with you!
Hello, I'm Carol (she/her). I am currently earning my Master of Social Work degree and my Clinical Social Work certificate. I've had the opportunity to work with children, young adults, and adults with a range of experiences. This includes, but isn't limited to, substance use, mental health diagnoses, physical health issues, family issues, legal issues and LGBTQIA+ matters. My goal is to create a safe environment for people to explore their thoughts, feelings, goals, and experiences. I believe that honesty and humor are two of the best tools to use in therapy. I would be grateful for the opportunity to work with you!
(469) 414-5342 View (469) 414-5342
Photo of Honea “Honey” Henderson Owens, Clinical Social Work/Therapist in Dallas, TX
Honea “Honey” Henderson Owens
Clinical Social Work/Therapist, LCSW
Verified Verified
1 Endorsed
Dallas, TX 75225
A trained therapist comes alongside our clients to provide support and the ability to work on different techniques for managing life’s struggles and obstacles. My practice is person-focused and integrates multiple therapeutic methods to help guide clients to the goals they set for themselves.
A trained therapist comes alongside our clients to provide support and the ability to work on different techniques for managing life’s struggles and obstacles. My practice is person-focused and integrates multiple therapeutic methods to help guide clients to the goals they set for themselves.
(469) 833-3981 View (469) 833-3981
Photo of Carrie Beaird, Licensed Professional Counselor in Dallas, TX
Carrie Beaird
Licensed Professional Counselor, MA, LPC-S, LCDC
Verified Verified
Dallas, TX 75252
The purpose of therapy is to grow as a person and through the growth process affect changes in one’s life and relationships. As a therapist, I see my role as short term in nature, walking with people through sometimes very difficult chapters in their lives. Individual results in therapy vary, for in the final analysis the client decides their level of commitment to change and personal growth. However, the decision to begin the process of therapy is a courageous commitment to take the first step on the journey of self-discovery and growth.
The purpose of therapy is to grow as a person and through the growth process affect changes in one’s life and relationships. As a therapist, I see my role as short term in nature, walking with people through sometimes very difficult chapters in their lives. Individual results in therapy vary, for in the final analysis the client decides their level of commitment to change and personal growth. However, the decision to begin the process of therapy is a courageous commitment to take the first step on the journey of self-discovery and growth.
(972) 559-0165 View (972) 559-0165
Photo of JM Counseling & Coaching Services - Joseph Massey, Drug & Alcohol Counselor in Dallas, TX
JM Counseling & Coaching Services - Joseph Massey
Drug & Alcohol Counselor, LCDC, CART
Verified Verified
Dallas, TX 75243
I began my education in the mental health field and spent my initial years training with great counselors and working at all levels of treatment. I have worked with adults, adolescents and young adults. After many years of working for other treatment providers I made the decision in 2009 to open my own practice. In addition to my private practice, I co-host a podcast called Life, Lived Better and work with Foundation 45 an incredible non-profit organization in the Dallas/Ft. Worth area that assists individuals with suicide prevention, addiction and mental health awareness.
I began my education in the mental health field and spent my initial years training with great counselors and working at all levels of treatment. I have worked with adults, adolescents and young adults. After many years of working for other treatment providers I made the decision in 2009 to open my own practice. In addition to my private practice, I co-host a podcast called Life, Lived Better and work with Foundation 45 an incredible non-profit organization in the Dallas/Ft. Worth area that assists individuals with suicide prevention, addiction and mental health awareness.
(972) 433-5566 View (972) 433-5566
Photo of Jenny Adams, Licensed Professional Counselor in Dallas, TX
Jenny Adams
Licensed Professional Counselor, MS, NCC, LPC, CSAT
Verified Verified
1 Endorsed
Dallas, TX 75209
Do you often wonder if you can be happy? Do you struggle with past events in your life that you can't seem to let go of? Do you struggle with an addiction or compulsion? Are you in a relationship with someone whose behaviors have caused destruction in your life? Are you struggling to change behaviors in your life that you know are destructive? You deserve all the good that life has to offer and you don't have to achieve it alone. I am passionate about my work and want to help you.
Do you often wonder if you can be happy? Do you struggle with past events in your life that you can't seem to let go of? Do you struggle with an addiction or compulsion? Are you in a relationship with someone whose behaviors have caused destruction in your life? Are you struggling to change behaviors in your life that you know are destructive? You deserve all the good that life has to offer and you don't have to achieve it alone. I am passionate about my work and want to help you.
(214) 238-8872 x103 View (214) 238-8872 x103
Photo of Isabella Cerritos, Licensed Professional Counselor Associate in Dallas, TX
Isabella Cerritos
Licensed Professional Counselor Associate, LPC-A
Verified Verified
8 Endorsed
Dallas, TX 75230
Are you ready to be more vulnerable but aren’t sure where to start? Have you found yourself struggling to share honestly with those around you? Or maybe you’ve tried sharing more of yourself with others, but you aren’t sure where you belong or if others will accept you? Our families can have a big impact on how we show up in our adult relationships. Cultural messages often impact how safe we feel to be fully ourselves. Shame and guilt can hold us back from experiencing intimacy and connection with ourselves and others. Together we will help you heal from any past wounds so you can feel more aligned in the present.
Are you ready to be more vulnerable but aren’t sure where to start? Have you found yourself struggling to share honestly with those around you? Or maybe you’ve tried sharing more of yourself with others, but you aren’t sure where you belong or if others will accept you? Our families can have a big impact on how we show up in our adult relationships. Cultural messages often impact how safe we feel to be fully ourselves. Shame and guilt can hold us back from experiencing intimacy and connection with ourselves and others. Together we will help you heal from any past wounds so you can feel more aligned in the present.
(469) 654-4399 View (469) 654-4399
Photo of Lou Walleck, Licensed Professional Counselor in Dallas, TX
Lou Walleck
Licensed Professional Counselor, MAMFT, TBRI, LPC, LMHC
Verified Verified
1 Endorsed
Dallas, TX 75205  (Online Only)
*Lou is offering Telehealth Appointments for women across Texas & Florida.* I am a wife, mom of three, executive director of a nonprofit, beach lover, avid reader, aspiring runner, and amateur paddle boarder. I treat anxiety, depression and a variety of other issues that steal your joy. I learned early on that I love working with women. I believe that no matter where you're at, hope is not lost. My faith in Jesus shapes my counseling practice. I have lived long enough to see God turn terrible tragedies into something meaningful and even beautiful. My therapeutic style is warm, compassionate, and present.
*Lou is offering Telehealth Appointments for women across Texas & Florida.* I am a wife, mom of three, executive director of a nonprofit, beach lover, avid reader, aspiring runner, and amateur paddle boarder. I treat anxiety, depression and a variety of other issues that steal your joy. I learned early on that I love working with women. I believe that no matter where you're at, hope is not lost. My faith in Jesus shapes my counseling practice. I have lived long enough to see God turn terrible tragedies into something meaningful and even beautiful. My therapeutic style is warm, compassionate, and present.
(850) 854-8623 View (850) 854-8623

How does your Therapist compare?

Number of Therapists in Dallas, TX

3,000+

Average cost per session

$140

Therapists in Dallas, TX who prioritize treating:

92% Anxiety
88% Depression
75% Self Esteem
71% Relationship Issues
70% Coping Skills
67% Trauma and PTSD
67% Stress

Average years in practice

10 Years

Top 3 insurances accepted

81% Aetna
77% UnitedHealthcare UHC | UBH
73% BlueCross and BlueShield

How Therapists in Dallas, TX see their clients

53% In Person and Online
47% Online Only

Gender breakdown

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

How can I find a therapist in Dallas?

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.