Therapists in 75237

Photo of Dr. Chaplain Darrell C. Hartley - DarrellHartley.com-EducatorCounselorCoachMentor, Drug & Alcohol Counselor, HS-BCP, LAADC-S, LCDC-S, MAC, SAP-E
DarrellHartley.com-EducatorCounselorCoachMentor
Drug & Alcohol Counselor, HS-BCP, LAADC-S, LCDC-S, MAC, SAP-E
Dallas, TX 75237
Addictions, Alcohol/Drug, Substance Abuse, and Peer Support education profoundly improve the nexus of compassion by utilizing Clinical care, Conflict Resolution, and Mediation, listening, as well as hearing, as conduits for understanding and resolving relationships with others and yourself by eliminating chaos, dysfunction, mayhem, and toxicity. These measures approach the addicted person therapeutically with empathetic and sympathetic care. With decades of experience as a Clinician and Peer Support Supervisor, I offer a variety of approaches to assist you in effectively addressing current emotional and social discomforts.
Addictions, Alcohol/Drug, Substance Abuse, and Peer Support education profoundly improve the nexus of compassion by utilizing Clinical care, Conflict Resolution, and Mediation, listening, as well as hearing, as conduits for understanding and resolving relationships with others and yourself by eliminating chaos, dysfunction, mayhem, and toxicity. These measures approach the addicted person therapeutically with empathetic and sympathetic care. With decades of experience as a Clinician and Peer Support Supervisor, I offer a variety of approaches to assist you in effectively addressing current emotional and social discomforts.
(469) 557-2127 View (469) 557-2127
Photo of Danelle Parks - Amani Shalom Wellness, Marriage & Family Therapist, LMFT
Amani Shalom Wellness
Marriage & Family Therapist, LMFT
Dallas, TX 75237
Do you struggle with creating and enforcing boundaries, communication issues, anxiety or other relationship concerns that get in the way of your everyday life? Do you feel exhausted by trying to manage it all? Do you wonder if yourself love/care could be better? Now, more than ever, so many people are struggling to find their place in life and within relationships in their lives
Do you struggle with creating and enforcing boundaries, communication issues, anxiety or other relationship concerns that get in the way of your everyday life? Do you feel exhausted by trying to manage it all? Do you wonder if yourself love/care could be better? Now, more than ever, so many people are struggling to find their place in life and within relationships in their lives
(720) 894-3608 View (720) 894-3608
Photo of Felicia L. Williams, Licensed Professional Counselor, MA, LPC
Felicia L. Williams
Licensed Professional Counselor, MA, LPC
2 Endorsed
Serves Area
Life transitions can be challenging, even when they lead to growth. As an empathic therapist, I provide a safe, supportive space to explore change, manage stress, and rediscover balance. Using Cognitive Behavioral Therapy and a client-centered approach, I help you identify unhelpful patterns, build resilience, and move forward with confidence and self-compassion. You don’t have to navigate life’s adjustments alone—healing and growth are possible. Together, we’ll walk through your journey toward healing, change, clarity, and confidence—one step at a time.
Life transitions can be challenging, even when they lead to growth. As an empathic therapist, I provide a safe, supportive space to explore change, manage stress, and rediscover balance. Using Cognitive Behavioral Therapy and a client-centered approach, I help you identify unhelpful patterns, build resilience, and move forward with confidence and self-compassion. You don’t have to navigate life’s adjustments alone—healing and growth are possible. Together, we’ll walk through your journey toward healing, change, clarity, and confidence—one step at a time.
(469) 517-2504 View (469) 517-2504
Photo of Lynda Johnson - Serenity Youth Services, Licensed Professional Counselor
Serenity Youth Services
Licensed Professional Counselor
Serves Area
Serenity Youth Service provides behavioral health skills management and also Life Skills Training; such as Basic money management, Interviewing and Resume writing skill training.
Serenity Youth Service provides behavioral health skills management and also Life Skills Training; such as Basic money management, Interviewing and Resume writing skill training.
(469) 600-6366 View (469) 600-6366
Photo of Kendra L Forbes, Licensed Professional Counselor, MA, LPC-S
Kendra L Forbes
Licensed Professional Counselor, MA, LPC-S
Serves Area
There are times life throws you curveballs and creates a new set of challenges. Those challenges contribute to mental, emotional, physical, spiritual, financial and relational stress. When those situations occur, we look for relief and comfort. Relief and comfort don't always come immediately. It requires a process to heal from the blows life throws at us.
There are times life throws you curveballs and creates a new set of challenges. Those challenges contribute to mental, emotional, physical, spiritual, financial and relational stress. When those situations occur, we look for relief and comfort. Relief and comfort don't always come immediately. It requires a process to heal from the blows life throws at us.
(817) 818-1029 View (817) 818-1029
Photo of Jacqueline Jernigan, Licensed Professional Counselor, MA, LPC
Jacqueline Jernigan
Licensed Professional Counselor, MA, LPC
3 Endorsed
Online Only
Welcome to the first steps towards finding new ways to take charge of your wellness journey. I am a Licensed Professional Counselor with experience in providing mental health services to adults, teens, and children in a variety of settings: schools, virtual, private practice, and non-profit agencies. I feel adults and children can reach their full potential when relationships are established in a respectful, safe, therapeutic environment that is judgment free..
Welcome to the first steps towards finding new ways to take charge of your wellness journey. I am a Licensed Professional Counselor with experience in providing mental health services to adults, teens, and children in a variety of settings: schools, virtual, private practice, and non-profit agencies. I feel adults and children can reach their full potential when relationships are established in a respectful, safe, therapeutic environment that is judgment free..
(214) 251-4080 View (214) 251-4080
Photo of Stephanie Denise McVea, Licensed Professional Counselor, PhD
Stephanie Denise McVea
Licensed Professional Counselor, PhD
1 Endorsed
Online Only
Counseling is the process of understanding how our personal experiences influence who we are. Because many aspects of one’s life may be explored, including childhood experiences, the process of counseling may feel uncomfortable and intrusive, at times. However, it is important to trust the process and know that every counseling session will not feel good. There are times that as a client, you may feel sad or hurt; you may be excited and feel happy; you may be confused and feel hopeless. However, if you trust the process, you will hopefully learn something new about yourself. Thus, leading to fulfillment in your life.
Counseling is the process of understanding how our personal experiences influence who we are. Because many aspects of one’s life may be explored, including childhood experiences, the process of counseling may feel uncomfortable and intrusive, at times. However, it is important to trust the process and know that every counseling session will not feel good. There are times that as a client, you may feel sad or hurt; you may be excited and feel happy; you may be confused and feel hopeless. However, if you trust the process, you will hopefully learn something new about yourself. Thus, leading to fulfillment in your life.
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Photo of Schavonda Burton-Johnson, Licensed Professional Counselor, LPC, CSC
Schavonda Burton-Johnson
Licensed Professional Counselor, LPC, CSC
Online Only
When one door closes, it can feel as though life has shut you out. I can help you unlock those doors and step into your purpose using Cognitive Behavioral Therapy (CBT) and Solution-Focused Brief Therapy (SFBT). If you are experiencing grief, anxiety, depression, or challenges at work or in personal relationships, I would love to collaborate with you on developing a personalized treatment plan. Together, we will focus on strengthening problem-solving skills, goal setting, and establishing healthy boundaries.
When one door closes, it can feel as though life has shut you out. I can help you unlock those doors and step into your purpose using Cognitive Behavioral Therapy (CBT) and Solution-Focused Brief Therapy (SFBT). If you are experiencing grief, anxiety, depression, or challenges at work or in personal relationships, I would love to collaborate with you on developing a personalized treatment plan. Together, we will focus on strengthening problem-solving skills, goal setting, and establishing healthy boundaries.
(469) 689-4818 View (469) 689-4818
Photo of Venora Johnson, Licensed Professional Counselor, MA, LPC-S
Venora Johnson
Licensed Professional Counselor, MA, LPC-S
1 Endorsed
Online Only
Hello, my name is Venora Johnson. I am a Licensed Professional Counselor Supervisor in the state of Texas, with 10 years of experience as a psychotherapist working with culturally diverse children, adolescents, and adults ranging from ages 6-70. Are you feeling stuck? Do you feel alone? Are you facing the challenges of overwhelming life circumstances, social/emotional issues, depression, anxiety, low self-esteem, grief, or loss? I will provide you with a comprehensive therapeutic evaluation and whatever you’re struggling with, I extend my professional support to assist you in elevating yourself along your journey.
Hello, my name is Venora Johnson. I am a Licensed Professional Counselor Supervisor in the state of Texas, with 10 years of experience as a psychotherapist working with culturally diverse children, adolescents, and adults ranging from ages 6-70. Are you feeling stuck? Do you feel alone? Are you facing the challenges of overwhelming life circumstances, social/emotional issues, depression, anxiety, low self-esteem, grief, or loss? I will provide you with a comprehensive therapeutic evaluation and whatever you’re struggling with, I extend my professional support to assist you in elevating yourself along your journey.
(469) 425-8251 View (469) 425-8251
Photo of Jessica Thomas, Clinical Social Work/Therapist, LCSW
Jessica Thomas
Clinical Social Work/Therapist, LCSW
Online Only
I provide therapy and counseling for adults and couples, addressing anxiety, depression, trauma, relationship challenges, and parenting stress. Using somatic therapy and CBT, I help clients process emotions, regulate the nervous system, and develop practical strategies for lasting change. My trauma-informed and culturally sensitive approach creates a safe, supportive space where you can explore your experiences, build resilience, and achieve personal growth.
I provide therapy and counseling for adults and couples, addressing anxiety, depression, trauma, relationship challenges, and parenting stress. Using somatic therapy and CBT, I help clients process emotions, regulate the nervous system, and develop practical strategies for lasting change. My trauma-informed and culturally sensitive approach creates a safe, supportive space where you can explore your experiences, build resilience, and achieve personal growth.
(214) 495-1227 View (214) 495-1227
Photo of Carolyn Anania Ulinski, Licensed Professional Counselor, MA, LPC
Carolyn Anania Ulinski
Licensed Professional Counselor, MA, LPC
1 Endorsed
Online Only
Have you been carrying more than you let people see? Maybe it’s the weight of old wounds, constant stress, or the uncertainty of major life changes. You may be navigating anxiety, trauma, or self-doubt and need a safe, supportive space to sort through it all. In therapy, you’ll feel heard and guided as you build healthier coping skills, restore confidence, and gain clarity. My goal is to help you feel stronger, more grounded, and aligned with the life you want to create—step by step, at your pace.
Have you been carrying more than you let people see? Maybe it’s the weight of old wounds, constant stress, or the uncertainty of major life changes. You may be navigating anxiety, trauma, or self-doubt and need a safe, supportive space to sort through it all. In therapy, you’ll feel heard and guided as you build healthier coping skills, restore confidence, and gain clarity. My goal is to help you feel stronger, more grounded, and aligned with the life you want to create—step by step, at your pace.
(830) 264-8070 View (830) 264-8070
Photo of Nikkia D Matthews, Clinical Social Work/Therapist, LCSW
Nikkia D Matthews
Clinical Social Work/Therapist, LCSW
1 Endorsed
Online Only
You’ve been navigating life’s ups and downs and even when the world feels heavy, you’re still finding ways to push through. That resilience is powerful. Maybe you’re feeling like it’s time for something different. You might be looking for a space where you can unpack your thoughts, emotions, and experiences in a way that feels true to you. If you’re ready to take action and explore new ways of thinking, we might be a great match. Together, we’ll dive deep to address the challenges you’re facing. Therapy expands beyond simply solving problems; it encourages growth, self-discovery, and helps us honor the journey of life.
You’ve been navigating life’s ups and downs and even when the world feels heavy, you’re still finding ways to push through. That resilience is powerful. Maybe you’re feeling like it’s time for something different. You might be looking for a space where you can unpack your thoughts, emotions, and experiences in a way that feels true to you. If you’re ready to take action and explore new ways of thinking, we might be a great match. Together, we’ll dive deep to address the challenges you’re facing. Therapy expands beyond simply solving problems; it encourages growth, self-discovery, and helps us honor the journey of life.
(313) 251-0791 View (313) 251-0791
Photo of Kiandra Daniels, Marriage & Family Therapist, LMFT-S
Kiandra Daniels
Marriage & Family Therapist, LMFT-S
3 Endorsed
Online Only
Hello & Welcome! I’m Kiandra Daniels, a Texas therapist passionate about providing culturally competent therapy for Black individuals, couples, and families. I founded Color Wheel Therapy in 2020 with the mission of improving Black mental health access and creating a safe, affirming space for healing. With experience in individual therapy, family and couples therapy, inpatient care, and intensive outpatient settings, I specialize in helping Black teens and adults (ages 16-65) navigate high-functioning anxiety, depression, identity struggles, grief, life transitions, relationships, trauma, LGBTQ+ concerns, and cultural challenges.
Hello & Welcome! I’m Kiandra Daniels, a Texas therapist passionate about providing culturally competent therapy for Black individuals, couples, and families. I founded Color Wheel Therapy in 2020 with the mission of improving Black mental health access and creating a safe, affirming space for healing. With experience in individual therapy, family and couples therapy, inpatient care, and intensive outpatient settings, I specialize in helping Black teens and adults (ages 16-65) navigate high-functioning anxiety, depression, identity struggles, grief, life transitions, relationships, trauma, LGBTQ+ concerns, and cultural challenges.
(469) 564-4035 View (469) 564-4035
Photo of Anthony Palomo, Licensed Professional Counselor, MS, LCDC, LPC-S
Anthony Palomo
Licensed Professional Counselor, MS, LCDC, LPC-S
1 Endorsed
Online Only
Having spent most of my life in San Antonio, TX, my journey into mental health began with a Bachelors degree from the University of Northern Iowa in Psychology, which inspired me to come back home to San Antonio, TX and pursue a Master's in counseling. My passion lies in helping others, driven by a deep understanding that often, what people need most is a non-judgmental and unbiased person who is willing to listen to them. I strive to be that supportive presence, offering a safe space where individuals can express themselves and feel truly heard and understood.
Having spent most of my life in San Antonio, TX, my journey into mental health began with a Bachelors degree from the University of Northern Iowa in Psychology, which inspired me to come back home to San Antonio, TX and pursue a Master's in counseling. My passion lies in helping others, driven by a deep understanding that often, what people need most is a non-judgmental and unbiased person who is willing to listen to them. I strive to be that supportive presence, offering a safe space where individuals can express themselves and feel truly heard and understood.
(210) 874-7620 View (210) 874-7620
Photo of Louise McDermott - Louise McDermott, Licensed Professional Counselor, Licensed Professional Counselor, MA, LPC
Louise McDermott, Licensed Professional Counselor
Licensed Professional Counselor, MA, LPC
4 Endorsed
Online Only
For many people approaching mid-life, the very traits that led to success – hard work, dedication, and drive to achieve – now lead to burnout, self-neglect, or forgotten authentic goals. If you're now questioning your path, or seeking meaning, or simply fatigued from the stress of juggling too many roles, you're not alone. Counseling online provides a supportive space for you to explore these situations. Together, we'll reframe what 'success' means on your terms, address and soften those feelings of overwhelm, and seek out other areas of your life where you can cultivate meaning and fulfillment.
For many people approaching mid-life, the very traits that led to success – hard work, dedication, and drive to achieve – now lead to burnout, self-neglect, or forgotten authentic goals. If you're now questioning your path, or seeking meaning, or simply fatigued from the stress of juggling too many roles, you're not alone. Counseling online provides a supportive space for you to explore these situations. Together, we'll reframe what 'success' means on your terms, address and soften those feelings of overwhelm, and seek out other areas of your life where you can cultivate meaning and fulfillment.
(512) 642-5733 View (512) 642-5733
Photo of Kaneisha D. Bailey, Licensed Professional Counselor, LPC-S
Kaneisha D. Bailey
Licensed Professional Counselor, LPC-S
2 Endorsed
Online Only
My journey into therapy began with a deep curiosity about how people heal, adapt, and grow through life’s challenges. Over time, working with individuals facing stress, trauma, and major transitions reinforced my belief in the resilience people carry, even when it feels out of reach. Life transitions, stress, and emotional overwhelm can feel isolating—but support makes a difference. As a Licensed Professional Counselor–Supervisor, I help clients deepen self-understanding, strengthen coping skills, and move forward with intention. My approach is collaborative, compassionate, and focused on meaningful, sustainable growth.
My journey into therapy began with a deep curiosity about how people heal, adapt, and grow through life’s challenges. Over time, working with individuals facing stress, trauma, and major transitions reinforced my belief in the resilience people carry, even when it feels out of reach. Life transitions, stress, and emotional overwhelm can feel isolating—but support makes a difference. As a Licensed Professional Counselor–Supervisor, I help clients deepen self-understanding, strengthen coping skills, and move forward with intention. My approach is collaborative, compassionate, and focused on meaningful, sustainable growth.
(682) 900-6687 View (682) 900-6687
Photo of Chad Russell Angell, Licensed Professional Counselor, MA, LPC
Chad Russell Angell
Licensed Professional Counselor, MA, LPC
2 Endorsed
Online Only
I specialize in working with adults who feel stuck—whether it's due to addiction, the weight of past trauma, or the daily struggle of anxiety and depression. I am passionate about this work because I fundamentally believe in our human capacity for growth and change. It’s my core belief that every person deserves the dignity of building their best self, and I consider it a privilege to be part of that process.
I specialize in working with adults who feel stuck—whether it's due to addiction, the weight of past trauma, or the daily struggle of anxiety and depression. I am passionate about this work because I fundamentally believe in our human capacity for growth and change. It’s my core belief that every person deserves the dignity of building their best self, and I consider it a privilege to be part of that process.
(737) 520-3120 View (737) 520-3120
Photo of Katherine Cooper, Licensed Clinical Professional Counselor, LCPC, LPC
Katherine Cooper
Licensed Clinical Professional Counselor, LCPC, LPC
Online Only
If you’re here, you might be hoping for something to feel different. I often work with people who are carrying trauma, living with depression, healing from religious harm, or moving through a life transition that has shifted their sense of self. You may want to reconnect with your body, rediscover a part of yourself that feels lost, or find your spark again. At the heart of it, you want to feel more like yourself and able to grow, even in hard seasons.
If you’re here, you might be hoping for something to feel different. I often work with people who are carrying trauma, living with depression, healing from religious harm, or moving through a life transition that has shifted their sense of self. You may want to reconnect with your body, rediscover a part of yourself that feels lost, or find your spark again. At the heart of it, you want to feel more like yourself and able to grow, even in hard seasons.
(208) 504-1923 View (208) 504-1923
Photo of Kiyonda Hester, Clinical Social Work/Therapist, LMSW
Kiyonda Hester
Clinical Social Work/Therapist, LMSW
1 Endorsed
Online Only
Have unfortunate events impacted your early years? Are you struggling with the loss of a parent or dealing with the stress of life transitions? Perhaps you’re having a hard time in school or with social interactions. Navigating any of these challenges by yourself is no easy task. I’m here to provide a safe space for you to open up and process whatever difficulties you may be facing. Together we will find creative, fun and insightful ways to resolve your distress.
Have unfortunate events impacted your early years? Are you struggling with the loss of a parent or dealing with the stress of life transitions? Perhaps you’re having a hard time in school or with social interactions. Navigating any of these challenges by yourself is no easy task. I’m here to provide a safe space for you to open up and process whatever difficulties you may be facing. Together we will find creative, fun and insightful ways to resolve your distress.
(929) 577-3247 View (929) 577-3247
Photo of Angie Alexander, Licensed Professional Counselor, LPC
Angie Alexander
Licensed Professional Counselor, LPC
Online Only
Over the last 15 years, I have seen hundreds of patients and helped them through various issues, including depression, anxiety, bipolar and borderline personality disorders, schizophrenia, psychosis, attention deficit disorder (with or without hyperactivity), and other mental illnesses. I use a variety of modalities, including Cognitive Behavioral, Solution Focused, and Dialectical Behavior Therapy. I have worked with individuals, groups, and families in both inpatient and outpatient settings. After witnessing a lack of options, I entered the mental health field and prioritized creating more access to these services.
Over the last 15 years, I have seen hundreds of patients and helped them through various issues, including depression, anxiety, bipolar and borderline personality disorders, schizophrenia, psychosis, attention deficit disorder (with or without hyperactivity), and other mental illnesses. I use a variety of modalities, including Cognitive Behavioral, Solution Focused, and Dialectical Behavior Therapy. I have worked with individuals, groups, and families in both inpatient and outpatient settings. After witnessing a lack of options, I entered the mental health field and prioritized creating more access to these services.
(228) 215-6516 View (228) 215-6516

See more therapy options for 75237

How does your Therapist compare?

Number of Therapists in 75237

20+

Average cost per session

$120

Therapists in 75237 who prioritize treating:

96% Anxiety
88% Depression
75% Self Esteem
71% Trauma and PTSD
71% Stress
67% Relationship Issues
67% Grief

Average years in practice

14 Years

Top 3 insurances accepted

82% Aetna
82% BlueCross and BlueShield
82% Cigna and Evernorth

How Therapists in 75237 see their clients

79% Online Only
21% In Person and Online

Gender breakdown

82% Female
18% Male
FAQs - About Therapy and Counseling

How can I find a therapist in 75237?

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.