Therapists in 75778

Photo of Imelda Crothers, Clinical Social Work/Therapist, LCSW
Imelda Crothers
Clinical Social Work/Therapist, LCSW
Online Only
My client is someone seeking help for anxiety, depression, and adjusting to changes in his/her life. (S)He may have been triggered and is now experiencing nightmares, or feeling overwhelmed. (S)He has come to realize that perhaps there have been things in the past that (s)he thought were resolved but are once more affecting him/her. My client is having difficulty sleeping, there is decreased appetite, there are times that perhaps (s)he is dealing with anger or irritability. The thoughts keep coming and (s)he cannot control them. It's hard to concentrate and the thoughts are keeping him/her up at night. Life is difficult.
My client is someone seeking help for anxiety, depression, and adjusting to changes in his/her life. (S)He may have been triggered and is now experiencing nightmares, or feeling overwhelmed. (S)He has come to realize that perhaps there have been things in the past that (s)he thought were resolved but are once more affecting him/her. My client is having difficulty sleeping, there is decreased appetite, there are times that perhaps (s)he is dealing with anger or irritability. The thoughts keep coming and (s)he cannot control them. It's hard to concentrate and the thoughts are keeping him/her up at night. Life is difficult.
(254) 267-3487 View (254) 267-3487
Photo of Tatiana Fincham, Clinical Social Work/Therapist, LCSW
Tatiana Fincham
Clinical Social Work/Therapist, LCSW
Online Only
Welcome! My name is Tatiana and as a Licensed Clinical Social Worker, I have spent over the last ten years helping my clients navigate feelings of anxiety, loneliness, grief, and depression. I'm here to help you address heavy subjects, such as trauma, mortality, abuse, and neglect. Through our therapeutic relationship, I want to help you reach your goals. Whether your goal is to overcome trauma, navigate complex relationships, or take time to explore how you want to shape your life-I am here to create a healing, nurturing partnership to achieve these goals.
Welcome! My name is Tatiana and as a Licensed Clinical Social Worker, I have spent over the last ten years helping my clients navigate feelings of anxiety, loneliness, grief, and depression. I'm here to help you address heavy subjects, such as trauma, mortality, abuse, and neglect. Through our therapeutic relationship, I want to help you reach your goals. Whether your goal is to overcome trauma, navigate complex relationships, or take time to explore how you want to shape your life-I am here to create a healing, nurturing partnership to achieve these goals.
(346) 476-5641 View (346) 476-5641

More Therapists Nearby

Photo of Stacy M Pulley, Licensed Professional Counselor, MA, LPC
Stacy M Pulley
Licensed Professional Counselor, MA, LPC
1 Endorsed
Canton, TX 75103
Trauma hurts. It can be sudden, life-altering and overwhelming, or chronic, subtle and nearly unnoticeable, but either way it can change the way we think about others, the world, and unfortunately, ourselves. Dealing with the aftermath—changes in our relationships, lashing out toward self or others, feeling nothing and/or everything all at once—is sometimes as hard as the initial event, especially when society, friends and family and our own minds tell us to “just get over it.” Worse, sometimes we aren’t even sure where the trauma came from in the first place, leaving us confused and even feeling hopeless.
Trauma hurts. It can be sudden, life-altering and overwhelming, or chronic, subtle and nearly unnoticeable, but either way it can change the way we think about others, the world, and unfortunately, ourselves. Dealing with the aftermath—changes in our relationships, lashing out toward self or others, feeling nothing and/or everything all at once—is sometimes as hard as the initial event, especially when society, friends and family and our own minds tell us to “just get over it.” Worse, sometimes we aren’t even sure where the trauma came from in the first place, leaving us confused and even feeling hopeless.
(903) 603-7450 View (903) 603-7450
Photo of Nicole Cromeans, Clinical Social Work/Therapist, LMSW
Nicole Cromeans
Clinical Social Work/Therapist, LMSW
1 Endorsed
Tyler, TX 75703
Hello there! I'm Nicole and I'm here to collaborate with you on your life journey. With a compassionate heart and an open mind, I invite you to explore the depths of your emotions and experiences in a safe and supportive space. I have been in the field of mental health and social work for 13 years and have worked in many populations such as hospice, military, hospital inpatient units, and detox/rehab facilities. As of April 2024, I am now a Certified Sex Therapy Informed Professional. When partnering with someone in therapy, I believe the focus should be on relearning to care for our wounded parts with love and empathy.
Hello there! I'm Nicole and I'm here to collaborate with you on your life journey. With a compassionate heart and an open mind, I invite you to explore the depths of your emotions and experiences in a safe and supportive space. I have been in the field of mental health and social work for 13 years and have worked in many populations such as hospice, military, hospital inpatient units, and detox/rehab facilities. As of April 2024, I am now a Certified Sex Therapy Informed Professional. When partnering with someone in therapy, I believe the focus should be on relearning to care for our wounded parts with love and empathy.
(430) 758-5365 View (430) 758-5365
Photo of Susan Cason-Parks, Clinical Social Work/Therapist, LCSW
Susan Cason-Parks
Clinical Social Work/Therapist, LCSW
Tyler, TX 75703
With over a decade of experience treating individuals,couples and families in community mental health, non-profits, military bases, psychiatric hospitals and private practice, you can be assured that your mental health issues will be empathically and skillfully treated and resolved.
With over a decade of experience treating individuals,couples and families in community mental health, non-profits, military bases, psychiatric hospitals and private practice, you can be assured that your mental health issues will be empathically and skillfully treated and resolved.
(903) 705-4651 View (903) 705-4651
Photo of Rebecca Craig, Pre-Licensed Professional, LMSW
Rebecca Craig
Pre-Licensed Professional, LMSW
1 Endorsed
Tyler, TX 75703
Navigating life’s challenges—whether in relationships, career, or personal identity—can feel isolating and overwhelming. You don’t have to face it alone. I specialize in supporting individuals through the complexities of everyday life, with a particular focus on veterans, emergency responders, and those navigating the strain of high-pressure roles or emotionally intense relationships. My approach offers a safe, supportive, and non-judgmental space where you can explore your experiences, gain clarity, and reconnect with your inner resilience and purpose.
Navigating life’s challenges—whether in relationships, career, or personal identity—can feel isolating and overwhelming. You don’t have to face it alone. I specialize in supporting individuals through the complexities of everyday life, with a particular focus on veterans, emergency responders, and those navigating the strain of high-pressure roles or emotionally intense relationships. My approach offers a safe, supportive, and non-judgmental space where you can explore your experiences, gain clarity, and reconnect with your inner resilience and purpose.
(903) 573-7782 View (903) 573-7782
Photo of Suzanne Brians, Licensed Professional Counselor, LPC, LMFT
Suzanne Brians
Licensed Professional Counselor, LPC, LMFT
Tyler, TX 75703
After 35 years of counseling, I have established my own practice. I will continue to accept ADHD evaluations. Please check my website for details, including online scheduling requests.
After 35 years of counseling, I have established my own practice. I will continue to accept ADHD evaluations. Please check my website for details, including online scheduling requests.
(430) 249-1871 View (430) 249-1871
Photo of Rebecca Schall, Licensed Professional Counselor
Rebecca Schall
Licensed Professional Counselor
Tyler, TX 75703
If you’re like me, you know what the right thing is. After all, you’re the expert on you. But that’s just the problem, isn’t it? You know the right thing, you know what’s true, and yet still you struggle with self-criticism and doubt. You know you can’t be perfect, and yet you feel shame for not being enough. And you don’t know how to reconcile what you know with what you feel. Truthfully, this is a common problem. But just because it’s common, doesn’t mean you have to go along with it.
If you’re like me, you know what the right thing is. After all, you’re the expert on you. But that’s just the problem, isn’t it? You know the right thing, you know what’s true, and yet still you struggle with self-criticism and doubt. You know you can’t be perfect, and yet you feel shame for not being enough. And you don’t know how to reconcile what you know with what you feel. Truthfully, this is a common problem. But just because it’s common, doesn’t mean you have to go along with it.
(903) 730-6408 View (903) 730-6408
Chelsea Theobald
Marriage & Family Therapist Associate, MA
1 Endorsed
Tyler, TX 75701
You don’t have to keep pretending everything’s fine. Maybe you’re feeling like roommates instead of partners. Conversations turn into arguments, silence feels safer than honesty, and you’re wondering how things got this far off track. Whether you’re navigating trust issues, communication breakdowns, emotional distance, infidelity, or the quiet disconnection that builds over time — you’re not alone. Relationships are hard, even when love is present. But with the right support, healing and reconnection are possible.
You don’t have to keep pretending everything’s fine. Maybe you’re feeling like roommates instead of partners. Conversations turn into arguments, silence feels safer than honesty, and you’re wondering how things got this far off track. Whether you’re navigating trust issues, communication breakdowns, emotional distance, infidelity, or the quiet disconnection that builds over time — you’re not alone. Relationships are hard, even when love is present. But with the right support, healing and reconnection are possible.
(903) 564-0943 View (903) 564-0943
Photo of Deborah Kirkland, Licensed Professional Counselor, MA, LPC-S, NBCC
Deborah Kirkland
Licensed Professional Counselor, MA, LPC-S, NBCC
Serves Area
Counseling for Anxiety, Depression, Trauma & Late-Diagnosed Autism in TX, FL & AR - Virtual & In-Person. Do you ever feel weighed uncertain about how to move forward? Many of my clients come to me feeling overwhelmed, misunderstood, or exhausted from trying to hold everything together. I provide a supportive, judgment-free space where you can process your experiences and learn practical strategies for healing and growth. My approach is personalized, evidence-based, and tailored to your goals. Ready to begin? Send me a message or book directly via my website
Counseling for Anxiety, Depression, Trauma & Late-Diagnosed Autism in TX, FL & AR - Virtual & In-Person. Do you ever feel weighed uncertain about how to move forward? Many of my clients come to me feeling overwhelmed, misunderstood, or exhausted from trying to hold everything together. I provide a supportive, judgment-free space where you can process your experiences and learn practical strategies for healing and growth. My approach is personalized, evidence-based, and tailored to your goals. Ready to begin? Send me a message or book directly via my website
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Photo of Jess Bentley, Licensed Professional Counselor, MEd, LPC
Jess Bentley
Licensed Professional Counselor, MEd, LPC
1 Endorsed
Tyler, TX 75701
We all need a trusting helper in our lives. I believe in forming a trusting relationship where you become a partner in achieving total wellness. Together, we will cultivate and create a plan to move forward to your best self. Every story is different, every person unique, and in my practice we honor and value you, all the pieces to your story, and can't wait to help in your journey. I utilize a variety of therapeutic interventions to meet the needs of each unique client. My years of experience and passion for helping others creates an open and inviting environment for you and your loved ones. Full LPC November 2024!
We all need a trusting helper in our lives. I believe in forming a trusting relationship where you become a partner in achieving total wellness. Together, we will cultivate and create a plan to move forward to your best self. Every story is different, every person unique, and in my practice we honor and value you, all the pieces to your story, and can't wait to help in your journey. I utilize a variety of therapeutic interventions to meet the needs of each unique client. My years of experience and passion for helping others creates an open and inviting environment for you and your loved ones. Full LPC November 2024!
(903) 321-4666 View (903) 321-4666
Photo of Cheyanne Honeycutt, Licensed Professional Counselor, LPC, LCDC, NCC, MA
Cheyanne Honeycutt
Licensed Professional Counselor, LPC, LCDC, NCC, MA
Gun Barrel City, TX 75156
Cheyanne is a Licensed Professional Counselor and a National Certified Counselor with the National Board for Certified Counselors, Inc. She received her Master’s degree in Clinical Mental Health Counseling from UT-Tyler in 2021 where she graduated with honors as a member of Chi Sigma Iota- Counseling Academic and Professional Honor Society. She is also a member of the American Counseling Association (ACA). Cheyanne is also a Licensed Chemical Dependency Counselor and has experience working with individuals ages 12 and up who struggle with addiction.
Cheyanne is a Licensed Professional Counselor and a National Certified Counselor with the National Board for Certified Counselors, Inc. She received her Master’s degree in Clinical Mental Health Counseling from UT-Tyler in 2021 where she graduated with honors as a member of Chi Sigma Iota- Counseling Academic and Professional Honor Society. She is also a member of the American Counseling Association (ACA). Cheyanne is also a Licensed Chemical Dependency Counselor and has experience working with individuals ages 12 and up who struggle with addiction.
(430) 222-4188 View (430) 222-4188
Photo of Sarah A Lowery, Licensed Professional Counselor, MA, LPC
Sarah A Lowery
Licensed Professional Counselor, MA, LPC
1 Endorsed
Serves Area
I am a Licensed Professional Counselor. I received a Master's degree in Professional Counseling from Liberty University and my undergraduate degree in Psychology from Indiana University-Purdue University at Indianapolis.
I am a Licensed Professional Counselor. I received a Master's degree in Professional Counseling from Liberty University and my undergraduate degree in Psychology from Indiana University-Purdue University at Indianapolis.
(430) 204-1257 View (430) 204-1257
Photo of Aimee Morris, Marriage & Family Therapist, LPC, LMFT
Aimee Morris
Marriage & Family Therapist, LPC, LMFT
Tyler, TX 75703
Sometimes life can become stressful and challenging. Occasionally, people make choices to try to correct their problems, when in turn, it can make their issues more difficult. Whether these issues stem from a unhealthy marriage/relationship, career/job unhappiness, family problems, or just feeling "stuck", there are answers. My job is to help clients learn more effective methods of dealing with these stressors, assist clients to see the pattern that has been created, and guide them in a different direction. I see clients from age 12-elderly. I take most insurance. Call for an appointment today at (903) 939-2287.
Sometimes life can become stressful and challenging. Occasionally, people make choices to try to correct their problems, when in turn, it can make their issues more difficult. Whether these issues stem from a unhealthy marriage/relationship, career/job unhappiness, family problems, or just feeling "stuck", there are answers. My job is to help clients learn more effective methods of dealing with these stressors, assist clients to see the pattern that has been created, and guide them in a different direction. I see clients from age 12-elderly. I take most insurance. Call for an appointment today at (903) 939-2287.
(903) 225-8508 View (903) 225-8508
Photo of Kristyn Booth, LPC-A
Kristyn Booth
Verified Verified
2 Endorsed
Tyler, TX 75701
Life can feel like a lot sometimes—and if you’re overwhelmed, anxious, or just trying to keep it all together, you’re not alone. I’m a therapist who keeps it real: warm, relatable, and direct. No pretense, no judgment—just a space where you can breathe, be yourself, and start figuring things out. Let’s talk about what’s really going on and find a way forward, together.
Life can feel like a lot sometimes—and if you’re overwhelmed, anxious, or just trying to keep it all together, you’re not alone. I’m a therapist who keeps it real: warm, relatable, and direct. No pretense, no judgment—just a space where you can breathe, be yourself, and start figuring things out. Let’s talk about what’s really going on and find a way forward, together.
(903) 501-3930 View (903) 501-3930
Photo of Kyle Kennedy, Psychologist, PhD, CMPC
Kyle Kennedy
Psychologist, PhD, CMPC
1 Endorsed
Tyler, TX 75703
I am licensed psychologist in Texas and California dedicated to helping individuals enhance their well-being. Whether you are simply looking for your child to be assessed for ADHD or you are an elite athlete seeking help, I am here to support you on your journey. With my expertise and experience in Division I athletics, I can assist you in developing goals, increasing focus and motivation, and managing stress and anxiety. My psychological testing services can provide valuable insights into your personality, learning strengths, social skills, and intellect which can be beneficial in both athletics or in your personal life.
I am licensed psychologist in Texas and California dedicated to helping individuals enhance their well-being. Whether you are simply looking for your child to be assessed for ADHD or you are an elite athlete seeking help, I am here to support you on your journey. With my expertise and experience in Division I athletics, I can assist you in developing goals, increasing focus and motivation, and managing stress and anxiety. My psychological testing services can provide valuable insights into your personality, learning strengths, social skills, and intellect which can be beneficial in both athletics or in your personal life.
(903) 257-3956 View (903) 257-3956
Photo of Rhonda Hoover - Rhonda Hoover, LPC-A @ Evolve Psychiatry, Licensed Professional Counselor Associate, MS, LPC-A, LCDC
Rhonda Hoover, LPC-A @ Evolve Psychiatry
Licensed Professional Counselor Associate, MS, LPC-A, LCDC
Serves Area
Do racing thoughts, restless nights, and constant self-doubt drain your energy and peace of mind? Are you overwhelmed by the need for certainty, struggling with poor concentration, or feeling burdened by your own hypersensitivity? Whether your challenges stem from brain chemistry, genetics, or hurtful parenting, you don’t have to face them alone. At Evolve Psychiatry, our compassionate team of medical experts and seasoned psychotherapists partners with you to explore and finally answer these questions. Together, we’ll cultivate the skills you need to feel more confident in yourself and more connected to the world around you.
Do racing thoughts, restless nights, and constant self-doubt drain your energy and peace of mind? Are you overwhelmed by the need for certainty, struggling with poor concentration, or feeling burdened by your own hypersensitivity? Whether your challenges stem from brain chemistry, genetics, or hurtful parenting, you don’t have to face them alone. At Evolve Psychiatry, our compassionate team of medical experts and seasoned psychotherapists partners with you to explore and finally answer these questions. Together, we’ll cultivate the skills you need to feel more confident in yourself and more connected to the world around you.
(903) 476-3426 View (903) 476-3426
Photo of Jennifer Piazza, Licensed Professional Counselor, MBA, MS, LPC
Jennifer Piazza
Licensed Professional Counselor, MBA, MS, LPC
Tyler, TX 75703
The decision to reach out for counseling can be one of the most important and helpful things you can do for your mental health and wellbeing. The process can be frightening and uncomfortable. Sometimes we have to take a step outside of our comfort zones and try something new. One of my professional goals is to help build a calm environment and strong therapeutic relationship conducive to meaningful change.
The decision to reach out for counseling can be one of the most important and helpful things you can do for your mental health and wellbeing. The process can be frightening and uncomfortable. Sometimes we have to take a step outside of our comfort zones and try something new. One of my professional goals is to help build a calm environment and strong therapeutic relationship conducive to meaningful change.
(903) 309-2217 View (903) 309-2217
Photo of Waltina Chavis, Drug & Alcohol Counselor, PhD(Stu, LCDC, ICADC
Waltina Chavis
Drug & Alcohol Counselor, PhD(Stu, LCDC, ICADC
Gun Barrel City, TX 75156
Private/Individualized/Family/Youth Addiction Counseling, Professional Intervention, Substance Use Evaluations (court included), Aftercare post rehab/hospital, Medication-Assisted Treatment, Co-Occurring Disorders. Domestic Violence: Court-mandated BIPP (Battering Intervention) individual & group. Anger, Depression, Suicidal, Crisis/Trauma, Behavior, Compulsive. A confidential setting of understanding, nonjudgement, and patience provides the foundation for problem-solving and lasting change. There is no "cookie-cutter" technique. Every Client is given the utmost attention and consideration. I understand, it's personal.
Private/Individualized/Family/Youth Addiction Counseling, Professional Intervention, Substance Use Evaluations (court included), Aftercare post rehab/hospital, Medication-Assisted Treatment, Co-Occurring Disorders. Domestic Violence: Court-mandated BIPP (Battering Intervention) individual & group. Anger, Depression, Suicidal, Crisis/Trauma, Behavior, Compulsive. A confidential setting of understanding, nonjudgement, and patience provides the foundation for problem-solving and lasting change. There is no "cookie-cutter" technique. Every Client is given the utmost attention and consideration. I understand, it's personal.
(214) 307-9113 View (214) 307-9113
Photo of Raymond P Martinez, Licensed Professional Counselor, MA, LPC
Raymond P Martinez
Licensed Professional Counselor, MA, LPC
Tyler, TX 75703
I believe very strongly in the truth of this statement. "No matter who you are, no matter what you've done or what's been done to you; you have value, and you have worth." My goal as your counselor is to help you learn new perspectives for dealing with your life struggles. Whether those struggles are with addiction, abuse, anger, depression, marital conflicts, parent/child relationships, or any number of other things; we can work together to develop new strategies for making change and finding health. I look forward to meeting you and walking this journey of healing together.
I believe very strongly in the truth of this statement. "No matter who you are, no matter what you've done or what's been done to you; you have value, and you have worth." My goal as your counselor is to help you learn new perspectives for dealing with your life struggles. Whether those struggles are with addiction, abuse, anger, depression, marital conflicts, parent/child relationships, or any number of other things; we can work together to develop new strategies for making change and finding health. I look forward to meeting you and walking this journey of healing together.
(903) 225-2387 View (903) 225-2387

How does your Therapist compare?

Number of Therapists in 75778

< 10

Therapists in 75778 who prioritize treating:

100% Depression
100% Anxiety
100% Grief
100% Trauma and PTSD
100% Suicidal Ideation
100% Self Esteem
100% Women's Issues

Average years in practice

14 Years

Top 3 insurances accepted

100% Aetna
100% BlueCross and BlueShield
100% Cigna and Evernorth

How Therapists in 75778 see their clients

100% Online Only

Gender breakdown

100% Female
FAQs - About Therapy and Counseling

How can I find a therapist in 75778?

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.