Therapists in 77059

Photo of Lisa B. Layne, Clinical Social Work/Therapist, LCSW-S
Lisa B. Layne
Clinical Social Work/Therapist, LCSW-S
Houston, TX 77059
30+ years of experience working with kids 7+, adolescents, adults, couples, families, and retired folks. Provides suicide survivor, and other sudden death trauma-recovery services, cognitive behavioral, and insight-oriented therapy to sex, physical, emotional abuse survivors. Ms. Layne has extensive experience working in juvenile justice, family court systems, and w/psychiatrists, psychologists, nurse practitioners and physicians' assistants re: medication management issues.
30+ years of experience working with kids 7+, adolescents, adults, couples, families, and retired folks. Provides suicide survivor, and other sudden death trauma-recovery services, cognitive behavioral, and insight-oriented therapy to sex, physical, emotional abuse survivors. Ms. Layne has extensive experience working in juvenile justice, family court systems, and w/psychiatrists, psychologists, nurse practitioners and physicians' assistants re: medication management issues.
(281) 942-4093 View (281) 942-4093
Photo of Rebecca Marsh - The Family Relationship Center, PLLC, Marriage & Family Therapist, MA, LMFT
The Family Relationship Center, PLLC
Marriage & Family Therapist, MA, LMFT
Houston, TX 77059
You don't have to face your issues alone. We specialize in helping individuals and couples achieve healthier relationships. We are here to help you talk through your personal, private issues in a safe, accepting, supportive, comfortable, and collaborative environment. Our goal is to help clients understand their emotions and to identify patterns of communication that can lead to core issues or problems within their relationships. We assist each client and/or family in developing new strategies to achieve clarification and honesty within themselves.
You don't have to face your issues alone. We specialize in helping individuals and couples achieve healthier relationships. We are here to help you talk through your personal, private issues in a safe, accepting, supportive, comfortable, and collaborative environment. Our goal is to help clients understand their emotions and to identify patterns of communication that can lead to core issues or problems within their relationships. We assist each client and/or family in developing new strategies to achieve clarification and honesty within themselves.
(281) 746-6394 View (281) 746-6394
Photo of Dr. Kristina Clevinger, Psychologist, PhD, CMPC
Dr. Kristina Clevinger
Psychologist, PhD, CMPC
Serves Area
You look like you’re holding it together, but inside, you feel overwhelmed, anxious, or never quite “good enough.” You may be a teen or young adult who puts a lot of pressure on yourself and struggles with perfectionism, stress, life transitions, relationships, body image, or food. If you’re an athlete, you might feel defined by performance, battling fear of failure, injury, or burnout. You want relief from anxiety and self-criticism and a way to feel more confident, balanced, and at peace with yourself.
You look like you’re holding it together, but inside, you feel overwhelmed, anxious, or never quite “good enough.” You may be a teen or young adult who puts a lot of pressure on yourself and struggles with perfectionism, stress, life transitions, relationships, body image, or food. If you’re an athlete, you might feel defined by performance, battling fear of failure, injury, or burnout. You want relief from anxiety and self-criticism and a way to feel more confident, balanced, and at peace with yourself.
(713) 820-6829 View (713) 820-6829
Photo of Amanda Fetter-Matthys, Licensed Professional Counselor, Ed S, NCC
Amanda Fetter-Matthys
Licensed Professional Counselor, Ed S, NCC
Serves Area
Are you feeling anxious, overwhelmed, or stuck in a major life transition? You may be struggling with relationships, your sense of self, or simply getting through the day. Many people feel uncertain and disconnected while navigating change, loss, or identity shifts. You’re not alone—and with the right support, healing is possible. I offer compassionate, culturally informed therapy for individuals, youth, families, and members of the LGBTQIA+ and special needs communities. My goal is to help you feel seen, supported, and empowered to move forward.
Are you feeling anxious, overwhelmed, or stuck in a major life transition? You may be struggling with relationships, your sense of self, or simply getting through the day. Many people feel uncertain and disconnected while navigating change, loss, or identity shifts. You’re not alone—and with the right support, healing is possible. I offer compassionate, culturally informed therapy for individuals, youth, families, and members of the LGBTQIA+ and special needs communities. My goal is to help you feel seen, supported, and empowered to move forward.
(346) 553-1490 View (346) 553-1490
Photo of Tessa Harvick, Clinical Social Work/Therapist, LCSW
Tessa Harvick
Clinical Social Work/Therapist, LCSW
1 Endorsed
Serves Area
Life stressors and transitions can leave us feeling overwhelmed, disconnected, or stuck—both within ourselves and in our relationships. During these challenging times, having a supportive space to process experiences, gain perspective, and develop new coping strategies can make a meaningful difference. I am committed to walking alongside clients on their journey toward healing and growth. My approach is compassionate, collaborative, and direct. I utilize trauma-informed, evidence-based interventions while maintaining a strengths-based perspective that recognizes each client's resilience and capacity for growth.
Life stressors and transitions can leave us feeling overwhelmed, disconnected, or stuck—both within ourselves and in our relationships. During these challenging times, having a supportive space to process experiences, gain perspective, and develop new coping strategies can make a meaningful difference. I am committed to walking alongside clients on their journey toward healing and growth. My approach is compassionate, collaborative, and direct. I utilize trauma-informed, evidence-based interventions while maintaining a strengths-based perspective that recognizes each client's resilience and capacity for growth.
(346) 229-0793 View (346) 229-0793
Photo of Barbara Buchanan, Marriage & Family Therapist, PhD, LMFT
Barbara Buchanan
Marriage & Family Therapist, PhD, LMFT
Serves Area
Are you and your partner caught in a troubling cycle and it seems you are repeating the same conflict “over and over again?” Are you feeling isolated or disconnected from your partner? Do you and your partner desire to strengthen your relationship? Life sometimes has challenges for which you may need someone to help you develop effective strategies. You may ask, “So, how do I obtain passion, closeness, and trust in my relationship?” That’s where I can help! I offer both in office and secure virtual (online) therapy for my clients. If you're ready to enact change, contact Dr. Barb today.
Are you and your partner caught in a troubling cycle and it seems you are repeating the same conflict “over and over again?” Are you feeling isolated or disconnected from your partner? Do you and your partner desire to strengthen your relationship? Life sometimes has challenges for which you may need someone to help you develop effective strategies. You may ask, “So, how do I obtain passion, closeness, and trust in my relationship?” That’s where I can help! I offer both in office and secure virtual (online) therapy for my clients. If you're ready to enact change, contact Dr. Barb today.
(817) 500-9421 View (817) 500-9421
Photo of Sofia Naupari, Licensed Professional Counselor, LPC, NCC
Sofia Naupari
Licensed Professional Counselor, LPC, NCC
Serves Area
Bienvenidos. Welcome, I am really glad you’re here. Today is the start of your counseling journey, and this space is all about you. Together, I will talk through your experiences—both past and present—and explore the thoughts and feelings that might be weighing on you. We will look at what’s been hard, but also at where growth and change can happen. My goal is to help you find tools and strategies that actually work for you and your situation. Whether you’ve been struggling with anxiety, depression, stress, grief, trauma, or other challenges, we will work side by side to figure out the best path forward.
Bienvenidos. Welcome, I am really glad you’re here. Today is the start of your counseling journey, and this space is all about you. Together, I will talk through your experiences—both past and present—and explore the thoughts and feelings that might be weighing on you. We will look at what’s been hard, but also at where growth and change can happen. My goal is to help you find tools and strategies that actually work for you and your situation. Whether you’ve been struggling with anxiety, depression, stress, grief, trauma, or other challenges, we will work side by side to figure out the best path forward.
(210) 796-4923 View (210) 796-4923
Photo of Sherry Ash, Licensed Professional Counselor, MA, MEd, LPC
Sherry Ash
Licensed Professional Counselor, MA, MEd, LPC
2 Endorsed
Serves Area
Most all of us could benefit from support at some point in our lives. Are you in the midst of making a life changing decision? Are you finding that you are repeating similar patterns of behavior that lead no where? Are your emotions difficult to manage? If you are struggling in this world personally, professionally, or socially, you do not have to walk your journey alone. I encourage you to reach out to a mental health specialist who can offer the professional support that will help you to make any changes necessary to live the life you desire to live.
Most all of us could benefit from support at some point in our lives. Are you in the midst of making a life changing decision? Are you finding that you are repeating similar patterns of behavior that lead no where? Are your emotions difficult to manage? If you are struggling in this world personally, professionally, or socially, you do not have to walk your journey alone. I encourage you to reach out to a mental health specialist who can offer the professional support that will help you to make any changes necessary to live the life you desire to live.
(713) 804-8769 View (713) 804-8769
Photo of Jill Roper, Marriage & Family Therapist, MS, LMFT-S
Jill Roper
Marriage & Family Therapist, MS, LMFT-S
3 Endorsed
Serves Area
Are you navigating a season of loss, change, or uncertainty? Whether you're experiencing grief, anxiety, or the challenges of life transitions, I am here to support you with compassion and guidance. With extensive experience in family dynamics, anxiety, and grief counseling, I offer a safe and understanding space to explore your thoughts and emotions. In addition to working with clients, I am a licensed supervisor, mentoring LMFT Associates and students on their journey toward becoming skilled therapists. Supervision allows me to share my passion for the field while nurturing the next generation of mental health professionals.
Are you navigating a season of loss, change, or uncertainty? Whether you're experiencing grief, anxiety, or the challenges of life transitions, I am here to support you with compassion and guidance. With extensive experience in family dynamics, anxiety, and grief counseling, I offer a safe and understanding space to explore your thoughts and emotions. In addition to working with clients, I am a licensed supervisor, mentoring LMFT Associates and students on their journey toward becoming skilled therapists. Supervision allows me to share my passion for the field while nurturing the next generation of mental health professionals.
(281) 402-8692 View (281) 402-8692
Photo of Noel Robert Love, Licensed Professional Counselor, LPC
Noel Robert Love
Licensed Professional Counselor, LPC
1 Endorsed
Serves Area
Rarely are any of us able to escape experiencing trauma, devastation from addiction, profound grief, shattered dreams or a deeper desire to explore options. My clients are a cross-section of people whose journey has hit a snag on some important level and realize the value of talking things out. I welcome adults, adolescents, couples, individuals and families. Integrating a number of modalities, I offer the opportunity to safely explore and identify those issues interfering with serenity and happiness. This approach gives consideration to an individual's spirituality, community, culture, ethnicity and gender.
Rarely are any of us able to escape experiencing trauma, devastation from addiction, profound grief, shattered dreams or a deeper desire to explore options. My clients are a cross-section of people whose journey has hit a snag on some important level and realize the value of talking things out. I welcome adults, adolescents, couples, individuals and families. Integrating a number of modalities, I offer the opportunity to safely explore and identify those issues interfering with serenity and happiness. This approach gives consideration to an individual's spirituality, community, culture, ethnicity and gender.
(713) 447-5989 View (713) 447-5989
Photo of Patricia Hooks, Licensed Professional Counselor, MS, LPC
Patricia Hooks
Licensed Professional Counselor, MS, LPC
1 Endorsed
Serves Area
Hi there! I'm a Christian wife and mom who has lived in this area for over 35 years I work with clients who are experiencing anxiety, depression, stress, relationship challenges and many other issues. I work with teenagers who are experiencing challenges with school, family or relationships. I also enjoy working with adults, both individuals and couples, who want more out of their relationships or who are experiencing stress. I use Gottman Method materials for work with couples. Personally I have overcome many of life's challenges and I enjoy working alongside others to help you move forward. You are not alone in your struggles.
Hi there! I'm a Christian wife and mom who has lived in this area for over 35 years I work with clients who are experiencing anxiety, depression, stress, relationship challenges and many other issues. I work with teenagers who are experiencing challenges with school, family or relationships. I also enjoy working with adults, both individuals and couples, who want more out of their relationships or who are experiencing stress. I use Gottman Method materials for work with couples. Personally I have overcome many of life's challenges and I enjoy working alongside others to help you move forward. You are not alone in your struggles.
(346) 567-8797 View (346) 567-8797
Photo of Nancy Simpson, Licensed Professional Counselor, PhD, LPC
Nancy Simpson
Licensed Professional Counselor, PhD, LPC
Serves Area
I am a licensed Professional Counselor by the State of Texas. My undergraduate work is in Family Studies and Child Development. My graduate work is in the areas of counseling psychology and Educational Psychology. I have been working in a school setting for the past 20 years and I have been in a private practice setting since 2006.
I am a licensed Professional Counselor by the State of Texas. My undergraduate work is in Family Studies and Child Development. My graduate work is in the areas of counseling psychology and Educational Psychology. I have been working in a school setting for the past 20 years and I have been in a private practice setting since 2006.
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Photo of Kristin Paige Thomson, Licensed Professional Counselor, MA, LPC-S, CART
Kristin Paige Thomson
Licensed Professional Counselor, MA, LPC-S, CART
1 Endorsed
Serves Area
I Provide individual and family therapy to ages 7-100, encompassing all presenting problems with a special interest in treating those with anxiety, depression, low self-esteem, Bi-Polar disorder, and high-risk adolescents and families in crisis. I am skilled in numerous therapy modalities and create individualized treatment plans to meet specific client needs. I provide client-centered therapy, so that the client's goals are met and their personal success is long-term. Your relationship with your therapist is a major factor in the outcome of your therapy. I will do my best to foster a trusting and supportive relationship.
I Provide individual and family therapy to ages 7-100, encompassing all presenting problems with a special interest in treating those with anxiety, depression, low self-esteem, Bi-Polar disorder, and high-risk adolescents and families in crisis. I am skilled in numerous therapy modalities and create individualized treatment plans to meet specific client needs. I provide client-centered therapy, so that the client's goals are met and their personal success is long-term. Your relationship with your therapist is a major factor in the outcome of your therapy. I will do my best to foster a trusting and supportive relationship.
(832) 481-7146 View (832) 481-7146
Photo of Adrian Yam, Licensed Professional Counselor, MEd, LPC-S
Adrian Yam
Licensed Professional Counselor, MEd, LPC-S
Serves Area
My clinical background comes from years of experience and practice working with diverse populations. Each situation/issue/fear/concern is viewed as an opportunity for unblocking a personal path towards inner growth and living a fuller life. As a therapist, I concentrate on what is of utmost important to the individual.(Completely bilingual- se habla español. Sirvase hacer una cita.)
My clinical background comes from years of experience and practice working with diverse populations. Each situation/issue/fear/concern is viewed as an opportunity for unblocking a personal path towards inner growth and living a fuller life. As a therapist, I concentrate on what is of utmost important to the individual.(Completely bilingual- se habla español. Sirvase hacer una cita.)
(713) 659-0923 View (713) 659-0923
Photo of Joseph Garza - Thriveworks Counseling & Psychiatry Pasadena, Licensed Professional Counselor
Thriveworks Counseling & Psychiatry Pasadena
Licensed Professional Counselor
Serves Area
At Thriveworks, we're dedicated to providing top-tier mental health services that are easily accessible to everyone. With over 340 locations nationwide and flexible online therapy options, our professional therapists are equipped to assist you through any stress, life transitions, or ongoing mental health concerns. We prioritize your convenience and needs by offering flexible scheduling, including evening and weekend appointments, ensuring that you can start your therapy journey as early as this week. Plus, we accept most major insurance plans, making your path to mental health support smoother and more affordable.
At Thriveworks, we're dedicated to providing top-tier mental health services that are easily accessible to everyone. With over 340 locations nationwide and flexible online therapy options, our professional therapists are equipped to assist you through any stress, life transitions, or ongoing mental health concerns. We prioritize your convenience and needs by offering flexible scheduling, including evening and weekend appointments, ensuring that you can start your therapy journey as early as this week. Plus, we accept most major insurance plans, making your path to mental health support smoother and more affordable.
(281) 369-8860 View (281) 369-8860
Photo of Thomas Kasper - Thomas Kasper Counseling, Licensed Professional Counselor, LPC
Thomas Kasper Counseling
Licensed Professional Counselor, LPC
1 Endorsed
Serves Area
***My office provides late evening appointments for convenient care*** My work focuses on the person as a whole; conversion to a healthier life is key in my practice. I work with individuals and families who come from various walks of life, covering a wide range of issues including depression, anxiety, and trauma. It is my desire that everyone I encounter grows closer to healing and finding joy.
***My office provides late evening appointments for convenient care*** My work focuses on the person as a whole; conversion to a healthier life is key in my practice. I work with individuals and families who come from various walks of life, covering a wide range of issues including depression, anxiety, and trauma. It is my desire that everyone I encounter grows closer to healing and finding joy.
(574) 228-0378 View (574) 228-0378
Photo of Dr. Kimberly McGough, Licensed Professional Counselor, PhD, LPC-S
Dr. Kimberly McGough
Licensed Professional Counselor, PhD, LPC-S
Serves Area
Together, we’ll navigate the highs and lows in a space that’s safe, supportive, and free of judgment. I believe healing and growth happen when you feel truly heard and understood. Just as pearls are shaped through pressure, our own resilience and beauty often emerge from life’s most difficult moments and I’m honored to walk beside you on that transformative journey
Together, we’ll navigate the highs and lows in a space that’s safe, supportive, and free of judgment. I believe healing and growth happen when you feel truly heard and understood. Just as pearls are shaped through pressure, our own resilience and beauty often emerge from life’s most difficult moments and I’m honored to walk beside you on that transformative journey
(346) 597-3995 View (346) 597-3995
Photo of Tiffany Carpenter, Licensed Professional Counselor, MA, LPC
Tiffany Carpenter
Licensed Professional Counselor, MA, LPC
1 Endorsed
Serves Area
Have you been stressing & thinking…I don't know if I can ever find happiness again at this point in my life so what's the point? I'm tired and this is the last resort for my relationship! Does this sound like some of the negative tapes that stay on repeat in your tired, stressed mind and/or relationship? Maybe you struggle with finding any bit of happiness out of life these days, or struggle with feeling alone? No matter what you are struggling with, what matters in this moment is that you are making progress by trying something different and seeking help. Together we can explore how to revive some happiness back into life.
Have you been stressing & thinking…I don't know if I can ever find happiness again at this point in my life so what's the point? I'm tired and this is the last resort for my relationship! Does this sound like some of the negative tapes that stay on repeat in your tired, stressed mind and/or relationship? Maybe you struggle with finding any bit of happiness out of life these days, or struggle with feeling alone? No matter what you are struggling with, what matters in this moment is that you are making progress by trying something different and seeking help. Together we can explore how to revive some happiness back into life.
(430) 243-7075 View (430) 243-7075
Photo of Alicia Chen, Licensed Professional Counselor, LPC, NCC, CBIS
Alicia Chen
Licensed Professional Counselor, LPC, NCC, CBIS
3 Endorsed
Serves Area
As a therapist, I am passionate about helping you feel supported and empowered as you navigate life's challenges. I specialize in working with people who struggle with self-worth, anxiety, people-pleasing, and the effects of childhood emotional neglect. I strive to create a warm and trusting space where you can feel empowered to show up as your authentic self and begin making meaningful changes in your life. I am also a Certified Brain Injury Specialist and have extensive experience working with adults who have experienced a brain injury and/or living with a disability.
As a therapist, I am passionate about helping you feel supported and empowered as you navigate life's challenges. I specialize in working with people who struggle with self-worth, anxiety, people-pleasing, and the effects of childhood emotional neglect. I strive to create a warm and trusting space where you can feel empowered to show up as your authentic self and begin making meaningful changes in your life. I am also a Certified Brain Injury Specialist and have extensive experience working with adults who have experienced a brain injury and/or living with a disability.
(346) 248-2826 View (346) 248-2826
Photo of Leigh Muths, Licensed Professional Counselor, MA, LPC-S
Leigh Muths
Licensed Professional Counselor, MA, LPC-S
Serves Area
Are you stuck between blowing up and shutting down? I specialize in working with anxiety, grief, trauma, and stress. This looks different for each of us- sometimes grief means loss of life, but sometimes we grieve loss of health or loss of an idea of what we thought our life would look like. I'll work with you to support your brain's healing and offer skills to help get you through the roughest times and get you back to living! My approach is to help you identify what "living your best life" would look like for you, and support you along your journey there.
Are you stuck between blowing up and shutting down? I specialize in working with anxiety, grief, trauma, and stress. This looks different for each of us- sometimes grief means loss of life, but sometimes we grieve loss of health or loss of an idea of what we thought our life would look like. I'll work with you to support your brain's healing and offer skills to help get you through the roughest times and get you back to living! My approach is to help you identify what "living your best life" would look like for you, and support you along your journey there.
(832) 734-6563 View (832) 734-6563

See more therapy options for 77059

How does your Therapist compare?

Number of Therapists in 77059

50+

Average cost per session

$140

Therapists in 77059 who prioritize treating:

96% Anxiety
96% Social Anxiety
96% Health Anxiety
96% Driving Anxiety
88% Depression
84% Relationship Issues
80% Self Esteem

Average years in practice

11 Years

Top 3 insurances accepted

94% Aetna
75% BlueCross and BlueShield
75% Cigna and Evernorth

How Therapists in 77059 see their clients

70% In Person and Online
30% Online Only

Gender breakdown

87% Female
13% Male
FAQs - About Therapy and Counseling

How can I find a therapist in 77059?

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.