Therapists in 77478

Photo of Rebecca Jacklin, Clinical Social Work/Therapist, MSW, LCSW
Rebecca Jacklin
Clinical Social Work/Therapist, MSW, LCSW
1 Endorsed
Sugar Land, TX 77478
You are here for a reason. Maybe you need help with your loved ones. Maybe you don't know where to start but you know something needs to change. I believe in your infinite worth. I believe you're capable of finding joy, even though you may not see it now. Are you ready for change? I'm ready to help you to find the progress and growth you seek. Let's tailor a plan for you. It's not just talk, therapy is learning the skills to live your best life. You're here for a reason, and so am I. Let's find your path, together.
You are here for a reason. Maybe you need help with your loved ones. Maybe you don't know where to start but you know something needs to change. I believe in your infinite worth. I believe you're capable of finding joy, even though you may not see it now. Are you ready for change? I'm ready to help you to find the progress and growth you seek. Let's tailor a plan for you. It's not just talk, therapy is learning the skills to live your best life. You're here for a reason, and so am I. Let's find your path, together.
(281) 247-6283 View (281) 247-6283
Photo of Ruth M Opiyo, Licensed Professional Counselor, MA, LPC, EMDR, CCTP, CIMHP
Ruth M Opiyo
Licensed Professional Counselor, MA, LPC, EMDR, CCTP, CIMHP
1 Endorsed
Sugar Land, TX 77478
Stop surviving and start thriving! For 20+ years I have been providing care to individuals and families struggling with depression, anxiety, addictions, work related issues, conflict, grief and stress. I'm also certified as a trauma professional. I'll help you become competent in navigating life's challenges. I recognize that every individual is unique, complex and the bona fide expert on their life, so I integrate proven treatment methods and interventions. Gain insight so that you can address those thoughts and actions that keep you stuck and in distress. Telehealth services are available.
Stop surviving and start thriving! For 20+ years I have been providing care to individuals and families struggling with depression, anxiety, addictions, work related issues, conflict, grief and stress. I'm also certified as a trauma professional. I'll help you become competent in navigating life's challenges. I recognize that every individual is unique, complex and the bona fide expert on their life, so I integrate proven treatment methods and interventions. Gain insight so that you can address those thoughts and actions that keep you stuck and in distress. Telehealth services are available.
(281) 729-4884 View (281) 729-4884
Photo of Terry J Hoisington, Licensed Professional Counselor, MA, LPC
Terry J Hoisington
Licensed Professional Counselor, MA, LPC
Sugar Land, TX 77478
While it is common to feel "unraveled" when daily stressors or various traumas occur, everyone has the ability to find meaningful solutions. I believe that everyone is unique, so the solution will be different for each person. My desire is to assist clients (ages 10-90), including adolescents, adults and couples, find a balance between a healthy need for relationship and possible psychological, social or spiritual factors within a framework of personal responsibility. After teaching English and Art for 23 years, I experienced the power of expressive arts to unlock inner voices that help students/clients achieve hope and confidence.
While it is common to feel "unraveled" when daily stressors or various traumas occur, everyone has the ability to find meaningful solutions. I believe that everyone is unique, so the solution will be different for each person. My desire is to assist clients (ages 10-90), including adolescents, adults and couples, find a balance between a healthy need for relationship and possible psychological, social or spiritual factors within a framework of personal responsibility. After teaching English and Art for 23 years, I experienced the power of expressive arts to unlock inner voices that help students/clients achieve hope and confidence.
(346) 209-1036 View (346) 209-1036
Photo of Stephanie S Tyler, Licensed Professional Counselor, MA, LPC
Stephanie S Tyler
Licensed Professional Counselor, MA, LPC
2 Endorsed
Online Only
When human beings experience trauma or severe life stressors, it is not uncommon for their lives to feel like it unraveling or falling apart. My great passion is bringing healing to people who have been through real life experiences, that directly or indirectly caused one trauma or a significant amount of stress. I possess an ability to connect with an individual, regardless of what differences we may have, we have life in common. I help my clients, which includes children, adolescents, and adults, to find healthy perceptions of themselves, and strengthen their relationships so they can know themselves as peaceful, complete, & whole
When human beings experience trauma or severe life stressors, it is not uncommon for their lives to feel like it unraveling or falling apart. My great passion is bringing healing to people who have been through real life experiences, that directly or indirectly caused one trauma or a significant amount of stress. I possess an ability to connect with an individual, regardless of what differences we may have, we have life in common. I help my clients, which includes children, adolescents, and adults, to find healthy perceptions of themselves, and strengthen their relationships so they can know themselves as peaceful, complete, & whole
(346) 815-2656 View (346) 815-2656
Photo of Pamela J. Frazier, Licensed Professional Counselor, LPC, NCC
Pamela J. Frazier
Licensed Professional Counselor, LPC, NCC
2 Endorsed
Sugar Land, TX 77478
I am passionate about helping teens (age 13+), adults, and couples learn to identify their strengths and to better understand themselves to reach their full potential and live their best lives. I implement various therapeutic strategies to best fit each client with a personalized approach. I offer counseling services to a wide range of clients by guiding, empowering, and assisting them through abusive and traumatic experiences, with a specialization in marriage, executive leaders, first responders, and the military. I create a safe space for those experiencing depression, anxiety, self-esteem challenges, marital and women's issues.
I am passionate about helping teens (age 13+), adults, and couples learn to identify their strengths and to better understand themselves to reach their full potential and live their best lives. I implement various therapeutic strategies to best fit each client with a personalized approach. I offer counseling services to a wide range of clients by guiding, empowering, and assisting them through abusive and traumatic experiences, with a specialization in marriage, executive leaders, first responders, and the military. I create a safe space for those experiencing depression, anxiety, self-esteem challenges, marital and women's issues.
(713) 489-4002 View (713) 489-4002
Photo of Heather Lambert - Clearhope Counseling & Wellness Center Sugarland, Licensed Professional Counselor, LPC, LCDC, LCSW
Clearhope Counseling & Wellness Center Sugarland
Licensed Professional Counselor, LPC, LCDC, LCSW
1 Endorsed
Sugar Land, TX 77478
Clearhope Sugarland supports children, teens, adults, couples, and families struggling with depression, anxiety, mental illness, relational distress, school performance, or general life functioning. We believe no one should hurt alone and will offer unconditional positive regard and support as you chart your path to hope and healing.
Clearhope Sugarland supports children, teens, adults, couples, and families struggling with depression, anxiety, mental illness, relational distress, school performance, or general life functioning. We believe no one should hurt alone and will offer unconditional positive regard and support as you chart your path to hope and healing.
(346) 567-6687 View (346) 567-6687
Photo of Bridget Thomas, Licensed Professional Counselor, MA, LPC-S, LCDC, SAP
Bridget Thomas
Licensed Professional Counselor, MA, LPC-S, LCDC, SAP
Sugar Land, TX 77478
I have over 20+ years of experience working with adults, adolescents, couples, and their families who are dealing with a variety of behavioral health, alcohol and/or drug use and life issues. I am DOT-qualified Substance Abuse Professional (SAP). My experience has shown me that by changing unhealthy patterns, expressing fears and concerns and taking gentle risks, it is possible to live a satisfying life regardless of what or how long your struggle. I use a combination of techniques depending on issues presented and we will work together on both short- and long-term goals.
I have over 20+ years of experience working with adults, adolescents, couples, and their families who are dealing with a variety of behavioral health, alcohol and/or drug use and life issues. I am DOT-qualified Substance Abuse Professional (SAP). My experience has shown me that by changing unhealthy patterns, expressing fears and concerns and taking gentle risks, it is possible to live a satisfying life regardless of what or how long your struggle. I use a combination of techniques depending on issues presented and we will work together on both short- and long-term goals.
(281) 336-0508 View (281) 336-0508
Photo of Kamica L. Hampton, LPC-Associate, M ED, LPC-A
Kamica L. Hampton
LPC-Associate, M ED, LPC-A
Online Only
Hey there! If you're feeling overwhelmed by anxiety, stress, or struggling with life changes, you're in the right place. I'm here to help you gain tools to cope better, understand your feelings, and improve your relationships. Together, we'll work towards your goal of finding balance, boosting self-esteem, and living a fulfilling life. Let's embark on this journey of growth and well-being together.
Hey there! If you're feeling overwhelmed by anxiety, stress, or struggling with life changes, you're in the right place. I'm here to help you gain tools to cope better, understand your feelings, and improve your relationships. Together, we'll work towards your goal of finding balance, boosting self-esteem, and living a fulfilling life. Let's embark on this journey of growth and well-being together.
(346) 545-4612 View (346) 545-4612
LifeStance Health
Licensed Professional Counselor, LPC
Sugar Land, TX 77478
Making your first appointment can be one of the most challenging steps in your mental health journey. At LifeStance, we make it simple by offering both online and in-person therapy and psychiatry services, covered by major insurance plans.
Making your first appointment can be one of the most challenging steps in your mental health journey. At LifeStance, we make it simple by offering both online and in-person therapy and psychiatry services, covered by major insurance plans.
(346) 550-8916 View (346) 550-8916
Photo of Teresa Brown - Attachment & Trauma Center of Houston, Licensed Professional Counselor, LPC, LCSW
Attachment & Trauma Center of Houston
Licensed Professional Counselor, LPC, LCSW
Sugar Land, TX 77478
Life can be very hard and when we feel hopeless and lost. These problems impact relationships in every area of an individual's life.Our therapists have highly specialized training that focuses on healing and repairing on each client's unique needs. We assist clients to acquire the skills necessary to encourage lasting change and deeper self-understanding. We understand that the level of anxiety and depression are much higher today and taking that first step can be hard. At our center, we use a trust-based approach to assist individuals and families to identify the causes of their distress. Healing is possible!
Life can be very hard and when we feel hopeless and lost. These problems impact relationships in every area of an individual's life.Our therapists have highly specialized training that focuses on healing and repairing on each client's unique needs. We assist clients to acquire the skills necessary to encourage lasting change and deeper self-understanding. We understand that the level of anxiety and depression are much higher today and taking that first step can be hard. At our center, we use a trust-based approach to assist individuals and families to identify the causes of their distress. Healing is possible!
(281) 784-3304 View (281) 784-3304
Photo of Jared Trost, Licensed Professional Counselor Associate, MEd
Jared Trost
Licensed Professional Counselor Associate, MEd
2 Endorsed
Sugar Land, TX 77478
I support clients navigating social anxiety, complex PTSD, childhood trauma—including neglect, abuse, and challenging family dynamics—as well as relationship difficulties and career-related stress. Healing requires both courage and support— I’m here to walk with you every step of the way. Many of us carry emotional wounds from the past, without fully understanding where they came from or how they impact our lives today. My own journey from burnout in corporate oil and gas deepened my understanding of how our pasts, including unresolved trauma and anxiety can shape our relationships, mental health, and overall well-being.
I support clients navigating social anxiety, complex PTSD, childhood trauma—including neglect, abuse, and challenging family dynamics—as well as relationship difficulties and career-related stress. Healing requires both courage and support— I’m here to walk with you every step of the way. Many of us carry emotional wounds from the past, without fully understanding where they came from or how they impact our lives today. My own journey from burnout in corporate oil and gas deepened my understanding of how our pasts, including unresolved trauma and anxiety can shape our relationships, mental health, and overall well-being.
(346) 414-0460 View (346) 414-0460
Photo of Rosemary Amoroso - Rosemary Amoroso, , Licensed Professional Counselor, BS, MA, LPC, LMFT
Rosemary Amoroso,
Licensed Professional Counselor, BS, MA, LPC, LMFT
Online Only
A therapeutic setting is a safe place to explore ways to create a healthy and positive life change. Using a variety of therapies we can discover thought patterns, mind-body connections and begin our journey. As a Licensed Professional Counselor with 25 years of experience, I use a holistic approach to help you identify root problems. Since the mind and body are connected, we can explore thought patterns and beliefs that can affect your mood and behaviors. This approach can help treat depression, addictions, stress and anxiety.
A therapeutic setting is a safe place to explore ways to create a healthy and positive life change. Using a variety of therapies we can discover thought patterns, mind-body connections and begin our journey. As a Licensed Professional Counselor with 25 years of experience, I use a holistic approach to help you identify root problems. Since the mind and body are connected, we can explore thought patterns and beliefs that can affect your mood and behaviors. This approach can help treat depression, addictions, stress and anxiety.
(346) 654-5152 View (346) 654-5152
Photo of Janella del Mundo Gee, Licensed Professional Counselor, MEd, LPC, RPT
Janella del Mundo Gee
Licensed Professional Counselor, MEd, LPC, RPT
Sugar Land, TX 77478
Waitlist for new clients
I specialize in working with children and parents. I have been working in the field of play therapy since 2011 when I was a graduate student. My approach to play therapy is non-directive, client-centered play therapy. I have worked with children from diverse backgrounds. I look at each child and figure out which therapeutic modality works best for them. In terms of parenting, I use Theraplay to build the attachment bond with the parent and child. I also assess the family and we can collaborate on ways that meet your family's needs.
I specialize in working with children and parents. I have been working in the field of play therapy since 2011 when I was a graduate student. My approach to play therapy is non-directive, client-centered play therapy. I have worked with children from diverse backgrounds. I look at each child and figure out which therapeutic modality works best for them. In terms of parenting, I use Theraplay to build the attachment bond with the parent and child. I also assess the family and we can collaborate on ways that meet your family's needs.
(346) 771-1487 View (346) 771-1487
Photo of Carolyn Dylla Henderson, Marriage & Family Therapist, MA, LMFT
Carolyn Dylla Henderson
Marriage & Family Therapist, MA, LMFT
4 Endorsed
Sugar Land, TX 77478
Hi there! I am Carolyn, a licensed therapist trained to work with individuals and couples. I help individuals discover their true, authentic selves, learn how to self-regulate and re-center, and navigate the existential questions of life. I help couples learn how to take accountability within their relationships, and connect even deeper, or re-connect all together. I also help individuals or couples navigate the aftermath of infidelity. Whether you are looking to deepen your understanding of your relationship with yourself, improve your relationship with your partner, or just find a better way to do life, I am here to guide you.
Hi there! I am Carolyn, a licensed therapist trained to work with individuals and couples. I help individuals discover their true, authentic selves, learn how to self-regulate and re-center, and navigate the existential questions of life. I help couples learn how to take accountability within their relationships, and connect even deeper, or re-connect all together. I also help individuals or couples navigate the aftermath of infidelity. Whether you are looking to deepen your understanding of your relationship with yourself, improve your relationship with your partner, or just find a better way to do life, I am here to guide you.
(832) 554-9328 View (832) 554-9328
Photo of Brent E Crane, Marriage & Family Therapist, LMFT
Brent E Crane
Marriage & Family Therapist, LMFT
1 Endorsed
Sugar Land, TX 77478
I love working with people who are motivated for something better in their lives but haven’t been able to figure out what’s blocking them from having it. This can include relationships, career, success, sports, family, happiness, confidence and more. Maybe you feel unworthy or incapable of having that something better. Maybe trauma, mental illness or something else you can’t even define knocked you off track. Maybe you never remember being on track because it has been so long since you had that experience. There is hope and together we can find answers.
I love working with people who are motivated for something better in their lives but haven’t been able to figure out what’s blocking them from having it. This can include relationships, career, success, sports, family, happiness, confidence and more. Maybe you feel unworthy or incapable of having that something better. Maybe trauma, mental illness or something else you can’t even define knocked you off track. Maybe you never remember being on track because it has been so long since you had that experience. There is hope and together we can find answers.
(346) 309-0089 View (346) 309-0089
Photo of Pamela Billedo, LPC-Associate, LPC-A, MA
Pamela Billedo
LPC-Associate, LPC-A, MA
2 Endorsed
Sugar Land, TX 77478
I have a passion for helping people heal their hearts and minds. Life can be difficult and challenging at times. We need each other to help process painful situations while gaining new insights on how to deal with overwhelming problems. As humans, we were never meant to walk alone and I feel honored to walk alongside my clients wherever they are in their journey. Having gone to counseling myself, I can relate to the bravery it takes to seek out help and make a change.
I have a passion for helping people heal their hearts and minds. Life can be difficult and challenging at times. We need each other to help process painful situations while gaining new insights on how to deal with overwhelming problems. As humans, we were never meant to walk alone and I feel honored to walk alongside my clients wherever they are in their journey. Having gone to counseling myself, I can relate to the bravery it takes to seek out help and make a change.
(346) 572-3988 View (346) 572-3988
Photo of Kelly Adams, Clinical Social Work/Therapist, LCSW
Kelly Adams
Clinical Social Work/Therapist, LCSW
2 Endorsed
Sugar Land, TX 77478
Are you concerned that your child or teen may be struggling with recent changes, past trauma, or stress that’s impacting their happiness and well-being? Perhaps you’ve noticed that spark in them fading as feelings like anxiety, depression, low self-esteem, or anger take over. I know how hard it can be to see your child grapple with challenges that even the most supportive parents may find overwhelming. I’m here to help, combining my experience and empathy to work with you and your child to support their healing journey, so they can harness their unique strengths and live a fulfilling, joyful life.
Are you concerned that your child or teen may be struggling with recent changes, past trauma, or stress that’s impacting their happiness and well-being? Perhaps you’ve noticed that spark in them fading as feelings like anxiety, depression, low self-esteem, or anger take over. I know how hard it can be to see your child grapple with challenges that even the most supportive parents may find overwhelming. I’m here to help, combining my experience and empathy to work with you and your child to support their healing journey, so they can harness their unique strengths and live a fulfilling, joyful life.
(346) 988-2118 View (346) 988-2118
Photo of Rumeysa Polat, Pre-Licensed Professional
Rumeysa Polat
Pre-Licensed Professional
2 Endorsed
Sugar Land, TX 77478
Finding the right therapist can be challenging, especially when you're seeking someone who truly understands your unique needs—or those of your teenager or child. It’s important to feel confident that you or your loved one are in a place where you can be seen, heard, and accepted without judgment. I am here to offer that support. I provide a safe, nurturing environment where adults, teens, and children can feel comfortable exploring their emotions and experiences at their own pace.
Finding the right therapist can be challenging, especially when you're seeking someone who truly understands your unique needs—or those of your teenager or child. It’s important to feel confident that you or your loved one are in a place where you can be seen, heard, and accepted without judgment. I am here to offer that support. I provide a safe, nurturing environment where adults, teens, and children can feel comfortable exploring their emotions and experiences at their own pace.
(346) 482-3814 View (346) 482-3814
Photo of Telecia Rittiman, Clinical Social Work/Therapist, LCSW
Telecia Rittiman
Clinical Social Work/Therapist, LCSW
Sugar Land, TX 77478
Telecia Rittiman, LCSW, provides compassionate and solutionfocused therapy to individuals across Texas. Specializing in a variety of therapeutic approaches, Telecia works with clients aged 18 and up, offering individual and family therapy to help them address issues like anxiety, depression, trauma, and grief. Her goal is to help each client reach their full potential and achieve emotional wellbeing, offering personalized care through cognitive behavioral therapy (CBT) and solutionfocused techniques. Telecia is particularly passionate about helping those navigating difficult life transitions and managing grief.
Telecia Rittiman, LCSW, provides compassionate and solutionfocused therapy to individuals across Texas. Specializing in a variety of therapeutic approaches, Telecia works with clients aged 18 and up, offering individual and family therapy to help them address issues like anxiety, depression, trauma, and grief. Her goal is to help each client reach their full potential and achieve emotional wellbeing, offering personalized care through cognitive behavioral therapy (CBT) and solutionfocused techniques. Telecia is particularly passionate about helping those navigating difficult life transitions and managing grief.
(346) 523-7152 View (346) 523-7152
Photo of Dr. Natassia Johnson, Psychologist, PhD, LPC-S
Dr. Natassia Johnson
Psychologist, PhD, LPC-S
7 Endorsed
Sugar Land, TX 77478
Are you curious to understand the "why" behind things? Why do I get triggered by certain situations? Why do I keep repeating certain patterns in my life? Why does it feel so hard to change some of my mindsets? Why do I feel the emotions I feel so deeply? Are you ready to take a deep dive into your inner world to understand what might be holding you back or causing you distress? Instead of just focusing on what's happening right now, do you want to look at your past (especially childhood) to see how it shapes who you are today?
Are you curious to understand the "why" behind things? Why do I get triggered by certain situations? Why do I keep repeating certain patterns in my life? Why does it feel so hard to change some of my mindsets? Why do I feel the emotions I feel so deeply? Are you ready to take a deep dive into your inner world to understand what might be holding you back or causing you distress? Instead of just focusing on what's happening right now, do you want to look at your past (especially childhood) to see how it shapes who you are today?
(281) 502-4574 View (281) 502-4574

See more therapy options for 77478

How does your Therapist compare?

Number of Therapists in 77478

200+

Average cost per session

$150

Therapists in 77478 who prioritize treating:

92% Anxiety
91% Depression
76% Self Esteem
71% Relationship Issues
71% Trauma and PTSD
65% Family Conflict
64% Coping Skills

Average years in practice

11 Years

Top 3 insurances accepted

88% Aetna
75% Cigna and Evernorth
65% BlueCross and BlueShield

How Therapists in 77478 see their clients

73% In Person and Online
27% Online Only

Gender breakdown

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

How can I find a therapist in 77478?

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.