Therapists in Sugar Land, TX

Photo of Sugar Land Teen & Family Counseling, Clinical Social Work/Therapist in Sugar Land, TX
Sugar Land Teen & Family Counseling
Clinical Social Work/Therapist, LCSW-S, BCN
Verified Verified
Sugar Land, TX 77478
Is your teenager facing emotional challenges that might negatively impact their confidence and self-esteem? Are you concerned that their emotional struggles are causing issues in their academic and personal relationships? Are you a parent of a high school graduate who may be facing difficulty in starting their adult life due to emotional or behavioral challenges?
Is your teenager facing emotional challenges that might negatively impact their confidence and self-esteem? Are you concerned that their emotional struggles are causing issues in their academic and personal relationships? Are you a parent of a high school graduate who may be facing difficulty in starting their adult life due to emotional or behavioral challenges?
(346) 550-9516 View (346) 550-9516
Photo of Dora Noemi Rios, Licensed Professional Counselor in Sugar Land, TX
Dora Noemi Rios
Licensed Professional Counselor, LPC
Verified Verified
Sugar Land, TX 77478
Waitlist for new clients
I have always considered the counseling profession as a privilege which often humbles me. To enter the world of my clients and the sacred spaces of their stories, is something that I do with profound respect and admiration. The process of therapy is hard work and reserved only for those brave enough to walk that path. I wish to offer a place of safety where people can open their hearts and souls and begin a journey of change and growth.
I have always considered the counseling profession as a privilege which often humbles me. To enter the world of my clients and the sacred spaces of their stories, is something that I do with profound respect and admiration. The process of therapy is hard work and reserved only for those brave enough to walk that path. I wish to offer a place of safety where people can open their hearts and souls and begin a journey of change and growth.
(713) 804-4623 View (713) 804-4623
Photo of Dr. Natassia Johnson, Psychologist in Sugar Land, TX
Dr. Natassia Johnson
Psychologist, PhD, LPC
Verified Verified
1 Endorsed
Sugar Land, TX 77478
We all need a soft place to fall… a place where we can begin to unravel the mysteries of our life… a place where we can begin to hope that things can be different. You deserve a chance to move through the world with less pain and a belief that you’re not wasting your precious time on this earth. Do you know what needs to be done but you’re struggling with doing it? Are you lost in how to make things better and need help with where to start? Have you started making changes and want support along the way?
We all need a soft place to fall… a place where we can begin to unravel the mysteries of our life… a place where we can begin to hope that things can be different. You deserve a chance to move through the world with less pain and a belief that you’re not wasting your precious time on this earth. Do you know what needs to be done but you’re struggling with doing it? Are you lost in how to make things better and need help with where to start? Have you started making changes and want support along the way?
(281) 502-4574 View (281) 502-4574
Photo of Madelyn Nance, Licensed Professional Counselor in Sugar Land, TX
Madelyn Nance
Licensed Professional Counselor
Verified Verified
1 Endorsed
Sugar Land, TX 77478
I believe that having a space to explore, process, and work through concerns, thoughts, and emotions is helpful. Guidance, goal setting, and over coming self-barrier can help individuals, families and couples grow and work towards reaching their fullest potential. ; Therapy offers support, empathy, and a safe environment as we go through new experiences, face challenging issues, and working through questions and concerns that have come up during different life events
I believe that having a space to explore, process, and work through concerns, thoughts, and emotions is helpful. Guidance, goal setting, and over coming self-barrier can help individuals, families and couples grow and work towards reaching their fullest potential. ; Therapy offers support, empathy, and a safe environment as we go through new experiences, face challenging issues, and working through questions and concerns that have come up during different life events
(346) 639-4377 View (346) 639-4377
Photo of Jannah Therapy & Healing Services, Clinical Social Work/Therapist in Sugar Land, TX
Jannah Therapy & Healing Services
Clinical Social Work/Therapist, BSW, MSW, LCSW
Verified Verified
1 Endorsed
Sugar Land, TX 77478
Creating an empathy driven & compassion focused mental health & social service practice has been my dream since I was 16 years old. My own life experiences drove me into the field of Social Work & mental health to empower, motivate, uplift and elevate individuals, youth, and families. I have over 15 years of experience in Trauma-informed psychotherapy and/or social work practices with a demonstrated history of working in government, civic & social non-profit organizations.
Creating an empathy driven & compassion focused mental health & social service practice has been my dream since I was 16 years old. My own life experiences drove me into the field of Social Work & mental health to empower, motivate, uplift and elevate individuals, youth, and families. I have over 15 years of experience in Trauma-informed psychotherapy and/or social work practices with a demonstrated history of working in government, civic & social non-profit organizations.
(346) 708-6205 View (346) 708-6205
Photo of AJ Johnson Psychological Services, PLLC, Psychologist in Sugar Land, TX
AJ Johnson Psychological Services, PLLC
Psychologist, PhD, LP
Verified Verified
1 Endorsed
Sugar Land, TX 77479
Dr. Johnson's hope is to provide compassionate and collaborative psychological services for children, adolescents, and their families. Dr. Johnson provides expert evaluation, therapy, and consultation to children, adolescents and their parents in order to help sort through concerns and find answers. Presenting concerns for an evaluation may include developmental delays, learning problems, attention difficulties, emotional and/or behavioral concerns, or social skills problems. In individual and family therapy, Dr. Johnson focuses on supporting the emotional, behavioral, and social well-being of children and adolescents. Therapy is also offered to target children's behavioral adherence and strengthen parent-child relationships.
Dr. Johnson's hope is to provide compassionate and collaborative psychological services for children, adolescents, and their families. Dr. Johnson provides expert evaluation, therapy, and consultation to children, adolescents and their parents in order to help sort through concerns and find answers. Presenting concerns for an evaluation may include developmental delays, learning problems, attention difficulties, emotional and/or behavioral concerns, or social skills problems. In individual and family therapy, Dr. Johnson focuses on supporting the emotional, behavioral, and social well-being of children and adolescents. Therapy is also offered to target children's behavioral adherence and strengthen parent-child relationships.
(832) 532-1968 View (832) 532-1968
Photo of Sonia L Fields-De Pass, Licensed Professional Counselor in Sugar Land, TX
Sonia L Fields-De Pass
Licensed Professional Counselor, MEd, LPC
Verified Verified
1 Endorsed
Sugar Land, TX 77478
Did you know that trauma can live in the body long after you think that your brain has worked through the stressor? Trauma living in the body can manifest as anxiety, chronic pain, sleeplessness, negative thinking and depression. Trauma can affect you sense of self, your relationships and how you move in the world. If you find yourself struggling with any of these areas, let’s talk about possible trauma and how you can address these issues.
Did you know that trauma can live in the body long after you think that your brain has worked through the stressor? Trauma living in the body can manifest as anxiety, chronic pain, sleeplessness, negative thinking and depression. Trauma can affect you sense of self, your relationships and how you move in the world. If you find yourself struggling with any of these areas, let’s talk about possible trauma and how you can address these issues.
(713) 489-5417 View (713) 489-5417
Photo of Ethel Richard-Peterson, Clinical Social Work/Therapist in Sugar Land, TX
Ethel Richard-Peterson
Clinical Social Work/Therapist, LCSW
Verified Verified
Sugar Land, TX 77478
Ethel Richard-Peterson, LCSW Ethel Richard-Peterson is a Licensed Clinical Social Worker in Texas who has been practicing since 1982. She has a Master's Degree in Social Work. Ethel sees each client as a unique individual with strengths and areas they seek to enhance. She listens to client's expressed concerns. She has spent many years counseling clients regarding death and dying, substance abuse, and chronic/acute medical conditions. In her spare time, Ethel enjoys music, being around water, and art.
Ethel Richard-Peterson, LCSW Ethel Richard-Peterson is a Licensed Clinical Social Worker in Texas who has been practicing since 1982. She has a Master's Degree in Social Work. Ethel sees each client as a unique individual with strengths and areas they seek to enhance. She listens to client's expressed concerns. She has spent many years counseling clients regarding death and dying, substance abuse, and chronic/acute medical conditions. In her spare time, Ethel enjoys music, being around water, and art.
(346) 230-0287 View (346) 230-0287
Photo of Chrystal Hamilton-Dorelien, Clinical Social Work/Therapist in Sugar Land, TX
Chrystal Hamilton-Dorelien
Clinical Social Work/Therapist, LMSW
Verified Verified
Sugar Land, TX 77479
My mission is to provide a safe and compassionate space for adults seeking therapy. Ideal clients are individuals who recognize the importance of their mental and emotional well-being.
My mission is to provide a safe and compassionate space for adults seeking therapy. Ideal clients are individuals who recognize the importance of their mental and emotional well-being.
(346) 472-3493 View (346) 472-3493
Photo of Tarana Colvin, Marriage & Family Therapist in Sugar Land, TX
Tarana Colvin
Marriage & Family Therapist, LMFT, LPC
Verified Verified
Sugar Land, TX 77478
Tisa Colvin, is a Licensed Marriage & Family Therapist and Licensed Professional Counselor in the state of Texas. She received her Master of Science degree in Psychology from Our Lady of the Lake University. She specializes in marriage and family therapy. She provides professional therapeutic services for individuals, couples, groups, adults and children 8 years old and up. She treated patients and clients with grief and loss, anger problems, depression, abuse (physical, emotional, verbal, and sexual abuse), and domestic violence.
Tisa Colvin, is a Licensed Marriage & Family Therapist and Licensed Professional Counselor in the state of Texas. She received her Master of Science degree in Psychology from Our Lady of the Lake University. She specializes in marriage and family therapy. She provides professional therapeutic services for individuals, couples, groups, adults and children 8 years old and up. She treated patients and clients with grief and loss, anger problems, depression, abuse (physical, emotional, verbal, and sexual abuse), and domestic violence.
(346) 545-4179 View (346) 545-4179
Photo of Heidi Hoarau, Licensed Professional Counselor in Sugar Land, TX
Heidi Hoarau
Licensed Professional Counselor, MS, LPC
Verified Verified
1 Endorsed
Sugar Land, TX 77478  (Online Only)
Feeling anxious or depressed is often the result of chronic stress, unresolved trauma or grief. I work with adults who struggle with intense emotions or have coped through numbing them. Some suffer from physical discomfort or chronic pain, while others struggle in their relationships, or engage in behaviors that both soothe and hurt them. If that resonates with you, I would love to offer you my attention and guiding skills to help you explore and make sense of your inner experiences in order to heal wounds and access more calm, clarity, confidence, compassion, and connection with yourself and others, so that you may feel more alive!
Feeling anxious or depressed is often the result of chronic stress, unresolved trauma or grief. I work with adults who struggle with intense emotions or have coped through numbing them. Some suffer from physical discomfort or chronic pain, while others struggle in their relationships, or engage in behaviors that both soothe and hurt them. If that resonates with you, I would love to offer you my attention and guiding skills to help you explore and make sense of your inner experiences in order to heal wounds and access more calm, clarity, confidence, compassion, and connection with yourself and others, so that you may feel more alive!
(346) 534-5831 View (346) 534-5831
Photo of Bridget Thomas, Licensed Professional Counselor in Sugar Land, TX
Bridget Thomas
Licensed Professional Counselor, MA, LPC-S, LCDC, SAP
Verified Verified
Sugar Land, TX 77478
I have over 20 years of experience working with adults, adolescents and their families who are dealing with a variety of behavioral health, alcohol and drug abuse issues. 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 and their families who are dealing with a variety of behavioral health, alcohol and drug abuse issues. 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 Paula Vandyke, Licensed Professional Counselor in Sugar Land, TX
Paula Vandyke
Licensed Professional Counselor, MA, LPC-S, LMFT-S
Verified Verified
Sugar Land, TX 77478
Not accepting new clients
Is this all there is to life? Feeling overwhelmed by life or conflict in important relationships? Sadness that you can't seem to overcome? Concern for your or a loved ones substance use? Life can be hard and it can be helpful to talk to a professional in a safe and non-judgemental environment. I work you and your challenges to identify strengths so you can achieve your personal goals. Whether in crisis or wish to improve any aspect of your life , I will assist you in identifying and improving your coping skills to strengthen your resilience, discover your potential and enhance your personal journey.
Is this all there is to life? Feeling overwhelmed by life or conflict in important relationships? Sadness that you can't seem to overcome? Concern for your or a loved ones substance use? Life can be hard and it can be helpful to talk to a professional in a safe and non-judgemental environment. I work you and your challenges to identify strengths so you can achieve your personal goals. Whether in crisis or wish to improve any aspect of your life , I will assist you in identifying and improving your coping skills to strengthen your resilience, discover your potential and enhance your personal journey.
(281) 549-5253 View (281) 549-5253
Photo of Randi Raizner, Psychologist in Sugar Land, TX
Randi Raizner
Psychologist, PhD
Verified Verified
Sugar Land, TX 77478
As a Clinical Neuropsychologist, I have been testing toddlers, children, adolescents and college students in Houston for over 10 years. A neuropsychological evaluation diagnoses learning disabilities, developmental disabilities, attention problems, language disorders, giftedness, emotional issues, and behavior issues by integrating testing with medical, academic and developmental history. Testing can also help educators and parents have a better understanding of a child's learning style and processing strengths and weaknesses. The goal of an assessment is to provide useful diagnostic information and targeted practical recommendations. Dr. Raizner works regularly with local schools, clinical psychologists, speech pathologists, occupational therapists and physicians.
As a Clinical Neuropsychologist, I have been testing toddlers, children, adolescents and college students in Houston for over 10 years. A neuropsychological evaluation diagnoses learning disabilities, developmental disabilities, attention problems, language disorders, giftedness, emotional issues, and behavior issues by integrating testing with medical, academic and developmental history. Testing can also help educators and parents have a better understanding of a child's learning style and processing strengths and weaknesses. The goal of an assessment is to provide useful diagnostic information and targeted practical recommendations. Dr. Raizner works regularly with local schools, clinical psychologists, speech pathologists, occupational therapists and physicians.
(713) 489-1594 View (713) 489-1594
Photo of Houston Center for Christian Counseling, Licensed Professional Counselor in Sugar Land, TX
Houston Center for Christian Counseling
Licensed Professional Counselor, MA, LPC, LMFT, LCDC
Verified Verified
1 Endorsed
Sugar Land, TX 77478
Life can be really hard. We can help. Serving the Houston area and the State of Texas since 1981 with clinical excellence, we provide a warm, therapeutic, and inviting atmosphere. We see children 2 and up, teens, and adults. Through integrating our faith and clinical training, we offer biblically sound and psychologically skilled approaches to life’s struggles. Meeting clients where they are, we walk alongside in order to hear and help in a way that brings about lasting change. Our doors are open to clients from all religious, ethnic, and cultural backgrounds. We meet in person and virtually.
Life can be really hard. We can help. Serving the Houston area and the State of Texas since 1981 with clinical excellence, we provide a warm, therapeutic, and inviting atmosphere. We see children 2 and up, teens, and adults. Through integrating our faith and clinical training, we offer biblically sound and psychologically skilled approaches to life’s struggles. Meeting clients where they are, we walk alongside in order to hear and help in a way that brings about lasting change. Our doors are open to clients from all religious, ethnic, and cultural backgrounds. We meet in person and virtually.
(832) 793-6597 View (832) 793-6597
Photo of Harold Haven Boggs, Marriage & Family Therapist in Sugar Land, TX
Harold Haven Boggs
Marriage & Family Therapist, MS, LMFT, LCDC, EMDR
Verified Verified
1 Endorsed
Sugar Land, TX 77478  (Online Only)
I help adults with: (divorce, remarriage, PTSD, alcohol, drugs, depression, anxiety, grief, suicide prevention, compulsive sex, job loss; physical illness and disability; eldering); male teens: (problems with self-confidence, sexuality and identity; relationship with parents; alcohol drug problems, depression, grief); with : parents' divorce, or remarriage); families with : (Covenant Marriage, pre-marriage, remarriage, blended families, conflict and violence, abuse, divorce, empty nest), parents : (parent-child conflicts, problems with co-parenting, single-parenting and/or blending families, difficulties with CPS cases, and in-laws
I help adults with: (divorce, remarriage, PTSD, alcohol, drugs, depression, anxiety, grief, suicide prevention, compulsive sex, job loss; physical illness and disability; eldering); male teens: (problems with self-confidence, sexuality and identity; relationship with parents; alcohol drug problems, depression, grief); with : parents' divorce, or remarriage); families with : (Covenant Marriage, pre-marriage, remarriage, blended families, conflict and violence, abuse, divorce, empty nest), parents : (parent-child conflicts, problems with co-parenting, single-parenting and/or blending families, difficulties with CPS cases, and in-laws
(281) 978-2998 View (281) 978-2998
Photo of Adrianna Linares, Clinical Social Work/Therapist in Sugar Land, TX
Adrianna Linares
Clinical Social Work/Therapist, LCSW, CCM
Verified Verified
1 Endorsed
Sugar Land, TX 77479  (Online Only)
Feeling stuck, overwhelmed, or frustrated? You are not alone and and your life can change. I can provide you the support and empowerment you need to succeed.
Feeling stuck, overwhelmed, or frustrated? You are not alone and and your life can change. I can provide you the support and empowerment you need to succeed.
(281) 506-0726 View (281) 506-0726
Photo of Rae Garr, Licensed Professional Counselor in Sugar Land, TX
Rae Garr
Licensed Professional Counselor, LPC-S
Verified Verified
3 Endorsed
Sugar Land, TX 77479
Reaching out for professional help is the first and often most difficult step of the process. I commend you for investing the time to explore the best fit partnership to meet your need(s). My approach is to function as a vessel for individuals to find a safe place of refuge, where they can be heard or offered a compassionate voice of reason during a time of chaos.
Reaching out for professional help is the first and often most difficult step of the process. I commend you for investing the time to explore the best fit partnership to meet your need(s). My approach is to function as a vessel for individuals to find a safe place of refuge, where they can be heard or offered a compassionate voice of reason during a time of chaos.
(281) 317-7840 View (281) 317-7840
Photo of Light Minded Therapy , Licensed Professional Counselor in Sugar Land, TX
Light Minded Therapy
Licensed Professional Counselor, MA, NCC
Verified Verified
4 Endorsed
Sugar Land, TX 77498
Are you feeling stress or defeated by life and all its difficulties? You’re stuck in this cycle that you don’t understand or know how to get out of. You can’t figure out why your life is not moving forward. You try to talk to people about it, but you just don’t feel like they are hearing you. You’re feeling stressed, misunderstood and on edge more often than not. You just can’t seem to concentrate on anything and are constantly feeling overwhelmed. I get it. Sometimes it gets difficult to see through the obstacles and navigate through life’s problems. I am here to help.
Are you feeling stress or defeated by life and all its difficulties? You’re stuck in this cycle that you don’t understand or know how to get out of. You can’t figure out why your life is not moving forward. You try to talk to people about it, but you just don’t feel like they are hearing you. You’re feeling stressed, misunderstood and on edge more often than not. You just can’t seem to concentrate on anything and are constantly feeling overwhelmed. I get it. Sometimes it gets difficult to see through the obstacles and navigate through life’s problems. I am here to help.
(832) 261-9594 View (832) 261-9594
Photo of Sadia Jalali, Marriage & Family Therapist in Sugar Land, TX
Sadia Jalali
Marriage & Family Therapist, MA, LMFT-S
Verified Verified
Sugar Land, TX 77498  (Online Only)
Therapy is a journey. I feel privileged to join my clients in working towards improving their lives. I have worked in private practice since 2006, providing family/couple, individual, and group therapy services. I work with clients of diverse ethnicities, ages, and genders. My therapeutic approach is collaborative and solution-focused, family therapy-based, culturally sensitive, and client-centered. If faith is important to you, I'm happy to work with that as a resource for hope and healing.
Therapy is a journey. I feel privileged to join my clients in working towards improving their lives. I have worked in private practice since 2006, providing family/couple, individual, and group therapy services. I work with clients of diverse ethnicities, ages, and genders. My therapeutic approach is collaborative and solution-focused, family therapy-based, culturally sensitive, and client-centered. If faith is important to you, I'm happy to work with that as a resource for hope and healing.
(713) 965-6959 View (713) 965-6959

How does your Therapist compare?

Number of Therapists in Sugar Land, TX

400+

Average cost per session

$150

Therapists in Sugar Land, TX who prioritize treating:

90% Anxiety
89% Depression
78% Self Esteem
71% Relationship Issues
69% Coping Skills
68% Stress
65% Trauma and PTSD

Average years in practice

10 Years

Top 3 insurances accepted

80% Aetna
76% Cigna and Evernorth
75% UnitedHealthcare UHC | UBH

How Therapists in Sugar Land, TX see their clients

71% In Person and Online
29% Online Only

Gender breakdown

81% Female
18% Male
1% Non-Binary

FAQs - About Therapy and Counseling

How can I find a therapist in Sugar Land?

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.