Photo of Leah Lopez, Clinical Social Work/Therapist in 78245, TX
Leah Lopez
Clinical Social Work/Therapist, LCSW
Verified Verified
San Antonio, TX 78245  (Online Only)
Hi! I am a Licensed Clinical Social Worker based in Texas, holding a Master's degree from the University of Texas at San Antonio.
Hi! I am a Licensed Clinical Social Worker based in Texas, holding a Master's degree from the University of Texas at San Antonio.
(832) 979-5443 View (832) 979-5443
Photo of Apela Counseling - Ashley Stephens, Clinical Social Work/Therapist in 78245, TX
Apela Counseling - Ashley Stephens
Clinical Social Work/Therapist, LCSW-S
Verified Verified
4 Endorsed
San Antonio, TX 78245  (Online Only)
Is life getting you down? Are you struggling and don't know where to turn? We can help! Check us out at apelalicensurellc.com/therapy. We welcome clients who need help to get things back on track, no matter what the concern. We welcome clients of all ages, races, religions, and life stages who are interested in working through life, together with their therapist. We are here to offer you support and healing during life's good and rough times. The therapists at Apela currently only see clients online through telehealth.
Is life getting you down? Are you struggling and don't know where to turn? We can help! Check us out at apelalicensurellc.com/therapy. We welcome clients who need help to get things back on track, no matter what the concern. We welcome clients of all ages, races, religions, and life stages who are interested in working through life, together with their therapist. We are here to offer you support and healing during life's good and rough times. The therapists at Apela currently only see clients online through telehealth.
(830) 465-3623 View (830) 465-3623
Photo of Michael Gambuti, Licensed Professional Counselor in 78245, TX
Michael Gambuti
Licensed Professional Counselor, MA, LPC, NCC
Verified Verified
San Antonio, TX 78245
Life is unfair and unkind at times. Situations can feel overwhelming and unbearable. Through counseling we can help learn the tools needed to better deal with what life can throw at us and develop the virtue of Fortitude. Children, Adolescents, Adults and Families deserve to feel better and enjoy all that life has to offer. I would be honored to join you in this journey. Fortitude: strength of mind that enables a person to encounter danger or bear pain or adversity with courage.
Life is unfair and unkind at times. Situations can feel overwhelming and unbearable. Through counseling we can help learn the tools needed to better deal with what life can throw at us and develop the virtue of Fortitude. Children, Adolescents, Adults and Families deserve to feel better and enjoy all that life has to offer. I would be honored to join you in this journey. Fortitude: strength of mind that enables a person to encounter danger or bear pain or adversity with courage.
(210) 853-5896 View (210) 853-5896
Photo of Peace of Mind Counseling and Consulting, Clinical Social Work/Therapist in 78245, TX
Peace of Mind Counseling and Consulting
Clinical Social Work/Therapist, LCSW-S
Verified Verified
1 Endorsed
San Antonio, TX 78245  (Online Only)
I'm looking for everyday people who want to change behavior in exchange for stability in their lives and are willing to build on their own strengths/skills to maximize healthy changes. Individuals or couples of all ages, backgrounds, cultures, faiths, acute and chronic disease who are open to share their experience(s) or story to decrease symptoms associated with depression, anxiety, intimate violence, trauma, parenting, school issues, or loss of a loved one.
I'm looking for everyday people who want to change behavior in exchange for stability in their lives and are willing to build on their own strengths/skills to maximize healthy changes. Individuals or couples of all ages, backgrounds, cultures, faiths, acute and chronic disease who are open to share their experience(s) or story to decrease symptoms associated with depression, anxiety, intimate violence, trauma, parenting, school issues, or loss of a loved one.
(210) 972-9635 View (210) 972-9635
Photo of Mary Fierst, Licensed Professional Counselor in 78245, TX
Mary Fierst
Licensed Professional Counselor, LPC
Verified Verified
1 Endorsed
San Antonio, TX 78245  (Online Only)
Waitlist for new clients
I am a holistic, empathic, client centered counselor with multiple methods to assist folks in recovery from issues that have affected their ability to function in wholeness. My therapy styles include Energy work, clinical hypnotherapy, EMDR, experiential and talk therapy. I support and endorse alternative healing methods along with counseling and I do not believe that medication is always the right choice for everyone. The overarching attributes that I use with my clients are authenticity, thinking outside the box, insight, candor, and humor.
I am a holistic, empathic, client centered counselor with multiple methods to assist folks in recovery from issues that have affected their ability to function in wholeness. My therapy styles include Energy work, clinical hypnotherapy, EMDR, experiential and talk therapy. I support and endorse alternative healing methods along with counseling and I do not believe that medication is always the right choice for everyone. The overarching attributes that I use with my clients are authenticity, thinking outside the box, insight, candor, and humor.
(682) 301-4218 View (682) 301-4218
Photo of Susie Chavarria-Torres, Marriage & Family Therapist in 78245, TX
Susie Chavarria-Torres
Marriage & Family Therapist, MS, LMFT, LPC
Verified Verified
San Antonio, TX 78245
Life is a Journey with many paths. Sometimes life can get a little messy and help is needed. Whether you are looking for coping skills to manage your life better, or to identify healthy communications styles within a relationships, or a need to identify negative behavior patterns within yourself or a relationship. I will work directly with you to achieve your goal. Together, we will explore your current situation. I provide a safe, welcoming environment where clients can feel comfortable to share, self-discover and experiment with new ideas and tools. To keep you moving along the journey of life.
Life is a Journey with many paths. Sometimes life can get a little messy and help is needed. Whether you are looking for coping skills to manage your life better, or to identify healthy communications styles within a relationships, or a need to identify negative behavior patterns within yourself or a relationship. I will work directly with you to achieve your goal. Together, we will explore your current situation. I provide a safe, welcoming environment where clients can feel comfortable to share, self-discover and experiment with new ideas and tools. To keep you moving along the journey of life.
(210) 405-4246 View (210) 405-4246
Photo of Elisabeth Zaragoza, Licensed Professional Counselor in 78245, TX
Elisabeth Zaragoza
Licensed Professional Counselor, MS, LPC
Verified Verified
San Antonio, TX 78245  (Online Only)
Do you feel like you struggling to hold yourself together emotionally after a loss? Whether that the is loss of a parent, spouse, child, relative, friend, relationship etc, it can be difficult to find a place to express those emotions. I help individuals who are grieving a loss regardless of the length of time the special person has passed away. I am a Grief Educator (taught by Grief expert David Kessler). I work with individuals who are navigating uncharted waters of grief. Grief can be overwhelming and difficult to know who to open up to and how much to share.
Do you feel like you struggling to hold yourself together emotionally after a loss? Whether that the is loss of a parent, spouse, child, relative, friend, relationship etc, it can be difficult to find a place to express those emotions. I help individuals who are grieving a loss regardless of the length of time the special person has passed away. I am a Grief Educator (taught by Grief expert David Kessler). I work with individuals who are navigating uncharted waters of grief. Grief can be overwhelming and difficult to know who to open up to and how much to share.
(210) 942-4810 View (210) 942-4810
Photo of Sabrina Garza, Clinical Social Work/Therapist in 78245, TX
Sabrina Garza
Clinical Social Work/Therapist, LMSW
Verified Verified
San Antonio, TX 78245  (Online Only)
Do you often have trouble speaking up for your needs, wants, and desires. Or perhaps, you have no issue vocalizing your needs but are unsure about how to express them and obtain your dream life. If you can relate and/or identify with any of these sentiments, you have come to the right place.
Do you often have trouble speaking up for your needs, wants, and desires. Or perhaps, you have no issue vocalizing your needs but are unsure about how to express them and obtain your dream life. If you can relate and/or identify with any of these sentiments, you have come to the right place.
(210) 988-6521 View (210) 988-6521
Photo of Breeze Cervantes, Licensed Professional Counselor in 78245, TX
Breeze Cervantes
Licensed Professional Counselor, LPC
Verified Verified
San Antonio, TX 78245  (Online Only)
Hello! My name is Dr. Cervantes. I have been providing counseling for 9 years.
Hello! My name is Dr. Cervantes. I have been providing counseling for 9 years.
(956) 452-0064 View (956) 452-0064
Photo of Rebecca Holler, Licensed Professional Counselor Associate in 78245, TX
Rebecca Holler
Licensed Professional Counselor Associate, MEd, LPC
Verified Verified
San Antonio, TX 78245  (Online Only)
People have different personal challenges and my commitment is to help ease your emotional burdens. I will empower you to achieve a healthier mind so that you are able to move through life in a more confident way. With this new mindset you will be able to pursue a improved sense of self. At Refined Healing Counseling Center we will work together to recover, rebuild, and restore you. Please contact me for an appointment today.
People have different personal challenges and my commitment is to help ease your emotional burdens. I will empower you to achieve a healthier mind so that you are able to move through life in a more confident way. With this new mindset you will be able to pursue a improved sense of self. At Refined Healing Counseling Center we will work together to recover, rebuild, and restore you. Please contact me for an appointment today.
(210) 866-8365 View (210) 866-8365
Photo of Henselmo Madrigal, Licensed Professional Counselor in 78245, TX
Henselmo Madrigal
Licensed Professional Counselor, MS
Verified Verified
1 Endorsed
San Antonio, TX 78245  (Online Only)
Hello, if you are reading this, you have taken the first step in ensuring your well-being. My name is Henselmo Madrigal. I am an LPC in Texas and certified in bilingual counseling. I am passionate about my career and about helping others. My therapy approach varies as what works for one might not work for the other. My most commonly used therapy approaches are Solution Focused Brief Therapy (SFBT) and Cognitive Behavioral Therapy (CBT).
Hello, if you are reading this, you have taken the first step in ensuring your well-being. My name is Henselmo Madrigal. I am an LPC in Texas and certified in bilingual counseling. I am passionate about my career and about helping others. My therapy approach varies as what works for one might not work for the other. My most commonly used therapy approaches are Solution Focused Brief Therapy (SFBT) and Cognitive Behavioral Therapy (CBT).
(830) 224-2981 View (830) 224-2981
Photo of April McElhenny, Clinical Social Work/Therapist in 78245, TX
April McElhenny
Clinical Social Work/Therapist, MSW, LCSW
Verified Verified
San Antonio, TX 78245  (Online Only)
Not accepting new clients
No matter what you do, nothing has worked thus far. You still get frustrated by the same people and situations, and your relationships suffer as a result. You might even engage in self-sabotaging behaviors, and juggling all of it feels impossible. You know your parenting could be better, and you are not sure how or why you react in the ways you do. You may ask yourself “Why am I this way?” The answer often lies in early trauma. A chaotic upbringing, abuse, and not feeling seen as children can often result in emotions, thoughts, and behaviors that do not reflect our true selves.
No matter what you do, nothing has worked thus far. You still get frustrated by the same people and situations, and your relationships suffer as a result. You might even engage in self-sabotaging behaviors, and juggling all of it feels impossible. You know your parenting could be better, and you are not sure how or why you react in the ways you do. You may ask yourself “Why am I this way?” The answer often lies in early trauma. A chaotic upbringing, abuse, and not feeling seen as children can often result in emotions, thoughts, and behaviors that do not reflect our true selves.
(210) 952-5114 View (210) 952-5114
Photo of Amy Mikulski, Clinical Social Work/Therapist in 78245, TX
Amy Mikulski
Clinical Social Work/Therapist, LCSW
Verified Verified
1 Endorsed
San Antonio, TX 78245
Life can be overwhelming at times. Let's figure this out together with kindness and care. I am an anti-diet, intersectional, and trauma-informed social worker that uses an eclectic approach to support your goals, challenge unhelpful patterns, and empower you to be your own therapist and biggest support. I will commit to your experience and my own deconstruction in our work together. I have experience working with children in foster care, families, and individuals from age 2 to 82. I specialize in the treatment of eating disorders, OCD and anxiety disorders, and grief. Grateful to be part of your growth journey!
Life can be overwhelming at times. Let's figure this out together with kindness and care. I am an anti-diet, intersectional, and trauma-informed social worker that uses an eclectic approach to support your goals, challenge unhelpful patterns, and empower you to be your own therapist and biggest support. I will commit to your experience and my own deconstruction in our work together. I have experience working with children in foster care, families, and individuals from age 2 to 82. I specialize in the treatment of eating disorders, OCD and anxiety disorders, and grief. Grateful to be part of your growth journey!
(210) 741-9317 View (210) 741-9317
Photo of Angela Farmer, Licensed Professional Counselor in 78245, TX
Angela Farmer
Licensed Professional Counselor, LPC
Verified Verified
San Antonio, TX 78245
I am Angela Farmer, a licensed psychologist with five years of clinical experience. I enjoy working with adolescents and young adults going into adulthood or early into adulthood. My therapeutic goals focus on people who are facing Anger Management, Coping Skills, Codependency, Depression, and Anxiety. The modalities I enjoy using are Cognitive Behavioral (CBT), Solution Focused Brief (SFBT), Rational Emotive Behavior (REBT), Motivational Interviewing, and Reality Therapy. My life has not been the easiest, and I feel that helps me to help my clients where they are at that moment.
I am Angela Farmer, a licensed psychologist with five years of clinical experience. I enjoy working with adolescents and young adults going into adulthood or early into adulthood. My therapeutic goals focus on people who are facing Anger Management, Coping Skills, Codependency, Depression, and Anxiety. The modalities I enjoy using are Cognitive Behavioral (CBT), Solution Focused Brief (SFBT), Rational Emotive Behavior (REBT), Motivational Interviewing, and Reality Therapy. My life has not been the easiest, and I feel that helps me to help my clients where they are at that moment.
(254) 503-5249 View (254) 503-5249
Photo of Melissa Graham, Licensed Professional Counselor in 78245, TX
Melissa Graham
Licensed Professional Counselor, MS, MBA, LPC-S
Verified Verified
San Antonio, TX 78245
I am a Board Approved Licensed Professional Counselor-Supervisor in the state of Texas. I provide clinical supervision for LPC-associates. I'm not currently taking counseling clients. My clinical areas of counseling competence are primarily adults with persistent and severe mental illness, and I have experience in counseling adolescents, families, and groups.  I have 16 years of experience in the field and have spent the majority of that time at the LMHA.   I am excited to assist you on your journey to becoming a fully licensed counselor.
I am a Board Approved Licensed Professional Counselor-Supervisor in the state of Texas. I provide clinical supervision for LPC-associates. I'm not currently taking counseling clients. My clinical areas of counseling competence are primarily adults with persistent and severe mental illness, and I have experience in counseling adolescents, families, and groups.  I have 16 years of experience in the field and have spent the majority of that time at the LMHA.   I am excited to assist you on your journey to becoming a fully licensed counselor.
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Photo of Robert Jones, Drug & Alcohol Counselor in 78245, TX
Robert Jones
Drug & Alcohol Counselor, MHA, LCDC, ADC, ICADC
Verified Verified
San Antonio, TX 78245  (Online Only)
I believe an effective Counselor is one who supports individuals on their journey towards healing, and serves as a co-pilot guiding them through the challenges of process to a healthier, more fulfilling life. As a compassionate and empathetic individual, I have always been drawn to helping others overcome their struggles and find their path to happiness. My desire to become a counselor stems from a deep-rooted belief in the power of human connection and the transformative impact it can have on people's lives. Just as a co-pilot supports the pilot in navigating through rough weather, I aspire to be a trusted, unwavering guide.
I believe an effective Counselor is one who supports individuals on their journey towards healing, and serves as a co-pilot guiding them through the challenges of process to a healthier, more fulfilling life. As a compassionate and empathetic individual, I have always been drawn to helping others overcome their struggles and find their path to happiness. My desire to become a counselor stems from a deep-rooted belief in the power of human connection and the transformative impact it can have on people's lives. Just as a co-pilot supports the pilot in navigating through rough weather, I aspire to be a trusted, unwavering guide.
(210) 880-6480 View (210) 880-6480
Photo of Elisabeth Zaragoza Grief Specialist, Licensed Professional Counselor in 78245, TX
Elisabeth Zaragoza Grief Specialist
Licensed Professional Counselor, LPC
Verified Verified
San Antonio, TX 78245  (Online Only)
Grief is overwhelming. It's sad and lonely when you miss your loved one. I can help you through the sadness and find a way to be able to live in this new season. You may be experiencing so many emotions. You may also notice that family/friends that you thought would support you are no longer around. I am a wife and mother of two. I have also experienced grief - from grandparents, great grandparents, aunts/uncles and my biggest loss - my mother With each loss, I have seen how it impacts the family structure and dynamics. Each experience and role I am in, shapes who I am and my journey as a wife, mother, friend and therapist.
Grief is overwhelming. It's sad and lonely when you miss your loved one. I can help you through the sadness and find a way to be able to live in this new season. You may be experiencing so many emotions. You may also notice that family/friends that you thought would support you are no longer around. I am a wife and mother of two. I have also experienced grief - from grandparents, great grandparents, aunts/uncles and my biggest loss - my mother With each loss, I have seen how it impacts the family structure and dynamics. Each experience and role I am in, shapes who I am and my journey as a wife, mother, friend and therapist.
(210) 794-8736 View (210) 794-8736
Photo of Unburdened Counseling, Clinical Social Work/Therapist in 78245, TX
Unburdened Counseling
Clinical Social Work/Therapist, LCSW
Verified Verified
San Antonio, TX 78245  (Online Only)
If you are felling burdened by life's challenges, choices, past trauma, or struggling with symptoms of mental health diagnoses, NOW is the time to have someone who is on your side, which means that sometimes you WILL be challenged, and sometimes you WILL be affirmed and your situations will be normalized. A lot of the times, though, this means that we will sit in those areas in between, which are often times messy, confusing, unsettling, and uncomfortable. You will have me with you, so you do not have to struggle through it all alone. We will embark on this journey hand in hand.
If you are felling burdened by life's challenges, choices, past trauma, or struggling with symptoms of mental health diagnoses, NOW is the time to have someone who is on your side, which means that sometimes you WILL be challenged, and sometimes you WILL be affirmed and your situations will be normalized. A lot of the times, though, this means that we will sit in those areas in between, which are often times messy, confusing, unsettling, and uncomfortable. You will have me with you, so you do not have to struggle through it all alone. We will embark on this journey hand in hand.
(830) 505-1939 View (830) 505-1939
Photo of Donna Shoop, Licensed Professional Counselor in 78245, TX
Donna Shoop
Licensed Professional Counselor, LPC
Verified Verified
San Antonio, TX 78245
I am Donna Shoop, a Licensed Profesional Counselor with twenty-two years of clinical experience. I have worked with individuals, adolescents, couples, parents, and families with Relationship Issues, Trauma, PTSD, Anxiety, Depression, and Adolescent/Teens Issues. I use a combination of approaches which include Person-Centered Therapies, Cognitive Behavioral (CBT), Client-Centered Therapy, and Solution Focused Brief (SFBT). I will work with anyone who has a need and is willing to try new things to improve their life. I believe in working with a person where they are at the moment and helping them grow towards where they want to be.
I am Donna Shoop, a Licensed Profesional Counselor with twenty-two years of clinical experience. I have worked with individuals, adolescents, couples, parents, and families with Relationship Issues, Trauma, PTSD, Anxiety, Depression, and Adolescent/Teens Issues. I use a combination of approaches which include Person-Centered Therapies, Cognitive Behavioral (CBT), Client-Centered Therapy, and Solution Focused Brief (SFBT). I will work with anyone who has a need and is willing to try new things to improve their life. I believe in working with a person where they are at the moment and helping them grow towards where they want to be.
(346) 375-7799 View (346) 375-7799
Photo of Laura Frances Cavicchi, Licensed Professional Counselor in 78245, TX
Laura Frances Cavicchi
Licensed Professional Counselor, PhD, LPC-S
Verified Verified
San Antonio, TX 78245  (Online Only)
I cater to clients who are ready to start their therapeutic journey and find relief from problematic symptoms ( e.g. depression, anxiety, and those related to relationship problems, parenting concerns to name but a few). Therapy is a collaborative experience therefore it's important to be prepared with honesty and effort to begin along the pathway for positive change. As your therapist, I am here to facilitate communication, to support you and help you recognize and learn new strategies to help you get to where you want to be; this is only possible because I am on the outside, looking in.
I cater to clients who are ready to start their therapeutic journey and find relief from problematic symptoms ( e.g. depression, anxiety, and those related to relationship problems, parenting concerns to name but a few). Therapy is a collaborative experience therefore it's important to be prepared with honesty and effort to begin along the pathway for positive change. As your therapist, I am here to facilitate communication, to support you and help you recognize and learn new strategies to help you get to where you want to be; this is only possible because I am on the outside, looking in.
(210) 942-5203 View (210) 942-5203

See more therapy options for 78245

How does your Therapist compare?

Number of Therapists in 78245

70+

Average cost per session

$125

Therapists in 78245 who prioritize treating:

93% Depression
92% Anxiety
82% Self Esteem
79% Coping Skills
78% Relationship Issues
76% Stress
71% Trauma and PTSD

Average years in practice

8 Years

Top 3 insurances accepted

89% Aetna
84% UnitedHealthcare UHC | UBH
82% BlueCross and BlueShield

How Therapists in 78245 see their clients

59% Online Only
41% In Person and Online

Gender breakdown

86% Female
14% Male
FAQs - About Therapy and Counseling

How can I find a therapist in 78245?

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.