Photo of LaTasha Vanin, LCSW, Clinical Social Work/Therapist
LaTasha Vanin
Clinical Social Work/Therapist, LCSW
Verified Verified
Kyle, TX 78640  (Online Only)
Congratulations to you! You are already doing the work that can lead to YOU being a Better YOU! You’ve taken the most difficult step and that’s the decision to seek therapy. If you are feeling unmotivated, depressed, or anxious and having problems in your personal or work life, I would like to assist you in acquiring the tools to help you better manage these issues. Even if it’s a behavior you’d like to change, anger you’d like to control, or trauma you’d like to sort through, my passion is to help individuals overcome debilitating issues and begin living the life they deserve.
Congratulations to you! You are already doing the work that can lead to YOU being a Better YOU! You’ve taken the most difficult step and that’s the decision to seek therapy. If you are feeling unmotivated, depressed, or anxious and having problems in your personal or work life, I would like to assist you in acquiring the tools to help you better manage these issues. Even if it’s a behavior you’d like to change, anger you’d like to control, or trauma you’d like to sort through, my passion is to help individuals overcome debilitating issues and begin living the life they deserve.
(512) 886-9763 View (512) 886-9763
Photo of Jacqueline Gilmer, MS, LPC-S, LCDC, Licensed Professional Counselor
Jacqueline Gilmer
Licensed Professional Counselor, MS, LPC-S, LCDC
Verified Verified
3 Endorsed
Uhland, TX 78640  (Online Only)
Do you struggle with addiction, grief, trauma, identity, gender or sexuality issues, or issues of faith that affects your day-to-day life, relationships, ability to function at work or within the legal system? Do you feel exhausted, overwhelmed, frustrated, lost by attempting to live up to the world's standards or feel that there is no light at the end of the tunnel? Do you wonder if life could be better? Individuals attempting recovery, in early recovery, or those feeling a loss of purpose often feel uncertain about the future and finding their place in life.
Do you struggle with addiction, grief, trauma, identity, gender or sexuality issues, or issues of faith that affects your day-to-day life, relationships, ability to function at work or within the legal system? Do you feel exhausted, overwhelmed, frustrated, lost by attempting to live up to the world's standards or feel that there is no light at the end of the tunnel? Do you wonder if life could be better? Individuals attempting recovery, in early recovery, or those feeling a loss of purpose often feel uncertain about the future and finding their place in life.
(737) 265-4044 View (737) 265-4044
Photo of Dr. Maritza P Rodriguez, LPC-S, CCST, Licensed Professional Counselor
Dr. Maritza P Rodriguez
Licensed Professional Counselor, LPC-S, CCST
Verified Verified
Kyle, TX 78640
My philosophy begins inside the heart of my clients. As a former elementary teacher, I learned the valuable lesson that my kids will never care what I know or had to teach them until they knew I cared about them. This lesson is applicable in so many instances, and especially when I counsel. I enjoy getting to know every child that I work with. I want to know them as a person, and especially what they enjoy most. That is one reason why I am passionate about play therapy. This technique incorporates what children love most, which is often to play, and in doing so, they are more at ease to have meaningful conversations.
My philosophy begins inside the heart of my clients. As a former elementary teacher, I learned the valuable lesson that my kids will never care what I know or had to teach them until they knew I cared about them. This lesson is applicable in so many instances, and especially when I counsel. I enjoy getting to know every child that I work with. I want to know them as a person, and especially what they enjoy most. That is one reason why I am passionate about play therapy. This technique incorporates what children love most, which is often to play, and in doing so, they are more at ease to have meaningful conversations.
(512) 686-1583 View (512) 686-1583
Photo of Sidu Arroyo-Boulter, LPC, Licensed Professional Counselor
Sidu Arroyo-Boulter
Licensed Professional Counselor, LPC
Verified Verified
Kyle, TX 78640
Therapy can be a deeply transformative experience where you may discover more of who you are and ultimately find a greater sense of peace. As a relational psychodynamic therapist, my first goal is to create an environment where you feel understood and supported in exploring your story. I have experience working with adolescents, adults, families, and perinatal patients. I also am an especially good fit for those who struggle with feelings of guilt and shame; those who consider themselves highly sensitive; and those who feel like outsiders.
Therapy can be a deeply transformative experience where you may discover more of who you are and ultimately find a greater sense of peace. As a relational psychodynamic therapist, my first goal is to create an environment where you feel understood and supported in exploring your story. I have experience working with adolescents, adults, families, and perinatal patients. I also am an especially good fit for those who struggle with feelings of guilt and shame; those who consider themselves highly sensitive; and those who feel like outsiders.
(512) 598-6122 View (512) 598-6122
Photo of Christina Taylor, LPC, PLLC, Licensed Professional Counselor
Christina Taylor
Licensed Professional Counselor, LPC, PLLC
Verified Verified
Kyle, TX 78640
Wherever you are in life, there are times when you may need some extra support. As your therapist, I will meet you where you are and help guide you along your journey to get to where you want to be. My therapeutic approach involves building upon those strengths and providing a different perspective to help you work toward fulfilling your individual needs. I work with individuals, pre-teens & adolescents, couples, and families. Common issues that can be addressed during therapy sessions include stress and anger management, anxiety, depression, parenting issues, relationship conflicts, behavioral issues, and skill-building,
Wherever you are in life, there are times when you may need some extra support. As your therapist, I will meet you where you are and help guide you along your journey to get to where you want to be. My therapeutic approach involves building upon those strengths and providing a different perspective to help you work toward fulfilling your individual needs. I work with individuals, pre-teens & adolescents, couples, and families. Common issues that can be addressed during therapy sessions include stress and anger management, anxiety, depression, parenting issues, relationship conflicts, behavioral issues, and skill-building,
(512) 710-2293 View (512) 710-2293
Photo of Tanya Martinez-Cardenas - Unitive Counseling (Tanya Martinez-Cardenas), MS, LPC, LCDC, ICADC, SAP, Licensed Professional Counselor
Unitive Counseling (Tanya Martinez-Cardenas)
Licensed Professional Counselor, MS, LPC, LCDC, ICADC, SAP
Verified Verified
3 Endorsed
Kyle, TX 78640  (Online Only)
Do you wake up anxious, have knots in your stomach, feel lost and confused, can't make decisions, question your purpose, feel like the least luckiest person on the planet? You're not alone. Most people feel that way. Go to medical personnel and they will tell you that anxiety and depression are pretty normal experiences. But, they shouldn't be normal. They are a sign that you are off course and disconnected from yourself. Nothing could be more abnormal than that. When we are connected, we are clear about what we want. We know who we are. We stand up for ourselves. We don't watch life pass us by.
Do you wake up anxious, have knots in your stomach, feel lost and confused, can't make decisions, question your purpose, feel like the least luckiest person on the planet? You're not alone. Most people feel that way. Go to medical personnel and they will tell you that anxiety and depression are pretty normal experiences. But, they shouldn't be normal. They are a sign that you are off course and disconnected from yourself. Nothing could be more abnormal than that. When we are connected, we are clear about what we want. We know who we are. We stand up for ourselves. We don't watch life pass us by.
(737) 265-8191 View (737) 265-8191
Photo of Staci McAdams, LCSW-S, Clinical Social Work/Therapist
Staci McAdams
Clinical Social Work/Therapist, LCSW-S
Verified Verified
1 Endorsed
Kyle, TX 78640
****PLEASE EMAIL FOR SCHEDULING*** Are you looking for a professional who can help you move through your emotional pain? Have you tried counseling before but it felt unsafe to open up? Traumatic experiences at any stage of life can make it difficult to trust others enough to experience the benefits of therapy. Therapy itself can become a challenge to overcome, but, the truth is we all need someone to open up to. If you want to learn how to process negative emotional disturbance so that you can feel a sense of relief and heal yourself, I can be there to guide your journey.
****PLEASE EMAIL FOR SCHEDULING*** Are you looking for a professional who can help you move through your emotional pain? Have you tried counseling before but it felt unsafe to open up? Traumatic experiences at any stage of life can make it difficult to trust others enough to experience the benefits of therapy. Therapy itself can become a challenge to overcome, but, the truth is we all need someone to open up to. If you want to learn how to process negative emotional disturbance so that you can feel a sense of relief and heal yourself, I can be there to guide your journey.
(512) 580-8544 View (512) 580-8544
Photo of Amelia Owen, LPC, Licensed Professional Counselor
Amelia Owen
Licensed Professional Counselor, LPC
Verified Verified
Kyle, TX 78640
I believe we all have the power to change, even when it feels impossible. Life can sometimes bring us challenges and obstacles that we are not nor could ever be prepared for. I am dedicated to assist my clients discover their inner strengths and skills to overcome these obstacles in order to achieve their goals in healing and growth so they can have the healthy life they deserve.
I believe we all have the power to change, even when it feels impossible. Life can sometimes bring us challenges and obstacles that we are not nor could ever be prepared for. I am dedicated to assist my clients discover their inner strengths and skills to overcome these obstacles in order to achieve their goals in healing and growth so they can have the healthy life they deserve.
(512) 357-7930 View (512) 357-7930
Photo of Megan Gillespie, LCSW-S, Clinical Social Work/Therapist
Megan Gillespie
Clinical Social Work/Therapist, LCSW-S
Verified Verified
Kyle, TX 78640
Are you struggling? Are there issues in your life that seem unmanageable? I want to work with you to help you overcome the obstacles in your life. Whatever stage, whatever phase, I believe in starting where you are at, in this moment.
Are you struggling? Are there issues in your life that seem unmanageable? I want to work with you to help you overcome the obstacles in your life. Whatever stage, whatever phase, I believe in starting where you are at, in this moment.
(512) 772-2595 View (512) 772-2595
Photo of Kristen Tomczyszyn, MA, LPC, LLC, Licensed Professional Counselor
Kristen Tomczyszyn
Licensed Professional Counselor, MA, LPC, LLC
Verified Verified
7 Endorsed
Kyle, TX 78640
Not accepting new clients
Can you relate: From an outsider's perspective, it appears you have everything together, yet there's an underlying sense of something missing. Despite your efforts to stay focused on personal goals, you often compare yourself to others, which leads to feelings of insecurity and worthlessness. You tend to dwell on your failures rather than celebrating your achievements. This self-doubt and constant questioning of your decisions contribute to feelings of anxiety and depression. You are not alone! I am dedicated to providing a safe and supportive environment for my clients to process their experiences and emotions.
Can you relate: From an outsider's perspective, it appears you have everything together, yet there's an underlying sense of something missing. Despite your efforts to stay focused on personal goals, you often compare yourself to others, which leads to feelings of insecurity and worthlessness. You tend to dwell on your failures rather than celebrating your achievements. This self-doubt and constant questioning of your decisions contribute to feelings of anxiety and depression. You are not alone! I am dedicated to providing a safe and supportive environment for my clients to process their experiences and emotions.
(737) 379-1382 View (737) 379-1382
Photo of Lakettra Priestly, LCSW, Clinical Social Work/Therapist
Lakettra Priestly
Clinical Social Work/Therapist, LCSW
Verified Verified
2 Endorsed
Kyle, TX 78640
Congratulations on beginning the journey of positive change. I look forward to joining you on your journey to achieving, overcoming obstacles, and landing at an improved sense of self. If you are ready to begin working on your thought process, viewing life through new enlightened eyes, I'm the therapist for you.
Congratulations on beginning the journey of positive change. I look forward to joining you on your journey to achieving, overcoming obstacles, and landing at an improved sense of self. If you are ready to begin working on your thought process, viewing life through new enlightened eyes, I'm the therapist for you.
(512) 865-6678 View (512) 865-6678
Photo of Abel Rodriguez, LCSW, LCDC, Clinical Social Work/Therapist
Abel Rodriguez
Clinical Social Work/Therapist, LCSW, LCDC
Verified Verified
Kyle, TX 78640
One of the greatest challenges of life is finding peace within yourself, when one is challenged by depression, anxiety, abuse or trauma that peace can sometimes feel unattainable. This is why finding the "Right" therapist can be a task in itself. As for myself, I believe that "Normal" only exist on a washing machine & finding the "Right" therapist can be just as important as finding the perfect time to pursue that peace.
One of the greatest challenges of life is finding peace within yourself, when one is challenged by depression, anxiety, abuse or trauma that peace can sometimes feel unattainable. This is why finding the "Right" therapist can be a task in itself. As for myself, I believe that "Normal" only exist on a washing machine & finding the "Right" therapist can be just as important as finding the perfect time to pursue that peace.
(512) 842-6079 View (512) 842-6079
Photo of Derrick Lewis, MEd, Licensed Professional Counselor
Derrick Lewis
Licensed Professional Counselor, MEd
Verified Verified
Kyle, TX 78640  (Online Only)
My name is Derrick Lewis and I am a Licensed Professional Counselor in the state of Texas. I received a Bachelors Degree in Psychology from the University of Texas - El Paso and a Masters Degree in Clinical Mental Health Counseling from Lamar University. Since 2015, I've worked with children, adolescents, adults and their families. I specialize in treating multiple areas including depression, anxiety, ADHD, trauma, anger management, family issues, and relationships. With a warm and empathetic approach, I create a therapeutic environment where clients of all ages feel understood, supported, and empowered to achieve their goals
My name is Derrick Lewis and I am a Licensed Professional Counselor in the state of Texas. I received a Bachelors Degree in Psychology from the University of Texas - El Paso and a Masters Degree in Clinical Mental Health Counseling from Lamar University. Since 2015, I've worked with children, adolescents, adults and their families. I specialize in treating multiple areas including depression, anxiety, ADHD, trauma, anger management, family issues, and relationships. With a warm and empathetic approach, I create a therapeutic environment where clients of all ages feel understood, supported, and empowered to achieve their goals
(512) 640-2319 View (512) 640-2319
Photo of Alondra Mascorro, MA, LPC, Licensed Professional Counselor
Alondra Mascorro
Licensed Professional Counselor, MA, LPC
Verified Verified
Kyle, TX 78640  (Online Only)
My ideal client is an extraordinary woman navigating life’s complexities—whether exploring her identity, managing motherhood, or addressing family dynamics. As your dedicated guide, I’m here to support your journey of self-discovery and empowerment. My mission is to help you feel valued and understood, equipping you with tools to face challenges and turn obstacles into strengths. I also do coaching sessions, focusing on achieving goals and personal development (future-oriented, performance-driven, short-term). Together, we’ll create a vibrant future for you and your loved ones.
My ideal client is an extraordinary woman navigating life’s complexities—whether exploring her identity, managing motherhood, or addressing family dynamics. As your dedicated guide, I’m here to support your journey of self-discovery and empowerment. My mission is to help you feel valued and understood, equipping you with tools to face challenges and turn obstacles into strengths. I also do coaching sessions, focusing on achieving goals and personal development (future-oriented, performance-driven, short-term). Together, we’ll create a vibrant future for you and your loved ones.
(512) 768-2682 View (512) 768-2682
Photo of Christopher Wilkins, LPC, LSOTP, Licensed Professional Counselor
Christopher Wilkins
Licensed Professional Counselor, LPC, LSOTP
Verified Verified
Kyle, TX 78640  (Online Only)
How do you care for yourself? How do you deal with adversity especially when your struggling? All of us have a tendency to latch on to reasons of why we do what we do, but sometimes these reasons aren’t always true and can actually cause us and those we love more suffering. I look forward to working with you on any issue, in a safe confidential space. I have a collaborative style that focuses on the goals of healthy processing, empowerment, and self-sufficiency.
How do you care for yourself? How do you deal with adversity especially when your struggling? All of us have a tendency to latch on to reasons of why we do what we do, but sometimes these reasons aren’t always true and can actually cause us and those we love more suffering. I look forward to working with you on any issue, in a safe confidential space. I have a collaborative style that focuses on the goals of healthy processing, empowerment, and self-sufficiency.
(512) 488-1005 View (512) 488-1005
Photo of Abby Estrada, LCSW-S, Clinical Social Work/Therapist
Abby Estrada
Clinical Social Work/Therapist, LCSW-S
Verified Verified
3 Endorsed
Kyle, TX 78640
Seeking therapy means taking the first step to putting your needs and mental health first. Doing something for you. I help clients who want to invest in themselves by helping them achieve optimal mental health so they can be the best version of themselves and feel more balanced. I hold space and am of support to those navigating distressing mental health symptoms, life changes, and transitions. I use a collaborative and empowering approach to help you get to where you want to be.
Seeking therapy means taking the first step to putting your needs and mental health first. Doing something for you. I help clients who want to invest in themselves by helping them achieve optimal mental health so they can be the best version of themselves and feel more balanced. I hold space and am of support to those navigating distressing mental health symptoms, life changes, and transitions. I use a collaborative and empowering approach to help you get to where you want to be.
(940) 441-3826 View (940) 441-3826
Photo of Maggie Ybarra, MS, LPC, CRC, Licensed Professional Counselor
Maggie Ybarra
Licensed Professional Counselor, MS, LPC, CRC
Verified Verified
Kyle, TX 78640
Not accepting new clients
Anxiety interferes with our ability to maximize our potential and can debilitate our ability to interact with others. The persistent worry and physical symptoms that accompany that worry manifest into intrusions in our daily living. The struggle of dealing with anxiety is all-encompassing and is a difficult journey to venture through alone. I work with people to help them find lasting relief from the symptoms of anxiety and the unhealthy patterns that they develop to deal with it.
Anxiety interferes with our ability to maximize our potential and can debilitate our ability to interact with others. The persistent worry and physical symptoms that accompany that worry manifest into intrusions in our daily living. The struggle of dealing with anxiety is all-encompassing and is a difficult journey to venture through alone. I work with people to help them find lasting relief from the symptoms of anxiety and the unhealthy patterns that they develop to deal with it.
(956) 625-4289 View (956) 625-4289
Photo of Joshua Boulter, MS, LPC, Licensed Professional Counselor
Joshua Boulter
Licensed Professional Counselor, MS, LPC
Verified Verified
1 Endorsed
Kyle, TX 78640
In our work together, I'll seek to provide an atmosphere where you feel understood. With empathy and curiosity, my aim is to help you understand the ways you have struggled, and are struggling. Painful, yet unprocessed emotions are often at the root of our suffering. These emotions need care and attunement, a "relational home." By experiencing these emotions together in psychotherapy, you will likely gain significant inner freedom, as you understand yourself more deeply and experience a reduction in your symptoms.
In our work together, I'll seek to provide an atmosphere where you feel understood. With empathy and curiosity, my aim is to help you understand the ways you have struggled, and are struggling. Painful, yet unprocessed emotions are often at the root of our suffering. These emotions need care and attunement, a "relational home." By experiencing these emotions together in psychotherapy, you will likely gain significant inner freedom, as you understand yourself more deeply and experience a reduction in your symptoms.
(214) 220-4653 View (214) 220-4653
Photo of Erin Mendoza - Daybreak Counseling, LPC, Licensed Professional Counselor
Daybreak Counseling
Licensed Professional Counselor, LPC
Verified Verified
Kyle, TX 78640  (Online Only)
My name is Erin Mendoza. I received my Master's Degree in Professional Counseling in 2007 from Texas State University in San Marcos, Tx. I have been providing counseling services since 2007. I work with clients to help them better understand their mental health, process what is causing their distress and help them learn skills to continue to care for their mental health in the future.
My name is Erin Mendoza. I received my Master's Degree in Professional Counseling in 2007 from Texas State University in San Marcos, Tx. I have been providing counseling services since 2007. I work with clients to help them better understand their mental health, process what is causing their distress and help them learn skills to continue to care for their mental health in the future.
(833) 796-0315 View (833) 796-0315
Photo of Mayra Yanez, MS, LMFT-A, Marriage & Family Therapist Associate
Mayra Yanez
Marriage & Family Therapist Associate, MS, LMFT-A
Verified Verified
2 Endorsed
Kyle, TX 78640  (Online Only)
Navigating the complexities of a relationship is never easy, especially when dealing with cultural differences, infidelity, or ongoing conflicts. I am here to offer compassionate and effective support through these challenging times. My goal is to help you, and your partner not just survive but thrive, rediscovering the strength and connection that brought you together in the first place. I specialize in working with culturally diverse couples, understanding that each relationship is uniquely shaped by its cultural context. In addition to couples therapy, I offer individual therapy to support personal growth.
Navigating the complexities of a relationship is never easy, especially when dealing with cultural differences, infidelity, or ongoing conflicts. I am here to offer compassionate and effective support through these challenging times. My goal is to help you, and your partner not just survive but thrive, rediscovering the strength and connection that brought you together in the first place. I specialize in working with culturally diverse couples, understanding that each relationship is uniquely shaped by its cultural context. In addition to couples therapy, I offer individual therapy to support personal growth.
(512) 890-0314 View (512) 890-0314
1

How does your Therapist compare?

Number of Therapists in 78640

100+

Average cost per session

$150

Therapists in 78640 who prioritize treating:

96% Anxiety
88% Depression
80% Relationship Issues
77% Self Esteem
72% Coping Skills
69% Trauma and PTSD
69% Stress

Average years in practice

9 Years

Top 3 insurances accepted

80% Aetna
69% UnitedHealthcare UHC | UBH
67% BlueCross and BlueShield

How Therapists in 78640 see their clients

70% In Person and Online
30% Online Only

Gender breakdown

83% Female
16% Male
1% Non-Binary
FAQs - About Therapy and Counseling

How can I find a therapist in 78640?

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.