Photo of Jason Shestok, Psychologist in 78731, TX
Jason Shestok
Psychologist, PsyD
Verified Verified
Austin, TX 78731
I consider my role as psychologist as one who strives to focus on the personal strengths, abilities, and vulnerabilities of a person through empathic support and optimism for positive change. To create a safe place where immediate issues, or chronic problems and patterns, can be identified and explored. To appreciate the whole person as a means to make sense of their experiences and behaviors.
I consider my role as psychologist as one who strives to focus on the personal strengths, abilities, and vulnerabilities of a person through empathic support and optimism for positive change. To create a safe place where immediate issues, or chronic problems and patterns, can be identified and explored. To appreciate the whole person as a means to make sense of their experiences and behaviors.
(512) 998-9806 View (512) 998-9806
Photo of Salime (Sally) Daguer, Clinical Social Work/Therapist in 78731, TX
Salime (Sally) Daguer
Clinical Social Work/Therapist, LCSW
Verified Verified
1 Endorsed
Austin, TX 78731
Not accepting new clients
Not Accepting New Clients. My approach is active, collaborative and holistic. I have experience in deep therapeutic work that guides you in exploring your life in order to create meaningful lasting change. Oftentimes, we may be overwhelmed by difficult emotions or feel like we just can’t quite understand ourselves. The tendency may be to turn away from these unwanted feelings and thoughts.As a therapist grounded in attachment based experiential therapy, I believe that finding your way to more wholeness and balance requires us to go into the deeper places where we hold our hurts and spend time getting to know those places.
Not Accepting New Clients. My approach is active, collaborative and holistic. I have experience in deep therapeutic work that guides you in exploring your life in order to create meaningful lasting change. Oftentimes, we may be overwhelmed by difficult emotions or feel like we just can’t quite understand ourselves. The tendency may be to turn away from these unwanted feelings and thoughts.As a therapist grounded in attachment based experiential therapy, I believe that finding your way to more wholeness and balance requires us to go into the deeper places where we hold our hurts and spend time getting to know those places.
(512) 722-7416 View (512) 722-7416
Photo of Lindsey Fiddle, Clinical Social Work/Therapist in 78731, TX
Lindsey Fiddle
Clinical Social Work/Therapist, LCSW
Verified Verified
2 Endorsed
Austin, TX 78731  (Online Only)
Hello! I'm genuinely excited to meet and support you on your path to wellness. I understand that finding a therapist can be overwhelming, but also know how important it is to find the right one. I believe in the power of relationships which is why I see our work together as a partnership. Your experiences and emotions matter, and I'm here to support you every step of the way. As a therapist, I prioritize following your lead. Whenever you're ready to dive deeper, we'll do so at your own pace. It's important to me to find the right balance between providing support and a challenge, while tailoring my approach to your specific needs.
Hello! I'm genuinely excited to meet and support you on your path to wellness. I understand that finding a therapist can be overwhelming, but also know how important it is to find the right one. I believe in the power of relationships which is why I see our work together as a partnership. Your experiences and emotions matter, and I'm here to support you every step of the way. As a therapist, I prioritize following your lead. Whenever you're ready to dive deeper, we'll do so at your own pace. It's important to me to find the right balance between providing support and a challenge, while tailoring my approach to your specific needs.
(737) 510-7061 View (737) 510-7061
Photo of Melinda Rothouse in 78731, TX
Melinda Rothouse
MA, PhD
Verified Verified
Austin, TX 78731
I am a professional creativity, leadership, and career coach, consultant, educator, and facilitator based in Austin, Texas. My areas of focus in coaching include mindfulness, creativity, organizational psychology, existential issues, spirituality, and life transitions, drawing inspiration from humanistic, existential, positive, transpersonal, and Jungian depth psychology. I help individuals and organizations tap into their innate creativity for greater insight, innovation, collaboration, and resilience. While my Ph.D. is in psychology / creativity studies, I am not a therapist or clinical psychologist, so I cannot accept insurance.
I am a professional creativity, leadership, and career coach, consultant, educator, and facilitator based in Austin, Texas. My areas of focus in coaching include mindfulness, creativity, organizational psychology, existential issues, spirituality, and life transitions, drawing inspiration from humanistic, existential, positive, transpersonal, and Jungian depth psychology. I help individuals and organizations tap into their innate creativity for greater insight, innovation, collaboration, and resilience. While my Ph.D. is in psychology / creativity studies, I am not a therapist or clinical psychologist, so I cannot accept insurance.
(512) 666-3819 View (512) 666-3819
Photo of Brian Alan Counts, LPC Intern in 78731, TX
Brian Alan Counts
LPC Intern, MS, LPC-A
Verified Verified
Austin, TX 78731
There are times where life can feel overwhelming, or uncertain. There may be moments in the past or a hard times right now that makes moving forward seem impossible. No matter what you believe about yourself or your life at this moment, change is possible. Whether you are struggling with anxiety, OCD, depression, grief, trauma, trying to adjust to something new. My hope is that you and I can work together to help relieve what is troubling you and discover new ways to adapt and have more meaning in your life.
There are times where life can feel overwhelming, or uncertain. There may be moments in the past or a hard times right now that makes moving forward seem impossible. No matter what you believe about yourself or your life at this moment, change is possible. Whether you are struggling with anxiety, OCD, depression, grief, trauma, trying to adjust to something new. My hope is that you and I can work together to help relieve what is troubling you and discover new ways to adapt and have more meaning in your life.
(512) 690-4922 View (512) 690-4922
Photo of Shelli L Kozberg, Licensed Professional Counselor in 78731, TX
Shelli L Kozberg
Licensed Professional Counselor, MA, LPC
Verified Verified
Austin, TX 78731
I LOVE my work because I get to help people help themselves. With over 25 years experience, I have worked with adolescent and adult individuals, couples and families, providing a safe place to express and explore their concerns and challenges as well as hopes and dreams. Whether you are new to counseling or are looking for someone with a fresh perspective, I'd be happy to hear from you and discuss the possibility of our working together. Ultimately, the journey is yours to determine and follow. I will simply provide support through open and honest reflection.
I LOVE my work because I get to help people help themselves. With over 25 years experience, I have worked with adolescent and adult individuals, couples and families, providing a safe place to express and explore their concerns and challenges as well as hopes and dreams. Whether you are new to counseling or are looking for someone with a fresh perspective, I'd be happy to hear from you and discuss the possibility of our working together. Ultimately, the journey is yours to determine and follow. I will simply provide support through open and honest reflection.
(512) 293-6232 View (512) 293-6232
Photo of Jennifer Jo Dahle Merrill, Licensed Professional Counselor in 78731, TX
Jennifer Jo Dahle Merrill
Licensed Professional Counselor, MA, LPC, NCC
Verified Verified
Austin, TX 78731
Relationships can be a source of our greatest joy and sometimes our greatest sorrows. Being in relationship with others effectively, requires that you have a positive relationship with yourself. Maybe you're feeling depressed, anxious or angry and don’t understand why. Maybe you have negative beliefs about yourself or others that affect your decisions and relationships. Maybe you’ve felt disconnected or in conflict with your significant other, friends, or family. You may be finding yourself in a pattern of having the same conflicts over and over.
Relationships can be a source of our greatest joy and sometimes our greatest sorrows. Being in relationship with others effectively, requires that you have a positive relationship with yourself. Maybe you're feeling depressed, anxious or angry and don’t understand why. Maybe you have negative beliefs about yourself or others that affect your decisions and relationships. Maybe you’ve felt disconnected or in conflict with your significant other, friends, or family. You may be finding yourself in a pattern of having the same conflicts over and over.
(512) 778-0947 View (512) 778-0947
Photo of Paola Garcia, Marriage & Family Therapist in 78731, TX
Paola Garcia
Marriage & Family Therapist, MS, LMFT-S
Verified Verified
Austin, TX 78731  (Online Only)
Waitlist for new clients
Hi! I am TX board approved LMFT supervisor. I am multiculturally/bilingually trained in English and Spanish. I hope to provide every client that I meet with an open, inviting and calming space to explore and reflect within themselves and share their experiences. I incorporate my studies in neuroscience and my training as a family therapist into my practice. My trauma work has focused on processing childhood wounds and unmet needs as a child, sexual, physical, emotional and psychological trauma. I also work with clients that may be experiencing stressful life transitions or grief/complicated grief.
Hi! I am TX board approved LMFT supervisor. I am multiculturally/bilingually trained in English and Spanish. I hope to provide every client that I meet with an open, inviting and calming space to explore and reflect within themselves and share their experiences. I incorporate my studies in neuroscience and my training as a family therapist into my practice. My trauma work has focused on processing childhood wounds and unmet needs as a child, sexual, physical, emotional and psychological trauma. I also work with clients that may be experiencing stressful life transitions or grief/complicated grief.
(830) 215-8213 View (830) 215-8213
Photo of Mindful Living Therapy, Licensed Professional Counselor in 78731, TX
Mindful Living Therapy
Licensed Professional Counselor, MA, LPC
Verified Verified
1 Endorsed
Austin, TX 78731
Are you feeling overwhelmed, shut down or lost? Maybe you've lived a life for others and aren't sure what living life for yourself would look like or how to even begin. Or maybe you are just searching for peace and safety in a world that has always felt very chaotic and unsafe. Regardless of your struggle, there comes a point on each of our journeys when we realize we can't continue to do it alone. If you are ready to take charge of your healing and create a life you don't feel the need to escape from, I am here to walk with you.
Are you feeling overwhelmed, shut down or lost? Maybe you've lived a life for others and aren't sure what living life for yourself would look like or how to even begin. Or maybe you are just searching for peace and safety in a world that has always felt very chaotic and unsafe. Regardless of your struggle, there comes a point on each of our journeys when we realize we can't continue to do it alone. If you are ready to take charge of your healing and create a life you don't feel the need to escape from, I am here to walk with you.
(512) 866-5397 View (512) 866-5397
Photo of Bethany Jordyn McWilliams, Marriage & Family Therapist in 78731, TX
Bethany Jordyn McWilliams
Marriage & Family Therapist
Verified Verified
1 Endorsed
Austin, TX 78731  (Online Only)
We all live in a world that can cause us to feel isolated, disillusioned, and even hopeless at times due to harmful societal constructs, personal relationship issues, life transitions, and countless other challenges. As a therapist it is my goal to meet my clients wherever they are at to facilitate the creation of new narratives in their life which bring them hope, resilience, and empowerment. I believe we all have the ability to deconstruct and reconstruct the stories that shape our lives in a way that brings us clarity and peace.
We all live in a world that can cause us to feel isolated, disillusioned, and even hopeless at times due to harmful societal constructs, personal relationship issues, life transitions, and countless other challenges. As a therapist it is my goal to meet my clients wherever they are at to facilitate the creation of new narratives in their life which bring them hope, resilience, and empowerment. I believe we all have the ability to deconstruct and reconstruct the stories that shape our lives in a way that brings us clarity and peace.
(512) 661-7258 View (512) 661-7258
Photo of Brian Trager, Psychologist in 78731, TX
Brian Trager
Psychologist, PsyD
Verified Verified
3 Endorsed
Austin, TX 78731
Let's face it: LIFE. IS. HARD. You are out here giving it your all, yet often find yourself feeling exhausted, anxious, lost, and overwhelmed. Meanwhile, everyone else seems like they've got it all figured out. Well, here's the thing: you are not alone in feeling this way, and there is absolutely nothing wrong with you because of it. In fact, discovering this truth is at the heart of therapy.
Let's face it: LIFE. IS. HARD. You are out here giving it your all, yet often find yourself feeling exhausted, anxious, lost, and overwhelmed. Meanwhile, everyone else seems like they've got it all figured out. Well, here's the thing: you are not alone in feeling this way, and there is absolutely nothing wrong with you because of it. In fact, discovering this truth is at the heart of therapy.
(512) 543-1871 View (512) 543-1871
Photo of Melissa Graham, Licensed Professional Counselor in 78731, TX
Melissa Graham
Licensed Professional Counselor, MS, LPC, LPA
Verified Verified
1 Endorsed
Austin, TX 78731  (Online Only)
My goal in therapy is to guide others through their struggles, helping them gain insight and providing tools to resolve the challenges they face. It is always my goal to assist my clients toward the achievement of their fullest potential. I have a passion for working with women as they transition through life events; pregnancy, marriage, divorce, career, empty nest.
My goal in therapy is to guide others through their struggles, helping them gain insight and providing tools to resolve the challenges they face. It is always my goal to assist my clients toward the achievement of their fullest potential. I have a passion for working with women as they transition through life events; pregnancy, marriage, divorce, career, empty nest.
(512) 640-2037 View (512) 640-2037
Photo of Elizabeth Bankert, Pre-Licensed Professional in 78731, TX
Elizabeth Bankert
Pre-Licensed Professional
Verified Verified
Austin, TX 78731  (Online Only)
I seek to assist active-duty service members and individuals with military backgrounds, focusing on substance use disorders and mental health issues prevalent in the military. Adolescents and adults in criminal justice fields, including juvenile placement, drug and alcohol services, prisons, and re-entry, are welcomed. Clients valuing a person-centered approach, CBT, psychoeducation, and holistic perspectives are ideal. Open-minded individuals appreciating Elizabeth's diverse background and commitment to effective treatment for military-related challenges would be the perfect fit.
I seek to assist active-duty service members and individuals with military backgrounds, focusing on substance use disorders and mental health issues prevalent in the military. Adolescents and adults in criminal justice fields, including juvenile placement, drug and alcohol services, prisons, and re-entry, are welcomed. Clients valuing a person-centered approach, CBT, psychoeducation, and holistic perspectives are ideal. Open-minded individuals appreciating Elizabeth's diverse background and commitment to effective treatment for military-related challenges would be the perfect fit.
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Photo of Luke Mayeux, LPC Associate in 78731, TX
Luke Mayeux
LPC Associate, MS
Verified Verified
Austin, TX 78731  (Online Only)
I help teens and adults heal from debilitating intrusive thoughts, anxiety, and unwanted behaviors. These thoughts and behavioral compulsions usually attack your personal values, identity, and beliefs, leaving you searching for reassurance and falling into the same defeating cycle. My ideal client usually needs help relinquishing control and finding peace with the unknown. I provide a calming presence, a lighthearted sense of humor, and a non-judgmental space to overcome your fears. Together, we create structured goals and implement them in each session.
I help teens and adults heal from debilitating intrusive thoughts, anxiety, and unwanted behaviors. These thoughts and behavioral compulsions usually attack your personal values, identity, and beliefs, leaving you searching for reassurance and falling into the same defeating cycle. My ideal client usually needs help relinquishing control and finding peace with the unknown. I provide a calming presence, a lighthearted sense of humor, and a non-judgmental space to overcome your fears. Together, we create structured goals and implement them in each session.
(512) 883-3589 View (512) 883-3589
Photo of Jamie Eastman, Licensed Professional Counselor Associate in 78731, TX
Jamie Eastman
Licensed Professional Counselor Associate, LPC-A, MA
Verified Verified
Austin, TX 78731  (Online Only)
People endure so much grief and pain before they even consider reaching out to a counselor, as if it says something bad about us because "we need help." Did you know we are biologically designed to "need help"? Traumatic events, personal rejection, perceived failures, and discrimination are just a few of a very long list of things that can make life feel impossible. Trying to cope with these things alone (like we are often told to do) has a profound negative impact on our well-being. I will provide much needed emotional support while we explore what you need to heal from the past and go into each day with more ease and confidence.
People endure so much grief and pain before they even consider reaching out to a counselor, as if it says something bad about us because "we need help." Did you know we are biologically designed to "need help"? Traumatic events, personal rejection, perceived failures, and discrimination are just a few of a very long list of things that can make life feel impossible. Trying to cope with these things alone (like we are often told to do) has a profound negative impact on our well-being. I will provide much needed emotional support while we explore what you need to heal from the past and go into each day with more ease and confidence.
(512) 670-8830 View (512) 670-8830
Photo of Adrianna Molina, Licensed Professional Counselor Associate in 78731, TX
Adrianna Molina
Licensed Professional Counselor Associate, MS , LPC-A
Verified Verified
2 Endorsed
Austin, TX 78731
I primarily work with teens and adults with life transitions and coping skills with everyday life situations. I'm experienced in working with ranging needs and have a passion in helping people finding their own authentic self and strengthen their relationships.
I primarily work with teens and adults with life transitions and coping skills with everyday life situations. I'm experienced in working with ranging needs and have a passion in helping people finding their own authentic self and strengthen their relationships.
(214) 380-3814 View (214) 380-3814
Photo of Kate Morales Sárraga, Psychological Associate in 78731, TX
Kate Morales Sárraga
Psychological Associate, LPA
Verified Verified
1 Endorsed
Austin, TX 78731
Are you feeling like you are living the same terrible day, over and over again? Stuck in an endless loop of uncertainty, it’s getting harder to see the possibility of a future worth living for. As the cycle continues, the days lose their meaning, the frustration increases, and rejecting those that you care about becomes inevitable. Longing for a sense of clarity, purpose, and direction in your life it feels like no one understands. I know how tough it can be, with those racing thoughts, tense muscles, and overwhelming worries. You don’t have to suffer in silence anymore. I can help you feel calm, confident, and in control.
Are you feeling like you are living the same terrible day, over and over again? Stuck in an endless loop of uncertainty, it’s getting harder to see the possibility of a future worth living for. As the cycle continues, the days lose their meaning, the frustration increases, and rejecting those that you care about becomes inevitable. Longing for a sense of clarity, purpose, and direction in your life it feels like no one understands. I know how tough it can be, with those racing thoughts, tense muscles, and overwhelming worries. You don’t have to suffer in silence anymore. I can help you feel calm, confident, and in control.
(737) 520-7875 View (737) 520-7875
Photo of Alethea Spangenberg, Licensed Professional Counselor in 78731, TX
Alethea Spangenberg
Licensed Professional Counselor, MA, LPC, NCC
Verified Verified
4 Endorsed
Austin, TX 78731  (Online Only)
Hi there! I’m Alethea. No matter the struggle, I believe that humans have an innate desire to feel supported and heard. That can be hard with all of the stress that life throws at us. My experience involves helping with anxiety, depression, relationship issues, major life changes, personality disorders, and overall feelings of dissatisfaction.
Hi there! I’m Alethea. No matter the struggle, I believe that humans have an innate desire to feel supported and heard. That can be hard with all of the stress that life throws at us. My experience involves helping with anxiety, depression, relationship issues, major life changes, personality disorders, and overall feelings of dissatisfaction.
(737) 258-8537 View (737) 258-8537
Photo of Lauren Hinkel, Clinical Social Work/Therapist in 78731, TX
Lauren Hinkel
Clinical Social Work/Therapist, LCSW, MPH
Verified Verified
Austin, TX 78731  (Online Only)
I specialize in working with clients struggling with ADHD and neurodivergence, body image issues, societal pressures, and disordered eating/exercise behaviors. My goal is to support you in developing a healthier relationship with exercise and your body, reducing anxiety, and improving your self-esteem. Together, we’ll work towards finding balance and peace, helping you feel accepted and comfortable in your own skin, and empowering you to live a life free from the constraints of unrealistic beauty standards.
I specialize in working with clients struggling with ADHD and neurodivergence, body image issues, societal pressures, and disordered eating/exercise behaviors. My goal is to support you in developing a healthier relationship with exercise and your body, reducing anxiety, and improving your self-esteem. Together, we’ll work towards finding balance and peace, helping you feel accepted and comfortable in your own skin, and empowering you to live a life free from the constraints of unrealistic beauty standards.
(737) 250-8473 View (737) 250-8473
Photo of May Matson Taylor, Psychologist in 78731, TX
May Matson Taylor
Psychologist, PhD
Verified Verified
1 Endorsed
Austin, TX 78731
Do you know that something needs to change for your child or family, but you aren’t sure where to start or what kind of services to seek? As a psychologist, I have expertise in children and teenagers, mental health care, psychological testing, and diagnosis. As a parent/caregiver, you have expertise in your child, family, and your child’s life story. You know what you’ve already tried, and what has or hasn’t helped. I know what other options are out there, and how to figure out which options will be a good fit. Let’s work together to determine the best path forward to support your child.
Do you know that something needs to change for your child or family, but you aren’t sure where to start or what kind of services to seek? As a psychologist, I have expertise in children and teenagers, mental health care, psychological testing, and diagnosis. As a parent/caregiver, you have expertise in your child, family, and your child’s life story. You know what you’ve already tried, and what has or hasn’t helped. I know what other options are out there, and how to figure out which options will be a good fit. Let’s work together to determine the best path forward to support your child.
(833) 482-0660 View (833) 482-0660

How does your Therapist compare?

Number of Therapists in 78731

400+

Average cost per session

$150

Therapists in 78731 who prioritize treating:

92% Anxiety
88% Depression
77% Relationship Issues
77% Self Esteem
70% Coping Skills
69% Trauma and PTSD
68% Stress

Average years in practice

11 Years

Top 3 insurances accepted

77% Aetna
73% UnitedHealthcare UHC | UBH
63% BlueCross and BlueShield

How Therapists in 78731 see their clients

55% In Person and Online
45% Online Only

Gender breakdown

81% Female
17% Male
2% Non-Binary
FAQs - About Therapy and Counseling

How can I find a therapist in 78731?

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.