Therapists in Houston, TX

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Photo of Sandra Teniente, Licensed Professional Counselor in Houston, TX
Sandra Teniente
Licensed Professional Counselor, LPC
Verified Verified
Houston, TX 77080
I have 15 years direct experience in the behavioral & mental health and substance abuse fields. I assist individuals in coping with life issues including dual diagnoses, behavioral, mental health, substance abuse, relationships, personal conflicts, sexual issues, problem solving, decision making and developmental concerns using an eclectic approach supported by evidence-based research. I provide counseling services to children via art and play therapy. I also counsel adolescents and adults to address a variety of topics (trauma, substance abuse, peer pressure, mental health issues, anxiety, depression, adjustments, trauma, etc).
I have 15 years direct experience in the behavioral & mental health and substance abuse fields. I assist individuals in coping with life issues including dual diagnoses, behavioral, mental health, substance abuse, relationships, personal conflicts, sexual issues, problem solving, decision making and developmental concerns using an eclectic approach supported by evidence-based research. I provide counseling services to children via art and play therapy. I also counsel adolescents and adults to address a variety of topics (trauma, substance abuse, peer pressure, mental health issues, anxiety, depression, adjustments, trauma, etc).
(832) 979-8930 View (832) 979-8930
Photo of Marjorie German Bournigal, Licensed Professional Counselor in Houston, TX
Marjorie German Bournigal
Licensed Professional Counselor, MEd, LPC
Verified Verified
5 Endorsed
Houston, TX 77027
Give therapy a try! It can help with many problems, make an appointment if you want to resolve long standing issues, feel better and have more peace and balance in your life. You will learn to develop healthy approaches to your problems and learn to make better choices in handling life stressors and relationships. My style is direct, interactive, practical and I am described as genuine, easy to talk to, insightful, engaging and motivating.
Give therapy a try! It can help with many problems, make an appointment if you want to resolve long standing issues, feel better and have more peace and balance in your life. You will learn to develop healthy approaches to your problems and learn to make better choices in handling life stressors and relationships. My style is direct, interactive, practical and I am described as genuine, easy to talk to, insightful, engaging and motivating.
(281) 751-1237 View (281) 751-1237
Photo of Brina Johnston, Licensed Professional Counselor in Houston, TX
Brina Johnston
Licensed Professional Counselor, LPC, CART, CCTP
Verified Verified
1 Endorsed
Houston, TX 77058
Traumas and high levels of stress keep us locked in physical, emotional, behavioral and mental habits. Everyday life causes excessive emotional defenses and over-training of isolated muscles. If you feel overwhelmed or stuck in unhealthy patterns, therapy can help empower you and renew your zeal for life.
Traumas and high levels of stress keep us locked in physical, emotional, behavioral and mental habits. Everyday life causes excessive emotional defenses and over-training of isolated muscles. If you feel overwhelmed or stuck in unhealthy patterns, therapy can help empower you and renew your zeal for life.
(713) 903-3601 View (713) 903-3601
Photo of Leticia Acosta, Licensed Professional Counselor in Houston, TX
Leticia Acosta
Licensed Professional Counselor, LPC
Verified Verified
Houston, TX 77041
Hello, I am Letty Acosta, a Licensed Professional Counselor (LPC) based in Texas. If you are seeking mental health therapy, I am here to offer my expertise and support. Throughout our therapeutic journey together, I will tailor my approach to meet your unique needs and goals. I am dedicated to assisting you in finding practical solutions and fostering a greater sense of well-being. As a professional counselor based in Texas, I have had the honor of working with individuals facing a wide range of challenges. With a focus on adult clients, I specialize in helping individuals navigate various difficulties.
Hello, I am Letty Acosta, a Licensed Professional Counselor (LPC) based in Texas. If you are seeking mental health therapy, I am here to offer my expertise and support. Throughout our therapeutic journey together, I will tailor my approach to meet your unique needs and goals. I am dedicated to assisting you in finding practical solutions and fostering a greater sense of well-being. As a professional counselor based in Texas, I have had the honor of working with individuals facing a wide range of challenges. With a focus on adult clients, I specialize in helping individuals navigate various difficulties.
(832) 979-8467 View (832) 979-8467
Photo of Michelline G Burmeister, Licensed Professional Counselor Associate in Houston, TX
Michelline G Burmeister
Licensed Professional Counselor Associate, MA, LPC-A
Verified Verified
1 Endorsed
Houston, TX 77079
Reaching out can be difficult but your desire for a better future led you here. Together we can develop a positive client-counselor relationship in which there is trust. I will listen empathetically and non-judgmentally to help you. Connection and openness to learn from life and others are especially important to me. My approach to therapy is an eclectic one using a variety of techniques such as cognitive-behavioral, client-centered, and solution-based therapy. I would love the opportunity to help you achieve your therapeutic goals.
Reaching out can be difficult but your desire for a better future led you here. Together we can develop a positive client-counselor relationship in which there is trust. I will listen empathetically and non-judgmentally to help you. Connection and openness to learn from life and others are especially important to me. My approach to therapy is an eclectic one using a variety of techniques such as cognitive-behavioral, client-centered, and solution-based therapy. I would love the opportunity to help you achieve your therapeutic goals.
(713) 999-3548 View (713) 999-3548
Photo of Allison Corcoran, Licensed Professional Counselor Associate in Houston, TX
Allison Corcoran
Licensed Professional Counselor Associate , LPC-A
Verified Verified
3 Endorsed
Houston, TX 77008
Hi there, finding the best-fit therapist is sometimes the hardest part of getting started in therapy, but that’s why you’re here: to find a therapist you will feel supported by in your healing journey. And I may have the expertise you are looking for. Scroll down, take a look around, and get comfy; here’s a bit about me: I work with children, adolescents, young adults, and adults, and while I have a lot of clients who are in different life phases, one thing tends to ring true for each of them: they want to feel less weighted by the voice that spins in their head, break past their fears, and start living a life they love.
Hi there, finding the best-fit therapist is sometimes the hardest part of getting started in therapy, but that’s why you’re here: to find a therapist you will feel supported by in your healing journey. And I may have the expertise you are looking for. Scroll down, take a look around, and get comfy; here’s a bit about me: I work with children, adolescents, young adults, and adults, and while I have a lot of clients who are in different life phases, one thing tends to ring true for each of them: they want to feel less weighted by the voice that spins in their head, break past their fears, and start living a life they love.
(832) 742-7653 View (832) 742-7653
Photo of Alicia Pace, Licensed Professional Counselor in Houston, TX
Alicia Pace
Licensed Professional Counselor, MEd, LPC, NCC
Verified Verified
Houston, TX 77098
Alicia earned her Master's of Education in Clinical Mental Health Counseling from University of Houston-Victoria and is a Licensed Professional Counselor in the state of Texas as well as a Nationally Certified Counselor. Alicia has clinical experience in a variety of settings, including foster care, residential treatment care, outpatient group therapy, and individual therapy. Using a relational and solution focused approach, Alicia works with individuals aged 18-65 who are navigating their mental health and wanting to achieve balance and peace.
Alicia earned her Master's of Education in Clinical Mental Health Counseling from University of Houston-Victoria and is a Licensed Professional Counselor in the state of Texas as well as a Nationally Certified Counselor. Alicia has clinical experience in a variety of settings, including foster care, residential treatment care, outpatient group therapy, and individual therapy. Using a relational and solution focused approach, Alicia works with individuals aged 18-65 who are navigating their mental health and wanting to achieve balance and peace.
(832) 251-7874 View (832) 251-7874
Photo of Amanda Bethel Robottom, LPC Associate in Houston, TX
Amanda Bethel Robottom
LPC Associate, MAC, LPC-A
Verified Verified
Houston, TX 77056  (Online Only)
Being human means experiencing anxiety, depression, relationship challenges, transitions in life, grief, pain, even fear, uncertainty, trauma, and doubt at some point. We can go from living our lives to being overwhelmed by our experiences, which can bring shame, anger, frustration, or self-loathing. When faced with these issues, the overwhelming need for a safe, encouraging, supportive space and acquiring access to tools that will help us navigate and better understand our mental, emotional, spiritual, and physical selves becomes essential for getting unstuck and moving forward.
Being human means experiencing anxiety, depression, relationship challenges, transitions in life, grief, pain, even fear, uncertainty, trauma, and doubt at some point. We can go from living our lives to being overwhelmed by our experiences, which can bring shame, anger, frustration, or self-loathing. When faced with these issues, the overwhelming need for a safe, encouraging, supportive space and acquiring access to tools that will help us navigate and better understand our mental, emotional, spiritual, and physical selves becomes essential for getting unstuck and moving forward.
(346) 644-6784 View (346) 644-6784
Photo of Darcy Ciesynski, Clinical Social Work/Therapist in Houston, TX
Darcy Ciesynski
Clinical Social Work/Therapist, LCSW
Verified Verified
Houston, TX 77002  (Online Only)
I view myself as the co-pilot of your self-exploration journey, and a source of support during your life transitions. I work with adults experiencing anxiety, depression, life transitions, self-esteem, and postpartum depression.
I view myself as the co-pilot of your self-exploration journey, and a source of support during your life transitions. I work with adults experiencing anxiety, depression, life transitions, self-esteem, and postpartum depression.
(713) 581-6385 View (713) 581-6385
Photo of Vincent Tran, Psychologist in Houston, TX
Vincent Tran
Psychologist, PhD
Verified Verified
Houston, TX 77084  (Online Only)
I am a Houston based psychologist with a passion for helping people who have had a hard time seeking help. I have spent my entire career working to make mental health more accessible, more approachable, and more applicable to everyday people.
I am a Houston based psychologist with a passion for helping people who have had a hard time seeking help. I have spent my entire career working to make mental health more accessible, more approachable, and more applicable to everyday people.
(281) 503-5040 View (281) 503-5040
Photo of Reflections Counseling of Texas LLC, Marriage & Family Therapist Associate in Houston, TX
Reflections Counseling of Texas LLC
Marriage & Family Therapist Associate, MA, , LMFT-A
Verified Verified
Houston, TX 77064  (Online Only)
I view psychotherapy as a helping relationship built on trust and respect with the understanding that people are the expert in their own lives. I cannot tell you what decision to take, but we can work together to figure out challenges that are making life difficult. As your therapist i will not judge you. I believe in your ability to grow, heal and change. I bring over 15 years experience as a case manager and program coordinator to my counseling work. I am comfortable working with diverse populations and diverse mental health issues. I encourage you to give me a call or visit my website to schedule a free 15 minute consultation.
I view psychotherapy as a helping relationship built on trust and respect with the understanding that people are the expert in their own lives. I cannot tell you what decision to take, but we can work together to figure out challenges that are making life difficult. As your therapist i will not judge you. I believe in your ability to grow, heal and change. I bring over 15 years experience as a case manager and program coordinator to my counseling work. I am comfortable working with diverse populations and diverse mental health issues. I encourage you to give me a call or visit my website to schedule a free 15 minute consultation.
(281) 609-8171 x1 View (281) 609-8171 x1
Caroline Baizan
Licensed Professional Counselor, EdD, MA, LPC, LSSP
Verified Verified
Houston, TX 77027
Dr. Caroline Baizan is a Licensed Professional Counselor (LPC) and Licensed Specialist in School Psychology (LSSP), specializing in young children and adolescents. She has a master’s degree in clinical psychology and a doctoral degree in counseling. Dr. Baizan’s goal is to assist adolescents and children in identifying and overcoming challenges in their lives. Caroline is passionate about supporting an individual’s journey to envision and achieve the best version of themselves. Caroline is dedicated to supporting and assisting in navigating tweens/teens through challenging periods in their lives.
Dr. Caroline Baizan is a Licensed Professional Counselor (LPC) and Licensed Specialist in School Psychology (LSSP), specializing in young children and adolescents. She has a master’s degree in clinical psychology and a doctoral degree in counseling. Dr. Baizan’s goal is to assist adolescents and children in identifying and overcoming challenges in their lives. Caroline is passionate about supporting an individual’s journey to envision and achieve the best version of themselves. Caroline is dedicated to supporting and assisting in navigating tweens/teens through challenging periods in their lives.
(832) 219-6427 View (832) 219-6427
Photo of Samira Pizarro, Clinical Social Work/Therapist in Houston, TX
Samira Pizarro
Clinical Social Work/Therapist, LCSW
Verified Verified
Houston, TX 77084  (Online Only)
Samira Pizaro is a licensed clinical social worker dedicated to motivating change, creating healthier habits, and building a safe space for clients. You can trust Samira will be purpose-driven and practical around your care needs and treatment planning. Her approach toward accessible, well-rounded mental health care includes challenging negative thinking with insightful questioning and value-oriented goal setting so you can maintain the healthiest version of yourself. Samira works with patients ages 18-65.
Samira Pizaro is a licensed clinical social worker dedicated to motivating change, creating healthier habits, and building a safe space for clients. You can trust Samira will be purpose-driven and practical around your care needs and treatment planning. Her approach toward accessible, well-rounded mental health care includes challenging negative thinking with insightful questioning and value-oriented goal setting so you can maintain the healthiest version of yourself. Samira works with patients ages 18-65.
(281) 916-3510 View (281) 916-3510
Photo of Jacqueline Rosckes, Licensed Professional Counselor in Houston, TX
Jacqueline Rosckes
Licensed Professional Counselor, LPC
Verified Verified
Houston, TX 77002  (Online Only)
We often have life experiences that can be overwhelming and difficult to handle on our own. If you find yourself caught in a web of overwhelming emotions, anxiety, or depression, trying to balance multiple responsibilities or grappling with past experiences, please know that I am here to provide support. Together, we will navigate through these challenges. With over a decade of experience working at Children’s Medical Center in Dallas (www.childrens.com), UT Southwestern Medical Center Neuropsychology department (www.utswmed.org), and private practice, I bring a unique perspective to therapy.
We often have life experiences that can be overwhelming and difficult to handle on our own. If you find yourself caught in a web of overwhelming emotions, anxiety, or depression, trying to balance multiple responsibilities or grappling with past experiences, please know that I am here to provide support. Together, we will navigate through these challenges. With over a decade of experience working at Children’s Medical Center in Dallas (www.childrens.com), UT Southwestern Medical Center Neuropsychology department (www.utswmed.org), and private practice, I bring a unique perspective to therapy.
(713) 360-0870 View (713) 360-0870
Photo of Juan (Tony) Antonio Lopez, Licensed Professional Counselor in Houston, TX
Juan (Tony) Antonio Lopez
Licensed Professional Counselor, MA, LPC
Verified Verified
2 Endorsed
Houston, TX 77018
English/Spanish services available. My experience as a therapist/counselor goes back at the school setting for 19 years, 12 as a K-12 school counselor. I also have over 3000 professional psychotherapy/counseling hours working with young adults and couples. My clients may be having difficulties with personal relationships, depression, anxiety, stresses of life, or workplace and or trauma. Psychotherapy is about helping people work through struggles and find balance in life. Christian, spiritual psychotherapy is available for clients who prefer a faith focus approach. Seeking help to resolve issues is the first step to healing.
English/Spanish services available. My experience as a therapist/counselor goes back at the school setting for 19 years, 12 as a K-12 school counselor. I also have over 3000 professional psychotherapy/counseling hours working with young adults and couples. My clients may be having difficulties with personal relationships, depression, anxiety, stresses of life, or workplace and or trauma. Psychotherapy is about helping people work through struggles and find balance in life. Christian, spiritual psychotherapy is available for clients who prefer a faith focus approach. Seeking help to resolve issues is the first step to healing.
(713) 999-0190 View (713) 999-0190
Photo of Stephanie Hall, Clinical Social Work/Therapist in Houston, TX
Stephanie Hall
Clinical Social Work/Therapist, LCSW, CCTP
Verified Verified
Houston, TX 77071  (Online Only)
If you ever feel overwhelmed by life's challenges, unsure what to do next, or struggling to move past past traumas, I'm here to help. As a therapist, I'm dedicated to helping women navigate difficult situations in a warm and supportive environment where you can feel heard and understood, no matter what you're going through. I understand that everyone faces unique struggles, and my role is to empower you to overcome them and move forward toward healing, growth, and resilience.
If you ever feel overwhelmed by life's challenges, unsure what to do next, or struggling to move past past traumas, I'm here to help. As a therapist, I'm dedicated to helping women navigate difficult situations in a warm and supportive environment where you can feel heard and understood, no matter what you're going through. I understand that everyone faces unique struggles, and my role is to empower you to overcome them and move forward toward healing, growth, and resilience.
(346) 589-7390 View (346) 589-7390
Photo of Marcelina M Washington, Licensed Professional Counselor in Houston, TX
Marcelina M Washington
Licensed Professional Counselor, LCDC, NCC, DMHC
Verified Verified
1 Endorsed
Houston, TX 77043
Available Nights & Weekends. There is absolutely nothing more daunting, then a present difficult situation, without a beneficial solution. Right? While facing adversities can be rough, facing adversity without the appropriate navigational tools can be catastrophic. Hi, my name is Marcelina Washington and I am interested in the human story and experience. It is my belief that you have within yourself the power to restore or recreate your life, your way. My task is to create a safe environment for you to examine these areas and guidance to explore personal thoughts centered around your wellness journey.
Available Nights & Weekends. There is absolutely nothing more daunting, then a present difficult situation, without a beneficial solution. Right? While facing adversities can be rough, facing adversity without the appropriate navigational tools can be catastrophic. Hi, my name is Marcelina Washington and I am interested in the human story and experience. It is my belief that you have within yourself the power to restore or recreate your life, your way. My task is to create a safe environment for you to examine these areas and guidance to explore personal thoughts centered around your wellness journey.
(346) 245-5380 View (346) 245-5380
Photo of Life Steps Therapy, Clinical Social Work/Therapist in Houston, TX
Life Steps Therapy
Clinical Social Work/Therapist, LCSW-S, LCDC-I, MSW
Verified Verified
1 Endorsed
Houston, TX 77014  (Online Only)
We often feel overwhelmed, misunderstood, or stuck in cycles of dysfunction in our lives. Therapy offers us a safe place of refuge, validation, and hope from our uncertain circumstances. The therapist and client develop a mutually respectful relationship built from developed trust and compassion. Within this domain, my goal is to deepen your insight, self-awareness, and help you practice kindness accepting that which is truly you. Together we will consider healthy perspectives and identify patterns that perpetuate unhelpful cycles. Website for booking - lifestepstherapytx.com
We often feel overwhelmed, misunderstood, or stuck in cycles of dysfunction in our lives. Therapy offers us a safe place of refuge, validation, and hope from our uncertain circumstances. The therapist and client develop a mutually respectful relationship built from developed trust and compassion. Within this domain, my goal is to deepen your insight, self-awareness, and help you practice kindness accepting that which is truly you. Together we will consider healthy perspectives and identify patterns that perpetuate unhelpful cycles. Website for booking - lifestepstherapytx.com
(346) 483-3722 View (346) 483-3722
Photo of Jean Lander, Licensed Professional Counselor in Houston, TX
Jean Lander
Licensed Professional Counselor, EdD, MEd, LPC
Verified Verified
Houston, TX 77005  (Online Only)
Change, whether expected or unexpected, planned or unplanned, can disrupt our lives and make us feel off kilter, showing up as irritability, panic attacks, disrupted sleep, inability to concentrate, or problems with important people in our lives. Other times we simply feel "stuck." When reaching out to family or friends is no longer helpful, connecting with a professional can help.
Change, whether expected or unexpected, planned or unplanned, can disrupt our lives and make us feel off kilter, showing up as irritability, panic attacks, disrupted sleep, inability to concentrate, or problems with important people in our lives. Other times we simply feel "stuck." When reaching out to family or friends is no longer helpful, connecting with a professional can help.
(281) 903-5231 View (281) 903-5231
Photo of Raheem Lay, Clinical Social Work/Therapist in Houston, TX
Raheem Lay
Clinical Social Work/Therapist, LCSW
Verified Verified
Houston, TX 77098  (Online Only)
As an African American male therapist, I offer a culturally sensitive and inclusive space rooted in emotional intelligence and empathy. I believe in the power of self-awareness to navigate challenges. In sessions, I prioritize collaboration and affirmation, tailoring my approach to your unique needs. Drawing from a holistic perspective, I integrate evidence-based methods, considering cultural factors.
As an African American male therapist, I offer a culturally sensitive and inclusive space rooted in emotional intelligence and empathy. I believe in the power of self-awareness to navigate challenges. In sessions, I prioritize collaboration and affirmation, tailoring my approach to your unique needs. Drawing from a holistic perspective, I integrate evidence-based methods, considering cultural factors.
(512) 559-3705 View (512) 559-3705

How does your Therapist compare?

Number of Therapists in Houston, TX

3,000+

Average cost per session

$135

Therapists in Houston, TX who prioritize treating:

92% Anxiety
87% Depression
74% Self Esteem
71% Coping Skills
68% Relationship Issues
66% Stress
64% Trauma and PTSD

Average years in practice

10 Years

Top 3 insurances accepted

85% Aetna
80% Cigna and Evernorth
80% UnitedHealthcare UHC | UBH

How Therapists in Houston, TX see their clients

55% In Person and Online
45% Online Only

Gender breakdown

82% Female
17% Male
1% Non-Binary
FAQs - About Therapy and Counseling

How can I find a therapist in Houston?

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.