Therapists in Austin, TX

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Photo of Ruben Garza, Licensed Professional Counselor in Austin, TX
Ruben Garza
Licensed Professional Counselor, LPC, LCDC, NCC
Verified Verified
Austin, TX 78748
“Your present circumstances don’t determine where you can go; they merely determine where you start.” As an experienced therapist, it is my honor to assist you in exploring your core issues and move toward a healthy, fulfilling life. Utilizing a variety of approaches to work a treatment plan customized to meet your unique circumstances. With honesty and compassion I will work to create an open channel of communication. The goal of our therapy sessions together, will be to help you develop the mental fortitude needed to lead a successful life. The more support you gain, the better equipped you will be to live life.
“Your present circumstances don’t determine where you can go; they merely determine where you start.” As an experienced therapist, it is my honor to assist you in exploring your core issues and move toward a healthy, fulfilling life. Utilizing a variety of approaches to work a treatment plan customized to meet your unique circumstances. With honesty and compassion I will work to create an open channel of communication. The goal of our therapy sessions together, will be to help you develop the mental fortitude needed to lead a successful life. The more support you gain, the better equipped you will be to live life.
(512) 543-2373 View (512) 543-2373
Photo of Dr. Lawrence Resnick, Psychologist in Austin, TX
Dr. Lawrence Resnick
Psychologist, PsyD
Verified Verified
Austin, TX 78701  (Online Only)
Rated as a top psychologist on healthgrades.com, let's discuss how I can be of help to you. Over 33 years of experience significantly helping people to live their lives fully, with psychological and emotional health.
Rated as a top psychologist on healthgrades.com, let's discuss how I can be of help to you. Over 33 years of experience significantly helping people to live their lives fully, with psychological and emotional health.
(512) 829-8949 View (512) 829-8949
Photo of Laura Connor, Counselor in Austin, TX
Laura Connor
Counselor, LPC, MA
Verified Verified
Austin, TX 78702
Starting therapy can be daunting and finding the right match with your therapist is half the battle. Laura values understanding clients within the sociocultural and relational structures in which they were raised and live. Laura uses the therapy space to acknowledge the prior life experiences that influence the way we perceive the world, as those often shape who we are today. Her approach to therapy is focused on cultivating a strong interpersonal relationship with her clients.
Starting therapy can be daunting and finding the right match with your therapist is half the battle. Laura values understanding clients within the sociocultural and relational structures in which they were raised and live. Laura uses the therapy space to acknowledge the prior life experiences that influence the way we perceive the world, as those often shape who we are today. Her approach to therapy is focused on cultivating a strong interpersonal relationship with her clients.
(512) 675-1656 View (512) 675-1656
Photo of Kim R Masoni, Licensed Professional Counselor in Austin, TX
Kim R Masoni
Licensed Professional Counselor, MA, LPC
Verified Verified
1 Endorsed
Austin, TX 78759
I do not shy away from clients who are truly frustrated with life and not sure how to continue on the journey alone. This planet is a tough one to be on right now and a therapeutic relationship can be a saving grace. No matter what the issue, I help clients tap into their own intuition as well as my professional insight to move matters forward. I typically explore body-mind constructs and stay curious about how the concept of energy plays into every day life. I believe trauma is a predecessor to many mental health issues, so I'm always focused on creating a safe place to explore healing the mind and body.
I do not shy away from clients who are truly frustrated with life and not sure how to continue on the journey alone. This planet is a tough one to be on right now and a therapeutic relationship can be a saving grace. No matter what the issue, I help clients tap into their own intuition as well as my professional insight to move matters forward. I typically explore body-mind constructs and stay curious about how the concept of energy plays into every day life. I believe trauma is a predecessor to many mental health issues, so I'm always focused on creating a safe place to explore healing the mind and body.
(512) 877-4612 View (512) 877-4612
Photo of Anna Graybeal, Psychologist in Austin, TX
Anna Graybeal
Psychologist, PhD, CGP, SEP
Verified Verified
Austin, TX 78751
Waitlist for new clients
I am a clinical psychologist specializing in the treatment of anxiety, depression, and relationship issues. I establish a strong alliance with my clients through empathy and respect and work collaboratively with them to achieve their goals. Other areas of my expertise include parenting, divorce, health problems such as illness and chronic pain, grief and loss, trauma, substance abuse, low self-esteem and identity issues.
I am a clinical psychologist specializing in the treatment of anxiety, depression, and relationship issues. I establish a strong alliance with my clients through empathy and respect and work collaboratively with them to achieve their goals. Other areas of my expertise include parenting, divorce, health problems such as illness and chronic pain, grief and loss, trauma, substance abuse, low self-esteem and identity issues.
(512) 540-5328 View (512) 540-5328
Photo of Amanda Bailey, Clinical Social Work/Therapist in Austin, TX
Amanda Bailey
Clinical Social Work/Therapist, LMSW
Verified Verified
1 Endorsed
Austin, TX 78735
As a therapist, it is my job to provide you with an atmosphere where you feel safe to be completely honest, genuine, and vulnerable about who you are and what you want and need without fear of judgment or disapproval. This will be a place where you can be your true self (the good, the bad, and the ugly), and you can feel comfortable sharing things that you have maybe never told anyone else. Trust is vital. I sincerely believe that in any context, when a person is willing to risk sharing deeply personal information with another, that person deserves to know that information is sacred and confidential.
As a therapist, it is my job to provide you with an atmosphere where you feel safe to be completely honest, genuine, and vulnerable about who you are and what you want and need without fear of judgment or disapproval. This will be a place where you can be your true self (the good, the bad, and the ugly), and you can feel comfortable sharing things that you have maybe never told anyone else. Trust is vital. I sincerely believe that in any context, when a person is willing to risk sharing deeply personal information with another, that person deserves to know that information is sacred and confidential.
(737) 377-5073 View (737) 377-5073
Photo of Sara Hoke, Clinical Social Work/Therapist in Austin, TX
Sara Hoke
Clinical Social Work/Therapist, LCSW
Verified Verified
4 Endorsed
Austin, TX 78745  (Online Only)
Waitlist for new clients
Welcome all!! I want to commend you on initiating the process of self-development; this can be an extremely challenging first step to greater life satisfaction! I specialize in collaboratively navigating life transitions. My approach is insight driven with genuine and respectful therapist input. I create and hold a safe space for exploration of the deeper self in order to make meaning out of painful life circumstances, experiences, and patterns; together, we can find the courage and empowerment to shift. I encourage vulnerability from a nonjudgmental stance and believe that human connection is at the root of all healing.
Welcome all!! I want to commend you on initiating the process of self-development; this can be an extremely challenging first step to greater life satisfaction! I specialize in collaboratively navigating life transitions. My approach is insight driven with genuine and respectful therapist input. I create and hold a safe space for exploration of the deeper self in order to make meaning out of painful life circumstances, experiences, and patterns; together, we can find the courage and empowerment to shift. I encourage vulnerability from a nonjudgmental stance and believe that human connection is at the root of all healing.
(737) 204-2435 View (737) 204-2435
Photo of Zakira Duff, Clinical Social Work/Therapist in Austin, TX
Zakira Duff
Clinical Social Work/Therapist, LCSW
Verified Verified
Austin, TX 78744  (Online Only)
Not accepting new clients
Sometimes life happens in ways we may not be prepared for and navigating through the uncertainty can be challenging. Are you noticing a shift in your mood, feeling unaligned with your path, or feeling overwhelmed and stressed in one or more areas in your life? If you find yourself in any of these circumstances, I’m glad you found my profile – I want to help you work through it and thrive.
Sometimes life happens in ways we may not be prepared for and navigating through the uncertainty can be challenging. Are you noticing a shift in your mood, feeling unaligned with your path, or feeling overwhelmed and stressed in one or more areas in your life? If you find yourself in any of these circumstances, I’m glad you found my profile – I want to help you work through it and thrive.
(512) 846-9242 View (512) 846-9242
Photo of Susan Keeler, Licensed Professional Counselor in Austin, TX
Susan Keeler
Licensed Professional Counselor, MA, LPC
Verified Verified
6 Endorsed
Austin, TX 78704  (Online Only)
Do you feel anxious, stymied in your creativity or self-expression, or baffled by a tendency to do things to feel better that end up actually making you feel worse? It can be so confusing when on the outside things look just fine, yet on the inside you feel empty, sad, or lonely. Do you have a persistent sense that you don't really belong, or that you don't enjoy life the way others seem to do? Are you a 'self-sufficient' person, used to taking care of yourself, but have trouble asking for help? Is it hard to know how you feel or what you might need to do to feel better? If so, please reach out -- I can help!
Do you feel anxious, stymied in your creativity or self-expression, or baffled by a tendency to do things to feel better that end up actually making you feel worse? It can be so confusing when on the outside things look just fine, yet on the inside you feel empty, sad, or lonely. Do you have a persistent sense that you don't really belong, or that you don't enjoy life the way others seem to do? Are you a 'self-sufficient' person, used to taking care of yourself, but have trouble asking for help? Is it hard to know how you feel or what you might need to do to feel better? If so, please reach out -- I can help!
(737) 210-3949 View (737) 210-3949
Photo of Jennifer Bommer, Licensed Professional Counselor in Austin, TX
Jennifer Bommer
Licensed Professional Counselor, MA, LPC, CBIS
Verified Verified
Austin, TX 78731
My work with people of all ages is centered around the good news that the brain is malleable and adaptable. Whether you are suffering from a recent head trauma or are interested in receiving help for struggles that have lingered from a past brain injury, please feel free to reach out to me for more information or a consultation. I'm here to help regardless of how long ago you suffered your injury. My goal is that you walk away from our first session feeling more informed about your brain injury and hopeful for the progress that can be made during your recovery.
My work with people of all ages is centered around the good news that the brain is malleable and adaptable. Whether you are suffering from a recent head trauma or are interested in receiving help for struggles that have lingered from a past brain injury, please feel free to reach out to me for more information or a consultation. I'm here to help regardless of how long ago you suffered your injury. My goal is that you walk away from our first session feeling more informed about your brain injury and hopeful for the progress that can be made during your recovery.
(512) 598-9748 View (512) 598-9748
Photo of Adri Ruiz, LPC Counseling for Anxiety & Beyond in Austin, TX
Adri Ruiz, LPC Counseling for Anxiety & Beyond
MS, LPC-S
Verified Verified
3 Endorsed
Austin, TX 78704
*I currently have a few spots available online. My focus is with those navigating the world of early adulthood and beyond. I have been honored to witness individuals grow into themselves as they utilize a safe space to freely speak their mind. I am passionate about helping individuals discover their strengths and confront their weaknesses. Developing an authentic rapport and providing unconditional positive regard are key elements to this process. Life can present adversity when we least expect it. I aim to help individuals navigate and untangle the unpleasant emotions these times can bring.
*I currently have a few spots available online. My focus is with those navigating the world of early adulthood and beyond. I have been honored to witness individuals grow into themselves as they utilize a safe space to freely speak their mind. I am passionate about helping individuals discover their strengths and confront their weaknesses. Developing an authentic rapport and providing unconditional positive regard are key elements to this process. Life can present adversity when we least expect it. I aim to help individuals navigate and untangle the unpleasant emotions these times can bring.
(512) 271-2196 View (512) 271-2196
Photo of Savannah Parnell Knight, Clinical Social Work/Therapist in Austin, TX
Savannah Parnell Knight
Clinical Social Work/Therapist, LCSW-S
Verified Verified
Austin, TX 78756  (Online Only)
My ideal client is itching for a change, even if they are unsure a change is possible. They may find themselves experiencing recurrent uncomfortable emotions (grief, depression, shame, anxiety), painful relationship dynamics, or a deep longing to heal a past trauma (sexual abuse or family violence). I cary the belief that change is possible and healing is feasible even when it may feel far off. My work is rooted in attachment theory- which means I hold authenticity, compassion, connection, and unrelenting hope at the center of every session.
My ideal client is itching for a change, even if they are unsure a change is possible. They may find themselves experiencing recurrent uncomfortable emotions (grief, depression, shame, anxiety), painful relationship dynamics, or a deep longing to heal a past trauma (sexual abuse or family violence). I cary the belief that change is possible and healing is feasible even when it may feel far off. My work is rooted in attachment theory- which means I hold authenticity, compassion, connection, and unrelenting hope at the center of every session.
(737) 345-4128 View (737) 345-4128
Photo of Marilyn Gabrielle Ramirez, Clinical Social Work/Therapist in Austin, TX
Marilyn Gabrielle Ramirez
Clinical Social Work/Therapist, LCSW
Verified Verified
Austin, TX 78759
Please email for scheduling requests- Hello, I'm glad that you're here and are open to exploring your process for healing as an individual or couple. You're showing yourself a form of care by taking the steps to gain insight in to how your past experiences may be affecting your current thought patterns, behavior, and the relationship that you have with yourself and others. You are taking an active role in honoring your experience, and are giving yourself the opportunity and space to understand what you have been carrying.
Please email for scheduling requests- Hello, I'm glad that you're here and are open to exploring your process for healing as an individual or couple. You're showing yourself a form of care by taking the steps to gain insight in to how your past experiences may be affecting your current thought patterns, behavior, and the relationship that you have with yourself and others. You are taking an active role in honoring your experience, and are giving yourself the opportunity and space to understand what you have been carrying.
(737) 258-7686 View (737) 258-7686
Photo of Kylie Lahey, Clinical Social Work/Therapist in Austin, TX
Kylie Lahey
Clinical Social Work/Therapist, LCSW
Verified Verified
1 Endorsed
Austin, TX 78724  (Online Only)
Waitlist for new clients
I am passionate about helping people by teaching them to help themselves. This looks like teaching coping skills and thought-change perspectives to expand their ability to cope with the stressors of life. I have experience working a variety of athletes from elite to recreational levels for both personal and performance-based concerns. I am also passionate about serving clients experiencing grief and loss, as grief requires being witnessed to heal, and I am willing to witness your grief. I welcome clients looking to work through anxiety, breakups, loss of identity, and life changes.
I am passionate about helping people by teaching them to help themselves. This looks like teaching coping skills and thought-change perspectives to expand their ability to cope with the stressors of life. I have experience working a variety of athletes from elite to recreational levels for both personal and performance-based concerns. I am also passionate about serving clients experiencing grief and loss, as grief requires being witnessed to heal, and I am willing to witness your grief. I welcome clients looking to work through anxiety, breakups, loss of identity, and life changes.
(512) 877-4504 View (512) 877-4504
Photo of Jef Page, Licensed Professional Counselor Associate in Austin, TX
Jef Page
Licensed Professional Counselor Associate, LPC-A
Verified Verified
Austin, TX 78703
I believe that therapy should be a supportive, collaborative and challenging experience of self-discovery and self-acceptance where all emotions, ideas and issues can be explored and new patterns can unfold. Primarily working with adults, I specialize in working with individuals who may have had difficult childhoods and are wondering how those past experiences may be contributing to their current struggles, conflicts, stagnation or chaos.
I believe that therapy should be a supportive, collaborative and challenging experience of self-discovery and self-acceptance where all emotions, ideas and issues can be explored and new patterns can unfold. Primarily working with adults, I specialize in working with individuals who may have had difficult childhoods and are wondering how those past experiences may be contributing to their current struggles, conflicts, stagnation or chaos.
(512) 714-3403 View (512) 714-3403
Photo of Brianna 'bri' Hamlyn, Licensed Professional Counselor in Austin, TX
Brianna 'bri' Hamlyn
Licensed Professional Counselor, MA
Verified Verified
Austin, TX 78704  (Online Only)
Things kind of suck right now, don't they? At the time of writing this, the word feels like it's a dumpster fire. If you're like me though, things have always felt rough internally and connection has never been easy. I hope to offer connection and unconditional positive regard for anyone whose ever felt like they're on the outside looking in. The vision I hold for all clients is to know they are worthy and valid exactly as they are in this moment, and my role is to hold that belief for you until you can hold it yourself. I practice from an anti-racist, relational cultural, fat-positive, and generally affirming lens.
Things kind of suck right now, don't they? At the time of writing this, the word feels like it's a dumpster fire. If you're like me though, things have always felt rough internally and connection has never been easy. I hope to offer connection and unconditional positive regard for anyone whose ever felt like they're on the outside looking in. The vision I hold for all clients is to know they are worthy and valid exactly as they are in this moment, and my role is to hold that belief for you until you can hold it yourself. I practice from an anti-racist, relational cultural, fat-positive, and generally affirming lens.
(512) 859-6502 View (512) 859-6502
Photo of Stephanie Ramirez, Licensed Professional Counselor in Austin, TX
Stephanie Ramirez
Licensed Professional Counselor, PhD, LPC, LPC-S
Verified Verified
Austin, TX 78701  (Online Only)
You're wondering what's next...or maybe wondering why you keep engaging in the same patterns that continue to keep you out of connection... I believe in Relationships. Authenticity. Connection. Culturally-Responsive Care. I believe that humans flourish, heal, and grow within relationship and that primary suffering occurs from social isolation and chronic disconnection. Together we will examine those patterns, address them, so that you can be a better version of yourself to live better, but also to engage in more zestful relationships.
You're wondering what's next...or maybe wondering why you keep engaging in the same patterns that continue to keep you out of connection... I believe in Relationships. Authenticity. Connection. Culturally-Responsive Care. I believe that humans flourish, heal, and grow within relationship and that primary suffering occurs from social isolation and chronic disconnection. Together we will examine those patterns, address them, so that you can be a better version of yourself to live better, but also to engage in more zestful relationships.
(512) 729-8452 View (512) 729-8452
Photo of Distinguished Sex Therapist Rhiannon Beauregard, Marriage & Family Therapist in Austin, TX
Distinguished Sex Therapist Rhiannon Beauregard
Marriage & Family Therapist, LMFT-S, CST-S, CPSBT, DST
Verified Verified
14 Endorsed
Austin, TX 78721  (Online Only)
The sexual part of your life is not where you want it to be and you are desperate for change. You and your partner are worried that something might be wrong with you or your relationship. You don’t know where to go for help. This sexual issue is keeping you from being happy and you and/or your partner are depressed and anxious all the time. You think about this all the time. You feel like you don’t know enough about sex and you certainly don’t know how to solve this problem, even though you have tried. No one taught you how to have a healthy and positive sexual identity, so how are you supposed to know how to fix this?
The sexual part of your life is not where you want it to be and you are desperate for change. You and your partner are worried that something might be wrong with you or your relationship. You don’t know where to go for help. This sexual issue is keeping you from being happy and you and/or your partner are depressed and anxious all the time. You think about this all the time. You feel like you don’t know enough about sex and you certainly don’t know how to solve this problem, even though you have tried. No one taught you how to have a healthy and positive sexual identity, so how are you supposed to know how to fix this?
(737) 258-7952 View (737) 258-7952
Photo of Cosmic Heart Counseling, LPC Associate in Austin, TX
Cosmic Heart Counseling
LPC Associate, MA, LPC A, LMT
Verified Verified
2 Endorsed
Austin, TX 78741
I am a counselor, author, meditation teacher, bodyworker, energy healer and intuitive. My specialties include therapy for highly sensitive people, recovery from abusive relationships and therapy for perinatal mental health. I love working with adults and children and including creative interventions such as art and music. My path to becoming a counselor started with my own trauma recovery journey where I learned so much about mind-body psychology, holistic healing, and developed many healing practices including breathwork, kundalini and vinyasa yoga, and sound healing.
I am a counselor, author, meditation teacher, bodyworker, energy healer and intuitive. My specialties include therapy for highly sensitive people, recovery from abusive relationships and therapy for perinatal mental health. I love working with adults and children and including creative interventions such as art and music. My path to becoming a counselor started with my own trauma recovery journey where I learned so much about mind-body psychology, holistic healing, and developed many healing practices including breathwork, kundalini and vinyasa yoga, and sound healing.
(737) 510-4694 View (737) 510-4694
Photo of Keith E Hampton, Licensed Professional Counselor Associate in Austin, TX
Keith E Hampton
Licensed Professional Counselor Associate, MA, LCDC
Verified Verified
1 Endorsed
Austin, TX 78723
My goal as a counselor is to offer a safe space for you to be heard, understood, and respected. In addition to counseling and psychotherapy, I have a background in education and performing arts. I enjoy approaching your unique situation in a creative way, in order to help you to meet your goals while gaining new learning and understanding.
My goal as a counselor is to offer a safe space for you to be heard, understood, and respected. In addition to counseling and psychotherapy, I have a background in education and performing arts. I enjoy approaching your unique situation in a creative way, in order to help you to meet your goals while gaining new learning and understanding.
(512) 548-7937 x12 View (512) 548-7937 x12

How does your Therapist compare?

Number of Therapists in Austin, TX

3,000+

Average cost per session

$150

Therapists in Austin, TX who prioritize treating:

93% Anxiety
88% Depression
76% Relationship Issues
76% Self Esteem
70% Trauma and PTSD
69% Stress
68% Coping Skills

Average years in practice

10 Years

Top 3 insurances accepted

78% Aetna
74% UnitedHealthcare UHC | UBH
64% BlueCross and BlueShield

How Therapists in Austin, TX see their clients

55% In Person and Online
45% Online Only

Gender breakdown

81% Female
18% Male
1% Non-Binary

FAQs - About Therapy and Counseling

How can I find a therapist in Austin?

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.