Therapists in Austin, TX
Dominguez Psychiatry and Counseling Center
Licensed Professional Counselor, MEd, LPC, NCC
Verified Verified
Austin, TX 78701
My name is Shanna Dominguez and I am a Licensed Professional Counselor. You may be experiencing worry, fear, anxiety, depression, or a variety of other emotions. Good news, those emotions can be managed, I believe there are two experts in the room: You are the expert of your life and I am the clinical expert. I have had the privilege of working with adults, couples, and adolescents. I use a variety of techniques and theories to guide my work with you depending on what fits your needs. I specialize in CBT and DBT methods. As humans, we not only want to feel understood, but we want to understand ourselves & why we do the things we do.
My name is Shanna Dominguez and I am a Licensed Professional Counselor. You may be experiencing worry, fear, anxiety, depression, or a variety of other emotions. Good news, those emotions can be managed, I believe there are two experts in the room: You are the expert of your life and I am the clinical expert. I have had the privilege of working with adults, couples, and adolescents. I use a variety of techniques and theories to guide my work with you depending on what fits your needs. I specialize in CBT and DBT methods. As humans, we not only want to feel understood, but we want to understand ourselves & why we do the things we do.
Lindsey Rodriguez
Marriage & Family Therapist, LMFT
Verified Verified
2 Endorsed
Austin, TX 78723 (Online Only)
I specialize in working with individuals, families, and couples struggling with depression, anxiety, trauma, infidelity, and relationship issues. I take a systemic approach to therapy, looking at how your relationships and patterns affect your everyday life. Typically my clients are feeling stuck or unheard in their relationships. I offer therapy that involves usable tools to help with communication and building a much stronger bond between you and your partner. I also help clients in the midst of significant trauma or in the aftermath of infidelity. My goal is to make myself obsolete and to leave you living a more fulfilling life.
I specialize in working with individuals, families, and couples struggling with depression, anxiety, trauma, infidelity, and relationship issues. I take a systemic approach to therapy, looking at how your relationships and patterns affect your everyday life. Typically my clients are feeling stuck or unheard in their relationships. I offer therapy that involves usable tools to help with communication and building a much stronger bond between you and your partner. I also help clients in the midst of significant trauma or in the aftermath of infidelity. My goal is to make myself obsolete and to leave you living a more fulfilling life.
Clara Hayes
Marriage & Family Therapist Associate, MA, LMFT-A
Verified Verified
4 Endorsed
Austin, TX 78759
I see individuals and relationships primarily working through issues of identity, sexuality, body image, and relationship difficulties. My approach is warm and caring, but straightforward when necessary. I work through an attachment lens, as the research shows that our relationships with our early caregivers can inform how we attach to those we love as adults. This means we may not only explore your current hurt in sessions, but the root of where that pain comes from. I help my clients become more comfortable accessing and learning from their emotions, experiences, and body's signals.
I see individuals and relationships primarily working through issues of identity, sexuality, body image, and relationship difficulties. My approach is warm and caring, but straightforward when necessary. I work through an attachment lens, as the research shows that our relationships with our early caregivers can inform how we attach to those we love as adults. This means we may not only explore your current hurt in sessions, but the root of where that pain comes from. I help my clients become more comfortable accessing and learning from their emotions, experiences, and body's signals.
Body Image Groups With Kathryn Gates
Marriage & Family Therapist, LMFT-S
Verified Verified
4 Endorsed
Austin, TX 78746
Body Image Group members rave about learning how to respond when people say things about size or shape around them. They have learned to change how they think about themselves, and they have reported feeling empowered by the sense of community found in working with others on healing our relationships with our bodies. My other specialties include Adult Children of Alcoholics, relationship challenges, anxiety and depression. I supervise Marriage and Family Therapists who are working on full-licensure, so I have been doing this fascinating work long enough to guide others to doing their best work, too!
Body Image Group members rave about learning how to respond when people say things about size or shape around them. They have learned to change how they think about themselves, and they have reported feeling empowered by the sense of community found in working with others on healing our relationships with our bodies. My other specialties include Adult Children of Alcoholics, relationship challenges, anxiety and depression. I supervise Marriage and Family Therapists who are working on full-licensure, so I have been doing this fascinating work long enough to guide others to doing their best work, too!
Tanner Noguess
Licensed Professional Counselor, MS, LPC
Verified Verified
Austin, TX 78748 (Online Only)
Meet Tanner Noguess, MS, LPC, a seasoned therapist dedicated to guiding individuals through various life stages. With extensive experience in treating diverse issues like depression, anxiety, PTSD, bipolar disorder, schizophrenia, and more, Tanner's primary focus is on understanding the unique needs of each individual. They approach therapy with an integrative perspective, drawing on tools from various therapeutic modalities, grounded in Positive Psychology. Tanner offers accessibility, convenience, and support all from the comfort and safety of your own home through virtual sessions.
Meet Tanner Noguess, MS, LPC, a seasoned therapist dedicated to guiding individuals through various life stages. With extensive experience in treating diverse issues like depression, anxiety, PTSD, bipolar disorder, schizophrenia, and more, Tanner's primary focus is on understanding the unique needs of each individual. They approach therapy with an integrative perspective, drawing on tools from various therapeutic modalities, grounded in Positive Psychology. Tanner offers accessibility, convenience, and support all from the comfort and safety of your own home through virtual sessions.
From Spark to Fire Counseling and Supervision PLLC
Licensed Professional Counselor, PhD, LPC-S, NCC
Verified Verified
5 Endorsed
Austin, TX 78752
Sometimes all it takes to make a change is the courage to take the first step. We offer Individual and Couples Therapy in and around the Austin area. Each session is provided in a safe and secure environment to share on a long or short-term basis depending on the client. We value and demonstrate open-mindedness for all walks of life and possess vast experience with many different issues and diagnoses. We believe that together we can design a step-by-step, cost-effective plan for you to achieve optimum ongoing happiness, satisfaction, and productivity in life.
Sometimes all it takes to make a change is the courage to take the first step. We offer Individual and Couples Therapy in and around the Austin area. Each session is provided in a safe and secure environment to share on a long or short-term basis depending on the client. We value and demonstrate open-mindedness for all walks of life and possess vast experience with many different issues and diagnoses. We believe that together we can design a step-by-step, cost-effective plan for you to achieve optimum ongoing happiness, satisfaction, and productivity in life.
Tess Taylor
Licensed Professional Counselor, MS, LPC, LCDC
Verified Verified
5 Endorsed
Austin, TX 78723
I often work with individuals who utilize externals to numb their feelings (whether that be drugs, alcohol, relationships), and people who may have been taught to ignore their own wants and needs in order to fulfill their role of taking care of others. This disconnect from your emotional experience has the ability to isolate you from those around you, often leading to misunderstanding and conflict in relationships. My goal is to help you gain insight into your own internal experience in order to better understand yourself, and to be better understood by those around you.
I often work with individuals who utilize externals to numb their feelings (whether that be drugs, alcohol, relationships), and people who may have been taught to ignore their own wants and needs in order to fulfill their role of taking care of others. This disconnect from your emotional experience has the ability to isolate you from those around you, often leading to misunderstanding and conflict in relationships. My goal is to help you gain insight into your own internal experience in order to better understand yourself, and to be better understood by those around you.
Miranda M. Dooley
Marriage & Family Therapist, MA, LMFT
Verified Verified
Austin, TX 78731
There is nothing wrong with asking for help and it’s important to remember that. “Asking for help when you need it doesn’t show weakness, it shows tremendous strength”— it takes self-awareness; it takes courage and the willingness to be vulnerable. A great quote by Fred Rogers says, “When we talk about our feelings they become less overwhelming, less upsetting, and less scary.” The therapeutic relationship I have with clients is something that I cherish and do not take for granted. It is a true privilege to be able to accompany clients on their journeys of self-discovery and self-understanding.
There is nothing wrong with asking for help and it’s important to remember that. “Asking for help when you need it doesn’t show weakness, it shows tremendous strength”— it takes self-awareness; it takes courage and the willingness to be vulnerable. A great quote by Fred Rogers says, “When we talk about our feelings they become less overwhelming, less upsetting, and less scary.” The therapeutic relationship I have with clients is something that I cherish and do not take for granted. It is a true privilege to be able to accompany clients on their journeys of self-discovery and self-understanding.
Elise Sillers
Licensed Professional Counselor, MA, LPC
Verified Verified
Austin, TX 78746 (Online Only)
Not accepting new clients
I am a therapist trained to listen, nurture and work with you. This might be repairing relationships, healing from trauma, recovering from addiction, managing anxiety or depression. I see clients both face to face in my office as well as online within the state of Texas through HIPAA-compliant confidential video. Clients come to therapy when life is not working. Joining with a therapist allows patterns to be investigated and altered, insight to be gained and distress to be tolerated. With guidance, clients set goals for therapy and I work to meet those goals. They are a benchmark for progress.
I am a therapist trained to listen, nurture and work with you. This might be repairing relationships, healing from trauma, recovering from addiction, managing anxiety or depression. I see clients both face to face in my office as well as online within the state of Texas through HIPAA-compliant confidential video. Clients come to therapy when life is not working. Joining with a therapist allows patterns to be investigated and altered, insight to be gained and distress to be tolerated. With guidance, clients set goals for therapy and I work to meet those goals. They are a benchmark for progress.
Mandi Roarke
Marriage & Family Therapist, MA, LMFT
Verified Verified
6 Endorsed
Austin, TX 78704
My name is Mandi and I view our work together as a partnership where we are both equals collaborating to work towards the change you are seeking in your life. Whether we work together in one one-on-one therapy sessions or I support you by sharing other mental health resources through Zessio, you are welcome here. I arrive at our sessions as a curious learner of your inner world. I honor the vulnerability involved in this process and hold this space with you with care. I am socially and culturally conscious, body-affirming, LGBTQ+ allied, and sex-positive. “Y’all” means all, y'all.
My name is Mandi and I view our work together as a partnership where we are both equals collaborating to work towards the change you are seeking in your life. Whether we work together in one one-on-one therapy sessions or I support you by sharing other mental health resources through Zessio, you are welcome here. I arrive at our sessions as a curious learner of your inner world. I honor the vulnerability involved in this process and hold this space with you with care. I am socially and culturally conscious, body-affirming, LGBTQ+ allied, and sex-positive. “Y’all” means all, y'all.
Paul Boone, LPC
Licensed Professional Counselor, MDiv, LPC, LMFT, LCDC
Verified Verified
Austin, TX 78759 (Online Only)
I am an advanced clinician in Imago Therapy. When relationships aren't working very well or are on the brink of ending, it really feels bad; like the rug is being pulled out from under you. Often there are solvable reasons for why these things happen. I am motivated by those methods such as Imago therapy and EFT which have worked so well for so many in the past to help couples develop a high degree of safe attachment in their relationships. Something, that once they have learned how to do it, they can take with them because it is portable.
I am an advanced clinician in Imago Therapy. When relationships aren't working very well or are on the brink of ending, it really feels bad; like the rug is being pulled out from under you. Often there are solvable reasons for why these things happen. I am motivated by those methods such as Imago therapy and EFT which have worked so well for so many in the past to help couples develop a high degree of safe attachment in their relationships. Something, that once they have learned how to do it, they can take with them because it is portable.
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Dr. Erin Andrews
Psychologist, PsyD, ABPP
Verified Verified
3 Endorsed
Austin, TX 78745 (Online Only)
Are you trying to make sense of your life following the diagnosis of a disability or chronic illness? Are you looking for help managing emotional distress, anxiety, or relationship issues? Do you struggle with the aftermath of adoption trauma? Sometimes life throws unexpected obstacles at us. Therapy can help, whether you are dealing with a new onset disability, coping with the frustrations of living disabled in an ableist society, or navigating the complexities of international or transracial adoption.
Are you trying to make sense of your life following the diagnosis of a disability or chronic illness? Are you looking for help managing emotional distress, anxiety, or relationship issues? Do you struggle with the aftermath of adoption trauma? Sometimes life throws unexpected obstacles at us. Therapy can help, whether you are dealing with a new onset disability, coping with the frustrations of living disabled in an ableist society, or navigating the complexities of international or transracial adoption.
Janet Mize
Marriage & Family Therapist, MMFT, LMFT
Verified Verified
1 Endorsed
Austin, TX 78759
My fascination with the uniqueness in everyone’s story and passion for supporting individuals, couples and families throughout the life cycle drives my work as a therapist. I work with adult individuals, parents and caregivers, couples, and professionals. I am committed to quality client care and strive to create an authentic experience. Life is a journey with unique twists, turns, ups, and downs. I like to collaborate with clients to tailor therapy to their current needs. My goal is to help you navigate challenges and feel more confident and empowered to live your best life – whatever that may be!
My fascination with the uniqueness in everyone’s story and passion for supporting individuals, couples and families throughout the life cycle drives my work as a therapist. I work with adult individuals, parents and caregivers, couples, and professionals. I am committed to quality client care and strive to create an authentic experience. Life is a journey with unique twists, turns, ups, and downs. I like to collaborate with clients to tailor therapy to their current needs. My goal is to help you navigate challenges and feel more confident and empowered to live your best life – whatever that may be!
Mandy Davidson
Licensed Professional Counselor, MA, LPC
Verified Verified
7 Endorsed
Austin, TX 78704
Not accepting new clients
Sitting with people in their darkest moments is the most life-affirming work possible. I am a Licensed Professional Counselor who brings my experience as an academic advisor, grief counselor, suicide hotline supervisor, and community agency therapist to support people through grief and loss (especially suicide loss), anxiety, career transitions, depression, trauma, and self-esteem issues. I often work with young adults navigating their first professional and personal crises. (Please note: I'm unfortunately not able to support clients with substance use issues; eating disorders; legal involvement; or OCD/ADHD concerns)
Sitting with people in their darkest moments is the most life-affirming work possible. I am a Licensed Professional Counselor who brings my experience as an academic advisor, grief counselor, suicide hotline supervisor, and community agency therapist to support people through grief and loss (especially suicide loss), anxiety, career transitions, depression, trauma, and self-esteem issues. I often work with young adults navigating their first professional and personal crises. (Please note: I'm unfortunately not able to support clients with substance use issues; eating disorders; legal involvement; or OCD/ADHD concerns)
Steven Powell
MD
Verified Verified
Austin, TX 78705
Dr. Steven Powell graduated from University of Texas and attended Rush Medical College to complete his family medicine residency at John Peter Smith Hospital in Fort Worth. He has worked at Barrio Comprehensive Health Center in San Antonio, as Medical Director, as well as Austin Regional Clinic where he also served as a board member. Board certified in Family Medicine and a member of the American Academy of Family Physicians and the Texas Medical Association, Dr. Powell has had an interest and commitment to addiction treatment in primary care since 2008, treating hundreds of patients with medication assisted therapy.
Dr. Steven Powell graduated from University of Texas and attended Rush Medical College to complete his family medicine residency at John Peter Smith Hospital in Fort Worth. He has worked at Barrio Comprehensive Health Center in San Antonio, as Medical Director, as well as Austin Regional Clinic where he also served as a board member. Board certified in Family Medicine and a member of the American Academy of Family Physicians and the Texas Medical Association, Dr. Powell has had an interest and commitment to addiction treatment in primary care since 2008, treating hundreds of patients with medication assisted therapy.
Granyon Perry-Wooden
Drug & Alcohol Counselor, LCDC, LPC, MA
Verified Verified
Austin, TX 78745
I am a Licensed Professional Counselor (LPC) and a Licensed Chemical Dependency Counselor (LCDC). I have worked closely with adults, children and families in need of social services for the past 24 years. Professionally, I advise and counsel parents, teens, various spiritual organizations, and agencies regarding mental, and spiritual health. My philosophy is that everyone, regardless of age, culture, identity, and economic background, has the ability to be their best self. In our sessions we will explore your experiences good bad or indifferent that make you live the best life for you!
I am a Licensed Professional Counselor (LPC) and a Licensed Chemical Dependency Counselor (LCDC). I have worked closely with adults, children and families in need of social services for the past 24 years. Professionally, I advise and counsel parents, teens, various spiritual organizations, and agencies regarding mental, and spiritual health. My philosophy is that everyone, regardless of age, culture, identity, and economic background, has the ability to be their best self. In our sessions we will explore your experiences good bad or indifferent that make you live the best life for you!
Moonstone Counseling PLLC
Clinical Social Work/Therapist, LCSW
Verified Verified
1 Endorsed
Austin, TX 78759
These are unprecedented times. You may find your usual ways of coping with stress and uncertainty are no longer helping you. Moonstone Counseling is here to support you, whether you are dealing with depression, anxiety, or any other emotional issue. COVID-19 has challenged us to seek support in new and unconventional ways. We offer in-person and teletherapy sessions to people who need an outlet and guide during this global pandemic. We are here to help you through this tough time.
These are unprecedented times. You may find your usual ways of coping with stress and uncertainty are no longer helping you. Moonstone Counseling is here to support you, whether you are dealing with depression, anxiety, or any other emotional issue. COVID-19 has challenged us to seek support in new and unconventional ways. We offer in-person and teletherapy sessions to people who need an outlet and guide during this global pandemic. We are here to help you through this tough time.
Maryrose Galluzzo
Clinical Social Work/Therapist, MSSW, LCSW
Verified Verified
1 Endorsed
Austin, TX 78759
My style is described as caring, compassionate and collaborative. I provide a safe, supportive environment to talk about difficult issues, better understand feelings and thoughts, and increase overall sense of well being and hopefulness. Areas of expertise include anxiety, depression, relationship/intimacy problems, low self esteem and major life transitions.
My style is described as caring, compassionate and collaborative. I provide a safe, supportive environment to talk about difficult issues, better understand feelings and thoughts, and increase overall sense of well being and hopefulness. Areas of expertise include anxiety, depression, relationship/intimacy problems, low self esteem and major life transitions.
Tralynza Conley
Clinical Social Work/Therapist, LCSW
Verified Verified
Austin, TX 78703 (Online Only)
I am Tralynza, a Licensed Clinical Social Worker. I was born and raised in Memphis, TN, and I am a nine-year U.S. Air Force, active duty, war veteran. I earned my bachelor’s in social work at Texas A&M-Central Texas and a master’s in social work at Our Lady of the Lake University-Worden School of Social Service, with concentration on Hispanic children & families. I have experience working with survivors of domestic violence and sexual assault, depression, anxiety, children, teens, adults, & groups. I'm a certified Mental Health First Aider, specializing in suicide prevention and intervention and a Certified Grief Informed therapist.
I am Tralynza, a Licensed Clinical Social Worker. I was born and raised in Memphis, TN, and I am a nine-year U.S. Air Force, active duty, war veteran. I earned my bachelor’s in social work at Texas A&M-Central Texas and a master’s in social work at Our Lady of the Lake University-Worden School of Social Service, with concentration on Hispanic children & families. I have experience working with survivors of domestic violence and sexual assault, depression, anxiety, children, teens, adults, & groups. I'm a certified Mental Health First Aider, specializing in suicide prevention and intervention and a Certified Grief Informed therapist.
Shima Patrick
Marriage & Family Therapist, MA, LMFT
Verified Verified
Austin, TX 78759 (Online Only)
Firstly, I want to commend you for seeking therapeutic services! Whether you're looking to address depression, anxiety, trauma, stressors at work, relationship issues, family conflict, or life transitions you're taking an important step in the right direction. I have experience in working with adults with all of these presenting concerns, and know that you don't need to walk this path alone! I enjoy working with adults from all different cultural backgrounds, and I am an LGBTQ+ ally!
Firstly, I want to commend you for seeking therapeutic services! Whether you're looking to address depression, anxiety, trauma, stressors at work, relationship issues, family conflict, or life transitions you're taking an important step in the right direction. I have experience in working with adults with all of these presenting concerns, and know that you don't need to walk this path alone! I enjoy working with adults from all different cultural backgrounds, and I am an LGBTQ+ ally!
See more therapy options for Austin
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
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.
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.
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.