Therapists in Houston, TX

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Photo of Anna De Filippi, Licensed Professional Counselor Associate in Houston, TX
Anna De Filippi
Licensed Professional Counselor Associate, MS, LPC-A, NCC
Verified Verified
1 Endorsed
Houston, TX 77063
No matter your age, it is one of life’s challenges to put difficult feelings and experiences into words. You may not yet know what is causing your suffering or symptoms, making the choice to ‘talk to someone’ amidst a busy schedule even more daunting. While words cannot capture it all, they are nonetheless a precious tool. Taking the time to speak to a non-judgmental and attentive listener can help work through what previously felt unsayable, bringing a much-needed sense of peace. "It does not matter how the facts occur in life, it matters how they are told," wrote the Italian novelist, Elsa Morante.
No matter your age, it is one of life’s challenges to put difficult feelings and experiences into words. You may not yet know what is causing your suffering or symptoms, making the choice to ‘talk to someone’ amidst a busy schedule even more daunting. While words cannot capture it all, they are nonetheless a precious tool. Taking the time to speak to a non-judgmental and attentive listener can help work through what previously felt unsayable, bringing a much-needed sense of peace. "It does not matter how the facts occur in life, it matters how they are told," wrote the Italian novelist, Elsa Morante.
(281) 916-3147 View (281) 916-3147
Photo of Deandra Bueno, Clinical Social Work/Therapist in Houston, TX
Deandra Bueno
Clinical Social Work/Therapist, LCSW
Verified Verified
Houston, TX 77007  (Online Only)
Grief, stress, and anxiety are apart of our daily lives, some more profound than the others. Wouldn't life be so peaceful if you learned how to manage by learning what works for your needs? Are you ready to tune in to yourself to better relate to those in the world around you? Each of us exist in environments such as the workplace, the home, life with your partner, with your parents, and or with your children. How will you show up?
Grief, stress, and anxiety are apart of our daily lives, some more profound than the others. Wouldn't life be so peaceful if you learned how to manage by learning what works for your needs? Are you ready to tune in to yourself to better relate to those in the world around you? Each of us exist in environments such as the workplace, the home, life with your partner, with your parents, and or with your children. How will you show up?
(361) 240-8019 View (361) 240-8019
Photo of Online Virtual Therapy With Kimberly Allison in Houston, TX
Online Virtual Therapy With Kimberly Allison
LMHC
Verified Verified
1 Endorsed
Houston, TX 77024
FREE consultations! Are you feeling stuck in negative thoughts, intense emotions, or behavioral patterns that don't serve your best interest? Are you hoping to build more meaning and joy in your life? You may feel hesitant about reaching out for help, especially with pressure from all directions to "have it all together". I'm here to join you on this journey to discover healing and build a balanced life. My goal is to help you find compassion for yourself, develop skills to help you navigate life stressors, and be confident in the resilient person you are.
FREE consultations! Are you feeling stuck in negative thoughts, intense emotions, or behavioral patterns that don't serve your best interest? Are you hoping to build more meaning and joy in your life? You may feel hesitant about reaching out for help, especially with pressure from all directions to "have it all together". I'm here to join you on this journey to discover healing and build a balanced life. My goal is to help you find compassion for yourself, develop skills to help you navigate life stressors, and be confident in the resilient person you are.
(786) 551-4723 View (786) 551-4723
Photo of Doug Sorensen, Clinical Social Work/Therapist in Houston, TX
Doug Sorensen
Clinical Social Work/Therapist, LCSW, CSAT-S, CCF-C
Verified Verified
Houston, TX 77098
Doug Sorensen is a Licensed Clinical Social Worker and Certified Sexual Addiction Therapist. He began his private practice in 1989 after working several years with individuals and families at an intensive outpatient chemical dependency program. His clinical experience includes extensive work with men seeking to rebuild their lives and their relationships from the devastating consequences of childhood trauma and addiction.
Doug Sorensen is a Licensed Clinical Social Worker and Certified Sexual Addiction Therapist. He began his private practice in 1989 after working several years with individuals and families at an intensive outpatient chemical dependency program. His clinical experience includes extensive work with men seeking to rebuild their lives and their relationships from the devastating consequences of childhood trauma and addiction.
(713) 489-7239 View (713) 489-7239
Photo of Cherlyn Cyres, Clinical Social Work/Therapist in Houston, TX
Cherlyn Cyres
Clinical Social Work/Therapist, LCSW , BACS
Verified Verified
Houston, TX 77002
As a Licensed Clinical Social Worker, I empower participants to partner with me to reach their goals and objectives in therapy. Dealing with unresolved trauma, struggling with life transitions, trying to manage anger, stress, depression or anxiety on your own can all be overwhelming. I enjoy assisting clients with learning stress management and mindfulness techniques, as well as helping them to discover ways to cope and address mental barriers they are facing in life. Also, I am a Certified Clinical Trauma Professional (CCTP) and a Certified Grief Counseling Specialist (CGCS).
As a Licensed Clinical Social Worker, I empower participants to partner with me to reach their goals and objectives in therapy. Dealing with unresolved trauma, struggling with life transitions, trying to manage anger, stress, depression or anxiety on your own can all be overwhelming. I enjoy assisting clients with learning stress management and mindfulness techniques, as well as helping them to discover ways to cope and address mental barriers they are facing in life. Also, I am a Certified Clinical Trauma Professional (CCTP) and a Certified Grief Counseling Specialist (CGCS).
(786) 244-7347 View (786) 244-7347
Photo of Debbie Grammas, Psychologist in Houston, TX
Debbie Grammas
Psychologist, PhD
Verified Verified
4 Endorsed
Houston, TX 77058
Are you struggling in life? Does anxiety keep you awake at night? Do you feel sad and blue? Is your relationship in trouble? Do you spend too much time worrying about your looks? If you are struggling in life with these issues, you are not alone. Life can be difficult and many people have felt the way you do. Individuals often feel that something needs to be seriously wrong with them in order to seek therapy. Nothing could be further from the truth. It is often helpful to have an objective, nonjudgmental person to help you through life's challenges.
Are you struggling in life? Does anxiety keep you awake at night? Do you feel sad and blue? Is your relationship in trouble? Do you spend too much time worrying about your looks? If you are struggling in life with these issues, you are not alone. Life can be difficult and many people have felt the way you do. Individuals often feel that something needs to be seriously wrong with them in order to seek therapy. Nothing could be further from the truth. It is often helpful to have an objective, nonjudgmental person to help you through life's challenges.
(713) 338-9191 View (713) 338-9191
Photo of Jeanie Low, Clinical Social Work/Therapist in Houston, TX
Jeanie Low
Clinical Social Work/Therapist, LCSW
Verified Verified
Houston, TX 77007
You are here because you have an interest in making an investment in your mental health. This is the first step to help you achieve balance, confidence and the right tools to prepare for what life tosses at you. Jeanie Low, LCSW is a service-oriented counselor who provides therapeutic assistance for individuals, families, and couples in a compassionate and knowledgeable environment. She also facilities groups for women, adolescents, children and families. The participants gain insight, beneficial tools and skills that nurture physical, psychological and spiritual growth.
You are here because you have an interest in making an investment in your mental health. This is the first step to help you achieve balance, confidence and the right tools to prepare for what life tosses at you. Jeanie Low, LCSW is a service-oriented counselor who provides therapeutic assistance for individuals, families, and couples in a compassionate and knowledgeable environment. She also facilities groups for women, adolescents, children and families. The participants gain insight, beneficial tools and skills that nurture physical, psychological and spiritual growth.
(281) 609-7327 View (281) 609-7327
Photo of Jeffrey Evans, Licensed Professional Counselor in Houston, TX
Jeffrey Evans
Licensed Professional Counselor, LPC
Verified Verified
Houston, TX 77002
Hello, I'm a Licensed Professional Counselor based in rural Texas. I have been a counselor since 2012. In my first career, I was a schoolteacher and school administrator. I decided to leave public education and focus my career on mental health. In 2012, I worked in a drug rehabilitation clinic in Houston.
Hello, I'm a Licensed Professional Counselor based in rural Texas. I have been a counselor since 2012. In my first career, I was a schoolteacher and school administrator. I decided to leave public education and focus my career on mental health. In 2012, I worked in a drug rehabilitation clinic in Houston.
(832) 802-6333 View (832) 802-6333
Photo of Kelley Walters, LPC-Associate in Houston, TX
Kelley Walters
LPC-Associate, LPC A
Verified Verified
8 Endorsed
Houston, TX 77006
Are you looking for an “anything-but-typical” therapist? Have you struggled to find a therapist who connects with your neurodivergence, idiosyncrasies, or unconventional perspectives? You feel too much — or maybe not enough. Everyone says you're too much — or not enough. You might struggle with the parts of life that others seem to just take for granted, like meeting deadlines, eating without fear, enjoying time with friends, parenting without guilt or shame, looking in the mirror, making and keeping plans, paying bills on time, or controlling your anger over seemingly small things.
Are you looking for an “anything-but-typical” therapist? Have you struggled to find a therapist who connects with your neurodivergence, idiosyncrasies, or unconventional perspectives? You feel too much — or maybe not enough. Everyone says you're too much — or not enough. You might struggle with the parts of life that others seem to just take for granted, like meeting deadlines, eating without fear, enjoying time with friends, parenting without guilt or shame, looking in the mirror, making and keeping plans, paying bills on time, or controlling your anger over seemingly small things.
(281) 213-0277 View (281) 213-0277
Photo of Trey Hughes, Licensed Professional Counselor in Houston, TX
Trey Hughes
Licensed Professional Counselor, MA, LPC
Verified Verified
1 Endorsed
Houston, TX 77098
Congratulations on reaching out for help! I've been there and know it's not easy. In fact it's scary as hell! The fact is everyone on this planet struggles. It's the human condition and we all need help from time to time. I guarantee you that if I'm having problems with my plumbing, I call a plumber. I've been a therapist now for 30 years and can safely say I've pretty much seen it all. Most of us think our problems are really different than everyone else's, but I assure you we're all much more alike than we are different. The truth is everyone just wants to be happy, feel at peace, and have successful loving relationships.
Congratulations on reaching out for help! I've been there and know it's not easy. In fact it's scary as hell! The fact is everyone on this planet struggles. It's the human condition and we all need help from time to time. I guarantee you that if I'm having problems with my plumbing, I call a plumber. I've been a therapist now for 30 years and can safely say I've pretty much seen it all. Most of us think our problems are really different than everyone else's, but I assure you we're all much more alike than we are different. The truth is everyone just wants to be happy, feel at peace, and have successful loving relationships.
(713) 568-9938 View (713) 568-9938
Photo of Tamra White Truman, Licensed Professional Counselor in Houston, TX
Tamra White Truman
Licensed Professional Counselor, LPCC
Verified Verified
Houston, TX 77057
Tamra White, Licensed Professional Counselor and Supervisor. I have been in individual practice for 18 years. I specialize in several areas of human behavior, including depression, anxiety, marriage/family, as well as LGBTQ + issues. My client focus encompasses family issues, anxiety, depression, adolescent concerns, as well as the LGBTQ + community.
Tamra White, Licensed Professional Counselor and Supervisor. I have been in individual practice for 18 years. I specialize in several areas of human behavior, including depression, anxiety, marriage/family, as well as LGBTQ + issues. My client focus encompasses family issues, anxiety, depression, adolescent concerns, as well as the LGBTQ + community.
(281) 215-5474 View (281) 215-5474
Photo of Jeff Anderson At Cypress Counseling Behavioral Center, Psychologist in Houston, TX
Jeff Anderson At Cypress Counseling Behavioral Center
Psychologist, PsyD
Verified Verified
1 Endorsed
Houston, TX 77095
Hello there! my name is Dr. Jeff Anderson, and I am one of the therapists with Cypress Counseling & Behavioral Center, named Best Therapy Services in Cyfair! I have always valued the importance of real and warm connection in the therapeutic process. It is this place of being seen and heard and valued that is foundational for the safety required to do the hard work of change and growth. I use an integrative approach to walk through the unique issues you face in a way that makes sense for you.
Hello there! my name is Dr. Jeff Anderson, and I am one of the therapists with Cypress Counseling & Behavioral Center, named Best Therapy Services in Cyfair! I have always valued the importance of real and warm connection in the therapeutic process. It is this place of being seen and heard and valued that is foundational for the safety required to do the hard work of change and growth. I use an integrative approach to walk through the unique issues you face in a way that makes sense for you.
(346) 275-2997 View (346) 275-2997
Photo of Stephanie B Brandt, Licensed Professional Counselor in Houston, TX
Stephanie B Brandt
Licensed Professional Counselor, LPC-AT, LMFT, ATR-BC
Verified Verified
Houston, TX 77079
I see adults over 23 and specialize in trauma, addictions, grief work, group, life transitions, depression, anxiety, and LGBTQ+. I deal with the whole person and believe a healthy person takes care of their mind and body. I love working with and helping clients become the best they can be psychologically, creatively, physically, and spiritually. I regularly participate in CEUs so I can continue to learn and grow and pass on my learning. I have been a therapist for over 40 years. I am a Board-Certified Art Therapist, Certified Group Psychotherapist and a Certified Brainspotting therapist.
I see adults over 23 and specialize in trauma, addictions, grief work, group, life transitions, depression, anxiety, and LGBTQ+. I deal with the whole person and believe a healthy person takes care of their mind and body. I love working with and helping clients become the best they can be psychologically, creatively, physically, and spiritually. I regularly participate in CEUs so I can continue to learn and grow and pass on my learning. I have been a therapist for over 40 years. I am a Board-Certified Art Therapist, Certified Group Psychotherapist and a Certified Brainspotting therapist.
(281) 819-5336 View (281) 819-5336
Photo of Princess Agbobock, Marriage & Family Therapist Associate in Houston, TX
Princess Agbobock
Marriage & Family Therapist Associate, LMFT-A
Verified Verified
2 Endorsed
Houston, TX 77048  (Online Only)
You’ve tried to fix it yourself, but your relationship is still in shambles. Anxiety is controlling your life, trauma is making you feel heavy, and it feels like your family is falling apart. If you’re struggling to heal from infidelity, are in a daily battle with anxiety, looking to resolve family conflict, are tired of carrying trauma, or need support while navigating life transitions it may be time to partner with a therapist. We can work together to create a plan that focuses on improving the parts of your life that are causing distress. Booking a therapy session is the hardest, yet bravest step that you can take today.
You’ve tried to fix it yourself, but your relationship is still in shambles. Anxiety is controlling your life, trauma is making you feel heavy, and it feels like your family is falling apart. If you’re struggling to heal from infidelity, are in a daily battle with anxiety, looking to resolve family conflict, are tired of carrying trauma, or need support while navigating life transitions it may be time to partner with a therapist. We can work together to create a plan that focuses on improving the parts of your life that are causing distress. Booking a therapy session is the hardest, yet bravest step that you can take today.
(832) 604-0898 View (832) 604-0898
Photo of Liz Handal, Clinical Social Work/Therapist in Houston, TX
Liz Handal
Clinical Social Work/Therapist, LCSW
Verified Verified
1 Endorsed
Houston, TX 77007  (Online Only)
I specialize in the treatment of anxiety, trauma (including unresolved childhood wounds), and relationship issues. Many of my clients come to therapy not knowing what exactly is holding them back but know they are not satisfied with the way things are going and are ready for something to change. Understanding how our past impacts our present is often very empowering; as a trauma focused therapist, I am able to help you examine how your past experiences play a role in your present day life, as well as, provide the necessary treatment to alleviate/reduce the negative impacts.
I specialize in the treatment of anxiety, trauma (including unresolved childhood wounds), and relationship issues. Many of my clients come to therapy not knowing what exactly is holding them back but know they are not satisfied with the way things are going and are ready for something to change. Understanding how our past impacts our present is often very empowering; as a trauma focused therapist, I am able to help you examine how your past experiences play a role in your present day life, as well as, provide the necessary treatment to alleviate/reduce the negative impacts.
(281) 626-8296 View (281) 626-8296
Photo of Kelsey Fyffe, Licensed Professional Counselor in Houston, TX
Kelsey Fyffe
Licensed Professional Counselor, MA, LPC-S, CEDS-S
Verified Verified
4 Endorsed
Houston, TX 77007
Do you feel like your eating disorder controls your entire life, and you don't know what to do? Eating disorders often start out as a desire to be healthier, to eat better, or to feel more productive. But it doesn't take long for behaviors like restriction, binging, purging, or compulsive exercise to start running the show. You might even feel like your schedule revolves around your eating disorder - when you will eat, what you will eat, how you will feel after you eat, etc. This will leave you feeling anxious, uncomfortable in your body, and struggling with constant feelings of shame and self-criticism.
Do you feel like your eating disorder controls your entire life, and you don't know what to do? Eating disorders often start out as a desire to be healthier, to eat better, or to feel more productive. But it doesn't take long for behaviors like restriction, binging, purging, or compulsive exercise to start running the show. You might even feel like your schedule revolves around your eating disorder - when you will eat, what you will eat, how you will feel after you eat, etc. This will leave you feeling anxious, uncomfortable in your body, and struggling with constant feelings of shame and self-criticism.
(832) 462-6739 View (832) 462-6739
Photo of Naomi Madell-Hernandez, Marriage & Family Therapist in Houston, TX
Naomi Madell-Hernandez
Marriage & Family Therapist, MA, LMFT-S, RPT-S
Verified Verified
1 Endorsed
Houston, TX 77056
I am a bilingual (English/Spanish), Licensed Marriage and Family Therapist-Supervisor and a Registered Play Therapist- Supervisor with 20-plus years of experience working with children, teens, families, and adults. I specialize in a wide range of emotional and behavioral issues, such as school problems, parent-child relational issues, abuse, divorce, depression, anxiety, relational issues, postpartum depression, grief, and trauma.
I am a bilingual (English/Spanish), Licensed Marriage and Family Therapist-Supervisor and a Registered Play Therapist- Supervisor with 20-plus years of experience working with children, teens, families, and adults. I specialize in a wide range of emotional and behavioral issues, such as school problems, parent-child relational issues, abuse, divorce, depression, anxiety, relational issues, postpartum depression, grief, and trauma.
(281) 519-6656 View (281) 519-6656
Photo of Tom Stevens, Licensed Professional Counselor in Houston, TX
Tom Stevens
Licensed Professional Counselor, LPC-S, RPT-S
Verified Verified
1 Endorsed
Houston, TX 77070
Finding the right therapist means finding the right fit for you. With over 20 years in private practice, I pride myself on helping you feel comfortable and confident that you will get the answers you need to a better life. I specialize in parenting and play therapy with children, working with higher level athletes, and couples. I have also hosted my own internet radio talk show on parenting and family relationships, and have appeared on television and radio programs (talking about parenting and bullying).
Finding the right therapist means finding the right fit for you. With over 20 years in private practice, I pride myself on helping you feel comfortable and confident that you will get the answers you need to a better life. I specialize in parenting and play therapy with children, working with higher level athletes, and couples. I have also hosted my own internet radio talk show on parenting and family relationships, and have appeared on television and radio programs (talking about parenting and bullying).
(281) 402-8805 View (281) 402-8805
Photo of Megan Griffith, Licensed Professional Counselor in Houston, TX
Megan Griffith
Licensed Professional Counselor, MS
Verified Verified
2 Endorsed
Houston, TX 77077
I thoroughly enjoy working with individuals across the lifespan and creating a space to communicate and express their needs in a way that is comfortable and developmentally appropriate. My goal is to provide a space that is welcoming and non-judgemental for clients to share, process, feel heard and supported through the many different aspects of life.
I thoroughly enjoy working with individuals across the lifespan and creating a space to communicate and express their needs in a way that is comfortable and developmentally appropriate. My goal is to provide a space that is welcoming and non-judgemental for clients to share, process, feel heard and supported through the many different aspects of life.
(281) 519-6238 View (281) 519-6238
Photo of Jess Parker, Licensed Professional Counselor in Houston, TX
Jess Parker
Licensed Professional Counselor, MEd, LPC
Verified Verified
1 Endorsed
Houston, TX 77027  (Online Only)
Life can be complicated, and many issues arise that can cause uncertainty, stress, anxiety and other problems that adversely effect your well being. Addressing these feelings and challenges head on through therapy can not only help in handling these stressors, but can also equip you with the tools you need to be happy and healthy moving forward into the future.
Life can be complicated, and many issues arise that can cause uncertainty, stress, anxiety and other problems that adversely effect your well being. Addressing these feelings and challenges head on through therapy can not only help in handling these stressors, but can also equip you with the tools you need to be happy and healthy moving forward into the future.
(832) 841-4995 View (832) 841-4995

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
65% Trauma and PTSD

Average years in practice

10 Years

Top 3 insurances accepted

86% 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.