Therapists in Alvin, TX

Photo of Michelle Brumley, Licensed Professional Counselor in Alvin, TX
Michelle Brumley
Licensed Professional Counselor, MEd, LPC
Verified Verified
Alvin, TX 77511
Life throws many challenges to us. Whether you are struggling with stress, anxiety, depression, or substance abuse, counseling provides an opportunity to address these issues with the help of a trained professional. I employ a holistic, collaborative approach to therapy. I believe the relationship in counseling is integral to improving a patient's overall well being and each treatment plan is tailored to the individual client. Different strategies work for different people and I will work with you to find the most suitable approach. I utilize techniques from Cognitive Behavioral, Psychodynamic, and Mindfulness based approaches.
Life throws many challenges to us. Whether you are struggling with stress, anxiety, depression, or substance abuse, counseling provides an opportunity to address these issues with the help of a trained professional. I employ a holistic, collaborative approach to therapy. I believe the relationship in counseling is integral to improving a patient's overall well being and each treatment plan is tailored to the individual client. Different strategies work for different people and I will work with you to find the most suitable approach. I utilize techniques from Cognitive Behavioral, Psychodynamic, and Mindfulness based approaches.
(832) 262-4690 View (832) 262-4690
Photo of Stacy Sikes, Licensed Professional Counselor in Alvin, TX
Stacy Sikes
Licensed Professional Counselor, MA, LPC
Verified Verified
Alvin, TX 77511  (Online Only)
Hi there! My name is Stacy Sikes and I'm so honored to be entrusted in helping you with the difficulties you're experiencing right now. I provide the space for clients to share their triumphs and struggles in a safe environment. My style is laid-back, relaxed, and non-judgmental. I have a background in working with those struggling with major life changes, dealing with narcissistic personality partners/breakups, and have the skills needed to get you back on track and making better decisions for your relationships (both with others and yourself).
Hi there! My name is Stacy Sikes and I'm so honored to be entrusted in helping you with the difficulties you're experiencing right now. I provide the space for clients to share their triumphs and struggles in a safe environment. My style is laid-back, relaxed, and non-judgmental. I have a background in working with those struggling with major life changes, dealing with narcissistic personality partners/breakups, and have the skills needed to get you back on track and making better decisions for your relationships (both with others and yourself).
(832) 230-2092 View (832) 230-2092
Photo of Erin Scarth, Psychologist in Alvin, TX
Erin Scarth
Psychologist
Verified Verified
Alvin, TX 77511
My name is Dr. Erin Scarth, a Licensed Psychologist with over 22 years of clinical experience working with Individuals, Minors, and Preteens with Adolescents/Teens, Anxiety, Trauma, PTSD, Depression, and Dissociative Disorders. I also have a history of working with individuals who have disabilities or are caring for individuals with disabilities. I use a mix of Cognitive Behavioral (CBT), Culturally Sensitive, and Strength-Based therapies during treatment. I believe that developing a therapeutic relationship is the most essential step in the process.
My name is Dr. Erin Scarth, a Licensed Psychologist with over 22 years of clinical experience working with Individuals, Minors, and Preteens with Adolescents/Teens, Anxiety, Trauma, PTSD, Depression, and Dissociative Disorders. I also have a history of working with individuals who have disabilities or are caring for individuals with disabilities. I use a mix of Cognitive Behavioral (CBT), Culturally Sensitive, and Strength-Based therapies during treatment. I believe that developing a therapeutic relationship is the most essential step in the process.
(254) 613-7995 View (254) 613-7995
Photo of Cindy Castillo, Licensed Professional Counselor in Alvin, TX
Cindy Castillo
Licensed Professional Counselor, LPC
Verified Verified
Alvin, TX 77511
I have 20+ years of experience working in psychiatric hospitals, medical facilities, community health centers, pediatric clinics, schools, and residential treatment centers. I offered many years to working with children, adolescents, parents, and families through child protective services, rape crisis centers, shelters, neighborhood centers, and adoption centers. I am experienced in the diagnosis and treatment of disorders including PTSD, Depression, Trauma, Anxiety, & Psychosis including the management of other symptoms that stem from family/ relationship conflict, social difficulties, poor school performance, and violence/ abuse.
I have 20+ years of experience working in psychiatric hospitals, medical facilities, community health centers, pediatric clinics, schools, and residential treatment centers. I offered many years to working with children, adolescents, parents, and families through child protective services, rape crisis centers, shelters, neighborhood centers, and adoption centers. I am experienced in the diagnosis and treatment of disorders including PTSD, Depression, Trauma, Anxiety, & Psychosis including the management of other symptoms that stem from family/ relationship conflict, social difficulties, poor school performance, and violence/ abuse.
(346) 242-6663 View (346) 242-6663
Photo of Kristina Taylor, Clinical Social Work/Therapist in Alvin, TX
Kristina Taylor
Clinical Social Work/Therapist, LCSW, CCTHP, CCATP
Verified Verified
Alvin, TX 77511  (Online Only)
Are you struggling in your relationships, unable to find the amazing connection you once shared? Has the intimacy in your relationship quietly disappeared? Has the communication stopped, or does it feel like it just leads to another argument? Are you exploring alternate lifestyles such as ENM, poly, swinging, open marriage? Needing help navigating boundaries, how to process feelings of insecurity, jealousy, or inadequacy? Whether you're a novice or a veteran in the kink BDSM community you may need of guidance and support. Do you want to feel like you are being your authentic self and able to communicate well with your partner(s)?
Are you struggling in your relationships, unable to find the amazing connection you once shared? Has the intimacy in your relationship quietly disappeared? Has the communication stopped, or does it feel like it just leads to another argument? Are you exploring alternate lifestyles such as ENM, poly, swinging, open marriage? Needing help navigating boundaries, how to process feelings of insecurity, jealousy, or inadequacy? Whether you're a novice or a veteran in the kink BDSM community you may need of guidance and support. Do you want to feel like you are being your authentic self and able to communicate well with your partner(s)?
(832) 219-7250 View (832) 219-7250
Photo of Melissa Burns Spencer, Counselor in Alvin, TX
Melissa Burns Spencer
Counselor, LMHC
Verified Verified
Alvin, TX 77511
Have you ever felt like you needed a safe place to land & genuinely let your guard down? A place where you can breathe, relax, regroup, & refresh so you can get back out there & face the day? Melissa’s telehealth space might just be the place for you. Melissa received her master’s degree in counseling psychology from Boston College & has been a licensed mental health counselor since 2002. She has worked with all age groups ranging from toddlers to geriatrics across numerous settings including clinics, crisis units, schools, homes, & within communities.
Have you ever felt like you needed a safe place to land & genuinely let your guard down? A place where you can breathe, relax, regroup, & refresh so you can get back out there & face the day? Melissa’s telehealth space might just be the place for you. Melissa received her master’s degree in counseling psychology from Boston College & has been a licensed mental health counselor since 2002. She has worked with all age groups ranging from toddlers to geriatrics across numerous settings including clinics, crisis units, schools, homes, & within communities.
(832) 662-4631 View (832) 662-4631
Photo of Diagnostic and Counseling Services, Licensed Professional Counselor Associate in Alvin, TX
Diagnostic and Counseling Services
Licensed Professional Counselor Associate, MEd, LPC-Asc
Verified Verified
Alvin, TX 77511
Our passion and purpose are to help families! With decades of experience supporting individuals: Counselor, Educational Diagnostician, Dyslexia Specialist, and K-12 teacher; Diagnostic and Counseling Services is a trusted resource for families and individuals facing life's challenges. Whether a member of your family is in need of individual, marriage, or group counseling or your student is struggling with reading & math skills, anxiety, focus, cognitive delays, prepping transcripts, or considering a change in school setting - We can help!
Our passion and purpose are to help families! With decades of experience supporting individuals: Counselor, Educational Diagnostician, Dyslexia Specialist, and K-12 teacher; Diagnostic and Counseling Services is a trusted resource for families and individuals facing life's challenges. Whether a member of your family is in need of individual, marriage, or group counseling or your student is struggling with reading & math skills, anxiety, focus, cognitive delays, prepping transcripts, or considering a change in school setting - We can help!
(281) 595-8867 View (281) 595-8867
Photo of A Therapeutic Approach, Penny Lane, LPC, MS, Licensed Professional Counselor in Alvin, TX
A Therapeutic Approach, Penny Lane, LPC, MS
Licensed Professional Counselor, LPC, MS
Verified Verified
Alvin, TX 77511
Meeting your needs are essential to me. I have a variety of tool kits: cognitive behavior therapy, dialectical behavior therapy, and personality disorders training. I enjoy helping parents find solutions to difficult situations. I enjoy helping those with Attention Deficit Hyperactivity Disorder, Mood Disorder, Anxiety Disorder, and Depression. I can provide psycho-diagnostic assessments for children and adults. I use strategies such as applied behavior management, using self monitoring skills, and coping skills.
Meeting your needs are essential to me. I have a variety of tool kits: cognitive behavior therapy, dialectical behavior therapy, and personality disorders training. I enjoy helping parents find solutions to difficult situations. I enjoy helping those with Attention Deficit Hyperactivity Disorder, Mood Disorder, Anxiety Disorder, and Depression. I can provide psycho-diagnostic assessments for children and adults. I use strategies such as applied behavior management, using self monitoring skills, and coping skills.
(254) 232-5806 View (254) 232-5806
Photo of Counseling Connections for Change, Inc., Clinical Social Work/Therapist in Alvin, TX
Counseling Connections for Change, Inc.
Clinical Social Work/Therapist
Verified Verified
Alvin, TX 77511
We believe everyone should experience hope and we believe mental health matters. Through our faith-based counseling, education and collaboration efforts, we are the bridge to life-changing solutions. Since 2007, our professional counseling team has helped thousands find hope and improved quality of life. Our agency is trauma-informed and uses evidence-based interventions. We are trained to meet the unique needs of individuals, couples, and whole families. Whether you’ve experienced a sudden loss, or struggle with an ongoing issue, our team is dedicated to supporting your needs.
We believe everyone should experience hope and we believe mental health matters. Through our faith-based counseling, education and collaboration efforts, we are the bridge to life-changing solutions. Since 2007, our professional counseling team has helped thousands find hope and improved quality of life. Our agency is trauma-informed and uses evidence-based interventions. We are trained to meet the unique needs of individuals, couples, and whole families. Whether you’ve experienced a sudden loss, or struggle with an ongoing issue, our team is dedicated to supporting your needs.
(281) 724-3128 View (281) 724-3128
Photo of Jennifer Rothfleisch, Psychologist in Alvin, TX
Jennifer Rothfleisch
Psychologist, PhD
Verified Verified
1 Endorsed
Alvin, TX 77511
Sometimes dealing with life's problems can feel overwhelming. Seeking help can feel difficult too. Personally, I take an integrative approach. We would look at all the factors in your life, your history, your health, how you’ve been coping or dealing with your situation, and what you would hope to accomplish, i.e. how would you like things to better. Trained heavily in cognitive behavioral therapy, it is a dominant model in my work, which on a simple level means we’ll look at your thoughts and feelings and how those may be impacting your behavior.
Sometimes dealing with life's problems can feel overwhelming. Seeking help can feel difficult too. Personally, I take an integrative approach. We would look at all the factors in your life, your history, your health, how you’ve been coping or dealing with your situation, and what you would hope to accomplish, i.e. how would you like things to better. Trained heavily in cognitive behavioral therapy, it is a dominant model in my work, which on a simple level means we’ll look at your thoughts and feelings and how those may be impacting your behavior.
(713) 338-9121 View (713) 338-9121
Photo of Judith Andriola, Clinical Social Work/Therapist in Alvin, TX
Judith Andriola
Clinical Social Work/Therapist, MSW, LCSW
Verified Verified
Alvin, TX 77511  (Online Only)
I look forward to sharing what I have learned from working with my clients for over 20 years and in my own personal life with you. I am committed to assisting you with your individualized goals to help improve whatever situation you may find yourself in. Whether you are suffering from anxiety , depression or are simply struggling to find a better way to manage life's daily stressors, I can help you tailor a plan that is exclusive to you. A plan that will support you in steering your circumstance in a more favorable direction.
I look forward to sharing what I have learned from working with my clients for over 20 years and in my own personal life with you. I am committed to assisting you with your individualized goals to help improve whatever situation you may find yourself in. Whether you are suffering from anxiety , depression or are simply struggling to find a better way to manage life's daily stressors, I can help you tailor a plan that is exclusive to you. A plan that will support you in steering your circumstance in a more favorable direction.
(979) 633-5147 View (979) 633-5147
Photo of Sandra Dominguez, Marriage & Family Therapist in Alvin, TX
Sandra Dominguez
Marriage & Family Therapist, MA, LMFT
Verified Verified
Alvin, TX 77511
My goal is to help my clients learn about themselves and their loved ones. We are all in relationships , so how do we get what we need from these relationships while giving others what they need as well? My goal is to help with this complex balancing act. Life transitions make balance difficult. So whether you are dealing with a new marriage/baby, an empty nest, marriage difficulties, job loss, grief or any number of these transitions, it is my goal to help my clients through these transitions with empathy, caring and common sense strategies from many theoretical perspectives.
My goal is to help my clients learn about themselves and their loved ones. We are all in relationships , so how do we get what we need from these relationships while giving others what they need as well? My goal is to help with this complex balancing act. Life transitions make balance difficult. So whether you are dealing with a new marriage/baby, an empty nest, marriage difficulties, job loss, grief or any number of these transitions, it is my goal to help my clients through these transitions with empathy, caring and common sense strategies from many theoretical perspectives.
(832) 664-7256 View (832) 664-7256
Photo of Family PsychSolutions, PLLC, Psychologist in Alvin, TX
Family PsychSolutions, PLLC
Psychologist, PhD
Verified Verified
Alvin, TX 77511
Are there constant demands placed on you at your job, school, or home? It can be difficult to manage all of them. Finding the time to focus on you to gain relief from life's challenges is tough. I believe that a trusting relationship between a therapist and client is essential towards one's progress. The therapeutic relationship can offer an empathic and collaborative way to explore change within yourself and your environment. I can help with problem solving, identifying strengths and weaknesses, learning better ways to communicate with others, learning coping skills, and also provide you with social support.
Are there constant demands placed on you at your job, school, or home? It can be difficult to manage all of them. Finding the time to focus on you to gain relief from life's challenges is tough. I believe that a trusting relationship between a therapist and client is essential towards one's progress. The therapeutic relationship can offer an empathic and collaborative way to explore change within yourself and your environment. I can help with problem solving, identifying strengths and weaknesses, learning better ways to communicate with others, learning coping skills, and also provide you with social support.
(281) 845-2827 View (281) 845-2827
Photo of Majestic Counseling and Consulting LLC. , Licensed Professional Counselor in Alvin, TX
Majestic Counseling and Consulting LLC.
Licensed Professional Counselor, EdD, LPC-S, NCC, CSC
Verified Verified
Alvin, TX 77511
Majestic Counseling and Consulting, LLC. offers treatment for a wide range of mental health problems. These problems include, but are not limited to, depression, anxiety, posttraumatic stress disorder (PTSD), adjustment disorder, bipolar disorder, grief, trauma, stress, and co-occurring issues. Our therapists use evidence-based treatments to meet the needs of each client. At Majestic Counseling and Consulting, LLC. you can expect to find competent, caring, and professional therapists who will listen without judgment in a nurturing atmosphere.
Majestic Counseling and Consulting, LLC. offers treatment for a wide range of mental health problems. These problems include, but are not limited to, depression, anxiety, posttraumatic stress disorder (PTSD), adjustment disorder, bipolar disorder, grief, trauma, stress, and co-occurring issues. Our therapists use evidence-based treatments to meet the needs of each client. At Majestic Counseling and Consulting, LLC. you can expect to find competent, caring, and professional therapists who will listen without judgment in a nurturing atmosphere.
(844) 898-9879 View (844) 898-9879
Photo of Dr. Becky Siekierski, Psychologist in Alvin, TX
Dr. Becky Siekierski
Psychologist, PhD, LP, LSSP
Verified Verified
Alvin, TX 77511
I love working with "quirky" kids and am skilled at assessing children who have complex behaviors. I have experience working with early childhood disorders, social skills, parenting, and school issues. I specialize in comprehensive evaluations and devising treatment interventions for Autism, ADHD, Intellectual Disability, Specific Learning Disabilities (reading, writing, math), Dyslexia, Developmental Delays, Anxiety, Depression, and much more. In addition to being a Licensed Psychologist (LP), I am a Nationally Certified School Psychologist (NCSP) and Licensed Specialist in School Psychology (LSSP).
I love working with "quirky" kids and am skilled at assessing children who have complex behaviors. I have experience working with early childhood disorders, social skills, parenting, and school issues. I specialize in comprehensive evaluations and devising treatment interventions for Autism, ADHD, Intellectual Disability, Specific Learning Disabilities (reading, writing, math), Dyslexia, Developmental Delays, Anxiety, Depression, and much more. In addition to being a Licensed Psychologist (LP), I am a Nationally Certified School Psychologist (NCSP) and Licensed Specialist in School Psychology (LSSP).
(281) 843-8805 View (281) 843-8805
Photo of Katherine M. Ranton, Psychologist in Alvin, TX
Katherine M. Ranton
Psychologist, MS, PsyD
Verified Verified
1 Endorsed
Alvin, TX 77511
Dr. Ranton has experience in university counseling centers, community mental health, and neuropsychology clinics, serving adult clients with a variety of mental health concerns. Additionally, Dr. Ranton has specialized training in psychological assessments, trauma focused therapy, interpersonal relationships, and couples therapy using the Gottman Method.
Dr. Ranton has experience in university counseling centers, community mental health, and neuropsychology clinics, serving adult clients with a variety of mental health concerns. Additionally, Dr. Ranton has specialized training in psychological assessments, trauma focused therapy, interpersonal relationships, and couples therapy using the Gottman Method.
(832) 847-7802 View (832) 847-7802
Photo of Kendall Grimm in Alvin, TX
Kendall Grimm
MA, LPC
Verified Verified
Alvin, TX 77511
I have experience with cognitive behavioral therapy, cognitive processing therapy, and utilize a client-centered approach. I am here to help facilitate change and growth with my clients.
I have experience with cognitive behavioral therapy, cognitive processing therapy, and utilize a client-centered approach. I am here to help facilitate change and growth with my clients.
(346) 567-6926 View (346) 567-6926
Photo of Erika Willis, Licensed Professional Counselor in Alvin, TX
Erika Willis
Licensed Professional Counselor, LPC
Verified Verified
Alvin, TX 77511
I have worked in the public school setting for over 15 years providing behavioral consultation and social skills counseling to children with autism, ADHD, and emotional/behavioral difficulties. My goal is to help children and adolescents who have difficulty understanding and expressing their feelings find more successful ways to interact with others, and to problem solve every day challenges.
I have worked in the public school setting for over 15 years providing behavioral consultation and social skills counseling to children with autism, ADHD, and emotional/behavioral difficulties. My goal is to help children and adolescents who have difficulty understanding and expressing their feelings find more successful ways to interact with others, and to problem solve every day challenges.
(281) 503-4754 View (281) 503-4754
Photo of George Shu, Clinical Social Work/Therapist in Alvin, TX
George Shu
Clinical Social Work/Therapist, LMSW
Verified Verified
Alvin, TX 77511
As a trauma-informed mental health therapist, I specialize in helping individuals overcome fear, trauma, and anxiety. Whether you're struggling with overwhelming fears, trauma aftermath, or persistent anxiety, I'm here to guide you towards rediscovering your inner strength and resilience.
As a trauma-informed mental health therapist, I specialize in helping individuals overcome fear, trauma, and anxiety. Whether you're struggling with overwhelming fears, trauma aftermath, or persistent anxiety, I'm here to guide you towards rediscovering your inner strength and resilience.
(346) 788-1764 View (346) 788-1764
Photo of Scot Macomber, Licensed Professional Counselor in Alvin, TX
Scot Macomber
Licensed Professional Counselor, LPC
Verified Verified
Alvin, TX 77511
Scot has 16 years experience and he understands what if feels like to be stuck; believe us, he’s been there himself. Scot has experience working as a counselor in all levels of care including psychiatric inpatient, residential treatment centers, intensive outpatient programs for substance abuse and mental health, and the Michael E. Debakey Veteran's Hospital. He can help if you’re tired of being stuck and are ready to dig in and work on your stuff.
Scot has 16 years experience and he understands what if feels like to be stuck; believe us, he’s been there himself. Scot has experience working as a counselor in all levels of care including psychiatric inpatient, residential treatment centers, intensive outpatient programs for substance abuse and mental health, and the Michael E. Debakey Veteran's Hospital. He can help if you’re tired of being stuck and are ready to dig in and work on your stuff.
(281) 299-5959 View (281) 299-5959

How does your Therapist compare?

Number of Therapists in Alvin, TX

20+

Average cost per session

$127

Therapists in Alvin, TX who prioritize treating:

89% Anxiety
81% Depression
74% Self Esteem
70% Relationship Issues
70% Grief
70% Coping Skills
70% Stress

Average years in practice

12 Years

Top 3 insurances accepted

88% Aetna
88% BlueCross and BlueShield
88% Cigna and Evernorth

How Therapists in Alvin, TX see their clients

89% In Person and Online
11% Online Only

Gender breakdown

83% Female
13% Male
4% Non-Binary
FAQs - About Therapy and Counseling

How can I find a therapist in Alvin?

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.