Therapists in Boerne, TX

Photo of Ricardo de la Pena in Boerne, TX
Ricardo de la Pena
MA, BCBA, LBA
Verified Verified
Boerne, TX 78015
Hello! I am a BCBA with over 8 years in the field. I offer help to individuals of all ages with behavioral struggles. With experience in pediatrics and adults, I can provide insightful knowledge and strategies to help overcome many barriers. Let’s talk! www.upliftingaba.com
Hello! I am a BCBA with over 8 years in the field. I offer help to individuals of all ages with behavioral struggles. With experience in pediatrics and adults, I can provide insightful knowledge and strategies to help overcome many barriers. Let’s talk! www.upliftingaba.com
(830) 971-0401 View (830) 971-0401
Photo of Donna Carrasco, Licensed Professional Counselor in Boerne, TX
Donna Carrasco
Licensed Professional Counselor, MA, LPC, NCC, CART
Verified Verified
Boerne, TX 78006  (Online Only)
I love counseling. It is an honor for me to help people walk through difficult seasons in life. I love seeing people healed and stronger on the other side of of these difficult seasons. I work with all ages, individuals, and couples.
I love counseling. It is an honor for me to help people walk through difficult seasons in life. I love seeing people healed and stronger on the other side of of these difficult seasons. I work with all ages, individuals, and couples.
(830) 396-5979 View (830) 396-5979
Photo of Jesus Aranda Bilingual, Psychologist in Boerne, TX
Jesus Aranda Bilingual
Psychologist, PsyD
Verified Verified
1 Endorsed
Boerne, TX 78006
I'm a bilingual (Spanish/English) licensed psychologist. I am the Director of Behavioral Health team at Centric Physicians in San Antonio. Clinically, my role is to perform advanced and comprehensive neuropsychological evaluations of adults to help diagnose, and assist with treatment of brain degenerative diseases (dementia), traumatic brain injury, and other brain pathology. I provide services in post-acute and sub-acute care facilities in San Antonio. In addition, I do forensic assessments to help lawyers and judges answer psycholegal questions.
I'm a bilingual (Spanish/English) licensed psychologist. I am the Director of Behavioral Health team at Centric Physicians in San Antonio. Clinically, my role is to perform advanced and comprehensive neuropsychological evaluations of adults to help diagnose, and assist with treatment of brain degenerative diseases (dementia), traumatic brain injury, and other brain pathology. I provide services in post-acute and sub-acute care facilities in San Antonio. In addition, I do forensic assessments to help lawyers and judges answer psycholegal questions.
(210) 625-8474 View (210) 625-8474
Photo of Paula Mokry With Genesis Counseling, Marriage & Family Therapist in Boerne, TX
Paula Mokry With Genesis Counseling
Marriage & Family Therapist, MS, LPC, LMFT
Verified Verified
Boerne, TX 78006
I provide confidential therapy to adults, couples, adolescents, and children. I offer an open-minded and non-judgmental approach to my clients when everyday problems become too overwhelming to handle on their own. I create a warm relaxing environment so clients feel comfortable exploring their situation and together we can find solutions. I am open to seeing either just the individual or incorporating members of the family to help achieve the best outcome through therapy. When working with children, I often use play therapy techniques including art therapy to help children express their feelings through play.
I provide confidential therapy to adults, couples, adolescents, and children. I offer an open-minded and non-judgmental approach to my clients when everyday problems become too overwhelming to handle on their own. I create a warm relaxing environment so clients feel comfortable exploring their situation and together we can find solutions. I am open to seeing either just the individual or incorporating members of the family to help achieve the best outcome through therapy. When working with children, I often use play therapy techniques including art therapy to help children express their feelings through play.
(210) 899-0584 View (210) 899-0584
Photo of Mina O'Connell, MS, LMFT, PLLC, Marriage & Family Therapist in Boerne, TX
Mina O'Connell, MS, LMFT, PLLC
Marriage & Family Therapist, MA, MS
Verified Verified
Boerne, TX 78006  (Online Only)
Are you looking for direction and support at a difficult time? You are most likely on a path to healthy growth and development, but are just hurting along the way. I recognize and value the courage and trust it takes to seek insight, and believe you can achieve your best functioning through focused goals. We can work to help you identify your goals and develop strategies to reach them within the context of your most important relationships. You don't have to give up on improving your health and the important relationships in your life!
Are you looking for direction and support at a difficult time? You are most likely on a path to healthy growth and development, but are just hurting along the way. I recognize and value the courage and trust it takes to seek insight, and believe you can achieve your best functioning through focused goals. We can work to help you identify your goals and develop strategies to reach them within the context of your most important relationships. You don't have to give up on improving your health and the important relationships in your life!
(210) 791-7434 View (210) 791-7434
Photo of Katelyn Sullins, LPC Intern in Boerne, TX
Katelyn Sullins
LPC Intern, LPC-A, EMDR
Verified Verified
Boerne, TX 78006
My life was drastically changed when I started therapy. If you’re seeking freedom, understanding, growth, or simply to feel better, we probably beat to the same drum. It truly is my honor and privilege to sit with you in your hard. We were never meant to journey alone. The clients I tend to work with are processing through grief/life transition, relationship struggles and attachment issues. Most of my clients want to live a free-er fuller life not weighed down by the decisions they've made or what others have done to them.
My life was drastically changed when I started therapy. If you’re seeking freedom, understanding, growth, or simply to feel better, we probably beat to the same drum. It truly is my honor and privilege to sit with you in your hard. We were never meant to journey alone. The clients I tend to work with are processing through grief/life transition, relationship struggles and attachment issues. Most of my clients want to live a free-er fuller life not weighed down by the decisions they've made or what others have done to them.
(830) 476-7024 View (830) 476-7024
Photo of Catherine W Parten, Clinical Social Work/Therapist in Boerne, TX
Catherine W Parten
Clinical Social Work/Therapist, LCSW-S, RPT-S
Verified Verified
Boerne, TX 78006
My mission is to inspire all persons to explore and heal their spirit, and help each find hope. I work with individuals from 3 years old to older adults, couples, and families. I've always believed anyone who is willing to look into the interior ocean of themselves, that is a brave soul. I've sat in that chair and know it takes courage to confront one's self and to make changes that can improve one's life. Over the 40 years I've been practicing, I have been blessed by those who have trusted me with their darkest places. Come see me, let's find your hope, life, and your light.
My mission is to inspire all persons to explore and heal their spirit, and help each find hope. I work with individuals from 3 years old to older adults, couples, and families. I've always believed anyone who is willing to look into the interior ocean of themselves, that is a brave soul. I've sat in that chair and know it takes courage to confront one's self and to make changes that can improve one's life. Over the 40 years I've been practicing, I have been blessed by those who have trusted me with their darkest places. Come see me, let's find your hope, life, and your light.
(210) 801-9954 View (210) 801-9954
Photo of Vanessa May Mclean, Licensed Professional Counselor in Boerne, TX
Vanessa May Mclean
Licensed Professional Counselor, MA, LPC, NCC
Verified Verified
Boerne, TX 78006
I prefer the term "patient" over client because I believe people want healing in therapy, Effective therapy is one where patients are treated with compassion and value in a nurturing relationship that allows them to heal from the hurts of their past. I also prefer the idea of treating people, not just disorders or illnesses because people are more than just their symptoms. Suffering often causes people to lose sight of other parts of themselves - their gifts, strengths, dreams and values. Healing comes when we are able to embrace the complexity and challenges of life in a more balanced way.
I prefer the term "patient" over client because I believe people want healing in therapy, Effective therapy is one where patients are treated with compassion and value in a nurturing relationship that allows them to heal from the hurts of their past. I also prefer the idea of treating people, not just disorders or illnesses because people are more than just their symptoms. Suffering often causes people to lose sight of other parts of themselves - their gifts, strengths, dreams and values. Healing comes when we are able to embrace the complexity and challenges of life in a more balanced way.
(804) 409-4594 View (804) 409-4594
Photo of Jessica Calderon, Licensed Professional Counselor in Boerne, TX
Jessica Calderon
Licensed Professional Counselor, MA, LPC, RPT
Verified Verified
2 Endorsed
Boerne, TX 78006
Waitlist for new clients
I enjoy working with adults, children and families who are struggling with life's transitions. The most important aspect of counseling is the relationship that I will build with you. It is through this relationship that change occurs. I will collaborate with you to identify an approach that fits best with your goals. I will use your strengths as building blocks in the counseling process. I will walk with you through the process of change and healing. If you are feeling stuck or ready to make changes in your life please consider reaching out to schedule a consultation.
I enjoy working with adults, children and families who are struggling with life's transitions. The most important aspect of counseling is the relationship that I will build with you. It is through this relationship that change occurs. I will collaborate with you to identify an approach that fits best with your goals. I will use your strengths as building blocks in the counseling process. I will walk with you through the process of change and healing. If you are feeling stuck or ready to make changes in your life please consider reaching out to schedule a consultation.
(512) 710-2973 View (512) 710-2973
Photo of Lone Star Counseling Solutions - Brook Zemel, PhD, Licensed Professional Counselor in Boerne, TX
Lone Star Counseling Solutions - Brook Zemel, PhD
Licensed Professional Counselor, PhD, LPCS
Verified Verified
2 Endorsed
Boerne, TX 78006
Career counseling is my specialty, not a side-line area of counseling. As a licensed professional counselor, I can guide you to employ purposeful action to get your "dream job". Additionally, I served as a top level executive within a large organization, having hired, interviewed and developed hundreds of employees. I know what it takes to get hired. I received leadership/organizational development training from some of the country's finest CEO's and HR professionals. I can work with you comprehensively, since I am highly trained in resume and cover letter writing, interview scripting, LinkedIn and job search techniques.
Career counseling is my specialty, not a side-line area of counseling. As a licensed professional counselor, I can guide you to employ purposeful action to get your "dream job". Additionally, I served as a top level executive within a large organization, having hired, interviewed and developed hundreds of employees. I know what it takes to get hired. I received leadership/organizational development training from some of the country's finest CEO's and HR professionals. I can work with you comprehensively, since I am highly trained in resume and cover letter writing, interview scripting, LinkedIn and job search techniques.
(281) 602-3455 View (281) 602-3455
Photo of Erika Rose Unberhagen, Clinical Social Work/Therapist in Boerne, TX
Erika Rose Unberhagen
Clinical Social Work/Therapist, LCSW, LCDC
Verified Verified
Boerne, TX 78006
My experience as a 14-year law enforcement officer led to my understanding of the unique and often complex issues that arise from serving communities and country, including addiction and trauma. I use evidence-based practices with a unique and holistic approach to healing and understand the culture and language associated with veteran and first responder communities. Drawing upon my Native American roots, I incorporate indigenous techniques when appropriate for the client.
My experience as a 14-year law enforcement officer led to my understanding of the unique and often complex issues that arise from serving communities and country, including addiction and trauma. I use evidence-based practices with a unique and holistic approach to healing and understand the culture and language associated with veteran and first responder communities. Drawing upon my Native American roots, I incorporate indigenous techniques when appropriate for the client.
(830) 271-2923 View (830) 271-2923
Photo of Acorn Counseling PLLC, Licensed Professional Counselor in Boerne, TX
Acorn Counseling PLLC
Licensed Professional Counselor, MA, LPC
Verified Verified
1 Endorsed
Boerne, TX 78006
Thank you for your interest in counseling! I am a Licensed Professional Counselor originally trained at St Mary's University in 2006, with special training in EMDR that can help with trauma, stress, and depression. I see counseling as creating a space for us to collaborate in support of your goals. All sessions are an hour long no matter the payment plan, and I offer early day and evening appointments for your convenience. I look forward to meeting you! Please note that I will be calling from 830.981.5330 if you send an email. Thank you!
Thank you for your interest in counseling! I am a Licensed Professional Counselor originally trained at St Mary's University in 2006, with special training in EMDR that can help with trauma, stress, and depression. I see counseling as creating a space for us to collaborate in support of your goals. All sessions are an hour long no matter the payment plan, and I offer early day and evening appointments for your convenience. I look forward to meeting you! Please note that I will be calling from 830.981.5330 if you send an email. Thank you!
(830) 500-5148 View (830) 500-5148
Photo of Christina A. Haskell, Marriage & Family Therapist in Boerne, TX
Christina A. Haskell
Marriage & Family Therapist, MMFT, LMFT
Verified Verified
Boerne, TX 78006
I am an LMFT with a specialty in trauma. Trauma has many layers and degrees, and I believe that trauma is completely subjective to the person experiencing it. I particularly enjoy working with first responders, high-conflict couples, and individuals dealing with past trauma. I am a Christian counselor; however, I recognize that everyone's faith journey is different, and I respect that. As an LMFT, I look at all issues from a systems perspective and add that to neuroscience knowledge to help normalize responses. The hope is to identify and change patterns for more effective relationships.
I am an LMFT with a specialty in trauma. Trauma has many layers and degrees, and I believe that trauma is completely subjective to the person experiencing it. I particularly enjoy working with first responders, high-conflict couples, and individuals dealing with past trauma. I am a Christian counselor; however, I recognize that everyone's faith journey is different, and I respect that. As an LMFT, I look at all issues from a systems perspective and add that to neuroscience knowledge to help normalize responses. The hope is to identify and change patterns for more effective relationships.
(830) 433-8161 View (830) 433-8161
Photo of Amber Nicholson, Licensed Professional Counselor in Boerne, TX
Amber Nicholson
Licensed Professional Counselor, MEd, LPC
Verified Verified
3 Endorsed
Boerne, TX 78006  (Online Only)
Hi there! I am SO glad that you are here. I specialize in helping individuals heal from trauma that was experienced either in childhood or later in life, and the numerous things that often follow. For some individuals this looks like healing shame, anxiety, depression, grief, difficulty with connection or attachment in relationships, struggles with intimacy or trust, addictions or compulsive behaviors, disordered eating, and a multitude of other things.
Hi there! I am SO glad that you are here. I specialize in helping individuals heal from trauma that was experienced either in childhood or later in life, and the numerous things that often follow. For some individuals this looks like healing shame, anxiety, depression, grief, difficulty with connection or attachment in relationships, struggles with intimacy or trust, addictions or compulsive behaviors, disordered eating, and a multitude of other things.
View
Photo of Michael Richter, Licensed Professional Counselor in Boerne, TX
Michael Richter
Licensed Professional Counselor, NCC, EMDR
Verified Verified
1 Endorsed
Boerne, TX 78006  (Online Only)
Addiction and trauma are difficult to navigate for anyone; as a therapist, I meet you where you are and will help you bring a new understanding to these issues you are facing. Are you struggling with problems associated with your trauma or addiction-related issues? If so, reach out, and let's begin to navigate this journey together. I will help you find new ways to cope and deal with situations that have occurred and led them to where they are currently. I have been in practice since 2022 and have a master's Degree in Clinical Mental Health from Liberty University.
Addiction and trauma are difficult to navigate for anyone; as a therapist, I meet you where you are and will help you bring a new understanding to these issues you are facing. Are you struggling with problems associated with your trauma or addiction-related issues? If so, reach out, and let's begin to navigate this journey together. I will help you find new ways to cope and deal with situations that have occurred and led them to where they are currently. I have been in practice since 2022 and have a master's Degree in Clinical Mental Health from Liberty University.
(830) 465-3765 View (830) 465-3765
Photo of Debbie Williams, Licensed Professional Counselor in Boerne, TX
Debbie Williams
Licensed Professional Counselor, LPC
Verified Verified
1 Endorsed
Boerne, TX 78015  (Online Only)
I support my clients on how to develop cognitive behavioral strategies to enhance their daily living. I offer reflection and guidance on identifying and extinguishing redundant and negative thought patterns that impede personal development I am an advocate for the immediacy and privacy that telehealth can offer, and I am committed to offering positive regard and respect for values and perspectives. I offer cognitive behavioral approaches and skills to cultivate personal growth and authentic self-reflection.
I support my clients on how to develop cognitive behavioral strategies to enhance their daily living. I offer reflection and guidance on identifying and extinguishing redundant and negative thought patterns that impede personal development I am an advocate for the immediacy and privacy that telehealth can offer, and I am committed to offering positive regard and respect for values and perspectives. I offer cognitive behavioral approaches and skills to cultivate personal growth and authentic self-reflection.
(830) 971-0108 View (830) 971-0108
Photo of Danny Wade, Licensed Professional Counselor in Boerne, TX
Danny Wade
Licensed Professional Counselor, LPC
Verified Verified
Boerne, TX 78006
I've never seen anything as beautiful and thrilling as watching the heart of a man or woman set free from what have has held it captive for years. As I sit with you, I will be privileged to walk with you through your struggles and wounds and watch freedom begin to take form. Suffering and abuse and all sorts of wounds occur, and the result is that we develop self-protective strategies that hamper relationships. Whether I'm working for your marriage or yourself as an individual, my commitment to you is to try to help you identify lies and embrace truth.
I've never seen anything as beautiful and thrilling as watching the heart of a man or woman set free from what have has held it captive for years. As I sit with you, I will be privileged to walk with you through your struggles and wounds and watch freedom begin to take form. Suffering and abuse and all sorts of wounds occur, and the result is that we develop self-protective strategies that hamper relationships. Whether I'm working for your marriage or yourself as an individual, my commitment to you is to try to help you identify lies and embrace truth.
(830) 743-9968 View (830) 743-9968
Photo of Patricia K Ptak, Licensed Professional Counselor in Boerne, TX
Patricia K Ptak
Licensed Professional Counselor, MA, LPC, EMDR
Verified Verified
3 Endorsed
Boerne, TX 78006
EMDR Certified Therapist. Stop feeling worried, anxious or depressed. Do you struggle with feeling good about yourself or feeling unfulfilled in your relationships? Do you want to improve your motivation and achievements? Sounds like you need a change, and there is no better time than now. I have focused my work on helping the individual and family heal from a place of love and understanding. Pulling from multiple evidence based counseling techniques and foundations of counseling including CBT and EMDR, I blend authentic caring with here and now problem solving and skill building to handle the ebb and flow of life.
EMDR Certified Therapist. Stop feeling worried, anxious or depressed. Do you struggle with feeling good about yourself or feeling unfulfilled in your relationships? Do you want to improve your motivation and achievements? Sounds like you need a change, and there is no better time than now. I have focused my work on helping the individual and family heal from a place of love and understanding. Pulling from multiple evidence based counseling techniques and foundations of counseling including CBT and EMDR, I blend authentic caring with here and now problem solving and skill building to handle the ebb and flow of life.
(830) 428-1457 View (830) 428-1457
Photo of Roger Ben Gonzales, Licensed Professional Counselor Associate in Boerne, TX
Roger Ben Gonzales
Licensed Professional Counselor Associate, MA, LPC-A
Verified Verified
Boerne, TX 78006
Welcome to RG Counseling, where I am dedicated to helping you embark on a healing journey towards a more fulfilling and empowered life. Whether you're struggling with relationship issues, stress and anxiety, depression, or simply feeling stuck, know that you don't have to navigate these challenges alone. I am here to support you every step of the way. With guidance, you can overcome challenges and discover new opportunities for growth and personal development. Hope and healing are always within reach. It is an honor to support you on your journey towards a brighter tomorrow.
Welcome to RG Counseling, where I am dedicated to helping you embark on a healing journey towards a more fulfilling and empowered life. Whether you're struggling with relationship issues, stress and anxiety, depression, or simply feeling stuck, know that you don't have to navigate these challenges alone. I am here to support you every step of the way. With guidance, you can overcome challenges and discover new opportunities for growth and personal development. Hope and healing are always within reach. It is an honor to support you on your journey towards a brighter tomorrow.
(830) 283-7993 View (830) 283-7993
Photo of Jen Belz, Licensed Professional Counselor in Boerne, TX
Jen Belz
Licensed Professional Counselor, MA, LPC, NCC
Verified Verified
1 Endorsed
Boerne, TX 78006
Touching Lives, Inspiring Life (sm). I am an experienced Christian counselor with specialized skills for youth, individuals, couples, & families. I am passionate to bring healing hope to those hurting & hopeless. I have collaborated to expand into a Group Practice with 12 more vetted, seasoned Christian Counselors to provide quality services to Boerne, the Texas Hill Country, and the state of Texas. We offer quality Christian Counseling in our beautiful office and through Telehealth.
Touching Lives, Inspiring Life (sm). I am an experienced Christian counselor with specialized skills for youth, individuals, couples, & families. I am passionate to bring healing hope to those hurting & hopeless. I have collaborated to expand into a Group Practice with 12 more vetted, seasoned Christian Counselors to provide quality services to Boerne, the Texas Hill Country, and the state of Texas. We offer quality Christian Counseling in our beautiful office and through Telehealth.
(830) 532-5660 View (830) 532-5660

How does your Therapist compare?

Number of Therapists in Boerne, TX

100+

Average cost per session

$140

Therapists in Boerne, TX who prioritize treating:

91% Anxiety
84% Depression
82% Self Esteem
79% Relationship Issues
73% Trauma and PTSD
71% Coping Skills
66% Grief

Average years in practice

15 Years

Top 3 insurances accepted

89% BlueCross and BlueShield
76% UnitedHealthcare UHC | UBH
75% Aetna

How Therapists in Boerne, TX see their clients

79% In Person and Online
21% Online Only

Gender breakdown

84% Female
16% Male
FAQs - About Therapy and Counseling

How can I find a therapist in Boerne?

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.