Therapists in McKinney, TX

Photo of Ashley Or, Licensed Professional Counselor in McKinney, TX
Ashley Or
Licensed Professional Counselor, MA, LPC
Verified Verified
4 Endorsed
McKinney, TX 75071
Coming to therapy might seem scary. While it does take courage, success is possible. I have gotten to hear many stories of redemption: marriages that seemed beyond hope gaining incredible intimacy, people whose lives have been riddled with anxiety finally start to take control, and mothers who feel lost in the daily struggle learning to find themselves again. It is possible and I believe you can do it. The road may not be easy but it is worth it. My approach is grounded in Cognitive Behavioral therapy and attachment theory.
Coming to therapy might seem scary. While it does take courage, success is possible. I have gotten to hear many stories of redemption: marriages that seemed beyond hope gaining incredible intimacy, people whose lives have been riddled with anxiety finally start to take control, and mothers who feel lost in the daily struggle learning to find themselves again. It is possible and I believe you can do it. The road may not be easy but it is worth it. My approach is grounded in Cognitive Behavioral therapy and attachment theory.
(469) 754-8828 View (469) 754-8828
Photo of Kaelyn Black, LPC-Associate in McKinney, TX
Kaelyn Black
LPC-Associate, MA, LPC-A
Verified Verified
3 Endorsed
McKinney, TX 75069
NOW accepting NEW clients with daytime and limited evening availability! Every person has a story to tell, a life that matters. I have always been a listener and value the importance of someone's story. I work primarily with women ages 12 and up who have been through traumatic experiences. I desire that my clients have a safe, warm place where they feel comfortable opening up. I want to make sure that every client feels seen, heard, and valued as they navigate through their trauma, anxiety, depression, and daily life struggles.
NOW accepting NEW clients with daytime and limited evening availability! Every person has a story to tell, a life that matters. I have always been a listener and value the importance of someone's story. I work primarily with women ages 12 and up who have been through traumatic experiences. I desire that my clients have a safe, warm place where they feel comfortable opening up. I want to make sure that every client feels seen, heard, and valued as they navigate through their trauma, anxiety, depression, and daily life struggles.
(469) 654-3701 View (469) 654-3701
Photo of Montana Squires, LPC-Associate in McKinney, TX
Montana Squires
LPC-Associate, LPC-A
Verified Verified
1 Endorsed
McKinney, TX 75070  (Online Only)
You feel like there is something wrong. You don’t feel like yourself anymore, and fitting in just takes so much. All your friends and family give their best advice, but it just doesn’t sit right. Nothing seems to be working. Since that last big change in your life (the breakup, the career change, the loss, etc.), you feel lost and overwhelmed. You need help! Hi, I'm Montana. I will guide you through the tough changes that we all face in life’s journey.
You feel like there is something wrong. You don’t feel like yourself anymore, and fitting in just takes so much. All your friends and family give their best advice, but it just doesn’t sit right. Nothing seems to be working. Since that last big change in your life (the breakup, the career change, the loss, etc.), you feel lost and overwhelmed. You need help! Hi, I'm Montana. I will guide you through the tough changes that we all face in life’s journey.
(817) 835-6990 View (817) 835-6990
Photo of Makayla Kunz, LPC Intern in McKinney, TX
Makayla Kunz
LPC Intern, MA
Verified Verified
McKinney, TX 75070
I am a Licensed Professional Counselor-Associate, with degrees from Houston Baptist University and Texas A&M University. I have experience working with clients in both private practice and treatment center settings, specifically to address: addiction (gambling, sex and love, and chemical dependency) ● trauma ● anxiety ● depression ● identity exploration (including LGBTQ+ identity exploration) ● suicidality ● adoption ● parent coaching ● mood disorders ● personality disorders ● somatic experiencing ● life adjustments
I am a Licensed Professional Counselor-Associate, with degrees from Houston Baptist University and Texas A&M University. I have experience working with clients in both private practice and treatment center settings, specifically to address: addiction (gambling, sex and love, and chemical dependency) ● trauma ● anxiety ● depression ● identity exploration (including LGBTQ+ identity exploration) ● suicidality ● adoption ● parent coaching ● mood disorders ● personality disorders ● somatic experiencing ● life adjustments
(972) 845-4079 View (972) 845-4079
Photo of Tim Kerby, Licensed Professional Counselor in McKinney, TX
Tim Kerby
Licensed Professional Counselor, MA, LPC, NCC
Verified Verified
McKinney, TX 75069
Would you like to put your marriage back together, resolve conflict in a relationship, develop more effective parenting skills, or have a better understanding of your child's behaviors? Are you feeling depressed and struggling to find answers for the way you feel? Do you feel anxious at times and don't know where to turn? Are you grieving over a lost relationship? We can develop a plan with achievable goals, that will help you get where you want to be. My approach to healing, is one that emphasizes how our thoughts impact how we feel and what we do. All sessions are in person only.
Would you like to put your marriage back together, resolve conflict in a relationship, develop more effective parenting skills, or have a better understanding of your child's behaviors? Are you feeling depressed and struggling to find answers for the way you feel? Do you feel anxious at times and don't know where to turn? Are you grieving over a lost relationship? We can develop a plan with achievable goals, that will help you get where you want to be. My approach to healing, is one that emphasizes how our thoughts impact how we feel and what we do. All sessions are in person only.
(214) 299-5205 View (214) 299-5205
Photo of Taylor Buckner, Licensed Professional Counselor Associate in McKinney, TX
Taylor Buckner
Licensed Professional Counselor Associate, MS
Verified Verified
1 Endorsed
McKinney, TX 75071
I am a Licensed Professional Counselor Associate supervised by Heidi Johanson, LPC-S. I am passionate about working with adults who are seeking help for trauma, grief, depression, anxiety, LGBTQIA affirming care, mood disorders, and trauma informed parenting. I also work with veterans who are struggling to transition back to civilian life. I served in the U.S. Navy as a Hospital Corpsman and trained as a behavioral health technician which was an invaluable experience that solidified my journey to working in mental health. I enjoy fostering a healing environment for my clients and watching them grow into finding self-discovery.
I am a Licensed Professional Counselor Associate supervised by Heidi Johanson, LPC-S. I am passionate about working with adults who are seeking help for trauma, grief, depression, anxiety, LGBTQIA affirming care, mood disorders, and trauma informed parenting. I also work with veterans who are struggling to transition back to civilian life. I served in the U.S. Navy as a Hospital Corpsman and trained as a behavioral health technician which was an invaluable experience that solidified my journey to working in mental health. I enjoy fostering a healing environment for my clients and watching them grow into finding self-discovery.
(469) 960-2941 View (469) 960-2941
Photo of Carolyn Beth Braswell, Licensed Professional Counselor in McKinney, TX
Carolyn Beth Braswell
Licensed Professional Counselor, LPC-S, LMFT
Verified Verified
McKinney, TX 75072  (Online Only)
Hello, I'm so glad you're taking this step to get help. Life can be overwhelming and sometimes we stumble. When that happens we need someone to help us get back up. I believe I can be that someone for you. It is my hope you will allow me the opportunity to help you overcome the issues that are troubling you. Together we will explore if you are stuck in your past traumas, anxious about a present situation or fearful about your future. It's time for you to figure out what is holding you back so that you can move forward with confidence and peace of mind.
Hello, I'm so glad you're taking this step to get help. Life can be overwhelming and sometimes we stumble. When that happens we need someone to help us get back up. I believe I can be that someone for you. It is my hope you will allow me the opportunity to help you overcome the issues that are troubling you. Together we will explore if you are stuck in your past traumas, anxious about a present situation or fearful about your future. It's time for you to figure out what is holding you back so that you can move forward with confidence and peace of mind.
(972) 855-1698 View (972) 855-1698
Photo of Lauren Gastorf, Licensed Professional Counselor in McKinney, TX
Lauren Gastorf
Licensed Professional Counselor, MEd, LPC-S
Verified Verified
6 Endorsed
McKinney, TX 75070
Whether you're seeking to know yourself on a deeper level, healing from trauma, or experiencing a difficult transition, counseling is an incredible source of support. I believe in a collaborative, compassionate, holistic approach to help you feel your best and live your best life.
Whether you're seeking to know yourself on a deeper level, healing from trauma, or experiencing a difficult transition, counseling is an incredible source of support. I believe in a collaborative, compassionate, holistic approach to help you feel your best and live your best life.
(972) 347-0782 View (972) 347-0782
Photo of Dr. Gregory Donihoo, Marriage & Family Therapist in McKinney, TX
Dr. Gregory Donihoo
Marriage & Family Therapist, PhD, LMFT
Verified Verified
McKinney, TX 75069  (Online Only)
I specialize in men’s issues. I've always felt pushed to be a "lone-wolf" and culture told me to "be a man" or "get over it" when it came to my emotions. As men, when we have a problem we deal with it on our own, often by using pornography, drinking, playing video games, or searching elsewhere for affection. We lie, we defend, we run. We constantly look for peace and acceptance, even if it’s temporary or fake. It can feel hard to trust those closest to us and we may think, “No one is going to take care of my needs but me” or "if they really knew me, they wouldn't love me."
I specialize in men’s issues. I've always felt pushed to be a "lone-wolf" and culture told me to "be a man" or "get over it" when it came to my emotions. As men, when we have a problem we deal with it on our own, often by using pornography, drinking, playing video games, or searching elsewhere for affection. We lie, we defend, we run. We constantly look for peace and acceptance, even if it’s temporary or fake. It can feel hard to trust those closest to us and we may think, “No one is going to take care of my needs but me” or "if they really knew me, they wouldn't love me."
(469) 382-4316 View (469) 382-4316
Photo of Catherine Varvel, Licensed Professional Counselor Associate in McKinney, TX
Catherine Varvel
Licensed Professional Counselor Associate, MA, LPC, Associa
Verified Verified
McKinney, TX 75070
Hi there – I’m so glad you’re here! No matter what brought you to this page, I am proud of you. Taking the first step toward seeking help is not easy, and I am honored to be a small part of your story. I received my Master of Education in Rehabilitation Counseling, which places an emphasis on counseling specific to people with disabilities. I strive to create a safe, trauma-informed space for my clients where you feel heard, valued, and empowered – with a gentle nudge here and there.
Hi there – I’m so glad you’re here! No matter what brought you to this page, I am proud of you. Taking the first step toward seeking help is not easy, and I am honored to be a small part of your story. I received my Master of Education in Rehabilitation Counseling, which places an emphasis on counseling specific to people with disabilities. I strive to create a safe, trauma-informed space for my clients where you feel heard, valued, and empowered – with a gentle nudge here and there.
(972) 928-0293 View (972) 928-0293
Photo of Jessica Cofield, Licensed Professional Counselor in McKinney, TX
Jessica Cofield
Licensed Professional Counselor, RPT, NCC
Verified Verified
1 Endorsed
McKinney, TX 75070
Do you feel stuck? Are you angry, depressed or confused? Are you a concerned parent who wishes their child would open up? I am a Licensed Professional Counselor licensed by the State of Texas Board of Examiners. I provide counseling services for adults, children, adolescents and families.
Do you feel stuck? Are you angry, depressed or confused? Are you a concerned parent who wishes their child would open up? I am a Licensed Professional Counselor licensed by the State of Texas Board of Examiners. I provide counseling services for adults, children, adolescents and families.
(469) 844-4966 View (469) 844-4966
Photo of Alyssa Rosales - Face Your Giants Counseling, Licensed Professional Counselor in McKinney, TX
Alyssa Rosales - Face Your Giants Counseling
Licensed Professional Counselor, MA, LPC
Verified Verified
McKinney, TX 75070  (Online Only)
Hi! My name is Alyssa Rosales and I am a Licensed Professional Counselor. I want to help people face the giants in their life. Do you feel like your emotions control your life or like your emotions are out to get you? Do you feel like your relationships are suffering due to perpetual conflict, trouble maintaining boundaries or lacking communication skills? Does your past trauma keep getting in the way of the life you want to live or the person you want to be? Are you struggling to know who you are or what your purpose is? Does life feel overwhelming or out of your control?
Hi! My name is Alyssa Rosales and I am a Licensed Professional Counselor. I want to help people face the giants in their life. Do you feel like your emotions control your life or like your emotions are out to get you? Do you feel like your relationships are suffering due to perpetual conflict, trouble maintaining boundaries or lacking communication skills? Does your past trauma keep getting in the way of the life you want to live or the person you want to be? Are you struggling to know who you are or what your purpose is? Does life feel overwhelming or out of your control?
(972) 244-3064 View (972) 244-3064
Photo of Alaina da Costa, Licensed Master Social Worker in McKinney, TX
Alaina da Costa
Licensed Master Social Worker, LMSW
Verified Verified
1 Endorsed
McKinney, TX 75071
I am a Licensed Master Social Worker in the state of Texas. I graduated with a Masters in Social Work with a clinical concentration from the University of Houston. I have experience working with clients with OCD, generalized anxiety disorder, panic disorder, depression, and phobias in residential and outpatient settings. My training is in Cognitive Behavioral Therapy (CBT) and Exposure and Response Prevention (ERP) to assist clients in improving their quality of life. Through utilizing ERP, I have seen the impact that changing our relationship with anxiety, our thoughts, and feelings has on achieving what once felt out of reach.
I am a Licensed Master Social Worker in the state of Texas. I graduated with a Masters in Social Work with a clinical concentration from the University of Houston. I have experience working with clients with OCD, generalized anxiety disorder, panic disorder, depression, and phobias in residential and outpatient settings. My training is in Cognitive Behavioral Therapy (CBT) and Exposure and Response Prevention (ERP) to assist clients in improving their quality of life. Through utilizing ERP, I have seen the impact that changing our relationship with anxiety, our thoughts, and feelings has on achieving what once felt out of reach.
(469) 820-3269 View (469) 820-3269
Photo of Luigi Leos, Licensed Professional Counselor in McKinney, TX
Luigi Leos
Licensed Professional Counselor, PhD, LPC, LMFT
Verified Verified
McKinney, TX 75070
In my practice I focus on Freedom - The freedom to love and be loved authentically. In life we can be held back by obstacles we can't see as well as by obstacles we can see. I specialize in helping clients working to free themselves from those roadblocks. Successful clients have entered my office asking questions like: "No matter what I say, my spouse hears something different." "Why am I doing this, again?" "I've done everything I know, and not advancing at work," "Why won't these thoughts (fears) leave me alone?"
In my practice I focus on Freedom - The freedom to love and be loved authentically. In life we can be held back by obstacles we can't see as well as by obstacles we can see. I specialize in helping clients working to free themselves from those roadblocks. Successful clients have entered my office asking questions like: "No matter what I say, my spouse hears something different." "Why am I doing this, again?" "I've done everything I know, and not advancing at work," "Why won't these thoughts (fears) leave me alone?"
(469) 703-8141 View (469) 703-8141
Photo of Sangeetha S. Thomas, Licensed Professional Counselor in McKinney, TX
Sangeetha S. Thomas
Licensed Professional Counselor, MS, NCC
Verified Verified
3 Endorsed
McKinney, TX 75072  (Online Only)
Let's be real—we're all struggling. Whether you’re masking yourself to appear okay on the outside when you’re actually breaking on the inside, or you’re trapped in thinking that you can’t confide in others because your emotions would be “too much” for them to handle, or you’re pushing down your emotions because you’ve learned that they are bad, selfish, or shameful to feel—you are not alone. I have felt stuck there before too, and I'm here to walk with you through your unique journey to finding peace, hope, and meaning in life.
Let's be real—we're all struggling. Whether you’re masking yourself to appear okay on the outside when you’re actually breaking on the inside, or you’re trapped in thinking that you can’t confide in others because your emotions would be “too much” for them to handle, or you’re pushing down your emotions because you’ve learned that they are bad, selfish, or shameful to feel—you are not alone. I have felt stuck there before too, and I'm here to walk with you through your unique journey to finding peace, hope, and meaning in life.
(512) 717-5944 View (512) 717-5944
Photo of Nancy Lownds, Clinical Social Work/Therapist in McKinney, TX
Nancy Lownds
Clinical Social Work/Therapist, MSW, LCSW
Verified Verified
McKinney, TX 75070
As a licensed clinical social worker in Texas, I have 20 years of experience that includes working in Inpatient Behavioral Health Hospitals specializing in trauma and substance use disorders, and Outpatient Programs in trauma and addiction. I have worked with co-occurring disorders, such as depression, bipolar disorders, anxiety, PTSD and addiction. I grew up in Atlanta, Georgia and attended the University of Georgia for my BSW degree and The University of Texas in Arlington for my MSSW degree. I am trained in CBT, DBT, Family Systems, Trauma Model Therapy and Solution Focused Therapy.
As a licensed clinical social worker in Texas, I have 20 years of experience that includes working in Inpatient Behavioral Health Hospitals specializing in trauma and substance use disorders, and Outpatient Programs in trauma and addiction. I have worked with co-occurring disorders, such as depression, bipolar disorders, anxiety, PTSD and addiction. I grew up in Atlanta, Georgia and attended the University of Georgia for my BSW degree and The University of Texas in Arlington for my MSSW degree. I am trained in CBT, DBT, Family Systems, Trauma Model Therapy and Solution Focused Therapy.
(972) 945-0438 View (972) 945-0438
Photo of Jeana C Pullen, Licensed Professional Counselor in McKinney, TX
Jeana C Pullen
Licensed Professional Counselor, MA, NCC, LPC
Verified Verified
2 Endorsed
McKinney, TX 75071
Saturday appointments available! You are taking a huge step by looking for help...congratulations! Therapy consists of learning new ways of communicating, thinking and feeling in order to bring about peace and happiness. It is my job give you the best chance at a new way of living through our counseling sessions. No head games! I am kind, caring and accepting. Safety in the relationship is imperative! I want you to be comfortable while dealing with potentially uncomfortable feelings. I am there to walk with you in this journey.
Saturday appointments available! You are taking a huge step by looking for help...congratulations! Therapy consists of learning new ways of communicating, thinking and feeling in order to bring about peace and happiness. It is my job give you the best chance at a new way of living through our counseling sessions. No head games! I am kind, caring and accepting. Safety in the relationship is imperative! I want you to be comfortable while dealing with potentially uncomfortable feelings. I am there to walk with you in this journey.
(972) 316-9603 View (972) 316-9603
Photo of Gloria Howell, Licensed Professional Counselor in McKinney, TX
Gloria Howell
Licensed Professional Counselor, MA, LPC-S
Verified Verified
McKinney, TX 75070  (Online Only)
Are you struggling in your relationship to find a communication style that creates more intimacy and closeness? Are you depressed and unhappy and cannot find a way out to happiness and inner peace? I see my role as assisting you in understanding your challenges.I assist clients in achieving their goals in becoming emotionally, and physically healthy individuals.
Are you struggling in your relationship to find a communication style that creates more intimacy and closeness? Are you depressed and unhappy and cannot find a way out to happiness and inner peace? I see my role as assisting you in understanding your challenges.I assist clients in achieving their goals in becoming emotionally, and physically healthy individuals.
(512) 649-0296 View (512) 649-0296
Photo of Mary D. Jackson, Licensed Professional Counselor in McKinney, TX
Mary D. Jackson
Licensed Professional Counselor, MS, NCC, CTMH, LPC
Verified Verified
McKinney, TX 75069
Mary is a Licensed Professional Counselor. Mary earned her Master of Science degree in Counseling from Southern Methodist University, where she received specialty training in Activity Therapy, Group Counseling, Family Therapy, and Child-Parent Relationship Training. Mary has additional training in Mindfulness-Based Stress Reduction for Teens and Cognitive Behavioral Play Therapy for Children.
Mary is a Licensed Professional Counselor. Mary earned her Master of Science degree in Counseling from Southern Methodist University, where she received specialty training in Activity Therapy, Group Counseling, Family Therapy, and Child-Parent Relationship Training. Mary has additional training in Mindfulness-Based Stress Reduction for Teens and Cognitive Behavioral Play Therapy for Children.
(972) 945-8750 View (972) 945-8750
Photo of Sarah Oliva, Licensed Professional Counselor in McKinney, TX
Sarah Oliva
Licensed Professional Counselor, MS, LPC
Verified Verified
McKinney, TX 75070
I hope to be someone you can seek support from, but who can also help to guide you to feel more in control, more grounded, and better able to face everyday stressors that pop up along the way. I believe we all have the power to grow from challenges; we just need the right guidance and space to do so. I love walking alongside clients to help them navigate these challenges.
I hope to be someone you can seek support from, but who can also help to guide you to feel more in control, more grounded, and better able to face everyday stressors that pop up along the way. I believe we all have the power to grow from challenges; we just need the right guidance and space to do so. I love walking alongside clients to help them navigate these challenges.
(469) 382-4535 View (469) 382-4535

How does your Therapist compare?

Number of Therapists in McKinney, TX

600+

Average cost per session

$145

Therapists in McKinney, TX who prioritize treating:

93% Anxiety
89% Depression
79% Self Esteem
77% Relationship Issues
73% Coping Skills
72% Stress
67% Trauma and PTSD

Average years in practice

11 Years

Top 3 insurances accepted

79% Aetna
75% BlueCross and BlueShield
71% Cigna and Evernorth

How Therapists in McKinney, TX see their clients

79% In Person and Online
21% Online Only

Gender breakdown

82% Female
17% Male
1% Non-Binary
FAQs - About Therapy and Counseling

How can I find a therapist in McKinney?

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.