Therapists in McKinney, TX

Photo of Chris Jones, Licensed Professional Counselor in McKinney, TX
Chris Jones
Licensed Professional Counselor, MA, LPC
Verified Verified
1 Endorsed
McKinney, TX 75070
I believe parents possess tremendous power to influence their child's well-being. By just "Tuning up" our parenting a bit, we can tremendously benefit our child's behavior and emotional well-being. My objective is to help individuals, couples, and families to move through conflicts and navigate difficult situations. With my support, we will work together to help your child and/or adolescents learn how to regulate themselves, reverse problem behaviors, and feel empowered.
I believe parents possess tremendous power to influence their child's well-being. By just "Tuning up" our parenting a bit, we can tremendously benefit our child's behavior and emotional well-being. My objective is to help individuals, couples, and families to move through conflicts and navigate difficult situations. With my support, we will work together to help your child and/or adolescents learn how to regulate themselves, reverse problem behaviors, and feel empowered.
(214) 251-4004 View (214) 251-4004
Photo of Motivational Foundations, Inc. / Darleen Lortz, Licensed Professional Counselor in McKinney, TX
Motivational Foundations, Inc. / Darleen Lortz
Licensed Professional Counselor, MS, LPC, CRC, CART, NCC
Verified Verified
1 Endorsed
McKinney, TX 75070
Are you wanting balance in your life? I actively work with adults & couples to address; Anxiety, Stress, Difficulty Coping, Relationships, Communication, Decision Making, Boundaries Setting, Divorce & Break Ups, Job Situations & Goal Setting. Learning what you have control over & effectively reality checking is important. Developing healthy boundaries together with learning what has been holding you back from achieving your goals in life as well as applying effective techniques is a critical part to changing situations & behaviors. I would like to explore with you what has been getting in the way.
Are you wanting balance in your life? I actively work with adults & couples to address; Anxiety, Stress, Difficulty Coping, Relationships, Communication, Decision Making, Boundaries Setting, Divorce & Break Ups, Job Situations & Goal Setting. Learning what you have control over & effectively reality checking is important. Developing healthy boundaries together with learning what has been holding you back from achieving your goals in life as well as applying effective techniques is a critical part to changing situations & behaviors. I would like to explore with you what has been getting in the way.
(972) 992-1356 View (972) 992-1356
Photo of Morgan Doolittle, Marriage & Family Therapist in McKinney, TX
Morgan Doolittle
Marriage & Family Therapist, MS, LMFT
Verified Verified
8 Endorsed
McKinney, TX 75070
Families, couples, and individuals who desire growth will be guided to their goals in a supportive therapeutic environment. Those going through life transitions or challenging developmental stages, reaching for connection and resolution in valuable relationships, and coping with a chronic or acute medical condition or disability highlight the clients who share their journey with me. Clients who are open to an explorative process with structure to thoroughly focus our sessions will value the time and financial investment.
Families, couples, and individuals who desire growth will be guided to their goals in a supportive therapeutic environment. Those going through life transitions or challenging developmental stages, reaching for connection and resolution in valuable relationships, and coping with a chronic or acute medical condition or disability highlight the clients who share their journey with me. Clients who are open to an explorative process with structure to thoroughly focus our sessions will value the time and financial investment.
(469) 389-2673 View (469) 389-2673
Photo of Marquesha Chaney, Licensed Professional Counselor in McKinney, TX
Marquesha Chaney
Licensed Professional Counselor, MS, LPC
Verified Verified
6 Endorsed
McKinney, TX 75071
Something feels off and you haven't been yourself for a while...Maybe you've tried everything but the feelings of loneliness, anger, insecurity, and anxiety just won't seem to go away. As a mom you're overwhelmed with trying to be everything to the kids and you have no time for yourself. Or as a college student, you're feeling the pressure of planning for the next chapter of life. You want to be able to say "no" without feeling guilty and discover who you are outside of being a parent, spouse, or student. I'm so glad you landed here because there is hope and I'm here to help you start regaining control of your life!
Something feels off and you haven't been yourself for a while...Maybe you've tried everything but the feelings of loneliness, anger, insecurity, and anxiety just won't seem to go away. As a mom you're overwhelmed with trying to be everything to the kids and you have no time for yourself. Or as a college student, you're feeling the pressure of planning for the next chapter of life. You want to be able to say "no" without feeling guilty and discover who you are outside of being a parent, spouse, or student. I'm so glad you landed here because there is hope and I'm here to help you start regaining control of your life!
(469) 564-4151 View (469) 564-4151
Photo of Jared Mowery, Clinical Social Work/Therapist in McKinney, TX
Jared Mowery
Clinical Social Work/Therapist, LCSW
Verified Verified
2 Endorsed
McKinney, TX 75071  (Online Only)
Have you had transitions in your life lately that it just feels overwhelming? Are you unsure what to do anymore as life is getting harder and harder? Are you tired of feeling like this and are ready to not just exist, but thrive? I congratulate you on taking this step, because I know there can be many hurdles to receiving therapy and finding the right therapist. As you are considering the right fit, I’ll tell you a little about myself and my approach to therapy. I love helping others with life transitions, anxiety, depression, and trauma to get to a more promising place holistically (not just mentally).
Have you had transitions in your life lately that it just feels overwhelming? Are you unsure what to do anymore as life is getting harder and harder? Are you tired of feeling like this and are ready to not just exist, but thrive? I congratulate you on taking this step, because I know there can be many hurdles to receiving therapy and finding the right therapist. As you are considering the right fit, I’ll tell you a little about myself and my approach to therapy. I love helping others with life transitions, anxiety, depression, and trauma to get to a more promising place holistically (not just mentally).
(214) 393-6967 View (214) 393-6967
Photo of Marci'a Blake, Licensed Professional Counselor in McKinney, TX
Marci'a Blake
Licensed Professional Counselor, MS, LPC
Verified Verified
McKinney, TX 75070  (Online Only)
I am a Licensed Professional Counselor with nearly 15 years of experience helping people navigate the difficult seasons of life. I place a high value on rapport building and strongly believe that each client is an expert on themselves. I have a wide range of skills helping adolescents and adults with issues such as depression, anxiety, bipolar, grief and loss, borderline personality disorder, trauma, school related issues, adjustment and substance use disorders.
I am a Licensed Professional Counselor with nearly 15 years of experience helping people navigate the difficult seasons of life. I place a high value on rapport building and strongly believe that each client is an expert on themselves. I have a wide range of skills helping adolescents and adults with issues such as depression, anxiety, bipolar, grief and loss, borderline personality disorder, trauma, school related issues, adjustment and substance use disorders.
(469) 529-6022 View (469) 529-6022
Photo of Sandra J McKnight, Clinical Social Work/Therapist in McKinney, TX
Sandra J McKnight
Clinical Social Work/Therapist, MSW, LCSW
Verified Verified
1 Endorsed
McKinney, TX 75072  (Online Only)
As you consider embarking on the journey of therapy, it's essential to find a therapist who truly understands and empathizes with the challenges you're facing. I specialize in providing compassionate and effective therapy for individuals struggling with anxiety, depression, stress, and grief. My approach is rooted in empathy, understanding, and evidence-based techniques tailored to your unique needs.
As you consider embarking on the journey of therapy, it's essential to find a therapist who truly understands and empathizes with the challenges you're facing. I specialize in providing compassionate and effective therapy for individuals struggling with anxiety, depression, stress, and grief. My approach is rooted in empathy, understanding, and evidence-based techniques tailored to your unique needs.
(214) 833-8980 View (214) 833-8980
Photo of Jacqueline Mahoney, Clinical Social Work/Therapist in McKinney, TX
Jacqueline Mahoney
Clinical Social Work/Therapist, LCSW-S
Verified Verified
McKinney, TX 75070
I am a Licensed Clinical Social Worker specializing in Individual Therapy for adults. I have extensive experience helping clients with depression, anxiety, bipolar disorder and substance use disorders.. With over 30 years of experience, I use a variety of therapeutic approaches to offer a personalized approach tailored to each individual's needs.
I am a Licensed Clinical Social Worker specializing in Individual Therapy for adults. I have extensive experience helping clients with depression, anxiety, bipolar disorder and substance use disorders.. With over 30 years of experience, I use a variety of therapeutic approaches to offer a personalized approach tailored to each individual's needs.
(972) 433-5809 View (972) 433-5809
Photo of Marvin Dale Schick, Marriage & Family Therapist in McKinney, TX
Marvin Dale Schick
Marriage & Family Therapist, MA, LMFT
Verified Verified
1 Endorsed
McKinney, TX 75069
Clients who would be free from hopelessness in relationships, or individuals looking for real change regarding self-worth, anxiety, depression issues. Special experience with marital couples and premarital couples-addressing crises or desiring to strengthen their relationship and find real joy in each other. Success working with adolescents who need non-parental guidance solving developmental problems and serious life questions, including single sexuality and sexual identity. Sex therapy offered as Penner Protocol as appropriate. I treat clients' unprocessed trauma with EMDR protocol. Compulsive behaviors treated with DeTur.
Clients who would be free from hopelessness in relationships, or individuals looking for real change regarding self-worth, anxiety, depression issues. Special experience with marital couples and premarital couples-addressing crises or desiring to strengthen their relationship and find real joy in each other. Success working with adolescents who need non-parental guidance solving developmental problems and serious life questions, including single sexuality and sexual identity. Sex therapy offered as Penner Protocol as appropriate. I treat clients' unprocessed trauma with EMDR protocol. Compulsive behaviors treated with DeTur.
(214) 307-6257 View (214) 307-6257
Photo of Lashonda F Wooten, Psychologist in McKinney, TX
Lashonda F Wooten
Psychologist, MA, PsyD, LP
Verified Verified
McKinney, TX 75071  (Online Only)
Not accepting new clients
My name is Dr. LaShonda Wooten. I am the Program Director of Journey Psychological & Coaching Services. We understand sometimes life throws a curve ball, and you find yourself on a path you did not expect. You may even feel stuck, and uncertain about the future. Maybe you are experiencing transitional issues, or struggling with the question "Who Am I." If this sounds like you, let us help. We believe that life is a journey and not a destination. Each person is unique. As such, we will collaborate with you on your desired goal. We want you to live in your freedom.
My name is Dr. LaShonda Wooten. I am the Program Director of Journey Psychological & Coaching Services. We understand sometimes life throws a curve ball, and you find yourself on a path you did not expect. You may even feel stuck, and uncertain about the future. Maybe you are experiencing transitional issues, or struggling with the question "Who Am I." If this sounds like you, let us help. We believe that life is a journey and not a destination. Each person is unique. As such, we will collaborate with you on your desired goal. We want you to live in your freedom.
(870) 518-4430 View (870) 518-4430
Photo of Raquelle Jackson, LPC Intern in McKinney, TX
Raquelle Jackson
LPC Intern, MEd, LPC-A
Verified Verified
1 Endorsed
McKinney, TX 75070  (Online Only)
You don't have to struggle in silence! If you are dealing depression, stress, life changes, or behavioral issues at school I am here to help.
You don't have to struggle in silence! If you are dealing depression, stress, life changes, or behavioral issues at school I am here to help.
(214) 857-6021 View (214) 857-6021
Photo of Ganyu Shi, Counselor in McKinney, TX
Ganyu Shi
Counselor
Verified Verified
1 Endorsed
McKinney, TX 75071
I'm just like you. They say, "Addicts get an early taste of hell on earth." Are you "struggling with addiction," cries are unheard, brokenness is unmanageable, and you are losing your confidence with no future? When I was young, I experienced the harm of drugs like a prodigal son leaving his father! However, after 30 years of 180-degree transformation, I have completed Doctorate of Ministry, CCPC Canada addiction certificates (7000 hours of practice), and senior counseling of marriage counseling. I welcomed nearly 1,000 Chinese addiction patients with all kinds of problems.
I'm just like you. They say, "Addicts get an early taste of hell on earth." Are you "struggling with addiction," cries are unheard, brokenness is unmanageable, and you are losing your confidence with no future? When I was young, I experienced the harm of drugs like a prodigal son leaving his father! However, after 30 years of 180-degree transformation, I have completed Doctorate of Ministry, CCPC Canada addiction certificates (7000 hours of practice), and senior counseling of marriage counseling. I welcomed nearly 1,000 Chinese addiction patients with all kinds of problems.
(972) 848-8853 View (972) 848-8853
Photo of Adrianna Whitley, Marriage & Family Therapist Associate in McKinney, TX
Adrianna Whitley
Marriage & Family Therapist Associate, MA, TLMFT
Verified Verified
1 Endorsed
McKinney, TX 75071  (Online Only)
I do not have an ideal client as each person is their own. I specialize in helping Teens, Young Adults and Adults with Anxiety, Depression, Life transitions or self-care. I also enjoy working with couples with communication issues. I look at the couples roles and see what is working and what is not. My main focus is you as a client and what your goals are. You as the client are the expert of your own lives and I will respect your boundaries as well as trying to challenge you to get you where you want to be.
I do not have an ideal client as each person is their own. I specialize in helping Teens, Young Adults and Adults with Anxiety, Depression, Life transitions or self-care. I also enjoy working with couples with communication issues. I look at the couples roles and see what is working and what is not. My main focus is you as a client and what your goals are. You as the client are the expert of your own lives and I will respect your boundaries as well as trying to challenge you to get you where you want to be.
(469) 361-8570 View (469) 361-8570
Photo of Derek Atkins, Licensed Professional Counselor in McKinney, TX
Derek Atkins
Licensed Professional Counselor, MA, LPC
Verified Verified
McKinney, TX 75070
Derek has worked in the field of counseling for over 15 years helping clients work through concerns including depression, anxiety, and even self image. He has worked with military personnel, law enforcement, and the foster care system. Derek has significant experience in working with individuals and families struggling with addiction and utilizes a safe and warm environment to engage his clients in developing healthy strategies to work through their recovery and engage families in adapting to changes in the family dynamic.
Derek has worked in the field of counseling for over 15 years helping clients work through concerns including depression, anxiety, and even self image. He has worked with military personnel, law enforcement, and the foster care system. Derek has significant experience in working with individuals and families struggling with addiction and utilizes a safe and warm environment to engage his clients in developing healthy strategies to work through their recovery and engage families in adapting to changes in the family dynamic.
(972) 945-3177 View (972) 945-3177
Photo of Lindsey Smith, Licensed Professional Counselor in McKinney, TX
Lindsey Smith
Licensed Professional Counselor, LPC
Verified Verified
1 Endorsed
McKinney, TX 75071
I am a Licensed Professional Counselor in the state of Texas, and I received my Master’s degree in Rehabilitation Counseling from UT Southwestern, graduating in 2016. I have experience as a crisis counselor for the community helping children, teens, and adults experiencing suicidal/homicidal ideation. In private practice, I assist individuals suffering from a variety of mental health concerns including depression, anxiety, PTSD, life adjustment issues, personality disorders, and various family issues.
I am a Licensed Professional Counselor in the state of Texas, and I received my Master’s degree in Rehabilitation Counseling from UT Southwestern, graduating in 2016. I have experience as a crisis counselor for the community helping children, teens, and adults experiencing suicidal/homicidal ideation. In private practice, I assist individuals suffering from a variety of mental health concerns including depression, anxiety, PTSD, life adjustment issues, personality disorders, and various family issues.
(214) 278-6496 View (214) 278-6496
Photo of Fortified Counseling PLLC, Licensed Professional Counselor in McKinney, TX
Fortified Counseling PLLC
Licensed Professional Counselor, MS, LPC, LMHC, LCDC
Verified Verified
McKinney, TX 75070  (Online Only)
Recognizing that something is off is the first step to mental wellness. We could not do our jobs of restoring mental well-being without the acceptance, cooperation and work our clients give. We treat a number of disorders, and provide a neutral ground of counseling to individuals, families, and couples. We want you to know our goals are the same: to energize you with therapeutic support that enables you to live a more joyful and fulfilling life — because that is what you deserve.
Recognizing that something is off is the first step to mental wellness. We could not do our jobs of restoring mental well-being without the acceptance, cooperation and work our clients give. We treat a number of disorders, and provide a neutral ground of counseling to individuals, families, and couples. We want you to know our goals are the same: to energize you with therapeutic support that enables you to live a more joyful and fulfilling life — because that is what you deserve.
(214) 504-3913 View (214) 504-3913
Photo of Victoria Whitmire, Clinical Social Work/Therapist in McKinney, TX
Victoria Whitmire
Clinical Social Work/Therapist, LCSW
Verified Verified
McKinney, TX 75070
Victoria Whitmire is a Licensed Clinical Social Worker (LCSW) with over 5 years of experience working with teens and families, including in crisis intervention counseling and emergency psychiatric services. She is passionate about helping youth and their families navigate past trauma, self-harm, behavioral issues, substance abuse, depression, and anxiety—or simply offering extra support in managing stress. Victoria earned her Bachelor's degree in Psychology from Oklahoma State University and her Master's degree in Social Work from the University of Texas-Arlington, with a direct practice in Mental Health and Substance Abuse.
Victoria Whitmire is a Licensed Clinical Social Worker (LCSW) with over 5 years of experience working with teens and families, including in crisis intervention counseling and emergency psychiatric services. She is passionate about helping youth and their families navigate past trauma, self-harm, behavioral issues, substance abuse, depression, and anxiety—or simply offering extra support in managing stress. Victoria earned her Bachelor's degree in Psychology from Oklahoma State University and her Master's degree in Social Work from the University of Texas-Arlington, with a direct practice in Mental Health and Substance Abuse.
(469) 871-8645 View (469) 871-8645
Photo of Katherine Bell (Tx Lic# 71390), Licensed Professional Counselor in McKinney, TX
Katherine Bell (Tx Lic# 71390)
Licensed Professional Counselor, MA, LPC, NCC
Verified Verified
1 Endorsed
McKinney, TX 75072
Healing can mean diving deep into your past. Those depths can be a scary, painful place, but there’s treasure, too. You're created in God’s image, uniquely wired to be like no one else, with gifts and strengths to discover. I welcome you to a safe space to explore yourself. You’re free to be completely, unashamedly YOU... w/out the masks that hide what's beneath the surface. I'll listen, offer validation, show acceptance/grace, & encourage you to take those first steps towards becoming the YOU God intended. Learn to extend grace to yourself as you discover the life you’ve always wanted. Saturday appts available, BCBS accepted.
Healing can mean diving deep into your past. Those depths can be a scary, painful place, but there’s treasure, too. You're created in God’s image, uniquely wired to be like no one else, with gifts and strengths to discover. I welcome you to a safe space to explore yourself. You’re free to be completely, unashamedly YOU... w/out the masks that hide what's beneath the surface. I'll listen, offer validation, show acceptance/grace, & encourage you to take those first steps towards becoming the YOU God intended. Learn to extend grace to yourself as you discover the life you’ve always wanted. Saturday appts available, BCBS accepted.
(972) 441-7374 View (972) 441-7374
Photo of Ed Millard, Marriage & Family Therapist in McKinney, TX
Ed Millard
Marriage & Family Therapist, LMFT
Verified Verified
2 Endorsed
McKinney, TX 75070
I specialize in working with men around areas of sexual brokenness. I seek to help men change how sexual issues such as pornography, masturbation, anonymous sexual partners and impulse control affect their lives. My ideal client is a man who is struggling sexually, who feels like there is no hope. He thinks that if people really knew what he had done, he would lose the people closest to him. His guilt and shame constantly hound him, and he feels like the cycle of addiction can't be broken. He is looking for hope and a safe place to talk through his problems.
I specialize in working with men around areas of sexual brokenness. I seek to help men change how sexual issues such as pornography, masturbation, anonymous sexual partners and impulse control affect their lives. My ideal client is a man who is struggling sexually, who feels like there is no hope. He thinks that if people really knew what he had done, he would lose the people closest to him. His guilt and shame constantly hound him, and he feels like the cycle of addiction can't be broken. He is looking for hope and a safe place to talk through his problems.
(855) 996-9410 View (855) 996-9410
Photo of Elizabeth Schutz, Licensed Professional Counselor in McKinney, TX
Elizabeth Schutz
Licensed Professional Counselor, LPC
Verified Verified
McKinney, TX 75071
Trauma creates sometimes devastating cycles that rob individuals of the potential they were created for, My passion is to collaborate with clients to help break those cycles and develop new ways of relating to themselves, others and the world. I approach working with clients in an evidenced based and structured approach that helps clients build the foundational framework that is needed to thrive.
Trauma creates sometimes devastating cycles that rob individuals of the potential they were created for, My passion is to collaborate with clients to help break those cycles and develop new ways of relating to themselves, others and the world. I approach working with clients in an evidenced based and structured approach that helps clients build the foundational framework that is needed to thrive.
(469) 960-5189 View (469) 960-5189

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.