Therapists in Austin, TX

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Photo of Steve Irsay, Licensed Professional Counselor in Austin, TX
Steve Irsay
Licensed Professional Counselor, LPC
Verified Verified
Austin, TX 78759
Same fight. Different day. “He just doesn’t get it…” “Does he even care?” “She won’t give me a break.” “I’m not sure how much longer I can take this.” Distance and fighting in a marriage can feel like slow death. Stress. Tension. Sadness. Hopelessness. The life you have built together - house, kids, careers - all hanging in the balance. Just going through the motions is no way to live your lives together. The once unthinkable - splitting up - is now on your mind more than ever.
Same fight. Different day. “He just doesn’t get it…” “Does he even care?” “She won’t give me a break.” “I’m not sure how much longer I can take this.” Distance and fighting in a marriage can feel like slow death. Stress. Tension. Sadness. Hopelessness. The life you have built together - house, kids, careers - all hanging in the balance. Just going through the motions is no way to live your lives together. The once unthinkable - splitting up - is now on your mind more than ever.
(737) 258-9760 View (737) 258-9760
Photo of Ellen Pace, Licensed Professional Counselor in Austin, TX
Ellen Pace
Licensed Professional Counselor, LMFT, LPC, LCDC, EMDR
Verified Verified
2 Endorsed
Austin, TX 78703
Are you struggling with anxiety, depression or difficulty in relationships? Have you tried therapy, but not gotten the results you desire? The cause could be unresolved trauma that is blocking your ability to move forward. Our past can contaminate the present, which causes our future to replicate our past, leaving one stuck. Do you and your partner struggle discussing issues, feel disconnected, or are drifting apart? The failure to communicate is the greatest cause of marital problems. Using Gottman Couples Therapy, I will help you learn effective skills to manage conflict and find new meaning in your relationships.
Are you struggling with anxiety, depression or difficulty in relationships? Have you tried therapy, but not gotten the results you desire? The cause could be unresolved trauma that is blocking your ability to move forward. Our past can contaminate the present, which causes our future to replicate our past, leaving one stuck. Do you and your partner struggle discussing issues, feel disconnected, or are drifting apart? The failure to communicate is the greatest cause of marital problems. Using Gottman Couples Therapy, I will help you learn effective skills to manage conflict and find new meaning in your relationships.
(737) 210-4084 View (737) 210-4084
Photo of Carolyn Hilton, Marriage & Family Therapist in Austin, TX
Carolyn Hilton
Marriage & Family Therapist, LMFT
Verified Verified
Austin, TX 78702
Are you and your partner caught in a cycle of negative interactions, conflict and building resentment? Do you struggle to connect in the ways you used to and miss the partner you fell in love with? Many of us find ourselves in rocky relationship moments and I'm here to help you navigate out of them.
Are you and your partner caught in a cycle of negative interactions, conflict and building resentment? Do you struggle to connect in the ways you used to and miss the partner you fell in love with? Many of us find ourselves in rocky relationship moments and I'm here to help you navigate out of them.
(512) 648-8183 View (512) 648-8183
Photo of Paul Moore, Licensed Professional Counselor in Austin, TX
Paul Moore
Licensed Professional Counselor, MS, LPC-S, LMFT-S
Verified Verified
1 Endorsed
Austin, TX 78759
I work with individuals dealing with depression, anxiety, trauma, and mood issues. I help persons and families address communication problems, unhealthy patterns, and rebuilding trust as well as relationship problems including infidelity and blended families and co-parenting. I work with and am welcoming of LGBTQ+ relationships, hetero relationships, poly relationships, kink, BDSM, and sex workers. Additional areas addressed include religious shame surrounding sexuality. I have completed graduate studies in religion and theology and assist persons in dealing with toxic religious wounds.
I work with individuals dealing with depression, anxiety, trauma, and mood issues. I help persons and families address communication problems, unhealthy patterns, and rebuilding trust as well as relationship problems including infidelity and blended families and co-parenting. I work with and am welcoming of LGBTQ+ relationships, hetero relationships, poly relationships, kink, BDSM, and sex workers. Additional areas addressed include religious shame surrounding sexuality. I have completed graduate studies in religion and theology and assist persons in dealing with toxic religious wounds.
(469) 405-9869 View (469) 405-9869
Photo of Mary Lynn Marinucci, Clinical Social Work/Therapist in Austin, TX
Mary Lynn Marinucci
Clinical Social Work/Therapist, LCSW-S, MBA
Verified Verified
2 Endorsed
Austin, TX 78751
I'd like to help you make the most of your work and life. You may crave more satisfying relationships, need support during a life transition or want constructive ways to cope with powerful thoughts or feelings. Or maybe you'd like more work life balance, less job stress or help navigating your career path. Welcome to Work.Life.Therapy. I'm here to provide skillful collaboration, thoughtful perspective and a holistic approach. Together, we'll get clear on what you want and need. You can count on me to offer practical support to help you work through what's getting in the way.
I'd like to help you make the most of your work and life. You may crave more satisfying relationships, need support during a life transition or want constructive ways to cope with powerful thoughts or feelings. Or maybe you'd like more work life balance, less job stress or help navigating your career path. Welcome to Work.Life.Therapy. I'm here to provide skillful collaboration, thoughtful perspective and a holistic approach. Together, we'll get clear on what you want and need. You can count on me to offer practical support to help you work through what's getting in the way.
(512) 994-2432 View (512) 994-2432
Photo of Healing Branches, Licensed Professional Counselor in Austin, TX
Healing Branches
Licensed Professional Counselor
Verified Verified
Austin, TX 78759
There are those days when just getting out of bed is difficult. Having someone help manage struggles and figuring life out is important. The twist and turns of life can leave one feeling drained, exhausted, and in a mental fog, or a loss of wanting to or even knowing how to move forward. This is where I come in, helping those who are stuck, lost, hopeless and who cannot figure out what’s going on inside, feeling there is no way out, or even making unhelpful choices in life. Possibly a teenager or young adult scared about life or the future and managing stress. This is why I am here.
There are those days when just getting out of bed is difficult. Having someone help manage struggles and figuring life out is important. The twist and turns of life can leave one feeling drained, exhausted, and in a mental fog, or a loss of wanting to or even knowing how to move forward. This is where I come in, helping those who are stuck, lost, hopeless and who cannot figure out what’s going on inside, feeling there is no way out, or even making unhelpful choices in life. Possibly a teenager or young adult scared about life or the future and managing stress. This is why I am here.
(512) 842-6111 View (512) 842-6111
Photo of Sara Walls, Licensed Professional Counselor Associate in Austin, TX
Sara Walls
Licensed Professional Counselor Associate, LPC-A
Verified Verified
Austin, TX 78745
We live in a time where life is hard, complicated and we are being inundated with information. In our society we've been taught to push our feelings down, discount bad experiences and pretend we're fine. I aim to show up for my clients when they realize they want to feel more than "fine" and feel ready to explore any trauma or hardships they feel may be holding them back from their authentic selves. We aren't meant to do life alone and the therapeutic connection is a first step toward healing.
We live in a time where life is hard, complicated and we are being inundated with information. In our society we've been taught to push our feelings down, discount bad experiences and pretend we're fine. I aim to show up for my clients when they realize they want to feel more than "fine" and feel ready to explore any trauma or hardships they feel may be holding them back from their authentic selves. We aren't meant to do life alone and the therapeutic connection is a first step toward healing.
(737) 530-9603 View (737) 530-9603
Photo of Mike Hurewitz, LCSW, Clinical Social Work/Therapist in Austin, TX
Mike Hurewitz, LCSW
Clinical Social Work/Therapist, LCSW
Verified Verified
Austin, TX 78759
Not accepting new clients
I have 20+ years of experience and specialize in: adult psychotherapy for depression, anxiety, trauma, grief and loss, men's issues; counseling for adolescent males; family counseling and parenting skills. I help my clients to identify and tap their inner strengths. I will work with you to establish a safe, trusting relationship as the foundation for our work towards your personal goals. I am certified in EMDR, an integrated treatment approach that research shows is effective with a range of issues. I offer a free initial consultation.
I have 20+ years of experience and specialize in: adult psychotherapy for depression, anxiety, trauma, grief and loss, men's issues; counseling for adolescent males; family counseling and parenting skills. I help my clients to identify and tap their inner strengths. I will work with you to establish a safe, trusting relationship as the foundation for our work towards your personal goals. I am certified in EMDR, an integrated treatment approach that research shows is effective with a range of issues. I offer a free initial consultation.
(512) 872-2369 View (512) 872-2369
Photo of Christina M Holyoak, Marriage & Family Therapist in Austin, TX
Christina M Holyoak
Marriage & Family Therapist, LMFT, MS
Verified Verified
1 Endorsed
Austin, TX 78749  (Online Only)
You deserve to feel connected and safe in your closest relationships. It is lonely, painful, and frustrating when those relationships aren't going as you'd like. You may be confused about how to help a child who is struggling. You might wonder if you're making the right choices for your child and you may even worry that you're a bad parent. Or, maybe you feel disconnected from a partner. You long to feel close to the person you care about, but years of hurt and bottled up emotion make it difficult to know where to start.
You deserve to feel connected and safe in your closest relationships. It is lonely, painful, and frustrating when those relationships aren't going as you'd like. You may be confused about how to help a child who is struggling. You might wonder if you're making the right choices for your child and you may even worry that you're a bad parent. Or, maybe you feel disconnected from a partner. You long to feel close to the person you care about, but years of hurt and bottled up emotion make it difficult to know where to start.
(512) 548-4174 View (512) 548-4174
Photo of Jameeka Moore, Psychologist in Austin, TX
Jameeka Moore
Psychologist, PsyD
Verified Verified
2 Endorsed
Austin, TX 78756  (Online Only)
Experiencing anxiety can feel overwhelming and you may find yourself avoiding people, places and things in an attempt to manage your symptoms. You may find that your world is getting smaller and smaller and may feel like you are in a constant cycle of anxiety and a mix of other painful emotions. I would like to help you change your relationship with anxiety. Through collaboration, you can learn skills to help you face and manage your anxiety symptoms, so that you can go after the life that you want.
Experiencing anxiety can feel overwhelming and you may find yourself avoiding people, places and things in an attempt to manage your symptoms. You may find that your world is getting smaller and smaller and may feel like you are in a constant cycle of anxiety and a mix of other painful emotions. I would like to help you change your relationship with anxiety. Through collaboration, you can learn skills to help you face and manage your anxiety symptoms, so that you can go after the life that you want.
(312) 493-9931 View (312) 493-9931
Photo of Dr. Kristie Engel, Psychologist in Austin, TX
Dr. Kristie Engel
Psychologist, PhD
Verified Verified
Austin, TX 78738
Is your child struggling? Children, teens and their parents face unprecedented challenges in today's rapidly changing world. Anxiety, depression, learning disabilities, attention problems, school stress, difficult relationships, life transitions, chronic illness, grief, mental illness and other experiences compound the inherent challenges of growing up. You and your child may feel discouraged and alone braving these challenges yet experiencing challenges is universal and affirms our connection to each other. How different would life be if we instinctively embraced this truth and reached out for connection to grow through challenges together?
Is your child struggling? Children, teens and their parents face unprecedented challenges in today's rapidly changing world. Anxiety, depression, learning disabilities, attention problems, school stress, difficult relationships, life transitions, chronic illness, grief, mental illness and other experiences compound the inherent challenges of growing up. You and your child may feel discouraged and alone braving these challenges yet experiencing challenges is universal and affirms our connection to each other. How different would life be if we instinctively embraced this truth and reached out for connection to grow through challenges together?
(512) 549-2903 View (512) 549-2903
Photo of Allison Micho, Licensed Professional Counselor Associate in Austin, TX
Allison Micho
Licensed Professional Counselor Associate, MA
Verified Verified
Austin, TX 78703
It takes a great amount of courage to begin the process of improving your mental health. Whether you are in a rut, suffering from past trauma, recovering, or just seeking a change. I can help pave the path to wellness by supporting your ability to process both mental and emotion experiences. Together we can build a plan that will aid in personal development, encourage positive change, and broaden perspectives. I enjoy working with client from all cultures and backgrounds and will promote a safe atmosphere in which you know your voice is heard.
It takes a great amount of courage to begin the process of improving your mental health. Whether you are in a rut, suffering from past trauma, recovering, or just seeking a change. I can help pave the path to wellness by supporting your ability to process both mental and emotion experiences. Together we can build a plan that will aid in personal development, encourage positive change, and broaden perspectives. I enjoy working with client from all cultures and backgrounds and will promote a safe atmosphere in which you know your voice is heard.
(512) 648-4296 View (512) 648-4296
Photo of Max Elliott, Clinical Social Work/Therapist in Austin, TX
Max Elliott
Clinical Social Work/Therapist, LCSW, SEP
Verified Verified
2 Endorsed
Austin, TX 78703
I utilize a warm, motivating, and non-judgmental approach along with practical tools to aid the counseling process. My therapeutic lens is informed by over twenty years of meditation and yoga practice. I work holistically. I combine talk-based therapies (CBT, Psychodynamic, etc.) with body-based mindfulness. As a Somatic Experiencing Practitioner (SEP). I work with people navigating trauma and I'm interested in exploring the stories that the body wants to tell. Ultimately, my aim is to increase self-awareness and emotional resilience to foster greater self-acceptance and to develop more satisfying relationships.
I utilize a warm, motivating, and non-judgmental approach along with practical tools to aid the counseling process. My therapeutic lens is informed by over twenty years of meditation and yoga practice. I work holistically. I combine talk-based therapies (CBT, Psychodynamic, etc.) with body-based mindfulness. As a Somatic Experiencing Practitioner (SEP). I work with people navigating trauma and I'm interested in exploring the stories that the body wants to tell. Ultimately, my aim is to increase self-awareness and emotional resilience to foster greater self-acceptance and to develop more satisfying relationships.
(737) 225-6364 View (737) 225-6364
Photo of Martha Vogel, Psychologist in Austin, TX
Martha Vogel
Psychologist, PhD
Verified Verified
2 Endorsed
Austin, TX 78751
I offer an attuned, flexible form of evidence-based therapy that treats you as a unique person--not just a set of symptoms. Surprising though it may sound, your emotional distress is meaningful. It contains patterns and also clues that allow you to better know yourself and overcome obstacles to your goals. As an experienced psychologist, I'll help you to pinpoint these patterns and decipher these clues.
I offer an attuned, flexible form of evidence-based therapy that treats you as a unique person--not just a set of symptoms. Surprising though it may sound, your emotional distress is meaningful. It contains patterns and also clues that allow you to better know yourself and overcome obstacles to your goals. As an experienced psychologist, I'll help you to pinpoint these patterns and decipher these clues.
(512) 585-5513 View (512) 585-5513
Photo of Grace Casas, Licensed Professional Counselor in Austin, TX
Grace Casas
Licensed Professional Counselor, LPC
Verified Verified
Austin, TX 78704  (Online Only)
I'm especially passionate about working with people needing both pregnancy and perinatal mental health support with a specific interest in postpartum mood disorders. Parenthood is both a monumental and overwhelming part of life and I enjoy offering support and validation throughout the complicated and oftentimes arduous journey. In addition to my specialty in women's issues, I also have extensive experience treating adults with anxiety, depression, psychological trauma such as intimate partner violence as well as individuals experiencing difficult life transitions.
I'm especially passionate about working with people needing both pregnancy and perinatal mental health support with a specific interest in postpartum mood disorders. Parenthood is both a monumental and overwhelming part of life and I enjoy offering support and validation throughout the complicated and oftentimes arduous journey. In addition to my specialty in women's issues, I also have extensive experience treating adults with anxiety, depression, psychological trauma such as intimate partner violence as well as individuals experiencing difficult life transitions.
(469) 706-3574 View (469) 706-3574
Robyn Zymowski, Licensed Professional Counselor
Counselor, MA, LPC
Verified Verified
Austin, TX 78704
Do you feel sad, stressed, angry or easily frustrated, or have any other mood issues that do not seem to go away? Are you worried about how your mood effects your daily functioning and those around you? Are you having problems at work, home? If so, keep reading. I have had over 25 years of experience working with college students, adults, seniors, various ethnic groups, and LGBTQ clients. I use a varying approach to therapy including CBT which is great for changing negative thoughts and behaviors. I enjoy a comfortable and direct approach in order to help people deal with life's challenges. I am originally from the Boston area.
Do you feel sad, stressed, angry or easily frustrated, or have any other mood issues that do not seem to go away? Are you worried about how your mood effects your daily functioning and those around you? Are you having problems at work, home? If so, keep reading. I have had over 25 years of experience working with college students, adults, seniors, various ethnic groups, and LGBTQ clients. I use a varying approach to therapy including CBT which is great for changing negative thoughts and behaviors. I enjoy a comfortable and direct approach in order to help people deal with life's challenges. I am originally from the Boston area.
(512) 607-7900 View (512) 607-7900
Photo of Stefani Goldberg, Licensed Professional Counselor in Austin, TX
Stefani Goldberg
Licensed Professional Counselor, MS, LPC, PMH-C
Verified Verified
3 Endorsed
Austin, TX 78729
Are you having conflicts in your relationships? Does your past prevent you from living a full life or having healthy/secure relationships? Are you a new mom and struggling to connect with your baby, feel the societal pressure that this should be the most joyous time of your life? If you answered yes, we sound like we would work well together. I am committed to providing a nurturing, emotionally focused, and holistic approach to therapy. I work with people on developing self-compassion and strength to process emotions, and to become aware of self-destructive patterns/beliefs that hinder you from living life vibrantly.
Are you having conflicts in your relationships? Does your past prevent you from living a full life or having healthy/secure relationships? Are you a new mom and struggling to connect with your baby, feel the societal pressure that this should be the most joyous time of your life? If you answered yes, we sound like we would work well together. I am committed to providing a nurturing, emotionally focused, and holistic approach to therapy. I work with people on developing self-compassion and strength to process emotions, and to become aware of self-destructive patterns/beliefs that hinder you from living life vibrantly.
(512) 400-2659 View (512) 400-2659
Photo of Solansch Curland, LPC Associate in Austin, TX
Solansch Curland
LPC Associate, LPC-A
Verified Verified
Austin, TX 78715  (Online Only)
I use a personalized, compassionate, and holistic approach to help you break free from anxiety and OCD. Beyond addressing symptoms, I place significance on working with the entire person. In addition to imparting the essential skills to manage your anxiety and OCD, I’ll guide you through self-worth, shame, and trauma work as needed.
I use a personalized, compassionate, and holistic approach to help you break free from anxiety and OCD. Beyond addressing symptoms, I place significance on working with the entire person. In addition to imparting the essential skills to manage your anxiety and OCD, I’ll guide you through self-worth, shame, and trauma work as needed.
(737) 520-4512 View (737) 520-4512
Photo of Tara Joyner, LPC, Licensed Professional Counselor in Austin, TX
Tara Joyner, LPC
Licensed Professional Counselor, LPC
Verified Verified
Austin, TX 78759
My practice focuses mainly on topics surrounding relationship difficulties, depression/anxiety, sexual problems, and infertility. I work with male and female clients equally and work with all couple types. I believe you are the expert on your background, experiences, values, and goals. The therapeutic relationship relies on honesty, mutual respect, sharing, and openness. Making a connection is vital to the process. My ultimate goal is to help you define and attain the goals you want in life, and direct you on a healthy path to achieve them.
My practice focuses mainly on topics surrounding relationship difficulties, depression/anxiety, sexual problems, and infertility. I work with male and female clients equally and work with all couple types. I believe you are the expert on your background, experiences, values, and goals. The therapeutic relationship relies on honesty, mutual respect, sharing, and openness. Making a connection is vital to the process. My ultimate goal is to help you define and attain the goals you want in life, and direct you on a healthy path to achieve them.
(512) 337-3858 View (512) 337-3858
Photo of Jill Rene Arechiga, Clinical Social Work/Therapist in Austin, TX
Jill Rene Arechiga
Clinical Social Work/Therapist, LCSW
Verified Verified
Austin, TX 78758  (Online Only)
Not accepting new clients
Has a loved one died recently or even many years ago? Do you feel you should “move on” or “be past it”? Are friends telling you it is time to start dating again? Perhaps you are tired of being told “you’re doing so good” when you feel lost, scared and upside down. Would you like a deeper understanding of your grief and its process?
Has a loved one died recently or even many years ago? Do you feel you should “move on” or “be past it”? Are friends telling you it is time to start dating again? Perhaps you are tired of being told “you’re doing so good” when you feel lost, scared and upside down. Would you like a deeper understanding of your grief and its process?
(512) 402-6165 View (512) 402-6165

How does your Therapist compare?

Number of Therapists in Austin, TX

3,000+

Average cost per session

$150

Therapists in Austin, TX who prioritize treating:

93% Anxiety
88% Depression
76% Relationship Issues
76% Self Esteem
70% Trauma and PTSD
69% Stress
68% Coping Skills

Average years in practice

10 Years

Top 3 insurances accepted

78% Aetna
74% UnitedHealthcare UHC | UBH
64% BlueCross and BlueShield

How Therapists in Austin, TX see their clients

55% In Person and Online
45% Online Only

Gender breakdown

81% Female
18% Male
1% Non-Binary
FAQs - About Therapy and Counseling

How can I find a therapist in Austin?

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.