Therapists in Houston, TX

View neighborhoods in Houston
Photo of Melissa Sutherland, Licensed Professional Counselor in Houston, TX
Melissa Sutherland
Licensed Professional Counselor, LPC-S
Verified Verified
Houston, TX 77002
For more than two decades, I've served as a counselor in various roles, as clinical director of psychiatric facilities, college counselor, private practitioner & clinical supervisor for counseling interns. I hold a master's degree in education with a specialization in guidance & counseling, as well as a Ph.D. in psychology. My counseling experience encompasses a wide array of areas such as women's issues, aging, depression, anxiety, self-esteem & domestic violence. I work with individuals from teenagers to adults of all ages. I believe that goals are deeply personal, and my aim is to assist individuals to reach their goals.
For more than two decades, I've served as a counselor in various roles, as clinical director of psychiatric facilities, college counselor, private practitioner & clinical supervisor for counseling interns. I hold a master's degree in education with a specialization in guidance & counseling, as well as a Ph.D. in psychology. My counseling experience encompasses a wide array of areas such as women's issues, aging, depression, anxiety, self-esteem & domestic violence. I work with individuals from teenagers to adults of all ages. I believe that goals are deeply personal, and my aim is to assist individuals to reach their goals.
(346) 521-4376 View (346) 521-4376
Photo of Sharon Windham, Licensed Professional Counselor in Houston, TX
Sharon Windham
Licensed Professional Counselor, LPC
Verified Verified
1 Endorsed
Houston, TX 77063  (Online Only)
Do you feel “disconnected” in your relationship(s)? Has your sex life become stagnant and you feel like you need something more? Do you and your partner get stuck in patterns of repetitive arguments? Did you experience sexual trauma and struggle with intimacy? Are these challenges affecting your relationship and sexual satisfaction? If you’re ready to deepen your relationship and enhance your sexual experiences, I can help. My area of specialization is in sexual health/sex therapy and relationships.
Do you feel “disconnected” in your relationship(s)? Has your sex life become stagnant and you feel like you need something more? Do you and your partner get stuck in patterns of repetitive arguments? Did you experience sexual trauma and struggle with intimacy? Are these challenges affecting your relationship and sexual satisfaction? If you’re ready to deepen your relationship and enhance your sexual experiences, I can help. My area of specialization is in sexual health/sex therapy and relationships.
(713) 766-5290 View (713) 766-5290
Photo of Constence Moss, Licensed Professional Counselor in Houston, TX
Constence Moss
Licensed Professional Counselor, LPC
Verified Verified
Houston, TX 77063
I provide support for children, adolescents, and adults having difficulties managing depression, anxiety, mood disorder, peer relationships, and post-traumatic stress disorder. I utilize a variety of therapeutic modalities depending on the client’s needs. These include Cognitive Behavioral Therapy, Solution-Focused Brief Therapy, Play Therapy, and Motivational Interviewing. We will work together to clarify and establish personal goals and help you determine what does and does not work for you.
I provide support for children, adolescents, and adults having difficulties managing depression, anxiety, mood disorder, peer relationships, and post-traumatic stress disorder. I utilize a variety of therapeutic modalities depending on the client’s needs. These include Cognitive Behavioral Therapy, Solution-Focused Brief Therapy, Play Therapy, and Motivational Interviewing. We will work together to clarify and establish personal goals and help you determine what does and does not work for you.
(346) 787-1214 View (346) 787-1214
Photo of Paula Garcia, Licensed Professional Counselor in Houston, TX
Paula Garcia
Licensed Professional Counselor, MA, LPC, LCDC-I
Verified Verified
Houston, TX 77008
It can seem difficult at times to seek help but it can also be the bravest move you make. Our stories are never finished and we can keep writing new chapters and going in new directions with a little bit of guidance. Whether we are stuck because of current stressors or struggling due to life-long obstacles, it is never a bad time to ask for help and work through them. My goals are to inspire clients to write a more meaningful story according to their values and beliefs.
It can seem difficult at times to seek help but it can also be the bravest move you make. Our stories are never finished and we can keep writing new chapters and going in new directions with a little bit of guidance. Whether we are stuck because of current stressors or struggling due to life-long obstacles, it is never a bad time to ask for help and work through them. My goals are to inspire clients to write a more meaningful story according to their values and beliefs.
(346) 361-1744 View (346) 361-1744
Photo of Imelda Crothers, Clinical Social Work/Therapist in Houston, TX
Imelda Crothers
Clinical Social Work/Therapist, LCSW
Verified Verified
Houston, TX 77002  (Online Only)
Hi, I am a Licensed Clinical Social Worker, licensed in Texas. I have experience working with individuals who are struggling with depression, anxiety, past trauma, and adjustments to changes in their lives. I have a history of working with individuals diagnosed with mental health illness; primarily, but not limited to, Schizophrenia, Bipolar Disorder, Major Depressive Disorder and anxiety disorders. I have witnessed the barriers and stigma associated with having a mental health diagnosis; and I have been a part of my former clients’ successes as I've partnered with them to improve their quality of life.
Hi, I am a Licensed Clinical Social Worker, licensed in Texas. I have experience working with individuals who are struggling with depression, anxiety, past trauma, and adjustments to changes in their lives. I have a history of working with individuals diagnosed with mental health illness; primarily, but not limited to, Schizophrenia, Bipolar Disorder, Major Depressive Disorder and anxiety disorders. I have witnessed the barriers and stigma associated with having a mental health diagnosis; and I have been a part of my former clients’ successes as I've partnered with them to improve their quality of life.
(832) 906-7867 View (832) 906-7867
Photo of Dr. Annette E. Brissett, Psychologist in Houston, TX
Dr. Annette E. Brissett
Psychologist, PhD
Verified Verified
Houston, TX 77057
Be inspired to transform your life in positive ways. I am a licensed Psychologist in private practice, with expertise in psychotherapy and clinical assessment. I offer a trusting and supportive professional environment, treating such issues as: anxiety, mood, depression, trauma, crisis, relationships, stress, personality issues and chronic health concerns. Having lived internationally and trained broadly, I have a unique perspective on how best to guide individuals, couples and families towards achieving lifelong well being. I view therapy as a supportive partnership, built on trust, professionalism and integrity.
Be inspired to transform your life in positive ways. I am a licensed Psychologist in private practice, with expertise in psychotherapy and clinical assessment. I offer a trusting and supportive professional environment, treating such issues as: anxiety, mood, depression, trauma, crisis, relationships, stress, personality issues and chronic health concerns. Having lived internationally and trained broadly, I have a unique perspective on how best to guide individuals, couples and families towards achieving lifelong well being. I view therapy as a supportive partnership, built on trust, professionalism and integrity.
(281) 612-7949 View (281) 612-7949
Photo of Rachel M Abrman, Licensed Professional Counselor in Houston, TX
Rachel M Abrman
Licensed Professional Counselor, MA, LPC
Verified Verified
6 Endorsed
Houston, TX 77098
You have come this far. Sometimes we find ourselves feeling anxious, overwhelmed, and sad with the way we've been living life. I provide support for my clients who want transformation in their anxieties, relationships, traumas and personal life. We explore who we are and how relationships, conflicts or insecurities effect our well being. I utilize EMDR, DBT, and CBT modalities with my clients to work through challenges. I invite you to embrace courage and bravery to find solutions to your concerns. "When we are no longer able to change a situation, we are challenged to change ourselves” - Victor Frankl.
You have come this far. Sometimes we find ourselves feeling anxious, overwhelmed, and sad with the way we've been living life. I provide support for my clients who want transformation in their anxieties, relationships, traumas and personal life. We explore who we are and how relationships, conflicts or insecurities effect our well being. I utilize EMDR, DBT, and CBT modalities with my clients to work through challenges. I invite you to embrace courage and bravery to find solutions to your concerns. "When we are no longer able to change a situation, we are challenged to change ourselves” - Victor Frankl.
(281) 843-3486 View (281) 843-3486
Photo of Vivian D. Echevarria Guzman, Licensed Professional Counselor in Houston, TX
Vivian D. Echevarria Guzman
Licensed Professional Counselor, MS, LPC-S, NCC
Verified Verified
9 Endorsed
Houston, TX 77082  (Online Only)
I help clients to reduce symptoms of anxiety, depression; process grief, loss, history of trauma, abuse; and mediate marriage and relationship problems. If you are going through a rough path, seeking a way to live your life to your best ability, I am here to walk the path with you.
I help clients to reduce symptoms of anxiety, depression; process grief, loss, history of trauma, abuse; and mediate marriage and relationship problems. If you are going through a rough path, seeking a way to live your life to your best ability, I am here to walk the path with you.
(346) 244-5181 View (346) 244-5181
Photo of Demetria Harris, Licensed Professional Counselor in Houston, TX
Demetria Harris
Licensed Professional Counselor, LPC, MA
Verified Verified
Houston, TX 77090
Coming from a family of Educators and having over 20 years of experience in education and counseling, has provided me with the opportunity to service a variety of individuals and has given me a strong desire to help children as young as 5 years of age to adults and families in crisis situations. I also believe our experiences help create who we are, and each day we are given an opportunity to start new.
Coming from a family of Educators and having over 20 years of experience in education and counseling, has provided me with the opportunity to service a variety of individuals and has given me a strong desire to help children as young as 5 years of age to adults and families in crisis situations. I also believe our experiences help create who we are, and each day we are given an opportunity to start new.
(832) 841-4479 View (832) 841-4479
Photo of Edna Balboa, Licensed Professional Counselor in Houston, TX
Edna Balboa
Licensed Professional Counselor, M, Ed, LPC-S
Verified Verified
Houston, TX 77248  (Online Only)
Each of us is on a journey. On that journey there are obstacles, detours and unexpected changes. I collaborate with the client in navigating a path that leads to harmonious flow. Let's overcome any barriers to your full potential together. I work with teens, adults and groups. My areas of specialty include mood disorders, trauma and abuse (emotional, physical, verbal, financial and spiritual), and any life adjustments that may require guidance. I incorporate an empowerment perspective. Practicing through a holistic and integrative lens. Let's create a therapeutic relationship based on genuineness, respect, and acceptance.
Each of us is on a journey. On that journey there are obstacles, detours and unexpected changes. I collaborate with the client in navigating a path that leads to harmonious flow. Let's overcome any barriers to your full potential together. I work with teens, adults and groups. My areas of specialty include mood disorders, trauma and abuse (emotional, physical, verbal, financial and spiritual), and any life adjustments that may require guidance. I incorporate an empowerment perspective. Practicing through a holistic and integrative lens. Let's create a therapeutic relationship based on genuineness, respect, and acceptance.
(713) 742-6802 View (713) 742-6802
Photo of Carolyn Ann Turner, Licensed Professional Counselor in Houston, TX
Carolyn Ann Turner
Licensed Professional Counselor, MA, LPC
Verified Verified
Houston, TX 77080  (Online Only)
My clients deal with issues including depression, anxiety, trauma, food struggles and codependency. Their needs include having a safe place to talk and speaking with someone who listens, without judgment. This may also include details regarding unprocessed childhood trauma. Goals for therapy may include: better coping skills, improve communication with others, and working toward relationship resolution. I have a passion for helping others discover answers within themselves. The client is the expert in his life. I strive to help him uncover knowledge, wisdom and answers to life’s adversities. Book a free session now.
My clients deal with issues including depression, anxiety, trauma, food struggles and codependency. Their needs include having a safe place to talk and speaking with someone who listens, without judgment. This may also include details regarding unprocessed childhood trauma. Goals for therapy may include: better coping skills, improve communication with others, and working toward relationship resolution. I have a passion for helping others discover answers within themselves. The client is the expert in his life. I strive to help him uncover knowledge, wisdom and answers to life’s adversities. Book a free session now.
(832) 979-4559 View (832) 979-4559
Photo of Dr. Jocelyn Yvonne Jones, Licensed Professional Counselor in Houston, TX
Dr. Jocelyn Yvonne Jones
Licensed Professional Counselor, LPC, LCDC
Verified Verified
Houston, TX 77085  (Online Only)
I have over 16 years of experience working in the mental health, behavioral health, and substance abuse field. I work with adolescents, adults, and the geriatric community. My goal is to provide a safe, non-judgmental, place using an eclectic counseling approach to meet the needs of every individual, helping clients to develop the needed coping skills/strategies to face and overcome daily challenges.
I have over 16 years of experience working in the mental health, behavioral health, and substance abuse field. I work with adolescents, adults, and the geriatric community. My goal is to provide a safe, non-judgmental, place using an eclectic counseling approach to meet the needs of every individual, helping clients to develop the needed coping skills/strategies to face and overcome daily challenges.
(281) 519-6874 View (281) 519-6874
Photo of Samira Pizarro, Clinical Social Work/Therapist in Houston, TX
Samira Pizarro
Clinical Social Work/Therapist, LCSW
Verified Verified
Houston, TX 77084  (Online Only)
Samira Pizaro is a licensed clinical social worker dedicated to motivating change, creating healthier habits, and building a safe space for clients. You can trust Samira will be purpose-driven and practical around your care needs and treatment planning. Her approach toward accessible, well-rounded mental health care includes challenging negative thinking with insightful questioning and value-oriented goal setting so you can maintain the healthiest version of yourself. Samira works with patients ages 18-65.
Samira Pizaro is a licensed clinical social worker dedicated to motivating change, creating healthier habits, and building a safe space for clients. You can trust Samira will be purpose-driven and practical around your care needs and treatment planning. Her approach toward accessible, well-rounded mental health care includes challenging negative thinking with insightful questioning and value-oriented goal setting so you can maintain the healthiest version of yourself. Samira works with patients ages 18-65.
(281) 916-3510 View (281) 916-3510
Photo of Christabel Ekechukwu, Licensed Professional Counselor in Houston, TX
Christabel Ekechukwu
Licensed Professional Counselor, LPC
Verified Verified
Houston, TX 77036  (Online Only)
I am a Licensed Professional Counselor (LPC) in Texas, and Virginia. The disorders I work with are bipolar disorders, depression, schizophrenia, anxiety, suicidal ideation, self injurious behaviors, crisis interventions, and trauma. I enjoy working with children, adolescents, and adults. I enjoy working with different ethnic and religious backgrounds. I am very familiar with the African culture, because I come from Nigeria.
I am a Licensed Professional Counselor (LPC) in Texas, and Virginia. The disorders I work with are bipolar disorders, depression, schizophrenia, anxiety, suicidal ideation, self injurious behaviors, crisis interventions, and trauma. I enjoy working with children, adolescents, and adults. I enjoy working with different ethnic and religious backgrounds. I am very familiar with the African culture, because I come from Nigeria.
(832) 669-5462 View (832) 669-5462
Photo of Sadiqa Cash, Psychologist in Houston, TX
Sadiqa Cash
Psychologist, PhD
Verified Verified
1 Endorsed
Houston, TX 77019  (Online Only)
Are you the strong friend who silently bears the weight of the world while yearning for a moment of peace amid the chaos of work and life? Carrying the weight of the world in silence is a heavy burden and even the strong need a sanctuary. Sometimes we need help learning strategies to manage it all.
Are you the strong friend who silently bears the weight of the world while yearning for a moment of peace amid the chaos of work and life? Carrying the weight of the world in silence is a heavy burden and even the strong need a sanctuary. Sometimes we need help learning strategies to manage it all.
(832) 281-5849 View (832) 281-5849
Photo of Rel Sharp, Licensed Professional Counselor in Houston, TX
Rel Sharp
Licensed Professional Counselor, LPC
Verified Verified
Houston, TX 77002  (Online Only)
Hi there! I'm Vince! Are you struggling to navigate everything life is throwing at you in the increasingly hectic world? I love exploring deep down the funnel of emotions with my clients using Person-Centered and Cognitive Behavioral strategies. Together we can tackle your anxiety, depression and the relational issues that come into play that keep you from being your ideal self, whether that be in your relationships, your family, your career, or another important area of your life.
Hi there! I'm Vince! Are you struggling to navigate everything life is throwing at you in the increasingly hectic world? I love exploring deep down the funnel of emotions with my clients using Person-Centered and Cognitive Behavioral strategies. Together we can tackle your anxiety, depression and the relational issues that come into play that keep you from being your ideal self, whether that be in your relationships, your family, your career, or another important area of your life.
(832) 990-1366 View (832) 990-1366
Photo of Jeffrey Connor Hook, Licensed Professional Counselor Associate in Houston, TX
Jeffrey Connor Hook
Licensed Professional Counselor Associate, LPC-A
Verified Verified
1 Endorsed
Houston, TX 77095
Hello! My name is Mr. Connor Hook and I am a Licensed Professional Counseling Associate. I received my B.A in Sociology with a minor in Educational Psychology from Baylor University and my M.A from Houston Christian University in Clinical Mental Health Counseling. I have worked at The Adolescent Center of Houston and The Center for Success and Independence. I am committed to helping individuals reduce their suffering that they may be experiencing but also help them find some light to start moving towards developing their goals to create a meaningful life for themselves. I am supervised by Ms. Nicole Ponce, LPC-S
Hello! My name is Mr. Connor Hook and I am a Licensed Professional Counseling Associate. I received my B.A in Sociology with a minor in Educational Psychology from Baylor University and my M.A from Houston Christian University in Clinical Mental Health Counseling. I have worked at The Adolescent Center of Houston and The Center for Success and Independence. I am committed to helping individuals reduce their suffering that they may be experiencing but also help them find some light to start moving towards developing their goals to create a meaningful life for themselves. I am supervised by Ms. Nicole Ponce, LPC-S
(346) 483-3591 View (346) 483-3591
Photo of Nicole Porterpan-Cassell, Licensed Professional Counselor in Houston, TX
Nicole Porterpan-Cassell
Licensed Professional Counselor, MEd, LPC
Verified Verified
Houston, TX 77006
Do you feel lost or alone? I am here to help. My passion is working with children, adolescents and adults struggling with feelings of aloneness, depression, anxiety, and grief. These and other daily challenges also affect our relationships with those closest to us. Some of my most rewarding work is helping families and couples strengthen their relationships through connection and communication. Life transitions like beginning middle school or starting a new job can add extra stress to our daily routines. Together we will navigate these road bumps to increase your social emotional wellbeing.
Do you feel lost or alone? I am here to help. My passion is working with children, adolescents and adults struggling with feelings of aloneness, depression, anxiety, and grief. These and other daily challenges also affect our relationships with those closest to us. Some of my most rewarding work is helping families and couples strengthen their relationships through connection and communication. Life transitions like beginning middle school or starting a new job can add extra stress to our daily routines. Together we will navigate these road bumps to increase your social emotional wellbeing.
(512) 714-3403 View (512) 714-3403
Photo of Angele Devezin, Clinical Social Work/Therapist in Houston, TX
Angele Devezin
Clinical Social Work/Therapist, LMSW
Verified Verified
Houston, TX 77007
Angele Devezin is a dedicated therapist whose personal journey through depression has shaped her compassionate and empowering approach to mental health care. With a profound understanding of the challenges her clients face, Angele specializes in a variety of therapeutic modalities, including Acceptance and Commitment Therapy (ACT), Cognitive Behavioral Therapy (CBT), Trauma-focused CBT (TF-CBT), Dialectical Behavioral Therapy (DBT), and Group Therapy.
Angele Devezin is a dedicated therapist whose personal journey through depression has shaped her compassionate and empowering approach to mental health care. With a profound understanding of the challenges her clients face, Angele specializes in a variety of therapeutic modalities, including Acceptance and Commitment Therapy (ACT), Cognitive Behavioral Therapy (CBT), Trauma-focused CBT (TF-CBT), Dialectical Behavioral Therapy (DBT), and Group Therapy.
(832) 307-0565 View (832) 307-0565
Photo of Shari Bingham, Licensed Professional Counselor in Houston, TX
Shari Bingham
Licensed Professional Counselor, MS, RYT 200
Verified Verified
12 Endorsed
Houston, TX 77018
Are you the oldest adult child that experiences anxiety and feel like it's your responsibility to rescue others? Is your family one of the last places you can confide in your struggles because of the trauma and PTSD you've experienced? It’s important to acknowledge all the shit you’ve been through and that life isn’t always about getting it right. Despite facing numerous challenges, you're strong but don't fully believe that. Even when luck hasn't been in your favor, now you're prepared to engage in profound self-work.
Are you the oldest adult child that experiences anxiety and feel like it's your responsibility to rescue others? Is your family one of the last places you can confide in your struggles because of the trauma and PTSD you've experienced? It’s important to acknowledge all the shit you’ve been through and that life isn’t always about getting it right. Despite facing numerous challenges, you're strong but don't fully believe that. Even when luck hasn't been in your favor, now you're prepared to engage in profound self-work.
(832) 219-6896 View (832) 219-6896

How does your Therapist compare?

Number of Therapists in Houston, TX

3,000+

Average cost per session

$135

Therapists in Houston, TX who prioritize treating:

92% Anxiety
87% Depression
74% Self Esteem
71% Coping Skills
68% Relationship Issues
66% Stress
64% Trauma and PTSD

Average years in practice

10 Years

Top 3 insurances accepted

85% Aetna
80% Cigna and Evernorth
80% UnitedHealthcare UHC | UBH

How Therapists in Houston, TX see their clients

55% In Person and Online
45% Online Only

Gender breakdown

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

How can I find a therapist in Houston?

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.