Therapists in Houston, TX

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Photo of Lauren Hall, Licensed Professional Counselor in Houston, TX
Lauren Hall
Licensed Professional Counselor, LPC-S
Verified Verified
1 Endorsed
Houston, TX 77079
My ideal client is someone who is ready to face their pain, whatever that is and take accountability for what they can change or do differently now. They understand that growth is a daily practice. They seek healing through acknowledging the past, identify their needs through self awareness, and making life/ behavior changes that is conducive to the life they desire. They seek honesty and vulnerability within, in order to become the best version of themselves. They are committed to taking control of their life by being the narrator of their life story.
My ideal client is someone who is ready to face their pain, whatever that is and take accountability for what they can change or do differently now. They understand that growth is a daily practice. They seek healing through acknowledging the past, identify their needs through self awareness, and making life/ behavior changes that is conducive to the life they desire. They seek honesty and vulnerability within, in order to become the best version of themselves. They are committed to taking control of their life by being the narrator of their life story.
(281) 815-4175 x105 View (281) 815-4175 x105
Photo of Christine Sanchez, Licensed Professional Counselor in Houston, TX
Christine Sanchez
Licensed Professional Counselor, MA, LPC
Verified Verified
Houston, TX 77058
I truly enjoy working with adolescents and adults dealing with anxiety, depression, and life transitions. I am a firm believer that by identifying negative thoughts patterns, their origins, and what role they plan in one’s life, one can gain more control and understanding of their emotions and begin to make positive changes.
I truly enjoy working with adolescents and adults dealing with anxiety, depression, and life transitions. I am a firm believer that by identifying negative thoughts patterns, their origins, and what role they plan in one’s life, one can gain more control and understanding of their emotions and begin to make positive changes.
(281) 801-8887 View (281) 801-8887
Photo of Growing Boundlessly, Licensed Master Social Worker in Houston, TX
Growing Boundlessly
Licensed Master Social Worker, LMSW
Verified Verified
Houston, TX 77057  (Online Only)
Not accepting new clients
I am so excited to meet YOU. Of course it's understandable if you have some reservations though. I am passionate about therapy because I have personally and professionally seen the benefits of learning new ways to understand and mitigate stress, depression, anxiety, grief, different types of traumas, substance use, personality disorders such as borderline and obsessive-compulsive disorder, etc. Also, in many cases, communication skills and interpersonal relationships improve. In my opinion, trying therapy as an agent for change is a win–win simply because YOU have an hour to just speak about yourself, how is that a negative?
I am so excited to meet YOU. Of course it's understandable if you have some reservations though. I am passionate about therapy because I have personally and professionally seen the benefits of learning new ways to understand and mitigate stress, depression, anxiety, grief, different types of traumas, substance use, personality disorders such as borderline and obsessive-compulsive disorder, etc. Also, in many cases, communication skills and interpersonal relationships improve. In my opinion, trying therapy as an agent for change is a win–win simply because YOU have an hour to just speak about yourself, how is that a negative?
(832) 906-7038 View (832) 906-7038
Photo of Manny Ahmad in Houston, TX
Manny Ahmad
MD, FAAP, MBA
Verified Verified
Houston, TX 77095
ADHD Houston is dedicated to the objective evaluation and treatment of ADHD and related disorders in children, teens and young adults. We practice evidence-based medicine and follow national guidelines. Our clinic offers two FDA-cleared technologies to aid in ADHD diagnosis and treatment: NEBA brainwave testing and the computerized TOVA Test. Dr. Manny has successfully treated patients with ADHD for over 24 years.
ADHD Houston is dedicated to the objective evaluation and treatment of ADHD and related disorders in children, teens and young adults. We practice evidence-based medicine and follow national guidelines. Our clinic offers two FDA-cleared technologies to aid in ADHD diagnosis and treatment: NEBA brainwave testing and the computerized TOVA Test. Dr. Manny has successfully treated patients with ADHD for over 24 years.
(713) 597-5888 View (713) 597-5888
Photo of Southeastern Psychology Group, Psychologist in Houston, TX
Southeastern Psychology Group
Psychologist, PhD, LCSW
Verified Verified
Houston, TX 77014
We provide psychotherapy for adults, children and families experiencing a variety of presenting issues. Our approach to therapy is individually tailored to address your specific needs. We draw on a range of techniques to help you align with your goals. We do not see any one model as having all the answers, but believe that the most effective therapy integrates multiple theoretical perspectives. We provide a safe place for authentic connection on your journey to healing.
We provide psychotherapy for adults, children and families experiencing a variety of presenting issues. Our approach to therapy is individually tailored to address your specific needs. We draw on a range of techniques to help you align with your goals. We do not see any one model as having all the answers, but believe that the most effective therapy integrates multiple theoretical perspectives. We provide a safe place for authentic connection on your journey to healing.
(346) 482-3008 View (346) 482-3008
Photo of Steve Newkirk, Licensed Professional Counselor in Houston, TX
Steve Newkirk
Licensed Professional Counselor, MEd, LPC
Verified Verified
4 Endorsed
Houston, TX 77058
When we are young, we have a vision of what we want our lives to become. We want the best for our children, to have strong positive relationships, be happy, and achieve success. We see ourselves in a job that is fun and fulfilling something we want to do, and a group of friends with which to embark on adventures. Through the ebbs and flows of life, that vision we had when we were young transforms. We encounter obstacles, personal traumas, and life-altering events that significantly impact our well-being. We get caught up in pleasing others, providing for others, and longing for something more.
When we are young, we have a vision of what we want our lives to become. We want the best for our children, to have strong positive relationships, be happy, and achieve success. We see ourselves in a job that is fun and fulfilling something we want to do, and a group of friends with which to embark on adventures. Through the ebbs and flows of life, that vision we had when we were young transforms. We encounter obstacles, personal traumas, and life-altering events that significantly impact our well-being. We get caught up in pleasing others, providing for others, and longing for something more.
(346) 361-1554 View (346) 361-1554
Photo of Meagan Nicole Houston, Psychologist in Houston, TX
Meagan Nicole Houston
Psychologist, PhD, SAP
Verified Verified
2 Endorsed
Houston, TX 77069
My diverse therapy skill sets allow me to work with almost any client presenting with a variety of interpersonal, occupational, and academic concerns. I am able to assist clients dealing with stage of life changes, self-harm behaviors, sexuality and gender concerns (LGBTQI+ Ally), relationship problems, mood disorders, sex addictions, women's issues, men's issues, spirituality concerns, and substance abuse concerns. I have been trained and certified as a Gottman Method Level 2 couples therapist and I am currently providing therapeutic services to include individual therapy, family therapy, couples, premarital and marital therapy.
My diverse therapy skill sets allow me to work with almost any client presenting with a variety of interpersonal, occupational, and academic concerns. I am able to assist clients dealing with stage of life changes, self-harm behaviors, sexuality and gender concerns (LGBTQI+ Ally), relationship problems, mood disorders, sex addictions, women's issues, men's issues, spirituality concerns, and substance abuse concerns. I have been trained and certified as a Gottman Method Level 2 couples therapist and I am currently providing therapeutic services to include individual therapy, family therapy, couples, premarital and marital therapy.
(281) 506-2078 View (281) 506-2078
Photo of Katrina Seigerman, Licensed Professional Counselor in Houston, TX
Katrina Seigerman
Licensed Professional Counselor, MS, LPC, CRC, ACS
Verified Verified
Houston, TX 77095  (Online Only)
If you feel like you're standing on the edge of a life transition as a result of losing yourself along the way, unhealthy family dynamics, a recent break-up, or life just took unplanned turns, I'm so glad you're here. Feelings of worry, grief, or resentment can take hold when you feel out of control when your strategies for managing life are no longer working. If you want to feel satisfied with the life you're living, feel confident about your own strength, and if your goal is to be well, let's get started. Transitions are uncomfortable opportunities to re-design the life you want.
If you feel like you're standing on the edge of a life transition as a result of losing yourself along the way, unhealthy family dynamics, a recent break-up, or life just took unplanned turns, I'm so glad you're here. Feelings of worry, grief, or resentment can take hold when you feel out of control when your strategies for managing life are no longer working. If you want to feel satisfied with the life you're living, feel confident about your own strength, and if your goal is to be well, let's get started. Transitions are uncomfortable opportunities to re-design the life you want.
(832) 307-9763 View (832) 307-9763
Photo of Shonda Harris, Licensed Professional Counselor in Houston, TX
Shonda Harris
Licensed Professional Counselor, LPC
Verified Verified
Houston, TX 77060
I am an LPC-S, trained in Cognitive Behavioral Therapy with a wide range of experience. I have many years of experience working with those with mental health issues such as depression, bipolar disorder, anxiety, and ADHD. I will help you to understand your diagnosis and how to build coping skills. I also work with individuals experiencing relationship problems, struggling to reach goals, or seeking behavioral changes. I enjoy working with diverse populations and have a non-judgmental approach. It is essential that you feel safe and free to express yourself.
I am an LPC-S, trained in Cognitive Behavioral Therapy with a wide range of experience. I have many years of experience working with those with mental health issues such as depression, bipolar disorder, anxiety, and ADHD. I will help you to understand your diagnosis and how to build coping skills. I also work with individuals experiencing relationship problems, struggling to reach goals, or seeking behavioral changes. I enjoy working with diverse populations and have a non-judgmental approach. It is essential that you feel safe and free to express yourself.
(713) 597-5240 View (713) 597-5240
Photo of Andrea Moorer, Clinical Social Work/Therapist in Houston, TX
Andrea Moorer
Clinical Social Work/Therapist, LCSW-S, LCDC, MPA
Verified Verified
4 Endorsed
Houston, TX 77098
Are you tired of traditional talk therapy? Do you suffer from anxiety, depression, treatment resistant depression, alcohol use disorder, chronic relapse, trauma, or eating disorders? This innovative therapy might be the breakthrough you've been searching. Ketamine Assisted Psychotherapy (KAP) is backed by scientific research and embraced by mental health professionals worldwide. The transformative potential of KAP offers hope and healing to those who may have felt stuck or hopeless in their journey toward wellness. Many individuals are able to explore painful emotions and memories while exploring the depths of consciousness.
Are you tired of traditional talk therapy? Do you suffer from anxiety, depression, treatment resistant depression, alcohol use disorder, chronic relapse, trauma, or eating disorders? This innovative therapy might be the breakthrough you've been searching. Ketamine Assisted Psychotherapy (KAP) is backed by scientific research and embraced by mental health professionals worldwide. The transformative potential of KAP offers hope and healing to those who may have felt stuck or hopeless in their journey toward wellness. Many individuals are able to explore painful emotions and memories while exploring the depths of consciousness.
(713) 568-4533 View (713) 568-4533
Photo of Lakitha Thomas, Licensed Professional Counselor Associate in Houston, TX
Lakitha Thomas
Licensed Professional Counselor Associate, MA, PSC, LPC-A
Verified Verified
Houston, TX 77057  (Online Only)
Are you or someone you care about struggling with challenges related to emotional well-being? Look no further! As a Licensed Professional Counselor Associate specializing in the emotional wellness of women and children, I am here to offer compassionate support and guidance.
Are you or someone you care about struggling with challenges related to emotional well-being? Look no further! As a Licensed Professional Counselor Associate specializing in the emotional wellness of women and children, I am here to offer compassionate support and guidance.
(832) 736-0073 View (832) 736-0073
Photo of Jonni Allen, Marriage & Family Therapist in Houston, TX
Jonni Allen
Marriage & Family Therapist, JD, MS, LMFT
Verified Verified
4 Endorsed
Houston, TX 77062  (Online Only)
Are you struggling with anxiety, depression, grief, or a difficult relationship? Do you feel not your spectacular self that affects your day-to-day life, relationships, or your ability to function, at work, in your career? Do you feel exhausted, overwhelmed, maybe frustrated, or emotionally lost just the thought of getting through the day, answering emails, texts or calls? Now more than ever, attorneys, female attorneys are feeling various emotions around parts of their lives. Whether you are overcoming a difficult relationship, working through a loss, finding your place in life, or moving past sexual assault, I can help.
Are you struggling with anxiety, depression, grief, or a difficult relationship? Do you feel not your spectacular self that affects your day-to-day life, relationships, or your ability to function, at work, in your career? Do you feel exhausted, overwhelmed, maybe frustrated, or emotionally lost just the thought of getting through the day, answering emails, texts or calls? Now more than ever, attorneys, female attorneys are feeling various emotions around parts of their lives. Whether you are overcoming a difficult relationship, working through a loss, finding your place in life, or moving past sexual assault, I can help.
(346) 553-1204 View (346) 553-1204
Photo of Dave Waxler, Licensed Professional Counselor in Houston, TX
Dave Waxler
Licensed Professional Counselor, MA, LPC
Verified Verified
Houston, TX 77007  (Online Only)
Many people who are facing difficulties ask the same question... "Where do I begin?" That sense of uncertainty can lead to a lack of confidence along with feelings of anxiety, hopelessness, and self-doubt. I believe that confidence begins with clarity. My collaborative approach focuses on helping you clarify your values and priorities so you can create authentic goals in your life that bring consistent results.
Many people who are facing difficulties ask the same question... "Where do I begin?" That sense of uncertainty can lead to a lack of confidence along with feelings of anxiety, hopelessness, and self-doubt. I believe that confidence begins with clarity. My collaborative approach focuses on helping you clarify your values and priorities so you can create authentic goals in your life that bring consistent results.
(832) 730-4209 View (832) 730-4209
Photo of Nicole Leitner, Licensed Professional Counselor in Houston, TX
Nicole Leitner
Licensed Professional Counselor, MA, LPC
Verified Verified
5 Endorsed
Houston, TX 77098  (Online Only)
I specialize in working with individuals who are struggling with relationship issues, anxiety, trauma, or disordered eating. Whether you’re going through a challenging personal transition, experiencing difficulties in your love life, or looking for a way to heal past trauma, I will customize an individualized plan for your goals and needs. I’ve combined my clinical skills with a coaching approach that allows me to be more hands-on and directive for a fast paced, results driven process.
I specialize in working with individuals who are struggling with relationship issues, anxiety, trauma, or disordered eating. Whether you’re going through a challenging personal transition, experiencing difficulties in your love life, or looking for a way to heal past trauma, I will customize an individualized plan for your goals and needs. I’ve combined my clinical skills with a coaching approach that allows me to be more hands-on and directive for a fast paced, results driven process.
(713) 859-2878 View (713) 859-2878
Photo of Anne King, Clinical Social Work/Therapist in Houston, TX
Anne King
Clinical Social Work/Therapist, LCSW
Verified Verified
Houston, TX 77080  (Online Only)
At The Integrated Self, PLLC, I value the opportunity to work as a queer-informed, Substance Use and Mental & Behavioral Health therapist. My primary areas of focus are LGBTQIA+ related issues, working with folx in recovery from substance abuse, and supporting parents of adolescents and young adults. I work with a diverse group of clients who are motivated to develop the skills necessary for coping with issues including depression, anxiety, mood disorders, history of trauma, adjustment to life changes, and difficulty maintaining healthy relationships.
At The Integrated Self, PLLC, I value the opportunity to work as a queer-informed, Substance Use and Mental & Behavioral Health therapist. My primary areas of focus are LGBTQIA+ related issues, working with folx in recovery from substance abuse, and supporting parents of adolescents and young adults. I work with a diverse group of clients who are motivated to develop the skills necessary for coping with issues including depression, anxiety, mood disorders, history of trauma, adjustment to life changes, and difficulty maintaining healthy relationships.
(832) 802-7828 View (832) 802-7828
Photo of Maricela Medrano, Clinical Social Work/Therapist in Houston, TX
Maricela Medrano
Clinical Social Work/Therapist
Verified Verified
Houston, TX 77002  (Online Only)
Do you feel like you are being pulled in many directions? Are you struggling to keep it all together or find a balance?
Do you feel like you are being pulled in many directions? Are you struggling to keep it all together or find a balance?
(346) 482-2718 View (346) 482-2718
Photo of Jeanetta Henderson, Licensed Professional Counselor in Houston, TX
Jeanetta Henderson
Licensed Professional Counselor, LPC
Verified Verified
Houston, TX 77076
I have enjoyed spending my life living, working, and mentoring in multicultural environments in the US, Europe, Africa, and Asia. My counseling experience expands by 40 years. I received my bachelor’s and master of Arts degrees from Dallas Baptist University. I am a Licensed Professional Counselor and have completed 50 hours of Trauma training and 40 hours of Certified First Responder Counselor Training certificate programs. In my experience, the challenges in our relationships result from shame, fear, wounds, trauma, unrealistic expectations, or any combination of these.
I have enjoyed spending my life living, working, and mentoring in multicultural environments in the US, Europe, Africa, and Asia. My counseling experience expands by 40 years. I received my bachelor’s and master of Arts degrees from Dallas Baptist University. I am a Licensed Professional Counselor and have completed 50 hours of Trauma training and 40 hours of Certified First Responder Counselor Training certificate programs. In my experience, the challenges in our relationships result from shame, fear, wounds, trauma, unrealistic expectations, or any combination of these.
(281) 688-2882 View (281) 688-2882
Photo of Deborah M Lee, Licensed Professional Counselor in Houston, TX
Deborah M Lee
Licensed Professional Counselor, MA, LPC, NCC
Verified Verified
1 Endorsed
Houston, TX 77095  (Online Only)
"It may be that when we no longer know what to do, we have come to our real work; and when we no longer know which way to go, we have begun our real journey." (Wendell Berry) Relationships can be tricky, be it as a spouse, partner, parent, friend...Parenting a teenager and being a teenager can be difficult and trying at times. If you are feeling frustrated, concerned, angry, or overwhelmed, call me. Let me help you , your family, and loved one find peace and harmony. Life doesn't have to be a struggle...let it be a journey of discovery, enlightenment and enrichment.
"It may be that when we no longer know what to do, we have come to our real work; and when we no longer know which way to go, we have begun our real journey." (Wendell Berry) Relationships can be tricky, be it as a spouse, partner, parent, friend...Parenting a teenager and being a teenager can be difficult and trying at times. If you are feeling frustrated, concerned, angry, or overwhelmed, call me. Let me help you , your family, and loved one find peace and harmony. Life doesn't have to be a struggle...let it be a journey of discovery, enlightenment and enrichment.
(210) 987-9343 View (210) 987-9343
Photo of Robin Stokes Exum, Licensed Professional Counselor in Houston, TX
Robin Stokes Exum
Licensed Professional Counselor, MEd , LPC-S, LCDC, NCC
Verified Verified
1 Endorsed
Houston, TX 77008
The "Men's Anger Management Program" begins with me meeting with the Man alone or Man and his Partner for an hour screening session. Robin Exum M.Ed., LPC-S, LCDC, NCC is trained to help all his clients overcome all abusive behavior, beginning with anger & rage, control and blame and selfish demands. At the Houston Center for Training & Supervision, Robin aims to help couples work through differences in a manner that honors the wellbeing of each individual as a whole. The initial screening is $185.00. The 8 sessions are $175.00 each payable in two payments of $700.00.
The "Men's Anger Management Program" begins with me meeting with the Man alone or Man and his Partner for an hour screening session. Robin Exum M.Ed., LPC-S, LCDC, NCC is trained to help all his clients overcome all abusive behavior, beginning with anger & rage, control and blame and selfish demands. At the Houston Center for Training & Supervision, Robin aims to help couples work through differences in a manner that honors the wellbeing of each individual as a whole. The initial screening is $185.00. The 8 sessions are $175.00 each payable in two payments of $700.00.
(281) 800-5590 View (281) 800-5590
Photo of Barbara Martin, Clinical Social Work/Therapist in Houston, TX
Barbara Martin
Clinical Social Work/Therapist, LCSW
Verified Verified
2 Endorsed
Houston, TX 77084
Whether your present life feels unmanageable, or past hurtful experiences are still causing you pain, there is hope. Reaching out for help is the first step to making positive changes in your life. My goal is to provide you with a safe, supportive, non-judgmental space in which you can share, explore, and achieve greater self-awareness. Together, we will build on the strengths you already possess to help you grow and find balance. My style of therapy is much like a partnership; I feel it is a privilege to be able to join you in your journey.
Whether your present life feels unmanageable, or past hurtful experiences are still causing you pain, there is hope. Reaching out for help is the first step to making positive changes in your life. My goal is to provide you with a safe, supportive, non-judgmental space in which you can share, explore, and achieve greater self-awareness. Together, we will build on the strengths you already possess to help you grow and find balance. My style of therapy is much like a partnership; I feel it is a privilege to be able to join you in your journey.
(832) 789-5361 View (832) 789-5361

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.