Therapists in Houston, TX

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Photo of Brett Bergvall, Licensed Professional Counselor in Houston, TX
Brett Bergvall
Licensed Professional Counselor, LPC-S
Verified Verified
Houston, TX 77058
The ideal client is one that desires a change in their life and are hoping/striving for solutions to the challenges they are facing. They desire the therapeutic process and value its benefits while being willing to incorporate the changes needed to overcome the issue which is present. Realizing that they are faced with a problem, they set out to work through this issue and utilize their strengths as a person to cope and seek results. Brett is a Certified Anger Resolution Therapist.
The ideal client is one that desires a change in their life and are hoping/striving for solutions to the challenges they are facing. They desire the therapeutic process and value its benefits while being willing to incorporate the changes needed to overcome the issue which is present. Realizing that they are faced with a problem, they set out to work through this issue and utilize their strengths as a person to cope and seek results. Brett is a Certified Anger Resolution Therapist.
(281) 549-4705 View (281) 549-4705
Photo of Taylor Marie Carter, Clinical Social Work/Therapist in Houston, TX
Taylor Marie Carter
Clinical Social Work/Therapist, LCSW
Verified Verified
1 Endorsed
Houston, TX 77006
I'm thrilled to share a bit about my journey with you. I'm originally from Illinois, and I earned my Bachelor of Arts in Psychology from New York University and then continued my educational adventure at Columbia University, where I obtained my Masters in Social Work. Over the past few years, I've had the incredible privilege of working in a variety of settings, from the lively halls of schools to the busy corridors of hospitals. Most recently, I've been shining my therapeutic light in private practice. I absolutely adore working with people, spanning from the tiniest tots to the wisest parents.
I'm thrilled to share a bit about my journey with you. I'm originally from Illinois, and I earned my Bachelor of Arts in Psychology from New York University and then continued my educational adventure at Columbia University, where I obtained my Masters in Social Work. Over the past few years, I've had the incredible privilege of working in a variety of settings, from the lively halls of schools to the busy corridors of hospitals. Most recently, I've been shining my therapeutic light in private practice. I absolutely adore working with people, spanning from the tiniest tots to the wisest parents.
(512) 714-3403 View (512) 714-3403
Photo of Morgan Brittany Draper, Licensed Professional Counselor Associate in Houston, TX
Morgan Brittany Draper
Licensed Professional Counselor Associate, MA
Verified Verified
2 Endorsed
Houston, TX 77098
My ideal clients are children, teens, and adults who are struggling with feelings of worry, isolation, worthlessness, and hopelessness. Clients who want to work to develop goals in order to better their mental health and overall well-being. Clients should be motivated and ready to work, as well as, be open-minded, flexible, and adaptable. Change is a process, but it is necessary to make progress. From our sessions, my client will be encouraged to focus on what motivates them for change rather than what discourages them.
My ideal clients are children, teens, and adults who are struggling with feelings of worry, isolation, worthlessness, and hopelessness. Clients who want to work to develop goals in order to better their mental health and overall well-being. Clients should be motivated and ready to work, as well as, be open-minded, flexible, and adaptable. Change is a process, but it is necessary to make progress. From our sessions, my client will be encouraged to focus on what motivates them for change rather than what discourages them.
(832) 307-3635 View (832) 307-3635
Photo of Treasa Mitchell, Licensed Professional Counselor in Houston, TX
Treasa Mitchell
Licensed Professional Counselor, MS, LPC, LMFT
Verified Verified
Houston, TX 77058
Whether you're seeking counseling for marriage or family issues, depression, anxiety, behavior issues, clinical diagnosis, court ordered domestic violence classes, family divorce, decree modification mediation, or any number of other life issues; I am here to help. I have numerous years of experience counseling youth, families, and individuals through Houston Galveston Institute, the Covenant House, West Oaks Psychiatry Hospital, Shiloh Residential Treatment Facility, Riverside General Hospital PHP, St. Michael's Hospital PHP, Behavioral Medicine Houston, Greater Houston Psyc Associates, and private practice at Tabono CMC.
Whether you're seeking counseling for marriage or family issues, depression, anxiety, behavior issues, clinical diagnosis, court ordered domestic violence classes, family divorce, decree modification mediation, or any number of other life issues; I am here to help. I have numerous years of experience counseling youth, families, and individuals through Houston Galveston Institute, the Covenant House, West Oaks Psychiatry Hospital, Shiloh Residential Treatment Facility, Riverside General Hospital PHP, St. Michael's Hospital PHP, Behavioral Medicine Houston, Greater Houston Psyc Associates, and private practice at Tabono CMC.
(832) 742-6462 View (832) 742-6462
Photo of Angela L. Jones, Licensed Professional Counselor in Houston, TX
Angela L. Jones
Licensed Professional Counselor, PhD, LPC, CST-C
Verified Verified
4 Endorsed
Houston, TX 77055
Ever felt like the answer you're seeking is closer than you think? I believe just that - that you hold the key to your own fulfillment. It's the guiding principle behind my therapeutic approach. Picture us as teammates in your journey of self-discovery, reconnection, and purposeful living. Together, we'll forge a bond built on trust and respect, creating a space where your voice resonates, and your needs are paramount. My focus? Connecting your past to your present, problem-solving, & fostering healthy choices. I addition, I'm currently a Certified Sex Therapy Candidate at the esteemed Texas Sex Therapy Institute.
Ever felt like the answer you're seeking is closer than you think? I believe just that - that you hold the key to your own fulfillment. It's the guiding principle behind my therapeutic approach. Picture us as teammates in your journey of self-discovery, reconnection, and purposeful living. Together, we'll forge a bond built on trust and respect, creating a space where your voice resonates, and your needs are paramount. My focus? Connecting your past to your present, problem-solving, & fostering healthy choices. I addition, I'm currently a Certified Sex Therapy Candidate at the esteemed Texas Sex Therapy Institute.
(281) 947-3915 View (281) 947-3915
Photo of LaToya Martin-Jackson, Licensed Professional Counselor in Houston, TX
LaToya Martin-Jackson
Licensed Professional Counselor, MA, LPC-S, NCC
Verified Verified
6 Endorsed
Houston, TX 77095
Have you made a decision to transform your life, but you feel stuck or you do not know where to begin? Life can be filled with challenges and disappointments that affect our state of mind. The good news is that we are born with the potential for excellence and possess the inner strength necessary to make changes. Therapy is a healing process and my approach is specifically tailored to meet your individual needs. As a Licensed Professional Counselor Supervisor , I look forward to assisting you in identifying and expressing your inner strengths and potential required to overcome life's obstacles.
Have you made a decision to transform your life, but you feel stuck or you do not know where to begin? Life can be filled with challenges and disappointments that affect our state of mind. The good news is that we are born with the potential for excellence and possess the inner strength necessary to make changes. Therapy is a healing process and my approach is specifically tailored to meet your individual needs. As a Licensed Professional Counselor Supervisor , I look forward to assisting you in identifying and expressing your inner strengths and potential required to overcome life's obstacles.
(281) 886-3681 View (281) 886-3681
Photo of Rolando Pena, Licensed Professional Counselor Associate in Houston, TX
Rolando Pena
Licensed Professional Counselor Associate, MS, NCC
Verified Verified
3 Endorsed
Houston, TX 77092
Life is complex, and it can also be overwhelming. You may feel stuck, or as if you are caught between two, or more, strong forces pulling you in different directions. I believe therapy can be a potent, collaborative process in which we can work together to untangle the different components of your concerns, to sit in tension with these components without becoming overwhelmed, and to restore peace in your life. I enjoy working with all issues affected by social identities, such as gender and sexuality, and I specialize in men's issues.
Life is complex, and it can also be overwhelming. You may feel stuck, or as if you are caught between two, or more, strong forces pulling you in different directions. I believe therapy can be a potent, collaborative process in which we can work together to untangle the different components of your concerns, to sit in tension with these components without becoming overwhelmed, and to restore peace in your life. I enjoy working with all issues affected by social identities, such as gender and sexuality, and I specialize in men's issues.
(832) 906-4646 View (832) 906-4646
Photo of Jack Henderson, Licensed Professional Counselor in Houston, TX
Jack Henderson
Licensed Professional Counselor, LPC-S, LMFT-S, LCDC, NCC
Verified Verified
Houston, TX 77054
I have years of experience in counseling, including marriage and family. I have a love for pastoral care and counseling as well as addiction counseling. I am always interested in innovative ways to help my clients and in that endeavor I have a certification in AcuDetox an acupuncture program that assists people with addiction. I am also board-certified in both clinical hypnosis for addiction, smoking cessation, and weight loss and have received EMDR training for trauma.
I have years of experience in counseling, including marriage and family. I have a love for pastoral care and counseling as well as addiction counseling. I am always interested in innovative ways to help my clients and in that endeavor I have a certification in AcuDetox an acupuncture program that assists people with addiction. I am also board-certified in both clinical hypnosis for addiction, smoking cessation, and weight loss and have received EMDR training for trauma.
(281) 336-8907 View (281) 336-8907
Photo of Malihe Salari, Marriage & Family Therapist in Houston, TX
Malihe Salari
Marriage & Family Therapist, LMFT
Verified Verified
Houston, TX 77002  (Online Only)
Hi, I'm Mali. Do you feel you cannot continue your life as it is? Maybe change is necessary because you have hit rock bottom? Or are you simply seeking someone to help you navigate and discuss your thoughts and emotions?
Hi, I'm Mali. Do you feel you cannot continue your life as it is? Maybe change is necessary because you have hit rock bottom? Or are you simply seeking someone to help you navigate and discuss your thoughts and emotions?
(713) 936-5994 View (713) 936-5994
Photo of Thalia Puente, Clinical Social Work/Therapist in Houston, TX
Thalia Puente
Clinical Social Work/Therapist, LCSW
Verified Verified
1 Endorsed
Houston, TX 77065  (Online Only)
I am so excited that you have taken the steps to dive into therapy and invest in yourself! I am a bilingual, Licensed Clinical Social Worker and have been working in the mental health field for more than 9 years. I specialize in working with adolescents and their families as well as young adults. I have worked in a variety of settings including outpatient, residential treatment, psychiatric hospitals, and schools which have all prepared me to work with a wide range of mental health problems and diagnosis. I specifically specialize in working with individuals struggling with eating disorders, depression, anxiety, and trauma.
I am so excited that you have taken the steps to dive into therapy and invest in yourself! I am a bilingual, Licensed Clinical Social Worker and have been working in the mental health field for more than 9 years. I specialize in working with adolescents and their families as well as young adults. I have worked in a variety of settings including outpatient, residential treatment, psychiatric hospitals, and schools which have all prepared me to work with a wide range of mental health problems and diagnosis. I specifically specialize in working with individuals struggling with eating disorders, depression, anxiety, and trauma.
(281) 984-5367 View (281) 984-5367
Photo of Whitney A Hosey, Clinical Social Work/Therapist in Houston, TX
Whitney A Hosey
Clinical Social Work/Therapist, LCSW
Verified Verified
3 Endorsed
Houston, TX 77069
Has life been feeling overwhelming ? Does it feel like no one understands or has the time to listen? If the answer is yes, I’m here to help. Life can throw you curve balls that can affect so many areas of your daily functioning, however with the right support and interventions you can get back to embracing some of the joys life can bring. My specialties include working with persons experiencing depression, anxiety, mood disorder, symptoms related to post traumatic stress disorder and life changes at work and home.
Has life been feeling overwhelming ? Does it feel like no one understands or has the time to listen? If the answer is yes, I’m here to help. Life can throw you curve balls that can affect so many areas of your daily functioning, however with the right support and interventions you can get back to embracing some of the joys life can bring. My specialties include working with persons experiencing depression, anxiety, mood disorder, symptoms related to post traumatic stress disorder and life changes at work and home.
(713) 903-8203 View (713) 903-8203
Photo of Julie Cunningham, Clinical Social Work/Therapist in Houston, TX
Julie Cunningham
Clinical Social Work/Therapist, LCSW, LCDC
Verified Verified
Houston, TX 77006
I am a long-time veteran in the behavioral and mental health professional community. It is my mission to change the way we view relationships and how we treat the individuals who are affected by addiction and mental health issues. For over 25 years, I have been helping individuals, couples, and families who are interested in creating lasting positive change. I use a combination of evidence-based approaches which are client-centered. By having a rich body of experience, I am able to connect with and create relationships with clients that are authentic.
I am a long-time veteran in the behavioral and mental health professional community. It is my mission to change the way we view relationships and how we treat the individuals who are affected by addiction and mental health issues. For over 25 years, I have been helping individuals, couples, and families who are interested in creating lasting positive change. I use a combination of evidence-based approaches which are client-centered. By having a rich body of experience, I am able to connect with and create relationships with clients that are authentic.
(832) 966-3839 View (832) 966-3839
Photo of Lind Butler, Licensed Professional Counselor in Houston, TX
Lind Butler
Licensed Professional Counselor, MEd, LPC
Verified Verified
Houston, TX 77030  (Online Only)
Waitlist for new clients
Therapy is a partnership that grows in an atmosphere of safety and acceptance. It allows one to rediscover the parts of selves which may have been disowned; to learn new skills to handle grief and distress; to build healthier, more nurturing relationships; and to gain access to one's own direct experience of the world. I nurture this collaboration with clients and recognize that within each of us there exists a deeper wisdom that, given adequate support, naturally moves toward healing and integration.
Therapy is a partnership that grows in an atmosphere of safety and acceptance. It allows one to rediscover the parts of selves which may have been disowned; to learn new skills to handle grief and distress; to build healthier, more nurturing relationships; and to gain access to one's own direct experience of the world. I nurture this collaboration with clients and recognize that within each of us there exists a deeper wisdom that, given adequate support, naturally moves toward healing and integration.
(713) 338-9247 View (713) 338-9247
Photo of Michael C. Thompson, Licensed Professional Counselor in Houston, TX
Michael C. Thompson
Licensed Professional Counselor, MA, LPC
Verified Verified
Houston, TX 77002  (Online Only)
Empowering Your Journey to Mental Well-Being: I am a Licensed Professional Counselor (LPC) with over ten years of experience assisting individuals and couples in navigating difficult times. I believe in the power of personal autonomy and self-determination, and my mission is to assist you in attaining optimal mental health, emotional well-being, and personal empowerment. I create a safe space in therapy for you to freely explore your thoughts and feelings, discover your strengths, and overcome any obstacles in your path.
Empowering Your Journey to Mental Well-Being: I am a Licensed Professional Counselor (LPC) with over ten years of experience assisting individuals and couples in navigating difficult times. I believe in the power of personal autonomy and self-determination, and my mission is to assist you in attaining optimal mental health, emotional well-being, and personal empowerment. I create a safe space in therapy for you to freely explore your thoughts and feelings, discover your strengths, and overcome any obstacles in your path.
(512) 200-2256 View (512) 200-2256
Photo of Corissa Barrow, Marriage & Family Therapist Associate in Houston, TX
Corissa Barrow
Marriage & Family Therapist Associate, MA, LMFT-A
Verified Verified
1 Endorsed
Houston, TX 77098
Have there been things that you wish you could talk about with friends and loved ones, but just don’t feel comfortable? Maybe you started to push your feelings aside and now find yourself having low self-esteem, feeling down, angry, and resentful. Whether it is anxiety, depression, communication, intimacy, infidelity, work-life balance, all the above, or none of the above, you just want relief. As a psychotherapist my work is driven by the deeply held belief that change is possible and your current circumstances do not have to dictate your future. My aim for you is to feel accepted, understood and empowered.
Have there been things that you wish you could talk about with friends and loved ones, but just don’t feel comfortable? Maybe you started to push your feelings aside and now find yourself having low self-esteem, feeling down, angry, and resentful. Whether it is anxiety, depression, communication, intimacy, infidelity, work-life balance, all the above, or none of the above, you just want relief. As a psychotherapist my work is driven by the deeply held belief that change is possible and your current circumstances do not have to dictate your future. My aim for you is to feel accepted, understood and empowered.
(832) 246-7601 View (832) 246-7601
Photo of Sonja Harrison, Clinical Social Work/Therapist in Houston, TX
Sonja Harrison
Clinical Social Work/Therapist, LCSW
Verified Verified
Houston, TX 77004  (Online Only)
I believe that everyone has the capacity to accomplish their goals. My role is to help you uncover and understand the obstacles and trauma that are getting in the way of achieving what you desire, and then help you tap into your inner resources to succeed. With empathy and authenticity, I work alongside my clients to promote healing and discovery of their power to change. Whether you are experiencing symptoms related to anxiety, depression, grief and loss; problems with relationships, parenting, or self-esteem; or a general sense of disconnectedness – whatever it is – I recognize that therapy is self-work, and it's not easy.
I believe that everyone has the capacity to accomplish their goals. My role is to help you uncover and understand the obstacles and trauma that are getting in the way of achieving what you desire, and then help you tap into your inner resources to succeed. With empathy and authenticity, I work alongside my clients to promote healing and discovery of their power to change. Whether you are experiencing symptoms related to anxiety, depression, grief and loss; problems with relationships, parenting, or self-esteem; or a general sense of disconnectedness – whatever it is – I recognize that therapy is self-work, and it's not easy.
(713) 257-9341 View (713) 257-9341
Photo of LaTonya Anderson, Licensed Professional Counselor in Houston, TX
LaTonya Anderson
Licensed Professional Counselor, MA, LPC
Verified Verified
2 Endorsed
Houston, TX 77024  (Online Only)
Therapy should be a safe place where you can open up and speak freely and honestly. If you feel that your daily life is a struggle, I will work with you to help you understand your issues and help you discover new ways to cope. I can help you create the life you are meant to live with your family, your marriage, and even personally. If you are struggling with a divorce or loss, then psychotherapy is the first step to your next chapter in life. My approach is flexible and active. My techniques stem from formal education and real life experiences.
Therapy should be a safe place where you can open up and speak freely and honestly. If you feel that your daily life is a struggle, I will work with you to help you understand your issues and help you discover new ways to cope. I can help you create the life you are meant to live with your family, your marriage, and even personally. If you are struggling with a divorce or loss, then psychotherapy is the first step to your next chapter in life. My approach is flexible and active. My techniques stem from formal education and real life experiences.
(832) 564-3433 View (832) 564-3433
Photo of Dorothy Tiedt, Licensed Professional Counselor in Houston, TX
Dorothy Tiedt
Licensed Professional Counselor, MS, LPC
Verified Verified
Houston, TX 77042
We all have the ability to overcome the obstacles that keep us experiencing joy and from reaching our desired goals. I can help my clients work through issues of anger, anxiety, grief,depression, or just feeling stuck. I work with all ages and all relationship issues while providing a safe and nurturing enviornment. I try hard to listen to what my client's needs are and actually meet them where they are. That is where our journey begins.
We all have the ability to overcome the obstacles that keep us experiencing joy and from reaching our desired goals. I can help my clients work through issues of anger, anxiety, grief,depression, or just feeling stuck. I work with all ages and all relationship issues while providing a safe and nurturing enviornment. I try hard to listen to what my client's needs are and actually meet them where they are. That is where our journey begins.
(713) 338-9195 View (713) 338-9195
Photo of Julie Attalla, LPC Intern in Houston, TX
Julie Attalla
LPC Intern
Verified Verified
1 Endorsed
Houston, TX 77079
Not accepting new clients
I want to lend you an ear and guide you through your emotions. Sometimes our thoughts are so jumbled up we don’t know how to put our emotions into words, and it’s tough to ask for help. Let’s work together towards achieving your mental health goals. I will do my best to listen and provide a helpful perspective.
I want to lend you an ear and guide you through your emotions. Sometimes our thoughts are so jumbled up we don’t know how to put our emotions into words, and it’s tough to ask for help. Let’s work together towards achieving your mental health goals. I will do my best to listen and provide a helpful perspective.
(832) 621-4214 View (832) 621-4214
Photo of Jennifer Nicole Oates, LPC-Associate in Houston, TX
Jennifer Nicole Oates
LPC-Associate, MS, LPC-A
Verified Verified
Houston, TX 77006
I incorporate trauma-informed mindfulness practices such as brainspotting, as well as solution-focused techniques into my work with clients to make sure that the root of each therapeutic issue is addressed and you can track your own progress in therapy over time via goal-setting. I also have formal training in Motivational Interviewing (MI).
I incorporate trauma-informed mindfulness practices such as brainspotting, as well as solution-focused techniques into my work with clients to make sure that the root of each therapeutic issue is addressed and you can track your own progress in therapy over time via goal-setting. I also have formal training in Motivational Interviewing (MI).
(832) 346-8276 x542 View (832) 346-8276 x542

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.