Therapists in Houston, TX

View neighborhoods in Houston
Photo of Rebecca Self, Licensed Professional Counselor in Houston, TX
Rebecca Self
Licensed Professional Counselor, LPC, RPT
Verified Verified
6 Endorsed
Houston, TX 77018
Your child or tween is described by teachers, coaches, and other adults as a pleasure to work with, but at home, you know they're struggling. They put so much pressure on themselves to be perfect, despite your reassurances. You're constantly soothing their worries or anxiety and they might be crying or having trouble sleeping at night. They always seem to see the worst in themselves or have low self esteem and you know they’re capable of so much more. You’ve read the parenting books and blogs, listened to the podcasts, and nothing is working. It’s exhausting! As a play therapist and mom myself, I get it!
Your child or tween is described by teachers, coaches, and other adults as a pleasure to work with, but at home, you know they're struggling. They put so much pressure on themselves to be perfect, despite your reassurances. You're constantly soothing their worries or anxiety and they might be crying or having trouble sleeping at night. They always seem to see the worst in themselves or have low self esteem and you know they’re capable of so much more. You’ve read the parenting books and blogs, listened to the podcasts, and nothing is working. It’s exhausting! As a play therapist and mom myself, I get it!
(832) 219-8438 View (832) 219-8438
Photo of Randi Waller, Licensed Professional Counselor in Houston, TX
Randi Waller
Licensed Professional Counselor, MEd, LPC
Verified Verified
4 Endorsed
Houston, TX 77079  (Online Only)
It's tough being a human. We are faced with many challenges that we don't feel equipped to handle. Often times we feel isolated and lonely in our lives and find meaningful relationships to be a challenge. I'm here to help you figure out what's getting in the way of having a life that brings you peace with yourself as well as what may be interfering with having deep relationships with others. You don't have to figure it out alone or suffer in silence.
It's tough being a human. We are faced with many challenges that we don't feel equipped to handle. Often times we feel isolated and lonely in our lives and find meaningful relationships to be a challenge. I'm here to help you figure out what's getting in the way of having a life that brings you peace with yourself as well as what may be interfering with having deep relationships with others. You don't have to figure it out alone or suffer in silence.
(281) 519-3282 View (281) 519-3282
Photo of Kyran Ray, Licensed Professional Counselor in Houston, TX
Kyran Ray
Licensed Professional Counselor, MS, LPC, LMHC, NCC
Verified Verified
3 Endorsed
Houston, TX 77007
Not accepting new clients
You deserve peace. We all face challenges in life. And we all need assistance at some point. Are you currently struggling with a major change in your life? Do you ever find yourself worried about how to handle this change? Have you experienced situations that are stopping you from living peacefully within yourself? Do you feel misunderstood? Are you discovering who you are? If you are looking to keep your peace throughout life's journey while working on self-identity, I am here to help. I work with individuals in both Texas and Hawaii!
You deserve peace. We all face challenges in life. And we all need assistance at some point. Are you currently struggling with a major change in your life? Do you ever find yourself worried about how to handle this change? Have you experienced situations that are stopping you from living peacefully within yourself? Do you feel misunderstood? Are you discovering who you are? If you are looking to keep your peace throughout life's journey while working on self-identity, I am here to help. I work with individuals in both Texas and Hawaii!
(254) 232-6441 View (254) 232-6441
Photo of Christine Okon, Licensed Professional Counselor Associate in Houston, TX
Christine Okon
Licensed Professional Counselor Associate, LPC-A
Verified Verified
1 Endorsed
Houston, TX 77079
Not accepting new clients
Is everything feeling just a bit too heavy at the moment? Are you feeling… A nonstop sense of pressure to keep on going? Powerless about your choices in life? Obligated, guilty, or even ashamed about the way you feel about your loved ones? It’s tricky and being a first-generation counselor myself, I get it – A sense of straddling two worlds. You can’t seem to make decisions rooted in what you truly “want”; only from places of “should” and what others want. Well your emotions aren't invalid! They’re likely signaling your true wants and needs aren’t being met.
Is everything feeling just a bit too heavy at the moment? Are you feeling… A nonstop sense of pressure to keep on going? Powerless about your choices in life? Obligated, guilty, or even ashamed about the way you feel about your loved ones? It’s tricky and being a first-generation counselor myself, I get it – A sense of straddling two worlds. You can’t seem to make decisions rooted in what you truly “want”; only from places of “should” and what others want. Well your emotions aren't invalid! They’re likely signaling your true wants and needs aren’t being met.
(346) 788-5293 View (346) 788-5293
Photo of Erin Provost, Licensed Professional Counselor in Houston, TX
Erin Provost
Licensed Professional Counselor, MS, LPC-S
Verified Verified
1 Endorsed
Houston, TX 77058
Have things become harder for you to handle lately? Are you struggling with managing your emotions? Often the ways we've been coping no longer work and it becomes necessary to develop better ways of handling our emotions. Fortunately, you don't have to work through it alone.
Have things become harder for you to handle lately? Are you struggling with managing your emotions? Often the ways we've been coping no longer work and it becomes necessary to develop better ways of handling our emotions. Fortunately, you don't have to work through it alone.
(325) 603-9322 View (325) 603-9322
Photo of Brett S. Needham, Clinical Social Work/Therapist in Houston, TX
Brett S. Needham
Clinical Social Work/Therapist, PhD, LCSW
Verified Verified
Houston, TX 77024
Asking for help can be difficult, but is a sure sign of strength. Finding the right therapist is the first step in getting the help you need. If you are struggling with depression, anxiety, substance abuse/addiction, or trauma related issues, or are having trouble managing your emotions and relationships, I can help. I have just short of twenty years experience collaborating with clients to find solutions for areas of difficulty in their life as well as helping them identify and cultivate their own strengths. I am eager to meet with you to develop your own, unique treatment plan.
Asking for help can be difficult, but is a sure sign of strength. Finding the right therapist is the first step in getting the help you need. If you are struggling with depression, anxiety, substance abuse/addiction, or trauma related issues, or are having trouble managing your emotions and relationships, I can help. I have just short of twenty years experience collaborating with clients to find solutions for areas of difficulty in their life as well as helping them identify and cultivate their own strengths. I am eager to meet with you to develop your own, unique treatment plan.
(832) 900-3142 View (832) 900-3142
Photo of Jessica Flores, Licensed Professional Counselor in Houston, TX
Jessica Flores
Licensed Professional Counselor
Verified Verified
Houston, TX 77024
When you come into my office I emphasize the importance that my room is your safe place. I do not want to add to your pain. Let's define your meaning of safety, and how to implement it in your daily life. I want our relationship to model what you aspire your other relationships to look like; setting boundaries, expressing your emotions, and validation of your feelings. I have deliberately seeked a variety of opportunities to shape and hone my abilities to become a licensed counselor.
When you come into my office I emphasize the importance that my room is your safe place. I do not want to add to your pain. Let's define your meaning of safety, and how to implement it in your daily life. I want our relationship to model what you aspire your other relationships to look like; setting boundaries, expressing your emotions, and validation of your feelings. I have deliberately seeked a variety of opportunities to shape and hone my abilities to become a licensed counselor.
(713) 547-5949 View (713) 547-5949
Photo of Alejandro Galindo, Marriage & Family Therapist in Houston, TX
Alejandro Galindo
Marriage & Family Therapist, LMFT
Verified Verified
Houston, TX 77006  (Online Only)
Alejandra Galindo is a Licensed Marriage and Family Therapist in the state of Texas with 7 years of experience working with individuals, couples, and families. Alejandra has worked with clients to help them navigate their trauma, depression, anxiety, relationship issues and much more. After graduating from John Jay College of Criminal Justice with a Bachelor of Arts in Forensic Psychology in New York City, Alejandra decided to continue her education in Texas. Alejandra graduated with her Master of Arts in Family Therapy from the University of Houston- Clear Lake.
Alejandra Galindo is a Licensed Marriage and Family Therapist in the state of Texas with 7 years of experience working with individuals, couples, and families. Alejandra has worked with clients to help them navigate their trauma, depression, anxiety, relationship issues and much more. After graduating from John Jay College of Criminal Justice with a Bachelor of Arts in Forensic Psychology in New York City, Alejandra decided to continue her education in Texas. Alejandra graduated with her Master of Arts in Family Therapy from the University of Houston- Clear Lake.
(346) 214-1828 View (346) 214-1828
Photo of Kathleen Moore, Licensed Professional Counselor in Houston, TX
Kathleen Moore
Licensed Professional Counselor, LPC
Verified Verified
Houston, TX 77002  (Online Only)
I am a Licensed Professional Counselor/Supervisor in Texas. I have extensive experience implementing therapeutic interventions across various settings, including private practice, school districts, inpatient psychiatric hospitals, Federally Qualified Health Care Centers, Community Mental Health Care, and nonprofit organizational conferences focused on promoting Resiliency and Empowerment. My certifications, trainings, and education encompass a range of specialties, including Cognitive Behavioral Therapy for Depression and Anxiety, Cognitive Processing Therapy for Trauma, and Board Certification in Dance/Movement therapy.
I am a Licensed Professional Counselor/Supervisor in Texas. I have extensive experience implementing therapeutic interventions across various settings, including private practice, school districts, inpatient psychiatric hospitals, Federally Qualified Health Care Centers, Community Mental Health Care, and nonprofit organizational conferences focused on promoting Resiliency and Empowerment. My certifications, trainings, and education encompass a range of specialties, including Cognitive Behavioral Therapy for Depression and Anxiety, Cognitive Processing Therapy for Trauma, and Board Certification in Dance/Movement therapy.
(346) 489-6842 View (346) 489-6842
Photo of Dinesh Shrestha, Licensed Professional Counselor in Houston, TX
Dinesh Shrestha
Licensed Professional Counselor, LPC
Verified Verified
Houston, TX 77002  (Online Only)
I am a Licenced Professional Counselor (LPC) and Licensed Chemical Dependency Counselor(LCDC-I). I have been working with clients from different settings; hospitals, school and clinical, and with clients dealing with a wide range of mental health issues.
I am a Licenced Professional Counselor (LPC) and Licensed Chemical Dependency Counselor(LCDC-I). I have been working with clients from different settings; hospitals, school and clinical, and with clients dealing with a wide range of mental health issues.
(832) 793-9544 View (832) 793-9544
Photo of Juliet Duralde, LPC Intern in Houston, TX
Juliet Duralde
LPC Intern, MA, LPC-A
Verified Verified
2 Endorsed
Houston, TX 77077
I work with children and parents struggling with symptoms of anxiety, ADHD, trauma, and attachment. To meet the needs of my young clients, I incorporate several play-based modalities into my practice including Theraplay (parent & child), child-centered play therapy, and cognitive behavioral play therapy. For my clients under 18, I take a family systems approach in my care by requiring regular parent and guardian meetings. With children, teens, and adults, I use Accelerated Resolution Therapy (ART) to treat a variety of issues including post-traumatic stress, specific phobias, anxiety, depression, and more.
I work with children and parents struggling with symptoms of anxiety, ADHD, trauma, and attachment. To meet the needs of my young clients, I incorporate several play-based modalities into my practice including Theraplay (parent & child), child-centered play therapy, and cognitive behavioral play therapy. For my clients under 18, I take a family systems approach in my care by requiring regular parent and guardian meetings. With children, teens, and adults, I use Accelerated Resolution Therapy (ART) to treat a variety of issues including post-traumatic stress, specific phobias, anxiety, depression, and more.
(281) 626-8121 View (281) 626-8121
Photo of Diane C. Lamberson, Clinical Social Work/Therapist in Houston, TX
Diane C. Lamberson
Clinical Social Work/Therapist, LCSW-S
Verified Verified
Houston, TX 77098
Waitlist for new clients
3/6/24 - NOTE - the Change Healthcare outage is delaying appointments for those using insurance by 2 weeks. When experiencing difficult times we may feel afflicted, crushed, perplexed, forsaken, or even destroyed inside. Sometimes it’s hard to see the way through or what the next steps should be. The good news is you don’t have to walk these steps alone. Safely sharing with someone you can trust and who will listen without judgment helps to regain or maintain your footing. I consider it sacred and an honor to work with people during challenging times in their lives or offer a safe space for continued reflection and growth.
3/6/24 - NOTE - the Change Healthcare outage is delaying appointments for those using insurance by 2 weeks. When experiencing difficult times we may feel afflicted, crushed, perplexed, forsaken, or even destroyed inside. Sometimes it’s hard to see the way through or what the next steps should be. The good news is you don’t have to walk these steps alone. Safely sharing with someone you can trust and who will listen without judgment helps to regain or maintain your footing. I consider it sacred and an honor to work with people during challenging times in their lives or offer a safe space for continued reflection and growth.
(281) 503-4497 View (281) 503-4497
Photo of Dan Workman, Clinical Social Work/Therapist in Houston, TX
Dan Workman
Clinical Social Work/Therapist, LCSW
Verified Verified
2 Endorsed
Houston, TX 77057
I am a psychodynamic therapist with a long history of working with creatives-- people whose creative talents and passions are an important component of how they organize their world.
I am a psychodynamic therapist with a long history of working with creatives-- people whose creative talents and passions are an important component of how they organize their world.
(281) 502-4417 View (281) 502-4417
Photo of Dr. Daniel DeBrule, Psychologist in Houston, TX
Dr. Daniel DeBrule
Psychologist, PhD, MA
Verified Verified
Houston, TX 77002
Psychologist w Expertise in Anxiety, Depression, Crisis, Trauma/PTSD, and Addiction. Excellent fit for artists, musicians, athletes, & professionals in the legal, medical, & STEM fields. Individual therapy for men & full psychological evaluations/assessments. Further expertise in health psychology (quit smoking, weight loss), suicidality, and life changes. Cognitive-behavioral approach (CBT/DBT) or depth work customized to each client. I collaborate with you to guide course of treatment, often using creative arts & practical techniques. I specialize in men's mental health, & have also worked w/a wide array of clients for 14 years.
Psychologist w Expertise in Anxiety, Depression, Crisis, Trauma/PTSD, and Addiction. Excellent fit for artists, musicians, athletes, & professionals in the legal, medical, & STEM fields. Individual therapy for men & full psychological evaluations/assessments. Further expertise in health psychology (quit smoking, weight loss), suicidality, and life changes. Cognitive-behavioral approach (CBT/DBT) or depth work customized to each client. I collaborate with you to guide course of treatment, often using creative arts & practical techniques. I specialize in men's mental health, & have also worked w/a wide array of clients for 14 years.
(832) 345-3581 View (832) 345-3581
Shannon Cantu
Licensed Professional Counselor, MS, LPC
Verified Verified
1 Endorsed
Houston, TX 77008
Shannon Cantu M.S. is a Licensed Professional Counselor through the State of Texas. She received her degree at University of Walden, in Marriage, Family, and Couple’s Counseling, with a concentration in Trauma and Crisis. Shannon’s passion is working with couples, individuals, LGBTQ and adolescents in a variety of issues; anxiety, depression, relationship issues, infidelity, low self-esteem, PTSD, grief, domestic and sexual abuse. She believes in providing a safe and nonjudgmental space for her clients.
Shannon Cantu M.S. is a Licensed Professional Counselor through the State of Texas. She received her degree at University of Walden, in Marriage, Family, and Couple’s Counseling, with a concentration in Trauma and Crisis. Shannon’s passion is working with couples, individuals, LGBTQ and adolescents in a variety of issues; anxiety, depression, relationship issues, infidelity, low self-esteem, PTSD, grief, domestic and sexual abuse. She believes in providing a safe and nonjudgmental space for her clients.
(832) 402-8031 View (832) 402-8031
Photo of Stephanie R Rodriguez, Clinical Social Work/Therapist in Houston, TX
Stephanie R Rodriguez
Clinical Social Work/Therapist, MSW, LCSW-S, CSAT , SEP, CDWF
Verified Verified
5 Endorsed
Houston, TX 77058
I believe everyone has the ability and strength within themselves to make the change they wish to see in their life. As your therapist, I strive to provide a supportive and non-judgmental environment conducive to overcoming any challenge. Imagine what your life could be like if you responded to situations in a healthy manner rather then by reacting. I am a certified sex addiction therapist who has successfully helped individuals heal from sex, porn and love addiction (staying in a relationship when it is not healthy or stable).
I believe everyone has the ability and strength within themselves to make the change they wish to see in their life. As your therapist, I strive to provide a supportive and non-judgmental environment conducive to overcoming any challenge. Imagine what your life could be like if you responded to situations in a healthy manner rather then by reacting. I am a certified sex addiction therapist who has successfully helped individuals heal from sex, porn and love addiction (staying in a relationship when it is not healthy or stable).
(281) 810-3613 View (281) 810-3613
Photo of Wright Way Counseling Services, Clinical Social Work/Therapist in Houston, TX
Wright Way Counseling Services
Clinical Social Work/Therapist, MSW, LCSW
Verified Verified
Houston, TX 77024
I believe every individual deserves to experience true happiness and to have confidence in their ability to achieve their desired goals. My role is to support my clients with overcoming the interpersonal and often the internal conflicts which prevent them from having healthy relationships.
I believe every individual deserves to experience true happiness and to have confidence in their ability to achieve their desired goals. My role is to support my clients with overcoming the interpersonal and often the internal conflicts which prevent them from having healthy relationships.
(832) 678-8916 View (832) 678-8916
Photo of Joan Collins Harwood, Marriage & Family Therapist in Houston, TX
Joan Collins Harwood
Marriage & Family Therapist, PhD, LMFT, LPC
Verified Verified
Houston, TX 77063
Are you ready for a new life? new love? new career? Would you like a better reason to get up in the morning? Would you like to have better communication skills when dealing with your spouse, coworkers, children, friends? The good news is that from these questions, you can develop a systematic way to achieve these goals. Served as 2013 President of the Houston Association for Marriage and Family Therapy. While graduate degrees are in Marriage and Family Therapy, bachelor's degree is in journalism from the University of Texas at Austin. Experienced in the corporate, non-profit and political sectors. Online scheduling available!
Are you ready for a new life? new love? new career? Would you like a better reason to get up in the morning? Would you like to have better communication skills when dealing with your spouse, coworkers, children, friends? The good news is that from these questions, you can develop a systematic way to achieve these goals. Served as 2013 President of the Houston Association for Marriage and Family Therapy. While graduate degrees are in Marriage and Family Therapy, bachelor's degree is in journalism from the University of Texas at Austin. Experienced in the corporate, non-profit and political sectors. Online scheduling available!
(713) 428-2852 View (713) 428-2852
Photo of Helen K Chong, Clinical Social Work/Therapist in Houston, TX
Helen K Chong
Clinical Social Work/Therapist, LCSW-S, CGP, PLLC
Verified Verified
Houston, TX 77006
Waitlist for new clients
The gift of therapy cannot be truly measured in words or action, but in how you feel afterwards. Your decision to begin psychotherapy was probably made after a great deal of thought and consideration. Selecting a therapist who will be a good fit for you is critical since the process of psychotherapy is intense, and a satisfactory outcome is essential. I provide a broad spectrum of evaluation and psychotherapeutic services with individuals, couples, families, and groups. My approach is collaborative, seeking solutions within your value system.
The gift of therapy cannot be truly measured in words or action, but in how you feel afterwards. Your decision to begin psychotherapy was probably made after a great deal of thought and consideration. Selecting a therapist who will be a good fit for you is critical since the process of psychotherapy is intense, and a satisfactory outcome is essential. I provide a broad spectrum of evaluation and psychotherapeutic services with individuals, couples, families, and groups. My approach is collaborative, seeking solutions within your value system.
(503) 966-0183 View (503) 966-0183
Photo of Sherry Ash,MEd,LPC,EMDRCertified, Licensed Professional Counselor in Houston, TX
Sherry Ash,MEd,LPC,EMDRCertified
Licensed Professional Counselor, MA, MEd, LPC
Verified Verified
3 Endorsed
Houston, TX 77058
Not accepting new clients
Most all of us could benefit from support at some point in our lives. Are you in the midst of making a life changing decision? Are you finding that you are repeating similar patterns of behavior that lead no where? Are your emotions difficult to manage? If you are struggling in this world personally, professionally, or socially, you do not have to walk your journey alone. I encourage you to reach out to a mental health specialist who can offer the professional support that will help you to make any changes necessary to live the life you desire to live.
Most all of us could benefit from support at some point in our lives. Are you in the midst of making a life changing decision? Are you finding that you are repeating similar patterns of behavior that lead no where? Are your emotions difficult to manage? If you are struggling in this world personally, professionally, or socially, you do not have to walk your journey alone. I encourage you to reach out to a mental health specialist who can offer the professional support that will help you to make any changes necessary to live the life you desire to live.
(713) 804-8769 View (713) 804-8769

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% UnitedHealthcare UHC | UBH
79% Cigna and Evernorth

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.