Therapists in San Antonio, TX

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Photo of Lupe Garcia, Licensed Professional Counselor in San Antonio, TX
Lupe Garcia
Licensed Professional Counselor, MS, LPC, NCC, C-TFCBT
Verified Verified
San Antonio, TX 78253  (Online Only)
Search no more! You have found the one you are looking for, Ha! I have always had a passion for helping people, and I found that niche within mental health. There is something about being able to connect with those who are curious, eager, resistant, and even ambivalent to change. Let me be transparent. Therapy takes a lot of hard work, vulnerability, and dedication, but I am willing to follow through to the end with you if that is what you are seeking. It's kind of my thing.
Search no more! You have found the one you are looking for, Ha! I have always had a passion for helping people, and I found that niche within mental health. There is something about being able to connect with those who are curious, eager, resistant, and even ambivalent to change. Let me be transparent. Therapy takes a lot of hard work, vulnerability, and dedication, but I am willing to follow through to the end with you if that is what you are seeking. It's kind of my thing.
(830) 971-0664 View (830) 971-0664
Photo of Liliana Venegas Brown, Licensed Professional Counselor in San Antonio, TX
Liliana Venegas Brown
Licensed Professional Counselor, MEd, LPC
Verified Verified
San Antonio, TX 78216
I am a Bilingual (Spanish/ English) therapist who understands how the daily stressors of life: work, relationships, children, family and financial responsibilities can become overwhelming. As a therapist with over 10 years experience, I work with my clients and meet them where they are in their current situation. My role is to help them reach the goals they aspire to in their lives providing a safe, trusting and empathetic therapeutic environment.
I am a Bilingual (Spanish/ English) therapist who understands how the daily stressors of life: work, relationships, children, family and financial responsibilities can become overwhelming. As a therapist with over 10 years experience, I work with my clients and meet them where they are in their current situation. My role is to help them reach the goals they aspire to in their lives providing a safe, trusting and empathetic therapeutic environment.
(210) 618-7506 View (210) 618-7506
Photo of Zayna Achmar, Pre-Licensed Professional in San Antonio, TX
Zayna Achmar
Pre-Licensed Professional, PsyD
Verified Verified
1 Endorsed
San Antonio, TX 78258
Dr. Zayna Achmar earned her doctorate in Clinical Psychology (Psy.D) from Adler University in Chicago, Illinois. She is a post doctoral fellow earning her hours toward licensure in the state of Texas as a psychologist. She has been helping children, adolescents, and adults of all backgrounds since 2014. Dr. Achmar’s approach cultivates a genuine relationship with clients that serve as the foundation for growth, healing, and self-understanding. Ultimately she wants to support clients as they explore presenting issues while making connections from past experiences and relationships that may be causing difficulty at present. D
Dr. Zayna Achmar earned her doctorate in Clinical Psychology (Psy.D) from Adler University in Chicago, Illinois. She is a post doctoral fellow earning her hours toward licensure in the state of Texas as a psychologist. She has been helping children, adolescents, and adults of all backgrounds since 2014. Dr. Achmar’s approach cultivates a genuine relationship with clients that serve as the foundation for growth, healing, and self-understanding. Ultimately she wants to support clients as they explore presenting issues while making connections from past experiences and relationships that may be causing difficulty at present. D
(210) 791-6869 View (210) 791-6869
Photo of Christine Carrier Smith, Licensed Professional Counselor in San Antonio, TX
Christine Carrier Smith
Licensed Professional Counselor, LPC
Verified Verified
San Antonio, TX 78259
I am a Licensed Professional Counselor with more than 25 years of experience in the field of mental health. I have worked with children, adolescents and adults providing outpatient therapy and co-parenting counseling. I have extensive experience working with families undergoing divorce, custody issues, and blended family concerns, for both parents and children. I also work with a range of depression, anxiety and self-esteem issues. My treatment focus comes from a strengths based perspective with a cognitive therapy approach. I am passionate about my work and committed to developing a strong therapeutic relationship with my clients.
I am a Licensed Professional Counselor with more than 25 years of experience in the field of mental health. I have worked with children, adolescents and adults providing outpatient therapy and co-parenting counseling. I have extensive experience working with families undergoing divorce, custody issues, and blended family concerns, for both parents and children. I also work with a range of depression, anxiety and self-esteem issues. My treatment focus comes from a strengths based perspective with a cognitive therapy approach. I am passionate about my work and committed to developing a strong therapeutic relationship with my clients.
(210) 853-2395 View (210) 853-2395
Photo of Brandi Smith, Pre-Licensed Professional in San Antonio, TX
Brandi Smith
Pre-Licensed Professional, MA
Verified Verified
San Antonio, TX 78209
My main focus and specialties include anxiety, depression, working with unconventional couples, pre-marital/married couples, and families to help build better communication, accountability, and honesty. Also, as a military spouse, I understand the complexities that life can bring and I am here to support individuals from all walks of life.
My main focus and specialties include anxiety, depression, working with unconventional couples, pre-marital/married couples, and families to help build better communication, accountability, and honesty. Also, as a military spouse, I understand the complexities that life can bring and I am here to support individuals from all walks of life.
(210) 960-9292 View (210) 960-9292
Photo of Daniel Decker, Clinical Social Work/Therapist in San Antonio, TX
Daniel Decker
Clinical Social Work/Therapist, LCSW
Verified Verified
San Antonio, TX 78216  (Online Only)
My therapy style focuses on empowerment. Often our societal norms attempt to categorize individuals in ways which we often don’t fit exactly. Many clients come to therapy feeling as if parts of their lives are a bit “out of control”. Empowerment and mutually agreed upon methods help give a person back that sense of control. My clients learn to replace disappointment and inadequacy with a deeper understanding of their thoughts and feelings. The process develops skills to promote confidence and the ability to overcome situations that once were baffling.
My therapy style focuses on empowerment. Often our societal norms attempt to categorize individuals in ways which we often don’t fit exactly. Many clients come to therapy feeling as if parts of their lives are a bit “out of control”. Empowerment and mutually agreed upon methods help give a person back that sense of control. My clients learn to replace disappointment and inadequacy with a deeper understanding of their thoughts and feelings. The process develops skills to promote confidence and the ability to overcome situations that once were baffling.
(210) 985-3107 View (210) 985-3107
Photo of Donna Shoop, Licensed Professional Counselor in San Antonio, TX
Donna Shoop
Licensed Professional Counselor, LPC
Verified Verified
San Antonio, TX 78245
I am Donna Shoop, a Licensed Profesional Counselor with twenty-two years of clinical experience. I have worked with individuals, adolescents, couples, parents, and families with Relationship Issues, Trauma, PTSD, Anxiety, Depression, and Adolescent/Teens Issues. I use a combination of approaches which include Person-Centered Therapies, Cognitive Behavioral (CBT), Client-Centered Therapy, and Solution Focused Brief (SFBT). I will work with anyone who has a need and is willing to try new things to improve their life. I believe in working with a person where they are at the moment and helping them grow towards where they want to be.
I am Donna Shoop, a Licensed Profesional Counselor with twenty-two years of clinical experience. I have worked with individuals, adolescents, couples, parents, and families with Relationship Issues, Trauma, PTSD, Anxiety, Depression, and Adolescent/Teens Issues. I use a combination of approaches which include Person-Centered Therapies, Cognitive Behavioral (CBT), Client-Centered Therapy, and Solution Focused Brief (SFBT). I will work with anyone who has a need and is willing to try new things to improve their life. I believe in working with a person where they are at the moment and helping them grow towards where they want to be.
(346) 375-7799 View (346) 375-7799
Photo of Erin Coggan, Pre-Licensed Professional in San Antonio, TX
Erin Coggan
Pre-Licensed Professional, PsyD
Verified Verified
2 Endorsed
San Antonio, TX 78232
Waitlist for new clients
Having difficulty getting through the day or feel overwhelmed? This may be caused by stress, anxiety, depression, PTSD, or grief. I work with children, teens, and adults to take back control of their lives and empower them to acknowledge their past and change their future in a safe, strengths-based environment. I also assess for autism, learning disabilities, and ADHD to aid clients in understanding themselves or child and providing recommendations to get the support they need.
Having difficulty getting through the day or feel overwhelmed? This may be caused by stress, anxiety, depression, PTSD, or grief. I work with children, teens, and adults to take back control of their lives and empower them to acknowledge their past and change their future in a safe, strengths-based environment. I also assess for autism, learning disabilities, and ADHD to aid clients in understanding themselves or child and providing recommendations to get the support they need.
(210) 851-9334 View (210) 851-9334
Photo of Healthy Minds Healing Hearts, PLLC, Licensed Professional Counselor Associate in San Antonio, TX
Healthy Minds Healing Hearts, PLLC
Licensed Professional Counselor Associate , MS, LPCA, NCC
Verified Verified
1 Endorsed
San Antonio, TX 78217  (Online Only)
Navigating through life's unexpected challenges can be daunting. That's why I ensure to incorporate a compassionate and client-centered approach. I recognize and understand the bravery it takes to seek support; therefore, my dedication lies in creating a nonjudgmental space. This environment aims to offer warmth and understanding to individuals embarking on their mental health journey, where I provide assistance in navigating these challenges.
Navigating through life's unexpected challenges can be daunting. That's why I ensure to incorporate a compassionate and client-centered approach. I recognize and understand the bravery it takes to seek support; therefore, my dedication lies in creating a nonjudgmental space. This environment aims to offer warmth and understanding to individuals embarking on their mental health journey, where I provide assistance in navigating these challenges.
(726) 600-7892 View (726) 600-7892
Photo of Tracy Cooper, Licensed Professional Counselor in San Antonio, TX
Tracy Cooper
Licensed Professional Counselor, LPC
Verified Verified
4 Endorsed
San Antonio, TX 78258
Accepting New Clients! Life is short. Why spend it unhappy? My goal for you as your counselor is to help you be happy, have meaningful relationships, and live the life you want. This happens in a collaborative counseling relationship. Let's work together to help you reach your goals. I help adults, adolescents, and couples who are struggling with anxiety, depression, relationship issues, negative behaviors, social stressors & more. I believe change is possible and begins with self awareness and the motivation to change. I provide support and encouragement in a safe, warm and empathetic environment.
Accepting New Clients! Life is short. Why spend it unhappy? My goal for you as your counselor is to help you be happy, have meaningful relationships, and live the life you want. This happens in a collaborative counseling relationship. Let's work together to help you reach your goals. I help adults, adolescents, and couples who are struggling with anxiety, depression, relationship issues, negative behaviors, social stressors & more. I believe change is possible and begins with self awareness and the motivation to change. I provide support and encouragement in a safe, warm and empathetic environment.
(210) 762-5100 View (210) 762-5100
Photo of Esperanza Counseling Services, Licensed Professional Counselor in San Antonio, TX
Esperanza Counseling Services
Licensed Professional Counselor, MA, NCC, LPC, LPC-S
Verified Verified
San Antonio, TX 78217
*** www.EsperanzaCounselingSA.com *** Esperanza Counseling Services offers evening & weekend sessions in English and/or Spanish. I enjoy working with people of all ages: 3 - 100. The purpose of counseling is to instill hope, provide a safe place for people to voice their feelings and concerns, while empowering them with tools to improve their lives. Everyone deserves to be treated with dignity and respect regardless of their age or circumstances. I have many years of experience working with children who have attention deficits and hyperactivity (ADHD). I worked in public schools for 8 years; 4 of which as a Parent Educator.
*** www.EsperanzaCounselingSA.com *** Esperanza Counseling Services offers evening & weekend sessions in English and/or Spanish. I enjoy working with people of all ages: 3 - 100. The purpose of counseling is to instill hope, provide a safe place for people to voice their feelings and concerns, while empowering them with tools to improve their lives. Everyone deserves to be treated with dignity and respect regardless of their age or circumstances. I have many years of experience working with children who have attention deficits and hyperactivity (ADHD). I worked in public schools for 8 years; 4 of which as a Parent Educator.
(210) 598-7503 View (210) 598-7503
Photo of Lizette Velazquez, Licensed Professional Counselor in San Antonio, TX
Lizette Velazquez
Licensed Professional Counselor, MS, LPC
Verified Verified
1 Endorsed
San Antonio, TX 78230  (Online Only)
My focus is to work on what you want to work on. I trust that you know yourself better than I do and as a result my job is to help you get to where you are going or want to be. My job is to provide you the psychoeducation, coping skills and encouragement to meet your goals. I tell all my clients that I am not around forever but just for right now. And there will come a point where you have the tools necessary to no longer need professional assistance.
My focus is to work on what you want to work on. I trust that you know yourself better than I do and as a result my job is to help you get to where you are going or want to be. My job is to provide you the psychoeducation, coping skills and encouragement to meet your goals. I tell all my clients that I am not around forever but just for right now. And there will come a point where you have the tools necessary to no longer need professional assistance.
(726) 227-1163 View (726) 227-1163
Photo of Kassandra A. Morales, Licensed Professional Counselor Associate in San Antonio, TX
Kassandra A. Morales
Licensed Professional Counselor Associate, MA, NCC
Verified Verified
1 Endorsed
San Antonio, TX 78254
Do you struggle with vulnerability and open communication? Are your current relationships or self-concept affected by situations from your past? Often times we do not realize the effects that significant life events have on our overall wellness until we have reached a point where our ability to cope goes awry.
Do you struggle with vulnerability and open communication? Are your current relationships or self-concept affected by situations from your past? Often times we do not realize the effects that significant life events have on our overall wellness until we have reached a point where our ability to cope goes awry.
(210) 529-8613 View (210) 529-8613
Photo of River of Life Counseling , Pastoral Counselor in San Antonio, TX
River of Life Counseling
Pastoral Counselor, PhD
Verified Verified
San Antonio, TX 78254
I think the ideal client is one who would enjoy working with me and who shares the same values, beliefs, and goals, who would feel comfortable working with me, and who would benefit from my services. Some of their issues could be one of many, for example, they have anxiety and anger that's taken over in every area of their life. They need to have a vision for freedom that keeps them out of bondage. To have a safe place to express their feelings. This involves having understanding, empathy, and support of one another. They want someone who can enhance their potential and have a healthy life, with less anxiety. Nothing is impossible.
I think the ideal client is one who would enjoy working with me and who shares the same values, beliefs, and goals, who would feel comfortable working with me, and who would benefit from my services. Some of their issues could be one of many, for example, they have anxiety and anger that's taken over in every area of their life. They need to have a vision for freedom that keeps them out of bondage. To have a safe place to express their feelings. This involves having understanding, empathy, and support of one another. They want someone who can enhance their potential and have a healthy life, with less anxiety. Nothing is impossible.
(210) 796-0511 View (210) 796-0511
Photo of Wright Path Counseling and Wellness, Licensed Professional Counselor in San Antonio, TX
Wright Path Counseling and Wellness
Licensed Professional Counselor, LPC
Verified Verified
1 Endorsed
San Antonio, TX 78213
Coping with childhood trauma (as an adult or child) is a challenging journey marked by lingering scars that affect relationships, self-esteem, and well-being. Memories of past trauma resurface as intrusive thoughts, intense emotions, and vulnerability. Healing involves facing painful memories, breaking coping patterns, and rebuilding resilience. Yet, amidst the darkness, there's hope—a resilient spirit refusing to be defined by the past. It's about reclaiming agency, rewriting one's narrative, finding strength in vulnerability, and solace in connection. Scars remain, but they don't define one's entire existence.
Coping with childhood trauma (as an adult or child) is a challenging journey marked by lingering scars that affect relationships, self-esteem, and well-being. Memories of past trauma resurface as intrusive thoughts, intense emotions, and vulnerability. Healing involves facing painful memories, breaking coping patterns, and rebuilding resilience. Yet, amidst the darkness, there's hope—a resilient spirit refusing to be defined by the past. It's about reclaiming agency, rewriting one's narrative, finding strength in vulnerability, and solace in connection. Scars remain, but they don't define one's entire existence.
(863) 474-2623 View (863) 474-2623
Photo of Isaiah Rodriguez, Counselor in San Antonio, TX
Isaiah Rodriguez
Counselor, LPC
Verified Verified
2 Endorsed
San Antonio, TX 78231  (Online Only)
Do you find it challenging to communicate openly about your feelings or seek support when needed? Are you experiencing difficulty in your relationships or feeling disconnected from loved ones? Are you facing internal conflicts related to masculinity, identity or self-esteem? More than ever, men are feeling overwhelmed, frustrated and anxious by the pressure to conform to traditional masculine ideals, which often discourages vulnerability and emotional expression. This may lead to conflict within your relationships, work life or self-acceptance with your sexual orientation or gender identity.
Do you find it challenging to communicate openly about your feelings or seek support when needed? Are you experiencing difficulty in your relationships or feeling disconnected from loved ones? Are you facing internal conflicts related to masculinity, identity or self-esteem? More than ever, men are feeling overwhelmed, frustrated and anxious by the pressure to conform to traditional masculine ideals, which often discourages vulnerability and emotional expression. This may lead to conflict within your relationships, work life or self-acceptance with your sexual orientation or gender identity.
(210) 361-7021 View (210) 361-7021
Photo of Cindy Warden, Clinical Social Work/Therapist in San Antonio, TX
Cindy Warden
Clinical Social Work/Therapist, LCSW, LCDC
Verified Verified
San Antonio, TX 78216
I believe people are complex and layered beings and within every one of us there is an inordinate amount of strength and wisdom. My job is to provide a safe place for people to examine their thoughts and beliefs and identify the events and actions that brought you in to see me. Together, harnessing your own strength and knowledge, we can design a strategy to bring about a peaceful and meaningful life.
I believe people are complex and layered beings and within every one of us there is an inordinate amount of strength and wisdom. My job is to provide a safe place for people to examine their thoughts and beliefs and identify the events and actions that brought you in to see me. Together, harnessing your own strength and knowledge, we can design a strategy to bring about a peaceful and meaningful life.
(726) 227-5015 View (726) 227-5015
Photo of Sasha Esparza, Licensed Professional Counselor in San Antonio, TX
Sasha Esparza
Licensed Professional Counselor, LPC
Verified Verified
San Antonio, TX 78257
Sasha is a Licensed Professional Counselor (LPC) with 12 years of experience in helping teens, adults, and couples. She specializes in treating anxiety, depression, ADHD, stress, life transitional issues, family problems, behavioral adjustments, and much more.
Sasha is a Licensed Professional Counselor (LPC) with 12 years of experience in helping teens, adults, and couples. She specializes in treating anxiety, depression, ADHD, stress, life transitional issues, family problems, behavioral adjustments, and much more.
(830) 321-7823 View (830) 321-7823
Photo of Lisa A Guerra, Licensed Professional Counselor in San Antonio, TX
Lisa A Guerra
Licensed Professional Counselor, MA, LPC
Verified Verified
San Antonio, TX 78216  (Online Only)
Many individuals can experience symptoms associated with painful and traumatic circumstances. Anxiety, fear, and hopelessness are a few emotions that can linger post traumatic events. I can help you overcome these symptoms and guide you through the process of grief and healing. Depression, anxiety, and grief are some of the most uncomfortable emotions we can experience in our lives. We may experience these emotions for many reasons: Loved One's Death, Chronic Pain, Divorce, Job Loss and other Life Challenges.
Many individuals can experience symptoms associated with painful and traumatic circumstances. Anxiety, fear, and hopelessness are a few emotions that can linger post traumatic events. I can help you overcome these symptoms and guide you through the process of grief and healing. Depression, anxiety, and grief are some of the most uncomfortable emotions we can experience in our lives. We may experience these emotions for many reasons: Loved One's Death, Chronic Pain, Divorce, Job Loss and other Life Challenges.
(210) 968-0254 View (210) 968-0254
Photo of Lauren Celeste Lopez, Licensed Professional Counselor Associate in San Antonio, TX
Lauren Celeste Lopez
Licensed Professional Counselor Associate, MS
Verified Verified
1 Endorsed
San Antonio, TX 78229
I am an LPC- Associate, supervised by Christy Stone, LPC-S. I enjoy working with teens and children because I understand their struggle to feel accepted and heard.I have worked with teens and children in the education setting and have learned that they may need an emotional toolkit to weather through various issues such as peer pressure, interpersonal relationships, body dysmorphia, anxiety, depression, family conflict and bullying.
I am an LPC- Associate, supervised by Christy Stone, LPC-S. I enjoy working with teens and children because I understand their struggle to feel accepted and heard.I have worked with teens and children in the education setting and have learned that they may need an emotional toolkit to weather through various issues such as peer pressure, interpersonal relationships, body dysmorphia, anxiety, depression, family conflict and bullying.
(726) 227-2485 View (726) 227-2485

How does your Therapist compare?

Number of Therapists in San Antonio, TX

2,000+

Average cost per session

$125

Therapists in San Antonio, TX who prioritize treating:

92% Anxiety
88% Depression
73% Self Esteem
72% Coping Skills
70% Relationship Issues
69% Trauma and PTSD
69% Stress

Average years in practice

10 Years

Top 3 insurances accepted

84% Aetna
78% BlueCross and BlueShield
77% UnitedHealthcare UHC | UBH

How Therapists in San Antonio, TX see their clients

54% In Person and Online
46% Online Only

Gender breakdown

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

How can I find a therapist in San Antonio?

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.