Therapists in Houston, PA

Photo of Michon Dubbs, Licensed Professional Counselor, MS
Michon Dubbs
Licensed Professional Counselor, MS
1 Endorsed
Houston, PA 15342
I truly believe that your therapist should feel like your best friend that is not your friend. I believe in the therapeutic working relationship. I will work just as hard as you do. You are behind the drivers seat and you are the expert of your life. You know what you need and want. I just want to be the tour guide throughout your healing journey.
I truly believe that your therapist should feel like your best friend that is not your friend. I believe in the therapeutic working relationship. I will work just as hard as you do. You are behind the drivers seat and you are the expert of your life. You know what you need and want. I just want to be the tour guide throughout your healing journey.
(724) 892-5393 View (724) 892-5393
Photo of Dr. Thomas Workman, Licensed Professional Counselor, PhD, LPC
Dr. Thomas Workman
Licensed Professional Counselor, PhD, LPC
1 Endorsed
Online Only
Break free from the mental and behavioral patterns that underly the various reasons that we seek help in counseling. We are often alerted to these painful patterns through our relationships, anxiety, depression, anger, trauma, or scrolling. Once underlying processes and patterns begin to change, we naturally begin experiencing and responding to problems and pain differently. It can become effortless and automatic. Acceptance & happiness become our new habit. I have diligently practiced for 17 years to develop skills to facilitate this change.
Break free from the mental and behavioral patterns that underly the various reasons that we seek help in counseling. We are often alerted to these painful patterns through our relationships, anxiety, depression, anger, trauma, or scrolling. Once underlying processes and patterns begin to change, we naturally begin experiencing and responding to problems and pain differently. It can become effortless and automatic. Acceptance & happiness become our new habit. I have diligently practiced for 17 years to develop skills to facilitate this change.
(724) 598-9893 View (724) 598-9893
Photo of Daniel Snock, Licensed Professional Counselor, LPC
Daniel Snock
Licensed Professional Counselor, LPC
Online Only
I am a Licensed Professional Counselor with over a decade of experience helping people navigate life’s messier moments. I offer virtual therapy rooted in real talk, practical strategies, and a supportive partnership—because you don’t have to figure it all out on your own. I believe therapy works best when it's a team effort. My approach is grounded in collaboration, transparency, and creating a space where you feel genuinely seen and supported.
I am a Licensed Professional Counselor with over a decade of experience helping people navigate life’s messier moments. I offer virtual therapy rooted in real talk, practical strategies, and a supportive partnership—because you don’t have to figure it all out on your own. I believe therapy works best when it's a team effort. My approach is grounded in collaboration, transparency, and creating a space where you feel genuinely seen and supported.
(717) 616-2902 View (717) 616-2902
Photo of Kate Thompson, Licensed Professional Counselor, MEd, LPC, NCC
Kate Thompson
Licensed Professional Counselor, MEd, LPC, NCC
Serves Area
I take a fresh and innovative approach to working with adults. By combining therapeutic insight with brain and body resources, I help to maximize a person's innate capacity to heal. I am certified in EMDR and extensively trained in the Flash technique and CRM (Comprehensive Resource Model). I specialize in treating all types of trauma, stress, anxiety, depression and an array of issues that impact mood, functioning and self worth. People often report gaining clarity, new perspectives and abilities to make powerful changes in their lives. Please contact me via my website www.katethompsonlpc.com
I take a fresh and innovative approach to working with adults. By combining therapeutic insight with brain and body resources, I help to maximize a person's innate capacity to heal. I am certified in EMDR and extensively trained in the Flash technique and CRM (Comprehensive Resource Model). I specialize in treating all types of trauma, stress, anxiety, depression and an array of issues that impact mood, functioning and self worth. People often report gaining clarity, new perspectives and abilities to make powerful changes in their lives. Please contact me via my website www.katethompsonlpc.com
(878) 302-9210 View (878) 302-9210
Photo of Samantha Hines, Licensed Professional Counselor, LPC
Samantha Hines
Licensed Professional Counselor, LPC
Online Only
Hello! My name is Samantha Hines and I am a Licensed Professional Counselor based outside Pittsburgh, PA. I'm currently offering telehealth counseling services to clients within the state of Pennsylvania. I provide an inclusive approach to counseling that creates a safe and accepting environment where clients feel comfortable expressing themselves freely and authentically. I feel my ability to prioritize, make, and keep connections with my clients is one of the guiding principles in my practice.
Hello! My name is Samantha Hines and I am a Licensed Professional Counselor based outside Pittsburgh, PA. I'm currently offering telehealth counseling services to clients within the state of Pennsylvania. I provide an inclusive approach to counseling that creates a safe and accepting environment where clients feel comfortable expressing themselves freely and authentically. I feel my ability to prioritize, make, and keep connections with my clients is one of the guiding principles in my practice.
(267) 310-1946 View (267) 310-1946
Photo of Latoya Smalls, Licensed Professional Counselor, LPC
Latoya Smalls
Licensed Professional Counselor, LPC
Online Only
I am Latoya Smalls, Ph.D., LPC, BSL, NCC. I am a counseling professional holding licenses and certification in mental health counseling, I hold a Doctorate Degree in Counselor Education and Supervision. As a counseling professional, it is essential to challenge my clients in a supportive and encouraging way that will not present as overly critical of their knowledge and experience, and that will assist with promoting personal growth. As a therapist, I work to build trust in my clients, as this will allow them to feel safe and comfortable reaching outside of their comforts of growing and healing.
I am Latoya Smalls, Ph.D., LPC, BSL, NCC. I am a counseling professional holding licenses and certification in mental health counseling, I hold a Doctorate Degree in Counselor Education and Supervision. As a counseling professional, it is essential to challenge my clients in a supportive and encouraging way that will not present as overly critical of their knowledge and experience, and that will assist with promoting personal growth. As a therapist, I work to build trust in my clients, as this will allow them to feel safe and comfortable reaching outside of their comforts of growing and healing.
(717) 905-4519 View (717) 905-4519

More Therapists Nearby

Photo of Jody Nagel, Licensed Professional Counselor, MSEd, LPC, NCC
Jody Nagel
Licensed Professional Counselor, MSEd, LPC, NCC
2 Endorsed
Pittsburgh, PA 15236
I have worked with many individuals, couples, families and therapeutic groups with a wide assortment of issues and problems. I have over 30 years of experience in the field. I am committed to providing a safe environment to do the work of therapy. I believe that all clients have the capacity to figure out what they believe and then develop the thoughts and actions that are congruent with their own personal beliefs. Helping to facilitate this process and watching people I have had the privilege to work with grow and flourish had been an honor.
I have worked with many individuals, couples, families and therapeutic groups with a wide assortment of issues and problems. I have over 30 years of experience in the field. I am committed to providing a safe environment to do the work of therapy. I believe that all clients have the capacity to figure out what they believe and then develop the thoughts and actions that are congruent with their own personal beliefs. Helping to facilitate this process and watching people I have had the privilege to work with grow and flourish had been an honor.
(412) 265-1319 View (412) 265-1319
Photo of Matthew S. Allen, Psychologist, PhD
Matthew S. Allen
Psychologist, PhD
Pittsburgh, PA 15221
I am a licensed psychologist with over 20 years of experience providing care from a relational perspective. Working from a relational analytic/interpersonal approach implies many different things, but perhaps the most central is that the nature of the treatment I provide will always depend on your needs, and typically only become apparent after a nonjudgmental and deeply collaborative exploration of your experience. Put simply, I assume that successful treatment requires me coming to understand your experience and value commitments in a deeply nuanced fashion, as opposed to applying generic treatment strategies.
I am a licensed psychologist with over 20 years of experience providing care from a relational perspective. Working from a relational analytic/interpersonal approach implies many different things, but perhaps the most central is that the nature of the treatment I provide will always depend on your needs, and typically only become apparent after a nonjudgmental and deeply collaborative exploration of your experience. Put simply, I assume that successful treatment requires me coming to understand your experience and value commitments in a deeply nuanced fashion, as opposed to applying generic treatment strategies.
(412) 906-4379 View (412) 906-4379
Photo of Margot Groenfeldt, Clinical Social Work/Therapist, LCSW
Margot Groenfeldt
Clinical Social Work/Therapist, LCSW
Pittsburgh, PA 15216
Welcome! My name is Margot Groenfeldt. I am an LCSW and owner and founder of Yellow Rose Counseling located in Pittsburgh. I provide in person and virtual therapy in PA and virtual therapy only in WV. I enjoy working with couples, individuals, and families and I believe that the path to greater happiness and improved mental health is best discovered by focusing on your relationships. Whether they take the form of romantic partnerships, friendships, or your relationship to yourself, I believe that exploring the relationships that define your life will lead to improved well-being, and I am excited to accompany you on this journey.
Welcome! My name is Margot Groenfeldt. I am an LCSW and owner and founder of Yellow Rose Counseling located in Pittsburgh. I provide in person and virtual therapy in PA and virtual therapy only in WV. I enjoy working with couples, individuals, and families and I believe that the path to greater happiness and improved mental health is best discovered by focusing on your relationships. Whether they take the form of romantic partnerships, friendships, or your relationship to yourself, I believe that exploring the relationships that define your life will lead to improved well-being, and I am excited to accompany you on this journey.
(412) 946-0820 View (412) 946-0820
Photo of Jannette Travali, Licensed Professional Counselor, MSCP, MPH, MS, NCC/LPC, RDN/LDN, CEDS
Jannette Travali
Licensed Professional Counselor, MSCP, MPH, MS, NCC/LPC, RDN/LDN, CEDS
Serves Area
I am a Psychotherapist, Nutrition Therapist & Exercise Physiologist. With the Client/Therapist Relationship at CORE, I provide Individualized, Integrative Care: Eating Disorders, Trauma, Mood, Relationships, Transitions -acknowledging & encouraging growth of diverse values &/or needs, I use an Eclectic Therapeutic Approach –including Person-Centered, Mindfulness, Expressive (art, music, movement, writing), Acceptance & Commitment Therapy (ACT), CBT, RO-DBT, Existential, Narrative, Gestalt, Motivational Interviewing, Positive Psychology, Nutrition Therapy –Intuitive Eating/HAES (Health at Any Size) & Medical Nutrition Therapy.
I am a Psychotherapist, Nutrition Therapist & Exercise Physiologist. With the Client/Therapist Relationship at CORE, I provide Individualized, Integrative Care: Eating Disorders, Trauma, Mood, Relationships, Transitions -acknowledging & encouraging growth of diverse values &/or needs, I use an Eclectic Therapeutic Approach –including Person-Centered, Mindfulness, Expressive (art, music, movement, writing), Acceptance & Commitment Therapy (ACT), CBT, RO-DBT, Existential, Narrative, Gestalt, Motivational Interviewing, Positive Psychology, Nutrition Therapy –Intuitive Eating/HAES (Health at Any Size) & Medical Nutrition Therapy.
(724) 320-1816 View (724) 320-1816
Photo of Maizee Devlin, Clinical Social Work/Therapist, MSW, LCSW, PDP
Maizee Devlin
Clinical Social Work/Therapist, MSW, LCSW, PDP
5 Endorsed
Pittsburgh, PA 15237
With empathy, humor, and kindness in session, I seek to help my clients feel empowered, clear-headed, and calm. As a therapist, I find great fulfillment in supporting individuals through life's challenging seasons. It’s truly meaningful to be a part of someone's journey as they navigate struggles, grow, and find new strength. I’m here to provide guidance and understanding, helping you create the space for healing and transformation. With this in mind, I pull from multiple therapeutic modalities to individually tailor treatment for each client.
With empathy, humor, and kindness in session, I seek to help my clients feel empowered, clear-headed, and calm. As a therapist, I find great fulfillment in supporting individuals through life's challenging seasons. It’s truly meaningful to be a part of someone's journey as they navigate struggles, grow, and find new strength. I’m here to provide guidance and understanding, helping you create the space for healing and transformation. With this in mind, I pull from multiple therapeutic modalities to individually tailor treatment for each client.
(412) 459-7569 View (412) 459-7569
Photo of Alexandra Cox - Grounding Tree Therapy, Counselor, LPC, MA
Grounding Tree Therapy
Counselor, LPC, MA
1 Endorsed
Online Only
At Grounding Tree Therapy, I work with adults who feel negatively about themselves. I help navigate feelings and emotions that you’ve carried with you since childhood. If you feel like you aren’t enough or like you can't handle life's situations, let’s talk. We will explore the root cause of the emotions and process situations. During the process, you will be challenged to see outcomes and make decisions differently. You will learn how to ground yourself and feel happier in your own mind and body. The pressure of the holidays can bring on stressors that can make you feel inadequate. Let's process these emotions together. Let's talk
At Grounding Tree Therapy, I work with adults who feel negatively about themselves. I help navigate feelings and emotions that you’ve carried with you since childhood. If you feel like you aren’t enough or like you can't handle life's situations, let’s talk. We will explore the root cause of the emotions and process situations. During the process, you will be challenged to see outcomes and make decisions differently. You will learn how to ground yourself and feel happier in your own mind and body. The pressure of the holidays can bring on stressors that can make you feel inadequate. Let's process these emotions together. Let's talk
(412) 214-8978 View (412) 214-8978
Photo of Alexandra Ditchkus, Associate Professional Counselor, MA, LAPC
Alexandra Ditchkus
Associate Professional Counselor, MA, LAPC
1 Endorsed
Pittsburgh, PA 15218
Life is full of transitions and turning points. Whether you’re figuring out who you are, navigating relationships, managing anxiety or depression, or feeling stuck in old patterns, I offer a warm, nonjudgmental space to explore what’s happening without the pressure to have it all together. My approach is collaborative and compassionate, helping you explore the challenges that keep you from feeling grounded, connected, and fulfilled.
Life is full of transitions and turning points. Whether you’re figuring out who you are, navigating relationships, managing anxiety or depression, or feeling stuck in old patterns, I offer a warm, nonjudgmental space to explore what’s happening without the pressure to have it all together. My approach is collaborative and compassionate, helping you explore the challenges that keep you from feeling grounded, connected, and fulfilled.
(412) 912-2023 View (412) 912-2023
Photo of Jessica Kopp, Licensed Professional Counselor, MA, NCC, LPC
Jessica Kopp
Licensed Professional Counselor, MA, NCC, LPC
Pittsburgh, PA 15224
Making the decision to pursue therapy is a huge step. It’s easy to push things down or avoid them, but making the choice to reach out shows strength. Maybe you’ve never had a safe space to share your true thoughts and feelings, or felt truly heard and understood. Let’s build that together here! I am passionate about helping survivors of abusive or unhealthy relationships learn to rebuild their confidence and find their voice again. When we experience relational trauma, whether that be in a romantic context, or during our childhood, this significantly impacts how we feel about ourselves and how we navigate future relationships.
Making the decision to pursue therapy is a huge step. It’s easy to push things down or avoid them, but making the choice to reach out shows strength. Maybe you’ve never had a safe space to share your true thoughts and feelings, or felt truly heard and understood. Let’s build that together here! I am passionate about helping survivors of abusive or unhealthy relationships learn to rebuild their confidence and find their voice again. When we experience relational trauma, whether that be in a romantic context, or during our childhood, this significantly impacts how we feel about ourselves and how we navigate future relationships.
(970) 551-2287 View (970) 551-2287
Photo of Amanda Holmes, Licensed Professional Counselor, LPC
Amanda Holmes
Licensed Professional Counselor, LPC
Pittsburgh, PA 15217
Do you feel stressed, helpless or overlooked? Are you seeking a change? In our sessions, you’ll find a supportive environment where you can be heard and understood without judgement. Together, we will create a safe space for authentic self-expression and address difficulties affecting your wellness. I am dedicated to supporting you on your journey of self-discovery and healing, respecting your unique life stressors and allowing you to move at your own pace – so you can feel empowered to create meaningful change in your life.
Do you feel stressed, helpless or overlooked? Are you seeking a change? In our sessions, you’ll find a supportive environment where you can be heard and understood without judgement. Together, we will create a safe space for authentic self-expression and address difficulties affecting your wellness. I am dedicated to supporting you on your journey of self-discovery and healing, respecting your unique life stressors and allowing you to move at your own pace – so you can feel empowered to create meaningful change in your life.
(412) 460-4427 View (412) 460-4427
Photo of Robin Thurman, Clinical Social Work/Therapist, LCSW
Robin Thurman
Clinical Social Work/Therapist, LCSW
Warrendale, PA 15086
I have experienced my own trauma and experienced the relief of finally processing it. There are proven ways to get "unstuck". Let me help you give that to yourself! I am an LCSW that specializes in trauma, anxiety, depression, relationship struggles and family issues. I use a client led approach. I believe in creating an empathetic and non-judgemental space to help people be comfortable. I am passionate about helping people to explore what is holding them back from being their best self on their own terms and on their timeline.
I have experienced my own trauma and experienced the relief of finally processing it. There are proven ways to get "unstuck". Let me help you give that to yourself! I am an LCSW that specializes in trauma, anxiety, depression, relationship struggles and family issues. I use a client led approach. I believe in creating an empathetic and non-judgemental space to help people be comfortable. I am passionate about helping people to explore what is holding them back from being their best self on their own terms and on their timeline.
(724) 603-1416 View (724) 603-1416
Photo of Monique Sheppard, Licensed Professional Counselor, LPC
Monique Sheppard
Licensed Professional Counselor, LPC
Online Only
I am a Licensed Professional Counselor licensed in Pennsylvania. I have experience working in the field of mental health and behavioral health since 2003. I have worked with individuals with a wide range of concerns, including depression, anxiety, relationship issues, parenting problems, career challenges, addiction issues, and other mental health/behavioral health issues. I also helped people who have experienced physical trauma or emotional abuse.
I am a Licensed Professional Counselor licensed in Pennsylvania. I have experience working in the field of mental health and behavioral health since 2003. I have worked with individuals with a wide range of concerns, including depression, anxiety, relationship issues, parenting problems, career challenges, addiction issues, and other mental health/behavioral health issues. I also helped people who have experienced physical trauma or emotional abuse.
(570) 531-1902 View (570) 531-1902
Photo of Mary Anne Fisher, Clinical Social Work/Therapist, PhD, , ACSW, LCSW
Mary Anne Fisher
Clinical Social Work/Therapist, PhD, , ACSW, LCSW
Castle Shannon, PA 15234
For the past 40 years, I have had the privilege of working with, and helping individuals, families and couples. Whether dealing with change, conflict, loss, a crisis or a concern, support is crucial. I provide knowledge and supportive guidance to help each person work through challenges and move forward on their path in life.
For the past 40 years, I have had the privilege of working with, and helping individuals, families and couples. Whether dealing with change, conflict, loss, a crisis or a concern, support is crucial. I provide knowledge and supportive guidance to help each person work through challenges and move forward on their path in life.
(412) 214-8520 View (412) 214-8520
Photo of Andy Nocita, Psychologist, PhD
Andy Nocita
Psychologist, PhD
Wexford, PA 15090
I am a licensed psychologist and a Certified Allied Addiction Practitioner (CAAP), in practice since 1988. I received my Clinical Psychology doctorate from Miami University Oxford, Ohio, and my addiction certification from the Pa Certification Board in 1994. My foundational therapeutic approach is Person Centered, and I take a holistic perspective with my clients to address the health of body, mind, and spirit. I believe that a solid therapeutic relationship between client and therapist is a crucial part of the healing process, and that techniques and therapy approaches must “fit” the client in order to be effective.
I am a licensed psychologist and a Certified Allied Addiction Practitioner (CAAP), in practice since 1988. I received my Clinical Psychology doctorate from Miami University Oxford, Ohio, and my addiction certification from the Pa Certification Board in 1994. My foundational therapeutic approach is Person Centered, and I take a holistic perspective with my clients to address the health of body, mind, and spirit. I believe that a solid therapeutic relationship between client and therapist is a crucial part of the healing process, and that techniques and therapy approaches must “fit” the client in order to be effective.
(724) 558-6237 View (724) 558-6237
Photo of Rasheedah Thompson, Pre-Licensed Professional
Rasheedah Thompson
Pre-Licensed Professional
1 Endorsed
Online Only
If you feel stuck between who they are and who they want to be. Do you carry stress, past hurts, or patterns that no longer serve them, but long for clarity, healing, and healthier relationships? Do you want more than survival, are you ready for growth and lasting change? In our work together, I provide a safe space to explore, break cycles, and build confidence so you can move toward peace, purpose, and fulfillment.
If you feel stuck between who they are and who they want to be. Do you carry stress, past hurts, or patterns that no longer serve them, but long for clarity, healing, and healthier relationships? Do you want more than survival, are you ready for growth and lasting change? In our work together, I provide a safe space to explore, break cycles, and build confidence so you can move toward peace, purpose, and fulfillment.
(412) 991-2813 View (412) 991-2813

How does your Therapist compare?

Number of Therapists in Houston, PA

< 10

Therapists in Houston, PA who prioritize treating:

100% Depression
100% Anxiety
100% Coping Skills
100% Self Esteem
83% Trauma and PTSD
83% Divorce
83% Stress

Average years in practice

15 Years

Top 3 insurances accepted

100% Aetna
100% BlueCross and BlueShield
100% Cigna and Evernorth

How Therapists in Houston, PA see their clients

67% Online Only
33% In Person and Online

Gender breakdown

80% Female
20% Male
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.