Therapists in Alvin, TX

Photo of Zoe Foster, Licensed Professional Counselor Associate, LPC, Assoc
Zoe Foster
Licensed Professional Counselor Associate, LPC, Assoc
Alvin, TX 77511
I know that reaching out for help can be overwhelming, but I don't believe that it has to be isolating. As a Licensed Professional Counselor-Associate, I not only understand how trauma can impact people’s lives, but also how resilient people can be when they are provided support, care, and safety. With experience working with children who have experienced trauma, my goal as your counselor is to meet you where you are, come alongside you during difficult seasons in your life, and help process through your feelings and thoughts.
I know that reaching out for help can be overwhelming, but I don't believe that it has to be isolating. As a Licensed Professional Counselor-Associate, I not only understand how trauma can impact people’s lives, but also how resilient people can be when they are provided support, care, and safety. With experience working with children who have experienced trauma, my goal as your counselor is to meet you where you are, come alongside you during difficult seasons in your life, and help process through your feelings and thoughts.
(832) 210-1826 x500 View (832) 210-1826 x500
Photo of Cindy Castillo, Licensed Professional Counselor, LPC
Cindy Castillo
Licensed Professional Counselor, LPC
Alvin, TX 77511
I have 20+ years of experience working in psychiatric hospitals, medical facilities, community health centers, pediatric clinics, schools, and residential treatment centers. I offered many years to working with children, adolescents, parents, and families through child protective services, rape crisis centers, shelters, neighborhood centers, and adoption centers. I am experienced in the diagnosis and treatment of disorders including PTSD, Depression, Trauma, Anxiety, & Psychosis including the management of other symptoms that stem from family/ relationship conflict, social difficulties, poor school performance, and violence/ abuse.
I have 20+ years of experience working in psychiatric hospitals, medical facilities, community health centers, pediatric clinics, schools, and residential treatment centers. I offered many years to working with children, adolescents, parents, and families through child protective services, rape crisis centers, shelters, neighborhood centers, and adoption centers. I am experienced in the diagnosis and treatment of disorders including PTSD, Depression, Trauma, Anxiety, & Psychosis including the management of other symptoms that stem from family/ relationship conflict, social difficulties, poor school performance, and violence/ abuse.
(346) 242-6663 View (346) 242-6663
Photo of Joanna Cobb - Diagnostic and Counseling Services PLLC, Licensed Professional Counselor, MEd, LPC
Diagnostic and Counseling Services PLLC
Licensed Professional Counselor, MEd, LPC
Alvin, TX 77511
My clinic's passion and purpose are to help families! With decades of experience supporting individuals: Counselor, Educational Diagnostician, Dyslexia Specialist, and K-12 teacher, Diagnostic and Counseling Services is a trusted resource for families and individuals facing life's challenges. Whether a member of your family is in need of individual, marriage, or group counseling, or your child is struggling with reading & math skills, anxiety, focus, cognitive delays, prepping transcripts, or considering a change in school setting - We can help!
My clinic's passion and purpose are to help families! With decades of experience supporting individuals: Counselor, Educational Diagnostician, Dyslexia Specialist, and K-12 teacher, Diagnostic and Counseling Services is a trusted resource for families and individuals facing life's challenges. Whether a member of your family is in need of individual, marriage, or group counseling, or your child is struggling with reading & math skills, anxiety, focus, cognitive delays, prepping transcripts, or considering a change in school setting - We can help!
(281) 595-8867 View (281) 595-8867
Photo of Melissa Burns Spencer, Counselor, LMHC
Melissa Burns Spencer
Counselor, LMHC
Alvin, TX 77511
Spencer’s Adventure believes in the transformative power of therapy to illuminate the way towards emotional well-being & inner peace. My mission is to provide a safe & nurturing space where individuals can embark on their unique journey of self-discovery, healing, & growth. Guided by compassion, empathy, & respect for each individual’s inherent worth, I am dedicated to fostering a therapeutic alliance built on trust & collaboration. I recognize the inherent strength within each person & strive to empower my clients to overcome challenges, embrace their authentic selves, & cultivate a fulfilling life aligned with their values.
Spencer’s Adventure believes in the transformative power of therapy to illuminate the way towards emotional well-being & inner peace. My mission is to provide a safe & nurturing space where individuals can embark on their unique journey of self-discovery, healing, & growth. Guided by compassion, empathy, & respect for each individual’s inherent worth, I am dedicated to fostering a therapeutic alliance built on trust & collaboration. I recognize the inherent strength within each person & strive to empower my clients to overcome challenges, embrace their authentic selves, & cultivate a fulfilling life aligned with their values.
(832) 662-4631 View (832) 662-4631
Photo of Stacy Sikes, Licensed Professional Counselor, MA, LPC
Stacy Sikes
Licensed Professional Counselor, MA, LPC
Online Only
Hi there! My name is Stacy Sikes and I'm so honored to be entrusted in helping you with the difficulties you're experiencing right now. I provide the space for clients to share their triumphs and struggles in a safe environment. My style is laid-back, relaxed, and non-judgmental. I have a background in working with those struggling with major life changes, dealing with narcissistic personality partners/breakups, and have the skills needed to get you back on track and making better decisions for your relationships (both with others and yourself).
Hi there! My name is Stacy Sikes and I'm so honored to be entrusted in helping you with the difficulties you're experiencing right now. I provide the space for clients to share their triumphs and struggles in a safe environment. My style is laid-back, relaxed, and non-judgmental. I have a background in working with those struggling with major life changes, dealing with narcissistic personality partners/breakups, and have the skills needed to get you back on track and making better decisions for your relationships (both with others and yourself).
(832) 230-2092 View (832) 230-2092
Photo of Michelle Brumley, Licensed Professional Counselor, MEd, LPC
Michelle Brumley
Licensed Professional Counselor, MEd, LPC
Alvin, TX 77511
Life throws many challenges to us. Whether you are struggling with stress, anxiety, depression, or substance abuse, counseling provides an opportunity to address these issues with the help of a trained professional. I employ a holistic, collaborative approach to therapy. I believe the relationship in counseling is integral to improving a patient's overall well being and each treatment plan is tailored to the individual client. Different strategies work for different people and I will work with you to find the most suitable approach. I utilize techniques from Cognitive Behavioral, Psychodynamic, and Mindfulness based approaches.
Life throws many challenges to us. Whether you are struggling with stress, anxiety, depression, or substance abuse, counseling provides an opportunity to address these issues with the help of a trained professional. I employ a holistic, collaborative approach to therapy. I believe the relationship in counseling is integral to improving a patient's overall well being and each treatment plan is tailored to the individual client. Different strategies work for different people and I will work with you to find the most suitable approach. I utilize techniques from Cognitive Behavioral, Psychodynamic, and Mindfulness based approaches.
(832) 262-4690 View (832) 262-4690
Photo of Kristina Taylor, Clinical Social Work/Therapist, LCSW, CCTHP, CCATP
Kristina Taylor
Clinical Social Work/Therapist, LCSW, CCTHP, CCATP
Online Only
Are you struggling in your relationships, unable to find the amazing connection you once shared? Has the intimacy in your relationship quietly disappeared? Has the communication stopped, or does it feel like it just leads to another argument? Are you exploring alternate lifestyles such as ENM, poly, swinging, open marriage? Needing help navigating boundaries, how to process feelings of insecurity, jealousy, or inadequacy? Whether you're a novice or a veteran in the kink BDSM community you may need of guidance and support. Do you want to feel like you are being your authentic self and able to communicate well with your partner(s)?
Are you struggling in your relationships, unable to find the amazing connection you once shared? Has the intimacy in your relationship quietly disappeared? Has the communication stopped, or does it feel like it just leads to another argument? Are you exploring alternate lifestyles such as ENM, poly, swinging, open marriage? Needing help navigating boundaries, how to process feelings of insecurity, jealousy, or inadequacy? Whether you're a novice or a veteran in the kink BDSM community you may need of guidance and support. Do you want to feel like you are being your authentic self and able to communicate well with your partner(s)?
(832) 219-7250 View (832) 219-7250
Photo of Penny Lane - A Therapeutic Approach, Penny Lane, LPC, MS, Licensed Professional Counselor, LPC, MS
A Therapeutic Approach, Penny Lane, LPC, MS
Licensed Professional Counselor, LPC, MS
Alvin, TX 77511
Meeting your needs are essential to me. I have a variety of tool kits: cognitive behavior therapy, dialectical behavior therapy, and personality disorders training. I enjoy helping parents find solutions to difficult situations. I enjoy helping those with Attention Deficit Hyperactivity Disorder, Mood Disorder, Anxiety Disorder, and Depression. I can provide psycho-diagnostic assessments for children and adults. I use strategies such as applied behavior management, using self monitoring skills, and coping skills.
Meeting your needs are essential to me. I have a variety of tool kits: cognitive behavior therapy, dialectical behavior therapy, and personality disorders training. I enjoy helping parents find solutions to difficult situations. I enjoy helping those with Attention Deficit Hyperactivity Disorder, Mood Disorder, Anxiety Disorder, and Depression. I can provide psycho-diagnostic assessments for children and adults. I use strategies such as applied behavior management, using self monitoring skills, and coping skills.
(254) 232-5806 View (254) 232-5806
Photo of Kendall Garton, Licensed Professional Counselor, MA, LPC
Kendall Garton
Licensed Professional Counselor, MA, LPC
1 Endorsed
Alvin, TX 77511
As a parent, it’s heartbreaking to see your child withdrawing, lashing out, or struggling with constant worry. Trauma, anxiety, or depression can show up as sleepless nights, sudden outbursts, low self-esteem, or difficulty concentrating. I specialize in helping children and teens process these challenges, develop healthy problem-solving skills, and tools for self-regulation. Using tailored therapeutic approaches, I provide a safe space for them to heal and grow. Together, we’ll work toward emotional regulation, stronger relationships, and a brighter future. Ready to see the difference? Book with me and start the journey today.
As a parent, it’s heartbreaking to see your child withdrawing, lashing out, or struggling with constant worry. Trauma, anxiety, or depression can show up as sleepless nights, sudden outbursts, low self-esteem, or difficulty concentrating. I specialize in helping children and teens process these challenges, develop healthy problem-solving skills, and tools for self-regulation. Using tailored therapeutic approaches, I provide a safe space for them to heal and grow. Together, we’ll work toward emotional regulation, stronger relationships, and a brighter future. Ready to see the difference? Book with me and start the journey today.
(346) 567-6926 View (346) 567-6926
Photo of Keyah Seedanee, Licensed Professional Counselor, LPC
Keyah Seedanee
Licensed Professional Counselor, LPC
Online Only
I believe that every individual needs the opportunity to work through their thoughts and feelings in a safe, non-judgmental space. I strive to provide this opportunity for every client that I work with. I thoroughly enjoy working one-on-one with clients to help them achieve their goals. My primary goal is to empower the client to overcome their personal obstacles and thrive. Life happens! We are all humans and it is completely okay to "not be ok." Seeking therapy is a huge step that you should be proud of accomplishing! I am here to guide you and help you conquer your challenges and thrive!
I believe that every individual needs the opportunity to work through their thoughts and feelings in a safe, non-judgmental space. I strive to provide this opportunity for every client that I work with. I thoroughly enjoy working one-on-one with clients to help them achieve their goals. My primary goal is to empower the client to overcome their personal obstacles and thrive. Life happens! We are all humans and it is completely okay to "not be ok." Seeking therapy is a huge step that you should be proud of accomplishing! I am here to guide you and help you conquer your challenges and thrive!
(832) 400-1278 View (832) 400-1278
Photo of Cathleen Kimmel, Licensed Professional Counselor, LPC
Cathleen Kimmel
Licensed Professional Counselor, LPC
Online Only
I'm a Licensed Professional Counselor in the state of Texas. I work with adults and adolescents in a very collaborative manner to help them find happiness and joy in life. My areas of focus include depression, anxiety, bipolar disorder, low self-esteem, relationship issues, pregnancy/postpartum, grief, LGBTQ+, and other difficult life adjustments.
I'm a Licensed Professional Counselor in the state of Texas. I work with adults and adolescents in a very collaborative manner to help them find happiness and joy in life. My areas of focus include depression, anxiety, bipolar disorder, low self-esteem, relationship issues, pregnancy/postpartum, grief, LGBTQ+, and other difficult life adjustments.
(346) 522-4983 View (346) 522-4983
Photo of Jennifer E Moore, Marriage & Family Therapist, LMFT, MEd
Jennifer E Moore
Marriage & Family Therapist, LMFT, MEd
2 Endorsed
Alvin, TX 77511
After teaching for many years, I decided to transition into counseling, where I could help students and colleagues in ways that I was limited before. I enjoy not only working with our youth, but helping couples navigate their relationships, and individuals who need guidance to make the best choices for their lives. Your mental health care matters, and so do you, so do not put off getting care.
After teaching for many years, I decided to transition into counseling, where I could help students and colleagues in ways that I was limited before. I enjoy not only working with our youth, but helping couples navigate their relationships, and individuals who need guidance to make the best choices for their lives. Your mental health care matters, and so do you, so do not put off getting care.
(956) 594-7292 View (956) 594-7292
Photo of Veronica N. Cavazos, Licensed Professional Counselor, MEd, LPC-S
Veronica N. Cavazos
Licensed Professional Counselor, MEd, LPC-S
2 Endorsed
Serves Area
It takes courage to ask for help; I praise you for reaching out. Therapy can be a team effort, and I hope we can work together to achieve your goals. I believe we can make positive change happen. My goal is to help you recognize your strengths and feel empowered to overcome your difficulties. I find it helpful to keep therapy structured and regularly use tools and handouts to help individuals clarify their struggles, redirect thoughts, and hone-in on areas of improvement. I also find it beneficial to share my own experiences and the techniques that have helped me along the way in my journey.
It takes courage to ask for help; I praise you for reaching out. Therapy can be a team effort, and I hope we can work together to achieve your goals. I believe we can make positive change happen. My goal is to help you recognize your strengths and feel empowered to overcome your difficulties. I find it helpful to keep therapy structured and regularly use tools and handouts to help individuals clarify their struggles, redirect thoughts, and hone-in on areas of improvement. I also find it beneficial to share my own experiences and the techniques that have helped me along the way in my journey.
(281) 559-6943 View (281) 559-6943
Photo of Sky Muller, Marriage & Family Therapist Associate
Sky Muller
Marriage & Family Therapist Associate
1 Endorsed
Online Only
I help adolescent girls and women of all ages who are struggling with feeling confident and valued in their home, school or work, and relationships. In addition, I offer a postpartum group that benefits pregnant and postpartum moms.
I help adolescent girls and women of all ages who are struggling with feeling confident and valued in their home, school or work, and relationships. In addition, I offer a postpartum group that benefits pregnant and postpartum moms.
(281) 990-6558 View (281) 990-6558
Photo of Etha L Harris, Licensed Professional Counselor, LPC
Etha L Harris
Licensed Professional Counselor, LPC
1 Endorsed
Serves Area
Do you find yourself feeling drained, unworthy, or withdrawing from family and friends while spending most of your time sleeping? These experiences can be signs of depression, and reaching out for therapy is a courageous step. My goal is to help you rediscover purpose and create specific, achievable steps toward a more fulfilling life."
Do you find yourself feeling drained, unworthy, or withdrawing from family and friends while spending most of your time sleeping? These experiences can be signs of depression, and reaching out for therapy is a courageous step. My goal is to help you rediscover purpose and create specific, achievable steps toward a more fulfilling life."
(979) 978-0394 View (979) 978-0394
Photo of Angela Anderson, Clinical Social Work/Therapist, LCSW
Angela Anderson
Clinical Social Work/Therapist, LCSW
Serves Area
As a Licensed Clinical Social Worker I have experience working with children, teens and families of all backgrounds. I have worked with clients experiencing depression, anxiety, life changes, marriage and relationship matters and numerous others. I am an advocate for the change you want to see in your life. My professional goal is to enhance the lives of everyone I get to work with. I believe everyone should have the opportunity to create the life they want and deserve; my job is to assist you in bringing that vision to reality.
As a Licensed Clinical Social Worker I have experience working with children, teens and families of all backgrounds. I have worked with clients experiencing depression, anxiety, life changes, marriage and relationship matters and numerous others. I am an advocate for the change you want to see in your life. My professional goal is to enhance the lives of everyone I get to work with. I believe everyone should have the opportunity to create the life they want and deserve; my job is to assist you in bringing that vision to reality.
View
Photo of Tatanisha Parker - Majestic Counseling and Consulting LLC. , Licensed Professional Counselor, EdD, LPC-S, NCC, CSC
Majestic Counseling and Consulting LLC.
Licensed Professional Counselor, EdD, LPC-S, NCC, CSC
Serves Area
Majestic Counseling and Consulting, LLC. offers treatment for a wide range of mental health problems. These problems include, but are not limited to, depression, anxiety, posttraumatic stress disorder (PTSD), adjustment disorder, bipolar disorder, grief, trauma, stress, and co-occurring issues. Our therapists use evidence-based treatments to meet the needs of each client. At Majestic Counseling and Consulting, LLC. you can expect to find competent, caring, and professional therapists who will listen without judgment in a nurturing atmosphere.
Majestic Counseling and Consulting, LLC. offers treatment for a wide range of mental health problems. These problems include, but are not limited to, depression, anxiety, posttraumatic stress disorder (PTSD), adjustment disorder, bipolar disorder, grief, trauma, stress, and co-occurring issues. Our therapists use evidence-based treatments to meet the needs of each client. At Majestic Counseling and Consulting, LLC. you can expect to find competent, caring, and professional therapists who will listen without judgment in a nurturing atmosphere.
(844) 898-9879 View (844) 898-9879
Photo of Scot Macomber, Licensed Professional Counselor, LPC
Scot Macomber
Licensed Professional Counselor, LPC
Online Only
I work with most issues, but I have a lot of additional training in in grief, PTSD, OCD, anxiety, and depression. I primarily use CBT, EMDR, ERP and Motivational Interviewing. I began my career working in trauma recovery (PTSD) with veterans from the Vietnam, Korean War, and World War II eras. After my time at the veteran's hospital, I worked in psychiatric inpatient units, residential treatment centers, intensive outpatient programs for substance abuse and mental health, and university and corporate internal employee assistance programs. Call today to get an appointment!
I work with most issues, but I have a lot of additional training in in grief, PTSD, OCD, anxiety, and depression. I primarily use CBT, EMDR, ERP and Motivational Interviewing. I began my career working in trauma recovery (PTSD) with veterans from the Vietnam, Korean War, and World War II eras. After my time at the veteran's hospital, I worked in psychiatric inpatient units, residential treatment centers, intensive outpatient programs for substance abuse and mental health, and university and corporate internal employee assistance programs. Call today to get an appointment!
(346) 871-9161 View (346) 871-9161
Photo of Cristan Steimel, Licensed Professional Counselor, LBSW, LPC, CMC
Cristan Steimel
Licensed Professional Counselor, LBSW, LPC, CMC
Serves Area
Hi, I'm Cristan! I help teens, adults, and families navigate developmental and physical disabilities, chronic medical conditions, ADHD, and stressful life transitions. My clients are seeking practical strategies, emotional support, and guidance to improve daily functioning, build resilience, and strengthen relationships. With a strong commitment to supporting individuals with complex needs, my passion for helping others began early in life. I strive to create a space where you feel understood, empowered, and ready to achieve your goals.
Hi, I'm Cristan! I help teens, adults, and families navigate developmental and physical disabilities, chronic medical conditions, ADHD, and stressful life transitions. My clients are seeking practical strategies, emotional support, and guidance to improve daily functioning, build resilience, and strengthen relationships. With a strong commitment to supporting individuals with complex needs, my passion for helping others began early in life. I strive to create a space where you feel understood, empowered, and ready to achieve your goals.
(832) 346-8962 View (832) 346-8962
Photo of Cydney McClain, Licensed Professional Counselor, LMHC, LPC
Cydney McClain
Licensed Professional Counselor, LMHC, LPC
Serves Area
Are anxiety, past experiences, or major life changes leaving you feeling overwhelmed or stuck? You don’t have to carry that weight alone. At The Blooming Space Counseling and Wellness, I provide a calm, supportive environment where you can slow down, breathe, and begin to heal. My work centers on helping individuals move through anxiety, trauma, and life transitions with compassion and practical tools that fit their unique journey.
Are anxiety, past experiences, or major life changes leaving you feeling overwhelmed or stuck? You don’t have to carry that weight alone. At The Blooming Space Counseling and Wellness, I provide a calm, supportive environment where you can slow down, breathe, and begin to heal. My work centers on helping individuals move through anxiety, trauma, and life transitions with compassion and practical tools that fit their unique journey.
(321) 481-2773 View (321) 481-2773

See more therapy options for Alvin

How does your Therapist compare?

Number of Therapists in Alvin, TX

30+

Average cost per session

$120

Therapists in Alvin, TX who prioritize treating:

97% Anxiety
78% Depression
78% Self Esteem
72% Stress
69% Relationship Issues
69% Women's Issues
66% Coping Skills

Average years in practice

12 Years

Top 3 insurances accepted

100% Cigna and Evernorth
96% Aetna
92% BlueCross and BlueShield

How Therapists in Alvin, TX see their clients

75% In Person and Online
25% Online Only

Gender breakdown

89% Female
11% Male
FAQs - About Therapy and Counseling

How can I find a therapist in Alvin?

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.