Therapists in Lower Greenville, Dallas, TX

Lea M Fisher
Licensed Professional Counselor, Lea Fisher, MA, LPC
4 Endorsed
Lower Greenville, Dallas, TX 75214
This is not just “another therapy session.” I offer highly personalized, concierge therapy tailored to your unique needs, experiences, and goals. I specialize in helping adults who feel frustrated, stuck, or hopeless as they navigate depression, anxiety, trauma, relationships, low self-worth, and professional challenges. You know you want more from your life but struggle to identify or confidently pursue what feels truly meaningful. Together, we’ll use transformative strategies to help you break free from self-sabotaging patterns, reconnect with your inner strength, and open yourself to new possibilities.
This is not just “another therapy session.” I offer highly personalized, concierge therapy tailored to your unique needs, experiences, and goals. I specialize in helping adults who feel frustrated, stuck, or hopeless as they navigate depression, anxiety, trauma, relationships, low self-worth, and professional challenges. You know you want more from your life but struggle to identify or confidently pursue what feels truly meaningful. Together, we’ll use transformative strategies to help you break free from self-sabotaging patterns, reconnect with your inner strength, and open yourself to new possibilities.
(469) 205-8670 View (469) 205-8670
Dr. Max Bourgault
Psychologist, PsyD
Lower Greenville, Dallas, TX 75214
Get Real. Go Deep. Transform. My style is authentic, pragmatic, and highly experiential. We won’t just talk about change. You’ll be invited to experience it: feel deeply, try new behaviors, and explore new ways of being. It won’t always be comfortable, but there will be room for playfulness and creativity too. I see therapy as a team effort. You’re the expert on yourself. I bring the psychology. I’m here to walk alongside you, offer tools, shake you a little, and explore what’s possible together.
Get Real. Go Deep. Transform. My style is authentic, pragmatic, and highly experiential. We won’t just talk about change. You’ll be invited to experience it: feel deeply, try new behaviors, and explore new ways of being. It won’t always be comfortable, but there will be room for playfulness and creativity too. I see therapy as a team effort. You’re the expert on yourself. I bring the psychology. I’m here to walk alongside you, offer tools, shake you a little, and explore what’s possible together.
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Peggy Cockrell Phife
Licensed Professional Counselor, LPC, CEAP
1 Endorsed
Lower Greenville, Dallas, TX 75206
I am Peggy Cockrell-Phife. I have an MA from SMU, and post graduate work from Amberton University. I have passion for the interface of psychology with culture, the arts and philosophy. I recently became a Certified Expressive Arts Practioner, which allowed me to improve my therapeutic skills through the use of visual, intuitive, written and performing arts.
I am Peggy Cockrell-Phife. I have an MA from SMU, and post graduate work from Amberton University. I have passion for the interface of psychology with culture, the arts and philosophy. I recently became a Certified Expressive Arts Practioner, which allowed me to improve my therapeutic skills through the use of visual, intuitive, written and performing arts.
(214) 785-0329 View (214) 785-0329
David Terpstra
Licensed Professional Counselor, MEd, LPC, LMFT
Lower Greenville, Dallas, TX 75214
Pursuing help is not always an easy step to take. Friends are important, but certain things should be handled with a caring professional who will work to understand each person's situation. Whether your life is stressed, you've had a recent loss, your mood has sunk, or you feel unfulfilled, I believe that I could help you. A good therapist will listen empathically, help clients share, provide feedback, and talk with clients about solutions to life's challenges. I see both individuals and couples for counseling with a variety of issues and concerns and would be glad to meet with you. Be encouraged: even 1-2 degrees of change matters.
Pursuing help is not always an easy step to take. Friends are important, but certain things should be handled with a caring professional who will work to understand each person's situation. Whether your life is stressed, you've had a recent loss, your mood has sunk, or you feel unfulfilled, I believe that I could help you. A good therapist will listen empathically, help clients share, provide feedback, and talk with clients about solutions to life's challenges. I see both individuals and couples for counseling with a variety of issues and concerns and would be glad to meet with you. Be encouraged: even 1-2 degrees of change matters.
(469) 658-7079 View (469) 658-7079
Krista Bass
Licensed Master Social Worker, LMSW
2 Endorsed
Lower Greenville, Dallas, TX 75214
Whether you know EXACTLY why you do what you do, but want to change your patterns, or you are lost in your anxiety, depression, or struggles from health issues or neurodivergence, you are in the right place. Our emotions and actions can feel automatic and uncontrollable, even when we have figured out the why. I love providing a safe place for clients to process, but sometimes safety and processing yields limited felt change. This is where experiential therapies (i.e., EMDR) come in, helping us go from understanding what is true to feeling it and acting on it!
Whether you know EXACTLY why you do what you do, but want to change your patterns, or you are lost in your anxiety, depression, or struggles from health issues or neurodivergence, you are in the right place. Our emotions and actions can feel automatic and uncontrollable, even when we have figured out the why. I love providing a safe place for clients to process, but sometimes safety and processing yields limited felt change. This is where experiential therapies (i.e., EMDR) come in, helping us go from understanding what is true to feeling it and acting on it!
(469) 908-4199 View (469) 908-4199
Dr. Jason Patton
Licensed Professional Counselor, LPC
1 Endorsed
Lower Greenville, Dallas, TX 75206
I have a PhD in Counselor Education and Supervision, and I am eager to work with all clients wishing to grow, particularly in their relationships. I focus on all of the things that come together to make people who they are and utilize relational cultural theory (RCT). This means work with me tends to be more personal, as a means to help you grow in relationships. During trying times, I help individuals manage loneliness, grief, anxiety, depression, and other personal issues. In supervision of LPC Associates I utilize RCT and systems theories or others to meet the needs of their work. I teach doctoral and master’s students.
I have a PhD in Counselor Education and Supervision, and I am eager to work with all clients wishing to grow, particularly in their relationships. I focus on all of the things that come together to make people who they are and utilize relational cultural theory (RCT). This means work with me tends to be more personal, as a means to help you grow in relationships. During trying times, I help individuals manage loneliness, grief, anxiety, depression, and other personal issues. In supervision of LPC Associates I utilize RCT and systems theories or others to meet the needs of their work. I teach doctoral and master’s students.
(214) 393-8056 View (214) 393-8056
Jessica Mitchell
Licensed Professional Counselor, MA, LPC
Lower Greenville, Dallas, TX 75214
I am a licensed professional counselor with a passion for helping young people through life’s transitions. I hold a Bachelor’s degree in psychology from New York University and Master’s degree in counseling from Dallas Baptist University. My professional experience includes over 15 years in education; working with families, middle school, high school, and college students. I have worked with teens and families struggling with issues ranging from depression and anxiety to family conflict and identity issues. Having worked in the college setting, I have significant experience in career counseling and future life planning.
I am a licensed professional counselor with a passion for helping young people through life’s transitions. I hold a Bachelor’s degree in psychology from New York University and Master’s degree in counseling from Dallas Baptist University. My professional experience includes over 15 years in education; working with families, middle school, high school, and college students. I have worked with teens and families struggling with issues ranging from depression and anxiety to family conflict and identity issues. Having worked in the college setting, I have significant experience in career counseling and future life planning.
(469) 361-0115 View (469) 361-0115
Bianca Cotton
Licensed Professional Counselor, MA, LPC, TF-CBT
Lower Greenville, Dallas, TX 75214
As a practicing Licensed Professional Counselor, Bianca has over 6 years of experience in both Community Mental Health and Private Practice Therapy settings. Prior to joining Transitions Therapeutic Services, she was the Director of Therapy at a Child Advocacy Center where she specialized in counseling children, adolescents, and caregivers who have encountered various forms of trauma and abuse. Bianca received her Bachelors degree from Texas A&M University and her Masters degree in counseling from Houston Baptist University.
As a practicing Licensed Professional Counselor, Bianca has over 6 years of experience in both Community Mental Health and Private Practice Therapy settings. Prior to joining Transitions Therapeutic Services, she was the Director of Therapy at a Child Advocacy Center where she specialized in counseling children, adolescents, and caregivers who have encountered various forms of trauma and abuse. Bianca received her Bachelors degree from Texas A&M University and her Masters degree in counseling from Houston Baptist University.
(469) 702-8750 View (469) 702-8750
Carolyn Smith Moorman
Licensed Professional Counselor, MA, LPC
3 Endorsed
Lower Greenville, Dallas, TX 75206
Are you struggling? Are you trying to be your best functional adult self? Are you ready to become healthy and relational with your family and friends? Do you understand the practice of what it takes to be healthy and relational with self and others? Are you mired in a psychological negative state of mind? Are you in need of guidance on how to get out of this stuck path? Let's work on creating a healthier life for you by teaching you to learn to love and know yourself better achieving moderation in all aspects of your life. Sessions in person/virtual Tuesdays-Fridays. (EMDR trained.)
Are you struggling? Are you trying to be your best functional adult self? Are you ready to become healthy and relational with your family and friends? Do you understand the practice of what it takes to be healthy and relational with self and others? Are you mired in a psychological negative state of mind? Are you in need of guidance on how to get out of this stuck path? Let's work on creating a healthier life for you by teaching you to learn to love and know yourself better achieving moderation in all aspects of your life. Sessions in person/virtual Tuesdays-Fridays. (EMDR trained.)
(214) 617-2604 View (214) 617-2604
Lisa Chernow
LPC-Associate, MS, LPC-A, NCC, EMDR-T
4 Endorsed
Lower Greenville, Dallas, TX 75214
Sometimes things look fine on the outside - you’re holding it all together, getting through the days - but inside feels heavy, disconnected, or just not 'you'. Maybe you're navigating trauma, stress, or life shifts that have quietly worn down your sense of self. You’re not broken, but you may feel dimmed or displaced by what you've carried. You want space to breathe again - to feel clear, steady, and connected.
Sometimes things look fine on the outside - you’re holding it all together, getting through the days - but inside feels heavy, disconnected, or just not 'you'. Maybe you're navigating trauma, stress, or life shifts that have quietly worn down your sense of self. You’re not broken, but you may feel dimmed or displaced by what you've carried. You want space to breathe again - to feel clear, steady, and connected.
(469) 529-5567 View (469) 529-5567
Charissa Fry Lopez
Licensed Professional Counselor, LPC-S, MABC
4 Endorsed
Lower Greenville, Dallas, TX 75214
Charissa specializes in attachment and trauma. She works with families and individual clients across the lifespan- ranging from 3-99+. She uses relational psychodynamic theory, play therapy, EMDR, EFFT (Emotionally Focused Family Therapy), Theraplay, experiential therapies, and talk therapy. Charissa focuses on healing relationships in any life stage. Her passion is to come alongside those who are hurting and struggling to help them find truth, hope, healing, connection, and growth. She is also a Child Specialist for Collaborative Divorce cases. She is also trained in the Adult Attachment Interview (AAI) and loves supervising.
Charissa specializes in attachment and trauma. She works with families and individual clients across the lifespan- ranging from 3-99+. She uses relational psychodynamic theory, play therapy, EMDR, EFFT (Emotionally Focused Family Therapy), Theraplay, experiential therapies, and talk therapy. Charissa focuses on healing relationships in any life stage. Her passion is to come alongside those who are hurting and struggling to help them find truth, hope, healing, connection, and growth. She is also a Child Specialist for Collaborative Divorce cases. She is also trained in the Adult Attachment Interview (AAI) and loves supervising.
(214) 238-9344 View (214) 238-9344
Trent Alexander Gardner
Licensed Professional Counselor, LPC, CCTP
Lower Greenville, Dallas, TX 75214
It’s incredibly easy to silence our true thoughts, emotions, and identities in a society that rewards conformity over authenticity. If you feel like you don’t quite fit in, or if you are working to untangle who you really are from who you were told to be, you don’t have to navigate that heavy lifting alone. In therapy with me, the space is entirely about you. I believe vulnerability is sacred, and my goal is to provide a grounded, accepting environment where you can safely heal and embrace your true self. My primary areas of clinical focus include: identity & belonging, religious trauma, and trauma recovery.
It’s incredibly easy to silence our true thoughts, emotions, and identities in a society that rewards conformity over authenticity. If you feel like you don’t quite fit in, or if you are working to untangle who you really are from who you were told to be, you don’t have to navigate that heavy lifting alone. In therapy with me, the space is entirely about you. I believe vulnerability is sacred, and my goal is to provide a grounded, accepting environment where you can safely heal and embrace your true self. My primary areas of clinical focus include: identity & belonging, religious trauma, and trauma recovery.
(469) 820-3636 View (469) 820-3636
Crystal Nicole Gayle
Psychologist, PhD, LSSP
2 Endorsed
Lower Greenville, Dallas, TX 75214
You wake up already tired, wishing you could stay under the covers and avoid another day that’s bound to be “too much.” What used to bring joy now feels distant, and every task feels like pushing a boulder uphill. You’re moving through life in a fog – like it’s just happening to you. You keep showing up and going through the motions, but deep down, you wonder how long you can keep doing this. The sadness feels endless, the hopelessness feels loud, and you barely recognize the version of yourself you have become. You want relief, direction, and a way to feel like yourself again instead of someone just trying to make it through.
You wake up already tired, wishing you could stay under the covers and avoid another day that’s bound to be “too much.” What used to bring joy now feels distant, and every task feels like pushing a boulder uphill. You’re moving through life in a fog – like it’s just happening to you. You keep showing up and going through the motions, but deep down, you wonder how long you can keep doing this. The sadness feels endless, the hopelessness feels loud, and you barely recognize the version of yourself you have become. You want relief, direction, and a way to feel like yourself again instead of someone just trying to make it through.
(972) 458-5478 View (972) 458-5478
Destiny Jefferson
Pre-Licensed Professional, LPC-A, NCC, CFLE-P
Lower Greenville, Dallas, TX 75214
Spiraling again? Does the darkest of terrible events that you experienced weeks, months, years or even decades ago haunt you as if it took place just yesterday? Feelings of shame, guilt, and regret have you in a tailspin, but you do not know what to do about it. Do you spend so much of your time thinking about the past that you no longer know how to stay present and look to the future in optimism? These terrible events that you have experienced prevent you from being vulnerable with others, forming and maintaining healthy, long lasting interpersonal relationships.
Spiraling again? Does the darkest of terrible events that you experienced weeks, months, years or even decades ago haunt you as if it took place just yesterday? Feelings of shame, guilt, and regret have you in a tailspin, but you do not know what to do about it. Do you spend so much of your time thinking about the past that you no longer know how to stay present and look to the future in optimism? These terrible events that you have experienced prevent you from being vulnerable with others, forming and maintaining healthy, long lasting interpersonal relationships.
(469) 966-7662 View (469) 966-7662
Amanda Quicksall
Clinical Social Work/Therapist, LCSW
1 Endorsed
Lower Greenville, Dallas, TX 75214
Welcome! Many people start therapy during a time when life feels overwhelming or uncertain. I work with individuals and families to better understand what’s happening beneath anxiety, stress, or emotional challenges while building practical tools that help life feel more manageable. I am welcoming of all and support the LGBTQ+ community. My goal is to provide a supportive space where clients gain clarity, strengthen relationships, and move forward with greater confidence and hope. Therapy is simply a place to start that conversation, and I would welcome the opportunity to support you along your journey!
Welcome! Many people start therapy during a time when life feels overwhelming or uncertain. I work with individuals and families to better understand what’s happening beneath anxiety, stress, or emotional challenges while building practical tools that help life feel more manageable. I am welcoming of all and support the LGBTQ+ community. My goal is to provide a supportive space where clients gain clarity, strengthen relationships, and move forward with greater confidence and hope. Therapy is simply a place to start that conversation, and I would welcome the opportunity to support you along your journey!
(469) 205-6197 View (469) 205-6197
Megan Gerner
Licensed Professional Counselor, LPC
1 Endorsed
Lower Greenville, Dallas, TX 75214
Hi, I’m Megan! I support individuals as they cope with anxiety, depression, and heal from trauma, improve the relationship with self, and feelings of guilt and shame. When working alongside clients, I focus on cultivating a safe, supportive and collaborative environment. My goal is to provide you with the tools you need to feel safe and empowered in your journey.
Hi, I’m Megan! I support individuals as they cope with anxiety, depression, and heal from trauma, improve the relationship with self, and feelings of guilt and shame. When working alongside clients, I focus on cultivating a safe, supportive and collaborative environment. My goal is to provide you with the tools you need to feel safe and empowered in your journey.
(214) 225-4356 View (214) 225-4356
Mau Counseling LLC
Marriage & Family Therapist, MA, LMFT, BC-TMH
Lower Greenville, Dallas, TX 75214
Whether you are feeling anxious or depressed or are experiencing distress with a partner, I work to provide an empathetic, safe environment for all of my clients. I am skilled at helping individual clients with anxiety, depression, trauma, life transition & existential issues. My training also equips me to work with couples and families struggling with a wide variety of challenges. Some of these may include infidelity, parenting issues, and pre-marital counseling. I use a couples therapy model that has been backed by research, showing success for couples years after therapy ends.
Whether you are feeling anxious or depressed or are experiencing distress with a partner, I work to provide an empathetic, safe environment for all of my clients. I am skilled at helping individual clients with anxiety, depression, trauma, life transition & existential issues. My training also equips me to work with couples and families struggling with a wide variety of challenges. Some of these may include infidelity, parenting issues, and pre-marital counseling. I use a couples therapy model that has been backed by research, showing success for couples years after therapy ends.
(469) 813-7645 View (469) 813-7645
Gilma Juarez Martinez
Licensed Professional Counselor, MA, LPC
Lower Greenville, Dallas, TX 75214
I am passionate about normalizing and de-stigmatizing mental health treatment for all ages and ethnicities. I believe in the importance of providing clients with a judgment-free and honest space throughout their therapeutic journey. I received my Master of Arts in Clinical Counseling and Marriage and Family Therapy from Hardin-Simmons University. I completed internships in a variety of settings, including rape crisis center, university, shelter and foster care agency.
I am passionate about normalizing and de-stigmatizing mental health treatment for all ages and ethnicities. I believe in the importance of providing clients with a judgment-free and honest space throughout their therapeutic journey. I received my Master of Arts in Clinical Counseling and Marriage and Family Therapy from Hardin-Simmons University. I completed internships in a variety of settings, including rape crisis center, university, shelter and foster care agency.
(214) 624-6313 View (214) 624-6313
Dr. Victor V. Wiesner
Licensed Professional Counselor, PhD, LPC, NCC
Lower Greenville, Dallas, TX 75206
Hello, I’m Dr Wiesner. I have a PhD in counseling. I was a professor teaching graduate students for seven years. During this time I was the director of a ten room counseling clinic at the university. I am a Licensed Professional Counselor, a Licensed Professional Counselor Supervisor for those new to the field, a Nationally Certified Counselor, and a Certified Clinical Mental Health Counselor. I strive to be respectful and care about clients achieving their goals as quickly as possible. I taught diagnoses nine semesters at the university. Have published several research papers in peer reviewed journals and have made 7 presentations.
Hello, I’m Dr Wiesner. I have a PhD in counseling. I was a professor teaching graduate students for seven years. During this time I was the director of a ten room counseling clinic at the university. I am a Licensed Professional Counselor, a Licensed Professional Counselor Supervisor for those new to the field, a Nationally Certified Counselor, and a Certified Clinical Mental Health Counselor. I strive to be respectful and care about clients achieving their goals as quickly as possible. I taught diagnoses nine semesters at the university. Have published several research papers in peer reviewed journals and have made 7 presentations.
(936) 274-7014 View (936) 274-7014
Audry Steele
Licensed Professional Counselor, MA
Lower Greenville, Dallas, TX 75214
Welcome — I am a psychotherapist with over 25 years of experience working collaboratively with people facing complex challenges, as well as those seeking greater ease or fulfillment. Many who reach out have created meaningful lives, yet find themselves struggling with difficulties that persist despite their efforts. Often, they are reflective people seeking therapy that matches their level of motivation and engagement. My clients span a range of professions and walks of life, including those in technology and other fields, those with international backgrounds or experience, retirees, and creatives.
Welcome — I am a psychotherapist with over 25 years of experience working collaboratively with people facing complex challenges, as well as those seeking greater ease or fulfillment. Many who reach out have created meaningful lives, yet find themselves struggling with difficulties that persist despite their efforts. Often, they are reflective people seeking therapy that matches their level of motivation and engagement. My clients span a range of professions and walks of life, including those in technology and other fields, those with international backgrounds or experience, retirees, and creatives.
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See more therapy options for Lower Greenville, Dallas

How does your Therapist compare?

Number of Therapists in Lower Greenville, Dallas, TX

100+

Average cost per session

$150

Therapists in Lower Greenville, Dallas, TX who prioritize treating:

94% Anxiety
94% Social Anxiety
94% Health Anxiety
94% Driving Anxiety
87% Depression
82% Relationship Issues
81% Self Esteem

Average years in practice

10 Years

Top 3 insurances accepted

86% Aetna
80% BlueCross and BlueShield
75% Cigna and Evernorth

How Therapists in Lower Greenville, Dallas, TX see their clients

60% In Person and Online
40% Online Only

Gender breakdown

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

How can I find a therapist in Lower Greenville?

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.