Therapists in El Paso County, TX

View cities in El Paso County
Photo of Cherica Allen, Licensed Professional Counselor, LPC
Cherica Allen
Licensed Professional Counselor, LPC
Online Only
My name is Ms. Cherica Allen, but you can call me “Cher.” I am a licensed professional therapist and licensed family therapist associate in the State of Texas. I have over 15 years of experience in working with adolescents, relationship issues, family conflict, depression/anxiety disorders, traumatic experiences, and substance use disorders. The best therapeutic approach is the relationship that I have with you, there are many modalities, but I believe that you have the “tools” necessary to transform your “struggles into triumphs.” My therapeutic approach is uniquely tailored to your needs.
My name is Ms. Cherica Allen, but you can call me “Cher.” I am a licensed professional therapist and licensed family therapist associate in the State of Texas. I have over 15 years of experience in working with adolescents, relationship issues, family conflict, depression/anxiety disorders, traumatic experiences, and substance use disorders. The best therapeutic approach is the relationship that I have with you, there are many modalities, but I believe that you have the “tools” necessary to transform your “struggles into triumphs.” My therapeutic approach is uniquely tailored to your needs.
(956) 446-0728 View (956) 446-0728
Photo of T Shavon Flores - Healing Words Counseling, PLLC, Licensed Professional Counselor, LPC
Healing Words Counseling, PLLC
Licensed Professional Counselor, LPC
Online Only
Sometimes in life, we encounter challenges and may need help getting back on track. Congratulations on taking the first step to a better you! My name is Shavon Flores and I am a Licensed Professional Counselor. I am an 8-year Army Veteran and military spouse with a passion for connecting and helping others through tough situations. I have a background in education as a teacher and school counselor.
Sometimes in life, we encounter challenges and may need help getting back on track. Congratulations on taking the first step to a better you! My name is Shavon Flores and I am a Licensed Professional Counselor. I am an 8-year Army Veteran and military spouse with a passion for connecting and helping others through tough situations. I have a background in education as a teacher and school counselor.
View
Photo of William James Belgie, Licensed Professional Counselor Associate, MA, NCC
William James Belgie
Licensed Professional Counselor Associate, MA, NCC
Online Only
As a retired pastor and a counselor, I work with those who are tired of seeing themselves as victims, trapped by poor life choices or life events, by meeting clients' needs holistically by recognizing and being willing to work with all aspects of their life jour, ney including the spiritual aspects. I am SYMBIS (Save Your Marriage Before It Starts), trained for pre-marriage and marriage counseling. Other things about me are that I am a long-term gastric cancer survivor of 24 years. I enjoy helping clients with the transitions in life, no matter if they are health, relational, or career.
As a retired pastor and a counselor, I work with those who are tired of seeing themselves as victims, trapped by poor life choices or life events, by meeting clients' needs holistically by recognizing and being willing to work with all aspects of their life jour, ney including the spiritual aspects. I am SYMBIS (Save Your Marriage Before It Starts), trained for pre-marriage and marriage counseling. Other things about me are that I am a long-term gastric cancer survivor of 24 years. I enjoy helping clients with the transitions in life, no matter if they are health, relational, or career.
(915) 800-0281 View (915) 800-0281
Photo of Lisa Gomez, Licensed Professional Counselor, LPC
Lisa Gomez
Licensed Professional Counselor, LPC
El Paso, TX 79912
Emotions are powerful and often overwhelming, ranging from joy and hope to anger, fear, sadness and loss. They can be confusing, making it hard to know what to do or how to feel. I would be honored to help you navigate these emotions. Together, we will work to untangle the challenges that stem from relationship issues, life obstacles, and other struggles. In therapy, we will begin by discussing your unique needs and expectations. From there, we’ll create a collaborative and flexible plan, one that adjusts to your progress and evolving goals. I will offer practical tools and small, manageable activities to help you between sessions.
Emotions are powerful and often overwhelming, ranging from joy and hope to anger, fear, sadness and loss. They can be confusing, making it hard to know what to do or how to feel. I would be honored to help you navigate these emotions. Together, we will work to untangle the challenges that stem from relationship issues, life obstacles, and other struggles. In therapy, we will begin by discussing your unique needs and expectations. From there, we’ll create a collaborative and flexible plan, one that adjusts to your progress and evolving goals. I will offer practical tools and small, manageable activities to help you between sessions.
(915) 348-5215 View (915) 348-5215
Photo of Naomi Briones, Licensed Professional Counselor, MS, LPC
Naomi Briones
Licensed Professional Counselor, MS, LPC
Online Only
I believe in the value and importance of the therapeutic relationship and aim to build strong rapport and trust with my clients. I take a person-centered approach with the goal being to provide a non-judgmental space for every person who sits across from me. I am passionate about helping people find healing through therapy, and for those who are interested, I offer faith integration in the work we do together.
I believe in the value and importance of the therapeutic relationship and aim to build strong rapport and trust with my clients. I take a person-centered approach with the goal being to provide a non-judgmental space for every person who sits across from me. I am passionate about helping people find healing through therapy, and for those who are interested, I offer faith integration in the work we do together.
(915) 621-1115 View (915) 621-1115
Photo of Guadalupe Ochoa de Marquez, Licensed Professional Counselor, MA, LPC
Guadalupe Ochoa de Marquez
Licensed Professional Counselor, MA, LPC
El Paso, TX 79902
¿Te sientes ansioso o deprimido y no sabes por qué?. El Dr. Bourbeau dice que la mayoria de los problemas, ya sean físicos, emocionales o mentales, provienen de las cinco heridas de la infancia: rechazo, abandono, humillación, traición e injusticia. La psicoterapia es un espacio seguro donde puedes iniciar tu proceso de sanacion de tus heridas y traumas.
¿Te sientes ansioso o deprimido y no sabes por qué?. El Dr. Bourbeau dice que la mayoria de los problemas, ya sean físicos, emocionales o mentales, provienen de las cinco heridas de la infancia: rechazo, abandono, humillación, traición e injusticia. La psicoterapia es un espacio seguro donde puedes iniciar tu proceso de sanacion de tus heridas y traumas.
(915) 223-2845 View (915) 223-2845
Photo of Rochelle Middleton - The Talk Shop, PLLC, Licensed Professional Counselor, LPC
The Talk Shop, PLLC
Licensed Professional Counselor, LPC
2 Endorsed
El Paso, TX 79902
Overwhelmed, anxious, or stuck? We help couples and individuals, adults, adolescents and children develop workable solutions to "stumped" problems. Each therapist at The Talk Shop, specializes in specific areas of treatment, helping individuals regain momentum, minimize their issues, and re-balance following roadblocks. We also work with couples and individuals who are attempting to navigate tricky situations: for instance, re-consolidating your life after a divorce, evaluating complex relationship issues, or designing creative strategies to cope with PTSD or trauma. Our Our therapeutic motto is: Don't just feel better, live better.
Overwhelmed, anxious, or stuck? We help couples and individuals, adults, adolescents and children develop workable solutions to "stumped" problems. Each therapist at The Talk Shop, specializes in specific areas of treatment, helping individuals regain momentum, minimize their issues, and re-balance following roadblocks. We also work with couples and individuals who are attempting to navigate tricky situations: for instance, re-consolidating your life after a divorce, evaluating complex relationship issues, or designing creative strategies to cope with PTSD or trauma. Our Our therapeutic motto is: Don't just feel better, live better.
(915) 320-6581 View (915) 320-6581
Photo of Valerie Barela, Licensed Professional Counselor, LPC
Valerie Barela
Licensed Professional Counselor, LPC
1 Endorsed
El Paso, TX 79912
Through my work in the mental health field for over 10 years, I have developed a strong belief in three things. First, the power we hold within ourselves. Second, the healing that occurs when we interact with ourselves and others with respect and authenticity. Third, that change is possible for anyone willing and brave enough to try something different. My specialty is developing a unique relationship with my clients to un-do aloneness when life feels most overwhelming, isolating, and hopeless. I do this by ensuring you have a say in the direction of your therapeutic work.
Through my work in the mental health field for over 10 years, I have developed a strong belief in three things. First, the power we hold within ourselves. Second, the healing that occurs when we interact with ourselves and others with respect and authenticity. Third, that change is possible for anyone willing and brave enough to try something different. My specialty is developing a unique relationship with my clients to un-do aloneness when life feels most overwhelming, isolating, and hopeless. I do this by ensuring you have a say in the direction of your therapeutic work.
(915) 265-5803 View (915) 265-5803
Photo of Julia Pedregon, Licensed Professional Counselor, LPC
Julia Pedregon
Licensed Professional Counselor, LPC
El Paso, TX 79903
My hope is that clients feel comforted through support and guidance during the healing process. With over 20 years of experience working with at-risk youth and their families in public schools, I will help to identify concerns that need to be addressed in a positive outlook. My approach is supporting those in search of growth and empowerment to promote peace through awareness and mindfulness.
My hope is that clients feel comforted through support and guidance during the healing process. With over 20 years of experience working with at-risk youth and their families in public schools, I will help to identify concerns that need to be addressed in a positive outlook. My approach is supporting those in search of growth and empowerment to promote peace through awareness and mindfulness.
(915) 900-5181 View (915) 900-5181
Photo of Cecily R Davis, Licensed Professional Counselor, MS, LPC, NCC, BC-TMH, CIT
Cecily R Davis
Licensed Professional Counselor, MS, LPC, NCC, BC-TMH, CIT
4 Endorsed
Online Only
If you're feeling overwhelmed, stuck, or not quite “good enough” while managing symptoms of depression or anxiety, you're not alone — and you don’t have to navigate it on your own. Whether you're seeking personal growth, healing from trauma, or simply ready for change, I offer a safe, supportive space to help you move forward.
If you're feeling overwhelmed, stuck, or not quite “good enough” while managing symptoms of depression or anxiety, you're not alone — and you don’t have to navigate it on your own. Whether you're seeking personal growth, healing from trauma, or simply ready for change, I offer a safe, supportive space to help you move forward.
(915) 221-1936 View (915) 221-1936
Photo of Ivonne G Barrera, Licensed Professional Counselor, PhD, LPC
Ivonne G Barrera
Licensed Professional Counselor, PhD, LPC
El Paso, TX 79902
Posiblemente te encuentres con un sentido de confusion, baja de animo, problemas para dormir, momentos en donde el temperamento sube de tono, si tus conductas pasadas o presentes te preocupan, o el estress te detiene a dar pasos importantes o tal vez la ansiedad por lo que sera el futuro te interrumpe a vivir plenamente el momento presente. recuerda que " Tu eres aquello que haces, no aquello que dices que haras" -(C.G.Joung)
Posiblemente te encuentres con un sentido de confusion, baja de animo, problemas para dormir, momentos en donde el temperamento sube de tono, si tus conductas pasadas o presentes te preocupan, o el estress te detiene a dar pasos importantes o tal vez la ansiedad por lo que sera el futuro te interrumpe a vivir plenamente el momento presente. recuerda que " Tu eres aquello que haces, no aquello que dices que haras" -(C.G.Joung)
View
Photo of Dina Chavira, Psychologist, PhD
Dina Chavira
Psychologist, PhD
Online Only
You’re a woman who's got it together, but lately, life feels like it’s spiraling—whether it’s recovering from a divorce, managing tricky relationships, or just feeling burned out. No matter how much you do or how many late-night Google searches you attempt, the same frustrations persist. The pressure to hold it all together, sleepless nights filled with self-doubt, and that nagging sense that something’s missing—it’s exhausting. You’re not failing; the patterns behind your struggles didn’t form overnight. Together, we’ll uncover what’s really going on and help you reclaim the clarity, balance, and joy you deserve.
You’re a woman who's got it together, but lately, life feels like it’s spiraling—whether it’s recovering from a divorce, managing tricky relationships, or just feeling burned out. No matter how much you do or how many late-night Google searches you attempt, the same frustrations persist. The pressure to hold it all together, sleepless nights filled with self-doubt, and that nagging sense that something’s missing—it’s exhausting. You’re not failing; the patterns behind your struggles didn’t form overnight. Together, we’ll uncover what’s really going on and help you reclaim the clarity, balance, and joy you deserve.
View
Photo of Temperance Johnson - WellMind Neurofeedback, Psychologist, PhD, LP, BCN
WellMind Neurofeedback
Psychologist, PhD, LP, BCN
1 Endorsed
El Paso, TX 79936
A calm and focused brain has many benefits such as improving sleep and mood, improving attention and concentration, and reducing/eliminating migraines. Neurofeedback has been empirically proven to help with ADHD, behavioral symptoms of Autism, addictive behaviors, anxiety, depression, and symptoms of PTSD to include anger, irritability, and flashbacks.
A calm and focused brain has many benefits such as improving sleep and mood, improving attention and concentration, and reducing/eliminating migraines. Neurofeedback has been empirically proven to help with ADHD, behavioral symptoms of Autism, addictive behaviors, anxiety, depression, and symptoms of PTSD to include anger, irritability, and flashbacks.
(915) 666-2913 View (915) 666-2913
Photo of Monica Rodriguez, Clinical Social Work/Therapist, LCSW
Monica Rodriguez
Clinical Social Work/Therapist, LCSW
El Paso, TX 79925
Hi I am Monica Rodriguez. I am a Licensed Independent Practitioner, specializing in but not limited to, the treatment of children, adolescents and adults with presenting issues of depression, anxiety, adjustment disorders, health issues, relationship issues, eating disorders and trauma. I collaborate with my clients to improve their overall functioning by using evidenced based theoretical best practice methods, as well as, providing clients with coping skills to overcome life struggles.
Hi I am Monica Rodriguez. I am a Licensed Independent Practitioner, specializing in but not limited to, the treatment of children, adolescents and adults with presenting issues of depression, anxiety, adjustment disorders, health issues, relationship issues, eating disorders and trauma. I collaborate with my clients to improve their overall functioning by using evidenced based theoretical best practice methods, as well as, providing clients with coping skills to overcome life struggles.
(915) 336-8973 View (915) 336-8973
Photo of Steve Reynolds, Licensed Professional Counselor, MS, LPC
Steve Reynolds
Licensed Professional Counselor, MS, LPC
Online Only
Are you feeling overwhelmed, stuck, or unsure of your next steps? Whether this is your first time seeking support or you're returning to therapy, I offer a welcoming and nonjudgmental space where real change can begin. I work with adults, teens, and families, offering tailored support to help individuals overcome challenges, build on their strengths, and achieve their goals. My approach is especially effective for those navigating parenting stress, family dynamics, anxiety, life transitions, and more.
Are you feeling overwhelmed, stuck, or unsure of your next steps? Whether this is your first time seeking support or you're returning to therapy, I offer a welcoming and nonjudgmental space where real change can begin. I work with adults, teens, and families, offering tailored support to help individuals overcome challenges, build on their strengths, and achieve their goals. My approach is especially effective for those navigating parenting stress, family dynamics, anxiety, life transitions, and more.
(210) 981-4404 View (210) 981-4404
Photo of Jessica Acker - Jessica Acker LPC INC, Licensed Professional Counselor, LPC, LMFT
Jessica Acker LPC INC
Licensed Professional Counselor, LPC, LMFT
1 Endorsed
El Paso, TX 79938
Our office is now open for in person visits and telehealth visits. Jessica is an interactive, solution-focused therapist. Her therapeutic approach is to provide support and practical feedback to help clients effectively address personal life challenges. She integrates complementary methodologies and techniques to offer a highly personalized approach tailored to each client. With compassion and understanding, she works with each individual to help them build on their strengths and attain the personal growth they are committed to accomplishing.
Our office is now open for in person visits and telehealth visits. Jessica is an interactive, solution-focused therapist. Her therapeutic approach is to provide support and practical feedback to help clients effectively address personal life challenges. She integrates complementary methodologies and techniques to offer a highly personalized approach tailored to each client. With compassion and understanding, she works with each individual to help them build on their strengths and attain the personal growth they are committed to accomplishing.
(915) 465-9580 View (915) 465-9580
Photo of Dayna Quezada, Licensed Professional Counselor, MEd, LPC
Dayna Quezada
Licensed Professional Counselor, MEd, LPC
1 Endorsed
Online Only
At Cozy Nook Counseling, I welcome adults navigating the effects of trauma, stress, anxiety, and life transitions. Whether you're feeling stuck, overwhelmed, or seeking clarity, I'm here to provide a safe and supportive space where you can explore your experiences without judgement. Together, we'll work on building effective coping strategies, fostering resilience, and creating healthier relationships. My approach is centered on helping you move toward a more fulfilling and balanced life, tailored to your unique goals.
At Cozy Nook Counseling, I welcome adults navigating the effects of trauma, stress, anxiety, and life transitions. Whether you're feeling stuck, overwhelmed, or seeking clarity, I'm here to provide a safe and supportive space where you can explore your experiences without judgement. Together, we'll work on building effective coping strategies, fostering resilience, and creating healthier relationships. My approach is centered on helping you move toward a more fulfilling and balanced life, tailored to your unique goals.
(915) 666-3644 View (915) 666-3644
Photo of Dr. Monica Baines, Psychologist, PhD
Dr. Monica Baines
Psychologist, PhD
3 Endorsed
Online Only
Anxiety can be draining. It hijacks your thoughts, turns small decisions into life-or-death dilemmas, convinces you that everyone noticed that awkward thing you said, and keeps you up at night crafting worst-case scenarios like it’s a full-time job. Imagine a life where your mind isn’t the enemy—where you can focus at work, enjoy time with loved ones, and actually relax without that nagging guilt. I’ll help you quiet your inner critic, so you can feel comfortable in your own skin and finally feel like you belong in every room you enter. If that sounds like a dream, I’d love to help make it your reality.
Anxiety can be draining. It hijacks your thoughts, turns small decisions into life-or-death dilemmas, convinces you that everyone noticed that awkward thing you said, and keeps you up at night crafting worst-case scenarios like it’s a full-time job. Imagine a life where your mind isn’t the enemy—where you can focus at work, enjoy time with loved ones, and actually relax without that nagging guilt. I’ll help you quiet your inner critic, so you can feel comfortable in your own skin and finally feel like you belong in every room you enter. If that sounds like a dream, I’d love to help make it your reality.
(915) 268-0958 View (915) 268-0958
Photo of Gabriela Rosas, Licensed Professional Counselor, LPC-S
Gabriela Rosas
Licensed Professional Counselor, LPC-S
3 Endorsed
Online Only
Not accepting new clients
Hello, I am so glad you're here! My focus is to work with young athletes and parents to help them reach top performance. Playing sports is more than learning the sport itself, the mind is also involved in this process & sometimes this can hinder progress, I’m here to help! I have also worked with clients with a wide range of concerns including depression, anxiety, OCD, ADHD, relationship issues, parenting and career challenges. My approach combines cognitive-behavioral and dialectical-behavioral therapy. I also use motivational interviewing techniques and solution-focused techniques. We can collaborate to meet your specific needs.
Hello, I am so glad you're here! My focus is to work with young athletes and parents to help them reach top performance. Playing sports is more than learning the sport itself, the mind is also involved in this process & sometimes this can hinder progress, I’m here to help! I have also worked with clients with a wide range of concerns including depression, anxiety, OCD, ADHD, relationship issues, parenting and career challenges. My approach combines cognitive-behavioral and dialectical-behavioral therapy. I also use motivational interviewing techniques and solution-focused techniques. We can collaborate to meet your specific needs.
(915) 621-5777 View (915) 621-5777
Photo of Dr. Carlos G Perlasca, Pre-Licensed Professional, PhD, MS
Dr. Carlos G Perlasca
Pre-Licensed Professional, PhD, MS
El Paso, TX 79912
Dr. Perlasca is a %100 bilingual certified Mental Health Specialist with over 30 years of experience. At Borderhealth, you can process your private or Law Enforcement Mental Health evaluations and assessments. We commonly evaluate Veterans applying for benefits or being treated for PTSD, OCD, General Anxiety Disorders, Depression, Trauma and others alike. Dr. Perlasca has evaluated applicants for Border Patrol positions and Immigration related issues. He has over 30 of experience treating mainly anxiety disorders, depression, couples therapy, anger management mediation in Divorce, Custody Battles and others alike.
Dr. Perlasca is a %100 bilingual certified Mental Health Specialist with over 30 years of experience. At Borderhealth, you can process your private or Law Enforcement Mental Health evaluations and assessments. We commonly evaluate Veterans applying for benefits or being treated for PTSD, OCD, General Anxiety Disorders, Depression, Trauma and others alike. Dr. Perlasca has evaluated applicants for Border Patrol positions and Immigration related issues. He has over 30 of experience treating mainly anxiety disorders, depression, couples therapy, anger management mediation in Divorce, Custody Battles and others alike.
(915) 213-7343 View (915) 213-7343

See more therapy options for El Paso County

How does your Therapist compare?

Number of Therapists in El Paso County, TX

700+

Average cost per session

$110

Therapists in El Paso County, TX who prioritize treating:

90% Anxiety
86% Depression
70% Trauma and PTSD
68% Self Esteem
65% Coping Skills
62% Stress
59% Grief

Average years in practice

10 Years

Top 3 insurances accepted

91% Aetna
89% Cigna and Evernorth
83% BlueCross and BlueShield

How Therapists in El Paso County, TX see their clients

59% Online Only
41% In Person and Online

Gender breakdown

78% Female
21% Male
1% Non-Binary
FAQs - About Therapy and Counseling

How can I find a therapist in El Paso County?

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.