Therapists in Garza County, TX

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Photo of Janna Christine Knox, LCSW, Clinical Social Work/Therapist
Janna Christine Knox
Clinical Social Work/Therapist, LCSW
Verified Verified
Online Only
Welcome! This may be your first encounter with therapy or counseling, and I’m so happy you’re here. This initial step to enhance your mental health is a powerful decision. As a licensed clinical social worker, with over twenty years of experience, I have helped individuals navigate life's complex challenges. I am client focused and work with adults of all ages experiencing depression, anxiety, coping/adjusting to chronic illness, or adjusting to a variety of life transitions.
Welcome! This may be your first encounter with therapy or counseling, and I’m so happy you’re here. This initial step to enhance your mental health is a powerful decision. As a licensed clinical social worker, with over twenty years of experience, I have helped individuals navigate life's complex challenges. I am client focused and work with adults of all ages experiencing depression, anxiety, coping/adjusting to chronic illness, or adjusting to a variety of life transitions.
(806) 216-4278 View (806) 216-4278
Photo of Denise Smith, LPC, Licensed Professional Counselor
Denise Smith
Licensed Professional Counselor, LPC
Verified Verified
Online Only
I am an experienced therapist who has worked with those struggling with addiction, mood disorders (including bipolar disorder), personality disorders, and trauma. I enjoy working with adults, adolescents, and families/couples. I primarily use CBT/DBT modalities but can adjust to the needs of the client.
I am an experienced therapist who has worked with those struggling with addiction, mood disorders (including bipolar disorder), personality disorders, and trauma. I enjoy working with adults, adolescents, and families/couples. I primarily use CBT/DBT modalities but can adjust to the needs of the client.
(430) 213-4499 View (430) 213-4499
Photo of Eddie Traughber, LMFT, Marriage & Family Therapist
Eddie Traughber
Marriage & Family Therapist, LMFT
Verified Verified
Online Only
My name is Eddie Traughber, and I am a Licensed Marriage and Family Therapist based in East Texas but working with clients statewide via telehealth. Through my faith-based approach, I work with adults and couples and specialize in anxiety, sexual addiction, trauma, and grief counseling, using Cognitive Behavioral Therapy, Family Systems Therapy, and Solution Focused Therapy to help my clients achieve their goals and improve their lives.
My name is Eddie Traughber, and I am a Licensed Marriage and Family Therapist based in East Texas but working with clients statewide via telehealth. Through my faith-based approach, I work with adults and couples and specialize in anxiety, sexual addiction, trauma, and grief counseling, using Cognitive Behavioral Therapy, Family Systems Therapy, and Solution Focused Therapy to help my clients achieve their goals and improve their lives.
(682) 357-4814 View (682) 357-4814

Online Therapists

Photo of Tommy L. Pool, MEd, LPC, LCDC, CART, Licensed Professional Counselor
Tommy L. Pool
Licensed Professional Counselor, MEd, LPC, LCDC, CART
Verified Verified
Lubbock, TX 79413
Do you have stress and anxiety related to a pending divorce, infidelity, pornography addiction, drugs/alcohol, or violence? Often these "adult" issues become problematic in households where children are involved. Are your children caught in the middle? Poor grades and oppositional/defiant behaviors can result from differing parenting styles or other conflicts between adults in the home. I understand the difficulty of seeking help in situations where feelings of embarrassment, guilt, anger, fear, or shame are involved, and assist my clients in resolving them.
Do you have stress and anxiety related to a pending divorce, infidelity, pornography addiction, drugs/alcohol, or violence? Often these "adult" issues become problematic in households where children are involved. Are your children caught in the middle? Poor grades and oppositional/defiant behaviors can result from differing parenting styles or other conflicts between adults in the home. I understand the difficulty of seeking help in situations where feelings of embarrassment, guilt, anger, fear, or shame are involved, and assist my clients in resolving them.
(719) 414-2400 View (719) 414-2400
Photo of Diane Milam Norman - Diane Norman Counseling, MA, LPC-S, Licensed Professional Counselor
Diane Norman Counseling
Licensed Professional Counselor, MA, LPC-S
Verified Verified
5 Endorsed
Lubbock, TX 79413
Life can be a challenge. Visiting with me is not going to change your circumstances, but I believe I can help you change the way you experience them. I have often been told that I am a warm, compassionate and nonjudgmental guide that will walk with you through dark times and will cheer you along as you reach new levels of freedom and hope. I do not view myself as an expert that can solve your problems, but rather as one who can sit with you while you wrestle with your deepest fears, hurts and pain and find the answers for yourself.
Life can be a challenge. Visiting with me is not going to change your circumstances, but I believe I can help you change the way you experience them. I have often been told that I am a warm, compassionate and nonjudgmental guide that will walk with you through dark times and will cheer you along as you reach new levels of freedom and hope. I do not view myself as an expert that can solve your problems, but rather as one who can sit with you while you wrestle with your deepest fears, hurts and pain and find the answers for yourself.
(806) 472-4479 View (806) 472-4479
Photo of Amber Kennedy, MS, LPC, NCC, CCTSI, Licensed Professional Counselor
Amber Kennedy
Licensed Professional Counselor, MS, LPC, NCC, CCTSI
Verified Verified
2 Endorsed
Abilene, TX 79603
Waitlist for new clients
You face challenges each and every day. At times, these struggles get to a point when you can no longer handle or manage them. Some things in life are not meant to be faced by yourself, and that's where I come in. My passion is helping those who feel as though the weight of their struggles is too much and those who are in need of support in their life to make a change. Sometimes we all need a little help to get to where we would like to be.
You face challenges each and every day. At times, these struggles get to a point when you can no longer handle or manage them. Some things in life are not meant to be faced by yourself, and that's where I come in. My passion is helping those who feel as though the weight of their struggles is too much and those who are in need of support in their life to make a change. Sometimes we all need a little help to get to where we would like to be.
(325) 480-0192 View (325) 480-0192
Photo of Sommer Phillips, MS, LPC, Licensed Professional Counselor
Sommer Phillips
Licensed Professional Counselor, MS, LPC
Verified Verified
1 Endorsed
Lubbock, TX 79414
Hi! I’m Sommer. I'm a licensed professional counselor who specializes in working with adolescents and adults struggling with anxiety, depression, relationship issues, and more. I help by offering a nonjudgmental perspective and allowing you to take the time to assess your well-being. I attempt to help you implement gradual change as opposed to trying to change everything at once. You can expect a warm and empathetic approach that allows you to share at your own pace. I am passionate about this work because I believe everyone deserves the chance to build the life they desire.
Hi! I’m Sommer. I'm a licensed professional counselor who specializes in working with adolescents and adults struggling with anxiety, depression, relationship issues, and more. I help by offering a nonjudgmental perspective and allowing you to take the time to assess your well-being. I attempt to help you implement gradual change as opposed to trying to change everything at once. You can expect a warm and empathetic approach that allows you to share at your own pace. I am passionate about this work because I believe everyone deserves the chance to build the life they desire.
(806) 230-4837 View (806) 230-4837
Photo of Della Boyer, LPC, Licensed Professional Counselor
Della Boyer
Licensed Professional Counselor, LPC
Verified Verified
Online Only
With a wealth of experience spanning diverse demographics, I've served as a seasoned counselor, offering guidance to children, adolescents, individuals grappling with substance abuse, LGBTQ community members, those with ADHD, individuals facing depression, and veterans. Over the years, I've been fortunate to glean insights from seasoned professionals, shaping my approach to client care significantly. In my work with children, I integrate art, activities, and games to foster communication and personal development. Though I'll admit, I frequently find myself on the losing side of UNO!
With a wealth of experience spanning diverse demographics, I've served as a seasoned counselor, offering guidance to children, adolescents, individuals grappling with substance abuse, LGBTQ community members, those with ADHD, individuals facing depression, and veterans. Over the years, I've been fortunate to glean insights from seasoned professionals, shaping my approach to client care significantly. In my work with children, I integrate art, activities, and games to foster communication and personal development. Though I'll admit, I frequently find myself on the losing side of UNO!
(806) 621-9956 View (806) 621-9956
Photo of Felicia Powell, LMFT, Marriage & Family Therapist
Felicia Powell
Marriage & Family Therapist, LMFT
Verified Verified
1 Endorsed
Lubbock, TX 79414
If you are stressed, frustrated and stuck, then you have come to the right place. I am here waiting on you. Life can be hard dealing with the ups and downs in our journey but you are not alone. I have over 16 years of experience, working with diverse backgrounds, ethnicities and cultures on issues of grief & loss, relationships, trauma, abuse, behavior, spirituality, divorce, women’s issues and more. Together, you and I can explore your issues and help you continue with your journey. Let’s talk.
If you are stressed, frustrated and stuck, then you have come to the right place. I am here waiting on you. Life can be hard dealing with the ups and downs in our journey but you are not alone. I have over 16 years of experience, working with diverse backgrounds, ethnicities and cultures on issues of grief & loss, relationships, trauma, abuse, behavior, spirituality, divorce, women’s issues and more. Together, you and I can explore your issues and help you continue with your journey. Let’s talk.
(806) 542-2605 View (806) 542-2605
Photo of Kaylee E Newbold, MA, LPC-A
Kaylee E Newbold
License Professional Counselor Associate, MA, LPC-A
Verified Verified
1 Endorsed
Lubbock, TX 79424
I’m a Licensed Professional Counselor Associate, working under the supervision of Shalana Jacobi LPC-S. Parenting is tough, whether your family is traditional or formed through foster care and adoption. With over 10 years of experience, I’ve had the privilege of supporting a wide variety of families. I understand the unique challenges faced by all types of families and am here to offer the support and guidance you need. In addition to counseling, I offer parent coaching to help you develop effective parenting strategies, improve communication, and create a positive family environment.
I’m a Licensed Professional Counselor Associate, working under the supervision of Shalana Jacobi LPC-S. Parenting is tough, whether your family is traditional or formed through foster care and adoption. With over 10 years of experience, I’ve had the privilege of supporting a wide variety of families. I understand the unique challenges faced by all types of families and am here to offer the support and guidance you need. In addition to counseling, I offer parent coaching to help you develop effective parenting strategies, improve communication, and create a positive family environment.
(806) 304-6370 View (806) 304-6370
Photo of Dr. Courtney Walraven, EdD, LCSW-S, Clinical Social Work/Therapist
Dr. Courtney Walraven
Clinical Social Work/Therapist, EdD, LCSW-S
Verified Verified
5 Endorsed
Lubbock, TX 79414
Everyone has challenges in life, and reaching out when you need help is a sign of strength, not weakness. My passion in counseling is to help empower you to overcome obstacles in your life, process trauma, and learn to move forward with your goals without the restraint of past hurt or fear. I have experience in crisis intervention and outpatient therapy. I have worked with children, adolescents, adults and aging populations. I believe therapy is a great way to invest in yourself and improve your future. I would describe my therapeutic style as supportive and educational. I love to empower clients with the "why" behind the treatment.
Everyone has challenges in life, and reaching out when you need help is a sign of strength, not weakness. My passion in counseling is to help empower you to overcome obstacles in your life, process trauma, and learn to move forward with your goals without the restraint of past hurt or fear. I have experience in crisis intervention and outpatient therapy. I have worked with children, adolescents, adults and aging populations. I believe therapy is a great way to invest in yourself and improve your future. I would describe my therapeutic style as supportive and educational. I love to empower clients with the "why" behind the treatment.
(806) 513-5566 View (806) 513-5566
Photo of Shawn Edgington, LPC, Licensed Professional Counselor
Shawn Edgington
Licensed Professional Counselor, LPC
Verified Verified
Online Only
My name is Shawn Edgington, and I am a licensed professional counselor in the state of Texas and Florida. My passions are working with children, families and individuals. I specialize in Anxiety, women's issues and trauma. I enjoy working with clients who are experiencing life transitions and changes, anxiety, depression and mood disorders. When meeting with me, I want clients to feel like they are sitting in a warm comfortable chair in a calm environment and comfortable sharing their emotions.
My name is Shawn Edgington, and I am a licensed professional counselor in the state of Texas and Florida. My passions are working with children, families and individuals. I specialize in Anxiety, women's issues and trauma. I enjoy working with clients who are experiencing life transitions and changes, anxiety, depression and mood disorders. When meeting with me, I want clients to feel like they are sitting in a warm comfortable chair in a calm environment and comfortable sharing their emotions.
(469) 838-5390 View (469) 838-5390
Photo of Kallie Weaver, MEd, LPC, Licensed Professional Counselor
Kallie Weaver
Licensed Professional Counselor, MEd, LPC
Verified Verified
1 Endorsed
Lubbock, TX 79414
Accepting new clients! Are you tired of being tired and emotionally strung out? Our emotional health can be like a gas line. Properly maintained it provides our life with warmth. But when things go wrong, it can explode or leak into the ground causing a dead spot in the grass. Are you leaving behind charred remnants of dreams and relationships? Or feeling deadness seeping into your bone? Are you ready to feel alive again, young again, hopeful again? I want to help. I offer trauma informed, compassion and consent based therapy with real results!
Accepting new clients! Are you tired of being tired and emotionally strung out? Our emotional health can be like a gas line. Properly maintained it provides our life with warmth. But when things go wrong, it can explode or leak into the ground causing a dead spot in the grass. Are you leaving behind charred remnants of dreams and relationships? Or feeling deadness seeping into your bone? Are you ready to feel alive again, young again, hopeful again? I want to help. I offer trauma informed, compassion and consent based therapy with real results!
View
Photo of Daniel J. Latham, MA, LPC-S, NCC, Licensed Professional Counselor
Daniel J. Latham
Licensed Professional Counselor, MA, LPC-S, NCC
Verified Verified
1 Endorsed
Abilene, TX 79603
Therapy can sometimes be hard work, but it should also be rewarding and fun! My ideal client is looking for a collaborator/consultant- you are the expert in your own life; I want to reflect, help identify priorities, challenge, and offer new perspectives. I specialize in individual and couples' therapy, with special interests in academic and career progress, dilemmas of meaning and purpose, problematic family dynamics, sexual orientation and gender identity concepts, navigating ethical nonmonogamy, and negotiation and conflict resolution. I have a passion for destigmatizing mental health and advocating for wider access to services.
Therapy can sometimes be hard work, but it should also be rewarding and fun! My ideal client is looking for a collaborator/consultant- you are the expert in your own life; I want to reflect, help identify priorities, challenge, and offer new perspectives. I specialize in individual and couples' therapy, with special interests in academic and career progress, dilemmas of meaning and purpose, problematic family dynamics, sexual orientation and gender identity concepts, navigating ethical nonmonogamy, and negotiation and conflict resolution. I have a passion for destigmatizing mental health and advocating for wider access to services.
(325) 880-0867 View (325) 880-0867
Photo of Dr. Amanda Guzmán, PhD, LMFT-A, Marriage & Family Therapist Associate
Dr. Amanda Guzmán
Marriage & Family Therapist Associate, PhD, LMFT-A
Verified Verified
1 Endorsed
Lubbock, TX 79423
Relationships are foundational in our lives. Safe, trusting, relationships with the people in our lives are what truly allow us to feel and be who we are. I firmly believe that every human being has the capacity for growth and change. I also believe that healthy growth starts with a safe environment. I offer a collaborative approach, that honors your lived experience and needs. I offer a safe environment for you to feel heard and be seen. In our work together, we will tap into your inherent strengths and empower you in working towards your goals. "Human beings define themselves with others, not from others". – Sue Johnson.
Relationships are foundational in our lives. Safe, trusting, relationships with the people in our lives are what truly allow us to feel and be who we are. I firmly believe that every human being has the capacity for growth and change. I also believe that healthy growth starts with a safe environment. I offer a collaborative approach, that honors your lived experience and needs. I offer a safe environment for you to feel heard and be seen. In our work together, we will tap into your inherent strengths and empower you in working towards your goals. "Human beings define themselves with others, not from others". – Sue Johnson.
(806) 853-5561 View (806) 853-5561
Photo of Melissa Switzer, LCSW, Clinical Social Work/Therapist
Melissa Switzer
Clinical Social Work/Therapist, LCSW
Verified Verified
Online Only
Hi there, I'm Melissa! My name is Melissa Switzer. I am a Licensed Clinical Social Worker (LCSW) based near Austin, Texas. I work with clients state-wide utilizing telehealth. I work best with adolescents to adults, ranging in age from 10 and up. I specialize in anxiety, stress, depression, anger management, ADHD, grief, neurodivergence, trauma, and life issues associated with the LGBTQ-plus community as a straight ally. I use psychoanalytic and Cognitive Behavioral therapy to help clients reach their therapeutic goals.
Hi there, I'm Melissa! My name is Melissa Switzer. I am a Licensed Clinical Social Worker (LCSW) based near Austin, Texas. I work with clients state-wide utilizing telehealth. I work best with adolescents to adults, ranging in age from 10 and up. I specialize in anxiety, stress, depression, anger management, ADHD, grief, neurodivergence, trauma, and life issues associated with the LGBTQ-plus community as a straight ally. I use psychoanalytic and Cognitive Behavioral therapy to help clients reach their therapeutic goals.
(866) 835-6029 View (866) 835-6029
Photo of Minerva Bonin, MA, LPC, EMDR, Licensed Professional Counselor
Minerva Bonin
Licensed Professional Counselor, MA, LPC, EMDR
Verified Verified
2 Endorsed
Lubbock, TX 79423
Waitlist for new clients
NO SATURDAY SESSIONS. EMDR Trained. My goal in working with patients is to create a safe and inviting space to process personal traumas and to establish a trusting relationship through which painful events can be confronted. In our time together, we will invite hope into your circumstance. Call for availability.
NO SATURDAY SESSIONS. EMDR Trained. My goal in working with patients is to create a safe and inviting space to process personal traumas and to establish a trusting relationship through which painful events can be confronted. In our time together, we will invite hope into your circumstance. Call for availability.
(806) 451-3677 View (806) 451-3677
Photo of Christine Hall, MA, LPC, LCDC, Licensed Professional Counselor
Christine Hall
Licensed Professional Counselor, MA, LPC, LCDC
Verified Verified
Midland, TX 79701
Therapy can be utilized for many struggles in a person's life. No matter the reason you are seeking therapy I am here to help. I provide therapy to adolescents and adults that are searching for a change in their life. Whether you are suffering from addiction, emotional distress, family issues, school or work issues, or you just feel stuck I am here to assist you on your journey. Asking for help can be difficult but you are worth it. I offer individual therapy to those struggling with behavior, emotional or life challenges.
Therapy can be utilized for many struggles in a person's life. No matter the reason you are seeking therapy I am here to help. I provide therapy to adolescents and adults that are searching for a change in their life. Whether you are suffering from addiction, emotional distress, family issues, school or work issues, or you just feel stuck I am here to assist you on your journey. Asking for help can be difficult but you are worth it. I offer individual therapy to those struggling with behavior, emotional or life challenges.
(432) 278-1670 View (432) 278-1670
Photo of Karmen Adkins Neal, MEd, LPC-S, CDWF, Licensed Professional Counselor
Karmen Adkins Neal
Licensed Professional Counselor, MEd, LPC-S, CDWF
Verified Verified
14 Endorsed
Lubbock, TX 79423
Karmen specializes in working with PTSD, Anxiety and Life Transitions. Karmen uses EMDR Therapy in combination with shame resiliency techniques influenced by Dr. Brené Brown to help you become the person you want to be.
Karmen specializes in working with PTSD, Anxiety and Life Transitions. Karmen uses EMDR Therapy in combination with shame resiliency techniques influenced by Dr. Brené Brown to help you become the person you want to be.
(806) 579-2694 View (806) 579-2694
Photo of Alyssa Marie Kelly, Pre-Licensed Professional
Alyssa Marie Kelly
Pre-Licensed Professional
Verified Verified
1 Endorsed
Lubbock, TX 79412
When working with families and couples, I often include attachment work. Attachment work can be pivotal when guiding families and couples towards healthier dynamics and communication. I have experience working with children, adolescence, young adults, and families. Some topics I have addressed in counseling include, but are not limited to depression, abandonment, Grief, childhood, trauma, domestic violence, work burnout, insecure attachments, and anxiety. Additionally, I have a background in behavioral therapy and working with students with various learning disabilities.
When working with families and couples, I often include attachment work. Attachment work can be pivotal when guiding families and couples towards healthier dynamics and communication. I have experience working with children, adolescence, young adults, and families. Some topics I have addressed in counseling include, but are not limited to depression, abandonment, Grief, childhood, trauma, domestic violence, work burnout, insecure attachments, and anxiety. Additionally, I have a background in behavioral therapy and working with students with various learning disabilities.
(972) 382-5685 View (972) 382-5685

See more therapy options for Garza County

How does your Therapist compare?

Number of Therapists in Garza County, TX

< 10

Therapists in Garza County, TX who prioritize treating:

100% Depression
100% Anxiety
100% Grief
100% Coping Skills
67% Addiction
67% Parenting
67% Family Conflict

Average years in practice

6 Years

Top 3 insurances accepted

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

How Therapists in Garza County, TX see their clients

100% Online Only

Gender breakdown

67% Female
33% Male
FAQs - About Therapy and Counseling

How can I find a therapist in Garza 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.