Therapists in Hays County, TX

View cities in Hays County
Photo of Dawn Brunkenhoefer, PhD, LPC-S, Licensed Professional Counselor
Dawn Brunkenhoefer
Licensed Professional Counselor, PhD, LPC-S
Verified Verified
1 Endorsed
Buda, TX 78610
Waking up to a new day, but it's like déjà vu all over again. The daily grind feels more like an endless loop of the same old routine, and despite the wins, something's missing. It's like living in Groundhog Day, minus the comedy. Behind the scenes, there's a tug of war happening. Success? Check. Anxiety? Triple check. It's a weird mix of "I'm doing okay" and "What am I doing with my life?" that's hard to ignore. Want to find meaning in the midst of the chaos? Learn to stop avoiding the "boogie monster", stop people pleasing, gain perspective, and set boundaries for yourself. Get in the driver's seat again. I see and hear you!
Waking up to a new day, but it's like déjà vu all over again. The daily grind feels more like an endless loop of the same old routine, and despite the wins, something's missing. It's like living in Groundhog Day, minus the comedy. Behind the scenes, there's a tug of war happening. Success? Check. Anxiety? Triple check. It's a weird mix of "I'm doing okay" and "What am I doing with my life?" that's hard to ignore. Want to find meaning in the midst of the chaos? Learn to stop avoiding the "boogie monster", stop people pleasing, gain perspective, and set boundaries for yourself. Get in the driver's seat again. I see and hear you!
(512) 361-4673 View (512) 361-4673
Photo of Jon Lasser, PhD, Psychologist
Jon Lasser
Psychologist, PhD
Verified Verified
San Marcos, TX 78666
Not accepting new clients
I'm a licensed psychologist who specializes in working with children, adolescents, emerging adults and families. Helping clients learn how to be successful in life makes my work rewarding. I have experience working as a psychologist in public school settings and can support goals for home and school.
I'm a licensed psychologist who specializes in working with children, adolescents, emerging adults and families. Helping clients learn how to be successful in life makes my work rewarding. I have experience working as a psychologist in public school settings and can support goals for home and school.
(512) 883-9372 View (512) 883-9372
Photo of Kelli Hansen, MA, LPC-S, LCDC, Licensed Professional Counselor
Kelli Hansen
Licensed Professional Counselor, MA, LPC-S, LCDC
Verified Verified
1 Endorsed
Buda, TX 78610
In our society today, self-care is so often put to the way side and put off for "another time." I commend you on taking this step in seeking the support and help you are needing today. I would be honored to help you address the obstacles or transitions presenting a challenge in your daily living. It is my life's passion to guide people through the difficult journey of healing and unveiling of their own self-love, acceptance and understanding.
In our society today, self-care is so often put to the way side and put off for "another time." I commend you on taking this step in seeking the support and help you are needing today. I would be honored to help you address the obstacles or transitions presenting a challenge in your daily living. It is my life's passion to guide people through the difficult journey of healing and unveiling of their own self-love, acceptance and understanding.
(512) 729-8431 View (512) 729-8431
Photo of Bethany Hanusch, MA, LPC, LLC, Licensed Professional Counselor
Bethany Hanusch
Licensed Professional Counselor, MA, LPC, LLC
Verified Verified
2 Endorsed
San Marcos, TX 78666
Not accepting new clients
*Does not take insurance* The main population I see is women and college students, with a few exceptions interspersed along the way (I’m looking at you, guys! I do work with men as well). I see 18+ only. I primarily work with college students who are working through all the things you would expect to work through in your late teens and early twenties! Anxiety, life transitions, depression, processing childhood trauma, processing your family and how it impacts you, relationship issues among partners and friends- the list goes on!
*Does not take insurance* The main population I see is women and college students, with a few exceptions interspersed along the way (I’m looking at you, guys! I do work with men as well). I see 18+ only. I primarily work with college students who are working through all the things you would expect to work through in your late teens and early twenties! Anxiety, life transitions, depression, processing childhood trauma, processing your family and how it impacts you, relationship issues among partners and friends- the list goes on!
(512) 399-1845 View (512) 399-1845
Photo of Sidu Arroyo-Boulter, LPC, Licensed Professional Counselor
Sidu Arroyo-Boulter
Licensed Professional Counselor, LPC
Verified Verified
Kyle, TX 78640
Therapy can be a deeply transformative experience where you may discover more of who you are and ultimately find a greater sense of peace. As a relational psychodynamic therapist, my first goal is to create an environment where you feel understood and supported in exploring your story. I have experience working with adolescents, adults, families, and perinatal patients. I also am an especially good fit for those who struggle with feelings of guilt and shame; those who consider themselves highly sensitive; and those who feel like outsiders.
Therapy can be a deeply transformative experience where you may discover more of who you are and ultimately find a greater sense of peace. As a relational psychodynamic therapist, my first goal is to create an environment where you feel understood and supported in exploring your story. I have experience working with adolescents, adults, families, and perinatal patients. I also am an especially good fit for those who struggle with feelings of guilt and shame; those who consider themselves highly sensitive; and those who feel like outsiders.
(512) 598-6122 View (512) 598-6122
Photo of Bob Harverstick, PhD, Psychologist
Bob Harverstick
Psychologist, PhD
Verified Verified
Dripping Springs, TX 78620  (Online Only)
Waitlist for new clients
The client notices that I am wanting to understand more and more about what it's like to be her or him. Trust develops. I come to admire the client's willingness to dare a variety of words and feelings. S/he discovers the bolstering agency that comes with the exploration. S/he discovers that s/he can put me back on track if I misunderstand or misinterpret something. We come to be genuine and open about our experience of one another. I feel respectful and honored. Tears and laughter are both welcome . I accept BCBS (not Health Select) and, in some cases Medicare. $175 per session.
The client notices that I am wanting to understand more and more about what it's like to be her or him. Trust develops. I come to admire the client's willingness to dare a variety of words and feelings. S/he discovers the bolstering agency that comes with the exploration. S/he discovers that s/he can put me back on track if I misunderstand or misinterpret something. We come to be genuine and open about our experience of one another. I feel respectful and honored. Tears and laughter are both welcome . I accept BCBS (not Health Select) and, in some cases Medicare. $175 per session.
(855) 516-9701 View (855) 516-9701
Photo of Abby Estrada, LCSW-S, Clinical Social Work/Therapist
Abby Estrada
Clinical Social Work/Therapist, LCSW-S
Verified Verified
3 Endorsed
Kyle, TX 78640
Seeking therapy means taking the first step to putting your needs and mental health first. Doing something for you. I help clients who want to invest in themselves by helping them achieve optimal mental health so they can be the best version of themselves and feel more balanced. I hold space and am of support to those navigating distressing mental health symptoms, life changes, and transitions. I use a collaborative and empowering approach to help you get to where you want to be.
Seeking therapy means taking the first step to putting your needs and mental health first. Doing something for you. I help clients who want to invest in themselves by helping them achieve optimal mental health so they can be the best version of themselves and feel more balanced. I hold space and am of support to those navigating distressing mental health symptoms, life changes, and transitions. I use a collaborative and empowering approach to help you get to where you want to be.
(940) 441-3826 View (940) 441-3826
Photo of MJ Denis, LPC, LMFT, Licensed Professional Counselor
MJ Denis
Licensed Professional Counselor, LPC, LMFT
Verified Verified
1 Endorsed
San Marcos, TX 78666
Not accepting new clients
MJ's path has led her to specialize in areas involving sexual dysfunction, sexual betrayal, intimacy discrepancies and desire disorders. Her experience includes working as a mental health counselor at Hope Alliance, a domestic and sexual violence crisis center; counseling patients experiencing sexual dysfunction at the North Austin Urology Clinic, and helping individuals and couples work through the pain of betrayal, infidelity, and sex addiction for Affair Recovery. MJ specializes in using Emotional Transformation Therapy (ETT) to help her clients reduce and sometimes eliminate the effects of trauma, grief, anxiety, and depression.
MJ's path has led her to specialize in areas involving sexual dysfunction, sexual betrayal, intimacy discrepancies and desire disorders. Her experience includes working as a mental health counselor at Hope Alliance, a domestic and sexual violence crisis center; counseling patients experiencing sexual dysfunction at the North Austin Urology Clinic, and helping individuals and couples work through the pain of betrayal, infidelity, and sex addiction for Affair Recovery. MJ specializes in using Emotional Transformation Therapy (ETT) to help her clients reduce and sometimes eliminate the effects of trauma, grief, anxiety, and depression.
(512) 623-7463 View (512) 623-7463
Photo of Lakettra Priestly, LCSW, Clinical Social Work/Therapist
Lakettra Priestly
Clinical Social Work/Therapist, LCSW
Verified Verified
2 Endorsed
Kyle, TX 78640
Congratulations on beginning the journey of positive change. I look forward to joining you on your journey to achieving, overcoming obstacles, and landing at an improved sense of self. If you are ready to begin working on your thought process, viewing life through new enlightened eyes, I'm the therapist for you.
Congratulations on beginning the journey of positive change. I look forward to joining you on your journey to achieving, overcoming obstacles, and landing at an improved sense of self. If you are ready to begin working on your thought process, viewing life through new enlightened eyes, I'm the therapist for you.
(512) 865-6678 View (512) 865-6678
Photo of Alondra Mascorro, MA, LPC, Licensed Professional Counselor
Alondra Mascorro
Licensed Professional Counselor, MA, LPC
Verified Verified
Kyle, TX 78640  (Online Only)
Hi there, I am Alondra. Do you feel at a vulnerable, challenging, or difficult stage in your life? Maybe you are struggling with current or past relationships or life transitions? I want to help you feel welcomed, heard and validated. I will provide you with a safe space to voice feelings about those situations that are difficult to process.
Hi there, I am Alondra. Do you feel at a vulnerable, challenging, or difficult stage in your life? Maybe you are struggling with current or past relationships or life transitions? I want to help you feel welcomed, heard and validated. I will provide you with a safe space to voice feelings about those situations that are difficult to process.
(512) 768-2682 View (512) 768-2682
Photo of undefined - Full Spectrum Healing PLLC, OTR, Occupational Therapist
Full Spectrum Healing PLLC
Occupational Therapist, OTR
Verified Verified
Austin, TX 78737
28 year old Eliza, is the mother of 3. At 8 weeks postpartum, she is feeling overwhelmed. Her 4 year old was diagnosed with autism, and doesn’t dress or eat independently. This bright child is prone to meltdown or run-off in public places, and just when it’s time to go somewhere. His aversion to food, movement and clothing are sensitivities she experiences to a lessor degree. She’s exhausted, and needs to return to work soon. She’s concerned about the leaking of urine and pressure she feels in her pelvis. Jim, her husband wants their intimacy back, but she’s not ready. She wants to restore balance and ease to her life, and her body.
28 year old Eliza, is the mother of 3. At 8 weeks postpartum, she is feeling overwhelmed. Her 4 year old was diagnosed with autism, and doesn’t dress or eat independently. This bright child is prone to meltdown or run-off in public places, and just when it’s time to go somewhere. His aversion to food, movement and clothing are sensitivities she experiences to a lessor degree. She’s exhausted, and needs to return to work soon. She’s concerned about the leaking of urine and pressure she feels in her pelvis. Jim, her husband wants their intimacy back, but she’s not ready. She wants to restore balance and ease to her life, and her body.
(737) 204-8790 View (737) 204-8790
Photo of Virginia C Renfroe, MA, LPC, Licensed Professional Counselor
Virginia C Renfroe
Licensed Professional Counselor, MA, LPC
Verified Verified
Welcome. Therapy is an important form of self-care. Anxiety, depression, grief & loss, life transitions, and relationship conflicts are often issues that lead people to seek a counselor. Or sometimes a person has experienced an upsetting or even life-threatening event. For close to twenty years I have assisted individuals, couples, and families in working through these and other concerns. While many may encounter similar difficulties, each person is unique, and your strengths, intuition, and creativity are key in your movement toward well-being.
Welcome. Therapy is an important form of self-care. Anxiety, depression, grief & loss, life transitions, and relationship conflicts are often issues that lead people to seek a counselor. Or sometimes a person has experienced an upsetting or even life-threatening event. For close to twenty years I have assisted individuals, couples, and families in working through these and other concerns. While many may encounter similar difficulties, each person is unique, and your strengths, intuition, and creativity are key in your movement toward well-being.
(844) 782-9119 View (844) 782-9119
Photo of Michele Renee Monserrate, LPA, LSSP, Psychological Associate
Michele Renee Monserrate
Psychological Associate, LPA, LSSP
Verified Verified
1 Endorsed
Buda, TX 78610
I come from a background in education, serving students and families in local districts since 2007, first through teaching and then through school psychology beginning in 2017. Within that timeframe, I have developed counseling skills working primarily with adolescents in the school setting. I believe that individuals thrive within an atmosphere of unconditional positive regard and solution-focused goal-setting.
I come from a background in education, serving students and families in local districts since 2007, first through teaching and then through school psychology beginning in 2017. Within that timeframe, I have developed counseling skills working primarily with adolescents in the school setting. I believe that individuals thrive within an atmosphere of unconditional positive regard and solution-focused goal-setting.
(512) 595-3517 View (512) 595-3517
Photo of Abigail McNeely, PsyD, LP, Psychologist
Abigail McNeely
Psychologist, PsyD, LP
Verified Verified
Wimberley, TX 78676  (Online Only)
The predominant perspective at Wellspring Behavioral Health is holistic. which regards people and communities as wholes, not just parts pieced together. That means that your physical, psychological, spiritual, behavioral and other "selves" are all intertwined, acting together and impacting one another. Similarly, you live in a family, workplace, and community which influence and are influenced by you. In concrete terms this means that any difficulty that may bring you to see a counselor is seen from a broad perspective opening a wealth of insight and ability to respond.
The predominant perspective at Wellspring Behavioral Health is holistic. which regards people and communities as wholes, not just parts pieced together. That means that your physical, psychological, spiritual, behavioral and other "selves" are all intertwined, acting together and impacting one another. Similarly, you live in a family, workplace, and community which influence and are influenced by you. In concrete terms this means that any difficulty that may bring you to see a counselor is seen from a broad perspective opening a wealth of insight and ability to respond.
(512) 521-3718 View (512) 521-3718
Photo of Meaghan House Escareno, CECP, Clinical Social Work/Therapist
Meaghan House Escareno
Clinical Social Work/Therapist, CECP
Verified Verified
Dripping Springs, TX 78620  (Online Only)
I am a strengths based, action focused therapist looking to help motivated individuals dive deeper into themselves in order to assist them in identifying who they really are and how to express their true authentic self. Life transitions (job changes, parenting, loss, etc), under treated mental health issues and lack of fulfilling connection with others can cause a lot of disruption to one's self perception and I am available to walk along side people who in process of figuring out the next step in their journey towards healing, health and wholeness.
I am a strengths based, action focused therapist looking to help motivated individuals dive deeper into themselves in order to assist them in identifying who they really are and how to express their true authentic self. Life transitions (job changes, parenting, loss, etc), under treated mental health issues and lack of fulfilling connection with others can cause a lot of disruption to one's self perception and I am available to walk along side people who in process of figuring out the next step in their journey towards healing, health and wholeness.
(737) 520-3239 View (737) 520-3239
Photo of Mario Uribe, MS, LMFT, Marriage & Family Therapist
Mario Uribe
Marriage & Family Therapist, MS, LMFT
Verified Verified
1 Endorsed
Buda, TX 78610
Do you feel disconnected from your spouse-- perpetually trying "reach" him or her, but angry, sad or frustrated at your inability to connect? Or perhaps you find yourself distancing from your marriage partner, avoiding conflict in order to feel safe, only to find yourself "walking on eggshells." You feel the pain of disconnection with the person you love, and you feel stuck; maybe it even feels hopeless at times. If only you could re-discover the bond that somehow still exists beneath the rubble of fighting, avoiding and blaming. Or, possibly your struggles are more individual than relational?
Do you feel disconnected from your spouse-- perpetually trying "reach" him or her, but angry, sad or frustrated at your inability to connect? Or perhaps you find yourself distancing from your marriage partner, avoiding conflict in order to feel safe, only to find yourself "walking on eggshells." You feel the pain of disconnection with the person you love, and you feel stuck; maybe it even feels hopeless at times. If only you could re-discover the bond that somehow still exists beneath the rubble of fighting, avoiding and blaming. Or, possibly your struggles are more individual than relational?
(512) 648-4264 View (512) 648-4264
Photo of undefined - Erin Caldwell - EMDR Intensives, LCSW, Clinical Social Work/Therapist
Erin Caldwell - EMDR Intensives
Clinical Social Work/Therapist, LCSW
Verified Verified
Are you looking to make big changes in your life or maybe you are just wanting to feel better on a daily basis? I offer evidence based therapy for those who are busy professionals or lead lives with demanding schedules that don't permit for the traditional model of months or even years of ongoing weekly therapy. Whether you seek this help for Trauma, interpersonal relationships, depression, or other difficult life situations, I am here to partner with you on the journey of healing. My passion is using the powerful techniques of EMDR Intensives with clients who are ready to live without their distressing clinical symptoms.
Are you looking to make big changes in your life or maybe you are just wanting to feel better on a daily basis? I offer evidence based therapy for those who are busy professionals or lead lives with demanding schedules that don't permit for the traditional model of months or even years of ongoing weekly therapy. Whether you seek this help for Trauma, interpersonal relationships, depression, or other difficult life situations, I am here to partner with you on the journey of healing. My passion is using the powerful techniques of EMDR Intensives with clients who are ready to live without their distressing clinical symptoms.
(512) 829-3440 View (512) 829-3440
Photo of Delaney Maxwell, LMFT-A, Marriage & Family Therapist Associate
Delaney Maxwell
Marriage & Family Therapist Associate, LMFT-A
Verified Verified
1 Endorsed
Austin, TX 78737
I believe in the resilience and strength of the individual. But I also understand that without the right support and care, life’s challenges can feel overwhelming. Everyone deserves a space in which they can better understand themselves within a relationship that lacks judgement. It is through relationship building, compassion, storytelling, humor, and genuine connection that I build safety my with clients and meet vulnerability with validation. I value the uniqueness of my clients, and believe that curiosity and compassion is what empowers change in individuals, couples, & families.
I believe in the resilience and strength of the individual. But I also understand that without the right support and care, life’s challenges can feel overwhelming. Everyone deserves a space in which they can better understand themselves within a relationship that lacks judgement. It is through relationship building, compassion, storytelling, humor, and genuine connection that I build safety my with clients and meet vulnerability with validation. I value the uniqueness of my clients, and believe that curiosity and compassion is what empowers change in individuals, couples, & families.
(512) 412-3852 View (512) 412-3852
Photo of Lindsey Bussey, LPC, MSW, EAGALA, Licensed Professional Counselor
Lindsey Bussey
Licensed Professional Counselor, LPC, MSW, EAGALA
Verified Verified
Driftwood, TX 78619
Not accepting new clients
*Not currently accepting new clients. I am accepting clients who wished to be placed on the waitlist. * My passion is to promote the growth and development of young people and their families through meaningful and authentic therapeutic relationships. I am committed to providing an environment where clients can feel safe, understood and unconditionally accepted. As a therapist, I provide support and guidance to help clients reveal inner strength, achieve balance in their lives, and develop healthy coping strategies.
*Not currently accepting new clients. I am accepting clients who wished to be placed on the waitlist. * My passion is to promote the growth and development of young people and their families through meaningful and authentic therapeutic relationships. I am committed to providing an environment where clients can feel safe, understood and unconditionally accepted. As a therapist, I provide support and guidance to help clients reveal inner strength, achieve balance in their lives, and develop healthy coping strategies.
(512) 872-5839 View (512) 872-5839
Photo of Monica Alexander, LCSW, Clinical Social Work/Therapist
Monica Alexander
Clinical Social Work/Therapist, LCSW
Verified Verified
Austin, TX 78737
It is a brave and courageous step to start this healing journey. Have you noticed yourself, or child feel overwhelmed? Have you experienced hurt, that causes you struggles in your daily life and relationships? Do you need a safe space to process difficult emotions or issues? Do you need assistance as a caregiver to connect with your child more? I would be honored to help you navigate any of these life stressors. I want my clients to gain as many skills as possible; leaving therapy feeling well equipped to manage any curve ball thrown your way.
It is a brave and courageous step to start this healing journey. Have you noticed yourself, or child feel overwhelmed? Have you experienced hurt, that causes you struggles in your daily life and relationships? Do you need a safe space to process difficult emotions or issues? Do you need assistance as a caregiver to connect with your child more? I would be honored to help you navigate any of these life stressors. I want my clients to gain as many skills as possible; leaving therapy feeling well equipped to manage any curve ball thrown your way.
(737) 530-4324 View (737) 530-4324

How does your Therapist compare?

Number of Therapists in Hays County, TX

500+

Average cost per session

$145

Therapists in Hays County, TX who prioritize treating:

93% Anxiety
86% Depression
79% Relationship Issues
78% Self Esteem
74% Coping Skills
71% Trauma and PTSD
69% Stress

Average years in practice

10 Years

Top 3 insurances accepted

73% UnitedHealthcare UHC | UBH
72% Aetna
69% BlueCross and BlueShield

How Therapists in Hays County, TX see their clients

67% In Person and Online
33% Online Only

Gender breakdown

83% Female
16% Male
1% Non-Binary
FAQs - About Therapy and Counseling

How can I find a therapist in Hays 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.