Therapists in Houston, TX

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Photo of StarTherapy Telemental Health for Texas, Clinical Social Work/Therapist in Houston, TX
StarTherapy Telemental Health for Texas
Clinical Social Work/Therapist, LCSW, MSSW, BS
Verified Verified
Houston, TX 77030  (Online Only)
If you're someone who is seeking support for personal growth, facing challenges like anxiety, relationship issues or self-doubt. You desire self-discovery and empowerment to lead a happier, more fulfilling life. You want to understand yourself better, improve relationships, and gain tools for resilience. Your goal is to thrive emotionally and mentally, finding inner peace and balance. You're in the right place.
If you're someone who is seeking support for personal growth, facing challenges like anxiety, relationship issues or self-doubt. You desire self-discovery and empowerment to lead a happier, more fulfilling life. You want to understand yourself better, improve relationships, and gain tools for resilience. Your goal is to thrive emotionally and mentally, finding inner peace and balance. You're in the right place.
(832) 479-3847 View (832) 479-3847
Photo of Christopher S Marullo, Licensed Professional Counselor in Houston, TX
Christopher S Marullo
Licensed Professional Counselor, LPC
Verified Verified
1 Endorsed
Houston, TX 77058  (Online Only)
I look forward to helping people connect with their values, discover their strengths, and build healthy coping skills so they can work the through the difficult times and enjoy and appreciate the good times. I enjoy the therapeutic process and consider it a privilege to help others. I strive to create an understanding and empathic therapeutic environment. Whether it be depression, anxiety, or a struggle with an unexpected change in life, my goal is to offer you individualized treatment with evidenced-based approaches.
I look forward to helping people connect with their values, discover their strengths, and build healthy coping skills so they can work the through the difficult times and enjoy and appreciate the good times. I enjoy the therapeutic process and consider it a privilege to help others. I strive to create an understanding and empathic therapeutic environment. Whether it be depression, anxiety, or a struggle with an unexpected change in life, my goal is to offer you individualized treatment with evidenced-based approaches.
(281) 609-6323 View (281) 609-6323
Photo of Cassandra J Wolff, Licensed Professional Counselor in Houston, TX
Cassandra J Wolff
Licensed Professional Counselor, MEd, LPC
Verified Verified
2 Endorsed
Houston, TX 77096  (Online Only)
I specialize in working with individuals, couples, and families impacted by ADHD, anxiety based disorders, and/or are experiencing relationship challenges. I also welcome those who identify as neurodiverse, but may not have a specific diagnosis. We work together to improve executive functioning, improve relationship quality, learn how to live with uncertainty, and live by our values. Over half of the clients I work with either identify as neurodiverse (most often diagnosed with ADHD), or has someone within their partnership or family that identifies this way. It is an absolute pleasure to be able to work with these individuals.
I specialize in working with individuals, couples, and families impacted by ADHD, anxiety based disorders, and/or are experiencing relationship challenges. I also welcome those who identify as neurodiverse, but may not have a specific diagnosis. We work together to improve executive functioning, improve relationship quality, learn how to live with uncertainty, and live by our values. Over half of the clients I work with either identify as neurodiverse (most often diagnosed with ADHD), or has someone within their partnership or family that identifies this way. It is an absolute pleasure to be able to work with these individuals.
(267) 214-9851 View (267) 214-9851
Photo of Kellie Gallegos, Clinical Social Work/Therapist in Houston, TX
Kellie Gallegos
Clinical Social Work/Therapist, LCSW, CCTP-1
Verified Verified
3 Endorsed
Houston, TX 77070
I believe that each person is created with uniqueness, talents and strengths to do amazing things in this life. But life is hard and at times there are barriers that prevent us from being our best selves. I bet it took a lot of courage to reach out to ask for help. If you are struggling with depression, anxiety, trauma, hopelessness, loneliness, or a difficult relationship I can help. I am passionate about guiding women past their stress, shame and insecurities to find their unique self and return to joy. I will give you compassionate support and together we will walk this journey to find hope and celebrate your story.
I believe that each person is created with uniqueness, talents and strengths to do amazing things in this life. But life is hard and at times there are barriers that prevent us from being our best selves. I bet it took a lot of courage to reach out to ask for help. If you are struggling with depression, anxiety, trauma, hopelessness, loneliness, or a difficult relationship I can help. I am passionate about guiding women past their stress, shame and insecurities to find their unique self and return to joy. I will give you compassionate support and together we will walk this journey to find hope and celebrate your story.
(281) 609-3127 View (281) 609-3127
Bonnie Byrne
Clinical Social Work/Therapist, LCSW206
Verified Verified
1 Endorsed
Houston, TX 77018
I am a Clinical Social Worker and Psychotherapist, and I have been in private practice since 2009. I focus on resiliency and recovery. I enjoy being with clients whether they be adults, children, or families as they travel to a place of self discovery and change. I use a variety of therapeutic interventions. I like to say I meet clients where they are, and develop an understanding of their hopes and dreams. I consider myself a compassionate witness to clients as they discover peace.
I am a Clinical Social Worker and Psychotherapist, and I have been in private practice since 2009. I focus on resiliency and recovery. I enjoy being with clients whether they be adults, children, or families as they travel to a place of self discovery and change. I use a variety of therapeutic interventions. I like to say I meet clients where they are, and develop an understanding of their hopes and dreams. I consider myself a compassionate witness to clients as they discover peace.
(832) 956-1808 View (832) 956-1808
Photo of Ty Neely, Licensed Professional Counselor in Houston, TX
Ty Neely
Licensed Professional Counselor, MS, NCC
Verified Verified
2 Endorsed
Houston, TX 77008
I became a therapist out of a passion and love in walking others through the storms of life. We all experience times in our lives that leave us bruised, battered, and beaten. As a therapist, my goal is to help you find a way out of your storm and become a stronger, more resilient, and more fulfilled person. The basis for my practice is Existential Therapy, where I help clients truly grasp their relationships with themselves and the world around them. I bring in other therapeutic techniques and styles to individualize treatment to what each client needs and wants out of therapy.
I became a therapist out of a passion and love in walking others through the storms of life. We all experience times in our lives that leave us bruised, battered, and beaten. As a therapist, my goal is to help you find a way out of your storm and become a stronger, more resilient, and more fulfilled person. The basis for my practice is Existential Therapy, where I help clients truly grasp their relationships with themselves and the world around them. I bring in other therapeutic techniques and styles to individualize treatment to what each client needs and wants out of therapy.
(281) 502-4490 View (281) 502-4490
Photo of Emily Trof, Clinical Social Work/Therapist in Houston, TX
Emily Trof
Clinical Social Work/Therapist, LCSW, MA
Verified Verified
Houston, TX 77008
Are you overthinking instead of enjoying your life? Do you often feel misunderstood or disconnected from friends or loved ones? Does advice from others seem unhelpful or useless? Sometimes we notice we have become too hard on ourselves or others. We may notice an increasing sense of lonliness and begin to lose of sight of what is truly important. Do you ever wish you could just sit down with someone and sort it all out?
Are you overthinking instead of enjoying your life? Do you often feel misunderstood or disconnected from friends or loved ones? Does advice from others seem unhelpful or useless? Sometimes we notice we have become too hard on ourselves or others. We may notice an increasing sense of lonliness and begin to lose of sight of what is truly important. Do you ever wish you could just sit down with someone and sort it all out?
(832) 979-1922 View (832) 979-1922
Photo of Josephine Barclay, Licensed Professional Counselor Associate in Houston, TX
Josephine Barclay
Licensed Professional Counselor Associate, LPC-A, LCDC, MS, MA
Verified Verified
Houston, TX 77063
Are you in that very dark place? Don’t care if life passing you by? Are your thoughts creating more thoughts, and causing you to be completely unable to function? Are you struggling to sleep unable to turn off the thoughts? Do you function on autopilot during the day? Is your day consumed with alcohol, drugs, or a behavior or activity that leaves you with even more stress and anxiety? Is your house so cluttered and you have no energy to sort? Are you grieving a loss? Worry, stress, anxiety, boredom, loneliness, sadness, lack of sleep, addiction, grief /loss and trauma affect your daily living activities. Time to get help.
Are you in that very dark place? Don’t care if life passing you by? Are your thoughts creating more thoughts, and causing you to be completely unable to function? Are you struggling to sleep unable to turn off the thoughts? Do you function on autopilot during the day? Is your day consumed with alcohol, drugs, or a behavior or activity that leaves you with even more stress and anxiety? Is your house so cluttered and you have no energy to sort? Are you grieving a loss? Worry, stress, anxiety, boredom, loneliness, sadness, lack of sleep, addiction, grief /loss and trauma affect your daily living activities. Time to get help.
(281) 572-5692 View (281) 572-5692
Photo of Matt Miller, Licensed Professional Counselor in Houston, TX
Matt Miller
Licensed Professional Counselor, MEd, LPC-S
Verified Verified
1 Endorsed
Houston, TX 77042
I offer a man the opportunity to delve into the hinderances that are preventing him from living as the man he desires. These hinderances take on many forms that often result in a façade that is not real, nor does he know how to shed. My commitment, man to man is to help draw out and strengthen the best that is inside. “As iron sharpens iron, so one man sharpens another.” Proverbs 27:17 Check out my website at www.Abbapsych.com
I offer a man the opportunity to delve into the hinderances that are preventing him from living as the man he desires. These hinderances take on many forms that often result in a façade that is not real, nor does he know how to shed. My commitment, man to man is to help draw out and strengthen the best that is inside. “As iron sharpens iron, so one man sharpens another.” Proverbs 27:17 Check out my website at www.Abbapsych.com
(713) 388-6937 View (713) 388-6937
Photo of Ks Stanley, Psychologist in Houston, TX
Ks Stanley
Psychologist, PsyD, QTAP
Verified Verified
1 Endorsed
Houston, TX 77098
Hi ya'll :) I provide services to people who seek my help. Even if it's to get you to another provider who fits you! I want to work with folks who are open to doing the work - which is a hard thing to do. I validate that. But let's do this if you have the space. I provide including both psychotherapy, as well as brief assessments for WPATH letters for life saving, gender affirmative health care + GHAC letters to appeal insurance denials of coverage for GAHC (don't back down!). You don't have to be LBTQISP+ for me to care about your well-being. If you imagine a fit, please reach out and we can figure it out together.
Hi ya'll :) I provide services to people who seek my help. Even if it's to get you to another provider who fits you! I want to work with folks who are open to doing the work - which is a hard thing to do. I validate that. But let's do this if you have the space. I provide including both psychotherapy, as well as brief assessments for WPATH letters for life saving, gender affirmative health care + GHAC letters to appeal insurance denials of coverage for GAHC (don't back down!). You don't have to be LBTQISP+ for me to care about your well-being. If you imagine a fit, please reach out and we can figure it out together.
(346) 444-1517 View (346) 444-1517
Photo of Dr. Alice Gates, Psychologist in Houston, TX
Dr. Alice Gates
Psychologist, EdD
Verified Verified
Houston, TX 77027
I have been in practice for 30 years in the Houston area. My specialty is Educatonal Psychology, with a specialization in the assessment of children, adolescents and young adults. I have helped many students become aware of their ability and plan for their educational future.
I have been in practice for 30 years in the Houston area. My specialty is Educatonal Psychology, with a specialization in the assessment of children, adolescents and young adults. I have helped many students become aware of their ability and plan for their educational future.
(713) 234-6559 View (713) 234-6559
Photo of Revitalized Resilience , Clinical Social Work/Therapist in Houston, TX
Revitalized Resilience
Clinical Social Work/Therapist, LCSW, LCSW-S
Verified Verified
Houston, TX 77002  (Online Only)
Struggling with past traumas? We'll tackle them together. Anxious or feeling down? Let's find strategies that work for you. Feeling stuck? I'm here to help you find your path forward. My name is Jazmine Maddox, a Licensed Clinical Social Worker-Supervisor (LCSW-S) with a decade of experience in the mental health field. My focus is on providing compassionate and evidence-based treatment to individuals struggling with anxiety, coping issues, depression, grief, trauma, and PTSD.
Struggling with past traumas? We'll tackle them together. Anxious or feeling down? Let's find strategies that work for you. Feeling stuck? I'm here to help you find your path forward. My name is Jazmine Maddox, a Licensed Clinical Social Worker-Supervisor (LCSW-S) with a decade of experience in the mental health field. My focus is on providing compassionate and evidence-based treatment to individuals struggling with anxiety, coping issues, depression, grief, trauma, and PTSD.
(346) 209-0362 View (346) 209-0362
Photo of William Blake Fogle, Licensed Professional Counselor in Houston, TX
William Blake Fogle
Licensed Professional Counselor, LPC
Verified Verified
Houston, TX 77084
My name is Blake Fogle and I am a Licensed Professional Counselor in Houston, Texas. I have experience working in county mental health services as well as private practice settings. In these roles I serviced a wide variety of populations ranging from children in underserved communities, adults needing assistance in coping with everyday struggles, and couples wanting to rekindle their relationship. These roles have provided me with tools to help my clients facilitate change and reach their goals.
My name is Blake Fogle and I am a Licensed Professional Counselor in Houston, Texas. I have experience working in county mental health services as well as private practice settings. In these roles I serviced a wide variety of populations ranging from children in underserved communities, adults needing assistance in coping with everyday struggles, and couples wanting to rekindle their relationship. These roles have provided me with tools to help my clients facilitate change and reach their goals.
(281) 946-2408 View (281) 946-2408
Photo of Provenance Care Services, PLLC, Clinical Social Work/Therapist in Houston, TX
Provenance Care Services, PLLC
Clinical Social Work/Therapist, LCSW
Verified Verified
10 Endorsed
Houston, TX 77056
I am one of a HANDFUL of Filipina American therapists based in Houston, the fourth largest and most diverse city in the nation. I am trilingual in English and the Filipino dialects: Tagalog and Cebuano. I have a unique understanding of the bicultural/immigrant experience, being an immigrant myself. I believe everyone has an innate need to feel seen and valued. This is my goal in my practice: that the person sitting in front of me knows their value and provide a safe space to process the jagged edges of life. I want to ensure that the goals clients have in therapy are met and to empower them to face the other side of my office door.
I am one of a HANDFUL of Filipina American therapists based in Houston, the fourth largest and most diverse city in the nation. I am trilingual in English and the Filipino dialects: Tagalog and Cebuano. I have a unique understanding of the bicultural/immigrant experience, being an immigrant myself. I believe everyone has an innate need to feel seen and valued. This is my goal in my practice: that the person sitting in front of me knows their value and provide a safe space to process the jagged edges of life. I want to ensure that the goals clients have in therapy are met and to empower them to face the other side of my office door.
(346) 639-3249 View (346) 639-3249
Photo of Rachel Bailey, Licensed Professional Counselor in Houston, TX
Rachel Bailey
Licensed Professional Counselor, LPC
Verified Verified
Houston, TX 77098
If you're like many of my current clients, you're juggling life. On the outside, you seem to be "thriving," but on the inside you're overwhelmed, burned out, and burdened with your feelings. You’ve tried it all: working more hours, eating fewer calories, doing more “self care”... but you still hear that voice: "You’re not good enough." Trust me, you're not alone, and professional counseling can help. In our work together, you'll renew your sense of hope, deal with your burnout, and finally learn to apply your grit, creativity, and natural compassion to how you see yourself.
If you're like many of my current clients, you're juggling life. On the outside, you seem to be "thriving," but on the inside you're overwhelmed, burned out, and burdened with your feelings. You’ve tried it all: working more hours, eating fewer calories, doing more “self care”... but you still hear that voice: "You’re not good enough." Trust me, you're not alone, and professional counseling can help. In our work together, you'll renew your sense of hope, deal with your burnout, and finally learn to apply your grit, creativity, and natural compassion to how you see yourself.
(832) 979-6420 View (832) 979-6420
Photo of Kateri Perez, Licensed Professional Counselor in Houston, TX
Kateri Perez
Licensed Professional Counselor, LPC, EMDR
Verified Verified
Houston, TX 77063
“It can be scary to start this journey, but it is also scary to be stuck forever. There is a life where you get to have more control and peace. You are not alone and whenever you are ready, we can begin working together towards your healing.” Creating a life worth living may take working through wounds. Kateri is EMDR certified, which aids people becoming unstuck from their traumas. It provides healthier thinking patterns and coping skills for survivors of trauma to move forward with their lives and gain new perspectives that better serve their desired goals. Traumas may lead to anxiety, addictions, chronic issues & illnesses.
“It can be scary to start this journey, but it is also scary to be stuck forever. There is a life where you get to have more control and peace. You are not alone and whenever you are ready, we can begin working together towards your healing.” Creating a life worth living may take working through wounds. Kateri is EMDR certified, which aids people becoming unstuck from their traumas. It provides healthier thinking patterns and coping skills for survivors of trauma to move forward with their lives and gain new perspectives that better serve their desired goals. Traumas may lead to anxiety, addictions, chronic issues & illnesses.
(832) 345-3694 View (832) 345-3694
Photo of Anai Gutierrez, Licensed Master Social Worker in Houston, TX
Anai Gutierrez
Licensed Master Social Worker, LMSW
Verified Verified
1 Endorsed
Houston, TX 77078  (Online Only)
If you or someone you know are struggling with finding positive coping skills, managing your thoughts and/or emotions, school issues, building relationships, or simply just need someone to listen to you, I’m here to tell you that you are not alone and I am at your service to meet you where you are to work together through these issues.
If you or someone you know are struggling with finding positive coping skills, managing your thoughts and/or emotions, school issues, building relationships, or simply just need someone to listen to you, I’m here to tell you that you are not alone and I am at your service to meet you where you are to work together through these issues.
(281) 949-7618 View (281) 949-7618
Photo of Joseph S. Bak, Psychologist in Houston, TX
Joseph S. Bak
Psychologist, PhD
Verified Verified
Houston, TX 77063
I have over 35 years experience specializing in working with couples issues using a practical, solution-focused approach. In addition, I work with clients struggling with depression and anxiety related issues.
I have over 35 years experience specializing in working with couples issues using a practical, solution-focused approach. In addition, I work with clients struggling with depression and anxiety related issues.
(713) 974-1985 View (713) 974-1985
Photo of Natalie P. Mica, Licensed Professional Counselor in Houston, TX
Natalie P. Mica
Licensed Professional Counselor, MEd, LPC-S, CDWF
Verified Verified
1 Endorsed
Houston, TX 77006
You want to live the truth and fullness of who you are, but somehow you question your worthiness and struggle to find your authentic voice. It seems your key relationships or life circumstances encourage you to deny, hide, or diminish who you are. Perfectionism, people pleasing, performing, and the need to control have taken over your life, and the stress is causing pain and dis-ease. Often you feel anxious, overwhelmed, and burdened by life’s demands. Or you’re depressed and disconnected from yourself and others or angry and out of control, numbing to get by. Let me help you regain your center and move forward, authentically.
You want to live the truth and fullness of who you are, but somehow you question your worthiness and struggle to find your authentic voice. It seems your key relationships or life circumstances encourage you to deny, hide, or diminish who you are. Perfectionism, people pleasing, performing, and the need to control have taken over your life, and the stress is causing pain and dis-ease. Often you feel anxious, overwhelmed, and burdened by life’s demands. Or you’re depressed and disconnected from yourself and others or angry and out of control, numbing to get by. Let me help you regain your center and move forward, authentically.
(832) 304-2149 View (832) 304-2149
Photo of Dr. Kemi Sells, Clinical Social Work/Therapist in Houston, TX
Dr. Kemi Sells
Clinical Social Work/Therapist, DBH, LCSW-S, ACSW, BCD
Verified Verified
1 Endorsed
Houston, TX 77077  (Online Only)
Every situation, every experience, every individual is unique; the approach for dealing with them should be unique as well. I am a Licensed Clinical Social Worker with a passion for working with people and I am armed with awareness that each individual is unique and experiences life differently. I have a Doctorate of Behavioral Health degree, Master of Science in Social Work and a Bachelor of Science in Sociology. I work with children, teenagers, adults, and older adults diagnosed with significant mental health issues. I am committed to working with individuals to create a more satisfying life.
Every situation, every experience, every individual is unique; the approach for dealing with them should be unique as well. I am a Licensed Clinical Social Worker with a passion for working with people and I am armed with awareness that each individual is unique and experiences life differently. I have a Doctorate of Behavioral Health degree, Master of Science in Social Work and a Bachelor of Science in Sociology. I work with children, teenagers, adults, and older adults diagnosed with significant mental health issues. I am committed to working with individuals to create a more satisfying life.
(346) 209-4364 View (346) 209-4364

How does your Therapist compare?

Number of Therapists in Houston, TX

3,000+

Average cost per session

$135

Therapists in Houston, TX who prioritize treating:

92% Anxiety
87% Depression
74% Self Esteem
71% Coping Skills
68% Relationship Issues
66% Stress
65% Trauma and PTSD

Average years in practice

10 Years

Top 3 insurances accepted

86% Aetna
80% Cigna and Evernorth
80% UnitedHealthcare UHC | UBH

How Therapists in Houston, TX see their clients

55% In Person and Online
45% Online Only

Gender breakdown

82% Female
17% Male
1% Non-Binary

FAQs - About Therapy and Counseling

How can I find a therapist in Houston?

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.