Therapists in Houston, TX

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Photo of Kimberly R Hopkins, MEd, LPC-S, Licensed Professional Counselor
Kimberly R Hopkins
Licensed Professional Counselor, MEd, LPC-S
Verified Verified
1 Endorsed
Houston, TX 77090
Imagine waking up every morning feeling like you can take on the world. How great does that feel? There is something empowering about feeling completely seen and heard and being met with empathy and understanding. Finding a therapist you are comfortable with is vital to successful treatment and during your free consultation we will briefly discuss your concerns and identify what topics you would like to focus on while in treatment and decide if my therapy style works best for you. My counseling style is always open, highly interactive, and positive.
Imagine waking up every morning feeling like you can take on the world. How great does that feel? There is something empowering about feeling completely seen and heard and being met with empathy and understanding. Finding a therapist you are comfortable with is vital to successful treatment and during your free consultation we will briefly discuss your concerns and identify what topics you would like to focus on while in treatment and decide if my therapy style works best for you. My counseling style is always open, highly interactive, and positive.
(713) 597-2377 View (713) 597-2377
Photo of Connie Ittner, LCSW, CGP, Clinical Social Work/Therapist
Connie Ittner
Clinical Social Work/Therapist, LCSW, CGP
Verified Verified
4 Endorsed
Houston, TX 77027
Not accepting new clients
My focus is on helping clients better understand their feelings, thoughts and motivations as a pathway to leading more conscious, meaningful and authoritative lives. Because the therapeutic process can be anxiety-provoking and often requires a certain degree of vulnerability, my primary interest in the initial phase of therapy is to develop safe and trusting working relationships with my clients. Once this relationship is formed, I aim to engage an open, collaborative approach that allows for a shared exploration of material relevant to symptoms of anxiety, depression and interpersonal struggles.
My focus is on helping clients better understand their feelings, thoughts and motivations as a pathway to leading more conscious, meaningful and authoritative lives. Because the therapeutic process can be anxiety-provoking and often requires a certain degree of vulnerability, my primary interest in the initial phase of therapy is to develop safe and trusting working relationships with my clients. Once this relationship is formed, I aim to engage an open, collaborative approach that allows for a shared exploration of material relevant to symptoms of anxiety, depression and interpersonal struggles.
(281) 751-6156 View (281) 751-6156
Photo of Sabina Stolba, Licensed Professional Counselor
Sabina Stolba
Licensed Professional Counselor
Verified Verified
3 Endorsed
Houston, TX 77026  (Online Only)
I love helping people heal, grow, and tap into their full potential. I have a true passion for what I do, and nothing makes me happier than to see my clients make progress. I am a compassionate individual, known for being warm and inviting. However, I believe in challenging you when necessary. I strive to be authentic in my sessions, and truly connect with my clients.
I love helping people heal, grow, and tap into their full potential. I have a true passion for what I do, and nothing makes me happier than to see my clients make progress. I am a compassionate individual, known for being warm and inviting. However, I believe in challenging you when necessary. I strive to be authentic in my sessions, and truly connect with my clients.
(713) 364-1649 View (713) 364-1649
Photo of Leslie Ann Shields, MS, LPCS, CBIS, Licensed Professional Counselor
Leslie Ann Shields
Licensed Professional Counselor, MS, LPCS, CBIS
Verified Verified
Houston, TX 77008  (Online Only)
A favorite saying of mine is "CHANGE... It's One of Life's Only Constants..." Change often signifies growth. Changes often move us from our comfort zone and may trigger stressful or distressing thoughts, behaviors, emotions or physiological responses. Our responses are often unconscious. Except we consciously recognize increased discomfort, pain or unproductive functioning in our daily roles and relationships. If you or a family member are experiencing any social, emotional, mental or behavioral difficulties causing distress & preventing enjoying life or realizing your or their full potential in personal, work or school functioning, I invite you to call me.
A favorite saying of mine is "CHANGE... It's One of Life's Only Constants..." Change often signifies growth. Changes often move us from our comfort zone and may trigger stressful or distressing thoughts, behaviors, emotions or physiological responses. Our responses are often unconscious. Except we consciously recognize increased discomfort, pain or unproductive functioning in our daily roles and relationships. If you or a family member are experiencing any social, emotional, mental or behavioral difficulties causing distress & preventing enjoying life or realizing your or their full potential in personal, work or school functioning, I invite you to call me.
(832) 632-8118 View (832) 632-8118
Photo of Veronica Garza, LPC, Licensed Professional Counselor
Veronica Garza
Licensed Professional Counselor, LPC
Verified Verified
Houston, TX 77002  (Online Only)
Hello, I am a Licensed Professional Counselor in the state of Texas. I have 9 years experience in providing mental health support. Establishing rapport and building a strong and reliable therapeutic connection is important to me.
Hello, I am a Licensed Professional Counselor in the state of Texas. I have 9 years experience in providing mental health support. Establishing rapport and building a strong and reliable therapeutic connection is important to me.
(832) 843-1509 View (832) 843-1509
Photo of Bridget Anne Hale, LMSW
Bridget Anne Hale
Licensed Master Social Worker, LMSW
Verified Verified
1 Endorsed
Houston, TX 77006
Hello, and welcome to my Psychology Today profile! I'm thrilled to introduce myself as a dedicated and compassionate therapist specializing in psychotherapy for children and adolescents. My mission is to provide a safe, comforting, and empowering environment for young minds to thrive and explore their inner world. Children, like adults, can face a wide range of emotional challenges, and as a parent, it's only natural to seek the best possible support for your child's well-being. I understand the unique needs of children and adolescents, and my practice is centered around tailoring treatment to meet those individual needs.
Hello, and welcome to my Psychology Today profile! I'm thrilled to introduce myself as a dedicated and compassionate therapist specializing in psychotherapy for children and adolescents. My mission is to provide a safe, comforting, and empowering environment for young minds to thrive and explore their inner world. Children, like adults, can face a wide range of emotional challenges, and as a parent, it's only natural to seek the best possible support for your child's well-being. I understand the unique needs of children and adolescents, and my practice is centered around tailoring treatment to meet those individual needs.
(832) 981-1548 x1 View (832) 981-1548 x1
Photo of Mellonie Baldwin, LPC, Licensed Professional Counselor
Mellonie Baldwin
Licensed Professional Counselor, LPC
Verified Verified
Houston, TX 77090
Hi, I am Mellonie, Prioritize your mental health, you deserve happiness &. When life hurts and dreams fail, Hope again. These are some wise sayings, I live by. I am a Licensed Mental Health Therapist, Certified Coach and Parenting Facilitator with over fifteen years of experience.
Hi, I am Mellonie, Prioritize your mental health, you deserve happiness &. When life hurts and dreams fail, Hope again. These are some wise sayings, I live by. I am a Licensed Mental Health Therapist, Certified Coach and Parenting Facilitator with over fifteen years of experience.
(346) 788-1941 View (346) 788-1941
Photo of Shannon Forbes, MA,  LPC, Associa
Shannon Forbes
Licensed Professional Counselor Associate, MA, LPC, Associa
Verified Verified
Houston, TX 77006
Are you experiencing the negative effects of trauma or transition in your life, work, and relationships? Have you received a difficult diagnosis, whether related to your mental or physical health? As a therapist, I work with couples and individuals alike who may be struggling to navigate particularly challenging periods, including those related to significant life changes and traumas. Working together, we can turn your pain into possibility. My role is to walk hand-in-hand with my clients throughout the counseling process to reduce the feelings of grief, worry, and confusion they grapple with.
Are you experiencing the negative effects of trauma or transition in your life, work, and relationships? Have you received a difficult diagnosis, whether related to your mental or physical health? As a therapist, I work with couples and individuals alike who may be struggling to navigate particularly challenging periods, including those related to significant life changes and traumas. Working together, we can turn your pain into possibility. My role is to walk hand-in-hand with my clients throughout the counseling process to reduce the feelings of grief, worry, and confusion they grapple with.
(832) 345-3914 View (832) 345-3914
Photo of Claire Cooper, LCSW, Clinical Social Work/Therapist
Claire Cooper
Clinical Social Work/Therapist, LCSW
Verified Verified
1 Endorsed
Houston, TX 77027
There are reasons why we are the way we are and react to the world around us. Whether it be how we were raised, our school or work environment, or significant life events, we are impacted by systems and events around us. Though we try to make changes on our own, it can be challenging and feel hopeless. You have done the best you can with what you had in front of you, and this strength has led you to taking a huge step, asking for support. Through individual, couple, or family therapy, we will work together to explore how you, you and your loved one, and/ or family have been impacted.
There are reasons why we are the way we are and react to the world around us. Whether it be how we were raised, our school or work environment, or significant life events, we are impacted by systems and events around us. Though we try to make changes on our own, it can be challenging and feel hopeless. You have done the best you can with what you had in front of you, and this strength has led you to taking a huge step, asking for support. Through individual, couple, or family therapy, we will work together to explore how you, you and your loved one, and/ or family have been impacted.
(832) 281-4086 View (832) 281-4086
Photo of Stefanie C Barthmare, MEd, LPC-S, Licensed Professional Counselor
Stefanie C Barthmare
Licensed Professional Counselor, MEd, LPC-S
Verified Verified
Houston, TX 77005
Are you ready for therapy? If you're frustrated, feeling alone in the struggle and interested in understanding more about the patterns that have kept you (and your relationship) stuck, it’s time. Therapy with me will help you get started on the path to making real, lasting changes. While taking the first step to meet a psychotherapist can be difficult, your relationships and mental health are worth it. I can offer you the kind of support, guidance and gentle feedback that may be useful, no matter the challenge. Let's take the next step together. I'm looking forward to meeting you. Virtual teletherapy is done using Zoom.
Are you ready for therapy? If you're frustrated, feeling alone in the struggle and interested in understanding more about the patterns that have kept you (and your relationship) stuck, it’s time. Therapy with me will help you get started on the path to making real, lasting changes. While taking the first step to meet a psychotherapist can be difficult, your relationships and mental health are worth it. I can offer you the kind of support, guidance and gentle feedback that may be useful, no matter the challenge. Let's take the next step together. I'm looking forward to meeting you. Virtual teletherapy is done using Zoom.
(281) 823-8215 View (281) 823-8215
Photo of Mark A Sperber, MA, LPC-S, LMFT, BCN, Licensed Professional Counselor
Mark A Sperber
Licensed Professional Counselor, MA, LPC-S, LMFT, BCN
Verified Verified
2 Endorsed
Houston, TX 77027
The pit in your stomach as you walk into the office. You meant to leave early, but you are running late, again. Hopefully the boss doesn’t notice. You have a to do list, that you left “somewhere around here”. At home, there is the bill pile next to the mail pile, but they disappear if you can’t see them. You have the best of intentions, but the missed appointments and missed deadlines are piling up. You tried one planner system, then another, but nothing ever seems to really change. The worst is this feeling that you are not living up to who you want to be… and it is hard to picture how to make this any better.
The pit in your stomach as you walk into the office. You meant to leave early, but you are running late, again. Hopefully the boss doesn’t notice. You have a to do list, that you left “somewhere around here”. At home, there is the bill pile next to the mail pile, but they disappear if you can’t see them. You have the best of intentions, but the missed appointments and missed deadlines are piling up. You tried one planner system, then another, but nothing ever seems to really change. The worst is this feeling that you are not living up to who you want to be… and it is hard to picture how to make this any better.
(832) 786-5564 View (832) 786-5564
Photo of Jaime Kellaway, LPC, Licensed Professional Counselor
Jaime Kellaway
Licensed Professional Counselor, LPC
Verified Verified
1 Endorsed
Houston, TX 77098
Finding a therapist who feels like a good fit can feel overwhelming. I prioritize empathy and sincerity in my work and strive to provide an environment in which you feel safe to share your thoughts, feelings, and actions at your own pace and without fear of judgement. Together we can work through challenges such as: navigating interpersonal relationships, experiencing loss, coping with feelings of isolation, processing past experiences, confronting self-limiting beliefs, and exploring conflicting thoughts and feelings. We will use a collaborative approach to assist you in connecting with your own inner wisdom & meeting your goals.
Finding a therapist who feels like a good fit can feel overwhelming. I prioritize empathy and sincerity in my work and strive to provide an environment in which you feel safe to share your thoughts, feelings, and actions at your own pace and without fear of judgement. Together we can work through challenges such as: navigating interpersonal relationships, experiencing loss, coping with feelings of isolation, processing past experiences, confronting self-limiting beliefs, and exploring conflicting thoughts and feelings. We will use a collaborative approach to assist you in connecting with your own inner wisdom & meeting your goals.
(832) 430-2483 View (832) 430-2483
Photo of Cynthia Carter - Cynthia R. Carter, M.S., LPC-S, LMFT-S, Marriage & Family Therapist
Cynthia R. Carter, M.S., LPC-S, LMFT-S
Marriage & Family Therapist
Verified Verified
1 Endorsed
Houston, TX 77095
Life can present challenges that leave us feeling confused, hopeless & broken. My role as your therapist is to help you put the pieces of life back together by utilizing your own personal strengths & resources. I embrace a compassionate, encouraging & collaborative approach which centers you as the expert of your life while I inspire & empower you to move through life's complexities in positive & healthy ways. My personal philosophy is to live life on and with purpose... honoring ourselves in this way leads to amazing growth, fulfillment and success!
Life can present challenges that leave us feeling confused, hopeless & broken. My role as your therapist is to help you put the pieces of life back together by utilizing your own personal strengths & resources. I embrace a compassionate, encouraging & collaborative approach which centers you as the expert of your life while I inspire & empower you to move through life's complexities in positive & healthy ways. My personal philosophy is to live life on and with purpose... honoring ourselves in this way leads to amazing growth, fulfillment and success!
(832) 304-2150 View (832) 304-2150
Photo of Justice Payne-Tyson, MS, LPC-S, Licensed Professional Counselor
Justice Payne-Tyson
Licensed Professional Counselor, MS, LPC-S
Verified Verified
4 Endorsed
Houston, TX 77069  (Online Only)
I need someone to be authentic, nonjudgmental, offer REAL solutions, and above all else don't tell my business! Sound familiar? If it does, you've reached the right profile! Fancy letters are behind my name to prove qualification, but it's my humble upbringing and Solution Focused expertise that allows me to effectively help you gain insight into your troubles. You no longer need to feel stressed, misunderstood, fed up, numb, or confused.
I need someone to be authentic, nonjudgmental, offer REAL solutions, and above all else don't tell my business! Sound familiar? If it does, you've reached the right profile! Fancy letters are behind my name to prove qualification, but it's my humble upbringing and Solution Focused expertise that allows me to effectively help you gain insight into your troubles. You no longer need to feel stressed, misunderstood, fed up, numb, or confused.
(346) 770-2380 View (346) 770-2380
Photo of Tingting Li, Licensed Professional Counselor
Tingting Li
Licensed Professional Counselor
Verified Verified
1 Endorsed
Houston, TX 77010  (Online Only)
I enjoy working with clients struggling with history of trauma including sexual trauma, physical trauma or emotional trauma. My focus in therapy is to improve symptoms of depression, anxiety and PTSD. I grew up in China and I have lived in the United States for the past 10 years. I speak both Chinese and English and my multicultural background help me understand clients better thus, making progresses easier.
I enjoy working with clients struggling with history of trauma including sexual trauma, physical trauma or emotional trauma. My focus in therapy is to improve symptoms of depression, anxiety and PTSD. I grew up in China and I have lived in the United States for the past 10 years. I speak both Chinese and English and my multicultural background help me understand clients better thus, making progresses easier.
(832) 479-1091 View (832) 479-1091
Photo of Melanie Petaway, MEd, LPC-S, Licensed Professional Counselor
Melanie Petaway
Licensed Professional Counselor, MEd, LPC-S
Verified Verified
Houston, TX 77054  (Online Only)
If you are trying to make sense of your thoughts and feelings during this very difficult season in your life you are not alone. Maybe you are experiencing moments of sadness, frustration, or just feeling downright overwhelmed with everything you have going on right now. Masterlife Counseling is here to help you navigate your thoughts and feelings. You are not alone. We understand how challenging it is to work from home, homeschool your children, or being unemployed and experiencing financial and emotional stress. We are now providing Teletherapy to help meet your needs right where you are. Call or email for details.
If you are trying to make sense of your thoughts and feelings during this very difficult season in your life you are not alone. Maybe you are experiencing moments of sadness, frustration, or just feeling downright overwhelmed with everything you have going on right now. Masterlife Counseling is here to help you navigate your thoughts and feelings. You are not alone. We understand how challenging it is to work from home, homeschool your children, or being unemployed and experiencing financial and emotional stress. We are now providing Teletherapy to help meet your needs right where you are. Call or email for details.
(281) 801-5564 View (281) 801-5564
Photo of Danilo Novoa, MSSW, LCSW, Clinical Social Work/Therapist
Danilo Novoa
Clinical Social Work/Therapist, MSSW, LCSW
Verified Verified
Houston, TX 77006
Welcome to my office building and my practice. I intend to convey a non-judgmental and non-pejorative attitude that is evident in the therapy process, regardless of the issues at hand. I use an integrative and individualized approach forming a therapeutic and productive partnership that best meets your needs.
Welcome to my office building and my practice. I intend to convey a non-judgmental and non-pejorative attitude that is evident in the therapy process, regardless of the issues at hand. I use an integrative and individualized approach forming a therapeutic and productive partnership that best meets your needs.
(713) 992-5010 View (713) 992-5010
Photo of Jennifer Alexander, PhD, Psychologist
Jennifer Alexander
Psychologist, PhD
Verified Verified
Houston, TX 77063
I am a licensed clinical psychologist. I have particular training, expertise, and experience in providing evidence-based treatment for Tourette's/tic disorders, hair-pulling, skin-picking, obsessive-compulsive disorder (OCD), and anxiety disorders (including generalized anxiety disorder, social anxiety disorder, and phobias). I enjoy working with children, teens, and adults.
I am a licensed clinical psychologist. I have particular training, expertise, and experience in providing evidence-based treatment for Tourette's/tic disorders, hair-pulling, skin-picking, obsessive-compulsive disorder (OCD), and anxiety disorders (including generalized anxiety disorder, social anxiety disorder, and phobias). I enjoy working with children, teens, and adults.
(346) 239-8189 View (346) 239-8189
Photo of Jonathan Porter, MA, LPC-S, NCC, Licensed Professional Counselor
Jonathan Porter
Licensed Professional Counselor, MA, LPC-S, NCC
Verified Verified
Houston, TX 77065  (Online Only)
Welcome! As a therapist, my commitment rests in aiding individuals and couples face their challenges while discovering their inner strengths. My therapeutic approach merges concepts of Systems Theory with methodologies of Cognitive Behavioral Therapy (CBT), to assist clients in understanding how their thoughts and behaviors are influenced by their interactions within various systems. My expertise lies in addressing conditions such as anxiety, depression, self-esteem challenges, and relationship conflicts. I strive to create an environment characterized by safety and support, fostering an avenue for healing and personal development.
Welcome! As a therapist, my commitment rests in aiding individuals and couples face their challenges while discovering their inner strengths. My therapeutic approach merges concepts of Systems Theory with methodologies of Cognitive Behavioral Therapy (CBT), to assist clients in understanding how their thoughts and behaviors are influenced by their interactions within various systems. My expertise lies in addressing conditions such as anxiety, depression, self-esteem challenges, and relationship conflicts. I strive to create an environment characterized by safety and support, fostering an avenue for healing and personal development.
(346) 567-8177 View (346) 567-8177
Photo of Emma K. Arceneaux, LPC-A
Emma K. Arceneaux
LPC-Associate, LPC-A
Verified Verified
1 Endorsed
Houston, TX 77070
I am deeply committed to empowering adults who are navigating the challenges of anxiety, depression, and other barriers that may hinder their ability to fully engage in life and connect with those they care about. It's common to find ourselves tangled in emotions or behaviors without clear understanding, holding onto outdated narratives that unconsciously limit our potential. I also cherish the opportunity to support adolescents and children, treating them with the utmost respect and recognizing their unique identities, ambitions, and hurdles, distinct from the influences of their parents or guardians.
I am deeply committed to empowering adults who are navigating the challenges of anxiety, depression, and other barriers that may hinder their ability to fully engage in life and connect with those they care about. It's common to find ourselves tangled in emotions or behaviors without clear understanding, holding onto outdated narratives that unconsciously limit our potential. I also cherish the opportunity to support adolescents and children, treating them with the utmost respect and recognizing their unique identities, ambitions, and hurdles, distinct from the influences of their parents or guardians.
(832) 793-7723 View (832) 793-7723

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
70% Coping Skills
68% Relationship Issues
65% Trauma and PTSD
65% Stress

Average years in practice

9 Years

Top 3 insurances accepted

86% Aetna
80% Cigna and Evernorth
79% UnitedHealthcare UHC | UBH

How Therapists in Houston, TX see their clients

54% In Person and Online
46% 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.