Therapists in Hunt County, TX

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Photo of Rhonda Hoover - Rhonda Hoover, LPC-A @ Evolve Psychiatry, Licensed Professional Counselor Associate, MS, LPC-A, LCDC
Rhonda Hoover, LPC-A @ Evolve Psychiatry
Licensed Professional Counselor Associate, MS, LPC-A, LCDC
Greenville, TX 75401
Do racing thoughts, restless nights, and constant self-doubt drain your energy and peace of mind? Are you overwhelmed by the need for certainty, struggling with poor concentration, or feeling burdened by your own hypersensitivity? Whether your challenges stem from brain chemistry, genetics, or hurtful parenting, you don’t have to face them alone. At Evolve Psychiatry, our compassionate team of medical experts and seasoned psychotherapists partners with you to explore and finally answer these questions. Together, we’ll cultivate the skills you need to feel more confident in yourself and more connected to the world around you.
Do racing thoughts, restless nights, and constant self-doubt drain your energy and peace of mind? Are you overwhelmed by the need for certainty, struggling with poor concentration, or feeling burdened by your own hypersensitivity? Whether your challenges stem from brain chemistry, genetics, or hurtful parenting, you don’t have to face them alone. At Evolve Psychiatry, our compassionate team of medical experts and seasoned psychotherapists partners with you to explore and finally answer these questions. Together, we’ll cultivate the skills you need to feel more confident in yourself and more connected to the world around you.
(903) 476-3426 View (903) 476-3426
Photo of Chelsea Dickson - Chelsea Dickson, PMHNP @ Evolve Psychiatry, MSN, APRN, FNP-C, PMHNP
Is your child struggling with intense emotions, attention issues, or persistent worry? Do you feel like you're constantly walking a tightrope—balancing impulsive outbursts and withdrawn behavior, all while trying to do what’s best for your child? At Evolve Psychiatry, our team partners with both children and parents to understand what’s driving your child’s distress and to create a plan that nurtures emotional growth, resilience, and success — both at home and in school.
Is your child struggling with intense emotions, attention issues, or persistent worry? Do you feel like you're constantly walking a tightrope—balancing impulsive outbursts and withdrawn behavior, all while trying to do what’s best for your child? At Evolve Psychiatry, our team partners with both children and parents to understand what’s driving your child’s distress and to create a plan that nurtures emotional growth, resilience, and success — both at home and in school.
(903) 546-7255 View (903) 546-7255
Photo of Stephanie Michelle Hartline, Licensed Professional Counselor, LPC-S
Stephanie Michelle Hartline
Licensed Professional Counselor, LPC-S
Greenville, TX 75401
I have been in the mental health field for over 10 years. I went into this field due to a genuine desire to help others. I know it is a big step reaching out to a therapist. Usually, when someone contacts a counselor there are issues in their life that they want to improve. People can make changes, leading to a happier, more fulfilling life. I have great empathy and compassion for the difficulties people experience in their life. Clients have told me that I am caring, supportive, encouraging, and nonjudgemental.
I have been in the mental health field for over 10 years. I went into this field due to a genuine desire to help others. I know it is a big step reaching out to a therapist. Usually, when someone contacts a counselor there are issues in their life that they want to improve. People can make changes, leading to a happier, more fulfilling life. I have great empathy and compassion for the difficulties people experience in their life. Clients have told me that I am caring, supportive, encouraging, and nonjudgemental.
(903) 456-4975 View (903) 456-4975
Photo of Kayli Patrick, Licensed Professional Counselor, MS, LPC
Kayli Patrick
Licensed Professional Counselor, MS, LPC
Greenville, TX 75401
Accepting new clients! My passion is working with adolescents, but I’m open to people of all ages. I have experience working with clients in crisis, clients facing anxiety, depression, suicide ideation, self-harm, and aggression, as well as group counseling to explore multiple issues.
Accepting new clients! My passion is working with adolescents, but I’m open to people of all ages. I have experience working with clients in crisis, clients facing anxiety, depression, suicide ideation, self-harm, and aggression, as well as group counseling to explore multiple issues.
(903) 527-7712 View (903) 527-7712
Photo of Carrie Jane Kirkham, Licensed Professional Counselor, LPC
Carrie Jane Kirkham
Licensed Professional Counselor, LPC
Online Only
I'm an LPC (Licensed Professional Counselor). I practice in Texas and received my master's degree at Texas A&M University - Commerce in 2020. I have 6 years of culminative experience working with clients who are survivors of domestic violence, people who are recovering from substance use, and individuals with serious mental illnesses. I help people understand themselves better, and make positive changes in their lives. In our first session I will gather important information about your circumstances and unique challenges. I will explain my expectations and get familiar with your expectations.
I'm an LPC (Licensed Professional Counselor). I practice in Texas and received my master's degree at Texas A&M University - Commerce in 2020. I have 6 years of culminative experience working with clients who are survivors of domestic violence, people who are recovering from substance use, and individuals with serious mental illnesses. I help people understand themselves better, and make positive changes in their lives. In our first session I will gather important information about your circumstances and unique challenges. I will explain my expectations and get familiar with your expectations.
(903) 419-4933 View (903) 419-4933
Photo of Elizabeth Viginia Barrientes, Licensed Professional Counselor, MS, LPC-S, RPT(TM)
Elizabeth Viginia Barrientes
Licensed Professional Counselor, MS, LPC-S, RPT(TM)
1 Endorsed
Greenville, TX 75402
Elizabeth Barrientes is a Licensed Professional Counselor-Supervisor, Registered Play Therapist, Certified Sandtray Therapist, and EMDR Trained Therapist who works in our East, Texas office. She is currently accepting new clients. She has worked with young children in a setting that supports mental health and social emotional growth and development.
Elizabeth Barrientes is a Licensed Professional Counselor-Supervisor, Registered Play Therapist, Certified Sandtray Therapist, and EMDR Trained Therapist who works in our East, Texas office. She is currently accepting new clients. She has worked with young children in a setting that supports mental health and social emotional growth and development.
(903) 568-6394 View (903) 568-6394
Photo of Holly L Steward, Licensed Professional Counselor, M.Ed, LPC
Holly L Steward
Licensed Professional Counselor, M.Ed, LPC
1 Endorsed
Caddo Mills, TX 75135
Hey Y'all! :) I'm Holly, a Licensed Professional Counselor and Coach in Texas with 10+ years of experience with clients ages 5+. I've worked in many mental health and addiction settings including Schools, Psychiatric Hospitals, Residential Addiction Facilities, and Private Practice settings. My passion is helping others find their authentic self through genuine connection. At Wellness Co we believe that connection with a safe person can create change and lasting healing. Whether it is daily life changes that you face or major traumas and events that life has challenged you with, you deserve a space to process and heal.
Hey Y'all! :) I'm Holly, a Licensed Professional Counselor and Coach in Texas with 10+ years of experience with clients ages 5+. I've worked in many mental health and addiction settings including Schools, Psychiatric Hospitals, Residential Addiction Facilities, and Private Practice settings. My passion is helping others find their authentic self through genuine connection. At Wellness Co we believe that connection with a safe person can create change and lasting healing. Whether it is daily life changes that you face or major traumas and events that life has challenged you with, you deserve a space to process and heal.
(903) 229-4516 View (903) 229-4516
Photo of Penny Mitchell, Clinical Social Work/Therapist, LCSW
Penny Mitchell
Clinical Social Work/Therapist, LCSW
Greenville, TX 75402
Welcome & thank you for visiting my page! I help individuals take control of the ups and downs life brings. If you have depression, anxiety, bipolar, or are coping with a loss or other life challenges, please consider scheduling a counseling session with me. It takes courage to reach out for help. You have already taken a first big step!
Welcome & thank you for visiting my page! I help individuals take control of the ups and downs life brings. If you have depression, anxiety, bipolar, or are coping with a loss or other life challenges, please consider scheduling a counseling session with me. It takes courage to reach out for help. You have already taken a first big step!
(469) 436-5823 View (469) 436-5823
Photo of Elizabeth J Davis - Embrace New Life / Counseling & Wellness, Licensed Professional Counselor, LPC-S, PsyD, ABD
Embrace New Life / Counseling & Wellness
Licensed Professional Counselor, LPC-S, PsyD, ABD
Greenville, TX 75401
Embrace New Life Counseling & Wellness is your haven for trauma healing, anxiety relief, and relationship repair. We support kids, teens, adults, couples, and families with faith-friendly, neuroscience-based care. Our doctoral-led team helps you calm your nervous system, improve communication, and strengthen connection. Whether you're carrying stress, navigating family dynamics, or rebuilding after relational hurt, you don’t have to walk this alone. Take the first step toward clarity, confidence, and emotional wellness.
Embrace New Life Counseling & Wellness is your haven for trauma healing, anxiety relief, and relationship repair. We support kids, teens, adults, couples, and families with faith-friendly, neuroscience-based care. Our doctoral-led team helps you calm your nervous system, improve communication, and strengthen connection. Whether you're carrying stress, navigating family dynamics, or rebuilding after relational hurt, you don’t have to walk this alone. Take the first step toward clarity, confidence, and emotional wellness.
(469) 707-8640 View (469) 707-8640
Photo of Samantha Espinoza, Licensed Professional Counselor, MS, LPC
Samantha Espinoza
Licensed Professional Counselor, MS, LPC
3 Endorsed
Online Only
You deserve a life where anxiety, depression, anger, ADHD symptoms and past trauma no longer control you. My clients are ready for real change—willing to explore, heal, and grow. I use proven approaches like CBT, trauma-informed care, and talk therapy, tailored to your needs. Together, we’ll uncover what’s holding you back, reframe negative thoughts, and build coping skills that work. You’ll leave with tools, clarity, and hope for a healthier, more fulfilling life. Your next chapter starts now—book today.
You deserve a life where anxiety, depression, anger, ADHD symptoms and past trauma no longer control you. My clients are ready for real change—willing to explore, heal, and grow. I use proven approaches like CBT, trauma-informed care, and talk therapy, tailored to your needs. Together, we’ll uncover what’s holding you back, reframe negative thoughts, and build coping skills that work. You’ll leave with tools, clarity, and hope for a healthier, more fulfilling life. Your next chapter starts now—book today.
(430) 204-2245 View (430) 204-2245
Photo of Dr. Nick P Patras, Licensed Professional Counselor, LPC-S, NCC, CCTP
Dr. Nick P Patras
Licensed Professional Counselor, LPC-S, NCC, CCTP
Commerce, TX 75428
You are feeling stuck, overwhelmed, numb, and ready for something to change. Perhaps you have had past traumatic experiences, your relationship is off track, or you are drowning in an unfulfilling work environment. Maybe you have tried therapy before and didn't get the results you were seeking or you are ready to try it for the very first time. It takes courage to take the first step. I help people who are stuck in cycles of anxiety, depression, grief, past trauma, and life transitions.
You are feeling stuck, overwhelmed, numb, and ready for something to change. Perhaps you have had past traumatic experiences, your relationship is off track, or you are drowning in an unfulfilling work environment. Maybe you have tried therapy before and didn't get the results you were seeking or you are ready to try it for the very first time. It takes courage to take the first step. I help people who are stuck in cycles of anxiety, depression, grief, past trauma, and life transitions.
(430) 233-4945 View (430) 233-4945
Photo of Margaret B Schroeder, Licensed Professional Counselor, LPC, NCC, YT200
Margaret B Schroeder
Licensed Professional Counselor, LPC, NCC, YT200
1 Endorsed
Online Only
If you could draw a picture of your emotions, it would look like a squiggly mess. Maybe there's trauma from the past that's interfering with things in the present. You're exhausted and tired of being tired. All of this stress is making your body ache and it's having an effect on relationships at home, at work, and within yourself. You need someone who will listen to you and make you feel understood. Trust isn't something you give out easily, but you're willing to give it a try if you find the right therapist.
If you could draw a picture of your emotions, it would look like a squiggly mess. Maybe there's trauma from the past that's interfering with things in the present. You're exhausted and tired of being tired. All of this stress is making your body ache and it's having an effect on relationships at home, at work, and within yourself. You need someone who will listen to you and make you feel understood. Trust isn't something you give out easily, but you're willing to give it a try if you find the right therapist.
(903) 418-3521 View (903) 418-3521
Photo of Sheteria Waters - Monarch Psychotherapy, LMSW
Monarch Psychotherapy
Verified Verified
Online Only
Hello, And welcome! My name is Sheteria and I am a License Master Social Worker from the University of Texas at Arlington, and I am excited to be your therapist. My passion is helping individuals overcome challenges, build resilience, and discover their strengths in a supportive, nonjudgmental environment.
Hello, And welcome! My name is Sheteria and I am a License Master Social Worker from the University of Texas at Arlington, and I am excited to be your therapist. My passion is helping individuals overcome challenges, build resilience, and discover their strengths in a supportive, nonjudgmental environment.
(903) 827-5508 View (903) 827-5508
Photo of Wendy Thornell, Licensed Master Social Worker, LMSW, LCDC-I
Wendy Thornell
Licensed Master Social Worker, LMSW, LCDC-I
2 Endorsed
Online Only
If conversations turn into arguments, emotions escalate quickly, or one person shuts down, it can feel exhausting and confusing—especially when you’re both trying. Many individuals, couples and families come to therapy feeling stuck in cycles of reactivity, emotional distance, or overwhelm despite caring deeply. These patterns are often signs of a nervous system under chronic stress—not personal failure. I work with you to improve communication, regulate stress responses, and create emotional safety so conversations feel calmer and more productive.
If conversations turn into arguments, emotions escalate quickly, or one person shuts down, it can feel exhausting and confusing—especially when you’re both trying. Many individuals, couples and families come to therapy feeling stuck in cycles of reactivity, emotional distance, or overwhelm despite caring deeply. These patterns are often signs of a nervous system under chronic stress—not personal failure. I work with you to improve communication, regulate stress responses, and create emotional safety so conversations feel calmer and more productive.
(903) 474-6393 View (903) 474-6393
Photo of Kayla Smith - Helen’s Project: Counseling & Clinical Supervision, LCSW
Helen’s Project is a mission-driven organization offering comprehensive mental health therapy and board-approved clinical supervision for LMSWs in Texas and Oklahoma. We are dedicated to supporting individuals on their healing journey and empowering the next generation of social workers through ethical, collaborative, and culturally responsive supervision. Our services include EMDR, trauma-focused therapy, addiction recovery, stimulant treatment, and medication management—available through sliding scale and most insurance plans. We proudly serve all communities, with a strong commitment to BIPOC and LGBTQ+ care.
Helen’s Project is a mission-driven organization offering comprehensive mental health therapy and board-approved clinical supervision for LMSWs in Texas and Oklahoma. We are dedicated to supporting individuals on their healing journey and empowering the next generation of social workers through ethical, collaborative, and culturally responsive supervision. Our services include EMDR, trauma-focused therapy, addiction recovery, stimulant treatment, and medication management—available through sliding scale and most insurance plans. We proudly serve all communities, with a strong commitment to BIPOC and LGBTQ+ care.
(972) 954-2533 View (972) 954-2533
Photo of Abigail Lopez - Abigail Lopez, LPC @ Evolve Psychiatry, Licensed Professional Counselor, LPC, NCC
Abigail Lopez, LPC @ Evolve Psychiatry
Licensed Professional Counselor, LPC, NCC
Greenville, TX 75401
Do racing thoughts, restless nights, and constant self-doubt drain your energy and peace of mind? Are you overwhelmed by the need for certainty, struggling with poor concentration, or feeling burdened by your own hypersensitivity? Whether your challenges stem from brain chemistry, genetics, or hurtful parenting, you don’t have to face them alone. At Evolve Psychiatry, our compassionate team of medical experts and seasoned psychotherapists partners with you to explore and finally answer these questions. Together, we’ll cultivate the skills you need to feel more confident in yourself and more connected to the world around you.
Do racing thoughts, restless nights, and constant self-doubt drain your energy and peace of mind? Are you overwhelmed by the need for certainty, struggling with poor concentration, or feeling burdened by your own hypersensitivity? Whether your challenges stem from brain chemistry, genetics, or hurtful parenting, you don’t have to face them alone. At Evolve Psychiatry, our compassionate team of medical experts and seasoned psychotherapists partners with you to explore and finally answer these questions. Together, we’ll cultivate the skills you need to feel more confident in yourself and more connected to the world around you.
(903) 638-7992 View (903) 638-7992
Photo of Teddy Gay, Licensed Professional Counselor, MS, LPC
Teddy Gay
Licensed Professional Counselor, MS, LPC
Greenville, TX 75402
Attention Individuals and Couples...I am Teddy, an LPC in TX and FL. You Got Stuff? We All Do! I'm here to help, I got you! Without change, Nothing Changes! Let's work through this together! I am not your typical counselor; I'm not here just to listen, but to help you make a positive difference in your life. However, if you don't like being called out on your BS, I may not be for you. But I promise to work hard to help you as a couple or individual become better! Anxiety, Stress, Compulsions, Couples Therapy, Couples Discernment (Divorce) Counseling, LGBTQ, Open Marriages, Kink, Lifestyle. Sex or Porn Addictions, Love Teddy
Attention Individuals and Couples...I am Teddy, an LPC in TX and FL. You Got Stuff? We All Do! I'm here to help, I got you! Without change, Nothing Changes! Let's work through this together! I am not your typical counselor; I'm not here just to listen, but to help you make a positive difference in your life. However, if you don't like being called out on your BS, I may not be for you. But I promise to work hard to help you as a couple or individual become better! Anxiety, Stress, Compulsions, Couples Therapy, Couples Discernment (Divorce) Counseling, LGBTQ, Open Marriages, Kink, Lifestyle. Sex or Porn Addictions, Love Teddy
(817) 241-0753 View (817) 241-0753
Photo of Dr. Steven Edward Ball, Psychologist, PhD, LP, LSSP
Dr. Steven Edward Ball
Psychologist, PhD, LP, LSSP
Commerce, TX 75428
I have two "ideal clients," based on my somewhat distinct skill sets. Right now, I am adding new assessment clients, people who, for a multitude of reasons, require a current psychological assessment. These folks include adults and children who may need assessment of their emotional/personality functioning, educational strengths and weaknesses, or neuropsychological functioning. I can also take a very few individual psychotherapy clients, especially adults who struggle with anxiety, depression, and perhaps uncertainty about the key factors in their lives that interfere with their capacity for joy and personal fulfillment.
I have two "ideal clients," based on my somewhat distinct skill sets. Right now, I am adding new assessment clients, people who, for a multitude of reasons, require a current psychological assessment. These folks include adults and children who may need assessment of their emotional/personality functioning, educational strengths and weaknesses, or neuropsychological functioning. I can also take a very few individual psychotherapy clients, especially adults who struggle with anxiety, depression, and perhaps uncertainty about the key factors in their lives that interfere with their capacity for joy and personal fulfillment.
(430) 625-4417 View (430) 625-4417
Photo of Ruth Whitely - Mental Health Clinic of Greenville, Licensed Professional Counselor, PhD, LPC-S, NCC, BCN
Mental Health Clinic of Greenville
Licensed Professional Counselor, PhD, LPC-S, NCC, BCN
1 Endorsed
Greenville, TX 75402
The Mental Health Clinic of Greenville provides counseling services for individuals, couples, families, and groups. We specialize in brain mapping, neurofeedback, play therapy, and equine-assisted therapy. Our clinic is dedicated to helping people improve their mental health and well-being. We believe that everyone deserves access to high-quality mental health care and our team is committed to providing the best possible care to our clients.
The Mental Health Clinic of Greenville provides counseling services for individuals, couples, families, and groups. We specialize in brain mapping, neurofeedback, play therapy, and equine-assisted therapy. Our clinic is dedicated to helping people improve their mental health and well-being. We believe that everyone deserves access to high-quality mental health care and our team is committed to providing the best possible care to our clients.
(903) 225-2358 View (903) 225-2358
Photo of N. Juliana Dewitt, Licensed Professional Counselor, MS, LPC, CCTP
N. Juliana Dewitt
Licensed Professional Counselor, MS, LPC, CCTP
Online Only
I am a Licensed Professional Counselor with 11 years of professional experience. My specialties include trauma and abuse, domestic violence and sexual assault, family conflicts, stress and anxiety, depression, identity development, multicultural concerns, compassion fatigue, and coping with life changes.
I am a Licensed Professional Counselor with 11 years of professional experience. My specialties include trauma and abuse, domestic violence and sexual assault, family conflicts, stress and anxiety, depression, identity development, multicultural concerns, compassion fatigue, and coping with life changes.
(903) 347-5799 View (903) 347-5799

See more therapy options for Hunt County

How does your Therapist compare?

Number of Therapists in Hunt County, TX

60+

Average cost per session

$126

Therapists in Hunt County, TX who prioritize treating:

91% Anxiety
88% Depression
70% Trauma and PTSD
70% Self Esteem
69% Coping Skills
63% Stress
61% Relationship Issues

Average years in practice

10 Years

Top 3 insurances accepted

92% Aetna
90% Cigna and Evernorth
75% BlueCross and BlueShield

How Therapists in Hunt County, TX see their clients

55% In Person and Online
45% Online Only

Gender breakdown

85% Female
13% Male
2% Non-Binary
FAQs - About Therapy and Counseling

How can I find a therapist in Hunt 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.