Therapists in San Antonio, TX

View neighborhoods in San Antonio
Photo of Jessica Hope, Licensed Master Social Worker, LMSW
Jessica Hope
Licensed Master Social Worker, LMSW
4 Endorsed
San Antonio, TX 78229
You can be feel wrecked on the inside and on the outside appear capable, disciplined, and high-functioning. If you’re carrying chronic stress, trauma, moral injury, anxiety, depression, burnout, or relationship strain, you need therapy that’s structured, direct, and actually helps you move... no BS. I’m a clinician and 20 year Army Veteran who works with humans who are tired of white-knuckling it. Many clients look “fine” to everyone else while internally navigating hyper-vigilance, panic, emotional shut-down, irritability, sleep issues, shame, or feeling disconnected from the people they love.
You can be feel wrecked on the inside and on the outside appear capable, disciplined, and high-functioning. If you’re carrying chronic stress, trauma, moral injury, anxiety, depression, burnout, or relationship strain, you need therapy that’s structured, direct, and actually helps you move... no BS. I’m a clinician and 20 year Army Veteran who works with humans who are tired of white-knuckling it. Many clients look “fine” to everyone else while internally navigating hyper-vigilance, panic, emotional shut-down, irritability, sleep issues, shame, or feeling disconnected from the people they love.
(210) 741-8741 View (210) 741-8741
Photo of Alexandria Harville, Licensed Professional Counselor, MA, LPC, NCC
Alexandria Harville
Licensed Professional Counselor, MA, LPC, NCC
Online Only
There are so many things going on in the world nowadays that even seeking help can be overwhelming. Sometimes, we don't know where to start. Sometimes, we just need someone to help encourage us and tell us that we can do this. We all need help sometimes and that help comes in many different forms. My name is Alex Harville and my goal is to help you become the best version of yourself by overcoming the barriers created by mental illness to achieve your goals. Mental illness is part of us, but it doesn't have to be the only part.
There are so many things going on in the world nowadays that even seeking help can be overwhelming. Sometimes, we don't know where to start. Sometimes, we just need someone to help encourage us and tell us that we can do this. We all need help sometimes and that help comes in many different forms. My name is Alex Harville and my goal is to help you become the best version of yourself by overcoming the barriers created by mental illness to achieve your goals. Mental illness is part of us, but it doesn't have to be the only part.
(830) 465-2683 View (830) 465-2683
Photo of Catherine Lovell, Licensed Professional Counselor, MEd, LPC
Catherine Lovell
Licensed Professional Counselor, MEd, LPC
3 Endorsed
San Antonio, TX 78232
Are you feeling drained, lost, or overwhelmed with life? Are you feeling disconnected from your partner, repeating the same unhealthy patterns over and over? Are you having a hard time feeling motivated or stuck in the same cycle and don’t know how to break free? I hope you know you are not alone and do not have to try to figure it out on your own. My name is Cat and I am here to support you if you are experiencing distress from past traumas, anxiety, or relationship difficulties.
Are you feeling drained, lost, or overwhelmed with life? Are you feeling disconnected from your partner, repeating the same unhealthy patterns over and over? Are you having a hard time feeling motivated or stuck in the same cycle and don’t know how to break free? I hope you know you are not alone and do not have to try to figure it out on your own. My name is Cat and I am here to support you if you are experiencing distress from past traumas, anxiety, or relationship difficulties.
(346) 222-4751 View (346) 222-4751
Photo of Catherine Renee Perri, Clinical Social Work/Therapist, LCSW
Catherine Renee Perri
Clinical Social Work/Therapist, LCSW
7 Endorsed
San Antonio, TX 78232
Not accepting new clients
You’re trying to keep it together, but deep down, things feel off. Maybe you’re living with the weight of past trauma, navigating the ups and downs of depression or anxiety, managing chronic illness, or struggling with substance use. You might feel overwhelmed by big emotions, scattered by ADHD, or stuck in patterns that hold you back in life or sports. You don’t have to keep doing this alone. You want to feel more grounded, more in control, and more like yourself again—and there’s a way forward. Hi, I’m Cat Perri LCSW, the owner and sole therapist of River Roots Therapy. I am be happy to be with you through this thing called life.
You’re trying to keep it together, but deep down, things feel off. Maybe you’re living with the weight of past trauma, navigating the ups and downs of depression or anxiety, managing chronic illness, or struggling with substance use. You might feel overwhelmed by big emotions, scattered by ADHD, or stuck in patterns that hold you back in life or sports. You don’t have to keep doing this alone. You want to feel more grounded, more in control, and more like yourself again—and there’s a way forward. Hi, I’m Cat Perri LCSW, the owner and sole therapist of River Roots Therapy. I am be happy to be with you through this thing called life.
(726) 262-9828 View (726) 262-9828
Photo of Kayla C Krambeck, Marriage & Family Therapist, MS, LMFT
Kayla C Krambeck
Marriage & Family Therapist, MS, LMFT
San Antonio, TX 78258
I have openings at both office locations on Stone Oak and in Schertz! I am passionate about working with children, teens, and adults. With a genuine love for helping others, I use a variety of therapeutic techniques to support you in overcoming challenges and building emotional resilience. Whether working with young children, teens, or adults, I create a safe and compassionate environment where you can express yourself, gain insight, and achieve your life goals.
I have openings at both office locations on Stone Oak and in Schertz! I am passionate about working with children, teens, and adults. With a genuine love for helping others, I use a variety of therapeutic techniques to support you in overcoming challenges and building emotional resilience. Whether working with young children, teens, or adults, I create a safe and compassionate environment where you can express yourself, gain insight, and achieve your life goals.
(210) 361-9005 View (210) 361-9005
Photo of Nuala Martinez, Licensed Professional Counselor, MBA, MA, LPC
Nuala Martinez
Licensed Professional Counselor, MBA, MA, LPC
1 Endorsed
San Antonio, TX 78230
As a Licensed Professional Counselor, I aim to help clients work towards reaching their personal goals and equipping them with the tools possible for continuous growth. Reaching out for help is brave and courageous, and I commend you for taking the first step. I believe the client/counselor relationship is a collaborative partnership that facilitates a journey of self-discovery and wellness. I provide a safe, therapeutic space that is respectful and nonjudgmental.
As a Licensed Professional Counselor, I aim to help clients work towards reaching their personal goals and equipping them with the tools possible for continuous growth. Reaching out for help is brave and courageous, and I commend you for taking the first step. I believe the client/counselor relationship is a collaborative partnership that facilitates a journey of self-discovery and wellness. I provide a safe, therapeutic space that is respectful and nonjudgmental.
(210) 794-9478 View (210) 794-9478
Photo of Sally Walsh, Clinical Social Work/Therapist, LCSW
Sally Walsh
Clinical Social Work/Therapist, LCSW
Online Only
We have so many stressors in our lives, it is easy to become overwhelmed and feel stuck or lost. I have worked with people struggling with depression, anxiety, caregiver issues, parenting stressors, codependency, work issues, and many other issues.
We have so many stressors in our lives, it is easy to become overwhelmed and feel stuck or lost. I have worked with people struggling with depression, anxiety, caregiver issues, parenting stressors, codependency, work issues, and many other issues.
(210) 879-8475 View (210) 879-8475
Photo of Ken Brown, Clinical Social Work/Therapist, LCSW
Ken Brown
Clinical Social Work/Therapist, LCSW
San Antonio, TX 78212
Would you like to feel less stuck, angry, resentful, or disconnected from your life? I understand.I became a therapist because someone helped me find a way back to myself, and now I am honored to be that support for others. Today, I specialize in helping adults and older adults navigate depression, anxiety, trauma, grief, and life transitions with dignity, autonomy, and hope. I draw from a range of evidence-based modalities including EMDR, Acceptance and Commitment Therapy (ACT), Cognitive Behavioral Therapy (CBT), Motivational Interviewing (MI) and trauma-informed approaches.
Would you like to feel less stuck, angry, resentful, or disconnected from your life? I understand.I became a therapist because someone helped me find a way back to myself, and now I am honored to be that support for others. Today, I specialize in helping adults and older adults navigate depression, anxiety, trauma, grief, and life transitions with dignity, autonomy, and hope. I draw from a range of evidence-based modalities including EMDR, Acceptance and Commitment Therapy (ACT), Cognitive Behavioral Therapy (CBT), Motivational Interviewing (MI) and trauma-informed approaches.
(726) 204-3893 View (726) 204-3893
Photo of Trevor Sorrels, Licensed Professional Counselor Associate, MS, LPC-A, NCC
Trevor Sorrels
Licensed Professional Counselor Associate, MS, LPC-A, NCC
2 Endorsed
San Antonio, TX 78213
Hello there! My name is Trevor Sorrels, and I am dedicated to helping others live as the most authentic version of themselves. As a Licensed Professional Counselor Associate, I am passionate about helping others connect with their purpose and empowering them to discover the tools that they have within to adapt to life's challenges. There also might be things about the stories we tell about ourselves that we do not necessarily like. I enjoy helping people re-author these stories so that they feel more capable of taking their stories in the direction they would like going forward.
Hello there! My name is Trevor Sorrels, and I am dedicated to helping others live as the most authentic version of themselves. As a Licensed Professional Counselor Associate, I am passionate about helping others connect with their purpose and empowering them to discover the tools that they have within to adapt to life's challenges. There also might be things about the stories we tell about ourselves that we do not necessarily like. I enjoy helping people re-author these stories so that they feel more capable of taking their stories in the direction they would like going forward.
(210) 791-7102 View (210) 791-7102
Photo of Fay H Green, Licensed Professional Counselor, MAC, LPC, LMFT
Fay H Green
Licensed Professional Counselor, MAC, LPC, LMFT
San Antonio, TX 78258
Life is a journey comprised of various relationships which are often challenged by change. Changes in relationships are often overwhelming and cause stress, anxiety, quilt, grief, or trauma. The diagnosis of a life-limiting illness, a death, being the caregiver for someone with a chronic illness, dealing with end-of-life issues, or divorce at times is overwhelming and frustrating. During these experiences, it is important to have someone who will listen to understand your experience. I have training and experience in companioning those who are navigating a stressful time in a relationship changed by loss or illness.
Life is a journey comprised of various relationships which are often challenged by change. Changes in relationships are often overwhelming and cause stress, anxiety, quilt, grief, or trauma. The diagnosis of a life-limiting illness, a death, being the caregiver for someone with a chronic illness, dealing with end-of-life issues, or divorce at times is overwhelming and frustrating. During these experiences, it is important to have someone who will listen to understand your experience. I have training and experience in companioning those who are navigating a stressful time in a relationship changed by loss or illness.
(210) 468-1309 View (210) 468-1309
Photo of Jennifer See, Licensed Professional Counselor, LPC, LCDC
Jennifer See
Licensed Professional Counselor, LPC, LCDC
4 Endorsed
San Antonio, TX 78258
I see individuals (ages 18+) and families either in my Stone Oak office or via telemedicine. I have experience with addictions, including substance use and abuse, gaming and gambling; grief and loss, relationships, life transitions and military family issues such as deployment and reintegration. I specialize in helping young adults navigate through the many hurdles and challenges they face growing up in a fast-paced world. I also enjoy working with people going through the ups and downs of a relationship, or those needing skills to foster and nurture better communication and conflict-resolution.
I see individuals (ages 18+) and families either in my Stone Oak office or via telemedicine. I have experience with addictions, including substance use and abuse, gaming and gambling; grief and loss, relationships, life transitions and military family issues such as deployment and reintegration. I specialize in helping young adults navigate through the many hurdles and challenges they face growing up in a fast-paced world. I also enjoy working with people going through the ups and downs of a relationship, or those needing skills to foster and nurture better communication and conflict-resolution.
(210) 972-1864 View (210) 972-1864
Photo of Forrest V Fitzhugh, Counselor
Forrest V Fitzhugh
Counselor
San Antonio, TX 78253
I am retired and accept only a limited number of clients. I do not maintain an office and will negotiate to meet in the client's home, my home, or a neutral suitable location. I do not accept insurance and will negotiate an acceptable cash fee per session. I have two active licenses--LPC and LMFT. I prefer working with adults, couples, or late adolescents.
I am retired and accept only a limited number of clients. I do not maintain an office and will negotiate to meet in the client's home, my home, or a neutral suitable location. I do not accept insurance and will negotiate an acceptable cash fee per session. I have two active licenses--LPC and LMFT. I prefer working with adults, couples, or late adolescents.
(210) 569-0256 View (210) 569-0256
Photo of Richard Boyd, Licensed Professional Counselor, MS, LPC, NCC
Richard Boyd
Licensed Professional Counselor, MS, LPC, NCC
2 Endorsed
Online Only
If you’re looking for counseling that can include your Christian faith, or you’ve been dealing with anxiety, stress, or relationship struggles and feel stuck—you don’t have to keep handling it on your own. I work with adults who are navigating anxiety, depression, and relationship challenges, including veterans and their families who are carrying the weight of past experiences. Many of the people I work with feel overwhelmed, on edge, or disconnected—but also want practical help, not just someone to listen.
If you’re looking for counseling that can include your Christian faith, or you’ve been dealing with anxiety, stress, or relationship struggles and feel stuck—you don’t have to keep handling it on your own. I work with adults who are navigating anxiety, depression, and relationship challenges, including veterans and their families who are carrying the weight of past experiences. Many of the people I work with feel overwhelmed, on edge, or disconnected—but also want practical help, not just someone to listen.
(210) 796-0525 View (210) 796-0525
Photo of Kristin E Eisenhauer, Psychologist, PhD
Kristin E Eisenhauer
Psychologist, PhD
1 Endorsed
San Antonio, TX 78215
Located in Midtown San Antonio, River North Anxiety is a specialized mental health practice serving patients aged 18 to 65 with anxiety and anxiety-related disorders. Those experiencing any form of anxiety understand how it can control their lives. People often feel shame and don't realize that they have a treatable condition. Treatment need not involve extensive psychotherapy or even medication. Examining the accuracy of anxious thoughts, making strategic behavioral adjustments, and learning how to manage the physical sensations of anxiety are three components of effective, lasting anxiety treatment.
Located in Midtown San Antonio, River North Anxiety is a specialized mental health practice serving patients aged 18 to 65 with anxiety and anxiety-related disorders. Those experiencing any form of anxiety understand how it can control their lives. People often feel shame and don't realize that they have a treatable condition. Treatment need not involve extensive psychotherapy or even medication. Examining the accuracy of anxious thoughts, making strategic behavioral adjustments, and learning how to manage the physical sensations of anxiety are three components of effective, lasting anxiety treatment.
(210) 899-6478 View (210) 899-6478
Photo of Mark M Tovar, Licensed Professional Counselor, LPC, EQ-i
Mark M Tovar
Licensed Professional Counselor, LPC, EQ-i
San Antonio, TX 78210
I help leaders work through burnout, stress, and career transitions. Your personal life has pressures that can result in depression, anxiety, relational issues, and loss of motivation. Navigating ambiguity and making difficult decisions takes its toll. There are ways to help you get back on track to THRIVE.
I help leaders work through burnout, stress, and career transitions. Your personal life has pressures that can result in depression, anxiety, relational issues, and loss of motivation. Navigating ambiguity and making difficult decisions takes its toll. There are ways to help you get back on track to THRIVE.
(726) 262-9101 View (726) 262-9101
Photo of Alena Krawczynski, Licensed Professional Counselor, MS, LPC, CCST
Alena Krawczynski
Licensed Professional Counselor, MS, LPC, CCST
3 Endorsed
San Antonio, TX 78209
Not accepting new clients
I primarily work with children & adolescents with anxiety, depression, OCD, trauma, and/or significant life changes. I also have experience counseling neurodivergent people (ADHD/Autism diagnoses). I do see adults who feel I may be a good fit for them, such as those who have a history of trauma, OCD, neurodivergence, or anxiety/depression. My philosophy is that the client is the expert on themselves - I am here to be a guide on your unique healing journey. My aim is to align with your goals, and to give you tools to use during the counseling experience and beyond.
I primarily work with children & adolescents with anxiety, depression, OCD, trauma, and/or significant life changes. I also have experience counseling neurodivergent people (ADHD/Autism diagnoses). I do see adults who feel I may be a good fit for them, such as those who have a history of trauma, OCD, neurodivergence, or anxiety/depression. My philosophy is that the client is the expert on themselves - I am here to be a guide on your unique healing journey. My aim is to align with your goals, and to give you tools to use during the counseling experience and beyond.
(210) 942-5336 View (210) 942-5336
Photo of Nichole McDaniel, Clinical Social Work/Therapist, MSW, LCSW
Nichole McDaniel
Clinical Social Work/Therapist, MSW, LCSW
3 Endorsed
Online Only
As your therapist and the owner of Harmony Social Services, I create space to fully focus on you—setting aside my own judgments and distractions so I can listen deeply, intentionally, and with purpose. I pay close attention to your story, your patterns, and the ways your past and present experiences are shaping how you feel and function today. Together, we begin to identify what may be keeping you stuck—whether that’s unhealed wounds, trauma, or deeply held beliefs that no longer serve you. From there, I help you move out of those patterns and toward a life that feels more grounded, meaningful, and free.
As your therapist and the owner of Harmony Social Services, I create space to fully focus on you—setting aside my own judgments and distractions so I can listen deeply, intentionally, and with purpose. I pay close attention to your story, your patterns, and the ways your past and present experiences are shaping how you feel and function today. Together, we begin to identify what may be keeping you stuck—whether that’s unhealed wounds, trauma, or deeply held beliefs that no longer serve you. From there, I help you move out of those patterns and toward a life that feels more grounded, meaningful, and free.
(210) 939-9784 View (210) 939-9784
Photo of Donna Clark Stutes - Donna Clark Stutes, MS, LPC, Licensed Professional Counselor, MS, LPC
Donna Clark Stutes, MS, LPC
Licensed Professional Counselor, MS, LPC
1 Endorsed
San Antonio, TX 78232
I am a collaborative counselor. I believe that successful change is dependent on your enthusiastic participation in the process. I see myself as a sort of guide and someone who can offer alternative perspectives which may lead you to new ways of thinking about and acting on your circumstances. I believe that ultimately you already contain the solutions to the things you bring to therapy. I will do my best to help you access those solutions and find your best possible outcome.
I am a collaborative counselor. I believe that successful change is dependent on your enthusiastic participation in the process. I see myself as a sort of guide and someone who can offer alternative perspectives which may lead you to new ways of thinking about and acting on your circumstances. I believe that ultimately you already contain the solutions to the things you bring to therapy. I will do my best to help you access those solutions and find your best possible outcome.
(210) 762-5087 View (210) 762-5087
Photo of Deanna J Cornelius, Licensed Professional Counselor Associate, LPC-A, NCC
Deanna J Cornelius
Licensed Professional Counselor Associate, LPC-A, NCC
San Antonio, TX 78232
It is a privilege to walk alongside children as they navigate through the different challenges of life. I work with children from 2 years up to 5th grade who are dealing with anxiety, depression, ADHD, divorce, loss and grief. I also work with those needing help with executive function challenges, self-esteem, and social skills. My goal is to offer a safe and supportive environment where children can use toys and creative play to explore their emotions and process their experiences.
It is a privilege to walk alongside children as they navigate through the different challenges of life. I work with children from 2 years up to 5th grade who are dealing with anxiety, depression, ADHD, divorce, loss and grief. I also work with those needing help with executive function challenges, self-esteem, and social skills. My goal is to offer a safe and supportive environment where children can use toys and creative play to explore their emotions and process their experiences.
(210) 796-0762 View (210) 796-0762
Photo of Kimberly Vernon-Hendrix, Clinical Social Work/Therapist
Kimberly Vernon-Hendrix
Clinical Social Work/Therapist
San Antonio, TX 78216
Some wounds are invisible, but they are no less real. I work with people who are tired of surviving and are ready to feel understood, supported, and whole again. I was raised by a single father in the Army who taught me early on to be part of the solution, not the problem. As the oldest child in a Southern family, responsibility, service, and care for others were values I carried with me long before I ever stepped into a therapy office. Those values led me to join the Army as a Combat Medic, where I learned how to be present in crisis, show up for people in their most vulnerable moments, and stay steady when life feels overwhelming.
Some wounds are invisible, but they are no less real. I work with people who are tired of surviving and are ready to feel understood, supported, and whole again. I was raised by a single father in the Army who taught me early on to be part of the solution, not the problem. As the oldest child in a Southern family, responsibility, service, and care for others were values I carried with me long before I ever stepped into a therapy office. Those values led me to join the Army as a Combat Medic, where I learned how to be present in crisis, show up for people in their most vulnerable moments, and stay steady when life feels overwhelming.
(210) 972-6063 View (210) 972-6063

See more therapy options for San Antonio

How does your Therapist compare?

Number of Therapists in San Antonio, TX

3,000+

Average cost per session

$125

Therapists in San Antonio, TX who prioritize treating:

91% Anxiety
86% Depression
70% Self Esteem
68% Trauma and PTSD
65% Relationship Issues
65% Stress
61% Grief

Average years in practice

9 Years

Top 3 insurances accepted

93% Aetna
80% Cigna and Evernorth
78% BlueCross and BlueShield

How Therapists in San Antonio, TX see their clients

50% Online Only
50% In Person and Online

Gender breakdown

81% Female
18% Male
1% Non-Binary
FAQs - About Therapy and Counseling

How can I find a therapist in San Antonio?

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.