Therapists in Selma, TX

Photo of Dr. Kathy Phoenix, DSW, LCSW-S, Clinical Social Work/Therapist
Dr. Kathy Phoenix
Clinical Social Work/Therapist, DSW, LCSW-S
Verified Verified
Selma, TX 78154  (Online Only)
Life happens. And sometimes it can feel so overwhelming. Being able to process your fears, concerns, and uncertainties with someone else can help make dealing with difficult times more manageable . It has been my privilege for over 30 years to journey with individuals going through their rough moments. I am a Licensed Clinical Social Worker and have enjoyed working in the areas of Mental Health, Life Transitions, Grief/Bereavement, Geriatrics, Long-Term Care and Hospice/Palliative Care.
Life happens. And sometimes it can feel so overwhelming. Being able to process your fears, concerns, and uncertainties with someone else can help make dealing with difficult times more manageable . It has been my privilege for over 30 years to journey with individuals going through their rough moments. I am a Licensed Clinical Social Worker and have enjoyed working in the areas of Mental Health, Life Transitions, Grief/Bereavement, Geriatrics, Long-Term Care and Hospice/Palliative Care.
(830) 505-5565 View (830) 505-5565
Photo of Daniel MacDonald, LPC, Counselor
Daniel MacDonald
Counselor, LPC
Verified Verified
1 Endorsed
Selma, TX 78154  (Online Only)
I am a Licensed Professional Counselor with three years of counseling experience and over eight years of working in the field of mental health. If you are an individual who experiences significant struggles maintaining balance in your life, whether it be staving off depression and anxiety, difficulty maintaining your relationships, work life or general health, I believe I can be of some relief.
I am a Licensed Professional Counselor with three years of counseling experience and over eight years of working in the field of mental health. If you are an individual who experiences significant struggles maintaining balance in your life, whether it be staving off depression and anxiety, difficulty maintaining your relationships, work life or general health, I believe I can be of some relief.
(210) 787-2635 View (210) 787-2635
Photo of Susan Hargett, LPC, NCC, E-RYT, PCELC, CIMHP, Licensed Professional Counselor
Susan Hargett
Licensed Professional Counselor, LPC, NCC, E-RYT, PCELC, CIMHP
Verified Verified
5 Endorsed
Selma, TX 78154  (Online Only)
I know life can be a roller-coaster, so I'm here to help women entrepreneurs, aged 28+ to juggle the demands of business, career, and family. Do you feel stressed, anxious, depressed, or struggling to stay focused while striving to build a successful career and nurture your personal life? Are you seeking greater life balance, yearning for happiness, peace, and fulfillment in your relationships? Do your goals include thriving in business, enhancing your life satisfaction, and finding purpose amidst chaos?
I know life can be a roller-coaster, so I'm here to help women entrepreneurs, aged 28+ to juggle the demands of business, career, and family. Do you feel stressed, anxious, depressed, or struggling to stay focused while striving to build a successful career and nurture your personal life? Are you seeking greater life balance, yearning for happiness, peace, and fulfillment in your relationships? Do your goals include thriving in business, enhancing your life satisfaction, and finding purpose amidst chaos?
(210) 942-9305 View (210) 942-9305
Photo of Lorena P Frey - Immigration Diagnostic Evaluations Academy, MS, LMFT, Marriage & Family Therapist
Immigration Diagnostic Evaluations Academy
Marriage & Family Therapist, MS, LMFT
Verified Verified
Selma, TX 78154  (Online Only)
Waitlist for new clients
My ideal client is a survivor of human trafficking dealing with overwhelming shame, guilt, and feelings of worthlessness due to the stigma attached to their experience. They need a safe and validating space to heal and understand that being trafficked was not their fault. Their goals are to reclaim their sense of self, overcome emotional and mental challenges, and rebuild their fragmented identity. They want to feel valued, whole, and complete, free from the burdens of their past, so they can lead fulfilling lives. Their motivation is to regain their dignity and self-worth after the trauma they've survived.
My ideal client is a survivor of human trafficking dealing with overwhelming shame, guilt, and feelings of worthlessness due to the stigma attached to their experience. They need a safe and validating space to heal and understand that being trafficked was not their fault. Their goals are to reclaim their sense of self, overcome emotional and mental challenges, and rebuild their fragmented identity. They want to feel valued, whole, and complete, free from the burdens of their past, so they can lead fulfilling lives. Their motivation is to regain their dignity and self-worth after the trauma they've survived.
(909) 442-4459 View (909) 442-4459
Photo of Munira Moiz Tajkhanji, MS, LPC, Licensed Professional Counselor
Munira Moiz Tajkhanji
Licensed Professional Counselor, MS, LPC
Verified Verified
Selma, TX 78154
I am best suited to adults and teens who are struggling with stress, work and family issues, personal challenges and past trauma resolution. My approach to counseling includes creative methods to keep my clients engaged, goal setting and strength based techniques that empower the individual. Clients who really want to see results and are prepared to partner with their therapist will definitely see overall change as we work together to address their concerns.
I am best suited to adults and teens who are struggling with stress, work and family issues, personal challenges and past trauma resolution. My approach to counseling includes creative methods to keep my clients engaged, goal setting and strength based techniques that empower the individual. Clients who really want to see results and are prepared to partner with their therapist will definitely see overall change as we work together to address their concerns.
(210) 405-7275 View (210) 405-7275
Photo of Brittany Coleman, MA, LPC, Licensed Professional Counselor
Brittany Coleman
Licensed Professional Counselor, MA, LPC
Verified Verified
Selma, TX 78154
I am a very energetic and enthusiastic counselor who is passionate about helping CHILDERN/ADOLESCENTS with a variety of issues. I believe that it is important to build a trusting relationship with children and families in order to provide a safe place for them to open up about their struggles and begin making changes in order to heal. I also feel it is essential to encourage and empower my clients by recognizing and utilizing individual strengths. It is my goal to help clients feel comfortable with counseling as well as to facilitate quick changes.
I am a very energetic and enthusiastic counselor who is passionate about helping CHILDERN/ADOLESCENTS with a variety of issues. I believe that it is important to build a trusting relationship with children and families in order to provide a safe place for them to open up about their struggles and begin making changes in order to heal. I also feel it is essential to encourage and empower my clients by recognizing and utilizing individual strengths. It is my goal to help clients feel comfortable with counseling as well as to facilitate quick changes.
(210) 899-5179 View (210) 899-5179
Photo of Juanita Arredondo-Ortega, MA, LPC-S, Licensed Professional Counselor
Juanita Arredondo-Ortega
Licensed Professional Counselor, MA, LPC-S
Verified Verified
2 Endorsed
Selma, TX 78154
As a first-generation Mexican-American, I am sensitive to the multi-cultural needs of my clients. I am fluent in Spanish and English and able to effectively provide therapy in the language in which the individual is most comfortable, in doing so, their goals have a higher probability of being achieved. My clinical experience has provided me with the abilities to work with a wide range of emotional and behavioral issues related to trauma, depression, stress management, grief, parental support, and substance use.
As a first-generation Mexican-American, I am sensitive to the multi-cultural needs of my clients. I am fluent in Spanish and English and able to effectively provide therapy in the language in which the individual is most comfortable, in doing so, their goals have a higher probability of being achieved. My clinical experience has provided me with the abilities to work with a wide range of emotional and behavioral issues related to trauma, depression, stress management, grief, parental support, and substance use.
(210) 446-4953 View (210) 446-4953
Photo of Rona Lambert, MA, LPC, Counselor
Rona Lambert
Counselor, MA, LPC
Verified Verified
Selma, TX 78154
I am a licensed professional counselor in Texas with over 10 years of experience working as a counselor. I have worked with clients with a wide range of concerns including depression, anxiety, relationship issues, career challenges, trauma, and grief and loss. My counseling style is warm and interactive. I believe in treating anyone with respect, sensitivity, and compassion, and I don't believe in stigmatizing labels. My approach combines client-centered.
I am a licensed professional counselor in Texas with over 10 years of experience working as a counselor. I have worked with clients with a wide range of concerns including depression, anxiety, relationship issues, career challenges, trauma, and grief and loss. My counseling style is warm and interactive. I believe in treating anyone with respect, sensitivity, and compassion, and I don't believe in stigmatizing labels. My approach combines client-centered.
(830) 498-0595 View (830) 498-0595
Photo of Cass Carrizales, MA, LPC-A
Cass Carrizales
Licensed Professional Counselor Associate, MA, LPC-A
Verified Verified
1 Endorsed
Selma, TX 78154
Waitlist for new clients
I sought to be a counselor to help others become the best version of themselves in order to live their best lives. I am a retired Major in the United States Army with 23 years of military service. My military assignments have ranged from Topographic Non-Commissioned Officer, Horizontal Engineer Company Commander, Brigade Engineer Battalion Executive Officer, and Combat Engineer. I have dedicated my career to taking care of soldiers and their families. My husband, Daniel Carrizales, is a retired Gunnery Sergeant in the Marine Corps. I have four girls (ages 27, 25, 22, & 17), two boys (ages 20 & 13), and five lovely grandchildren.
I sought to be a counselor to help others become the best version of themselves in order to live their best lives. I am a retired Major in the United States Army with 23 years of military service. My military assignments have ranged from Topographic Non-Commissioned Officer, Horizontal Engineer Company Commander, Brigade Engineer Battalion Executive Officer, and Combat Engineer. I have dedicated my career to taking care of soldiers and their families. My husband, Daniel Carrizales, is a retired Gunnery Sergeant in the Marine Corps. I have four girls (ages 27, 25, 22, & 17), two boys (ages 20 & 13), and five lovely grandchildren.
(210) 940-1460 View (210) 940-1460
Photo of Nisa Vela, MEd, LPC, Licensed Professional Counselor
Nisa Vela
Licensed Professional Counselor, MEd, LPC
Verified Verified
Selma, TX 78154
Nisa has been working in the mental health field with children and adults for 15 years and believes that it is her calling in life, striving to make the counseling experience positive, enriching, and successful. Nisa has experience working with children, adolescents, adults, families and couples of diverse backgrounds, cultures, and ethnicities that have experienced family dysfunction, trauma, abuse, sudden loss, and high anxiety. Nisa can provide the reassurance that counseling will be a significant help for you overall. Nisa believes in educating clients with skills that will assist them in their daily routines.
Nisa has been working in the mental health field with children and adults for 15 years and believes that it is her calling in life, striving to make the counseling experience positive, enriching, and successful. Nisa has experience working with children, adolescents, adults, families and couples of diverse backgrounds, cultures, and ethnicities that have experienced family dysfunction, trauma, abuse, sudden loss, and high anxiety. Nisa can provide the reassurance that counseling will be a significant help for you overall. Nisa believes in educating clients with skills that will assist them in their daily routines.
(210) 942-7701 View (210) 942-7701
Photo of Gaspar Rivera - Gaspar Rivera, MA, CLC, US Army, Retired
Gaspar Rivera
MA, CLC, US Army, Retired
Verified Verified
Selma, TX 78154
My name is Gaspar Rivera and I am a Behavioral Life Coach at Philotimo Counseling LLC. We all have obstacles preventing us from living the life that we want and deserve! We can help you rediscover yourself and identify goals/changes you want to make by creating an action plan and helping you implement the changes or plan that will pave the path to achieving your goals. Behavioral Health coaching is an ideal alternative for individuals seeking assistance with life challenges that do not require a mental health diagnosis.
My name is Gaspar Rivera and I am a Behavioral Life Coach at Philotimo Counseling LLC. We all have obstacles preventing us from living the life that we want and deserve! We can help you rediscover yourself and identify goals/changes you want to make by creating an action plan and helping you implement the changes or plan that will pave the path to achieving your goals. Behavioral Health coaching is an ideal alternative for individuals seeking assistance with life challenges that do not require a mental health diagnosis.
(830) 500-1981 View (830) 500-1981
Photo of Michele (Missy) Ann Hale, MSN, MA, LMFT, EMDR, Marriage & Family Therapist
Michele (Missy) Ann Hale
Marriage & Family Therapist, MSN, MA, LMFT, EMDR
Verified Verified
Selma, TX 78154  (Online Only)
If you are seeking a therapist who is committed to helping you navigate your mental health journey with compassion and expertise in the states of Texas and Florida, please reach out to schedule a consultation. I specialize in Narcissistic Abuse and Trauma Recovery, PTSD, EMDR as well as a large variety of mental health concerns. Clients with Cigna and Aetna can be seen as soon as 7 days from an inquiry. I look forward to partnering with you on your path to well-being. Please book with me directly via my website on the website link information.
If you are seeking a therapist who is committed to helping you navigate your mental health journey with compassion and expertise in the states of Texas and Florida, please reach out to schedule a consultation. I specialize in Narcissistic Abuse and Trauma Recovery, PTSD, EMDR as well as a large variety of mental health concerns. Clients with Cigna and Aetna can be seen as soon as 7 days from an inquiry. I look forward to partnering with you on your path to well-being. Please book with me directly via my website on the website link information.
(904) 690-5279 View (904) 690-5279

More Therapists Nearby

Photo of Jasmine Wilson - Jasmine Wilson, LMFT-A, Marriage & Family Therapist Associate
Jasmine Wilson
Marriage & Family Therapist Associate, LMFT-A
Verified Verified
2 Endorsed
Cibolo, TX 78108
When dealing with life issues you don't have to go it alone. Doubt, worry, stress, anxiety, depression can feel heavy. Speaking to a professional can help work through the moments in life when you feel overwhelmed or underwhelmed. Reaching out for help is not easy but it can be worth it.
When dealing with life issues you don't have to go it alone. Doubt, worry, stress, anxiety, depression can feel heavy. Speaking to a professional can help work through the moments in life when you feel overwhelmed or underwhelmed. Reaching out for help is not easy but it can be worth it.
(830) 445-3336 View (830) 445-3336
Photo of Karen Dayle Lee - Karen D. Lee, MA, LPC, Ed.D., MA, LPC, EdD, Licensed Professional Counselor
Karen D. Lee, MA, LPC, Ed.D.
Licensed Professional Counselor, MA, LPC, EdD
Verified Verified
Schertz, TX 78154
We all have an innate goodness, natural spontaneity and potential. We tend to disconnect from it in response to painful experiences. It is a natural, even genetic program, to want happiness and joy in life. The frantic attempt to numb or avoid pain,results in denial of joy and natural spontaneity. My commitment as a therapist is facilitation of healing and transformation towards joy and connection. I use a Holistic approach, seek authenticity, and believe that each person's uniqueness can bring inner peace, extend to family, and enhance relationships. The happiness we generate extends to others and then returns.
We all have an innate goodness, natural spontaneity and potential. We tend to disconnect from it in response to painful experiences. It is a natural, even genetic program, to want happiness and joy in life. The frantic attempt to numb or avoid pain,results in denial of joy and natural spontaneity. My commitment as a therapist is facilitation of healing and transformation towards joy and connection. I use a Holistic approach, seek authenticity, and believe that each person's uniqueness can bring inner peace, extend to family, and enhance relationships. The happiness we generate extends to others and then returns.
(210) 870-7799 View (210) 870-7799
Photo of Gloria Mendez - Ellie Mental Health - San Antonio, LPC-S, CGP, CCTP-II
Ellie Mental Health - San Antonio
LPC-S, CGP, CCTP-II
Verified Verified
1 Endorsed
Cibolo, TX 78108
Making the decision to go to therapy is hard enough. Finding a therapist that you feel comfortable talking with about all the things in life that brought you to the office shouldn't be so hard. At Ellie Mental Health-San Antonio we understand these struggles. Do you know why? We know because therapists are just like everybody else. Being a therapist doesn't give us a "free pass" from all the struggles that can occur in life. That being said, we have the compassion, authenticity, and a sprinkle of humor to sit with you along your journey. No matter how big or small the situations, we have a therapist that will be your "Ellie Match" in your journey.
Making the decision to go to therapy is hard enough. Finding a therapist that you feel comfortable talking with about all the things in life that brought you to the office shouldn't be so hard. At Ellie Mental Health-San Antonio we understand these struggles. Do you know why? We know because therapists are just like everybody else. Being a therapist doesn't give us a "free pass" from all the struggles that can occur in life. That being said, we have the compassion, authenticity, and a sprinkle of humor to sit with you along your journey. No matter how big or small the situations, we have a therapist that will be your "Ellie Match" in your journey.
(210) 981-3428 View (210) 981-3428
Photo of La'Constica Smith, LPC, Licensed Professional Counselor
La'Constica Smith
Licensed Professional Counselor, LPC
Verified Verified
Cibolo, TX 78108  (Online Only)
My name is La’Constica Smith. I am a Licensed Professional Counselor. I approach therapy as a 2-way partnership with open communication in a safe environment. I treat a variety of mental health diagnoses including but not limited to depression, anxiety, trauma, divorce, ADHD, and odd. My goal is to create a safe and supportive empathetic and collaborative environment. My goal is to make the environment comfortable enough to promote healthy expressions of thoughts emotions and concerns without judgment.
My name is La’Constica Smith. I am a Licensed Professional Counselor. I approach therapy as a 2-way partnership with open communication in a safe environment. I treat a variety of mental health diagnoses including but not limited to depression, anxiety, trauma, divorce, ADHD, and odd. My goal is to create a safe and supportive empathetic and collaborative environment. My goal is to make the environment comfortable enough to promote healthy expressions of thoughts emotions and concerns without judgment.
(346) 485-6475 View (346) 485-6475
C Gamez Counseling
Licensed Professional Counselor, MA, LPC-S, NCC
Verified Verified
Universal City, TX 78148
Therapy can help you navigate the challenges of life and heal emotional wounds. My intent is to create a safe supportive environment which allows you to discover your strengths, face life's challenges and help you make the changes you desire.
Therapy can help you navigate the challenges of life and heal emotional wounds. My intent is to create a safe supportive environment which allows you to discover your strengths, face life's challenges and help you make the changes you desire.
(210) 899-5937 View (210) 899-5937
Photo of Dr. Laura McWhorter, PsyD, BCBA, LP, Psychologist
Dr. Laura McWhorter
Psychologist, PsyD, BCBA, LP
Verified Verified
1 Endorsed
Universal City, TX 78148
Not accepting new clients
Are you finding it difficult to navigate all of life's challenges? My experience allows me to help with multiple issues, including anxiety, attention deficits, impulsivity, oppositional defiance, disruptive mood, depression, and difficulty with social interactions or relationships. Additional areas of expertise include anger and challenging, explosive, or aggressive behaviors. I also have extensive experience working with people who may struggle to understand or express their emotions, including individuals with autism, anxiety, ODD, or ADHD.
Are you finding it difficult to navigate all of life's challenges? My experience allows me to help with multiple issues, including anxiety, attention deficits, impulsivity, oppositional defiance, disruptive mood, depression, and difficulty with social interactions or relationships. Additional areas of expertise include anger and challenging, explosive, or aggressive behaviors. I also have extensive experience working with people who may struggle to understand or express their emotions, including individuals with autism, anxiety, ODD, or ADHD.
(210) 598-5123 View (210) 598-5123
Photo of Jill A Lee, MA, NCC, LPC, Licensed Professional Counselor
Jill A Lee
Licensed Professional Counselor, MA, NCC, LPC
Verified Verified
2 Endorsed
Schertz, TX 78154
When you are struggling, one of the most difficult things to do is ask for help. It takes courage, faith, and trust to reach out when life feels unmanageable or overwhelming. Yet taking that one step is often the very best thing you can do for yourself and those you love. I provide compassionate, competent counseling to teens and adults in individual, and family/group settings. I use individualized talk, play, and EMDR techniques to help clients set therapeutic goals and reach them.
When you are struggling, one of the most difficult things to do is ask for help. It takes courage, faith, and trust to reach out when life feels unmanageable or overwhelming. Yet taking that one step is often the very best thing you can do for yourself and those you love. I provide compassionate, competent counseling to teens and adults in individual, and family/group settings. I use individualized talk, play, and EMDR techniques to help clients set therapeutic goals and reach them.
(830) 266-5584 View (830) 266-5584
Photo of Dan Ornes, MA, LPC, Licensed Professional Counselor
Dan Ornes
Licensed Professional Counselor, MA, LPC
Verified Verified
Universal City, TX 78150
Is there is an area of your life which you are unhappy with or want to improve? Therapy helps shine light on the barriers that keep us from becoming our best selves. Additionally, therapy can illuminate the inner strengths of which we may have lost sight. Attending therapy requires courage, but it can be the first of many steps toward a more satisfying life.
Is there is an area of your life which you are unhappy with or want to improve? Therapy helps shine light on the barriers that keep us from becoming our best selves. Additionally, therapy can illuminate the inner strengths of which we may have lost sight. Attending therapy requires courage, but it can be the first of many steps toward a more satisfying life.
(210) 591-8018 View (210) 591-8018

How does your Therapist compare?

Number of Therapists in Selma, TX

10+

Average cost per session

$100

Therapists in Selma, TX who prioritize treating:

92% Depression
92% Anxiety
75% Self Esteem
67% Coping Skills
58% Relationship Issues
58% Grief
58% Trauma and PTSD

Average years in practice

13 Years

Top 3 insurances accepted

89% BlueCross and BlueShield
89% UnitedHealthcare UHC | UBH
67% Aetna

How Therapists in Selma, TX see their clients

59% In Person and Online
41% Online Only

Gender breakdown

84% Female
16% Male
FAQs - About Therapy and Counseling

How can I find a therapist in Selma?

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.