Therapists in Sugar Land, TX

Photo of Lethean Manuel, LPC, MACC
Lethean Manuel
Verified Verified
1 Endorsed
Sugar Land, TX 77478
Life unfolds in seasons—periods marked by change that may be welcomed, unexpected, challenging, or transformative. How we navigate these seasons profoundly shapes our growth, resilience, and sense of purpose. As a counselor, I am committed to walking alongside individuals through each phase of their journey, offering guidance, affirmation, and support grounded in compassion and understanding. My goal is to help clients move toward a personalized sense of wholeness—mentally, emotionally, and spiritually.
Life unfolds in seasons—periods marked by change that may be welcomed, unexpected, challenging, or transformative. How we navigate these seasons profoundly shapes our growth, resilience, and sense of purpose. As a counselor, I am committed to walking alongside individuals through each phase of their journey, offering guidance, affirmation, and support grounded in compassion and understanding. My goal is to help clients move toward a personalized sense of wholeness—mentally, emotionally, and spiritually.
(281) 918-7285 View (281) 918-7285
Photo of Dr. Leah A. McCoy, Licensed Professional Counselor, EdD, LPC-S, NCC
Dr. Leah A. McCoy
Licensed Professional Counselor, EdD, LPC-S, NCC
1 Endorsed
Sugar Land, TX 77478
I am passionate about creating a safe space for adult individuals and couples to explore life's challenges and their path towards intentional living and fulfilling relationships. My areas of interest and expertise include individual, pre-marital, couples, sexual health and dysfunction therapy, affair recovery, infertility, effective communication and conflict resolution, Spirituality-sensitive therapy, and relationship enrichment. I offer psychotherapy for various concerns and client populations, including high achievers, and members of helping professions (i.e., psychotherapists, medical professionals, educators, & entrepreneurs).
I am passionate about creating a safe space for adult individuals and couples to explore life's challenges and their path towards intentional living and fulfilling relationships. My areas of interest and expertise include individual, pre-marital, couples, sexual health and dysfunction therapy, affair recovery, infertility, effective communication and conflict resolution, Spirituality-sensitive therapy, and relationship enrichment. I offer psychotherapy for various concerns and client populations, including high achievers, and members of helping professions (i.e., psychotherapists, medical professionals, educators, & entrepreneurs).
(281) 247-6717 View (281) 247-6717
Photo of Dr. Roger D. Vazquez, Licensed Professional Counselor, PhD, LPC, LCDC
Dr. Roger D. Vazquez
Licensed Professional Counselor, PhD, LPC, LCDC
Sugar Land, TX 77478
I have experience working with a wide variety of life problems and mental health disorders, but my primary interests include depression, anxiety, bipolar disorder, Attention Deficit Hyperactivity Disorder (ADHD), Post Traumatic Stress Disorder (PTSD), academic issues, panic/phobias, anger management, addiction, couples, marriage, and family relationship issues.
I have experience working with a wide variety of life problems and mental health disorders, but my primary interests include depression, anxiety, bipolar disorder, Attention Deficit Hyperactivity Disorder (ADHD), Post Traumatic Stress Disorder (PTSD), academic issues, panic/phobias, anger management, addiction, couples, marriage, and family relationship issues.
(281) 666-9607 View (281) 666-9607
Photo of LeAnn Gutierrez, LPC-Associate, LPC-A
LeAnn Gutierrez
LPC-Associate, LPC-A
1 Endorsed
Online Only
I support individuals from all walks of life who are feeling stuck, overwhelmed, or disconnected. Whether you are navigating the heavy pressure of a demanding career, managing complex relationships, exploring your cultural identity, or simply struggling with the daily weight of anxiety and depression, I am here to help. My goal is to provide a safe, non-judgmental space where you feel truly heard and where your mental well-being becomes a priority again.
I support individuals from all walks of life who are feeling stuck, overwhelmed, or disconnected. Whether you are navigating the heavy pressure of a demanding career, managing complex relationships, exploring your cultural identity, or simply struggling with the daily weight of anxiety and depression, I am here to help. My goal is to provide a safe, non-judgmental space where you feel truly heard and where your mental well-being becomes a priority again.
(346) 584-3825 View (346) 584-3825
Photo of Susannah L Ortiz, Clinical Social Work/Therapist, LCSW, EMDR, CCTP
Susannah L Ortiz
Clinical Social Work/Therapist, LCSW, EMDR, CCTP
Sugar Land, TX 77478
Are you feeling stuck, overwhelmed, or disconnected? As a Licensed Clinical Social Worker (LCSW), I offer a safe, supportive space for teens (14+) and adults to process difficult emotions, navigate life transitions, and heal from trauma. Using a compassionate, client-centered approach, I help you reconnect with your strengths and create meaningful, lasting change. With training in EMDR through an EMDRIA approved program, IFS, CBT, and DBT, I collaborate with clients to address anxiety, depression, trauma, and attachment-related concerns.
Are you feeling stuck, overwhelmed, or disconnected? As a Licensed Clinical Social Worker (LCSW), I offer a safe, supportive space for teens (14+) and adults to process difficult emotions, navigate life transitions, and heal from trauma. Using a compassionate, client-centered approach, I help you reconnect with your strengths and create meaningful, lasting change. With training in EMDR through an EMDRIA approved program, IFS, CBT, and DBT, I collaborate with clients to address anxiety, depression, trauma, and attachment-related concerns.
(346) 482-6905 x121 View (346) 482-6905 x121
Photo of Leticia Bhola, Clinical Social Work/Therapist, MSW, LCSW-S
Leticia Bhola
Clinical Social Work/Therapist, MSW, LCSW-S
3 Endorsed
Sugar Land, TX 77479
My focus is to empower you to accomplish your goals and to help you live a more fulfilling life. I'm able to create a personalized experience based on your needs. I've worked with children, adolescents, adults and couples. The topics I've assisted clients with are depression, anxiety, self esteem, women's issues, family dynamics, domestic violence, substance abuse and self harm. I thoroughly enjoy helping clients overcome challenges they are not able to work through alone. I've been EMDR trained to work with clients who have experienced trauma.
My focus is to empower you to accomplish your goals and to help you live a more fulfilling life. I'm able to create a personalized experience based on your needs. I've worked with children, adolescents, adults and couples. The topics I've assisted clients with are depression, anxiety, self esteem, women's issues, family dynamics, domestic violence, substance abuse and self harm. I thoroughly enjoy helping clients overcome challenges they are not able to work through alone. I've been EMDR trained to work with clients who have experienced trauma.
(346) 209-0883 View (346) 209-0883
Photo of Jared Trost, Licensed Professional Counselor Associate, MEd
Jared Trost
Licensed Professional Counselor Associate, MEd
2 Endorsed
Sugar Land, TX 77478
I work with teens (13+) and adults struggling with perfectionism, social anxiety, CPTSD, childhood trauma, and relationship challenges. Clients come to me looking for a therapist who is down-to-earth and easy to talk to, because therapy should feel comfortable and real. Sessions are collaborative, practical, and focused on helping you understand patterns and develop tools that actually fit your life, so you can respond to challenges with more clarity, flexibility, and self-trust.
I work with teens (13+) and adults struggling with perfectionism, social anxiety, CPTSD, childhood trauma, and relationship challenges. Clients come to me looking for a therapist who is down-to-earth and easy to talk to, because therapy should feel comfortable and real. Sessions are collaborative, practical, and focused on helping you understand patterns and develop tools that actually fit your life, so you can respond to challenges with more clarity, flexibility, and self-trust.
(346) 414-0460 View (346) 414-0460
Photo of Heidi Hoarau, Licensed Professional Counselor, MS, LPC
Heidi Hoarau
Licensed Professional Counselor, MS, LPC
1 Endorsed
Online Only
Feeling anxious or depressed is often the result of chronic stress, unresolved trauma or grief. I work with adults who struggle with intense emotions or have coped through numbing them. Some suffer from physical discomfort or chronic pain, while others struggle in their relationships, or engage in behaviors that both soothe and hurt them. If that resonates with you, I would love to offer you my attention and guiding skills to help you explore and make sense of your inner experiences in order to heal wounds and access more calm, clarity, confidence, compassion, and connection with yourself and others, so that you may feel more alive!
Feeling anxious or depressed is often the result of chronic stress, unresolved trauma or grief. I work with adults who struggle with intense emotions or have coped through numbing them. Some suffer from physical discomfort or chronic pain, while others struggle in their relationships, or engage in behaviors that both soothe and hurt them. If that resonates with you, I would love to offer you my attention and guiding skills to help you explore and make sense of your inner experiences in order to heal wounds and access more calm, clarity, confidence, compassion, and connection with yourself and others, so that you may feel more alive!
(346) 534-5831 View (346) 534-5831
Photo of Asma Rahim, Licensed Professional Counselor, MA, LPC, S
Asma Rahim
Licensed Professional Counselor, MA, LPC, S
Sugar Land, TX 77479
Mrs. Rahim started RCCS in 2010. Her first experience in the field in 2007 was at the Veteran Hospital's Pain Clinic and In-patient Area. After Graduation, she spent some time in the Middle East and voluntarily served her time and knowledge with familial issues and women issues. She has experienced hospice and loss, & understands grief and suicide. Her years of experience is wide as she has worked with clients and their families about depression, anxiety, addiction, multi-cultural, multi-racial family and marital issues. She works well with adults and adolescents dealing with self esteem and communication issues.
Mrs. Rahim started RCCS in 2010. Her first experience in the field in 2007 was at the Veteran Hospital's Pain Clinic and In-patient Area. After Graduation, she spent some time in the Middle East and voluntarily served her time and knowledge with familial issues and women issues. She has experienced hospice and loss, & understands grief and suicide. Her years of experience is wide as she has worked with clients and their families about depression, anxiety, addiction, multi-cultural, multi-racial family and marital issues. She works well with adults and adolescents dealing with self esteem and communication issues.
(832) 308-8146 View (832) 308-8146
Photo of Judi Dai, Licensed Professional Counselor, MEd, LPC, RPT
Judi Dai
Licensed Professional Counselor, MEd, LPC, RPT
Sugar Land, TX 77478
Your child is your whole world. When they're happy, you're happy, and when they're hurting, the pain you feel for them is excruciating. But by the time you find yourself perusing the internet for help, you are already exhausted, have experienced many sleepless nights, and are losing hope. I would love to help improve your family's hopefulness and regain its vitality. Counseling provides a safe, compassionate space that can help children develop more full and healthy connections, which translates into feeling competent, worthy of love, and thus more resilient to handle life's struggles.
Your child is your whole world. When they're happy, you're happy, and when they're hurting, the pain you feel for them is excruciating. But by the time you find yourself perusing the internet for help, you are already exhausted, have experienced many sleepless nights, and are losing hope. I would love to help improve your family's hopefulness and regain its vitality. Counseling provides a safe, compassionate space that can help children develop more full and healthy connections, which translates into feeling competent, worthy of love, and thus more resilient to handle life's struggles.
(281) 957-2438 View (281) 957-2438
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.
(832) 230-2801 View (832) 230-2801
Photo of Chukwuma Ekeh, Clinical Social Work/Therapist, LCSW
Chukwuma Ekeh
Clinical Social Work/Therapist, LCSW
Online Only
I specialize in helping people that struggle with anxiety, depression, interpersonal relationships and life transitions. I want to help my clients be the best version of themselves on a consistent basis. I want to help people develop the skills and identify the resources that they need to help themselves be the person that they want to be. I want to help people make real and lasting changes in their lives to help them accomplish the goals that they have for themselves. I want my clients to leave my services knowing: they are worthy, they are capable, they are more than enough, they are worthy of love!
I specialize in helping people that struggle with anxiety, depression, interpersonal relationships and life transitions. I want to help my clients be the best version of themselves on a consistent basis. I want to help people develop the skills and identify the resources that they need to help themselves be the person that they want to be. I want to help people make real and lasting changes in their lives to help them accomplish the goals that they have for themselves. I want my clients to leave my services knowing: they are worthy, they are capable, they are more than enough, they are worthy of love!
(346) 586-1245 View (346) 586-1245
Photo of Romana Ahmed, Marriage & Family Therapist, MBA, MS, LMFT
Romana Ahmed
Marriage & Family Therapist, MBA, MS, LMFT
2 Endorsed
Online Only
Our human experience is to face ease and hardship throughout our lives, with the ebb and flow of anxiety and calm, depression and joy, grief and comfort. Sometimes we can feel stuck, in ourselves and in our relationships. It is through compassionate yet oftentimes difficult introspection that we better understand the essence of who we are. It is from this place of self-awareness that we are able to learn, grow, and practice intentional, purposeful, mindful ways of being with ourselves and with others.
Our human experience is to face ease and hardship throughout our lives, with the ebb and flow of anxiety and calm, depression and joy, grief and comfort. Sometimes we can feel stuck, in ourselves and in our relationships. It is through compassionate yet oftentimes difficult introspection that we better understand the essence of who we are. It is from this place of self-awareness that we are able to learn, grow, and practice intentional, purposeful, mindful ways of being with ourselves and with others.
(346) 258-5983 View (346) 258-5983
Photo of Ellen Scott, Licensed Professional Counselor Associate, MS, NCC, CTP
Ellen Scott
Licensed Professional Counselor Associate, MS, NCC, CTP
1 Endorsed
Sugar Land, TX 77478
When you take a look inward, what do you see? Are you someone living with high self-standards and perfectionism? Maybe this leads to having an idealized vision of yourself or your future, yet when you cannot meet these standards you feel overwhelming shame or fear being judged. Do you often feel disconnected from people, your surroundings, or even yourself? Sometimes your emotions feel too intense, sometimes you feel nothing at all, or your feelings stay stored as pain and tension in your body. Maybe you struggle to feel comfortable around others, and have been harmed or neglected by people closest to you in the past.
When you take a look inward, what do you see? Are you someone living with high self-standards and perfectionism? Maybe this leads to having an idealized vision of yourself or your future, yet when you cannot meet these standards you feel overwhelming shame or fear being judged. Do you often feel disconnected from people, your surroundings, or even yourself? Sometimes your emotions feel too intense, sometimes you feel nothing at all, or your feelings stay stored as pain and tension in your body. Maybe you struggle to feel comfortable around others, and have been harmed or neglected by people closest to you in the past.
(346) 239-8724 View (346) 239-8724
Photo of Laila Narsi, Clinical Social Work/Therapist, LCSW, CMMT, CMT-P
Laila Narsi
Clinical Social Work/Therapist, LCSW, CMMT, CMT-P
Sugar Land, TX 77478
We all have inner wisdom which holds the answers to our questions. At the center of our beings we know who we are and what we want but getting there can sometimes be difficult. Using sound innovative psychotherapeutic techniques I work with my clients towards their goals. Whether I work with individual, couples, families, or groups, I understand the importance of a healthy relationship, excellent rapport, non-judgment, honesty and the need for confidentiality in working towards these goals. I also now offer Telehealth/Virtual sessions.
We all have inner wisdom which holds the answers to our questions. At the center of our beings we know who we are and what we want but getting there can sometimes be difficult. Using sound innovative psychotherapeutic techniques I work with my clients towards their goals. Whether I work with individual, couples, families, or groups, I understand the importance of a healthy relationship, excellent rapport, non-judgment, honesty and the need for confidentiality in working towards these goals. I also now offer Telehealth/Virtual sessions.
(281) 675-2722 View (281) 675-2722
Photo of Stacey Seay, Licensed Professional Counselor, LPC, LSOTP, LCDC, NCC, CART
Stacey Seay
Licensed Professional Counselor, LPC, LSOTP, LCDC, NCC, CART
1 Endorsed
Sugar Land, TX 77478
Stacey is a nationally certified counselor who holds three separate counseling licenses. Her eclectic and integrative approach infuses encouragement with psychotherapy techniques, like cognitive behavioral and solution-focused therapies. Stacey’s patients should expect some laughter and believe merriment is a great healer. Over the last 15 years, Stacey has worked in forensic settings and learned the value of treating the whole person.
Stacey is a nationally certified counselor who holds three separate counseling licenses. Her eclectic and integrative approach infuses encouragement with psychotherapy techniques, like cognitive behavioral and solution-focused therapies. Stacey’s patients should expect some laughter and believe merriment is a great healer. Over the last 15 years, Stacey has worked in forensic settings and learned the value of treating the whole person.
(855) 976-2039 View (855) 976-2039
Photo of Julie Ames, Counselor, MA, LPC - A
Julie Ames
Counselor, MA, LPC - A
Sugar Land, TX 77478
I work with individuals dealing with anxiety and depression as well as substance-abuse and trauma. I also enjoy working with couples and figuring out blocks to greater intimacy. Additionally, I have both personal and professional experience working with families who have a child or family member with special needs. My personal journey with counseling began when I was 25 years old. As a young adult, I sought out counseling and completed the Adult Children of Alcoholics 12 step program. Years later, my husband and I would seek out counseling for our marriage and at times for our children.
I work with individuals dealing with anxiety and depression as well as substance-abuse and trauma. I also enjoy working with couples and figuring out blocks to greater intimacy. Additionally, I have both personal and professional experience working with families who have a child or family member with special needs. My personal journey with counseling began when I was 25 years old. As a young adult, I sought out counseling and completed the Adult Children of Alcoholics 12 step program. Years later, my husband and I would seek out counseling for our marriage and at times for our children.
(346) 483-2680 View (346) 483-2680
Photo of Amanda Trost, Licensed Professional Counselor, MEd
Amanda Trost
Licensed Professional Counselor, MEd
5 Endorsed
Sugar Land, TX 77478
We help individuals navigating the lasting impact of complex trauma (C-PTSD) and developmental trauma, including social anxiety and relationship patterns shaped by attachment wounds and communication challenges. We support teens and adults in the Houston area with concerns such as anxiety, depression, perfectionism, work–life balance, and healing from childhood trauma and complex family dynamics. Therapy can support increased confidence in social situations, improved motivation, reduced excessive guilt, and skills for managing academic or work-related stress, fears of abandonment, people-pleasing patterns, and boundary-setting.
We help individuals navigating the lasting impact of complex trauma (C-PTSD) and developmental trauma, including social anxiety and relationship patterns shaped by attachment wounds and communication challenges. We support teens and adults in the Houston area with concerns such as anxiety, depression, perfectionism, work–life balance, and healing from childhood trauma and complex family dynamics. Therapy can support increased confidence in social situations, improved motivation, reduced excessive guilt, and skills for managing academic or work-related stress, fears of abandonment, people-pleasing patterns, and boundary-setting.
(346) 567-7162 View (346) 567-7162
Photo of Nadia Siddiqui, Licensed Professional Counselor, MS,, LPC
Nadia Siddiqui
Licensed Professional Counselor, MS,, LPC
Online Only
Hello! I am a Licensed Professional Counselor with 20 years experience. I have a passion for connecting people with their true self and strive to assist individuals to reach their full potential and help them grow in a safe, secure and non judgmental environment. Sometimes it is overwhelming and challenging to face the issues in life but getting professional help is the first step towards recovery.
Hello! I am a Licensed Professional Counselor with 20 years experience. I have a passion for connecting people with their true self and strive to assist individuals to reach their full potential and help them grow in a safe, secure and non judgmental environment. Sometimes it is overwhelming and challenging to face the issues in life but getting professional help is the first step towards recovery.
(832) 532-9902 View (832) 532-9902
Photo of Rhonda Mark, Licensed Professional Counselor, MA, LPC-S, CSC
Rhonda Mark
Licensed Professional Counselor, MA, LPC-S, CSC
Sugar Land, TX 77479
I believe every story deserves to be heard and honored, and I am committed to walking alongside you with compassion, respect, and offer a safe space to explore your path toward healing and growth.
I believe every story deserves to be heard and honored, and I am committed to walking alongside you with compassion, respect, and offer a safe space to explore your path toward healing and growth.
(346) 483-3290 View (346) 483-3290

See more therapy options for Sugar Land

How does your Therapist compare?

Number of Therapists in Sugar Land, TX

500+

Average cost per session

$150

Therapists in Sugar Land, TX who prioritize treating:

92% Anxiety
92% Social Anxiety
92% Health Anxiety
92% Driving Anxiety
89% Depression
74% Self Esteem
71% Relationship Issues

Average years in practice

9 Years

Top 3 insurances accepted

90% Aetna
79% Cigna and Evernorth
76% BlueCross and BlueShield

How Therapists in Sugar Land, TX see their clients

65% In Person and Online
35% Online Only

Gender breakdown

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

How can I find a therapist in Sugar Land?

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.