Therapists in Van Zandt County, TX

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Photo of Stacy M Pulley, MA, LPC, Licensed Professional Counselor
Stacy M Pulley
Licensed Professional Counselor, MA, LPC
Verified Verified
1 Endorsed
Canton, TX 75103
Trauma hurts. It can be sudden, life-altering and overwhelming, or chronic, subtle and nearly unnoticeable, but either way it can change the way we think about others, the world, and unfortunately, ourselves. Dealing with the aftermath—changes in our relationships, lashing out toward self or others, feeling nothing and/or everything all at once—is sometimes as hard as the initial event, especially when society, friends and family and our own minds tell us to “just get over it.” Worse, sometimes we aren’t even sure where the trauma came from in the first place, leaving us confused and even feeling hopeless.
Trauma hurts. It can be sudden, life-altering and overwhelming, or chronic, subtle and nearly unnoticeable, but either way it can change the way we think about others, the world, and unfortunately, ourselves. Dealing with the aftermath—changes in our relationships, lashing out toward self or others, feeling nothing and/or everything all at once—is sometimes as hard as the initial event, especially when society, friends and family and our own minds tell us to “just get over it.” Worse, sometimes we aren’t even sure where the trauma came from in the first place, leaving us confused and even feeling hopeless.
(903) 603-7450 View (903) 603-7450
Photo of Tascha Reese, LCSW-S, Clinical Social Work/Therapist
Tascha Reese
Clinical Social Work/Therapist, LCSW-S
Verified Verified
Canton, TX 75103  (Online Only)
I have been a Licensed Clinical Social Worker, with board approved supervisory status, for 30 years. I have worked in a variety of setting helping individuals, couples and families live a happier and more productive life at the direct practice level and administrative level for many years. I am currently in private practice and provide clinical supervision to LMSW level individuals seeking LCSW license status recognition. Supervision is done virtually in both group and individual settings. I provide a free consultation to determine if we would be a good fit for this valuable journey.
I have been a Licensed Clinical Social Worker, with board approved supervisory status, for 30 years. I have worked in a variety of setting helping individuals, couples and families live a happier and more productive life at the direct practice level and administrative level for many years. I am currently in private practice and provide clinical supervision to LMSW level individuals seeking LCSW license status recognition. Supervision is done virtually in both group and individual settings. I provide a free consultation to determine if we would be a good fit for this valuable journey.
(903) 480-3424 View (903) 480-3424
Photo of Ronda T Alaniz, MA, LPC, Licensed Professional Counselor
Ronda T Alaniz
Licensed Professional Counselor, MA, LPC
Verified Verified
Canton, TX 75103  (Online Only)
Greetings! I am a Licensed Professional Counselor and a certified school counselor with 10+ years of experience working in school and clinical settings. I utilize a cognitive-behavioral framework with solution-focused techniques to guide and empower clients. I am passionate about all aspects of counseling and believe in treating everyone with respect and compassion.
Greetings! I am a Licensed Professional Counselor and a certified school counselor with 10+ years of experience working in school and clinical settings. I utilize a cognitive-behavioral framework with solution-focused techniques to guide and empower clients. I am passionate about all aspects of counseling and believe in treating everyone with respect and compassion.
(430) 259-3387 View (430) 259-3387
Photo of Heather Axtens, MA, Licensed Professional Counselor
Heather Axtens
Licensed Professional Counselor, MA
Verified Verified
Canton, TX 75103
Welcome! From time to time, everyone has a circumstance in which they need to seek outside support. It’s a huge sign of strength to admit needing help. I commend you for taking the first step in the process of selecting a therapist. Are you struggling with depression, anxiety, or have a child with behavior issues? How is your family communicating? Are you stuck? Are you looking for an unbiased, empathetic, non judgmental listening ear? I am here for you. If you are committed to the therapeutic process & making changes, the sky is the limit!
Welcome! From time to time, everyone has a circumstance in which they need to seek outside support. It’s a huge sign of strength to admit needing help. I commend you for taking the first step in the process of selecting a therapist. Are you struggling with depression, anxiety, or have a child with behavior issues? How is your family communicating? Are you stuck? Are you looking for an unbiased, empathetic, non judgmental listening ear? I am here for you. If you are committed to the therapeutic process & making changes, the sky is the limit!
(430) 222-5292 View (430) 222-5292
Photo of Charles J Perritt, MEd, MS, LPC-A, LCDCI
Charles J Perritt
Licensed Professional Counselor Associate , MEd, MS, LPC-A, LCDCI
Verified Verified
Grand Saline, TX 75140
2nd Timothy 1:7 says God has not given us a spirit of fear but of power, love, and a sound mind. We specialize in ensuring you can walk with a clear mind, full of love and peacefulness. My passion lies in empowering clients to achieve greater self-awareness, emotional well-being, and fulfilling relationships. I utilize a client-centered approach, tailoring my interventions to each individual's unique needs and goals.
2nd Timothy 1:7 says God has not given us a spirit of fear but of power, love, and a sound mind. We specialize in ensuring you can walk with a clear mind, full of love and peacefulness. My passion lies in empowering clients to achieve greater self-awareness, emotional well-being, and fulfilling relationships. I utilize a client-centered approach, tailoring my interventions to each individual's unique needs and goals.
(430) 443-2215 View (430) 443-2215
Photo of Barbara Good Smith, MBA, MA, LPC, LCDC, Licensed Professional Counselor
Barbara Good Smith
Licensed Professional Counselor, MBA, MA, LPC, LCDC
Verified Verified
Canton, TX 75103
I believe everybody has the right to be happy - whatever that means for them. We are so much more than our background or circumstance. My mission is to inspire, and help others live their very best life. If something has taken you off course or disturbed your inner peace, let's work together to turn things around.
I believe everybody has the right to be happy - whatever that means for them. We are so much more than our background or circumstance. My mission is to inspire, and help others live their very best life. If something has taken you off course or disturbed your inner peace, let's work together to turn things around.
(430) 204-2055 View (430) 204-2055
Photo of Barbara Parry, LPC, Counselor
Barbara Parry
Counselor, LPC
Verified Verified
Canton, TX 75103  (Online Only)
I am a trauma therapist with over 7 years experience working with adolescents and adults. I have been honored to help people with a broad spectrum of backgrounds, circumstances and severities of trauma. Some examples: I have been the trauma specialist at juvenile detention centers, worked with those living with HIV and AIDs, helped with interpersonal relationships between children and their parent/care giver, worked with those in crisis and those trying to resolve current struggles.
I am a trauma therapist with over 7 years experience working with adolescents and adults. I have been honored to help people with a broad spectrum of backgrounds, circumstances and severities of trauma. Some examples: I have been the trauma specialist at juvenile detention centers, worked with those living with HIV and AIDs, helped with interpersonal relationships between children and their parent/care giver, worked with those in crisis and those trying to resolve current struggles.
(903) 270-5881 View (903) 270-5881
Photo of Roberto Guerrero - Valor Therapy, PLLC, MS, NCC, LPC, LCDC, CCTP, Licensed Professional Counselor
Valor Therapy, PLLC
Licensed Professional Counselor, MS, NCC, LPC, LCDC, CCTP
Verified Verified
Wills Point, TX 75169  (Online Only)
My name is Roberto "Robert" Guerrero, I am a bilingual Licensed Professional Counselor, Licensed Chemical Dependency Counselor in Texas, and CCTP, National Certified Counselor (NCC) and BC-TMH provider. I have over nine years of experience in the field of mental health and chemical dependency, and currently operate a private counseling practice exclusively online near Dallas, Texas. I primarily work with young adults and adults who are struggling with depression, anxiety, trauma, PTSD, grief, career issues, relationship and marriage problems, and other life challenges. I also offer consulting services for business professionals.
My name is Roberto "Robert" Guerrero, I am a bilingual Licensed Professional Counselor, Licensed Chemical Dependency Counselor in Texas, and CCTP, National Certified Counselor (NCC) and BC-TMH provider. I have over nine years of experience in the field of mental health and chemical dependency, and currently operate a private counseling practice exclusively online near Dallas, Texas. I primarily work with young adults and adults who are struggling with depression, anxiety, trauma, PTSD, grief, career issues, relationship and marriage problems, and other life challenges. I also offer consulting services for business professionals.
(214) 833-8162 View (214) 833-8162
Photo of Callie Roberts, MEd, NCC, Licensed Professional Counselor
Callie Roberts
Licensed Professional Counselor, MEd, NCC
Verified Verified
Van, TX 75790
I specialize in working with children and adolescents who are struggling with anxiety, depression, anger, PTSD and ADHD. I also specialize in working with children who have been diagnosed with Autism. Children under the age of 18 often struggle in terms of building strong relationships with family members and peers of their age. Childhood through adolescence can be a challenging time, due to this, children often need additional guidance, as well as someone they can trust/ build rapport with.
I specialize in working with children and adolescents who are struggling with anxiety, depression, anger, PTSD and ADHD. I also specialize in working with children who have been diagnosed with Autism. Children under the age of 18 often struggle in terms of building strong relationships with family members and peers of their age. Childhood through adolescence can be a challenging time, due to this, children often need additional guidance, as well as someone they can trust/ build rapport with.
(430) 222-8290 View (430) 222-8290
Photo of Vicky Tovar, LPC, Licensed Professional Counselor
Vicky Tovar
Licensed Professional Counselor, LPC
Verified Verified
Canton, TX 75103
Hello, and welcome! I am a bilingual licensed professional counselor who is deeply committed to fostering positive change and empowerment in the lives of those I work with. I firmly believe in the importance of accessible mental health services and strive to create a safe, inclusive, and supportive environment for my clients. I am very person-centered in my approach and work to create a safe environment for the client to be open throughout the therapeutic process.
Hello, and welcome! I am a bilingual licensed professional counselor who is deeply committed to fostering positive change and empowerment in the lives of those I work with. I firmly believe in the importance of accessible mental health services and strive to create a safe, inclusive, and supportive environment for my clients. I am very person-centered in my approach and work to create a safe environment for the client to be open throughout the therapeutic process.
(254) 276-5126 View (254) 276-5126
Photo of Kim Williams, LCSW, Clinical Social Work/Therapist
Kim Williams
Clinical Social Work/Therapist, LCSW
Verified Verified
1 Endorsed
Wills Point, TX 75169
Hi, I'm Kim! I'm a Licensed Clinical Social Worker with over 14 years of clinical experience providing psychotherapy & counseling for highly-motivated adults and clients experiencing stress, life transitions, relationship difficulties, depression, anxiety, and grief & loss. I often use CBT, Mindfulness-Based CBT, Solution-Focused therapy, and Humanistic therapy in my work. I believe that it is my pleasure to support clients in overcoming obstacles to living happier and more satisfying lives.
Hi, I'm Kim! I'm a Licensed Clinical Social Worker with over 14 years of clinical experience providing psychotherapy & counseling for highly-motivated adults and clients experiencing stress, life transitions, relationship difficulties, depression, anxiety, and grief & loss. I often use CBT, Mindfulness-Based CBT, Solution-Focused therapy, and Humanistic therapy in my work. I believe that it is my pleasure to support clients in overcoming obstacles to living happier and more satisfying lives.
(469) 772-5791 View (469) 772-5791
Photo of Robin Newman, PsyD, Psychologist
Robin Newman
Psychologist, PsyD
Verified Verified
Canton, TX 75103
Often times life throws a curveball our way and catches us unprepared for the path that now lies in front of us. Wherher its a significant loss, a major life adjustment, illness, anxiety, or relationship struggles, we all need help from time to time. As a licensed Christian psychologist, I value walking lifes most challenging paths alongside you and helping tou find solutions to your current situation. You don't have to grieve alone. You don't have to figure your next step out by your self. Help is available today for those who want healing from painful heart wounds
Often times life throws a curveball our way and catches us unprepared for the path that now lies in front of us. Wherher its a significant loss, a major life adjustment, illness, anxiety, or relationship struggles, we all need help from time to time. As a licensed Christian psychologist, I value walking lifes most challenging paths alongside you and helping tou find solutions to your current situation. You don't have to grieve alone. You don't have to figure your next step out by your self. Help is available today for those who want healing from painful heart wounds
(719) 568-9496 View (719) 568-9496
Photo of Summer Allan Wilson, LCSW-S, C-TFCBT, Clinical Social Work/Therapist
Summer Allan Wilson
Clinical Social Work/Therapist, LCSW-S, C-TFCBT
Verified Verified
1 Endorsed
Canton, TX 75103
Thank you for taking time to read my profile. I know you are busy and need solutions fast. I have 31 years post graduate clinical experience in psychotherapy. My training and experience gives me an advantage when working with complex family dynamics such as divorce, custody and other traumas. I am accepting court ordered Child Custody Evaluations. I am comfortable giving expert testimony and being called as a witness when the situation presents itself. My ideal client is motivated, honest, and ready for relief. My humor- infused style of intervention tends to make the change process more bearable.
Thank you for taking time to read my profile. I know you are busy and need solutions fast. I have 31 years post graduate clinical experience in psychotherapy. My training and experience gives me an advantage when working with complex family dynamics such as divorce, custody and other traumas. I am accepting court ordered Child Custody Evaluations. I am comfortable giving expert testimony and being called as a witness when the situation presents itself. My ideal client is motivated, honest, and ready for relief. My humor- infused style of intervention tends to make the change process more bearable.
(430) 204-2164 View (430) 204-2164
Photo of Christina Alanis, LCSW, Clinical Social Work/Therapist
Christina Alanis
Clinical Social Work/Therapist, LCSW
Verified Verified
Van, TX 75790
Hi, I'm Christina and I believe that seeking help is a great first step toward making positive changes in your life. I am here to walk along side you, empower you, and collaboratively develop treatment plans and goals tailored specifically for you. Modalities I often use in my practice include, but are not limited to: Cognitive Behavioral Therapy, Psychodynamic, Compassion Focused, and Solution Focused. I provide a safe and supportive environment and truly want to listen to what you have to say. I am here to listen with compassion, empathy, and without judgement.
Hi, I'm Christina and I believe that seeking help is a great first step toward making positive changes in your life. I am here to walk along side you, empower you, and collaboratively develop treatment plans and goals tailored specifically for you. Modalities I often use in my practice include, but are not limited to: Cognitive Behavioral Therapy, Psychodynamic, Compassion Focused, and Solution Focused. I provide a safe and supportive environment and truly want to listen to what you have to say. I am here to listen with compassion, empathy, and without judgement.
(817) 839-4632 View (817) 839-4632
Photo of Danielle McGowan, LMFT, Marriage & Family Therapist
Danielle McGowan
Marriage & Family Therapist, LMFT
Verified Verified
Grand Saline, TX 75140
Welcome! My name is Danielle McGowan and I am a Licensed Marriage and Family Therapist with over 18 years of clinical experience working with young adults, individuals, and families in their crisis, trauma, or desire for change. I specialize in adjustment, trauma, grief, anxiety, and understanding behavior patterns that are set from childhood and family systems. My most common practices include cognitive behavioral therapy, emotional-focused therapy, solution-focused, motivational interviewing, and grief work. I believe that the most memorable therapy connections are with the most hesitant or unsure individuals.
Welcome! My name is Danielle McGowan and I am a Licensed Marriage and Family Therapist with over 18 years of clinical experience working with young adults, individuals, and families in their crisis, trauma, or desire for change. I specialize in adjustment, trauma, grief, anxiety, and understanding behavior patterns that are set from childhood and family systems. My most common practices include cognitive behavioral therapy, emotional-focused therapy, solution-focused, motivational interviewing, and grief work. I believe that the most memorable therapy connections are with the most hesitant or unsure individuals.
(214) 239-2225 View (214) 239-2225
Photo of Katie Farmer, LPC-A
Katie Farmer
Licensed Professional Counselor Associate, LPC-A
Verified Verified
1 Endorsed
Canton, TX 75103
Do you feel like your past is affecting your present? Whether you’re in your late teens or 50s, old wounds and unhelpful patterns can hold you back. I offer a warm, genuine approach to help you understand and heal these issues. Together, we’ll build self-compassion, manage your emotions, and set healthy boundaries, so you can turn challenges into strengths and live a more fulfilling life.
Do you feel like your past is affecting your present? Whether you’re in your late teens or 50s, old wounds and unhelpful patterns can hold you back. I offer a warm, genuine approach to help you understand and heal these issues. Together, we’ll build self-compassion, manage your emotions, and set healthy boundaries, so you can turn challenges into strengths and live a more fulfilling life.
(430) 237-3515 View (430) 237-3515
Photo of Danita R Duncan, MA, LPC, NCC, Licensed Professional Counselor
Danita R Duncan
Licensed Professional Counselor, MA, LPC, NCC
Verified Verified
Wills Point, TX 75169
I work with individual adults who need support due to the effects of trauma, anxiety, depression, grief/loss and relationship issues. My work incorporates a structured approach to reduce symptoms. I offer tangible tools to help you fight the effects of substance use/abuse and calm down reactive responses. I can help with family/relational issues to improve your quality of life.
I work with individual adults who need support due to the effects of trauma, anxiety, depression, grief/loss and relationship issues. My work incorporates a structured approach to reduce symptoms. I offer tangible tools to help you fight the effects of substance use/abuse and calm down reactive responses. I can help with family/relational issues to improve your quality of life.
(214) 463-2861 View (214) 463-2861
Photo of Kiara Ninos, LPC, Licensed Professional Counselor
Kiara Ninos
Licensed Professional Counselor, LPC
Verified Verified
Grand Saline, TX 75140  (Online Only)
Hello, my name is Kiara Ninos, LPC, CSAT-C, CCPS-C. My focus is working with adults struggling with anxiety, depression, trauma, sexual addiction and life transitions. I offer a collaborative, safe, and respectful environment where conversations unfold at their own pace. It is important that a person trusts the therapist who they work with and is able to discuss their problems openly. I am a licensed professional counselor who is licensed in Colorado, Texas and New Mexico.
Hello, my name is Kiara Ninos, LPC, CSAT-C, CCPS-C. My focus is working with adults struggling with anxiety, depression, trauma, sexual addiction and life transitions. I offer a collaborative, safe, and respectful environment where conversations unfold at their own pace. It is important that a person trusts the therapist who they work with and is able to discuss their problems openly. I am a licensed professional counselor who is licensed in Colorado, Texas and New Mexico.
(346) 480-5844 View (346) 480-5844
Photo of Ashley Ward, MS, LPC, EMDR, CCTP, Licensed Professional Counselor
Ashley Ward
Licensed Professional Counselor, MS, LPC, EMDR, CCTP
Verified Verified
Canton, TX 75103
NOW OFFERING IN-PERSON OR ONLINE SESSIONS! "I am not what happened to me. I am who I choose to become." Stress, anxiety, depression, trauma, and overwhelm can take us to a dark place. But we don't have to stay there. Life and relationships can be hard. But there is hope. As an experienced and compassionate therapist, I work with adults, adolescents, couples, and families to help overcome trauma, alleviate anxiety and depression, build positive relationships and improve their lives. If needed, we can help connect you with someone to help you with medication management. You are not alone.
NOW OFFERING IN-PERSON OR ONLINE SESSIONS! "I am not what happened to me. I am who I choose to become." Stress, anxiety, depression, trauma, and overwhelm can take us to a dark place. But we don't have to stay there. Life and relationships can be hard. But there is hope. As an experienced and compassionate therapist, I work with adults, adolescents, couples, and families to help overcome trauma, alleviate anxiety and depression, build positive relationships and improve their lives. If needed, we can help connect you with someone to help you with medication management. You are not alone.
(430) 204-2145 View (430) 204-2145
Photo of Monica Randolph-Graham, LPC, Licensed Professional Counselor
Monica Randolph-Graham
Licensed Professional Counselor, LPC
Verified Verified
Ben Wheeler, TX 75754
My approach to therapy is based on each individual’s inner strength and resources, and resiliency to every day stress and adversities that life tends to present. I focus on practical applications drawn from various theories as a means to provide each individual the most meaningful treatment for healing and change. One of the most empowering and healing methods I use in my psychotherapy is creating a caring, collaborative relationship built on mutual trust and respect, providing a safe environment free from judgment, and support through active listening and empathy.
My approach to therapy is based on each individual’s inner strength and resources, and resiliency to every day stress and adversities that life tends to present. I focus on practical applications drawn from various theories as a means to provide each individual the most meaningful treatment for healing and change. One of the most empowering and healing methods I use in my psychotherapy is creating a caring, collaborative relationship built on mutual trust and respect, providing a safe environment free from judgment, and support through active listening and empathy.
(832) 610-2088 View (832) 610-2088
1

See more therapy options for Van Zandt County

How does your Therapist compare?

Number of Therapists in Van Zandt County, TX

20+

Average cost per session

$100

Therapists in Van Zandt County, TX who prioritize treating:

86% Depression
83% Anxiety
79% Self Esteem
76% Grief
72% Trauma and PTSD
66% Relationship Issues
66% Coping Skills

Average years in practice

13 Years

Top 3 insurances accepted

95% BlueCross and BlueShield
86% Aetna
77% Cigna and Evernorth

How Therapists in Van Zandt County, TX see their clients

80% In Person and Online
20% Online Only

Gender breakdown

86% Female
14% Male
FAQs - About Therapy and Counseling

How can I find a therapist in Van Zandt 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.