Therapists in Houston, TX

View neighborhoods in Houston
Photo of Jonathan Rangel, Licensed Professional Counselor in Houston, TX
Jonathan Rangel
Licensed Professional Counselor, MEd, LPC
Verified Verified
Houston, TX 77023  (Online Only)
I work with people who are doing the best they can but don't see things quite working out, who are feeling like they don't belong, who are struggling to feel whole, who are caught up in unhelpful behaviors & patterns, who are lost and confused, who are trapped in their fears or thoughts, and who have had difficult upbringings. Any one of these can leave you feeling stuck or absent in your life. I've worked with clients from many backgrounds to overcome their fears, anxiety, anger, and depression and begin to feel present and unstuck once again. Now I'd like to help you, too....
I work with people who are doing the best they can but don't see things quite working out, who are feeling like they don't belong, who are struggling to feel whole, who are caught up in unhelpful behaviors & patterns, who are lost and confused, who are trapped in their fears or thoughts, and who have had difficult upbringings. Any one of these can leave you feeling stuck or absent in your life. I've worked with clients from many backgrounds to overcome their fears, anxiety, anger, and depression and begin to feel present and unstuck once again. Now I'd like to help you, too....
(346) 209-4800 View (346) 209-4800
Photo of Osman J Galo, Licensed Professional Counselor in Houston, TX
Osman J Galo
Licensed Professional Counselor, LPC
Verified Verified
1 Endorsed
Houston, TX 77095
Now Accepting New Clients! No Waitlist. Are you experiencing a difficult time overcoming obstacles on your own? Are you experiencing marital difficulties, feeling despondent about your present circumstance, or worried about the future? You may have aspirations to reach self-fulfillment and a feeling of tranquility over your future. Let's examine these concerns collectively.
Now Accepting New Clients! No Waitlist. Are you experiencing a difficult time overcoming obstacles on your own? Are you experiencing marital difficulties, feeling despondent about your present circumstance, or worried about the future? You may have aspirations to reach self-fulfillment and a feeling of tranquility over your future. Let's examine these concerns collectively.
(281) 626-1852 View (281) 626-1852
Photo of Tamika McKindra, Licensed Professional Counselor in Houston, TX
Tamika McKindra
Licensed Professional Counselor, MS, LPC, LSOTP
Verified Verified
Houston, TX 77060  (Online Only)
I have experience working with various issues including but not limited to trauma, substance abuse, anger management, physical abuse, adjustment issues, and divorce. I assist clients in overcoming obstacles that are challenging to overcome in their lives. Additionally, I collaboratively work with clients to improve their overall functioning in their daily lives. I believe in meeting clients where they are in life, while facilitating an environment for change. I am an active listener who is attentive to clients' and their needs and wants. I believe the client is the expert in his or her life.
I have experience working with various issues including but not limited to trauma, substance abuse, anger management, physical abuse, adjustment issues, and divorce. I assist clients in overcoming obstacles that are challenging to overcome in their lives. Additionally, I collaboratively work with clients to improve their overall functioning in their daily lives. I believe in meeting clients where they are in life, while facilitating an environment for change. I am an active listener who is attentive to clients' and their needs and wants. I believe the client is the expert in his or her life.
(346) 206-0709 View (346) 206-0709
Photo of Joseph Scott Anenberg, Licensed Professional Counselor in Houston, TX
Joseph Scott Anenberg
Licensed Professional Counselor, MA, LPC-S
Verified Verified
1 Endorsed
Houston, TX 77098
*LPC SUPERVISION AVAILABLE. Therapy for individuals, couples and families. I work with clients who are trying to grow healthier relationships. People who choose my practice work on the relationships they have with marriage, divorce and family, the future, the world of work, anxiety or depression, food, spirit and community.
*LPC SUPERVISION AVAILABLE. Therapy for individuals, couples and families. I work with clients who are trying to grow healthier relationships. People who choose my practice work on the relationships they have with marriage, divorce and family, the future, the world of work, anxiety or depression, food, spirit and community.
(281) 668-7803 View (281) 668-7803
Photo of Patrice W. Booker, Clinical Social Work/Therapist in Houston, TX
Patrice W. Booker
Clinical Social Work/Therapist, LCSW-S, CART
Verified Verified
Houston, TX 77054
Are you currently struggling with feeling overwhelmed, difficulty balancing work/life balance? Today you are one step closer to a new you where you feel empowered and on a positive path to growth and well-being. My goal is to help you uncover your potential and lead a life that is worth celebrating. We can work together to better understand and resolve challenges in your life. If you're looking for extra support and guidance through a challenging situation or you're just ready to move in a new direction in your life, I look forward to working with you to achieve your goals.
Are you currently struggling with feeling overwhelmed, difficulty balancing work/life balance? Today you are one step closer to a new you where you feel empowered and on a positive path to growth and well-being. My goal is to help you uncover your potential and lead a life that is worth celebrating. We can work together to better understand and resolve challenges in your life. If you're looking for extra support and guidance through a challenging situation or you're just ready to move in a new direction in your life, I look forward to working with you to achieve your goals.
(832) 430-2939 View (832) 430-2939
Photo of Eeva Edds, Licensed Professional Counselor in Houston, TX
Eeva Edds
Licensed Professional Counselor, MA, LPC
Verified Verified
Houston, TX 77006  (Online Only)
Do you struggle with distressing intrusive thoughts that affect your quality of life? Do you feel hopeless by racing thoughts? Do you wonder if life could be better? Now more than ever people everywhere are feeling overwhelmed by intrusive thoughts related to traumatic events and triggers related to anxiety and OCD. We believe that there is hope and life can get better. At Houston Center for Valued Living, we offer psychotherapy for individuals with OCD, anxiety, and PTSD. We start by finding the right clinician for you and help you find the right treatment approach. We offer a safe and inclusive space where you can grow and heal.
Do you struggle with distressing intrusive thoughts that affect your quality of life? Do you feel hopeless by racing thoughts? Do you wonder if life could be better? Now more than ever people everywhere are feeling overwhelmed by intrusive thoughts related to traumatic events and triggers related to anxiety and OCD. We believe that there is hope and life can get better. At Houston Center for Valued Living, we offer psychotherapy for individuals with OCD, anxiety, and PTSD. We start by finding the right clinician for you and help you find the right treatment approach. We offer a safe and inclusive space where you can grow and heal.
(346) 245-5122 x703 View (346) 245-5122 x703
Photo of Hannah Sommer Garza, Psychologist in Houston, TX
Hannah Sommer Garza
Psychologist, PhD
Verified Verified
2 Endorsed
Houston, TX 77063
I am a licensed psychologist with training in evidence-based treatments for children, adolescents, and adults. I specialize in treating anxiety (generalized anxiety, social anxiety, phobias, panic), trichotillomania (hair-pulling), excoriation (skin-picking), OCD, and tic disorders. I have a special interest in helping individuals navigate the challenges that often come with adolescence and young adulthood. I also provide psychoeducational testing for children (age 5+), adolescents, and adults.
I am a licensed psychologist with training in evidence-based treatments for children, adolescents, and adults. I specialize in treating anxiety (generalized anxiety, social anxiety, phobias, panic), trichotillomania (hair-pulling), excoriation (skin-picking), OCD, and tic disorders. I have a special interest in helping individuals navigate the challenges that often come with adolescence and young adulthood. I also provide psychoeducational testing for children (age 5+), adolescents, and adults.
(281) 920-1854 View (281) 920-1854
Photo of Clare Ramos, Marriage & Family Therapist in Houston, TX
Clare Ramos
Marriage & Family Therapist, LMFT, MA, CTP
Verified Verified
Houston, TX 77040  (Online Only)
I am a Licensed Marriage and Family Therapist. I provide supportive clinical treatment to individuals, couples, children and families. Are you or your loved ones working through challenging life issues? Being aware of your challenges is the start. When you come into counseling, you're allowing yourself to open and grow. You can disown what doesn't serve you well and develop your strengths, find new possibilities, and move into a place where positive changes can happen. This is a place where we can talk about what's really going on, what you really need. As a therapist, my focus is on you and your goals.
I am a Licensed Marriage and Family Therapist. I provide supportive clinical treatment to individuals, couples, children and families. Are you or your loved ones working through challenging life issues? Being aware of your challenges is the start. When you come into counseling, you're allowing yourself to open and grow. You can disown what doesn't serve you well and develop your strengths, find new possibilities, and move into a place where positive changes can happen. This is a place where we can talk about what's really going on, what you really need. As a therapist, my focus is on you and your goals.
(281) 393-4394 View (281) 393-4394
Photo of Christina Wright, Clinical Social Work/Therapist in Houston, TX
Christina Wright
Clinical Social Work/Therapist, LCSW
Verified Verified
Houston, TX 77044
Hello there, my name is Christina Wright, and I am a Licensed Clinical Social Worker in Texas license number 56748. My approach to therapy is through compassion and empathy, holding space for all your difficult thoughts and feelings and helping you process through these through aspects from Cognitive Behavior Therapy, Solution Focused Therapy, and Mindfulness techniques. I work with clients from age 18 and up with experience with issues that arise with aging and navigating changing lives. I have experience with many diagnoses in many different settings.
Hello there, my name is Christina Wright, and I am a Licensed Clinical Social Worker in Texas license number 56748. My approach to therapy is through compassion and empathy, holding space for all your difficult thoughts and feelings and helping you process through these through aspects from Cognitive Behavior Therapy, Solution Focused Therapy, and Mindfulness techniques. I work with clients from age 18 and up with experience with issues that arise with aging and navigating changing lives. I have experience with many diagnoses in many different settings.
(281) 823-9573 View (281) 823-9573
Photo of Bettison and Bettison of TX Inc, Clinical Social Work/Therapist in Houston, TX
Bettison and Bettison of TX Inc
Clinical Social Work/Therapist, MSW, LCSW, SAP, CADC
Verified Verified
Houston, TX 77057
Bettison and Bettison of Texas Inc. is a multifaceted Holistic Behavioral Health service organization specializing in the delivery of comprehensive behavioral health care for the benefit of individuals, families, groups and organizations. Bettison and Bettison of Texas Inc. presents the newest innovative concepts in behavioral management. We tailor our services to meet the needs of our clients. Bettison and Bettison of Texas Inc. employ a full range of highly trained professionals who assess and develop treatment plans tailored to your particular needs
Bettison and Bettison of Texas Inc. is a multifaceted Holistic Behavioral Health service organization specializing in the delivery of comprehensive behavioral health care for the benefit of individuals, families, groups and organizations. Bettison and Bettison of Texas Inc. presents the newest innovative concepts in behavioral management. We tailor our services to meet the needs of our clients. Bettison and Bettison of Texas Inc. employ a full range of highly trained professionals who assess and develop treatment plans tailored to your particular needs
(281) 609-7674 View (281) 609-7674
Photo of Keiera Buckles, Clinical Social Work/Therapist in Houston, TX
Keiera Buckles
Clinical Social Work/Therapist, LCSW
Verified Verified
Houston, TX 77098
Keiera Buckles is a Licensed Clinical Social Worker in Texas who has been practicing since 2023. She received her MA in Social Work from Tulane University in 2018 and her BA from Southeastern University in 2017. Keiera is dedicated to helping clients overcome stress and anxiety, boost motivation, improve self-esteem and confidence, navigate relationship problems, career difficulties, and cope with life changes.Keiera also has experience in working with cancer patients and those experiencing chronic illnesses. Keiera works with clients to create a safe and open environment, where thoughts and feelings can be shared without judgement.
Keiera Buckles is a Licensed Clinical Social Worker in Texas who has been practicing since 2023. She received her MA in Social Work from Tulane University in 2018 and her BA from Southeastern University in 2017. Keiera is dedicated to helping clients overcome stress and anxiety, boost motivation, improve self-esteem and confidence, navigate relationship problems, career difficulties, and cope with life changes.Keiera also has experience in working with cancer patients and those experiencing chronic illnesses. Keiera works with clients to create a safe and open environment, where thoughts and feelings can be shared without judgement.
(817) 968-7061 View (817) 968-7061
Photo of Denise Rhew, Marriage & Family Therapist in Houston, TX
Denise Rhew
Marriage & Family Therapist, MA, LPC, LMFT
Verified Verified
Houston, TX 77024
Making the decision to seek counseling is often the most difficult step in this process. It takes courage to face your pain or relationship struggles and reach out for help. To assist in this journey, I offer my clients acceptance, compassion, and hope in a warm and relaxed environment. I create a safe and supportive space for you to explore difficulties and loss, as well as opportunities for you to develop new understanding and tools to improve your life and relationships. I enjoy working with individuals, couples, and families on a variety of issues.
Making the decision to seek counseling is often the most difficult step in this process. It takes courage to face your pain or relationship struggles and reach out for help. To assist in this journey, I offer my clients acceptance, compassion, and hope in a warm and relaxed environment. I create a safe and supportive space for you to explore difficulties and loss, as well as opportunities for you to develop new understanding and tools to improve your life and relationships. I enjoy working with individuals, couples, and families on a variety of issues.
(713) 581-9100 x3 View (713) 581-9100 x3
Photo of Barbara Martin, Clinical Social Work/Therapist in Houston, TX
Barbara Martin
Clinical Social Work/Therapist, LCSW
Verified Verified
2 Endorsed
Houston, TX 77084
Whether your present life feels unmanageable, or past hurtful experiences are still causing you pain, there is hope. Reaching out for help is the first step to making positive changes in your life. My goal is to provide you with a safe, supportive, non-judgmental space in which you can share, explore, and achieve greater self-awareness. Together, we will build on the strengths you already possess to help you grow and find balance. My style of therapy is much like a partnership; I feel it is a privilege to be able to join you in your journey.
Whether your present life feels unmanageable, or past hurtful experiences are still causing you pain, there is hope. Reaching out for help is the first step to making positive changes in your life. My goal is to provide you with a safe, supportive, non-judgmental space in which you can share, explore, and achieve greater self-awareness. Together, we will build on the strengths you already possess to help you grow and find balance. My style of therapy is much like a partnership; I feel it is a privilege to be able to join you in your journey.
(832) 789-5361 View (832) 789-5361
Photo of Jessie Mclaughlin, Licensed Professional Counselor in Houston, TX
Jessie Mclaughlin
Licensed Professional Counselor, LPC
Verified Verified
Houston, TX 77002  (Online Only)
Life is hard. So many of us struggle with issues related to anxiety, depression, and addiction making life feel even harder. Feelings of inadequacy, hopelessness, and self-doubt can hold us back. Overthinking and endless negative thoughts can have us ready to give up. Fortunately, those distressing feelings and thoughts don't have to be permanent. You are capable of developing emotional resilience and self-empowerment to enable you thrive. You are worthy of good things.
Life is hard. So many of us struggle with issues related to anxiety, depression, and addiction making life feel even harder. Feelings of inadequacy, hopelessness, and self-doubt can hold us back. Overthinking and endless negative thoughts can have us ready to give up. Fortunately, those distressing feelings and thoughts don't have to be permanent. You are capable of developing emotional resilience and self-empowerment to enable you thrive. You are worthy of good things.
(713) 714-4472 View (713) 714-4472
Photo of Southeastern Psychology Group, Psychologist in Houston, TX
Southeastern Psychology Group
Psychologist, PhD, LCSW
Verified Verified
Houston, TX 77014
We provide psychotherapy for adults, children and families experiencing a variety of presenting issues. Our approach to therapy is individually tailored to address your specific needs. We draw on a range of techniques to help you align with your goals. We do not see any one model as having all the answers, but believe that the most effective therapy integrates multiple theoretical perspectives. We provide a safe place for authentic connection on your journey to healing.
We provide psychotherapy for adults, children and families experiencing a variety of presenting issues. Our approach to therapy is individually tailored to address your specific needs. We draw on a range of techniques to help you align with your goals. We do not see any one model as having all the answers, but believe that the most effective therapy integrates multiple theoretical perspectives. We provide a safe place for authentic connection on your journey to healing.
(346) 482-3008 View (346) 482-3008
Photo of Colleen Christie, Licensed Professional Counselor in Houston, TX
Colleen Christie
Licensed Professional Counselor, LPC
Verified Verified
Houston, TX 77095
Welcome! My name is Colleen Christie and I am a Licensed Professional Counselor and a Licensed Marriage and Family Therapist in Texas. With 29 years of experience, my primary focus of my practice is relationship issues including break-ups, divorce, couples therapy, toxic relationships and even "lack of relationship" issues. I also treat disorders that are frequently the consequences of difficult personal/family relationships including grief, anxiety, poor self-esteem, depression and trauma. I mostly utilize a systems and existential approach to therapy, but use multiple modalities based on the needs of my client.
Welcome! My name is Colleen Christie and I am a Licensed Professional Counselor and a Licensed Marriage and Family Therapist in Texas. With 29 years of experience, my primary focus of my practice is relationship issues including break-ups, divorce, couples therapy, toxic relationships and even "lack of relationship" issues. I also treat disorders that are frequently the consequences of difficult personal/family relationships including grief, anxiety, poor self-esteem, depression and trauma. I mostly utilize a systems and existential approach to therapy, but use multiple modalities based on the needs of my client.
(832) 979-1023 View (832) 979-1023
Photo of Open Doorways Counseling, Licensed Professional Counselor in Houston, TX
Open Doorways Counseling
Licensed Professional Counselor, MEd, LPC-S
Verified Verified
Houston, TX 77071
Do you have an important decision to make and unsure of next steps? Are you having problems communicating with important people in your life? Struggling with anxiety or depression? These are just a few of the questions a person seeking counseling may ask. I've been a counselor for 20+ years in Houston, having worked in employee assistance (EAP), hospitals, hospice, county health and crisis intervention. I have been a teletherapist online many years. My ideal client is a high functioning individual or couple who have hit a "bump on the road" of life and require brief therapy to get back on track.
Do you have an important decision to make and unsure of next steps? Are you having problems communicating with important people in your life? Struggling with anxiety or depression? These are just a few of the questions a person seeking counseling may ask. I've been a counselor for 20+ years in Houston, having worked in employee assistance (EAP), hospitals, hospice, county health and crisis intervention. I have been a teletherapist online many years. My ideal client is a high functioning individual or couple who have hit a "bump on the road" of life and require brief therapy to get back on track.
(346) 787-1586 View (346) 787-1586
Photo of Joo Kim, Clinical Social Work/Therapist in Houston, TX
Joo Kim
Clinical Social Work/Therapist, LCSW
Verified Verified
Houston, TX 77002  (Online Only)
Hi there, I'm Joo. Do you ever feel like you're in survival mode, that your emotions are too strong to handle or that your emotions don't fit the surrounding situation?
Hi there, I'm Joo. Do you ever feel like you're in survival mode, that your emotions are too strong to handle or that your emotions don't fit the surrounding situation?
(832) 621-3653 View (832) 621-3653
Photo of Manny Occhiogrosso, Counselor in Houston, TX
Manny Occhiogrosso
Counselor, LMHC
Verified Verified
1 Endorsed
Houston, TX 77024  (Online Only)
For over 20 years, I have been devoted to helping individuals realize their full potential, couples create stronger bonds, and families create secure connections and meaningful relationships. I want to help you do that too. Taking the steps towards finding a therapist can seem intimidating but I am here to help you navigate this time on your journey towards healing. I only take on a limited number of clients so I can offer the best therapeutic experience for each person. If you believe I may be the right fit, I invite you to read about my therapeutic approach and professional experience.
For over 20 years, I have been devoted to helping individuals realize their full potential, couples create stronger bonds, and families create secure connections and meaningful relationships. I want to help you do that too. Taking the steps towards finding a therapist can seem intimidating but I am here to help you navigate this time on your journey towards healing. I only take on a limited number of clients so I can offer the best therapeutic experience for each person. If you believe I may be the right fit, I invite you to read about my therapeutic approach and professional experience.
(346) 534-4826 View (346) 534-4826
Photo of Jacinda Tucker, Psychologist in Houston, TX
Jacinda Tucker
Psychologist, PhD
Verified Verified
Houston, TX 77009  (Online Only)
My approach is to empower clients with the tools they need to grow and create a life that is enjoyable and productive. I work with individuals who feel overwhelmed by depression, anxiety, deep loss, caretaker fatigue, and professional burnout. My belief is that people are largely defined by their past and present experiences. Both past and present experiences can cause psychological distress, anxiety, depression, or feeling overwhelmed.
My approach is to empower clients with the tools they need to grow and create a life that is enjoyable and productive. I work with individuals who feel overwhelmed by depression, anxiety, deep loss, caretaker fatigue, and professional burnout. My belief is that people are largely defined by their past and present experiences. Both past and present experiences can cause psychological distress, anxiety, depression, or feeling overwhelmed.
(832) 400-3986 View (832) 400-3986

How does your Therapist compare?

Number of Therapists in Houston, TX

3,000+

Average cost per session

$135

Therapists in Houston, TX who prioritize treating:

92% Anxiety
87% Depression
74% Self Esteem
70% Coping Skills
68% Relationship Issues
66% Stress
64% Trauma and PTSD

Average years in practice

10 Years

Top 3 insurances accepted

85% Aetna
80% Cigna and Evernorth
80% UnitedHealthcare UHC | UBH

How Therapists in Houston, TX see their clients

55% In Person and Online
45% Online Only

Gender breakdown

82% Female
17% Male
1% Non-Binary
FAQs - About Therapy and Counseling

How can I find a therapist in Houston?

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.