Therapists in McKinney, TX

Photo of Walker and Associates, Licensed Professional Counselor in McKinney, TX
Walker and Associates
Licensed Professional Counselor, LPC
Verified Verified
McKinney, TX 75070
If you're interested in having a new vison for yourself, taking control, eliminating your difficult problems, or beginning a new adventure, I am here to assist you along the journey. Are you looking for various options- for a new path in life or maximizing your current situation to its full potential. If so I am elated you're present.
If you're interested in having a new vison for yourself, taking control, eliminating your difficult problems, or beginning a new adventure, I am here to assist you along the journey. Are you looking for various options- for a new path in life or maximizing your current situation to its full potential. If so I am elated you're present.
(469) 844-9310 View (469) 844-9310
Photo of Linda McDonough, Licensed Professional Counselor Associate in McKinney, TX
Linda McDonough
Licensed Professional Counselor Associate, MA, NCC
Verified Verified
5 Endorsed
McKinney, TX 75070
Supporting individuals on their journey to healing and personal growth is my passion. I specialize in providing a safe, non-judgmental environment where we can explore your challenges together. I aim to help you gain insights into your struggles and equip you with practical tools to overcome obstacles. Together, we'll work towards achieving your personal goals and fostering a deeper understanding of yourself, leading to a more fulfilling life.
Supporting individuals on their journey to healing and personal growth is my passion. I specialize in providing a safe, non-judgmental environment where we can explore your challenges together. I aim to help you gain insights into your struggles and equip you with practical tools to overcome obstacles. Together, we'll work towards achieving your personal goals and fostering a deeper understanding of yourself, leading to a more fulfilling life.
(469) 640-8495 View (469) 640-8495
Photo of Tracy Merino, Psychologist in McKinney, TX
Tracy Merino
Psychologist, PsyD, HSP
Verified Verified
1 Endorsed
McKinney, TX 75072  (Online Only)
Only telehealth at this time. I aim to help clients learn skills that will help them manage their emotions, effectively cope with distress, and develop healthier relationships. I also enjoy helping parents and families' support loved ones through validation, limit-setting, and emotional regulation skills. I emphasize a warm, non-judgmental approach to client care, helping clients reach practical, concrete solutions to complex problems. I believe every individual has the potential to achieve success within his/her personal, professional and relationship life.
Only telehealth at this time. I aim to help clients learn skills that will help them manage their emotions, effectively cope with distress, and develop healthier relationships. I also enjoy helping parents and families' support loved ones through validation, limit-setting, and emotional regulation skills. I emphasize a warm, non-judgmental approach to client care, helping clients reach practical, concrete solutions to complex problems. I believe every individual has the potential to achieve success within his/her personal, professional and relationship life.
(972) 362-6697 View (972) 362-6697
Photo of Kara English, Licensed Professional Counselor in McKinney, TX
Kara English
Licensed Professional Counselor, MA, LPC, LCDC
Verified Verified
McKinney, TX 75070
I am a seasoned Licensed Professional and Chemical Dependency Counselor with over 30 years of combined experience in Counseling, Coaching, Training, and Administration. I love helping people work through the struggles of drug and alcohol addictions. I also work with clients struggling with depression, anxiety, addictions, trauma, and life transitions.
I am a seasoned Licensed Professional and Chemical Dependency Counselor with over 30 years of combined experience in Counseling, Coaching, Training, and Administration. I love helping people work through the struggles of drug and alcohol addictions. I also work with clients struggling with depression, anxiety, addictions, trauma, and life transitions.
(214) 393-5207 View (214) 393-5207
Photo of Deidre M Wilson, Marriage & Family Therapist in McKinney, TX
Deidre M Wilson
Marriage & Family Therapist, MS, LMFT, LPC
Verified Verified
McKinney, TX 75070
Responsibility: When we accept responsibility for the quality of our own lives, CHANGE begins immediately. I want to help you feel better in the shortest time possible so you can begin ENJOYING your life again. If you are ready to step up to the challenge of creating the personal, professional, or family life you desire and deserve, please call me.
Responsibility: When we accept responsibility for the quality of our own lives, CHANGE begins immediately. I want to help you feel better in the shortest time possible so you can begin ENJOYING your life again. If you are ready to step up to the challenge of creating the personal, professional, or family life you desire and deserve, please call me.
(972) 478-1453 View (972) 478-1453
Photo of Lynn Pendergrass, Licensed Professional Counselor in McKinney, TX
Lynn Pendergrass
Licensed Professional Counselor, LPC
Verified Verified
McKinney, TX 75070  (Online Only)
Are you searching for someone to listen to you? For many years, I have heard over and over clients say, “Thank you, I have just been wanting someone to listen to me - to hear me”.
Are you searching for someone to listen to you? For many years, I have heard over and over clients say, “Thank you, I have just been wanting someone to listen to me - to hear me”.
(972) 544-1430 View (972) 544-1430
Photo of Jaci Varnell, Licensed Professional Counselor in McKinney, TX
Jaci Varnell
Licensed Professional Counselor, MS, LPC
Verified Verified
McKinney, TX 75070
Are you looking for help calming your anxiety or seeking relief from your depression? Are you in need of help with your child or teen? Are you an LGBTQ individual seeking support? I am a licensed professional counselor trained to help you. I treat children, adolescents and adults in an inviting atmosphere by providing trust, encouragement, support, and information. I am specialized in anxiety, depression, BFRBs (hair pulling, skin picking), PTSD, sexual/physical abuse, OCD, and ADHD. I do currently offer telehealth sessions. Please call to discuss your counseling needs.
Are you looking for help calming your anxiety or seeking relief from your depression? Are you in need of help with your child or teen? Are you an LGBTQ individual seeking support? I am a licensed professional counselor trained to help you. I treat children, adolescents and adults in an inviting atmosphere by providing trust, encouragement, support, and information. I am specialized in anxiety, depression, BFRBs (hair pulling, skin picking), PTSD, sexual/physical abuse, OCD, and ADHD. I do currently offer telehealth sessions. Please call to discuss your counseling needs.
(214) 390-6721 View (214) 390-6721
Photo of Jodi McKee, Licensed Professional Counselor in McKinney, TX
Jodi McKee
Licensed Professional Counselor, MA, LPC-S, ATR-BC, MBA
Verified Verified
McKinney, TX 75070
Are you interested in self-development and personal growth? Are you tired of repeating dysfunctional patterns in your life? Are you ready to become the main character of your story? I'd love to walk with you on this journey and help remove any obstacles in your way. I have over 20 years of experience helping children, teens, adults, and families find mental wellness. I am a Board-Certified Registered Art Therapist and a Licensed Professional Counselor Supervisor, and I believe in the power of art therapy as an efficient and effective tool for healing.
Are you interested in self-development and personal growth? Are you tired of repeating dysfunctional patterns in your life? Are you ready to become the main character of your story? I'd love to walk with you on this journey and help remove any obstacles in your way. I have over 20 years of experience helping children, teens, adults, and families find mental wellness. I am a Board-Certified Registered Art Therapist and a Licensed Professional Counselor Supervisor, and I believe in the power of art therapy as an efficient and effective tool for healing.
(972) 845-8942 View (972) 845-8942
Photo of Dr. Amy Kreins, Psychologist in McKinney, TX
Dr. Amy Kreins
Psychologist, PhD
Verified Verified
4 Endorsed
McKinney, TX 75070
I deliver cognitive-behavioral therapy (CBT) and other evidence-based treatments to adult, seniors, and teens with a wide range of emotional, behavioral, and adjustment problems, such as anxiety, stress, depression, and relationship problems. I try to build on an individual's strengths and individualize therapy to each person's need. I believe psychotherapy can help individuals most effectively use their resources to increase self-understanding, to improve decision-making, to solve problems, and to create paths to the lives they want. I use mindfulness training to help clients live in the moment, with a compassionate and nonjudgmental approach.
I deliver cognitive-behavioral therapy (CBT) and other evidence-based treatments to adult, seniors, and teens with a wide range of emotional, behavioral, and adjustment problems, such as anxiety, stress, depression, and relationship problems. I try to build on an individual's strengths and individualize therapy to each person's need. I believe psychotherapy can help individuals most effectively use their resources to increase self-understanding, to improve decision-making, to solve problems, and to create paths to the lives they want. I use mindfulness training to help clients live in the moment, with a compassionate and nonjudgmental approach.
(469) 812-8492 View (469) 812-8492
Photo of Holly Dahl, Licensed Professional Counselor in McKinney, TX
Holly Dahl
Licensed Professional Counselor, MS, LPC, LCDC-I
Verified Verified
McKinney, TX 75070
Currently not accepting new patients. Holly understands that pain and suffering are a part of the human experience. She is passionate about helping others find understanding and meaning behind the suffering that they experience in order to facilitate growth, insight, and lasting change. It is her desire to help others overcome their struggles with mental illnesses and addictions. She enjoys teaching her clients the tools they need to cope with pain and suffering in a healthy manner and is passionate about facilitating conversations that lead her clients to increased self-awareness and insight.
Currently not accepting new patients. Holly understands that pain and suffering are a part of the human experience. She is passionate about helping others find understanding and meaning behind the suffering that they experience in order to facilitate growth, insight, and lasting change. It is her desire to help others overcome their struggles with mental illnesses and addictions. She enjoys teaching her clients the tools they need to cope with pain and suffering in a healthy manner and is passionate about facilitating conversations that lead her clients to increased self-awareness and insight.
(214) 273-1961 View (214) 273-1961
Photo of Krista Norris, Marriage & Family Therapist Associate in McKinney, TX
Krista Norris
Marriage & Family Therapist Associate, LMFT-A
Verified Verified
3 Endorsed
McKinney, TX 75071
Now accepting new clients in-person and virtually! Are you feeling stagnant or feel as though you have lost a piece of yourself? Often times life circumstances can cause us to lose motivation and hope. Which may prevent us from fulfilling our life purpose. I find that bringing the unconscious into conscious awareness can be a powerful tool for healing. When we ignore the hidden parts of self, this can often lead to depression, anxiety, low self-esteem and many other self-destructive patterns. My goal is to help clients understand the root of their concerns through changing self-defeating patterns and learning to let go.
Now accepting new clients in-person and virtually! Are you feeling stagnant or feel as though you have lost a piece of yourself? Often times life circumstances can cause us to lose motivation and hope. Which may prevent us from fulfilling our life purpose. I find that bringing the unconscious into conscious awareness can be a powerful tool for healing. When we ignore the hidden parts of self, this can often lead to depression, anxiety, low self-esteem and many other self-destructive patterns. My goal is to help clients understand the root of their concerns through changing self-defeating patterns and learning to let go.
(972) 666-8222 View (972) 666-8222
Photo of Lauren Gastorf, Licensed Professional Counselor in McKinney, TX
Lauren Gastorf
Licensed Professional Counselor, MEd, LPC-S
Verified Verified
6 Endorsed
McKinney, TX 75070
Whether you're seeking to know yourself on a deeper level, healing from trauma, or experiencing a difficult transition, counseling is an incredible source of support. I believe in a collaborative, compassionate, holistic approach to help you feel your best and live your best life.
Whether you're seeking to know yourself on a deeper level, healing from trauma, or experiencing a difficult transition, counseling is an incredible source of support. I believe in a collaborative, compassionate, holistic approach to help you feel your best and live your best life.
(972) 347-0782 View (972) 347-0782
Photo of Bushra M. Iqbal, Marriage & Family Therapist Associate in McKinney, TX
Bushra M. Iqbal
Marriage & Family Therapist Associate, LMFTA, MA, MBBS, EMDR tr
Verified Verified
1 Endorsed
McKinney, TX 75070
We all need connection. In this age of social media and the abundance of information, we can feel isolated and disconnected. I am here to support you in re-establishing authenticity in your relationships, especially your relationship with yourself. I strongly believe that authentic connections with others can lead to positive change. When we learn to create secure bonds with people that we care about, where we are accepted for all parts of our-self (the good/bad/struggles and the repairs), we are able to live life in full color. I am here to see you, to accept you and am honored to walk with you in this stage of your life.
We all need connection. In this age of social media and the abundance of information, we can feel isolated and disconnected. I am here to support you in re-establishing authenticity in your relationships, especially your relationship with yourself. I strongly believe that authentic connections with others can lead to positive change. When we learn to create secure bonds with people that we care about, where we are accepted for all parts of our-self (the good/bad/struggles and the repairs), we are able to live life in full color. I am here to see you, to accept you and am honored to walk with you in this stage of your life.
(972) 779-9181 View (972) 779-9181
Photo of Sharon Scott-Lifeskills For Positive Living, Licensed Professional Counselor in McKinney, TX
Sharon Scott-Lifeskills For Positive Living
Licensed Professional Counselor, LPC, LMFT
Verified Verified
McKinney, TX 75069  (Online Only)
Need life skills from an experienced counselor? Sharon Scott has been making a difference in peoples' lives for 40 years through her private counseling practice, 9 award-winning books & workshops presented in 42 U.S. states and in Australia, Switzerland, South Africa, Malaysia, Spain, Turkey, the Philippines, Canada & Micronesia. Besides her private counseling practice, she is a much sought after speaker w/appearances on CNN and Good Morning Australia & quoted by 20/20, the BBC, The Washington Post, Redbook etc. Her teen guide, "How to Say No and Keep Your Friends, 2nd Ed.," became a best-seller (www.hrdpress.com/sharonscott).
Need life skills from an experienced counselor? Sharon Scott has been making a difference in peoples' lives for 40 years through her private counseling practice, 9 award-winning books & workshops presented in 42 U.S. states and in Australia, Switzerland, South Africa, Malaysia, Spain, Turkey, the Philippines, Canada & Micronesia. Besides her private counseling practice, she is a much sought after speaker w/appearances on CNN and Good Morning Australia & quoted by 20/20, the BBC, The Washington Post, Redbook etc. Her teen guide, "How to Say No and Keep Your Friends, 2nd Ed.," became a best-seller (www.hrdpress.com/sharonscott).
(972) 752-6042 View (972) 752-6042
Photo of Tim Kerby, Licensed Professional Counselor in McKinney, TX
Tim Kerby
Licensed Professional Counselor, MA, LPC, NCC
Verified Verified
McKinney, TX 75069
Would you like to put your marriage back together, resolve conflict in a relationship, develop more effective parenting skills, or have a better understanding of your child's behaviors? Are you feeling depressed and struggling to find answers for the way you feel? Do you feel anxious at times and don't know where to turn? Are you grieving over a lost relationship? We can develop a plan with achievable goals, that will help you get where you want to be. My approach to healing, is one that emphasizes how our thoughts impact how we feel and what we do. All sessions are in person only.
Would you like to put your marriage back together, resolve conflict in a relationship, develop more effective parenting skills, or have a better understanding of your child's behaviors? Are you feeling depressed and struggling to find answers for the way you feel? Do you feel anxious at times and don't know where to turn? Are you grieving over a lost relationship? We can develop a plan with achievable goals, that will help you get where you want to be. My approach to healing, is one that emphasizes how our thoughts impact how we feel and what we do. All sessions are in person only.
(214) 299-5205 View (214) 299-5205
Photo of Heidi Johanson, Licensed Professional Counselor in McKinney, TX
Heidi Johanson
Licensed Professional Counselor, MS, LPC-S
Verified Verified
McKinney, TX 75071
I am a Licensed Professional Counselor Supervisor in the state of Texas. I have a Masters Degree in Counseling from Southern Methodist University. I have experience in treating trauma, PTSD, OCD, depression, anxiety, Bi-polar disorder, addiction, life adjustment issues, personality disorders, gender/identity, family and relationship issues. Throughout my career I've had the opportunity to treat a diversified clientele that has shaped my ability to be understanding and accepting. I believe the therapeutic relationship is the most valuable aspect of the counseling experience.
I am a Licensed Professional Counselor Supervisor in the state of Texas. I have a Masters Degree in Counseling from Southern Methodist University. I have experience in treating trauma, PTSD, OCD, depression, anxiety, Bi-polar disorder, addiction, life adjustment issues, personality disorders, gender/identity, family and relationship issues. Throughout my career I've had the opportunity to treat a diversified clientele that has shaped my ability to be understanding and accepting. I believe the therapeutic relationship is the most valuable aspect of the counseling experience.
(682) 305-2787 View (682) 305-2787
Photo of Natalie Cole, Licensed Professional Counselor in McKinney, TX
Natalie Cole
Licensed Professional Counselor, MA, LPC
Verified Verified
McKinney, TX 75070
Natalie Cole has been a practicing Licensed Professional Counselor since 2002. Natalie takes great pride in her work and customizes therapy to best meet the needs of each client. Natalie has significant experience in working with adolescents through adults and couples. Natalie is a Texas Family Law Mediator and works with high conflict families, couples, and even parents and teens to help them navigate the difficulties that can arise through troubled relationships. Natalie has significant experience in working with issues such as depression, anxiety, Bipolar Disorder, trauma, grief/loss, infertility, teen issues, and divorce.
Natalie Cole has been a practicing Licensed Professional Counselor since 2002. Natalie takes great pride in her work and customizes therapy to best meet the needs of each client. Natalie has significant experience in working with adolescents through adults and couples. Natalie is a Texas Family Law Mediator and works with high conflict families, couples, and even parents and teens to help them navigate the difficulties that can arise through troubled relationships. Natalie has significant experience in working with issues such as depression, anxiety, Bipolar Disorder, trauma, grief/loss, infertility, teen issues, and divorce.
(214) 624-6763 View (214) 624-6763
Photo of Intensive Recovery Healing, Psychologist in McKinney, TX
Intensive Recovery Healing
Psychologist, PhD, CSAT-S, CCps-S, IAT, SEP
Verified Verified
McKinney, TX 75072
If your life has been blown up by discovery of secret sexual behavior, if you are in shock after discovering a spouse's secret life and don't know if you should stay or go, if intimacy anorexia describes your life, let the Intensive Recovery Healing team help. We understand the struggle with secrets, shame, and fear that your marriage, your family, your life may crumble. We know the destructiveness of lies, gaslighting, and crazy-making behavior. We get that desperate need to understand, 'why.' And, we get the double trauma of sexual betrayal in combination with emotional and intimacy deprivation. We also know that you can heal!
If your life has been blown up by discovery of secret sexual behavior, if you are in shock after discovering a spouse's secret life and don't know if you should stay or go, if intimacy anorexia describes your life, let the Intensive Recovery Healing team help. We understand the struggle with secrets, shame, and fear that your marriage, your family, your life may crumble. We know the destructiveness of lies, gaslighting, and crazy-making behavior. We get that desperate need to understand, 'why.' And, we get the double trauma of sexual betrayal in combination with emotional and intimacy deprivation. We also know that you can heal!
(972) 540-9996 View (972) 540-9996
Photo of Alysse Shropshire, Licensed Professional Counselor in McKinney, TX
Alysse Shropshire
Licensed Professional Counselor, MS, LPC
Verified Verified
McKinney, TX 75071
I am a Licensed Professional Counselor in the state of Texas. During my education, I completed an internship at Promise House, Inc. providing therapy to children and adolescents in CPS care. Post education, I gained experience in treating clients of all ages with anxiety, depression, substance use and addiction issues, self-harm and suicidal ideation, low self-esteem, life adjustments/daily stressors, grief, and trauma. I also have experience working with parents of teenagers with dual diagnosis substance use and mental health issues.
I am a Licensed Professional Counselor in the state of Texas. During my education, I completed an internship at Promise House, Inc. providing therapy to children and adolescents in CPS care. Post education, I gained experience in treating clients of all ages with anxiety, depression, substance use and addiction issues, self-harm and suicidal ideation, low self-esteem, life adjustments/daily stressors, grief, and trauma. I also have experience working with parents of teenagers with dual diagnosis substance use and mental health issues.
(972) 474-1266 View (972) 474-1266
Photo of Scott D Altamirano, Marriage & Family Therapist in McKinney, TX
Scott D Altamirano
Marriage & Family Therapist, MA, LMFT
Verified Verified
McKinney, TX 75072
Accepting clients Apr 2024. I help gay men - from the newly gay to the seasoned queen - navigate and understand topics related to dating monogamously, polyamory, sexual anxiety, fetishes, understanding Grindr, Sniffies, and bathhouses, drugs/alcohol/food/sex as coping, body insecurities, masculinity, developing self esteem, hobbies, and the most importantly - the friends we made along the way.
Accepting clients Apr 2024. I help gay men - from the newly gay to the seasoned queen - navigate and understand topics related to dating monogamously, polyamory, sexual anxiety, fetishes, understanding Grindr, Sniffies, and bathhouses, drugs/alcohol/food/sex as coping, body insecurities, masculinity, developing self esteem, hobbies, and the most importantly - the friends we made along the way.
(281) 915-2147 View (281) 915-2147

How does your Therapist compare?

Number of Therapists in McKinney, TX

600+

Average cost per session

$145

Therapists in McKinney, TX who prioritize treating:

93% Anxiety
89% Depression
79% Self Esteem
77% Relationship Issues
73% Coping Skills
72% Stress
67% Trauma and PTSD

Average years in practice

11 Years

Top 3 insurances accepted

79% Aetna
75% BlueCross and BlueShield
71% Cigna and Evernorth

How Therapists in McKinney, TX see their clients

79% In Person and Online
21% Online Only

Gender breakdown

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

How can I find a therapist in McKinney?

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.