Therapists in Dallas, TX

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Photo of Veronica Ehret, Licensed Professional Counselor in Dallas, TX
Veronica Ehret
Licensed Professional Counselor, LPC-TX, LPC-AZ, CSAT
Verified Verified
2 Endorsed
Dallas, TX 75204
My job is to help you mend your relationship with yourself so that you can find and grow healthy connections with others. Together, we will work to discover the root of the problem while also investigating other issues often tied to intimacy disorders, such as addiction in all its forms, including substances, workaholism, sex, pornography, poor spending habits, and other addictive behaviors.
My job is to help you mend your relationship with yourself so that you can find and grow healthy connections with others. Together, we will work to discover the root of the problem while also investigating other issues often tied to intimacy disorders, such as addiction in all its forms, including substances, workaholism, sex, pornography, poor spending habits, and other addictive behaviors.
(469) 425-8946 View (469) 425-8946
Photo of The Well Therapy Group, Licensed Professional Counselor in Dallas, TX
The Well Therapy Group
Licensed Professional Counselor, LPC
Verified Verified
Dallas, TX 75204
There is no greater freedom than living in your true self, a self authentically and lovingly connected to others. It’s how we are built. It’s how our children are built. Living the kind of balance many of us aspire to looks a heck of lot easier in print than it is in action. It takes work to integrate it all, but it is so worth it.
There is no greater freedom than living in your true self, a self authentically and lovingly connected to others. It’s how we are built. It’s how our children are built. Living the kind of balance many of us aspire to looks a heck of lot easier in print than it is in action. It takes work to integrate it all, but it is so worth it.
(469) 772-5689 View (469) 772-5689
Photo of Leigh Shamburger-Adams, Licensed Professional Counselor in Dallas, TX
Leigh Shamburger-Adams
Licensed Professional Counselor, MS, NCC, LPC
Verified Verified
2 Endorsed
Dallas, TX 75235
It can be difficult to discuss your life struggles, relationships, gender, and sexuality. I aim to create a non-judgmental therapeutic environment to freely explore your feelings, frustrations, and fears so you may gain a deeper understanding of self, feel more authentic, and make positive changes in your life. I work with individuals, couples, and families of any sexual or affectional identity, including adults (18+) and adolescents (13-17). I have additional training and experience in LGBTQ+ affirmative therapy, Gottman Method Couples Therapy Certification Level 1, and Janina Fisher Approach to Trauma Treatment.
It can be difficult to discuss your life struggles, relationships, gender, and sexuality. I aim to create a non-judgmental therapeutic environment to freely explore your feelings, frustrations, and fears so you may gain a deeper understanding of self, feel more authentic, and make positive changes in your life. I work with individuals, couples, and families of any sexual or affectional identity, including adults (18+) and adolescents (13-17). I have additional training and experience in LGBTQ+ affirmative therapy, Gottman Method Couples Therapy Certification Level 1, and Janina Fisher Approach to Trauma Treatment.
(972) 299-3765 View (972) 299-3765
Photo of Nightingale Counseling and Clinical Consultation, Clinical Social Work/Therapist in Dallas, TX
Nightingale Counseling and Clinical Consultation
Clinical Social Work/Therapist, LCSW-S
Verified Verified
Dallas, TX 75216  (Online Only)
Not accepting new clients
Are you a Christian woman who could use some support at this juncture in your life? Maybe you are struggling in your role as a single, wife, mother, or professional. Or perhaps you just need someone to come alongside you to speak life over you and spur you toward your life goals. You may even be a Licensed Master Social Worker (LMSW) seeking supervision from a likeminded supervisor.
Are you a Christian woman who could use some support at this juncture in your life? Maybe you are struggling in your role as a single, wife, mother, or professional. Or perhaps you just need someone to come alongside you to speak life over you and spur you toward your life goals. You may even be a Licensed Master Social Worker (LMSW) seeking supervision from a likeminded supervisor.
(972) 505-3251 View (972) 505-3251
Photo of Holly Robles, Licensed Professional Counselor in Dallas, TX
Holly Robles
Licensed Professional Counselor, LPC
Verified Verified
Dallas, TX 75225  (Online Only)
I've been a therapist for almost 30 years, and can help you get "unstuck" with the toughest of life situations. We'll be partners in helping you choose your goals and get to the place in your life that you've been wanting!
I've been a therapist for almost 30 years, and can help you get "unstuck" with the toughest of life situations. We'll be partners in helping you choose your goals and get to the place in your life that you've been wanting!
(469) 414-9189 View (469) 414-9189
Photo of Madeline Buckthal Bennett, Licensed Professional Counselor in Dallas, TX
Madeline Buckthal Bennett
Licensed Professional Counselor, MS, LPC, NCC
Verified Verified
1 Endorsed
Dallas, TX 75206
Are you feeling 'stuck' or 'overwhelmed' in your life? I'm here to help! Whether you are looking to learn tools to help you improve your self, your relationship, your family or career, my goal is to help you lead a more balanced and productive lifestyle. I approach my clients with a warm, genuine and caring nature. I will work collaboratively with you and help you reach your goals so that you can use what you learn in counseling in your daily life. Finding the right fit for therapy is important!
Are you feeling 'stuck' or 'overwhelmed' in your life? I'm here to help! Whether you are looking to learn tools to help you improve your self, your relationship, your family or career, my goal is to help you lead a more balanced and productive lifestyle. I approach my clients with a warm, genuine and caring nature. I will work collaboratively with you and help you reach your goals so that you can use what you learn in counseling in your daily life. Finding the right fit for therapy is important!
(806) 853-9178 View (806) 853-9178
Photo of Arturo Ojeda, Licensed Professional Counselor in Dallas, TX
Arturo Ojeda
Licensed Professional Counselor, MA, LPC
Verified Verified
Dallas, TX 75240
I provide bilingual services for children, adolescents, families, and adults. I have been working with children and adolescents for the last 11 years and with adults, couples and families for 13 years. I use Cognitive Behavioral Therapy to treat difficulties with anxiety, depression, anger management, hyperactivity/ attention problems, grief, among others.
I provide bilingual services for children, adolescents, families, and adults. I have been working with children and adolescents for the last 11 years and with adults, couples and families for 13 years. I use Cognitive Behavioral Therapy to treat difficulties with anxiety, depression, anger management, hyperactivity/ attention problems, grief, among others.
(214) 256-1217 View (214) 256-1217
Photo of Jacob P Byrom, Licensed Professional Counselor in Dallas, TX
Jacob P Byrom
Licensed Professional Counselor, LPC
Verified Verified
3 Endorsed
Dallas, TX 75231
Sometimes our experiences cause us to question ourselves. We often feel stuck, hopeless and alone. It is possible to move from hopeless to hopeful, from stuck to motivated, and from lonely to connected. The potential to make significant changes in our lives is inside each and every one of us. Whether you’re struggling with anxiety, depression, addiction or relationship conflicts, choosing counseling is a demonstration of your personal power. My experience and interest is in working with adults, couples, children and adolescents in areas such as addiction, anxiety, depression, behavioral issues and relationship conflict.
Sometimes our experiences cause us to question ourselves. We often feel stuck, hopeless and alone. It is possible to move from hopeless to hopeful, from stuck to motivated, and from lonely to connected. The potential to make significant changes in our lives is inside each and every one of us. Whether you’re struggling with anxiety, depression, addiction or relationship conflicts, choosing counseling is a demonstration of your personal power. My experience and interest is in working with adults, couples, children and adolescents in areas such as addiction, anxiety, depression, behavioral issues and relationship conflict.
(469) 824-9029 View (469) 824-9029
Photo of Leanne Leonard, Marriage & Family Therapist in Dallas, TX
Leanne Leonard
Marriage & Family Therapist, LMFT
Verified Verified
Dallas, TX 75229  (Online Only)
Most people that enter therapy are stuck...whether it's in relationship conflicts, depressive cycles or life ruts. What helps to get 'unstuck' is a different view and new interactions. I believe all people and situations can change if you want them too. I work well with motivated and dedicated people and help you to find new solutions to your daily problems and conflicts. I am a very interactive, directive, and coaching based therapist who believes that without the skills necessary, the problems interactions will remain the same.
Most people that enter therapy are stuck...whether it's in relationship conflicts, depressive cycles or life ruts. What helps to get 'unstuck' is a different view and new interactions. I believe all people and situations can change if you want them too. I work well with motivated and dedicated people and help you to find new solutions to your daily problems and conflicts. I am a very interactive, directive, and coaching based therapist who believes that without the skills necessary, the problems interactions will remain the same.
(469) 336-3566 View (469) 336-3566
Photo of Bloom Child Psychology, PLLC, Psychologist in Dallas, TX
Bloom Child Psychology, PLLC
Psychologist, PsyD, MEd, RPT-S
Verified Verified
1 Endorsed
Dallas, TX 75254
Dr. Bonny Stewart is a Licensed Clinical Psychologist, Licensed Specialist in School Psychologist, and Registered Play Therapist-Supervisor. She has advanced specialization working with children and families. Her passion is to help parents find answers and understanding to help their child succeed at home, school, and in all aspects of their lives.
Dr. Bonny Stewart is a Licensed Clinical Psychologist, Licensed Specialist in School Psychologist, and Registered Play Therapist-Supervisor. She has advanced specialization working with children and families. Her passion is to help parents find answers and understanding to help their child succeed at home, school, and in all aspects of their lives.
(469) 457-4197 View (469) 457-4197
Photo of Kris White, Clinical Social Work/Therapist in Dallas, TX
Kris White
Clinical Social Work/Therapist, LCSW, LMFT, LSOTP
Verified Verified
Dallas, TX 75252
Intimacy is often impeded by an inability to know your self or to see yourself accurately. Often we loose that sense of self in relationships which then promotes agitation and depression. We then take on addictive behaviors to avoid feeling reality. Difficulties in childhood often does not equip us with the skills of boundaries which is the only thing that helps to maintain a sense of who we are while remaining connected in a relationship. I can help you develop the skills of being relational and still be you.
Intimacy is often impeded by an inability to know your self or to see yourself accurately. Often we loose that sense of self in relationships which then promotes agitation and depression. We then take on addictive behaviors to avoid feeling reality. Difficulties in childhood often does not equip us with the skills of boundaries which is the only thing that helps to maintain a sense of who we are while remaining connected in a relationship. I can help you develop the skills of being relational and still be you.
(972) 916-9190 View (972) 916-9190
Photo of Sarah Tadlock, Clinical Social Work/Therapist in Dallas, TX
Sarah Tadlock
Clinical Social Work/Therapist, LCSW
Verified Verified
1 Endorsed
Dallas, TX 75205  (Online Only)
You find it difficult to trust others, even those close to you. You may have intrusive memories that disrupt your daily life, replaying the event(s) over and over again. You wonder: Will I ever feel safe and whole again? Am I forever broken, unable to experience love and intimacy? You fight heartache of unfulfilled relationships and the fear of being abandoned or unloved. You're haunted by the same patterns of insecurity and self-sabotage. BUT: You’re ready to wake up each morning feeling a sense of inner peace, unburdened by the weight of shame and guilt from religious trauma. You no longer have to navigate the darkness alone!
You find it difficult to trust others, even those close to you. You may have intrusive memories that disrupt your daily life, replaying the event(s) over and over again. You wonder: Will I ever feel safe and whole again? Am I forever broken, unable to experience love and intimacy? You fight heartache of unfulfilled relationships and the fear of being abandoned or unloved. You're haunted by the same patterns of insecurity and self-sabotage. BUT: You’re ready to wake up each morning feeling a sense of inner peace, unburdened by the weight of shame and guilt from religious trauma. You no longer have to navigate the darkness alone!
(214) 731-4590 View (214) 731-4590
Photo of Karla Hutcherson, Licensed Professional Counselor in Dallas, TX
Karla Hutcherson
Licensed Professional Counselor, MEd, LPC-S
Verified Verified
1 Endorsed
Dallas, TX 75244
I started Lifeline CMS to help bring healing to those suffering with depression, anxiety and related mood disorders. I have experience in multiple therapeutic settings including schools, private practice, foster care, family court system, and multiple service lines in a large hospital and medical institution. I focus on treating patients with evidence-based and integrative psycho-therapy models in individual, marriage and family, and group sessions as well as educational presentations and trainings. My goal is to guide you to build the skills you need to take back control of your mental and emotional health.
I started Lifeline CMS to help bring healing to those suffering with depression, anxiety and related mood disorders. I have experience in multiple therapeutic settings including schools, private practice, foster care, family court system, and multiple service lines in a large hospital and medical institution. I focus on treating patients with evidence-based and integrative psycho-therapy models in individual, marriage and family, and group sessions as well as educational presentations and trainings. My goal is to guide you to build the skills you need to take back control of your mental and emotional health.
(214) 239-2397 View (214) 239-2397
Photo of Christian Walsh, Pre-Licensed Professional in Dallas, TX
Christian Walsh
Pre-Licensed Professional
Verified Verified
Dallas, TX 75219
Life can throw us some rough curveballs, and it's during these moments that we might find ourselves feeling overwhelmed, lost, or stuck. My passion lies in guiding clients through these lonely times, offering a warm and empathetic space where healing can begin. My existential counseling approach is rooted in the belief that every person is unique and deserves a tailored therapeutic experience. Instead of simply putting a bandage on your concerns, let’s find what is causing them and heal from the source. This counseling style stems from my favorite quote: "A fool pulls the leaves, a brute chops the trunk, but a sage pulls the roots".
Life can throw us some rough curveballs, and it's during these moments that we might find ourselves feeling overwhelmed, lost, or stuck. My passion lies in guiding clients through these lonely times, offering a warm and empathetic space where healing can begin. My existential counseling approach is rooted in the belief that every person is unique and deserves a tailored therapeutic experience. Instead of simply putting a bandage on your concerns, let’s find what is causing them and heal from the source. This counseling style stems from my favorite quote: "A fool pulls the leaves, a brute chops the trunk, but a sage pulls the roots".
(214) 617-1678 View (214) 617-1678
Photo of Caitlin Gallegos in Dallas, TX
Caitlin Gallegos
LPC
Verified Verified
1 Endorsed
Dallas, TX 75251
As a therapist, I get excited about the opportunity for change in a person's life. My goal is to connect with the client and to help them achieve healing, gain hope, and thrive individually. There are many reasons to seek therapy, and I consider it an honor to support clients during this courageous journey. I work hard to provide a nurturing, non-judgmental space where it is safe to be vulnerable, and I help my clients feel empowered to make changes towards growth and healing. It can feel scary to open up, and I can support you by collaborating with you throughout the process.
As a therapist, I get excited about the opportunity for change in a person's life. My goal is to connect with the client and to help them achieve healing, gain hope, and thrive individually. There are many reasons to seek therapy, and I consider it an honor to support clients during this courageous journey. I work hard to provide a nurturing, non-judgmental space where it is safe to be vulnerable, and I help my clients feel empowered to make changes towards growth and healing. It can feel scary to open up, and I can support you by collaborating with you throughout the process.
(469) 564-3828 View (469) 564-3828
Photo of Katherine Crooms - Thrive Integrative Counseling, Clinical Social Work/Therapist in Dallas, TX
Katherine Crooms - Thrive Integrative Counseling
Clinical Social Work/Therapist, LCSW
Verified Verified
2 Endorsed
Dallas, TX 75230  (Online Only)
Anxiety, hopelessness, irritability, distrust, trouble sleeping, lack of motivation, and low self-esteem are all signals that your body is trying to process and cope with something. Your past experiences and present environment shape the way new dynamics, trauma, interpersonal relationships, and loss affect you and this is different for each person. You may notice changes in your thoughts, behaviors, and feelings; perhaps new physical symptoms. Disruptions in connection, contentment, confidence, and peace happen in life. Together, we will identify your body’s signals, and the areas of your life you would like to be different.
Anxiety, hopelessness, irritability, distrust, trouble sleeping, lack of motivation, and low self-esteem are all signals that your body is trying to process and cope with something. Your past experiences and present environment shape the way new dynamics, trauma, interpersonal relationships, and loss affect you and this is different for each person. You may notice changes in your thoughts, behaviors, and feelings; perhaps new physical symptoms. Disruptions in connection, contentment, confidence, and peace happen in life. Together, we will identify your body’s signals, and the areas of your life you would like to be different.
(469) 314-9636 View (469) 314-9636
Photo of Laura Roberts, Psychologist in Dallas, TX
Laura Roberts
Psychologist, PhD, CEDS-S
Verified Verified
Dallas, TX 75230
I specialize in the treatment of eating disorders, anxiety, and life dissatisfaction, and I work with adults and adolescents facing emotional struggles, life transitions or seeking personal growth. As a licensed psychologist and a Certified Eating Disorder Specialist and supervisor, my 20+ years of work in the field have been dedicated to providing the highest quality individualized psychological and counseling services. Empathy, warmth and compassion in a non-judgmental atmosphere, along with my specialized training and experience can make tackling difficult issues a little easier.
I specialize in the treatment of eating disorders, anxiety, and life dissatisfaction, and I work with adults and adolescents facing emotional struggles, life transitions or seeking personal growth. As a licensed psychologist and a Certified Eating Disorder Specialist and supervisor, my 20+ years of work in the field have been dedicated to providing the highest quality individualized psychological and counseling services. Empathy, warmth and compassion in a non-judgmental atmosphere, along with my specialized training and experience can make tackling difficult issues a little easier.
(214) 225-9581 View (214) 225-9581
Photo of Delisea Johnson, Clinical Social Work/Therapist in Dallas, TX
Delisea Johnson
Clinical Social Work/Therapist, LCSW
Verified Verified
1 Endorsed
Dallas, TX 75238  (Online Only)
We are in a world where experiencing life transitions is something we “just deal with”. In reality, how are we dealing with it? We experience so much in life: getting married or divorced, starting a new job or going to college, having a baby, or life is just happening. All of these things, and many more, affect how we show up in our lives. Our personal stressors can cause challenges in our marriages, our families, at work, with our friends, or it can lead to feeling overwhelmed, mentally drained/exhausted, or feeling down. I am here to meet you wherever you are and provide therapeutic support.
We are in a world where experiencing life transitions is something we “just deal with”. In reality, how are we dealing with it? We experience so much in life: getting married or divorced, starting a new job or going to college, having a baby, or life is just happening. All of these things, and many more, affect how we show up in our lives. Our personal stressors can cause challenges in our marriages, our families, at work, with our friends, or it can lead to feeling overwhelmed, mentally drained/exhausted, or feeling down. I am here to meet you wherever you are and provide therapeutic support.
(832) 979-0379 View (832) 979-0379
Photo of Melissa Konrad Counseling, Licensed Professional Counselor in Dallas, TX
Melissa Konrad Counseling
Licensed Professional Counselor, LPC, NCC, MSc
Verified Verified
1 Endorsed
Dallas, TX 75230  (Online Only)
People begin therapy for various reasons. Commonly for self-development, the wish to improve confidence, grieving a loved one or the loss of a relationship. Other reasons could be experienced trauma, depression, anxiety, or life transitions. Or perhaps you struggle with the existential questions of life. Whatever, your reasons for treatment are unique to you. There is only one You. That also means your goals and needs are specific to your ongoing interpersonal growth. If you are ready to improve your life, gain clarity, and learn ways to manage your emotions then counseling is a positive step.
People begin therapy for various reasons. Commonly for self-development, the wish to improve confidence, grieving a loved one or the loss of a relationship. Other reasons could be experienced trauma, depression, anxiety, or life transitions. Or perhaps you struggle with the existential questions of life. Whatever, your reasons for treatment are unique to you. There is only one You. That also means your goals and needs are specific to your ongoing interpersonal growth. If you are ready to improve your life, gain clarity, and learn ways to manage your emotions then counseling is a positive step.
(469) 654-4002 View (469) 654-4002
Photo of Tranquility Counseling TX, Licensed Professional Counselor in Dallas, TX
Tranquility Counseling TX
Licensed Professional Counselor, MA, LPC
Verified Verified
1 Endorsed
Dallas, TX 75247
Are you ready to invest in yourself, discover inner peace, dreams, or simply foster healthy relationships? If the answer is yes, then I am ready to meet you where you are to begin the process. As a therapist, my goal is to incorporate a judgment-free, safe and restorative environment for youth, couples, individuals and families to work through life challenges.
Are you ready to invest in yourself, discover inner peace, dreams, or simply foster healthy relationships? If the answer is yes, then I am ready to meet you where you are to begin the process. As a therapist, my goal is to incorporate a judgment-free, safe and restorative environment for youth, couples, individuals and families to work through life challenges.
(214) 609-1626 View (214) 609-1626

How does your Therapist compare?

Number of Therapists in Dallas, TX

3,000+

Average cost per session

$140

Therapists in Dallas, TX who prioritize treating:

92% Anxiety
87% Depression
75% Self Esteem
70% Relationship Issues
69% Coping Skills
67% Stress
66% Trauma and PTSD

Average years in practice

10 Years

Top 3 insurances accepted

81% Aetna
76% UnitedHealthcare UHC | UBH
73% BlueCross and BlueShield

How Therapists in Dallas, TX see their clients

53% In Person and Online
47% Online Only

Gender breakdown

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

How can I find a therapist in Dallas?

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.