Therapists in Houston, TX

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Photo of Sara Smithey, Clinical Social Work/Therapist in Houston, TX
Sara Smithey
Clinical Social Work/Therapist, LCSW
Verified Verified
Houston, TX 77009  (Online Only)
Hello, and welcome! I am excited you are interested in beginning therapy, and hope that we can begin this process together. I have 10+ years experience in working with trauma, and grief, though I am open to all clients. My goal is to use mindfulness and compassion to improve your understanding of yourself, your quality of life and your relationships. My ideal client is anyone who is looking for help, clarity, and improved relationships in their life.
Hello, and welcome! I am excited you are interested in beginning therapy, and hope that we can begin this process together. I have 10+ years experience in working with trauma, and grief, though I am open to all clients. My goal is to use mindfulness and compassion to improve your understanding of yourself, your quality of life and your relationships. My ideal client is anyone who is looking for help, clarity, and improved relationships in their life.
(832) 583-1310 View (832) 583-1310
Photo of Judy Warner O'Brien, Licensed Professional Counselor in Houston, TX
Judy Warner O'Brien
Licensed Professional Counselor, MA, LPC, LSOTP
Verified Verified
Houston, TX 77079
I received my MA in Clinical Psychology from SHSU in 1987 and am a Licensed Professional Counselor and an LSOTP. I began my career within the Texas prisons, working in the psychiatric unit. I then worked as a psychotherapist at West Oaks Psychiatric Hospital and Willowbrook Psychological Assoc. In late 1989, I returned to criminal justice arena working with sexual predators and was the first director for the SO treatment program within TDCJ. I now have a private practice, of 30 years, treating a variety of issues including anger management, anxiety, grief counseling, PTSD, secondary trauma, and female hormonal issues.
I received my MA in Clinical Psychology from SHSU in 1987 and am a Licensed Professional Counselor and an LSOTP. I began my career within the Texas prisons, working in the psychiatric unit. I then worked as a psychotherapist at West Oaks Psychiatric Hospital and Willowbrook Psychological Assoc. In late 1989, I returned to criminal justice arena working with sexual predators and was the first director for the SO treatment program within TDCJ. I now have a private practice, of 30 years, treating a variety of issues including anger management, anxiety, grief counseling, PTSD, secondary trauma, and female hormonal issues.
(281) 612-8273 View (281) 612-8273
Photo of Maritza Martinez-Chinchilla Msw Lpc, Licensed Professional Counselor in Houston, TX
Maritza Martinez-Chinchilla Msw Lpc
Licensed Professional Counselor, MSW, LPC
Verified Verified
Houston, TX 77057
I, Maritza Martinez-Chinchilla am a Licensed Professional Counselor in the State of Texas with over 43 years of relevant post-Masters experience. My goal is to help my clients realize success in their personal and professional lives. I have excellent Spanish and English language skills, and extensive cultural diversity and gender identity training. In addition to expertise in trauma resolution, stress management, and anger management. I provide my clients with proven strategies to manage and overcome grief, depression, anxiety, and fear resulting from abuse and loss.
I, Maritza Martinez-Chinchilla am a Licensed Professional Counselor in the State of Texas with over 43 years of relevant post-Masters experience. My goal is to help my clients realize success in their personal and professional lives. I have excellent Spanish and English language skills, and extensive cultural diversity and gender identity training. In addition to expertise in trauma resolution, stress management, and anger management. I provide my clients with proven strategies to manage and overcome grief, depression, anxiety, and fear resulting from abuse and loss.
(832) 780-3269 View (832) 780-3269
Photo of Jennifer Brown, Licensed Professional Counselor in Houston, TX
Jennifer Brown
Licensed Professional Counselor, MEd, LPC
Verified Verified
Houston, TX 77008
Waitlist for new clients
Navigating the world around us, and in our current times, is tricky for a lot of us! I specialize in working with children and adolescents, as well as assisting the adults who love them in their parenting role. Every family system has strengths and struggles, and parents bring their own experiences (having once been children themselves!) which inform their parenting skills and feelings about parenting, now. Additionally, I also see adults for individual work, outside of the parenting role, and have assisted many adults in thinking through decisions on how to live their best lives.
Navigating the world around us, and in our current times, is tricky for a lot of us! I specialize in working with children and adolescents, as well as assisting the adults who love them in their parenting role. Every family system has strengths and struggles, and parents bring their own experiences (having once been children themselves!) which inform their parenting skills and feelings about parenting, now. Additionally, I also see adults for individual work, outside of the parenting role, and have assisted many adults in thinking through decisions on how to live their best lives.
(832) 981-7184 View (832) 981-7184
Photo of Meg Wilson, Licensed Professional Counselor in Houston, TX
Meg Wilson
Licensed Professional Counselor, LCDC, LPC-S, NCC, AADC, CRNC
Verified Verified
Houston, TX 77024
Meg is a licensed therapist who has a strong practice in substance abuse/dependence. Additionally, she specializes in anxiety, depression, women’s emotional health, mood disorders, life adjustment issues, trauma and PTSD. Meg is also trained in amino acid therapy and nutritional psychiatry, which is the practice of using food and food supplements as alternative treatments for mental health disorders. Research suggests there is a correlation between the gut biome and the development of mental health disorders such as depression and anxiety. Meg works with patients using a body, mind and soul approach to healing.
Meg is a licensed therapist who has a strong practice in substance abuse/dependence. Additionally, she specializes in anxiety, depression, women’s emotional health, mood disorders, life adjustment issues, trauma and PTSD. Meg is also trained in amino acid therapy and nutritional psychiatry, which is the practice of using food and food supplements as alternative treatments for mental health disorders. Research suggests there is a correlation between the gut biome and the development of mental health disorders such as depression and anxiety. Meg works with patients using a body, mind and soul approach to healing.
(346) 699-7139 View (346) 699-7139
Photo of Tasha C Dennings, LPC Intern in Houston, TX
Tasha C Dennings
LPC Intern, LPCA
Verified Verified
1 Endorsed
Houston, TX 77073  (Online Only)
Hello, I'm Tasha Dennings, LPC Associate, Supervised by Morgan D. Tuck. My passion is to offer compassionate support to women seeking emotional well-being and resilience. Life is filled with challenges, and my commitment is to empower women facing a variety of issues, including Adjustment Disorder, Anxiety, Pregnancy Loss and Grief, as well as providing Pregnancy, Prenatal, and Postpartum Support. I believe in a holistic approach to mental health, aiming to address the whole person. My therapeutic approach is rooted in a holistic perspective, acknowledging the interconnectedness of mind, body, and spirit,
Hello, I'm Tasha Dennings, LPC Associate, Supervised by Morgan D. Tuck. My passion is to offer compassionate support to women seeking emotional well-being and resilience. Life is filled with challenges, and my commitment is to empower women facing a variety of issues, including Adjustment Disorder, Anxiety, Pregnancy Loss and Grief, as well as providing Pregnancy, Prenatal, and Postpartum Support. I believe in a holistic approach to mental health, aiming to address the whole person. My therapeutic approach is rooted in a holistic perspective, acknowledging the interconnectedness of mind, body, and spirit,
(832) 551-2332 View (832) 551-2332
Photo of Regina Spencer, Clinical Social Work/Therapist in Houston, TX
Regina Spencer
Clinical Social Work/Therapist, LCSW-S
Verified Verified
Houston, TX 77070
I have been working with families and children for nearly twenty years. I specialize in relationships, school issues, family conflict, foster and adoptive families, ADHD, anxiety, depression, conflict resolution, and other relational issues. I enjoy helping people realize their goals of living a peaceful and confident life. When people are ready to discuss the things that are holding them back, I am here to help them realize their full potential and overcome obstacles they face.
I have been working with families and children for nearly twenty years. I specialize in relationships, school issues, family conflict, foster and adoptive families, ADHD, anxiety, depression, conflict resolution, and other relational issues. I enjoy helping people realize their goals of living a peaceful and confident life. When people are ready to discuss the things that are holding them back, I am here to help them realize their full potential and overcome obstacles they face.
(832) 952-0709 View (832) 952-0709
Photo of Kimberly Orellana, Clinical Social Work/Therapist in Houston, TX
Kimberly Orellana
Clinical Social Work/Therapist, LMSW
Verified Verified
1 Endorsed
Houston, TX 77027  (Online Only)
You’ve heard of unconditional positive regard, but have you ever felt it? At times, it can feel that you give and give to others, but you have nothing left for yourself. Whether you would like to explore your true authentic self or break generational cycles that do not serve you – I am here to walk with you on this journey. If you would like to explore how to heal from intergenerational trauma or hone your existing coping skills and expand them, lets connect. My approach is affirming and based in cognitive behavioral therapy and EMDR.
You’ve heard of unconditional positive regard, but have you ever felt it? At times, it can feel that you give and give to others, but you have nothing left for yourself. Whether you would like to explore your true authentic self or break generational cycles that do not serve you – I am here to walk with you on this journey. If you would like to explore how to heal from intergenerational trauma or hone your existing coping skills and expand them, lets connect. My approach is affirming and based in cognitive behavioral therapy and EMDR.
(346) 545-5954 View (346) 545-5954
Photo of Katherine Mitchell, Licensed Professional Counselor in Houston, TX
Katherine Mitchell
Licensed Professional Counselor, MA, NCC, CST, LPC
Verified Verified
Houston, TX 77008
Waitlist for new clients
Currently have a waitlist created for clients looking to receive therapy in the near future. You should be so proud of yourself for seeking support for yourself/relationship! I strive to empower clients and help you to see your own resiliency; YOU are much stronger than you know! Let's discuss what you've already tried, while also focusing on the present and future in session. I aim to cultivate a non-judgmental, accepting environment where you feel safe sharing your deepest thoughts and emotions. I want to help you cultivate the life, joy, and relationship you desire!
Currently have a waitlist created for clients looking to receive therapy in the near future. You should be so proud of yourself for seeking support for yourself/relationship! I strive to empower clients and help you to see your own resiliency; YOU are much stronger than you know! Let's discuss what you've already tried, while also focusing on the present and future in session. I aim to cultivate a non-judgmental, accepting environment where you feel safe sharing your deepest thoughts and emotions. I want to help you cultivate the life, joy, and relationship you desire!
(713) 380-1151 View (713) 380-1151
Photo of Dr. Brittany C. Harrell, Licensed Professional Counselor in Houston, TX
Dr. Brittany C. Harrell
Licensed Professional Counselor, MA, LPC
Verified Verified
3 Endorsed
Houston, TX 77030  (Online Only)
Are you tired of feeling unsure or doubtful of yourself? Do you sometimes struggle with making decisions because you’re afraid of making the “wrong” decision? Confidence is mostly fostered when there’s self-trust, without it, you may mostly find yourself doubting more than trusting. My goal is to help you develop skills that will build self-confidence and self-trust. I am here to guide you on a transformative journey towards embracing your unique strengths and cultivating genuine self-assurance.
Are you tired of feeling unsure or doubtful of yourself? Do you sometimes struggle with making decisions because you’re afraid of making the “wrong” decision? Confidence is mostly fostered when there’s self-trust, without it, you may mostly find yourself doubting more than trusting. My goal is to help you develop skills that will build self-confidence and self-trust. I am here to guide you on a transformative journey towards embracing your unique strengths and cultivating genuine self-assurance.
(832) 772-2258 View (832) 772-2258
Photo of Valorie George, Clinical Social Work/Therapist in Houston, TX
Valorie George
Clinical Social Work/Therapist, LCSW
Verified Verified
1 Endorsed
Houston, TX 77024
Life is complicated! Simply viewing my profile indicates you are seeking to grow in important areas of your life. Whether you are curious about improving relationships, expanding your work-life, or you are experiencing some uncomfortable, even painful emotions and anxiety, together we can explore new possibilities. I invite you to come in first and simply meet with me to see if it feels like a good "fit," a necessary and important aspect of a beneficial working relationship. Let's roll-up our sleeves and work together!
Life is complicated! Simply viewing my profile indicates you are seeking to grow in important areas of your life. Whether you are curious about improving relationships, expanding your work-life, or you are experiencing some uncomfortable, even painful emotions and anxiety, together we can explore new possibilities. I invite you to come in first and simply meet with me to see if it feels like a good "fit," a necessary and important aspect of a beneficial working relationship. Let's roll-up our sleeves and work together!
(346) 209-1090 View (346) 209-1090
Photo of Misti Rel, Marriage & Family Therapist in Houston, TX
Misti Rel
Marriage & Family Therapist, MA, LMFT
Verified Verified
Houston, TX 77079
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. While we can't change difficult situations of the past, 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. While we can't change difficult situations of the past, we can work together to better understand and resolve challenges in your life.
(409) 293-4527 View (409) 293-4527
Photo of Leigh Ann Hoover, Clinical Social Work/Therapist in Houston, TX
Leigh Ann Hoover
Clinical Social Work/Therapist, LCSW
Verified Verified
Houston, TX 77057  (Online Only)
Accepting new clients for remote therapy. If you are ready to find some relief, I am here to provide you with coping tools and support to help you regain a sense of well being and positivity.
Accepting new clients for remote therapy. If you are ready to find some relief, I am here to provide you with coping tools and support to help you regain a sense of well being and positivity.
(281) 519-2725 View (281) 519-2725
Photo of Allison Biles, Licensed Professional Counselor in Houston, TX
Allison Biles
Licensed Professional Counselor, LPC
Verified Verified
Houston, TX 77003
Feeling sad, lonely, unmotivated, stuck? Need a helping hand with transitioning through life’s many challenges? You are not alone. Consider me a compassionate and understanding ally as we work together towards reaching individualized goals and helping you learn to live a happier, more fulfilling life. In a safe and supportive environment, I will take the journey alongside you while using a person-centered, humanistic approach in addressing your unique needs. Ever since working as a Kindergarten teacher in the Texas public school system for nearly a decade,
Feeling sad, lonely, unmotivated, stuck? Need a helping hand with transitioning through life’s many challenges? You are not alone. Consider me a compassionate and understanding ally as we work together towards reaching individualized goals and helping you learn to live a happier, more fulfilling life. In a safe and supportive environment, I will take the journey alongside you while using a person-centered, humanistic approach in addressing your unique needs. Ever since working as a Kindergarten teacher in the Texas public school system for nearly a decade,
(972) 430-6407 View (972) 430-6407
Photo of Juan (Tony) Antonio Lopez, Licensed Professional Counselor in Houston, TX
Juan (Tony) Antonio Lopez
Licensed Professional Counselor, MA, LPC
Verified Verified
2 Endorsed
Houston, TX 77018
English/Spanish services available. My experience as a therapist/counselor goes back at the school setting for 19 years, 12 as a K-12 school counselor. I also have over 3000 professional psychotherapy/counseling hours working with young adults and couples. My clients may be having difficulties with personal relationships, depression, anxiety, stresses of life, or workplace and or trauma. Psychotherapy is about helping people work through struggles and find balance in life. Christian, spiritual psychotherapy is available for clients who prefer a faith focus approach. Seeking help to resolve issues is the first step to healing.
English/Spanish services available. My experience as a therapist/counselor goes back at the school setting for 19 years, 12 as a K-12 school counselor. I also have over 3000 professional psychotherapy/counseling hours working with young adults and couples. My clients may be having difficulties with personal relationships, depression, anxiety, stresses of life, or workplace and or trauma. Psychotherapy is about helping people work through struggles and find balance in life. Christian, spiritual psychotherapy is available for clients who prefer a faith focus approach. Seeking help to resolve issues is the first step to healing.
(713) 999-0190 View (713) 999-0190
Photo of Lindsey Gabriel, Licensed Professional Counselor Associate in Houston, TX
Lindsey Gabriel
Licensed Professional Counselor Associate, MS, LPC-A
Verified Verified
9 Endorsed
Houston, TX 77024
You have it all. The job, the partner, the family. People are impressed with how you juggle it all, but you don’t like how you show up in each arena of your life. You never feel like you are fully there, fully yourself. You feel like you’re just “doing” things to keep up the facade of being a nice person. But it feels fake and unfulfilling. You are proud of what you have, but you aren’t proud of who you are being. Your life looks perfect from the outside, but on the inside, it feels off.
You have it all. The job, the partner, the family. People are impressed with how you juggle it all, but you don’t like how you show up in each arena of your life. You never feel like you are fully there, fully yourself. You feel like you’re just “doing” things to keep up the facade of being a nice person. But it feels fake and unfulfilling. You are proud of what you have, but you aren’t proud of who you are being. Your life looks perfect from the outside, but on the inside, it feels off.
(832) 637-8788 View (832) 637-8788
Photo of K. C. Raney, Clinical Social Work/Therapist in Houston, TX
K. C. Raney
Clinical Social Work/Therapist, LCSW-S
Verified Verified
Houston, TX 77018  (Online Only)
Not accepting new clients
Are you experiencing a time of significant loss, stressful change, relationship difficulties or a daunting medical diagnosis? We all experience loss and change by virtue of experiencing life and engaging in relationships. I have learned that grief must be witnessed by someone who does not try to diminish the experience. Someone who can sit with the discomfort and honor those feelings without judgement. Someone who supports finding meaning and purpose amidst the transition. Someone who knows that it takes strength to make changes, courage to deepen or resolve relationships, and resilience to cope with life’s challenges.
Are you experiencing a time of significant loss, stressful change, relationship difficulties or a daunting medical diagnosis? We all experience loss and change by virtue of experiencing life and engaging in relationships. I have learned that grief must be witnessed by someone who does not try to diminish the experience. Someone who can sit with the discomfort and honor those feelings without judgement. Someone who supports finding meaning and purpose amidst the transition. Someone who knows that it takes strength to make changes, courage to deepen or resolve relationships, and resilience to cope with life’s challenges.
(281) 393-4296 View (281) 393-4296
Photo of Tushanna Price, Marriage & Family Therapist in Houston, TX
Tushanna Price
Marriage & Family Therapist, MA, LMFT
Verified Verified
Houston, TX 77058
Some of life’s greatest challenges, such as divorce, relationship issues, career choices, work related stress, depression, and anxiety can be difficult to navigate alone. Sometimes these issues may be difficult for our family members and friends to attend to. I am committed to helping clients find new possibilities or recognize the strengths that they may have been overlooking. I am an Army Veteran who has extensive experience working with veterans and their families as a family and victim advocate. These experiences have given me a unique perspective of trauma and the challenges it may present in daily life.
Some of life’s greatest challenges, such as divorce, relationship issues, career choices, work related stress, depression, and anxiety can be difficult to navigate alone. Sometimes these issues may be difficult for our family members and friends to attend to. I am committed to helping clients find new possibilities or recognize the strengths that they may have been overlooking. I am an Army Veteran who has extensive experience working with veterans and their families as a family and victim advocate. These experiences have given me a unique perspective of trauma and the challenges it may present in daily life.
(409) 204-5908 x409218 View (409) 204-5908 x409218
Photo of Lauren Parish, Licensed Professional Counselor in Houston, TX
Lauren Parish
Licensed Professional Counselor, LPC
Verified Verified
Houston, TX 77069
My name is Lauren Parish, and I am honored to assist you on your journey to wellness. Originally from Louisiana, I have called Texas home for over 15 years. I believe that everyone deserves a cathartic space where they feel safe, valued, and seen. I am passionate about mental health advocacy, recognizing that mental health services are a privilege that should be experienced by all who are in need.
My name is Lauren Parish, and I am honored to assist you on your journey to wellness. Originally from Louisiana, I have called Texas home for over 15 years. I believe that everyone deserves a cathartic space where they feel safe, valued, and seen. I am passionate about mental health advocacy, recognizing that mental health services are a privilege that should be experienced by all who are in need.
(281) 595-1879 View (281) 595-1879
Photo of Reflective Counseling Services, Clinical Social Work/Therapist in Houston, TX
Reflective Counseling Services
Clinical Social Work/Therapist, LCSW
Verified Verified
Houston, TX 77002  (Online Only)
Reflective Counseling Services, PLLC was started to provide the listening ear that is needed. I desire to focus on working with adults especially the older adult population so that they can live their best life. I work to challenge misconceptions about counseling and make it a common practice among this age group.
Reflective Counseling Services, PLLC was started to provide the listening ear that is needed. I desire to focus on working with adults especially the older adult population so that they can live their best life. I work to challenge misconceptions about counseling and make it a common practice among this age group.
(919) 899-1288 View (919) 899-1288

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
71% Coping Skills
68% Relationship Issues
66% Stress
65% Trauma and PTSD

Average years in practice

9 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.