Therapists in San Antonio, TX

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Photo of Clarissa Stolte, Licensed Professional Counselor in San Antonio, TX
Clarissa Stolte
Licensed Professional Counselor, MEd, LPC
Verified Verified
1 Endorsed
San Antonio, TX 78253  (Online Only)
You deserve to live a life of happiness that leaves you excited to wake up every morning! Life can be busy, complicated, and messy. Maintaining your work/life balance, being a good parent and/or partner, and managing your physical health can feel like a daily struggle. One change after another leads to you feeling overwhelmed. Do you struggle to find balance in your life and time to take care of yourself? Do you feel overwhelmed by strong emotions, worries, and stress? Do you feel exhausted from creating “what ifs” in your head, feeling dread and uncertainty about the future? Does childhood trauma continue to impact your daily life?
You deserve to live a life of happiness that leaves you excited to wake up every morning! Life can be busy, complicated, and messy. Maintaining your work/life balance, being a good parent and/or partner, and managing your physical health can feel like a daily struggle. One change after another leads to you feeling overwhelmed. Do you struggle to find balance in your life and time to take care of yourself? Do you feel overwhelmed by strong emotions, worries, and stress? Do you feel exhausted from creating “what ifs” in your head, feeling dread and uncertainty about the future? Does childhood trauma continue to impact your daily life?
(830) 308-8025 View (830) 308-8025
Photo of Maria Luisa Salinas, Licensed Professional Counselor in San Antonio, TX
Maria Luisa Salinas
Licensed Professional Counselor, MEd, LPC
Verified Verified
1 Endorsed
San Antonio, TX 78258  (Online Only)
I am a fully bilingual and bicultural Psychotherapist with over 30 years of professional experience, which includes working with women, survivors of traumatic childhood and family, and domestic violence. My counseling approach is based on an empowerment model. My goal is to help women heal from their emotional wounds, and teaching them different ways of perceiving and resolving their problems, healthy attitudes, and good communication skills for working with their families, partners, and peers so they can make positive choices in their own lives. Lograr establecer una relacion basada en confianza es primordial para mi.
I am a fully bilingual and bicultural Psychotherapist with over 30 years of professional experience, which includes working with women, survivors of traumatic childhood and family, and domestic violence. My counseling approach is based on an empowerment model. My goal is to help women heal from their emotional wounds, and teaching them different ways of perceiving and resolving their problems, healthy attitudes, and good communication skills for working with their families, partners, and peers so they can make positive choices in their own lives. Lograr establecer una relacion basada en confianza es primordial para mi.
(210) 255-2676 View (210) 255-2676
Photo of Terry Davis, Licensed Professional Counselor in San Antonio, TX
Terry Davis
Licensed Professional Counselor, MS, LPC-S
Verified Verified
San Antonio, TX 78215
I am a caring and compassionate Licensed Professional Counselor (LPC) with 19 years of professional counseling experience. Additionally, I am an ordained minister and will provide a faith based approach to counseling upon request. I specialize in treating clients with trauma-related issues and I'm EMDR and TF-CBT trained.
I am a caring and compassionate Licensed Professional Counselor (LPC) with 19 years of professional counseling experience. Additionally, I am an ordained minister and will provide a faith based approach to counseling upon request. I specialize in treating clients with trauma-related issues and I'm EMDR and TF-CBT trained.
(726) 224-8152 View (726) 224-8152
Photo of Comfort in Counseling, Clinical Social Work/Therapist in San Antonio, TX
Comfort in Counseling
Clinical Social Work/Therapist, LCSW
Verified Verified
San Antonio, TX 78229
Our agency works with adults, children, and adolescents who need support in any area of life, regardless of circumstances. We all have difficult challenges at certain times that cannot be faced alone. We are here for you and want to help you discover or re-discover the best parts of yourself so that you can thrive and grow.
Our agency works with adults, children, and adolescents who need support in any area of life, regardless of circumstances. We all have difficult challenges at certain times that cannot be faced alone. We are here for you and want to help you discover or re-discover the best parts of yourself so that you can thrive and grow.
(210) 526-0627 View (210) 526-0627
Photo of Arte Counseling And Wellness, Clinical Social Work/Therapist in San Antonio, TX
Arte Counseling And Wellness
Clinical Social Work/Therapist, MSW, LCSW
Verified Verified
1 Endorsed
San Antonio, TX 78249  (Online Only)
Hello there! ARTE Counseling and Wellness provides mental health services to children and adults in Texas. We provide integrative , client centered approaches and work with you and your family to build trust and safety in the therapeutic setting. We specialize in working with adult and children in transition ( ie loss of a loved one , change in job/school, chronic illness), parental stressors ( ie communication/ bonding), perinatal mood disorders ( ie anxiety and postpartum depression, birth trauma ( ie ICU, complications, emergency C-sections), sadness/anxiety in children and gifted and talented children experiencing anxiety.
Hello there! ARTE Counseling and Wellness provides mental health services to children and adults in Texas. We provide integrative , client centered approaches and work with you and your family to build trust and safety in the therapeutic setting. We specialize in working with adult and children in transition ( ie loss of a loved one , change in job/school, chronic illness), parental stressors ( ie communication/ bonding), perinatal mood disorders ( ie anxiety and postpartum depression, birth trauma ( ie ICU, complications, emergency C-sections), sadness/anxiety in children and gifted and talented children experiencing anxiety.
(210) 791-6810 View (210) 791-6810
Photo of Kayleigh Caniglia, Licensed Professional Counselor in San Antonio, TX
Kayleigh Caniglia
Licensed Professional Counselor, LPC, CSC
Verified Verified
San Antonio, TX 78240  (Online Only)
My approach to therapy is purely client centered. I meet each client where they are at and walk with them as we take steps forward toward your desired goal.
My approach to therapy is purely client centered. I meet each client where they are at and walk with them as we take steps forward toward your desired goal.
(210) 796-2965 View (210) 796-2965
Photo of Bob Stead, Licensed Professional Counselor in San Antonio, TX
Bob Stead
Licensed Professional Counselor, MS, NCC, LPC, CCTP-II
Verified Verified
2 Endorsed
San Antonio, TX 78249
Thank you for taking the time to review my profile. I am NOT your typical Psychotherapist, and I am looking for NOT your typical client. If you believe in the healing power of community and are eager to take control of your bubble, (because that's really all we can control), Don't hesitate to smile in my direction, let's change something meaningful! Also providing Ketamine Assisted Psychotherapy, Preparation, and Integration.
Thank you for taking the time to review my profile. I am NOT your typical Psychotherapist, and I am looking for NOT your typical client. If you believe in the healing power of community and are eager to take control of your bubble, (because that's really all we can control), Don't hesitate to smile in my direction, let's change something meaningful! Also providing Ketamine Assisted Psychotherapy, Preparation, and Integration.
(210) 791-6580 View (210) 791-6580
Photo of Guadalupe Drazkowski, Clinical Social Work/Therapist in San Antonio, TX
Guadalupe Drazkowski
Clinical Social Work/Therapist, LCSW
Verified Verified
San Antonio, TX 78216  (Online Only)
Hello there! Are you looking for compassionate support and guidance in Texas? Look no further! With 15 years of dedicated experience, I am a seasoned Clinical Social Worker ready to assist you on your journey towards healing and growth. My expertise spans across diverse age groups, including children, adolescents, adults, and active military personnel. Whether you're struggling with anxiety, trauma, grief, depression, substance abuse, or simply seeking motivation and coaching, I'm here to provide personalized care tailored to your unique needs. Let's embark on this transformative journey together.
Hello there! Are you looking for compassionate support and guidance in Texas? Look no further! With 15 years of dedicated experience, I am a seasoned Clinical Social Worker ready to assist you on your journey towards healing and growth. My expertise spans across diverse age groups, including children, adolescents, adults, and active military personnel. Whether you're struggling with anxiety, trauma, grief, depression, substance abuse, or simply seeking motivation and coaching, I'm here to provide personalized care tailored to your unique needs. Let's embark on this transformative journey together.
(726) 227-4305 View (726) 227-4305
Photo of Anne Tuttle, Clinical Social Work/Therapist in San Antonio, TX
Anne Tuttle
Clinical Social Work/Therapist, LCSW, ACSW
Verified Verified
San Antonio, TX 78216  (Online Only)
While reaching out for help can feel scary, please know that in therapy you have a lot of control and I work hard to help you feel safe. My clients often prefer the flexibility that video visits offer. Typically my clients are living stressful lives, may have a history of trauma, or be feeling overwhelmed. In particular, I'm experienced in working with people living with anxiety, depression, OCD, past trauma, people in recovery, caregivers and healthcare workers. Everyone is different, and I prefer to shape how we work together based on your individual needs and goals. I see clients virtually in both Texas and New Hampshire.
While reaching out for help can feel scary, please know that in therapy you have a lot of control and I work hard to help you feel safe. My clients often prefer the flexibility that video visits offer. Typically my clients are living stressful lives, may have a history of trauma, or be feeling overwhelmed. In particular, I'm experienced in working with people living with anxiety, depression, OCD, past trauma, people in recovery, caregivers and healthcare workers. Everyone is different, and I prefer to shape how we work together based on your individual needs and goals. I see clients virtually in both Texas and New Hampshire.
(210) 405-9560 View (210) 405-9560
Photo of Michelle Klein, Licensed Professional Counselor in San Antonio, TX
Michelle Klein
Licensed Professional Counselor, LPC
Verified Verified
3 Endorsed
San Antonio, TX 78232
I know finding the right therapist can be challenging. I would like to help you feel more confident in making that decision. My style is warm, supportive, and collaborative. I strive to make my office a safe place from which to explore the obstacles interfering with your ability to lead a happy and satisfying life. I believe that much emotional stress stems from attention to fearful assumptions which can distract us from our present experience. By recognizing strengths and honing insight, I can help you resolve fears, make thoughtful decisions, improve your mood and sense of ownership over your experiences.
I know finding the right therapist can be challenging. I would like to help you feel more confident in making that decision. My style is warm, supportive, and collaborative. I strive to make my office a safe place from which to explore the obstacles interfering with your ability to lead a happy and satisfying life. I believe that much emotional stress stems from attention to fearful assumptions which can distract us from our present experience. By recognizing strengths and honing insight, I can help you resolve fears, make thoughtful decisions, improve your mood and sense of ownership over your experiences.
(210) 579-9893 View (210) 579-9893
Photo of Jeremy W Gunn, Licensed Professional Counselor in San Antonio, TX
Jeremy W Gunn
Licensed Professional Counselor, MA, LPC, NCC
Verified Verified
2 Endorsed
San Antonio, TX 78230
I’m a Licensed Professional Counselor who works with children, adolescents, adults, couples and families. I aim to provide a warm, welcoming environment focusing on my relationship with my client. I believe the individual is the expert about themselves, and my role is to help facilitate their journey towards their goals. My primary areas of specialization are in working with children and adolescents and individuals with intellectual or developmental disabilities, child abuse, depression, grief, anger, trauma, abuse, sexual identity, parent/peer conflict, and transitional issues.
I’m a Licensed Professional Counselor who works with children, adolescents, adults, couples and families. I aim to provide a warm, welcoming environment focusing on my relationship with my client. I believe the individual is the expert about themselves, and my role is to help facilitate their journey towards their goals. My primary areas of specialization are in working with children and adolescents and individuals with intellectual or developmental disabilities, child abuse, depression, grief, anger, trauma, abuse, sexual identity, parent/peer conflict, and transitional issues.
(210) 610-2439 View (210) 610-2439
Photo of David Roper, Licensed Professional Counselor in San Antonio, TX
David Roper
Licensed Professional Counselor, MS, LPC
Verified Verified
3 Endorsed
San Antonio, TX 78232  (Online Only)
Day, evening, & weekend appointments available! Life can be hard; I'm happy to help. Whether you are dealing with depression, anxiety, relationship issues, etc., I would be honored to guide you to have the life that you want.
Day, evening, & weekend appointments available! Life can be hard; I'm happy to help. Whether you are dealing with depression, anxiety, relationship issues, etc., I would be honored to guide you to have the life that you want.
(210) 405-1747 View (210) 405-1747
Photo of Genevieve A Compean, Licensed Professional Counselor in San Antonio, TX
Genevieve A Compean
Licensed Professional Counselor, LPC
Verified Verified
1 Endorsed
San Antonio, TX 78232
Every now and then life can sure throw some curveballs. From everyday stress to life changing events, things at times can seem to become a little more difficult to manage. If you or someone you love is going through a difficult time please feel free to contact me. I have day and evening availability to help meet your needs. My background includes helping children and adolescents (ages 5-18) learn how to process and cope with various types of trauma such as family separation, abuse, pregnancy, and anxiety. I also work with adults and couples who are affected by stress, anxiety, and grief.
Every now and then life can sure throw some curveballs. From everyday stress to life changing events, things at times can seem to become a little more difficult to manage. If you or someone you love is going through a difficult time please feel free to contact me. I have day and evening availability to help meet your needs. My background includes helping children and adolescents (ages 5-18) learn how to process and cope with various types of trauma such as family separation, abuse, pregnancy, and anxiety. I also work with adults and couples who are affected by stress, anxiety, and grief.
(210) 405-6643 View (210) 405-6643
Photo of Sandra Grace Martinez, Licensed Professional Counselor in San Antonio, TX
Sandra Grace Martinez
Licensed Professional Counselor, LPC, MA, MFT
Verified Verified
San Antonio, TX 78232  (Online Only)
Now accepting new clients! I am an English and Spanish provider and LPC in Texas with 13 years of professional work experience. I have experience in helping clients with stress and anxiety, trauma and abuse, anger management, & depression. I believe in treating everyone with respect, sensitivity, and compassion. I will tailor our dialog and treatment plan to meet your unique and specific needs. Taking the first step to sign up for therapy can take courage. Look forward to working to meet you and your families need.
Now accepting new clients! I am an English and Spanish provider and LPC in Texas with 13 years of professional work experience. I have experience in helping clients with stress and anxiety, trauma and abuse, anger management, & depression. I believe in treating everyone with respect, sensitivity, and compassion. I will tailor our dialog and treatment plan to meet your unique and specific needs. Taking the first step to sign up for therapy can take courage. Look forward to working to meet you and your families need.
(726) 204-4815 View (726) 204-4815
Photo of Vanessa Bernal, Marriage & Family Therapist in San Antonio, TX
Vanessa Bernal
Marriage & Family Therapist, MA, LMFT-S, LPC-S
Verified Verified
San Antonio, TX 78228
Most of us, at one time or another, experience personal problems. Sometimes they affect one's overall performance, sometimes they don't. I am available for those times when situations in life cause personal problems and you need help to get you through them. You don't have to do it alone. I strive to provide a comfortable and trusting environment where you can relax and feel safe. I aim to make therapy a place where you like to go. I know that we are all very unique. I approach each client in a way that is specific to their needs. I am also accepting licensed interns needing supervision.
Most of us, at one time or another, experience personal problems. Sometimes they affect one's overall performance, sometimes they don't. I am available for those times when situations in life cause personal problems and you need help to get you through them. You don't have to do it alone. I strive to provide a comfortable and trusting environment where you can relax and feel safe. I aim to make therapy a place where you like to go. I know that we are all very unique. I approach each client in a way that is specific to their needs. I am also accepting licensed interns needing supervision.
(210) 774-6429 View (210) 774-6429
Photo of Katrina M Moore, Licensed Professional Counselor in San Antonio, TX
Katrina M Moore
Licensed Professional Counselor, MA, LPC, LCDC
Verified Verified
San Antonio, TX 78250  (Online Only)
It is my life’s work to be a therapist. I take pride in holding space for your experience and mirroring back to you the insight you want to heal. I am deeply relational and I want to experience your life with open curiosity and compassion. I specialize in attachment trauma, PTSD, anxiety and relational issues. I hope to journey with you to find you the life you’ve always wanted.
It is my life’s work to be a therapist. I take pride in holding space for your experience and mirroring back to you the insight you want to heal. I am deeply relational and I want to experience your life with open curiosity and compassion. I specialize in attachment trauma, PTSD, anxiety and relational issues. I hope to journey with you to find you the life you’ve always wanted.
(210) 361-7945 View (210) 361-7945
Photo of R.e.l Robinson With Innrg Wellness, Licensed Professional Counselor Associate in San Antonio, TX
R.e.l Robinson With Innrg Wellness
Licensed Professional Counselor Associate, LPC-A, MA, NCC
Verified Verified
San Antonio, TX 78250  (Online Only)
I've learned that life is a journey that is not always kind to us, although life is chaotic you're not crazy you're just managing. The difficulties of life catch up with us and sometimes are the simplest things that are emotionally draining, knocking you off balance, and opening up wounds that may have never healed. Sometimes managing means using unhealthy and unhelpful coping methods. It may feel like you are under attack both inside and out, affecting relationships with others (family, friends, professional, or romantic) and your relationship with yourself! You are not alone.
I've learned that life is a journey that is not always kind to us, although life is chaotic you're not crazy you're just managing. The difficulties of life catch up with us and sometimes are the simplest things that are emotionally draining, knocking you off balance, and opening up wounds that may have never healed. Sometimes managing means using unhealthy and unhelpful coping methods. It may feel like you are under attack both inside and out, affecting relationships with others (family, friends, professional, or romantic) and your relationship with yourself! You are not alone.
(210) 934-5414 View (210) 934-5414
Photo of Christine Mendez, Licensed Professional Counselor in San Antonio, TX
Christine Mendez
Licensed Professional Counselor, MA, LPC-S
Verified Verified
San Antonio, TX 78228  (Online Only)
Hello and congratulations on taking the first steps to make changes that will impact the rest of your life! Therapy is a great way to find new coping skills, build intimacy in our personal relationships and look at life in a whole new way that gives meaning and purpose to our existence. Please feel free to call me or email me. Currently, I am seeing clients virtually on Betterhelp, SonderMind and Televero (Texas only). Thanks for stopping by and hope to hear from you soon!
Hello and congratulations on taking the first steps to make changes that will impact the rest of your life! Therapy is a great way to find new coping skills, build intimacy in our personal relationships and look at life in a whole new way that gives meaning and purpose to our existence. Please feel free to call me or email me. Currently, I am seeing clients virtually on Betterhelp, SonderMind and Televero (Texas only). Thanks for stopping by and hope to hear from you soon!
(210) 908-5220 View (210) 908-5220
Photo of Natalie Burtenshaw, Clinical Social Work/Therapist in San Antonio, TX
Natalie Burtenshaw
Clinical Social Work/Therapist, LCSW
Verified Verified
3 Endorsed
San Antonio, TX 78228  (Online Only)
You were taught to tear yourself down, aim low, and use all your energy to take care of others while leaving nothing for yourself. Do you know that Spirit has a plan for you that’s bigger than this? No wonder your mind's driving you crazy! Our image-obsessed society is deeply afraid of the wild creative potential of our emotions. The real problem is NOT that you’re weak! It’s that you don’t trust yourself to be powerful. Imagine how amazing your life could be if you learned to channel all that crazy-making energy into finding yourself, feeling good, and fulfilling your deepest calling.
You were taught to tear yourself down, aim low, and use all your energy to take care of others while leaving nothing for yourself. Do you know that Spirit has a plan for you that’s bigger than this? No wonder your mind's driving you crazy! Our image-obsessed society is deeply afraid of the wild creative potential of our emotions. The real problem is NOT that you’re weak! It’s that you don’t trust yourself to be powerful. Imagine how amazing your life could be if you learned to channel all that crazy-making energy into finding yourself, feeling good, and fulfilling your deepest calling.
(210) 750-4898 View (210) 750-4898
Photo of Nidia I. Valadez, Licensed Professional Counselor in San Antonio, TX
Nidia I. Valadez
Licensed Professional Counselor, MS, LPC
Verified Verified
4 Endorsed
San Antonio, TX 78248  (Online Only)
Waitlist for new clients
Are you experiencing challenges with fear, self-doubt, or painful memories from a traumatic event? I am here to offer assistance. Together, we can explore your strengths, understand the root of your difficulties, and awaken a more confident and resilient version of yourself. Life can be overwhelming, hindering our ability to give and receive love and experience happiness. Let's collaborate on a journey towards the fulfilling life you truly deserve.
Are you experiencing challenges with fear, self-doubt, or painful memories from a traumatic event? I am here to offer assistance. Together, we can explore your strengths, understand the root of your difficulties, and awaken a more confident and resilient version of yourself. Life can be overwhelming, hindering our ability to give and receive love and experience happiness. Let's collaborate on a journey towards the fulfilling life you truly deserve.
(210) 384-2931 View (210) 384-2931

How does your Therapist compare?

Number of Therapists in San Antonio, TX

2,000+

Average cost per session

$125

Therapists in San Antonio, TX who prioritize treating:

92% Anxiety
88% Depression
73% Self Esteem
71% Coping Skills
70% Relationship Issues
69% Trauma and PTSD
69% Stress

Average years in practice

10 Years

Top 3 insurances accepted

85% Aetna
77% BlueCross and BlueShield
77% UnitedHealthcare UHC | UBH

How Therapists in San Antonio, 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 San Antonio?

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.