Photo of Ashley Dion Hughes, LPC-A, MLA, MEd, Licensed Professional Counselor
Ashley Dion Hughes
Licensed Professional Counselor, LPC-A, MLA, MEd
Verified Verified
Sugar Land, TX 77478  (Online Only)
Ashley is no stranger to life’s struggles; she has had her fair share of trials and tribulations from surviving divorce, domestic/narcissistic abuse, loss of a parent, late in life career transition, and fertility issues. Using her life experiences and professional knowledge, Ashley aspires to help clients overcome life’s challenges and adversities.
Ashley is no stranger to life’s struggles; she has had her fair share of trials and tribulations from surviving divorce, domestic/narcissistic abuse, loss of a parent, late in life career transition, and fertility issues. Using her life experiences and professional knowledge, Ashley aspires to help clients overcome life’s challenges and adversities.
(346) 707-2656 View (346) 707-2656
Photo of Harold Haven Boggs, MS, LMFT, LCDC, EMDR, Marriage & Family Therapist
Harold Haven Boggs
Marriage & Family Therapist, MS, LMFT, LCDC, EMDR
Verified Verified
1 Endorsed
Sugar Land, TX 77478  (Online Only)
I help adults with: (divorce, remarriage, PTSD, alcohol, drugs, depression, anxiety, grief, suicide prevention, compulsive sex, job loss; physical illness and disability; eldering); male teens: (problems with self-confidence, sexuality and identity; relationship with parents; alcohol drug problems, depression, grief); with : parents' divorce, or remarriage); families with : (Covenant Marriage, pre-marriage, remarriage, blended families, conflict and violence, abuse, divorce, empty nest), parents : (parent-child conflicts, problems with co-parenting, single-parenting and/or blending families, difficulties with CPS cases, and in-laws
I help adults with: (divorce, remarriage, PTSD, alcohol, drugs, depression, anxiety, grief, suicide prevention, compulsive sex, job loss; physical illness and disability; eldering); male teens: (problems with self-confidence, sexuality and identity; relationship with parents; alcohol drug problems, depression, grief); with : parents' divorce, or remarriage); families with : (Covenant Marriage, pre-marriage, remarriage, blended families, conflict and violence, abuse, divorce, empty nest), parents : (parent-child conflicts, problems with co-parenting, single-parenting and/or blending families, difficulties with CPS cases, and in-laws
(281) 978-2998 View (281) 978-2998
Photo of Madonna Dishmon Fowlkes, MEd, LPC, Licensed Professional Counselor
Madonna Dishmon Fowlkes
Licensed Professional Counselor, MEd, LPC
Verified Verified
Sugar Land, TX 77478  (Online Only)
Extensive counseling experience working in private practice with multicultural and socioeconomically diverse individuals, couples, and families. She has always been a "helper" since her youth. She has always had a passion for assisting others. Her friends and family have always confided in her and sought advice when faced with challenges and adversities. She has been a licensed professional counselor for 11 years, with a master’s degree in Counseling from Texas Southern University and is a Licensed Professional Counselor in the state of Texas. She specializes with individuals, adults, adolescents, couples, and families.
Extensive counseling experience working in private practice with multicultural and socioeconomically diverse individuals, couples, and families. She has always been a "helper" since her youth. She has always had a passion for assisting others. Her friends and family have always confided in her and sought advice when faced with challenges and adversities. She has been a licensed professional counselor for 11 years, with a master’s degree in Counseling from Texas Southern University and is a Licensed Professional Counselor in the state of Texas. She specializes with individuals, adults, adolescents, couples, and families.
(832) 479-2873 View (832) 479-2873
Photo of Heather Lambert - Clearhope Counseling & Wellness Center Sugarland, LPC, LCDC, LCSW, Licensed Professional Counselor
Clearhope Counseling & Wellness Center Sugarland
Licensed Professional Counselor, LPC, LCDC, LCSW
Verified Verified
1 Endorsed
Sugar Land, TX 77478
Clearhope Sugarland supports children, teens, adults, couples, and families struggling with depression, anxiety, mental illness, relational distress, school performance, or general life functioning. We believe no one should hurt alone and will offer unconditional positive regard and support as you chart your path to hope and healing.
Clearhope Sugarland supports children, teens, adults, couples, and families struggling with depression, anxiety, mental illness, relational distress, school performance, or general life functioning. We believe no one should hurt alone and will offer unconditional positive regard and support as you chart your path to hope and healing.
(346) 567-6687 View (346) 567-6687
Photo of Dr. Kandys R McKinley, DMFT, LPC-S, LSOTP-S, Licensed Professional Counselor
Dr. Kandys R McKinley
Licensed Professional Counselor, DMFT, LPC-S, LSOTP-S
Verified Verified
2 Endorsed
Sugar Land, TX 77478
In our first session, we'll focus on your concerns, what brought you to therapy, and any contributing factors. I’ll ask questions to deepen my understanding and help you start thinking differently about your situation. Together, we’ll discuss your goals, expectations, and how you’ll recognize when things have improved. My aim is to help you get "unstuck" from psychological challenges and become the best problem-solver you can be, while working collaboratively to restore your sense of self-respect, self-worth, and self-mastery.
In our first session, we'll focus on your concerns, what brought you to therapy, and any contributing factors. I’ll ask questions to deepen my understanding and help you start thinking differently about your situation. Together, we’ll discuss your goals, expectations, and how you’ll recognize when things have improved. My aim is to help you get "unstuck" from psychological challenges and become the best problem-solver you can be, while working collaboratively to restore your sense of self-respect, self-worth, and self-mastery.
(832) 981-3994 View (832) 981-3994
Photo of Ethel Richard-Peterson, LCSW, Clinical Social Work/Therapist
Ethel Richard-Peterson
Clinical Social Work/Therapist, LCSW
Verified Verified
Sugar Land, TX 77478
Ethel Richard-Peterson, LCSW Ethel Richard-Peterson is a Licensed Clinical Social Worker in Texas who has been practicing since 1982. She has a Master's Degree in Social Work. Ethel sees each client as a unique individual with strengths and areas they seek to enhance. She listens to client's expressed concerns. She has spent many years counseling clients regarding death and dying, substance abuse, and chronic/acute medical conditions. In her spare time, Ethel enjoys music, being around water, and art.
Ethel Richard-Peterson, LCSW Ethel Richard-Peterson is a Licensed Clinical Social Worker in Texas who has been practicing since 1982. She has a Master's Degree in Social Work. Ethel sees each client as a unique individual with strengths and areas they seek to enhance. She listens to client's expressed concerns. She has spent many years counseling clients regarding death and dying, substance abuse, and chronic/acute medical conditions. In her spare time, Ethel enjoys music, being around water, and art.
(346) 230-0287 View (346) 230-0287
LifeStance Health
Licensed Professional Counselor, LPC
Verified Verified
Sugar Land, TX 77478
Making your first appointment can be one of the most challenging steps in your mental health journey. At LifeStance, we make it simple by offering both online and in-person therapy and psychiatry services, covered by major insurance plans.
Making your first appointment can be one of the most challenging steps in your mental health journey. At LifeStance, we make it simple by offering both online and in-person therapy and psychiatry services, covered by major insurance plans.
(855) 548-6372 View (855) 548-6372
Photo of Paul J Clear, PhD, Psychologist
Paul J Clear
Psychologist, PhD
Verified Verified
2 Endorsed
Sugar Land, TX 77478  (Online Only)
My services include therapy, psychological testing and evaluation. I work with teens and adults, and my specialty areas include ADHD, anxiety and depression.
My services include therapy, psychological testing and evaluation. I work with teens and adults, and my specialty areas include ADHD, anxiety and depression.
(281) 612-5763 View (281) 612-5763
Photo of Lisa Dávila O'Toole, MS, LPC, Licensed Professional Counselor
Lisa Dávila O'Toole
Licensed Professional Counselor, MS, LPC
Verified Verified
Sugar Land, TX 77478  (Online Only)
I work with individual adults via Telehealth. My clients come to me because they are suffering from anxiety, depression or relationship issues despite all they have tried before, sometimes even therapy. I believe the client-therapist relationship is essential and therefore strive to provide a therapeutic experience of acceptance and compassion to promote a space for healing, resolution and goal attainment. I work from a holistic and healing approach considering all aspects of your lifestyle. As such, you can expect to be empowered with an individual understanding of wellness and applicable tools to create a life well lived.
I work with individual adults via Telehealth. My clients come to me because they are suffering from anxiety, depression or relationship issues despite all they have tried before, sometimes even therapy. I believe the client-therapist relationship is essential and therefore strive to provide a therapeutic experience of acceptance and compassion to promote a space for healing, resolution and goal attainment. I work from a holistic and healing approach considering all aspects of your lifestyle. As such, you can expect to be empowered with an individual understanding of wellness and applicable tools to create a life well lived.
(713) 766-5940 View (713) 766-5940
Photo of Dr. Leah A. McCoy, EdD, LPC-S, NCC, Licensed Professional Counselor
Dr. Leah A. McCoy
Licensed Professional Counselor, EdD, LPC-S, NCC
Verified Verified
1 Endorsed
Sugar Land, TX 77478
I am passionate about creating a safe space for adult individuals and couples to explore life's challenges and their path towards intentional living and fulfilling relationships. My areas of interest and expertise include individual, pre-marital, couples, sexual health and dysfunction therapy, affair recovery, infertility, effective communication and conflict resolution, Spirituality-sensitive therapy, and relationship enrichment. I offer psychotherapy for various concerns and client populations, including high achievers, and members of helping professions (i.e., psychotherapists, medical professionals, educators, & entrepreneurs).
I am passionate about creating a safe space for adult individuals and couples to explore life's challenges and their path towards intentional living and fulfilling relationships. My areas of interest and expertise include individual, pre-marital, couples, sexual health and dysfunction therapy, affair recovery, infertility, effective communication and conflict resolution, Spirituality-sensitive therapy, and relationship enrichment. I offer psychotherapy for various concerns and client populations, including high achievers, and members of helping professions (i.e., psychotherapists, medical professionals, educators, & entrepreneurs).
(281) 247-6717 View (281) 247-6717
Photo of Dawnica Mathis, LCSW, Clinical Social Work/Therapist
Dawnica Mathis
Clinical Social Work/Therapist, LCSW
Verified Verified
2 Endorsed
Sugar Land, TX 77478
Not accepting new clients
I am a Licensed Clinical Social Worker in the State of Texas. I have a MSSW, Master of Science in Social Work, Degree, Bachelor's of Social work and a Bachelor's of Arts in Theatre and Dance from the University of Texas at Austin. I have extensive experience with children and adolescents. My experience and training also includes working with couples, families, individuals, adults, children, and adolescents on a wide variety of interpersonal and mental heath problems.
I am a Licensed Clinical Social Worker in the State of Texas. I have a MSSW, Master of Science in Social Work, Degree, Bachelor's of Social work and a Bachelor's of Arts in Theatre and Dance from the University of Texas at Austin. I have extensive experience with children and adolescents. My experience and training also includes working with couples, families, individuals, adults, children, and adolescents on a wide variety of interpersonal and mental heath problems.
(832) 786-2391 View (832) 786-2391
Photo of Karen T Sullivan, LCSW, RPT-S, Clinical Social Work/Therapist
Karen T Sullivan
Clinical Social Work/Therapist, LCSW, RPT-S
Verified Verified
3 Endorsed
Sugar Land, TX 77478
For 20 years, I have helped children and their families cope with bad things that sometimes happen in a child's life. This includes abuse, divorce, school issues, loss of a loved one, or low self-esteem. I understand the ripple effects that these can have on family members and how hard it is to watch your child struggle. I use a neuroscience-informed approach to create a safe environment for clients to release the emotional pain in a way that makes the most effective use of your time.
For 20 years, I have helped children and their families cope with bad things that sometimes happen in a child's life. This includes abuse, divorce, school issues, loss of a loved one, or low self-esteem. I understand the ripple effects that these can have on family members and how hard it is to watch your child struggle. I use a neuroscience-informed approach to create a safe environment for clients to release the emotional pain in a way that makes the most effective use of your time.
(281) 891-3953 View (281) 891-3953
Photo of Zareen Bhandara, MEd,  LPC, Licensed Professional Counselor
Zareen Bhandara
Licensed Professional Counselor, MEd, LPC
Verified Verified
Sugar Land, TX 77478
Zareen works with adult individuals who are looking to gain insight into themselves and improve their quality of life. She seeks to understand each individual holistically, including their backgrounds and the strengths they already possess to provide an individualized approach. Zareen believes that creating and fostering a strong therapeutic alliance with her clients are essential for long-term success. Through this alliance, she partners with her clients to explore and address negative, unhelpful thought and behavior patterns that serve as barriers in life and interpersonal relationships.
Zareen works with adult individuals who are looking to gain insight into themselves and improve their quality of life. She seeks to understand each individual holistically, including their backgrounds and the strengths they already possess to provide an individualized approach. Zareen believes that creating and fostering a strong therapeutic alliance with her clients are essential for long-term success. Through this alliance, she partners with her clients to explore and address negative, unhelpful thought and behavior patterns that serve as barriers in life and interpersonal relationships.
(346) 788-6179 View (346) 788-6179
Photo of Madeleine Werner, LCSW, Clinical Social Work/Therapist
Madeleine Werner
Clinical Social Work/Therapist, LCSW
Verified Verified
1 Endorsed
Sugar Land, TX 77478
Have you noticed a change in you or your child’s behavior lately? Been experiencing any unwanted behaviors such as defiance, declining motivation, isolation, difficulties at school/work, legal troubles, or interpersonal relationship challenges. The child you once new has shifted into a different person, and you’re worried that something internal is going on to cause these behaviors. The school system doesn’t understand that this is not the child you raised and you’re tired of trying to explain how to work with them. It feels like everyone has given up, but I’m here to instill hope that your baby is going to be okay.
Have you noticed a change in you or your child’s behavior lately? Been experiencing any unwanted behaviors such as defiance, declining motivation, isolation, difficulties at school/work, legal troubles, or interpersonal relationship challenges. The child you once new has shifted into a different person, and you’re worried that something internal is going on to cause these behaviors. The school system doesn’t understand that this is not the child you raised and you’re tired of trying to explain how to work with them. It feels like everyone has given up, but I’m here to instill hope that your baby is going to be okay.
(346) 514-3863 View (346) 514-3863
Photo of Judi Dai, MEd, LPC, RPT, Licensed Professional Counselor
Judi Dai
Licensed Professional Counselor, MEd, LPC, RPT
Verified Verified
1 Endorsed
Sugar Land, TX 77478
Your child is your whole world. When they're happy, you're happy, and when they're hurting, the pain you feel for them is excruciating. But by the time you find yourself perusing the internet for help, you are already exhausted, have experienced many sleepless nights, and are losing hope. I would love to help improve your family's hopefulness and regain its vitality. Counseling provides a safe, compassionate space that can help children develop more full and healthy connections, which translates into feeling competent, worthy of love, and thus more resilient to handle life's struggles.
Your child is your whole world. When they're happy, you're happy, and when they're hurting, the pain you feel for them is excruciating. But by the time you find yourself perusing the internet for help, you are already exhausted, have experienced many sleepless nights, and are losing hope. I would love to help improve your family's hopefulness and regain its vitality. Counseling provides a safe, compassionate space that can help children develop more full and healthy connections, which translates into feeling competent, worthy of love, and thus more resilient to handle life's struggles.
(281) 957-2438 View (281) 957-2438
Photo of Jasmine Ross, PhD, Psychologist
Jasmine Ross
Psychologist, PhD
Verified Verified
Sugar Land, TX 77478
My personal and professional experiences have taught me that people are largely defined by their experiences of connection to others. I believe that relationships can be the source from where psychological distress can arise and can be resolved. Given these beliefs, I have come to take a theoretical approach that incorporates theory and techniques from multiple approaches, such as cognitive-behavioral, solution focused, systems, multicultural and feminist theories, and selectively combine them into an existing conceptual model, interpersonal process theory. Using this approach, the relationship serves as the foundation on which to address behaviors, thoughts, feelings and interpersonal patterns that impede effective functioning.
My personal and professional experiences have taught me that people are largely defined by their experiences of connection to others. I believe that relationships can be the source from where psychological distress can arise and can be resolved. Given these beliefs, I have come to take a theoretical approach that incorporates theory and techniques from multiple approaches, such as cognitive-behavioral, solution focused, systems, multicultural and feminist theories, and selectively combine them into an existing conceptual model, interpersonal process theory. Using this approach, the relationship serves as the foundation on which to address behaviors, thoughts, feelings and interpersonal patterns that impede effective functioning.
(713) 568-9295 View (713) 568-9295
Photo of Terry J Hoisington, MA, LPC, Licensed Professional Counselor
Terry J Hoisington
Licensed Professional Counselor, MA, LPC
Verified Verified
Sugar Land, TX 77478
While it is common to feel "unraveled" when daily stressors or various traumas occur, everyone has the ability to find meaningful solutions. I believe that everyone is unique, so the solution will be different for each person. My desire is to assist clients (ages 10-90), including adolescents, adults and couples, find a balance between a healthy need for relationship and possible psychological, social or spiritual factors within a framework of personal responsibility. After teaching English and Art for 23 years, I experienced the power of expressive arts to unlock inner voices that help students/clients achieve hope and confidence.
While it is common to feel "unraveled" when daily stressors or various traumas occur, everyone has the ability to find meaningful solutions. I believe that everyone is unique, so the solution will be different for each person. My desire is to assist clients (ages 10-90), including adolescents, adults and couples, find a balance between a healthy need for relationship and possible psychological, social or spiritual factors within a framework of personal responsibility. After teaching English and Art for 23 years, I experienced the power of expressive arts to unlock inner voices that help students/clients achieve hope and confidence.
(346) 209-1036 View (346) 209-1036
Photo of Telecia Rittiman, LCSW, Clinical Social Work/Therapist
Telecia Rittiman
Clinical Social Work/Therapist, LCSW
Verified Verified
Sugar Land, TX 77478
Telecia Rittiman, LCSW, provides compassionate and solutionfocused therapy to individuals across Texas. Specializing in a variety of therapeutic approaches, Telecia works with clients aged 18 and up, offering individual and family therapy to help them address issues like anxiety, depression, trauma, and grief. Her goal is to help each client reach their full potential and achieve emotional wellbeing, offering personalized care through cognitive behavioral therapy (CBT) and solutionfocused techniques. Telecia is particularly passionate about helping those navigating difficult life transitions and managing grief.
Telecia Rittiman, LCSW, provides compassionate and solutionfocused therapy to individuals across Texas. Specializing in a variety of therapeutic approaches, Telecia works with clients aged 18 and up, offering individual and family therapy to help them address issues like anxiety, depression, trauma, and grief. Her goal is to help each client reach their full potential and achieve emotional wellbeing, offering personalized care through cognitive behavioral therapy (CBT) and solutionfocused techniques. Telecia is particularly passionate about helping those navigating difficult life transitions and managing grief.
(855) 628-5301 View (855) 628-5301
Photo of Jared Pizzitola, MEd, LPC, Licensed Professional Counselor
Jared Pizzitola
Licensed Professional Counselor, MEd, LPC
Verified Verified
Sugar Land, TX 77478
I counsel individuals (teens, adults, athletes) with stress, anxiety, depression, anger, trauma, and relationship struggles. Additionally, I help couples repair their relationship and connect on a deeper level.
I counsel individuals (teens, adults, athletes) with stress, anxiety, depression, anger, trauma, and relationship struggles. Additionally, I help couples repair their relationship and connect on a deeper level.
(281) 305-8932 View (281) 305-8932
Photo of Jazmine Nash - Peace and Serenity Therapy Services, LCSW-S, Clinical Social Work/Therapist
Peace and Serenity Therapy Services
Clinical Social Work/Therapist, LCSW-S
Verified Verified
Sugar Land, TX 77478  (Online Only)
Now Accepting New Clients! Life can be challenging and sometimes we are told to be strong despite these hard times. Some are taught a definition of being strong is to act like you’re okay, even when you really want to go hide. Some are taught to pretend you have it all in order. Many are taught to keep pushing and move past things, not knowing moving past leads to suppression that will surface later on in life rather we want it to or not. I am passionate about helping others through such difficult times and encourage them to process the past while also working on the present.
Now Accepting New Clients! Life can be challenging and sometimes we are told to be strong despite these hard times. Some are taught a definition of being strong is to act like you’re okay, even when you really want to go hide. Some are taught to pretend you have it all in order. Many are taught to keep pushing and move past things, not knowing moving past leads to suppression that will surface later on in life rather we want it to or not. I am passionate about helping others through such difficult times and encourage them to process the past while also working on the present.
(832) 400-6042 View (832) 400-6042
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How does your Therapist compare?

Number of Therapists in 77478

200+

Average cost per session

$145

Therapists in 77478 who prioritize treating:

93% Anxiety
92% Depression
76% Self Esteem
72% Relationship Issues
72% Trauma and PTSD
68% Stress
66% Coping Skills

Average years in practice

10 Years

Top 3 insurances accepted

87% Aetna
75% Cigna and Evernorth
67% BlueCross and BlueShield

How Therapists in 77478 see their clients

76% In Person and Online
24% Online Only

Gender breakdown

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

How can I find a therapist in 77478?

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.