Photo of April Travis, MEd, NCC, LPC, Licensed Professional Counselor
April Travis
Licensed Professional Counselor, MEd, NCC, LPC
Verified Verified
1 Endorsed
Leander, TX 78645  (Online Only)
Are you experiencing difficult challenges in your life? Do you struggle with finding the time to take care of yourself and make positive change? Do you feel lost and need support? I have a passion for helping others to find the answers in order to take charge of their life. I believe that each individual is treated as their own unique person and therefore needs their own unique therapy plan. I believe anyone can change and sometimes the first step can be difficult. I feel strongly about developing healthy coping skills and range from Cognitive Behavioral to Mindfulness. Take that first step, contact me and let's get started today.
Are you experiencing difficult challenges in your life? Do you struggle with finding the time to take care of yourself and make positive change? Do you feel lost and need support? I have a passion for helping others to find the answers in order to take charge of their life. I believe that each individual is treated as their own unique person and therefore needs their own unique therapy plan. I believe anyone can change and sometimes the first step can be difficult. I feel strongly about developing healthy coping skills and range from Cognitive Behavioral to Mindfulness. Take that first step, contact me and let's get started today.
(512) 713-0268 View (512) 713-0268
Photo of James A. Fry, MEd, LMFT, Marriage & Family Therapist
James A. Fry
Marriage & Family Therapist, MEd, LMFT
Verified Verified
Lago Vista, TX 78645  (Online Only)
My role as a Psychotherapist, is to be a guide of encouraging, supporting people to learn ways to cope and grow. I am frequently a medium to help others to learn how and when to be flexible in living a more stress free and harmonious life.
My role as a Psychotherapist, is to be a guide of encouraging, supporting people to learn ways to cope and grow. I am frequently a medium to help others to learn how and when to be flexible in living a more stress free and harmonious life.
(512) 861-8947 View (512) 861-8947
Photo of Mitzi Smith, MA, LPC-A, NCC
Mitzi Smith
LPC Associate, MA, LPC-A, NCC
Verified Verified
1 Endorsed
Leander, TX 78645  (Online Only)
Are you struggling with anxiety or having a tough time motivating yourself to do anything? Are relationship issues or the grief of losing a loved one weighing on you? You are not alone in experiencing these feelings. Unfortunately, many individuals avoid dealing with their anxiety and negative emotions, which can lead to deteriorating mental health. However, imagine what your life would be like if you did work through these feelings. What if you could experience long-term change or find relief from painful past experiences? Picture yourself regaining control, improving your relationships, and getting to the root of your challenges.
Are you struggling with anxiety or having a tough time motivating yourself to do anything? Are relationship issues or the grief of losing a loved one weighing on you? You are not alone in experiencing these feelings. Unfortunately, many individuals avoid dealing with their anxiety and negative emotions, which can lead to deteriorating mental health. However, imagine what your life would be like if you did work through these feelings. What if you could experience long-term change or find relief from painful past experiences? Picture yourself regaining control, improving your relationships, and getting to the root of your challenges.
(737) 252-7374 View (737) 252-7374
Photo of Ashley Wilson, MA, LPC, NCC, Licensed Professional Counselor
Ashley Wilson
Licensed Professional Counselor, MA, LPC, NCC
Verified Verified
2 Endorsed
Lago Vista, TX 78645
You can book with me now by clicking on my website! I hold a BS in Psychology from Texas A&M University and an MA in Clinical Mental Health Counseling from Sam Houston State University. I am a licensed professional counselor in Texas, committed to supporting individuals through life transitions. I specialize in working with moms and other adults going through life transitions. The clients I work with are looking for a therapist who gets it—someone who won’t make them feel guilty for not enjoying every moment. My goal is to make you feel truly seen and heard.
You can book with me now by clicking on my website! I hold a BS in Psychology from Texas A&M University and an MA in Clinical Mental Health Counseling from Sam Houston State University. I am a licensed professional counselor in Texas, committed to supporting individuals through life transitions. I specialize in working with moms and other adults going through life transitions. The clients I work with are looking for a therapist who gets it—someone who won’t make them feel guilty for not enjoying every moment. My goal is to make you feel truly seen and heard.
(737) 201-0205 View (737) 201-0205
Photo of Elise Miller - Thrive Counseling and Wellness Center, PLLC, LPC-S, Licensed Professional Counselor
Thrive Counseling and Wellness Center, PLLC
Licensed Professional Counselor, LPC-S
Verified Verified
Leander, TX 78645  (Online Only)
At Thrive Counseling and Wellness Center, we are passionate about providing personalized and high quality therapy. Each of the counselors at Thrive have experience working with diverse issues among a variety of populations, which allows them to address each client's need. You can expect to be accepted as you are and challenged towards growth as we move forward together. We work collaborative with our clients-ensuring a comfortable, safe environment where we can work together on your goals. To learn more, review available therapists and book a session today!
At Thrive Counseling and Wellness Center, we are passionate about providing personalized and high quality therapy. Each of the counselors at Thrive have experience working with diverse issues among a variety of populations, which allows them to address each client's need. You can expect to be accepted as you are and challenged towards growth as we move forward together. We work collaborative with our clients-ensuring a comfortable, safe environment where we can work together on your goals. To learn more, review available therapists and book a session today!
(737) 227-0736 View (737) 227-0736
Photo of Labrea Law
Labrea Law
LPC Associate
Verified Verified
2 Endorsed
Leander, TX 78645  (Online Only)
I understand that navigating life can be challenging, especially when you feel unheard and isolated. Whether you are facing struggles with spirituality, sexuality, suicidal thoughts, family dynamics, or relationships, I am here to listen and support you. My goal is to ensure that you feel heard, cared for, and have a safe space to explore your thoughts and emotions. My practice is grounded in respect, compassion, and a deep understanding of the diverse challenges that people face. Whether you are seeking guidance through a particular issue or simply need a supportive presence, I am here to help you build resilience and find clarity.
I understand that navigating life can be challenging, especially when you feel unheard and isolated. Whether you are facing struggles with spirituality, sexuality, suicidal thoughts, family dynamics, or relationships, I am here to listen and support you. My goal is to ensure that you feel heard, cared for, and have a safe space to explore your thoughts and emotions. My practice is grounded in respect, compassion, and a deep understanding of the diverse challenges that people face. Whether you are seeking guidance through a particular issue or simply need a supportive presence, I am here to help you build resilience and find clarity.
(346) 483-8690 View (346) 483-8690
Photo of Frank 'allen' Males, MA, LPC, Licensed Professional Counselor
Frank 'allen' Males
Licensed Professional Counselor, MA, LPC
Verified Verified
Lago Vista, TX 78645  (Online Only)
Therapists take on a number of different roles in their work. I predominately view my role as guide. One of the goals of this practice is to help clients discover a deeper sense of self and acceptance. Another intention of this practice practice is to help clients build and maintain the necessary tools they already have existing within themselves, and lead clients to new discoveries of living life in a more balanced and enjoyable way.
Therapists take on a number of different roles in their work. I predominately view my role as guide. One of the goals of this practice is to help clients discover a deeper sense of self and acceptance. Another intention of this practice practice is to help clients build and maintain the necessary tools they already have existing within themselves, and lead clients to new discoveries of living life in a more balanced and enjoyable way.
(512) 843-7758 View (512) 843-7758
Photo of Laurie Hamilton, MA, LMFT, Marriage & Family Therapist
Laurie Hamilton
Marriage & Family Therapist, MA, LMFT
Verified Verified
1 Endorsed
Lago Vista, TX 78645
Accepting new clients at both locations. Lago openings Mon. 11 am and 3 pm. Cedar Park Tuesday 3:00, Thursday 3:30. I specialize in working with women struggling with anxiety, depression or having experienced traumatic events. I have done so in a variety of ways for more than 14 years. In a positive and caring environment, I will not only listen, but provide you with helpful skills to overcome the struggles. I realize one-size does not fit all and will work with your concerns. You set the goals, and we will get there together.
Accepting new clients at both locations. Lago openings Mon. 11 am and 3 pm. Cedar Park Tuesday 3:00, Thursday 3:30. I specialize in working with women struggling with anxiety, depression or having experienced traumatic events. I have done so in a variety of ways for more than 14 years. In a positive and caring environment, I will not only listen, but provide you with helpful skills to overcome the struggles. I realize one-size does not fit all and will work with your concerns. You set the goals, and we will get there together.
(512) 270-6472 View (512) 270-6472
Photo of Aaron M Fullmer, LMFT, Marriage & Family Therapist
Aaron M Fullmer
Marriage & Family Therapist, LMFT
Verified Verified
Lago Vista, TX 78645
Turn your never-ending pattern of defeat with your partner into an ever-growing source of enrichment. You may feel unwanted, unvalued, rejected or unsafe in a relationship that used to be marked by love and intimacy. Despite your best efforts, every interaction ends in a damaging fight or excruciating loneliness. These are predictable experiences to problems that have a highly effective solution.
Turn your never-ending pattern of defeat with your partner into an ever-growing source of enrichment. You may feel unwanted, unvalued, rejected or unsafe in a relationship that used to be marked by love and intimacy. Despite your best efforts, every interaction ends in a damaging fight or excruciating loneliness. These are predictable experiences to problems that have a highly effective solution.
(512) 866-1366 View (512) 866-1366
Photo of Elaine Brandon, LPC, Licensed Professional Counselor
Elaine Brandon
Licensed Professional Counselor, LPC
Verified Verified
Jonestown, TX 78645
My name is Elaine Brandon, and I am a Licensed Professional Counselor (LPC) based in San Antonio, Texas and working with clients statewide via telehealth. I have been practicing for over 25 years. I work with adolescents and young adults, specializing in anxiety, stress, and depression, using Cognitive Behavioral Therapy and Solution Focused Brief Therapy to help my clients make progress and start feeling better.
My name is Elaine Brandon, and I am a Licensed Professional Counselor (LPC) based in San Antonio, Texas and working with clients statewide via telehealth. I have been practicing for over 25 years. I work with adolescents and young adults, specializing in anxiety, stress, and depression, using Cognitive Behavioral Therapy and Solution Focused Brief Therapy to help my clients make progress and start feeling better.
(281) 612-7022 View (281) 612-7022
Photo of Heather Hanlin - Ghost Paint Therapy, MA, LPC A, Licensed Professional Counselor
Ghost Paint Therapy
Licensed Professional Counselor, MA, LPC A
Verified Verified
2 Endorsed
Lago Vista, TX 78645
Do you ask yourself “I’m smart, why is this so difficult?” Or find yourself repeating patterns where you think, “I should know better?” Maybe you were identified as Gifted as a child (or your teen is gifted) and wonder why they call it "gifted" when things are hard? Do you feel you lost your giftedness when you entered high school and gifted "support" became AP classes? Then maybe you could use a guide to help you uncover and understand those things you feel you “should know” or be able to do but might not have ever been taught. Bringing yourself in line with who you want to be is one of the things therapy can do for you.
Do you ask yourself “I’m smart, why is this so difficult?” Or find yourself repeating patterns where you think, “I should know better?” Maybe you were identified as Gifted as a child (or your teen is gifted) and wonder why they call it "gifted" when things are hard? Do you feel you lost your giftedness when you entered high school and gifted "support" became AP classes? Then maybe you could use a guide to help you uncover and understand those things you feel you “should know” or be able to do but might not have ever been taught. Bringing yourself in line with who you want to be is one of the things therapy can do for you.
(830) 469-3350 View (830) 469-3350
Photo of Dr. Alaina Rachaun Patrick - Dr. Alaina Rachaun Patrick, The Therapy Experience, PhD, Marriage & Family Therapist Associate
Dr. Alaina Rachaun Patrick, The Therapy Experience
Marriage & Family Therapist Associate, PhD
Verified Verified
Leander, TX 78645
Expert Faith-Based Therapy and Testing for Whole Well-Being. At The Therapy Experience, we understand that true healing and growth come from addressing the whole person—mind, body, and spirit. As a licensed marriage and family therapist with a Ph.D. in Marriage and Family Therapy, I specialize in Faith-Informed Therapy, a unique approach that integrates the profound insights of Person-Centered therapy with the timeless wisdom of Scripture.
Expert Faith-Based Therapy and Testing for Whole Well-Being. At The Therapy Experience, we understand that true healing and growth come from addressing the whole person—mind, body, and spirit. As a licensed marriage and family therapist with a Ph.D. in Marriage and Family Therapy, I specialize in Faith-Informed Therapy, a unique approach that integrates the profound insights of Person-Centered therapy with the timeless wisdom of Scripture.
(737) 232-5185 View (737) 232-5185
Photo of Susan Valley, LCSW, Clinical Social Work/Therapist
Susan Valley
Clinical Social Work/Therapist, LCSW
Verified Verified
Lago Vista, TX 78645
My ideal client would be where you find yourself trying to hold it together, and you may not look for help until a situation has gotten worse and its almost a crisis. That situation will significantly affect your life, and you will hit a breaking point. This might be self-esteem, anxiety, depression, adjusting to life changes, codependency, grief, health issues, or just feeling stuck. It's hard to ask for help but here you are, and what you thought might work is not working any more. You would find yourself in my office feeling overwhelmed, frustrated, confused but feeling like you had taken the first step to finding HOPE.
My ideal client would be where you find yourself trying to hold it together, and you may not look for help until a situation has gotten worse and its almost a crisis. That situation will significantly affect your life, and you will hit a breaking point. This might be self-esteem, anxiety, depression, adjusting to life changes, codependency, grief, health issues, or just feeling stuck. It's hard to ask for help but here you are, and what you thought might work is not working any more. You would find yourself in my office feeling overwhelmed, frustrated, confused but feeling like you had taken the first step to finding HOPE.
(737) 302-5865 View (737) 302-5865
Photo of D. Nathan Evans, LPC, Licensed Professional Counselor
D. Nathan Evans
Licensed Professional Counselor, LPC
Verified Verified
1 Endorsed
Leander, TX 78645  (Online Only)
Do you sense that something undefinable is holding you back from success and happiness in your school, work, or personal life? Our thoughts and actions are often purposeful and useful. Where we falter is when what has worked for us in the past is no longer effective in dealing with our problems. So-called "symptoms" often mask deeper issues in our lives. When these unresolved facets of ourselves are addressed in psychotherapy, we tend to get better. I want to meet you in a genuine and non-judgmental way. My approach is empathetic, playful, and collaborative.
Do you sense that something undefinable is holding you back from success and happiness in your school, work, or personal life? Our thoughts and actions are often purposeful and useful. Where we falter is when what has worked for us in the past is no longer effective in dealing with our problems. So-called "symptoms" often mask deeper issues in our lives. When these unresolved facets of ourselves are addressed in psychotherapy, we tend to get better. I want to meet you in a genuine and non-judgmental way. My approach is empathetic, playful, and collaborative.
(512) 456-8850 View (512) 456-8850
Photo of Melissa McHugh Dillon, PhD, BCBA, NCSP, Psychologist
Melissa McHugh Dillon
Psychologist, PhD, BCBA, NCSP
Verified Verified
Lago Vista, TX 78645
Each client deserves to be treated with compassion, dignity, and by a provider who not only knows how to help them reach their goals, but understands their unique history and can conceptualize them holistically. I treat primarily children and adolescents, working with both the child and frequently parents achieve therapeutic goals and nurture a supportive relationship. Additionally, I have a special interest in treating young adults with developmental disabilities going through life transitions. I approach your care by working collaboratively with you and other providers/teachers as needed.
Each client deserves to be treated with compassion, dignity, and by a provider who not only knows how to help them reach their goals, but understands their unique history and can conceptualize them holistically. I treat primarily children and adolescents, working with both the child and frequently parents achieve therapeutic goals and nurture a supportive relationship. Additionally, I have a special interest in treating young adults with developmental disabilities going through life transitions. I approach your care by working collaboratively with you and other providers/teachers as needed.
(512) 855-7219 View (512) 855-7219
Photo of Nicole Skotz, MS, BCBA
Nicole Skotz
MS, BCBA
Verified Verified
Leander, TX 78645
Are you neurodiverse and struggling with challenges such as anxiety or executive function? Whether you're a adult, teen, or parent of a child navigating ADHD or Autism, I am here to support you. Services are neuro-affirming, individualized, and prioritize action so you can start seeing the change that is possible. Together, we’ll build strategies that align with your goals, empowering you to live authentically while developing skills that help you understand and manage your ADHD or Autism in ways that feels right for you. You don’t have to navigate this alone—discover a personalized approach to feeling more in control and connected.
Are you neurodiverse and struggling with challenges such as anxiety or executive function? Whether you're a adult, teen, or parent of a child navigating ADHD or Autism, I am here to support you. Services are neuro-affirming, individualized, and prioritize action so you can start seeing the change that is possible. Together, we’ll build strategies that align with your goals, empowering you to live authentically while developing skills that help you understand and manage your ADHD or Autism in ways that feels right for you. You don’t have to navigate this alone—discover a personalized approach to feeling more in control and connected.
(737) 520-7004 View (737) 520-7004
Photo of Nicolle McCullough - Get Out Of Your Head Therapy Texas, BS, MA
Get Out Of Your Head Therapy Texas
Licensed Professional Counselor Associate, BS, MA
Verified Verified
Leander, TX 78645  (Online Only)
Nicolle has a passion for walking alongside those who are experiencing grief, anxiety, depression, or any difficult transitions along life’s path. She also has a special interest in neurodivergent clients, helping those who may be feeling stuck moving through their days with executive function difficulties or feeling accepted as one’s true self. She comes to the counseling relationship from a person-centered and psychodynamic lens, recognizing that every person is unique and has different needs.
Nicolle has a passion for walking alongside those who are experiencing grief, anxiety, depression, or any difficult transitions along life’s path. She also has a special interest in neurodivergent clients, helping those who may be feeling stuck moving through their days with executive function difficulties or feeling accepted as one’s true self. She comes to the counseling relationship from a person-centered and psychodynamic lens, recognizing that every person is unique and has different needs.
(254) 556-3825 View (254) 556-3825
Photo of Ben Johnston, MA, LPC, LSOTP, Licensed Professional Counselor
Ben Johnston
Licensed Professional Counselor, MA, LPC, LSOTP
Verified Verified
Leander, TX 78645
Johnston Counseling and Wellness has a passion for helping our clients living happier and healthier lives. Whether you suffer from depression, anxiety, sexuality (LGBT) or adjustment issues, we want to help you. Ben has additional experience treating people for issues related to pornography, intellectual functioning, impulsivity (general & sexual), disability, sexual abuse, trauma, and esteem. He also has a large amount of experience counseling clients that are involved in the criminal justice system. We believe that everybody is capable of positive change.
Johnston Counseling and Wellness has a passion for helping our clients living happier and healthier lives. Whether you suffer from depression, anxiety, sexuality (LGBT) or adjustment issues, we want to help you. Ben has additional experience treating people for issues related to pornography, intellectual functioning, impulsivity (general & sexual), disability, sexual abuse, trauma, and esteem. He also has a large amount of experience counseling clients that are involved in the criminal justice system. We believe that everybody is capable of positive change.
(512) 270-6540 View (512) 270-6540
Photo of Tina Marie Schmidt, LCSW, CCTP, Clinical Social Work/Therapist
Tina Marie Schmidt
Clinical Social Work/Therapist, LCSW, CCTP
Verified Verified
2 Endorsed
Lago Vista, TX 78645
In-Person & Saturday availability! Your "stuff" is destroying your happiness, your relationships and your quality of life. You feel that things have got to change, and you want that change to start sooner than later. I can help you with that. Whether you're struggling with anxiety, depression, past traumas, anger, low self-esteem or caught in the grips of substance abuse, I am here to support you every step of the way. Together, we will explore your experiences, uncover your strengths, and empower you to make lasting changes. You need change. You deserve change. Contact me today to schedule an appointment to begin.
In-Person & Saturday availability! Your "stuff" is destroying your happiness, your relationships and your quality of life. You feel that things have got to change, and you want that change to start sooner than later. I can help you with that. Whether you're struggling with anxiety, depression, past traumas, anger, low self-esteem or caught in the grips of substance abuse, I am here to support you every step of the way. Together, we will explore your experiences, uncover your strengths, and empower you to make lasting changes. You need change. You deserve change. Contact me today to schedule an appointment to begin.
(737) 727-2439 View (737) 727-2439
Photo of Kindra Gonzalez, LPC-S, Licensed Professional Counselor
Kindra Gonzalez
Licensed Professional Counselor, LPC-S
Verified Verified
Leander, TX 78645
Waitlist for new clients
Providing both in-person and virtual sessions at Ellie Mental Health- Cedar Park! Contact me to get started.
Providing both in-person and virtual sessions at Ellie Mental Health- Cedar Park! Contact me to get started.
(737) 259-5292 View (737) 259-5292
1

See more therapy options for 78645

How does your Therapist compare?

Number of Therapists in 78645

20+

Average cost per session

$130

Therapists in 78645 who prioritize treating:

86% Anxiety
82% Depression
77% Stress
68% Life Transitions
64% Relationship Issues
64% Grief
64% Self Esteem

Average years in practice

8 Years

Top 3 insurances accepted

88% Aetna
71% UnitedHealthcare UHC | UBH
59% Cigna and Evernorth

How Therapists in 78645 see their clients

60% In Person and Online
40% Online Only

Gender breakdown

74% Female
26% Male
FAQs - About Therapy and Counseling

How can I find a therapist in 78645?

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.