Photo of Monti Pal - Monti Pal, MEd, LPC, Licensed Professional Counselor
Monti Pal
Licensed Professional Counselor, MEd, LPC
Verified Verified
9 Endorsed
Austin, TX 78759  (Online Only)
Please note that I am private pay only and my sliding scale spots are full. I focus on helping clients identify and attain their own personal goals in therapy. I believe in empowering clients while compassionately guiding them through the therapy process with a mind-body approach to healing. I have worked with a broad and diverse groups of people with issues related to academics, career development, trauma, family relationships, lgbtqia specific issues, domestic violence, romantic relationships, anxiety, depression, and grief. I look forward to hearing from you! Please note that I am not paneled with any insurance companies.
Please note that I am private pay only and my sliding scale spots are full. I focus on helping clients identify and attain their own personal goals in therapy. I believe in empowering clients while compassionately guiding them through the therapy process with a mind-body approach to healing. I have worked with a broad and diverse groups of people with issues related to academics, career development, trauma, family relationships, lgbtqia specific issues, domestic violence, romantic relationships, anxiety, depression, and grief. I look forward to hearing from you! Please note that I am not paneled with any insurance companies.
(512) 337-4472 View (512) 337-4472
Photo of Melanie E Kelner, MA, LMFT, LPC, Marriage & Family Therapist
Melanie E Kelner
Marriage & Family Therapist, MA, LMFT, LPC
Verified Verified
5 Endorsed
Austin, TX 78759
I work to help clients repair and enhance their physical and emotional connections, so that they may enjoy their relationships to the fullest potential. I have a gentle but direct approach and focus on helping clients be more intentional in their sexual encounters. My approach is integrative and tailored to each client or couples' needs.
I work to help clients repair and enhance their physical and emotional connections, so that they may enjoy their relationships to the fullest potential. I have a gentle but direct approach and focus on helping clients be more intentional in their sexual encounters. My approach is integrative and tailored to each client or couples' needs.
(512) 722-7045 View (512) 722-7045
Photo of Callie Seymour, MA, LMFT, Marriage & Family Therapist
Callie Seymour
Marriage & Family Therapist, MA, LMFT
Verified Verified
Austin, TX 78759
Waitlist for new clients
I love working with adult individuals, couples, and family members who are looking to grow and heal in ways that emphasize their unique human experience and authenticity. This might look like someone who is trying to forge a new path after being stuck in a negative pattern like codependency or perfectionism. It may be a couple who wants to improve communication or deepen their emotional or sexual intimacy. It may be family members who are hoping to resolve past issues to create space for more authentic connection. I tailor my approach to fit my clients' needs while providing a warm, compassionate space for exploration and growth.
I love working with adult individuals, couples, and family members who are looking to grow and heal in ways that emphasize their unique human experience and authenticity. This might look like someone who is trying to forge a new path after being stuck in a negative pattern like codependency or perfectionism. It may be a couple who wants to improve communication or deepen their emotional or sexual intimacy. It may be family members who are hoping to resolve past issues to create space for more authentic connection. I tailor my approach to fit my clients' needs while providing a warm, compassionate space for exploration and growth.
(737) 327-4857 View (737) 327-4857
Photo of Zoe Scurletis, LMSW, Clinical Social Work/Therapist
Zoe Scurletis
Clinical Social Work/Therapist, LMSW
Verified Verified
Austin, TX 78759
Hello! My name is Zoe, and I'm so happy you found my profile. I believe that therapy offers an opportunity to reflect, process, and problem-solve. My role as your therapist is to foster a space where we can address the issues that feel most pressing to you. I aim to hold a mirror, helping you recognize the roots of patterns in relationships, thoughts, and behaviors you may wish to change. Our work together is designed to promote your self-insight and personal growth.
Hello! My name is Zoe, and I'm so happy you found my profile. I believe that therapy offers an opportunity to reflect, process, and problem-solve. My role as your therapist is to foster a space where we can address the issues that feel most pressing to you. I aim to hold a mirror, helping you recognize the roots of patterns in relationships, thoughts, and behaviors you may wish to change. Our work together is designed to promote your self-insight and personal growth.
(737) 387-4614 View (737) 387-4614
Photo of Sarah Freilicher, MSSW, LCSW, Clinical Social Work/Therapist
Sarah Freilicher
Clinical Social Work/Therapist, MSSW, LCSW
Verified Verified
Austin, TX 78759  (Online Only)
Now accepting online clients! Throughout life’s ups and downs we are constantly growing and changing. At times growth comes with ease; other times we may need support in finding balance, coping with unpleasant feelings, or processing difficult memories. Therapy provides you with a space uniquely your own to explore your goals and desires. I operate from a strengths-based perspective meaning that I believe you already have many of the tools you need to achieve your goals. I will accompany you on your unique path, providing support and offering insights along the way.
Now accepting online clients! Throughout life’s ups and downs we are constantly growing and changing. At times growth comes with ease; other times we may need support in finding balance, coping with unpleasant feelings, or processing difficult memories. Therapy provides you with a space uniquely your own to explore your goals and desires. I operate from a strengths-based perspective meaning that I believe you already have many of the tools you need to achieve your goals. I will accompany you on your unique path, providing support and offering insights along the way.
(512) 229-9738 View (512) 229-9738
Photo of Madeline Garnett Turner, LMFT, Marriage & Family Therapist
Madeline Garnett Turner
Marriage & Family Therapist, LMFT
Verified Verified
Austin, TX 78759
I have a passion for helping individuals and couples navigate through life's challenges and cultivate healthier, more fulfilling relationships.
I have a passion for helping individuals and couples navigate through life's challenges and cultivate healthier, more fulfilling relationships.
(512) 772-3184 View (512) 772-3184
Photo of Mike Hurewitz - Mike Hurewitz, LCSW, LCSW, Clinical Social Work/Therapist
Mike Hurewitz, LCSW
Clinical Social Work/Therapist, LCSW
Verified Verified
Austin, TX 78759
Not accepting new clients
I have 20+ years of experience and specialize in: adult psychotherapy for depression, anxiety, trauma, grief and loss, men's issues; counseling for adolescent males; family counseling and parenting skills. I help my clients to identify and tap their inner strengths. I will work with you to establish a safe, trusting relationship as the foundation for our work towards your personal goals. I am certified in EMDR, an integrated treatment approach that research shows is effective with a range of issues. I offer a free initial consultation.
I have 20+ years of experience and specialize in: adult psychotherapy for depression, anxiety, trauma, grief and loss, men's issues; counseling for adolescent males; family counseling and parenting skills. I help my clients to identify and tap their inner strengths. I will work with you to establish a safe, trusting relationship as the foundation for our work towards your personal goals. I am certified in EMDR, an integrated treatment approach that research shows is effective with a range of issues. I offer a free initial consultation.
(512) 872-2369 View (512) 872-2369
Photo of Beena Benny, LMFT, Licensed Professional Counselor
Beena Benny
Licensed Professional Counselor, LMFT
Verified Verified
Austin, TX 78759  (Online Only)
Therapy is a sacred space and who you choose to allow in that space with you is the most important part of your counseling experience. I firmly believe that you possess the key and solution to your challenges, even if you're not aware of it. My role is to assist you in uncovering the inherent key within yourself. I use questions as a tool to help you discover the solution to your problem. Life is meant to be a shared journey, not something to face alone. Allow me to be a part of your journey and lead you to pathways of life. We are better together.
Therapy is a sacred space and who you choose to allow in that space with you is the most important part of your counseling experience. I firmly believe that you possess the key and solution to your challenges, even if you're not aware of it. My role is to assist you in uncovering the inherent key within yourself. I use questions as a tool to help you discover the solution to your problem. Life is meant to be a shared journey, not something to face alone. Allow me to be a part of your journey and lead you to pathways of life. We are better together.
(512) 580-5911 View (512) 580-5911
Photo of Ilicia Balaban, LCSW, Clinical Social Work/Therapist
Ilicia Balaban
Clinical Social Work/Therapist, LCSW
Verified Verified
3 Endorsed
Austin, TX 78759
We all begin the therapeutic journey with our own set of strengths and needs. Sometimes our uniqueness promotes creativity, new perspectives, and collaboration. Other times our uniqueness can be terminal; leading to emptiness, feeling disconnected from self and others, and beliefs that mental health treatment may work for other people, but it won’t work for you. Therapy is not about “getting over” events and issues; it’s about understanding your triggers and learning how to manage your thoughts, emotions, and behaviors so that you can move forward and continue to build a fulfilling life.
We all begin the therapeutic journey with our own set of strengths and needs. Sometimes our uniqueness promotes creativity, new perspectives, and collaboration. Other times our uniqueness can be terminal; leading to emptiness, feeling disconnected from self and others, and beliefs that mental health treatment may work for other people, but it won’t work for you. Therapy is not about “getting over” events and issues; it’s about understanding your triggers and learning how to manage your thoughts, emotions, and behaviors so that you can move forward and continue to build a fulfilling life.
(512) 764-0744 View (512) 764-0744
Photo of Jan Marquart - Jan Marquart LCSW, LCSW, Clinical Social Work/Therapist
Jan Marquart LCSW
Clinical Social Work/Therapist, LCSW
Verified Verified
Austin, TX 78759  (Online Only)
I began private practice in 1986 but have counseled troubled families since 1979. My clients include struggling college students, couples in conflict, families in disarray, substance abusers, employers worried about an employee, seniors who lost a spouse or adjusting to aging, daughters in conflicts with their mothers, women in violent relationships. I use writing for wellness. I have created a 6-week intensive writing course to guide clients through PTSD and other stressors. I have taught this course online around the world and in sessions. Go to: Amazon.com for all my books.
I began private practice in 1986 but have counseled troubled families since 1979. My clients include struggling college students, couples in conflict, families in disarray, substance abusers, employers worried about an employee, seniors who lost a spouse or adjusting to aging, daughters in conflicts with their mothers, women in violent relationships. I use writing for wellness. I have created a 6-week intensive writing course to guide clients through PTSD and other stressors. I have taught this course online around the world and in sessions. Go to: Amazon.com for all my books.
(512) 942-2390 View (512) 942-2390
Photo of Elizabeth Madaelil, LMSW
Elizabeth Madaelil
Licensed Master Social Worker, LMSW
Verified Verified
2 Endorsed
Austin, TX 78759
I hope that you are proud of yourself for looking for a therapist; starting therapy can be a scary, overwhelming process! As a South Asian woman, I know how hard it is to find a therapist who has similar cultural experiences and values. I am passionate about making therapy more accessible and approachable for everyone, especially those with intersecting, marginalized identities. I use an eclectic approach to help with issues such as anxiety, depression, impulsivity, OCD, and more. I am excited to work with you to better your mental health, achieve your goals, and move closer towards your life worth living.
I hope that you are proud of yourself for looking for a therapist; starting therapy can be a scary, overwhelming process! As a South Asian woman, I know how hard it is to find a therapist who has similar cultural experiences and values. I am passionate about making therapy more accessible and approachable for everyone, especially those with intersecting, marginalized identities. I use an eclectic approach to help with issues such as anxiety, depression, impulsivity, OCD, and more. I am excited to work with you to better your mental health, achieve your goals, and move closer towards your life worth living.
(737) 204-3330 View (737) 204-3330
Photo of Nicole Dawn Lansbery - Austin DBT Associates, MA, LPC-S, LMFT, Licensed Professional Counselor
Austin DBT Associates
Licensed Professional Counselor, MA, LPC-S, LMFT
Verified Verified
1 Endorsed
Austin, TX 78759
Nicole Lansbery is a Licensed Professional Counselor-Supervisor and Licensed Marriage and Family Therapist. Nicole attended the University of Texas at Austin where she received her Bachelor’s in Psychology. She went on to attend St. Edward’s University to receive her Master's in Counseling. ​ Before starting her own private practice ten years ago, Nicole worked at a local psychiatric hospital for five years, in both inpatient and intensive outpatient settings. While there she restarted the pet therapy program with her golden retriever – a certified Pet Partner, Ruby.
Nicole Lansbery is a Licensed Professional Counselor-Supervisor and Licensed Marriage and Family Therapist. Nicole attended the University of Texas at Austin where she received her Bachelor’s in Psychology. She went on to attend St. Edward’s University to receive her Master's in Counseling. ​ Before starting her own private practice ten years ago, Nicole worked at a local psychiatric hospital for five years, in both inpatient and intensive outpatient settings. While there she restarted the pet therapy program with her golden retriever – a certified Pet Partner, Ruby.
(737) 530-3467 View (737) 530-3467
Photo of Leslie Woodworth, MSW, LCSW, Clinical Social Work/Therapist
Leslie Woodworth
Clinical Social Work/Therapist, MSW, LCSW
Verified Verified
1 Endorsed
Austin, TX 78759
I have a loving, direct approach with clear communication, a relaxed, non-judgmental style creating ease in therapy, and an intuitive ability to connect and help others re-connect. I love working with people who seek to deepen themselves and have more intimate connection with their loved ones, whether that's a child, spouse, parent or other relationship. I want to know who you are, and am here to listen and to be with you exactly where you are in this process. I am here to meet you. Come. Let's explore together.
I have a loving, direct approach with clear communication, a relaxed, non-judgmental style creating ease in therapy, and an intuitive ability to connect and help others re-connect. I love working with people who seek to deepen themselves and have more intimate connection with their loved ones, whether that's a child, spouse, parent or other relationship. I want to know who you are, and am here to listen and to be with you exactly where you are in this process. I am here to meet you. Come. Let's explore together.
(857) 254-9363 View (857) 254-9363
Photo of Madeline Massey, LCSW, Clinical Social Work/Therapist
Madeline Massey
Clinical Social Work/Therapist, LCSW
Verified Verified
Austin, TX 78759
I help individuals struggling with mood disorders, anxiety, trauma, and interpersonal issues. My approach focuses on understanding each client’s strengths while providing a safe, supportive environment to explore their emotions and challenges. By fostering collaboration, I empower clients to navigate life's difficulties, improve emotional well-being, and create meaningful change. Together, we work on building resilience and crafting a fulfilling, balanced life that reflects their personal goals and values
I help individuals struggling with mood disorders, anxiety, trauma, and interpersonal issues. My approach focuses on understanding each client’s strengths while providing a safe, supportive environment to explore their emotions and challenges. By fostering collaboration, I empower clients to navigate life's difficulties, improve emotional well-being, and create meaningful change. Together, we work on building resilience and crafting a fulfilling, balanced life that reflects their personal goals and values
(737) 265-2552 View (737) 265-2552
Photo of Jim Whitefield, PhD, Psychologist
Jim Whitefield
Psychologist, PhD
Verified Verified
Austin, TX 78759
I love working with kids and their parents! Loud kids, active kids, mad kids, disruptive kids, depressed or anxious kids, unhappy teenagers with failing grades, school discipline issues or drug/alcohol problems. Whatever the problem, there is usually a fair amount of pain associated with it for everyone in the family. My practice is a safe, nurturing environment for kids and their parents to get help.
I love working with kids and their parents! Loud kids, active kids, mad kids, disruptive kids, depressed or anxious kids, unhappy teenagers with failing grades, school discipline issues or drug/alcohol problems. Whatever the problem, there is usually a fair amount of pain associated with it for everyone in the family. My practice is a safe, nurturing environment for kids and their parents to get help.
(512) 861-8570 View (512) 861-8570
Photo of Hannah Powers- Press Start Therapy, LCSW, Clinical Social Work/Therapist
Hannah Powers- Press Start Therapy
Clinical Social Work/Therapist, LCSW
Verified Verified
6 Endorsed
Austin, TX 78759  (Online Only)
Not accepting new clients
Does it ever feel like no matter how hard you work, it will never be enough? Do you feel disconnected from your sense of self? Do you feel paralyzed with life's challenges or feel that you are somehow behind? Whether you are struggling with your identity, navigating neurodivergence, or looking for extra support through an especially difficult time, I would be honored to guide you with compassion, trust, and honesty towards your goals. Taking the first step can feel like the hardest part, but the good news is that you already have everything within you to overcome life's challenges, heal from past hurts, and live your authentic life.
Does it ever feel like no matter how hard you work, it will never be enough? Do you feel disconnected from your sense of self? Do you feel paralyzed with life's challenges or feel that you are somehow behind? Whether you are struggling with your identity, navigating neurodivergence, or looking for extra support through an especially difficult time, I would be honored to guide you with compassion, trust, and honesty towards your goals. Taking the first step can feel like the hardest part, but the good news is that you already have everything within you to overcome life's challenges, heal from past hurts, and live your authentic life.
(737) 530-7840 View (737) 530-7840
Photo of Leigh Ashley - Leigh Ashley, M.A., LMFT, MA, LMFT, CCTP, Marriage & Family Therapist
Leigh Ashley, M.A., LMFT
Marriage & Family Therapist, MA, LMFT, CCTP
Verified Verified
Austin, TX 78759
I work with adults, couples and families who are experiencing conflict, negative or anxious thoughts, feelings of being "stuck" or hopeless, lonely or insignificant. I also work with individuals and couples seeking infidelity recovery. God has a good plan for everyone but realizing that plan can be difficult today with the myriad of distractions and demands on our time and emotions. Situations like divorce, loss, health, betrayal, and other conditions can compound the struggle. I provide a reorienting, nurturing voice of compassion to walk beside you through those times, to help you appreciate your true self and enjoy life again.
I work with adults, couples and families who are experiencing conflict, negative or anxious thoughts, feelings of being "stuck" or hopeless, lonely or insignificant. I also work with individuals and couples seeking infidelity recovery. God has a good plan for everyone but realizing that plan can be difficult today with the myriad of distractions and demands on our time and emotions. Situations like divorce, loss, health, betrayal, and other conditions can compound the struggle. I provide a reorienting, nurturing voice of compassion to walk beside you through those times, to help you appreciate your true self and enjoy life again.
(512) 890-1497 View (512) 890-1497
Photo of Paul Walters, PhD, Psychologist
Paul Walters
Psychologist, PhD
Verified Verified
Austin, TX 78759  (Online Only)
Not accepting new clients
I am a Psychologist and Cognitive Behavior therapist with over 30 years of experience helping clients with addiction, anxiety, high sensory sensitivity, depression, stress, and anger issues.
I am a Psychologist and Cognitive Behavior therapist with over 30 years of experience helping clients with addiction, anxiety, high sensory sensitivity, depression, stress, and anger issues.
(512) 649-5106 View (512) 649-5106
Photo of Claudia Thompson, LMFT-S, LPC-S, CST-S, Marriage & Family Therapist
Claudia Thompson
Marriage & Family Therapist, LMFT-S, LPC-S, CST-S
Verified Verified
5 Endorsed
Austin, TX 78759
Enhancing Intimacy Counseling provides therapy for couples, individuals, and families seeking to strengthen their relationships and improve their sexual health. Our specialties are sex therapy and relationships, including desire differences, male and female sexual dysfunction, out of control sexual behavior, sexual communication, exploring sexual and gender orientation, erotic template, conflict, and more. Our clients have experienced many types of psychological pain. Associates and Interns are available at convenient hours, for affordable fees.
Enhancing Intimacy Counseling provides therapy for couples, individuals, and families seeking to strengthen their relationships and improve their sexual health. Our specialties are sex therapy and relationships, including desire differences, male and female sexual dysfunction, out of control sexual behavior, sexual communication, exploring sexual and gender orientation, erotic template, conflict, and more. Our clients have experienced many types of psychological pain. Associates and Interns are available at convenient hours, for affordable fees.
(512) 994-2588 View (512) 994-2588
Photo of Theodore A Carlos, MA, LPC, Licensed Professional Counselor
Theodore A Carlos
Licensed Professional Counselor, MA, LPC
Verified Verified
2 Endorsed
Austin, TX 78759
Feeling stuck, angry, depressed, or confused? Are you fed up, with yourself, your partner, or family members? Are you struggling financially? Are looking for a different career or starting one? Are your struggling with school or college? Do you have feelings and thoughts that you do not understand, and don't feel comfortable talking to friends or family about them? These are common experiences for many people in our complicated society. Sometimes people "act out", fall into addictions, just shut down, or make bad decisions. They want change, but are not sure how. That's when counseling and analysis can really help.
Feeling stuck, angry, depressed, or confused? Are you fed up, with yourself, your partner, or family members? Are you struggling financially? Are looking for a different career or starting one? Are your struggling with school or college? Do you have feelings and thoughts that you do not understand, and don't feel comfortable talking to friends or family about them? These are common experiences for many people in our complicated society. Sometimes people "act out", fall into addictions, just shut down, or make bad decisions. They want change, but are not sure how. That's when counseling and analysis can really help.
(512) 883-5015 View (512) 883-5015
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How does your Therapist compare?

Number of Therapists in 78759

600+

Average cost per session

$150

Therapists in 78759 who prioritize treating:

93% Anxiety
87% Depression
75% Self Esteem
71% Relationship Issues
67% Trauma and PTSD
66% Coping Skills
61% Grief

Average years in practice

11 Years

Top 3 insurances accepted

86% Aetna
72% BlueCross and BlueShield
69% Cigna and Evernorth

How Therapists in 78759 see their clients

63% In Person and Online
37% Online Only

Gender breakdown

78% Female
21% Male
1% Non-Binary
FAQs - About Therapy and Counseling

How can I find a therapist in 78759?

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.