Therapists in Houston, TX
![Photo of Elysia Burgess, MA, LPC, Licensed Professional Counselor](https://photos.psychologytoday.com/8364b01e-5cba-4404-8d2e-f0937cebfaf4/1/320x400.jpeg)
Elysia Burgess
Licensed Professional Counselor, MA, LPC
Verified Verified
Houston, TX 77019 (Online Only)
Are you feeling like you don't have anyone you can really be your true self with? Many clients have friends and family they can talk to, but in many cases, receive judgemental, biased feedback. In our sessions, you have the freedom to be who you truly are! My approach focuses on your possibilities for healing, growth, and understanding. My belief is that counseling is a journey we travel together!
Are you feeling like you don't have anyone you can really be your true self with? Many clients have friends and family they can talk to, but in many cases, receive judgemental, biased feedback. In our sessions, you have the freedom to be who you truly are! My approach focuses on your possibilities for healing, growth, and understanding. My belief is that counseling is a journey we travel together!
![Photo of Viola Chavez, LCSW, Clinical Social Work/Therapist](https://photos.psychologytoday.com/3b3b1deb-3067-4866-a594-9eb72f9fa194/1/320x400.png)
Taking that first step is huge and finding the right therapist fit is important. I am passionate about helping adult clients navigate life’s stressors. Many of my clients struggle with identifying and validating their emotional experiences, which impacts all areas of their lives. I work collaboratively with my clients as they learn to cope with life changes, relationship struggles, grief and loss, and complex family relationships. As you learn to better understand yourself and your current coping style, we will work together to develop new strategies to support the struggles that brought you to therapy.
Taking that first step is huge and finding the right therapist fit is important. I am passionate about helping adult clients navigate life’s stressors. Many of my clients struggle with identifying and validating their emotional experiences, which impacts all areas of their lives. I work collaboratively with my clients as they learn to cope with life changes, relationship struggles, grief and loss, and complex family relationships. As you learn to better understand yourself and your current coping style, we will work together to develop new strategies to support the struggles that brought you to therapy.
![Photo of Helena Washington, MEd, LCDC, ICADC , MAC, Drug & Alcohol Counselor](https://photos.psychologytoday.com/7abc564a-6bcd-4e9f-98e3-245c5fc7a4cb/1/320x400.jpeg)
Helena Washington
Drug & Alcohol Counselor, MEd, LCDC, ICADC , MAC
Verified Verified
Houston, TX 77090
Not accepting new clients
Helena Washington has worked in behavioral health for over 25 years. Finding her passion helping individuals and families heal from internal conflict, Helena honed her skills working with co-occurring health challenges, with life adjustment, failure to launch & addiction. With a genuine heart, she focuses on wholistic mental wellness, addiction recovery, the impacted family and associated trauma. While utilizing best practices, striving for positive change, she prides herself on being a culturally sensitive clinician.
Helena Washington has worked in behavioral health for over 25 years. Finding her passion helping individuals and families heal from internal conflict, Helena honed her skills working with co-occurring health challenges, with life adjustment, failure to launch & addiction. With a genuine heart, she focuses on wholistic mental wellness, addiction recovery, the impacted family and associated trauma. While utilizing best practices, striving for positive change, she prides herself on being a culturally sensitive clinician.
![Photo of Margaret Magness](https://photos.psychologytoday.com/59a88480-5998-4534-bb6d-0d375d96d868/1/320x400.jpeg)
I am a Play Therapist passionate about working with children experiencing behavioral issues, oppositional tendencies, anxiety, depression, and life transitions. I use a variety of therapies including Adlerian Play Therapy, Child-Centered Play Therapy, and Parent Child Interaction Therapy. In addition, I am currently pursuing my Registered Play Therapy License to further enhance my skills as a therapist.
I am a Play Therapist passionate about working with children experiencing behavioral issues, oppositional tendencies, anxiety, depression, and life transitions. I use a variety of therapies including Adlerian Play Therapy, Child-Centered Play Therapy, and Parent Child Interaction Therapy. In addition, I am currently pursuing my Registered Play Therapy License to further enhance my skills as a therapist.
![Photo of Kristen Elzey, LPC, Licensed Professional Counselor](https://photos.psychologytoday.com/4bf499d4-98d3-461e-8d41-92cd3e4b63dd/1/320x400.jpeg)
Kristen Elzey
Licensed Professional Counselor, LPC
Verified Verified
Houston, TX 77002 (Online Only)
I am a trauma-focused mental healthcare provider with 7+ years of experience supporting clients through issues related to disaster response/recovery, grief & loss, substance use, homelessness, sexual abuse & domestic violence, and other mental health crises. I am passionate about promoting holistic healing via creativity, physical expression, as well as building and maintaining community connections. While I regularly take on contract roles for disaster mental health relief, my individual work with teletherapy clients keeps me grounded and focused in my clinical practice.
I am a trauma-focused mental healthcare provider with 7+ years of experience supporting clients through issues related to disaster response/recovery, grief & loss, substance use, homelessness, sexual abuse & domestic violence, and other mental health crises. I am passionate about promoting holistic healing via creativity, physical expression, as well as building and maintaining community connections. While I regularly take on contract roles for disaster mental health relief, my individual work with teletherapy clients keeps me grounded and focused in my clinical practice.
![Photo of Laura Lynch, LPC, RPT™, Licensed Professional Counselor](https://photos.psychologytoday.com/a54248b1-843e-484d-a60b-43e5c8d62ab0/2/320x400.jpeg)
Life is full of so many different kinds of stress and unknowns, emotions can be confusing, and thoughts can be scary. The world can often feel unsafe which can lead to us feeling burnt out, disconnected, insecure, anxious, angry, or even at times, hopeless. Learning how to regulate your body, thoughts and emotions will help you navigate stress more effectively and feel more safe and connected. My aim is to guide you to a better understanding of yourself and of the world so you can feel more connected, understood and confident in supporting yourself through life’s struggles.
Life is full of so many different kinds of stress and unknowns, emotions can be confusing, and thoughts can be scary. The world can often feel unsafe which can lead to us feeling burnt out, disconnected, insecure, anxious, angry, or even at times, hopeless. Learning how to regulate your body, thoughts and emotions will help you navigate stress more effectively and feel more safe and connected. My aim is to guide you to a better understanding of yourself and of the world so you can feel more connected, understood and confident in supporting yourself through life’s struggles.
![Photo of Kamili Wade-Reescano, LMFT, Clinical Social Work/Therapist](https://photos.psychologytoday.com/d2bf87ba-152c-4d7a-8b9b-d243ea3811f3/2/320x400.jpeg)
Kamili Wade-Reescano is licensed in Texas as a Marriage and Family Therapist. She started her career in mental health in 2020. As a result of what I do individuals/families experience improved/restored communication, restored trust, increased shared support, changed behavior, overcome problems, and become stronger. I am looking for individuals/families seeking peace, healing, and growth.
Kamili Wade-Reescano is licensed in Texas as a Marriage and Family Therapist. She started her career in mental health in 2020. As a result of what I do individuals/families experience improved/restored communication, restored trust, increased shared support, changed behavior, overcome problems, and become stronger. I am looking for individuals/families seeking peace, healing, and growth.
![Photo of Edward R Davidson, PhD, Psychologist](https://photos.psychologytoday.com/40a434cc-46cd-11ea-a6ad-06142c356176/3/320x400.jpeg)
The initial diagnostic consultation will be for one to two sessions and may include some diagnostic testing. This evaluation will help us to identify the most appropriate evidence based treatment for the specific areas of concern. Cognitive Behavioral Therapy (CBT) for depression and anxiety are some of the evidence based treatments that I commonly provide. My work with families focuses on providing the skills to both children and adolescents, and their parents.
The initial diagnostic consultation will be for one to two sessions and may include some diagnostic testing. This evaluation will help us to identify the most appropriate evidence based treatment for the specific areas of concern. Cognitive Behavioral Therapy (CBT) for depression and anxiety are some of the evidence based treatments that I commonly provide. My work with families focuses on providing the skills to both children and adolescents, and their parents.
![Photo of Nicole Perata - Growing Boundlessly, LMSW](https://photos.psychologytoday.com/481f57ef-0906-4a9e-b0c6-68d33335774f/1/320x400.jpeg)
Growing Boundlessly
Licensed Master Social Worker, LMSW
Verified Verified
Houston, TX 77057 (Online Only)
Not accepting new clients
I am so excited to meet YOU. Of course it's understandable if you have some reservations though. I am passionate about therapy because I have personally and professionally seen the benefits of learning new ways to understand and mitigate stress, depression, anxiety, grief, different types of traumas, substance use, personality disorders such as borderline and obsessive-compulsive disorder, etc. Also, in many cases, communication skills and interpersonal relationships improve. In my opinion, trying therapy as an agent for change is a win–win simply because YOU have an hour to just speak about yourself, how is that a negative?
I am so excited to meet YOU. Of course it's understandable if you have some reservations though. I am passionate about therapy because I have personally and professionally seen the benefits of learning new ways to understand and mitigate stress, depression, anxiety, grief, different types of traumas, substance use, personality disorders such as borderline and obsessive-compulsive disorder, etc. Also, in many cases, communication skills and interpersonal relationships improve. In my opinion, trying therapy as an agent for change is a win–win simply because YOU have an hour to just speak about yourself, how is that a negative?
![Photo of Kelsie Valle, LPC-A, NCC](https://photos.psychologytoday.com/a78a7d3a-fa5f-4dd7-94e2-9bc31a4dafdc/2/320x400.jpeg)
Kelsie Valle
Licensed Professional Counselor Associate, LPC-A, NCC
Verified Verified
Houston, TX 77057
In our practice, we work with individuals and families to create treatment plans to meet their goals. Our holistic approach integrates play therapy techniques and EMDR to heal from past trauma, allowing for the building of brighter futures. We work with all ages, ranging from toddlers to seniors. Our practice is experienced in supporting families from diverse backgrounds, including families with adopted children. Within our practice, we offer music therapy and Yoga services. I personally specialize in working with families and individuals suffering from eating disorders, trauma, and self-harm.
In our practice, we work with individuals and families to create treatment plans to meet their goals. Our holistic approach integrates play therapy techniques and EMDR to heal from past trauma, allowing for the building of brighter futures. We work with all ages, ranging from toddlers to seniors. Our practice is experienced in supporting families from diverse backgrounds, including families with adopted children. Within our practice, we offer music therapy and Yoga services. I personally specialize in working with families and individuals suffering from eating disorders, trauma, and self-harm.
![Photo of Anthony Jackson - Triumph Recovery and Counseling Center , LCSW, LCDC, SAP, CART, Clinical Social Work/Therapist](https://photos.psychologytoday.com/64739510-f9b5-4118-bfa3-616c22ab0945/1/320x400.jpeg)
Triumph Recovery and Counseling Center
Clinical Social Work/Therapist, LCSW, LCDC, SAP, CART
Not Verified Not Verified
Houston, TX 77067
I have a passion for those who are afflicted by substance abuse and mental health issues. This work is my life's mission and I am committed to serving those who are in need of my support. I firmly believe in meeting you where you are by being nonjudgmental. I would love to join you on your journey to being the best version of yourself. See you at the top!
I have a passion for those who are afflicted by substance abuse and mental health issues. This work is my life's mission and I am committed to serving those who are in need of my support. I firmly believe in meeting you where you are by being nonjudgmental. I would love to join you on your journey to being the best version of yourself. See you at the top!
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![Photo of Katherine Marie Miner, LCSW, Clinical Social Work/Therapist](https://photos.psychologytoday.com/213e6d45-8380-4ae8-8d3e-4a485a047273/1/320x400.jpeg)
Katherine Marie Miner
Clinical Social Work/Therapist, LCSW
Verified Verified
Houston, TX 77074 (Online Only)
Not accepting new clients
Hi! My name is Katherine, and I am a Licensed Clinical Social Worker who specializes in working with people who have experienced trauma. Trauma is complex, its not always one clear event that we can point to and say 'see this is the reason I feel and respond to the world around me in this way'. Trauma can impact every part of our everyday experiences, shaping how we see ourselves and the world around us, impacting relationships, careers, and sense of self. I am comfortable meeting you where you are on your journey and I will partner with you in finding the right tools to help you move forward.
Hi! My name is Katherine, and I am a Licensed Clinical Social Worker who specializes in working with people who have experienced trauma. Trauma is complex, its not always one clear event that we can point to and say 'see this is the reason I feel and respond to the world around me in this way'. Trauma can impact every part of our everyday experiences, shaping how we see ourselves and the world around us, impacting relationships, careers, and sense of self. I am comfortable meeting you where you are on your journey and I will partner with you in finding the right tools to help you move forward.
Beverly La Fleur
Licensed Professional Counselor, MA, LPC
Verified Verified
Houston, TX 77022 (Online Only)
Throughout our journey together, I will provide you with acceptance, understanding, guidance, and practical solutions to improve your mental well-being. You can expect to gain insight into gaps in your own thinking, coping mechanisms, and improve your overall quality of life. Beverly Book with me now by clicking on my website
Throughout our journey together, I will provide you with acceptance, understanding, guidance, and practical solutions to improve your mental well-being. You can expect to gain insight into gaps in your own thinking, coping mechanisms, and improve your overall quality of life. Beverly Book with me now by clicking on my website
![Photo of Yara Castillo, LPC, Licensed Professional Counselor](https://photos.psychologytoday.com/c49ef132-9767-4161-b740-8ee558f15511/2/320x400.jpeg)
Yara Castillo
Licensed Professional Counselor, LPC
Verified Verified
Houston, TX 77070 (Online Only)
I graduated from the University of Houston with an MEd in Counseling. I am passionate about helping others feel heard and validated. I have extensive experience working with populations with chronic mental illness. I have worked in inpatient hospital settings, partial hospitalization programs, intensive outpatient programs, and group and private practices. My style is Eclectic as I use a variety of therapeutic styles and interventions during sessions, such as Cognitive Behavioral therapy, Solution-Focused therapy, Mindfulness, Attachment-Based therapy and Strengths-Based therapy.
I graduated from the University of Houston with an MEd in Counseling. I am passionate about helping others feel heard and validated. I have extensive experience working with populations with chronic mental illness. I have worked in inpatient hospital settings, partial hospitalization programs, intensive outpatient programs, and group and private practices. My style is Eclectic as I use a variety of therapeutic styles and interventions during sessions, such as Cognitive Behavioral therapy, Solution-Focused therapy, Mindfulness, Attachment-Based therapy and Strengths-Based therapy.
![Photo of Daria Dugar, MS, LPC, Licensed Professional Counselor](https://photos.psychologytoday.com/7549425b-f48b-4437-bdf2-a7d6f6164ee2/1/320x400.jpeg)
Daria Dugar
Licensed Professional Counselor, MS, LPC
Verified Verified
1 Endorsed
Houston, TX 77070 (Online Only)
Raise your hand if you've been you struggling with anxiety, depression, loss of meaning for life, and/or lack of mindfulness skills? Raise your hand if you've let external factors control your feelings, thoughts, and actions causing you to be reactive more often than not. (Go ahead, this is a judgment-free zone!) Struggling with life's trials and external triggers can be hard to handle alone. Now, raise your hand if you want to be more proactive instead of reactive to external challenges. (Go ahead, raise that hand!) Good news! You're on the right track by creating a therapeutic space for your thoughts and feels to heal and grow.
Raise your hand if you've been you struggling with anxiety, depression, loss of meaning for life, and/or lack of mindfulness skills? Raise your hand if you've let external factors control your feelings, thoughts, and actions causing you to be reactive more often than not. (Go ahead, this is a judgment-free zone!) Struggling with life's trials and external triggers can be hard to handle alone. Now, raise your hand if you want to be more proactive instead of reactive to external challenges. (Go ahead, raise that hand!) Good news! You're on the right track by creating a therapeutic space for your thoughts and feels to heal and grow.
![Photo of Connie Abel-Villasmil, LCSW, Clinical Social Work/Therapist](https://photos.psychologytoday.com/503178f9-46cd-11ea-a6ad-06142c356176/2/320x400.jpeg)
My main goal is to be a supportive figure who is willing to listen and work together to navigate life. I specialize working with adult individuals, families, children, adolescents and young adults. From working at Menninger Clinic to the public health care system in the greater Houston area, I have a diverse understanding of people from all walks of life.
My main goal is to be a supportive figure who is willing to listen and work together to navigate life. I specialize working with adult individuals, families, children, adolescents and young adults. From working at Menninger Clinic to the public health care system in the greater Houston area, I have a diverse understanding of people from all walks of life.
![Photo of Online Virtual Therapy With Kimberly Allison, LMHC](https://photos.psychologytoday.com/484906e7-e18a-45f6-8b55-ae89a6da3536/2/320x400.jpeg)
Book with me now by clicking on my website! Are you feeling stuck in negative thoughts, intense emotions, or behavioral patterns that don't serve your best interest? Are you hoping to build more meaning and joy in your life? You may feel hesitant about reaching out for help, especially with pressure from all directions to "have it all together". I'm here to join you on this journey to discover healing and build a balanced life.
Book with me now by clicking on my website! Are you feeling stuck in negative thoughts, intense emotions, or behavioral patterns that don't serve your best interest? Are you hoping to build more meaning and joy in your life? You may feel hesitant about reaching out for help, especially with pressure from all directions to "have it all together". I'm here to join you on this journey to discover healing and build a balanced life.
![Photo of Dorothy Leahy, LPC, Licensed Professional Counselor](https://photos.psychologytoday.com/8549cf74-86da-479f-91fc-d2cfd95422c6/2/320x400.jpeg)
Dorothy Is a licensed professional counselor who holds a certificate in clinical mental health counseling from Lamar University, and MEd. In school counseling from Lamar University and a bachelor of science degree in elementary interdisciplinary studies from the University of Houston.
Dorothy Is a licensed professional counselor who holds a certificate in clinical mental health counseling from Lamar University, and MEd. In school counseling from Lamar University and a bachelor of science degree in elementary interdisciplinary studies from the University of Houston.
![Photo of Acura Blaylock, BA, MS, LPC-A, Licensed Professional Counselor](https://photos.psychologytoday.com/bf78aff6-e6d8-4a23-9acb-edf27088f9e8/3/320x400.png)
Acura Blaylock
Licensed Professional Counselor, BA, MS, LPC-A
Verified Verified
1 Endorsed
Houston, TX 77079 (Online Only)
First time in therapy? I'd be happy to walk with you on your journey. I am a Licensed Professional Counselor Associate interested in safety, genuine connections, and supporting others. My goal is to create a sense of awareness and acceptance throughout this process. I look at the client as a whole and establish goals that fit into your life. I encourage healthy communication patterns, facilitate a safe space for processing, and guide you toward meaning and purpose.
First time in therapy? I'd be happy to walk with you on your journey. I am a Licensed Professional Counselor Associate interested in safety, genuine connections, and supporting others. My goal is to create a sense of awareness and acceptance throughout this process. I look at the client as a whole and establish goals that fit into your life. I encourage healthy communication patterns, facilitate a safe space for processing, and guide you toward meaning and purpose.
![Photo of Stacie Maze, LPC, Licensed Professional Counselor](https://photos.psychologytoday.com/8415b556-6c32-469f-9d5c-bbe935a1bf15/2/320x400.jpeg)
Hi, I am a Licensed Professional Counselor in Texas and Oklahoma. I have a Master is Counseling Psychology and have been practicing for the last 19 years. I have worked with Active Duty Military and their families, Children, Adolescents, Adults in a variety of settings. I have also been a Director at a two outpatients clinics where I mentored and lead therapeutic services.
Hi, I am a Licensed Professional Counselor in Texas and Oklahoma. I have a Master is Counseling Psychology and have been practicing for the last 19 years. I have worked with Active Duty Military and their families, Children, Adolescents, Adults in a variety of settings. I have also been a Director at a two outpatients clinics where I mentored and lead therapeutic services.
See more therapy options for Houston
How does your Therapist compare?
Number of Therapists in Houston, TX
3,000+
Average cost per session
$135
Therapists in Houston, TX who prioritize treating:
92% | Anxiety |
87% | Depression |
73% | Self Esteem |
70% | Coping Skills |
66% | Relationship Issues |
65% | Stress |
64% | Trauma and PTSD |
Average years in practice
9 Years
Top 3 insurances accepted
87% | Aetna |
81% | Cigna and Evernorth |
78% | UnitedHealthcare UHC | UBH |
How Therapists in Houston, TX see their clients
52% | In Person and Online | |
48% | Online Only |
Gender breakdown
81% | Female | |
18% | Male | |
1% | Non-Binary |
FAQs - About Therapy and Counseling
How can I find a therapist in Houston?
Search for nearby therapists or counselors by inputting your city, town, or suburb; or zip code; or a provider’s name into the search bar. From there, you can filter providers by the issues they treat, cost, insurance, gender, and other factors to find providers who are well-suited to your needs. To navigate between locations within the same country, enter a new city or zip code into the search bar.
Learn more about how to find a therapist
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.
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.
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.