Therapists in Shenandoah, TX

Photo of Stephanie A Chavez, MA, LPC, LCDC-I, Licensed Professional Counselor
Stephanie A Chavez
Licensed Professional Counselor, MA, LPC, LCDC-I
Verified Verified
Shenandoah, TX 77385
Imagine a reality where you understand yourself so well that your thoughts and feelings make sense. Imagine feeling in control of yourself and your life in a way that actually allows you to work toward and accomplish the goals you set for yourself. The path to the life you want is available to you, but not without barriers. I can help you navigate through obstacles that will ultimately reveal a resilient and empowered version of you that you may not yet be acquainted with. If you're feeling stuck, I can help you consider new possibilities for your life.
Imagine a reality where you understand yourself so well that your thoughts and feelings make sense. Imagine feeling in control of yourself and your life in a way that actually allows you to work toward and accomplish the goals you set for yourself. The path to the life you want is available to you, but not without barriers. I can help you navigate through obstacles that will ultimately reveal a resilient and empowered version of you that you may not yet be acquainted with. If you're feeling stuck, I can help you consider new possibilities for your life.
(936) 243-5840 View (936) 243-5840
Photo of Amanda Rhodes, LCSW, Clinical Social Work/Therapist
Amanda Rhodes
Clinical Social Work/Therapist, LCSW
Verified Verified
2 Endorsed
Shenandoah, TX 77385
Have you been searching for a compassionate, inquisitive, motivated therapist who is highly in-tuned with the needs of others? Do you feel overwhelmed and in need of additional support with your child or teen's specific concerns? Are you a young adult in need of direction and a space to open up about your issues or plans for the future? I welcome all walks of life with an emphasis on children ages 5-17, their caregivers, and young adults who have interest in discovering more for their journey in life.
Have you been searching for a compassionate, inquisitive, motivated therapist who is highly in-tuned with the needs of others? Do you feel overwhelmed and in need of additional support with your child or teen's specific concerns? Are you a young adult in need of direction and a space to open up about your issues or plans for the future? I welcome all walks of life with an emphasis on children ages 5-17, their caregivers, and young adults who have interest in discovering more for their journey in life.
(936) 508-2523 View (936) 508-2523
Photo of Katie Biggs, MA, LPA, Psychological Associate
Katie Biggs
Psychological Associate, MA, LPA
Verified Verified
2 Endorsed
Shenandoah, TX 77384
Are you feeling overwhelmed? Having trouble coping with life stressors or finding your identity? Ready to take the first step of finding support on your journey to better mental health? As a clinician, I am passionate about meeting you where you are and helping you discover your most authentic self. While prioritizing a positive therapeutic relationship, I use an eclectic approach to tailor treatment to your unique needs. I want you to feel understood and valued while we collaborate to develop the tools needed to cope with your challenges, set healthy boundaries, and increase your quality of life.
Are you feeling overwhelmed? Having trouble coping with life stressors or finding your identity? Ready to take the first step of finding support on your journey to better mental health? As a clinician, I am passionate about meeting you where you are and helping you discover your most authentic self. While prioritizing a positive therapeutic relationship, I use an eclectic approach to tailor treatment to your unique needs. I want you to feel understood and valued while we collaborate to develop the tools needed to cope with your challenges, set healthy boundaries, and increase your quality of life.
(936) 289-3113 View (936) 289-3113
Photo of Brooke Johnson, MMFT, LPC, Licensed Professional Counselor
Brooke Johnson
Licensed Professional Counselor, MMFT, LPC
Verified Verified
2 Endorsed
Shenandoah, TX 77384
I am passionate about working with people who want to find their most authentic selves. I work to meet people where they are and to help them learn tools to reach the goals they set for themselves. I work with individuals, adults and adolescents, as well as couples. I am an eclectic therapist and individualize therapy to what the clients needs. I have extensive training in addictions and is excited about the opportunity to work with clients to help them envision the life they want. The best part of my job is when I get to see progress a client makes. 18+.
I am passionate about working with people who want to find their most authentic selves. I work to meet people where they are and to help them learn tools to reach the goals they set for themselves. I work with individuals, adults and adolescents, as well as couples. I am an eclectic therapist and individualize therapy to what the clients needs. I have extensive training in addictions and is excited about the opportunity to work with clients to help them envision the life they want. The best part of my job is when I get to see progress a client makes. 18+.
(281) 519-6769 View (281) 519-6769
Photo of Amanda Schramm, MA, LPC, Licensed Professional Counselor
Amanda Schramm
Licensed Professional Counselor, MA, LPC
Verified Verified
1 Endorsed
Shenandoah, TX 77384
Hi! My name is Mandy Schramm. I've been working in the mental health field since 2015, but practicing counseling since 2020. I have Master's degrees in both Psychology and Clinical Mental Health Counseling. My background mainly has been working with adolescents in residential and inpatient settings struggling with mental health and behavioral issues. My work with adolescents in long term programs has afforded me the opportunity to see how different environments and family systems shape youth growth and needs. I also work with adults struggling with mental health, ineffective coping skills, poor social supports, and trauma.
Hi! My name is Mandy Schramm. I've been working in the mental health field since 2015, but practicing counseling since 2020. I have Master's degrees in both Psychology and Clinical Mental Health Counseling. My background mainly has been working with adolescents in residential and inpatient settings struggling with mental health and behavioral issues. My work with adolescents in long term programs has afforded me the opportunity to see how different environments and family systems shape youth growth and needs. I also work with adults struggling with mental health, ineffective coping skills, poor social supports, and trauma.
(936) 220-3725 View (936) 220-3725
Photo of Kevin Houston, MA, LPC, Licensed Professional Counselor
Kevin Houston
Licensed Professional Counselor, MA, LPC
Verified Verified
Shenandoah, TX 77384
I provide support for adolescents, adults and adult partnerships experiencing disturbance due to excessive or uncontrolled worry, anger, irritability, sadness etc. I offer guidance and support to the client on their journey to improve their mental health wellness by developing their ability to process experiences and thoughts.
I provide support for adolescents, adults and adult partnerships experiencing disturbance due to excessive or uncontrolled worry, anger, irritability, sadness etc. I offer guidance and support to the client on their journey to improve their mental health wellness by developing their ability to process experiences and thoughts.
(936) 312-3386 View (936) 312-3386
Photo of Andrea Shiflet, MS, LMFT-S, Marriage & Family Therapist
Andrea Shiflet
Marriage & Family Therapist, MS, LMFT-S
Verified Verified
Shenandoah, TX 77384
One of the reasons that life can be so difficult is that people forget to make THEMSELVES a priority! If we are not healthy, life can become extremely challenging! I want to help you become the absolute best version of yourself and discover the miracles that can happen in your life when you learn to love yourself as much as you love others. My primary passion lies in addiction counseling. I have extensive experience working with individuals, families and couples that have experienced the difficulties of loving someone with an addiction.
One of the reasons that life can be so difficult is that people forget to make THEMSELVES a priority! If we are not healthy, life can become extremely challenging! I want to help you become the absolute best version of yourself and discover the miracles that can happen in your life when you learn to love yourself as much as you love others. My primary passion lies in addiction counseling. I have extensive experience working with individuals, families and couples that have experienced the difficulties of loving someone with an addiction.
(936) 279-2859 View (936) 279-2859
Photo of Carla Houston, MA, LPC, Licensed Professional Counselor
Carla Houston
Licensed Professional Counselor, MA, LPC
Verified Verified
Shenandoah, TX 77384
I specialize in treating anxiety, depression, and trauma, working collaboratively with clients to develop coping strategies and foster resilience. I am committed to creating a safe, compassionate, and non-judgmental environment where clients feel heard and understood. I look forward to the opportunity to support you in achieving your mental health goals.
I specialize in treating anxiety, depression, and trauma, working collaboratively with clients to develop coping strategies and foster resilience. I am committed to creating a safe, compassionate, and non-judgmental environment where clients feel heard and understood. I look forward to the opportunity to support you in achieving your mental health goals.
(936) 233-9444 View (936) 233-9444
Photo of Jessica Preston, MEd
Jessica Preston
LPC Associate, MEd
Verified Verified
1 Endorsed
Shenandoah, TX 77385
Teens want to be heard and understood. They are facing an abundance of obstacles that they need help navigating. I’m here to do just that. I use an empathetic, non-judgmental approach to connect with my clients and determine the best methods to use to help them reach their therapeutic goals. I have found that including the family in this process has not only been beneficial for the client but the entire family as a whole.
Teens want to be heard and understood. They are facing an abundance of obstacles that they need help navigating. I’m here to do just that. I use an empathetic, non-judgmental approach to connect with my clients and determine the best methods to use to help them reach their therapeutic goals. I have found that including the family in this process has not only been beneficial for the client but the entire family as a whole.
(281) 688-9155 View (281) 688-9155
Photo of Shelby Doyle, LCSW-S, Clinical Social Work/Therapist
Shelby Doyle
Clinical Social Work/Therapist, LCSW-S
Verified Verified
1 Endorsed
Shenandoah, TX 77384
Are you feeling overwhelmed? Are you having difficulty coping with life stressors? Do you want to be more intentional about how you take care of yourself? Are you struggling to find meaning or joy in your daily life? As a counselor, I’m passionate about creating positive therapeutic relationships that allow clients to draw upon their own strengths to develop coping skills that fit their lifestyle, set healthy boundaries, and increase their overall wellness and quality of life. I want my clients to feel seen, heard and understood to live their happiest and healthiest lives.
Are you feeling overwhelmed? Are you having difficulty coping with life stressors? Do you want to be more intentional about how you take care of yourself? Are you struggling to find meaning or joy in your daily life? As a counselor, I’m passionate about creating positive therapeutic relationships that allow clients to draw upon their own strengths to develop coping skills that fit their lifestyle, set healthy boundaries, and increase their overall wellness and quality of life. I want my clients to feel seen, heard and understood to live their happiest and healthiest lives.
(936) 215-8113 View (936) 215-8113
Photo of Kristen Nicole Skowronski, MS, LMFT-A, Marriage & Family Therapist Associate
Kristen Nicole Skowronski
Marriage & Family Therapist Associate, MS, LMFT-A
Verified Verified
Shenandoah, TX 77385
Do you feel that the relationship you and your partner dreamed of may be slipping away? Searching for reconnection? You may be fed up with arguments interfering with family time, feeling misunderstood or alone. It may be getting more difficult to remember a time when things didn’t feel this way. But one thing is for sure: you’re ready for change. To learn to create improved patterns in your communication. Most of all, you’re ready to establish peace and love in your relationship again.
Do you feel that the relationship you and your partner dreamed of may be slipping away? Searching for reconnection? You may be fed up with arguments interfering with family time, feeling misunderstood or alone. It may be getting more difficult to remember a time when things didn’t feel this way. But one thing is for sure: you’re ready for change. To learn to create improved patterns in your communication. Most of all, you’re ready to establish peace and love in your relationship again.
(936) 209-7259 View (936) 209-7259
Photo of Lady Joana Martinez, MEd, LPC, Licensed Professional Counselor
Lady Joana Martinez
Licensed Professional Counselor, MEd, LPC
Verified Verified
Shenandoah, TX 77385
I am a bilingual Licensed Professional Counselor licensed in Texas, with experience in both private practice and high school counseling. As a first-generation immigrant, I deeply value the role that cultural values play in guiding individuals on their path to self-healing. My passion lies in working with late adolescents and adults who are facing challenges such as anxiety, depression, grief, or trauma. I support my clients in developing practical skills and finding the tools that best suit their unique lifestyles, enabling them to thrive in their personal and professional lives.
I am a bilingual Licensed Professional Counselor licensed in Texas, with experience in both private practice and high school counseling. As a first-generation immigrant, I deeply value the role that cultural values play in guiding individuals on their path to self-healing. My passion lies in working with late adolescents and adults who are facing challenges such as anxiety, depression, grief, or trauma. I support my clients in developing practical skills and finding the tools that best suit their unique lifestyles, enabling them to thrive in their personal and professional lives.
(832) 900-3855 View (832) 900-3855
Photo of Enobong J Inyang, PhD, LPC-S, NCC, Licensed Professional Counselor
Enobong J Inyang
Licensed Professional Counselor, PhD, LPC-S, NCC
Verified Verified
Shenandoah, TX 77385
I believe, from personal experiences, years of practice & teaching, that anyone can be empowered to face life challenges. Empowered individuals are resilient & able to bounce back from adversities. My main focus is to empower you & your loved ones to overcome challenges. As a professor for 8 years, I have trained & supervised hundreds of graduate students on evidence-based practices, positive psychology, Strength-based approaches, CBT, Trauma Focused CBT, DBT, & integration of music & spirituality into counseling. CBT & Adlerian are my overarching modalities upon which I integrate other interventions tailored to clients' needs.
I believe, from personal experiences, years of practice & teaching, that anyone can be empowered to face life challenges. Empowered individuals are resilient & able to bounce back from adversities. My main focus is to empower you & your loved ones to overcome challenges. As a professor for 8 years, I have trained & supervised hundreds of graduate students on evidence-based practices, positive psychology, Strength-based approaches, CBT, Trauma Focused CBT, DBT, & integration of music & spirituality into counseling. CBT & Adlerian are my overarching modalities upon which I integrate other interventions tailored to clients' needs.
(936) 251-0619 View (936) 251-0619
Photo of Rhonda Bullard, MA, LPC, Licensed Professional Counselor
Rhonda Bullard
Licensed Professional Counselor, MA, LPC
Verified Verified
1 Endorsed
Shenandoah, TX 77385
Connect with a counselor when you have reached your capacity to cope with the complexities of life. Many who experience behavioral health challenges or developmental disabilities may feel disconnected, lonely, empty, overwhelmed, or moved to avoid pain in unhealthy ways. I help clients develop healthy decision-making skills to move along their path to healing and wellness. I provide treatment and support to children, adolescents, adults, and families. In therapy we work together to develop practical skills to connect to what is meaningful and purposeful for the client.
Connect with a counselor when you have reached your capacity to cope with the complexities of life. Many who experience behavioral health challenges or developmental disabilities may feel disconnected, lonely, empty, overwhelmed, or moved to avoid pain in unhealthy ways. I help clients develop healthy decision-making skills to move along their path to healing and wellness. I provide treatment and support to children, adolescents, adults, and families. In therapy we work together to develop practical skills to connect to what is meaningful and purposeful for the client.
(832) 979-2695 View (832) 979-2695
Photo of Dr. Efrain Uribe, PhD, LPC-S, Licensed Professional Counselor
Dr. Efrain Uribe
Licensed Professional Counselor, PhD, LPC-S
Verified Verified
1 Endorsed
Shenandoah, TX 77385
Are you feeling overwhelmed? Like just going through the motions? Change is possible. Therapy is a courageous way to seek help and find balance in your life. My name is Efrain Uribe, and my goal is to help individuals live fulfilling lives and be content with themselves.
Are you feeling overwhelmed? Like just going through the motions? Change is possible. Therapy is a courageous way to seek help and find balance in your life. My name is Efrain Uribe, and my goal is to help individuals live fulfilling lives and be content with themselves.
(281) 698-7788 View (281) 698-7788
Photo of Ainsley Winter, LPC-A, NCC
Ainsley Winter
LPC Associate, LPC-A, NCC
Verified Verified
Shenandoah, TX 77384
It is a courageous decision to take the step to work on yourself and create the life that you hope for. It would be a pleasure to walk with you through your journey to become a better you. As a team, we will develop a collaborative viewpoint where we can explore and process any difficulties related to work, relationships, life changes, learn critical life skills, and create meaningful connections in your life. My passions include creating a safe place to talk about anything that you want to work through, and breaking the stigma of mental illnesses.
It is a courageous decision to take the step to work on yourself and create the life that you hope for. It would be a pleasure to walk with you through your journey to become a better you. As a team, we will develop a collaborative viewpoint where we can explore and process any difficulties related to work, relationships, life changes, learn critical life skills, and create meaningful connections in your life. My passions include creating a safe place to talk about anything that you want to work through, and breaking the stigma of mental illnesses.
(936) 278-1629 View (936) 278-1629
Photo of Breona Merritt, LCSW, Clinical Social Work/Therapist
Breona Merritt
Clinical Social Work/Therapist, LCSW
Verified Verified
Shenandoah, TX 77385
Do you often find yourself feeling burdened by stress that seems never-ending? Are you having difficulty concentrating or experiencing consistently low energy levels? Are you paralyzed by fear in social situations or when facing heightened stress? Perhaps you frequently withdraw from social interactions, yet you yearn for a sense of belonging and community deep down. You may often doubt your own value and feel like others don't truly understand you. Imagine having access to compassionate guidance and practical tools tailored specifically to your experiences.
Do you often find yourself feeling burdened by stress that seems never-ending? Are you having difficulty concentrating or experiencing consistently low energy levels? Are you paralyzed by fear in social situations or when facing heightened stress? Perhaps you frequently withdraw from social interactions, yet you yearn for a sense of belonging and community deep down. You may often doubt your own value and feel like others don't truly understand you. Imagine having access to compassionate guidance and practical tools tailored specifically to your experiences.
(281) 377-6721 View (281) 377-6721
Photo of Kasie Ennis, MS, LPC, NCC, EMDR, Licensed Professional Counselor
Kasie Ennis
Licensed Professional Counselor, MS, LPC, NCC, EMDR
Verified Verified
4 Endorsed
Shenandoah, TX 77385
I am dedicated to helping women, new mothers, and young adults find healing, emotional balance, relief from overwhelm, and renewed confidence as they embrace change. Whether you're navigating anxiety, relationship challenges, the transition into motherhood, or unresolved trauma, you weren't designed to face these challenges alone. I believe that with appropriate support and sufficient time, everyone has the potential to achieve and sustain mental and emotional well-being. Together, we will work collaboratively to support your journey, set meaningful treatment goals, and help you experience relief and hope for a brighter future.
I am dedicated to helping women, new mothers, and young adults find healing, emotional balance, relief from overwhelm, and renewed confidence as they embrace change. Whether you're navigating anxiety, relationship challenges, the transition into motherhood, or unresolved trauma, you weren't designed to face these challenges alone. I believe that with appropriate support and sufficient time, everyone has the potential to achieve and sustain mental and emotional well-being. Together, we will work collaboratively to support your journey, set meaningful treatment goals, and help you experience relief and hope for a brighter future.
(936) 213-9721 View (936) 213-9721
Photo of Juana McKinney, LCSW, Clinical Social Work/Therapist
Juana McKinney
Clinical Social Work/Therapist, LCSW
Verified Verified
Shenandoah, TX 77385
I help women work through trauma that may cause anxiety, depression and/or PTSD. Together we'll develop tools to manage emotions, regain control, develop strong boundaries, build self-esteem, and improve communication skills. My aim is to support clients throughout their journey as they strive to rediscover or establish a sense of self, overcome effects of trauma, and embrace a fulfilled life. Not ready to dive into your past just yet? That's perfectly okay, I'll meet you where you are in your journey and we will work through present day issues together.
I help women work through trauma that may cause anxiety, depression and/or PTSD. Together we'll develop tools to manage emotions, regain control, develop strong boundaries, build self-esteem, and improve communication skills. My aim is to support clients throughout their journey as they strive to rediscover or establish a sense of self, overcome effects of trauma, and embrace a fulfilled life. Not ready to dive into your past just yet? That's perfectly okay, I'll meet you where you are in your journey and we will work through present day issues together.
(713) 804-6179 View (713) 804-6179
Photo of Paige Ingersoll - Paige Ingersoll LPC-Associate , MA
Paige Ingersoll LPC-Associate
Licensed Professional Counselor Associate, MA
Verified Verified
Shenandoah, TX 77384
If you’ve ever thought, “I’m just not sure what to do anymore. I’m overwhelmed, and I think I could use some help, " I believe this is one of the most powerful realizations we can have. And to act on that realization takes courage and strength. From my own experiences of grief, losses, and various changes throughout my life, I am familiar with how challenging it can be to reach out to others when in need. That is why, as a counselor, I am honored to walk with each client. I received my Master’s degree in Clinical Mental Health Counseling in 2023. I'm an LPC - Associate supervised by Cortnee Wright, M.A., LPC-S.
If you’ve ever thought, “I’m just not sure what to do anymore. I’m overwhelmed, and I think I could use some help, " I believe this is one of the most powerful realizations we can have. And to act on that realization takes courage and strength. From my own experiences of grief, losses, and various changes throughout my life, I am familiar with how challenging it can be to reach out to others when in need. That is why, as a counselor, I am honored to walk with each client. I received my Master’s degree in Clinical Mental Health Counseling in 2023. I'm an LPC - Associate supervised by Cortnee Wright, M.A., LPC-S.
(713) 597-6506 View (713) 597-6506

How does your Therapist compare?

Number of Therapists in Shenandoah, TX

100+

Average cost per session

$125

Therapists in Shenandoah, TX who prioritize treating:

95% Anxiety
88% Depression
67% Coping Skills
64% Self Esteem
63% Trauma and PTSD
59% Grief
52% Life Transitions

Average years in practice

6 Years

Top 3 insurances accepted

90% Cigna and Evernorth
86% Aetna
78% BlueCross and BlueShield

How Therapists in Shenandoah, TX see their clients

54% Online Only
46% In Person and Online

Gender breakdown

78% Female
22% Male
FAQs - About Therapy and Counseling

How can I find a therapist in Shenandoah?

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.