Therapists in West University, Austin, TX

Photo of Sally Evans, MEd, LPC, Licensed Professional Counselor
Sally Evans
Licensed Professional Counselor, MEd, LPC
Verified Verified
West University, Austin, TX 78705  (Online Only)
Is anyone ANXIOUS out there?! I think I heard a resounding "YES!" What a stressful, uncertain time we are in now...COVID, global warming, conflicts everywhere - between politicians, neighbors, countries, etc. I specialize in anxiety management, but I find that it is a big umbrella issue that includes many other things, so I talk to my clients about the circumstances, relationships, ways of thinking that contribute to their stress. Each person is unique, and I try to match my approach to their needs. I also like to have fun with my clients. Therapy with me isn't all about gloom and doom. It's about positive change!
Is anyone ANXIOUS out there?! I think I heard a resounding "YES!" What a stressful, uncertain time we are in now...COVID, global warming, conflicts everywhere - between politicians, neighbors, countries, etc. I specialize in anxiety management, but I find that it is a big umbrella issue that includes many other things, so I talk to my clients about the circumstances, relationships, ways of thinking that contribute to their stress. Each person is unique, and I try to match my approach to their needs. I also like to have fun with my clients. Therapy with me isn't all about gloom and doom. It's about positive change!
(737) 259-4955 View (737) 259-4955
Photo of Nelson Smith, LCSW, Clinical Social Work/Therapist
Nelson Smith
Clinical Social Work/Therapist, LCSW
Verified Verified
West University, Austin, TX 78705  (Online Only)
Not accepting new clients
As a therapist, I am dedicated to providing a safe and supportive environment for my clients to explore their thoughts, feelings, and emotions. I have a strong background in social work and counseling, with years of experience helping individuals navigate through challenges such as anxiety, depression, trauma, and relationship issues
As a therapist, I am dedicated to providing a safe and supportive environment for my clients to explore their thoughts, feelings, and emotions. I have a strong background in social work and counseling, with years of experience helping individuals navigate through challenges such as anxiety, depression, trauma, and relationship issues
(737) 299-8985 View (737) 299-8985
Photo of Lisa K. Wheeler, MA, LPC, Licensed Professional Counselor
Lisa K. Wheeler
Licensed Professional Counselor, MA, LPC
Verified Verified
West University, Austin, TX 78751  (Online Only)
Do you often feel misunderstood? Have you been told to toughen up because you are "too sensitive"? Do you long to feel closer to others but feel overwhelmed by the task? Having the capacity for depth and complexity can be difficult to navigate in our competitive, linear-oriented, results-driven culture. Knowing and accepting yourself for simply "you" (not who others think you should be) is an important practice to cultivate and will help release toxic stress and shame, allowing you to connect more deeply with yourself and others.
Do you often feel misunderstood? Have you been told to toughen up because you are "too sensitive"? Do you long to feel closer to others but feel overwhelmed by the task? Having the capacity for depth and complexity can be difficult to navigate in our competitive, linear-oriented, results-driven culture. Knowing and accepting yourself for simply "you" (not who others think you should be) is an important practice to cultivate and will help release toxic stress and shame, allowing you to connect more deeply with yourself and others.
(512) 969-6454 View (512) 969-6454
Photo of Jessica Cummings, LCSW, Clinical Social Work/Therapist
Jessica Cummings
Clinical Social Work/Therapist, LCSW
Verified Verified
1 Endorsed
West University, Austin, TX 78705  (Online Only)
I graduated with a Masters in Social Work from Texas State University in 2020. Since 2020, I have been working in community mental health, primarily with adults with a history of chronic homelessness to support them in navigating their transition into housing and the all of the change that comes with that transition. During this time, I have helped people with anxiety, depression, ADHD, and PTSD (and more) create positive change and feel empowered in their lives. Outside of this role, I find that I especially enjoy working with people who feel unseen, unheard, and like they "don't quite fit" anywhere.
I graduated with a Masters in Social Work from Texas State University in 2020. Since 2020, I have been working in community mental health, primarily with adults with a history of chronic homelessness to support them in navigating their transition into housing and the all of the change that comes with that transition. During this time, I have helped people with anxiety, depression, ADHD, and PTSD (and more) create positive change and feel empowered in their lives. Outside of this role, I find that I especially enjoy working with people who feel unseen, unheard, and like they "don't quite fit" anywhere.
(888) 599-8158 View (888) 599-8158
Photo of Madalyn Ruble, LCSW , Clinical Social Work/Therapist
Madalyn Ruble
Clinical Social Work/Therapist, LCSW
Verified Verified
2 Endorsed
West University, Austin, TX 78705  (Online Only)
Hi there! I'm Madalyn - a licensed therapist - I am so glad you're here! With a background in both medical & mental health settings, I've had the privilege of working with individuals across various age groups. My main goal is to cultivate a safe & supportive environment where you can truly feel understood & valued. Whether you're grappling with anxiety, chronic illness, or navigating significant life changes like a recent diagnosis or breakup, I am here to provide guidance & support every step of the way.
Hi there! I'm Madalyn - a licensed therapist - I am so glad you're here! With a background in both medical & mental health settings, I've had the privilege of working with individuals across various age groups. My main goal is to cultivate a safe & supportive environment where you can truly feel understood & valued. Whether you're grappling with anxiety, chronic illness, or navigating significant life changes like a recent diagnosis or breakup, I am here to provide guidance & support every step of the way.
(346) 421-0666 View (346) 421-0666
Photo of Dr. Sharon Michelle Edmond, EdD, LPC-S, Licensed Professional Counselor
Dr. Sharon Michelle Edmond
Licensed Professional Counselor, EdD, LPC-S
Verified Verified
1 Endorsed
West University, Austin, TX 78705  (Online Only)
Are you feeling overwhelmed, stuck, or disconnected? You don’t have to navigate these feelings alone. I’m here to help you explore your inner world and find the clarity and peace you deserve. Whether you’re dealing with anxiety, depression, relationship issues, or simply seeking personal growth, therapy can be a powerful tool for transformation.
Are you feeling overwhelmed, stuck, or disconnected? You don’t have to navigate these feelings alone. I’m here to help you explore your inner world and find the clarity and peace you deserve. Whether you’re dealing with anxiety, depression, relationship issues, or simply seeking personal growth, therapy can be a powerful tool for transformation.
Photo of Jenna L. Steen, MA, Licensed Professional Counselor
Jenna L. Steen
Licensed Professional Counselor, MA
Verified Verified
4 Endorsed
West University, Austin, TX 78705  (Online Only)
People come to therapy for all sorts of reasons. Perhaps you struggle with unwanted behavior patterns or difficulties in your relationships. Maybe you’re challenged by overwhelming emotions or struggle to know what you’re feeling at all. Or maybe you’re having trouble adjusting to new circumstances or making a big decision. These problems in living and many others may respond well to psychotherapy.
People come to therapy for all sorts of reasons. Perhaps you struggle with unwanted behavior patterns or difficulties in your relationships. Maybe you’re challenged by overwhelming emotions or struggle to know what you’re feeling at all. Or maybe you’re having trouble adjusting to new circumstances or making a big decision. These problems in living and many others may respond well to psychotherapy.
(512) 518-4765 View (512) 518-4765
Photo of Rachel Spiess (Ziegler), LCSW, PMH-C, BHP, Clinical Social Work/Therapist
Rachel Spiess (Ziegler)
Clinical Social Work/Therapist, LCSW, PMH-C, BHP
Verified Verified
2 Endorsed
West University, Austin, TX 78705
Not accepting new clients as I transition into maternity leave through January 2025. Shutting off the "inner critic" can often feel impossible. As such, most of the adults I treat struggle with negative beliefs about themselves in addition to anxiety/depression, body dysmorphia/low self-esteem, heartbreak/relationship problems or early attachment wounds/relational trauma. Supporting college students and young professionals who are navigating adulthood and the myriad of personal and professional challenges that can arise during this time is a passion of mine. I also enjoy supporting perfectionists and high-achieving individuals.
Not accepting new clients as I transition into maternity leave through January 2025. Shutting off the "inner critic" can often feel impossible. As such, most of the adults I treat struggle with negative beliefs about themselves in addition to anxiety/depression, body dysmorphia/low self-esteem, heartbreak/relationship problems or early attachment wounds/relational trauma. Supporting college students and young professionals who are navigating adulthood and the myriad of personal and professional challenges that can arise during this time is a passion of mine. I also enjoy supporting perfectionists and high-achieving individuals.
(512) 812-8931 View (512) 812-8931
Photo of Ariel Cross, MA, LPC, NCC, Counselor
Ariel Cross
Counselor, MA, LPC, NCC
Verified Verified
West University, Austin, TX 78701  (Online Only)
Not accepting new clients
I’m Ariel Cross, a Licensed Professional Counselor in Oklahoma. My goal is to help individuals who struggle with OCD, anxiety, and other difficulties so they can live a healthier, happier life. I work well with individuals who are stressed out, burned out, and have been told they’re “Overthinkers.” My approach meshes well with people who identify as highly anxious but have difficulties with managing their symptoms. I work to create a sense of safety and comfort within session. It’s my goal to be as genuine and understanding as possible to create an area where a person feels comfortable talking about difficult problems.
I’m Ariel Cross, a Licensed Professional Counselor in Oklahoma. My goal is to help individuals who struggle with OCD, anxiety, and other difficulties so they can live a healthier, happier life. I work well with individuals who are stressed out, burned out, and have been told they’re “Overthinkers.” My approach meshes well with people who identify as highly anxious but have difficulties with managing their symptoms. I work to create a sense of safety and comfort within session. It’s my goal to be as genuine and understanding as possible to create an area where a person feels comfortable talking about difficult problems.
(430) 213-3106 View (430) 213-3106
Photo of Stephanie Knott, LPC-S, LCDC, Licensed Professional Counselor
Stephanie Knott
Licensed Professional Counselor, LPC-S, LCDC
Verified Verified
1 Endorsed
West University, Austin, TX 78705  (Online Only)
Not accepting new clients
Hi there! My name is Stephanie Knott, and I am a Licensed Professional Counselor with supervisor designation (LPC-S) and a Licensed Chemical Dependency Counselor (LCDC). With over ten years of experience, I specialize in helping clients achieve their personal goals and improve their mental well-being.
Hi there! My name is Stephanie Knott, and I am a Licensed Professional Counselor with supervisor designation (LPC-S) and a Licensed Chemical Dependency Counselor (LCDC). With over ten years of experience, I specialize in helping clients achieve their personal goals and improve their mental well-being.
(737) 232-6140 View (737) 232-6140
Photo of Hannah Milne, LMSW, LCDC, Clinical Social Work/Therapist
Hannah Milne
Clinical Social Work/Therapist, LMSW, LCDC
Verified Verified
West University, Austin, TX 78705
Hi there! My name is Hannah and I am LMSW and an LCDC. I am committed to creating a strong therapeutic alliance with my clients to help empower them to achieve their goals. I believe that everyone is doing the best they can, and that through work in therapy we have the capacity to learn how to have our needs met in healthier and more effective ways. We all have learned maladaptive coping skills, and we are capable of learning new ways to cope and interact with the world.
Hi there! My name is Hannah and I am LMSW and an LCDC. I am committed to creating a strong therapeutic alliance with my clients to help empower them to achieve their goals. I believe that everyone is doing the best they can, and that through work in therapy we have the capacity to learn how to have our needs met in healthier and more effective ways. We all have learned maladaptive coping skills, and we are capable of learning new ways to cope and interact with the world.
(512) 488-5676 View (512) 488-5676
Photo of Stephanie Burgess, LCSW-S, Clinical Social Work/Therapist
Stephanie Burgess
Clinical Social Work/Therapist, LCSW-S
Verified Verified
3 Endorsed
West University, Austin, TX 78705  (Online Only)
Waitlist for new clients
Have you experienced a traumatic event, or multiple traumatic events, that lead you questioning when the next bad thing will happen? Have your experiences led you to negative self talk and to feel hard on yourself? Oftentimes someone who has experienced a traumatic event will find themselves feeling ashamed and a burden to those who love them. I enjoy empowering clients to process the heavy things on their heart and mind that maybe don't feel safe to share with others. Together we can build coping skills, incorporate mindfulness techniques, and utilize EMDR to get you moving forward with less stress.
Have you experienced a traumatic event, or multiple traumatic events, that lead you questioning when the next bad thing will happen? Have your experiences led you to negative self talk and to feel hard on yourself? Oftentimes someone who has experienced a traumatic event will find themselves feeling ashamed and a burden to those who love them. I enjoy empowering clients to process the heavy things on their heart and mind that maybe don't feel safe to share with others. Together we can build coping skills, incorporate mindfulness techniques, and utilize EMDR to get you moving forward with less stress.
(512) 877-1672 View (512) 877-1672
Photo of Andrea Butler, MEd, LPC, Licensed Professional Counselor
Andrea Butler
Licensed Professional Counselor, MEd, LPC
Verified Verified
1 Endorsed
West University, Austin, TX 78705
I am interested in getting to know each of my clients and forming a close, collaborative relationship that affords them the freedom to learn more about themselves. Creating this type of unique relationship is invaluable to the therapeutic process. The opportunity to grow in self awareness can be a powerful way to learn about what motivates us and how our histories affect us throughout our lives. I have both personal and professional experience with individuals in the LBGTQ community, and extensive work helping people with disabilities entering the workforce.
I am interested in getting to know each of my clients and forming a close, collaborative relationship that affords them the freedom to learn more about themselves. Creating this type of unique relationship is invaluable to the therapeutic process. The opportunity to grow in self awareness can be a powerful way to learn about what motivates us and how our histories affect us throughout our lives. I have both personal and professional experience with individuals in the LBGTQ community, and extensive work helping people with disabilities entering the workforce.
(737) 210-3872 View (737) 210-3872
Photo of Michele Sharon, MS, LPC, Licensed Professional Counselor
Michele Sharon
Licensed Professional Counselor, MS, LPC
Verified Verified
West University, Austin, TX 78705  (Online Only)
Not accepting new clients
I specialize in Cognitive Behavioral Therapy Plus+, and evidence-based practices. With a relaxed atmosphere, and a collaborative approach we find clarity and creative solutions for anxiety, depression, anger, addiction, career, trauma, and motivational stuck points.
I specialize in Cognitive Behavioral Therapy Plus+, and evidence-based practices. With a relaxed atmosphere, and a collaborative approach we find clarity and creative solutions for anxiety, depression, anger, addiction, career, trauma, and motivational stuck points.
(512) 233-6960 View (512) 233-6960
Photo of India Bradley, MSW, LCSW, Clinical Social Work/Therapist
India Bradley
Clinical Social Work/Therapist, MSW, LCSW
Verified Verified
2 Endorsed
West University, Austin, TX 78705  (Online Only)
I recognize the importance of creating a safe space for healing and personal growth, particularly for those who have endured silent suffering due to past traumas or challenging beginnings. If you or a loved one is seeking positive change, I am here to offer unwavering support. You hold the key to your own needs, and I am committed to walking alongside you on this transformative journey. I am dedicated to being your steadfast companion through it all.
I recognize the importance of creating a safe space for healing and personal growth, particularly for those who have endured silent suffering due to past traumas or challenging beginnings. If you or a loved one is seeking positive change, I am here to offer unwavering support. You hold the key to your own needs, and I am committed to walking alongside you on this transformative journey. I am dedicated to being your steadfast companion through it all.
(512) 890-0472 x100 View (512) 890-0472 x100
Photo of Darlene Marie Ormston, MA, Licensed Professional Counselor
Darlene Marie Ormston
Licensed Professional Counselor, MA
Verified Verified
West University, Austin, TX 78705  (Online Only)
I have had the privilege to work with children, adolescents, adults, family and couples who have their own personal stories that involve traumas, challenges and everyday stressors. I am inspired by their willingness to be vulnerable to change in order to seek emotional well-being.
I have had the privilege to work with children, adolescents, adults, family and couples who have their own personal stories that involve traumas, challenges and everyday stressors. I am inspired by their willingness to be vulnerable to change in order to seek emotional well-being.
(737) 265-5631 View (737) 265-5631
Photo of Mark Elliott, LCSW, Clinical Social Work/Therapist
Mark Elliott
Clinical Social Work/Therapist, LCSW
Verified Verified
2 Endorsed
West University, Austin, TX 78705
What is psychodynamic psychotherapy? It’s therapy that recognizes that symptoms, problems, and struggles have meaning and that learning about their meaning––especially meaning that is outside our awareness––allows us to see our struggles in context and make better choices based on new learning about ourselves. Therapy works best when it feels like a safe place to engage in a process of curious exploration. Through understanding and being understood, most people find they can make clearer choices, take charge of their lives, build healthier relationships.
What is psychodynamic psychotherapy? It’s therapy that recognizes that symptoms, problems, and struggles have meaning and that learning about their meaning––especially meaning that is outside our awareness––allows us to see our struggles in context and make better choices based on new learning about ourselves. Therapy works best when it feels like a safe place to engage in a process of curious exploration. Through understanding and being understood, most people find they can make clearer choices, take charge of their lives, build healthier relationships.
(737) 300-6495 View (737) 300-6495
Photo of Dr. Paula Floyd, PhD, Pre-Licensed Professional
Dr. Paula Floyd
Pre-Licensed Professional, PhD
Verified Verified
1 Endorsed
West University, Austin, TX 78705
Hi, I’m Paula! A few of my favorite things include (but are not limited to): screaming Kendrick Lamar lyrics, breathing in fresh mountain air, and spontaneous trips to Juiceland (moontower fan for life!). I also spill food on my shirt daily, occasionally trip over air, experience emotions very intensely, and did not learn how to manage my own neurodivergence until adulthood. I’m a whole human outside of work, which means I’m a whole human while I’m working! I’m hoping that feels refreshing for you and opens the door for you to be a whole human with me too. My utmost priority is to nurture a space for you to “reveal your real!"
Hi, I’m Paula! A few of my favorite things include (but are not limited to): screaming Kendrick Lamar lyrics, breathing in fresh mountain air, and spontaneous trips to Juiceland (moontower fan for life!). I also spill food on my shirt daily, occasionally trip over air, experience emotions very intensely, and did not learn how to manage my own neurodivergence until adulthood. I’m a whole human outside of work, which means I’m a whole human while I’m working! I’m hoping that feels refreshing for you and opens the door for you to be a whole human with me too. My utmost priority is to nurture a space for you to “reveal your real!"
(737) 232-4838 View (737) 232-4838
Photo of Matthew John Francis, MA, LPC, Counselor
Matthew John Francis
Counselor, MA, LPC
Verified Verified
West University, Austin, TX 78705  (Online Only)
I received my Master of Arts in Clinical Art Therapy from Whitecliffe College in Auckland, New Zealand in 2015 following my Bachelor’s education at Tulane University in New Orleans, Louisiana. My clinical experience began in 2012 as a student therapist working with youth on the Autism Spectrum. This work soon developed into working with individuals, couples, families, and groups of all ages facing a wide variety of challenges across public and private healthcare settings.
I received my Master of Arts in Clinical Art Therapy from Whitecliffe College in Auckland, New Zealand in 2015 following my Bachelor’s education at Tulane University in New Orleans, Louisiana. My clinical experience began in 2012 as a student therapist working with youth on the Autism Spectrum. This work soon developed into working with individuals, couples, families, and groups of all ages facing a wide variety of challenges across public and private healthcare settings.
(575) 573-8386 View (575) 573-8386
Photo of Joanna Menendez, PhD, LPC, Licensed Professional Counselor
Joanna Menendez
Licensed Professional Counselor, PhD, LPC
Verified Verified
West University, Austin, TX 78705  (Online Only)
Welcome! Hola! If you have been putting in the hard work all your life, expecting to feel fulfilled, stress-free, and just plain happy- but instead find yourself feeling exhausted, silenced, or experiencing self-doubt; know that you are not alone. And hey, if you are nodding along, then you are definitely in the right place. You are here seeking support because you want to change that. No more feeling confused, stuck, or trying to fit into spaces that weren’t exactly made with you in mind. It is time to find your voice, increase your confidence, feel grounded, and own your sense of self and truth.
Welcome! Hola! If you have been putting in the hard work all your life, expecting to feel fulfilled, stress-free, and just plain happy- but instead find yourself feeling exhausted, silenced, or experiencing self-doubt; know that you are not alone. And hey, if you are nodding along, then you are definitely in the right place. You are here seeking support because you want to change that. No more feeling confused, stuck, or trying to fit into spaces that weren’t exactly made with you in mind. It is time to find your voice, increase your confidence, feel grounded, and own your sense of self and truth.
(737) 278-8610 View (737) 278-8610
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How does your Therapist compare?

Number of Therapists in West University, Austin, TX

200+

Average cost per session

$140

Therapists in West University, Austin, TX who prioritize treating:

92% Depression
92% Anxiety
77% Self Esteem
77% Stress
72% Relationship Issues
71% Coping Skills
66% Life Transitions

Average years in practice

8 Years

Top 3 insurances accepted

94% Aetna
83% Cigna and Evernorth
60% BlueCross and BlueShield

How Therapists in West University, Austin, TX see their clients

61% Online Only
39% In Person and Online

Gender breakdown

81% Female
18% Male
1% Non-Binary
FAQs - About Therapy and Counseling

How can I find a therapist in West University, Austin?

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.