Therapists in De Kalb, TX

Photo of Andrea Dawn Cooper, MS, LPC-S, LCDC, <!-- Pr, Licensed Professional Counselor
Andrea Dawn Cooper
Licensed Professional Counselor, MS, LPC-S, LCDC, <!-- Pr
Verified Verified
De Kalb, TX 75559  (Online Only)
I am honored to be able to assist others with challenges throughout life and I have been counseling clients for over 15 years. I have worked with trauma, and criminal justice issues as well as using play therapy. I am trauma focused and I believe trauma colors our behaviors and our future self. I use Trauma Focused-Cognitive Behavioral Therapy, Cognitive Processing Therapy, and Eye Movement Desensitization Reprocessing therapy to explore past trauma that is affecting your life.
I am honored to be able to assist others with challenges throughout life and I have been counseling clients for over 15 years. I have worked with trauma, and criminal justice issues as well as using play therapy. I am trauma focused and I believe trauma colors our behaviors and our future self. I use Trauma Focused-Cognitive Behavioral Therapy, Cognitive Processing Therapy, and Eye Movement Desensitization Reprocessing therapy to explore past trauma that is affecting your life.
(430) 304-1062 View (430) 304-1062
Photo of Marcos Villareal, LCPC, Licensed Professional Counselor
Marcos Villareal
Licensed Professional Counselor, LCPC
Verified Verified
De Kalb, TX 75559  (Online Only)
I am a licensed professional counselor in Texas with over ten years of experience working as a counselor and life coach. I have worked with clients with various concerns, including depression, anxiety, relationship issues, and sexuality. I also helped many people who have experienced physical trauma or emotional abuse. My counseling style is warm and interactive. I believe in treating anyone with respect, sensitivity, and compassion, and I don't believe in stigmatizing labels. My approach combines cognitive-behavioral, humanistic, and mindfulness. I will tailor our dialog and treatment plan to meet your unique and specific needs.
I am a licensed professional counselor in Texas with over ten years of experience working as a counselor and life coach. I have worked with clients with various concerns, including depression, anxiety, relationship issues, and sexuality. I also helped many people who have experienced physical trauma or emotional abuse. My counseling style is warm and interactive. I believe in treating anyone with respect, sensitivity, and compassion, and I don't believe in stigmatizing labels. My approach combines cognitive-behavioral, humanistic, and mindfulness. I will tailor our dialog and treatment plan to meet your unique and specific needs.
(915) 221-9925 View (915) 221-9925
Photo of Melissa Switzer, LCSW, Clinical Social Work/Therapist
Melissa Switzer
Clinical Social Work/Therapist, LCSW
Verified Verified
De Kalb, TX 75559
Hi there, I'm Melissa! My name is Melissa Switzer. I am a Licensed Clinical Social Worker (LCSW) based near Austin, Texas. I work with clients state-wide utilizing telehealth. I work best with adolescents to adults, ranging in age from 10 and up. I specialize in anxiety, stress, depression, anger management, ADHD, grief, neurodivergence, trauma, and life issues associated with the LGBTQ-plus community as a straight ally. I use psychoanalytic and Cognitive Behavioral therapy to help clients reach their therapeutic goals.
Hi there, I'm Melissa! My name is Melissa Switzer. I am a Licensed Clinical Social Worker (LCSW) based near Austin, Texas. I work with clients state-wide utilizing telehealth. I work best with adolescents to adults, ranging in age from 10 and up. I specialize in anxiety, stress, depression, anger management, ADHD, grief, neurodivergence, trauma, and life issues associated with the LGBTQ-plus community as a straight ally. I use psychoanalytic and Cognitive Behavioral therapy to help clients reach their therapeutic goals.
(737) 250-6900 View (737) 250-6900

More Therapists Nearby

Photo of Charity Bennett - Kinney, PhD, LPC, CARS, CHST, Licensed Professional Counselor
Charity Bennett - Kinney
Licensed Professional Counselor, PhD, LPC, CARS, CHST
Verified Verified
Boston, TX 75570  (Online Only)
What if what you FEAR the most will HEAL you the most? - Charity Bennett-Kinney, PhD, LPC-S I enjoy working with individuals with varying mental / emotional challenges. I work very hard to provide an environment where clients feel comfortable and safe to discuss the issues causing them distress and concern, but to also provide a therapeutic environment where I can challenge a client to grow and move toward a mentally healthier life.
What if what you FEAR the most will HEAL you the most? - Charity Bennett-Kinney, PhD, LPC-S I enjoy working with individuals with varying mental / emotional challenges. I work very hard to provide an environment where clients feel comfortable and safe to discuss the issues causing them distress and concern, but to also provide a therapeutic environment where I can challenge a client to grow and move toward a mentally healthier life.
(806) 230-2496 View (806) 230-2496

Online Therapists

Photo of Ashley Breann Womble, MS, LPC-A, Pre-Licensed Professional
Ashley Breann Womble
Pre-Licensed Professional, MS, LPC-A
Verified Verified
1 Endorsed
Trenton, TX 75490  (Online Only)
I am a Licensed Professional Counselor- Associate in the State of Texas supervised by Dwayne Frei, LPC-S. For the past 10 years, I have been working in the school setting as a Teacher and Professional School Counselor. Seeing students and staff struggle with Mental Health has led me to want to help in a greater way leading clients to a healthy life with continued growth and success.
I am a Licensed Professional Counselor- Associate in the State of Texas supervised by Dwayne Frei, LPC-S. For the past 10 years, I have been working in the school setting as a Teacher and Professional School Counselor. Seeing students and staff struggle with Mental Health has led me to want to help in a greater way leading clients to a healthy life with continued growth and success.
(903) 765-0096 View (903) 765-0096
Photo of Roberto Guerrero - Valor Therapy, PLLC, MS, NCC, LPC, LCDC, CCTP, Licensed Professional Counselor
Valor Therapy, PLLC
Licensed Professional Counselor, MS, NCC, LPC, LCDC, CCTP
Verified Verified
Wills Point, TX 75169  (Online Only)
My name is Roberto "Robert" Guerrero, I am a bilingual Licensed Professional Counselor, Licensed Chemical Dependency Counselor in Texas, and CCTP, National Certified Counselor (NCC) and BC-TMH provider. I have over nine years of experience in the field of mental health and chemical dependency, and currently operate a private counseling practice exclusively online near Dallas, Texas. I primarily work with young adults and adults who are struggling with depression, anxiety, trauma, PTSD, grief, career issues, relationship and marriage problems, and other life challenges. I also offer consulting services for business professionals.
My name is Roberto "Robert" Guerrero, I am a bilingual Licensed Professional Counselor, Licensed Chemical Dependency Counselor in Texas, and CCTP, National Certified Counselor (NCC) and BC-TMH provider. I have over nine years of experience in the field of mental health and chemical dependency, and currently operate a private counseling practice exclusively online near Dallas, Texas. I primarily work with young adults and adults who are struggling with depression, anxiety, trauma, PTSD, grief, career issues, relationship and marriage problems, and other life challenges. I also offer consulting services for business professionals.
(214) 833-8162 View (214) 833-8162
Photo of Ryan Scott Oakley, MAMFT, LPC, Licensed Professional Counselor
Ryan Scott Oakley
Licensed Professional Counselor, MAMFT, LPC
Verified Verified
4 Endorsed
Tyler, TX 75703
My ideal client is someone who is interested in investing in themselves. When I sense they are working clients who are passionate about getting into the deeper details: to learn that they are truly and genuinely worthy of love and are worth great value. I feel so excited to relate with them, and share stories, to understand their story.
My ideal client is someone who is interested in investing in themselves. When I sense they are working clients who are passionate about getting into the deeper details: to learn that they are truly and genuinely worthy of love and are worth great value. I feel so excited to relate with them, and share stories, to understand their story.
(903) 425-4051 View (903) 425-4051
Photo of Stephanie Garcia, MA, LMFT, BCN, Marriage & Family Therapist
Stephanie Garcia
Marriage & Family Therapist, MA, LMFT, BCN
Verified Verified
Lindale, TX 75771
Welcome to my practice! I am a licensed clinical marriage and family therapist, with eight years of experience in treating individuals with mental health and relational issues. My practice is specialized in treating mood disorders, ADHD symptoms, concussion and trauma recovery. I am passionate about helping my clients create new habits and relational dynamics while training their brain to function both optimally and balanced. I am certified in EMDR, Brainspotting for trauma recovery, QEEG brain-mapping and neurofeedback.
Welcome to my practice! I am a licensed clinical marriage and family therapist, with eight years of experience in treating individuals with mental health and relational issues. My practice is specialized in treating mood disorders, ADHD symptoms, concussion and trauma recovery. I am passionate about helping my clients create new habits and relational dynamics while training their brain to function both optimally and balanced. I am certified in EMDR, Brainspotting for trauma recovery, QEEG brain-mapping and neurofeedback.
(903) 418-2063 View (903) 418-2063
Photo of Wade McDonald, MA, DMin, LPC, Licensed Professional Counselor
Wade McDonald
Licensed Professional Counselor, MA, DMin, LPC
Verified Verified
Tyler, TX 75703
I believe a good counselor works their way out of a job...one client at a time. We all get "stuck" in life from time to time. My goal is to provide you with knowledge, tools, guidance, and support so that you can get "unstuck" and move on. Therapy is not magic...but it works. If you are struggling with emotional, behavioral, or relational problems I would like the opportunity to visit with you to see if I can help.
I believe a good counselor works their way out of a job...one client at a time. We all get "stuck" in life from time to time. My goal is to provide you with knowledge, tools, guidance, and support so that you can get "unstuck" and move on. Therapy is not magic...but it works. If you are struggling with emotional, behavioral, or relational problems I would like the opportunity to visit with you to see if I can help.
(903) 689-0341 View (903) 689-0341
Photo of Tracey McClain, LCSW, Clinical Social Work/Therapist
Tracey McClain
Clinical Social Work/Therapist, LCSW
Verified Verified
Paris, TX 75460  (Online Only)
Hello to you! First, congratulations to you for giving yourself the gift of therapy! Whether you are seeking out therapy for the first time due to stress or whether you are looking to address a long overdue issue or maybe find better ways to communicate in a relationship, or even whether a relationship is right for you or to learn better self-care, I applaud you're taking the time to put yourself first. During my 25 year career, my focus has always been to assist a client in engaging in self-examination so you can discover who you really are and what will truly bring you happiness and self-contentment.
Hello to you! First, congratulations to you for giving yourself the gift of therapy! Whether you are seeking out therapy for the first time due to stress or whether you are looking to address a long overdue issue or maybe find better ways to communicate in a relationship, or even whether a relationship is right for you or to learn better self-care, I applaud you're taking the time to put yourself first. During my 25 year career, my focus has always been to assist a client in engaging in self-examination so you can discover who you really are and what will truly bring you happiness and self-contentment.
(346) 588-7731 View (346) 588-7731
Photo of Elizabeth Solomon, LPC-A, Pre-Licensed Professional
Elizabeth Solomon
Pre-Licensed Professional, LPC-A
Verified Verified
Tyler, TX 75703
Each individual has a unique story, co-authored with God, giving purpose and meaning to their time on earth. Life's many joys, trials, and challenges present opportunities for new chapters to unfold. I believe in the healing power of storytelling within the counseling relationship, and use a holistic, EFT-focused approach to therapy. It is of utmost importance to me that my clients have a safe, empathetic, and caring environment in which to process the many components of their unique life stories.
Each individual has a unique story, co-authored with God, giving purpose and meaning to their time on earth. Life's many joys, trials, and challenges present opportunities for new chapters to unfold. I believe in the healing power of storytelling within the counseling relationship, and use a holistic, EFT-focused approach to therapy. It is of utmost importance to me that my clients have a safe, empathetic, and caring environment in which to process the many components of their unique life stories.
(903) 623-6857 View (903) 623-6857
Photo of Tammie Anderson, LPC, Counselor
Tammie Anderson
Counselor, LPC
Verified Verified
1 Endorsed
Tyler, TX 75701  (Online Only)
We have interactions with others, and with ourselves (internally) everyday. When there is a lack of connection on any level we can become distressed or any number of things. From discouraged to depressed or anxious or just withdrawn. I love working with clients who are seeking to find a balanced and healthy daily interaction within themselves and hopefully with others. It is my heartfelt belief that we are all unique and created to connect with those around us on a level that both brings peace for ourselves and gives back to others in our relationships.
We have interactions with others, and with ourselves (internally) everyday. When there is a lack of connection on any level we can become distressed or any number of things. From discouraged to depressed or anxious or just withdrawn. I love working with clients who are seeking to find a balanced and healthy daily interaction within themselves and hopefully with others. It is my heartfelt belief that we are all unique and created to connect with those around us on a level that both brings peace for ourselves and gives back to others in our relationships.
(786) 244-7347 View (786) 244-7347
Alexis B Combest
Licensed Professional Counselor, LPC-S, RPT-S, CASDS, NCC
Verified Verified
Tyler, TX 75701
I enjoy working with children and families in order to strengthen the bonds in their relationships. My work as a counselor, centers around helping people achieve a happy, fulfilled, and functioning life.
I enjoy working with children and families in order to strengthen the bonds in their relationships. My work as a counselor, centers around helping people achieve a happy, fulfilled, and functioning life.
(430) 307-0674 View (430) 307-0674
Photo of Kate McLennan, LCSW, Clinical Social Work/Therapist
Kate McLennan
Clinical Social Work/Therapist, LCSW
Verified Verified
Lindale, TX 75771
I am a Licensed Clinical Social Worker with a doctorate in Creativity and Spirituality. I'm passionate about being fully present with my clients while supporting their growth and transformation. I find there is inherent wisdom in body, mind, and spirit that, when supported, seeks opportunities to heal and balance. One of my specialties is LGBTQIA affirmative therapy. I also love working with artists and creators and weaving elements of creativity into the therapeutic experience. I'm comfortable with integrating spiritual issues, somatic therapies, medical concerns, and dealing with grief.
I am a Licensed Clinical Social Worker with a doctorate in Creativity and Spirituality. I'm passionate about being fully present with my clients while supporting their growth and transformation. I find there is inherent wisdom in body, mind, and spirit that, when supported, seeks opportunities to heal and balance. One of my specialties is LGBTQIA affirmative therapy. I also love working with artists and creators and weaving elements of creativity into the therapeutic experience. I'm comfortable with integrating spiritual issues, somatic therapies, medical concerns, and dealing with grief.
(281) 729-6472 View (281) 729-6472
Photo of Joshua Aevum, LCSW, Clinical Social Work/Therapist
Joshua Aevum
Clinical Social Work/Therapist, LCSW
Verified Verified
Longview, TX 75604
Thank you for visiting this profile! I am a licensed clinical social worker currently accepting new patients for individual therapy. Starting treatment is challenging, but the process can often lead to positive change. I will provide a comprehensive and collaborative approach tailored to your needs. My passion is working with clients who struggle with trauma, anxiety, depression, low self-esteem, and addiction. There are a wide variety of therapeutic models to target symptoms, and I am trained in providing the most effective therapy models of Cognitive Behavioral, Dialectal Behavioral, and Motivational Interviewing.
Thank you for visiting this profile! I am a licensed clinical social worker currently accepting new patients for individual therapy. Starting treatment is challenging, but the process can often lead to positive change. I will provide a comprehensive and collaborative approach tailored to your needs. My passion is working with clients who struggle with trauma, anxiety, depression, low self-esteem, and addiction. There are a wide variety of therapeutic models to target symptoms, and I am trained in providing the most effective therapy models of Cognitive Behavioral, Dialectal Behavioral, and Motivational Interviewing.
(469) 530-3145 View (469) 530-3145
Photo of Beverly Robison, LPC, Licensed Professional Counselor
Beverly Robison
Licensed Professional Counselor, LPC
Verified Verified
Tyler, TX 75701  (Online Only)
I am a Licensed Professional Counselor, a Licensed Chemical Dependency Counselor, and a National Certified Counselor in Tyler Texas. In 2019, earned a Master of Arts in Clinical Mental Health Counseling from The University of Texas at Tyler. I received a Bachelor of Arts in Speech Communications from Stephen F. Austin State University in Nacogdoches, Texas in 2003.
I am a Licensed Professional Counselor, a Licensed Chemical Dependency Counselor, and a National Certified Counselor in Tyler Texas. In 2019, earned a Master of Arts in Clinical Mental Health Counseling from The University of Texas at Tyler. I received a Bachelor of Arts in Speech Communications from Stephen F. Austin State University in Nacogdoches, Texas in 2003.
(903) 321-4576 View (903) 321-4576
Photo of Becky Adams, LMSW, Clinical Social Work/Therapist
Becky Adams
Clinical Social Work/Therapist, LMSW
Verified Verified
2 Endorsed
Tyler, TX 75703
Waitlist for new clients
There are so many reasons people seek out a therapists. Whatever your reason is and no matter how many times you may have tried to resolve it on your own, I hope you know how strong you are for not giving up! Resilience can be a strength but it doesn't have to be your only armor in your battles. Counseling can provide you more options. A great thing about counseling - it's for everyone because we all have needs and we could all use some support and/or help from time to time!
There are so many reasons people seek out a therapists. Whatever your reason is and no matter how many times you may have tried to resolve it on your own, I hope you know how strong you are for not giving up! Resilience can be a strength but it doesn't have to be your only armor in your battles. Counseling can provide you more options. A great thing about counseling - it's for everyone because we all have needs and we could all use some support and/or help from time to time!
(903) 705-6522 View (903) 705-6522
Photo of Katherine Barrera, MA, LPC, Licensed Professional Counselor
Katherine Barrera
Licensed Professional Counselor, MA, LPC
Verified Verified
4 Endorsed
Longview, TX 75601
I am a Licensed Professional Counselor in the state of Texas, and call East Texas home. As a therapist specializing in trauma, I understand the immense courage it takes to seek support. My journey in this field has been deeply rooted in compassion, empathy, and a commitment to helping individuals navigate through their pain towards healing and empowerment. Together, we will create a safe space where you can explore your emotions, life experiences, and challenges without judgment. I'm honored to accompany you on your journey towards healing and growth.
I am a Licensed Professional Counselor in the state of Texas, and call East Texas home. As a therapist specializing in trauma, I understand the immense courage it takes to seek support. My journey in this field has been deeply rooted in compassion, empathy, and a commitment to helping individuals navigate through their pain towards healing and empowerment. Together, we will create a safe space where you can explore your emotions, life experiences, and challenges without judgment. I'm honored to accompany you on your journey towards healing and growth.
(903) 296-3046 View (903) 296-3046
Photo of Georgia Smith-Lyle, MA, LPC, Supervi, Licensed Professional Counselor
Georgia Smith-Lyle
Licensed Professional Counselor, MA, LPC, Supervi
Verified Verified
Petty, TX 75470
Life is intended to be lived and not just tolerated! Whether you are suffering from a recent or past traumatic experience, or have an ongoing issue or disorder, there is hope for you. I counsel from an eclectic framework utilizing the best psychotherapy that benefits my client. Each client is unique and their situation is unique to them, therefore my counseling approach will consider all aspects of the individual's and/or couples situation. I also provide Equine Assisted Psychotherapy at my ranch office. Counseling in North Dallas and surrounding areas.
Life is intended to be lived and not just tolerated! Whether you are suffering from a recent or past traumatic experience, or have an ongoing issue or disorder, there is hope for you. I counsel from an eclectic framework utilizing the best psychotherapy that benefits my client. Each client is unique and their situation is unique to them, therefore my counseling approach will consider all aspects of the individual's and/or couples situation. I also provide Equine Assisted Psychotherapy at my ranch office. Counseling in North Dallas and surrounding areas.
(469) 855-0256 View (469) 855-0256
Photo of Grant Baldwin, MA, LPC, NCC, Licensed Professional Counselor
Grant Baldwin
Licensed Professional Counselor, MA, LPC, NCC
Verified Verified
5 Endorsed
Tyler, TX 75701
Deciding to seek help and be vulnerable with someone new can be daunting, but I am here to help make that an easier experience. I consider it a privilege to work along side you as you seek insight, growth and change. I aim to collaborate with you to find your purpose and solutions to meet your goals as we utilize your strengths and interests to individualize treatment. I enjoy working with men, women and adolescents, specializing in areas such as trauma, self-worth, anxiety and depression.
Deciding to seek help and be vulnerable with someone new can be daunting, but I am here to help make that an easier experience. I consider it a privilege to work along side you as you seek insight, growth and change. I aim to collaborate with you to find your purpose and solutions to meet your goals as we utilize your strengths and interests to individualize treatment. I enjoy working with men, women and adolescents, specializing in areas such as trauma, self-worth, anxiety and depression.
(430) 213-6557 View (430) 213-6557

See more therapy options for De Kalb

How does your Therapist compare?

Number of Therapists in De Kalb, TX

< 10

Therapists in De Kalb, TX who prioritize treating:

100% ADHD
100% Bipolar Disorder
100% Behavioral Issues
67% Relationship Issues
67% Depression
67% Anxiety
67% Obsessive-Compulsive (OCD)

Average years in practice

16 Years

Top 3 insurances accepted

100% Aetna
100% BlueCross and BlueShield
100% Cigna and Evernorth

How Therapists in De Kalb, TX see their clients

66% Online Only
34% In Person and Online

Gender breakdown

67% Female
33% Male
FAQs - About Therapy and Counseling

How can I find a therapist in De Kalb?

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.