Therapists in Mountain Arroyos, El Paso, TX

Photo of Denise Montalvo - Denise Montalvo, P.A., LPC, NCC, Licensed Professional Counselor
Denise Montalvo, P.A.
Licensed Professional Counselor, LPC, NCC
Verified Verified
2 Endorsed
Mountain Arroyos, El Paso, TX 79912
Would you like to effectively clear challenging issues, trauma, or negative patterns easily and in very little time? I'm dedicated to empowering you to consciously create the life you want through evidence supported treatments to improve your well being. I do this in a variety of ways to help you develop personal inner peace and joy.
Would you like to effectively clear challenging issues, trauma, or negative patterns easily and in very little time? I'm dedicated to empowering you to consciously create the life you want through evidence supported treatments to improve your well being. I do this in a variety of ways to help you develop personal inner peace and joy.
(915) 760-8999 View (915) 760-8999
Photo of Juan Carlos Contreras - Sun City Psychological Services, PLLC, PhD, MSCP, Psychologist
Sun City Psychological Services, PLLC
Psychologist, PhD, MSCP
Verified Verified
Mountain Arroyos, El Paso, TX 79912
I am a licensed, multicultural, bilingual clinical psychologist treating a broad range of emotional and relationship problems. I provide individual and couples therapy, as well as psychological testing. My approach to treatment is integrative using evidence-based, humanistic-existential, psychodynamic, and third-wave cognitive behavioral theories. I provide opportunity for growth and self-discovery using compassionate and wisdom-filled interventions.
I am a licensed, multicultural, bilingual clinical psychologist treating a broad range of emotional and relationship problems. I provide individual and couples therapy, as well as psychological testing. My approach to treatment is integrative using evidence-based, humanistic-existential, psychodynamic, and third-wave cognitive behavioral theories. I provide opportunity for growth and self-discovery using compassionate and wisdom-filled interventions.
(915) 800-0609 View (915) 800-0609
Photo of Weylin Burlingame - Frontera Therapy, PLLC, PhD, MSW, LCSW, Clinical Social Work/Therapist
Frontera Therapy, PLLC
Clinical Social Work/Therapist, PhD, MSW, LCSW
Verified Verified
Mountain Arroyos, El Paso, TX 79912
Frontera Therapy, PLLC is a small independent Clinical Social Work therapy practice. I provide insight oriented supportive therapy for children, families, couples, and individual adults in the greater El Paso area.
Frontera Therapy, PLLC is a small independent Clinical Social Work therapy practice. I provide insight oriented supportive therapy for children, families, couples, and individual adults in the greater El Paso area.
(915) 301-8779 View (915) 301-8779
Photo of Dr. Richard T. Parrott, PhD, LCSW-S, Clinical Social Work/Therapist
Dr. Richard T. Parrott
Clinical Social Work/Therapist, PhD, LCSW-S
Verified Verified
1 Endorsed
Mountain Arroyos, El Paso, TX 79912
Not accepting new clients
My theoretical framework is Relational Psychoanalytic Therapy which focuses on assimilating cognitive insight and emotional attachment. Relational analysis focuses on the elements of chronic trauma (CPTSD, anxiety, depression) between feelings, thoughts and behavior while examining the elements of rupture and psychological injury related to developmental derailments & toxic shame. I have extensive training in psychoanalytic therapy.
My theoretical framework is Relational Psychoanalytic Therapy which focuses on assimilating cognitive insight and emotional attachment. Relational analysis focuses on the elements of chronic trauma (CPTSD, anxiety, depression) between feelings, thoughts and behavior while examining the elements of rupture and psychological injury related to developmental derailments & toxic shame. I have extensive training in psychoanalytic therapy.
(575) 209-4255 View (575) 209-4255
Photo of Temperance Johnson Ph.d, LP, LSSP, BCN, Psychologist
Temperance Johnson Ph.d
Psychologist, LP, LSSP, BCN
Verified Verified
4 Endorsed
Mountain Arroyos, El Paso, TX 79912
Your body keeps score when it comes to all the battles you have endured and past experiences are the root of present day pain. Awful mood swings, numbness, anxiety, panic, and avoidance can greatly impact living a fulfilled life. Your treatment will be customized to enhance your sense of self, emotional well-being, self esteem, and help you to develop behaviors and thoughts that assist you in navigating your environment safely and comfortably as your true self and with others. This is your time to shift from surviving to healing and I'm here to help you.
Your body keeps score when it comes to all the battles you have endured and past experiences are the root of present day pain. Awful mood swings, numbness, anxiety, panic, and avoidance can greatly impact living a fulfilled life. Your treatment will be customized to enhance your sense of self, emotional well-being, self esteem, and help you to develop behaviors and thoughts that assist you in navigating your environment safely and comfortably as your true self and with others. This is your time to shift from surviving to healing and I'm here to help you.
(915) 301-8445 View (915) 301-8445
Photo of Shannon C Sawyer - Sawyer Behavioral Health, LPC-S, Licensed Professional Counselor
Sawyer Behavioral Health
Licensed Professional Counselor, LPC-S
Verified Verified
1 Endorsed
Mountain Arroyos, El Paso, TX 79912
Behavioral health incorporates the understanding of one's emotions, behaviors, and biology relating to their well-being, daily functioning, and concept of self. At Sawyer Behavioral Health, we believe the most effective way of navigating the intricacies of emotions, behaviors, and self-concept is to take a strengths and values-based approach to therapy while remembering that an individuals source of power and wisdom lies within themselves. At SBH, our staff and therapists truly strive to create an environment that is caring and enriching. SBH is where "Courage Meets Compassion".
Behavioral health incorporates the understanding of one's emotions, behaviors, and biology relating to their well-being, daily functioning, and concept of self. At Sawyer Behavioral Health, we believe the most effective way of navigating the intricacies of emotions, behaviors, and self-concept is to take a strengths and values-based approach to therapy while remembering that an individuals source of power and wisdom lies within themselves. At SBH, our staff and therapists truly strive to create an environment that is caring and enriching. SBH is where "Courage Meets Compassion".
(915) 221-7083 View (915) 221-7083
Photo of Adrian V Chavira, MS, LPC, LCDC, Licensed Professional Counselor
Adrian V Chavira
Licensed Professional Counselor, MS, LPC, LCDC
Verified Verified
1 Endorsed
Mountain Arroyos, El Paso, TX 79912
Life can be challenging, but I am here to help you. My counseling services serve as your solution focused self-discovery experience to improve your life. Improve patience, reduce worry, and eliminate trauma. I will help you set plans to progress toward the goals you want during our counseling sessions. I focus on helping my clients identify their needs and strengths for improvement.
Life can be challenging, but I am here to help you. My counseling services serve as your solution focused self-discovery experience to improve your life. Improve patience, reduce worry, and eliminate trauma. I will help you set plans to progress toward the goals you want during our counseling sessions. I focus on helping my clients identify their needs and strengths for improvement.
(915) 900-6337 View (915) 900-6337
Photo of Ann Dennis - Lifebulb Counseling & Therapy, LPC, Licensed Professional Counselor
Lifebulb Counseling & Therapy
Licensed Professional Counselor, LPC
Verified Verified
Mountain Arroyos, El Paso, TX 79912
We're here to help you reach your therapy goals at Lifebulb! We’ll connect you with the best possible therapist for your unique goals, someone who genuinely cares about helping you. We’re all about making therapy enjoyable for both therapists and clients. Whether you prefer in-person sessions at our locations or online through telehealth, we've got you covered. Our team consists of highly trained and licensed clinicians who are passionate about the therapy process. Let's work together to achieve your goals!
We're here to help you reach your therapy goals at Lifebulb! We’ll connect you with the best possible therapist for your unique goals, someone who genuinely cares about helping you. We’re all about making therapy enjoyable for both therapists and clients. Whether you prefer in-person sessions at our locations or online through telehealth, we've got you covered. Our team consists of highly trained and licensed clinicians who are passionate about the therapy process. Let's work together to achieve your goals!
(915) 265-5678 View (915) 265-5678
Photo of Cynthia Castillo, LPC, Licensed Professional Counselor
Cynthia Castillo
Licensed Professional Counselor, LPC
Verified Verified
Mountain Arroyos, El Paso, TX 79912
I enjoy working extensively with adolescents, adults and families working through challenges with trauma recovery, anxiety, depression, stressful work and interpersonal relationships. I have experience, and also enjoy, counseling more specific anger management, parenting and self-esteem. If you are ready to take your journey into healing, reach out via email or on our website contact form.
I enjoy working extensively with adolescents, adults and families working through challenges with trauma recovery, anxiety, depression, stressful work and interpersonal relationships. I have experience, and also enjoy, counseling more specific anger management, parenting and self-esteem. If you are ready to take your journey into healing, reach out via email or on our website contact form.
(915) 900-6926 View (915) 900-6926
Photo of Angela Barraza, LPC, Licensed Professional Counselor
Angela Barraza
Licensed Professional Counselor, LPC
Verified Verified
1 Endorsed
Mountain Arroyos, El Paso, TX 79912
Sometimes it is ok not to feel ok. Do you feel angry and not completely understand why? Have you ever been in a room full of people and yet you still feel alone? Do your thoughts spiral until you feel extremely exhausted? Is stress keeping you from falling asleep at night? Sometimes life is overwhelming and we just want to stay in bed hidden under our covers. Although you may feel this way now, remember that there are things that we can do to change the way we feel. You are not alone and all it takes is one healthy relationship to completely rewire our brain and help build resilience.
Sometimes it is ok not to feel ok. Do you feel angry and not completely understand why? Have you ever been in a room full of people and yet you still feel alone? Do your thoughts spiral until you feel extremely exhausted? Is stress keeping you from falling asleep at night? Sometimes life is overwhelming and we just want to stay in bed hidden under our covers. Although you may feel this way now, remember that there are things that we can do to change the way we feel. You are not alone and all it takes is one healthy relationship to completely rewire our brain and help build resilience.
(915) 221-7583 View (915) 221-7583
Photo of Corina Doris Franck, MEd, LPC , Licensed Professional Counselor
Corina Doris Franck
Licensed Professional Counselor, MEd, LPC
Verified Verified
3 Endorsed
Mountain Arroyos, El Paso, TX 79912
Born in Germany coming from a humble background and being a former military spouse shaped me into a knowledgeable and compassionate person. I provide a safe space to talk , trained in tools that help to build the best life for ourselves . Being part of my clients journey to achieve those goals for themselves keeps me hopeful about the world - we are all better because you are in it. I completed my Master in Education and Counseling Degree at Sul Ross State University in Alpine TX. I have 16 plus years experience working in the mental health field
Born in Germany coming from a humble background and being a former military spouse shaped me into a knowledgeable and compassionate person. I provide a safe space to talk , trained in tools that help to build the best life for ourselves . Being part of my clients journey to achieve those goals for themselves keeps me hopeful about the world - we are all better because you are in it. I completed my Master in Education and Counseling Degree at Sul Ross State University in Alpine TX. I have 16 plus years experience working in the mental health field
(915) 221-7647 View (915) 221-7647
Photo of Derrick Lewis, MEd, Licensed Professional Counselor
Derrick Lewis
Licensed Professional Counselor, MEd
Verified Verified
1 Endorsed
Mountain Arroyos, El Paso, TX 79912  (Online Only)
My name is Derrick Lewis and I am a Licensed Professional Counselor in the state of Texas. I received a Bachelors Degree in Psychology from the University of Texas - El Paso and a Masters Degree in Clinical Mental Health Counseling from Lamar University. Since 2015, I've worked with children, adolescents, adults and their families. I specialize in treating multiple areas including depression, anxiety, ADHD, trauma, anger management, family issues, and relationships. With a warm and empathetic approach, I create a therapeutic environment where clients of all ages feel understood, supported, and empowered to achieve their goals
My name is Derrick Lewis and I am a Licensed Professional Counselor in the state of Texas. I received a Bachelors Degree in Psychology from the University of Texas - El Paso and a Masters Degree in Clinical Mental Health Counseling from Lamar University. Since 2015, I've worked with children, adolescents, adults and their families. I specialize in treating multiple areas including depression, anxiety, ADHD, trauma, anger management, family issues, and relationships. With a warm and empathetic approach, I create a therapeutic environment where clients of all ages feel understood, supported, and empowered to achieve their goals
(512) 640-2319 View (512) 640-2319
Photo of Traci Celeste Presley, MA, LPC, Licensed Professional Counselor
Traci Celeste Presley
Licensed Professional Counselor, MA, LPC
Verified Verified
Mountain Arroyos, El Paso, TX 79912
Our field has been ready for a different kind of therapy approach for a long time! Along with traditional evidence-based psychotherapeutic techniques, I use alternative, complementary, adjunctive, holistic, and integrative modalities. Neuroplasticity is our goal and the brain-body connection is my passion! I focus on the interface between physical health, mind/brain health, and spiritual factors that contribute to overall mental and physical health. Using my 11-point system, I help people restore their life balance. I got your back and you are in a safe place. I now offer neurofeedback!
Our field has been ready for a different kind of therapy approach for a long time! Along with traditional evidence-based psychotherapeutic techniques, I use alternative, complementary, adjunctive, holistic, and integrative modalities. Neuroplasticity is our goal and the brain-body connection is my passion! I focus on the interface between physical health, mind/brain health, and spiritual factors that contribute to overall mental and physical health. Using my 11-point system, I help people restore their life balance. I got your back and you are in a safe place. I now offer neurofeedback!
(915) 615-3308 View (915) 615-3308
Photo of Mireya Cepeda, LCSW , Clinical Social Work/Therapist
Mireya Cepeda
Clinical Social Work/Therapist, LCSW
Verified Verified
Mountain Arroyos, El Paso, TX 79912  (Online Only)
My name is Mireya Cepeda and I am a licensed clinical social worker with over 18 years’ experience working with adults going through vulnerable phases in life such as relationship issues, co-parenting issues, and abuse. In addition to mental health diagnosis such as depression, anxiety, and adjustment disorder.
My name is Mireya Cepeda and I am a licensed clinical social worker with over 18 years’ experience working with adults going through vulnerable phases in life such as relationship issues, co-parenting issues, and abuse. In addition to mental health diagnosis such as depression, anxiety, and adjustment disorder.
(915) 286-7134 View (915) 286-7134
Photo of Amanda R Henry, MS, LPC, Licensed Professional Counselor
Amanda R Henry
Licensed Professional Counselor, MS, LPC
Verified Verified
1 Endorsed
Mountain Arroyos, El Paso, TX 79912
My clients come for counseling for a range of services from individual, couples, family and groups with a variety diagnoses. I see clients ranging in age from elementary school age to 99 years young. My primary population is military, veterans, first responders, frontline medical professionals and people who have experienced a traumatic event due to my focus on trauma and related diagnoses with the goal of helping my clients reach their individualized treatment plan goals.
My clients come for counseling for a range of services from individual, couples, family and groups with a variety diagnoses. I see clients ranging in age from elementary school age to 99 years young. My primary population is military, veterans, first responders, frontline medical professionals and people who have experienced a traumatic event due to my focus on trauma and related diagnoses with the goal of helping my clients reach their individualized treatment plan goals.
(915) 223-5333 View (915) 223-5333
Photo of Patricia Rosales, LPC, LCDC, Licensed Professional Counselor
Patricia Rosales
Licensed Professional Counselor, LPC, LCDC
Verified Verified
1 Endorsed
Mountain Arroyos, El Paso, TX 79912
We don’t have to live a life of torture by constantly allowing the ruminations of the past to take over the present, destroying our happiness. Life is worth living and it is important to discover the person who is kind, strong and important and we can allow ourselves to be. Counseling improves personal functioning, improves relationships, allows self-awareness, improves mood, guiding you to the realization of persona. Through the therapeutic process, a person may come to appreciate the uniqueness of their own personal qualities and discover new ways to develop a better understanding of themselves. Opportunity to grow.
We don’t have to live a life of torture by constantly allowing the ruminations of the past to take over the present, destroying our happiness. Life is worth living and it is important to discover the person who is kind, strong and important and we can allow ourselves to be. Counseling improves personal functioning, improves relationships, allows self-awareness, improves mood, guiding you to the realization of persona. Through the therapeutic process, a person may come to appreciate the uniqueness of their own personal qualities and discover new ways to develop a better understanding of themselves. Opportunity to grow.
(915) 974-3593 View (915) 974-3593
Photo of Temperance Johnson - WellMind Neurofeedback, PhD, LP, BCN, Psychologist
WellMind Neurofeedback
Psychologist, PhD, LP, BCN
Verified Verified
1 Endorsed
Mountain Arroyos, El Paso, TX 79912
A calm and focused brain has many benefits such as improving sleep and mood, improving attention and concentration, and reducing/eliminating migraines. Neurofeedback has been empirically proven to help with ADHD, behavioral symptoms of Autism, addictive behaviors, anxiety, depression, and symptoms of PTSD to include anger, irritability, and flashbacks.
A calm and focused brain has many benefits such as improving sleep and mood, improving attention and concentration, and reducing/eliminating migraines. Neurofeedback has been empirically proven to help with ADHD, behavioral symptoms of Autism, addictive behaviors, anxiety, depression, and symptoms of PTSD to include anger, irritability, and flashbacks.
(915) 666-2913 View (915) 666-2913
Photo of Yazmin Catalina Cardena, MA, LPC, Licensed Professional Counselor
Yazmin Catalina Cardena
Licensed Professional Counselor, MA, LPC
Verified Verified
2 Endorsed
Mountain Arroyos, El Paso, TX 79912  (Online Only)
I would love to have the privilege to take the time with you, and together find out how you can move forward of this situation and how you can deal with new challenges. I would love to help you start the process of healing, regain serenity, peace and harmony. Me encantaria tener el privilegio de poderte servir con tu terapia y seguir adelante en esta situacion por la cual pides ayuda. Poderte ayudar con los retos que te esta dando la vida en este momento. Quisiera ayudarte en el proceso de sanacion, y que vuelvas a tener paz y serenidad. No tengas miedo mis clientes me dicen que soy compasiva y tengo empatia. Anímate a sanarte.
I would love to have the privilege to take the time with you, and together find out how you can move forward of this situation and how you can deal with new challenges. I would love to help you start the process of healing, regain serenity, peace and harmony. Me encantaria tener el privilegio de poderte servir con tu terapia y seguir adelante en esta situacion por la cual pides ayuda. Poderte ayudar con los retos que te esta dando la vida en este momento. Quisiera ayudarte en el proceso de sanacion, y que vuelvas a tener paz y serenidad. No tengas miedo mis clientes me dicen que soy compasiva y tengo empatia. Anímate a sanarte.
(915) 900-6798 View (915) 900-6798
Photo of Christal Eileen Tucker, MSW, LCSW, Clinical Social Work/Therapist
Christal Eileen Tucker
Clinical Social Work/Therapist, MSW, LCSW
Verified Verified
Mountain Arroyos, El Paso, TX 79912
Are you tired of feeling trapped by the weight of your past? Do memories of childhood trauma or relentless anxiety keep you from living the life you deserve? It's time to shatter those chains and reclaim your power. Therapy isn't just about managing symptoms—it's about rewriting your story, finding healing, and unlocking the resilience within you. Together, we'll embark on a journey of self-discovery and transformation, turning your pain into purpose and guiding you towards a future filled with hope and possibility.
Are you tired of feeling trapped by the weight of your past? Do memories of childhood trauma or relentless anxiety keep you from living the life you deserve? It's time to shatter those chains and reclaim your power. Therapy isn't just about managing symptoms—it's about rewriting your story, finding healing, and unlocking the resilience within you. Together, we'll embark on a journey of self-discovery and transformation, turning your pain into purpose and guiding you towards a future filled with hope and possibility.
(915) 975-5422 View (915) 975-5422
Photo of Victoria Palafox, MS, LPC, NCC, Licensed Professional Counselor
Victoria Palafox
Licensed Professional Counselor, MS, LPC, NCC
Verified Verified
1 Endorsed
Mountain Arroyos, El Paso, TX 79912  (Online Only)
Hope, possibility, insight, change; these are the gifts therapy can offer. I provide individual therapy which is collaborative, compassionate, and uniquely tailored to you. Building a positive and meaningful connection is at the heart of what I do. Most importantly, I provide you with a safe, non-judgmental space to fully explore your inner world.
Hope, possibility, insight, change; these are the gifts therapy can offer. I provide individual therapy which is collaborative, compassionate, and uniquely tailored to you. Building a positive and meaningful connection is at the heart of what I do. Most importantly, I provide you with a safe, non-judgmental space to fully explore your inner world.
(210) 702-2082 View (210) 702-2082
1

See more therapy options for Mountain Arroyos, El Paso

How does your Therapist compare?

Number of Therapists in Mountain Arroyos, El Paso, TX

40+

Average cost per session

$120

Therapists in Mountain Arroyos, El Paso, TX who prioritize treating:

93% Anxiety
85% Depression
85% Self Esteem
80% Stress
78% Relationship Issues
76% Trauma and PTSD
73% Coping Skills

Average years in practice

8 Years

Top 3 insurances accepted

91% BlueCross and BlueShield
91% Cigna and Evernorth
88% Aetna

How Therapists in Mountain Arroyos, El Paso, TX see their clients

66% In Person and Online
34% Online Only

Gender breakdown

82% Female
18% Male
FAQs - About Therapy and Counseling

How can I find a therapist in Mountain Arroyos, El Paso?

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.