Therapists in Southwest, Houston, TX

Photo of Maria da Silva, PhD, MEd, LPC, Licensed Professional Counselor
Maria da Silva
Licensed Professional Counselor, PhD, MEd, LPC
Verified Verified
Southwest, Houston, TX 77025  (Online Only)
I provide telehealth (video) counseling in English and Portuguese to adults suffering with: depression, anxiety, panic, social phobia, obsessions and compulsions, and struggles with relationships, perfectionism and career. Please understand that the success of the therapy is highly correlated to your ability to engage in the process. While having a rapport will provide a safe environment for you to express your challenges, in most cases, this is not enough. It requires your active participation in understanding how the mind works, where emotions come from and your behavioral choices.
I provide telehealth (video) counseling in English and Portuguese to adults suffering with: depression, anxiety, panic, social phobia, obsessions and compulsions, and struggles with relationships, perfectionism and career. Please understand that the success of the therapy is highly correlated to your ability to engage in the process. While having a rapport will provide a safe environment for you to express your challenges, in most cases, this is not enough. It requires your active participation in understanding how the mind works, where emotions come from and your behavioral choices.
(281) 378-5820 View (281) 378-5820
Photo of Mosadi L Porter, EdD
Mosadi L Porter
LPC Associate, EdD
Verified Verified
1 Endorsed
Southwest, Houston, TX 77054
Hey there! Feeling stuck in a cycle of frustration and confusion? Let's change that narrative together. I'm here to help you find understanding, confidence, and stability in your life. Struggling with communication? Feeling burnt out? Battling anxiety or depression? Or maybe life's thrown you a curveball you didn't see coming? Whatever it is, I've got your back. My goal is simple: to help you be well. I'm a Licensed Professional Counselor - Associate with over 25 years of experience wearing different hats. From higher education to spiritual leadership, mentoring to business, I've seen it all!
Hey there! Feeling stuck in a cycle of frustration and confusion? Let's change that narrative together. I'm here to help you find understanding, confidence, and stability in your life. Struggling with communication? Feeling burnt out? Battling anxiety or depression? Or maybe life's thrown you a curveball you didn't see coming? Whatever it is, I've got your back. My goal is simple: to help you be well. I'm a Licensed Professional Counselor - Associate with over 25 years of experience wearing different hats. From higher education to spiritual leadership, mentoring to business, I've seen it all!
(346) 523-7894 View (346) 523-7894
Photo of Amy Buford, LADC/MH, LPC, Licensed Professional Counselor
Amy Buford
Licensed Professional Counselor, LADC/MH, LPC
Verified Verified
1 Endorsed
Southwest, Houston, TX 77005  (Online Only)
Have you been struggling with anxiety, depression, trauma, problematic substance use, self esteem problems, addiction, and/ or relationship problems? Are you in a helping profession and finding yourself struggling? Together we walk through the journey of your life and help you heal from emotions that are hindering your quality of life.
Have you been struggling with anxiety, depression, trauma, problematic substance use, self esteem problems, addiction, and/ or relationship problems? Are you in a helping profession and finding yourself struggling? Together we walk through the journey of your life and help you heal from emotions that are hindering your quality of life.
(346) 239-8992 View (346) 239-8992
Photo of D'Monica Neal, LCSW, Clinical Social Work/Therapist
D'Monica Neal
Clinical Social Work/Therapist, LCSW
Verified Verified
1 Endorsed
Southwest, Houston, TX 77085  (Online Only)
I am committed to supporting you throughout your healing journey by providing a safe place that is non-judgmental, encouraging, and supportive as you navigate through the difficult moments of your life. Striving to help you gain insight about the problems hindering you from living your best life possible, address unhelpful beliefs, thoughts, and patterns of behavior, and implement new ways of coping through life’s issues. With compassion and understanding, we collaborate to determine the most effective approach to treatment.
I am committed to supporting you throughout your healing journey by providing a safe place that is non-judgmental, encouraging, and supportive as you navigate through the difficult moments of your life. Striving to help you gain insight about the problems hindering you from living your best life possible, address unhelpful beliefs, thoughts, and patterns of behavior, and implement new ways of coping through life’s issues. With compassion and understanding, we collaborate to determine the most effective approach to treatment.
(346) 707-2864 View (346) 707-2864
Photo of Jeffrey Selman, PsyD, BCBA-D, Psychologist
Jeffrey Selman
Psychologist, PsyD, BCBA-D
Verified Verified
Southwest, Houston, TX 77025
My name is Dr. Jeff Selman and I am a licensed psychologist, Board Certified Behavior Analyst (BCBA), and a certified school psychologist. I offer evidence-based telepsychology services to individuals across the lifespan and their families. These services include autism screening and assessment, individual and family therapy, parent behavior management training and coaching, and consultation and training for schools and community agencies. My approach is grounded in cognitive behavior therapy and behavior therapy. My sessions tend to be active, goal-oriented, and engaging. I love the work and welcomes complex and challenging cases.
My name is Dr. Jeff Selman and I am a licensed psychologist, Board Certified Behavior Analyst (BCBA), and a certified school psychologist. I offer evidence-based telepsychology services to individuals across the lifespan and their families. These services include autism screening and assessment, individual and family therapy, parent behavior management training and coaching, and consultation and training for schools and community agencies. My approach is grounded in cognitive behavior therapy and behavior therapy. My sessions tend to be active, goal-oriented, and engaging. I love the work and welcomes complex and challenging cases.
(713) 352-7571 View (713) 352-7571
Photo of Thomas Eric Fryar
Thomas Eric Fryar
LPC Associate
Verified Verified
Southwest, Houston, TX 77054
Can't, never, shouldn't, these are some of the words we tell ourselves when we feel overwhelmed. If you've ever found yourself unable to sleep at night because of the endless barrage of insults you aim at yourself for things out of your control then it may be time to consider seeing a counselor. You may find yourself stuck in the same miserable cycles day in and day out struggling to break free and feeling hopeless. However, our brains are constantly adapting, changing, and learning and it is possible, with help, to change those negative cycles into positive ones.
Can't, never, shouldn't, these are some of the words we tell ourselves when we feel overwhelmed. If you've ever found yourself unable to sleep at night because of the endless barrage of insults you aim at yourself for things out of your control then it may be time to consider seeing a counselor. You may find yourself stuck in the same miserable cycles day in and day out struggling to break free and feeling hopeless. However, our brains are constantly adapting, changing, and learning and it is possible, with help, to change those negative cycles into positive ones.
(281) 968-4706 View (281) 968-4706
Photo of Bianca Bonaventure, MS, LPC, Licensed Professional Counselor
Bianca Bonaventure
Licensed Professional Counselor, MS, LPC
Verified Verified
1 Endorsed
Southwest, Houston, TX 77054  (Online Only)
My life’s mission is to elevate possibility and decrease suffering. I’m a passionate, client-centered professional. My goal as a clinician is to use my empathy and vibrant energy to create authentic connections with my clients, which allows them a safe space to explore the many facets of life.
My life’s mission is to elevate possibility and decrease suffering. I’m a passionate, client-centered professional. My goal as a clinician is to use my empathy and vibrant energy to create authentic connections with my clients, which allows them a safe space to explore the many facets of life.
(346) 209-0919 View (346) 209-0919
Photo of Sky Muller, Pre-Licensed Professional
Sky Muller
Pre-Licensed Professional
Verified Verified
1 Endorsed
Southwest, Houston, TX 77054
Not accepting new clients
My name is Sky Muller, and I am a graduate student at Houston Christian University. I am being supervised by Keona Harris at D&K Counseling while striving to become a licensed marriage and family therapist. Before entering my master’s program, I earned a bachelor’s degree from the University of Houston-Clear Lake. I have previous experience working with children and families in ABA therapy, social work, public school settings, and as a current intern. If you are considering beginning therapy, I encourage you to do so!
My name is Sky Muller, and I am a graduate student at Houston Christian University. I am being supervised by Keona Harris at D&K Counseling while striving to become a licensed marriage and family therapist. Before entering my master’s program, I earned a bachelor’s degree from the University of Houston-Clear Lake. I have previous experience working with children and families in ABA therapy, social work, public school settings, and as a current intern. If you are considering beginning therapy, I encourage you to do so!
(281) 990-6558 View (281) 990-6558
Photo of Quentin Jiles, LMSW
Quentin Jiles
Licensed Master Social Worker, LMSW
Verified Verified
Southwest, Houston, TX 77045  (Online Only)
Are you tired of fighting anxiety, depression, and societal pressures alone? Then I am here to stand side by side and fight with you. As your therapist, whom has completed therapy for my own anxiety, I know what it feels like to fight alone and to have an advocating therapist. The societal pressures that black, brown, indigenous children and adults face are overwhelming and unfair. But there are ways to authentically walk in your skin. And I am here to help you in your walk!
Are you tired of fighting anxiety, depression, and societal pressures alone? Then I am here to stand side by side and fight with you. As your therapist, whom has completed therapy for my own anxiety, I know what it feels like to fight alone and to have an advocating therapist. The societal pressures that black, brown, indigenous children and adults face are overwhelming and unfair. But there are ways to authentically walk in your skin. And I am here to help you in your walk!
(346) 553-0640 View (346) 553-0640
Photo of Tamara Denise Peña, LCDC, LPC-S, NCC, Licensed Professional Counselor
Tamara Denise Peña
Licensed Professional Counselor, LCDC, LPC-S, NCC
Verified Verified
Southwest, Houston, TX 77054
I am certified by the National Board of Certified Counselors to treat anxiety and depression. Together, we will work on symptom relief to achieve positive outcomes. We will design a unique and individualized plan (new tools for your toolbox!) to assist in relapse prevention.
I am certified by the National Board of Certified Counselors to treat anxiety and depression. Together, we will work on symptom relief to achieve positive outcomes. We will design a unique and individualized plan (new tools for your toolbox!) to assist in relapse prevention.
(832) 447-6896 View (832) 447-6896
Photo of Case Manager - The Menninger Clinic's Navigator Service, LCSW, LCDC, Clinical Social Work/Therapist
The Menninger Clinic's Navigator Service
Clinical Social Work/Therapist, LCSW, LCDC
Verified Verified
Southwest, Houston, TX 77035
Navigator, Menninger's recovery management service, helps adults who have been treated for addiction or substance use disorder as they transition to a lower level of care. The service is designed to help reduce relapse rates and offer crisis support if that is ever needed. The Navigator team, which includes a case manager and peer recovery specialist, provides collaborative recovery management and monitoring. Together, the care team implements active recovery support, structure and accountability while the client participates in outpatient treatment.
Navigator, Menninger's recovery management service, helps adults who have been treated for addiction or substance use disorder as they transition to a lower level of care. The service is designed to help reduce relapse rates and offer crisis support if that is ever needed. The Navigator team, which includes a case manager and peer recovery specialist, provides collaborative recovery management and monitoring. Together, the care team implements active recovery support, structure and accountability while the client participates in outpatient treatment.
(713) 804-4594 View (713) 804-4594
Photo of Mary Rose - The Menninger Clinic Sleep Service, PhD, Psychologist
The Menninger Clinic Sleep Service
Psychologist, PhD
Verified Verified
Southwest, Houston, TX 77035
The sleep medicine team adapts Menninger’s standards of excellence in assessment, treatment and personalized care to the world of sleep medicine. We provide comprehensive consultation, evaluation and evidence-based management of all issues regarding sleep for ages 3 years and up. Nobody has the same experiences in life during the day; we also do not have the same experience at night. The sleep program was developed with the understanding that sleep is a very personal experience that affects peoples’ entire lives – night and day. Difficulties sleeping can affect 40% or more adults with mental health issues.
The sleep medicine team adapts Menninger’s standards of excellence in assessment, treatment and personalized care to the world of sleep medicine. We provide comprehensive consultation, evaluation and evidence-based management of all issues regarding sleep for ages 3 years and up. Nobody has the same experiences in life during the day; we also do not have the same experience at night. The sleep program was developed with the understanding that sleep is a very personal experience that affects peoples’ entire lives – night and day. Difficulties sleeping can affect 40% or more adults with mental health issues.
(346) 248-4239 View (346) 248-4239
Photo of Dr. Jocelyn Yvonne Jones, LPC, LCDC, Licensed Professional Counselor
Dr. Jocelyn Yvonne Jones
Licensed Professional Counselor, LPC, LCDC
Verified Verified
Southwest, Houston, TX 77085  (Online Only)
I have over 16 years of experience working in the mental health, behavioral health, and substance abuse field. I work with adolescents, adults, and the geriatric community. My goal is to provide a safe, non-judgmental, place using an eclectic counseling approach to meet the needs of every individual, helping clients to develop the needed coping skills/strategies to face and overcome daily challenges.
I have over 16 years of experience working in the mental health, behavioral health, and substance abuse field. I work with adolescents, adults, and the geriatric community. My goal is to provide a safe, non-judgmental, place using an eclectic counseling approach to meet the needs of every individual, helping clients to develop the needed coping skills/strategies to face and overcome daily challenges.
(281) 519-6874 View (281) 519-6874
Photo of Joanne D Mandel - InnerWisdom, Inc., LMSW, PMHNP, RN
InnerWisdom, Inc.
Licensed Master Social Worker, LMSW, PMHNP, RN
Not Verified Not Verified
Southwest, Houston, TX 77025
InnerWisdom is one of the few Community Mental Health Center in Texas that offers Partial Hospital Program (PHP), Intensive Outpatient Program (IOP), Supportive Outpatient Program (SOP), Telehealth, Medication Management, and Individual Therapy. We have a team of dedicated counselors, psychiatrist, psychologist, Nurses, and practitioners who work together to create a road map to recovery beyond the traditional inpatient/outpatient program. For more information about our program, to schedule an appointment, and to verify your insurance, please visit our website, innerwisdom.com.
InnerWisdom is one of the few Community Mental Health Center in Texas that offers Partial Hospital Program (PHP), Intensive Outpatient Program (IOP), Supportive Outpatient Program (SOP), Telehealth, Medication Management, and Individual Therapy. We have a team of dedicated counselors, psychiatrist, psychologist, Nurses, and practitioners who work together to create a road map to recovery beyond the traditional inpatient/outpatient program. For more information about our program, to schedule an appointment, and to verify your insurance, please visit our website, innerwisdom.com.
(281) 801-1071 View (281) 801-1071
Photo of Chanicka Lynnyetta Griffith - Tranquil Journey's Counseling Services , MA, LPC, LCPAA, Licensed Professional Counselor
Tranquil Journey's Counseling Services
Licensed Professional Counselor, MA, LPC, LCPAA
Verified Verified
Southwest, Houston, TX 77045
Are you struggling with day to day living and finding a peaceful way to navigate life's obstacles. We all face this journey, and you are not alone. As an advocate and professional in the helping field for 16 years, I would like to provide therapeutic services and interventions to assist you in finding your sense of peace. Whether your journey's obstacles include emotional barriers, family discord, or building your sense of professional strength, I would like to walk down this journey with you.
Are you struggling with day to day living and finding a peaceful way to navigate life's obstacles. We all face this journey, and you are not alone. As an advocate and professional in the helping field for 16 years, I would like to provide therapeutic services and interventions to assist you in finding your sense of peace. Whether your journey's obstacles include emotional barriers, family discord, or building your sense of professional strength, I would like to walk down this journey with you.
(346) 988-2201 View (346) 988-2201
Photo of LaKeshia Y Wells, MS, BCBA, LBA
LaKeshia Y Wells
Board Certified Behavior Analyst, MS, BCBA, LBA
Verified Verified
Southwest, Houston, TX 77025
Waitlist for new clients
In 2021, the CDC reported that 1 in 44 children in the U.S. is diagnosed with an autism spectrum disorder. This number had been on the rise for years, and with it the demand for quality autism therapy services. Parents of children with autism are seeking services that will help their children thrive more through increased independence, communication, living skills, and improved advocacy. Early intervention can improve learning, communication and social skills, as well as underlying brain development, so parents need these services as soon as possible.
In 2021, the CDC reported that 1 in 44 children in the U.S. is diagnosed with an autism spectrum disorder. This number had been on the rise for years, and with it the demand for quality autism therapy services. Parents of children with autism are seeking services that will help their children thrive more through increased independence, communication, living skills, and improved advocacy. Early intervention can improve learning, communication and social skills, as well as underlying brain development, so parents need these services as soon as possible.
(346) 639-3266 View (346) 639-3266
Photo of Aaliyah Maura, MS, LMFT- A, Marriage & Family Therapist Associate
Aaliyah Maura
Marriage & Family Therapist Associate, MS, LMFT- A
Verified Verified
Southwest, Houston, TX 77045  (Online Only)
I have a passion for working with the Black community to destigmatize the idea of accessing mental health services. Whether it is working with a family or couple to decrease conflict and increase intimacy or assisting an individual to process trauma, helping them to have a healthier relationship with themselves and others, it brings me joy to restore families to a sense of wholeness. I also really enjoy clients who are motivated to do the work, are willing to be open and receptive to the therapeutic process and who have an intrinsic desire to increase their self-awareness regarding their needs and wants.
I have a passion for working with the Black community to destigmatize the idea of accessing mental health services. Whether it is working with a family or couple to decrease conflict and increase intimacy or assisting an individual to process trauma, helping them to have a healthier relationship with themselves and others, it brings me joy to restore families to a sense of wholeness. I also really enjoy clients who are motivated to do the work, are willing to be open and receptive to the therapeutic process and who have an intrinsic desire to increase their self-awareness regarding their needs and wants.
(346) 639-4565 View (346) 639-4565
Photo of Danielle Bowman - D&K Counseling Group, PLLC, LPC-S, Licensed Professional Counselor
D&K Counseling Group, PLLC
Licensed Professional Counselor, LPC-S
Verified Verified
Southwest, Houston, TX 77054
Do you find yourself saying “I just have to push through” or question “why do I feel this way?” How often are you feeling disconnected, on autopilot, tired, down or unsettled and on edge? Or maybe you witnessed this? Do you often hear, “No! "Mine!" "Leave me alone!" "I don't want it!" "Go away!" "I hate you!" Screaming and yelling from your youth. Experiencing and witnessing out of control moods and being out of sync creates significant stress that impacts us on multiple levels. It is hard to cope. You need help. We are here for you.
Do you find yourself saying “I just have to push through” or question “why do I feel this way?” How often are you feeling disconnected, on autopilot, tired, down or unsettled and on edge? Or maybe you witnessed this? Do you often hear, “No! "Mine!" "Leave me alone!" "I don't want it!" "Go away!" "I hate you!" Screaming and yelling from your youth. Experiencing and witnessing out of control moods and being out of sync creates significant stress that impacts us on multiple levels. It is hard to cope. You need help. We are here for you.
(281) 609-4868 View (281) 609-4868
Photo of Shannon Hill, LCSW, Clinical Social Work/Therapist
Shannon Hill
Clinical Social Work/Therapist, LCSW
Verified Verified
Southwest, Houston, TX 77054  (Online Only)
I love working with clients who are seeking to identify and change patterns in thought, communication, and relationships. My clients are individuals who are experiencing struggles and roadblocks in how they view and interact with themselves and others. I enjoy helping people grow in awareness of what is causing their issues and learn how to effect change in their lives and relationships. I offer clients a safe place to experience and process their emotions, identify unhelpful patterns and learn healthy coping skills.
I love working with clients who are seeking to identify and change patterns in thought, communication, and relationships. My clients are individuals who are experiencing struggles and roadblocks in how they view and interact with themselves and others. I enjoy helping people grow in awareness of what is causing their issues and learn how to effect change in their lives and relationships. I offer clients a safe place to experience and process their emotions, identify unhelpful patterns and learn healthy coping skills.
(833) 278-7144 View (833) 278-7144
Photo of Marina Erbstoesser - Menninger's Recovery Intensive Outpatient Program, LMFT-S, LCDC, CSAT
Menninger's Recovery Intensive Outpatient Program
LMFT-S, LCDC, CSAT
Verified Verified
Southwest, Houston, TX 77035
Having the freedom to pursue your life’s goals, be present at work, and have meaningful relationships without problematic substance use requires a transition. No matter what pathway forward you choose, having support from mental health professionals and peers who are managing similar difficulties in life is preparation for a smoother way forward. Menninger offers the Intensive Outpatient Program (IOP) for adults and their family members as a guide for recovery.
Having the freedom to pursue your life’s goals, be present at work, and have meaningful relationships without problematic substance use requires a transition. No matter what pathway forward you choose, having support from mental health professionals and peers who are managing similar difficulties in life is preparation for a smoother way forward. Menninger offers the Intensive Outpatient Program (IOP) for adults and their family members as a guide for recovery.
(346) 517-7954 View (346) 517-7954
1

See more therapy options for Southwest, Houston

How does your Therapist compare?

Number of Therapists in Southwest, Houston, TX

50+

Average cost per session

$125

Therapists in Southwest, Houston, TX who prioritize treating:

87% Depression
85% Anxiety
68% Self Esteem
64% Family Conflict
60% Relationship Issues
58% Coping Skills
55% Grief

Average years in practice

11 Years

Top 3 insurances accepted

89% Aetna
86% Cigna and Evernorth
75% UnitedHealthcare UHC | UBH

How Therapists in Southwest, Houston, TX see their clients

65% In Person and Online
35% Online Only

Gender breakdown

86% Female
14% Male
FAQs - About Therapy and Counseling

How can I find a therapist in Southwest, Houston?

Search for nearby therapists or counselors by inputting your city, town, or suburb; or zip code; or a provider’s name into the search bar. From there, you can filter providers by the issues they treat, cost, insurance, gender, and other factors to find providers who are well-suited to your needs. To navigate between locations within the same country, enter a new city or zip code into the search bar.

Learn more about how to find a therapist

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.