Therapists in Little Elm, TX

Photo of undefined - Breathe Wellness and Counseling, LLC, LCSW, Clinical Social Work/Therapist
Breathe Wellness and Counseling, LLC
Clinical Social Work/Therapist, LCSW
Verified Verified
Little Elm, TX 75068
I have a passion to help others create the best version of themselves. I have been a social worker for 15 years and have worked with multiple diverse populations in non profit settings, medical and behavioral health hospitals and private clinics. Life can be overwhelming so I utilize a holistic approach to view many aspects of life and their impact.
I have a passion to help others create the best version of themselves. I have been a social worker for 15 years and have worked with multiple diverse populations in non profit settings, medical and behavioral health hospitals and private clinics. Life can be overwhelming so I utilize a holistic approach to view many aspects of life and their impact.
(469) 970-5895 View (469) 970-5895
Photo of Megan C Wheelock, MA, LPC Intern
Megan C Wheelock
LPC Intern, MA
Verified Verified
1 Endorsed
Little Elm, TX 75068  (Online Only)
My goal is to create an environment that can foster trust to facilitate growth for all individuals. I start where my clients are and move forward with them all while showing them the tools that they need to help themselves later on. I provide a safe, non-judgmental place for all people that need someone to talk to and are ready to start working towards their goals.
My goal is to create an environment that can foster trust to facilitate growth for all individuals. I start where my clients are and move forward with them all while showing them the tools that they need to help themselves later on. I provide a safe, non-judgmental place for all people that need someone to talk to and are ready to start working towards their goals.
(430) 227-7318 View (430) 227-7318
Photo of Sarah Brown, MA, LPC, Licensed Professional Counselor
Sarah Brown
Licensed Professional Counselor, MA, LPC
Verified Verified
1 Endorsed
Little Elm, TX 75068  (Online Only)
I specialize in working with young adults and teens. I have always enjoyed working with this age group. Being a teenager is such an important time of one’s life and there are so many decisions to made. I have worked with young men and women for the last seven years and love the opportunity to walk along their journey with them. During your teen and young adult years there are so many pressures: relationships, friendships, school, parents, your future, social pressures at school, exposure to substances, and figuring out who you want to be. I truly enjoy being part of the process when a young person finds themself.
I specialize in working with young adults and teens. I have always enjoyed working with this age group. Being a teenager is such an important time of one’s life and there are so many decisions to made. I have worked with young men and women for the last seven years and love the opportunity to walk along their journey with them. During your teen and young adult years there are so many pressures: relationships, friendships, school, parents, your future, social pressures at school, exposure to substances, and figuring out who you want to be. I truly enjoy being part of the process when a young person finds themself.
(972) 947-5804 View (972) 947-5804
Photo of Shahidrah R Cowgill, PhD(c), LPC-S, NCC, Licensed Professional Counselor
Shahidrah R Cowgill
Licensed Professional Counselor, PhD(c), LPC-S, NCC
Verified Verified
1 Endorsed
Little Elm, TX 75068
Learn how you can get reconnected and stop feeling angry, alone, inadequate, broken and misunderstood. There is HOPE! I strive to create a genuine, nonjudgmental, safe, and collaborative relationship with my clients. In a comfortable environment, I offer intensive and concierge support to help each client navigate the terrain of their recuperation and recovery journey. Within the therapeutic relationship, clients learn ways to improve their interpersonal relationships, increase emotional health and, well-being and effectively address personal life challenges.
Learn how you can get reconnected and stop feeling angry, alone, inadequate, broken and misunderstood. There is HOPE! I strive to create a genuine, nonjudgmental, safe, and collaborative relationship with my clients. In a comfortable environment, I offer intensive and concierge support to help each client navigate the terrain of their recuperation and recovery journey. Within the therapeutic relationship, clients learn ways to improve their interpersonal relationships, increase emotional health and, well-being and effectively address personal life challenges.
(214) 326-0556 x102 View (214) 326-0556 x102
Photo of Lindsey Grela, MA, LPC, Licensed Professional Counselor
Lindsey Grela
Licensed Professional Counselor, MA, LPC
Verified Verified
Little Elm, TX 75068
Lindsey has experience working in a domestic violence outreach center, a community health crisis center, and a behavioral day treatment program for children and adolescents. As a part of her experience, Lindsey has worked with children and adults struggling with a variety of concerns, including, but not limited to: Post-Traumatic Stress Disorder (PTSD), Abuse, Trauma, Anxiety, Depression, Bipolar disorder, Grief, Relationship Concerns, and Personal Identity.
Lindsey has experience working in a domestic violence outreach center, a community health crisis center, and a behavioral day treatment program for children and adolescents. As a part of her experience, Lindsey has worked with children and adults struggling with a variety of concerns, including, but not limited to: Post-Traumatic Stress Disorder (PTSD), Abuse, Trauma, Anxiety, Depression, Bipolar disorder, Grief, Relationship Concerns, and Personal Identity.
(214) 225-2751 View (214) 225-2751
Photo of undefined - Kids Belong Counseling LLC , BSc , LPC-S, YT200, Licensed Professional Counselor
Kids Belong Counseling LLC
Licensed Professional Counselor, BSc , LPC-S, YT200
Verified Verified
Little Elm, TX 75068
Kids Belong Counseling help clients of all ages from children (3 yrs- teenagers) to adults. We also help couples, families and marriage counseling. Our therapist have over 20 years of experience helping our clients. We believe in using many different expressive interventions in therapy, which include art, movement, yoga and mindfulness. Talk therapy alone at times is not enough to promote healing and growth and, more importantly; self-awareness. We respond to all request within 48 hours if not sooner. Please reach out to us, we welcome you!
Kids Belong Counseling help clients of all ages from children (3 yrs- teenagers) to adults. We also help couples, families and marriage counseling. Our therapist have over 20 years of experience helping our clients. We believe in using many different expressive interventions in therapy, which include art, movement, yoga and mindfulness. Talk therapy alone at times is not enough to promote healing and growth and, more importantly; self-awareness. We respond to all request within 48 hours if not sooner. Please reach out to us, we welcome you!
(972) 736-9410 View (972) 736-9410
Photo of undefined - Brittani's Counseling Services, PLLC, MS, LPC, Licensed Professional Counselor
Brittani's Counseling Services, PLLC
Licensed Professional Counselor, MS, LPC
Verified Verified
Little Elm, TX 75068
I am a Licensed Professional Counselor. I currently I do not have an office space at the moment. In person meet ups will be in a public setting (ex. park). Location will be determined during initial evaluation. I aim to help identify and process trauma, build self-esteem, create and maintain healthy interpersonal relationships, establish safe and functional boundaries, manage stress, depression and anxiety caused by major life changes. My goal is to provide a non-judgmental environment and a safe space for you to be your true authentic self.
I am a Licensed Professional Counselor. I currently I do not have an office space at the moment. In person meet ups will be in a public setting (ex. park). Location will be determined during initial evaluation. I aim to help identify and process trauma, build self-esteem, create and maintain healthy interpersonal relationships, establish safe and functional boundaries, manage stress, depression and anxiety caused by major life changes. My goal is to provide a non-judgmental environment and a safe space for you to be your true authentic self.
(214) 949-8054 View (214) 949-8054
Photo of Mackenzie Threadgill, LPC, Licensed Professional Counselor
Mackenzie Threadgill
Licensed Professional Counselor, LPC
Verified Verified
Little Elm, TX 75068
Mackenzie Threadgill is a Licensed Professional Counselor (LPC) with over 7 years of experience in the counseling field. She is passionate about helping adolescents and adults identify challenges, heal, and grow to live with more authenticity and happiness. Mackenzie has a specialized focus in trauma studies and PTSD as well as stress, anxiety, addictions, anger management, depression, abuse, anger management, and depression. Mackenzie completed her Master's degree in Clinical and Counseling Psychology with a focus in Trauma work from Chestnut Hill College in Philadelphia, Pennsylvania.
Mackenzie Threadgill is a Licensed Professional Counselor (LPC) with over 7 years of experience in the counseling field. She is passionate about helping adolescents and adults identify challenges, heal, and grow to live with more authenticity and happiness. Mackenzie has a specialized focus in trauma studies and PTSD as well as stress, anxiety, addictions, anger management, depression, abuse, anger management, and depression. Mackenzie completed her Master's degree in Clinical and Counseling Psychology with a focus in Trauma work from Chestnut Hill College in Philadelphia, Pennsylvania.
(214) 856-7891 View (214) 856-7891
Photo of Hannah Kearns, MS, LPC-A, NCC
Hannah Kearns
Licensed Professional Counselor Associate, MS, LPC-A, NCC
Verified Verified
Little Elm, TX 75068
Hannah Kearns is an LPC Associate, Supervised by Lindsey Grela, LPC-Supervisor at Mended Soul Counseling Services. She is NCC certified. Hannah graduated with her bachelor's degree in Integrative Studies, focusing on the fields of Counseling, Psychology, and Speech-Language Pathology, and her master's in Clinical Mental Health Counseling. She loves to work with teenagers, adults, depression, anxiety, ADHD, and those struggling to find their purpose in life.
Hannah Kearns is an LPC Associate, Supervised by Lindsey Grela, LPC-Supervisor at Mended Soul Counseling Services. She is NCC certified. Hannah graduated with her bachelor's degree in Integrative Studies, focusing on the fields of Counseling, Psychology, and Speech-Language Pathology, and her master's in Clinical Mental Health Counseling. She loves to work with teenagers, adults, depression, anxiety, ADHD, and those struggling to find their purpose in life.
(972) 435-7946 x1 View (972) 435-7946 x1
Photo of Mandalin D Wright, LMFT-A, Marriage & Family Therapist Associate
Mandalin D Wright
Marriage & Family Therapist Associate, LMFT-A
Verified Verified
1 Endorsed
Little Elm, TX 75068
Are you focused on growth and healing? Are you struggling to make relationships in your life work? I believe one of the bravest things you could ever do is begin to understand your own story. Do you need help with managing life changes, and managing stress?
Are you focused on growth and healing? Are you struggling to make relationships in your life work? I believe one of the bravest things you could ever do is begin to understand your own story. Do you need help with managing life changes, and managing stress?
(214) 380-1641 View (214) 380-1641
Photo of Victoria Nobriga, MA, LPC A
Victoria Nobriga
Licensed Professional Counselor Associate, MA, LPC A
Verified Verified
Little Elm, TX 75068  (Online Only)
Victoria's counseling approach stems from her personal experiences. She has worked with a wide range of clients who sought counseling for issues such as depression, anxiety, trauma, and difficult life transitions. She understands how challenging life can be, especially when it feels as if the walls are closing in. With her warm demeanor and caring attitude, Victoria thrives in providing acceptance and comfort to those struggling to get through the day. Outside of therapy, Victoria enjoys attending sporting events, doing zoomies with her dogs, and curling up on the couch.
Victoria's counseling approach stems from her personal experiences. She has worked with a wide range of clients who sought counseling for issues such as depression, anxiety, trauma, and difficult life transitions. She understands how challenging life can be, especially when it feels as if the walls are closing in. With her warm demeanor and caring attitude, Victoria thrives in providing acceptance and comfort to those struggling to get through the day. Outside of therapy, Victoria enjoys attending sporting events, doing zoomies with her dogs, and curling up on the couch.
(469) 652-8338 View (469) 652-8338
Photo of Joy Lee, LPC-A
Joy Lee
Licensed Professional Counselor Associate, LPC-A
Verified Verified
1 Endorsed
Little Elm, TX 75068
I am passionate about working with children, adolescents, couples, and families to help them grow mentally, emotionally, and spiritually. Throughout my counseling practice, I have worked with different populations on topics including stress, trauma, depression, anxiety, shame, guilt, grief, self-esteem, values, identity, anger management, emotions, relationships, and communication skills. My greatest interest lies in the individual’s well-being. As a counselor, I facilitate a safe environment for exploration, support, and discovering internal and external strengths and resources to overcome challenges.
I am passionate about working with children, adolescents, couples, and families to help them grow mentally, emotionally, and spiritually. Throughout my counseling practice, I have worked with different populations on topics including stress, trauma, depression, anxiety, shame, guilt, grief, self-esteem, values, identity, anger management, emotions, relationships, and communication skills. My greatest interest lies in the individual’s well-being. As a counselor, I facilitate a safe environment for exploration, support, and discovering internal and external strengths and resources to overcome challenges.
(346) 440-1800 View (346) 440-1800
Photo of Christi Perez, LCSW, Clinical Social Work/Therapist
Christi Perez
Clinical Social Work/Therapist, LCSW
Verified Verified
2 Endorsed
Little Elm, TX 75068  (Online Only)
Life is hard and full of challenges, we all need some outside supports at different stages in our life. It is not always easy to be open and vulnerable to those people within our inner circle and that can feel lonely and isolating. A trusting therapeutic relationship can provide you the space and freedom many people need to be their true authentic self, to say what they have been holding in, and know they will be accepted through it all. I strive to create an atmosphere where each client can feel seen, heard, validated and celebrated for who they are. We are all worthy of this. Your story makes you uniquely you.
Life is hard and full of challenges, we all need some outside supports at different stages in our life. It is not always easy to be open and vulnerable to those people within our inner circle and that can feel lonely and isolating. A trusting therapeutic relationship can provide you the space and freedom many people need to be their true authentic self, to say what they have been holding in, and know they will be accepted through it all. I strive to create an atmosphere where each client can feel seen, heard, validated and celebrated for who they are. We are all worthy of this. Your story makes you uniquely you.
(214) 427-0098 View (214) 427-0098
Photo of Jaclyn Smith, LPC-S, Licensed Professional Counselor
Jaclyn Smith
Licensed Professional Counselor, LPC-S
Verified Verified
Little Elm, TX 75068
Jaclyn Smith is a Licensed Professional Counselor Supervisor with 12 years of experience in mental health. She is passionate about helping children, adolescents, and young adults address unique challenges and live more fulfilled lives. Jaclyn specializes in trauma, sexual and physical abuse, anxiety, ADHD, grief, parenting issues, behavioral issues, life transitions, and stress. She has a wealth of experience working with clients in inpatient and outpatient settings.
Jaclyn Smith is a Licensed Professional Counselor Supervisor with 12 years of experience in mental health. She is passionate about helping children, adolescents, and young adults address unique challenges and live more fulfilled lives. Jaclyn specializes in trauma, sexual and physical abuse, anxiety, ADHD, grief, parenting issues, behavioral issues, life transitions, and stress. She has a wealth of experience working with clients in inpatient and outpatient settings.
(214) 698-2715 View (214) 698-2715
Photo of undefined - WomenSPEAK Recovery Counseling & Therapy, PhD,  , LPCC, LPC, Counselor
WomenSPEAK Recovery Counseling & Therapy
Counselor, PhD, , LPCC, LPC
Verified Verified
Little Elm, TX 75068
Perhaps you’re at a point where you are frustrated and tired of starting over with a new therapist. You’re tired of telling your story over and over again and not experiencing any relief. You’re tired of taking all these medications and being numb. And you’re tired of your past trauma disrupting your everyday life. Perhaps you’re wondering if you’re ever going to heal and feel better. You CAN heal. The therapist’s job is to help facilitate the healing process that lies within you. To heal from trauma, you don’t have to talk about the details of what has happened to you (unless you find it helpful).
Perhaps you’re at a point where you are frustrated and tired of starting over with a new therapist. You’re tired of telling your story over and over again and not experiencing any relief. You’re tired of taking all these medications and being numb. And you’re tired of your past trauma disrupting your everyday life. Perhaps you’re wondering if you’re ever going to heal and feel better. You CAN heal. The therapist’s job is to help facilitate the healing process that lies within you. To heal from trauma, you don’t have to talk about the details of what has happened to you (unless you find it helpful).
(469) 754-8256 View (469) 754-8256
Photo of Quenla McGilber, MS, LPC, Licensed Professional Counselor
Quenla McGilber
Licensed Professional Counselor, MS, LPC
Verified Verified
Little Elm, TX 75068  (Online Only)
Hello and Welcome! Making the first step to sign up for therapy takes courage and compassion and I am so proud of you for getting started. You will be glad you did! I am a Licensed Professional Counselor in Texas with close to 14 years of professional work experience, I earned my Master’s Degree in Clinical Mental Health from Fort Hays State University. I have experience in helping clients with stress and anxiety, relationship issues, trauma and abuse, depression and gaining motivation to move forward from old belief systems and feelings of being trapped.
Hello and Welcome! Making the first step to sign up for therapy takes courage and compassion and I am so proud of you for getting started. You will be glad you did! I am a Licensed Professional Counselor in Texas with close to 14 years of professional work experience, I earned my Master’s Degree in Clinical Mental Health from Fort Hays State University. I have experience in helping clients with stress and anxiety, relationship issues, trauma and abuse, depression and gaining motivation to move forward from old belief systems and feelings of being trapped.
(469) 809-2530 View (469) 809-2530
Photo of Liliana Nataly Aguilar Perez, MEd, LPC-A
Liliana Nataly Aguilar Perez
Licensed Professional Counselor Associate , MEd, LPC-A
Verified Verified
1 Endorsed
Little Elm, TX 75068  (Online Only)
I have experience supporting clients with anxiety, depression, childhood trauma, religious trauma, LGBTQA+ issues, low self-esteem, and more. I am passionate about helping clients overcome childhood trauma, heal their inner child, and regulate their nervous system. I empower clients to advocate for themselves, explore their concerns, and embrace their genuine selves. Creating a safe space for new behaviors and authentic growth is central to my dedication.
I have experience supporting clients with anxiety, depression, childhood trauma, religious trauma, LGBTQA+ issues, low self-esteem, and more. I am passionate about helping clients overcome childhood trauma, heal their inner child, and regulate their nervous system. I empower clients to advocate for themselves, explore their concerns, and embrace their genuine selves. Creating a safe space for new behaviors and authentic growth is central to my dedication.
(972) 480-3809 View (972) 480-3809
Photo of Alicia Kwande, LCSW, Clinical Social Work/Therapist
Alicia Kwande
Clinical Social Work/Therapist, LCSW
Verified Verified
1 Endorsed
Little Elm, TX 75068  (Online Only)
I help women who are burdened by self-criticism and guilt uncover what it means to live a value-driven life that will bring you peace, satisfaction with yourself, and confidence in who you are.
I help women who are burdened by self-criticism and guilt uncover what it means to live a value-driven life that will bring you peace, satisfaction with yourself, and confidence in who you are.
(469) 871-8217 View (469) 871-8217
Photo of Shannon LaDawn McGaugh, MA, LMFT, Pre-Licensed Professional
Shannon LaDawn McGaugh
Pre-Licensed Professional, MA, LMFT
Verified Verified
1 Endorsed
Little Elm, TX 75068
Namaste.. I acknowledge the divine in me and I look forward to meeting the divine in you. I have been in this field for over 13 years and enjoy every new pathway that you may bring to my life. We can research new pathways together.. Life is a very difficult challenge for all of us..may we take haste in exploring the more pleasant aspects that life offers to each of us. No matter what you maybe facing in life believe that within you is the power to overcome or make changes .. I am trained in many lines of counseling and will not turn anyone away who is willing to seek deeper in their soul with direction to transform their life.
Namaste.. I acknowledge the divine in me and I look forward to meeting the divine in you. I have been in this field for over 13 years and enjoy every new pathway that you may bring to my life. We can research new pathways together.. Life is a very difficult challenge for all of us..may we take haste in exploring the more pleasant aspects that life offers to each of us. No matter what you maybe facing in life believe that within you is the power to overcome or make changes .. I am trained in many lines of counseling and will not turn anyone away who is willing to seek deeper in their soul with direction to transform their life.
(469) 871-8082 View (469) 871-8082
Photo of Marina S Sourial, MS, LPC, A
Marina S Sourial
Licensed Professional Counselor Associate , MS, LPC, A
Verified Verified
Little Elm, TX 75068
I believe that everyone has the right to ask to seek mental health help as we do ask for physical help. Counseling personally helped me to know who I am and to enjoy my life by equipping me with valuable tools to navigate life's challenges. Because of the profound positive impact counseling had on my life, I am passionate about providing the same transformative support to others. Finally in general, I chose to become a counselor to advocate for better mental and emotional health awareness and to combat the stigma associated with seeking help.
I believe that everyone has the right to ask to seek mental health help as we do ask for physical help. Counseling personally helped me to know who I am and to enjoy my life by equipping me with valuable tools to navigate life's challenges. Because of the profound positive impact counseling had on my life, I am passionate about providing the same transformative support to others. Finally in general, I chose to become a counselor to advocate for better mental and emotional health awareness and to combat the stigma associated with seeking help.
(682) 561-7480 View (682) 561-7480

How does your Therapist compare?

Number of Therapists in Little Elm, TX

90+

Average cost per session

$130

Therapists in Little Elm, TX who prioritize treating:

97% Anxiety
95% Depression
73% Relationship Issues
72% Trauma and PTSD
71% Coping Skills
69% Self Esteem
68% Grief

Average years in practice

10 Years

Top 3 insurances accepted

85% BlueCross and BlueShield
81% UnitedHealthcare UHC | UBH
78% Cigna and Evernorth

How Therapists in Little Elm, TX see their clients

83% In Person and Online
17% Online Only

Gender breakdown

87% Female
12% Male
1% Non-Binary
FAQs - About Therapy and Counseling

How can I find a therapist in Little Elm?

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.