Therapists in Northwest Crossing, San Antonio, TX

Photo of Joana Pomenta - Directive Therapy Solutions, MA, LPC, Licensed Professional Counselor
Directive Therapy Solutions
Licensed Professional Counselor, MA, LPC
Verified Verified
Northwest Crossing, San Antonio, TX 78250
Directive therapy is a guided processes in which the client learns how their experiences have shaped their emotions, behaviors, and thinking - determining the course of their destiny. In this process, the client will learn to transform their thinking to bring the change they long for. Unlike other forms of therapy, directive therapy allows the client to see the therapist at work, as the therapist updates the client from session to session on how their analysis is progressing, how their problem is structured, and how to effect meaningful change
Directive therapy is a guided processes in which the client learns how their experiences have shaped their emotions, behaviors, and thinking - determining the course of their destiny. In this process, the client will learn to transform their thinking to bring the change they long for. Unlike other forms of therapy, directive therapy allows the client to see the therapist at work, as the therapist updates the client from session to session on how their analysis is progressing, how their problem is structured, and how to effect meaningful change
(210) 943-9515 View (210) 943-9515
Photo of Lauren DeReese Garcia, MA, Licensed Professional Counselor
Lauren DeReese Garcia
Licensed Professional Counselor, MA
Verified Verified
Northwest Crossing, San Antonio, TX 78230
Waitlist for new clients
My ideal client doesn’t have a defined age and gender is merely a construct. I welcome couples and individuals in the LGBTQIA+ community as well as allies as well as the complex issues that come with these identities. My favorite things to help people with are the deep thoughts, anxieties, and changes associated with BIG life transitions, balancing work and life, and managing ADHD. I love talking about things that range from the mundane and temporary to deep spiritual and philosophical questions.
My ideal client doesn’t have a defined age and gender is merely a construct. I welcome couples and individuals in the LGBTQIA+ community as well as allies as well as the complex issues that come with these identities. My favorite things to help people with are the deep thoughts, anxieties, and changes associated with BIG life transitions, balancing work and life, and managing ADHD. I love talking about things that range from the mundane and temporary to deep spiritual and philosophical questions.
(210) 934-7765 View (210) 934-7765
Photo of Online Virtual Therapy With Shaudi Adel, LCSW, Clinical Social Work/Therapist
Online Virtual Therapy With Shaudi Adel
Clinical Social Work/Therapist, LCSW
Verified Verified
2 Endorsed
Northwest Crossing, San Antonio, TX 78250
FREE consultations! Are you feeling stuck in negative thoughts, intense emotions, or behavioral patterns that don't serve your best interest? Are you hoping to build more meaning and joy in your life? You may feel hesitant about reaching out for help, especially with pressure from all directions to "have it all together". I'm here to join you on this journey to discover healing and build a balanced life.
FREE consultations! Are you feeling stuck in negative thoughts, intense emotions, or behavioral patterns that don't serve your best interest? Are you hoping to build more meaning and joy in your life? You may feel hesitant about reaching out for help, especially with pressure from all directions to "have it all together". I'm here to join you on this journey to discover healing and build a balanced life.
(858) 736-9964 View (858) 736-9964
Photo of Online Virtual Therapy With Hana Berlin, LMFT, Marriage & Family Therapist
Online Virtual Therapy With Hana Berlin
Marriage & Family Therapist, LMFT
Verified Verified
1 Endorsed
Northwest Crossing, San Antonio, TX 78250
FREE consultations! Are you feeling stuck in negative thoughts, intense emotions, or behavioral patterns that don't serve your best interest? Are you hoping to build more meaning and joy in your life? You may feel hesitant about reaching out for help, especially with pressure from all directions to "have it all together". I'm here to join you on this journey to discover healing and build a balanced life.
FREE consultations! Are you feeling stuck in negative thoughts, intense emotions, or behavioral patterns that don't serve your best interest? Are you hoping to build more meaning and joy in your life? You may feel hesitant about reaching out for help, especially with pressure from all directions to "have it all together". I'm here to join you on this journey to discover healing and build a balanced life.
(347) 934-8760 View (347) 934-8760
Photo of Michael Allen Kent, MA, Licensed Professional Counselor
Michael Allen Kent
Licensed Professional Counselor, MA
Verified Verified
Northwest Crossing, San Antonio, TX 78250  (Online Only)
Another night of distancing from your partner. Loneliness sets in and produces such an insecure feeling. Out of this arises resentment, emotional numbness, and feeling of being neglected. So many difficult emotions to process and the sense of being overwhelmed leads to criticism, shouting matches and conflict that seems to have no resolution. Your stomach is in knots, brain fog sets in and depression is the icing on the cake that produces a lack of desire that leaves you wondering if your marriage is over. Such a deep feeling of being overwhelmed seems unfixable. But there is hope and your relationship can flourish!
Another night of distancing from your partner. Loneliness sets in and produces such an insecure feeling. Out of this arises resentment, emotional numbness, and feeling of being neglected. So many difficult emotions to process and the sense of being overwhelmed leads to criticism, shouting matches and conflict that seems to have no resolution. Your stomach is in knots, brain fog sets in and depression is the icing on the cake that produces a lack of desire that leaves you wondering if your marriage is over. Such a deep feeling of being overwhelmed seems unfixable. But there is hope and your relationship can flourish!
(210) 405-2281 View (210) 405-2281
Photo of George S Cox, MS, LPC-S, Licensed Professional Counselor
George S Cox
Licensed Professional Counselor, MS, LPC-S
Verified Verified
2 Endorsed
Northwest Crossing, San Antonio, TX 78250
I have been working with kids, teens, adults and families in some role for over 30 years. Having worked as direct care staff while in grad-school, church staff, teaching, and as a therapist, I have had many opportunities to help individuals and families to build on their strengths, and overcome their weaknesses. In addition to my work, I am a parent. In fact I have been a parent in a wonderfully blended family where I have had the privilege to parent 21 children.
I have been working with kids, teens, adults and families in some role for over 30 years. Having worked as direct care staff while in grad-school, church staff, teaching, and as a therapist, I have had many opportunities to help individuals and families to build on their strengths, and overcome their weaknesses. In addition to my work, I am a parent. In fact I have been a parent in a wonderfully blended family where I have had the privilege to parent 21 children.
(210) 960-9692 View (210) 960-9692
Photo of Dr. Rosemary Z Hernandez, PhD, LPC-S, NCC, CCMHC, Licensed Professional Counselor
Dr. Rosemary Z Hernandez
Licensed Professional Counselor, PhD, LPC-S, NCC, CCMHC
Verified Verified
1 Endorsed
Northwest Crossing, San Antonio, TX 78250
Thank you for taking the first step in seeking help. Sometimes taking this first step is the hardest for most people to take, so congratulations! My hope is to provide you with a safe place to work on whatever symptoms or concerns you are currently dealing with. I have been in the field for over 15 years and have worked with an array of populations. My experience is in the areas of trauma, PTSD, ADHD, adolescents (at-risk youth), relationship issues, divorce, and law enforcement issues. In addition, I have experience working with veterans to provide a second opinion and/or assessment in support of their VA Disability claims.
Thank you for taking the first step in seeking help. Sometimes taking this first step is the hardest for most people to take, so congratulations! My hope is to provide you with a safe place to work on whatever symptoms or concerns you are currently dealing with. I have been in the field for over 15 years and have worked with an array of populations. My experience is in the areas of trauma, PTSD, ADHD, adolescents (at-risk youth), relationship issues, divorce, and law enforcement issues. In addition, I have experience working with veterans to provide a second opinion and/or assessment in support of their VA Disability claims.
(210) 879-7256 View (210) 879-7256
Photo of Leo Royzman, LCSW, Clinical Social Work/Therapist
Leo Royzman
Clinical Social Work/Therapist, LCSW
Verified Verified
1 Endorsed
Northwest Crossing, San Antonio, TX 78250
Symptoms such as anxiety, anger, sadness, overthinking, self-criticism, despair, escapism, and self-injury freeze your ability to be fully you. They affect you at work or school, how you relate to others and how you view yourself. Psychotherapy with it's various modalities is the best approach to reduce symptoms, find better behaviors, and self-heal.
Symptoms such as anxiety, anger, sadness, overthinking, self-criticism, despair, escapism, and self-injury freeze your ability to be fully you. They affect you at work or school, how you relate to others and how you view yourself. Psychotherapy with it's various modalities is the best approach to reduce symptoms, find better behaviors, and self-heal.
(726) 600-8862 View (726) 600-8862
Photo of Cassandra J Ledezma, MA, LPC, CSC, Licensed Professional Counselor
Cassandra J Ledezma
Licensed Professional Counselor, MA, LPC, CSC
Verified Verified
3 Endorsed
Northwest Crossing, San Antonio, TX 78250
One of the most difficult steps to take is one in which you identify that it is time for change. Life can be difficult and when you feel that you have exhausted the tools in your toolbox, it may be time to ask for help. I work with clients in a holistic manner; together we work towards wellness in body, mind, and spirit. Counseling is about you and your journey. I will work with you to be able to process and find peace within yourself and your relationships. I believe in providing a safe space for clients that will allow you to feel comfortable while being vulnerable in sharing.
One of the most difficult steps to take is one in which you identify that it is time for change. Life can be difficult and when you feel that you have exhausted the tools in your toolbox, it may be time to ask for help. I work with clients in a holistic manner; together we work towards wellness in body, mind, and spirit. Counseling is about you and your journey. I will work with you to be able to process and find peace within yourself and your relationships. I believe in providing a safe space for clients that will allow you to feel comfortable while being vulnerable in sharing.
(210) 943-9394 View (210) 943-9394
Photo of Robert Jones, MHA, LCDC, ADC, ICADC, Drug & Alcohol Counselor
Robert Jones
Drug & Alcohol Counselor, MHA, LCDC, ADC, ICADC
Verified Verified
Northwest Crossing, San Antonio, TX 78250  (Online Only)
I believe an effective Counselor is one who supports individuals on their journey towards healing, and serves as a co-pilot guiding them through the challenges of process to a healthier, more fulfilling life. As a compassionate and empathetic individual, I have always been drawn to helping others overcome their struggles and find their path to happiness. My desire to become a counselor stems from a deep-rooted belief in the power of human connection and the transformative impact it can have on people's lives. Just as a co-pilot supports the pilot in navigating through rough weather, I aspire to be a trusted, unwavering guide.
I believe an effective Counselor is one who supports individuals on their journey towards healing, and serves as a co-pilot guiding them through the challenges of process to a healthier, more fulfilling life. As a compassionate and empathetic individual, I have always been drawn to helping others overcome their struggles and find their path to happiness. My desire to become a counselor stems from a deep-rooted belief in the power of human connection and the transformative impact it can have on people's lives. Just as a co-pilot supports the pilot in navigating through rough weather, I aspire to be a trusted, unwavering guide.
(210) 880-6480 View (210) 880-6480
Photo of Thomas Efird, LCSW-S, EMDR-AC, Veteran, Clinical Social Work/Therapist
Thomas Efird
Clinical Social Work/Therapist, LCSW-S, EMDR-AC, Veteran
Verified Verified
1 Endorsed
Northwest Crossing, San Antonio, TX 78250
I've worked in the mental health field for over 24 years. I specialize in treating unresolved trauma issues, as well as depression, stress and anxiety. Traumatic issues include childhood abuse (physical, sexual, emotional abuse and neglect), sexual assault (including military), crime/theft, car accidents, grief/loss, combat, first responders/medical professionals, veterans (including moral injury) and poor leadership. My experience has taught me that most of the time depression and anxiety are unresolved emotional wounds that haven't been fully addressed.
I've worked in the mental health field for over 24 years. I specialize in treating unresolved trauma issues, as well as depression, stress and anxiety. Traumatic issues include childhood abuse (physical, sexual, emotional abuse and neglect), sexual assault (including military), crime/theft, car accidents, grief/loss, combat, first responders/medical professionals, veterans (including moral injury) and poor leadership. My experience has taught me that most of the time depression and anxiety are unresolved emotional wounds that haven't been fully addressed.
(210) 806-7819 View (210) 806-7819
Photo of Diane Malone - Let's Talk Counseling Services , LPC-S, LCDC, TF- CBT, Licensed Professional Counselor
Let's Talk Counseling Services
Licensed Professional Counselor, LPC-S, LCDC, TF- CBT
Verified Verified
Northwest Crossing, San Antonio, TX 78250
Life is challenging - there are so many issues/events which could cause a form of emotional disturbances - once this happens, I would like to be there to assist you regain emotional wellness and re-find your since of self and balance. Call me for an appointment so we can begin the healing process.
Life is challenging - there are so many issues/events which could cause a form of emotional disturbances - once this happens, I would like to be there to assist you regain emotional wellness and re-find your since of self and balance. Call me for an appointment so we can begin the healing process.
(210) 934-9298 View (210) 934-9298
Photo of Victoria Maldonado - My Guiding Light Counseling Services, MA
My Guiding Light Counseling Services
LPC Associate, MA
Verified Verified
Northwest Crossing, San Antonio, TX 78250
I specialize in helping individuals and their families navigate challenging situations. From substance use disorders to grief, I've supported families in fostering effective communication and emotional expression. Sharing feelings openly and honestly is crucial for your family's well-being. Remember, transformation takes time, but there is always hope with hard work. Your family can move towards a more connected and hopeful future.
I specialize in helping individuals and their families navigate challenging situations. From substance use disorders to grief, I've supported families in fostering effective communication and emotional expression. Sharing feelings openly and honestly is crucial for your family's well-being. Remember, transformation takes time, but there is always hope with hard work. Your family can move towards a more connected and hopeful future.
(210) 625-5199 View (210) 625-5199
Photo of Online Virtual Therapy With Lisa Page, LMHC, Counselor
Online Virtual Therapy With Lisa Page
Counselor, LMHC
Verified Verified
1 Endorsed
Northwest Crossing, San Antonio, TX 78250
FREE consultations! Are you feeling stuck in negative thoughts, intense emotions, or behavioral patterns that don't serve your best interest? Are you hoping to build more meaning and joy in your life? You may feel hesitant about reaching out for help, especially with pressure from all directions to "have it all together". I'm here to join you on this journey to discover healing and build a balanced life.
FREE consultations! Are you feeling stuck in negative thoughts, intense emotions, or behavioral patterns that don't serve your best interest? Are you hoping to build more meaning and joy in your life? You may feel hesitant about reaching out for help, especially with pressure from all directions to "have it all together". I'm here to join you on this journey to discover healing and build a balanced life.
(727) 761-9261 View (727) 761-9261
Photo of Dr. Noel Blessing, PhD, Licensed Professional Counselor
Dr. Noel Blessing
Licensed Professional Counselor, PhD
Verified Verified
2 Endorsed
Northwest Crossing, San Antonio, TX 78250
If you are struggling, I am here to listen. My mission is to help you through whatever challenges you're facing and to grow into the person you want to be. I’ve helped clients from many walks of life understand and develop skills to manage major depression, anxiety, major life-transitions, grief, and trauma. Whatever your concern, I’ll work with you to address them in a trusting and nonjudgmental space.
If you are struggling, I am here to listen. My mission is to help you through whatever challenges you're facing and to grow into the person you want to be. I’ve helped clients from many walks of life understand and develop skills to manage major depression, anxiety, major life-transitions, grief, and trauma. Whatever your concern, I’ll work with you to address them in a trusting and nonjudgmental space.
(210) 934-8453 View (210) 934-8453
Photo of Michelle Dawn Girau, MS, LPC-A, NCC, Pre-Licensed Professional
Michelle Dawn Girau
Pre-Licensed Professional, MS, LPC-A, NCC
Verified Verified
Northwest Crossing, San Antonio, TX 78250  (Online Only)
Not accepting new clients at this time. Have you ever felt like your anxiety or depression has taken control of your life? Have you felt like no one seems to understand you? It can be hard to going it alone when caught up with a lot of emotions but no one understands you. You are not a lone and can become free from anxious and depressing thoughts.
Not accepting new clients at this time. Have you ever felt like your anxiety or depression has taken control of your life? Have you felt like no one seems to understand you? It can be hard to going it alone when caught up with a lot of emotions but no one understands you. You are not a lone and can become free from anxious and depressing thoughts.
(210) 934-6315 View (210) 934-6315
Photo of Online Virtual Therapy With Ranya Marjieh, LMHC, Counselor
Online Virtual Therapy With Ranya Marjieh
Counselor, LMHC
Verified Verified
1 Endorsed
Northwest Crossing, San Antonio, TX 78250
FREE consultations! Are you feeling stuck in negative thoughts, intense emotions, or behavioral patterns that don't serve your best interest? Are you hoping to build more meaning and joy in your life? You may feel hesitant about reaching out for help, especially with pressure from all directions to "have it all together". I'm here to join you on this journey to discover healing and build a balanced life.
FREE consultations! Are you feeling stuck in negative thoughts, intense emotions, or behavioral patterns that don't serve your best interest? Are you hoping to build more meaning and joy in your life? You may feel hesitant about reaching out for help, especially with pressure from all directions to "have it all together". I'm here to join you on this journey to discover healing and build a balanced life.
(858) 943-0578 View (858) 943-0578
Photo of Lavelda Naylor, MA, LMFT-S, DCC, Marriage & Family Therapist
Lavelda Naylor
Marriage & Family Therapist, MA, LMFT-S, DCC
Verified Verified
10 Endorsed
Northwest Crossing, San Antonio, TX 78250  (Online Only)
Meaning in life can be hard to find when we are struggling to just get through each day, and therapy can help. If you feel empty, overwhelmed or lost, please reach out because you don't have to go through this without support. Let's normalize getting therapy! While I work with many issues, I specialize in mood disorders, adult 'giftedness' /GT issues, polyamory and relationship problems of all types. If you have felt othered or marginalized before, I want to assure you I offer affirming care and operate from an intersectional, inclusive point of view. Currently accepting new clients for virtual therapy only.
Meaning in life can be hard to find when we are struggling to just get through each day, and therapy can help. If you feel empty, overwhelmed or lost, please reach out because you don't have to go through this without support. Let's normalize getting therapy! While I work with many issues, I specialize in mood disorders, adult 'giftedness' /GT issues, polyamory and relationship problems of all types. If you have felt othered or marginalized before, I want to assure you I offer affirming care and operate from an intersectional, inclusive point of view. Currently accepting new clients for virtual therapy only.
(210) 598-5012 View (210) 598-5012
Photo of Sofia Georgiadou - Dr Sofia Consulting PLLC, PhD, LMFT-S, LPC-S, Marriage & Family Therapist
Dr Sofia Consulting PLLC
Marriage & Family Therapist, PhD, LMFT-S, LPC-S
Verified Verified
Northwest Crossing, San Antonio, TX 78250  (Online Only)
Hi! My name is Sofia, and I provide systemic supervision for LMFT Associates and LPC Associates in Texas. If you are (a) interested in learning more about systems theory and relational approaches and/or (b) you are looking for a more "high-touch" supervisor, someone who will invest time in building a relationship with you as both a human and a clinician, we could be a great fit. From the very beginning, I offer lots of resources (guidance about navigating work dynamics, mentoring, marketing, continuing education) and I help build up my supervisees' confidence, helping them learn to market and promote their skillset. :)
Hi! My name is Sofia, and I provide systemic supervision for LMFT Associates and LPC Associates in Texas. If you are (a) interested in learning more about systems theory and relational approaches and/or (b) you are looking for a more "high-touch" supervisor, someone who will invest time in building a relationship with you as both a human and a clinician, we could be a great fit. From the very beginning, I offer lots of resources (guidance about navigating work dynamics, mentoring, marketing, continuing education) and I help build up my supervisees' confidence, helping them learn to market and promote their skillset. :)
(833) 637-2741 View (833) 637-2741
Photo of Kim Ghezzi - Kim Ghezzi Supervised By Bianca Goodrum PhD LPC-S, MA, LPC-A, CSC
Kim Ghezzi Supervised By Bianca Goodrum PhD LPC-S
Licensed Professional Counselor Associate, MA, LPC-A, CSC
Verified Verified
2 Endorsed
Northwest Crossing, San Antonio, TX 78250
Don't let anxiety and neglecting self-care hold you back any longer. It's time to prioritize your well-being, reignite your passion for life, and create the fulfilling relationships you desire. Take time to examine your values, motivations and parts of yourself that may be holding you back from taking the next step towards your dreams and goals.
Don't let anxiety and neglecting self-care hold you back any longer. It's time to prioritize your well-being, reignite your passion for life, and create the fulfilling relationships you desire. Take time to examine your values, motivations and parts of yourself that may be holding you back from taking the next step towards your dreams and goals.
(210) 761-5866 View (210) 761-5866
1

How does your Therapist compare?

Number of Therapists in Northwest Crossing, San Antonio, TX

30+

Average cost per session

$122

Therapists in Northwest Crossing, San Antonio, TX who prioritize treating:

91% Anxiety
89% Stress
86% Coping Skills
83% Depression
77% Relationship Issues
77% Grief
74% Self Esteem

Average years in practice

12 Years

Top 3 insurances accepted

79% Aetna
75% BlueCross and BlueShield
75% UnitedHealthcare UHC | UBH

How Therapists in Northwest Crossing, San Antonio, TX see their clients

78% In Person and Online
22% Online Only

Gender breakdown

75% Female
25% Male
FAQs - About Therapy and Counseling

How can I find a therapist in Northwest Crossing, San Antonio?

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.