Therapists in Scurry County, TX

Photo of Rachael Dupree-Beynon, MA, LMFT, Marriage & Family Therapist
Rachael Dupree-Beynon
Marriage & Family Therapist, MA, LMFT
Verified Verified
Snyder, TX 79549  (Online Only)
As a marriage and family therapist specializing in young adults, I am here to help you navigate various challenges, including relationship issues, life transitions, and personal growth. My goal is to create a safe, inclusive space where you can explore your experiences and discover your strengths. I am LGBTQ+ affirming and committed to offering compassionate, understanding care to all clients.
As a marriage and family therapist specializing in young adults, I am here to help you navigate various challenges, including relationship issues, life transitions, and personal growth. My goal is to create a safe, inclusive space where you can explore your experiences and discover your strengths. I am LGBTQ+ affirming and committed to offering compassionate, understanding care to all clients.
(325) 255-3703 View (325) 255-3703
Photo of Laura Leedy, LPC-A
Laura Leedy
Licensed Professional Counselor Associate, LPC-A
Verified Verified
3 Endorsed
Snyder, TX 79549
Do you struggle with "What if" and other scary thoughts? Do you feel like you're not enough, unlovable, unworthy, broken, overwhelmed, or unable to handle life's challenges? Do you ever feel like you should have done something differently? Do you feel alone in your struggles, like no one understands or supports you? Do you feel like you’ll never be free from the distress of your past trauma? You're in the right place, and there is hope. Reach out today and see how Life's Healing Journey, PLLC can help.
Do you struggle with "What if" and other scary thoughts? Do you feel like you're not enough, unlovable, unworthy, broken, overwhelmed, or unable to handle life's challenges? Do you ever feel like you should have done something differently? Do you feel alone in your struggles, like no one understands or supports you? Do you feel like you’ll never be free from the distress of your past trauma? You're in the right place, and there is hope. Reach out today and see how Life's Healing Journey, PLLC can help.
(325) 240-3433 View (325) 240-3433
Photo of Marcos Villareal, LCPC, Licensed Professional Counselor
Marcos Villareal
Licensed Professional Counselor, LCPC
Verified Verified
Snyder, TX 79549  (Online Only)
I am a licensed professional counselor in Texas with over ten years of experience working as a counselor and life coach. I have worked with clients with various concerns, including depression, anxiety, relationship issues, and sexuality. I also helped many people who have experienced physical trauma or emotional abuse. My counseling style is warm and interactive. I believe in treating anyone with respect, sensitivity, and compassion, and I don't believe in stigmatizing labels. My approach combines cognitive-behavioral, humanistic, and mindfulness. I will tailor our dialog and treatment plan to meet your unique and specific needs.
I am a licensed professional counselor in Texas with over ten years of experience working as a counselor and life coach. I have worked with clients with various concerns, including depression, anxiety, relationship issues, and sexuality. I also helped many people who have experienced physical trauma or emotional abuse. My counseling style is warm and interactive. I believe in treating anyone with respect, sensitivity, and compassion, and I don't believe in stigmatizing labels. My approach combines cognitive-behavioral, humanistic, and mindfulness. I will tailor our dialog and treatment plan to meet your unique and specific needs.
(915) 277-7791 View (915) 277-7791
Photo of Robert Brown Fortney, MEd, MDiv, LPC, Licensed Professional Counselor
Robert Brown Fortney
Licensed Professional Counselor, MEd, MDiv, LPC
Verified Verified
2 Endorsed
Snyder, TX 79549
Waitlist for new clients
After twenty years of practice, I continue to find that people are best served by a counselor who is emotionally and psychologically available to them in a time of need. I have enjoyed strong effectiveness working with depression, relationship conflict, grief, and anger management. I work with couples, older adults, teens, and children. These experiences have inspired me to incorporate multiple approaches that fit the personalities, interests and needs that people bring to my practice.
After twenty years of practice, I continue to find that people are best served by a counselor who is emotionally and psychologically available to them in a time of need. I have enjoyed strong effectiveness working with depression, relationship conflict, grief, and anger management. I work with couples, older adults, teens, and children. These experiences have inspired me to incorporate multiple approaches that fit the personalities, interests and needs that people bring to my practice.
(806) 486-1663 View (806) 486-1663
Photo of David A Hooten - David Hooten Consulting, MC, LPC, LMFT, RTC, Marriage & Family Therapist
David Hooten Consulting
Marriage & Family Therapist, MC, LPC, LMFT, RTC
Verified Verified
3 Endorsed
Snyder, TX 79549
People often feel overwhelmed and have a sense that their lives are out of control. That's where I can help. I am a Licensed Professional Counselor as well as a Licensed Marriage and Family Therapist. I have 25+ years of experience helping people take effective control of their lives. Together, we can find "Solutions For Effective Living".
People often feel overwhelmed and have a sense that their lives are out of control. That's where I can help. I am a Licensed Professional Counselor as well as a Licensed Marriage and Family Therapist. I have 25+ years of experience helping people take effective control of their lives. Together, we can find "Solutions For Effective Living".
(806) 579-2792 View (806) 579-2792

Online Therapists

Photo of Lashana Hernandez, LCSW, Clinical Social Work/Therapist
Lashana Hernandez
Clinical Social Work/Therapist, LCSW
Verified Verified
Abilene, TX 79606  (Online Only)
Hi! My name is LaShana, and I'm a Licensed Clinical Social Worker with over 11 years of experience working with individuals from all walks of life. I have experience working through many types of life challenges including mood disorders such as depression and bipolar, anger management, occupational stress and self-esteem issues. My therapy approach is client-centered, and the treatment modalities I prefer to use are cognitive behavioral therapy, solution-focused, and motivational interviewing.
Hi! My name is LaShana, and I'm a Licensed Clinical Social Worker with over 11 years of experience working with individuals from all walks of life. I have experience working through many types of life challenges including mood disorders such as depression and bipolar, anger management, occupational stress and self-esteem issues. My therapy approach is client-centered, and the treatment modalities I prefer to use are cognitive behavioral therapy, solution-focused, and motivational interviewing.
(346) 550-9451 View (346) 550-9451
Photo of Adrienne Rains (Supervised By Dr. Mark White), MS, LMFT-A, AMFT, Marriage & Family Therapist Associate
Adrienne Rains (Supervised By Dr. Mark White)
Marriage & Family Therapist Associate, MS, LMFT-A, AMFT
Verified Verified
1 Endorsed
Lubbock, TX 79423
Are you struggling within a relationship? Do you want to grow closer to your partner? Are you pregnant or recently have a baby? Is your teen struggling with adolescence? Are you struggling with communicating with your teen or older child? Do you have trouble making it from one day to the next? Are you having a hard time with motivation? Did you recently lose someone close to you?
Are you struggling within a relationship? Do you want to grow closer to your partner? Are you pregnant or recently have a baby? Is your teen struggling with adolescence? Are you struggling with communicating with your teen or older child? Do you have trouble making it from one day to the next? Are you having a hard time with motivation? Did you recently lose someone close to you?
(806) 496-8057 View (806) 496-8057
Photo of Charlene Baker, LPC, Licensed Professional Counselor
Charlene Baker
Licensed Professional Counselor, LPC
Verified Verified
Midland, TX 79705  (Online Only)
“It’s just some anxiety”. These are words I have heard often. However, the feeling of anxiety is one that can make even simple tasks seem like the most difficult mountains. Working with women, teens, and children, I take a faith-based integrative health approach to help my clients reach their therapeutic goals to support them in overcoming feelings of anxiety, as well as other issues that may bring them to counseling. During sessions I help my clients explore and process their emotions while also looking at practical approaches to help achieve and maintain progress.
“It’s just some anxiety”. These are words I have heard often. However, the feeling of anxiety is one that can make even simple tasks seem like the most difficult mountains. Working with women, teens, and children, I take a faith-based integrative health approach to help my clients reach their therapeutic goals to support them in overcoming feelings of anxiety, as well as other issues that may bring them to counseling. During sessions I help my clients explore and process their emotions while also looking at practical approaches to help achieve and maintain progress.
(432) 287-8181 View (432) 287-8181
Photo of Jana Pounds, LPC, MEd, Licensed Professional Counselor
Jana Pounds
Licensed Professional Counselor, LPC, MEd
Verified Verified
Abilene, TX 79605  (Online Only)
Holding the title of Licensed Professional Counselor since 1997, I've upheld unwavering commitment to the ethical principles of my field. My longstanding presence in this domain underscores my deep-seated commitment to assisting others through life's complexities. Certified as an Eye Movement Desensitization and Reprocessing (EMDR) Therapist and an EMDR-IA Certified Consultant, I specialize in a targeted therapy approach aimed at addressing trauma and aiding individuals in overcoming distressing experiences.
Holding the title of Licensed Professional Counselor since 1997, I've upheld unwavering commitment to the ethical principles of my field. My longstanding presence in this domain underscores my deep-seated commitment to assisting others through life's complexities. Certified as an Eye Movement Desensitization and Reprocessing (EMDR) Therapist and an EMDR-IA Certified Consultant, I specialize in a targeted therapy approach aimed at addressing trauma and aiding individuals in overcoming distressing experiences.
(806) 621-2604 View (806) 621-2604
Photo of Roger Russell, PhD, LSSP, Psychologist
Roger Russell
Psychologist, PhD, LSSP
Verified Verified
Abilene, TX 79602
Waitlist for new clients
I practice at Turning Point Counseling with 11 other clinicians/therapists. I primarily conduct psychological testing on children, ages 3-18 and adults of all ages. Most child and adolescent clients are referred to be evaluated for possible ADHD, Autism Spectrum Disorder, Learning Disabilities, or Bipolar Disorder or other Mood Disorders. With adults I do the same type of testing but also have evaluated over 2000 adults who are required to have psychological screening prior to weight loss surgery or pain patients who are required to have psychological testing prior to receiving a spinal cord stimulator or pain pump.
I practice at Turning Point Counseling with 11 other clinicians/therapists. I primarily conduct psychological testing on children, ages 3-18 and adults of all ages. Most child and adolescent clients are referred to be evaluated for possible ADHD, Autism Spectrum Disorder, Learning Disabilities, or Bipolar Disorder or other Mood Disorders. With adults I do the same type of testing but also have evaluated over 2000 adults who are required to have psychological screening prior to weight loss surgery or pain patients who are required to have psychological testing prior to receiving a spinal cord stimulator or pain pump.
(325) 600-4990 View (325) 600-4990
Photo of Mazie Zielinski, PhD, LMFT, LCDC, Marriage & Family Therapist
Mazie Zielinski
Marriage & Family Therapist, PhD, LMFT, LCDC
Verified Verified
Lubbock, TX 79424
Every new day is a new chance to change. Life comes with many stages and changes like getting married or divorced, having children, going to college, starting a new job or losing someone close. Whether you are prepared or not these things often create so many emotions, thoughts, and decisions it gets overwhelming. Sometimes you just need someone to listen and help guide you through it. As a systemically trained therapist, I believe it’s the experiences we have had throughout our life with family, friends, partners, colleagues, etc. that shape who we are and influence how we handle what’s going on in our world.
Every new day is a new chance to change. Life comes with many stages and changes like getting married or divorced, having children, going to college, starting a new job or losing someone close. Whether you are prepared or not these things often create so many emotions, thoughts, and decisions it gets overwhelming. Sometimes you just need someone to listen and help guide you through it. As a systemically trained therapist, I believe it’s the experiences we have had throughout our life with family, friends, partners, colleagues, etc. that shape who we are and influence how we handle what’s going on in our world.
(806) 606-6248 View (806) 606-6248
Photo of Amanda Guzmán, MS, LMFT-A, Marriage & Family Therapist Associate
Amanda Guzmán
Marriage & Family Therapist Associate, MS, LMFT-A
Verified Verified
1 Endorsed
Lubbock, TX 79416  (Online Only)
Relationships are foundational in our lives. Safe, trusting, relationships with the people in our lives are what truly allow us to feel and be who we are. I firmly believe that every human being has the capacity for growth and change. I also believe that healthy growth starts with a safe environment. I offer a collaborative approach, that honors your lived experience and needs. I offer a safe environment for you to feel heard and be seen. In our work together, we will tap into your inherent strengths and empower you in working towards your goals. "Human beings define themselves with others, not from others". – Sue Johnson.
Relationships are foundational in our lives. Safe, trusting, relationships with the people in our lives are what truly allow us to feel and be who we are. I firmly believe that every human being has the capacity for growth and change. I also believe that healthy growth starts with a safe environment. I offer a collaborative approach, that honors your lived experience and needs. I offer a safe environment for you to feel heard and be seen. In our work together, we will tap into your inherent strengths and empower you in working towards your goals. "Human beings define themselves with others, not from others". – Sue Johnson.
(806) 853-5561 View (806) 853-5561
Photo of Jaime Coy, MS, LPC, EMDR, Licensed Professional Counselor
Jaime Coy
Licensed Professional Counselor, MS, LPC, EMDR
Verified Verified
5 Endorsed
Lubbock, TX 79423
Trauma and its aftershocks suck. Trauma wounds the mind, body and spirit. It's confusing and debilitating, and it leaves you wondering whether life will get better. Trauma can make you feel, and believe, that there is something wrong with you, that you are going crazy, or that you are broken or stupid. But none of it is true. The truth is this: trauma is healable.
Trauma and its aftershocks suck. Trauma wounds the mind, body and spirit. It's confusing and debilitating, and it leaves you wondering whether life will get better. Trauma can make you feel, and believe, that there is something wrong with you, that you are going crazy, or that you are broken or stupid. But none of it is true. The truth is this: trauma is healable.
(806) 454-5850 View (806) 454-5850
Photo of Maria Valentich, LCSW, Clinical Social Work/Therapist
Maria Valentich
Clinical Social Work/Therapist, LCSW
Verified Verified
Lubbock, TX 79415  (Online Only)
Hi, I'm Maria Valentich, a Licensed Clinical Social Worker located in Texas. I take a client-centered approach to therapy. My personal belief and goal is to make therapy easy to access for you. I can help you with common life stressors like symptoms of depression, anxiety, grief, relationship problems, and conflict resolution. I operate primarily through a cognitive behavioral approach, meaning as we work together, attention is focused on your thoughts, emotions and behaviors and how they impact your life. I also am skilled in other approaches and will adjust according to what you need.
Hi, I'm Maria Valentich, a Licensed Clinical Social Worker located in Texas. I take a client-centered approach to therapy. My personal belief and goal is to make therapy easy to access for you. I can help you with common life stressors like symptoms of depression, anxiety, grief, relationship problems, and conflict resolution. I operate primarily through a cognitive behavioral approach, meaning as we work together, attention is focused on your thoughts, emotions and behaviors and how they impact your life. I also am skilled in other approaches and will adjust according to what you need.
(866) 761-6203 View (866) 761-6203
Photo of Sarah Mcdowell - Shiloh Counseling Services, Counselor
Shiloh Counseling Services
Counselor
Verified Verified
2 Endorsed
Lubbock, TX 79423
Shiloh Counseling Services has a variety of counselors who will meet your needs! We have both male and female counselors who specialize in a variety of issues. All of our counselors practice from a Christian worldview but are also comfortable working with people from all beliefs and backgrounds. Please visit our website, www.ShilohCounselingServices.com to learn more about all of our therapists and services.
Shiloh Counseling Services has a variety of counselors who will meet your needs! We have both male and female counselors who specialize in a variety of issues. All of our counselors practice from a Christian worldview but are also comfortable working with people from all beliefs and backgrounds. Please visit our website, www.ShilohCounselingServices.com to learn more about all of our therapists and services.
(806) 794-3232 View (806) 794-3232
Photo of Debra Lammons, LCSW, Clinical Social Work/Therapist
Debra Lammons
Clinical Social Work/Therapist, LCSW
Verified Verified
Abilene, TX 79602
After many years as a nurse, a cancer diagnosis led me to change careers mid-life, and as an LCSW, I now assist others in overcoming their own life transitions and obstacles. Major life transitions, such as divorce, loss, moving, retirement, empty nest, debilitating illnesses, and trauma can cause upheaval, grief, and a tremendous amount of stress. I believe that life changes, even the difficult ones, can with intervention result in personal growth, and allow for greater self-discovery and awareness.
After many years as a nurse, a cancer diagnosis led me to change careers mid-life, and as an LCSW, I now assist others in overcoming their own life transitions and obstacles. Major life transitions, such as divorce, loss, moving, retirement, empty nest, debilitating illnesses, and trauma can cause upheaval, grief, and a tremendous amount of stress. I believe that life changes, even the difficult ones, can with intervention result in personal growth, and allow for greater self-discovery and awareness.
(325) 335-0202 View (325) 335-0202
Photo of Joseph Silva, LPC, Licensed Professional Counselor
Joseph Silva
Licensed Professional Counselor, LPC
Verified Verified
1 Endorsed
Midland, TX 79707
Naturally, we gravitate towards what's most comfortable but often what's most comfortable is what keeps us "stuck." Life can feel unmanageable without clear direction, guidance or support. Whether you're dealing with the lingering stress from our historical pandemic, relationship stress, substance abuse issues, general stress, or other past traumatic events, I'm here to help and support you with overcoming life's obstacles.
Naturally, we gravitate towards what's most comfortable but often what's most comfortable is what keeps us "stuck." Life can feel unmanageable without clear direction, guidance or support. Whether you're dealing with the lingering stress from our historical pandemic, relationship stress, substance abuse issues, general stress, or other past traumatic events, I'm here to help and support you with overcoming life's obstacles.
(214) 216-6453 View (214) 216-6453
Photo of Dr. Mark White, LMFT-S, CSAT-S, CMAT-S, CPTT-S, LSOTP, Marriage & Family Therapist
Dr. Mark White
Marriage & Family Therapist, LMFT-S, CSAT-S, CMAT-S, CPTT-S, LSOTP
Verified Verified
3 Endorsed
Lubbock, TX 79423
Searching for hope and healing from experiencing the trauma of betrayal, infidelity, compulsive sexual behavior, or relationship distress? Lasting, long-term recovery requires expert guidance. Individually, are you experiencing anxiety or depression? With a focus on your context, experience, and emotion, I specialize in deconstructing your presenting issues to clarify specific problems that you desire to change or respond to. I offer services by video conferencing, phone, and in-person. With similarly qualified colleagues, we offer collaborating therapists for each partner and for the relationship.
Searching for hope and healing from experiencing the trauma of betrayal, infidelity, compulsive sexual behavior, or relationship distress? Lasting, long-term recovery requires expert guidance. Individually, are you experiencing anxiety or depression? With a focus on your context, experience, and emotion, I specialize in deconstructing your presenting issues to clarify specific problems that you desire to change or respond to. I offer services by video conferencing, phone, and in-person. With similarly qualified colleagues, we offer collaborating therapists for each partner and for the relationship.
(806) 553-2618 View (806) 553-2618
Photo of Carol Kent, MEd, LPC-S, Licensed Professional Counselor
Carol Kent
Licensed Professional Counselor, MEd, LPC-S
Verified Verified
10 Endorsed
Lubbock, TX 79424  (Online Only)
Waitlist for new clients
I’m here to bring your focus back where it will be the most helpful — on you. My goal is to help you effectively navigate life, including daily self-care plans for your short-term well-being, and big-picture skills for long-term quality of life improvement. Healing from your past, anxiety, and/or depression doesn't just happen with the snap of your fingers. We may have to do some hard work at times. We may rollercoaster through several emotions in the space of an hour. We'll also laugh a lot too. I promise.
I’m here to bring your focus back where it will be the most helpful — on you. My goal is to help you effectively navigate life, including daily self-care plans for your short-term well-being, and big-picture skills for long-term quality of life improvement. Healing from your past, anxiety, and/or depression doesn't just happen with the snap of your fingers. We may have to do some hard work at times. We may rollercoaster through several emotions in the space of an hour. We'll also laugh a lot too. I promise.
(806) 589-2952 View (806) 589-2952
Photo of Jenna Chang, PhD, LMFT, Marriage & Family Therapist
Jenna Chang
Marriage & Family Therapist, PhD, LMFT
Verified Verified
Lubbock, TX 79414
Since 2013, Dr. Jenna Chang has served as a therapist providing compassionate individual, couple, and family therapy for Lubbock and the surrounding communities. Using her education and training in psychology and marriage and family therapy, Dr. Chang helps youth and adults work through life's challenges in order to experience the hope and healing they need for themselves and their relationships.
Since 2013, Dr. Jenna Chang has served as a therapist providing compassionate individual, couple, and family therapy for Lubbock and the surrounding communities. Using her education and training in psychology and marriage and family therapy, Dr. Chang helps youth and adults work through life's challenges in order to experience the hope and healing they need for themselves and their relationships.
(806) 491-2003 View (806) 491-2003

See more therapy options for Scurry County

How does your Therapist compare?

Number of Therapists in Scurry County, TX

< 10

Therapists in Scurry County, TX who prioritize treating:

80% Depression
80% Anxiety
80% ADHD
80% Self Esteem
80% Stress
60% Grief
60% Divorce

Average years in practice

18 Years

Top 3 insurances accepted

100% BlueCross and BlueShield
100% UnitedHealthcare UHC | UBH
67% Aetna

How Therapists in Scurry County, TX see their clients

60% In Person and Online
40% Online Only

Gender breakdown

60% Male
40% Female
FAQs - About Therapy and Counseling

How can I find a therapist in Scurry County?

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.