Therapists in Spearman, TX

Photo of Jana Ivey, MA, LPC, Licensed Professional Counselor
Jana Ivey
Licensed Professional Counselor, MA, LPC
Verified Verified
Spearman, TX 79081
I have a passion for helping clients find freedom and hope in their life circumstances. I want to join them on their path through life and help them find healing both emotionally and spiritually. I come from a biblically-based perspective but am very happy to meet you where you are spiritually. In my practice, I have worked with a wide range of belief systems - from atheists to devout Christians. My desire is to join you and journey with you to hope and healing.
I have a passion for helping clients find freedom and hope in their life circumstances. I want to join them on their path through life and help them find healing both emotionally and spiritually. I come from a biblically-based perspective but am very happy to meet you where you are spiritually. In my practice, I have worked with a wide range of belief systems - from atheists to devout Christians. My desire is to join you and journey with you to hope and healing.
(940) 295-4232 View (940) 295-4232
Photo of Rebecca Mathews, LPC-A, LPC Intern
Rebecca Mathews
LPC Intern, LPC-A
Verified Verified
Spearman, TX 79081
Welcome to my bio! I'm Rebecca, and if you are looking for someone kind and caring, empathetic and understanding, you've come to the right place. I find that attachment history and trauma play a significant role in our current functioning, whether we are struggling with anxiety, depression, relationships, life transitions, or other issues negatively impacting our lives. The fact that the brain was created to heal itself is an amazing revelation to me! Viewing treatment through this lens is not so much about placing blame and finding out the "why" as it is about feeling empowered to overcome it!
Welcome to my bio! I'm Rebecca, and if you are looking for someone kind and caring, empathetic and understanding, you've come to the right place. I find that attachment history and trauma play a significant role in our current functioning, whether we are struggling with anxiety, depression, relationships, life transitions, or other issues negatively impacting our lives. The fact that the brain was created to heal itself is an amazing revelation to me! Viewing treatment through this lens is not so much about placing blame and finding out the "why" as it is about feeling empowered to overcome it!
(806) 203-5698 View (806) 203-5698
Photo of Margaret Abrell, LCSW, Clinical Social Work/Therapist
Margaret Abrell
Clinical Social Work/Therapist, LCSW
Verified Verified
Spearman, TX 79081
Welcome! I am a Licensed Clinical Social Worker in Texas with over twenty years of experience working in social services and two and a half years of counseling experience. I have worked with clients with a wide range of concerns including depression, anxiety, relationship issues, trauma, adoption, and challenges with self-harming. In sessions I utilize Cognitive Behavioral Therapy, Dialectical Behavior Therapy, Trauma Focused Cognitive Behavioral Therapy and Motivational Interviewing. In session I take a client centered approach, I am here to support the client and to help along their journey.
Welcome! I am a Licensed Clinical Social Worker in Texas with over twenty years of experience working in social services and two and a half years of counseling experience. I have worked with clients with a wide range of concerns including depression, anxiety, relationship issues, trauma, adoption, and challenges with self-harming. In sessions I utilize Cognitive Behavioral Therapy, Dialectical Behavior Therapy, Trauma Focused Cognitive Behavioral Therapy and Motivational Interviewing. In session I take a client centered approach, I am here to support the client and to help along their journey.
(469) 933-0885 View (469) 933-0885
Photo of Maria Lourdes Puebla, MA, LPC, Licensed Professional Counselor
Maria Lourdes Puebla
Licensed Professional Counselor, MA, LPC
Verified Verified
Spearman, TX 79081
Hello everyone! In finding my page, I believe you have also found someone that has the capacity to offer a listening ear as you share the unique challenges that life has brought you. I believe most have the capacity to face the challenges, my role is to provide tools to overcome those challenges. I bring a personal and professional perspective to therapy room when dealing with Immigrant challenges as well as cultural challenges.
Hello everyone! In finding my page, I believe you have also found someone that has the capacity to offer a listening ear as you share the unique challenges that life has brought you. I believe most have the capacity to face the challenges, my role is to provide tools to overcome those challenges. I bring a personal and professional perspective to therapy room when dealing with Immigrant challenges as well as cultural challenges.
(806) 298-6609 View (806) 298-6609
Photo of Arica Bibbs, LPC, Licensed Professional Counselor
Arica Bibbs
Licensed Professional Counselor, LPC
Verified Verified
Spearman, TX 79081
Hi! Nice to share this journey with you. I am a seasoned therapist and I use evidence-based interventions, as well as educate. My primary focus is person-centered counseling, however, I have found cognitive, behavioral, and emotional aspects of our mental health and what we know, determine how we navigate our worlds. My focuses are children, adolescence and adulthood.
Hi! Nice to share this journey with you. I am a seasoned therapist and I use evidence-based interventions, as well as educate. My primary focus is person-centered counseling, however, I have found cognitive, behavioral, and emotional aspects of our mental health and what we know, determine how we navigate our worlds. My focuses are children, adolescence and adulthood.
(833) 602-2458 View (833) 602-2458

Online Therapists

Photo of Sean Thomas Lanegan - West Texas Therapy and Counseling Services, PLLC, MSW, LCSW, MHP, Clinical Social Work/Therapist
West Texas Therapy and Counseling Services, PLLC
Clinical Social Work/Therapist, MSW, LCSW, MHP
Verified Verified
Canyon, TX 79015
Hello there, I'm Sean Lanegan and thank you for looking at my profile. Do you feel overwhelmed, worried, anxious, and are having trouble managing the emotional impact in your life? Do you feel sad, lonely, depressed or are you experiencing grief from the loss of a loved one? Are you struggling with your relationships? Have you experienced trauma in your past that continues to affect your daily life? Do you feel lost? If you answered yes to any of the questions above, you have come to the right place. In therapy with me I will guide you and teach you how to be the best version of yourself.
Hello there, I'm Sean Lanegan and thank you for looking at my profile. Do you feel overwhelmed, worried, anxious, and are having trouble managing the emotional impact in your life? Do you feel sad, lonely, depressed or are you experiencing grief from the loss of a loved one? Are you struggling with your relationships? Have you experienced trauma in your past that continues to affect your daily life? Do you feel lost? If you answered yes to any of the questions above, you have come to the right place. In therapy with me I will guide you and teach you how to be the best version of yourself.
(806) 230-5970 View (806) 230-5970
Photo of Terri R Slaughter, LPC-S, Licensed Professional Counselor
Terri R Slaughter
Licensed Professional Counselor, LPC-S
Verified Verified
1 Endorsed
Amarillo, TX 79106
I enjoy assisting people that understand that it takes work to change behaviors. People that are struggling with life issues, depression, anxiety, marital struggles are all those I enjoy teaching tools to allow them to utilize to change. I am trained in EMDR and certified in Level 2 in Restoration Therapy and Marital Affair Recovery and Licensed to Supervise Associates in Counseling.
I enjoy assisting people that understand that it takes work to change behaviors. People that are struggling with life issues, depression, anxiety, marital struggles are all those I enjoy teaching tools to allow them to utilize to change. I am trained in EMDR and certified in Level 2 in Restoration Therapy and Marital Affair Recovery and Licensed to Supervise Associates in Counseling.
(806) 853-9108 View (806) 853-9108
Photo of Murphy Huseman, LPC-A
Murphy Huseman
Licensed Professional Counselor Associate, LPC-A
Verified Verified
1 Endorsed
Amarillo, TX 79109
Accepting New Clients Children/Adults/Couples
Accepting New Clients Children/Adults/Couples
(806) 454-5013 View (806) 454-5013
Photo of Terry Wester, MEd, LPC, CHT, Licensed Professional Counselor
Terry Wester
Licensed Professional Counselor, MEd, LPC, CHT
Verified Verified
Amarillo, TX 79109
You've heard, "Change your thoughts and you change your world." But How? If you are like most people, you have had painful experiences that have continued to affect how you are thinking, feeling or behaving. Those thoughts and feelings have been stored as memories in your brain's neurons, but Your Brain Can Change: this ability to change is called "Neuroplasticity" (Google it!). I have studied many ways to help you clear or minimize those stuck memories away using Clinical Hypnosis, "Pattern Interrupts," and Visualization, to "rewire" your brain. You DO NOT have to re-live and discuss the hurtful details to notice a difference.
You've heard, "Change your thoughts and you change your world." But How? If you are like most people, you have had painful experiences that have continued to affect how you are thinking, feeling or behaving. Those thoughts and feelings have been stored as memories in your brain's neurons, but Your Brain Can Change: this ability to change is called "Neuroplasticity" (Google it!). I have studied many ways to help you clear or minimize those stuck memories away using Clinical Hypnosis, "Pattern Interrupts," and Visualization, to "rewire" your brain. You DO NOT have to re-live and discuss the hurtful details to notice a difference.
(806) 855-8307 View (806) 855-8307
Photo of Katherine Cook, LPC, Licensed Professional Counselor
Katherine Cook
Licensed Professional Counselor, LPC
Verified Verified
Amarillo, TX 79109
Are you a young adult navigating life's complex challenges and seeking supportive guidance? Meet Katherine, your dedicated counselor with over five years' experience in the mental health field. She believes in the transformative potential of therapy. With an approach rooted in empathy and collaboration, Katherine is committed to help you overcome hurdles and bolster your resilience.
Are you a young adult navigating life's complex challenges and seeking supportive guidance? Meet Katherine, your dedicated counselor with over five years' experience in the mental health field. She believes in the transformative potential of therapy. With an approach rooted in empathy and collaboration, Katherine is committed to help you overcome hurdles and bolster your resilience.
(806) 621-2157 View (806) 621-2157
Photo of Maira Argomaniz, LCSW, Clinical Social Work/Therapist
Maira Argomaniz
Clinical Social Work/Therapist, LCSW
Verified Verified
1 Endorsed
Amarillo, TX 79109  (Online Only)
Are you finding it challenging to manage the demands of work, relationships, and expectations? Perhaps you're struggling to adapt to changes in your life and feeling uncertain about where to seek support. Many individuals hesitate to pursue therapy, believing their issues aren’t significant enough or that they are merely "in their head." Throughout my experience as a therapist, I take great joy in guiding people through these uncomfortable or isolating situations, helping them realize that their struggles are valid and worthy of discussion.I believe that connection is a crucial element of healing.
Are you finding it challenging to manage the demands of work, relationships, and expectations? Perhaps you're struggling to adapt to changes in your life and feeling uncertain about where to seek support. Many individuals hesitate to pursue therapy, believing their issues aren’t significant enough or that they are merely "in their head." Throughout my experience as a therapist, I take great joy in guiding people through these uncomfortable or isolating situations, helping them realize that their struggles are valid and worthy of discussion.I believe that connection is a crucial element of healing.
(512) 361-4458 View (512) 361-4458
Photo of Rhonda S Barber, MA,  LPC, Licensed Professional Counselor
Rhonda S Barber
Licensed Professional Counselor, MA, LPC
Verified Verified
Amarillo, TX 79109
Having been a Licensed therapist for over 20 years, I may offer new insight and coping skills to help you face your current and previous stressors. Resilience and adaptability are positive qualities we all possess that may get overshadowed by life's unpredictable events. A therapist is basically a catalyst to assist you in finding your way back to a healthier, happier you. Cognitive therapy, self acceptance, boundaries, and mindful breathwork can help you on your journey. I look forward to working with you.
Having been a Licensed therapist for over 20 years, I may offer new insight and coping skills to help you face your current and previous stressors. Resilience and adaptability are positive qualities we all possess that may get overshadowed by life's unpredictable events. A therapist is basically a catalyst to assist you in finding your way back to a healthier, happier you. Cognitive therapy, self acceptance, boundaries, and mindful breathwork can help you on your journey. I look forward to working with you.
(806) 375-5357 View (806) 375-5357
Photo of Natalie Wagner Ma Lpc-Associate - Supervised By Anna Needham Ma Lpc-S, MA, LPC-A, NCC
Natalie Wagner Ma Lpc-Associate - Supervised By Anna Needham Ma Lpc-S
Licensed Professional Counselor Associate, MA, LPC-A, NCC
Verified Verified
1 Endorsed
Perryton, TX 79070
In your pursuit of peace, there is no judgment here! In-office and telehealth sessions are available. We all experience times of trial in our lives. By choosing counseling, you invest in yourself, change your thinking, and begin a new journey toward healing in pursuit of peace. Through our collaborative relationship, we will work together to incorporate therapeutic interventions proven to alleviate the symptoms associated with depression, anxiety, stress, and trauma. My approach to counseling is geared toward your individual needs. As a Christian counselor, I utilize holistic techniques and implement unconditional positive regard.
In your pursuit of peace, there is no judgment here! In-office and telehealth sessions are available. We all experience times of trial in our lives. By choosing counseling, you invest in yourself, change your thinking, and begin a new journey toward healing in pursuit of peace. Through our collaborative relationship, we will work together to incorporate therapeutic interventions proven to alleviate the symptoms associated with depression, anxiety, stress, and trauma. My approach to counseling is geared toward your individual needs. As a Christian counselor, I utilize holistic techniques and implement unconditional positive regard.
(806) 608-3560 View (806) 608-3560
Photo of Lisa Tidwell, LCSW, Clinical Social Work/Therapist
Lisa Tidwell
Clinical Social Work/Therapist, LCSW
Verified Verified
1 Endorsed
Amarillo, TX 79124  (Online Only)
Are the struggles and stressors of life getting to you? Day to day life can be hard, but you can do hard things! My goal is to help you navigate through difficulties in life, while providing a non-judgemental compassionate environment to feel heard, understood, and accepted. It would be my privilege to partner with you to better understand what you're feeling and how you can move towards your goals in life. A lot of us struggle with things in life that are out of our control.
Are the struggles and stressors of life getting to you? Day to day life can be hard, but you can do hard things! My goal is to help you navigate through difficulties in life, while providing a non-judgemental compassionate environment to feel heard, understood, and accepted. It would be my privilege to partner with you to better understand what you're feeling and how you can move towards your goals in life. A lot of us struggle with things in life that are out of our control.
(806) 591-4101 View (806) 591-4101
Photo of Desire Winslow, LCSW, Clinical Social Work/Therapist
Desire Winslow
Clinical Social Work/Therapist, LCSW
Verified Verified
1 Endorsed
Amarillo, TX 79108  (Online Only)
I love working with people who are suffering from anxiety, depression, grief and/or trauma. I am excited to work with people who are willing to dig in deep, to try to get at the root of their problems. I’m ready to help you clean up past hurt, to make room for personal growth. I work with anyone, ages 10 - 100. I am able to offer individual therapy as well as couple therapy. I offer many services and will often take an eclectic approach to meet your needs and help you reach your goals. If you are interested in services, please message me via voicemail or email.
I love working with people who are suffering from anxiety, depression, grief and/or trauma. I am excited to work with people who are willing to dig in deep, to try to get at the root of their problems. I’m ready to help you clean up past hurt, to make room for personal growth. I work with anyone, ages 10 - 100. I am able to offer individual therapy as well as couple therapy. I offer many services and will often take an eclectic approach to meet your needs and help you reach your goals. If you are interested in services, please message me via voicemail or email.
(806) 608-2581 View (806) 608-2581
Photo of Kaisha Yeager, LPC-A, LPC Intern
Kaisha Yeager
LPC Intern, LPC-A
Verified Verified
1 Endorsed
Amarillo, TX 79121  (Online Only)
Hello! Are you feeling frustrated, overwhelmed, and worn-down by anxiety, depression, or unable to cope with life changes? Does a lack of social skills, coping skills and emotional regulation, or grief/loss making it challenging to get a hold on life? Supervised by Arlette J. Back, LPC-S, we can work together to learn new ways of coping and managing challenging situations that life throws at you. By processing and learning new coping skills, you can learn to express emotions in a healthy way and face life head on! Please consult with me to see if you or your child is fit for virtual sessions. Virtual Sessions Only
Hello! Are you feeling frustrated, overwhelmed, and worn-down by anxiety, depression, or unable to cope with life changes? Does a lack of social skills, coping skills and emotional regulation, or grief/loss making it challenging to get a hold on life? Supervised by Arlette J. Back, LPC-S, we can work together to learn new ways of coping and managing challenging situations that life throws at you. By processing and learning new coping skills, you can learn to express emotions in a healthy way and face life head on! Please consult with me to see if you or your child is fit for virtual sessions. Virtual Sessions Only
(806) 607-8708 View (806) 607-8708
Photo of Lindsey Ann Boman, MA, LPC, Licensed Professional Counselor
Lindsey Ann Boman
Licensed Professional Counselor, MA, LPC
Verified Verified
1 Endorsed
Amarillo, TX 79106
It is my belief that people are inherently good and doing the best they can. However, sometimes we all need additional support to get through difficult times. Consequently, I consider the therapeutic relationship to be a powerful tool that can help you gain awareness into behaviors and issues that may be keeping you “stuck”. Since we are all unique, I believe in honoring your individuality by taking an integrative approach to the therapeutic process. My goal in treatment is to meet you where you are, and provide a safe and compassionate environment in which you can heal and grow.
It is my belief that people are inherently good and doing the best they can. However, sometimes we all need additional support to get through difficult times. Consequently, I consider the therapeutic relationship to be a powerful tool that can help you gain awareness into behaviors and issues that may be keeping you “stuck”. Since we are all unique, I believe in honoring your individuality by taking an integrative approach to the therapeutic process. My goal in treatment is to meet you where you are, and provide a safe and compassionate environment in which you can heal and grow.
(806) 615-3064 View (806) 615-3064
Photo of Beatriz Adriana Campos - Vida Canyon Counseling. Beatriz Adriana Campos LPC, MA, LPC, Licensed Professional Counselor
Vida Canyon Counseling. Beatriz Adriana Campos LPC
Licensed Professional Counselor, MA, LPC
Verified Verified
Canyon, TX 79015
I provide counseling for adults and children who are experiencing persistent sadness, a sense of low worth/esteem, anxiety/worry, panic, heightened sense of stress, frequent irritability, survival/trauma responses due to past trauma experiences, and are affected in important areas of life. I help develop treatment goals to improve mood, sense of worth, coping strategies, behavioral issues, rational/healthy thoughts, anxiety management, trauma healing, and self-care.
I provide counseling for adults and children who are experiencing persistent sadness, a sense of low worth/esteem, anxiety/worry, panic, heightened sense of stress, frequent irritability, survival/trauma responses due to past trauma experiences, and are affected in important areas of life. I help develop treatment goals to improve mood, sense of worth, coping strategies, behavioral issues, rational/healthy thoughts, anxiety management, trauma healing, and self-care.
(806) 583-1332 View (806) 583-1332
Photo of Tanya Garner Lpc-Associate, MA
Tanya Garner Lpc-Associate
Licensed Professional Counselor Associate, MA
Verified Verified
Amarillo, TX 79106
I am an LPC-Associate supervised by Sharyn Delgado, LPC-S. Maybe you have never considered working with a therapist because finding the right one feels intimidating. Sharing your struggles and vulnerabilities with strangers can initially be strange or awkward, but I am passionate about supporting clients like you. I look forward to working with folks who are facing everyday issues such as anxiety, depression, trauma, grief, LGBTQ+ issues, relationship strain, parenting, vocational transitions, as well as children or adolescents who are having difficulties with school or disabilities.
I am an LPC-Associate supervised by Sharyn Delgado, LPC-S. Maybe you have never considered working with a therapist because finding the right one feels intimidating. Sharing your struggles and vulnerabilities with strangers can initially be strange or awkward, but I am passionate about supporting clients like you. I look forward to working with folks who are facing everyday issues such as anxiety, depression, trauma, grief, LGBTQ+ issues, relationship strain, parenting, vocational transitions, as well as children or adolescents who are having difficulties with school or disabilities.
(806) 484-1173 View (806) 484-1173
Photo of Dr. Alyson Morgan - Alyson Morgan, DSW, LCSW-S, DSW, LCSW-S, Clinical Social Work/Therapist
Alyson Morgan, DSW, LCSW-S
Clinical Social Work/Therapist, DSW, LCSW-S
Verified Verified
Amarillo, TX 79109  (Online Only)
Hi, My name is Alyson. Therapy helps uncover strengths and learn new skills that will allow them to deal with the challenges that arise in life. A successful therapy experience does not mean a client is cured, it means the person has the inner and outer resources to deal with the ups and downs of life. My goal is to help my clients develop the skills necessary to successfully deal with life, on life's terms.
Hi, My name is Alyson. Therapy helps uncover strengths and learn new skills that will allow them to deal with the challenges that arise in life. A successful therapy experience does not mean a client is cured, it means the person has the inner and outer resources to deal with the ups and downs of life. My goal is to help my clients develop the skills necessary to successfully deal with life, on life's terms.
(806) 230-5787 View (806) 230-5787

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How does your Therapist compare?

Number of Therapists in Spearman, TX

< 10

Therapists in Spearman, TX who prioritize treating:

100% Depression
100% Anxiety
100% Grief
80% Trauma and PTSD
60% Relationship Issues
60% Spirituality
60% Divorce

Average years in practice

5 Years

Top 3 insurances accepted

100% Aetna
100% BlueCross and BlueShield
100% Cigna and Evernorth

How Therapists in Spearman, TX see their clients

100% In Person and Online

Gender breakdown

100% Female
FAQs - About Therapy and Counseling

How can I find a therapist in Spearman?

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.