Therapists in San Antonio, TX

View neighborhoods in San Antonio
Photo of Camilo Avila, MA, Licensed Professional Counselor
Camilo Avila
Licensed Professional Counselor, MA
Verified Verified
1 Endorsed
San Antonio, TX 78244  (Online Only)
Hola! My name is Camilo Avila, I'm a bilingual (English/Español) Licensed Professional Counselor (LPC) based in Texas. I'm excited to work with any client who is ready to partner up with a genuinely caring counselor! I love working with people who are ready to make a positive change in their lives! The hardest part is always the beginning! There's nothing more exciting than a personal transformation through determined positive change! Life happens to us all, but it's up to us to grant ourselves the opportunity to learn from those experiences, change our narrative and live out the best version of ourselves. Yes you can!
Hola! My name is Camilo Avila, I'm a bilingual (English/Español) Licensed Professional Counselor (LPC) based in Texas. I'm excited to work with any client who is ready to partner up with a genuinely caring counselor! I love working with people who are ready to make a positive change in their lives! The hardest part is always the beginning! There's nothing more exciting than a personal transformation through determined positive change! Life happens to us all, but it's up to us to grant ourselves the opportunity to learn from those experiences, change our narrative and live out the best version of ourselves. Yes you can!
(210) 761-7841 View (210) 761-7841
Photo of Jennifer Barry, LCSW, Clinical Social Work/Therapist
Jennifer Barry
Clinical Social Work/Therapist, LCSW
Verified Verified
San Antonio, TX 78217
I have extensive knowledge and experience in the treatment of chemical dependency, PTSD, ADHD and mood disorders. I am very knowledgeable about psychotropic medication and can provide you with a lot of valuable information on ways to better manage medication.
I have extensive knowledge and experience in the treatment of chemical dependency, PTSD, ADHD and mood disorders. I am very knowledgeable about psychotropic medication and can provide you with a lot of valuable information on ways to better manage medication.
(210) 361-2079 View (210) 361-2079
Photo of Jeremyra Cross, MA, LMFT, Marriage & Family Therapist
Jeremyra Cross
Marriage & Family Therapist, MA, LMFT
Verified Verified
2 Endorsed
San Antonio, TX 78257  (Online Only)
Are you tired of struggling in your relationships with others? Is stress, anxiety, and/or depression keeping you from building and maintaining meaningful relationships with friends and family? Have you tried couples counseling only to find that your own internal battles are impacting your ability to communicate and connect with your partner? Research shows that the quality of our relationships affects our mental, emotional, and physical well-being. I aim to create a warm, non-judgmental space where you can explore your thoughts, feelings, and behaviors with the goal of strengthening your connection to others.
Are you tired of struggling in your relationships with others? Is stress, anxiety, and/or depression keeping you from building and maintaining meaningful relationships with friends and family? Have you tried couples counseling only to find that your own internal battles are impacting your ability to communicate and connect with your partner? Research shows that the quality of our relationships affects our mental, emotional, and physical well-being. I aim to create a warm, non-judgmental space where you can explore your thoughts, feelings, and behaviors with the goal of strengthening your connection to others.
(210) 761-5042 View (210) 761-5042
Photo of Randa Chance, LMFT, LPC, Licensed Professional Counselor
Randa Chance
Licensed Professional Counselor, LMFT, LPC
Verified Verified
2 Endorsed
San Antonio, TX 78232
I am licensed in Texas (LPC & LMFT), Oklahoma (LPC) and Wisconsin (LPC). I have served with my husband for the past 18 years in various pastoral roles and am heavily involved with the San Antonio community. I specialize in helping individuals, couples and families (including clergy couples and families) to facilitate healing and provide a safe place for processing through trauma, relational challenges, big life changes, self-image, behavioral issues, spirituality, anxiety, depression, grief and loss. Because each client has specific needs, treatment is customized for each individual client.
I am licensed in Texas (LPC & LMFT), Oklahoma (LPC) and Wisconsin (LPC). I have served with my husband for the past 18 years in various pastoral roles and am heavily involved with the San Antonio community. I specialize in helping individuals, couples and families (including clergy couples and families) to facilitate healing and provide a safe place for processing through trauma, relational challenges, big life changes, self-image, behavioral issues, spirituality, anxiety, depression, grief and loss. Because each client has specific needs, treatment is customized for each individual client.
(210) 791-0731 View (210) 791-0731
Photo of Michelle Rodriguez, MA, LPC, Licensed Professional Counselor
Michelle Rodriguez
Licensed Professional Counselor, MA, LPC
Verified Verified
1 Endorsed
San Antonio, TX 78253
In these challenging and uncertain times, many of us face unpredictable situations that can impact our ability to live the life we desire. Coping with change, stress, and uncertainty can be overwhelming. At My Roots Counseling, I believe in the power of human resilience and the potential to overcome life's challenges. My goal is to help you navigate these difficult times and find ways to fully experience and enjoy your life.
In these challenging and uncertain times, many of us face unpredictable situations that can impact our ability to live the life we desire. Coping with change, stress, and uncertainty can be overwhelming. At My Roots Counseling, I believe in the power of human resilience and the potential to overcome life's challenges. My goal is to help you navigate these difficult times and find ways to fully experience and enjoy your life.
(210) 941-4361 View (210) 941-4361
Photo of Yvette Ramirez - Yvette Ramirez, MS, LPC, MS, LPC, Licensed Professional Counselor
Yvette Ramirez, MS, LPC
Licensed Professional Counselor, MS, LPC
Verified Verified
San Antonio, TX 78253  (Online Only)
Hello and welcome. You have taken a big step towards helping yourself. I hope that I have the privilege of working with you. My name is Yvette Ramirez, and I am a licensed professional counselor. I graduated from Texas State University with a Bachelor of Arts in Psychology. I continued my education at Capella University and graduated with a Master of Science in Mental Health Counseling. My goal is to help you cope with your emotions and get you feeling better about your life through the different therapies I have learned through the years of my career.
Hello and welcome. You have taken a big step towards helping yourself. I hope that I have the privilege of working with you. My name is Yvette Ramirez, and I am a licensed professional counselor. I graduated from Texas State University with a Bachelor of Arts in Psychology. I continued my education at Capella University and graduated with a Master of Science in Mental Health Counseling. My goal is to help you cope with your emotions and get you feeling better about your life through the different therapies I have learned through the years of my career.
(210) 903-5769 View (210) 903-5769
James Furlin
Licensed Professional Counselor, LPC
Verified Verified
San Antonio, TX 78229
Retired Air Force 1990, worked at private psychiatric hospitals, administrative work for a not-for-profit hospital, private practice since 2002.
Retired Air Force 1990, worked at private psychiatric hospitals, administrative work for a not-for-profit hospital, private practice since 2002.
(210) 934-0798 View (210) 934-0798
Photo of Yocelyn Castellano, MS, LPC-S, Licensed Professional Counselor
Yocelyn Castellano
Licensed Professional Counselor, MS, LPC-S
Verified Verified
1 Endorsed
San Antonio, TX 78213
My passion lies in creating a supportive and affirming environment where clients feel seen, heard, and understood. With a deep understanding of the unique experiences and systemic challenges faced by people in BIPOC and LGBTQIA+ community, I strive to provide culturally competent and inclusive care. My approach is rooted in empathy, respect, and a commitment to social justice, ensuring that each client feels valued and empowered.
My passion lies in creating a supportive and affirming environment where clients feel seen, heard, and understood. With a deep understanding of the unique experiences and systemic challenges faced by people in BIPOC and LGBTQIA+ community, I strive to provide culturally competent and inclusive care. My approach is rooted in empathy, respect, and a commitment to social justice, ensuring that each client feels valued and empowered.
(210) 750-4318 View (210) 750-4318
Photo of Claire E Jacobs, PhD, Psychologist
Claire E Jacobs
Psychologist, PhD
Verified Verified
San Antonio, TX 78232  (Online Only)
Do you need therapy from the safety of your own home? Dr. Jacobs offers over 30 years of experience helping people achieve their personal goals. Patients describe Dr. Jacobs as a friendly, open-minded, optimistic and compassionate professional who provides constructive feedback in a supportive environment. She works with patients to identify personal strengths and to help them use these strengths to address the challenges they're facing and make desired changes in their lives. Dr. Jacobs' warm and relaxed style, together with her sense of humor, quickly put her patients at ease.
Do you need therapy from the safety of your own home? Dr. Jacobs offers over 30 years of experience helping people achieve their personal goals. Patients describe Dr. Jacobs as a friendly, open-minded, optimistic and compassionate professional who provides constructive feedback in a supportive environment. She works with patients to identify personal strengths and to help them use these strengths to address the challenges they're facing and make desired changes in their lives. Dr. Jacobs' warm and relaxed style, together with her sense of humor, quickly put her patients at ease.
(210) 441-3012 View (210) 441-3012
Photo of Eddy Hector Cisneros, MS,  LPC, Licensed Professional Counselor
Eddy Hector Cisneros
Licensed Professional Counselor, MS, LPC
Verified Verified
San Antonio, TX 78201  (Online Only)
Not accepting new clients
Whatever you struggle is right now, please, receive my respect and empathy. Human suffering is complex, and I have a great respect for this complexity. If you are looking to heal from past traumas (specially childhood relational traumas and sexual abuse), recover from depressive or anxiety symptoms, improve difficult relationships, or find more inner clarity and harmony; I might be able to help you. I strongly believe that healing is attainable to anyone, and there is a process and journey that needs to be had.
Whatever you struggle is right now, please, receive my respect and empathy. Human suffering is complex, and I have a great respect for this complexity. If you are looking to heal from past traumas (specially childhood relational traumas and sexual abuse), recover from depressive or anxiety symptoms, improve difficult relationships, or find more inner clarity and harmony; I might be able to help you. I strongly believe that healing is attainable to anyone, and there is a process and journey that needs to be had.
(210) 640-0836 View (210) 640-0836
Photo of Shawna Corley, PhD, LPC-S, LCDC, CCTP, NCC, Licensed Professional Counselor
Shawna Corley
Licensed Professional Counselor, PhD, LPC-S, LCDC, CCTP, NCC
Verified Verified
2 Endorsed
San Antonio, TX 78216  (Online Only)
Want to start your journey to healing? I would love to come along side you and help facilitate your growth. I love working with kids, teens, and adults and I am skilled to handle the hard issues of trauma. My work with clients covers a wide range of topics, but I specialize in sibling/parent conflict, relationships, trauma, abuse, sexual identity, sexual assault, and grief. I will ensure you are provided an individual plan and help challenge you to reach you optimum version of you. I am available to perform Child Custody Evaluations and Adoptions Studies though the Bexar County DRO. I am also available for forensic cases.
Want to start your journey to healing? I would love to come along side you and help facilitate your growth. I love working with kids, teens, and adults and I am skilled to handle the hard issues of trauma. My work with clients covers a wide range of topics, but I specialize in sibling/parent conflict, relationships, trauma, abuse, sexual identity, sexual assault, and grief. I will ensure you are provided an individual plan and help challenge you to reach you optimum version of you. I am available to perform Child Custody Evaluations and Adoptions Studies though the Bexar County DRO. I am also available for forensic cases.
(210) 853-2618 View (210) 853-2618
Photo of Carl Price, MS , LPC, LCDC
Carl Price
MS , LPC, LCDC
Verified Verified
San Antonio, TX 78229  (Online Only)
Change is not easy but it is possible. You will be held accountable, challenged, and coached. I am a no-BS mental health professional. My passion is to work alongside you as you move closer to the ideal version of yourself. I understand that your motivation may be lacking. I know that you may need help finding initiative. That's OK! We will figure it out with an actionable plan, one step at a time. Additionally, I am a kink-friendly provider able to assist BDSM, polyamorous, and other lifestyle relationships. I understand your experiences and love working to improve interpersonal dynamics through effective communication.
Change is not easy but it is possible. You will be held accountable, challenged, and coached. I am a no-BS mental health professional. My passion is to work alongside you as you move closer to the ideal version of yourself. I understand that your motivation may be lacking. I know that you may need help finding initiative. That's OK! We will figure it out with an actionable plan, one step at a time. Additionally, I am a kink-friendly provider able to assist BDSM, polyamorous, and other lifestyle relationships. I understand your experiences and love working to improve interpersonal dynamics through effective communication.
(210) 570-7156 View (210) 570-7156
Photo of - Bonfire Counseling - Hunter Harris, MA
- Bonfire Counseling - Hunter Harris
LPC Associate, MA
Verified Verified
1 Endorsed
San Antonio, TX 78212
In Adventure Therapy, we engage together in hiking local parks, gardens and galleries, along with archery, kayaking, sunrise/sunsets or a litany of outdoor options in the Texas Hill Country. It’s not just about the activity itself, but about the feelings and clarity it evokes. It’s about overcoming barriers, building resilience, and gaining new perspectives. Everyone has strengths, resources, and exceptions to present challenges. I believe that feeling content does not come from finding, it comes from remembering. Adventure Therapy provides a unique and engaging way to help you reconnect with your inherent strengths and resources.
In Adventure Therapy, we engage together in hiking local parks, gardens and galleries, along with archery, kayaking, sunrise/sunsets or a litany of outdoor options in the Texas Hill Country. It’s not just about the activity itself, but about the feelings and clarity it evokes. It’s about overcoming barriers, building resilience, and gaining new perspectives. Everyone has strengths, resources, and exceptions to present challenges. I believe that feeling content does not come from finding, it comes from remembering. Adventure Therapy provides a unique and engaging way to help you reconnect with your inherent strengths and resources.
(210) 756-3365 View (210) 756-3365
Photo of Belen Anchondo - Belen Anchondo, Redefine Counseling Services PLLC, MS, LPC, NCC, Licensed Professional Counselor
Belen Anchondo, Redefine Counseling Services PLLC
Licensed Professional Counselor, MS, LPC, NCC
Verified Verified
2 Endorsed
San Antonio, TX 78258  (Online Only)
Are you looking for a change but feel stuck? Maybe you're looking to break certain patterns or need guidance on how to cope with stress, anxiety, or depression. Perhaps you have reached a point in your life where you have lost your identity, and need help connecting back to yourself. I am passionate about helping people create a more fulfilling life. A life where they can feel like themselves again.
Are you looking for a change but feel stuck? Maybe you're looking to break certain patterns or need guidance on how to cope with stress, anxiety, or depression. Perhaps you have reached a point in your life where you have lost your identity, and need help connecting back to yourself. I am passionate about helping people create a more fulfilling life. A life where they can feel like themselves again.
(210) 569-0347 View (210) 569-0347
Photo of Jan Braun, MS, LPC, SEP, Licensed Professional Counselor
Jan Braun
Licensed Professional Counselor, MS, LPC, SEP
Verified Verified
San Antonio, TX 78209
You may be thinking it's time for change. I believe in your capacity to do that through therapy. I'm here to support you through the process. I offer you a supportive and accepting space where you can feel free to explore, grow and heal. By honoring your direct experience we can begin to alter the habitual reactions and outdated stories that keep you stuck, anxious or depressed. Engaging your moment to moment experience and body's wisdom can facilitate a deeper appreciation of who you are, create more ease in your system, and move you toward a more vibrant life.
You may be thinking it's time for change. I believe in your capacity to do that through therapy. I'm here to support you through the process. I offer you a supportive and accepting space where you can feel free to explore, grow and heal. By honoring your direct experience we can begin to alter the habitual reactions and outdated stories that keep you stuck, anxious or depressed. Engaging your moment to moment experience and body's wisdom can facilitate a deeper appreciation of who you are, create more ease in your system, and move you toward a more vibrant life.
(210) 741-9546 View (210) 741-9546
Photo of Tiffany Juarez - Battling Minds, LLC , LCSW, Clinical Social Work/Therapist
Battling Minds, LLC
Clinical Social Work/Therapist, LCSW
Verified Verified
1 Endorsed
San Antonio, TX 78209
Tiffany Juarez is a Licensed Clinical Social Worker in Texas with 13 years of experience. She meets people with grace, empathy and her interpersonal skills allow her to connect and see people where they are. She creates a collaborative space of growth and self-development. Tiffany treats conditions like post-traumatic stress disorder, anxiety, depression, addiction, bipolar, and many other conditions. Tiffany is sensitive to the uniqueness of each patient's situation and adapts treatment appropriately to accommodate individual needs and concerns.
Tiffany Juarez is a Licensed Clinical Social Worker in Texas with 13 years of experience. She meets people with grace, empathy and her interpersonal skills allow her to connect and see people where they are. She creates a collaborative space of growth and self-development. Tiffany treats conditions like post-traumatic stress disorder, anxiety, depression, addiction, bipolar, and many other conditions. Tiffany is sensitive to the uniqueness of each patient's situation and adapts treatment appropriately to accommodate individual needs and concerns.
(210) 981-4168 View (210) 981-4168
Photo of Mary T. Torres, PsyD, Psychologist
Mary T. Torres
Psychologist, PsyD
Verified Verified
San Antonio, TX 78228  (Online Only)
Waitlist for new clients
I am here to help you with common concerns, such as depression, anxiety, stress, relationship matters, and coping with grief or trauma. I can also serve as a sounding board if you are seeking new directions or sorting through spirituality issues. You may be someone who can benefit from counseling even in situations not covered by health insurance. You may simply need to take some time away from the rest of your busy life, with someone who listens well and who is not directly involved---to sort through things, get feedback from a different perspective, obtain ideas, and receive support to work on changes for a better quality of life.
I am here to help you with common concerns, such as depression, anxiety, stress, relationship matters, and coping with grief or trauma. I can also serve as a sounding board if you are seeking new directions or sorting through spirituality issues. You may be someone who can benefit from counseling even in situations not covered by health insurance. You may simply need to take some time away from the rest of your busy life, with someone who listens well and who is not directly involved---to sort through things, get feedback from a different perspective, obtain ideas, and receive support to work on changes for a better quality of life.
(210) 764-6583 View (210) 764-6583
Photo of Sue Clifford, PhD, LPC-S, Licensed Professional Counselor
Sue Clifford
Licensed Professional Counselor, PhD, LPC-S
Verified Verified
San Antonio, TX 78232  (Online Only)
Feeling overwhelmed, confused, stressed, lost? Yearn to connect with life, yet, often become stuck? Navigating through life disconnections - with our spirit, families, partners, friends, work - can be exhausting and overwhelming. You have already tried going to your life "toolbox" (faith, family, friends, chocolate...). Together we can explore feelings, figure out how our own inner stories are actually adding to our stress, reconnect with our inner power to experience love, acceptance, and be our authentic self. Asking "How am I ever going to figure out..." is a good starting place. I can walk with you as we try to figure it out.
Feeling overwhelmed, confused, stressed, lost? Yearn to connect with life, yet, often become stuck? Navigating through life disconnections - with our spirit, families, partners, friends, work - can be exhausting and overwhelming. You have already tried going to your life "toolbox" (faith, family, friends, chocolate...). Together we can explore feelings, figure out how our own inner stories are actually adding to our stress, reconnect with our inner power to experience love, acceptance, and be our authentic self. Asking "How am I ever going to figure out..." is a good starting place. I can walk with you as we try to figure it out.
(210) 812-2794 View (210) 812-2794
Photo of Lesley Esquivel, MA, LPC, NCC, Licensed Professional Counselor
Lesley Esquivel
Licensed Professional Counselor, MA, LPC, NCC
Verified Verified
1 Endorsed
San Antonio, TX 78257  (Online Only)
Empathy, trust, shared presence. My belief is the process of therapy helps bring self-awareness to the strengths that one may not realize they have. Being human, we all face challenges and obstacles, but with non-judgmental support and understanding, inner strengths may flourish to face life's stressors in healthier, productive ways.
Empathy, trust, shared presence. My belief is the process of therapy helps bring self-awareness to the strengths that one may not realize they have. Being human, we all face challenges and obstacles, but with non-judgmental support and understanding, inner strengths may flourish to face life's stressors in healthier, productive ways.
(210) 943-9272 View (210) 943-9272
Photo of Sharon Benner, LPC, Counselor
Sharon Benner
Counselor, LPC
Verified Verified
San Antonio, TX 78217
Hi there, I'm Sharon! Do you feel pulled in a million directions, unable to fit it all in? Are you struggling to keep up with your relationships, work and health? Is it hard to be kind to yourself? Do you feel that others (or other things) run your life? I work with Individuals, couples, and families to help unblock the path to being happy or joyful again.
Hi there, I'm Sharon! Do you feel pulled in a million directions, unable to fit it all in? Are you struggling to keep up with your relationships, work and health? Is it hard to be kind to yourself? Do you feel that others (or other things) run your life? I work with Individuals, couples, and families to help unblock the path to being happy or joyful again.
(210) 796-5079 View (210) 796-5079
1
...

How does your Therapist compare?

Number of Therapists in San Antonio, TX

2,000+

Average cost per session

$125

Therapists in San Antonio, TX who prioritize treating:

92% Anxiety
88% Depression
71% Self Esteem
70% Coping Skills
70% Stress
69% Relationship Issues
69% Trauma and PTSD

Average years in practice

9 Years

Top 3 insurances accepted

88% Aetna
76% BlueCross and BlueShield
75% UnitedHealthcare UHC | UBH

How Therapists in San Antonio, TX see their clients

53% In Person and Online
47% Online Only

Gender breakdown

80% Female
19% Male
1% Non-Binary
FAQs - About Therapy and Counseling

How can I find a therapist in 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.