Therapists in El Paso, TX
Aspire and Reach for More, LLC
Licensed Professional Counselor, LPC, LCDC, NCC
Verified Verified
El Paso, TX 79925
Not accepting new clients
It takes courage to seek help, and I honor the steps you are taking to change your life. The counseling process and relationship is sacred and can be life-changing. What is the problem or issue that has you up at night, worried, anxious and needing a solution? Has this problem interfered with your ability to focus at work or caused havoc in your relationship? Are you experiencing emotional distress, anxiety, or depression? If you are ready to do something different to live and achieve different positive results, then I can help. Finding the source of the problem, applying practical and effective solutions is the work of therapy.
It takes courage to seek help, and I honor the steps you are taking to change your life. The counseling process and relationship is sacred and can be life-changing. What is the problem or issue that has you up at night, worried, anxious and needing a solution? Has this problem interfered with your ability to focus at work or caused havoc in your relationship? Are you experiencing emotional distress, anxiety, or depression? If you are ready to do something different to live and achieve different positive results, then I can help. Finding the source of the problem, applying practical and effective solutions is the work of therapy.
Janise Pries
Licensed Professional Counselor, LPC
Verified Verified
El Paso, TX 79903 (Online Only)
How will you know if you have found your counselor connection? I hope you are looking for a counselor who will have your best interests at heart, who is honest, who has strong personal integrity, who listens to your concerns, who works with you to find the solutions that are already inside you! I am looking for clients who sincerely desire to change the situation that has them stuck, who are honest, who can share and listen, and willing to search for and implement solutions that may work. Are you ready for the challenge? Janise Pries has served the El Paso community as a counselor since 1996.
How will you know if you have found your counselor connection? I hope you are looking for a counselor who will have your best interests at heart, who is honest, who has strong personal integrity, who listens to your concerns, who works with you to find the solutions that are already inside you! I am looking for clients who sincerely desire to change the situation that has them stuck, who are honest, who can share and listen, and willing to search for and implement solutions that may work. Are you ready for the challenge? Janise Pries has served the El Paso community as a counselor since 1996.
Maria Ericka Alarcon
Licensed Professional Counselor, MA, LPC
Verified Verified
El Paso, TX 79925
Struggling with depression, anxiety, and trauma is something we all encounter in our lives. I am ready and willing to help you navigate through your life issues. Together we can process and find solutions that will improve your life. I will always speak the truth with compassion and understanding utilizing Reality and Solution Focused Modalities. I have acquired skills through traditional means, such as education and hands-on, self-study, and life experiences. I am a Licensed Professional Counselor, with a background in Applied Behavior Analysis.
Struggling with depression, anxiety, and trauma is something we all encounter in our lives. I am ready and willing to help you navigate through your life issues. Together we can process and find solutions that will improve your life. I will always speak the truth with compassion and understanding utilizing Reality and Solution Focused Modalities. I have acquired skills through traditional means, such as education and hands-on, self-study, and life experiences. I am a Licensed Professional Counselor, with a background in Applied Behavior Analysis.
S.A. Counseling, El Paso TX
Licensed Professional Counselor, MS, CCTP, EMDR-tr, C-DBT
Verified Verified
El Paso, TX 79925 (Online Only)
Healing from painful events will take time. Dealing with emotionally harmful experiences can become very distressful at the moment, making it hard to function, feeling overwhelmed, at times numb and unbalanced, feeling incredibly vulnerable. Let us start your healing process now. You need to know that you are not alone. It happens to many of us in our lifetimes, as we face the unexpected. Comfort comes from knowing that there are those who can help us overcome our Anxiety, Depression, Panic Attacks, Grief and Loss Stages, PTSD from sexual and physical abuse/assaults, emotional abuse along with other mental health conditions.
Healing from painful events will take time. Dealing with emotionally harmful experiences can become very distressful at the moment, making it hard to function, feeling overwhelmed, at times numb and unbalanced, feeling incredibly vulnerable. Let us start your healing process now. You need to know that you are not alone. It happens to many of us in our lifetimes, as we face the unexpected. Comfort comes from knowing that there are those who can help us overcome our Anxiety, Depression, Panic Attacks, Grief and Loss Stages, PTSD from sexual and physical abuse/assaults, emotional abuse along with other mental health conditions.
Brooke Beato
Licensed Professional Counselor, MA, LPC-S
Verified Verified
2 Endorsed
El Paso, TX 79924 (Online Only)
Not accepting new clients
We are a compilation of our past experiences. The challenges we have faced are at the root of our current struggles. From the beginning of our existence, we experience different challenges, people raised in an unsupported environment need support to develop healthy resiliency levels. Regardless of our previous challenges, with the right support, we can become more resilient and live the life that we deserve.
We are a compilation of our past experiences. The challenges we have faced are at the root of our current struggles. From the beginning of our existence, we experience different challenges, people raised in an unsupported environment need support to develop healthy resiliency levels. Regardless of our previous challenges, with the right support, we can become more resilient and live the life that we deserve.
Brenda Rueda
Licensed Professional Counselor, MSPsyc, MEd, LPC-S
Verified Verified
5 Endorsed
El Paso, TX 79936 (Online Only)
I specialize in the treatment of anxiety, depression, OCD and stress management in teens, young adults and adults.
I specialize in the treatment of anxiety, depression, OCD and stress management in teens, young adults and adults.
Janise G Pries
Licensed Professional Counselor, LPC
Verified Verified
El Paso, TX 79912
Are you experiencing anxiety that's impacting your daily life? Difficult to get up in the morning? Feeling overwhelmed by racing thoughts, worry, or physical symptoms like fatigue or tension is understandable. These feelings can create a sense of isolation, making managing daily tasks and relationships difficult. Do you want to experience the joys of life again, welcome the day, and look forward to a sense of achievement?
Are you experiencing anxiety that's impacting your daily life? Difficult to get up in the morning? Feeling overwhelmed by racing thoughts, worry, or physical symptoms like fatigue or tension is understandable. These feelings can create a sense of isolation, making managing daily tasks and relationships difficult. Do you want to experience the joys of life again, welcome the day, and look forward to a sense of achievement?
Kathleen Yarborough
Licensed Professional Counselor
Verified Verified
El Paso, TX 79901 (Online Only)
After years of exploring many healing modalities, I’ve found working with the unconscious, more than anything, helps gain insight and understanding that’s necessary to heal quickly, permanently and remove the blocks that get in the way of a happy, successful life. You can’t fix anything until you make it conscious. A wholistic approach that addresses the body, mind and spirit works effectively and will help you to discover the fullness of who you are.
After years of exploring many healing modalities, I’ve found working with the unconscious, more than anything, helps gain insight and understanding that’s necessary to heal quickly, permanently and remove the blocks that get in the way of a happy, successful life. You can’t fix anything until you make it conscious. A wholistic approach that addresses the body, mind and spirit works effectively and will help you to discover the fullness of who you are.
Marisela Alderete Franco
Licensed Professional Counselor, MA, LPC
Verified Verified
1 Endorsed
El Paso, TX 79930 (Online Only)
I work with adults navigating with a variety of challenges. Life happens! And it can be overwhelming, frustrating and just too much. I offer a safe place to air it all out and a possible plan to push through challenges that are getting in the way of personal, relationships, and spiritual growth.
I work with adults navigating with a variety of challenges. Life happens! And it can be overwhelming, frustrating and just too much. I offer a safe place to air it all out and a possible plan to push through challenges that are getting in the way of personal, relationships, and spiritual growth.
The Talk Shop, PLLC
Licensed Professional Counselor, LPC
Verified Verified
2 Endorsed
El Paso, TX 79902
Overwhelmed, anxious, or stuck? We help couples and individuals, adults, adolescents and children develop workable solutions to "stumped" problems. Each therapist at The Talk Shop, specializes in specific areas of treatment, helping individuals regain momentum, minimize their issues, and re-balance following roadblocks. We also work with couples and individuals who are attempting to navigate tricky situations: for instance, re-consolidating your life after a divorce, evaluating complex relationship issues, or designing creative strategies to cope with PTSD or trauma. Our Our therapeutic motto is: Don't just feel better, live better.
Overwhelmed, anxious, or stuck? We help couples and individuals, adults, adolescents and children develop workable solutions to "stumped" problems. Each therapist at The Talk Shop, specializes in specific areas of treatment, helping individuals regain momentum, minimize their issues, and re-balance following roadblocks. We also work with couples and individuals who are attempting to navigate tricky situations: for instance, re-consolidating your life after a divorce, evaluating complex relationship issues, or designing creative strategies to cope with PTSD or trauma. Our Our therapeutic motto is: Don't just feel better, live better.
Sonia Morales
Licensed Professional Counselor, LPC-S
Verified Verified
El Paso, TX 79925 (Online Only)
I am a Bilingual Licensed Professional Counselor-Supervisor with over 18 years of experience providing mental health care to adults, adolescents and families of diverse backgrounds. My specialty areas include depression, anxiety, trauma, crisis, adjustment disorder and other issues affecting an individual’s emotional and psychological well-being. I am trained in multiple therapy approaches, including Cognitive Behavioral Therapy (CBT), Eye Movement Desensitization and Reprocessing (EMDR), crisis management, trauma-focused CBT and solution-focused therapy. I implement evidence-based techniques to reinforce empowering responses.
I am a Bilingual Licensed Professional Counselor-Supervisor with over 18 years of experience providing mental health care to adults, adolescents and families of diverse backgrounds. My specialty areas include depression, anxiety, trauma, crisis, adjustment disorder and other issues affecting an individual’s emotional and psychological well-being. I am trained in multiple therapy approaches, including Cognitive Behavioral Therapy (CBT), Eye Movement Desensitization and Reprocessing (EMDR), crisis management, trauma-focused CBT and solution-focused therapy. I implement evidence-based techniques to reinforce empowering responses.
15 Second Videos
Janise G Pries
The Talk Shop, PLLC
Victoria E Sank
Lok Hin Karis Wong
Laura C McLaughlin
The Therapy Corner PLLC, Solanja Perez-Rede LPC-S
Areli Guajardo
Liza M Fant (Supervised By Shannon Sawyer Lpc-S)
Adriana Terry
Jessica Chevrier - Marriage/Family Therapist
Kelly Reinhart
Luisa M. Elberg-Urbina
Samuel Salazar (Online Across Tx = English - Spanish )
Ashley Cash
Carolyn Lopez Garcia
Cynthia Castillo
Adam Daniel Armstrong
Luke R Allen
Alejandra Menchaca Guedea
Christal Eileen Tucker
B Messer Therapy PLLC
Josephine Guadalupe Gallegos
Dante Jimenez
Dominguez Psychotherapy and Counseling Center
Chandra Brandt
Scott Paul Rheinschmidt
Funmilola (Lola) Taiwo
Tammie Anderson
Alissa Madsen
Jennifer A Young
Eliane Herdani
Urban Counseling Clique
Faith Christie Leigh Roby
J J Blandford
Erika J. Vivyan
Cristopher Zubia
Sofia Naupari
Liliana Aguilar (Bilingual)
Ted Thao
Gina Daniel
Shlomit Oliel
Stephanie Torres Rojas
Moving Forward Christian Counseling, PLLC
Valerie M Rivera
SC Counseling Center
Leslie Casiano
Shaun Telepak
Marci'a Blake
Yolanda Diana Johnson Affiliated With Deeper Connection Llc
Phenomenal U PLLC
Victoria E Sank
Psychologist, PsyD
Verified Verified
El Paso, TX 79902 (Online Only)
I specialize in working with hard-working, goal-oriented, perfectionists who are experiencing the tolls of chronic stress. Many of my clients have roles caring for others, for example: healthcare workers, teachers, parents, and business owners. Fatigue, irritability, insomnia, brain fog, imposter anxiety, and burnout are common struggles I see in my practice. Because, for many caregiver/healer types, taking time to nurture ourselves can be incredibly challenging. At Nurtured Psychology we work together to regain a sense of balance and to reconnect with ease and joy in your roles.
I specialize in working with hard-working, goal-oriented, perfectionists who are experiencing the tolls of chronic stress. Many of my clients have roles caring for others, for example: healthcare workers, teachers, parents, and business owners. Fatigue, irritability, insomnia, brain fog, imposter anxiety, and burnout are common struggles I see in my practice. Because, for many caregiver/healer types, taking time to nurture ourselves can be incredibly challenging. At Nurtured Psychology we work together to regain a sense of balance and to reconnect with ease and joy in your roles.
Elizabeth Mariscal, LPC
Licensed Professional Counselor, MA, LPC
Verified Verified
El Paso, TX 79938
Telehealth or in-person sessions are available. Make the call if you need help, don't hesitate. Times are changing, and coping can be laborious. If you find yourself needing help, therapy may be the answer. I can assist you in dealing with these feelings that are so hard to talk about or process. So start by making that call. I specialize in Cognitive Behavior Therapy and person-centered Therapy to assist you in managing such feelings as anxiety or depressed moods. I am also certified in EMDR, which can be helpful with trauma or PTSD symptoms. Se Habla Espanol. Evenings appointments and sliding scale self-pay are available.
Telehealth or in-person sessions are available. Make the call if you need help, don't hesitate. Times are changing, and coping can be laborious. If you find yourself needing help, therapy may be the answer. I can assist you in dealing with these feelings that are so hard to talk about or process. So start by making that call. I specialize in Cognitive Behavior Therapy and person-centered Therapy to assist you in managing such feelings as anxiety or depressed moods. I am also certified in EMDR, which can be helpful with trauma or PTSD symptoms. Se Habla Espanol. Evenings appointments and sliding scale self-pay are available.
Catalina Garcia
Licensed Professional Counselor, MA, LPC
Verified Verified
El Paso, TX 79925
“I am a Counselor driven by my passion to help clients see new possibilities, feel hopeful in their lives and heal the burdens they carry. Clients can safely vent feelings, build on pre-existing strengths, and learn strategies in a non-judgmental environment. Through a combination of various treatment modalities upon the needs of each client. I have helped individuals manage challenges, take responsibility for their lives: to heal, learn, gain the strengths to risk change, and move forward”.
“I am a Counselor driven by my passion to help clients see new possibilities, feel hopeful in their lives and heal the burdens they carry. Clients can safely vent feelings, build on pre-existing strengths, and learn strategies in a non-judgmental environment. Through a combination of various treatment modalities upon the needs of each client. I have helped individuals manage challenges, take responsibility for their lives: to heal, learn, gain the strengths to risk change, and move forward”.
Dr. Riqué Pineda: Restore And Arise Counseling Consultation
Licensed Professional Counselor, PhD, LPC
Verified Verified
El Paso, TX 79904
By entrusting me as your therapist, I will work to help you navigate the complexities of healing and restoration, from a collaborative approach. I have been in the field since 2012 and I have a genuine passion for helping those in need, as I too have a personal grasp of how traumas and challenges can negatively impact our lives. Along with my PhD in Psychology, I will help you identify strengths, develop skills, and provide you with the appropriate tools needed to meet your goals. It would be my absolute pleasure to be on this journey with you, helping you work toward a healthier, happier and stronger you!
By entrusting me as your therapist, I will work to help you navigate the complexities of healing and restoration, from a collaborative approach. I have been in the field since 2012 and I have a genuine passion for helping those in need, as I too have a personal grasp of how traumas and challenges can negatively impact our lives. Along with my PhD in Psychology, I will help you identify strengths, develop skills, and provide you with the appropriate tools needed to meet your goals. It would be my absolute pleasure to be on this journey with you, helping you work toward a healthier, happier and stronger you!
Ashley Fowler
Marriage & Family Therapist, LMFT
Verified Verified
El Paso, TX 79912
Ashley graduated in 2015 with her Masters of Science degree in Marriage and Family Therapy from Texas Woman’s University. She is currently working towards her Ph.D. in Marriage and Family Therapy, also at Texas Woman’s University. Ashley has over 7 years of clinical experience and employs a Solution Focused and Narrative approach in the therapy room. She has experience in working with families, couples, and individuals who have experienced a multitude of presenting issues. Ashley wants to hear your story, and she wants to help find solutions to the issues that are brought into the room.
Ashley graduated in 2015 with her Masters of Science degree in Marriage and Family Therapy from Texas Woman’s University. She is currently working towards her Ph.D. in Marriage and Family Therapy, also at Texas Woman’s University. Ashley has over 7 years of clinical experience and employs a Solution Focused and Narrative approach in the therapy room. She has experience in working with families, couples, and individuals who have experienced a multitude of presenting issues. Ashley wants to hear your story, and she wants to help find solutions to the issues that are brought into the room.
Manuela Palacio
Licensed Professional Counselor, LPC
Verified Verified
El Paso, TX 79912 (Online Only)
I specialize in supporting your journey of navigating challenging emotions, self-destructive patterns, traumatic experiences, difficulties with inter and intra-personal relationships and mental health challenges. I pride myself in helping you explore and cope with feelings of Anxiety, Depression, and mood dysregulation. My clients can take control of their lives and increase coping skills to manage life more successfully. I will empower you to live a life with meaningful connections, and assist you building and reinforcing your strengths.
I specialize in supporting your journey of navigating challenging emotions, self-destructive patterns, traumatic experiences, difficulties with inter and intra-personal relationships and mental health challenges. I pride myself in helping you explore and cope with feelings of Anxiety, Depression, and mood dysregulation. My clients can take control of their lives and increase coping skills to manage life more successfully. I will empower you to live a life with meaningful connections, and assist you building and reinforcing your strengths.
Vanessa Gonzalez
Licensed Professional Counselor, MS, LPC, LCDC
Verified Verified
1 Endorsed
El Paso, TX 79936 (Online Only)
There's a reason why you made the choice to improve your life, I am here to help support that choice through my professional experience of working with mental health and substance abuse. By utilizing treatment modalities that are evidence based, we are able to overcome our negative beliefs and live a more fulfilled peaceful life.
There's a reason why you made the choice to improve your life, I am here to help support that choice through my professional experience of working with mental health and substance abuse. By utilizing treatment modalities that are evidence based, we are able to overcome our negative beliefs and live a more fulfilled peaceful life.
Angela Barraza
Licensed Professional Counselor, LPC
Verified Verified
2 Endorsed
El Paso, TX 79924
Sometimes it is ok not to feel ok. Do you feel angry and not completely understand why? Have you ever been in a room full of people and yet you still feel alone? Do your thoughts spiral until you feel extremely exhausted? Is stress keeping you from falling asleep at night? Sometimes life is overwhelming and we just want to stay in bed hidden under our covers. Although you may feel this way now, remember that there are things that we can do to change the way we feel. You are not alone and all it takes is one healthy relationship to completely rewire our brain and help build resilience.
Sometimes it is ok not to feel ok. Do you feel angry and not completely understand why? Have you ever been in a room full of people and yet you still feel alone? Do your thoughts spiral until you feel extremely exhausted? Is stress keeping you from falling asleep at night? Sometimes life is overwhelming and we just want to stay in bed hidden under our covers. Although you may feel this way now, remember that there are things that we can do to change the way we feel. You are not alone and all it takes is one healthy relationship to completely rewire our brain and help build resilience.
Desert Wellness EP
Licensed Professional Counselor, LPC
Verified Verified
El Paso, TX 79912
Not accepting new clients
I am a Licensed Professional Counselor with over 15 years of experience and my goal is to provide you with a friendly, empathetic environment to facilitate change and empowerment in your life, providing the tools you need to reach your goals. Life can be challenging, and sometimes we need help transitioning from one stage to another or to overcome obstacles in life. We get stuck in patterns of interactions that don't work for us, and need help moving forward. Our work together will be based first and foremost on creating a safe, confidential, and supportive environment.
I am a Licensed Professional Counselor with over 15 years of experience and my goal is to provide you with a friendly, empathetic environment to facilitate change and empowerment in your life, providing the tools you need to reach your goals. Life can be challenging, and sometimes we need help transitioning from one stage to another or to overcome obstacles in life. We get stuck in patterns of interactions that don't work for us, and need help moving forward. Our work together will be based first and foremost on creating a safe, confidential, and supportive environment.
See more therapy options for El Paso
How does your Therapist compare?
Number of Therapists in El Paso, TX
400+
Average cost per session
$110
Therapists in El Paso, TX who prioritize treating:
90% | Anxiety |
87% | Depression |
71% | Self Esteem |
70% | Trauma and PTSD |
69% | Coping Skills |
64% | Stress |
61% | Grief |
Average years in practice
10 Years
Top 3 insurances accepted
88% | UnitedHealthcare UHC | UBH |
86% | Aetna |
85% | Cigna and Evernorth |
How Therapists in El Paso, TX see their clients
56% | Online Only | |
44% | In Person and Online |
Gender breakdown
79% | Female | |
20% | Male | |
1% | Non-Binary |
FAQs - About Therapy and Counseling
How can I find a therapist in El Paso?
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
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.
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.
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.