Therapists in 33130

Photo of Laurah Pastel Shames, Clinical Social Work/Therapist, LCSW
Laurah Pastel Shames
Clinical Social Work/Therapist, LCSW
Miami, FL 33130
My name is Laurah Pastel Shames and I am a Licensed Clinical Social Worker in Miami, Florida. My private practice specializes in the treatment of anxiety, obsessive compulsive disorder(OCD), and other related disorders including but not limited to phobias, panic disorder, social anxiety, and hoarding. I am passionate about providing people with the skills they need to make positive changes in their lives. My therapeutic approach incorporates the use of evidence-based treatments including Cognitive Behavioral Therapy (CBT) with the use of Exposure and Response Prevention (ERP), and Acceptance and Commitment Therapy (ACT).
My name is Laurah Pastel Shames and I am a Licensed Clinical Social Worker in Miami, Florida. My private practice specializes in the treatment of anxiety, obsessive compulsive disorder(OCD), and other related disorders including but not limited to phobias, panic disorder, social anxiety, and hoarding. I am passionate about providing people with the skills they need to make positive changes in their lives. My therapeutic approach incorporates the use of evidence-based treatments including Cognitive Behavioral Therapy (CBT) with the use of Exposure and Response Prevention (ERP), and Acceptance and Commitment Therapy (ACT).
(786) 386-1696 View (786) 386-1696
Photo of Dr. Cali Estes, Drug & Alcohol Counselor, PhD, MCAP, ICADC, MAC, MNLP
Dr. Cali Estes
Drug & Alcohol Counselor, PhD, MCAP, ICADC, MAC, MNLP
Miami, FL 33130
Ready to UnPause Your life and find the best version of yourself? I can help you get to the root cause of everything that holds you back and help you become the BEST version of yourself. Whether you self-soothe with drugs, alcohol, sex, shopping, food, have stress and anxiety or crave personal development, we work together as a team to get to the root cause of the issues and stressors you are experiencing and begin removing them and learning ways to have a more productive, positive life. I blend therapy and life coaching with a 100% confidential service, phone, skype, or in person. My Deep Dive Method creates positive lasting change
Ready to UnPause Your life and find the best version of yourself? I can help you get to the root cause of everything that holds you back and help you become the BEST version of yourself. Whether you self-soothe with drugs, alcohol, sex, shopping, food, have stress and anxiety or crave personal development, we work together as a team to get to the root cause of the issues and stressors you are experiencing and begin removing them and learning ways to have a more productive, positive life. I blend therapy and life coaching with a 100% confidential service, phone, skype, or in person. My Deep Dive Method creates positive lasting change
(786) 651-3113 View (786) 651-3113
Photo of Lou Ellen Johnson, Counselor, LMHC
Lou Ellen Johnson
Counselor, LMHC
Miami, FL 33130
I am a Licensed Mental Health Counselor In Florida with over 25 years of experience. I have worked with clients with a wide range of concerns including depression, anxiety, trauma, grief and loss, and addiction issues.
I am a Licensed Mental Health Counselor In Florida with over 25 years of experience. I have worked with clients with a wide range of concerns including depression, anxiety, trauma, grief and loss, and addiction issues.
(754) 654-9427 View (754) 654-9427
Photo of Michael Hutchinson, Licensed Mental Health Counselor, LMHC
Michael Hutchinson
Licensed Mental Health Counselor, LMHC
Miami, FL 33130
My name is Michael Hutchinson - though I go by Hutch - and I am a Licensed Mental Health Counselor in the State of Florida. I have been working in the field of mental health since 2012, and actively practicing with individuals, couples, and groups since 2018. At the core of my practice is a constructivist approach, treating individuals as experts on themselves as we work to apply the theories of change I endorse to create meaningful/ values-congruent improvements wherever indicated.
My name is Michael Hutchinson - though I go by Hutch - and I am a Licensed Mental Health Counselor in the State of Florida. I have been working in the field of mental health since 2012, and actively practicing with individuals, couples, and groups since 2018. At the core of my practice is a constructivist approach, treating individuals as experts on themselves as we work to apply the theories of change I endorse to create meaningful/ values-congruent improvements wherever indicated.
(754) 399-2068 View (754) 399-2068
Photo of Cecily Moore, Counselor, LCMHC
Cecily Moore
Counselor, LCMHC
Miami, FL 33130
Hello, my name is Dr. Moore. I am passionate about mental health and I specialize in treating depression, race based trauma, and helping folks with career related concerns.
Hello, my name is Dr. Moore. I am passionate about mental health and I specialize in treating depression, race based trauma, and helping folks with career related concerns.
(954) 287-2703 View (954) 287-2703
Photo of Giselle Leal, Psychologist, PsyD
Giselle Leal
Psychologist, PsyD
Miami, FL 33130
I am a Clinical Neuropsychologist who provides services in English/Spanish to adults and older adults of diverse cultural backgrounds. I work with individuals with Alzheimer’s or other dementias, brain injury/concussion, stroke, cancer, ADHD, cardiovascular conditions, multiple sclerosis, Parkinson’s disease, transplants, or other neurological/medical conditions that can impact brain functioning. A Neuropsychological evaluation will help you identify and understand difficulties with attention, memory, language, speed of thinking, visual-perception, impulsivity, organization, problem solving, emotions, or behavior.
I am a Clinical Neuropsychologist who provides services in English/Spanish to adults and older adults of diverse cultural backgrounds. I work with individuals with Alzheimer’s or other dementias, brain injury/concussion, stroke, cancer, ADHD, cardiovascular conditions, multiple sclerosis, Parkinson’s disease, transplants, or other neurological/medical conditions that can impact brain functioning. A Neuropsychological evaluation will help you identify and understand difficulties with attention, memory, language, speed of thinking, visual-perception, impulsivity, organization, problem solving, emotions, or behavior.
(786) 901-8399 View (786) 901-8399
Photo of Wendy Epstein, Clinical Social Work/Therapist, LCSW
Wendy Epstein
Clinical Social Work/Therapist, LCSW
2 Endorsed
Miami, FL 33130
You’ve been doing everything “right,” and still feel off. You’re smart, self-aware, and incredibly successful from the outside — but on the inside? You’re overwhelmed, stuck in anxious thoughts, feeling disconnected in your relationships, and burned out from always pushing through in your career. You’re tired of carrying so much on your own, and ready for something to actually help. Therapy doesn’t have to feel clinical or cold. In my work, it’s collaborative, empowering, and deeply healing.
You’ve been doing everything “right,” and still feel off. You’re smart, self-aware, and incredibly successful from the outside — but on the inside? You’re overwhelmed, stuck in anxious thoughts, feeling disconnected in your relationships, and burned out from always pushing through in your career. You’re tired of carrying so much on your own, and ready for something to actually help. Therapy doesn’t have to feel clinical or cold. In my work, it’s collaborative, empowering, and deeply healing.
(786) 980-9286 View (786) 980-9286
Photo of Marney Staviss, Mental Health Counselor, MSEd, MHC-LP
Marney Staviss
Mental Health Counselor, MSEd, MHC-LP
Miami, FL 33130
Life can feel overwhelming - whether you're managing stress, navigating relationships, or handling the pressures of everyday life. Drawing from DBT, client-centered, and somatic approaches, I help clients build practical coping skills, gain insight into their patterns, and feel more confident facing challenges. Together, we create a supportive, nonjudgmental space where meaningful, lasting change can happen. I have a background in mental health counseling, Applied Behavior Analysis (ABA), and sports psychology.
Life can feel overwhelming - whether you're managing stress, navigating relationships, or handling the pressures of everyday life. Drawing from DBT, client-centered, and somatic approaches, I help clients build practical coping skills, gain insight into their patterns, and feel more confident facing challenges. Together, we create a supportive, nonjudgmental space where meaningful, lasting change can happen. I have a background in mental health counseling, Applied Behavior Analysis (ABA), and sports psychology.
(954) 758-9801 View (954) 758-9801
Photo of Marjan Naghavi, Licensed Mental Health Counselor, PhD
Marjan Naghavi
Licensed Mental Health Counselor, PhD
1 Endorsed
Miami, FL 33130
With many years of experience in the school system, I bring a wealth of knowledge in addressing mental health challenges in youth and their families. My approach incorporates a family/caregiver system perspective and utilizes various therapeutic modalities, including Behavioral Therapy, Psychodynamic, and Cognitive Behavior Therapy (CBT) techniques. In addition to individual therapy, I also provide group and family therapy. I offer consultation and training services to multidisciplinary teams and schools, ensuring high-quality continuity of services.
With many years of experience in the school system, I bring a wealth of knowledge in addressing mental health challenges in youth and their families. My approach incorporates a family/caregiver system perspective and utilizes various therapeutic modalities, including Behavioral Therapy, Psychodynamic, and Cognitive Behavior Therapy (CBT) techniques. In addition to individual therapy, I also provide group and family therapy. I offer consultation and training services to multidisciplinary teams and schools, ensuring high-quality continuity of services.
(786) 982-7926 View (786) 982-7926
Photo of Scott Osborn, Counselor, MS, LMHC
Scott Osborn
Counselor, MS, LMHC
Miami, FL 33130
I focus on individual counseling and work with a wide range of adult clients (18 and up) including helping individuals through grief, trauma, anxiety disorders and depression. I also enjoy helping clients with improvements in self-confidence, self-worth and self-image, as well as relational issues. I use a client centered, eclectic approach and often utilize cognitive-behavioral, dialectical-behavioral and mindfulness based therapy techniques to aid in individualizing care for each client's specific needs. I believe in helping clients gain new perspectives and insights in order to bring about positive change in their lives.
I focus on individual counseling and work with a wide range of adult clients (18 and up) including helping individuals through grief, trauma, anxiety disorders and depression. I also enjoy helping clients with improvements in self-confidence, self-worth and self-image, as well as relational issues. I use a client centered, eclectic approach and often utilize cognitive-behavioral, dialectical-behavioral and mindfulness based therapy techniques to aid in individualizing care for each client's specific needs. I believe in helping clients gain new perspectives and insights in order to bring about positive change in their lives.
(954) 231-3630 View (954) 231-3630
Photo of Isabel Gonzalez, Psychologist, PsyD, LMFT, LMHC
Isabel Gonzalez
Psychologist, PsyD, LMFT, LMHC
Miami, FL 33130
Dr. Isabel Gonzalez is a bilingual (English-Spanish) pediatric neuropsychologist, licensed as a clinical psychologist, mental health counselor and marriage and family therapist. She earned her Doctorate in Clinical Psychology with a specialization in Neuropsychology and Child Psychology from Albizu University in Miami, Florida. Dr. Gonzalez completed her internship and a two-year fellowship in Bilingual Pediatric Neuropsychology at Children’s Hospital Colorado, ranked as one of the top 10 children’s hospital in the U.S. Dr. Gonzalez’s clinical experience has been based on internationally recognized hospitals in the United States.
Dr. Isabel Gonzalez is a bilingual (English-Spanish) pediatric neuropsychologist, licensed as a clinical psychologist, mental health counselor and marriage and family therapist. She earned her Doctorate in Clinical Psychology with a specialization in Neuropsychology and Child Psychology from Albizu University in Miami, Florida. Dr. Gonzalez completed her internship and a two-year fellowship in Bilingual Pediatric Neuropsychology at Children’s Hospital Colorado, ranked as one of the top 10 children’s hospital in the U.S. Dr. Gonzalez’s clinical experience has been based on internationally recognized hospitals in the United States.
(305) 575-2698 View (305) 575-2698
Photo of James Foley - Sexual Addiction Sex Misbehavior Absolute Expert, Clinical Social Work/Therapist, LCSW, SOTS
Sexual Addiction Sex Misbehavior Absolute Expert
Clinical Social Work/Therapist, LCSW, SOTS
Miami, FL 33130
Protect your life from self destruction. I see society's most high functioning men. I am a Sexual addiction elite level expert 31 years & 46,000 hrs sexual misbehavior specialist psychotherapy. Evidence based research oriented methods on Infidelity, Prostitution, Seeking Arrangements Sugar Daddy, Strip Clubs, Massage Parlors, OnlyFans, Certified Specialist. I bring highly effective clinical skills with the most up to date understandings to change distorted thinking and end these misbehaviors, heal your relationships. Proudly never used "Carnes" model. Call me now, I would love to help. Find me at www. sexuallycompulsive . com
Protect your life from self destruction. I see society's most high functioning men. I am a Sexual addiction elite level expert 31 years & 46,000 hrs sexual misbehavior specialist psychotherapy. Evidence based research oriented methods on Infidelity, Prostitution, Seeking Arrangements Sugar Daddy, Strip Clubs, Massage Parlors, OnlyFans, Certified Specialist. I bring highly effective clinical skills with the most up to date understandings to change distorted thinking and end these misbehaviors, heal your relationships. Proudly never used "Carnes" model. Call me now, I would love to help. Find me at www. sexuallycompulsive . com
(305) 676-7412 View (305) 676-7412
Photo of Andrea Brunetti, Licensed Mental Health Counselor, LMHC
Andrea Brunetti
Licensed Mental Health Counselor, LMHC
Miami, FL 33130
I’m a mental health counselor with a holistic, eclectic approach to therapy. I combine Solution-Focused and Narrative Therapy to empower clients in re-creating themselves, fostering self-compassion, self-confidence, and personal growth. My goal is to help you unlock your potential and overcome challenges by building a deeper connection with yourself. Together, we’ll work toward meaningful change and lasting transformation, supporting your journey to becoming the best version of you. I have extensive experience helping individuals navigate trauma, anxiety, depression, life transitions, grief, relationship challenges, and self-esteem.
I’m a mental health counselor with a holistic, eclectic approach to therapy. I combine Solution-Focused and Narrative Therapy to empower clients in re-creating themselves, fostering self-compassion, self-confidence, and personal growth. My goal is to help you unlock your potential and overcome challenges by building a deeper connection with yourself. Together, we’ll work toward meaningful change and lasting transformation, supporting your journey to becoming the best version of you. I have extensive experience helping individuals navigate trauma, anxiety, depression, life transitions, grief, relationship challenges, and self-esteem.
(929) 930-1750 View (929) 930-1750
Photo of Erin Hawkins - Erin Hawkins, LCSW, Clinical Social Work/Therapist, LCSW
Erin Hawkins, LCSW
Clinical Social Work/Therapist, LCSW
Miami, FL 33130
When stress, anxiety, sleep issues, or emotional overwhelm begin to affect your day-to-day life, having the right support can make a meaningful difference. Clinical Hypnosis is often used for a wide range of concerns when people are seeking deeper, lasting change. I invite you to explore whether this approach feels supportive for where you are right now.
When stress, anxiety, sleep issues, or emotional overwhelm begin to affect your day-to-day life, having the right support can make a meaningful difference. Clinical Hypnosis is often used for a wide range of concerns when people are seeking deeper, lasting change. I invite you to explore whether this approach feels supportive for where you are right now.
(530) 232-4451 View (530) 232-4451
Photo of Gabriela Aguiar Ortega, Counselor, LMHC, NCC
Gabriela Aguiar Ortega
Counselor, LMHC, NCC
1 Endorsed
Miami, FL 33130
Hello! I'm a bilingual English-Spanish therapist with extensive experience working with children and teenagers. My goal is to establish a secure and inclusive environment that caters to your individual needs, as we embark on this transformative journey of growth and empowerment. My strong connection with teenagers enables them to comfortably share their thoughts and emotions, leading to more effective support. I'm dedicated to empowering teenagers and their families during this transformative stage of life, whether they face the challenges of adolescence or more complex diagnoses.
Hello! I'm a bilingual English-Spanish therapist with extensive experience working with children and teenagers. My goal is to establish a secure and inclusive environment that caters to your individual needs, as we embark on this transformative journey of growth and empowerment. My strong connection with teenagers enables them to comfortably share their thoughts and emotions, leading to more effective support. I'm dedicated to empowering teenagers and their families during this transformative stage of life, whether they face the challenges of adolescence or more complex diagnoses.
(305) 506-1801 View (305) 506-1801
Photo of Lily Decker, Pre-Licensed Professional, MHC-LP
Lily Decker
Pre-Licensed Professional, MHC-LP
Miami, FL 33130
I offer a warm, empathic, and client-centered space where you can feel seen and supported. Drawing from DBT and somatic practices, I help you build tools while staying connected to your body and emotions. I believe we all have the power to discover who we are and what we want in our lives, relationships, and the world around us. I am experienced in Dialectical Behavior Therapy (DBT), trauma-informed care, eating disorder treatment, and group therapy.
I offer a warm, empathic, and client-centered space where you can feel seen and supported. Drawing from DBT and somatic practices, I help you build tools while staying connected to your body and emotions. I believe we all have the power to discover who we are and what we want in our lives, relationships, and the world around us. I am experienced in Dialectical Behavior Therapy (DBT), trauma-informed care, eating disorder treatment, and group therapy.
(786) 713-2431 View (786) 713-2431
Photo of Elizabeth Deaton, Clinical Social Work/Therapist, LCSW
Elizabeth Deaton
Clinical Social Work/Therapist, LCSW
Miami, FL 33130
I am a Licensed Clinical Social Worker with over 20 years of experience in a broad variety of settings to include child welfare, medical. military and hospice. I received my Bachelor’s degree at the College of Charleston and my Master’s degree at the University of South Carolina as part of the Child Welfare Leadership Project. I am passionate about advocating for clients and helping them process trauma and difficult life transitions and relationships.
I am a Licensed Clinical Social Worker with over 20 years of experience in a broad variety of settings to include child welfare, medical. military and hospice. I received my Bachelor’s degree at the College of Charleston and my Master’s degree at the University of South Carolina as part of the Child Welfare Leadership Project. I am passionate about advocating for clients and helping them process trauma and difficult life transitions and relationships.
(786) 481-0850 View (786) 481-0850
Photo of Craig Alan Handwerker, Counselor, LMHC
Craig Alan Handwerker
Counselor, LMHC
1 Endorsed
Miami, FL 33130
My name is Craig Handwerker and I am a Licensed Mental Health Counselor. I have been counseling individuals and families since 1996. My theoretical approach to counseling is eclectic where I incorporate primarily cognitive-behavioral, solution-focused, and psychodynamic approaches to counseling. My goal and passion is to see lives transformed by those who are motivated to seek true change. It is a pleasure to see the human heart and soul moved in order to bring about healthy change and restoration to love and truth. Authentic love and truth lived out brings sincere peace and joy into one's life.
My name is Craig Handwerker and I am a Licensed Mental Health Counselor. I have been counseling individuals and families since 1996. My theoretical approach to counseling is eclectic where I incorporate primarily cognitive-behavioral, solution-focused, and psychodynamic approaches to counseling. My goal and passion is to see lives transformed by those who are motivated to seek true change. It is a pleasure to see the human heart and soul moved in order to bring about healthy change and restoration to love and truth. Authentic love and truth lived out brings sincere peace and joy into one's life.
(954) 933-5272 View (954) 933-5272
Photo of Dr. Venise Predestin Carrier, Psychologist, PsyD
Dr. Venise Predestin Carrier
Psychologist, PsyD
10 Endorsed
Miami, FL 33130
Hi! I am a bilingual (English and Haitian creole) clinical psychologist, practicing in Florida. I am a Haitian-born Haitian-American and first generation college graduate. I am passionate about helping patients through humanistic, culturally-inclusive, liberation-focused, and evidence-based interventions.
Hi! I am a bilingual (English and Haitian creole) clinical psychologist, practicing in Florida. I am a Haitian-born Haitian-American and first generation college graduate. I am passionate about helping patients through humanistic, culturally-inclusive, liberation-focused, and evidence-based interventions.
(786) 509-6160 View (786) 509-6160
Photo of Izza-Marie Alcaide, Counselor, LMHC
Izza-Marie Alcaide
Counselor, LMHC
4 Endorsed
Miami, FL 33130
f you’re feeling overwhelmed by stress, anxiety, relationship challenges, or life transitions, you’re not alone — and you don’t have to face it on your own. Many of my clients come to therapy feeling stuck, exhausted, or disconnected, yet deeply ready for real change. Therapy can be a space where you not only find relief, but rediscover confidence, clarity, and strengths you may have forgotten — or never realized you had. Together, we work toward greater self-esteem, healthier relationships, and a life that feels more aligned and satisfying. Growth is possible, and it starts with one courageous step.
f you’re feeling overwhelmed by stress, anxiety, relationship challenges, or life transitions, you’re not alone — and you don’t have to face it on your own. Many of my clients come to therapy feeling stuck, exhausted, or disconnected, yet deeply ready for real change. Therapy can be a space where you not only find relief, but rediscover confidence, clarity, and strengths you may have forgotten — or never realized you had. Together, we work toward greater self-esteem, healthier relationships, and a life that feels more aligned and satisfying. Growth is possible, and it starts with one courageous step.
(786) 758-4194 View (786) 758-4194

See more therapy options for 33130

How does your Therapist compare?

Number of Therapists in 33130

500+

Average cost per session

$125

Therapists in 33130 who prioritize treating:

91% Anxiety
83% Depression
68% Self Esteem
59% Trauma and PTSD
51% Grief
47% Women's Issues
44% Family Conflict

Average years in practice

11 Years

Top 3 insurances accepted

88% Aetna
88% Cigna and Evernorth
69% Optum

How Therapists in 33130 see their clients

72% Online Only
28% In Person and Online

Gender breakdown

78% Female
20% Male
2% Non-Binary
FAQs - About Therapy and Counseling

How can I find a therapist in 33130?

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.