Therapists in 89104

Photo of Emily Janett Garcia-Acosta, Clinical Social Work/Therapist, LCSW
Emily Janett Garcia-Acosta
Clinical Social Work/Therapist, LCSW
2 Endorsed
Las Vegas, NV 89104
My clients typically seek therapy due to exposure to adverse experiences at some point in their lifetime. As a clinician, I understand adverse experiences are subjective to each individual. This is why I tailor my therapeutic approach depending on each individuals' needs and concerns.
My clients typically seek therapy due to exposure to adverse experiences at some point in their lifetime. As a clinician, I understand adverse experiences are subjective to each individual. This is why I tailor my therapeutic approach depending on each individuals' needs and concerns.
(702) 728-4622 View (702) 728-4622
Photo of Brian Vasquez, Clinical Social Work/Therapist, LMSW, CSW-I
Brian Vasquez
Clinical Social Work/Therapist, LMSW, CSW-I
1 Endorsed
Las Vegas, NV 89104
I provide support to adolescents, young adults, and families navigating anxiety, stress, life transitions, and behavioral or emotional challenges. Whether you’re facing academic pressure, family conflict, or major life changes like starting college, my goal is to help you feel heard, understood, and empowered to navigate these challenges with confidence.
I provide support to adolescents, young adults, and families navigating anxiety, stress, life transitions, and behavioral or emotional challenges. Whether you’re facing academic pressure, family conflict, or major life changes like starting college, my goal is to help you feel heard, understood, and empowered to navigate these challenges with confidence.
(725) 712-6205 View (725) 712-6205
Photo of Chiante Jemison - Mindful Illumination Counseling LLC, Counselor, CPC, LCADC
Mindful Illumination Counseling LLC
Counselor, CPC, LCADC
2 Endorsed
Las Vegas, NV 89104
Our minds are powerful—capable of beauty, but also of holding us captive. Addiction, intrusive thoughts, and mental health struggles can make us feel trapped, like we’re screaming behind a locked door no one hears. We suffer in silence, lose sight of hope, and forget how to love ourselves. But healing is possible. My name is Mr. Chiante’ Josiah Jemison (C.J.) and it would be a true honor to walk with you on your healing journey—to help you rediscover self-love, restore your peace, and remember that you are never alone.
Our minds are powerful—capable of beauty, but also of holding us captive. Addiction, intrusive thoughts, and mental health struggles can make us feel trapped, like we’re screaming behind a locked door no one hears. We suffer in silence, lose sight of hope, and forget how to love ourselves. But healing is possible. My name is Mr. Chiante’ Josiah Jemison (C.J.) and it would be a true honor to walk with you on your healing journey—to help you rediscover self-love, restore your peace, and remember that you are never alone.
(702) 935-6205 View (702) 935-6205
Photo of Oscar Flores Sida, Counselor, MS, NCC, LCPC, LCADC, CPGC
Oscar Flores Sida
Counselor, MS, NCC, LCPC, LCADC, CPGC
1 Endorsed
Las Vegas, NV 89104
For the basis of my clinical practice, I work from a humanistic client-centered approach based upon Carl Rogers' view that people "are trustworthy, resourceful, capable of self-understanding and self-direction, able to make constructive changes, and able to live effective and productive lives". As a counselor my job is to help remove barriers to change once that is done the individual can proceed on their natural path toward growth and self-fulfillment. Although this is my primary basis for treatment, I will also utilize other therapeutic tools to meet your treatment goals.
For the basis of my clinical practice, I work from a humanistic client-centered approach based upon Carl Rogers' view that people "are trustworthy, resourceful, capable of self-understanding and self-direction, able to make constructive changes, and able to live effective and productive lives". As a counselor my job is to help remove barriers to change once that is done the individual can proceed on their natural path toward growth and self-fulfillment. Although this is my primary basis for treatment, I will also utilize other therapeutic tools to meet your treatment goals.
(702) 472-8766 View (702) 472-8766
Photo of Malieka D Toston, Drug & Alcohol Counselor, LADC, CPC-I
Malieka D Toston
Drug & Alcohol Counselor, LADC, CPC-I
Las Vegas, NV 89104
I've helped my clients overcome the obstacles that seem to be holding them back from moving forward in life. You shouldn't be dissatisfied, unsettled, or unfulfilled in life. Let me help you learn and discover new methods to address the issues that are holding you back from achieving your goals. To learn how I can assist you, please don't hesitate to contact me.
I've helped my clients overcome the obstacles that seem to be holding them back from moving forward in life. You shouldn't be dissatisfied, unsettled, or unfulfilled in life. Let me help you learn and discover new methods to address the issues that are holding you back from achieving your goals. To learn how I can assist you, please don't hesitate to contact me.
(725) 215-8039 View (725) 215-8039
Photo of Saritha Farris - Illuminated Path LLC, Clinical Social Work/Therapist, MSW, LCSW
Illuminated Path LLC
Clinical Social Work/Therapist, MSW, LCSW
2 Endorsed
Las Vegas, NV 89104
At llluminated Path , we welcome clients navigating a wide range of concerns: anxiety, depression, trauma, life transitions, relationship issues, grief, and stress-related disorders. Many of our clients seek relief from emotional overwhelm, support through challenging seasons, or guidance in building healthier relationships and stronger boundaries. The goal is to enlighten your strengths and transform your thinking and how you perceive yourself. Our team is composed of skilled, compassionate clinicians from diverse ethnic and cultural backgrounds, including Spanish-speaking therapists
At llluminated Path , we welcome clients navigating a wide range of concerns: anxiety, depression, trauma, life transitions, relationship issues, grief, and stress-related disorders. Many of our clients seek relief from emotional overwhelm, support through challenging seasons, or guidance in building healthier relationships and stronger boundaries. The goal is to enlighten your strengths and transform your thinking and how you perceive yourself. Our team is composed of skilled, compassionate clinicians from diverse ethnic and cultural backgrounds, including Spanish-speaking therapists
(702) 761-3981 View (702) 761-3981
Photo of Vilma Gonzalez-Guzman, Pre-Licensed Professional, CSW-I, MSW
Vilma Gonzalez-Guzman
Pre-Licensed Professional, CSW-I, MSW
1 Endorsed
Las Vegas, NV 89104
Welcome — I’m glad you’re here. I’m a bilingual (English/Spanish) Pre-Licensed Clinical Social Worker originally from the Dominican Republic and raised in Puerto Rico. My background has shaped not only who I am but also how I connect with others with empathy, warmth, and genuine understanding of the many layers that shape our experiences, identities, and struggles. I help individuals who feel overwhelmed by life transitions, relationship stress, anxiety, or feelings of disconnection.
Welcome — I’m glad you’re here. I’m a bilingual (English/Spanish) Pre-Licensed Clinical Social Worker originally from the Dominican Republic and raised in Puerto Rico. My background has shaped not only who I am but also how I connect with others with empathy, warmth, and genuine understanding of the many layers that shape our experiences, identities, and struggles. I help individuals who feel overwhelmed by life transitions, relationship stress, anxiety, or feelings of disconnection.
(702) 744-4348 View (702) 744-4348
Photo of Paige Anne Chastain, Pre-Licensed Professional, LMSW, CSW-I
Paige Anne Chastain
Pre-Licensed Professional, LMSW, CSW-I
Las Vegas, NV 89104
Life doesn’t come with a clean slate, but it does offer second chapters. At Second Chapter Therapy, I believe your story is still being written — and the pages ahead can hold healing, growth, and possibility. My role is to walk beside you as you navigate life’s challenges, whether that’s working through trauma, managing anxiety or depression, building healthier relationships, or rediscovering your sense of self. I know starting therapy can feel vulnerable. That’s why I create a space that is safe, judgment-free, and grounded in compassion. I listen with both empathy and curiosity, helping you make sense of your experiences,
Life doesn’t come with a clean slate, but it does offer second chapters. At Second Chapter Therapy, I believe your story is still being written — and the pages ahead can hold healing, growth, and possibility. My role is to walk beside you as you navigate life’s challenges, whether that’s working through trauma, managing anxiety or depression, building healthier relationships, or rediscovering your sense of self. I know starting therapy can feel vulnerable. That’s why I create a space that is safe, judgment-free, and grounded in compassion. I listen with both empathy and curiosity, helping you make sense of your experiences,
(702) 935-6640 View (702) 935-6640
Photo of Alayna Hammond, Pre-Licensed Professional, CPC-I
Alayna Hammond
Pre-Licensed Professional, CPC-I
Las Vegas, NV 89104
Start. Restore. Heal. I would like to assist you with gaining control over your life through building positive coping strategies to help you address current psychosocial adaptations and poor coping skills. My focus will help you to reduce your mental health symptoms by developing healthy life choices, positive coping skills, and improved self image. I can assist you in building positive relationships and connections. I am currently providing in-office and video therapeutic services for individuals, couples and families, seeking therapeutic support.
Start. Restore. Heal. I would like to assist you with gaining control over your life through building positive coping strategies to help you address current psychosocial adaptations and poor coping skills. My focus will help you to reduce your mental health symptoms by developing healthy life choices, positive coping skills, and improved self image. I can assist you in building positive relationships and connections. I am currently providing in-office and video therapeutic services for individuals, couples and families, seeking therapeutic support.
(725) 241-4046 View (725) 241-4046
Photo of Jonathan Senda, Clinical Social Work/Therapist, LCSW, CST
Jonathan Senda
Clinical Social Work/Therapist, LCSW, CST
3 Endorsed
Las Vegas, NV 89104
My ideal client is struggling with sexual concerns like: low desire, erectile function, ejaculating quickly, out-of control sexual behavior (“sex addiction”), painful sex, or issues related to ethical non-monogamy. They may feel shame or guilt, but are motivated to improve their sexual health and overall well-being. They want to understand the root causes of their concerns and learn practical strategies to address them. They want to work with a therapist who is understanding, non-judgmental, and uses a holistic approach to healing informed by a social justice and a systems framework.
My ideal client is struggling with sexual concerns like: low desire, erectile function, ejaculating quickly, out-of control sexual behavior (“sex addiction”), painful sex, or issues related to ethical non-monogamy. They may feel shame or guilt, but are motivated to improve their sexual health and overall well-being. They want to understand the root causes of their concerns and learn practical strategies to address them. They want to work with a therapist who is understanding, non-judgmental, and uses a holistic approach to healing informed by a social justice and a systems framework.
(702) 766-9862 View (702) 766-9862
Photo of Whitney Lewis, Clinical Social Work/Therapist, LCSW
Whitney Lewis
Clinical Social Work/Therapist, LCSW
3 Endorsed
Las Vegas, NV 89104
I have always had a passion for helping others. I believe that my clients have the ability to work through their struggles, and that I am here for them as an expert to guide and assist them through what can seem like a daunting process. I strive to meet my clients where they are at with compassion and validation in order to help them through difficult times. This includes helping them manage symptoms of depression, anxiety, and any other life stressors. I primarily work with adults, and teens age 14+, and am currently only available for virtual sessions at this time.
I have always had a passion for helping others. I believe that my clients have the ability to work through their struggles, and that I am here for them as an expert to guide and assist them through what can seem like a daunting process. I strive to meet my clients where they are at with compassion and validation in order to help them through difficult times. This includes helping them manage symptoms of depression, anxiety, and any other life stressors. I primarily work with adults, and teens age 14+, and am currently only available for virtual sessions at this time.
(702) 935-6236 View (702) 935-6236
Photo of Samuel Hickson, Clinical Social Work/Therapist, PhD, LCSW, NPT-C
Samuel Hickson
Clinical Social Work/Therapist, PhD, LCSW, NPT-C
1 Endorsed
Las Vegas, NV 89104
My ideal client is someone experiencing anxiety, depression, stress, or identity conflict shaped by religious, medical, or institutional harm. They may feel stuck in fear-based thinking, shame, or mistrust of systems that once held authority. They want clarity, autonomy, and emotional safety, with the goal of rebuilding self-trust, challenging internalized beliefs, and moving forward with a values-aligned sense of meaning, agency, and psychological resilience.
My ideal client is someone experiencing anxiety, depression, stress, or identity conflict shaped by religious, medical, or institutional harm. They may feel stuck in fear-based thinking, shame, or mistrust of systems that once held authority. They want clarity, autonomy, and emotional safety, with the goal of rebuilding self-trust, challenging internalized beliefs, and moving forward with a values-aligned sense of meaning, agency, and psychological resilience.
(725) 525-9680 View (725) 525-9680
Photo of Victoria Makaryan, Licensed Professional Counselor, LPC
Victoria Makaryan
Licensed Professional Counselor, LPC
Las Vegas, NV 89104
Welcome, I'm glad you're here! I see therapy as a space to identify and challenge narratives and patterns that leave you feeling disconnected from yourself and others. If you feel overwhelmed by anxious thoughts, rumination, or negative self-talk, we may be a good fit. I specialize in nervous system regulation, using trauma-informed, evidence-based methods like EMDR and IFS (Internal Family Systems) to target healing at the root. Whether you’re holding the weight of childhood trauma, relational wounds, or chronic stress, our work is about resetting your system.
Welcome, I'm glad you're here! I see therapy as a space to identify and challenge narratives and patterns that leave you feeling disconnected from yourself and others. If you feel overwhelmed by anxious thoughts, rumination, or negative self-talk, we may be a good fit. I specialize in nervous system regulation, using trauma-informed, evidence-based methods like EMDR and IFS (Internal Family Systems) to target healing at the root. Whether you’re holding the weight of childhood trauma, relational wounds, or chronic stress, our work is about resetting your system.
(702) 276-7464 View (702) 276-7464
Photo of Tammie S Roitman, EdS, CCHT
Tammie S Roitman
Verified Verified
Serves Area
Sometimes, do things happen and you react to them without knowing why you react the way you do? Have you been in counseling or been put on medication with little to no movement forward? If nothing seems to work, do you feel as though it is your fault? Is everyone telling you to "just snap out of it" and you don't understand why you can't just "snap out of it'? Are you clueless about how to take control of your behavior after you have tried so hard so many times? This is often why people come to hypnotherapy.
Sometimes, do things happen and you react to them without knowing why you react the way you do? Have you been in counseling or been put on medication with little to no movement forward? If nothing seems to work, do you feel as though it is your fault? Is everyone telling you to "just snap out of it" and you don't understand why you can't just "snap out of it'? Are you clueless about how to take control of your behavior after you have tried so hard so many times? This is often why people come to hypnotherapy.
(702) 793-2187 View (702) 793-2187
Photo of Lincon Silva, Clinical Social Work/Therapist, MSW, LCSW
Lincon Silva
Clinical Social Work/Therapist, MSW, LCSW
1 Endorsed
Serves Area
**ACCEPTING NEW CLIENTS** As a therapist, I love assisting individuals to create a better quality of life and to find healthier solutions to the current hardship they may be experiencing. My goal is to support those to find tools to liberate themselves and finally make the changes that will alter their lives for the better. There are times where struggles and issues seem insurmountable as if it is impossible to overcome. I invite you to discover how you can become empowered and embrace healing through introspection; gain skills to manage and cope with life's challenges.
**ACCEPTING NEW CLIENTS** As a therapist, I love assisting individuals to create a better quality of life and to find healthier solutions to the current hardship they may be experiencing. My goal is to support those to find tools to liberate themselves and finally make the changes that will alter their lives for the better. There are times where struggles and issues seem insurmountable as if it is impossible to overcome. I invite you to discover how you can become empowered and embrace healing through introspection; gain skills to manage and cope with life's challenges.
(702) 680-1381 View (702) 680-1381
Photo of Steven Herbert, Marriage & Family Therapist, MS, LMFT
Steven Herbert
Marriage & Family Therapist, MS, LMFT
Serves Area
COUPLES: You love each other but your communication is often hurtful. Parents: You love your children but everything is a power struggle. Individuals: You feel worse than you should and don't know how to help yourself. Therapy offers relief, hope, and a path forward when life challenges arise. I have received specialized training in couple's therapy, parent coaching (all ages), and Depression/Anxiety. You want improved relationships and personal growth - and my 20+ years experience is a powerful force in getting you there!
COUPLES: You love each other but your communication is often hurtful. Parents: You love your children but everything is a power struggle. Individuals: You feel worse than you should and don't know how to help yourself. Therapy offers relief, hope, and a path forward when life challenges arise. I have received specialized training in couple's therapy, parent coaching (all ages), and Depression/Anxiety. You want improved relationships and personal growth - and my 20+ years experience is a powerful force in getting you there!
(702) 745-3306 View (702) 745-3306
Photo of Drsean Franklin, Counselor, DMin, EdD, NBCC
Drsean Franklin
Counselor, DMin, EdD, NBCC
Serves Area
I engage well with clients from varying ethnicities, and clients that might describe their experience as unique. I also have a number of celebrity clients, pastors and wives, business owners and couples who seek someone to be honest and direct. I don't believe in wasting time in session and "running the clock." Our experience will be intense, refreshing, and reflective. If you are seeking out a therapist that others can identify your change and development, then if schedule permits, perhaps we will have a spirit experience in session.
I engage well with clients from varying ethnicities, and clients that might describe their experience as unique. I also have a number of celebrity clients, pastors and wives, business owners and couples who seek someone to be honest and direct. I don't believe in wasting time in session and "running the clock." Our experience will be intense, refreshing, and reflective. If you are seeking out a therapist that others can identify your change and development, then if schedule permits, perhaps we will have a spirit experience in session.
(346) 762-2930 View (346) 762-2930
Photo of Mirna Bernabe, Marriage & Family Therapist, MA, LMFT, LCADC
Mirna Bernabe
Marriage & Family Therapist, MA, LMFT, LCADC
Serves Area
*EMAIL IS BEST AND RESPONDED TO MORE QUICKLY*. Are you struggling with something in your life? Do you feel like you keep repeating the same patterns over and over again? Does the idea of change make you feel anxious, nervous, or depressed? You are not alone and together we can find solutions to your problems and regain balance and strength. You have taken a major step by seeking help. I have worked as a therapist for over 10 years, my style is compassionate, engaging, and open-minded. Hablo español. Tambien se conducen evaluaciones psicosociales de inmigración(Hardship evaluations).
*EMAIL IS BEST AND RESPONDED TO MORE QUICKLY*. Are you struggling with something in your life? Do you feel like you keep repeating the same patterns over and over again? Does the idea of change make you feel anxious, nervous, or depressed? You are not alone and together we can find solutions to your problems and regain balance and strength. You have taken a major step by seeking help. I have worked as a therapist for over 10 years, my style is compassionate, engaging, and open-minded. Hablo español. Tambien se conducen evaluaciones psicosociales de inmigración(Hardship evaluations).
(702) 749-4655 View (702) 749-4655
Photo of Dr. Eva Miller - ELM Counseling & Consulting, LLC, Psychologist, PhD
ELM Counseling & Consulting, LLC
Psychologist, PhD
1 Endorsed
Serves Area
I specialize in working with seniors and individuals with dementia, chronic illnesses, and disabilities. I also have extensive experience in relationship problems, sexual concerns, neurodivergent issues, and trauma. I believe the primary role of a therapist is to help clients regain a sense of hope. Life can be hard and talking through your issues can help. Instead of a "quick fix" approach, I'll help you figure out the root causes of your problems so they don't keep popping up. I'll listen to your story, help you discover what's getting in the way of your happiness, and support you while you work on the new you.
I specialize in working with seniors and individuals with dementia, chronic illnesses, and disabilities. I also have extensive experience in relationship problems, sexual concerns, neurodivergent issues, and trauma. I believe the primary role of a therapist is to help clients regain a sense of hope. Life can be hard and talking through your issues can help. Instead of a "quick fix" approach, I'll help you figure out the root causes of your problems so they don't keep popping up. I'll listen to your story, help you discover what's getting in the way of your happiness, and support you while you work on the new you.
(602) 666-8720 View (602) 666-8720
Photo of Felisia Forest, Clinical Social Work/Therapist, LCSW
Felisia Forest
Clinical Social Work/Therapist, LCSW
1 Endorsed
Serves Area
Therapy can be very unknown and my personal goal in therapy is to provide a warm and validating experience. I have a strong passion for helping people heal from experiences that may or may not have been caused by themselves. I strategize with my clients to develop ways to increase effectiveness, whether that be in their personal, work and/or social life. Life is hard and most people are already doing the best they can with the skills they have. In therapy, we work towards filling your skill box for various life experiences, big or small.
Therapy can be very unknown and my personal goal in therapy is to provide a warm and validating experience. I have a strong passion for helping people heal from experiences that may or may not have been caused by themselves. I strategize with my clients to develop ways to increase effectiveness, whether that be in their personal, work and/or social life. Life is hard and most people are already doing the best they can with the skills they have. In therapy, we work towards filling your skill box for various life experiences, big or small.
(775) 363-9583 View (775) 363-9583

See more therapy options for 89104

How does your Therapist compare?

Number of Therapists in 89104

40+

Average cost per session

$125

Therapists in 89104 who prioritize treating:

91% Anxiety
84% Depression
76% Self Esteem
73% Relationship Issues
73% Trauma and PTSD
64% Coping Skills
62% Grief

Average years in practice

10 Years

Top 3 insurances accepted

79% Aetna
62% Cigna and Evernorth
62% UnitedHealthcare UHC | UBH

How Therapists in 89104 see their clients

60% In Person and Online
40% Online Only

Gender breakdown

68% Female
29% Male
3% Non-Binary
FAQs - About Therapy and Counseling

How can I find a therapist in 89104?

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.