Therapists in 89138

Photo of Dr. Mary Lou Ancheta - Immigration Psychological Evaluations- Dr. Ancheta, Psychologist, PsyD
Immigration Psychological Evaluations- Dr. Ancheta
Psychologist, PsyD
2 Endorsed
Las Vegas, NV 89138
I provide immigration psychological evaluations for hardship waivers, asylum, VAWA, U-Visa, T-Visa, cancellation of removal, and N-648 disability waivers. Each evaluation is detailed, evidence-based, and written with cultural understanding and care. My reports highlight your experiences and explain the emotional impact you’ve faced in a clear, compassionate, and professional way.
I provide immigration psychological evaluations for hardship waivers, asylum, VAWA, U-Visa, T-Visa, cancellation of removal, and N-648 disability waivers. Each evaluation is detailed, evidence-based, and written with cultural understanding and care. My reports highlight your experiences and explain the emotional impact you’ve faced in a clear, compassionate, and professional way.
(725) 543-2384 View (725) 543-2384
Photo of Kyle Chaddick, Counselor, PsyD, PhD, CPC
Kyle Chaddick
Counselor, PsyD, PhD, CPC
1 Endorsed
Las Vegas, NV 89138
Dr. Kyle Chaddick is a psychotherapist who practices a holistic approach. His PsyD in Psychology allows him to treat Psychotherapy as an integrative approach; therapy that takes into account the dynamic interplay between the mind, body, social interaction, and the environment on a person's well-being with a focus on neuroscientific research.
Dr. Kyle Chaddick is a psychotherapist who practices a holistic approach. His PsyD in Psychology allows him to treat Psychotherapy as an integrative approach; therapy that takes into account the dynamic interplay between the mind, body, social interaction, and the environment on a person's well-being with a focus on neuroscientific research.
(725) 425-5605 View (725) 425-5605
Photo of Amanda Prina, Clinical Social Work/Therapist, LCSW
Amanda Prina
Clinical Social Work/Therapist, LCSW
1 Endorsed
Las Vegas, NV 89138
Are you feeling overwhelmed by anxiety, weighed down by sadness, or carrying the pain of past trauma or relationship loss? Perhaps you sense that your life has the potential for greater fulfillment, and you’re eager to embark on a journey of self-improvement? Therapy can be an empowering space for you to connect with your inner strength and cultivate a grounded, more satisfying life. Challenges we encounter in life provide opportunities for us to grow and heal into a stronger version of ourselves. With over 15 years of experience, I have had the privilege of guiding clients in healing and creating the lives they aspire to live.
Are you feeling overwhelmed by anxiety, weighed down by sadness, or carrying the pain of past trauma or relationship loss? Perhaps you sense that your life has the potential for greater fulfillment, and you’re eager to embark on a journey of self-improvement? Therapy can be an empowering space for you to connect with your inner strength and cultivate a grounded, more satisfying life. Challenges we encounter in life provide opportunities for us to grow and heal into a stronger version of ourselves. With over 15 years of experience, I have had the privilege of guiding clients in healing and creating the lives they aspire to live.
(775) 368-4159 View (775) 368-4159
Photo of Shad Scott, Counselor, MS
Shad Scott
Counselor, MS
Las Vegas, NV 89138
Pain can either define us or serve as the driving force for personal growth. I have dedicated an extensive amount of time to working with children, teens, parents, and adults who struggle with impulse control, existential crises, emotional challenges, and behavioral disturbances. I firmly believe that knowledge alone is insufficient; true change goes beyond conceptualization—it requires action. Clients require proven tools to actively pursue self-sufficiency.
Pain can either define us or serve as the driving force for personal growth. I have dedicated an extensive amount of time to working with children, teens, parents, and adults who struggle with impulse control, existential crises, emotional challenges, and behavioral disturbances. I firmly believe that knowledge alone is insufficient; true change goes beyond conceptualization—it requires action. Clients require proven tools to actively pursue self-sufficiency.
(702) 710-5729 View (702) 710-5729
Photo of Camilla Dorand, Licensed Professional Counselor, PhD, LCPC, CHT
Camilla Dorand
Licensed Professional Counselor, PhD, LCPC, CHT
Las Vegas, NV 89138
I’m Camilla Dorand, a licensed clinical professional counselor (LCPC) in Nevada, and I understand how overwhelming it can feel when you’re stuck in a cycle of depression, anxiety, or trauma. Many of my clients come to me after feeling like they’ve tried everything—various therapies, self-help strategies, and even different therapists—yet still find themselves seeking relief. If you’re looking for a more direct and hands-on approach, you’re in the right place.
I’m Camilla Dorand, a licensed clinical professional counselor (LCPC) in Nevada, and I understand how overwhelming it can feel when you’re stuck in a cycle of depression, anxiety, or trauma. Many of my clients come to me after feeling like they’ve tried everything—various therapies, self-help strategies, and even different therapists—yet still find themselves seeking relief. If you’re looking for a more direct and hands-on approach, you’re in the right place.
(725) 485-8377 View (725) 485-8377
Photo of Miranda Pulido - Soulful Serenity, PLLC, LPC Intern, MA, LMFTA
Soulful Serenity, PLLC
LPC Intern, MA, LMFTA
Las Vegas, NV 89138
I am committed to empowering individuals on their journey towards self-discovery and fulfillment. I provide comprehensive services that assist clients in cultivating confidence, enabling them to lead lives marked by happiness and purpose. I prioritize creating a safe, nonjudgmental space, fostering open communication where clients can explore their unique experiences and challenges. My approach is grounded in the understanding of intersectionality, acknowledging the intricate layers that shape one's identity. Through this lens, I aim to guide clients in gaining profound insights into themselves across various aspects of life.
I am committed to empowering individuals on their journey towards self-discovery and fulfillment. I provide comprehensive services that assist clients in cultivating confidence, enabling them to lead lives marked by happiness and purpose. I prioritize creating a safe, nonjudgmental space, fostering open communication where clients can explore their unique experiences and challenges. My approach is grounded in the understanding of intersectionality, acknowledging the intricate layers that shape one's identity. Through this lens, I aim to guide clients in gaining profound insights into themselves across various aspects of life.
(509) 423-7438 View (509) 423-7438
Photo of Yesenia Delgado - Yesenia Delgado - Trauma Therapist, Marriage & Family Therapist, LMFT, MS, QS, AAMFTC
Yesenia Delgado - Trauma Therapist
Marriage & Family Therapist, LMFT, MS, QS, AAMFTC
4 Endorsed
Las Vegas, NV 89138
I’m a Licensed Marriage & Family Therapist in Florida, Nevada, and Colorado, a Clinical Supervisor for interns, and a doctoral candidate at Nova Southeastern University. My work is rooted in a trauma-focused lens, blending EMDR, sex therapy, and systems theory to support healing of both mind and body. Clients often describe me as warm yet direct, with a non-pathologizing approach. You’re not broken, you’re navigating complex experiences that deserve care and understanding. I help individuals and couples move past old patterns, process trauma, deepen intimacy, and build stronger, more authentic connections with themselves and others.
I’m a Licensed Marriage & Family Therapist in Florida, Nevada, and Colorado, a Clinical Supervisor for interns, and a doctoral candidate at Nova Southeastern University. My work is rooted in a trauma-focused lens, blending EMDR, sex therapy, and systems theory to support healing of both mind and body. Clients often describe me as warm yet direct, with a non-pathologizing approach. You’re not broken, you’re navigating complex experiences that deserve care and understanding. I help individuals and couples move past old patterns, process trauma, deepen intimacy, and build stronger, more authentic connections with themselves and others.
(305) 676-7074 View (305) 676-7074
Photo of Cait Glenn, Clinical Social Work/Therapist, LCSW
Cait Glenn
Clinical Social Work/Therapist, LCSW
Serves Area
People in your life might think everything is fine, but inside you feel overwhelmed and stuck. Your anxiety is ramped up trying to control something that you cannot control. You find yourself not trusting yourself and seeking external validation frequently. Feelings of distraction are constant and worries take over your thoughts. You may even feel that your relationships have changed and that you need to protect the ones you love by hiding how you truly feel. Trying to stay "positive" just isn't working. If you are ready for change, you have come to the right place. I am not a smile and nod therapist and will partner with you.
People in your life might think everything is fine, but inside you feel overwhelmed and stuck. Your anxiety is ramped up trying to control something that you cannot control. You find yourself not trusting yourself and seeking external validation frequently. Feelings of distraction are constant and worries take over your thoughts. You may even feel that your relationships have changed and that you need to protect the ones you love by hiding how you truly feel. Trying to stay "positive" just isn't working. If you are ready for change, you have come to the right place. I am not a smile and nod therapist and will partner with you.
(702) 842-2107 View (702) 842-2107
Photo of Tiffany Mehling, Clinical Social Work/Therapist, MA, LCSW
Tiffany Mehling
Clinical Social Work/Therapist, MA, LCSW
1 Endorsed
Serves Area
Are you trying to navigate uncharted waters after a recent change? Do you want to make a change but are not quite sure where to start, what direction to take, or how to make the leap? Are you successful on the outside but on the inside you feel like an impostor or a fraud? Does everyone's life on social media look so exciting but yours feels blah and burnt out? You are not alone! Everyone experiences bumps in the road on the way to happiness and fulfillment. I specialize in helping clients identify what may be causing those bumps and to develop strategies to more easily glide over them in the future.
Are you trying to navigate uncharted waters after a recent change? Do you want to make a change but are not quite sure where to start, what direction to take, or how to make the leap? Are you successful on the outside but on the inside you feel like an impostor or a fraud? Does everyone's life on social media look so exciting but yours feels blah and burnt out? You are not alone! Everyone experiences bumps in the road on the way to happiness and fulfillment. I specialize in helping clients identify what may be causing those bumps and to develop strategies to more easily glide over them in the future.
(702) 550-9550 View (702) 550-9550
Photo of Anna Darbonne - Bamboo Center for Grief, Growth & Well-being, Psychologist, PsyD, DO
Bamboo Center for Grief, Growth & Well-being
Psychologist, PsyD, DO
Serves Area
You aren't living up to your potential or ideal. You need things to be better - less stressful & overwhelming, more fulfilling & meaningful - but you're not sure how. You're ready to heal what's wounded & create the life that you envision for yourself. Your wellness journey needs to consider you as a holistic person with services that address well-being across psychological, professional, health, social, spiritual & environmental domains. Our holistic & integrative psychology and psychiatry services are you-specific with an emphasis on helping you feel your best as quickly and naturally as possible.
You aren't living up to your potential or ideal. You need things to be better - less stressful & overwhelming, more fulfilling & meaningful - but you're not sure how. You're ready to heal what's wounded & create the life that you envision for yourself. Your wellness journey needs to consider you as a holistic person with services that address well-being across psychological, professional, health, social, spiritual & environmental domains. Our holistic & integrative psychology and psychiatry services are you-specific with an emphasis on helping you feel your best as quickly and naturally as possible.
(702) 766-7965 View (702) 766-7965
Photo of Dr. Brent Fladmo, Psychologist, PhD
Dr. Brent Fladmo
Psychologist, PhD
2 Endorsed
Serves Area
As a Clinical Psychologist, I utilize an integrative approach aimed at fostering a deeper understanding of the self—exploring what drives one's thoughts, emotions, and behaviors. My work is rooted in identifying automatic thoughts that shape perceptions and feelings, as well as uncovering the past messages and experiences that have been reinforced over time. My practice is centered on helping clients navigate the complexities of their internal and external worlds, recognizing how their environment has contributed to their current state, and empowering them to make intentional choices that align with their values and aspirations.
As a Clinical Psychologist, I utilize an integrative approach aimed at fostering a deeper understanding of the self—exploring what drives one's thoughts, emotions, and behaviors. My work is rooted in identifying automatic thoughts that shape perceptions and feelings, as well as uncovering the past messages and experiences that have been reinforced over time. My practice is centered on helping clients navigate the complexities of their internal and external worlds, recognizing how their environment has contributed to their current state, and empowering them to make intentional choices that align with their values and aspirations.
(702) 919-5093 View (702) 919-5093
Photo of Laura Salado, Marriage & Family Therapist Intern, EMDR, IFS, EFT
Laura Salado
Marriage & Family Therapist Intern, EMDR, IFS, EFT
5 Endorsed
Serves Area
"We always seem to fight—why can’t we just get it right?" For couples tired of constantly arguing and needing to feel understood and acknowledged, our sessions will focus on rebuilding trust, reigniting vitality, and strengthening your bond. Relationships should never feel like a chore; they thrive on the right balance of security and passion. Together, we will work to create a relationship that finds this harmony, because above all, relationships should be a source of peace. For more on my approach to couples therapy, please visit www.cleardaytherapylv.com/marriage-counseling.
"We always seem to fight—why can’t we just get it right?" For couples tired of constantly arguing and needing to feel understood and acknowledged, our sessions will focus on rebuilding trust, reigniting vitality, and strengthening your bond. Relationships should never feel like a chore; they thrive on the right balance of security and passion. Together, we will work to create a relationship that finds this harmony, because above all, relationships should be a source of peace. For more on my approach to couples therapy, please visit www.cleardaytherapylv.com/marriage-counseling.
(702) 720-5152 View (702) 720-5152
Photo of Suzanne Eitelberg, Pre-Licensed Professional, MA
Suzanne Eitelberg
Pre-Licensed Professional, MA
2 Endorsed
Serves Area
I work with couples seeking to rebuild trust, improve communication, and strengthen emotional connection, as well as adolescents (ages 12+) navigating anxiety, family conflict, school pressures, identity concerns, and performance-related stress. My goal is to help clients—whether partners or teens—gain clarity, develop healthy coping skills, and create meaningful change that lasts.
I work with couples seeking to rebuild trust, improve communication, and strengthen emotional connection, as well as adolescents (ages 12+) navigating anxiety, family conflict, school pressures, identity concerns, and performance-related stress. My goal is to help clients—whether partners or teens—gain clarity, develop healthy coping skills, and create meaningful change that lasts.
(702) 820-4030 View (702) 820-4030
Photo of Francine Heretakis, Clinical Social Work/Therapist, LCSW
Francine Heretakis
Clinical Social Work/Therapist, LCSW
Serves Area
Are you ready to break free from the "what ifs" and step into a life of emotional growth, empowerment, and purpose? Imagine spending less time worrying and more time truly living. My approach blends the best of therapy and coaching to help you understand how your past has shaped you, while equipping you to take control of your present and future. You don't have to carry the weight of your struggles in silence.
Are you ready to break free from the "what ifs" and step into a life of emotional growth, empowerment, and purpose? Imagine spending less time worrying and more time truly living. My approach blends the best of therapy and coaching to help you understand how your past has shaped you, while equipping you to take control of your present and future. You don't have to carry the weight of your struggles in silence.
(702) 728-4138 View (702) 728-4138
Photo of Michelle Puerner - The Anxiety Break, Clinical Social Work/Therapist
The Anxiety Break
Clinical Social Work/Therapist
Serves Area
I help families reclaim their strength and connection when facing anxiety, OCD, and relational challenges. These struggles don’t just affect individuals—they impact entire family systems. My Family Consultation Services provide evidence-based tools like Exposure and Response Prevention (ERP), the SPACE program (Supportive Parenting for Anxious Childhood Emotions), and Family Well-Being Consultations to break unhealthy cycles, build resilience, and foster meaningful growth. Together, we’ll create a path forward that empowers your family to thrive.
I help families reclaim their strength and connection when facing anxiety, OCD, and relational challenges. These struggles don’t just affect individuals—they impact entire family systems. My Family Consultation Services provide evidence-based tools like Exposure and Response Prevention (ERP), the SPACE program (Supportive Parenting for Anxious Childhood Emotions), and Family Well-Being Consultations to break unhealthy cycles, build resilience, and foster meaningful growth. Together, we’ll create a path forward that empowers your family to thrive.
(406) 747-2423 View (406) 747-2423
Photo of Kim Scott Boschee, Marriage & Family Therapist, MS, LMFT
Kim Scott Boschee
Marriage & Family Therapist, MS, LMFT
Serves Area
Are you feeling depressed? Anxious? Making poor life choices and not sure why? It happens. Therapy is a safe place to address your concerns. And we won't just talk - together, we will take clear, decisive, and thoughtful action to move you out of your current predicament. We will identify underlining triggers, trauma-responses, and destructive attachment issues and together, build better communication/coping skills, cultivating movement, growth, and hope.
Are you feeling depressed? Anxious? Making poor life choices and not sure why? It happens. Therapy is a safe place to address your concerns. And we won't just talk - together, we will take clear, decisive, and thoughtful action to move you out of your current predicament. We will identify underlining triggers, trauma-responses, and destructive attachment issues and together, build better communication/coping skills, cultivating movement, growth, and hope.
(702) 827-0024 View (702) 827-0024
Photo of Aisha Rasheed Khalaf, Pre-Licensed Professional, MSW, intern
Aisha Rasheed Khalaf
Pre-Licensed Professional, MSW, intern
2 Endorsed
Serves Area
Feeling emotionally stuck, dealing with high anxiety or in the lows of depression? You’re not alone. I can help. Wanting more from life is possible. Identifying stuck points of what is missing in your world is where I come in to provide guidance. We all have blindspots that stop us from reaching our full potential in being truly happy from careers to meaningful relationships. I provide a safe space where you can feel your emotions as together we look for answers to help you overcome. Stuck patients have left therapy reporting feeling empowered, aligned with their true self, and able to face challenges with resilience and confidence.
Feeling emotionally stuck, dealing with high anxiety or in the lows of depression? You’re not alone. I can help. Wanting more from life is possible. Identifying stuck points of what is missing in your world is where I come in to provide guidance. We all have blindspots that stop us from reaching our full potential in being truly happy from careers to meaningful relationships. I provide a safe space where you can feel your emotions as together we look for answers to help you overcome. Stuck patients have left therapy reporting feeling empowered, aligned with their true self, and able to face challenges with resilience and confidence.
(725) 525-1584 View (725) 525-1584
Photo of Kimberly Boschee, Marriage & Family Therapist, LMFT
Kimberly Boschee
Marriage & Family Therapist, LMFT
Serves Area
Whether you are feeling anxious, depressed, or overwhelmed, therapy is a transformative way to safely sort through these emotions. Together, we will create an action plan to promote a sense of empowerment in your life, generating improved well-being as well as sustainable changes. If doing less isn’t an option, then let’s do better.
Whether you are feeling anxious, depressed, or overwhelmed, therapy is a transformative way to safely sort through these emotions. Together, we will create an action plan to promote a sense of empowerment in your life, generating improved well-being as well as sustainable changes. If doing less isn’t an option, then let’s do better.
(725) 209-2498 View (725) 209-2498
Photo of Anna Darbonne, Psychologist, PsyD
Anna Darbonne
Psychologist, PsyD
3 Endorsed
Serves Area
You want things to be better – next level even. You’re tired of feeling stuck, burnt out, overwhelmed, and unfulfilled. You're heartbroken with grief as you mourn the loss of a special someone, something, or dream. The constant high expectations (of yourself and others) is exhausting, and the people-pleasing is wearing you down so there’s not much time or energy left for pleasure or fun. You’re ready to make positive changes and to grieve well, but you need some support in the process. Let's connect so you can start to live with greater ease, transform your loss into deeper love and meaningful purpose, and feel more fulfilled,
You want things to be better – next level even. You’re tired of feeling stuck, burnt out, overwhelmed, and unfulfilled. You're heartbroken with grief as you mourn the loss of a special someone, something, or dream. The constant high expectations (of yourself and others) is exhausting, and the people-pleasing is wearing you down so there’s not much time or energy left for pleasure or fun. You’re ready to make positive changes and to grieve well, but you need some support in the process. Let's connect so you can start to live with greater ease, transform your loss into deeper love and meaningful purpose, and feel more fulfilled,
(725) 726-3614 View (725) 726-3614
Photo of Rebecca Rivera - Las Vegas Mental Health and TMS Center, Marriage & Family Therapist, MS, LMFT
Las Vegas Mental Health and TMS Center
Marriage & Family Therapist, MS, LMFT
Serves Area
Immediate openings now! Do you feel that you are a resilient individual who is smart, driven, and knowledgeable but somewhere along the way you hit a bump in the road? Everyone at one time or another in their life finds themselves hitting a rough patch and they can't seem to find the right tools to bring themselves to a better place on their own. That is what a great therapist has to offer. There are so many people out there who have the tools already in their tool belt, they just don't realize they can make it through those traumas or stressors on their own.
Immediate openings now! Do you feel that you are a resilient individual who is smart, driven, and knowledgeable but somewhere along the way you hit a bump in the road? Everyone at one time or another in their life finds themselves hitting a rough patch and they can't seem to find the right tools to bring themselves to a better place on their own. That is what a great therapist has to offer. There are so many people out there who have the tools already in their tool belt, they just don't realize they can make it through those traumas or stressors on their own.
(725) 224-7573 View (725) 224-7573

See more therapy options for 89138

How does your Therapist compare?

Number of Therapists in 89138

100+

Average cost per session

$157

Therapists in 89138 who prioritize treating:

95% Anxiety
88% Depression
76% Trauma and PTSD
74% Self Esteem
73% Relationship Issues
68% Coping Skills
67% Stress

Average years in practice

11 Years

Top 3 insurances accepted

84% Aetna
64% UnitedHealthcare UHC | UBH
60% Optum

How Therapists in 89138 see their clients

63% In Person and Online
37% Online Only

Gender breakdown

77% Female
23% Male
FAQs - About Therapy and Counseling

How can I find a therapist in 89138?

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.