Therapists in Houston, TX

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Photo of Cynthia Y Lopez, Licensed Professional Counselor in Houston, TX
Cynthia Y Lopez
Licensed Professional Counselor, MEd, LPC
Verified Verified
Houston, TX 77070
All people deserve to feel loved and connected to others. Is there an obstacle or roadblock that gets in the way of this connection? Perhaps your mind gets clouded with self-doubt, fear, negativity, and self-defeating behaviors. Together we can work towards a life of growth and healing.
All people deserve to feel loved and connected to others. Is there an obstacle or roadblock that gets in the way of this connection? Perhaps your mind gets clouded with self-doubt, fear, negativity, and self-defeating behaviors. Together we can work towards a life of growth and healing.
(281) 609-9273 View (281) 609-9273
Photo of Kirsten Reynolds, Clinical Social Work/Therapist in Houston, TX
Kirsten Reynolds
Clinical Social Work/Therapist, MSW, LCSW
Verified Verified
3 Endorsed
Houston, TX 77058
If you are looking to heal from childhood wounds, family of origin relationship issues, traumatic experiences, or are looking to know yourself deeper and flourish with purpose, I’m your therapist! My hope is to be an insightful resource and support for your journey, to come alongside you as you heal and become more self aware, and to help you sustainably achieve your goals. I want to help you thrive by showing you how to pay attention to your mental, emotional, spiritual, physical, creative, and systemic health. I use EMDR, PIT, MI, TBRI, Ego-state, EFT, Brainspotting, the enneagram, somatic interventions, & more to help you heal.
If you are looking to heal from childhood wounds, family of origin relationship issues, traumatic experiences, or are looking to know yourself deeper and flourish with purpose, I’m your therapist! My hope is to be an insightful resource and support for your journey, to come alongside you as you heal and become more self aware, and to help you sustainably achieve your goals. I want to help you thrive by showing you how to pay attention to your mental, emotional, spiritual, physical, creative, and systemic health. I use EMDR, PIT, MI, TBRI, Ego-state, EFT, Brainspotting, the enneagram, somatic interventions, & more to help you heal.
(346) 666-7360 View (346) 666-7360
Photo of Theresa McKeel, Licensed Professional Counselor in Houston, TX
Theresa McKeel
Licensed Professional Counselor, MA, LPC, NCC
Verified Verified
2 Endorsed
Houston, TX 77002  (Online Only)
Do you feel stuck but can’t quite navigate where to go from here? Haven’t been feeling like yourself lately? Could you use some extra support while going through a challenging situation? Are you a couple in need of strengthening your communication skills or could use some guidance in resolving conflict? Perhaps you’re going through the motions in your relationship or have concerns that the marriage won’t last? Or maybe you’re about to say “I do” and would like to establish a healthy foundation? I would like to partner with you to provide support and tools to help you overcome these obstacles.
Do you feel stuck but can’t quite navigate where to go from here? Haven’t been feeling like yourself lately? Could you use some extra support while going through a challenging situation? Are you a couple in need of strengthening your communication skills or could use some guidance in resolving conflict? Perhaps you’re going through the motions in your relationship or have concerns that the marriage won’t last? Or maybe you’re about to say “I do” and would like to establish a healthy foundation? I would like to partner with you to provide support and tools to help you overcome these obstacles.
(281) 697-5659 View (281) 697-5659
Photo of Michelle Muckelroy, Licensed Professional Counselor in Houston, TX
Michelle Muckelroy
Licensed Professional Counselor, MA, LPC, NCC
Verified Verified
2 Endorsed
Houston, TX 77091
Feelings of stress and imbalance are common place in our rapidly evolving world; restoring balance to our lives can be that positive change we seek to reclaim a sense of peace. Collaboratively, clients and I can work together to rehabilitate thoughts, actions, and feelings to bring about positive change in a welcoming and confidential environment. I am a Licensed Professional Counselor; I am also a certified educator and school counselor with 15 years experience. I have counseling experience in early childhood development, teen and women's issues, depression, anger and stress management, individual, marriage and family counseling.
Feelings of stress and imbalance are common place in our rapidly evolving world; restoring balance to our lives can be that positive change we seek to reclaim a sense of peace. Collaboratively, clients and I can work together to rehabilitate thoughts, actions, and feelings to bring about positive change in a welcoming and confidential environment. I am a Licensed Professional Counselor; I am also a certified educator and school counselor with 15 years experience. I have counseling experience in early childhood development, teen and women's issues, depression, anger and stress management, individual, marriage and family counseling.
(682) 587-1759 View (682) 587-1759
Photo of Monica D Mendoza, Licensed Professional Counselor in Houston, TX
Monica D Mendoza
Licensed Professional Counselor, LPC
Verified Verified
Houston, TX 77002  (Online Only)
I often reflect back to the period of time when I decided to enter the field of psychology and counseling. There were many life challenges along the way that extended a hand in my decision to pursue a career in the world of behavioral health. I have spent the last 21 years growing as an effective clinician, learning along the way that achieving holistic health and reaping the rewards through genuine fulfillment, takes courage and calls for commitment of the mind, body, and soul.
I often reflect back to the period of time when I decided to enter the field of psychology and counseling. There were many life challenges along the way that extended a hand in my decision to pursue a career in the world of behavioral health. I have spent the last 21 years growing as an effective clinician, learning along the way that achieving holistic health and reaping the rewards through genuine fulfillment, takes courage and calls for commitment of the mind, body, and soul.
(832) 240-7699 View (832) 240-7699
Photo of Danae Patterson, Clinical Social Work/Therapist in Houston, TX
Danae Patterson
Clinical Social Work/Therapist, LCSW
Verified Verified
1 Endorsed
Houston, TX 77057  (Online Only)
Danae passionate about creating a safe and non-judgmental space for her clients. She is committed to helping her clients identify and navigate their feelings, learn healthier coping skills, and ultimately find hope and heal. She has worked with adults and adolescence with eating disorders, substance and behavioral addictions, personality disorders, bipolar disorder, co-dependency, trauma, anxiety, and depression. She has experience working in many levels of care including psychiatric hospitals, partial hospitalization programs, and intense outpatient programs.
Danae passionate about creating a safe and non-judgmental space for her clients. She is committed to helping her clients identify and navigate their feelings, learn healthier coping skills, and ultimately find hope and heal. She has worked with adults and adolescence with eating disorders, substance and behavioral addictions, personality disorders, bipolar disorder, co-dependency, trauma, anxiety, and depression. She has experience working in many levels of care including psychiatric hospitals, partial hospitalization programs, and intense outpatient programs.
(212) 564-0480 View (212) 564-0480
Photo of Amanda M Rockwell, Licensed Professional Counselor Associate in Houston, TX
Amanda M Rockwell
Licensed Professional Counselor Associate, LPC-A
Verified Verified
Houston, TX 77069  (Online Only)
Hello Hello from your fellow awkward neurodivergent therapist! I have experience with adult clients who have issues with generational trauma, anxiety, stress, depressive symptoms and struggle with boundaries! Let me help you relieve some of those racing thoughts. Want someone who you can truly connect with? Want to learn coping skills? Want to learn how to manage your racing thoughts? Want to do therapy in the comfort of your home. I offer services via telehealth through SimplePractice. Available Sunday, Monday, Wednesdays, and Thursdays! (I do not provide letters for ESA).
Hello Hello from your fellow awkward neurodivergent therapist! I have experience with adult clients who have issues with generational trauma, anxiety, stress, depressive symptoms and struggle with boundaries! Let me help you relieve some of those racing thoughts. Want someone who you can truly connect with? Want to learn coping skills? Want to learn how to manage your racing thoughts? Want to do therapy in the comfort of your home. I offer services via telehealth through SimplePractice. Available Sunday, Monday, Wednesdays, and Thursdays! (I do not provide letters for ESA).
(346) 660-2305 View (346) 660-2305
Photo of Jennifer Markey, Psychologist in Houston, TX
Jennifer Markey
Psychologist, PhD, MEd
Verified Verified
1 Endorsed
Houston, TX 77024
Psychotherapy can be a life changing experience. The first step of the process is finding a therapist with whom you feel comfortable. I would like to help you explore your unique situation to discover whether I might be that therapist for you. Together, we will work to understand how your mind works and how to use this understanding to create the life you want. I am an active therapist who utilizes an integrative approach to treatment. I pull from psychodynamic, dialectical behavioral (DBT), mentalizing, and interpersonal theories to help patients build skills and self awareness while helping them live their life to the fullest.
Psychotherapy can be a life changing experience. The first step of the process is finding a therapist with whom you feel comfortable. I would like to help you explore your unique situation to discover whether I might be that therapist for you. Together, we will work to understand how your mind works and how to use this understanding to create the life you want. I am an active therapist who utilizes an integrative approach to treatment. I pull from psychodynamic, dialectical behavioral (DBT), mentalizing, and interpersonal theories to help patients build skills and self awareness while helping them live their life to the fullest.
(832) 202-2283 View (832) 202-2283
Photo of Dana A Burns, Licensed Professional Counselor in Houston, TX
Dana A Burns
Licensed Professional Counselor, MA, LPC-S
Verified Verified
Houston, TX 77093
With over 25 years of experience working with clients in treatment for substance use, anger management and other mental health needs - I believe that growth is possible in every individual.  I am a certified Prepare/Enrich facilitator, which supports couples toward building healthy relationships and stronger marriages. My straight forward collaborative approach incorporates a variety of therapeutic principles and philosophies in order to create the ideal treatment plan to meet the needs of each individual client or couple in areas related to grief, divorce, substance abuse, marriage, relationship concerns and life transitions.
With over 25 years of experience working with clients in treatment for substance use, anger management and other mental health needs - I believe that growth is possible in every individual.  I am a certified Prepare/Enrich facilitator, which supports couples toward building healthy relationships and stronger marriages. My straight forward collaborative approach incorporates a variety of therapeutic principles and philosophies in order to create the ideal treatment plan to meet the needs of each individual client or couple in areas related to grief, divorce, substance abuse, marriage, relationship concerns and life transitions.
(346) 220-2364 View (346) 220-2364
Photo of Sovereign Counseling, LLC, Counselor in Houston, TX
Sovereign Counseling, LLC
Counselor, MEd, LPC
Verified Verified
4 Endorsed
Houston, TX 77008  (Online Only)
I believe that most people face challenges in their lives that they need help finding the right tools to cope with. It is important to me that I establish a trusting relationship, where a client can be open about their issues. I am a Licensed Professional Counselor and a certified school counselor. I received a B. Ed from University of Houston and a M. Ed. in Counseling from Sam Houston State University. I enjoy working with individuals, families and couples dealing with issues including anxiety, depression, relationship concerns and grief. I also specialize in infertility and women's issues.
I believe that most people face challenges in their lives that they need help finding the right tools to cope with. It is important to me that I establish a trusting relationship, where a client can be open about their issues. I am a Licensed Professional Counselor and a certified school counselor. I received a B. Ed from University of Houston and a M. Ed. in Counseling from Sam Houston State University. I enjoy working with individuals, families and couples dealing with issues including anxiety, depression, relationship concerns and grief. I also specialize in infertility and women's issues.
(281) 408-4652 View (281) 408-4652
Photo of Lisa Hobdy, Clinical Social Work/Therapist in Houston, TX
Lisa Hobdy
Clinical Social Work/Therapist, LCSW
Verified Verified
Houston, TX 77090  (Online Only)
Greetings! I am a Licensed Clinical Social Worker (LCSW) working in private practice. I graduated from the University of Houston and have over 20 years of experience working in the mental health field in both clinical and management areas.
Greetings! I am a Licensed Clinical Social Worker (LCSW) working in private practice. I graduated from the University of Houston and have over 20 years of experience working in the mental health field in both clinical and management areas.
(832) 864-9356 View (832) 864-9356
Photo of Elizabeth Strelow, Marriage & Family Therapist Associate in Houston, TX
Elizabeth Strelow
Marriage & Family Therapist Associate, MS, LMFT-A
Verified Verified
1 Endorsed
Houston, TX 77027
Life can offer challenges, and every day my amazing clients are forging their individual paths to lasting, positive change. I enjoy helping individuals, children, teens and parents explore and process difficult emotions and build tools for connection and improved communication. Using systemic approach, my clients discover new aspects of themselves, build tools to cope with anxiety and depression, and learn to effectively navigate life's challenges, changes and transitions.
Life can offer challenges, and every day my amazing clients are forging their individual paths to lasting, positive change. I enjoy helping individuals, children, teens and parents explore and process difficult emotions and build tools for connection and improved communication. Using systemic approach, my clients discover new aspects of themselves, build tools to cope with anxiety and depression, and learn to effectively navigate life's challenges, changes and transitions.
(832) 979-5308 View (832) 979-5308
Photo of Robyn Carey At Cypress Counseling Behavioral Center, Licensed Professional Counselor in Houston, TX
Robyn Carey At Cypress Counseling Behavioral Center
Licensed Professional Counselor, LPC
Verified Verified
1 Endorsed
Houston, TX 77095
Hello! I am Robyn Carey, I am a Licensed Professional Counselor, and I am honored to be part of the team here at Cypress Counseling and Behavioral Center! Voted Best Therapy in Cy-Fair for the last 5 years! I have been a Counselor for almost 4 years with most of my experience working with children, adolescents, and families. I have worked with children and teens in the juvenile justice system as well as youth and families who have suffered loss and are grieving. I have also had some experience working with adults via telehealth video sessions seeking help for many different reasons.
Hello! I am Robyn Carey, I am a Licensed Professional Counselor, and I am honored to be part of the team here at Cypress Counseling and Behavioral Center! Voted Best Therapy in Cy-Fair for the last 5 years! I have been a Counselor for almost 4 years with most of my experience working with children, adolescents, and families. I have worked with children and teens in the juvenile justice system as well as youth and families who have suffered loss and are grieving. I have also had some experience working with adults via telehealth video sessions seeking help for many different reasons.
(346) 485-5609 View (346) 485-5609
Photo of Jenet Dove, Licensed Professional Counselor in Houston, TX
Jenet Dove
Licensed Professional Counselor, MEd, LPC
Verified Verified
4 Endorsed
Houston, TX 77019  (Online Only)
My clients are recovering perfectionists and those who want to protect their peace (or maybe find it for the first time!). You may feel ashamed when you can't keep up with the superhuman demands you put on yourself. Perhaps chronic stress and burnout have been creeping in for a long time, and you don't know how to fight it anymore. Or you recognize that you're a lot more anxious or down than you used to be. You want to feel seen, heard, and understood. If that's you, I'm so glad you stumbled across my page.
My clients are recovering perfectionists and those who want to protect their peace (or maybe find it for the first time!). You may feel ashamed when you can't keep up with the superhuman demands you put on yourself. Perhaps chronic stress and burnout have been creeping in for a long time, and you don't know how to fight it anymore. Or you recognize that you're a lot more anxious or down than you used to be. You want to feel seen, heard, and understood. If that's you, I'm so glad you stumbled across my page.
(832) 906-7608 View (832) 906-7608
Photo of Elisabeth Shults, Licensed Professional Counselor Associate in Houston, TX
Elisabeth Shults
Licensed Professional Counselor Associate, MS, LPC-A
Verified Verified
Houston, TX 77057
Children spend the majority of their time existing in a world built for adults. When they face challenges, they are often offered solutions that work for adults and, when those solutions don't work, it causes frustration for all parties involved. They may start to struggle with their behavior, struggle emotionally, and suffer socially. When these behavioral or mental health concerns are addressed appropriately, with techniques made for kids, growth and progress can occur, and that frustration can be relieved.
Children spend the majority of their time existing in a world built for adults. When they face challenges, they are often offered solutions that work for adults and, when those solutions don't work, it causes frustration for all parties involved. They may start to struggle with their behavior, struggle emotionally, and suffer socially. When these behavioral or mental health concerns are addressed appropriately, with techniques made for kids, growth and progress can occur, and that frustration can be relieved.
(832) 734-6265 View (832) 734-6265
Photo of Brandon Michael Wheeler, Marriage & Family Therapist in Houston, TX
Brandon Michael Wheeler
Marriage & Family Therapist, LMFT-S
Verified Verified
Houston, TX 77007
Wheelhouse Counseling is a unique mental- and relational-health resource. With an emphasis on client satisfaction, our company offers several exclusive benefits, including complimentary initial consultations, evening and weekend appointments, centrally located office, free parking, agile, evidence-based clinical approach, and a very strong professional reputation as a leader in the mental health community.
Wheelhouse Counseling is a unique mental- and relational-health resource. With an emphasis on client satisfaction, our company offers several exclusive benefits, including complimentary initial consultations, evening and weekend appointments, centrally located office, free parking, agile, evidence-based clinical approach, and a very strong professional reputation as a leader in the mental health community.
(832) 726-1735 View (832) 726-1735
Photo of Tinesia Hymes Ester, Licensed Professional Counselor in Houston, TX
Tinesia Hymes Ester
Licensed Professional Counselor, MEd, LPC, NCC, CCTP-I
Verified Verified
3 Endorsed
Houston, TX 77040  (Online Only)
Through this journey of discovery, whether it's via navigating trauma, drama (relationships), or even your mama (issues)-it can be hard to see improvement with just talking to yourself. You may be ready to use that life-line, if so I am available and willing to help you reach the other side.
Through this journey of discovery, whether it's via navigating trauma, drama (relationships), or even your mama (issues)-it can be hard to see improvement with just talking to yourself. You may be ready to use that life-line, if so I am available and willing to help you reach the other side.
(346) 263-0149 View (346) 263-0149
Photo of Raquel Hopkins, Licensed Professional Counselor Associate in Houston, TX
Raquel Hopkins
Licensed Professional Counselor Associate, LPC-A
Verified Verified
1 Endorsed
Houston, TX 77027  (Online Only)
Having experienced firsthand the complexities of adulthood, I intimately understands the challenges of balancing responsibilities while striving for personal growth. I have encountered many who grapple with overwhelming feelings, self-doubt, confidence challenges, and the pressure to navigate life smoothly. I will sit with you and assist with embracing positive change, finding inner peace, and build healthier connections to live a fulfilling, and whole life experience.
Having experienced firsthand the complexities of adulthood, I intimately understands the challenges of balancing responsibilities while striving for personal growth. I have encountered many who grapple with overwhelming feelings, self-doubt, confidence challenges, and the pressure to navigate life smoothly. I will sit with you and assist with embracing positive change, finding inner peace, and build healthier connections to live a fulfilling, and whole life experience.
(713) 575-2588 View (713) 575-2588
Photo of Gulf Coast Neuropsychology, PLLC, Psychologist in Houston, TX
Gulf Coast Neuropsychology, PLLC
Psychologist, PhD, ABPP/CN
Verified Verified
Houston, TX 77058
Welcome to my practice. I specialize in the evaluation, diagnosis, and treatment of neurological, neurodevelopmental, and neuropsychiatric/behavioral disorders effecting late adolescents and adults. Comprehensive neuropsychological evaluations are aimed at identifying patterns of cognitive strengths and weaknesses across multiple domains that help localize organic brain dysfunction, assist with differential diagnosis, and guide treatment recommendations. Cognitive rehabilitation and psychological interventions are offered. Services provided in Southeast (Houston) Texas.
Welcome to my practice. I specialize in the evaluation, diagnosis, and treatment of neurological, neurodevelopmental, and neuropsychiatric/behavioral disorders effecting late adolescents and adults. Comprehensive neuropsychological evaluations are aimed at identifying patterns of cognitive strengths and weaknesses across multiple domains that help localize organic brain dysfunction, assist with differential diagnosis, and guide treatment recommendations. Cognitive rehabilitation and psychological interventions are offered. Services provided in Southeast (Houston) Texas.
(409) 404-0254 View (409) 404-0254
Photo of Jeff Anderson At Cypress Counseling Behavioral Center, Psychologist in Houston, TX
Jeff Anderson At Cypress Counseling Behavioral Center
Psychologist, PsyD
Verified Verified
1 Endorsed
Houston, TX 77095
Hello there! my name is Dr. Jeff Anderson, and I am one of the therapists with Cypress Counseling & Behavioral Center, named Best Therapy Services in Cyfair! I have always valued the importance of real and warm connection in the therapeutic process. It is this place of being seen and heard and valued that is foundational for the safety required to do the hard work of change and growth. I use an integrative approach to walk through the unique issues you face in a way that makes sense for you.
Hello there! my name is Dr. Jeff Anderson, and I am one of the therapists with Cypress Counseling & Behavioral Center, named Best Therapy Services in Cyfair! I have always valued the importance of real and warm connection in the therapeutic process. It is this place of being seen and heard and valued that is foundational for the safety required to do the hard work of change and growth. I use an integrative approach to walk through the unique issues you face in a way that makes sense for you.
(346) 275-2997 View (346) 275-2997

How does your Therapist compare?

Number of Therapists in Houston, TX

3,000+

Average cost per session

$135

Therapists in Houston, TX who prioritize treating:

92% Anxiety
87% Depression
74% Self Esteem
71% Coping Skills
68% Relationship Issues
66% Stress
65% Trauma and PTSD

Average years in practice

10 Years

Top 3 insurances accepted

86% Aetna
80% Cigna and Evernorth
80% UnitedHealthcare UHC | UBH

How Therapists in Houston, TX see their clients

55% In Person and Online
45% Online Only

Gender breakdown

82% Female
17% Male
1% Non-Binary

FAQs - About Therapy and Counseling

How can I find a therapist in Houston?

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.