Therapists in Houston, TX

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Photo of Nancy Wendlandt, Licensed Professional Counselor in Houston, TX
Nancy Wendlandt
Licensed Professional Counselor, MEd, LPC
Verified Verified
Houston, TX 77027
Are you feeling stuck in a place of overwhelm or uncertainty, detached or misunderstood? That something isn't quite right, but you're at a loss? Or are you a parent looking for help for your struggling child and want relief and support for your family? My focus is helping pre-teens, teens and young adults navigate the complex challenges, pressures and opportunities that they face during a critical period of development and life transitions. I provide a supportive and non-judgmental space to openly express and explore, and utilize methods that seek to empower, facilitate insight and achieve growth.
Are you feeling stuck in a place of overwhelm or uncertainty, detached or misunderstood? That something isn't quite right, but you're at a loss? Or are you a parent looking for help for your struggling child and want relief and support for your family? My focus is helping pre-teens, teens and young adults navigate the complex challenges, pressures and opportunities that they face during a critical period of development and life transitions. I provide a supportive and non-judgmental space to openly express and explore, and utilize methods that seek to empower, facilitate insight and achieve growth.
(713) 804-9560 View (713) 804-9560
Photo of Stephen Rossi, Licensed Professional Counselor in Houston, TX
Stephen Rossi
Licensed Professional Counselor, MA, LPC-S
Verified Verified
Houston, TX 77024
I enjoy helping people heal, change, and grow through difficult times. I want you to live victoriously! I am eager to help you if you are a couple struggling in your marriage with communication, finances, or infidelity. I am experienced and committed to helping you resolve the underlying issues that led to your current situation. I also want to help men resolve midlife crises and addiction issues, and live as Godly men. I have considerable experience working with men's issues, fathering, and parent-child relationships. I can help your family resolve parenting problems too.
I enjoy helping people heal, change, and grow through difficult times. I want you to live victoriously! I am eager to help you if you are a couple struggling in your marriage with communication, finances, or infidelity. I am experienced and committed to helping you resolve the underlying issues that led to your current situation. I also want to help men resolve midlife crises and addiction issues, and live as Godly men. I have considerable experience working with men's issues, fathering, and parent-child relationships. I can help your family resolve parenting problems too.
(713) 999-3553 x2650 View (713) 999-3553 x2650
Photo of Marjorie German Bournigal, Licensed Professional Counselor in Houston, TX
Marjorie German Bournigal
Licensed Professional Counselor, MEd, LPC
Verified Verified
5 Endorsed
Houston, TX 77027
Give therapy a try! It can help with many problems, make an appointment if you want to resolve long standing issues, feel better and have more peace and balance in your life. You will learn to develop healthy approaches to your problems and learn to make better choices in handling life stressors and relationships. My style is direct, interactive, practical and I am described as genuine, easy to talk to, insightful, engaging and motivating.
Give therapy a try! It can help with many problems, make an appointment if you want to resolve long standing issues, feel better and have more peace and balance in your life. You will learn to develop healthy approaches to your problems and learn to make better choices in handling life stressors and relationships. My style is direct, interactive, practical and I am described as genuine, easy to talk to, insightful, engaging and motivating.
(281) 751-1237 View (281) 751-1237
Photo of Alicia Brigham, Licensed Professional Counselor in Houston, TX
Alicia Brigham
Licensed Professional Counselor, LPC
Verified Verified
Houston, TX 77096
My name is Alicia Brigham and I am a Licensed Professional Counselor. I have over 10 years of experience conducting therapy and my approach is warm, yet direct. My main focus areas include depression, anxiety, boundary education, life transitions, and overall coping. I typically work with clients who are seeking a positive change and are ready to be that change in their own life. I am comfortable treating a variety of conditions, but most frequently treat depression, anxiety, general life stressors, and issues related to low self-esteem.
My name is Alicia Brigham and I am a Licensed Professional Counselor. I have over 10 years of experience conducting therapy and my approach is warm, yet direct. My main focus areas include depression, anxiety, boundary education, life transitions, and overall coping. I typically work with clients who are seeking a positive change and are ready to be that change in their own life. I am comfortable treating a variety of conditions, but most frequently treat depression, anxiety, general life stressors, and issues related to low self-esteem.
(346) 644-8052 View (346) 644-8052
Photo of Jacqueline Rosckes, Licensed Professional Counselor in Houston, TX
Jacqueline Rosckes
Licensed Professional Counselor, LPC
Verified Verified
Houston, TX 77002  (Online Only)
We often have life experiences that can be overwhelming and difficult to handle on our own. If you find yourself caught in a web of overwhelming emotions, anxiety, or depression, trying to balance multiple responsibilities or grappling with past experiences, please know that I am here to provide support. Together, we will navigate through these challenges. With over a decade of experience working at Children’s Medical Center in Dallas (www.childrens.com), UT Southwestern Medical Center Neuropsychology department (www.utswmed.org), and private practice, I bring a unique perspective to therapy.
We often have life experiences that can be overwhelming and difficult to handle on our own. If you find yourself caught in a web of overwhelming emotions, anxiety, or depression, trying to balance multiple responsibilities or grappling with past experiences, please know that I am here to provide support. Together, we will navigate through these challenges. With over a decade of experience working at Children’s Medical Center in Dallas (www.childrens.com), UT Southwestern Medical Center Neuropsychology department (www.utswmed.org), and private practice, I bring a unique perspective to therapy.
(713) 360-0870 View (713) 360-0870
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 Bianca M. Joseph, Clinical Social Work/Therapist in Houston, TX
Bianca M. Joseph
Clinical Social Work/Therapist, LCSW
Verified Verified
Houston, TX 77008
Are you a teen trying to navigate through life or a young adult hoping to get a better handle on adulting? Do you feel like there’s a better version of yourself waiting to reveal itself or that there must be a better way of life beyond your symptoms? If your answer to either question is “yes,” then I am the therapist for you! My goal is to help you discover your best you and live your best life at home, school/work, amongst peers, or any place else where you frequent.
Are you a teen trying to navigate through life or a young adult hoping to get a better handle on adulting? Do you feel like there’s a better version of yourself waiting to reveal itself or that there must be a better way of life beyond your symptoms? If your answer to either question is “yes,” then I am the therapist for you! My goal is to help you discover your best you and live your best life at home, school/work, amongst peers, or any place else where you frequent.
(832) 303-3249 View (832) 303-3249
Photo of Revitalized Resilience , Clinical Social Work/Therapist in Houston, TX
Revitalized Resilience
Clinical Social Work/Therapist, LCSW, LCSW-S
Verified Verified
Houston, TX 77002  (Online Only)
Struggling with past traumas? We'll tackle them together. Anxious or feeling down? Let's find strategies that work for you. Feeling stuck? I'm here to help you find your path forward. My name is Jazmine Maddox, a Licensed Clinical Social Worker-Supervisor (LCSW-S) with a decade of experience in the mental health field. My focus is on providing compassionate and evidence-based treatment to individuals struggling with anxiety, coping issues, depression, grief, trauma, and PTSD.
Struggling with past traumas? We'll tackle them together. Anxious or feeling down? Let's find strategies that work for you. Feeling stuck? I'm here to help you find your path forward. My name is Jazmine Maddox, a Licensed Clinical Social Worker-Supervisor (LCSW-S) with a decade of experience in the mental health field. My focus is on providing compassionate and evidence-based treatment to individuals struggling with anxiety, coping issues, depression, grief, trauma, and PTSD.
(346) 209-0362 View (346) 209-0362
Photo of Joseph Garza, Licensed Professional Counselor in Houston, TX
Joseph Garza
Licensed Professional Counselor, LPC
Verified Verified
Houston, TX 77064
Joseph Garza is a Licensed Professional Counselor (LPC) who has over 13 years of experience. He enjoys working with clients of all ages, and especially loves when a client is open to change. Joseph has worked with various mental health disorders such as anxiety, depression, bipolar disorders, ADHD, and many more. He has experience working with couples and families as well. Joseph completed his Master's degree in Counseling at Dallas Baptist University.
Joseph Garza is a Licensed Professional Counselor (LPC) who has over 13 years of experience. He enjoys working with clients of all ages, and especially loves when a client is open to change. Joseph has worked with various mental health disorders such as anxiety, depression, bipolar disorders, ADHD, and many more. He has experience working with couples and families as well. Joseph completed his Master's degree in Counseling at Dallas Baptist University.
(832) 937-4593 View (832) 937-4593
Photo of Juliet-Danielle Lane, Clinical Social Work/Therapist in Houston, TX
Juliet-Danielle Lane
Clinical Social Work/Therapist, LCSW
Verified Verified
3 Endorsed
Houston, TX 77006
NOW Accepting New Clients! I'm ride or die for my clients—fully invested in your growth. My ideal clients are open-minded, ready to try new things, and take ownership of their progress. My approach is about collaboration, transformation, and healing. My goal is to nurture your whole self—mind, body, and soul. Meaning... I don't do "bandaid therapy". We'll dive deep, identify core issues, and create a safe, compassionate space for your experiences. Your healing journey is uniquely yours- I'm all about empowerment and resilience so I'll also provide you with practical strategies to improve your daily life and relationships as well.
NOW Accepting New Clients! I'm ride or die for my clients—fully invested in your growth. My ideal clients are open-minded, ready to try new things, and take ownership of their progress. My approach is about collaboration, transformation, and healing. My goal is to nurture your whole self—mind, body, and soul. Meaning... I don't do "bandaid therapy". We'll dive deep, identify core issues, and create a safe, compassionate space for your experiences. Your healing journey is uniquely yours- I'm all about empowerment and resilience so I'll also provide you with practical strategies to improve your daily life and relationships as well.
(346) 536-8543 View (346) 536-8543
Photo of Jonathan Kolmetz, Licensed Professional Counselor - Associate in Houston, TX
Jonathan Kolmetz
Licensed Professional Counselor - Associate, MBA, MS, CFP®
Verified Verified
2 Endorsed
Houston, TX 77008
Do you have relationship issues around money, sex, or communication? Let me help you gain insight into why you may be feeling stuck or challenged in these relationships. I am passionate about helping individuals and couples, who may not communicate well, work through differing values and beliefs to achieve healthier, stronger connections. Our goal is to build a more balanced self /couple able to respond to both the ordinary - and sometimes extraordinary - stressors related to relationships. Whether your stress stems from infidelity or the normal cycle of life, it’s time to get emotionally reconnected.
Do you have relationship issues around money, sex, or communication? Let me help you gain insight into why you may be feeling stuck or challenged in these relationships. I am passionate about helping individuals and couples, who may not communicate well, work through differing values and beliefs to achieve healthier, stronger connections. Our goal is to build a more balanced self /couple able to respond to both the ordinary - and sometimes extraordinary - stressors related to relationships. Whether your stress stems from infidelity or the normal cycle of life, it’s time to get emotionally reconnected.
(346) 423-3965 View (346) 423-3965
Photo of Ghytana Williams-Soto, Licensed Professional Counselor in Houston, TX
Ghytana Williams-Soto
Licensed Professional Counselor, LPC, NCC
Verified Verified
2 Endorsed
Houston, TX 77002
Therapy for trauma is like having a trusted guide alongside you as you navigate through a dense and tangled forest. It’s about creating a space where you’re not alone in facing the shadows of past experiences. It’s a journey we embark on together, focusing on untangling the knots of painful memories, soothing the storms of emotions, and gradually finding paths toward healing. We’ll use different approaches tailored to your unique needs. It’s like having a toolbox filled with strategies to help you regain a sense of safety, manage overwhelming feelings, and gradually piece together a new narrative that puts you back in control.
Therapy for trauma is like having a trusted guide alongside you as you navigate through a dense and tangled forest. It’s about creating a space where you’re not alone in facing the shadows of past experiences. It’s a journey we embark on together, focusing on untangling the knots of painful memories, soothing the storms of emotions, and gradually finding paths toward healing. We’ll use different approaches tailored to your unique needs. It’s like having a toolbox filled with strategies to help you regain a sense of safety, manage overwhelming feelings, and gradually piece together a new narrative that puts you back in control.
(346) 456-5837 View (346) 456-5837
Photo of Brian Webb, Licensed Professional Counselor in Houston, TX
Brian Webb
Licensed Professional Counselor, LPC
Verified Verified
Houston, TX 77095
My name is Brian Webb, and I'm a Licensed Professional Counselor (LPC). The way that I approach therapy is to find out what's currently an issue as well as other things that may be keeping you from being your best self. The way that I provide therapy is that I work on the whole person using Alderian Therapy. While this is the first approach, I often combine it with cognitive behavior therapy (CBT), dialectical behavior therapy (DBT), and solution-focused therapy.
My name is Brian Webb, and I'm a Licensed Professional Counselor (LPC). The way that I approach therapy is to find out what's currently an issue as well as other things that may be keeping you from being your best self. The way that I provide therapy is that I work on the whole person using Alderian Therapy. While this is the first approach, I often combine it with cognitive behavior therapy (CBT), dialectical behavior therapy (DBT), and solution-focused therapy.
(832) 479-1544 View (832) 479-1544
Photo of Kanisha Scott, Clinical Social Work/Therapist in Houston, TX
Kanisha Scott
Clinical Social Work/Therapist, LMSW
Verified Verified
Houston, TX 77058
Hello, I'm Kanisha (Kuh-ne-shuh), a Licensed Master Social Worker specializing in supporting people of color through life transitions, stress management, boundary setting, and addressing mental health challenges like anxiety, depression, grief, and trauma.
Hello, I'm Kanisha (Kuh-ne-shuh), a Licensed Master Social Worker specializing in supporting people of color through life transitions, stress management, boundary setting, and addressing mental health challenges like anxiety, depression, grief, and trauma.
(346) 489-5268 View (346) 489-5268
Photo of Markesha Reed, Pre-Licensed Professional in Houston, TX
Markesha Reed
Pre-Licensed Professional
Verified Verified
Houston, TX 77056
Life can be messy and complicated, but that doesn't mean you have to go it alone. As your therapist, I'll work with you to identify the areas of your life that are causing you distress and help you develop strategies for overcoming them. For couples and family, that may include issues with communication and connection, while for individual it may be anxiety, work stressors, self-esteem, or grief. With my compassionate and non-judgmental approach, you'll learn to embrace your strengths and build the resilience needed to tackle any obstacle that comes your way.
Life can be messy and complicated, but that doesn't mean you have to go it alone. As your therapist, I'll work with you to identify the areas of your life that are causing you distress and help you develop strategies for overcoming them. For couples and family, that may include issues with communication and connection, while for individual it may be anxiety, work stressors, self-esteem, or grief. With my compassionate and non-judgmental approach, you'll learn to embrace your strengths and build the resilience needed to tackle any obstacle that comes your way.
(832) 662-3947 View (832) 662-3947
Photo of Ursela Sultan, LPC Intern in Houston, TX
Ursela Sultan
LPC Intern, MS, NCC
Verified Verified
1 Endorsed
Houston, TX 77036  (Online Only)
It often feels like your past is a relentless companion, never truly letting go. Even in moments of happiness, there's this looming darkness that follows you, casting a shadow over everything you try to embrace. Part of you knows you need to confront wounds from the past, untangle its' grip, and finally heal. But you are terrified of what might surface if you do, scared to open the floodgates to that pain. You have carried it for so long, and even though it's not ideal, it's familiar. After all, you have reached the point where you can't ignore those unresolved issues. It's clear something needs to change in your life.
It often feels like your past is a relentless companion, never truly letting go. Even in moments of happiness, there's this looming darkness that follows you, casting a shadow over everything you try to embrace. Part of you knows you need to confront wounds from the past, untangle its' grip, and finally heal. But you are terrified of what might surface if you do, scared to open the floodgates to that pain. You have carried it for so long, and even though it's not ideal, it's familiar. After all, you have reached the point where you can't ignore those unresolved issues. It's clear something needs to change in your life.
(214) 441-6142 View (214) 441-6142
Photo of Kelly Meaders, Licensed Professional Counselor in Houston, TX
Kelly Meaders
Licensed Professional Counselor, LPC
Verified Verified
Houston, TX 77002  (Online Only)
Are you having difficulties in your daily life and need a safe place to talk, create goals and learn new ways of coping? If you are struggling with anxiety , depression, relationship or work issues counseling can help.
Are you having difficulties in your daily life and need a safe place to talk, create goals and learn new ways of coping? If you are struggling with anxiety , depression, relationship or work issues counseling can help.
(832) 246-7792 View (832) 246-7792
Photo of Azzam Counseling PLLC, LPC Associate in Houston, TX
Azzam Counseling PLLC
LPC Associate
Verified Verified
1 Endorsed
Houston, TX 77082  (Online Only)
I am a pre-licensed counselor under the supervision of Elissa Bauer M.Ed., LPC-S. My passion for counseling stems from my cultural background, I’ve witnessed and experienced first hand how difficult it can be to seek mental health help within a minority community. As a first generation Palestinian-American, I realized that counseling and taking care of your mental health was such a foreign topic. It was after my realization that I wanted to dedicate myself to making mental health care more accessible to those in minority communities, because everyone deserves quality mental health care.
I am a pre-licensed counselor under the supervision of Elissa Bauer M.Ed., LPC-S. My passion for counseling stems from my cultural background, I’ve witnessed and experienced first hand how difficult it can be to seek mental health help within a minority community. As a first generation Palestinian-American, I realized that counseling and taking care of your mental health was such a foreign topic. It was after my realization that I wanted to dedicate myself to making mental health care more accessible to those in minority communities, because everyone deserves quality mental health care.
(832) 648-4798 View (832) 648-4798
Photo of Alan Nguyen, Clinical Social Work/Therapist in Houston, TX
Alan Nguyen
Clinical Social Work/Therapist, LCSW
Verified Verified
Houston, TX 77030
Everyone is faced with obstacles at some point in their lives. Sometimes these challenges bring up different emotions or you feel “stuck” and you find yourself having a difficult time processing them. They may even be affecting your work/school, relationship, family, or day-to-day activities. I provide a safe space to work through these challenges. I believe therapy is a collaborative effort where we work together to navigate through difficult emotions, patterns and behaviors that may be contributing to problems, and any obstacles in the way of change for the better.
Everyone is faced with obstacles at some point in their lives. Sometimes these challenges bring up different emotions or you feel “stuck” and you find yourself having a difficult time processing them. They may even be affecting your work/school, relationship, family, or day-to-day activities. I provide a safe space to work through these challenges. I believe therapy is a collaborative effort where we work together to navigate through difficult emotions, patterns and behaviors that may be contributing to problems, and any obstacles in the way of change for the better.
(430) 206-1355 View (430) 206-1355
Photo of Sarah Epstein-Santana, Licensed Professional Counselor- Associate in Houston, TX
Sarah Epstein-Santana
Licensed Professional Counselor- Associate, MA, NCC
Verified Verified
1 Endorsed
Houston, TX 77024
I can help people best who are ready to face their challenges and improve their lives. Some people are tuned into optimism, but they find it difficult with their current situations and that's where we both can thrive, to help you improve your well-being and overall satisfaction with life. Coming out of therapy, you will find understanding, guidance, and coping strategies to overcome your challenges. I work with children, teenagers, and adults with anxiety, depression, self-esteem struggles, school related concerns, infertility issues, family conflict, women's issues, life transitions, and a variety of other concerns.
I can help people best who are ready to face their challenges and improve their lives. Some people are tuned into optimism, but they find it difficult with their current situations and that's where we both can thrive, to help you improve your well-being and overall satisfaction with life. Coming out of therapy, you will find understanding, guidance, and coping strategies to overcome your challenges. I work with children, teenagers, and adults with anxiety, depression, self-esteem struggles, school related concerns, infertility issues, family conflict, women's issues, life transitions, and a variety of other concerns.
(713) 804-7167 x1 View (713) 804-7167 x1

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
64% Trauma and PTSD

Average years in practice

10 Years

Top 3 insurances accepted

85% 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.