Therapists in Houston, TX

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Photo of Chandler Ervin, Marriage & Family Therapist Associate in Houston, TX
Chandler Ervin
Marriage & Family Therapist Associate, MA, LMFT-A
Verified Verified
Houston, TX 77098
Not accepting new clients
Let’s be honest, life is hard. From day to day, things move, shake, shift, and change in directions where everything seems out of control. One moment we feel on top of the world, and the next, we find ourselves spiraled to the bottom. But what if things were different? Would you regain focus? Could you finally do what is important while being stress-free? What would happen if you took the wheel of your life again? With you as the driver, forward is only one direction to change. You can decide the rest.
Let’s be honest, life is hard. From day to day, things move, shake, shift, and change in directions where everything seems out of control. One moment we feel on top of the world, and the next, we find ourselves spiraled to the bottom. But what if things were different? Would you regain focus? Could you finally do what is important while being stress-free? What would happen if you took the wheel of your life again? With you as the driver, forward is only one direction to change. You can decide the rest.
(832) 957-0205 View (832) 957-0205
Photo of Jeannette Kolarik, Clinical Social Work/Therapist in Houston, TX
Jeannette Kolarik
Clinical Social Work/Therapist, LCSW-S
Verified Verified
1 Endorsed
Houston, TX 77018
I believe that psychotherapy is helpful to most everyone some time during their lives. There are seasons of life that we all go through which are difficult and challenging. A therapist is someone you can be honest without the worry of how what you say, think or feel will make them feel. A therapist is someone who will not judge you but rather be a part of your team to help you move closer to becoming your authentic and optimal self. I believe therapy is most productive and effective when the client and therapist are clear in what your goals are and are able to work collaboratively to help you reach those goals.
I believe that psychotherapy is helpful to most everyone some time during their lives. There are seasons of life that we all go through which are difficult and challenging. A therapist is someone you can be honest without the worry of how what you say, think or feel will make them feel. A therapist is someone who will not judge you but rather be a part of your team to help you move closer to becoming your authentic and optimal self. I believe therapy is most productive and effective when the client and therapist are clear in what your goals are and are able to work collaboratively to help you reach those goals.
(713) 636-5164 View (713) 636-5164
Photo of Lakeshia Hasten, Clinical Social Work/Therapist in Houston, TX
Lakeshia Hasten
Clinical Social Work/Therapist, LCSW-S
Verified Verified
Houston, TX 77007  (Online Only)
Are there times when you feel alone? Have you experienced periods of sadness and frustration while attempting to do your best each day? Are you taking care of others and paying attention to your needs last? Are you struggling to make life changing decisions? Are you dealing with difficult relationships, stress, depression, anxiety or trauma? Sometimes you can feel uncomfortable opening up to the people closest to you. Did you know that talking to a therapist can feel as comfortable as chatting with a close friend?
Are there times when you feel alone? Have you experienced periods of sadness and frustration while attempting to do your best each day? Are you taking care of others and paying attention to your needs last? Are you struggling to make life changing decisions? Are you dealing with difficult relationships, stress, depression, anxiety or trauma? Sometimes you can feel uncomfortable opening up to the people closest to you. Did you know that talking to a therapist can feel as comfortable as chatting with a close friend?
(832) 979-6841 View (832) 979-6841
Photo of Erica Henry, Licensed Professional Counselor in Houston, TX
Erica Henry
Licensed Professional Counselor, MEd, LPC, NCC
Verified Verified
Houston, TX 77070
Not accepting new clients
The challenges we face can be overwhelming and can leave us feeling helpless and hopeless. We have a choice to make about how we react to the obstacles that are along our path. My hope is to help you achieve success along this journey and find solutions to the problems you are facing.
The challenges we face can be overwhelming and can leave us feeling helpless and hopeless. We have a choice to make about how we react to the obstacles that are along our path. My hope is to help you achieve success along this journey and find solutions to the problems you are facing.
(832) 532-8671 View (832) 532-8671
Photo of Jaime Cohen in Houston, TX
Jaime Cohen
MS, PhD
Verified Verified
2 Endorsed
Houston, TX 77006
Couples Coaching involves altering relationship dynamics by improving communication & building/healing trust, decreasing conflict, teaching how to provide support/ responsiveness, emotional intimacy & sexual satisfaction. Individual Coaching is supportive, non-judgmental, & goal oriented. We will find new strategies to overcome life barriers, & develop new skills to attain your goals. I want to empower you to take control of your life, & teach you how to contribute to your own happiness. I focus on changing ineffective beliefs and behaviors that contribute to current problems, & foster more adaptive, flexible, & efficient solutions.
Couples Coaching involves altering relationship dynamics by improving communication & building/healing trust, decreasing conflict, teaching how to provide support/ responsiveness, emotional intimacy & sexual satisfaction. Individual Coaching is supportive, non-judgmental, & goal oriented. We will find new strategies to overcome life barriers, & develop new skills to attain your goals. I want to empower you to take control of your life, & teach you how to contribute to your own happiness. I focus on changing ineffective beliefs and behaviors that contribute to current problems, & foster more adaptive, flexible, & efficient solutions.
(832) 409-4206 View (832) 409-4206
Photo of Victoria Adeyemi, Licensed Professional Counselor in Houston, TX
Victoria Adeyemi
Licensed Professional Counselor, MA, LPC
Verified Verified
1 Endorsed
Houston, TX 77019  (Online Only)
You've just experienced one of the hardest moments of your life. Or perhaps your life has been full of hard experiences and you're tired of pretending they don't matter. Maybe you've built your life around the premise that others needs/wants/desires/feelings are more important than your own and you've muted yourself in order to show up for everyone else. Today you've decided it's time to put yourself first. Now is the time to take the necessary steps to face the parts of yourself you've stored away for too long. It's time to walk into a new season of your life: the season that focuses on you.
You've just experienced one of the hardest moments of your life. Or perhaps your life has been full of hard experiences and you're tired of pretending they don't matter. Maybe you've built your life around the premise that others needs/wants/desires/feelings are more important than your own and you've muted yourself in order to show up for everyone else. Today you've decided it's time to put yourself first. Now is the time to take the necessary steps to face the parts of yourself you've stored away for too long. It's time to walk into a new season of your life: the season that focuses on you.
(281) 500-8715 View (281) 500-8715
Photo of Terrence Stewart, Clinical Social Work/Therapist in Houston, TX
Terrence Stewart
Clinical Social Work/Therapist, LCSW
Verified Verified
Houston, TX 77057
Hello, I'm Terrence Stewart, a dedicated therapist with a passion for promoting mental well-being and fostering healthier relationships. I specialize in men's mental health, recognizing the unique challenges and pressures that men often face. Whether it's navigating work-related stress, relationship difficulties, or personal growth, I am here to provide a safe and supportive space for men to explore their thoughts and emotions.
Hello, I'm Terrence Stewart, a dedicated therapist with a passion for promoting mental well-being and fostering healthier relationships. I specialize in men's mental health, recognizing the unique challenges and pressures that men often face. Whether it's navigating work-related stress, relationship difficulties, or personal growth, I am here to provide a safe and supportive space for men to explore their thoughts and emotions.
(281) 729-0599 View (281) 729-0599
Photo of Royal Vision Counseling, Licensed Professional Counselor in Houston, TX
Royal Vision Counseling
Licensed Professional Counselor, LPC, JMT
Verified Verified
Houston, TX 77083  (Online Only)
As an immigrant male, I bring a unique view on whole-person health to help my clients reach their goals. You & I will work on improving your coping, relational, adulting, physical & even financial skills to achieve your goals in these areas. I believe that healthy men can make a difference in their relationships, families, & communities. I use christian/biblical values to help develop healthy men. I hope to promote self-esteem & self-worth in my clients. I work with diverse clients, including ethnic minorities, immigrants, & clients from lower economic backgrounds.
As an immigrant male, I bring a unique view on whole-person health to help my clients reach their goals. You & I will work on improving your coping, relational, adulting, physical & even financial skills to achieve your goals in these areas. I believe that healthy men can make a difference in their relationships, families, & communities. I use christian/biblical values to help develop healthy men. I hope to promote self-esteem & self-worth in my clients. I work with diverse clients, including ethnic minorities, immigrants, & clients from lower economic backgrounds.
(346) 275-5107 View (346) 275-5107
Photo of Catherine Fagan, Licensed Professional Counselor in Houston, TX
Catherine Fagan
Licensed Professional Counselor, LPC-S, LCDC, LSOTP
Verified Verified
Houston, TX 77084
Hello! My name is Catherine Fagan and I’m a licensed professional counselor. I attended Prairie View A & M University and have been practicing counseling for over 10 years. I specialize in working with children, teens, and adults and I’m happy to help you today with any of your mental health concerns.
Hello! My name is Catherine Fagan and I’m a licensed professional counselor. I attended Prairie View A & M University and have been practicing counseling for over 10 years. I specialize in working with children, teens, and adults and I’m happy to help you today with any of your mental health concerns.
(346) 567-7465 View (346) 567-7465
Photo of Olajumoke M. Iyiola, Licensed Professional Counselor in Houston, TX
Olajumoke M. Iyiola
Licensed Professional Counselor, LPC, LCDC, TTS
Verified Verified
1 Endorsed
Houston, TX 77004  (Online Only)
Whether your present life feels unmanageable, or past hurtful experiences are still causing you pain, there is hope. Reaching out for help is the first step to making positive changes in your life. As a therapist, my goal is to provide you with a safe, supportive, non-judgmental space in which you can share, explore, and achieve greater self-awareness. Together, we will build on the strengths you already possess to help you grow and find balance. My style of therapy is a conversational, collaborative approach aimed at helping people understand themselves better.
Whether your present life feels unmanageable, or past hurtful experiences are still causing you pain, there is hope. Reaching out for help is the first step to making positive changes in your life. As a therapist, my goal is to provide you with a safe, supportive, non-judgmental space in which you can share, explore, and achieve greater self-awareness. Together, we will build on the strengths you already possess to help you grow and find balance. My style of therapy is a conversational, collaborative approach aimed at helping people understand themselves better.
(713) 597-2223 View (713) 597-2223
Photo of Gracefully Rooted Counseling & Therapy, Clinical Social Work/Therapist in Houston, TX
Gracefully Rooted Counseling & Therapy
Clinical Social Work/Therapist, LCSW
Verified Verified
Houston, TX 77058
Do you come from a complicated family? Have you experienced childhood trauma or sexual abuse? Have you maybe experienced relational or spiritual abuse or hurt and know that it’s affecting you but you haven’t known how to address it other than talking about it? My client’s are aware that their past experiences affect who they are & how they show up in the world. They want support in healing & changing so they can be free of chronic symptoms & be themselves again! I specialize in helping people achieve lasting relief & growth from the experiences that shape & impact us. Learn more & take our quiz: www.gracefullyrootedcounseling.com
Do you come from a complicated family? Have you experienced childhood trauma or sexual abuse? Have you maybe experienced relational or spiritual abuse or hurt and know that it’s affecting you but you haven’t known how to address it other than talking about it? My client’s are aware that their past experiences affect who they are & how they show up in the world. They want support in healing & changing so they can be free of chronic symptoms & be themselves again! I specialize in helping people achieve lasting relief & growth from the experiences that shape & impact us. Learn more & take our quiz: www.gracefullyrootedcounseling.com
(281) 559-7716 View (281) 559-7716
Photo of A River In The Desert Therapeutic Services PLLC, Marriage & Family Therapist Associate in Houston, TX
A River In The Desert Therapeutic Services PLLC
Marriage & Family Therapist Associate, MA, MS, LMFT-A
Verified Verified
2 Endorsed
Houston, TX 77084  (Online Only)
Are you ready and willing to embark on a transformative journey towards mental and spiritual health? Welcome to A River in The Desert Therapeutic Services. My name is Germanie James, Licensed Marriage and Family Therapist Associate. I offer compassionate healing and transformative growth to individuals, couples, and families navigating the aftermath of life complexities. Step into a sanctuary of support and understanding as I guide you towards a place of restoration, resilience, and hope.
Are you ready and willing to embark on a transformative journey towards mental and spiritual health? Welcome to A River in The Desert Therapeutic Services. My name is Germanie James, Licensed Marriage and Family Therapist Associate. I offer compassionate healing and transformative growth to individuals, couples, and families navigating the aftermath of life complexities. Step into a sanctuary of support and understanding as I guide you towards a place of restoration, resilience, and hope.
(281) 920-1977 View (281) 920-1977
Photo of Patricia Mai Michlik, Licensed Professional Counselor in Houston, TX
Patricia Mai Michlik
Licensed Professional Counselor, MS, LPC
Verified Verified
Houston, TX 77018  (Online Only)
Hello! I love collaborating with my clients to achieve their personal goals & develop creative strategies to cope with life's stressors. I have been an LPC for over 13 years, & worked with seniors, adults, teens, & children from any location in TX via teletherapy (video/phone) who struggle with depression, anxiety, life transitions, spirituality, relationship issues, stress/anger management, coping skills, family conflict, marital/premarital issues, cultural/ethnic issues, self-esteem, academic challenges, LGBTQ, Autism/ADHD, Emotional Disturbance & much more. Some therapeutic modalities I utilize include:
Hello! I love collaborating with my clients to achieve their personal goals & develop creative strategies to cope with life's stressors. I have been an LPC for over 13 years, & worked with seniors, adults, teens, & children from any location in TX via teletherapy (video/phone) who struggle with depression, anxiety, life transitions, spirituality, relationship issues, stress/anger management, coping skills, family conflict, marital/premarital issues, cultural/ethnic issues, self-esteem, academic challenges, LGBTQ, Autism/ADHD, Emotional Disturbance & much more. Some therapeutic modalities I utilize include:
(832) 772-2507 View (832) 772-2507
Photo of Olivia Arambula, Licensed Professional Counselor in Houston, TX
Olivia Arambula
Licensed Professional Counselor, MA, LPC
Verified Verified
Houston, TX 77064  (Online Only)
Many times I have heard people say, “I want to be happier” or “I want to feel better”, but they are not sure what this looks like, what it feels like, or what it even means. They have been struggling with anxiety, sadness, stress, or other negative emotions and experiences for so long, they feel like they have lost touch with what it means to be happy. If you feel like you can relate to these statements in some way, you may be feeling stuck or hopeless about a better future. I want you to know that the way you are feeling is not permanent, and it is okay to ask for help. I am here to support you and make you feel heard.
Many times I have heard people say, “I want to be happier” or “I want to feel better”, but they are not sure what this looks like, what it feels like, or what it even means. They have been struggling with anxiety, sadness, stress, or other negative emotions and experiences for so long, they feel like they have lost touch with what it means to be happy. If you feel like you can relate to these statements in some way, you may be feeling stuck or hopeless about a better future. I want you to know that the way you are feeling is not permanent, and it is okay to ask for help. I am here to support you and make you feel heard.
(214) 307-9561 View (214) 307-9561
Photo of Shardé Taylor, Licensed Professional Counselor in Houston, TX
Shardé Taylor
Licensed Professional Counselor, MEd, LPC
Verified Verified
Houston, TX 77084  (Online Only)
Welcome! Kudos to you for taking this step! I treat adults and adolescents seeking help with their mental and behavioral health. As a professional, I won't tell you what to do as I believe my clients have the ability to choose how to resolve their own problems and make their own decisions with my assistance as a facilitator of change. I help to facilitate improved self-awareness and insight for my clients, with an emphasis on healthy coping. This newly acquired insight can lead to increased confidence, self-esteem, independence, the capacity to make healthy life changes, and the power to build and maintain healthy relationships.
Welcome! Kudos to you for taking this step! I treat adults and adolescents seeking help with their mental and behavioral health. As a professional, I won't tell you what to do as I believe my clients have the ability to choose how to resolve their own problems and make their own decisions with my assistance as a facilitator of change. I help to facilitate improved self-awareness and insight for my clients, with an emphasis on healthy coping. This newly acquired insight can lead to increased confidence, self-esteem, independence, the capacity to make healthy life changes, and the power to build and maintain healthy relationships.
(281) 247-6963 View (281) 247-6963
Photo of Jonathan Rea, Licensed Professional Counselor in Houston, TX
Jonathan Rea
Licensed Professional Counselor, MS
Verified Verified
2 Endorsed
Houston, TX 77098
Are you experiencing symptoms of depression and anxiety; addiction; or the residual effects of trauma? I believe that you, as the client, are the expert of your own story. I am here to provide you with a unique personalized approach to psychotherapy that is person-centered; and focuses on your strengths and your potential. If you are someone who experienced relational trauma as a child, you may be experiencing difficulty navigating relationships as an adult. Through a therapeutic relationship, you will find a stepping stone from which to develop a more meaningful way of being in the world.
Are you experiencing symptoms of depression and anxiety; addiction; or the residual effects of trauma? I believe that you, as the client, are the expert of your own story. I am here to provide you with a unique personalized approach to psychotherapy that is person-centered; and focuses on your strengths and your potential. If you are someone who experienced relational trauma as a child, you may be experiencing difficulty navigating relationships as an adult. Through a therapeutic relationship, you will find a stepping stone from which to develop a more meaningful way of being in the world.
(281) 549-8518 View (281) 549-8518
Photo of Elizabeth Santiago, Marriage & Family Therapist in Houston, TX
Elizabeth Santiago
Marriage & Family Therapist, LMFT
Verified Verified
Houston, TX 77098  (Online Only)
Hello and welcome! I have been providing therapy to individuals, couples, and families since 2007. I have worked with all ages in various settings. My specialties include women's issues (PMDD/PMD, post-partum, infertility), anxiety/panic attacks, depression, grief, couples, and trauma. My approach is Solution-focused, Cognitive Behavioral Therapy (CBT) with a client-centered approach considering cultural, social, and psychosocial influences. I believe you are the expert in your life and together we can work to improve your functioning using your strengths. I look forward to working with you!
Hello and welcome! I have been providing therapy to individuals, couples, and families since 2007. I have worked with all ages in various settings. My specialties include women's issues (PMDD/PMD, post-partum, infertility), anxiety/panic attacks, depression, grief, couples, and trauma. My approach is Solution-focused, Cognitive Behavioral Therapy (CBT) with a client-centered approach considering cultural, social, and psychosocial influences. I believe you are the expert in your life and together we can work to improve your functioning using your strengths. I look forward to working with you!
(346) 522-3164 View (346) 522-3164
Photo of William Scott McLemore, Licensed Professional Counselor Associate in Houston, TX
William Scott McLemore
Licensed Professional Counselor Associate, MACMHC
Verified Verified
1 Endorsed
Houston, TX 77242  (Online Only)
Did you serve in the Military? Are you a law enforcement officer? Did you grow up in a military family? Have you suffered trauma? Post Traumatic Stress Disorder? Trouble adjusting to a new environment? Gone or going through a divorce? The Stress of single parenting? Reoccurring intrusive thoughts (including dreams).
Did you serve in the Military? Are you a law enforcement officer? Did you grow up in a military family? Have you suffered trauma? Post Traumatic Stress Disorder? Trouble adjusting to a new environment? Gone or going through a divorce? The Stress of single parenting? Reoccurring intrusive thoughts (including dreams).
(346) 206-0878 View (346) 206-0878
Photo of Ana Escalona Amaré, Clinical Social Work/Therapist in Houston, TX
Ana Escalona Amaré
Clinical Social Work/Therapist, LCSW
Verified Verified
Houston, TX 77006
I specialize in working with young adults and adults who have experienced trauma and/or struggle with mood, anxiety, substance use, or personality disorders that hinder their functioning and/or relationships. Together, we will work to understand what is keeping you stuck or preventing you from making progress and we will identify areas in which you would like to see change. While my approach is primarily psychodynamic, I incorporate attachment theory, DBT/CBT skills, mentalizing, and family systems theory depending on my clients’ needs and presenting problems.
I specialize in working with young adults and adults who have experienced trauma and/or struggle with mood, anxiety, substance use, or personality disorders that hinder their functioning and/or relationships. Together, we will work to understand what is keeping you stuck or preventing you from making progress and we will identify areas in which you would like to see change. While my approach is primarily psychodynamic, I incorporate attachment theory, DBT/CBT skills, mentalizing, and family systems theory depending on my clients’ needs and presenting problems.
(832) 346-6534 View (832) 346-6534
Photo of Pantea Mohammadi, Licensed Professional Counselor in Houston, TX
Pantea Mohammadi
Licensed Professional Counselor, MA, LPCS
Verified Verified
Houston, TX 77082  (Online Only)
My approach is eclectic and accustomed to the client’s needs. I believe in focusing on here and now, while building a strong and positive future.
My approach is eclectic and accustomed to the client’s needs. I believe in focusing on here and now, while building a strong and positive future.
(832) 558-6713 View (832) 558-6713

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% UnitedHealthcare UHC | UBH
79% Cigna and Evernorth

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.