Therapists in Las Vegas, NV

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Photo of Joel Feldman, Licensed Professional Counselor in Las Vegas, NV
Joel Feldman
Licensed Professional Counselor, MFA, MA, LCPC
Verified Verified
Las Vegas, NV 89145  (Online Only)
Do you worry too much? Do your fears keep you from being your best? If you are seeking help with this or some other problem of mental health, therapy can help! Or do you simply want to be the best you can be? I am here to help. Whether you have difficulties as an individual, a couple, or a family, you can be helped to communicate, to work and/or play better, with more fulfillment. By learning and practicing ways of communicating more clearly, or by changing habits of thinking, or perhaps by addressing past trauma with compassion, you can grow and heal. I am here to help you do it.
Do you worry too much? Do your fears keep you from being your best? If you are seeking help with this or some other problem of mental health, therapy can help! Or do you simply want to be the best you can be? I am here to help. Whether you have difficulties as an individual, a couple, or a family, you can be helped to communicate, to work and/or play better, with more fulfillment. By learning and practicing ways of communicating more clearly, or by changing habits of thinking, or perhaps by addressing past trauma with compassion, you can grow and heal. I am here to help you do it.
(702) 941-6560 View (702) 941-6560
Photo of Mindful Healing Counseling LLC, Licensed Professional Counselor in Las Vegas, NV
Mindful Healing Counseling LLC
Licensed Professional Counselor, MS, LCPC
Verified Verified
Las Vegas, NV 89103
Do you find yourself struggling with feelings of disconnection from yourself and others? Are you constantly prioritizing the needs of others over your own, leaving your own well-being at the bottom of your to-do list? Do you wonder if life should feel happier and more fulfilling? Now more than ever, many people are experiencing anxiety, overwhelm, and uncertainty about how to navigate their relationships, careers, and overall lives. Ignoring your own needs and neglecting self-care can lead to long-term issues for both your mental and physical health. However, living a better life shouldn't feel like such a challenge.
Do you find yourself struggling with feelings of disconnection from yourself and others? Are you constantly prioritizing the needs of others over your own, leaving your own well-being at the bottom of your to-do list? Do you wonder if life should feel happier and more fulfilling? Now more than ever, many people are experiencing anxiety, overwhelm, and uncertainty about how to navigate their relationships, careers, and overall lives. Ignoring your own needs and neglecting self-care can lead to long-term issues for both your mental and physical health. However, living a better life shouldn't feel like such a challenge.
(702) 935-2312 View (702) 935-2312
Photo of Yvette Tirello, Marriage & Family Therapist in Las Vegas, NV
Yvette Tirello
Marriage & Family Therapist, LMFT
Verified Verified
1 Endorsed
Las Vegas, NV 89146  (Online Only)
Starting therapy can be a difficult first step, allow me to offer you curiosity, hold space with you, meet you where you are and help you grow to where you want to be. Therapy should be a tool that is exercised with every major life adjustment, so let's work together to sort through your emotions and help you feel like the healthiest version of yourself. I have experience working with clients who struggle with depression, anxiety, mood stability, as well as relationship and family issues. Allow me to validate your emotions, as we explore your vulnerabilities and process your concerns in a client centered and strength based form.
Starting therapy can be a difficult first step, allow me to offer you curiosity, hold space with you, meet you where you are and help you grow to where you want to be. Therapy should be a tool that is exercised with every major life adjustment, so let's work together to sort through your emotions and help you feel like the healthiest version of yourself. I have experience working with clients who struggle with depression, anxiety, mood stability, as well as relationship and family issues. Allow me to validate your emotions, as we explore your vulnerabilities and process your concerns in a client centered and strength based form.
(702) 803-8114 View (702) 803-8114
Photo of Dr. Jodi Niswonger, Clinical Social Work/Therapist in Las Vegas, NV
Dr. Jodi Niswonger
Clinical Social Work/Therapist, PhD, MSW, LCSW
Verified Verified
2 Endorsed
Las Vegas, NV 89130  (Online Only)
Are you feeling overwhelmed by life's challenges? Do you find it difficult to navigate through your thoughts and emotions? It's time to take control and pave a path towards a happier you. Psychotherapy is a transformative experience that can unlock your true potential and lead you to a fulfilling life. It offers you a safe and non-judgmental space for you to explore your inner self, tackle deep-rooted issues, and develop coping strategies for life's obstacles. The majority of people know the life they want, they just aren't sure how to get it. I can help you get the life you deserve! Contact me now and let's get started.
Are you feeling overwhelmed by life's challenges? Do you find it difficult to navigate through your thoughts and emotions? It's time to take control and pave a path towards a happier you. Psychotherapy is a transformative experience that can unlock your true potential and lead you to a fulfilling life. It offers you a safe and non-judgmental space for you to explore your inner self, tackle deep-rooted issues, and develop coping strategies for life's obstacles. The majority of people know the life they want, they just aren't sure how to get it. I can help you get the life you deserve! Contact me now and let's get started.
(702) 728-3146 View (702) 728-3146
Photo of Lauren Emes, Marriage & Family Therapist in Las Vegas, NV
Lauren Emes
Marriage & Family Therapist, LMFT
Verified Verified
2 Endorsed
Las Vegas, NV 89113
Waitlist for new clients
Your emotional struggles didn't manifest overnight; they were woven into the fabric of your life from early experiences. Childhood memories haunt you, ripples of unresolved conflicts with family and caregivers cause storms within your heart. Trust and attachment issues play hide and seek with your mind, leaving you hesitant to open up to others fully. Relationships have proven to be an intricate dance; each step is tinged with uncertainty. Your heart yearns for love and connection, but fear and insecurities often trip you up.
Your emotional struggles didn't manifest overnight; they were woven into the fabric of your life from early experiences. Childhood memories haunt you, ripples of unresolved conflicts with family and caregivers cause storms within your heart. Trust and attachment issues play hide and seek with your mind, leaving you hesitant to open up to others fully. Relationships have proven to be an intricate dance; each step is tinged with uncertainty. Your heart yearns for love and connection, but fear and insecurities often trip you up.
(725) 234-2809 View (725) 234-2809
Photo of Cornwall Counseling, Counselor in Las Vegas, NV
Cornwall Counseling
Counselor, PsyD, PhD
Verified Verified
2 Endorsed
Las Vegas, NV 89119
Cornwall Counseling offers behavioral health services customized to meet the needs of its clients in a nurturing, nonjudgmental out-patient setting. Our agency is established on a collaborative community philosophy, where our patients actively engage in treatment under the guidance of licensed mental health practitioners who assess the whole person. If we find that your emotional and physical well-being could be improved by accessing other services in your community, we will make appropriate referrals.
Cornwall Counseling offers behavioral health services customized to meet the needs of its clients in a nurturing, nonjudgmental out-patient setting. Our agency is established on a collaborative community philosophy, where our patients actively engage in treatment under the guidance of licensed mental health practitioners who assess the whole person. If we find that your emotional and physical well-being could be improved by accessing other services in your community, we will make appropriate referrals.
(702) 887-1899 View (702) 887-1899
Photo of Leslie Frederick, Clinical Social Work/Therapist in Las Vegas, NV
Leslie Frederick
Clinical Social Work/Therapist, MSW, LCSW
Verified Verified
Las Vegas, NV 89129
Finding a therapist can be a difficult process, often leading people to give up when they do not find that “right fit”. My approach to therapy is not a one-size-fits-all approach. I prefer to meet a client where they are and customize the therapy to their unique needs and goals. I utilize a variety of evidence-based, therapeutic treatment modalities, such as Cognitive Behavioral Therapy (CBT) and Motivational Interviewing while customizing my approach to each individual. In addition to demonstrating warmth and compassion with each client, I like to utilize a sense of humor when appropriate.
Finding a therapist can be a difficult process, often leading people to give up when they do not find that “right fit”. My approach to therapy is not a one-size-fits-all approach. I prefer to meet a client where they are and customize the therapy to their unique needs and goals. I utilize a variety of evidence-based, therapeutic treatment modalities, such as Cognitive Behavioral Therapy (CBT) and Motivational Interviewing while customizing my approach to each individual. In addition to demonstrating warmth and compassion with each client, I like to utilize a sense of humor when appropriate.
(702) 825-7567 View (702) 825-7567
Photo of Hannah DiTomaso, Clinical Social Work/Therapist in Las Vegas, NV
Hannah DiTomaso
Clinical Social Work/Therapist, CSW-I, LSW
Not Verified Not Verified
1 Endorsed
Las Vegas, NV 89123
I believe we all need help from time to time, and I believe that often times the strengths lie within those whom seek and accept help. I know we all have strengths and capabilities to overcome our personal, family, and community challenges and struggles which we face in our daily lives. I also believe therapy helps people discover the strengths they have within themselves and, as they apply the suggestions and teachings while utilizing recommended community resources, through therapy life becomes bearable.
I believe we all need help from time to time, and I believe that often times the strengths lie within those whom seek and accept help. I know we all have strengths and capabilities to overcome our personal, family, and community challenges and struggles which we face in our daily lives. I also believe therapy helps people discover the strengths they have within themselves and, as they apply the suggestions and teachings while utilizing recommended community resources, through therapy life becomes bearable.
(702) 478-1581 View (702) 478-1581
Photo of Marcia Hadley, Clinical Social Work/Therapist in Las Vegas, NV
Marcia Hadley
Clinical Social Work/Therapist, LCSW
Verified Verified
Las Vegas, NV 89121
Hello I am Marcia Hadley, LCSW. I am a Licensed Clinical Social Worker in the state Nevada and Utah. I started working in mental health in 2001. I like to encourage a sense of curiosity and humor when working. I find that not only have my client’s been through tremendous struggles they are wanting to find genuine connections. The one thing I have realized is that people want to do their best. Sometimes we just need some love, kindness, and compassion to help us along the way. I believe it is important to have a strong, trusting, therapeutic relationship which allows people to live their best life.
Hello I am Marcia Hadley, LCSW. I am a Licensed Clinical Social Worker in the state Nevada and Utah. I started working in mental health in 2001. I like to encourage a sense of curiosity and humor when working. I find that not only have my client’s been through tremendous struggles they are wanting to find genuine connections. The one thing I have realized is that people want to do their best. Sometimes we just need some love, kindness, and compassion to help us along the way. I believe it is important to have a strong, trusting, therapeutic relationship which allows people to live their best life.
(725) 527-7549 View (725) 527-7549
Commitment Revival Lab
Clinical Social Work/Therapist, LCSW
Verified Verified
Las Vegas, NV 89119
Facing the whirlwind of betrayal? Feel like trust is a distant dream? You're not alone. Our ideal clients are couples tangled in the web of infidelity, seeking a beacon of hope. They crave healing and renewal, yearning to rebuild a partnership that's not just surviving but thriving. Why settle for a shadow of what your relationship could be when you can embrace its full potential? With expert guidance, personalized strategies, and a community of support, we help you navigate from despair to a future brimming with possibility. Ready to transform your love story into a testament of triumph? Your journey starts here.
Facing the whirlwind of betrayal? Feel like trust is a distant dream? You're not alone. Our ideal clients are couples tangled in the web of infidelity, seeking a beacon of hope. They crave healing and renewal, yearning to rebuild a partnership that's not just surviving but thriving. Why settle for a shadow of what your relationship could be when you can embrace its full potential? With expert guidance, personalized strategies, and a community of support, we help you navigate from despair to a future brimming with possibility. Ready to transform your love story into a testament of triumph? Your journey starts here.
(725) 800-9264 View (725) 800-9264
Photo of LaTonya R Gaston, Licensed Professional Counselor in Las Vegas, NV
LaTonya R Gaston
Licensed Professional Counselor, PhD, LCPC
Verified Verified
Las Vegas, NV 89108  (Online Only)
Waitlist for new clients
Hello! First, I am so proud of you for taking the step toward healing. I want you to know that you are not alone on this journey to becoming a better version of yourself. Thank you for choosing YOU! You deserve to live free from trauma, emotional baggage, and anything else that has held you captive and prevented you from seeing your greatness on the other side. It will be my pleasure to serve and support you in attaining your desired goals throughout this process.
Hello! First, I am so proud of you for taking the step toward healing. I want you to know that you are not alone on this journey to becoming a better version of yourself. Thank you for choosing YOU! You deserve to live free from trauma, emotional baggage, and anything else that has held you captive and prevented you from seeing your greatness on the other side. It will be my pleasure to serve and support you in attaining your desired goals throughout this process.
(702) 819-6509 View (702) 819-6509
Photo of Gloria Jarvis, Clinical Social Work/Therapist in Las Vegas, NV
Gloria Jarvis
Clinical Social Work/Therapist, CSW-I
Verified Verified
Las Vegas, NV 89123  (Online Only)
Life comes with many changes and obstacles that we all may need help navigating. I am here to help you navigate those challenges and become the best version of yourself. I prefer to work with clients who have a good idea of what their goals are and what they would like to get out of therapy. With a strong foundation to build from, I can best support you to get you to where you want to be in a way that works best for you.
Life comes with many changes and obstacles that we all may need help navigating. I am here to help you navigate those challenges and become the best version of yourself. I prefer to work with clients who have a good idea of what their goals are and what they would like to get out of therapy. With a strong foundation to build from, I can best support you to get you to where you want to be in a way that works best for you.
(725) 234-3359 View (725) 234-3359
Photo of Red Rock Counseling , Pre-Licensed Professional in Las Vegas, NV
Red Rock Counseling
Pre-Licensed Professional
Verified Verified
1 Endorsed
Las Vegas, NV 89144
Graduate level marriage and family student therapist. I am passionate about understanding the complexities of life's challenges and committed to helping individuals, couples, and children build self-compassion, improve mindset, and create meaningful relationships. One of my goals is to help clients achieve a higher quality of life through creating change and building a strong foundation . My approach to therapy is highly personalized, utilizing holistic wellness and person centered techniques.
Graduate level marriage and family student therapist. I am passionate about understanding the complexities of life's challenges and committed to helping individuals, couples, and children build self-compassion, improve mindset, and create meaningful relationships. One of my goals is to help clients achieve a higher quality of life through creating change and building a strong foundation . My approach to therapy is highly personalized, utilizing holistic wellness and person centered techniques.
(725) 356-6408 View (725) 356-6408
Photo of Barber Family Counseling & Wellness, Counselor in Las Vegas, NV
Barber Family Counseling & Wellness
Counselor, LMFT, CPC, LCSW
Verified Verified
1 Endorsed
Las Vegas, NV 89119
Barber Family Counseling & Wellness takes an innovative approach to mental health by recognizing the connection that exists between body and mind, the effects that one can have on the other and the synergy that must exist between the two. Barber Family Counseling & Wellness provides counseling to individuals (3+), couples and families. We offer a welcoming space and believe in meeting our clients where they are in life and walking with them towards their goals and solution. Our clinicians treat a variety of issues and are highly skilled in tailoring their approach to the client, not the symptom.
Barber Family Counseling & Wellness takes an innovative approach to mental health by recognizing the connection that exists between body and mind, the effects that one can have on the other and the synergy that must exist between the two. Barber Family Counseling & Wellness provides counseling to individuals (3+), couples and families. We offer a welcoming space and believe in meeting our clients where they are in life and walking with them towards their goals and solution. Our clinicians treat a variety of issues and are highly skilled in tailoring their approach to the client, not the symptom.
(702) 829-5292 View (702) 829-5292
Photo of Andre D. Williams, Counselor in Las Vegas, NV
Andre D. Williams
Counselor, LCPC, LPCC
Verified Verified
Las Vegas, NV 89102  (Online Only)
Not accepting new clients
I am a USAF veteran, completed my master’s degree in Mental Health Counseling in 2014 and have worked steadily since, specializing with victims of abuse and other trauma and inpatient psychiatric counseling and evaluation.
I am a USAF veteran, completed my master’s degree in Mental Health Counseling in 2014 and have worked steadily since, specializing with victims of abuse and other trauma and inpatient psychiatric counseling and evaluation.
(702) 710-7878 View (702) 710-7878
Photo of Nicole Browning, Licensed Professional Counselor in Las Vegas, NV
Nicole Browning
Licensed Professional Counselor, MS
Verified Verified
Las Vegas, NV 89109  (Online Only)
As a neurodivergent counselor who has been diagnosed with ADHD, I have found myself experiencing similar life situations as my clients. I feel it is important for those with symptoms ADHD, depression, and anxiety to embrace their authentic self rather than continuing to participate in the cycle of suffering.
As a neurodivergent counselor who has been diagnosed with ADHD, I have found myself experiencing similar life situations as my clients. I feel it is important for those with symptoms ADHD, depression, and anxiety to embrace their authentic self rather than continuing to participate in the cycle of suffering.
(702) 500-1309 View (702) 500-1309
Photo of Elizabeth O. Carroll, Pre-Licensed Professional in Las Vegas, NV
Elizabeth O. Carroll
Pre-Licensed Professional, MS
Verified Verified
Las Vegas, NV 89134
Not accepting new clients
NOT accepting any new clients at this time. Are you hoping to improve your relationship with your partner, family member, or child? I am passionate about helping couples of all types build more positive relationships. Also, I enjoy working with children/teens and their families to improve their relationships through art, communication, and play. I believe the most important part of therapy is having someone really listen to your story and assist you in moving forward.
NOT accepting any new clients at this time. Are you hoping to improve your relationship with your partner, family member, or child? I am passionate about helping couples of all types build more positive relationships. Also, I enjoy working with children/teens and their families to improve their relationships through art, communication, and play. I believe the most important part of therapy is having someone really listen to your story and assist you in moving forward.
(725) 999-1849 View (725) 999-1849
Photo of Andrea Dalziell, Marriage & Family Therapist in Las Vegas, NV
Andrea Dalziell
Marriage & Family Therapist
Verified Verified
1 Endorsed
Las Vegas, NV 89148
If you or a family member are facing issues with gender or sexuality, I am here to offer a non-judgmental, safe, and empathetic space to help you explore this. My goal for you is to allow acceptance of yourself or acceptance within your family. I work with a variety of issues within sexual and gender minority clients including depression, anxiety, relationship issues, and family conflict. I particularly enjoy working with adolescents. However, I have experience working with clients of all ages.
If you or a family member are facing issues with gender or sexuality, I am here to offer a non-judgmental, safe, and empathetic space to help you explore this. My goal for you is to allow acceptance of yourself or acceptance within your family. I work with a variety of issues within sexual and gender minority clients including depression, anxiety, relationship issues, and family conflict. I particularly enjoy working with adolescents. However, I have experience working with clients of all ages.
(702) 410-6017 View (702) 410-6017
Photo of Giuliana Gentile, Pre-Licensed Professional in Las Vegas, NV
Giuliana Gentile
Pre-Licensed Professional
Verified Verified
Las Vegas, NV 89104
As a music therapy intern, a client that would find me ideal is one that has a strong connection to music. This client is also interested in reaching goals related to their emotional, spiritual, and/or physical health, or is an individual looking to improve their cognitive, interpersonal, communicative, or behavioral skills. If traditional therapy has not worked for you or your child in the past, if you feel like you need a form of therapy that feels less intimidating and more creatively stimulating, or if you just love music and want to understand how to use it therapeutically in your own life, music therapy might be for you!
As a music therapy intern, a client that would find me ideal is one that has a strong connection to music. This client is also interested in reaching goals related to their emotional, spiritual, and/or physical health, or is an individual looking to improve their cognitive, interpersonal, communicative, or behavioral skills. If traditional therapy has not worked for you or your child in the past, if you feel like you need a form of therapy that feels less intimidating and more creatively stimulating, or if you just love music and want to understand how to use it therapeutically in your own life, music therapy might be for you!
(702) 903-3117 View (702) 903-3117
Photo of Jesika Doty in Las Vegas, NV
Jesika Doty
MS, CPC-Int
Verified Verified
Las Vegas, NV 89149
At Amphora Mental Health, our philosophy is rooted in the belief that mental and emotional well-being are integral to overall health, and that therapy can be a powerful tool for achieving this balance for anyone wanting to enhance their mindset in life, overcome past trauma, and work towards an abundant future. Our specialty is working with individuals with personality disorders and those diagnosed or living with Dissociative Identity Disorder. We look to help heal and enhance the whole person while giving them skills and tools to use for living day to day.
At Amphora Mental Health, our philosophy is rooted in the belief that mental and emotional well-being are integral to overall health, and that therapy can be a powerful tool for achieving this balance for anyone wanting to enhance their mindset in life, overcome past trauma, and work towards an abundant future. Our specialty is working with individuals with personality disorders and those diagnosed or living with Dissociative Identity Disorder. We look to help heal and enhance the whole person while giving them skills and tools to use for living day to day.
(725) 208-5402 View (725) 208-5402

How does your Therapist compare?

Number of Therapists in Las Vegas, NV

1,000+

Average cost per session

$130

Therapists in Las Vegas, NV who prioritize treating:

91% Anxiety
88% Depression
77% Self Esteem
76% Trauma and PTSD
75% Relationship Issues
71% Coping Skills
71% Stress

Average years in practice

9 Years

Top 3 insurances accepted

70% Aetna
61% Cigna and Evernorth
59% UnitedHealthcare UHC | UBH

How Therapists in Las Vegas, NV see their clients

67% In Person and Online
33% Online Only

Gender breakdown

81% Female
18% Male
1% Non-Binary
FAQs - About Therapy and Counseling

How can I find a therapist in Las Vegas?

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.