Therapists in Houston, TX

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Photo of Sarah Rodriguez, Licensed Professional Counselor in Houston, TX
Sarah Rodriguez
Licensed Professional Counselor, LPC
Verified Verified
Houston, TX 77080
I have been in the business of the healing arts for almost 20 years - providing services from case management to individual counseling. I obtained my Bachelor' in Psychology from Texas Tech University in 2000 and my Master' in Community Counseling from Webster University in 2010. I am a Licensed Professional Counselor and in good standing with the State of Texas. I have experience working with a wide range of ages, socioeconomics, and cultures, which I believe gives me a well-rounded approach to anyone in need, including individuals, families, and couples.
I have been in the business of the healing arts for almost 20 years - providing services from case management to individual counseling. I obtained my Bachelor' in Psychology from Texas Tech University in 2000 and my Master' in Community Counseling from Webster University in 2010. I am a Licensed Professional Counselor and in good standing with the State of Texas. I have experience working with a wide range of ages, socioeconomics, and cultures, which I believe gives me a well-rounded approach to anyone in need, including individuals, families, and couples.
(832) 905-8354 View (832) 905-8354
Photo of Hillery Keith, Psychologist in Houston, TX
Hillery Keith
Psychologist, PhD
Verified Verified
1 Endorsed
Houston, TX 77005
Feeling lost, overwhelmed and as if you can't find the real you? If you find yourself stuck in the midst of change and don't know how to move forward, I can help. I work respectfully and collaboratively with clients to address their concerns and goals. My style is developmental, supportive and direct. I enjoy working with both individuals and couples who are new to therapy process as well as those who want to add to their ongoing self-discovery and growth.
Feeling lost, overwhelmed and as if you can't find the real you? If you find yourself stuck in the midst of change and don't know how to move forward, I can help. I work respectfully and collaboratively with clients to address their concerns and goals. My style is developmental, supportive and direct. I enjoy working with both individuals and couples who are new to therapy process as well as those who want to add to their ongoing self-discovery and growth.
(713) 999-4775 View (713) 999-4775
Photo of Daphane Joy Harris, Marriage & Family Therapist in Houston, TX
Daphane Joy Harris
Marriage & Family Therapist, MS, LMFT
Verified Verified
2 Endorsed
Houston, TX 77058
Is your relationship/marriage on the verge of driving you crazy? Do you say one thing but they often hear something else? Or, do you feel trapped by the pain of your past and need help getting over childhood hurts? There is hope! Whatever the problem or difficulty, therapy can help so that you can begin to live the life you were born to live. I am a Marriage & Family Therapist and I want to help you be the best you.
Is your relationship/marriage on the verge of driving you crazy? Do you say one thing but they often hear something else? Or, do you feel trapped by the pain of your past and need help getting over childhood hurts? There is hope! Whatever the problem or difficulty, therapy can help so that you can begin to live the life you were born to live. I am a Marriage & Family Therapist and I want to help you be the best you.
(346) 258-5642 View (346) 258-5642
Photo of Sabrina M Haagenson, Pre-Licensed Professional in Houston, TX
Sabrina M Haagenson
Pre-Licensed Professional
Verified Verified
1 Endorsed
Houston, TX 77079
Life is a little crazy, to say the least. It does not help when you are experiencing physical and mental stress. If you are suffering from difficulty sleeping, reoccurring and distressing memories, elevated anxiety, excessive or a lack of appetite, troubling thoughts, withdrawal, etc. I am happy to help! Even if the feelings or thoughts are hard to describe, that’s the wonderful thing about therapy, I am here to help you!
Life is a little crazy, to say the least. It does not help when you are experiencing physical and mental stress. If you are suffering from difficulty sleeping, reoccurring and distressing memories, elevated anxiety, excessive or a lack of appetite, troubling thoughts, withdrawal, etc. I am happy to help! Even if the feelings or thoughts are hard to describe, that’s the wonderful thing about therapy, I am here to help you!
(832) 501-0732 View (832) 501-0732
Photo of Dr. Chelsie N Sargent, Licensed Professional Counselor in Houston, TX
Dr. Chelsie N Sargent
Licensed Professional Counselor, DPC, LPC-S
Verified Verified
2 Endorsed
Houston, TX 77025
Oftentimes, "counseling" has a negative connotation - counseling is for people who have something "wrong" with them, or it's for people too weak to handle their problems on their own. I don't buy that. We live in a hurried and difficult world. Pain and confusion seem to shadow us wherever we go. Sometimes our relationships slip. Sometimes we find ourselves puzzled about meaning and purpose. Sometimes we just need someone to help us make healthy choices. In my office here in Houston, you'll find therapy is confidential, safe, and solution-oriented.
Oftentimes, "counseling" has a negative connotation - counseling is for people who have something "wrong" with them, or it's for people too weak to handle their problems on their own. I don't buy that. We live in a hurried and difficult world. Pain and confusion seem to shadow us wherever we go. Sometimes our relationships slip. Sometimes we find ourselves puzzled about meaning and purpose. Sometimes we just need someone to help us make healthy choices. In my office here in Houston, you'll find therapy is confidential, safe, and solution-oriented.
(713) 766-5866 View (713) 766-5866
Photo of Dr. Mercedes J Moore, Marriage & Family Therapist in Houston, TX
Dr. Mercedes J Moore
Marriage & Family Therapist, PhD, LMFT-S
Verified Verified
2 Endorsed
Houston, TX 77008
Therapy can be the boost your relationship and/or family needs to persevere in the adversity that comes in the form of infidelity, grief, difficulty communicating, poor work-life balance, lack of intimacy, and many more issues. There are times when life becomes difficult and it seems like it is always conflict and tough times. Therapy can provide tools and direction for regaining trust, restoring intimacy, problem-solving, healthy communication, and balance.
Therapy can be the boost your relationship and/or family needs to persevere in the adversity that comes in the form of infidelity, grief, difficulty communicating, poor work-life balance, lack of intimacy, and many more issues. There are times when life becomes difficult and it seems like it is always conflict and tough times. Therapy can provide tools and direction for regaining trust, restoring intimacy, problem-solving, healthy communication, and balance.
(346) 248-4159 View (346) 248-4159
Photo of Tania Pratt, Licensed Professional Counselor in Houston, TX
Tania Pratt
Licensed Professional Counselor, LPC
Verified Verified
Houston, TX 77040
Hello and welcome! My name is Tania Pratt, and I am a licensed professional counselor (LPC) based in Texas. I specialize in working with individuals that come from diverse backgrounds seeking support and guidance to navigate through difficult life transitions, heal from past traumas, manage overwhelming emotions, and improve relationships. With a diverse experience working with clients of all ages, I customize my therapeutic approach to cater to each individual's specific needs.
Hello and welcome! My name is Tania Pratt, and I am a licensed professional counselor (LPC) based in Texas. I specialize in working with individuals that come from diverse backgrounds seeking support and guidance to navigate through difficult life transitions, heal from past traumas, manage overwhelming emotions, and improve relationships. With a diverse experience working with clients of all ages, I customize my therapeutic approach to cater to each individual's specific needs.
(281) 789-6341 View (281) 789-6341
Photo of Dr. Temara Holt, Psychologist in Houston, TX
Dr. Temara Holt
Psychologist, PhD
Verified Verified
2 Endorsed
Houston, TX 77027
Trauma has a way of taking over every aspect of your life, from your day-to-day interactions with others to the quiet moments alone. Maybe it creeps up in your love life and tells you, that you are broken and unworthy of healthy love. Perhaps it has gotten in the way of your parenting or work and feels like a ton of bricks in a backpack that you can’t seem to put down. Either way, trauma wounds, like grief, anxiety, and depression get in the way of living your life at its fullest potential. They cloud your values and impact your access to peace, pleasure, and pain-free life. What would it look like to unpack this backpack?
Trauma has a way of taking over every aspect of your life, from your day-to-day interactions with others to the quiet moments alone. Maybe it creeps up in your love life and tells you, that you are broken and unworthy of healthy love. Perhaps it has gotten in the way of your parenting or work and feels like a ton of bricks in a backpack that you can’t seem to put down. Either way, trauma wounds, like grief, anxiety, and depression get in the way of living your life at its fullest potential. They cloud your values and impact your access to peace, pleasure, and pain-free life. What would it look like to unpack this backpack?
(469) 697-0670 View (469) 697-0670
Photo of Amy Wong, Marriage & Family Therapist in Houston, TX
Amy Wong
Marriage & Family Therapist, LMFT, LCDC
Verified Verified
8 Endorsed
Houston, TX 77079  (Online Only)
So you’ve found yourself waking up day after day wondering how you have gotten to this place in your relationship, wondering if there is something more? Maybe you have thought, “Something has got to change; or any change is better than no change at all.” Perhaps making a decision seems terrifying because the answers seem unclear. The thought of making the “wrong decision” keeps you stuck in a perpetual limbo. I work with people just like you who are trying to make sense of where they are in their relationship and unsure about how to move in a forward direction.
So you’ve found yourself waking up day after day wondering how you have gotten to this place in your relationship, wondering if there is something more? Maybe you have thought, “Something has got to change; or any change is better than no change at all.” Perhaps making a decision seems terrifying because the answers seem unclear. The thought of making the “wrong decision” keeps you stuck in a perpetual limbo. I work with people just like you who are trying to make sense of where they are in their relationship and unsure about how to move in a forward direction.
(832) 648-1814 View (832) 648-1814
Photo of Constence Moss, Licensed Professional Counselor in Houston, TX
Constence Moss
Licensed Professional Counselor, LPC
Verified Verified
Houston, TX 77063
I provide support for children, adolescents, and adults having difficulties managing depression, anxiety, mood disorder, peer relationships, and post-traumatic stress disorder. I utilize a variety of therapeutic modalities depending on the client’s needs. These include Cognitive Behavioral Therapy, Solution-Focused Brief Therapy, Play Therapy, and Motivational Interviewing. We will work together to clarify and establish personal goals and help you determine what does and does not work for you.
I provide support for children, adolescents, and adults having difficulties managing depression, anxiety, mood disorder, peer relationships, and post-traumatic stress disorder. I utilize a variety of therapeutic modalities depending on the client’s needs. These include Cognitive Behavioral Therapy, Solution-Focused Brief Therapy, Play Therapy, and Motivational Interviewing. We will work together to clarify and establish personal goals and help you determine what does and does not work for you.
(346) 787-1214 View (346) 787-1214
Photo of Leonice Ferreira, Licensed Professional Counselor in Houston, TX
Leonice Ferreira
Licensed Professional Counselor, MA, LPC, LMHC
Verified Verified
Houston, TX 77006  (Online Only)
Have you ever felt like you were not living up to your own expectations as a parent? Are you struggling with the challenges of raising a child with special needs? Is your child having mental health or behavioral issues, and while you are doing your best to support your child, do you feel alone in this challenging journey? Do you feel misunderstood, judged, overwhelmed, or stressed in your role as a parent? Maybe you are struggling to establish mutual understanding with your grown child on issues you disagree with.
Have you ever felt like you were not living up to your own expectations as a parent? Are you struggling with the challenges of raising a child with special needs? Is your child having mental health or behavioral issues, and while you are doing your best to support your child, do you feel alone in this challenging journey? Do you feel misunderstood, judged, overwhelmed, or stressed in your role as a parent? Maybe you are struggling to establish mutual understanding with your grown child on issues you disagree with.
(346) 810-6540 View (346) 810-6540
Photo of Ruben Chavez, Licensed Professional Counselor in Houston, TX
Ruben Chavez
Licensed Professional Counselor, LPC
Verified Verified
Houston, TX 77060
I am a licensed professional counselor. I understand that life can present various challenges and seeking support is a courageous step toward personal growth and well-being. I typically work with individuals from young adolescence to adults to empower them with the tools and insights necessary to overcome obstacles. I often assist clients in coping with depression, trauma, stress, relationship issues, anxiety, and various other conditions. My approach is one that is client-centered, tailoring my services to meet your unique needs and goals.
I am a licensed professional counselor. I understand that life can present various challenges and seeking support is a courageous step toward personal growth and well-being. I typically work with individuals from young adolescence to adults to empower them with the tools and insights necessary to overcome obstacles. I often assist clients in coping with depression, trauma, stress, relationship issues, anxiety, and various other conditions. My approach is one that is client-centered, tailoring my services to meet your unique needs and goals.
(832) 583-7053 View (832) 583-7053
Photo of Jennifer Lee Sophia Sylvester, Clinical Social Work/Therapist in Houston, TX
Jennifer Lee Sophia Sylvester
Clinical Social Work/Therapist, LCSW
Verified Verified
Houston, TX 77017
Welcome! I am a master-level Licensed Clinical Social Worker in Texas with over 34 years of experience. I have worked with individuals and couples with a wide variety of issues including anxiety, depression, grief, and women's issues, amongst others. My goal is to create a safe environment so that your healing can progress. My approach is compassion-focused and uses aspects from various therapy styles such as ACT, CBT, MBCT, and Humanistic so you can have a well-rounded path of recovery.
Welcome! I am a master-level Licensed Clinical Social Worker in Texas with over 34 years of experience. I have worked with individuals and couples with a wide variety of issues including anxiety, depression, grief, and women's issues, amongst others. My goal is to create a safe environment so that your healing can progress. My approach is compassion-focused and uses aspects from various therapy styles such as ACT, CBT, MBCT, and Humanistic so you can have a well-rounded path of recovery.
(832) 979-7924 View (832) 979-7924
Photo of William H Sharpe III, Licensed Professional Counselor in Houston, TX
William H Sharpe III
Licensed Professional Counselor, MS, LPC, NCC
Verified Verified
2 Endorsed
Houston, TX 77057
A new day means a new opportunity… I’m humbled and enthused to share in your experiences, challenges, and accomplishments as we navigate through life. Therapy can be scary and new for many, and although that may be true, I want to reassure you that this is the space and the place to grow in ways that are truly life changing.
A new day means a new opportunity… I’m humbled and enthused to share in your experiences, challenges, and accomplishments as we navigate through life. Therapy can be scary and new for many, and although that may be true, I want to reassure you that this is the space and the place to grow in ways that are truly life changing.
(281) 378-6746 View (281) 378-6746
Photo of Online Virtual Therapy With Anna Cross LPC, Licensed Professional Counselor in Houston, TX
Online Virtual Therapy With Anna Cross LPC
Licensed Professional Counselor, MEd, LPC
Verified Verified
1 Endorsed
Houston, TX 77008  (Online Only)
Do you keep worrying about the same things? Do you keep doing the same behavior over and over again no matter how hard you try to stop? Do you keep avoiding things that make you feel scared? I have seen how negative thought loops are related to many issues that affect our mood and behavior. Sometimes we can be stuck in these negative loops for days, weeks and even years affecting our relationships, social life, and work performance. With the help of therapy, you can learn how to develop a new set of skills to break out of these loops and move toward improving your overall wellbeing.
Do you keep worrying about the same things? Do you keep doing the same behavior over and over again no matter how hard you try to stop? Do you keep avoiding things that make you feel scared? I have seen how negative thought loops are related to many issues that affect our mood and behavior. Sometimes we can be stuck in these negative loops for days, weeks and even years affecting our relationships, social life, and work performance. With the help of therapy, you can learn how to develop a new set of skills to break out of these loops and move toward improving your overall wellbeing.
(713) 636-5375 View (713) 636-5375
Photo of West Houston Counseling and Psychology, LLC, Clinical Social Work/Therapist in Houston, TX
West Houston Counseling and Psychology, LLC
Clinical Social Work/Therapist
Verified Verified
1 Endorsed
Houston, TX 77079
West Houston Counseling and Psychology (WHCP) offers individual, group, family therapy and provides workshops and presentations in the community. Amy Acosta, PhD and Nickie Haine, LCSW-S co-own WHCP, conveniently situated in the Memorial area of West Houston near the Energy Corridor and surrounding areas (Katy, West Houston, Cypress, Galleria). We are passionate about providing a safe, welcoming space for individuals, teens, children and families to explore their behaviors, thoughts, and feelings to move towards the lives that they imagine.
West Houston Counseling and Psychology (WHCP) offers individual, group, family therapy and provides workshops and presentations in the community. Amy Acosta, PhD and Nickie Haine, LCSW-S co-own WHCP, conveniently situated in the Memorial area of West Houston near the Energy Corridor and surrounding areas (Katy, West Houston, Cypress, Galleria). We are passionate about providing a safe, welcoming space for individuals, teens, children and families to explore their behaviors, thoughts, and feelings to move towards the lives that they imagine.
(281) 644-0789 View (281) 644-0789
Photo of Melissa Patak, Licensed Professional Counselor in Houston, TX
Melissa Patak
Licensed Professional Counselor, LPC
Verified Verified
1 Endorsed
Houston, TX 77069
As a mental health counselor, I have worked with various populations focusing on issues of anxiety, depression, and trauma. My passion stems from my own experience of watching others struggle with mental health issues. After a long career in the legal field, I made the transition to counseling to help others who may also be struggling. I am here to provide support to you as you work towards emotional and mental wellness by helping you build on your strengths and introducing new skills through a collaborative relationship.
As a mental health counselor, I have worked with various populations focusing on issues of anxiety, depression, and trauma. My passion stems from my own experience of watching others struggle with mental health issues. After a long career in the legal field, I made the transition to counseling to help others who may also be struggling. I am here to provide support to you as you work towards emotional and mental wellness by helping you build on your strengths and introducing new skills through a collaborative relationship.
(346) 205-0118 View (346) 205-0118
Photo of A Place of Peace Therapeutic Services, Clinical Social Work/Therapist in Houston, TX
A Place of Peace Therapeutic Services
Clinical Social Work/Therapist, LMSW, LCSW
Verified Verified
1 Endorsed
Houston, TX 77084  (Online Only)
Hello! I am DeEdra Powell LMSW, LCSW licensed in the state Texas. I graduated from the University of Houston with a Bachelors in Communication and a Masters Degree in Social Work in 2016. I have spent the last 15 years of my career working with children and families in the child welfare system helping to mend families while treating the individual. I have a wealth of knowledge in issues related to parenting, attachment, substance abuse, trauma and child development.
Hello! I am DeEdra Powell LMSW, LCSW licensed in the state Texas. I graduated from the University of Houston with a Bachelors in Communication and a Masters Degree in Social Work in 2016. I have spent the last 15 years of my career working with children and families in the child welfare system helping to mend families while treating the individual. I have a wealth of knowledge in issues related to parenting, attachment, substance abuse, trauma and child development.
(832) 521-8251 View (832) 521-8251
Photo of Christina Wright, Clinical Social Work/Therapist in Houston, TX
Christina Wright
Clinical Social Work/Therapist, LCSW
Verified Verified
Houston, TX 77044
Hello there, my name is Christina Wright, and I am a Licensed Clinical Social Worker in Texas license number 56748. My approach to therapy is through compassion and empathy, holding space for all your difficult thoughts and feelings and helping you process through these through aspects from Cognitive Behavior Therapy, Solution Focused Therapy, and Mindfulness techniques. I work with clients from age 18 and up with experience with issues that arise with aging and navigating changing lives. I have experience with many diagnoses in many different settings.
Hello there, my name is Christina Wright, and I am a Licensed Clinical Social Worker in Texas license number 56748. My approach to therapy is through compassion and empathy, holding space for all your difficult thoughts and feelings and helping you process through these through aspects from Cognitive Behavior Therapy, Solution Focused Therapy, and Mindfulness techniques. I work with clients from age 18 and up with experience with issues that arise with aging and navigating changing lives. I have experience with many diagnoses in many different settings.
(281) 823-9573 View (281) 823-9573
Photo of Greg LaLiberte, Licensed Professional Counselor in Houston, TX
Greg LaLiberte
Licensed Professional Counselor, LPC-S
Verified Verified
Houston, TX 77077  (Online Only)
Not accepting new clients
Consider me a non-pretentious person, who wants to help you improve your quality of life. I work out of Houston. Be assured, that we respect all people, belief systems, religions, creeds, and lifestyles. Everyone from Progressives to Traditionalists, are welcomed. I do talk therapy, and mental health/substance abuse, and ESA (Emotional Support Animal) assessments. In addition, I am an Approved Texas LPC-Associate / Intern Supervisor; willing to help someone on the road to full licensure.
Consider me a non-pretentious person, who wants to help you improve your quality of life. I work out of Houston. Be assured, that we respect all people, belief systems, religions, creeds, and lifestyles. Everyone from Progressives to Traditionalists, are welcomed. I do talk therapy, and mental health/substance abuse, and ESA (Emotional Support Animal) assessments. In addition, I am an Approved Texas LPC-Associate / Intern Supervisor; willing to help someone on the road to full licensure.
(281) 462-5083 View (281) 462-5083

How does your Therapist compare?

Number of Therapists in Houston, TX

3,000+

Average cost per session

$135

Therapists in Houston, TX who prioritize treating:

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

Average years in practice

10 Years

Top 3 insurances accepted

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.