Therapists in Houston, TX

View neighborhoods in Houston
Photo of Sehrish Ali, Licensed Professional Counselor in Houston, TX
Sehrish Ali
Licensed Professional Counselor, PhD, LPC, CEDS
Verified Verified
4 Endorsed
Houston, TX 77027
Seeking therapy during a period of change and growth can be stressful and scary. Overcoming your personal barriers to change and finding confidence within yourself to reach your fullest potential is possible. I believe that growth and awareness are often achieved in the most difficult, uncomfortable, and challenging moments of our lives. Unfortunately, these are also the moments which can cause us to feel the most isolated and alone, leading us to feel a sense of hopelessness and at times even worthlessness. How we choose to cope and who we choose to have around as we learn to cope can be vital to our growth.
Seeking therapy during a period of change and growth can be stressful and scary. Overcoming your personal barriers to change and finding confidence within yourself to reach your fullest potential is possible. I believe that growth and awareness are often achieved in the most difficult, uncomfortable, and challenging moments of our lives. Unfortunately, these are also the moments which can cause us to feel the most isolated and alone, leading us to feel a sense of hopelessness and at times even worthlessness. How we choose to cope and who we choose to have around as we learn to cope can be vital to our growth.
(832) 501-2378 View (832) 501-2378
Photo of Icare4you, Licensed Professional Counselor in Houston, TX
Icare4you
Licensed Professional Counselor, LPC
Verified Verified
Houston, TX 77043  (Online Only)
Welcome my name is Kareem Hicks and I commend anyone that has the desire to grow. Often times, our environments & comfort zones may stagnate or stunt our growth. To me there is no such thing as the ideal client when it comes to therapy. The ideal client to me would be a client who is willing to act and commit on barriers that they are facing currently. The purpose of therapy is to align the individual with the tools to overcome barriers that hinder growth and stability.
Welcome my name is Kareem Hicks and I commend anyone that has the desire to grow. Often times, our environments & comfort zones may stagnate or stunt our growth. To me there is no such thing as the ideal client when it comes to therapy. The ideal client to me would be a client who is willing to act and commit on barriers that they are facing currently. The purpose of therapy is to align the individual with the tools to overcome barriers that hinder growth and stability.
(832) 990-0718 View (832) 990-0718
Photo of Terry M. Richter, Clinical Social Work/Therapist in Houston, TX
Terry M. Richter
Clinical Social Work/Therapist, LCSW
Verified Verified
Houston, TX 77090
Your story matters! Everybody has a story and everybody can create a new story. I love to help people find their passion again, beginning in this very moment. Depression and anxiety have to do with a fear of the future, past experiences, or being on the edge of the unknown. The antidote is to live fully in the present through mindfulness of breathing and/or centering prayer; accepting what is. I would love to accompany you in travelling safely and calmly through your life transitions. Whether you are an adolescent, adult, married, divorcing, single, a survivor, I would feel honored to hear your unique story.
Your story matters! Everybody has a story and everybody can create a new story. I love to help people find their passion again, beginning in this very moment. Depression and anxiety have to do with a fear of the future, past experiences, or being on the edge of the unknown. The antidote is to live fully in the present through mindfulness of breathing and/or centering prayer; accepting what is. I would love to accompany you in travelling safely and calmly through your life transitions. Whether you are an adolescent, adult, married, divorcing, single, a survivor, I would feel honored to hear your unique story.
(832) 632-8578 View (832) 632-8578
Photo of Lizzie West, Licensed Professional Counselor in Houston, TX
Lizzie West
Licensed Professional Counselor, LPC
Verified Verified
Houston, TX 77098  (Online Only)
I utilize an integrative approach to therapy, drawing from Cognitive Behavior Therapy (CBT), Acceptance and Commitment Therapy (ACT), and Psychodynamic principles, while believing in the importance of building a strong therapeutic alliance and collaboratively working with clients to identify their goals and develop a personalized treatment plan. As well, I incorporate mindfulness techniques and stress reduction strategies to promote emotional regulation and enhance overall well-being.
I utilize an integrative approach to therapy, drawing from Cognitive Behavior Therapy (CBT), Acceptance and Commitment Therapy (ACT), and Psychodynamic principles, while believing in the importance of building a strong therapeutic alliance and collaboratively working with clients to identify their goals and develop a personalized treatment plan. As well, I incorporate mindfulness techniques and stress reduction strategies to promote emotional regulation and enhance overall well-being.
(346) 483-7541 View (346) 483-7541
Photo of Brittiny Brown - Mindful Health Solutions, Licensed Professional Counselor in Houston, TX
Brittiny Brown - Mindful Health Solutions
Licensed Professional Counselor, LPC
Verified Verified
1 Endorsed
Houston, TX 77004  (Online Only)
My ideal client struggles with anxiety, depression, and difficult life adjustments. I enjoy helping patients reach their full potential and helping them navigate through life, especially during difficult times.I believe in achieving high-quality work as a therapist, which means meeting an individual where they are. This looks like listening to someone, without judgment, to understand/analyze their wants and needs. This also means understanding where they are on their journey and trying to find ways in which I can assist them in reaching their goals.
My ideal client struggles with anxiety, depression, and difficult life adjustments. I enjoy helping patients reach their full potential and helping them navigate through life, especially during difficult times.I believe in achieving high-quality work as a therapist, which means meeting an individual where they are. This looks like listening to someone, without judgment, to understand/analyze their wants and needs. This also means understanding where they are on their journey and trying to find ways in which I can assist them in reaching their goals.
(832) 261-7556 View (832) 261-7556
Photo of Nikita Tate-Casanova, Marriage & Family Therapist in Houston, TX
Nikita Tate-Casanova
Marriage & Family Therapist, LMFT
Verified Verified
Houston, TX 77064
Welcome. I am Dr. Nikita Tate-Casanova, Ph.D. and a licensed marriage and family therapist (LMFT) working with individuals, couples, and families across the lifespan. I am committed to caring for the whole individual and family including spiritual, emotional, and physical health in ways that are suited to each individual. I work with clients struggling with past and present trauma, anxiety, depression, spiritual concerns, couple conflict, mood disorders, cultural and ethnic issues, blended family issues, grief and end-of-life issues, phobias, and OCD.
Welcome. I am Dr. Nikita Tate-Casanova, Ph.D. and a licensed marriage and family therapist (LMFT) working with individuals, couples, and families across the lifespan. I am committed to caring for the whole individual and family including spiritual, emotional, and physical health in ways that are suited to each individual. I work with clients struggling with past and present trauma, anxiety, depression, spiritual concerns, couple conflict, mood disorders, cultural and ethnic issues, blended family issues, grief and end-of-life issues, phobias, and OCD.
(281) 801-4951 View (281) 801-4951
Photo of Kathryn Smyth, Clinical Social Work/Therapist in Houston, TX
Kathryn Smyth
Clinical Social Work/Therapist, LCSW
Verified Verified
8 Endorsed
Houston, TX 77024
As a therapist, I am a compassionate witness to your story, helping you to heal, grow and thrive. I am dedicated to creating a safe and supportive environment where you can embark on a transformative journey towards empowerment, resilience and wholeness. I hold a deep belief in the inherent resilience of the human spirit and its capacity to heal from even the most challenging experiences. Whether you're facing past traumas, anxiety, life stressors, or any other emotional difficulties, I am here to guide you towards healing and recovery using various trauma-informed modalities.
As a therapist, I am a compassionate witness to your story, helping you to heal, grow and thrive. I am dedicated to creating a safe and supportive environment where you can embark on a transformative journey towards empowerment, resilience and wholeness. I hold a deep belief in the inherent resilience of the human spirit and its capacity to heal from even the most challenging experiences. Whether you're facing past traumas, anxiety, life stressors, or any other emotional difficulties, I am here to guide you towards healing and recovery using various trauma-informed modalities.
(832) 838-9879 View (832) 838-9879
Photo of Kaitlyn E Bowie, Licensed Professional Counselor Associate in Houston, TX
Kaitlyn E Bowie
Licensed Professional Counselor Associate, MA, LPC-A
Verified Verified
1 Endorsed
Houston, TX 77027  (Online Only)
I approach therapy as a partnership. I believe that people are able to identify and discover their unique strengths, gifts, and wounds through a supportive therapeutic relationship. I really believe in the deep goodness of each person and understand that part of recovering from difficulties and trauma involves re-discovering this goodness and understanding what interrupted growth. Together, I collaborate with people to develop resources and practices that provide an additional layer of support while doing the vulnerable and challenging work of therapy.
I approach therapy as a partnership. I believe that people are able to identify and discover their unique strengths, gifts, and wounds through a supportive therapeutic relationship. I really believe in the deep goodness of each person and understand that part of recovering from difficulties and trauma involves re-discovering this goodness and understanding what interrupted growth. Together, I collaborate with people to develop resources and practices that provide an additional layer of support while doing the vulnerable and challenging work of therapy.
(832) 979-0835 View (832) 979-0835
Photo of Lind Butler, Licensed Professional Counselor in Houston, TX
Lind Butler
Licensed Professional Counselor, MEd, LPC
Verified Verified
Houston, TX 77030  (Online Only)
Waitlist for new clients
Therapy is a partnership that grows in an atmosphere of safety and acceptance. It allows one to rediscover the parts of selves which may have been disowned; to learn new skills to handle grief and distress; to build healthier, more nurturing relationships; and to gain access to one's own direct experience of the world. I nurture this collaboration with clients and recognize that within each of us there exists a deeper wisdom that, given adequate support, naturally moves toward healing and integration.
Therapy is a partnership that grows in an atmosphere of safety and acceptance. It allows one to rediscover the parts of selves which may have been disowned; to learn new skills to handle grief and distress; to build healthier, more nurturing relationships; and to gain access to one's own direct experience of the world. I nurture this collaboration with clients and recognize that within each of us there exists a deeper wisdom that, given adequate support, naturally moves toward healing and integration.
(713) 338-9247 View (713) 338-9247
Photo of Eileen Peters Franklin, Marriage & Family Therapist in Houston, TX
Eileen Peters Franklin
Marriage & Family Therapist, LMFT
Verified Verified
Houston, TX 77024
Eileen Peters Franklin is a Licensed Marriage and Family therapist (LMFT), Licensed Chemical Dependency Counselor (LCDC) in the state of Texas. She graduated from Prairie View A&M College and majored in Fashion Design. Later she enhanced her career at Texas Southern University in Guidance and Counseling. Furthered her education and expanded her career at the University of Houston with a license in Chemical Dependency Counseling. She also holds several certificates, a lifetime teachers certificate and several certificates for Crisis Intervention counseling. Education and leadership are priorities in her life.
Eileen Peters Franklin is a Licensed Marriage and Family therapist (LMFT), Licensed Chemical Dependency Counselor (LCDC) in the state of Texas. She graduated from Prairie View A&M College and majored in Fashion Design. Later she enhanced her career at Texas Southern University in Guidance and Counseling. Furthered her education and expanded her career at the University of Houston with a license in Chemical Dependency Counseling. She also holds several certificates, a lifetime teachers certificate and several certificates for Crisis Intervention counseling. Education and leadership are priorities in her life.
(346) 472-3564 View (346) 472-3564
Photo of Pam Rogers, Licensed Professional Counselor in Houston, TX
Pam Rogers
Licensed Professional Counselor, MA, LPC
Verified Verified
Houston, TX 77070
Whether you are in intense crisis or an average healthy individual, the knowledge that comes from understanding how the mind processes can improve how you think, how you feel and how you interact with others. Intrusive thoughts and the compulsive behavior of dwelling in the thought (worry) until we have 100% certainty is a faulty training of the mind; it originates in our young mind as a child with immature cognitive abilities, leading to the development of errored-thinking and biased perception.
Whether you are in intense crisis or an average healthy individual, the knowledge that comes from understanding how the mind processes can improve how you think, how you feel and how you interact with others. Intrusive thoughts and the compulsive behavior of dwelling in the thought (worry) until we have 100% certainty is a faulty training of the mind; it originates in our young mind as a child with immature cognitive abilities, leading to the development of errored-thinking and biased perception.
(346) 239-8248 View (346) 239-8248
Photo of Tiffany Belfrom, Licensed Professional Counselor in Houston, TX
Tiffany Belfrom
Licensed Professional Counselor, LPC
Verified Verified
Houston, TX 77074
Welcome! I am Tiffany Belfrom, a Licensed Professional Counselor, Nationally Board Certified Counselor, Certified Clinical Trauma Professional, and Holistic Mindset Coach based in Houston, Texas. I provide services to a diverse population of adults across the state of Texas via telehealth. I specialize in emotional regulation, impulse control, identity development, habit/routine formation, and Imposter Syndrome reduction through individualized integration of treatment modalities, including; Cognitive Behavioral Therapy, Cognitive Processing Therapy, Solution-Focused Therapy, EMDR, Mindfulness, and Assertiveness Training.
Welcome! I am Tiffany Belfrom, a Licensed Professional Counselor, Nationally Board Certified Counselor, Certified Clinical Trauma Professional, and Holistic Mindset Coach based in Houston, Texas. I provide services to a diverse population of adults across the state of Texas via telehealth. I specialize in emotional regulation, impulse control, identity development, habit/routine formation, and Imposter Syndrome reduction through individualized integration of treatment modalities, including; Cognitive Behavioral Therapy, Cognitive Processing Therapy, Solution-Focused Therapy, EMDR, Mindfulness, and Assertiveness Training.
(346) 567-8946 View (346) 567-8946
Photo of Julie Shuford, LPC-Associate in Houston, TX
Julie Shuford
LPC-Associate
Verified Verified
Houston, TX 77098
At one time or another, we all face challenges in our lives. Some of these issues may become too complex for us to handle alone. These struggles and life challenges may never go away. And the past can feel like the present. However, things can improve, and the difficulties you are currently struggling with can be resolved with therapy. Seeking counseling may be the first step towards restoring peace and happiness in your life. It is essential to find the right therapist for you. I am committed to helping you achieve your goals and support you throughout your journey.
At one time or another, we all face challenges in our lives. Some of these issues may become too complex for us to handle alone. These struggles and life challenges may never go away. And the past can feel like the present. However, things can improve, and the difficulties you are currently struggling with can be resolved with therapy. Seeking counseling may be the first step towards restoring peace and happiness in your life. It is essential to find the right therapist for you. I am committed to helping you achieve your goals and support you throughout your journey.
(832) 281-6172 View (832) 281-6172
Photo of Psychological Testing: Immigration, ADHD, MMPI, Psychologist in Houston, TX
Psychological Testing: Immigration, ADHD, MMPI
Psychologist, PhD
Verified Verified
4 Endorsed
Houston, TX 77092
Houston/Dallas/Round Rock (Bilingual services) Do you need an affordable psychological evaluation or counseling for your immigration case? Dr. July and his associates understand these services can be expensive and that is why we offer affordable fees and a payment plan option. We provide service with the high professional standards that you need for your case. We are experienced in understanding immigration issues. During the process of working with us you will be treated with respect and we will explain the results to you in a way that will help you improve your life.
Houston/Dallas/Round Rock (Bilingual services) Do you need an affordable psychological evaluation or counseling for your immigration case? Dr. July and his associates understand these services can be expensive and that is why we offer affordable fees and a payment plan option. We provide service with the high professional standards that you need for your case. We are experienced in understanding immigration issues. During the process of working with us you will be treated with respect and we will explain the results to you in a way that will help you improve your life.
(713) 893-4339 View (713) 893-4339
Photo of Janika Williams, LPC-Associate in Houston, TX
Janika Williams
LPC-Associate, MEd, CSC, LPC-A
Verified Verified
1 Endorsed
Houston, TX 77095
Welcome! I have a passion for helping individuals navigate life's challenges and discover their inner strength. With a background as a Certified School Counselor and extensive experience in the school setting, I have a deep understanding of the unique struggles faced by students and young adults. I specialize in working with individuals who grapple with anxiety disorders, self-esteem issues, and ADHD. Together, we'll embark on a journey of self-discovery and growth, where you are the expert of your own path. My role is to provide you with the tools and support needed to navigate your specific journey with confidence.
Welcome! I have a passion for helping individuals navigate life's challenges and discover their inner strength. With a background as a Certified School Counselor and extensive experience in the school setting, I have a deep understanding of the unique struggles faced by students and young adults. I specialize in working with individuals who grapple with anxiety disorders, self-esteem issues, and ADHD. Together, we'll embark on a journey of self-discovery and growth, where you are the expert of your own path. My role is to provide you with the tools and support needed to navigate your specific journey with confidence.
(832) 675-0222 View (832) 675-0222
Photo of Aimee Burke Rodriguez, Clinical Social Work/Therapist in Houston, TX
Aimee Burke Rodriguez
Clinical Social Work/Therapist, LCSW
Verified Verified
Houston, TX 77027
Aimee Rodriguez is a Licensed Clinical Social Worker who wants everyone who walks into her office to know that they are in a safe, accepting, and engaging space. She has had the privilege of counseling and working with children and families for over 20 years and knows that navigating the tween, teen and young adult years can feel overwhelming for everyone involved. As a counselor, and mother of two, Aimee wants to normalize the need for counseling and support for teenagers and their families.
Aimee Rodriguez is a Licensed Clinical Social Worker who wants everyone who walks into her office to know that they are in a safe, accepting, and engaging space. She has had the privilege of counseling and working with children and families for over 20 years and knows that navigating the tween, teen and young adult years can feel overwhelming for everyone involved. As a counselor, and mother of two, Aimee wants to normalize the need for counseling and support for teenagers and their families.
(713) 804-9560 View (713) 804-9560
Photo of Brian Schulz, Licensed Professional Counselor in Houston, TX
Brian Schulz
Licensed Professional Counselor, MSEd, LPHA, LPC, LCDC, CCPT
Verified Verified
1 Endorsed
Houston, TX 77058
If you are not at your best right now, feeling bored, sad, anxious, unmotivated, or even helpless, please give me a call. We can set up a free phone consultation and if you're interested, a first appointment. Counseling can help individuals, couples, and families dealing with difficult times and behavioral challenges. Call now to set up your first appointment. You can make a change and counseling can help. Your goals are my goals! Happiness is something we create. No one can make you happy. You create your happiness. There is hope. Hopeful Texas, PLLC
If you are not at your best right now, feeling bored, sad, anxious, unmotivated, or even helpless, please give me a call. We can set up a free phone consultation and if you're interested, a first appointment. Counseling can help individuals, couples, and families dealing with difficult times and behavioral challenges. Call now to set up your first appointment. You can make a change and counseling can help. Your goals are my goals! Happiness is something we create. No one can make you happy. You create your happiness. There is hope. Hopeful Texas, PLLC
(281) 549-4705 View (281) 549-4705
Photo of Nealy Jenkins Sr, Clinical Social Work/Therapist in Houston, TX
Nealy Jenkins Sr
Clinical Social Work/Therapist, LCSW
Verified Verified
Houston, TX 77002  (Online Only)
Hello, I am a Licensed Clinical Social Worker based in Texas.
Hello, I am a Licensed Clinical Social Worker based in Texas.
(832) 669-6440 View (832) 669-6440
Photo of Dr. Bonita Sur, Psychologist in Houston, TX
Dr. Bonita Sur
Psychologist, PhD
Verified Verified
1 Endorsed
Houston, TX 77063  (Online Only)
Dr. Sur is passionate about providing evidence-based treatments to help individuals manage their emotions as well as notice and challenge their thinking patterns in ways that are consistent with their long-term goals and values. She thrives in working collaboratively with clients to best overcome life’s challenges in a way that feels authentic to them.
Dr. Sur is passionate about providing evidence-based treatments to help individuals manage their emotions as well as notice and challenge their thinking patterns in ways that are consistent with their long-term goals and values. She thrives in working collaboratively with clients to best overcome life’s challenges in a way that feels authentic to them.
(281) 957-1440 View (281) 957-1440
Photo of Kyrbi Davis, Clinical Social Work/Therapist in Houston, TX
Kyrbi Davis
Clinical Social Work/Therapist, LCSW, LCDC
Verified Verified
Houston, TX 77019  (Online Only)
I am a Licensed Clinical Social Worker and have been working in the field for over 8 years. I have worked with adult clients experiencing depression, anxiety, relationship issues, family of origin matters, women's issues, and a number of other life stressors. The approaches I utilize are cognitive behavioral, motivational interviewing, reality testing, strengths approach, narrative therapy, and solution-focused therapy.
I am a Licensed Clinical Social Worker and have been working in the field for over 8 years. I have worked with adult clients experiencing depression, anxiety, relationship issues, family of origin matters, women's issues, and a number of other life stressors. The approaches I utilize are cognitive behavioral, motivational interviewing, reality testing, strengths approach, narrative therapy, and solution-focused therapy.
(281) 369-8863 View (281) 369-8863

How does your Therapist compare?

Number of Therapists in Houston, TX

3,000+

Average cost per session

$135

Therapists in Houston, TX who prioritize treating:

92% Anxiety
87% Depression
74% Self Esteem
71% Coping Skills
68% Relationship Issues
66% Stress
64% Trauma and PTSD

Average years in practice

10 Years

Top 3 insurances accepted

85% Aetna
80% Cigna and Evernorth
80% UnitedHealthcare UHC | UBH

How Therapists in Houston, TX see their clients

55% In Person and Online
45% Online Only

Gender breakdown

82% Female
17% Male
1% Non-Binary
FAQs - About Therapy and Counseling

How can I find a therapist in Houston?

Search for nearby therapists or counselors by inputting your city, town, or suburb; or zip code; or a provider’s name into the search bar. From there, you can filter providers by the issues they treat, cost, insurance, gender, and other factors to find providers who are well-suited to your needs. To navigate between locations within the same country, enter a new city or zip code into the search bar.

Learn more about how to find a therapist

Is everyone in the Psychology Today Therapy Directory a licensed therapist?

The Psychology Today directory lists providers who offer legitimate mental health services to the public, including psychologists, psychiatrists, social workers, and counselors.

Many have been licensed by the country or state where they practice; providers whose license or primary credential has been verified by Psychology Today are signified by a “Verified” symbol. Some clinicians or organizations provide services for which their state or country does not offer licenses, such as pastoral counseling. They may be selectively included without the “Verified” seal.

What’s the difference between a psychologist, a therapist, and a counselor?

Therapists, psychologists, and counselors are all licensed mental health professionals. In the US, psychologists have earned a doctoral degree. The terms “therapist” and “counselor” are used somewhat interchangeably, but generally therapists offer longer-term, mental health care, while counselors offer shorter-term care that may focus on one domain, such as marriage, career, or academic challenges.

Clients should consider factors such as insurance coverage and their primary reason(s) for seeking therapy to determine the type of professional best suited to their needs. Someone struggling with mental health challenges such as depression or anxiety, for example, may wish to seek out a clinical psychologist or therapist, while someone navigating career obstacles or marital upheaval may benefit from seeing a counselor who can offer short-term, targeted support.

What type of therapy is right for me?

The type of therapy best suited to a particular individual depends on several factors, including their primary reason for seeking therapy, their preferred timeline (some therapy types last for a set number of sessions, while others are open-ended), and their personality and preferences—some may prefer a more structured approach. For many individuals, multiple types of therapy could provide a good fit.

How much does therapy cost?

The cost of therapy depends on a number of variables, including location and the therapist’s experience and training. On average, a therapy session in the United States could cost between $100 and $200 or more. If you have insurance, the expense of mental health care is typically lower, but it varies based on your insurance plan details and whether you choose an in-network or out-of-network mental healthcare provider.

What are more affordable or low cost therapy solutions?

Many therapists offer sliding scale payments, usually on a limited number of slots, which consists in an agreement between the therapist and a client to pay a reduced rate. Therapists who provide such arrangements often consider the client's income or ability to pay, but the extent of the discount is ultimately at the therapist's discretion. Furthermore, while group therapy may have different goals and benefits compared to individual therapy, it can be a more affordable solution to address certain types of issues.

Is online therapy cheaper than in-person therapy?

Many therapists charge the same amount for online therapy as they do for in-person therapy—though clients may still find this cost-effective if it cuts down on their transportation costs. Health insurance plans often offer equivalent coverage for online and in-person therapy; indeed, in many places, they are legally required to do so. Text-based or on-demand therapy apps may be cheaper than traditional one-on-one psychotherapy; however, the practice may be less effective and is not likely to be covered by insurance.

Is online therapy a good option?

Therapy conducted online can be just as effective as in-person therapy, as long as there is a strong alliance between the client and the therapist. To find a therapist who provides telehealth services to clients in your area, click “Online Therapy” on the directory homepage and search by your city or town or your zip code.

Are therapy sessions confidential?

Confidentiality is a crucial part of the therapeutic relationship. Therapists in the United States are bound by the regulations set out by the Health Insurance Portability and Accountability Act of 1996 (HIPAA), which aims to protect sensitive health information. With very few exceptions, a therapist will only discuss their client with others when the client has given their written permission. The instances in which a therapist would be required to disclose personal information are: if a client poses a danger to themselves or others, if the therapist suspects the abuse of a child or an elderly or otherwise dependent adult, or if they are legally forced to by court order. These exceptions to the confidentiality agreement are usually discussed with a client before their first session.