Therapists in Sugar Land, TX
Becky (Rebecca) Tompkins
Clinical Social Work/Therapist, LCSW
Verified Verified
Sugar Land, TX 77498
I began my professional career as a high school teacher. Working with patients 12 and up to identify and achieve their goals is my passion. For that reason, I left the world of test scores and grade point averages to become a therapist. Essentially, I see myself as a mirror encouraging my clients to confront their issues and a teammate assisting my clients to embrace and harness their innate strength and power to move forward even when choices seem limited.
I began my professional career as a high school teacher. Working with patients 12 and up to identify and achieve their goals is my passion. For that reason, I left the world of test scores and grade point averages to become a therapist. Essentially, I see myself as a mirror encouraging my clients to confront their issues and a teammate assisting my clients to embrace and harness their innate strength and power to move forward even when choices seem limited.
Light Minded Therapy
Licensed Professional Counselor, MA, NCC
Verified Verified
4 Endorsed
Sugar Land, TX 77498
Are you feeling stress or defeated by life and all its difficulties? You’re stuck in this cycle that you don’t understand or know how to get out of. You can’t figure out why your life is not moving forward. You try to talk to people about it, but you just don’t feel like they are hearing you. You’re feeling stressed, misunderstood and on edge more often than not. You just can’t seem to concentrate on anything and are constantly feeling overwhelmed. I get it. Sometimes it gets difficult to see through the obstacles and navigate through life’s problems. I am here to help.
Are you feeling stress or defeated by life and all its difficulties? You’re stuck in this cycle that you don’t understand or know how to get out of. You can’t figure out why your life is not moving forward. You try to talk to people about it, but you just don’t feel like they are hearing you. You’re feeling stressed, misunderstood and on edge more often than not. You just can’t seem to concentrate on anything and are constantly feeling overwhelmed. I get it. Sometimes it gets difficult to see through the obstacles and navigate through life’s problems. I am here to help.
Dr. Leah A. McCoy
Licensed Professional Counselor, EdD, LPC-S, NCC
Verified Verified
1 Endorsed
Sugar Land, TX 77478
I am passionate about creating a safe space for adult individuals and couples to explore life's challenges and their path towards intentional living and fulfilling relationships. My areas of interest and expertise include individual, pre-marital, couples, sexual health and dysfunction therapy, affair recovery, infertility, effective communication and conflict resolution, Spirituality-sensitive therapy, and relationship enrichment. I offer psychotherapy for various concerns and client populations, including high achievers, and members of helping professions (i.e., psychotherapists, medical professionals, educators, & entrepreneurs).
I am passionate about creating a safe space for adult individuals and couples to explore life's challenges and their path towards intentional living and fulfilling relationships. My areas of interest and expertise include individual, pre-marital, couples, sexual health and dysfunction therapy, affair recovery, infertility, effective communication and conflict resolution, Spirituality-sensitive therapy, and relationship enrichment. I offer psychotherapy for various concerns and client populations, including high achievers, and members of helping professions (i.e., psychotherapists, medical professionals, educators, & entrepreneurs).
Jennifer Bertrand
Licensed Professional Counselor, MEd, LPC
Verified Verified
3 Endorsed
Sugar Land, TX 77478 (Online Only)
As social beings, we thrive when we have adequate emotional support. Through a mix of Strengths-based approaches and Solution Focused techniques I aim to provide my clients with a space free of judgment and full of compassion. I love helping others improve their self-awareness, work towards acceptance and take back control of their lives. I love getting to know my clients and collaborating with them as we explore goals for treatment. This is influenced by my passion to help others discover their best selves and create their own version of happiness.
As social beings, we thrive when we have adequate emotional support. Through a mix of Strengths-based approaches and Solution Focused techniques I aim to provide my clients with a space free of judgment and full of compassion. I love helping others improve their self-awareness, work towards acceptance and take back control of their lives. I love getting to know my clients and collaborating with them as we explore goals for treatment. This is influenced by my passion to help others discover their best selves and create their own version of happiness.
Karen T Sullivan
Clinical Social Work/Therapist, LCSW, RPT-S
Verified Verified
3 Endorsed
Sugar Land, TX 77478
For 20 years, I have helped children and their families cope with bad things that sometimes happen in a child's life. This includes abuse, divorce, school issues, loss of a loved one, or low self-esteem. I understand the ripple effects that these can have on family members and how hard it is to watch your child struggle. I use a neuroscience-informed approach to create a safe environment for clients to release the emotional pain in a way that makes the most effective use of your time.
For 20 years, I have helped children and their families cope with bad things that sometimes happen in a child's life. This includes abuse, divorce, school issues, loss of a loved one, or low self-esteem. I understand the ripple effects that these can have on family members and how hard it is to watch your child struggle. I use a neuroscience-informed approach to create a safe environment for clients to release the emotional pain in a way that makes the most effective use of your time.
Alternative Roads, LLC
Psychologist, PhD
Verified Verified
Sugar Land, TX 77479
I am a Licensed Psychologist with specialized training in the evaluation of autism, learning disabilities, intellectual, ADHD, anxiety, depression, and behavioral difficulties. I treat adults, adolescents and children. I have a holistic/integrative approach which focuses on the relationship between mind, body, and spirit attempting to understand and address the ways issues in one aspect of a person can lead to concerns in other areas. With an integrative approach to mental health and wellness, I am available to collaborate with your other health providers (e.g., psychiatrists, holistic/alternative/functional medicine doctors).
I am a Licensed Psychologist with specialized training in the evaluation of autism, learning disabilities, intellectual, ADHD, anxiety, depression, and behavioral difficulties. I treat adults, adolescents and children. I have a holistic/integrative approach which focuses on the relationship between mind, body, and spirit attempting to understand and address the ways issues in one aspect of a person can lead to concerns in other areas. With an integrative approach to mental health and wellness, I am available to collaborate with your other health providers (e.g., psychiatrists, holistic/alternative/functional medicine doctors).
Pamela J. Frazier
Licensed Professional Counselor, MA, LPC, NCC
Verified Verified
2 Endorsed
Sugar Land, TX 77478
I am passionate about helping teens (age 14+), adults, and couples learn to identify their strengths and to better understand themselves to reach their full potential and live their best lives. My approach is eclectic in that I implement various therapeutic strategies to best fit each client on an individual level. I provide counseling services to a wide range of clients by guiding, empowering, and assisting them through abusive and traumatic experiences, with a specialization in first responders and the military. I create a safe space for those experiencing depression, anxiety, self-esteem challenges, marital and women's issues.
I am passionate about helping teens (age 14+), adults, and couples learn to identify their strengths and to better understand themselves to reach their full potential and live their best lives. My approach is eclectic in that I implement various therapeutic strategies to best fit each client on an individual level. I provide counseling services to a wide range of clients by guiding, empowering, and assisting them through abusive and traumatic experiences, with a specialization in first responders and the military. I create a safe space for those experiencing depression, anxiety, self-esteem challenges, marital and women's issues.
Alessia Fontenette Madkins
Licensed Professional Counselor, MAMFT, LPC-S, CCPS, ImTT, NFB
Verified Verified
Sugar Land, TX 77478
Welcome to your story of renewal, healing, and hope. There is hope, even if you can’t see a way forward right now. God made you exactly the way He wanted you to be. We were created to live lives of peace, joy, and fulfillment. If you are not experiencing the abundant life that Christ freely gives, it's not too late! Gods wants nothing than to comfort you, love you, empower you, redeem you and see His glory shine through you. "Create in me a clean heart, O God, and renew a right sprit within me", Psalm 51:10. Each session is warm. supportive and inviting, with a Christ-centered, biblically rooted, and clinically competent approach.
Welcome to your story of renewal, healing, and hope. There is hope, even if you can’t see a way forward right now. God made you exactly the way He wanted you to be. We were created to live lives of peace, joy, and fulfillment. If you are not experiencing the abundant life that Christ freely gives, it's not too late! Gods wants nothing than to comfort you, love you, empower you, redeem you and see His glory shine through you. "Create in me a clean heart, O God, and renew a right sprit within me", Psalm 51:10. Each session is warm. supportive and inviting, with a Christ-centered, biblically rooted, and clinically competent approach.
Viviane Lock
LPC Associate, MEd, LPC-A
Verified Verified
Sugar Land, TX 77479
Life can be overwhelming at times, and finding answers can be challenging. You don’t have to go through this alone. My name is Viviane Lock. I am a Licensed Professional Counselor Associate and a Certified School Counselor in the state of Texas. We can work together to process emotions, experiences, and thoughts in an effort to cultivate transformative results. I believe in the therapeutic process being a collaborative effort with the client.
Life can be overwhelming at times, and finding answers can be challenging. You don’t have to go through this alone. My name is Viviane Lock. I am a Licensed Professional Counselor Associate and a Certified School Counselor in the state of Texas. We can work together to process emotions, experiences, and thoughts in an effort to cultivate transformative results. I believe in the therapeutic process being a collaborative effort with the client.
Dr. David Pulley
PsyD
Verified Verified
12 Endorsed
Sugar Land, TX 77479
Dr. David Pulley "Dr. Dave" earned his bachelor's in psychology from Howard University in DC and obtained both his Master's and Doctorate from Chestnut Hill College in PA. His Doctorate degree is in Clinical Psychology with a concentration in Marriage and Family Therapy and a specialization in the subject of Soul Mates. As a result, he is known as an expert on soul mates and a pioneer of some of the clinically based models and theories on the subject. Dr. Pulley has created a team of clinical consultants (Tender Loving Care Clinical Consultations) who provide psychologically based consultative support for their client base.
Dr. David Pulley "Dr. Dave" earned his bachelor's in psychology from Howard University in DC and obtained both his Master's and Doctorate from Chestnut Hill College in PA. His Doctorate degree is in Clinical Psychology with a concentration in Marriage and Family Therapy and a specialization in the subject of Soul Mates. As a result, he is known as an expert on soul mates and a pioneer of some of the clinically based models and theories on the subject. Dr. Pulley has created a team of clinical consultants (Tender Loving Care Clinical Consultations) who provide psychologically based consultative support for their client base.
Madeleine Werner
Clinical Social Work/Therapist, LCSW
Verified Verified
1 Endorsed
Sugar Land, TX 77478
Have you noticed a change in you or your child’s behavior lately? Been experiencing any unwanted behaviors such as defiance, declining motivation, isolation, difficulties at school/work, legal troubles, or interpersonal relationship challenges. The child you once new has shifted into a different person, and you’re worried that something internal is going on to cause these behaviors. The school system doesn’t understand that this is not the child you raised and you’re tired of trying to explain how to work with them. It feels like everyone has given up, but I’m here to instill hope that your baby is going to be okay.
Have you noticed a change in you or your child’s behavior lately? Been experiencing any unwanted behaviors such as defiance, declining motivation, isolation, difficulties at school/work, legal troubles, or interpersonal relationship challenges. The child you once new has shifted into a different person, and you’re worried that something internal is going on to cause these behaviors. The school system doesn’t understand that this is not the child you raised and you’re tired of trying to explain how to work with them. It feels like everyone has given up, but I’m here to instill hope that your baby is going to be okay.
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Licensed Professional Counselor, LPC, LCDCi, BCCC
Verified Verified
Sugar Land, TX 77498
Dear Prospective Clients, I am a Licensed Professional Counselor (LPC), National Certified Counselor (NCC) in the State of Texas and, a Board-Certified Counselor (BCCC) recognized by the National Association of Christian Counselors (NACC). I started out as a Teacher in Inner and Outer London schools in the United Kingdom working with children, adolescents, and their families. I have worked with clients from all walks of life, including clients from all faith/no faith background comprising of children, adolescents, adults, and their families. I am very passionate about Counseling and I believe that I can help the needy to stand.
Dear Prospective Clients, I am a Licensed Professional Counselor (LPC), National Certified Counselor (NCC) in the State of Texas and, a Board-Certified Counselor (BCCC) recognized by the National Association of Christian Counselors (NACC). I started out as a Teacher in Inner and Outer London schools in the United Kingdom working with children, adolescents, and their families. I have worked with clients from all walks of life, including clients from all faith/no faith background comprising of children, adolescents, adults, and their families. I am very passionate about Counseling and I believe that I can help the needy to stand.
Richard Ermalinski
Psychologist, PhD
Verified Verified
Sugar Land, TX 77478
Couples caught in marital gridlock experience either emotional bickering and blaming or withdrawal and isolation. Marital gridlock can be caused by a betrayal, control issues, a lack of intimacy or important personality differences. This will leave us with a married life of emotional isolation and confusion. When we lose our sense of self in our marriage it can seem impossible to stop reliving the same negative patterns repeatedly. Where did the best of us go and our ability to respond effectively to difficult situations?
Couples caught in marital gridlock experience either emotional bickering and blaming or withdrawal and isolation. Marital gridlock can be caused by a betrayal, control issues, a lack of intimacy or important personality differences. This will leave us with a married life of emotional isolation and confusion. When we lose our sense of self in our marriage it can seem impossible to stop reliving the same negative patterns repeatedly. Where did the best of us go and our ability to respond effectively to difficult situations?
Peaceful Living Counseling & Consulting Services
Licensed Professional Counselor, MA, LPC-S, NCC
Verified Verified
2 Endorsed
Sugar Land, TX 77478 (Online Only)
I am a Licensed Professional Counselor in Texas and Georgia. If you are looking for help to find your path to peaceful living, allow me to help you find that path. I treat persons with poor self-esteem, grief, depression, and anxiety issues. I provide premarital counseling and immigration evaluations (extreme hardship, VAWA, asylum). I also provide LPC supervision to LPC Associates (Texas only) seeking hours for full licensure. Other services are editing and proofreading papers, theses, and dissertations, and availability for speaking engagements.
I am a Licensed Professional Counselor in Texas and Georgia. If you are looking for help to find your path to peaceful living, allow me to help you find that path. I treat persons with poor self-esteem, grief, depression, and anxiety issues. I provide premarital counseling and immigration evaluations (extreme hardship, VAWA, asylum). I also provide LPC supervision to LPC Associates (Texas only) seeking hours for full licensure. Other services are editing and proofreading papers, theses, and dissertations, and availability for speaking engagements.
Ritasha Taylor
Clinical Social Work/Therapist, LCSW
Verified Verified
1 Endorsed
Sugar Land, TX 77479
In sessions, we will focus on the client's experience with depression, anxiety, fear, grief and loss, attention issues, behavioral concerns, family conflict, addictions & more. My therapeutic approach is catered to meet the needs of each client who is ready for a change & even a few who aren't there yet. I specialize in working with individuals whose thoughts or moods have created hurdles in their day-to-day life. My Solution Focused and Cognitive approaches help me to connect with those who are are desperate to identify peace and happiness in their lives.
In sessions, we will focus on the client's experience with depression, anxiety, fear, grief and loss, attention issues, behavioral concerns, family conflict, addictions & more. My therapeutic approach is catered to meet the needs of each client who is ready for a change & even a few who aren't there yet. I specialize in working with individuals whose thoughts or moods have created hurdles in their day-to-day life. My Solution Focused and Cognitive approaches help me to connect with those who are are desperate to identify peace and happiness in their lives.
Judi Dai
Licensed Professional Counselor, MEd, LPC, RPT
Verified Verified
1 Endorsed
Sugar Land, TX 77478
Your child is your whole world. When they're happy, you're happy, and when they're hurting, the pain you feel for them is excruciating. But by the time you find yourself perusing the internet for help, you are already exhausted, have experienced many sleepless nights, and are losing hope. I would love to help improve your family's hopefulness and regain its vitality. Counseling provides a safe, compassionate space that can help children develop more full and healthy connections, which translates into feeling competent, worthy of love, and thus more resilient to handle life's struggles.
Your child is your whole world. When they're happy, you're happy, and when they're hurting, the pain you feel for them is excruciating. But by the time you find yourself perusing the internet for help, you are already exhausted, have experienced many sleepless nights, and are losing hope. I would love to help improve your family's hopefulness and regain its vitality. Counseling provides a safe, compassionate space that can help children develop more full and healthy connections, which translates into feeling competent, worthy of love, and thus more resilient to handle life's struggles.
Dana S Smith
Licensed Master Social Worker, PhD, LMSW, MPA
Verified Verified
1 Endorsed
Sugar Land, TX 77479
You deserve to feel loved, valued, and worthy of what life has to offer. Sometimes getting to this place requires someone to be in solidarity with you, to help you process your thoughts, identify obstacles, embrace new behaviors, and adopt new ways of living and being. I am passionate about working with adults who are experiencing life transitions, balancing family, school, and/or work responsibilities as well as those experiencing anxiety, depression, trauma, or grief. I am also passionate about working with individuals that come from family traditions that may have caused them to shy away from therapy.
You deserve to feel loved, valued, and worthy of what life has to offer. Sometimes getting to this place requires someone to be in solidarity with you, to help you process your thoughts, identify obstacles, embrace new behaviors, and adopt new ways of living and being. I am passionate about working with adults who are experiencing life transitions, balancing family, school, and/or work responsibilities as well as those experiencing anxiety, depression, trauma, or grief. I am also passionate about working with individuals that come from family traditions that may have caused them to shy away from therapy.
Peace and Serenity Therapy Services
Clinical Social Work/Therapist, LCSW-S
Verified Verified
Sugar Land, TX 77478 (Online Only)
Life can be challenging and sometimes we are told to be strong despite these hard times. Some are taught a definition of being strong is to act like you’re okay, even when you really want to go hide. Or some are taught to pretend you have it all in order, although you really feel lost, stuck, or confused on what is your next step. Many are taught to keep pushing and move past things, not knowing moving past leads to suppression that will surface later on in life rather we want it to or not. I am passionate about helping others through such difficult times and encourage them to process the past while also working on the present.
Life can be challenging and sometimes we are told to be strong despite these hard times. Some are taught a definition of being strong is to act like you’re okay, even when you really want to go hide. Or some are taught to pretend you have it all in order, although you really feel lost, stuck, or confused on what is your next step. Many are taught to keep pushing and move past things, not knowing moving past leads to suppression that will surface later on in life rather we want it to or not. I am passionate about helping others through such difficult times and encourage them to process the past while also working on the present.
Angela Rasmuson
Licensed Master Social Worker, LMSW
Verified Verified
Sugar Land, TX 77479
Dedicated child and adolescent counselor passionate about empowering young minds to navigate the challenges of growing up. Committed to creating a safe, supportive space where each child can discover their strengths, overcome obstacles, and flourish. Through genuine connection and tailored interventions, I strive to inspire confidence and resilience, guiding the next generation toward a brighter and more fulfilling future. Flexible and convenient nights and weekend appointments are now available! In-person and virtual.
Dedicated child and adolescent counselor passionate about empowering young minds to navigate the challenges of growing up. Committed to creating a safe, supportive space where each child can discover their strengths, overcome obstacles, and flourish. Through genuine connection and tailored interventions, I strive to inspire confidence and resilience, guiding the next generation toward a brighter and more fulfilling future. Flexible and convenient nights and weekend appointments are now available! In-person and virtual.
Ida Ramos
Licensed Professional Counselor, LPC
Verified Verified
Sugar Land, TX 77479
Hello! I am a licensed professional counselor with nine years of counseling individuals and couples. I specialize in anger management, anxiety, depression, trauma and PTSD, and emotional disturbance. I work with various modalities that cater to each individual’s needs, such as CBT, Motivational Interviewing, EMDR, Solution-focused, and more. I believe outstanding achievements come with excellent communication. Our partnership will help you understand yourself, why you feel the way you do, and how to make the changes you desire.
Hello! I am a licensed professional counselor with nine years of counseling individuals and couples. I specialize in anger management, anxiety, depression, trauma and PTSD, and emotional disturbance. I work with various modalities that cater to each individual’s needs, such as CBT, Motivational Interviewing, EMDR, Solution-focused, and more. I believe outstanding achievements come with excellent communication. Our partnership will help you understand yourself, why you feel the way you do, and how to make the changes you desire.
See more therapy options for Sugar Land
How does your Therapist compare?
Number of Therapists in Sugar Land, TX
400+
Average cost per session
$150
Therapists in Sugar Land, TX who prioritize treating:
90% | Depression |
90% | Anxiety |
78% | Self Esteem |
72% | Relationship Issues |
69% | Coping Skills |
68% | Stress |
65% | Trauma and PTSD |
Average years in practice
10 Years
Top 3 insurances accepted
80% | Aetna |
76% | Cigna and Evernorth |
75% | UnitedHealthcare UHC | UBH |
How Therapists in Sugar Land, TX see their clients
71% | In Person and Online | |
29% | Online Only |
Gender breakdown
81% | Female | |
18% | Male | |
1% | Non-Binary |
FAQs - About Therapy and Counseling
How can I find a therapist in Sugar Land?
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
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.
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.
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.