Therapists in Sandoval County, NM

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Photo of Nathan Interial - Journey of Hope and Courage, LLC, Licensed Professional Counselor, LPCC
Journey of Hope and Courage, LLC
Licensed Professional Counselor, LPCC
1 Endorsed
Rio Rancho, NM 87124
Many of the individuals we walk with have faced deep challenges: trauma, addiction, grief, relationship struggles, or seasons where life felt overwhelming. Our role is to provide practical tools, therapeutic support, and a safe space to rebuild new habits that support long term emotional and spiritual well being. At the same time, we hold onto the truth that God restores, renews, and brings purpose out of pain.
Many of the individuals we walk with have faced deep challenges: trauma, addiction, grief, relationship struggles, or seasons where life felt overwhelming. Our role is to provide practical tools, therapeutic support, and a safe space to rebuild new habits that support long term emotional and spiritual well being. At the same time, we hold onto the truth that God restores, renews, and brings purpose out of pain.
(505) 657-1870 View (505) 657-1870
Photo of Janice L Spratte, Licensed Professional Clinical Counselor, LPCC
Janice L Spratte
Licensed Professional Clinical Counselor, LPCC
Rio Rancho, NM 87124
If you have struggled your entire life with anxiety, depression, feeling less than and being overwhelmed with daily tasks, feeling like nothing you do is ever quite "good enough", I can help you make sense of it and change that reality for yourself. Using strategies from Internal Family Systems, Cognitive behavior Therapy and looking at how your past attachments or trauma from childhood, continue to drive your choices. Together we will discover why you do the behaviors that do not serve you well, so that you can function at your optimal, authentic self while learning to love yourself and others better while letting go of the past.
If you have struggled your entire life with anxiety, depression, feeling less than and being overwhelmed with daily tasks, feeling like nothing you do is ever quite "good enough", I can help you make sense of it and change that reality for yourself. Using strategies from Internal Family Systems, Cognitive behavior Therapy and looking at how your past attachments or trauma from childhood, continue to drive your choices. Together we will discover why you do the behaviors that do not serve you well, so that you can function at your optimal, authentic self while learning to love yourself and others better while letting go of the past.
(505) 588-6565 View (505) 588-6565
Photo of Sarah Alires, Counselor, MA, LMHC
Sarah Alires
Counselor, MA, LMHC
1 Endorsed
Rio Rancho, NM 87124
Not accepting new clients
Life can be overwhelming, relationships can be complicated, and sometimes, we all need a little help finding our way. Whether you're an adult facing stress and uncertainty, a couple struggling to reconnect, or a parent seeking support for your child, I am here to guide you through the challenges with empathy and expertise.
Life can be overwhelming, relationships can be complicated, and sometimes, we all need a little help finding our way. Whether you're an adult facing stress and uncertainty, a couple struggling to reconnect, or a parent seeking support for your child, I am here to guide you through the challenges with empathy and expertise.
(505) 587-5499 View (505) 587-5499
Photo of Dr. Gary 'skip' Ritter - Dayspring Counseling & Wellness, LLC., Counselor, PhD, LPCC, LADAC, MAC, NCC
Dayspring Counseling & Wellness, LLC.
Counselor, PhD, LPCC, LADAC, MAC, NCC
Rio Rancho, NM 87124
Dr. Gary "Skip" Ritter says he feels a connection when helping others develop insight to make positive changes in their lives. Skip believes that thoughts and feelings are the impetus that drive human behavior. His approach then to therapy is rooted in Cognitive Behavioral Theory. In creating a paradigm shift from negative thoughts and feelings to increased positive thoughts and feelings, maladaptive behaviors often dissipate. Skip also believes that traumatic experiences exacerbate the lives of many of his clients and therefore, utilizes Cognitive Processing Therapy (CPT) or Eye Movement Desensitization and Reprocessing (EMDR).
Dr. Gary "Skip" Ritter says he feels a connection when helping others develop insight to make positive changes in their lives. Skip believes that thoughts and feelings are the impetus that drive human behavior. His approach then to therapy is rooted in Cognitive Behavioral Theory. In creating a paradigm shift from negative thoughts and feelings to increased positive thoughts and feelings, maladaptive behaviors often dissipate. Skip also believes that traumatic experiences exacerbate the lives of many of his clients and therefore, utilizes Cognitive Processing Therapy (CPT) or Eye Movement Desensitization and Reprocessing (EMDR).
(505) 391-5354 View (505) 391-5354
Photo of Sara R Falcone, Counselor, Sara, Falcone, LPCC
Sara R Falcone
Counselor, Sara, Falcone, LPCC
2 Endorsed
Rio Rancho, NM 87124
It is my belief we could all use a little therapy at times. Whether, you struggle with anxiety, depression, past trauma, or just need a little guidance in life, I am here to support you and offer the skills and tools you need to better your life. Together, we will set attainable goals that focuses on your needs and presenting problem areas. I work for my clients, and have taken an oath to serve you as an impartial provider, from a non-judgmental stance.
It is my belief we could all use a little therapy at times. Whether, you struggle with anxiety, depression, past trauma, or just need a little guidance in life, I am here to support you and offer the skills and tools you need to better your life. Together, we will set attainable goals that focuses on your needs and presenting problem areas. I work for my clients, and have taken an oath to serve you as an impartial provider, from a non-judgmental stance.
(505) 591-8137 View (505) 591-8137
Photo of Jeremy Scott Jones - Thinking About Thoughts Counseling Services, LLC, Licensed Professional Counselor, LPC, PCMHC, BC-TMHP, CADC-II
Thinking About Thoughts Counseling Services, LLC
Licensed Professional Counselor, LPC, PCMHC, BC-TMHP, CADC-II
2 Endorsed
Online Only
Many LGBTQIA+, gender-nonconforming, and neurodivergent adults spend years adapting to environments that were not built with them in mind. You may feel pressure to mask parts of yourself, question your worth, or struggle with anxiety, burnout, identity exploration, or trauma. I work with adults across New Mexico who want a space where their identities and ways of thinking are respected and affirmed. Together we explore the patterns that helped you survive, build insight into how your mind works, and develop tools that support authenticity, emotional balance, and a more sustainable relationship with yourself and the world.
Many LGBTQIA+, gender-nonconforming, and neurodivergent adults spend years adapting to environments that were not built with them in mind. You may feel pressure to mask parts of yourself, question your worth, or struggle with anxiety, burnout, identity exploration, or trauma. I work with adults across New Mexico who want a space where their identities and ways of thinking are respected and affirmed. Together we explore the patterns that helped you survive, build insight into how your mind works, and develop tools that support authenticity, emotional balance, and a more sustainable relationship with yourself and the world.
(505) 484-2279 View (505) 484-2279
Photo of Gerard Vaglio, Counselor, MA, LPCC
Gerard Vaglio
Counselor, MA, LPCC
1 Endorsed
Corrales, NM 87048
Whatever’s bothering you, even if it’s thoughts of suicide, you don’t have to face life’s overwhelming difficulties alone. Family and friends mean well, but because their backgrounds are often similar to your own, they may not have the ability to offer new perspectives, without judgment.
Whatever’s bothering you, even if it’s thoughts of suicide, you don’t have to face life’s overwhelming difficulties alone. Family and friends mean well, but because their backgrounds are often similar to your own, they may not have the ability to offer new perspectives, without judgment.
(505) 484-2855 View (505) 484-2855
Photo of Mary Meera Warren, Counselor, LMHC
Mary Meera Warren
Counselor, LMHC
Online Only
My ideal client is someone who shares a belief in and a need for connection. Connection with whom and with what? If you value authenticity and seek to have meaning in your life, then we are on the same page. The conversation might radiate out from curiosity and inquiry about what you value in your life; what do you want to change; how can you make a positive difference?
My ideal client is someone who shares a belief in and a need for connection. Connection with whom and with what? If you value authenticity and seek to have meaning in your life, then we are on the same page. The conversation might radiate out from curiosity and inquiry about what you value in your life; what do you want to change; how can you make a positive difference?
(575) 223-1448 View (575) 223-1448
Photo of Shane Louton, Clinical Social Work/Therapist, LCSW
Shane Louton
Clinical Social Work/Therapist, LCSW
1 Endorsed
Rio Rancho, NM 87124
I’m a Licensed Clinical Social Worker with a background in therapy and crisis intervention. I’ve worked with adults facing concerns including depression, anxiety, attachment needs, trauma, and difficult life transitions. My experience in ongoing therapy and crisis settings shapes how I show up: steady, practical, and grounded when emotions feel overwhelming. I believe meaningful change is possible, even when patterns feel long-standing. My work focuses on insight, skill-building, and creating a safe, respectful, collaborative space for growth.
I’m a Licensed Clinical Social Worker with a background in therapy and crisis intervention. I’ve worked with adults facing concerns including depression, anxiety, attachment needs, trauma, and difficult life transitions. My experience in ongoing therapy and crisis settings shapes how I show up: steady, practical, and grounded when emotions feel overwhelming. I believe meaningful change is possible, even when patterns feel long-standing. My work focuses on insight, skill-building, and creating a safe, respectful, collaborative space for growth.
(505) 806-0730 View (505) 806-0730
Photo of Marisa Folsom, Pre-Licensed Professional, LMSW
Marisa Folsom
Pre-Licensed Professional, LMSW
1 Endorsed
Rio Rancho, NM 87124
Life can feel overwhelming when relationship challenges, depression, anxiety, or major life transitions begin to affect your daily well-being. Whether you are navigating a new life transition, trying to find balance, feeling disconnected from others, or struggling with self-confidence, you don't have to face these obstacles alone. My therapy approach is collaborative and strengths-based, focusing on highlighting and building on the capabilities that you already have. I use a mixture of motivational interviewing and mindfulness techniques to help you identify your values, passions and to increase self-awareness.
Life can feel overwhelming when relationship challenges, depression, anxiety, or major life transitions begin to affect your daily well-being. Whether you are navigating a new life transition, trying to find balance, feeling disconnected from others, or struggling with self-confidence, you don't have to face these obstacles alone. My therapy approach is collaborative and strengths-based, focusing on highlighting and building on the capabilities that you already have. I use a mixture of motivational interviewing and mindfulness techniques to help you identify your values, passions and to increase self-awareness.
(505) 594-4747 View (505) 594-4747
Photo of Theresa Howles, Licensed Master Social Worker, MSW, LMSW
Theresa Howles
Licensed Master Social Worker, MSW, LMSW
Online Only
Are you feeling overwhelmed by anxiety, depression, relationship stress, or old patterns that keep showing up in your life? You may find yourself overthinking, shutting down, reacting more strongly than you want to, or feeling stuck in the same conflicts with a partner, family member, or loved one. I help individuals, couples, and families in Albuquerque, Corrales, Rio Rancho, and throughout New Mexico better understand what is happening, strengthen communication, and build practical tools for feeling more steady and connected.
Are you feeling overwhelmed by anxiety, depression, relationship stress, or old patterns that keep showing up in your life? You may find yourself overthinking, shutting down, reacting more strongly than you want to, or feeling stuck in the same conflicts with a partner, family member, or loved one. I help individuals, couples, and families in Albuquerque, Corrales, Rio Rancho, and throughout New Mexico better understand what is happening, strengthen communication, and build practical tools for feeling more steady and connected.
(505) 398-7382 View (505) 398-7382
Photo of Jessica Charlotte Martinez, Counselor, MA, LPCC
Jessica Charlotte Martinez
Counselor, MA, LPCC
Online Only
Telehealth availability Mon-Thurs between 1pm-7pm! Do you feel overwhelmed, stuck in difficult relationship patterns, or weighed down by past experiences that continue to affect your present life? Perhaps you’re a parent trying your best to support your child while also realizing you could use support yourself. You don’t have to navigate these challenges alone. I work with individuals from diverse backgrounds who are experiencing life transitions, marginalization, anxiety, depression, and trauma. I am a licensed Clinical Mental Health Counselor (LPCC) with a Masters degree in Counseling and over 15 years of experience.
Telehealth availability Mon-Thurs between 1pm-7pm! Do you feel overwhelmed, stuck in difficult relationship patterns, or weighed down by past experiences that continue to affect your present life? Perhaps you’re a parent trying your best to support your child while also realizing you could use support yourself. You don’t have to navigate these challenges alone. I work with individuals from diverse backgrounds who are experiencing life transitions, marginalization, anxiety, depression, and trauma. I am a licensed Clinical Mental Health Counselor (LPCC) with a Masters degree in Counseling and over 15 years of experience.
(505) 393-4987 View (505) 393-4987
Photo of Cate Kamal-Aldeen, Clinical Social Work/Therapist, LMSW, LCSW, LADAC
Cate Kamal-Aldeen
Clinical Social Work/Therapist, LMSW, LCSW, LADAC
3 Endorsed
Rio Rancho, NM 87124
​I'm so glad you're here! Life comes with many challenges and uncertainties that can feel overwhelming, especially when anxiety, depression, or past trauma begin to affect daily life. I provide a safe, supportive space where we can explore what you’re experiencing and work together to improve your emotional well-being and overall quality of life. Within the therapy relationship, you can focus on yourself, your healing, and growth—without fear of shame or judgment. My approach is strengths-based and centered on helping you recognize your resilience and make meaningful, positive changes at a pace that feels right for you.
​I'm so glad you're here! Life comes with many challenges and uncertainties that can feel overwhelming, especially when anxiety, depression, or past trauma begin to affect daily life. I provide a safe, supportive space where we can explore what you’re experiencing and work together to improve your emotional well-being and overall quality of life. Within the therapy relationship, you can focus on yourself, your healing, and growth—without fear of shame or judgment. My approach is strengths-based and centered on helping you recognize your resilience and make meaningful, positive changes at a pace that feels right for you.
(505) 370-7260 View (505) 370-7260
Photo of Paige Loreen Andre-Hudson, Clinical Social Work/Therapist, LCSW
Paige Loreen Andre-Hudson
Clinical Social Work/Therapist, LCSW
Online Only
I am a licensed clinical social worker (LCSW) providing services to adults and couples. I specialize in trauma-informed care, anxiety, depression, relationships, and substance use disorders. I also have experience working with families of children with special needs. Afternoon and evening appointments available.
I am a licensed clinical social worker (LCSW) providing services to adults and couples. I specialize in trauma-informed care, anxiety, depression, relationships, and substance use disorders. I also have experience working with families of children with special needs. Afternoon and evening appointments available.
(505) 336-7760 View (505) 336-7760
Photo of Shawn Crawford, Counselor, MA, LPCC
Shawn Crawford
Counselor, MA, LPCC
Rio Rancho, NM 87124
Not accepting new clients
I provide targeted treatment for anxiety, panic, & trauma. Do you need to conquer disabling anxiety or uncontrollable panic attacks? Do you find yourself feeling tense, stressed, or out of control? Are you often worried or on guard, or feel pushed to avoid things due to anxiety? Perhaps you’ve been through traumatizing or difficult experiences you can’t seem to move past and that’s why you feel it’s time to seek help. Such problems prevent us from living the life we’d like. I’d love to help you take action & create the change you want so you can have the life you dream of. Don’t suffer alone – therapy can be accessible and powerful.
I provide targeted treatment for anxiety, panic, & trauma. Do you need to conquer disabling anxiety or uncontrollable panic attacks? Do you find yourself feeling tense, stressed, or out of control? Are you often worried or on guard, or feel pushed to avoid things due to anxiety? Perhaps you’ve been through traumatizing or difficult experiences you can’t seem to move past and that’s why you feel it’s time to seek help. Such problems prevent us from living the life we’d like. I’d love to help you take action & create the change you want so you can have the life you dream of. Don’t suffer alone – therapy can be accessible and powerful.
(505) 278-7480 View (505) 278-7480
Photo of Maryah J Vigil - Maryah Vigil, MA, LPCC, Counselor, MA, LPCC
Maryah Vigil, MA, LPCC
Counselor, MA, LPCC
Online Only
Waitlist for new clients
Are you feeling disappointed or unfulfilled in life? You have the power to change this. Through self-introspection you will begin to understand how your life choices are impacting your wellbeing and happiness. I will encourage you to take responsibility for your choices, empower you to make choices that align with your true authentic self, and in turn create a life that is worth living. I have experience helping people work through the challenges of life, including self-esteem, relationship issues, premarital counseling, women's issues, conflict resolutions, and life transitions.
Are you feeling disappointed or unfulfilled in life? You have the power to change this. Through self-introspection you will begin to understand how your life choices are impacting your wellbeing and happiness. I will encourage you to take responsibility for your choices, empower you to make choices that align with your true authentic self, and in turn create a life that is worth living. I have experience helping people work through the challenges of life, including self-esteem, relationship issues, premarital counseling, women's issues, conflict resolutions, and life transitions.
(505) 560-2779 View (505) 560-2779
Photo of Michelle Chavez Valenzuela, Counselor, LMHC, LSAA
Michelle Chavez Valenzuela
Counselor, LMHC, LSAA
Rio Rancho, NM 87124
Waitlist for new clients
Michelle began her counseling journey in 2019 as a practicum student at Southwest Family Guidance Center in Albuquerque, where she continued through both of her internships. She currently works at Southwest Family Guidance Center with children and adults, providing Multisystemic Therapy (MST), an evidence-based approach that empowers parents to effectively address behavioral challenges in their children and helps youth navigate issues related to family, peers, school, and their communities.
Michelle began her counseling journey in 2019 as a practicum student at Southwest Family Guidance Center in Albuquerque, where she continued through both of her internships. She currently works at Southwest Family Guidance Center with children and adults, providing Multisystemic Therapy (MST), an evidence-based approach that empowers parents to effectively address behavioral challenges in their children and helps youth navigate issues related to family, peers, school, and their communities.
(505) 594-4735 View (505) 594-4735
Photo of Faith Bauder, Pre-Licensed Professional
Faith Bauder
Pre-Licensed Professional
Rio Rancho, NM 87124
My approach to therapy focuses on creating a safe and supportive space where clients feel truly heard and understood. I believe each person can grow and heal. I see my role as a guide in that journey. By cultivating a collaborative relationship, I strive to empower clients to identify their goals and strengths, gain insight into their obstacles, and develop effective strategies and coping skills for positive change. My commitment is to walk alongside clients and offer empathy and encouragement. I want to help clients achieve their goals and build a more fulfilling life, not only survival skills but also life skills.
My approach to therapy focuses on creating a safe and supportive space where clients feel truly heard and understood. I believe each person can grow and heal. I see my role as a guide in that journey. By cultivating a collaborative relationship, I strive to empower clients to identify their goals and strengths, gain insight into their obstacles, and develop effective strategies and coping skills for positive change. My commitment is to walk alongside clients and offer empathy and encouragement. I want to help clients achieve their goals and build a more fulfilling life, not only survival skills but also life skills.
(505) 750-0056 View (505) 750-0056
Photo of Bart Schofield, Marriage & Family Therapist, LMFT
Bart Schofield
Marriage & Family Therapist, LMFT
Rio Rancho, NM 87144
I believe no one lives in a vacuum. That's why I'll be asking about you and your relationships with family and friends. Your children don't live in a vacuum, either. In working with them, you'll be included in parts or all of their sessions. My practice is called the Rio Rancho Family Counseling Center. When you're seeing me alone or as a couple, you determine when and what problems to talk about and how fast and how deep we go. I draw on several methods of therapy because my practice is patient oriented and patient directed.
I believe no one lives in a vacuum. That's why I'll be asking about you and your relationships with family and friends. Your children don't live in a vacuum, either. In working with them, you'll be included in parts or all of their sessions. My practice is called the Rio Rancho Family Counseling Center. When you're seeing me alone or as a couple, you determine when and what problems to talk about and how fast and how deep we go. I draw on several methods of therapy because my practice is patient oriented and patient directed.
(505) 431-4075 View (505) 431-4075
Photo of Victoria Compoccio, Counselor, LMHC, NCC, CTP
Victoria Compoccio
Counselor, LMHC, NCC, CTP
1 Endorsed
Online Only
I offer a safe, inclusive, and affirming space for healing. I specialize in working with teens and adults (ages 12 and up) navigating a wide range of mental health challenges. My areas of focus include depression, anxiety, ADHD, self-esteem, anger, stress, trauma/PTSD, grief, behavioral issues, domestic violence, and substance abuse/addiction. I also support clients through relationship and communication challenges.
I offer a safe, inclusive, and affirming space for healing. I specialize in working with teens and adults (ages 12 and up) navigating a wide range of mental health challenges. My areas of focus include depression, anxiety, ADHD, self-esteem, anger, stress, trauma/PTSD, grief, behavioral issues, domestic violence, and substance abuse/addiction. I also support clients through relationship and communication challenges.
(505) 204-7348 View (505) 204-7348

See more therapy options for Sandoval County

How does your Therapist compare?

Number of Therapists in Sandoval County, NM

300+

Average cost per session

$150

Therapists in Sandoval County, NM who prioritize treating:

88% Anxiety
88% Social Anxiety
88% Health Anxiety
88% Driving Anxiety
83% Depression
80% Trauma and PTSD
80% Complex PTSD

Average years in practice

12 Years

Top 3 insurances accepted

88% BlueCross and BlueShield
81% Presbyterian
78% Medicaid

How Therapists in Sandoval County, NM see their clients

62% In Person and Online
38% Online Only

Gender breakdown

77% Female
20% Male
3% Non-Binary
FAQs - About Therapy and Counseling

How can I find a therapist in Sandoval County?

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.