Therapists in Henderson, NV

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Photo of Alberto Candido Gutierrez - Oasis Counseling, LMFT, Marriage & Family Therapist
Oasis Counseling
Marriage & Family Therapist, LMFT
Verified Verified
Henderson, NV 89052
As a Gestalt Therapist, we look to gain awareness of the present moment in its totality to assist with changing our current paradigms. As a CBT Therapist, we look to the ideations/feelings/behaviors and what we can do to change them. As a Narrative Therapist, we look to you being you as you are not your problems. And using this Eclectic Approach, I hope to assist you to deal with you as you are.
As a Gestalt Therapist, we look to gain awareness of the present moment in its totality to assist with changing our current paradigms. As a CBT Therapist, we look to the ideations/feelings/behaviors and what we can do to change them. As a Narrative Therapist, we look to you being you as you are not your problems. And using this Eclectic Approach, I hope to assist you to deal with you as you are.
(725) 527-2458 View (725) 527-2458
Photo of Kana Nootenboom, MS, LMFT, Marriage & Family Therapist
Kana Nootenboom
Marriage & Family Therapist, MS, LMFT
Verified Verified
4 Endorsed
Henderson, NV 89052
I am a therapist and Clinical Director at Healing with Grace Counseling Center. We have a team of therapists, Neurofeedback & Brain Mapping specialist, Mindfulness Coach, Nutritionist, and a ABA Clinician to help you. As for me, I work with clients who are struggling with individual, family or relationship challenges. If you feel anxious, sad, or overwhelmed, therapy can provide an opportunity for relief and change. I provide a caring and safe place and will help you learn tools and skills to lead a more meaningful life. Throughout the therapy process, we will work together to understand your unresolved issues, thoughts, feeling
I am a therapist and Clinical Director at Healing with Grace Counseling Center. We have a team of therapists, Neurofeedback & Brain Mapping specialist, Mindfulness Coach, Nutritionist, and a ABA Clinician to help you. As for me, I work with clients who are struggling with individual, family or relationship challenges. If you feel anxious, sad, or overwhelmed, therapy can provide an opportunity for relief and change. I provide a caring and safe place and will help you learn tools and skills to lead a more meaningful life. Throughout the therapy process, we will work together to understand your unresolved issues, thoughts, feeling
(702) 716-0908 View (702) 716-0908
Photo of Lyndsey Garcia, LCSW, Clinical Social Work/Therapist
Lyndsey Garcia
Clinical Social Work/Therapist, LCSW
Verified Verified
1 Endorsed
Henderson, NV 89074  (Online Only)
We can all go through challenges in life that leave us feeling confused, hurt, or unsure of how to move forward. When we work to discover and heal from old ways of thinking and feeling, in both mind and body, we can free ourselves from the unhelpful ties to the past and focus on a future of that is of our own creation
We can all go through challenges in life that leave us feeling confused, hurt, or unsure of how to move forward. When we work to discover and heal from old ways of thinking and feeling, in both mind and body, we can free ourselves from the unhelpful ties to the past and focus on a future of that is of our own creation
(725) 208-5595 View (725) 208-5595
Photo of Adrianna Wechsler Zimring, PhD, EdM, Psychologist
Adrianna Wechsler Zimring
Psychologist, PhD, EdM
Verified Verified
Henderson, NV 89074
I am a licensed psychologist who works with children, adolescents, and their parents and families. I specialize in Evidence-Based Practices. This means I use assessment and treatment methods that are based on science, have been well researched, and have been shown through clinical research to be appropriate and effective. I work closely with children, parents, and families to understand their specific concerns. My goal is to integrate my expert knowledge of the current research with your expert knowledge of your child. Together, we will develop the best possible strategy to address your child's specific needs.
I am a licensed psychologist who works with children, adolescents, and their parents and families. I specialize in Evidence-Based Practices. This means I use assessment and treatment methods that are based on science, have been well researched, and have been shown through clinical research to be appropriate and effective. I work closely with children, parents, and families to understand their specific concerns. My goal is to integrate my expert knowledge of the current research with your expert knowledge of your child. Together, we will develop the best possible strategy to address your child's specific needs.
(702) 945-0743 View (702) 945-0743
Photo of Ajah Brandise Hyten, MS, Grad, Student, MFT, Pre-Licensed Professional
Ajah Brandise Hyten
Pre-Licensed Professional, MS, Grad, Student, MFT
Verified Verified
Henderson, NV 89052
Currently Accepting New Clients! ($35/ hr.) Are you experiencing challenges with relationships, anxiety, depression, ADHD & trauma? Perhaps you are questioning your direction in life, & need help organizing your goals into manageable steps? One of the bravest things you can do is taking the first step on the introspective journey to begin understanding who you are and what you are truly capable of. As a MFT, I specialize in addressing these concerns offering holistic solutions, and helping my clients develop a strong tool set of skills & techniques to experience clarity and peace of mind in their personal lives and relationships.
Currently Accepting New Clients! ($35/ hr.) Are you experiencing challenges with relationships, anxiety, depression, ADHD & trauma? Perhaps you are questioning your direction in life, & need help organizing your goals into manageable steps? One of the bravest things you can do is taking the first step on the introspective journey to begin understanding who you are and what you are truly capable of. As a MFT, I specialize in addressing these concerns offering holistic solutions, and helping my clients develop a strong tool set of skills & techniques to experience clarity and peace of mind in their personal lives and relationships.
(725) 527-8157 View (725) 527-8157
Photo of Loretta A Klem, MA, MSW, LCSW, CCTP, Clinical Social Work/Therapist
Loretta A Klem
Clinical Social Work/Therapist, MA, MSW, LCSW, CCTP
Verified Verified
Henderson, NV 89052
Change is never easy, but throughout our lives it happens whether we like it or not, and sometimes it is very difficult. If you are experiencing a change in your life or if you're thinking that you want to change something it is always helpful to discuss your feelings and thoughts with someone to obtain a different perspective. I have experience in assisting clients with changes related to Domestic Violence, trauma, depression, anxiety, ageing and health concerns.
Change is never easy, but throughout our lives it happens whether we like it or not, and sometimes it is very difficult. If you are experiencing a change in your life or if you're thinking that you want to change something it is always helpful to discuss your feelings and thoughts with someone to obtain a different perspective. I have experience in assisting clients with changes related to Domestic Violence, trauma, depression, anxiety, ageing and health concerns.
(702) 819-0481 View (702) 819-0481
Photo of Alisha Bunker, MS, Grad, Student, MFT, Pre-Licensed Professional
Alisha Bunker
Pre-Licensed Professional, MS, Grad, Student, MFT
Verified Verified
1 Endorsed
Henderson, NV 89052
Hello! My name is Alisha, and I am glad you are here! I am a marriage and family therapist (MFT) pre-licensed professional, passionate about guiding teens, young adults, adults, couples, and families through life’s challenges and changes. With 18 years of marriage experience and firsthand experience parenting children and teenagers, I bring a wealth of personal insights to my practice. As a former competitive snowboarder and fitness instructor, I've learned much about resilience, strength, and overcoming obstacles.
Hello! My name is Alisha, and I am glad you are here! I am a marriage and family therapist (MFT) pre-licensed professional, passionate about guiding teens, young adults, adults, couples, and families through life’s challenges and changes. With 18 years of marriage experience and firsthand experience parenting children and teenagers, I bring a wealth of personal insights to my practice. As a former competitive snowboarder and fitness instructor, I've learned much about resilience, strength, and overcoming obstacles.
(725) 525-3087 View (725) 525-3087
Photo of Enros Manaligod, MA, LMFT, Marriage & Family Therapist
Enros Manaligod
Marriage & Family Therapist, MA, LMFT
Verified Verified
1 Endorsed
Henderson, NV 89074  (Online Only)
Relationships are complicated, especially the relationships that are most important to us. Many of us feel the need for connection, security, and love. However, sometimes we end up hurt and alone. Relational pain can show up as anxiety, fear, depression or grief, among other things. I firmly believe validation, empathy, and humor are the most powerful tools for helping clients experience lasting change. My most significant reward as a professional helper is watching my clients go from despair to possibility.
Relationships are complicated, especially the relationships that are most important to us. Many of us feel the need for connection, security, and love. However, sometimes we end up hurt and alone. Relational pain can show up as anxiety, fear, depression or grief, among other things. I firmly believe validation, empathy, and humor are the most powerful tools for helping clients experience lasting change. My most significant reward as a professional helper is watching my clients go from despair to possibility.
(702) 291-7696 View (702) 291-7696
Photo of Sharon Russell, LCPC, Licensed Professional Counselor
Sharon Russell
Licensed Professional Counselor, LCPC
Verified Verified
Henderson, NV 89052
Do you want to be more present and have improved balance in your life? I enjoy working with clients to do just that! My goal is to hear how you'd like to see yourself and develop a plan that will help strive towards achieving that vision for yourself. My areas of expertise include working with adolescents (age 12-18) & adults with mood disorders (depression, anxiety, bipolar, schizophrenia) and/or cooccurring (addiction issues), as well as the treatment of sexual abuse and sexual offending/addiction, working with LGBTQ+ clients and general mental health concerns and issues.
Do you want to be more present and have improved balance in your life? I enjoy working with clients to do just that! My goal is to hear how you'd like to see yourself and develop a plan that will help strive towards achieving that vision for yourself. My areas of expertise include working with adolescents (age 12-18) & adults with mood disorders (depression, anxiety, bipolar, schizophrenia) and/or cooccurring (addiction issues), as well as the treatment of sexual abuse and sexual offending/addiction, working with LGBTQ+ clients and general mental health concerns and issues.
(702) 847-5285 View (702) 847-5285
Photo of Nelandra Anselmo, MS, LMFT, Marriage & Family Therapist
Nelandra Anselmo
Marriage & Family Therapist, MS, LMFT
Verified Verified
3 Endorsed
Henderson, NV 89052
Time for a change?... My goal is to support each client in their unique journey to become empowered to live better. I have supported adults, adolescents, couples and families through transition and helped them manage change in many areas of their lives, including: Relationship Issues - Pre-marital and Marital Counseling - Stress, Anxiety and Depression - Trauma - Self-Esteem and Identity Issues - Divorce and Blended Families - Grief and Loss - Career Transition and Decision-Making
Time for a change?... My goal is to support each client in their unique journey to become empowered to live better. I have supported adults, adolescents, couples and families through transition and helped them manage change in many areas of their lives, including: Relationship Issues - Pre-marital and Marital Counseling - Stress, Anxiety and Depression - Trauma - Self-Esteem and Identity Issues - Divorce and Blended Families - Grief and Loss - Career Transition and Decision-Making
(702) 809-3555 View (702) 809-3555
Photo of Alicia Joseph-Rivers, MFT, Marriage & Family Therapist
Alicia Joseph-Rivers
Marriage & Family Therapist, MFT
Verified Verified
Henderson, NV 89074  (Online Only)
Your relationship isn't working out, but you can't quite put your finger on the problem. Maybe you know your issue but keep having the same outcome despite your best efforts. You are ready to get off the struggle bus and find a new path. Together, we will identify and solve your relational struggles, both big and small, that are stealing the joy out of your life together. After a handful of sessions together, you'll be on your way to understanding why you have the same patterns show up in your life and, better yet, how to change those patterns.
Your relationship isn't working out, but you can't quite put your finger on the problem. Maybe you know your issue but keep having the same outcome despite your best efforts. You are ready to get off the struggle bus and find a new path. Together, we will identify and solve your relational struggles, both big and small, that are stealing the joy out of your life together. After a handful of sessions together, you'll be on your way to understanding why you have the same patterns show up in your life and, better yet, how to change those patterns.
(702) 710-4190 View (702) 710-4190
Photo of Atrell Patton, CPCI, MS, CPT
Atrell Patton
Clinical Professional Counselor Intern, CPCI, MS, CPT
Verified Verified
Henderson, NV 89074
As a mental health therapist and personal trainer, I bring a unique blend of expertise and support to help you achieve holistic well-being. My approach is rooted in understanding the specific needs of teens and adults and crafting a tailored plan to address them. Whether you're struggling with mental health challenges, seeking personal growth, or looking to enhance your physical fitness, I am here to guide and empower you on your journey.
As a mental health therapist and personal trainer, I bring a unique blend of expertise and support to help you achieve holistic well-being. My approach is rooted in understanding the specific needs of teens and adults and crafting a tailored plan to address them. Whether you're struggling with mental health challenges, seeking personal growth, or looking to enhance your physical fitness, I am here to guide and empower you on your journey.
(702) 718-6421 View (702) 718-6421
Photo of Candace Arnott - Holistic Healing Counseling & Wellness Center, LLC, LCSW, Clinical Social Work/Therapist
Holistic Healing Counseling & Wellness Center, LLC
Clinical Social Work/Therapist, LCSW
Verified Verified
Henderson, NV 89052  (Online Only)
I enjoy working with clients from various backgrounds and age ranges! I enjoy cognitive behavioral therapy, play therapy, expressive art approaches, and mindfulness. Initially, I will schedule a 15-minute consultation with potential clients. I am interested in hearing about a client’s previous experience or inexperience working with a therapist. I will explain my process of therapy to potential clients, which is holistic with multifaceted, evidence-based therapeutic approaches.
I enjoy working with clients from various backgrounds and age ranges! I enjoy cognitive behavioral therapy, play therapy, expressive art approaches, and mindfulness. Initially, I will schedule a 15-minute consultation with potential clients. I am interested in hearing about a client’s previous experience or inexperience working with a therapist. I will explain my process of therapy to potential clients, which is holistic with multifaceted, evidence-based therapeutic approaches.
(725) 234-4973 View (725) 234-4973
Photo of Caroline J Clark, LMFT, LCPC, CRC, Marriage & Family Therapist
Caroline J Clark
Marriage & Family Therapist, LMFT, LCPC, CRC
Verified Verified
1 Endorsed
Henderson, NV 89014  (Online Only)
I provide an introspective, empathetic focus, aimed at understanding, removing emotional blocks and assisting the client to move towards ongoing growth. I assess my client's concerns, needs, and goals while also focusing on client safety and well-being. Currently, I am offering online therapy sessions via a telemental health platform called VSee.
I provide an introspective, empathetic focus, aimed at understanding, removing emotional blocks and assisting the client to move towards ongoing growth. I assess my client's concerns, needs, and goals while also focusing on client safety and well-being. Currently, I am offering online therapy sessions via a telemental health platform called VSee.
(702) 983-2647 View (702) 983-2647
Photo of Dr. Lidany Jimenez-Viloria, PsyD, MA, Psychologist
Dr. Lidany Jimenez-Viloria
Psychologist, PsyD, MA
Verified Verified
Henderson, NV 89074
Not accepting new clients
I am a bilingual (English/Spanish) licensed psychologist specializing in evidence-based and holistic treatments for adults. Dedicated to work collaboratively with clients to help them feel empowered and able to achieve their goals. My areas of focus include: trauma, post-traumatic stress disorder (PTSD), sexual trauma, depression, anxiety, eating disorders, relational distress, women’s health, cultural diversity concerns, insomnia, nightmares, chronic pain, health/wellness, adjustment concerns, Veterans, and first responder. I have worked and trained internationally, including the United States, Caribbean/Latina America, and India.
I am a bilingual (English/Spanish) licensed psychologist specializing in evidence-based and holistic treatments for adults. Dedicated to work collaboratively with clients to help them feel empowered and able to achieve their goals. My areas of focus include: trauma, post-traumatic stress disorder (PTSD), sexual trauma, depression, anxiety, eating disorders, relational distress, women’s health, cultural diversity concerns, insomnia, nightmares, chronic pain, health/wellness, adjustment concerns, Veterans, and first responder. I have worked and trained internationally, including the United States, Caribbean/Latina America, and India.
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Photo of Hannah Rajab, CPC-I, LPC Intern
Hannah Rajab
LPC Intern, CPC-I
Verified Verified
2 Endorsed
Henderson, NV 89052
I work with older children, teenagers, and young adults. These age groups tend to experience many life transitions that require extra support. I use techniques to help clients gain coping skills, learn communication skills, and learn to manage big emotions. I work with a variety of concerns including life transitions, anxiety, depression, school issues, career troubles, chronic health issues, body image, eating disorders, and more.
I work with older children, teenagers, and young adults. These age groups tend to experience many life transitions that require extra support. I use techniques to help clients gain coping skills, learn communication skills, and learn to manage big emotions. I work with a variety of concerns including life transitions, anxiety, depression, school issues, career troubles, chronic health issues, body image, eating disorders, and more.
(702) 766-6487 View (702) 766-6487
Photo of Myisha Gray, Pre-Licensed Professional
Myisha Gray
Pre-Licensed Professional
Verified Verified
1 Endorsed
Henderson, NV 89074
Welcome to a safe space where healing and personal growth converge. I am dedicated to guiding Children, Teens, and Young Adults on their journey toward greater emotional well-being and fulfillment. As a compassionate Child, Teen, and Young adult therapist, I specialize in helping clients navigate life's challenges with resilience and insight.
Welcome to a safe space where healing and personal growth converge. I am dedicated to guiding Children, Teens, and Young Adults on their journey toward greater emotional well-being and fulfillment. As a compassionate Child, Teen, and Young adult therapist, I specialize in helping clients navigate life's challenges with resilience and insight.
(725) 307-5872 View (725) 307-5872
Photo of Lea Witemberg Engle, LMFT, Marriage & Family Therapist
Lea Witemberg Engle
Marriage & Family Therapist, LMFT
Verified Verified
Henderson, NV 89052
Waitlist for new clients
I specialize in treating older (20+) adolescents and adults experiencing depression, anxiety, mood-disregulation, athletes with anxiety, EDOs, PTSD, relationship issues, and pregnancy issues. I have extensive experience working with the LGBTQ+ community, with individuals and couples, especially those struggling with cultural expectations of their family of origin, specifically the Latino population. I use a strength-based and client-centered approach which allows my clients to be active participants in their treatment process, empowering them to be active participants in their healing and change.
I specialize in treating older (20+) adolescents and adults experiencing depression, anxiety, mood-disregulation, athletes with anxiety, EDOs, PTSD, relationship issues, and pregnancy issues. I have extensive experience working with the LGBTQ+ community, with individuals and couples, especially those struggling with cultural expectations of their family of origin, specifically the Latino population. I use a strength-based and client-centered approach which allows my clients to be active participants in their treatment process, empowering them to be active participants in their healing and change.
(702) 919-4195 View (702) 919-4195
Photo of Margaret Johansen - Margaret Johansen, M.S., MFT, MS, MFT, CBt, Marriage & Family Therapist
Margaret Johansen, M.S., MFT
Marriage & Family Therapist, MS, MFT, CBt
Verified Verified
Henderson, NV 89074
Not accepting new clients
If you take responsibility for creating the future you desire, if you can accept your strengths and imperfections, and if you would like to develop capacity to understand and manage your deepest obstacles -- then we are a great match. 4-time award-winning therapist, added benefit in publishing, Beat The Relationship Odds, now available on Amazon. Clients whose depression, early-childhood trauma, or overwhelming relationship problems will experience greater happiness through therapy. Individuals who have suffered tragic abuse make significant progress towards full recovery. Marriages have gleaned benefit from looking at their relationships through a fresh set of eyes and have found renewed goodwill.
If you take responsibility for creating the future you desire, if you can accept your strengths and imperfections, and if you would like to develop capacity to understand and manage your deepest obstacles -- then we are a great match. 4-time award-winning therapist, added benefit in publishing, Beat The Relationship Odds, now available on Amazon. Clients whose depression, early-childhood trauma, or overwhelming relationship problems will experience greater happiness through therapy. Individuals who have suffered tragic abuse make significant progress towards full recovery. Marriages have gleaned benefit from looking at their relationships through a fresh set of eyes and have found renewed goodwill.
(702) 749-4699 View (702) 749-4699
Photo of Leandra Petterson, CADC-I, Pre-Licensed Professional
Leandra Petterson
Pre-Licensed Professional, CADC-I
Verified Verified
Henderson, NV 89074
My ideal client is seeking support, guidance, and accountability. Their issues range from normal daily stresses to anger management, spirituality guidance, relationship issues, behavioral changes, general goal setting and/or addiction problems. My clients goals stem from their core problems and aim to resolve any existing issues. My ideal client wants relief to better enjoy life.
My ideal client is seeking support, guidance, and accountability. Their issues range from normal daily stresses to anger management, spirituality guidance, relationship issues, behavioral changes, general goal setting and/or addiction problems. My clients goals stem from their core problems and aim to resolve any existing issues. My ideal client wants relief to better enjoy life.
(702) 710-0329 View (702) 710-0329
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How does your Therapist compare?

Number of Therapists in Henderson, NV

500+

Average cost per session

$130

Therapists in Henderson, NV who prioritize treating:

93% Anxiety
88% Depression
78% Trauma and PTSD
77% Relationship Issues
77% Self Esteem
72% Coping Skills
70% Stress

Average years in practice

9 Years

Top 3 insurances accepted

74% Aetna
64% UnitedHealthcare UHC | UBH
59% Cigna and Evernorth

How Therapists in Henderson, NV see their clients

67% In Person and Online
33% Online Only

Gender breakdown

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

How can I find a therapist in Henderson?

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.