Therapists in Houston, TX

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Photo of Christopher Frier Brown, Clinical Social Work/Therapist in Houston, TX
Christopher Frier Brown
Clinical Social Work/Therapist, LCSW, CSW, MBA
Verified Verified
1 Endorsed
Houston, TX 77008  (Online Only)
Not accepting new clients
I work with people who want better relationships. I specialize in working with clients who are facing stay or go decisions in their relationships. The options are to stay and suffer, rebuild together, or say goodbye. I can help with the second and third options. I am LBGTQIA friendly, polyamory friendly, and kink friendly.
I work with people who want better relationships. I specialize in working with clients who are facing stay or go decisions in their relationships. The options are to stay and suffer, rebuild together, or say goodbye. I can help with the second and third options. I am LBGTQIA friendly, polyamory friendly, and kink friendly.
(281) 709-2685 View (281) 709-2685
Photo of Vanna Cassimere, Clinical Social Work/Therapist in Houston, TX
Vanna Cassimere
Clinical Social Work/Therapist, LCSW-S
Verified Verified
Houston, TX 77091  (Online Only)
Mental Health is one of the most important aspects of our life and from my perspective it has more influence on our world and our experiences than we are aware of. Behavioral Health is what I do and I am passionate about guiding my clients to an improved chapter of their health and wellness. I have a passion in working with teens & young adults who are facing new diagnoses related to psychosis and psychotic disorders.
Mental Health is one of the most important aspects of our life and from my perspective it has more influence on our world and our experiences than we are aware of. Behavioral Health is what I do and I am passionate about guiding my clients to an improved chapter of their health and wellness. I have a passion in working with teens & young adults who are facing new diagnoses related to psychosis and psychotic disorders.
(713) 804-7338 View (713) 804-7338
Photo of Online Virtual Therapy With Christina Strom, Marriage & Family Therapist in Houston, TX
Online Virtual Therapy With Christina Strom
Marriage & Family Therapist, LMFT
Verified Verified
1 Endorsed
Houston, TX 77079
FREE consultations! Are you feeling stuck in negative thoughts, intense emotions, or behavioral patterns that don't serve your best interest? Are you hoping to build more meaning and joy in your life? You may feel hesitant about reaching out for help, especially with pressure from all directions to "have it all together". I'm here to join you on this journey to discover healing and build a balanced life. My goal is to help you find compassion for yourself, develop skills to help you navigate life stressors, and be confident in the resilient person you are.
FREE consultations! Are you feeling stuck in negative thoughts, intense emotions, or behavioral patterns that don't serve your best interest? Are you hoping to build more meaning and joy in your life? You may feel hesitant about reaching out for help, especially with pressure from all directions to "have it all together". I'm here to join you on this journey to discover healing and build a balanced life. My goal is to help you find compassion for yourself, develop skills to help you navigate life stressors, and be confident in the resilient person you are.
(858) 358-6593 View (858) 358-6593
Photo of Sharvalla Hinton, Licensed Professional Counselor in Houston, TX
Sharvalla Hinton
Licensed Professional Counselor, MS, LPC
Verified Verified
Houston, TX 77006  (Online Only)
Sharvalla Husband-Hinton is a Licensed Professional Counselor in the state of Texas. She has an unending passion to help people who have experienced traumatic events and those who are just having a difficult time adjusting to life’s circumstances. One of her main focuses while working with clients is to instill hope. Sharvalla has over 10 years’ experience in the field. She has spent most of her professional career helping individuals who have experienced emotional dysregulation, mood swings, anxiety, anger, relationship issues, depression, Attention-Deficit/Hyperactivity Disorder, Post-Traumatic Stress Disorder, mood disorders.
Sharvalla Husband-Hinton is a Licensed Professional Counselor in the state of Texas. She has an unending passion to help people who have experienced traumatic events and those who are just having a difficult time adjusting to life’s circumstances. One of her main focuses while working with clients is to instill hope. Sharvalla has over 10 years’ experience in the field. She has spent most of her professional career helping individuals who have experienced emotional dysregulation, mood swings, anxiety, anger, relationship issues, depression, Attention-Deficit/Hyperactivity Disorder, Post-Traumatic Stress Disorder, mood disorders.
(832) 864-5336 View (832) 864-5336
Photo of Rachel Norrell-Layne, Licensed Professional Counselor in Houston, TX
Rachel Norrell-Layne
Licensed Professional Counselor, LPC
Verified Verified
1 Endorsed
Houston, TX 77010  (Online Only)
I am passionate about creating a safe and non-judgmental space for autistic and neurodivergent clients to receive support and accomplish their goals. I have experience working with neurodivergent individuals in various settings and have found this work rewarding and enjoyable. I am always working with clients to find the best ways to connect and work together in the most effective way possible.
I am passionate about creating a safe and non-judgmental space for autistic and neurodivergent clients to receive support and accomplish their goals. I have experience working with neurodivergent individuals in various settings and have found this work rewarding and enjoyable. I am always working with clients to find the best ways to connect and work together in the most effective way possible.
(281) 819-2605 View (281) 819-2605
Photo of Ruth Roberts, Licensed Professional Counselor in Houston, TX
Ruth Roberts
Licensed Professional Counselor, LPC
Verified Verified
Houston, TX 77089
Hi! My name is Ruth Roberts and I am licensed as a Professional Counselor (LPC) with over 23 years of clinical experience. I am able to treat a variety of mental health disorders for individuals, families, and couples such as anxiety, depression, stress management, coping skills, emotional regulation, and trauma. My approach to therapy is based on the evidence-based perspective of Cognitive Behavioral Therapy (CBT) such as Solution Focused Therapy, Dialectic Behavioral Therapy (DBT), Mindfulness, and Cognitive Processing Therapy (CPT).
Hi! My name is Ruth Roberts and I am licensed as a Professional Counselor (LPC) with over 23 years of clinical experience. I am able to treat a variety of mental health disorders for individuals, families, and couples such as anxiety, depression, stress management, coping skills, emotional regulation, and trauma. My approach to therapy is based on the evidence-based perspective of Cognitive Behavioral Therapy (CBT) such as Solution Focused Therapy, Dialectic Behavioral Therapy (DBT), Mindfulness, and Cognitive Processing Therapy (CPT).
(281) 746-6717 View (281) 746-6717
Photo of Dusti Tolman, Licensed Professional Counselor in Houston, TX
Dusti Tolman
Licensed Professional Counselor, MS, LPC
Verified Verified
1 Endorsed
Houston, TX 77070  (Online Only)
Offering online therapy in TX, WY, and CO. Are there times that you struggle to just make it through the day? Do you lie awake at night because your mind is racing and anxiety has taken over? Do you feel like you aren't good enough or capable enough to do the things life requires from you everyday? Maybe your self doubt comes from messages received in childhood, or from a toxic relationship where you were told over and over again that you weren't good enough, or from other traumatic experiences that you have internalized because you worry that you might appear weak or because others would never be able to understand your pain.
Offering online therapy in TX, WY, and CO. Are there times that you struggle to just make it through the day? Do you lie awake at night because your mind is racing and anxiety has taken over? Do you feel like you aren't good enough or capable enough to do the things life requires from you everyday? Maybe your self doubt comes from messages received in childhood, or from a toxic relationship where you were told over and over again that you weren't good enough, or from other traumatic experiences that you have internalized because you worry that you might appear weak or because others would never be able to understand your pain.
(713) 538-1512 View (713) 538-1512
Photo of Caitlin Payne, Clinical Social Work/Therapist in Houston, TX
Caitlin Payne
Clinical Social Work/Therapist, LCSW
Verified Verified
3 Endorsed
Houston, TX 77007
What lights me up about therapy is helping someone to live their most authentic life. I get energized hearing clients ask the existential questions and work to bring their intellectual and felt experiences into alignment. I'm a good fit for those looking to heal from trauma and better understand their history, who want to feel better, but also want feel okay in their own skin. Often my clients are working through difficult relational or family of origin experiences, seeking to relate to loved ones (and themselves) in a new way. I also have a passion for helping navigate burnout, especially with healthcare and helping professionals.
What lights me up about therapy is helping someone to live their most authentic life. I get energized hearing clients ask the existential questions and work to bring their intellectual and felt experiences into alignment. I'm a good fit for those looking to heal from trauma and better understand their history, who want to feel better, but also want feel okay in their own skin. Often my clients are working through difficult relational or family of origin experiences, seeking to relate to loved ones (and themselves) in a new way. I also have a passion for helping navigate burnout, especially with healthcare and helping professionals.
(713) 561-3342 View (713) 561-3342
Photo of Dr. Tahereh (Narges) Nadim, Counselor in Houston, TX
Dr. Tahereh (Narges) Nadim
Counselor, PsyaD, LMHC, LPC
Verified Verified
Houston, TX 77084
I specialize as a clinical psychoanalyst and believe that the freedom to say everything that comes to mind is transformative. Dr. Nadim keep client dignity at the forefront, treat them with respect, earn their trust by protecting privacy, and also sensitive to the role of diversity; clients' cultural background and environment :race, religion, ethnicity and language.
I specialize as a clinical psychoanalyst and believe that the freedom to say everything that comes to mind is transformative. Dr. Nadim keep client dignity at the forefront, treat them with respect, earn their trust by protecting privacy, and also sensitive to the role of diversity; clients' cultural background and environment :race, religion, ethnicity and language.
(281) 393-4515 View (281) 393-4515
Jay Kelley
Marriage & Family Therapist
Verified Verified
Houston, TX 77070
I have been in practice since 1991, specializing in relationship issues, mood disorders, addictions and spiritual issues. Many of my clients choose me because they are looking for professional competence combined with a christian perspective. While I am able to offer professional counseling to all, those from a christian background sometimes find it helpful knowing that their counselor shares their world-view.
I have been in practice since 1991, specializing in relationship issues, mood disorders, addictions and spiritual issues. Many of my clients choose me because they are looking for professional competence combined with a christian perspective. While I am able to offer professional counseling to all, those from a christian background sometimes find it helpful knowing that their counselor shares their world-view.
(281) 823-7931 View (281) 823-7931
Photo of Alcohol and Drug Evaluations, Licensed Professional Counselor in Houston, TX
Alcohol and Drug Evaluations
Licensed Professional Counselor, PhD, LPC-S
Verified Verified
Houston, TX 77074
We are a trusted provider offering a comprehensive range of court-mandated and employer-mandated services. We provide court-approved drug and alcohol evaluations. Additional services include bariatric evaluations and emotional support animal (ESA) evaluations. Other courses include alcohol and drug awareness, anger management, and shoplifting.
We are a trusted provider offering a comprehensive range of court-mandated and employer-mandated services. We provide court-approved drug and alcohol evaluations. Additional services include bariatric evaluations and emotional support animal (ESA) evaluations. Other courses include alcohol and drug awareness, anger management, and shoplifting.
(832) 626-1185 View (832) 626-1185
Photo of David Terpstra, Licensed Professional Counselor in Houston, TX
David Terpstra
Licensed Professional Counselor, LPC
Verified Verified
Houston, TX 77002  (Online Only)
I attained a BA degree in English Literature from Bethel University, a Master of Divinity degree from Princeton Seminary, and a Masters in Counseling degree from the University of North Texas. From 1995, I've worked in several counseling agencies, psychiatric hospitals, a medical institution in Dallas, and private practice therapy services in the Dallas metro area. In these past years, I have assisted many individuals, couples, and families to process their concerns and overcome difficulties.
I attained a BA degree in English Literature from Bethel University, a Master of Divinity degree from Princeton Seminary, and a Masters in Counseling degree from the University of North Texas. From 1995, I've worked in several counseling agencies, psychiatric hospitals, a medical institution in Dallas, and private practice therapy services in the Dallas metro area. In these past years, I have assisted many individuals, couples, and families to process their concerns and overcome difficulties.
(346) 512-4940 View (346) 512-4940
Photo of Antoinette D Winters, Clinical Social Work/Therapist in Houston, TX
Antoinette D Winters
Clinical Social Work/Therapist, LCSW
Verified Verified
Houston, TX 77027  (Online Only)
I am very gifted in making authentic connections with any population I work with. I have worked with a diverse group of clientele such as work with foster children suffering from mental health issues. Including bipolar, reactive attachment, anxiety and depression. I also have an extensive history working with adults who suffer from PTSD, complex childhood trauma, and severe anxiety and depression. Furthermore, I love working with the LGBTQ community in addressing issues sensitive to their needs such as increasing gender identity issues, body dysmorphia, and eating disorders.
I am very gifted in making authentic connections with any population I work with. I have worked with a diverse group of clientele such as work with foster children suffering from mental health issues. Including bipolar, reactive attachment, anxiety and depression. I also have an extensive history working with adults who suffer from PTSD, complex childhood trauma, and severe anxiety and depression. Furthermore, I love working with the LGBTQ community in addressing issues sensitive to their needs such as increasing gender identity issues, body dysmorphia, and eating disorders.
(346) 910-9716 View (346) 910-9716
Photo of Kathryn Smyth, Clinical Social Work/Therapist in Houston, TX
Kathryn Smyth
Clinical Social Work/Therapist, LCSW
Verified Verified
8 Endorsed
Houston, TX 77024
As a therapist, I am a compassionate witness to your story, helping you to heal, grow and thrive. I am dedicated to creating a safe and supportive environment where you can embark on a transformative journey towards empowerment, resilience and wholeness. I hold a deep belief in the inherent resilience of the human spirit and its capacity to heal from even the most challenging experiences. Whether you're facing past traumas, anxiety, life stressors, or any other emotional difficulties, I am here to guide you towards healing and recovery using various trauma-informed modalities.
As a therapist, I am a compassionate witness to your story, helping you to heal, grow and thrive. I am dedicated to creating a safe and supportive environment where you can embark on a transformative journey towards empowerment, resilience and wholeness. I hold a deep belief in the inherent resilience of the human spirit and its capacity to heal from even the most challenging experiences. Whether you're facing past traumas, anxiety, life stressors, or any other emotional difficulties, I am here to guide you towards healing and recovery using various trauma-informed modalities.
(832) 838-9879 View (832) 838-9879
Photo of Cynthia Horwitz, Licensed Professional Counselor in Houston, TX
Cynthia Horwitz
Licensed Professional Counselor, LPC-S
Verified Verified
1 Endorsed
Houston, TX 77057  (Online Only)
I consider therapy a partnership, and I love having the opportunity to walk alongside clients as they make positive changes in their lives. Whether you are addressing a painful problem, working through life changes, or simply wish to experience more joy and fulfillment, know that you are not alone. We all need support and a little guidance from time to time! My plan is that we will work together to identify your strengths, your goals, and your path forward.
I consider therapy a partnership, and I love having the opportunity to walk alongside clients as they make positive changes in their lives. Whether you are addressing a painful problem, working through life changes, or simply wish to experience more joy and fulfillment, know that you are not alone. We all need support and a little guidance from time to time! My plan is that we will work together to identify your strengths, your goals, and your path forward.
(832) 321-8468 View (832) 321-8468
Photo of Sarah D. Hernandez - Child Therapy In Clear Lake Texas, Marriage & Family Therapist Intern in Houston, TX
Sarah D. Hernandez - Child Therapy In Clear Lake Texas
Marriage & Family Therapist Intern, LMFT-I
Verified Verified
Houston, TX 77058
You deserve to be seen and heard, especially in your darkest moments. Whether you’re looking for support with Anxiety, Trauma and PTSD, or for your Child, my door is open. Life is overwhelming at times, and when you reached that breaking point, it made everything seem that much harder. The good news is that you don't have to face this alone. Together we can work towards creating a life where you feel supported and understood by those around you. No judgment, just an open and safe space to explore what's on your mind. We'll talk about what's working, what's not, and identify patterns that are holding you back from the life you want.
You deserve to be seen and heard, especially in your darkest moments. Whether you’re looking for support with Anxiety, Trauma and PTSD, or for your Child, my door is open. Life is overwhelming at times, and when you reached that breaking point, it made everything seem that much harder. The good news is that you don't have to face this alone. Together we can work towards creating a life where you feel supported and understood by those around you. No judgment, just an open and safe space to explore what's on your mind. We'll talk about what's working, what's not, and identify patterns that are holding you back from the life you want.
(281) 609-6747 View (281) 609-6747
Photo of Ehsan Adib Shabahang, Licensed Professional Counselor in Houston, TX
Ehsan Adib Shabahang
Licensed Professional Counselor, MS, LPC, NCC
Verified Verified
Houston, TX 77056  (Online Only)
Have you ever found yourself feeling on edge, overthinking, or even planning for situations that have not or may not even happen? Is it a concern with change? Or harsh self inner critic holding you back? Maybe your past trauma is showing up in new ways? I know how it feels like to be at war with yourself and your mind; it may feel like there is no escape or "turn off" button in life. I can show you how trauma-focused therapy and Neurofeedback can retrain your brain out of unhealthy or negative thought patterns.
Have you ever found yourself feeling on edge, overthinking, or even planning for situations that have not or may not even happen? Is it a concern with change? Or harsh self inner critic holding you back? Maybe your past trauma is showing up in new ways? I know how it feels like to be at war with yourself and your mind; it may feel like there is no escape or "turn off" button in life. I can show you how trauma-focused therapy and Neurofeedback can retrain your brain out of unhealthy or negative thought patterns.
(281) 205-1521 View (281) 205-1521
Photo of Julia's Counseling & Play Therapy Group, PLLC, Clinical Social Work/Therapist in Houston, TX
Julia's Counseling & Play Therapy Group, PLLC
Clinical Social Work/Therapist, LCSW-S, RPT, CTP
Verified Verified
3 Endorsed
Houston, TX 77079
If you are on the fence about starting therapy, we completely understand, and that is why we are committed to providing a positive and comfortable experience here. Whether you are seeking therapy for yourself, your relationship, your child, or your family, coming in to start therapy can be a vulnerable experience. Therefore, therapy always goes at your pace, and we value interactive feedback while setting goals and coming up with a plan. Every single person, child, couple and family is unique; therefore, we design a custom treatment plan based on your unique needs and desires.
If you are on the fence about starting therapy, we completely understand, and that is why we are committed to providing a positive and comfortable experience here. Whether you are seeking therapy for yourself, your relationship, your child, or your family, coming in to start therapy can be a vulnerable experience. Therefore, therapy always goes at your pace, and we value interactive feedback while setting goals and coming up with a plan. Every single person, child, couple and family is unique; therefore, we design a custom treatment plan based on your unique needs and desires.
(832) 462-7475 View (832) 462-7475
Photo of Dr. Jeanne Dewey, Clinical Social Work/Therapist in Houston, TX
Dr. Jeanne Dewey
Clinical Social Work/Therapist, PhD, LCSW
Verified Verified
Houston, TX 77098
Are you not feeling like yourself? Feeling down? Are lifes daily difficulties making you feel anxious,overwhelmed and afraid? Are you feeling disconnected from your partner, do you argue more than you used to? Have you been hurt by infidelity, are you undergoing a divorce or having trouble getting your life back on track due to divorce?Have you suffered from a traumatic event that is still affecting how you live your life today? Are you having trouble adjusting to the aging process or have aging parents I am LGBTQ friendly and have experience with transgender issues.I have empathy and am not judgmental.Call me to see if we are a fit
Are you not feeling like yourself? Feeling down? Are lifes daily difficulties making you feel anxious,overwhelmed and afraid? Are you feeling disconnected from your partner, do you argue more than you used to? Have you been hurt by infidelity, are you undergoing a divorce or having trouble getting your life back on track due to divorce?Have you suffered from a traumatic event that is still affecting how you live your life today? Are you having trouble adjusting to the aging process or have aging parents I am LGBTQ friendly and have experience with transgender issues.I have empathy and am not judgmental.Call me to see if we are a fit
(832) 626-4413 View (832) 626-4413
Photo of Bridging the Gap Psychcare, Licensed Professional Counselor in Houston, TX
Bridging the Gap Psychcare
Licensed Professional Counselor, MS, LPC-S
Verified Verified
1 Endorsed
Houston, TX 77024
I understand that no two individuals are the same and tailor our sessions together to address challenges unique to you. Together we will work to understand the root cause of your struggles and address those issues with long-lasting strategies, helping you get closer to the life you've always wanted. I have the experience to help you achieve your goals. If you're ready to work towards the life you've always wanted, I am ready when you are. Contact us today and let's get to work.
I understand that no two individuals are the same and tailor our sessions together to address challenges unique to you. Together we will work to understand the root cause of your struggles and address those issues with long-lasting strategies, helping you get closer to the life you've always wanted. I have the experience to help you achieve your goals. If you're ready to work towards the life you've always wanted, I am ready when you are. Contact us today and let's get to work.
(346) 209-1028 View (346) 209-1028

How does your Therapist compare?

Number of Therapists in Houston, TX

3,000+

Average cost per session

$135

Therapists in Houston, TX who prioritize treating:

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

Average years in practice

10 Years

Top 3 insurances accepted

86% Aetna
80% Cigna and Evernorth
80% UnitedHealthcare UHC | UBH

How Therapists in Houston, TX see their clients

55% In Person and Online
45% Online Only

Gender breakdown

82% Female
17% Male
1% Non-Binary

FAQs - About Therapy and Counseling

How can I find a therapist in Houston?

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

Learn more about how to find a therapist

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

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

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

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

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

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

What type of therapy is right for me?

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

How much does therapy cost?

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

What are more affordable or low cost therapy solutions?

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

Is online therapy cheaper than in-person therapy?

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

Is online therapy a good option?

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

Are therapy sessions confidential?

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