Therapists in Houston, TX

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Photo of Luis Peña, MA, LPC, Licensed Professional Counselor in Houston, TX
Luis Peña, MA, LPC
Licensed Professional Counselor, MA, LPC
Verified Verified
Houston, TX 77006
I work with my clients to help them build the skills needed for coping with life and many of the adversities of daily living. Most of the individuals I see are working through issue related to depression, anxiety, insomnia, grief and loss, relationship issues, anger management or work related stress.
I work with my clients to help them build the skills needed for coping with life and many of the adversities of daily living. Most of the individuals I see are working through issue related to depression, anxiety, insomnia, grief and loss, relationship issues, anger management or work related stress.
(713) 999-6791 View (713) 999-6791
Photo of Lois Suh, Clinical Social Work/Therapist in Houston, TX
Lois Suh
Clinical Social Work/Therapist, LCSW
Verified Verified
Houston, TX 77002  (Online Only)
I am glad you took a step towards self-care at this time. My name is Lois and I have been a clinical social worker since 1998, working as a psychotherapist with individuals and families. My experience is working with depression, anxiety, substance use, grief and trauma. I provide a safe, non-judgmental space for you to explore your experiences and transform them. I am a certified Somatic Experiencing Practitioner (SEP). Somatic Experiencing therapy involves being gently guided to become aware of general felt sense and body sensations and increasing tolerance for distressing emotions in the mind-body field.
I am glad you took a step towards self-care at this time. My name is Lois and I have been a clinical social worker since 1998, working as a psychotherapist with individuals and families. My experience is working with depression, anxiety, substance use, grief and trauma. I provide a safe, non-judgmental space for you to explore your experiences and transform them. I am a certified Somatic Experiencing Practitioner (SEP). Somatic Experiencing therapy involves being gently guided to become aware of general felt sense and body sensations and increasing tolerance for distressing emotions in the mind-body field.
(832) 957-7855 View (832) 957-7855
Photo of Nizzy Khan, Licensed Professional Counselor Associate in Houston, TX
Nizzy Khan
Licensed Professional Counselor Associate, LMFT, LPC
Verified Verified
3 Endorsed
Houston, TX 77079
I am a relationship counselor who specializes in working with high-conflict couples. We believe that our behavior patterns in relationships are often shaped by experiences from childhood. For instance, a couple that is excited to get married may find themselves constantly arguing and feeling rejected. I can help track the cycle of conflict (Emotional Family Therapy by Sue Johnson) connecting/contrasting the secondary and primary emotions and noting the attachment impact of the couple.
I am a relationship counselor who specializes in working with high-conflict couples. We believe that our behavior patterns in relationships are often shaped by experiences from childhood. For instance, a couple that is excited to get married may find themselves constantly arguing and feeling rejected. I can help track the cycle of conflict (Emotional Family Therapy by Sue Johnson) connecting/contrasting the secondary and primary emotions and noting the attachment impact of the couple.
(281) 346-9676 View (281) 346-9676
Photo of Jaime Cohen in Houston, TX
Jaime Cohen
MS, PhD
Verified Verified
2 Endorsed
Houston, TX 77006
Couples Coaching involves altering relationship dynamics by improving communication & building/healing trust, decreasing conflict, teaching how to provide support/ responsiveness, emotional intimacy & sexual satisfaction. Individual Coaching is supportive, non-judgmental, & goal oriented. We will find new strategies to overcome life barriers, & develop new skills to attain your goals. I want to empower you to take control of your life, & teach you how to contribute to your own happiness. I focus on changing ineffective beliefs and behaviors that contribute to current problems, & foster more adaptive, flexible, & efficient solutions.
Couples Coaching involves altering relationship dynamics by improving communication & building/healing trust, decreasing conflict, teaching how to provide support/ responsiveness, emotional intimacy & sexual satisfaction. Individual Coaching is supportive, non-judgmental, & goal oriented. We will find new strategies to overcome life barriers, & develop new skills to attain your goals. I want to empower you to take control of your life, & teach you how to contribute to your own happiness. I focus on changing ineffective beliefs and behaviors that contribute to current problems, & foster more adaptive, flexible, & efficient solutions.
(832) 409-4206 View (832) 409-4206
Photo of Tiina Anttila, Licensed Professional Counselor in Houston, TX
Tiina Anttila
Licensed Professional Counselor, LPC
Verified Verified
1 Endorsed
Houston, TX 77005  (Online Only)
I am a seasoned therapist who has over 15 years of clinical experience working with individuals across a broad cultural spectrum. I have a special interest in treating anxiety-related disorders such as stress, generalized anxiety, social anxiety and trauma, but I also address symptoms of depression that often coexist with anxiety. I am experienced in addressing issues that may arise during life transitions, such as parenting, going to college, divorce, empty nest, aging and grief.
I am a seasoned therapist who has over 15 years of clinical experience working with individuals across a broad cultural spectrum. I have a special interest in treating anxiety-related disorders such as stress, generalized anxiety, social anxiety and trauma, but I also address symptoms of depression that often coexist with anxiety. I am experienced in addressing issues that may arise during life transitions, such as parenting, going to college, divorce, empty nest, aging and grief.
(346) 666-6835 View (346) 666-6835
Photo of Alexis Campbell, LCSW, Clinical Social Work/Therapist in Houston, TX
Alexis Campbell, LCSW
Clinical Social Work/Therapist, LCSW
Verified Verified
Houston, TX 77018
Life, relationships, and trauma can have an impact on the way you perceive yourself and/or the world. If you are interested in reaching goals of self-prioritization, getting the life and relationship you deserve, managing your mental health and healing from past and/or recent life transitions or trauma then start your healing journey today! Every relationship is a teaching relationship, especially the relationship you have with yourself. Your mental health matters. Let's figure out what balance and management means to you.
Life, relationships, and trauma can have an impact on the way you perceive yourself and/or the world. If you are interested in reaching goals of self-prioritization, getting the life and relationship you deserve, managing your mental health and healing from past and/or recent life transitions or trauma then start your healing journey today! Every relationship is a teaching relationship, especially the relationship you have with yourself. Your mental health matters. Let's figure out what balance and management means to you.
(832) 558-3109 View (832) 558-3109
Photo of Flor Moreno, Clinical Social Work/Therapist in Houston, TX
Flor Moreno
Clinical Social Work/Therapist, LCSW
Verified Verified
Houston, TX 77006
Hi there, I'm Flor! My name is Flor Moreno, and I am a Licensed Clinical Social Worker (LCSW) based in Rio Grande City, Texas, and working with clients statewide via telehealth. I work with children, adolescents, adults, and geriatric and specialize in anxiety, stress, depression, family issues, work issues, or a variety of other concerns by using Cognitive Behavior Therapy and other modalities. I have worked with school-aged children, adolescents, young adults, adults, and geriatric clients. I have found that my style and approach are a good fit for people who are dealing with challenges of life and communication issues.
Hi there, I'm Flor! My name is Flor Moreno, and I am a Licensed Clinical Social Worker (LCSW) based in Rio Grande City, Texas, and working with clients statewide via telehealth. I work with children, adolescents, adults, and geriatric and specialize in anxiety, stress, depression, family issues, work issues, or a variety of other concerns by using Cognitive Behavior Therapy and other modalities. I have worked with school-aged children, adolescents, young adults, adults, and geriatric clients. I have found that my style and approach are a good fit for people who are dealing with challenges of life and communication issues.
(832) 990-7484 View (832) 990-7484
Photo of Barton Jones, LCSW, Clinical Social Work/Therapist in Houston, TX
Barton Jones, LCSW
Clinical Social Work/Therapist, LCSW
Verified Verified
3 Endorsed
Houston, TX 77098
My clinical practice primarily involves working with individuals and couples who are navigating significant life transitions. These transitions may include the shift into adulthood, adjustments related to new career roles or positions, coping with serious injuries or illnesses, and managing complex or newly-formed relationships.
My clinical practice primarily involves working with individuals and couples who are navigating significant life transitions. These transitions may include the shift into adulthood, adjustments related to new career roles or positions, coping with serious injuries or illnesses, and managing complex or newly-formed relationships.
(832) 730-5134 View (832) 730-5134
Photo of Dr. Albie @ TX Clinical Psychology Center, Psychologist in Houston, TX
Dr. Albie @ TX Clinical Psychology Center
Psychologist, PsyD
Verified Verified
Houston, TX 77027
Affordable (50$-99$ cost model) Dr. Albie is licensed Clinical Psychologist with 10 years of experience working with people experiencing challenges with depression, stress, burnout, trauma or a family situation, the death of a loved one, the loss of a job, social anxiety, or fears. I work with a team of psychologists, testing specialists and a psychiatrist who treat children and adults with issues ranging from anxiety to dealing with changes in life. At Clinical Psychology Center, we have experienced, licensed psychotherapists, psychologists and social workers available to work with you.
Affordable (50$-99$ cost model) Dr. Albie is licensed Clinical Psychologist with 10 years of experience working with people experiencing challenges with depression, stress, burnout, trauma or a family situation, the death of a loved one, the loss of a job, social anxiety, or fears. I work with a team of psychologists, testing specialists and a psychiatrist who treat children and adults with issues ranging from anxiety to dealing with changes in life. At Clinical Psychology Center, we have experienced, licensed psychotherapists, psychologists and social workers available to work with you.
(832) 551-3134 View (832) 551-3134
Photo of Miquelle Cairnes, Licensed Professional Counselor in Houston, TX
Miquelle Cairnes
Licensed Professional Counselor, LPC
Verified Verified
Houston, TX 77002  (Online Only)
Howdy! My name is Miquelle and I’m a licensed professional counselor in Texas. I have my bachelors degree in psychology from Texas A&M University. I then completed my masters degree at the University of St. Thomas. I have a background working in residential treatment facilities with children, adolescents, young adults and families.
Howdy! My name is Miquelle and I’m a licensed professional counselor in Texas. I have my bachelors degree in psychology from Texas A&M University. I then completed my masters degree at the University of St. Thomas. I have a background working in residential treatment facilities with children, adolescents, young adults and families.
(832) 780-5032 View (832) 780-5032
Photo of Faith Larson, Clinical Social Work/Therapist in Houston, TX
Faith Larson
Clinical Social Work/Therapist, LCSW
Verified Verified
7 Endorsed
Houston, TX 77058
Faith has a master's degree in Social Work (MSW) and is a Licensed Clinical Social Worker (LCSW) in the State of Texas. For the past 14 years, Faith has worked with individuals, children, adolescents, and families experiencing complex trauma across many types of social services and organizations. Faith has worked in the private practice setting providing psychotherapy to clients since 2019. Faith is a Level 2 Certified Clinical Trauma Professional (CCTP-II) and a Certified Integrative Mental Health Practitioner (CIMHP). Faith is client centered and passionate about integrating holistic interventions into mental health treatment.
Faith has a master's degree in Social Work (MSW) and is a Licensed Clinical Social Worker (LCSW) in the State of Texas. For the past 14 years, Faith has worked with individuals, children, adolescents, and families experiencing complex trauma across many types of social services and organizations. Faith has worked in the private practice setting providing psychotherapy to clients since 2019. Faith is a Level 2 Certified Clinical Trauma Professional (CCTP-II) and a Certified Integrative Mental Health Practitioner (CIMHP). Faith is client centered and passionate about integrating holistic interventions into mental health treatment.
(979) 705-7383 View (979) 705-7383
Photo of Dr. Tara Coker Devine, Licensed Professional Counselor in Houston, TX
Dr. Tara Coker Devine
Licensed Professional Counselor, PhD, LPC-S, LMFT-S
Verified Verified
Houston, TX 77057
My clients come to me depressed & anxious from failed efforts to change, stuck in reactive & disruptive relationship patterns, stalled on the journey toward independence, self-reliance & purpose, defined & sentenced by their adversity, isolated from social connections in community, school or employment, & lacking trusted guides to navigate the path to thriving.
My clients come to me depressed & anxious from failed efforts to change, stuck in reactive & disruptive relationship patterns, stalled on the journey toward independence, self-reliance & purpose, defined & sentenced by their adversity, isolated from social connections in community, school or employment, & lacking trusted guides to navigate the path to thriving.
(346) 707-3174 View (346) 707-3174
Photo of Michael C. Thompson, Licensed Professional Counselor in Houston, TX
Michael C. Thompson
Licensed Professional Counselor, MA, LPC
Verified Verified
Houston, TX 77002  (Online Only)
Empowering Your Journey to Mental Well-Being: I am a Licensed Professional Counselor (LPC) with over ten years of experience assisting individuals and couples in navigating difficult times. I believe in the power of personal autonomy and self-determination, and my mission is to assist you in attaining optimal mental health, emotional well-being, and personal empowerment. I create a safe space in therapy for you to freely explore your thoughts and feelings, discover your strengths, and overcome any obstacles in your path.
Empowering Your Journey to Mental Well-Being: I am a Licensed Professional Counselor (LPC) with over ten years of experience assisting individuals and couples in navigating difficult times. I believe in the power of personal autonomy and self-determination, and my mission is to assist you in attaining optimal mental health, emotional well-being, and personal empowerment. I create a safe space in therapy for you to freely explore your thoughts and feelings, discover your strengths, and overcome any obstacles in your path.
(512) 200-2256 View (512) 200-2256
Photo of Jayna Haney-Single Parents/Stepfamilies/Co-Parents, Licensed Professional Counselor in Houston, TX
Jayna Haney-Single Parents/Stepfamilies/Co-Parents
Licensed Professional Counselor, MS, LPC, EMDR
Verified Verified
Houston, TX 77054
I help stepfamily couples and single parents find the quickest path possible to confidence, support, and a workable plan that moves you in the direction of your goals from our first session- even in the most challenging situations. I partner with single parents to create a better life for you and your children; reduce the overwhelm, heal from your breakup; and move forward successfully. With blended family couples, we work together to manage stepparenting/stepchild issues, coparent concerns, and/or work through issues, so you can get back to the love and passion that brought you together. Video conference/phone appts available.
I help stepfamily couples and single parents find the quickest path possible to confidence, support, and a workable plan that moves you in the direction of your goals from our first session- even in the most challenging situations. I partner with single parents to create a better life for you and your children; reduce the overwhelm, heal from your breakup; and move forward successfully. With blended family couples, we work together to manage stepparenting/stepchild issues, coparent concerns, and/or work through issues, so you can get back to the love and passion that brought you together. Video conference/phone appts available.
(713) 999-3470 View (713) 999-3470
Photo of Chandler Garza (She-Her), Licensed Professional Counselor in Houston, TX
Chandler Garza (She-Her)
Licensed Professional Counselor, MS
Verified Verified
1 Endorsed
Houston, TX 77007  (Online Only)
Waitlist for new clients
**very limited availability- Hello there! I’m Chandler, a Trauma-Informed and CBT-oriented psychotherapist. In therapy, my priority is fostering a therapeutic connection that feels safe and open. My mission is to allow space for my clients to explore themselves with curiosity and security. My greatest joy as a therapist is walking with my clients as they uncover a deeper understanding of themselves. Experiencing these moments and the power behind them is a special honor that brings passion to my work.
**very limited availability- Hello there! I’m Chandler, a Trauma-Informed and CBT-oriented psychotherapist. In therapy, my priority is fostering a therapeutic connection that feels safe and open. My mission is to allow space for my clients to explore themselves with curiosity and security. My greatest joy as a therapist is walking with my clients as they uncover a deeper understanding of themselves. Experiencing these moments and the power behind them is a special honor that brings passion to my work.
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Photo of Aimee Roulaine Anderson, Marriage & Family Therapist in Houston, TX
Aimee Roulaine Anderson
Marriage & Family Therapist, MA, LMFT
Verified Verified
Houston, TX 77058
Waitlist for new clients
The hardest and bravest step anyone can take is to reach out and ask for help. I am passionate about helping individuals and families overcome any challenge and move toward positive change. It is important for me to create a nonjudgmental and sensitive environment for each of my clients. My philosophy stems from the premise that every individual, couple, and family has strengths and capabilities that can be developed to help them attain and sustain a healthier lifestyle.
The hardest and bravest step anyone can take is to reach out and ask for help. I am passionate about helping individuals and families overcome any challenge and move toward positive change. It is important for me to create a nonjudgmental and sensitive environment for each of my clients. My philosophy stems from the premise that every individual, couple, and family has strengths and capabilities that can be developed to help them attain and sustain a healthier lifestyle.
(281) 394-4283 View (281) 394-4283
Photo of Phyllis Tonkin, LCSW, Clinical Social Work/Therapist in Houston, TX
Phyllis Tonkin, LCSW
Clinical Social Work/Therapist, LCSW
Verified Verified
Houston, TX 77063
My job is to see that you feel safe and nurtured. And most importantly that you feel heard. Allow me to help you find answers to your life challenges. Let me help you help yourself by guiding you to be your best self. I am someone who can walk the walk with you and guide you along the way.
My job is to see that you feel safe and nurtured. And most importantly that you feel heard. Allow me to help you find answers to your life challenges. Let me help you help yourself by guiding you to be your best self. I am someone who can walk the walk with you and guide you along the way.
(713) 338-9193 View (713) 338-9193
Photo of Leslie Ann Shields, Licensed Professional Counselor in Houston, TX
Leslie Ann Shields
Licensed Professional Counselor, MS, LPCS, CBIS
Verified Verified
Houston, TX 77008  (Online Only)
A favorite saying of mine is "CHANGE... It's One of Life's Only Constants..." Change often signifies growth. Changes often move us from our comfort zone and may trigger stressful or distressing thoughts, behaviors, emotions or physiological responses. Our responses are often unconscious. Except we consciously recognize increased discomfort, pain or unproductive functioning in our daily roles and relationships. If you or a family member are experiencing any social, emotional, mental or behavioral difficulties causing distress & preventing enjoying life or realizing your or their full potential in personal, work or school functioning, I invite you to call me.
A favorite saying of mine is "CHANGE... It's One of Life's Only Constants..." Change often signifies growth. Changes often move us from our comfort zone and may trigger stressful or distressing thoughts, behaviors, emotions or physiological responses. Our responses are often unconscious. Except we consciously recognize increased discomfort, pain or unproductive functioning in our daily roles and relationships. If you or a family member are experiencing any social, emotional, mental or behavioral difficulties causing distress & preventing enjoying life or realizing your or their full potential in personal, work or school functioning, I invite you to call me.
(832) 632-8118 View (832) 632-8118
Photo of Beauty for Ashes Healing Center (Stacey Gooden), Licensed Professional Counselor in Houston, TX
Beauty for Ashes Healing Center (Stacey Gooden)
Licensed Professional Counselor, LPC
Verified Verified
Houston, TX 77089  (Online Only)
Waitlist for new clients
Welcome to Beauty for Ashes! My name is Stacey, and I'm grateful to journey alongside you as we navigate this season of life together. Whether you are walking through recent stressors, or have felt stuck in the same cycle for decades, it’s never too early or too late to experience greater freedom in your life. I am certified in EMDR Therapy, Cognitive Behavioral Therapy, and am a Certified First Responder Counselor (CFRC); also trained in Exposure and Response Prevention (ERP) effective in treating Obsessive Compulsive Disorder (OCD).
Welcome to Beauty for Ashes! My name is Stacey, and I'm grateful to journey alongside you as we navigate this season of life together. Whether you are walking through recent stressors, or have felt stuck in the same cycle for decades, it’s never too early or too late to experience greater freedom in your life. I am certified in EMDR Therapy, Cognitive Behavioral Therapy, and am a Certified First Responder Counselor (CFRC); also trained in Exposure and Response Prevention (ERP) effective in treating Obsessive Compulsive Disorder (OCD).
(832) 909-1423 View (832) 909-1423
Photo of Corey D Paulson, Licensed Professional Counselor in Houston, TX
Corey D Paulson
Licensed Professional Counselor, MA, NCC, LPC-S
Verified Verified
4 Endorsed
Houston, TX 77024
Corey's therapeutic approach is goal driven and works to identify where his client wishes to grow and then, through careful collaboration, determine how it can be achieved. He works primarily with Reality Therapy, which emphasizes personal control of self, the ability for one to meet their needs in a healthy manner, and the acceptance that the actions one chooses are what makes up one's behavior. He is trained in EMDR and hypnosis and applies both in working with PTSD, trauma, anxiety, and for pain management from physical illness.
Corey's therapeutic approach is goal driven and works to identify where his client wishes to grow and then, through careful collaboration, determine how it can be achieved. He works primarily with Reality Therapy, which emphasizes personal control of self, the ability for one to meet their needs in a healthy manner, and the acceptance that the actions one chooses are what makes up one's behavior. He is trained in EMDR and hypnosis and applies both in working with PTSD, trauma, anxiety, and for pain management from physical illness.
(832) 234-9871 View (832) 234-9871

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.