Therapists in Houston, TX

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Photo of Tenley Fukui, Licensed Professional Counselor in Houston, TX
Tenley Fukui
Licensed Professional Counselor, MA, LPC
Verified Verified
2 Endorsed
Houston, TX 77006
Waitlist for new clients
Tapping into the mind-body connection can help decrease chronic pain, anxiety, insomnia or other problems. Life can be stressful. Psychotherapy, hypnotherapy, biofeedback and neurofeedback can help you learn to cope better mentally and physically. I earned a Master of Arts degree in Clinical Psychology from the University of Houston-Clear Lake. I have been in private practice for 16 years. I specialize in chronic pain management, anxiety, insomnia and Irritable Bowel Syndrome. I can teach you how to reach a calmer, more comfortable and resilient state.
Tapping into the mind-body connection can help decrease chronic pain, anxiety, insomnia or other problems. Life can be stressful. Psychotherapy, hypnotherapy, biofeedback and neurofeedback can help you learn to cope better mentally and physically. I earned a Master of Arts degree in Clinical Psychology from the University of Houston-Clear Lake. I have been in private practice for 16 years. I specialize in chronic pain management, anxiety, insomnia and Irritable Bowel Syndrome. I can teach you how to reach a calmer, more comfortable and resilient state.
(713) 766-0588 View (713) 766-0588
Photo of Juan (Tony) Antonio Lopez, Licensed Professional Counselor in Houston, TX
Juan (Tony) Antonio Lopez
Licensed Professional Counselor, MA, LPC
Verified Verified
2 Endorsed
Houston, TX 77018
English/Spanish services available. My experience as a therapist/counselor goes back at the school setting for 19 years, 12 as a K-12 school counselor. I also have over 3000 professional psychotherapy/counseling hours working with young adults and couples. My clients may be having difficulties with personal relationships, depression, anxiety, stresses of life, or workplace and or trauma. Psychotherapy is about helping people work through struggles and find balance in life. Christian, spiritual psychotherapy is available for clients who prefer a faith focus approach. Seeking help to resolve issues is the first step to healing.
English/Spanish services available. My experience as a therapist/counselor goes back at the school setting for 19 years, 12 as a K-12 school counselor. I also have over 3000 professional psychotherapy/counseling hours working with young adults and couples. My clients may be having difficulties with personal relationships, depression, anxiety, stresses of life, or workplace and or trauma. Psychotherapy is about helping people work through struggles and find balance in life. Christian, spiritual psychotherapy is available for clients who prefer a faith focus approach. Seeking help to resolve issues is the first step to healing.
(713) 999-0190 View (713) 999-0190
Photo of Todd A Puckett, Licensed Professional Counselor in Houston, TX
Todd A Puckett
Licensed Professional Counselor, LPC-S
Verified Verified
1 Endorsed
Houston, TX 77018
My Focus and Specialties: I believe that the creation of a warm, supportive therapeutic relationship is at the core of healing. I strive to meet you where you are at on your life path and bring my knowledge to yours to enrich your life as fully as possible. My diverse background in the healing arts has made me highly effective with persons experiencing life transitions, crisis and trauma related concerns, stress, anxiety, and depression management, interpersonal relationships and communication problems, divorce, LGBTQ matters, and geriatrics.
My Focus and Specialties: I believe that the creation of a warm, supportive therapeutic relationship is at the core of healing. I strive to meet you where you are at on your life path and bring my knowledge to yours to enrich your life as fully as possible. My diverse background in the healing arts has made me highly effective with persons experiencing life transitions, crisis and trauma related concerns, stress, anxiety, and depression management, interpersonal relationships and communication problems, divorce, LGBTQ matters, and geriatrics.
(936) 259-0924 View (936) 259-0924
Photo of OCD & Anxiety Treatment of Houston, Licensed Professional Counselor in Houston, TX
OCD & Anxiety Treatment of Houston
Licensed Professional Counselor, MA, LPC, S
Verified Verified
Houston, TX 77065
As founder of OCD & Anxiety Treatment of Houston, my therapeutic approach is collaborative and holistic, integrating mind, body and spirit. I offer a comfortable and supportive environment, providing insightful guidance as you journey through life's challenges and transitions. I view each client relationship as a sacred covenant to help bring people to wholeness and healing. My specialties include working with individuals struggling with obsessive-compulsive disorder, OC-spectrum disorders, anxiety, depression, and body focused repetitive behaviors (such as hair pulling and skin picking).
As founder of OCD & Anxiety Treatment of Houston, my therapeutic approach is collaborative and holistic, integrating mind, body and spirit. I offer a comfortable and supportive environment, providing insightful guidance as you journey through life's challenges and transitions. I view each client relationship as a sacred covenant to help bring people to wholeness and healing. My specialties include working with individuals struggling with obsessive-compulsive disorder, OC-spectrum disorders, anxiety, depression, and body focused repetitive behaviors (such as hair pulling and skin picking).
(713) 677-2099 View (713) 677-2099
Photo of Sky Muller, Pre-Licensed Professional in Houston, TX
Sky Muller
Pre-Licensed Professional
Verified Verified
1 Endorsed
Houston, TX 77054
My name is Sky Muller, and I am a graduate student at Houston Christian University. I am being supervised by Keona Harris at D&K Counseling while striving to become a licensed marriage and family therapist. Before entering my master’s program, I earned a bachelor’s degree from the University of Houston-Clear Lake. I have previous experience working with children and families in ABA therapy, social work, public school settings, and as a current intern. If you are considering beginning therapy, I encourage you to do so!
My name is Sky Muller, and I am a graduate student at Houston Christian University. I am being supervised by Keona Harris at D&K Counseling while striving to become a licensed marriage and family therapist. Before entering my master’s program, I earned a bachelor’s degree from the University of Houston-Clear Lake. I have previous experience working with children and families in ABA therapy, social work, public school settings, and as a current intern. If you are considering beginning therapy, I encourage you to do so!
(281) 990-6558 View (281) 990-6558
Photo of Sharon Abraham, Clinical Social Work/Therapist in Houston, TX
Sharon Abraham
Clinical Social Work/Therapist, LCSW
Verified Verified
Houston, TX 77076
Hello, my name is Sharon Abraham, and I am a Licensed Clinical Social Worker. I strive to work alongside my clients to help them navigate a crisis and reach optimal solutions and growth in their mental health. I have primarily worked with adults in crisis situations involving their physical and mental health. I see clients who are experiencing depression, anxiety, stress, panic attacks, discord in interpersonal relationships, and loneliness.
Hello, my name is Sharon Abraham, and I am a Licensed Clinical Social Worker. I strive to work alongside my clients to help them navigate a crisis and reach optimal solutions and growth in their mental health. I have primarily worked with adults in crisis situations involving their physical and mental health. I see clients who are experiencing depression, anxiety, stress, panic attacks, discord in interpersonal relationships, and loneliness.
(281) 626-8190 View (281) 626-8190
Photo of Evelyn J Franco, Licensed Professional Counselor in Houston, TX
Evelyn J Franco
Licensed Professional Counselor, MEd, LPC, NCC
Verified Verified
Houston, TX 77070
Sometimes life can be overwhelming and chaotic; it can feel exhausting and more than we can handle alone. My goal is to listen, empower, inspire growth, and promote mental health healing while facilitating cognitive introspection in order to help you develop the necessary tools for a healthier social-emotional life.
Sometimes life can be overwhelming and chaotic; it can feel exhausting and more than we can handle alone. My goal is to listen, empower, inspire growth, and promote mental health healing while facilitating cognitive introspection in order to help you develop the necessary tools for a healthier social-emotional life.
(346) 209-0731 View (346) 209-0731
Photo of A Mindful Choice Counseling Services, Licensed Professional Counselor in Houston, TX
A Mindful Choice Counseling Services
Licensed Professional Counselor, MS, LPC
Verified Verified
Houston, TX 77069
Teletherapy! Therapy is supportive, collaborative, and life changing. As I tell each client, your goals are my goals. I assist clients in reaching their goals to improve their relationships, thoughts, and behaviors in a variety of ways. Having studied and practiced in an array of subjects, including addiction, human development, LGBTQI and minority studies, as well as crisis & trauma, I am confident I can assist you in obtaining the goals that YOU set forth in your therapy. In these trying times, let me help you see a better future for yourself. Offering in person and teletherapy in Cypress, and teletherapy for Louisana residents.
Teletherapy! Therapy is supportive, collaborative, and life changing. As I tell each client, your goals are my goals. I assist clients in reaching their goals to improve their relationships, thoughts, and behaviors in a variety of ways. Having studied and practiced in an array of subjects, including addiction, human development, LGBTQI and minority studies, as well as crisis & trauma, I am confident I can assist you in obtaining the goals that YOU set forth in your therapy. In these trying times, let me help you see a better future for yourself. Offering in person and teletherapy in Cypress, and teletherapy for Louisana residents.
(281) 801-5249 View (281) 801-5249
Photo of Susan R Steinbruecker, Clinical Social Work/Therapist in Houston, TX
Susan R Steinbruecker
Clinical Social Work/Therapist, LCSW
Verified Verified
Houston, TX 77042
I am a Licensed Clinical Social Worker who has worked for many years as a psychotherapist in private practice with Southwest Psychotherapy. I offer expertise in working with people facing life altering illness and those amid loss and grief. I also treat those struggling with depression, anxiety, relationship difficulties and more. It is my goal to provide a safe environment where clients can explore difficult issues. I employ an active style of practice that is both direct and supportive, always focused on improved communication, healthier self esteem and happier relationships. I work with individuals, couples and families.
I am a Licensed Clinical Social Worker who has worked for many years as a psychotherapist in private practice with Southwest Psychotherapy. I offer expertise in working with people facing life altering illness and those amid loss and grief. I also treat those struggling with depression, anxiety, relationship difficulties and more. It is my goal to provide a safe environment where clients can explore difficult issues. I employ an active style of practice that is both direct and supportive, always focused on improved communication, healthier self esteem and happier relationships. I work with individuals, couples and families.
(713) 338-9217 View (713) 338-9217
Photo of Elizabeth White, Licensed Professional Counselor in Houston, TX
Elizabeth White
Licensed Professional Counselor, MEd, LPC, CCTP
Verified Verified
5 Endorsed
Houston, TX 77079
Are you struggling with feeling misunderstood, overwhelmed or anxious? Do you notice that you can be mean to yourself, or catch yourself questioning decisions? I can provide you with the tools to restore peace and heal the relationship with yourself.
Are you struggling with feeling misunderstood, overwhelmed or anxious? Do you notice that you can be mean to yourself, or catch yourself questioning decisions? I can provide you with the tools to restore peace and heal the relationship with yourself.
(281) 944-4532 View (281) 944-4532
Photo of Crowning Growth PLLC, Licensed Professional Counselor in Houston, TX
Crowning Growth PLLC
Licensed Professional Counselor, MA, LPC
Verified Verified
1 Endorsed
Houston, TX 77065  (Online Only)
Do you find yourself thinking about the fights you've had with your loved ones? Conflicts, either with family, friends or partners has an impact on how you relate with other people. During personal conflict, the rush of emotions may cause you immediate shut down, exposure to vulnerabilities or damaging behaviors from unresolved past trauma. Conflict, unfortunately is inevitable in any relationship but you can have the skills to solve them every time.
Do you find yourself thinking about the fights you've had with your loved ones? Conflicts, either with family, friends or partners has an impact on how you relate with other people. During personal conflict, the rush of emotions may cause you immediate shut down, exposure to vulnerabilities or damaging behaviors from unresolved past trauma. Conflict, unfortunately is inevitable in any relationship but you can have the skills to solve them every time.
(281) 626-7945 View (281) 626-7945
Photo of Kara Smith, Clinical Social Work/Therapist in Houston, TX
Kara Smith
Clinical Social Work/Therapist, LCSW
Verified Verified
3 Endorsed
Houston, TX 77098
There are many types of trauma, and trauma is subjective. Trauma can happen to your body, mind, and spirit. It distorts our identity, causes us to doubt our purpose, and influences our sense of meaning. We feel unsafe, alone, unknown, and scared. Some of the most challenging types of trauma to overcome are pre-verbal or early childhood abuse/neglect and relational or attachment trauma. EMDR is a protocol allowing someone to reprocess trauma quickly and with minimal risk of retraumatization. Focus is given to maintaining psychological safety at all times, and you are in complete control of the process.
There are many types of trauma, and trauma is subjective. Trauma can happen to your body, mind, and spirit. It distorts our identity, causes us to doubt our purpose, and influences our sense of meaning. We feel unsafe, alone, unknown, and scared. Some of the most challenging types of trauma to overcome are pre-verbal or early childhood abuse/neglect and relational or attachment trauma. EMDR is a protocol allowing someone to reprocess trauma quickly and with minimal risk of retraumatization. Focus is given to maintaining psychological safety at all times, and you are in complete control of the process.
(281) 549-8677 View (281) 549-8677
Photo of Counseling Center of Houston, Licensed Professional Counselor in Houston, TX
Counseling Center of Houston
Licensed Professional Counselor
Verified Verified
Houston, TX 77079
Counseling Center of Houston is where individuals and their families come to find HOPE, HELP, and RESOLUTION. If you are struggling and need someone to understand and listen we are here for you. Our center is a place of acceptance and encouragement. Through evidence-based treatments we help you find healing and resolution. We provide a safe, trusting, and confidential space for you and your loved ones. We will be with you every step of the way as you learn to live a happier, healthier, and more gratifying life. We offer counseling for children, adolescents, individuals, couples, and families.
Counseling Center of Houston is where individuals and their families come to find HOPE, HELP, and RESOLUTION. If you are struggling and need someone to understand and listen we are here for you. Our center is a place of acceptance and encouragement. Through evidence-based treatments we help you find healing and resolution. We provide a safe, trusting, and confidential space for you and your loved ones. We will be with you every step of the way as you learn to live a happier, healthier, and more gratifying life. We offer counseling for children, adolescents, individuals, couples, and families.
(281) 377-8319 View (281) 377-8319
Photo of Ginny Wiley, Licensed Professional Counselor in Houston, TX
Ginny Wiley
Licensed Professional Counselor, MAMFC, LPC
Verified Verified
Houston, TX 77005
My ultimate goal is to provide a safe place to process life's difficult moments. I have clinical experience working with couples, teenagers, and individuals struggling with anxiety, depression, relationship conflicts, and trauma. I aim to give clients hope while being empathetic and helping clients move forward.
My ultimate goal is to provide a safe place to process life's difficult moments. I have clinical experience working with couples, teenagers, and individuals struggling with anxiety, depression, relationship conflicts, and trauma. I aim to give clients hope while being empathetic and helping clients move forward.
(832) 981-4645 View (832) 981-4645
Photo of Victoria Miller, Licensed Professional Counselor in Houston, TX
Victoria Miller
Licensed Professional Counselor, LPCS
Verified Verified
Houston, TX 77018
Welcome! I am so excited that you are here and that you’re taking positive steps toward discovering healthy perspectives, forming healthy boundaries and creating new habits that are conducive to the life that you are striving to build. I have worked with clients of all backgrounds and walks of life, who have been challenged with grief, depression, anxiety, trauma, and relationship issues, etc.
Welcome! I am so excited that you are here and that you’re taking positive steps toward discovering healthy perspectives, forming healthy boundaries and creating new habits that are conducive to the life that you are striving to build. I have worked with clients of all backgrounds and walks of life, who have been challenged with grief, depression, anxiety, trauma, and relationship issues, etc.
(346) 644-6861 View (346) 644-6861
Photo of Almeyra Gutierrez, Licensed Professional Counselor in Houston, TX
Almeyra Gutierrez
Licensed Professional Counselor, MEd, LPC
Verified Verified
Houston, TX 77096
I offer therapy to couples, families, adults, adolescents, and children. I enjoy working with diverse individuals and helping people grow and heal. I also offer parent/guardian consultation services to help children receive the appropriate services and accommodations in school. I specialize in working with children (4 years and up), adolescents, at-risk youth, groups, adults, couples and families with an array of psychosocial needs. ​My counseling approach to therapy is an Eclectic approach. I selectively apply techniques from a variety of approaches to best fit your individual and family needs.
I offer therapy to couples, families, adults, adolescents, and children. I enjoy working with diverse individuals and helping people grow and heal. I also offer parent/guardian consultation services to help children receive the appropriate services and accommodations in school. I specialize in working with children (4 years and up), adolescents, at-risk youth, groups, adults, couples and families with an array of psychosocial needs. ​My counseling approach to therapy is an Eclectic approach. I selectively apply techniques from a variety of approaches to best fit your individual and family needs.
(713) 205-3167 View (713) 205-3167
Photo of Cassandra Menn, Licensed Professional Counselor Associate in Houston, TX
Cassandra Menn
Licensed Professional Counselor Associate, MA, LPC-A
Verified Verified
Houston, TX 77046
Cassie is a Licensed Professional Counselor Associate (LPC-A) and is clinically supervised under Meg Wilson, LCDC, LPC-S, NCC for the duration of her associate work. Cassie has a strong practice in eating disorders. Additionally, she specializes in anxiety, depression, trauma and PTSD, as well as substance use disorders. Cassie also is certified and trained by The Mayo Clinic as a health and wellness coach, and brings more than two decades of corporate leadership development to her coaching clients.
Cassie is a Licensed Professional Counselor Associate (LPC-A) and is clinically supervised under Meg Wilson, LCDC, LPC-S, NCC for the duration of her associate work. Cassie has a strong practice in eating disorders. Additionally, she specializes in anxiety, depression, trauma and PTSD, as well as substance use disorders. Cassie also is certified and trained by The Mayo Clinic as a health and wellness coach, and brings more than two decades of corporate leadership development to her coaching clients.
(281) 918-8863 View (281) 918-8863
Photo of Inner Peace Counseling, PLLC, Licensed Professional Counselor in Houston, TX
Inner Peace Counseling, PLLC
Licensed Professional Counselor, MA, LPC
Verified Verified
1 Endorsed
Houston, TX 77060  (Online Only)
It can be difficult to watch your child suffer. It is even more difficult to decide that you can't help and need to bring in an outsider. From the age of 11 on, children begin navigating more complex emotional lives. It can be difficult to deal with these big feelings when you don't have the vocabulary or tools to communicate what's going on. When your child speaks through behavior instead of words, you get things like bad grades, self harm, statements like "I hate myself" and "I'm a bad kid," drug use, sneaking out, and more.
It can be difficult to watch your child suffer. It is even more difficult to decide that you can't help and need to bring in an outsider. From the age of 11 on, children begin navigating more complex emotional lives. It can be difficult to deal with these big feelings when you don't have the vocabulary or tools to communicate what's going on. When your child speaks through behavior instead of words, you get things like bad grades, self harm, statements like "I hate myself" and "I'm a bad kid," drug use, sneaking out, and more.
(832) 509-5714 View (832) 509-5714
Photo of Whitney Nguyen, Marriage & Family Therapist Associate in Houston, TX
Whitney Nguyen
Marriage & Family Therapist Associate, MFT
Verified Verified
1 Endorsed
Houston, TX 77005
My expertise lies in aiding individuals, children, and families in discovering their inner strengths to overcome life's challenges. Whether it's navigating a difficult relationship, past trauma, managing ADHD, anxiety, depression, or coping with a major life transition, I am committed to providing a safe and supportive space for growth and healing.
My expertise lies in aiding individuals, children, and families in discovering their inner strengths to overcome life's challenges. Whether it's navigating a difficult relationship, past trauma, managing ADHD, anxiety, depression, or coping with a major life transition, I am committed to providing a safe and supportive space for growth and healing.
(346) 553-1461 View (346) 553-1461
Photo of Brett S. Needham, Clinical Social Work/Therapist in Houston, TX
Brett S. Needham
Clinical Social Work/Therapist, PhD, LCSW
Verified Verified
Houston, TX 77024
Asking for help can be difficult, but is a sure sign of strength. Finding the right therapist is the first step in getting the help you need. If you are struggling with depression, anxiety, substance abuse/addiction, or trauma related issues, or are having trouble managing your emotions and relationships, I can help. I have just short of twenty years experience collaborating with clients to find solutions for areas of difficulty in their life as well as helping them identify and cultivate their own strengths. I am eager to meet with you to develop your own, unique treatment plan.
Asking for help can be difficult, but is a sure sign of strength. Finding the right therapist is the first step in getting the help you need. If you are struggling with depression, anxiety, substance abuse/addiction, or trauma related issues, or are having trouble managing your emotions and relationships, I can help. I have just short of twenty years experience collaborating with clients to find solutions for areas of difficulty in their life as well as helping them identify and cultivate their own strengths. I am eager to meet with you to develop your own, unique treatment plan.
(832) 900-3142 View (832) 900-3142

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
64% Trauma and PTSD

Average years in practice

10 Years

Top 3 insurances accepted

85% 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.