Therapists in El Paso, TX

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Photo of Cristina Robledo, Clinical Social Work/Therapist, LCSW
Cristina Robledo
Clinical Social Work/Therapist, LCSW
Online Only
Hi! First off, congratulations on taking this first step. It takes a lot to seek help, and I am here to help. I am a Licensed Clinical Social Worker based on the border of Texas and New Mexico, with the ability to work in both states. I graduated from the University of Texas at El Paso and have been practicing since 2018, specializing in depression, anxiety, personality disorders, and trauma.
Hi! First off, congratulations on taking this first step. It takes a lot to seek help, and I am here to help. I am a Licensed Clinical Social Worker based on the border of Texas and New Mexico, with the ability to work in both states. I graduated from the University of Texas at El Paso and have been practicing since 2018, specializing in depression, anxiety, personality disorders, and trauma.
(915) 285-5085 View (915) 285-5085
Photo of Bonnie Galvan, Licensed Professional Counselor, LPC
Bonnie Galvan
Licensed Professional Counselor, LPC
Online Only
The one thing we share is the universal need to be heard without judgement or fear of shaming. The truth is , we have all been there , sometimes lost, sometimes angry , on top of the world then disillusioned. As much as we love our family and friends , sometimes they understand us the least. Let me help you to find the ways to cope , to understand what is going on in your life so that you can fix it. 20 years experience with every population to include adults, youth, anxiety, depression, couples, low self esteem , family issues, LGBTQI community welcome, all ethnicities and identification.
The one thing we share is the universal need to be heard without judgement or fear of shaming. The truth is , we have all been there , sometimes lost, sometimes angry , on top of the world then disillusioned. As much as we love our family and friends , sometimes they understand us the least. Let me help you to find the ways to cope , to understand what is going on in your life so that you can fix it. 20 years experience with every population to include adults, youth, anxiety, depression, couples, low self esteem , family issues, LGBTQI community welcome, all ethnicities and identification.
(915) 900-4450 View (915) 900-4450
Photo of Alex Reyes, Licensed Professional Counselor, LPC
Alex Reyes
Licensed Professional Counselor, LPC
El Paso, TX 79935
I would like to help you to find effective ways to face your struggles. I believe counseling can help anyone to develop a new approach to daily stressors and frustrations that affect relationships and daily activities. I can teach you techniques to handle daily difficulties effectively.
I would like to help you to find effective ways to face your struggles. I believe counseling can help anyone to develop a new approach to daily stressors and frustrations that affect relationships and daily activities. I can teach you techniques to handle daily difficulties effectively.
(915) 800-3343 View (915) 800-3343
Photo of Dr. Ruben Joseph Fineron, Licensed Professional Counselor, PsyD, MEd, LPCC, LPC, LCDC
Dr. Ruben Joseph Fineron
Licensed Professional Counselor, PsyD, MEd, LPCC, LPC, LCDC
El Paso, TX 79902
I am a doctor of psychology who provides a kind, welcoming, and non-judgmental environment which allows clients to experience self-growth. Anxiety, Depression, Anger, and Trauma maybe the direct result of internal conflict and stress which can even manifest itself through physical illness. I am a licensed mental health therapist in Texas and New Mexico. Therapy provides a journey to explore one's inner feelings and come up with solutions to understand life's complexities. " Quiet the mind, and the soul shall speak"- Ma Jaya Sati Bhagavati.
I am a doctor of psychology who provides a kind, welcoming, and non-judgmental environment which allows clients to experience self-growth. Anxiety, Depression, Anger, and Trauma maybe the direct result of internal conflict and stress which can even manifest itself through physical illness. I am a licensed mental health therapist in Texas and New Mexico. Therapy provides a journey to explore one's inner feelings and come up with solutions to understand life's complexities. " Quiet the mind, and the soul shall speak"- Ma Jaya Sati Bhagavati.
(915) 615-2247 View (915) 615-2247
Photo of Stephanie Laize, Licensed Professional Counselor, LPC
Stephanie Laize
Licensed Professional Counselor, LPC
Online Only
I am a licensed professional counselor. As a Korean-born woman, I have a unique cultural background but was raised in France. I have made the U.S.-Mexico border my home for the past two decades. I am a very effective counselor because I have the inner gift to connect with my clients very quickly. This facilitates them to disclose a lot of information they have never shared with anyone. I treat many disorders, including depression, anxiety, codependence, trauma, dysfunctional childhood, marital issues, self-esteem, anger, bullying, stress, and career.
I am a licensed professional counselor. As a Korean-born woman, I have a unique cultural background but was raised in France. I have made the U.S.-Mexico border my home for the past two decades. I am a very effective counselor because I have the inner gift to connect with my clients very quickly. This facilitates them to disclose a lot of information they have never shared with anyone. I treat many disorders, including depression, anxiety, codependence, trauma, dysfunctional childhood, marital issues, self-esteem, anger, bullying, stress, and career.
(346) 788-1759 View (346) 788-1759
Photo of Cynthia Flores, Licensed Professional Counselor Associate, MS, LPC-A
Cynthia Flores
Licensed Professional Counselor Associate, MS, LPC-A
3 Endorsed
El Paso, TX 79915
Welcome! Are you facing challenges in your relationship with yourself or others? Do you often struggle with finding meaning or direction in your life? Life can feel overwhelming at times, and you don’t have to navigate those moments alone. I’m here to offer a supportive, safe space where you can explore your experiences with compassion and make sense of what you’re experiencing. I’m passionate about helping individuals strengthen their connection with themselves and cultivate healthier, more fulfilling relationships with the people around them. Together, we’ll explore what’s getting in the way of your well-being.
Welcome! Are you facing challenges in your relationship with yourself or others? Do you often struggle with finding meaning or direction in your life? Life can feel overwhelming at times, and you don’t have to navigate those moments alone. I’m here to offer a supportive, safe space where you can explore your experiences with compassion and make sense of what you’re experiencing. I’m passionate about helping individuals strengthen their connection with themselves and cultivate healthier, more fulfilling relationships with the people around them. Together, we’ll explore what’s getting in the way of your well-being.
(915) 223-6698 View (915) 223-6698
Photo of Tyrone D. McDuffie Jr., Licensed Professional Counselor
Tyrone D. McDuffie Jr.
Licensed Professional Counselor
El Paso, TX 79924
I'm a Licensed Professional Counselor, Army veteran, and Christian minister. I specialize in trauma, PTSD, anxiety, grief, and military-related stress. I also support those affected by domestic violence. My approach is client-centered, trauma-informed, and faith-based upon request. I offer a safe, nonjudgmental space where you can heal, grow, and reclaim your peace. You're not alone—I'm here to walk with you.
I'm a Licensed Professional Counselor, Army veteran, and Christian minister. I specialize in trauma, PTSD, anxiety, grief, and military-related stress. I also support those affected by domestic violence. My approach is client-centered, trauma-informed, and faith-based upon request. I offer a safe, nonjudgmental space where you can heal, grow, and reclaim your peace. You're not alone—I'm here to walk with you.
(915) 615-3680 View (915) 615-3680
Photo of Zaide Echegoyen - Amistad-Veteran/Active Duty/Dependents Counseling, Licensed Professional Counselor
Amistad-Veteran/Active Duty/Dependents Counseling
Licensed Professional Counselor
El Paso, TX 79930
Amistad is El Paso's local non-profit since 1976. We offer 40 social services programs for its El Paso Community and six surrounding counties. Our specialized Military and Veterans unit provides Free professional counseling and social services to active military, veterans, and military dependents. Amistad Veterans Unit specializes in providing Individual, Family, Couples, Parenting, and Addiction Counseling. Amistad understands the importance of increasing access to our Military and Veteran families who have served regardless of when they served, their time in service, or their discharge status.
Amistad is El Paso's local non-profit since 1976. We offer 40 social services programs for its El Paso Community and six surrounding counties. Our specialized Military and Veterans unit provides Free professional counseling and social services to active military, veterans, and military dependents. Amistad Veterans Unit specializes in providing Individual, Family, Couples, Parenting, and Addiction Counseling. Amistad understands the importance of increasing access to our Military and Veteran families who have served regardless of when they served, their time in service, or their discharge status.
(915) 298-1194 View (915) 298-1194
Photo of Betty Leday, Licensed Professional Counselor Associate, MA, LPC-A
Betty Leday
Licensed Professional Counselor Associate, MA, LPC-A
4 Endorsed
El Paso, TX 79936
You may look like you’re managing everything just fine—but inside, you feel tired, overwhelmed, and emotionally drained. When you spend so much of your life caring for others, it’s easy to lose touch with your own needs. Whether you're navigating a major life transition—such as divorce, career change or empty nest stage—or coping with anxiety, trauma, grief, or infertility, I'm here to help. If you long to feel calm and grounded, it may be time to work with a counselor who truly understands. If you’re ready to feel calmer, more grounded, and less alone, I’d be honored to walk alongside you as you find your way back to peace & hope.
You may look like you’re managing everything just fine—but inside, you feel tired, overwhelmed, and emotionally drained. When you spend so much of your life caring for others, it’s easy to lose touch with your own needs. Whether you're navigating a major life transition—such as divorce, career change or empty nest stage—or coping with anxiety, trauma, grief, or infertility, I'm here to help. If you long to feel calm and grounded, it may be time to work with a counselor who truly understands. If you’re ready to feel calmer, more grounded, and less alone, I’d be honored to walk alongside you as you find your way back to peace & hope.
(915) 666-9704 x6 View (915) 666-9704 x6
Photo of Prof. Samuel Capelli, Licensed Professional Counselor, LPC-S, LPCC, CCHT, CART, NPT,DVC
Prof. Samuel Capelli
Licensed Professional Counselor, LPC-S, LPCC, CCHT, CART, NPT,DVC
El Paso, TX 79927
I am a Licensed Independent Mental Health Practitioner in Private Practice highly skilled to help you find the solutions you are looking for when plagued with issues in your life. Dedicated to changing your life..one issue at a time through professional psychotherapy as well as life coaching, guidance and CLINICAL HYPNOTHERAPY AND HYPNOSIS. I specialize as a high performing strategical thinking Professional Psychotherapist and I also specialize as a Certified Anger Resolution Therapist , with experience in psychoanalysis and community outreach services in the nonprofit and higher education sectors. STOP accepting cookie cutter programs that are ineffective. Challenge yourself CALL TODAY and start living.
I am a Licensed Independent Mental Health Practitioner in Private Practice highly skilled to help you find the solutions you are looking for when plagued with issues in your life. Dedicated to changing your life..one issue at a time through professional psychotherapy as well as life coaching, guidance and CLINICAL HYPNOTHERAPY AND HYPNOSIS. I specialize as a high performing strategical thinking Professional Psychotherapist and I also specialize as a Certified Anger Resolution Therapist , with experience in psychoanalysis and community outreach services in the nonprofit and higher education sectors. STOP accepting cookie cutter programs that are ineffective. Challenge yourself CALL TODAY and start living.
(915) 228-2077 View (915) 228-2077
Photo of Maria Isabel Rivera, LPC-Associate, MS, LPC A
Maria Isabel Rivera
LPC-Associate, MS, LPC A
2 Endorsed
El Paso, TX 79925
Welcome! Life can be overwhelming, but you don’t have to face it alone. I work with individuals navigating anxiety, depression, and stress, offering a safe and supportive space to heal and grow. I also specialize in working with neurodiverse clients including those with ADHD and Autism using a strength-based and affirming approach that honors each person’s unique brain and experience. As a certified PEERS provider by UCLA, I offer evidence-based social skills training to help teens and young adults improve communication, build meaningful relationships, and feel more confident socially.
Welcome! Life can be overwhelming, but you don’t have to face it alone. I work with individuals navigating anxiety, depression, and stress, offering a safe and supportive space to heal and grow. I also specialize in working with neurodiverse clients including those with ADHD and Autism using a strength-based and affirming approach that honors each person’s unique brain and experience. As a certified PEERS provider by UCLA, I offer evidence-based social skills training to help teens and young adults improve communication, build meaningful relationships, and feel more confident socially.
(915) 237-1524 View (915) 237-1524
Photo of Meghan E Milne, Marriage & Family Therapist, MA, LMFT-A
Meghan E Milne
Marriage & Family Therapist, MA, LMFT-A
2 Endorsed
El Paso, TX 79902
I strive to create a comfortable environment in which clients are able to share their issues. I have experience working with those dealing with anxiety, depression, PTSD, personality disorders, marital discord, and family issues. I walk along side my clients to bring to light their distress and empower change.
I strive to create a comfortable environment in which clients are able to share their issues. I have experience working with those dealing with anxiety, depression, PTSD, personality disorders, marital discord, and family issues. I walk along side my clients to bring to light their distress and empower change.
(915) 975-0881 View (915) 975-0881
Photo of Jessica Acker - Jessica Acker LPC INC, Licensed Professional Counselor, LPC, LMFT
Jessica Acker LPC INC
Licensed Professional Counselor, LPC, LMFT
1 Endorsed
El Paso, TX 79938
Our office is now open for in person visits and telehealth visits. Jessica is an interactive, solution-focused therapist. Her therapeutic approach is to provide support and practical feedback to help clients effectively address personal life challenges. She integrates complementary methodologies and techniques to offer a highly personalized approach tailored to each client. With compassion and understanding, she works with each individual to help them build on their strengths and attain the personal growth they are committed to accomplishing.
Our office is now open for in person visits and telehealth visits. Jessica is an interactive, solution-focused therapist. Her therapeutic approach is to provide support and practical feedback to help clients effectively address personal life challenges. She integrates complementary methodologies and techniques to offer a highly personalized approach tailored to each client. With compassion and understanding, she works with each individual to help them build on their strengths and attain the personal growth they are committed to accomplishing.
(915) 465-9580 View (915) 465-9580
Photo of Viviana Prado, Licensed Professional Counselor, MS, LPCC, LMHC
Viviana Prado
Licensed Professional Counselor, MS, LPCC, LMHC
Online Only
I offer bilingual counseling in English and Spanish and Catholic/Christian Counseling. Ofresco consejeria en Espanol y consejeria cristiana y catolica. I am a passionate and empathetic therapist with strong counseling abilities and an understanding of interpersonal and familial relationships. I have experience leading clients through the discovery and implementation of their strengths so they can flourish in their vocations, accomplish self-realization, and experience peace, happiness, and success. Through clinical experience, wisdom, and empathy, I support and assist those willing to make positive changes in their lives.
I offer bilingual counseling in English and Spanish and Catholic/Christian Counseling. Ofresco consejeria en Espanol y consejeria cristiana y catolica. I am a passionate and empathetic therapist with strong counseling abilities and an understanding of interpersonal and familial relationships. I have experience leading clients through the discovery and implementation of their strengths so they can flourish in their vocations, accomplish self-realization, and experience peace, happiness, and success. Through clinical experience, wisdom, and empathy, I support and assist those willing to make positive changes in their lives.
(915) 233-1168 View (915) 233-1168
Photo of Patricia Ramirez, Licensed Professional Counselor, LPC-S, LCDC
Patricia Ramirez
Licensed Professional Counselor, LPC-S, LCDC
1 Endorsed
El Paso, TX 79925
I am a Licensed Professional Counselor – Supervisor (LPC-S) and Licensed Chemical Dependency Counselor (LCDC) with over 20 years of experience in diverse mental health settings. My work focuses on trauma recovery, mood disorders, self-esteem, and personal growth. I integrate EMDR, CBT, emotion-focused exploration, and mindfulness to help clients build resilience and self-awareness. My approach emphasizes practical coping skills beyond sessions, empowering individuals to achieve independence, strengthen well-being, and sustain long-term growth.
I am a Licensed Professional Counselor – Supervisor (LPC-S) and Licensed Chemical Dependency Counselor (LCDC) with over 20 years of experience in diverse mental health settings. My work focuses on trauma recovery, mood disorders, self-esteem, and personal growth. I integrate EMDR, CBT, emotion-focused exploration, and mindfulness to help clients build resilience and self-awareness. My approach emphasizes practical coping skills beyond sessions, empowering individuals to achieve independence, strengthen well-being, and sustain long-term growth.
(915) 974-3593 x915731 View (915) 974-3593 x915731
Photo of Zul Estrada, Licensed Professional Counselor, LPC-S, RPT
Zul Estrada
Licensed Professional Counselor, LPC-S, RPT
1 Endorsed
El Paso, TX 79912
Zul specializes in trauma treatment and is EMDR certified as well as EMDR Approved Consultant. She is also a Registered Play Therapist. Primarily specializing in children and adolescents in the treatment of complex traumatization.
Zul specializes in trauma treatment and is EMDR certified as well as EMDR Approved Consultant. She is also a Registered Play Therapist. Primarily specializing in children and adolescents in the treatment of complex traumatization.
(915) 221-7017 View (915) 221-7017
Photo of Abril Silvadoray, Licensed Professional Counselor, MA, LPC-S, LCDC
Abril Silvadoray
Licensed Professional Counselor, MA, LPC-S, LCDC
Online Only
I'm a counselor with 10 years of experience helping people work through life's challenges, whether it's anxiety, relationship issues, depression, or just feeling stuck. My approach is real, supportive, and focused on what works for you, not a one-size-fits-all. I offer online sessions, with availability on evenings and weekends to make it easier to fit counseling into your life. If you are looking for someone down-to-earth who truly listens and helps you move forward, I would love to connect.
I'm a counselor with 10 years of experience helping people work through life's challenges, whether it's anxiety, relationship issues, depression, or just feeling stuck. My approach is real, supportive, and focused on what works for you, not a one-size-fits-all. I offer online sessions, with availability on evenings and weekends to make it easier to fit counseling into your life. If you are looking for someone down-to-earth who truly listens and helps you move forward, I would love to connect.
(915) 284-5620 View (915) 284-5620
Photo of Danielle A Gardea, Licensed Professional Counselor, MS, LPC-S, LPCC
Danielle A Gardea
Licensed Professional Counselor, MS, LPC-S, LPCC
3 Endorsed
El Paso, TX 79924
My job is to be your sounding board without judgement, to process the negative thoughts, behaviors and self-talk with you and for us to create strategies to use to shift how people treat you and ultimately change how you treat yourself. We will begin with what is concerning you now, what you know is happening, where you have had victories and places and times when things did not go your way.
My job is to be your sounding board without judgement, to process the negative thoughts, behaviors and self-talk with you and for us to create strategies to use to shift how people treat you and ultimately change how you treat yourself. We will begin with what is concerning you now, what you know is happening, where you have had victories and places and times when things did not go your way.
(915) 213-4290 View (915) 213-4290
Photo of Dr. Liza M Fant, Licensed Professional Counselor, PhD, MA, LPC, LPCC
Dr. Liza M Fant
Licensed Professional Counselor, PhD, MA, LPC, LPCC
2 Endorsed
El Paso, TX 79912
Not accepting new clients
Feeling overwhelmed, stuck, or disconnected? You deserve a safe, compassionate space to explore your thoughts and emotions. I’m here to support you through challenges, whether you're dealing with anxiety, relationship issues, work place conflict, or seeking to improve your overall well-being. Together, we can work towards meaningful change and healing. As a certified Prepare and Enrich facilitator with a passion for strengthening marriages and relationships, I offer a personalized approach to therapy.
Feeling overwhelmed, stuck, or disconnected? You deserve a safe, compassionate space to explore your thoughts and emotions. I’m here to support you through challenges, whether you're dealing with anxiety, relationship issues, work place conflict, or seeking to improve your overall well-being. Together, we can work towards meaningful change and healing. As a certified Prepare and Enrich facilitator with a passion for strengthening marriages and relationships, I offer a personalized approach to therapy.
(915) 800-3152 View (915) 800-3152
Photo of Koryna Herrera - Desert Wellness EP, Licensed Professional Counselor, LPC
Desert Wellness EP
Licensed Professional Counselor, LPC
El Paso, TX 79912
I am a Licensed Professional Counselor with over 20 years of experience and my goal is to provide you with a friendly, empathetic environment to facilitate change and empowerment in your life, providing the tools you need to reach your goals. Life can be challenging, and sometimes we need help transitioning from one stage to another or to overcome obstacles in life. We get stuck in patterns of interactions that don't work for us, and need help moving forward. Our work together will be based first and foremost on creating a safe, confidential, and supportive environment.
I am a Licensed Professional Counselor with over 20 years of experience and my goal is to provide you with a friendly, empathetic environment to facilitate change and empowerment in your life, providing the tools you need to reach your goals. Life can be challenging, and sometimes we need help transitioning from one stage to another or to overcome obstacles in life. We get stuck in patterns of interactions that don't work for us, and need help moving forward. Our work together will be based first and foremost on creating a safe, confidential, and supportive environment.
(915) 320-5536 View (915) 320-5536

See more therapy options for El Paso

How does your Therapist compare?

Number of Therapists in El Paso, TX

600+

Average cost per session

$120

Therapists in El Paso, TX who prioritize treating:

91% Anxiety
85% Depression
71% Self Esteem
69% Trauma and PTSD
67% Coping Skills
64% Stress
60% Grief

Average years in practice

10 Years

Top 3 insurances accepted

93% Aetna
86% Cigna and Evernorth
81% BlueCross and BlueShield

How Therapists in El Paso, TX see their clients

53% Online Only
47% In Person and Online

Gender breakdown

80% Female
19% Male
1% Non-Binary
FAQs - About Therapy and Counseling

How can I find a therapist in El Paso?

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.