Therapists in Harris County, TX

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Photo of Marissa Kepple, Psychological Associate in Harris County, TX
Marissa Kepple
Psychological Associate, MA, LPA
Verified Verified
1 Endorsed
Webster, TX 77598
I believe that a strong therapeutic relationship with clients is a powerful tool for growth. My style is characterized by empathy, sincerity, and warmth. Providing a non-judgmental and supportive environment allows clients to reach their full potential and overcome challenges. I understand that every person has their own unique perspective on life. I am sensitive to these experiences, cultures, and values, and believe there is no “one size fits all” approach to therapy. I strive to work with you to find happiness, cope with stress, and understand yourself and your world.
I believe that a strong therapeutic relationship with clients is a powerful tool for growth. My style is characterized by empathy, sincerity, and warmth. Providing a non-judgmental and supportive environment allows clients to reach their full potential and overcome challenges. I understand that every person has their own unique perspective on life. I am sensitive to these experiences, cultures, and values, and believe there is no “one size fits all” approach to therapy. I strive to work with you to find happiness, cope with stress, and understand yourself and your world.
(832) 346-9212 View (832) 346-9212
Photo of Leah J Singer, Licensed Professional Counselor in Harris County, TX
Leah J Singer
Licensed Professional Counselor, MEd, LPC
Verified Verified
Houston, TX 77006
I work with adult clients who are struggling with anxiety, stress, trauma, and substance use. If you feel like these issues have taken control of your life and you feel stuck on how to resolve them, you're not alone. Maybe these struggles have become a disruption and a distraction from living your life and doing what is most important to you. Perhaps you feel like you've lost a sense of control and you're ready to get back into the drivers seat to reclaim what is yours. If you feel like you're living your life on autopilot and the brink of burnout, you don't have to any longer. You are not meant to suffer and you deserve relief.
I work with adult clients who are struggling with anxiety, stress, trauma, and substance use. If you feel like these issues have taken control of your life and you feel stuck on how to resolve them, you're not alone. Maybe these struggles have become a disruption and a distraction from living your life and doing what is most important to you. Perhaps you feel like you've lost a sense of control and you're ready to get back into the drivers seat to reclaim what is yours. If you feel like you're living your life on autopilot and the brink of burnout, you don't have to any longer. You are not meant to suffer and you deserve relief.
(713) 597-7651 View (713) 597-7651
Photo of Tori Prophet, Marriage & Family Therapist in Harris County, TX
Tori Prophet
Marriage & Family Therapist, MA, LMFT, PMH-C
Verified Verified
2 Endorsed
Houston, TX 77009  (Online Only)
As a business-owner, you're constantly juggling the high demands of parenting, your career, and your marriage, all of which can leave you feeling overwhelmed, anxious, and on edge. You find yourself irritable, snapping at your loved ones, and questioning your ability to manage it all. The pressure to "do it all" - raise your children, excel in your career, maintain your relationships, and somehow fit in self-care - can seem unending and impossible. This chronic stress and anxiety not only strain your mental health but can also lead to long-term physical health problems. You're not alone - there's hope and help available.
As a business-owner, you're constantly juggling the high demands of parenting, your career, and your marriage, all of which can leave you feeling overwhelmed, anxious, and on edge. You find yourself irritable, snapping at your loved ones, and questioning your ability to manage it all. The pressure to "do it all" - raise your children, excel in your career, maintain your relationships, and somehow fit in self-care - can seem unending and impossible. This chronic stress and anxiety not only strain your mental health but can also lead to long-term physical health problems. You're not alone - there's hope and help available.
(281) 612-7871 View (281) 612-7871
Photo of Mel Sutton, Licensed Professional Counselor in Harris County, TX
Mel Sutton
Licensed Professional Counselor, MA, LPC
Verified Verified
5 Endorsed
Houston, TX 77006  (Online Only)
Your decision to start the journey of healing is a tremendous act of love turned inward. In individual counseling, I provide support and encouragement as you rewrite your story and work toward creating the life you want. In the couples therapy process, partners learn to improve communication, build intimacy, and solve conflict in a respectful way. All of my sessions are trauma sensitive and will be a safe space for repair.
Your decision to start the journey of healing is a tremendous act of love turned inward. In individual counseling, I provide support and encouragement as you rewrite your story and work toward creating the life you want. In the couples therapy process, partners learn to improve communication, build intimacy, and solve conflict in a respectful way. All of my sessions are trauma sensitive and will be a safe space for repair.
(832) 304-2501 View (832) 304-2501
Photo of Dr. Ed Muldrow, Clinical Social Work/Therapist in Harris County, TX
Dr. Ed Muldrow
Clinical Social Work/Therapist, PhD, LCSW
Verified Verified
Baytown, TX 77521  (Online Only)
Welcome! I'm Dr Ed-PhD, Diplomate in Clinical Social Work from the University of Houston. In today's multicultural society, I provide a safe space for individuals to explore their values and strengths and feeling supported. With a national 4.6 rating and over 60+ positive reviews on HealthGrades, United, Aetna, and Cigna, I've earned the trust and appreciation of each person I've been honored to work with. My therapeutic focus extends to Adults, Teens, Seniors and Families-including the adult male voice in relationships. I work primarily with most insurance plans, including Medicare Health plans. Office/Cell-832-233-2791. Welcome!
Welcome! I'm Dr Ed-PhD, Diplomate in Clinical Social Work from the University of Houston. In today's multicultural society, I provide a safe space for individuals to explore their values and strengths and feeling supported. With a national 4.6 rating and over 60+ positive reviews on HealthGrades, United, Aetna, and Cigna, I've earned the trust and appreciation of each person I've been honored to work with. My therapeutic focus extends to Adults, Teens, Seniors and Families-including the adult male voice in relationships. I work primarily with most insurance plans, including Medicare Health plans. Office/Cell-832-233-2791. Welcome!
(832) 233-2791 View (832) 233-2791
Photo of Meagan St Cyr, Clinical Social Work/Therapist in Harris County, TX
Meagan St Cyr
Clinical Social Work/Therapist, LCSW, LCDC
Verified Verified
3 Endorsed
Katy, TX 77494
I only offer virtual options for persons in Virginia. Individuals local to the Katy/Richmond Texas area can opt for in-person sessions at 24044 Cinco Village Center Blvd, Suite 100, Katy, Texas. Individuals who live in Texas outside of this area can meet virtually for therapy sessions. Getting started is easy—call (713) 744-1243 to schedule a session. I understand this process can cause fear or anxiety. I will be there to help to ease your worry.
I only offer virtual options for persons in Virginia. Individuals local to the Katy/Richmond Texas area can opt for in-person sessions at 24044 Cinco Village Center Blvd, Suite 100, Katy, Texas. Individuals who live in Texas outside of this area can meet virtually for therapy sessions. Getting started is easy—call (713) 744-1243 to schedule a session. I understand this process can cause fear or anxiety. I will be there to help to ease your worry.
(832) 669-5407 View (832) 669-5407
Photo of Sabastan Moore, Licensed Professional Counselor in Harris County, TX
Sabastan Moore
Licensed Professional Counselor, MA
Verified Verified
1 Endorsed
Houston, TX 77056
At Progress to Purpose Concierge Therapy, we understand that managing the difficulties of life often causes pain but accepting that pain as unavoidable can limit the joy of that life. We focus on identifying the source of that pain so we can work together to develop individualized strategies that will lead to your betterment. Whether that be through our certified Anger Management classes, our TDCJ-CJAD approved BIPP (Battery Intervention & Prevention Programming) course for court-mandates or traditional therapeutic work, the opportunity to progress in your relationships, profession and life become clear and your purpose-attainable.
At Progress to Purpose Concierge Therapy, we understand that managing the difficulties of life often causes pain but accepting that pain as unavoidable can limit the joy of that life. We focus on identifying the source of that pain so we can work together to develop individualized strategies that will lead to your betterment. Whether that be through our certified Anger Management classes, our TDCJ-CJAD approved BIPP (Battery Intervention & Prevention Programming) course for court-mandates or traditional therapeutic work, the opportunity to progress in your relationships, profession and life become clear and your purpose-attainable.
(832) 777-7808 View (832) 777-7808
Photo of Bev Mizrany, Licensed Professional Counselor in Harris County, TX
Bev Mizrany
Licensed Professional Counselor, LPC
Verified Verified
1 Endorsed
Cypress, TX 77429
We all need help sometimes. It is easy to allow negative thoughts and thought distortions to rule our minds resulting in depression and anxiety. I am here to help you overcome difficulties in your life and challenge those thoughts that are keeping you trapped in anxiety or depression. Lets work together to move past trauma, anxiety .and, depression and live the life you are longing for.
We all need help sometimes. It is easy to allow negative thoughts and thought distortions to rule our minds resulting in depression and anxiety. I am here to help you overcome difficulties in your life and challenge those thoughts that are keeping you trapped in anxiety or depression. Lets work together to move past trauma, anxiety .and, depression and live the life you are longing for.
(281) 916-8436 View (281) 916-8436
Photo of Candace James, Licensed Professional Counselor in Harris County, TX
Candace James
Licensed Professional Counselor, LPC
Verified Verified
Kingwood, TX 77339
Candace James is a Licensed Professional Counselor in Texas who started practicing in 2021. She has a Bachelor of Science in Psychology from Northwestern State University of Louisiana and a Master of Art in Clinical Psychology from Texas Southern University. Candace understands the bravery it takes to be completely vulnerable with another individual. She views her role in the counseling room is to meet clients right where they are with respect, compassion, and non-judgment. She finds it a privilege to journey with a client.
Candace James is a Licensed Professional Counselor in Texas who started practicing in 2021. She has a Bachelor of Science in Psychology from Northwestern State University of Louisiana and a Master of Art in Clinical Psychology from Texas Southern University. Candace understands the bravery it takes to be completely vulnerable with another individual. She views her role in the counseling room is to meet clients right where they are with respect, compassion, and non-judgment. She finds it a privilege to journey with a client.
(281) 666-9976 View (281) 666-9976
Photo of Emily Bradshaw, Licensed Professional Counselor Associate in Harris County, TX
Emily Bradshaw
Licensed Professional Counselor Associate, MEd, LPC-A
Verified Verified
2 Endorsed
Cypress, TX 77429
I truly believe in kindness and treating all people with love and respect. Everyone has their own story and they deserve to tell that story as well as live their truth. I promise to listen with empathy in an area that is completely free of judgement. From my experience, it is beneficial to have a safe space to share whatever you feel necessary at the time. Together we can develop the skills and tools that work best for you to help with any life problems you may be facing.
I truly believe in kindness and treating all people with love and respect. Everyone has their own story and they deserve to tell that story as well as live their truth. I promise to listen with empathy in an area that is completely free of judgement. From my experience, it is beneficial to have a safe space to share whatever you feel necessary at the time. Together we can develop the skills and tools that work best for you to help with any life problems you may be facing.
(346) 289-2526 View (346) 289-2526
Photo of John Nomura, Psychologist in Harris County, TX
John Nomura
Psychologist, PhD, BCBA-D, LP, LSSP
Verified Verified
1 Endorsed
Cypress, TX 77429
PLEASE VISIT JOHNNOMURA.COM TO SCHEDULE. Looking for a child/adolescent psychological assessment or adult ADHD testing? Dr. Nomura is a highly credentialed, respected evaluator who has a reputation for thorough, reliable reports. Dr. Nomura evaluates children's behavioral, emotional, cognitive, and social functioning. He assesses for ADHD, Autism, Anxiety, Depression, and others. Dr. Nomura is a previous professor, and he is an expert assessment consultant for school-based psychologists. To ensure the highest level of care, he only accepts a few clients each month.
PLEASE VISIT JOHNNOMURA.COM TO SCHEDULE. Looking for a child/adolescent psychological assessment or adult ADHD testing? Dr. Nomura is a highly credentialed, respected evaluator who has a reputation for thorough, reliable reports. Dr. Nomura evaluates children's behavioral, emotional, cognitive, and social functioning. He assesses for ADHD, Autism, Anxiety, Depression, and others. Dr. Nomura is a previous professor, and he is an expert assessment consultant for school-based psychologists. To ensure the highest level of care, he only accepts a few clients each month.
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Photo of Alicia M Russell, Licensed Professional Counselor in Harris County, TX
Alicia M Russell
Licensed Professional Counselor, MA, LPC
Verified Verified
Kingwood, TX 77339
My experience includes counseling adults and adolescents who might be experiencing issues of depression, anxiety, trauma, addiction, and issues regarding self-harm. I have experience in marital and family counseling, parenting skills, co-parenting skills, grief and loss, as well as individuals who experience low self-esteem. Most clients are looking to live the life they dreamed of, and they can benefit from my therapeutic style working collaboratively to reach these goals, together.
My experience includes counseling adults and adolescents who might be experiencing issues of depression, anxiety, trauma, addiction, and issues regarding self-harm. I have experience in marital and family counseling, parenting skills, co-parenting skills, grief and loss, as well as individuals who experience low self-esteem. Most clients are looking to live the life they dreamed of, and they can benefit from my therapeutic style working collaboratively to reach these goals, together.
(713) 597-8601 View (713) 597-8601
Photo of Lilian Anowey, Counselor in Harris County, TX
Lilian Anowey
Counselor, MA
Verified Verified
1 Endorsed
Houston, TX 77001
Lilian has a passion in helping people become the best version of themselves both physically and psychologically. Lilian utilizes various therapeutic approaches such as solution focused, CBT, and person-centered. She collaborates with each client to develop innovative techniques that tailors to their individual struggles and goals. Her expertise includes working with individuals struggling with anxiety, depression, PTSD, sexual abuse, trauma, eating disorders, grief and loss and other mental health disorders.
Lilian has a passion in helping people become the best version of themselves both physically and psychologically. Lilian utilizes various therapeutic approaches such as solution focused, CBT, and person-centered. She collaborates with each client to develop innovative techniques that tailors to their individual struggles and goals. Her expertise includes working with individuals struggling with anxiety, depression, PTSD, sexual abuse, trauma, eating disorders, grief and loss and other mental health disorders.
(281) 317-6296 View (281) 317-6296
Photo of Michael Kouba, Licensed Professional Counselor in Harris County, TX
Michael Kouba
Licensed Professional Counselor, LPC
Verified Verified
1 Endorsed
Houston, TX 77055
Nobody has this human thing figured out. We are all messy. The goal is direction more than perfection. Being an avid outdoor enthusiast and a two-time Ironman finisher, the process of the journey is 90% mental and 10% skill. Adapt. Overcome. Achieve.
Nobody has this human thing figured out. We are all messy. The goal is direction more than perfection. Being an avid outdoor enthusiast and a two-time Ironman finisher, the process of the journey is 90% mental and 10% skill. Adapt. Overcome. Achieve.
(832) 342-9437 View (832) 342-9437
Photo of Clarinda Bell-Fletcher, Licensed Professional Counselor in Harris County, TX
Clarinda Bell-Fletcher
Licensed Professional Counselor, MA, LPC
Verified Verified
Houston, TX 77084
We all face challenges throughout our lives. I have a strong sense of compassion and commitment to helping people. I enjoy helping a diversity of cultures, races, and ages. I have worked and lived in Africa and Azerbaijan so I consider myself a global citizen.
We all face challenges throughout our lives. I have a strong sense of compassion and commitment to helping people. I enjoy helping a diversity of cultures, races, and ages. I have worked and lived in Africa and Azerbaijan so I consider myself a global citizen.
(281) 542-3716 View (281) 542-3716
Photo of Hannah Hildinger, Licensed Master Social Worker in Harris County, TX
Hannah Hildinger
Licensed Master Social Worker, LMSW
Verified Verified
Bellaire, TX 77401
My biggest goal in therapy is to help clients feel equipped to take on each day to their best ability. Whether that means learning and practicing coping skills, using EMDR to re-process past trauma and reduce triggers, growing your confidence and self-esteem, or just allowing space to better understand your thoughts and emotions, I will be with you every step of the way to support you through your therapeutic journey. I am a firm believer that therapy has the ability to truly improve your quality of life and relationships with those around you, and I hope that you will allow me to be a part of your process.
My biggest goal in therapy is to help clients feel equipped to take on each day to their best ability. Whether that means learning and practicing coping skills, using EMDR to re-process past trauma and reduce triggers, growing your confidence and self-esteem, or just allowing space to better understand your thoughts and emotions, I will be with you every step of the way to support you through your therapeutic journey. I am a firm believer that therapy has the ability to truly improve your quality of life and relationships with those around you, and I hope that you will allow me to be a part of your process.
(346) 456-5104 View (346) 456-5104
Photo of Alejandro Galindo, Marriage & Family Therapist in Harris County, TX
Alejandro Galindo
Marriage & Family Therapist, LMFT
Verified Verified
Houston, TX 77006  (Online Only)
Alejandra Galindo is a Licensed Marriage and Family Therapist in the state of Texas with 7 years of experience working with individuals, couples, and families. Alejandra has worked with clients to help them navigate their trauma, depression, anxiety, relationship issues and much more. After graduating from John Jay College of Criminal Justice with a Bachelor of Arts in Forensic Psychology in New York City, Alejandra decided to continue her education in Texas. Alejandra graduated with her Master of Arts in Family Therapy from the University of Houston- Clear Lake.
Alejandra Galindo is a Licensed Marriage and Family Therapist in the state of Texas with 7 years of experience working with individuals, couples, and families. Alejandra has worked with clients to help them navigate their trauma, depression, anxiety, relationship issues and much more. After graduating from John Jay College of Criminal Justice with a Bachelor of Arts in Forensic Psychology in New York City, Alejandra decided to continue her education in Texas. Alejandra graduated with her Master of Arts in Family Therapy from the University of Houston- Clear Lake.
(346) 214-1828 View (346) 214-1828
Photo of Limbic Optimind, Clinical Social Work/Therapist in Harris County, TX
Limbic Optimind
Clinical Social Work/Therapist, LCSW
Verified Verified
1 Endorsed
Houston, TX 77080  (Online Only)
What was once bad memories, that you were able to suppress, have now become intrusive in your daily life. Each day feels like you're more stressed out than the day before. You find yourself easily irritable, & it's difficult to be around your loved ones. The nightmares and sleepless nights are happening more often & no one seems to understand your past. When you do get to sleep, waking up to the ringing in the ears is so unpleasant. The panic attacks feel like you are taking your last breaths. Therapy seems daunting, because the very last thing you want to do is re-live any of it, but you would give anything to feel internal peace.
What was once bad memories, that you were able to suppress, have now become intrusive in your daily life. Each day feels like you're more stressed out than the day before. You find yourself easily irritable, & it's difficult to be around your loved ones. The nightmares and sleepless nights are happening more often & no one seems to understand your past. When you do get to sleep, waking up to the ringing in the ears is so unpleasant. The panic attacks feel like you are taking your last breaths. Therapy seems daunting, because the very last thing you want to do is re-live any of it, but you would give anything to feel internal peace.
(605) 956-2273 View (605) 956-2273
Photo of The Feelings Healers, Licensed Professional Counselor in Harris County, TX
The Feelings Healers
Licensed Professional Counselor
Verified Verified
Houston, TX 77006
Why are you considering therapy? Maybe something traumatic happened, or you hate your body. Break-ups, trouble having a baby, career changes? Need a listening ear on issues related to sexuality or gender? Feeling depressed, anxious or like you’re going to lose your mind? Tired of being angry about the circumstances of your life but not sure how to overcome the hurt?
Why are you considering therapy? Maybe something traumatic happened, or you hate your body. Break-ups, trouble having a baby, career changes? Need a listening ear on issues related to sexuality or gender? Feeling depressed, anxious or like you’re going to lose your mind? Tired of being angry about the circumstances of your life but not sure how to overcome the hurt?
(832) 990-1873 View (832) 990-1873
Photo of Denis 'Woodja' Flanigan, Psychologist in Harris County, TX
Denis 'Woodja' Flanigan
Psychologist, PhD
Verified Verified
Houston, TX 77098
We can feel the most alone when we are hurting. We might struggle to even feel heard or understood. For therapy to be successful one has to feel heard, understood, and accepted with non-judgmental empathy. This is the foundation of my approach. Together we will explore your challenges, identify the obstacles you face, and find ways to navigate around them. I use an action driven approach to help clients gain insight and inspiration to discover solutions for their troubles.
We can feel the most alone when we are hurting. We might struggle to even feel heard or understood. For therapy to be successful one has to feel heard, understood, and accepted with non-judgmental empathy. This is the foundation of my approach. Together we will explore your challenges, identify the obstacles you face, and find ways to navigate around them. I use an action driven approach to help clients gain insight and inspiration to discover solutions for their troubles.
(713) 999-3640 View (713) 999-3640

See more therapy options for Harris County

How does your Therapist compare?

Number of Therapists in Harris County, TX

3,000+

Average cost per session

$135

Therapists in Harris County, TX who prioritize treating:

92% Anxiety
87% Depression
74% Self Esteem
70% Coping Skills
69% Relationship Issues
66% Stress
64% Trauma and PTSD

Average years in practice

10 Years

Top 3 insurances accepted

85% Aetna
79% Cigna and Evernorth
79% UnitedHealthcare UHC | UBH

How Therapists in Harris County, TX see their clients

58% In Person and Online
42% Online Only

Gender breakdown

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

How can I find a therapist in Harris County?

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.