Therapists in Houston, TX

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Photo of Hallie Nicholls, Licensed Professional Counselor Associate, MA, LPC-A
Hallie Nicholls
Licensed Professional Counselor Associate, MA, LPC-A
4 Endorsed
Houston, TX 77084
I guide individuals who feel lost in their emotions and disconnected from their true selves to reclaim their joy, purpose, and sense of belonging. Do you feel disconnected from joy? Trapped in endless scrolling on your phone, unable to escape the overwhelming noise? Have you found yourself emotionally detached from relationships and experiences, struggling to show up for yourself? Life’s disappointments and past traumas may have left you feeling like the coping mechanisms that once worked no longer help. The weight of long-held beliefs about yourself, others, and even your faith, can make it feel impossible to move forward.
I guide individuals who feel lost in their emotions and disconnected from their true selves to reclaim their joy, purpose, and sense of belonging. Do you feel disconnected from joy? Trapped in endless scrolling on your phone, unable to escape the overwhelming noise? Have you found yourself emotionally detached from relationships and experiences, struggling to show up for yourself? Life’s disappointments and past traumas may have left you feeling like the coping mechanisms that once worked no longer help. The weight of long-held beliefs about yourself, others, and even your faith, can make it feel impossible to move forward.
(346) 708-5291 View (346) 708-5291
Photo of Seperia D Preston, Licensed Professional Counselor, LPC
Seperia D Preston
Licensed Professional Counselor, LPC
3 Endorsed
Houston, TX 77026
You may be feeling overwhelmed by stress, depression, anxiety, or challenges at home that feel difficult to manage on your own. When emotions run high or behavior feels hard to control, it can impact your relationships, confidence, and daily life. Therapy can provide a space where you and your family feel supported, understood, and guided toward positive change. I work to create a safe, engaging environment where we can begin restoring balance and building healthier ways to cope and communicate.
You may be feeling overwhelmed by stress, depression, anxiety, or challenges at home that feel difficult to manage on your own. When emotions run high or behavior feels hard to control, it can impact your relationships, confidence, and daily life. Therapy can provide a space where you and your family feel supported, understood, and guided toward positive change. I work to create a safe, engaging environment where we can begin restoring balance and building healthier ways to cope and communicate.
(832) 957-7392 View (832) 957-7392
Photo of Vanessa Navarrete, Licensed Professional Counselor, LPC
Vanessa Navarrete
Licensed Professional Counselor, LPC
Houston, TX 77057
My name is Vanessa Navarrete a License Professional Counselor. I'm a mental health professional who helps individuals, or families navigate through various emotional and psychological challenges. I use various therapeutic techniques and approaches, such as cognitive-behavioral therapy, psychoanalysis, or family therapy, to address the client's unique needs.
My name is Vanessa Navarrete a License Professional Counselor. I'm a mental health professional who helps individuals, or families navigate through various emotional and psychological challenges. I use various therapeutic techniques and approaches, such as cognitive-behavioral therapy, psychoanalysis, or family therapy, to address the client's unique needs.
(281) 645-5197 View (281) 645-5197
Photo of Tiffany Haynes, Licensed Professional Counselor, LPC, MA
Tiffany Haynes
Licensed Professional Counselor, LPC, MA
Online Only
Seeking therapy is a brave step- and I'm here to meet you with warmth, respect, and care. My goal is to create a safe, supportive space where you can be fully yourself without fear of judgement. I specialize in working with young children, teens, and young adults who are on a journey to help make sense of their lives.
Seeking therapy is a brave step- and I'm here to meet you with warmth, respect, and care. My goal is to create a safe, supportive space where you can be fully yourself without fear of judgement. I specialize in working with young children, teens, and young adults who are on a journey to help make sense of their lives.
(832) 979-8167 View (832) 979-8167
Photo of Dr. Tyson Reuter, Psychologist, PhD
Dr. Tyson Reuter
Psychologist, PhD
2 Endorsed
Houston, TX 77063
I am a licensed clinical psychologist who specializes in providing empirically-supported treatments for anxiety disorders, OCD, Tourette/tic disorders, panic, hair pulling, and LGBT health. I see patients across the developmental lifespan (childhood to adulthood), though have interest and expertise in working with adolescents, with more than half of my referrals being teenagers. My therapeutic approach is direct and active while also being supportive and warm. I've enjoyed working in a variety of treatment settings including hospitals, medical schools, inpatient psychiatric facilities, community clinics, and private practice.
I am a licensed clinical psychologist who specializes in providing empirically-supported treatments for anxiety disorders, OCD, Tourette/tic disorders, panic, hair pulling, and LGBT health. I see patients across the developmental lifespan (childhood to adulthood), though have interest and expertise in working with adolescents, with more than half of my referrals being teenagers. My therapeutic approach is direct and active while also being supportive and warm. I've enjoyed working in a variety of treatment settings including hospitals, medical schools, inpatient psychiatric facilities, community clinics, and private practice.
(713) 766-5484 View (713) 766-5484
Photo of Sarah Gerke, Marriage & Family Therapist Associate, LMFT-A
Sarah Gerke
Marriage & Family Therapist Associate, LMFT-A
Houston, TX 77055
I have a passion for helping individuals, couples, and families navigate life's challenges, with a particular focus on supporting perinatal & postpartum women. I welcome clients from all walks of life who may be dealing with issues such as anxiety, depression, stress, self-esteem, relational difficulties, or complex family dynamics. Whether you're facing a specific challenge or seeking personal growth, I'm here to provide a supportive and non-judgmental space for your journey towards well-being.
I have a passion for helping individuals, couples, and families navigate life's challenges, with a particular focus on supporting perinatal & postpartum women. I welcome clients from all walks of life who may be dealing with issues such as anxiety, depression, stress, self-esteem, relational difficulties, or complex family dynamics. Whether you're facing a specific challenge or seeking personal growth, I'm here to provide a supportive and non-judgmental space for your journey towards well-being.
(936) 256-2702 View (936) 256-2702
Photo of Talia Loredo - Talia Loredo At Eddins Group, Licensed Professional Counselor Associate , LPCA
Talia Loredo At Eddins Group
Licensed Professional Counselor Associate , LPCA
Houston, TX 77006
What has been the most challenging moment of your life? Sharing your story in a safe, supportive space can be a powerful first step toward lasting, meaningful change. I work with individuals and couples navigating life’s toughest experiences—from relationship difficulties and anxiety to grief and major transitions. My approach is rooted in openness, connection, and helping you build the resilience needed for healing and growth. You don’t have to face this alone—when you’re ready, I’ll be here to take that first step alongside you.
What has been the most challenging moment of your life? Sharing your story in a safe, supportive space can be a powerful first step toward lasting, meaningful change. I work with individuals and couples navigating life’s toughest experiences—from relationship difficulties and anxiety to grief and major transitions. My approach is rooted in openness, connection, and helping you build the resilience needed for healing and growth. You don’t have to face this alone—when you’re ready, I’ll be here to take that first step alongside you.
(346) 537-7472 View (346) 537-7472
Photo of Shelley McCaul-Parent, Licensed Professional Counselor, MEd, LPC
Shelley McCaul-Parent
Licensed Professional Counselor, MEd, LPC
5 Endorsed
Online Only
I work with adults navigating depression, anxiety, trauma, or recovery from toxic relationships who are ready for meaningful emotional healing and lasting change. My clients often feel stuck in painful patterns or disconnected from themselves and others. I see clients virtually in Texas and Michigan, helping them find relief from overwhelming emotions, release self-doubt, and build peace, confidence, and connection in their lives.
I work with adults navigating depression, anxiety, trauma, or recovery from toxic relationships who are ready for meaningful emotional healing and lasting change. My clients often feel stuck in painful patterns or disconnected from themselves and others. I see clients virtually in Texas and Michigan, helping them find relief from overwhelming emotions, release self-doubt, and build peace, confidence, and connection in their lives.
(713) 636-5401 View (713) 636-5401
Photo of Molly Neyland, Licensed Professional Counselor, LPC
Molly Neyland
Licensed Professional Counselor, LPC
1 Endorsed
Houston, TX 77018
Life is complex and unexpected which can be overwhelming, especially if you are someone who wants to have it all "figured out." I work primarily with young adult females who struggle with anxiety, people pleasing behaviors, trauma, family/relationship issues, etc. You may be someone who presents to the world as being “put together,” but on the inside you feel the complete opposite. Therapy can help make a difference in these areas by uncovering the 'why' behind certain thoughts and behaviors. This increase in self-awareness and understanding can help to make the change you have been wanting.
Life is complex and unexpected which can be overwhelming, especially if you are someone who wants to have it all "figured out." I work primarily with young adult females who struggle with anxiety, people pleasing behaviors, trauma, family/relationship issues, etc. You may be someone who presents to the world as being “put together,” but on the inside you feel the complete opposite. Therapy can help make a difference in these areas by uncovering the 'why' behind certain thoughts and behaviors. This increase in self-awareness and understanding can help to make the change you have been wanting.
(281) 918-7722 View (281) 918-7722
Photo of Dr. Kaitlin Hill, Psychologist, PhD
Dr. Kaitlin Hill
Psychologist, PhD
Online Only
Anxiety, whether related to OCD, body image or eating, worry, social situations, current events, or any number of other experiences, can feel overwhelming and uncontrollable at times. What may start small can slowly shape how you make decisions, relate to others, and move through life, until one day, you realize you’re living around fear instead of living the life you want. From wanting to learn strategies for managing stress during a difficult time to feeling like you have lost your freedom and need to regain control, I will help you reach your goals and build the life you want without anxiety at the forefront!
Anxiety, whether related to OCD, body image or eating, worry, social situations, current events, or any number of other experiences, can feel overwhelming and uncontrollable at times. What may start small can slowly shape how you make decisions, relate to others, and move through life, until one day, you realize you’re living around fear instead of living the life you want. From wanting to learn strategies for managing stress during a difficult time to feeling like you have lost your freedom and need to regain control, I will help you reach your goals and build the life you want without anxiety at the forefront!
(346) 588-7971 View (346) 588-7971
Photo of Ninoska 'nina' A Lewis - Nina Lewis, Licensed Professional Counselor Associate, MS, LPC-A, CTRS
Nina Lewis
Licensed Professional Counselor Associate, MS, LPC-A, CTRS
Houston, TX 77008
Welcome, and thank you for taking the time to invest in yourself. Prioritizing your mental and emotional well-being is a powerful and courageous first step—whether it’s your first time seeking support or you’ve been on this journey for a while. I’m proud of you for being here. My name is Ninoska “Nina” Lewis, and I am a Licensed Professional Counselor Associate (LPC-A) supervised by Leo Kerr, LPC-S. I earned my Master of Science in Clinical Mental Health Counseling from the University of Houston-Clear Lake. My clinical experience includes working with individuals from diverse cultural backgrounds on a wide range of concerns.
Welcome, and thank you for taking the time to invest in yourself. Prioritizing your mental and emotional well-being is a powerful and courageous first step—whether it’s your first time seeking support or you’ve been on this journey for a while. I’m proud of you for being here. My name is Ninoska “Nina” Lewis, and I am a Licensed Professional Counselor Associate (LPC-A) supervised by Leo Kerr, LPC-S. I earned my Master of Science in Clinical Mental Health Counseling from the University of Houston-Clear Lake. My clinical experience includes working with individuals from diverse cultural backgrounds on a wide range of concerns.
(346) 707-2556 View (346) 707-2556
Photo of Gina W Watson, Marriage & Family Therapist, MS, LMFT-S
Gina W Watson
Marriage & Family Therapist, MS, LMFT-S
3 Endorsed
Houston, TX 77018
At HRI, all we do is couples. We are trained in the science of couple dynamics and when it comes to your relationship, you want a specialist. We work with couples recovering from infidelity, disconnection, resentment, ambivalence about divorce, sex and intimacy and fighting over the same thing with zero resolution. Resolving conflict without it escalating is a learned skill. We offer a proven three phase approach designed to melt resentment, gain closure on past hurts and find agreement (or compromise) on chronic issues.
At HRI, all we do is couples. We are trained in the science of couple dynamics and when it comes to your relationship, you want a specialist. We work with couples recovering from infidelity, disconnection, resentment, ambivalence about divorce, sex and intimacy and fighting over the same thing with zero resolution. Resolving conflict without it escalating is a learned skill. We offer a proven three phase approach designed to melt resentment, gain closure on past hurts and find agreement (or compromise) on chronic issues.
(281) 957-2874 View (281) 957-2874
Photo of Daniel Katz, Psychologist, PsyD
Daniel Katz
Psychologist, PsyD
6 Endorsed
Houston, TX 77027
I look at mental health from an integrative perspective. People are best understood and change is best maintained by taking into account all aspects of a person including physical health, genetic influences, cultural identities, behavioral patterns and past experiences. My therapeutic approach emphasizes an appreciation for the complexity and uniqueness of all of my clients. I provide a safe space to explore your thoughts, feelings, and actions, so that you can better understand yourself and obtain direction on how to grow. I will collaborate with you to create an individualized treatment plan based on your specific needs.
I look at mental health from an integrative perspective. People are best understood and change is best maintained by taking into account all aspects of a person including physical health, genetic influences, cultural identities, behavioral patterns and past experiences. My therapeutic approach emphasizes an appreciation for the complexity and uniqueness of all of my clients. I provide a safe space to explore your thoughts, feelings, and actions, so that you can better understand yourself and obtain direction on how to grow. I will collaborate with you to create an individualized treatment plan based on your specific needs.
(832) 612-3991 View (832) 612-3991
Photo of Jaclyn Burgdorf, Licensed Master Social Worker, LMSW
Jaclyn Burgdorf
Licensed Master Social Worker, LMSW
Houston, TX 77008
I am a LMSW, under supervision towards LCSW licensure, working in Houston, Texas, with experience working with adolescents, adults, and families. I am a compassionate and client-centered therapist dedicated to creating a safe and supportive space for healing and personal growth. I draw from both Cognitive Behavioral frameworks and Psychodynamic approaches, helping clients develop an awareness of their emotions, relationships, and inner narratives while fostering a stronger sense of self.
I am a LMSW, under supervision towards LCSW licensure, working in Houston, Texas, with experience working with adolescents, adults, and families. I am a compassionate and client-centered therapist dedicated to creating a safe and supportive space for healing and personal growth. I draw from both Cognitive Behavioral frameworks and Psychodynamic approaches, helping clients develop an awareness of their emotions, relationships, and inner narratives while fostering a stronger sense of self.
(713) 804-2776 View (713) 804-2776
Photo of Ryan Pescaia, Licensed Professional Counselor, MS, LPC
Ryan Pescaia
Licensed Professional Counselor, MS, LPC
9 Endorsed
Houston, TX 77006
Not accepting new clients
You don’t have to keep carrying it all alone. Whether it’s holding everything in, holding relationships together, or simply holding on — it’s exhausting. You deserve a space where you’re fully accepted, without judgment. I work with a variety of clients from different ages, backgrounds, and demographics. I specialize in work with LGBTQ+ individuals and couples navigating isolation, anxiety, depression, relationship challenges, and non-monogamy. Using an emotionally focused, person-centered approach, we’ll explore unmet needs, heal attachment wounds, and move through even the toughest emotions — together.
You don’t have to keep carrying it all alone. Whether it’s holding everything in, holding relationships together, or simply holding on — it’s exhausting. You deserve a space where you’re fully accepted, without judgment. I work with a variety of clients from different ages, backgrounds, and demographics. I specialize in work with LGBTQ+ individuals and couples navigating isolation, anxiety, depression, relationship challenges, and non-monogamy. Using an emotionally focused, person-centered approach, we’ll explore unmet needs, heal attachment wounds, and move through even the toughest emotions — together.
(832) 345-6945 View (832) 345-6945
Photo of Shanell Bradley, Licensed Professional Counselor, LPC, CSC
Shanell Bradley
Licensed Professional Counselor, LPC, CSC
8 Endorsed
Online Only
Hi there! Congratulations on taking this important step toward a better you! I understand the stigmas often associated with mental health and how they can sometimes prevent individuals from seeking the support they need. Your presence here is no accident; it takes incredible courage to embark on a journey of healing, and I am here to support you every step of the way. I am passionate about helping my clients find balance and empowering them to take the necessary steps to reach their goals.
Hi there! Congratulations on taking this important step toward a better you! I understand the stigmas often associated with mental health and how they can sometimes prevent individuals from seeking the support they need. Your presence here is no accident; it takes incredible courage to embark on a journey of healing, and I am here to support you every step of the way. I am passionate about helping my clients find balance and empowering them to take the necessary steps to reach their goals.
(832) 981-1340 View (832) 981-1340
Photo of Charlie Rao, Licensed Professional Counselor, MS, LPC
Charlie Rao
Licensed Professional Counselor, MS, LPC
5 Endorsed
Online Only
Are you the dependable one, the one everyone turns to, while you quietly feel overwhelmed or stretched thin? I work with caregivers and high-functioning adults who feel exhausted from carrying family expectations and responsibilities. Therapy is a steady space to slow down, understand long-standing patterns, and reconnect with yourself.
Are you the dependable one, the one everyone turns to, while you quietly feel overwhelmed or stretched thin? I work with caregivers and high-functioning adults who feel exhausted from carrying family expectations and responsibilities. Therapy is a steady space to slow down, understand long-standing patterns, and reconnect with yourself.
(832) 430-7430 View (832) 430-7430
Photo of Alma Flores - Counseling Center of Houston, Licensed Professional Counselor
Counseling Center of Houston
Licensed Professional Counselor
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 HINA TAUSIF, Clinical Social Work/Therapist, LMSW
HINA TAUSIF
Clinical Social Work/Therapist, LMSW
1 Endorsed
Online Only
Hi, I’m Hina Tausif, a Licensed Master Social Worker (LMSW, PhD) with over 20 years of experience supporting children, women, and adults. I work with clients facing trauma, anxiety, depression, substance use, domestic or sexual violence, and behavioral challenges like ADHD, autism, and bullying. Many come feeling overwhelmed or unheard. At Wellnite, I provide a safe, culturally sensitive space where we build resilience, strengthen coping skills, and create a path toward healing and stability.
Hi, I’m Hina Tausif, a Licensed Master Social Worker (LMSW, PhD) with over 20 years of experience supporting children, women, and adults. I work with clients facing trauma, anxiety, depression, substance use, domestic or sexual violence, and behavioral challenges like ADHD, autism, and bullying. Many come feeling overwhelmed or unheard. At Wellnite, I provide a safe, culturally sensitive space where we build resilience, strengthen coping skills, and create a path toward healing and stability.
(346) 584-3809 View (346) 584-3809
Photo of Christine Withrow, Licensed Professional Counselor, MS, LPC
Christine Withrow
Licensed Professional Counselor, MS, LPC
Houston, TX 77024
Christine Withrow is a Licensed Professional Counselor in Texas who has been practicing since 2012. She has an MS in Mental Health Counseling from Texas A&M University—Corpus Christi. Christine strives to provide a comfortable and safe environment for teens and adults to freely discuss their struggles. She and clients work together to find and develop strategies to reach their therapeutic goals. Christine is a voracious reader. Harry Potter is her favorite series of books (yes, she does make a distinction between the books and the movies). She also enjoys traveling; her dream is to explore Ireland.
Christine Withrow is a Licensed Professional Counselor in Texas who has been practicing since 2012. She has an MS in Mental Health Counseling from Texas A&M University—Corpus Christi. Christine strives to provide a comfortable and safe environment for teens and adults to freely discuss their struggles. She and clients work together to find and develop strategies to reach their therapeutic goals. Christine is a voracious reader. Harry Potter is her favorite series of books (yes, she does make a distinction between the books and the movies). She also enjoys traveling; her dream is to explore Ireland.
(346) 788-1430 View (346) 788-1430

See more therapy options for Houston

How does your Therapist compare?

Number of Therapists in Houston, TX

3,000+

Average cost per session

$149

Therapists in Houston, TX who prioritize treating:

92% Anxiety
87% Depression
71% Self Esteem
69% Relationship Issues
67% Stress
66% Trauma and PTSD
60% Grief

Average years in practice

10 Years

Top 3 insurances accepted

93% Aetna
83% Cigna and Evernorth
76% BlueCross and BlueShield

How Therapists in Houston, TX see their clients

53% In Person and Online
47% 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.