Therapists in Houston, TX

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Photo of Jenet Dove, Licensed Professional Counselor, MEd, LPC
Jenet Dove
Licensed Professional Counselor, MEd, LPC
Verified Verified
5 Endorsed
Online Only
My clients are recovering perfectionists and those who want to protect their peace (or maybe find it for the first time!). You were taught early on that with hard work and perfection comes acceptance and love. As a result, your self worth is tied to your achievements and with every accolade the goalpost is pushed back further. This creates a life that is deeply unfulfilling and exhausting. You may feel ashamed when you can't keep up with the superhuman demands you put on yourself. Perhaps chronic stress and burnout have been creeping in for a long time, and you don't know how to fight it anymore.
My clients are recovering perfectionists and those who want to protect their peace (or maybe find it for the first time!). You were taught early on that with hard work and perfection comes acceptance and love. As a result, your self worth is tied to your achievements and with every accolade the goalpost is pushed back further. This creates a life that is deeply unfulfilling and exhausting. You may feel ashamed when you can't keep up with the superhuman demands you put on yourself. Perhaps chronic stress and burnout have been creeping in for a long time, and you don't know how to fight it anymore.
(832) 906-7608 View (832) 906-7608
Photo of Richard Yohr, Licensed Professional Counselor, MS, LPC
Richard Yohr
Licensed Professional Counselor, MS, LPC
Verified Verified
Houston, TX 77084
I provide counseling and life coaching to adults, adolescents, couples, and families, who are struggling with mental health concerns, relationship issues, and unhappiness in family, at work, or in school. We do this together through a solution-focused, brief counseling approach, focusing on the present and planning for the future. My main experience has been working with those who are struggling within marriage and family relationships, or experiencing depression, anxiety, fear, anger, substance abuse and other addictions. My main role is to help clients get what they want and need, toward better mental health and happiness.
I provide counseling and life coaching to adults, adolescents, couples, and families, who are struggling with mental health concerns, relationship issues, and unhappiness in family, at work, or in school. We do this together through a solution-focused, brief counseling approach, focusing on the present and planning for the future. My main experience has been working with those who are struggling within marriage and family relationships, or experiencing depression, anxiety, fear, anger, substance abuse and other addictions. My main role is to help clients get what they want and need, toward better mental health and happiness.
(281) 317-7721 View (281) 317-7721
Photo of Victoria Pena, Licensed Professional Counselor, LPC
Victoria Pena
Licensed Professional Counselor, LPC
Verified Verified
Online Only
Hi! I'm Victoria Peña and I'm a Licensed Professional Counselor based in Texas. I've been practicing for about seven years now and I love working with adults who are looking to feel better about themselves and who they are as a parent. The goal is always to help my clients achieve the outcome they set out to achieve and maybe gain even more than expected. Together, we can figure out how you can stay connected to yourself and navigate motherhood confidently.
Hi! I'm Victoria Peña and I'm a Licensed Professional Counselor based in Texas. I've been practicing for about seven years now and I love working with adults who are looking to feel better about themselves and who they are as a parent. The goal is always to help my clients achieve the outcome they set out to achieve and maybe gain even more than expected. Together, we can figure out how you can stay connected to yourself and navigate motherhood confidently.
(346) 857-0328 View (346) 857-0328
Photo of Lee Ann Nichols, Licensed Professional Counselor, MA, LPC
Lee Ann Nichols
Licensed Professional Counselor, MA, LPC
Verified Verified
Houston, TX 77069
Selecting a counselor can be a daunting process. It may take several introductions or meetings to find a comfortable fit. The client should be an active part of the process of determining a good fit. I am a Licensed Professional Counselor practicing in the state of Texas. My education includes a BA in Psychology from Stephen F. Austin State University and an MA in Marriage and Family Therapy from University of Houston Clear Lake. My work experience in the mental health field includes various settings and populations such as inpatient, outpatient/private practice, psychosocial clubhouse, foster care, adoption/post adoption, and management of chronic pain.
Selecting a counselor can be a daunting process. It may take several introductions or meetings to find a comfortable fit. The client should be an active part of the process of determining a good fit. I am a Licensed Professional Counselor practicing in the state of Texas. My education includes a BA in Psychology from Stephen F. Austin State University and an MA in Marriage and Family Therapy from University of Houston Clear Lake. My work experience in the mental health field includes various settings and populations such as inpatient, outpatient/private practice, psychosocial clubhouse, foster care, adoption/post adoption, and management of chronic pain.
(281) 968-0943 View (281) 968-0943
Photo of Teresa Terry, Licensed Professional Counselor, LPC, CSC
Teresa Terry
Licensed Professional Counselor, LPC, CSC
Verified Verified
1 Endorsed
Houston, TX 77098
Often, life changes leave us feeling not good enough, anxious and even unworthy of life's best. We can together navigate life's struggles with collaboration, compassion and skill building so that you can live the life that you deserve. With many years of experience in the school setting, I feel confident that I can help even young clients work toward positive change.
Often, life changes leave us feeling not good enough, anxious and even unworthy of life's best. We can together navigate life's struggles with collaboration, compassion and skill building so that you can live the life that you deserve. With many years of experience in the school setting, I feel confident that I can help even young clients work toward positive change.
(832) 990-1916 x2 View (832) 990-1916 x2
Photo of Julie A. Swanson, Psychologist, PhD
Julie A. Swanson
Psychologist, PhD
Verified Verified
1 Endorsed
Online Only
Not accepting new clients
Practice full as of 10/21/2024. I work from a framework that integrates interpersonal process, existential, transdiagnostic, and mindfulness-based approaches such as Acceptance and Commitment Therapy emphasizing the use of the therapeutic alliance for growth and change. I have a reputation for approaching problems from a genuinely open-minded and non-judgmental position, and my clients often remark about the ease they feel telling me their most personal experiences.
Practice full as of 10/21/2024. I work from a framework that integrates interpersonal process, existential, transdiagnostic, and mindfulness-based approaches such as Acceptance and Commitment Therapy emphasizing the use of the therapeutic alliance for growth and change. I have a reputation for approaching problems from a genuinely open-minded and non-judgmental position, and my clients often remark about the ease they feel telling me their most personal experiences.
(936) 657-1975 View (936) 657-1975
Photo of Maryehdiah Giah, Licensed Professional Counselor, MA, LPC
Maryehdiah Giah
Licensed Professional Counselor, MA, LPC
Verified Verified
Houston, TX 77024
Maryehdiah Giah is a Licensed Professional Counselor-Supervisor in Texas who has been practicing since 2015. She obtained her Master of Arts in Counseling at Prairie View A&M University. Maryehdiah uses many treatment approaches, such as cognitive behavioral therapy (CBT) and dialectical behavior therapy (DBT). When Maryehdiah initially meets with a patient, she introduces herself and explains the process of intake to him/her. She also educates her patient about her methods of conducting therapy and asks them what they would like to get from attending therapy.
Maryehdiah Giah is a Licensed Professional Counselor-Supervisor in Texas who has been practicing since 2015. She obtained her Master of Arts in Counseling at Prairie View A&M University. Maryehdiah uses many treatment approaches, such as cognitive behavioral therapy (CBT) and dialectical behavior therapy (DBT). When Maryehdiah initially meets with a patient, she introduces herself and explains the process of intake to him/her. She also educates her patient about her methods of conducting therapy and asks them what they would like to get from attending therapy.
(346) 590-3750 View (346) 590-3750
Photo of Robin McDavid-Ransom, Licensed Professional Counselor, LPC
Robin McDavid-Ransom
Licensed Professional Counselor, LPC
Verified Verified
Houston, TX 77095
My ideal client is someone who is navigating the challenges of trauma, anxiety, PTSD, or preparing for marriage. They may feel overwhelmed by past experiences, struggle with emotional regulation, or seek guidance to strengthen their relationships. Their goal is to find healing, develop coping strategies, and build a fulfilling future. They want to feel empowered and supported as they work through life’s difficulties.
My ideal client is someone who is navigating the challenges of trauma, anxiety, PTSD, or preparing for marriage. They may feel overwhelmed by past experiences, struggle with emotional regulation, or seek guidance to strengthen their relationships. Their goal is to find healing, develop coping strategies, and build a fulfilling future. They want to feel empowered and supported as they work through life’s difficulties.
(832) 789-8642 View (832) 789-8642
Photo of Alexandria Williams-Reich, Clinical Social Work/Therapist, LMSW
Alexandria Williams-Reich
Clinical Social Work/Therapist, LMSW
Verified Verified
1 Endorsed
Houston, TX 77006
My approach to counseling acknowledges that treatment is as varied as humans are. Therapy focuses on the person’s goals and development, not the counselor’s desires for them. I am deeply compassionate, non-judgmental, and believe that the most effective therapy is truly collaborative between client and clinician.I work with clients across the lifespan but have most experience with children-middle aged adults. I work with individuals as well as couples and families, and am open to clients with “non-traditional” family styles such as chosen families and non-monogamous relationships with or without children.
My approach to counseling acknowledges that treatment is as varied as humans are. Therapy focuses on the person’s goals and development, not the counselor’s desires for them. I am deeply compassionate, non-judgmental, and believe that the most effective therapy is truly collaborative between client and clinician.I work with clients across the lifespan but have most experience with children-middle aged adults. I work with individuals as well as couples and families, and am open to clients with “non-traditional” family styles such as chosen families and non-monogamous relationships with or without children.
(512) 714-3403 View (512) 714-3403
Photo of Myrto Alampanou, Counselor, LPA, CCTP-II, CCATP, MS
Myrto Alampanou
Counselor, LPA, CCTP-II, CCATP, MS
Verified Verified
1 Endorsed
Online Only
Feeling overwhelmed dealing with trauma, anxiety, depression, grief, marriage, or life changes? As an affirming, culturally competent, and sex-positive expat therapist, I get it. Our sessions will be a safe place where you are accepted, validated, and treated with respect. This way, you can process, practice, learn, and grow. We will mix and match different interventions, to create a personalized action plan that best fits your own needs, preferences, and goals for therapy.
Feeling overwhelmed dealing with trauma, anxiety, depression, grief, marriage, or life changes? As an affirming, culturally competent, and sex-positive expat therapist, I get it. Our sessions will be a safe place where you are accepted, validated, and treated with respect. This way, you can process, practice, learn, and grow. We will mix and match different interventions, to create a personalized action plan that best fits your own needs, preferences, and goals for therapy.
(832) 501-0639 View (832) 501-0639
Photo of Olivia D McGill, Psychologist, PhD
Olivia D McGill
Psychologist, PhD
Verified Verified
Online Only
"That's just the trouble with me. I give myself very good advice, but I very seldom follow it." -Lewis Carroll, Alice in Wonderland
"That's just the trouble with me. I give myself very good advice, but I very seldom follow it." -Lewis Carroll, Alice in Wonderland
(713) 489-3103 View (713) 489-3103
Photo of Shantia Morgan, Licensed Professional Counselor, MA, LPC
Shantia Morgan
Licensed Professional Counselor, MA, LPC
Verified Verified
Online Only
As a Licensed Professional Counselor in Texas and Oregon with over five years of professional experience, I am dedicated to supporting clients facing stress and anxiety, relationship issues, depression, parenting challenges, and more. My ideal clients are those who are ready to explore their thoughts and emotions in a safe, non-judgmental space. Whether you are looking to build resilience, improve communication, or find clarity in your life, I am here to guide you on your journey to personal growth. Cognitive Behavioral Therapy, Person Centered Therapy and Solution Focused Therapy are the main theories that I use within my practice.
As a Licensed Professional Counselor in Texas and Oregon with over five years of professional experience, I am dedicated to supporting clients facing stress and anxiety, relationship issues, depression, parenting challenges, and more. My ideal clients are those who are ready to explore their thoughts and emotions in a safe, non-judgmental space. Whether you are looking to build resilience, improve communication, or find clarity in your life, I am here to guide you on your journey to personal growth. Cognitive Behavioral Therapy, Person Centered Therapy and Solution Focused Therapy are the main theories that I use within my practice.
(346) 597-3778 View (346) 597-3778
Photo of Ameerah Ali, Licensed Professional Counselor, LPC
Ameerah Ali
Licensed Professional Counselor, LPC
Verified Verified
Houston, TX 77057
Ameerah Ali, M.A., LPC, is a licensed professional counselor and certified clinical trauma specialist dedicated to providing therapeutic services to children, adolescents, and adults. Many of my clients have experienced trauma and are seeking a safe, non-judgmental environment where they can comfortably express themselves.
Ameerah Ali, M.A., LPC, is a licensed professional counselor and certified clinical trauma specialist dedicated to providing therapeutic services to children, adolescents, and adults. Many of my clients have experienced trauma and are seeking a safe, non-judgmental environment where they can comfortably express themselves.
(281) 503-5297 View (281) 503-5297
Photo of Dr. Orlando Vega, Licensed Professional Counselor, PhD, LCDC, NCC, BC-TMH, CCTP
Dr. Orlando Vega
Licensed Professional Counselor, PhD, LCDC, NCC, BC-TMH, CCTP
Verified Verified
Online Only
Greetings, I am Dr. Vega. I am proud to be bilingual, a Certified Clinical Trauma Professional, and a Certified Personality Disorder Treatment Provider. Do you struggle with feeling disconnected from yourself and others? Do you put your needs at the bottom of the to-do list? Do you wonder if life should feel somehow better? Happier? Now more than ever, people feel anxious, overwhelmed, and uncertain about managing their relationships, careers, and lives. Pushing away your needs and not taking time for yourself can lead to long-term issues for your mind and body. We believe it shouldn’t be so hard to live a better life.
Greetings, I am Dr. Vega. I am proud to be bilingual, a Certified Clinical Trauma Professional, and a Certified Personality Disorder Treatment Provider. Do you struggle with feeling disconnected from yourself and others? Do you put your needs at the bottom of the to-do list? Do you wonder if life should feel somehow better? Happier? Now more than ever, people feel anxious, overwhelmed, and uncertain about managing their relationships, careers, and lives. Pushing away your needs and not taking time for yourself can lead to long-term issues for your mind and body. We believe it shouldn’t be so hard to live a better life.
(832) 307-3314 View (832) 307-3314
Photo of Terrence Stewart, Clinical Social Work/Therapist, LCSW
Terrence Stewart
Clinical Social Work/Therapist, LCSW
Verified Verified
Houston, TX 77057
Hello, I'm Terrence Stewart, a dedicated therapist with a passion for promoting mental well-being and fostering healthier relationships. I specialize in men's mental health, recognizing the unique challenges and pressures that men often face. Whether it's navigating work-related stress, relationship difficulties, or personal growth, I am here to provide a safe and supportive space for men to explore their thoughts and emotions.
Hello, I'm Terrence Stewart, a dedicated therapist with a passion for promoting mental well-being and fostering healthier relationships. I specialize in men's mental health, recognizing the unique challenges and pressures that men often face. Whether it's navigating work-related stress, relationship difficulties, or personal growth, I am here to provide a safe and supportive space for men to explore their thoughts and emotions.
(281) 729-0599 View (281) 729-0599
Photo of Ashley Monet Johnson - Life Steps Therapy, Clinical Social Work/Therapist, LCSW-S, LCDC-I, MSW
Life Steps Therapy
Clinical Social Work/Therapist, LCSW-S, LCDC-I, MSW
Verified Verified
2 Endorsed
Online Only
We often feel overwhelmed, misunderstood, or stuck in cycles of dysfunction in our lives. Therapy offers us a safe place of refuge, validation, and hope from our uncertain circumstances. The therapist and client develop a mutually respectful relationship built from developed trust and compassion. Within this domain, my goal is to deepen your insight, self-awareness, and help you practice kindness accepting that which is truly you. Together we will consider healthy perspectives and identify patterns that perpetuate unhelpful cycles. Website for booking - lifestepstherapytx.com
We often feel overwhelmed, misunderstood, or stuck in cycles of dysfunction in our lives. Therapy offers us a safe place of refuge, validation, and hope from our uncertain circumstances. The therapist and client develop a mutually respectful relationship built from developed trust and compassion. Within this domain, my goal is to deepen your insight, self-awareness, and help you practice kindness accepting that which is truly you. Together we will consider healthy perspectives and identify patterns that perpetuate unhelpful cycles. Website for booking - lifestepstherapytx.com
(346) 483-3722 View (346) 483-3722
Photo of T'kea McClendon, Licensed Professional Counselor, MA, LPC
T'kea McClendon
Licensed Professional Counselor, MA, LPC
Verified Verified
Online Only
Life often presents challenges that can be overwhelming, painful, or destabilizing. Whether you're experiencing disappointment, frustration, confusion, or simply feeling lost, know that you are not alone. Together, we can navigate these complexities through a collaborative therapeutic relationship. I am committed to supporting you on your journey towards healing and resilience. As your guide, I support you in navigating your path to a more fulfilling life. Sessions are tailored to your unique needs, providing a confidential space for open and honest self-reflection. Together, we will collaborate on setting and achieving your goals.
Life often presents challenges that can be overwhelming, painful, or destabilizing. Whether you're experiencing disappointment, frustration, confusion, or simply feeling lost, know that you are not alone. Together, we can navigate these complexities through a collaborative therapeutic relationship. I am committed to supporting you on your journey towards healing and resilience. As your guide, I support you in navigating your path to a more fulfilling life. Sessions are tailored to your unique needs, providing a confidential space for open and honest self-reflection. Together, we will collaborate on setting and achieving your goals.
(346) 584-4036 View (346) 584-4036
Photo of Katherine Mitchell, Licensed Professional Counselor, MA, NCC, CST, LPC
Katherine Mitchell
Licensed Professional Counselor, MA, NCC, CST, LPC
Verified Verified
1 Endorsed
Houston, TX 77008
Waitlist for new clients
My ideal client is seeking a safe, solution-focused space to navigate personal, relational, and psychological challenges. They may struggle with anxiety, relationship conflicts, intimacy issues, neurodivergence, or self-worth. I help couples strengthen communication, trust, and sexual connection, and support neurodivergent individuals with tailored strategies. For those seeking assessments, I provide clarity and resources for success. My goal is to empower clients with practical, research-based solutions while validating their unique experiences and strengths.
My ideal client is seeking a safe, solution-focused space to navigate personal, relational, and psychological challenges. They may struggle with anxiety, relationship conflicts, intimacy issues, neurodivergence, or self-worth. I help couples strengthen communication, trust, and sexual connection, and support neurodivergent individuals with tailored strategies. For those seeking assessments, I provide clarity and resources for success. My goal is to empower clients with practical, research-based solutions while validating their unique experiences and strengths.
(713) 380-1151 View (713) 380-1151
Photo of Andrew Onwuegbu, Licensed Professional Counselor, LPC
Andrew Onwuegbu
Licensed Professional Counselor, LPC
Verified Verified
Online Only
My name is Andrew Onwuegbu and I am a licensed professional counselor in the state of Texas. As a clinician, I deal with a variety of different populations. These include suicidal and homicidal clients, senior citizens, and adolescent clients tackling depression, anxiety, and body dysmorphia. These clients range from all ages. I specialize in counseling adolescents. The goals of each of these clients vary, but most of the clients I service come looking for guidance and new ways to deal with their difficult circumstances.
My name is Andrew Onwuegbu and I am a licensed professional counselor in the state of Texas. As a clinician, I deal with a variety of different populations. These include suicidal and homicidal clients, senior citizens, and adolescent clients tackling depression, anxiety, and body dysmorphia. These clients range from all ages. I specialize in counseling adolescents. The goals of each of these clients vary, but most of the clients I service come looking for guidance and new ways to deal with their difficult circumstances.
(281) 377-1764 View (281) 377-1764
Photo of Daphne J Johnson, Licensed Professional Counselor, LCPS, MS
Daphne J Johnson
Licensed Professional Counselor, LCPS, MS
Verified Verified
Houston, TX 77056
I am a licensed professional counselor in private practice and a counselor intern supervisor. I have years of experience in marriage, family, and children's counseling. I am a former educator, and certified special education teacher. I have experience with the juvenile justice system,residential treatment, administration, court advocacy, foster/adopt parenting, licensed child care administration, Christian education, youth church ministry,Love and Logic Parenting, divorce mediation, certified anger management therapist and trainer. This combined experience allows me to address, through wisdom many issues of life that may arise.
I am a licensed professional counselor in private practice and a counselor intern supervisor. I have years of experience in marriage, family, and children's counseling. I am a former educator, and certified special education teacher. I have experience with the juvenile justice system,residential treatment, administration, court advocacy, foster/adopt parenting, licensed child care administration, Christian education, youth church ministry,Love and Logic Parenting, divorce mediation, certified anger management therapist and trainer. This combined experience allows me to address, through wisdom many issues of life that may arise.
(281) 729-8313 View (281) 729-8313
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See more therapy options for Houston

How does your Therapist compare?

Number of Therapists in Houston, TX

3,000+

Average cost per session

$140

Therapists in Houston, TX who prioritize treating:

92% Anxiety
87% Depression
72% Self Esteem
71% Coping Skills
66% Relationship Issues
65% Stress
63% Trauma and PTSD

Average years in practice

10 Years

Top 3 insurances accepted

91% Aetna
84% Cigna and Evernorth
75% BlueCross and BlueShield

How Therapists in Houston, TX see their clients

54% Online Only
46% In Person and Online

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.