Therapists in Houston, TX

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Geoffrey Ryan
Clinical Social Work/Therapist, MSW, LCSW
Houston, TX 77098
Geof Ryan is a Licensed Clinical Social Worker and a Licensed Chemical Dependency Counselor in Texas who has been practicing since 2014. He has a Masters in Social Work from Arizona State University. He has been assisting a diverse population of veteran, homeless, criminal justice, and substance use clients in private and non-profit clinical, treatment, and home settings. Geof specializes in treating anxiety, depressive, and co-existing disorders using a combination of cognitive behavioral talk therapies and resourcing of practical coping strategies.
Geof Ryan is a Licensed Clinical Social Worker and a Licensed Chemical Dependency Counselor in Texas who has been practicing since 2014. He has a Masters in Social Work from Arizona State University. He has been assisting a diverse population of veteran, homeless, criminal justice, and substance use clients in private and non-profit clinical, treatment, and home settings. Geof specializes in treating anxiety, depressive, and co-existing disorders using a combination of cognitive behavioral talk therapies and resourcing of practical coping strategies.
(832) 735-5201 View (832) 735-5201
Photo of Dr. Nathalie Lella Wolk, Psychologist, PhD, LMSW
Dr. Nathalie Lella Wolk
Psychologist, PhD, LMSW
Online Only
Waitlist for new clients
You are ready to feel better, to make changes and have hope again. The demands of life can be overwhelming and confusing so therapy should be that place you are heard, validated and accepted for the human you are when you are trying to do the best that you can. We all have times we are insecure, unhappy and wishing it were different. You don’t have to do it alone. I know the relationship with your psychologist is the most critical component to reaching your goals and it helps that I have good sense of humor. Reach out to meet and see if we have a match.
You are ready to feel better, to make changes and have hope again. The demands of life can be overwhelming and confusing so therapy should be that place you are heard, validated and accepted for the human you are when you are trying to do the best that you can. We all have times we are insecure, unhappy and wishing it were different. You don’t have to do it alone. I know the relationship with your psychologist is the most critical component to reaching your goals and it helps that I have good sense of humor. Reach out to meet and see if we have a match.
(346) 594-0510 View (346) 594-0510
Photo of Liz Burch - Liz Burch - Brainspotting, Marriage & Family Therapist Associate, MS, LMFT-A, LPC-A
Liz Burch - Brainspotting
Marriage & Family Therapist Associate, MS, LMFT-A, LPC-A
1 Endorsed
Houston, TX 77008
Shoot, you just stayed too late at work, ate a whole bag of chips, and zoned out in front of a screen for hours. Where did the time go? You turn to these habits to help you numb out and feel safe—because right now, nothing does. You haven’t had sex with your partner in months, and that’s the least of your relationship concerns. You feel exhausted and emotionally shut down. IF only you could focus. As a survivor of trauma or sexual abuse, this is a completely normal response. Your coping mechanisms once protected you, but now they’re holding you back from the life you want—one with more connection, presence, and meaning.
Shoot, you just stayed too late at work, ate a whole bag of chips, and zoned out in front of a screen for hours. Where did the time go? You turn to these habits to help you numb out and feel safe—because right now, nothing does. You haven’t had sex with your partner in months, and that’s the least of your relationship concerns. You feel exhausted and emotionally shut down. IF only you could focus. As a survivor of trauma or sexual abuse, this is a completely normal response. Your coping mechanisms once protected you, but now they’re holding you back from the life you want—one with more connection, presence, and meaning.
(832) 864-5931 View (832) 864-5931
Photo of Cristal N. Cervantes, Clinical Social Work/Therapist, LCSW
Cristal N. Cervantes
Clinical Social Work/Therapist, LCSW
1 Endorsed
Houston, TX 77012
I am a bilingual (English/Spanish) Licensed Clinical Social Worker. I work with children, adolescents, and families, providing support with self-esteem, stress management, life transitions, academic stressors, test anxiety, peer relationships, parent-child relationships, and complex family dynamics. I support your child to embrace all aspects of themselves, while developing practical tools to navigate challenges with self-compassion and accountability. I approach therapy honoring each client’s lived experience and believe that growth and healing happen when people feel safe, seen, and understood.
I am a bilingual (English/Spanish) Licensed Clinical Social Worker. I work with children, adolescents, and families, providing support with self-esteem, stress management, life transitions, academic stressors, test anxiety, peer relationships, parent-child relationships, and complex family dynamics. I support your child to embrace all aspects of themselves, while developing practical tools to navigate challenges with self-compassion and accountability. I approach therapy honoring each client’s lived experience and believe that growth and healing happen when people feel safe, seen, and understood.
(713) 547-4684 View (713) 547-4684
Photo of Dr. Mariah Montgomery, Psychologist, PhD
Dr. Mariah Montgomery
Psychologist, PhD
3 Endorsed
Houston, TX 77030
You take care of everyone else, even when you’re running on empty. Maybe you’re burned out, emotionally exhausted, or quietly carrying the weight of experiences you never had time to process. I help women and LGBTQ folks who’ve experienced trauma begin to feel more grounded, whole, and at peace in their lives. My approach is collaborative, compassionate, and honest. Together, we’ll work to understand how past experiences have shaped your story and help you reconnect with the parts of yourself that exist beyond productivity and survival. This is a space where you don’t have to be “on,” strong, or composed.
You take care of everyone else, even when you’re running on empty. Maybe you’re burned out, emotionally exhausted, or quietly carrying the weight of experiences you never had time to process. I help women and LGBTQ folks who’ve experienced trauma begin to feel more grounded, whole, and at peace in their lives. My approach is collaborative, compassionate, and honest. Together, we’ll work to understand how past experiences have shaped your story and help you reconnect with the parts of yourself that exist beyond productivity and survival. This is a space where you don’t have to be “on,” strong, or composed.
(346) 615-5758 View (346) 615-5758
Photo of John Freeman, Drug & Alcohol Counselor, LCDC, CADC, ICADC
John Freeman
Drug & Alcohol Counselor, LCDC, CADC, ICADC
Houston, TX 77010
In addiction recovery, your biggest adversary is your own mind. Maybe you've asked yourself "why do I have such a strong intent for positive changes, but just as things start to improve I seem to change my mind?" It's the same experience for most of us in recovery; completely normal. Recovery support programs give you the tools you need to transform your life, but what's often missing are the skills needed to use those tools, and a healed nervous system that will allow it. A set of daily practices for both mind and body will change everything for you. Ask about HeartMath and the Safe and Sound Protocol for polyvagal toning!
In addiction recovery, your biggest adversary is your own mind. Maybe you've asked yourself "why do I have such a strong intent for positive changes, but just as things start to improve I seem to change my mind?" It's the same experience for most of us in recovery; completely normal. Recovery support programs give you the tools you need to transform your life, but what's often missing are the skills needed to use those tools, and a healed nervous system that will allow it. A set of daily practices for both mind and body will change everything for you. Ask about HeartMath and the Safe and Sound Protocol for polyvagal toning!
(346) 988-2188 View (346) 988-2188
Photo of Dr. Nicquelette Ellison, Psychologist, PsyD, LP
Dr. Nicquelette Ellison
Psychologist, PsyD, LP
Houston, TX 77079
I provide compassionate, evidence-based therapy for adolescents and adults, creating a safe, supportive space where you can feel heard and understood. My approach is both practical and collaborative, helping you explore challenges, build coping skills, and make meaningful, lasting changes. I prioritize strong therapeutic relationships that empower you to grow, build resilience, and regain balance in your life.
I provide compassionate, evidence-based therapy for adolescents and adults, creating a safe, supportive space where you can feel heard and understood. My approach is both practical and collaborative, helping you explore challenges, build coping skills, and make meaningful, lasting changes. I prioritize strong therapeutic relationships that empower you to grow, build resilience, and regain balance in your life.
(346) 597-2248 View (346) 597-2248
Photo of Giovanna Henriquez Pennick, Licensed Professional Counselor, LPC
Giovanna Henriquez Pennick
Licensed Professional Counselor, LPC
2 Endorsed
Online Only
Welcome! I’m glad you’re here. My practice is built on creating a warm, collaborative, and empowering space where you can explore challenges and begin meaningful change at your own pace. I offer a complimentary 15-minute consultation so you can ask questions, share your goals, and get a feel for whether we’re a good fit before beginning therapy.
Welcome! I’m glad you’re here. My practice is built on creating a warm, collaborative, and empowering space where you can explore challenges and begin meaningful change at your own pace. I offer a complimentary 15-minute consultation so you can ask questions, share your goals, and get a feel for whether we’re a good fit before beginning therapy.
Photo of Mona S Ellis - Mona Ellis Therapy & DOT Qualified SAP Evaluations, Drug & Alcohol Counselor, SAP EAP, LA-SUDC, LISAC, LCDC, MAC,CHW
Mona Ellis Therapy & DOT Qualified SAP Evaluations
Drug & Alcohol Counselor, SAP EAP, LA-SUDC, LISAC, LCDC, MAC,CHW
Houston, TX 77060
As a therapist committed to aiding individuals and families in surmounting difficulties and cultivating effective coping mechanisms to enhance their life quality, I bring to the table a Master of Science in Counseling and Addiction and an experienced EAP and DOT SAP return to work counselor backed by 25 years of experience in Behavior Health and Human Services. Should you seek a compassionate, empathetic, and nurturing therapist who tailors counseling to each client's unique needs, look no further. Get started on empowering yourself through therapy in a safe place by contacting me today.
As a therapist committed to aiding individuals and families in surmounting difficulties and cultivating effective coping mechanisms to enhance their life quality, I bring to the table a Master of Science in Counseling and Addiction and an experienced EAP and DOT SAP return to work counselor backed by 25 years of experience in Behavior Health and Human Services. Should you seek a compassionate, empathetic, and nurturing therapist who tailors counseling to each client's unique needs, look no further. Get started on empowering yourself through therapy in a safe place by contacting me today.
(602) 844-9803 View (602) 844-9803
Photo of Cherry Weaver - Back On The Road Again LLC, Licensed Professional Counselor, LPC, LCDC, LCMHC
Back On The Road Again LLC
Licensed Professional Counselor, LPC, LCDC, LCMHC
2 Endorsed
Online Only
I believe in beginning therapy with a client by starting where they are at and partnering with them to set goals that are right for them. I am passionate about helping couples reconnect using Imago Relationship Therapy. I also have a passion for persons struggling with addiction or abusive relationships. For direct scheduling use this link: https://headway.co/providers/cherry-weaver
I believe in beginning therapy with a client by starting where they are at and partnering with them to set goals that are right for them. I am passionate about helping couples reconnect using Imago Relationship Therapy. I also have a passion for persons struggling with addiction or abusive relationships. For direct scheduling use this link: https://headway.co/providers/cherry-weaver
(281) 214-6510 View (281) 214-6510
Photo of Kathryn Scroggins, Licensed Professional Counselor
Kathryn Scroggins
Licensed Professional Counselor
Houston, TX 77011
I am a Licensed Professional Counselor with nearly two decades of experience supporting individuals across their lifespan. I work with children, teens, and adults, including individuals with disabilities.
I am a Licensed Professional Counselor with nearly two decades of experience supporting individuals across their lifespan. I work with children, teens, and adults, including individuals with disabilities.
(346) 643-5282 View (346) 643-5282
Photo of Erin Groeteke, Licensed Professional Counselor, LPC
Erin Groeteke
Licensed Professional Counselor, LPC
Online Only
Hi! I am a Licensed Professional Counselor (LPC) licensed in Texas and Wisconsin. I have been practicing for 9 years, mostly with adolescents and young adults in a high school setting. It is my goal to help teens navigate relationships, stress, anxiety, and any other struggles that they may have. If you are looking for someone to help your teen open up about what is going on in their life, and are willing to give them the love and time to grow. I believe I can help.
Hi! I am a Licensed Professional Counselor (LPC) licensed in Texas and Wisconsin. I have been practicing for 9 years, mostly with adolescents and young adults in a high school setting. It is my goal to help teens navigate relationships, stress, anxiety, and any other struggles that they may have. If you are looking for someone to help your teen open up about what is going on in their life, and are willing to give them the love and time to grow. I believe I can help.
(832) 979-4799 View (832) 979-4799
Photo of Trey Hughes, Licensed Professional Counselor, MA, LPC
Trey Hughes
Licensed Professional Counselor, MA, LPC
1 Endorsed
Houston, TX 77098
Congratulations on reaching out for help! I've been there and know it's not easy. In fact it's scary as hell! The fact is everyone on this planet struggles. It's the human condition and we all need help from time to time. I guarantee you that if I'm having problems with my plumbing, I call a plumber. I've been a therapist now for 30 years and can safely say I've pretty much seen it all. Most of us think our problems are really different than everyone else's, but I assure you we're all much more alike than we are different. The truth is everyone just wants to be happy, feel at peace, and have successful loving relationships.
Congratulations on reaching out for help! I've been there and know it's not easy. In fact it's scary as hell! The fact is everyone on this planet struggles. It's the human condition and we all need help from time to time. I guarantee you that if I'm having problems with my plumbing, I call a plumber. I've been a therapist now for 30 years and can safely say I've pretty much seen it all. Most of us think our problems are really different than everyone else's, but I assure you we're all much more alike than we are different. The truth is everyone just wants to be happy, feel at peace, and have successful loving relationships.
(713) 568-9938 View (713) 568-9938
Photo of Naomi Madell-Hernandez, Marriage & Family Therapist, MA, LMFT-S, RPT-S
Naomi Madell-Hernandez
Marriage & Family Therapist, MA, LMFT-S, RPT-S
1 Endorsed
Houston, TX 77056
I am a bilingual (English/Spanish), Licensed Marriage and Family Therapist-Supervisor and a Registered Play Therapist- Supervisor with 20-plus years of experience working with children, teens, families, and adults. I specialize in a wide range of emotional and behavioral issues, such as school problems, parent-child relational issues, abuse, divorce, depression, anxiety, relational issues, postpartum depression, grief, and trauma.
I am a bilingual (English/Spanish), Licensed Marriage and Family Therapist-Supervisor and a Registered Play Therapist- Supervisor with 20-plus years of experience working with children, teens, families, and adults. I specialize in a wide range of emotional and behavioral issues, such as school problems, parent-child relational issues, abuse, divorce, depression, anxiety, relational issues, postpartum depression, grief, and trauma.
(281) 519-6656 View (281) 519-6656
Photo of Nettie Louise Jones - Nettie Jones, Psychotherapy for Women, Licensed Professional Counselor, MS, LPC
Nettie Jones, Psychotherapy for Women
Licensed Professional Counselor, MS, LPC
2 Endorsed
Online Only
Nettie Jones provides psychotherapy services to women who are wanting to find balance, reconnect with intimacy, live out their purpose and passion, and know the value of their voice. Women can learn to embrace the many seasons of life. Depression and anxiety have become the common cold of the mental disorders,learn to identify the signs and symptoms and what to do with them.
Nettie Jones provides psychotherapy services to women who are wanting to find balance, reconnect with intimacy, live out their purpose and passion, and know the value of their voice. Women can learn to embrace the many seasons of life. Depression and anxiety have become the common cold of the mental disorders,learn to identify the signs and symptoms and what to do with them.
(832) 462-7009 View (832) 462-7009
Photo of Maria da Silva, Licensed Professional Counselor, PhD, MEd, LPC
Maria da Silva
Licensed Professional Counselor, PhD, MEd, LPC
Online Only
You may appear to function well on the outside while privately struggling with anxiety, perfectionism, overthinking, or career and relationship stress. I offer telehealth counseling in English and Portuguese for adults who want to better understand these patterns. Many of my clients are thoughtful and capable individuals who feel stuck in habits or ways of thinking that no longer serve them. Therapy provides a supportive space to better understand how your mind works, clarify what matters most to you, and begin making intentional changes.
You may appear to function well on the outside while privately struggling with anxiety, perfectionism, overthinking, or career and relationship stress. I offer telehealth counseling in English and Portuguese for adults who want to better understand these patterns. Many of my clients are thoughtful and capable individuals who feel stuck in habits or ways of thinking that no longer serve them. Therapy provides a supportive space to better understand how your mind works, clarify what matters most to you, and begin making intentional changes.
(281) 378-5820 View (281) 378-5820
Photo of Mahzad Mohajer, Marriage & Family Therapist Associate, LMFT-A
Mahzad Mohajer
Marriage & Family Therapist Associate, LMFT-A
1 Endorsed
Houston, TX 77057
As an immigrant, I am equipped with addressing the complexities of being multicultural in the U.S. In my experience as a therapist, I know how difficult it is for clients to trust their therapist. It's hard to open up when you are talking to a complete stranger, so once that trust is established, you will find it easier to disclose to a therapist. And more so, what you as the client hope to gain out of therapy in regard to reaching your goals.
As an immigrant, I am equipped with addressing the complexities of being multicultural in the U.S. In my experience as a therapist, I know how difficult it is for clients to trust their therapist. It's hard to open up when you are talking to a complete stranger, so once that trust is established, you will find it easier to disclose to a therapist. And more so, what you as the client hope to gain out of therapy in regard to reaching your goals.
(346) 567-5144 View (346) 567-5144
Photo of John Price - The Center for Healing Arts & Sciences, Licensed Professional Counselor
The Center for Healing Arts & Sciences
Licensed Professional Counselor
Houston, TX 77006
The Center is an integrative and holistic Mind + Body + Spirit wellness collaborative. Our mission is to inspire deep psychological growth and empower you to become the potential hidden inside you. We can help you form a deeper understanding of yourself and the world around you by integrating the pieces of your inner world - your history, your experiences, your symbols, values, and needs. We don't seek to change the existence of feelings and suffering, we work with you to expand your capacity to hold and experience your suffering.
The Center is an integrative and holistic Mind + Body + Spirit wellness collaborative. Our mission is to inspire deep psychological growth and empower you to become the potential hidden inside you. We can help you form a deeper understanding of yourself and the world around you by integrating the pieces of your inner world - your history, your experiences, your symbols, values, and needs. We don't seek to change the existence of feelings and suffering, we work with you to expand your capacity to hold and experience your suffering.
(832) 261-7802 View (832) 261-7802
Photo of Dr. Amanda Smith, Psychologist, PsyD
Dr. Amanda Smith
Psychologist, PsyD
2 Endorsed
Online Only
Hi, my name is Dr. Amanda Smith and I'm a clinical psychologist licensed in Texas, Ohio, New York, New Jersey, Arizona, and Illinois. I have nearly two decades of experience working with people from all walks of life, and I'm passionate about brining lasting peace to the clients in my practice. I work as a clinical director with WellQor, where I see clients and also oversee a diverse team of mental health professionals. Our diverse skillsets and perspectives make us uniquely suited to help anyone who comes to us asking for help. Whether it be anxiety, depression, trauma, or something else entirely, I would be honored to help you.
Hi, my name is Dr. Amanda Smith and I'm a clinical psychologist licensed in Texas, Ohio, New York, New Jersey, Arizona, and Illinois. I have nearly two decades of experience working with people from all walks of life, and I'm passionate about brining lasting peace to the clients in my practice. I work as a clinical director with WellQor, where I see clients and also oversee a diverse team of mental health professionals. Our diverse skillsets and perspectives make us uniquely suited to help anyone who comes to us asking for help. Whether it be anxiety, depression, trauma, or something else entirely, I would be honored to help you.
(346) 534-4937 View (346) 534-4937
Photo of Dr. Alicia C Moore - Passionate Path Counseling, Licensed Professional Counselor, PhD, LPC-S
Passionate Path Counseling
Licensed Professional Counselor, PhD, LPC-S
2 Endorsed
Online Only
“Do you ever feel like you should be happy, but instead you’re anxious, stressed, or stuck?” You’re not alone! Everyone faces obstacles while chasing their dreams. Life’s challenges and setbacks are part of the journey, and it’s okay to feel uncertain. Whether you’re facing anxiety, depression, grief, or relationship struggles, I can help. I provide virtual therapy for individuals, couples, and families. With a warm, compassionate, client-centered approach, we’ll build coping skills, strengthen resilience, and create meaningful change so you can move forward feeling more balanced and confident.
“Do you ever feel like you should be happy, but instead you’re anxious, stressed, or stuck?” You’re not alone! Everyone faces obstacles while chasing their dreams. Life’s challenges and setbacks are part of the journey, and it’s okay to feel uncertain. Whether you’re facing anxiety, depression, grief, or relationship struggles, I can help. I provide virtual therapy for individuals, couples, and families. With a warm, compassionate, client-centered approach, we’ll build coping skills, strengthen resilience, and create meaningful change so you can move forward feeling more balanced and confident.
(832) 850-4234 View (832) 850-4234

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
72% Self Esteem
69% Relationship Issues
67% Stress
66% Trauma and PTSD
60% Grief

Average years in practice

9 Years

Top 3 insurances accepted

92% 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.