Therapists in Houston, TX

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Photo of Sophie Tiller, LMSW, Clinical Social Work/Therapist
Sophie Tiller
Clinical Social Work/Therapist, LMSW
Verified Verified
1 Endorsed
Houston, TX 77006
I'm passionate about helping kids, teens, and young adults conquer anxiety and related issues, so they can reclaim control over their lives. There's something truly special about seeing someone's true self shine through after it's been hidden by anxiety. As a mental health professional, my goal is to provide practical tools based on solid evidence to help people overcome their mental health challenges and live their lives freely. I believe therapy can be a powerful space where people can express themselves, become stronger, and achieve their goals.
I'm passionate about helping kids, teens, and young adults conquer anxiety and related issues, so they can reclaim control over their lives. There's something truly special about seeing someone's true self shine through after it's been hidden by anxiety. As a mental health professional, my goal is to provide practical tools based on solid evidence to help people overcome their mental health challenges and live their lives freely. I believe therapy can be a powerful space where people can express themselves, become stronger, and achieve their goals.
(713) 331-5538 x6 View (713) 331-5538 x6
Photo of Gwendolyn Mitchell - Single Parent Counseling, MA, LMFT, Marriage & Family Therapist
Single Parent Counseling
Marriage & Family Therapist, MA, LMFT
Verified Verified
4 Endorsed
Houston, TX 77070  (Online Only)
Life as a single parent can be overwhelming. Our single-parent counseling provides practical solutions for the unique challenges of single mothers and single fathers.
Life as a single parent can be overwhelming. Our single-parent counseling provides practical solutions for the unique challenges of single mothers and single fathers.
(346) 707-1925 View (346) 707-1925
Photo of Brandon Michael Wheeler, LMFT, Marriage & Family Therapist
Brandon Michael Wheeler
Marriage & Family Therapist, LMFT
Verified Verified
2 Endorsed
Houston, TX 77007
Wheelhouse Counseling is a unique mental- and relational-health resource. With an emphasis on client satisfaction, our company offers several exclusive benefits, including complimentary initial consultations, evening and weekend appointments, centrally located office, free parking, agile, evidence-based clinical approach, and a very strong professional reputation as a leader in the mental health community.
Wheelhouse Counseling is a unique mental- and relational-health resource. With an emphasis on client satisfaction, our company offers several exclusive benefits, including complimentary initial consultations, evening and weekend appointments, centrally located office, free parking, agile, evidence-based clinical approach, and a very strong professional reputation as a leader in the mental health community.
(832) 726-1735 View (832) 726-1735
Photo of Isaac Stough, MA, LPC A, NCC, Pre-Licensed Professional
Isaac Stough
Pre-Licensed Professional, MA, LPC A, NCC
Verified Verified
6 Endorsed
Houston, TX 77007  (Online Only)
Experience deep, lasting change. Many people long to be different, but lack that “something” that will make the difference. They feel alone, ashamed, and hopeless. Others are stuck in continuing cycles of pain and feel disconnected from life and love. This doesn’t have to be you. It can be a challenge, but there is a way to heal and learn to enjoy life in an ever-deepening way. My goal as a therapist is to help my clients find that "something" that will make the difference, to help them know they are not alone, and to move beyond shame and doubt. In other words, my goal is to help my clients experience deep, lasting change.
Experience deep, lasting change. Many people long to be different, but lack that “something” that will make the difference. They feel alone, ashamed, and hopeless. Others are stuck in continuing cycles of pain and feel disconnected from life and love. This doesn’t have to be you. It can be a challenge, but there is a way to heal and learn to enjoy life in an ever-deepening way. My goal as a therapist is to help my clients find that "something" that will make the difference, to help them know they are not alone, and to move beyond shame and doubt. In other words, my goal is to help my clients experience deep, lasting change.
(281) 916-8951 View (281) 916-8951
Photo of April Nguyen, LPC-A, MEd
April Nguyen
Licensed Professional Counselor Associate, LPC-A, MEd
Verified Verified
Houston, TX 77008
Hello! My name April, and I'm the founder of Sage Counseling Services, a Houston-based private practice! As a counselor, I work with a wide array of clients and presenting concerns. This includes depression, anxiety, perfectionism, self-esteem, gender/sexuality, body image issues, & life transitions. My counseling approach is social justice oriented, and affirming of all cultures, genders, and sexualities. My specialties include working with the Asian American & Pacific Islander (AAPI) community, young adults (ages 16-30), and those working to determine who they are and what they want in life (i.e., identity exploration).
Hello! My name April, and I'm the founder of Sage Counseling Services, a Houston-based private practice! As a counselor, I work with a wide array of clients and presenting concerns. This includes depression, anxiety, perfectionism, self-esteem, gender/sexuality, body image issues, & life transitions. My counseling approach is social justice oriented, and affirming of all cultures, genders, and sexualities. My specialties include working with the Asian American & Pacific Islander (AAPI) community, young adults (ages 16-30), and those working to determine who they are and what they want in life (i.e., identity exploration).
(713) 231-5211 View (713) 231-5211
Photo of Janet I Lee, MA, LMFT, Marriage & Family Therapist
Janet I Lee
Marriage & Family Therapist, MA, LMFT
Verified Verified
Houston, TX 77014  (Online Only)
Everyone keeps telling you things will get better, but they don't. You feel stuck, broken, like there is something wrong with you, but you don't know how to fix it. Life feels so overwhelming and there are days where it is so hard to just get out of bed. And if you do get out of bed, you just feel tortured and miserable, like you're in your own personal hell. That voice in your head keeps telling you you're not good enough. Do you turn to food or other habits you desperately wish you could change? Do you obsess about weight and body image? Do you hope for relief that you feel may never come? You are not alone.
Everyone keeps telling you things will get better, but they don't. You feel stuck, broken, like there is something wrong with you, but you don't know how to fix it. Life feels so overwhelming and there are days where it is so hard to just get out of bed. And if you do get out of bed, you just feel tortured and miserable, like you're in your own personal hell. That voice in your head keeps telling you you're not good enough. Do you turn to food or other habits you desperately wish you could change? Do you obsess about weight and body image? Do you hope for relief that you feel may never come? You are not alone.
(346) 770-2565 View (346) 770-2565
Photo of Melissa Fasteau, PsyD, Psychologist
Melissa Fasteau
Psychologist, PsyD
Verified Verified
5 Endorsed
Houston, TX 77006
Do you desire freedom from obsessive thoughts? Are you trapped in a loop of worries, feel anxious, or find yourself stuck repeating behaviors that prevent you from living your best life? Recovery is possible. I am a licensed psychologist specialized in evidence-based treatments for OCD and related disorders, anxiety disorders, depressive disorders, and body-focused repetitive behaviors. I have expertise in evidence-based treatments, including cognitive behavioral therapy (CBT), exposure and response prevention (ERP), and comprehensive behavioral model (ComB). I treat adolescents, adults and those with autism spectrum disorder.
Do you desire freedom from obsessive thoughts? Are you trapped in a loop of worries, feel anxious, or find yourself stuck repeating behaviors that prevent you from living your best life? Recovery is possible. I am a licensed psychologist specialized in evidence-based treatments for OCD and related disorders, anxiety disorders, depressive disorders, and body-focused repetitive behaviors. I have expertise in evidence-based treatments, including cognitive behavioral therapy (CBT), exposure and response prevention (ERP), and comprehensive behavioral model (ComB). I treat adolescents, adults and those with autism spectrum disorder.
(713) 424-8188 View (713) 424-8188
Photo of Chau Nguyen, LMSW, Clinical Social Work/Therapist
Chau Nguyen
Clinical Social Work/Therapist, LMSW
Verified Verified
Houston, TX 77027
I believe clients are the experts of their own story, and I am passionately committed to making the therapeutic journey respectful, authentic and safe.
I believe clients are the experts of their own story, and I am passionately committed to making the therapeutic journey respectful, authentic and safe.
(281) 666-9469 View (281) 666-9469
Photo of Arlet Olivares, LCSW, Clinical Social Work/Therapist
Arlet Olivares
Clinical Social Work/Therapist, LCSW
Verified Verified
Houston, TX 77024
Arlet Olivares is a Licensed Clinical Social Worker Supervisor in Texas who has been practicing since 2016. She grew up in California and graduated with her Master of Social Work (MSW) degree from the University of Southern California in 2015. Did you just experience infidelity? Do you wish your family can go back to how it was? Are you desperate to get your child(ren) help? If this is you, remember that you can't change the things of the past, but you can start today for a better tomorrow. You deserve to live a life of peace, love, happiness, and Arlet is here to tell you that here is hope! Let's get you on the road to your goals.
Arlet Olivares is a Licensed Clinical Social Worker Supervisor in Texas who has been practicing since 2016. She grew up in California and graduated with her Master of Social Work (MSW) degree from the University of Southern California in 2015. Did you just experience infidelity? Do you wish your family can go back to how it was? Are you desperate to get your child(ren) help? If this is you, remember that you can't change the things of the past, but you can start today for a better tomorrow. You deserve to live a life of peace, love, happiness, and Arlet is here to tell you that here is hope! Let's get you on the road to your goals.
(832) 536-9447 View (832) 536-9447
Photo of Bethany Kulp, LCSW, Clinical Social Work/Therapist
Bethany Kulp
Clinical Social Work/Therapist, LCSW
Verified Verified
Houston, TX 77040  (Online Only)
Welcome! My name is Bethany Kulp and I am a Licensed Clinical Social Worker in the state of Texas with over 26 years of experience. Though I have worked with a variety of issues throughout my career, my primary focus is working with adult clients who are struggling with issues related to anxiety, depression, and trauma. I am a trauma specialist, and I have a great deal of experience working with survivors of childhood abuse/neglect, sexual assault, and domestic violence. Along with mindfulness and cognitive approaches, I use somatic therapies that help you access your body's intrinsic healing capabilities.
Welcome! My name is Bethany Kulp and I am a Licensed Clinical Social Worker in the state of Texas with over 26 years of experience. Though I have worked with a variety of issues throughout my career, my primary focus is working with adult clients who are struggling with issues related to anxiety, depression, and trauma. I am a trauma specialist, and I have a great deal of experience working with survivors of childhood abuse/neglect, sexual assault, and domestic violence. Along with mindfulness and cognitive approaches, I use somatic therapies that help you access your body's intrinsic healing capabilities.
(346) 480-2105 View (346) 480-2105
Photo of Bill Prasad - Prasad Counseling and Training  , LPC-S, LCDC, CTC, Licensed Professional Counselor
Prasad Counseling and Training
Licensed Professional Counselor, LPC-S, LCDC, CTC
Verified Verified
5 Endorsed
Houston, TX 77098
Prasad Counseling is a group practice. Our clinicians offer diversity, quality, and affordability driven by a passion to team with you to build a treatment plan using group, individual, couples, and family therapy to help overcome challenges and move forward. Our therapists work with a wide assortment of difficulties including anxiety, trauma, addiction, depression, OCD, autism, leadership coaching, and practice monitoring. Our rates per session range from $150 to $100. We accept insurance in many cases and offer virtual and in-person sessions. Check us out at prasadcounseling.com
Prasad Counseling is a group practice. Our clinicians offer diversity, quality, and affordability driven by a passion to team with you to build a treatment plan using group, individual, couples, and family therapy to help overcome challenges and move forward. Our therapists work with a wide assortment of difficulties including anxiety, trauma, addiction, depression, OCD, autism, leadership coaching, and practice monitoring. Our rates per session range from $150 to $100. We accept insurance in many cases and offer virtual and in-person sessions. Check us out at prasadcounseling.com
(832) 957-2371 View (832) 957-2371
Photo of Andrea Moorer, LCSW-S, LCDC, MPA, Clinical Social Work/Therapist
Andrea Moorer
Clinical Social Work/Therapist, LCSW-S, LCDC, MPA
Verified Verified
4 Endorsed
Houston, TX 77098
Not accepting new clients
Are you tired of traditional talk therapy? Do you suffer from anxiety, depression, treatment resistant depression, alcohol use disorder, chronic relapse, trauma, or eating disorders? This innovative therapy might be the breakthrough you've been searching. Ketamine Assisted Psychotherapy (KAP) is backed by scientific research and embraced by mental health professionals worldwide. The transformative potential of KAP offers hope and healing to those who may have felt stuck or hopeless in their journey toward wellness. Many individuals are able to explore painful emotions and memories while exploring the depths of consciousness.
Are you tired of traditional talk therapy? Do you suffer from anxiety, depression, treatment resistant depression, alcohol use disorder, chronic relapse, trauma, or eating disorders? This innovative therapy might be the breakthrough you've been searching. Ketamine Assisted Psychotherapy (KAP) is backed by scientific research and embraced by mental health professionals worldwide. The transformative potential of KAP offers hope and healing to those who may have felt stuck or hopeless in their journey toward wellness. Many individuals are able to explore painful emotions and memories while exploring the depths of consciousness.
(713) 568-4533 View (713) 568-4533
Photo of Hans J Meyer, MSW, LCSW, Clinical Social Work/Therapist
Hans J Meyer
Clinical Social Work/Therapist, MSW, LCSW
Verified Verified
2 Endorsed
Houston, TX 77054
There are many reasons a person might benefit from therapuetic support; whether you're experiencing a problem with your mood or a situation that feels intolerable. You may be struggling over the end of a relationship or making difficult changes in your life. Having someone to support, understand, and guide you can be incredibly valuable. I utilize a relational approach that begins with developing a better understanding of your concerns, its context, and impact on your life. Together, we will identify strategies to address your concerns so that you are able to experience the life satisfaction you desire and deserve.
There are many reasons a person might benefit from therapuetic support; whether you're experiencing a problem with your mood or a situation that feels intolerable. You may be struggling over the end of a relationship or making difficult changes in your life. Having someone to support, understand, and guide you can be incredibly valuable. I utilize a relational approach that begins with developing a better understanding of your concerns, its context, and impact on your life. Together, we will identify strategies to address your concerns so that you are able to experience the life satisfaction you desire and deserve.
(281) 839-2744 View (281) 839-2744
Photo of Cody Dean Parker, MS, LPC, CCTP, Licensed Professional Counselor
Cody Dean Parker
Licensed Professional Counselor, MS, LPC, CCTP
Verified Verified
1 Endorsed
Houston, TX 77048  (Online Only)
Clients that are experiencing relational issues including but not limited to adulteries/affairs, communication issues, and general strengthening of relationships. Clients experiencing anxiety, depressive symptoms, impulse control issues, and anger management are my specialty. I have a history of working extensively with clients recovering from traumatic experiences.
Clients that are experiencing relational issues including but not limited to adulteries/affairs, communication issues, and general strengthening of relationships. Clients experiencing anxiety, depressive symptoms, impulse control issues, and anger management are my specialty. I have a history of working extensively with clients recovering from traumatic experiences.
(979) 200-4994 View (979) 200-4994
Photo of Dennis Santana-Velázquez, PhD, LP, Psychologist
Dennis Santana-Velázquez
Psychologist, PhD, LP
Verified Verified
Houston, TX 77063
Each person is unique, but life can present us moments that are not particular to anyone. For example thoughts like: "I'm scared to be alone", "I'm afraid that something bad could happen", "I can't deal with this situation", "I feel like everybody judges me in a negative way or no one understands me", "I'm a failure", "a disappointment or not worth it!". You may have tried hard to handle these thoughts and feelings on your own but now you feel tired, frustrated and running out of options. It's always difficult to take the first step in requesting the help to get tools that you need to face these life challenges!
Each person is unique, but life can present us moments that are not particular to anyone. For example thoughts like: "I'm scared to be alone", "I'm afraid that something bad could happen", "I can't deal with this situation", "I feel like everybody judges me in a negative way or no one understands me", "I'm a failure", "a disappointment or not worth it!". You may have tried hard to handle these thoughts and feelings on your own but now you feel tired, frustrated and running out of options. It's always difficult to take the first step in requesting the help to get tools that you need to face these life challenges!
(281) 957-8466 View (281) 957-8466
Photo of Carol A Laufer, LCSW-S, Clinical Social Work/Therapist
Carol A Laufer
Clinical Social Work/Therapist, LCSW-S
Verified Verified
2 Endorsed
Houston, TX 77006
My practice embodies a collaborative style, utilizing trauma informed, values-centered, mindfulness, and mind-body approaches. I take a unique and creative approach with each client. My work is informed by respect for, and acceptance of, clients and learners: recognizing the inherent value of all, regardless of station, race, religion, sexual orientation, sexual identity, or ability. I believe in the power of community and the responsibility of each to do what they can to repair the world as we know it.
My practice embodies a collaborative style, utilizing trauma informed, values-centered, mindfulness, and mind-body approaches. I take a unique and creative approach with each client. My work is informed by respect for, and acceptance of, clients and learners: recognizing the inherent value of all, regardless of station, race, religion, sexual orientation, sexual identity, or ability. I believe in the power of community and the responsibility of each to do what they can to repair the world as we know it.
(832) 864-7142 View (832) 864-7142
Photo of Lindsey Obert, MA, LPC, Licensed Professional Counselor
Lindsey Obert
Licensed Professional Counselor, MA, LPC
Verified Verified
Houston, TX 77069
If you’ve found yourself struggling with emotional health setbacks, please allow me to congratulate you on making it this far. Your journey towards participating in therapy says you are committing yourself to making a real life change. My session goals are to make you feel safe in a judgement free environment. Here, you are free to explore and express what is preventing you from living your life to its utmost potential and uncover what is hindering you from contentment.
If you’ve found yourself struggling with emotional health setbacks, please allow me to congratulate you on making it this far. Your journey towards participating in therapy says you are committing yourself to making a real life change. My session goals are to make you feel safe in a judgement free environment. Here, you are free to explore and express what is preventing you from living your life to its utmost potential and uncover what is hindering you from contentment.
(713) 929-2711 x4 View (713) 929-2711 x4
Photo of Olivia D McGill, PhD, Psychologist
Olivia D McGill
Psychologist, PhD
Verified Verified
Houston, TX 77098  (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 Shanna Carew-Lindie -Evening Appointments Available, LPC, Counselor
Shanna Carew-Lindie -Evening Appointments Available
Counselor, LPC
Verified Verified
Houston, TX 77033  (Online Only)
Do you feel stuck? Do you want more fulfillment, happiness and peace? I can help you reach your goals and create a “Pathway to Healing.” Healing is a journey that we can embark on together ,working hand and hand, to better understand and resolve challenges in your life by helping you identify your triggers and learn healthy coping skills to navigate your day to day life. I have success working with clients who are experiencing anxiety, negative thoughts, Divorce depression, PSTD, and/or trauma. I am committed to supporting your ability to grow and heal in a non-judgmental and supportive atmosphere.
Do you feel stuck? Do you want more fulfillment, happiness and peace? I can help you reach your goals and create a “Pathway to Healing.” Healing is a journey that we can embark on together ,working hand and hand, to better understand and resolve challenges in your life by helping you identify your triggers and learn healthy coping skills to navigate your day to day life. I have success working with clients who are experiencing anxiety, negative thoughts, Divorce depression, PSTD, and/or trauma. I am committed to supporting your ability to grow and heal in a non-judgmental and supportive atmosphere.
(281) 519-2854 View (281) 519-2854
Photo of Hope Torres, LPC, Licensed Professional Counselor
Hope Torres
Licensed Professional Counselor, LPC
Verified Verified
Houston, TX 77024  (Online Only)
Welcome! I am Hope Torres MS, LPC, CCTP-II, I am a USAF veteran and prior law enforcement officer. I use my experiences in life, such as child and adulthood traumas, and array of trainings to guide clients to healing and growth. I am here to work for those with traumas, anxiety, PTSD, military (active and veteran), first responders, medical staff, and anyone that has faced difficult times in life that make is hard for them day-to-day. My approach in therapy is based on the needs and experiences of the clients and always contain compassion, patience, guidance, listening, and encouragement of growth.
Welcome! I am Hope Torres MS, LPC, CCTP-II, I am a USAF veteran and prior law enforcement officer. I use my experiences in life, such as child and adulthood traumas, and array of trainings to guide clients to healing and growth. I am here to work for those with traumas, anxiety, PTSD, military (active and veteran), first responders, medical staff, and anyone that has faced difficult times in life that make is hard for them day-to-day. My approach in therapy is based on the needs and experiences of the clients and always contain compassion, patience, guidance, listening, and encouragement of growth.
(817) 373-5727 View (817) 373-5727
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How does your Therapist compare?

Number of Therapists in Houston, TX

3,000+

Average cost per session

$135

Therapists in Houston, TX who prioritize treating:

92% Anxiety
87% Depression
73% Self Esteem
70% Coping Skills
66% Relationship Issues
65% Stress
64% Trauma and PTSD

Average years in practice

9 Years

Top 3 insurances accepted

87% Aetna
81% Cigna and Evernorth
78% UnitedHealthcare UHC | UBH

How Therapists in Houston, TX see their clients

51% In Person and Online
49% Online Only

Gender breakdown

81% Female
18% 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.