Therapists in Spring, TX

Photo of James T Davis, LPC-A, MS CMHC
James T Davis
Licensed Professional Counselor Associate, LPC-A, MS CMHC
Verified Verified
Spring, TX 77380
So you have started looking for a counselor, congratulations on completing what can often be the most difficult step! You probably have some trepidation about talking to a stranger about your life and I know when I first started seeing a counselor, I felt like I was under a microscope and I hated that feeling more than anything. Counseling is supposed to be a place where you can feel safe and I hope we can build trust and an understanding that my office is a place without judgment. Seeking counseling for any reason does not mean that you are broken or something is wrong with you, but rather that guidance is needed in the next steps.
So you have started looking for a counselor, congratulations on completing what can often be the most difficult step! You probably have some trepidation about talking to a stranger about your life and I know when I first started seeing a counselor, I felt like I was under a microscope and I hated that feeling more than anything. Counseling is supposed to be a place where you can feel safe and I hope we can build trust and an understanding that my office is a place without judgment. Seeking counseling for any reason does not mean that you are broken or something is wrong with you, but rather that guidance is needed in the next steps.
(346) 460-6940 View (346) 460-6940
Photo of Ashton Cardenas, MA, LPC-A
Ashton Cardenas
Licensed Professional Counselor Associate, MA, LPC-A
Verified Verified
3 Endorsed
Spring, TX 77380
Are you longing to feel seen, heard, and cared for in the midst of your pain? Are you lacking the current support you need to thrive? Maybe you have recently lost a loved one and are looking for a place where you can be real with your grief. Are you feeling weighed down by perfectionism and people pleasing tendencies? You are not alone! I would be so honored to get to hear your story and get to journey with you as you gather tools to cope with all that's happening in your life.
Are you longing to feel seen, heard, and cared for in the midst of your pain? Are you lacking the current support you need to thrive? Maybe you have recently lost a loved one and are looking for a place where you can be real with your grief. Are you feeling weighed down by perfectionism and people pleasing tendencies? You are not alone! I would be so honored to get to hear your story and get to journey with you as you gather tools to cope with all that's happening in your life.
(832) 648-1462 View (832) 648-1462
Photo of Sandra Howard, MA, LPC, Licensed Professional Counselor
Sandra Howard
Licensed Professional Counselor, MA, LPC
Verified Verified
1 Endorsed
Spring, TX 77379
I am a Licensed Professional Counselor with over 13 years of experience. I have worked with adults and groups. I have worked with clients who have issues with anxiety, depression, trauma, grief, crisis intervention, prevention, mood disorders, and many more. Since graduating from Webster University with a Master's in Professional Mental Health Counseling, I have become very passionate about my career and helping others.
I am a Licensed Professional Counselor with over 13 years of experience. I have worked with adults and groups. I have worked with clients who have issues with anxiety, depression, trauma, grief, crisis intervention, prevention, mood disorders, and many more. Since graduating from Webster University with a Master's in Professional Mental Health Counseling, I have become very passionate about my career and helping others.
(281) 572-8717 View (281) 572-8717
Photo of Cornelia Johnson Lpc-Associate Supervised By Robert Ferow Lpc-S, MA, LPC-A
Cornelia Johnson Lpc-Associate Supervised By Robert Ferow Lpc-S
Licensed Professional Counselor Associate, MA, LPC-A
Verified Verified
Spring, TX 77379
As a Counselor I believe that each person is unique therefore, each client's Mental Health Treatment should be individualized and based off of their personalities, goals, needs and current struggles they are seeking counseling for.
As a Counselor I believe that each person is unique therefore, each client's Mental Health Treatment should be individualized and based off of their personalities, goals, needs and current struggles they are seeking counseling for.
(832) 479-1567 View (832) 479-1567
Photo of Yanay Puente, MS, LPC-A, NCC
Yanay Puente
Licensed Professional Counselor Associate, MS, LPC-A, NCC
Verified Verified
Spring, TX 77379
I am a bilingual (English / Spanish) Mental Health Counselor. I specialize in helping people struggling with anxiety, depression, chronic stress, addiction, and other unpleasant cognitive or emotional states. Lately, I have focussed more on the somatic manifestations of anxiety and chronic stress in the body.
I am a bilingual (English / Spanish) Mental Health Counselor. I specialize in helping people struggling with anxiety, depression, chronic stress, addiction, and other unpleasant cognitive or emotional states. Lately, I have focussed more on the somatic manifestations of anxiety and chronic stress in the body.
(281) 462-5063 View (281) 462-5063
Photo of Steven LoShun Moon, MA, LPC, LCDC-I, Licensed Professional Counselor
Steven LoShun Moon
Licensed Professional Counselor, MA, LPC, LCDC-I
Verified Verified
9 Endorsed
Spring, TX 77386
Trauma impacts our ability to foster and maintain relationships. It frequently impacts us in the domains of safety, trust, esteem, intimacy, and power & control. Resolving trauma through processing leads to the ability to live a more fulfilled life, which is my primary goal in therapy. I believe that we have the ability to choose how to resolve our own problems and can make our own decisions with the assistance of an empathetic facilitator. I also believe that self-awareness is key to developing purpose, direction, and motivation to change, and my approach will provide you with methods to solve problems utilizing your own strengths.
Trauma impacts our ability to foster and maintain relationships. It frequently impacts us in the domains of safety, trust, esteem, intimacy, and power & control. Resolving trauma through processing leads to the ability to live a more fulfilled life, which is my primary goal in therapy. I believe that we have the ability to choose how to resolve our own problems and can make our own decisions with the assistance of an empathetic facilitator. I also believe that self-awareness is key to developing purpose, direction, and motivation to change, and my approach will provide you with methods to solve problems utilizing your own strengths.
(832) 734-6484 x100 View (832) 734-6484 x100
Photo of Kaitlyn Iseminger, MA, Licensed Professional Counselor
Kaitlyn Iseminger
Licensed Professional Counselor, MA
Verified Verified
2 Endorsed
Spring, TX 77373  (Online Only)
Accepting New Clients ; Email is preferred for inquires : I believe therapy is a space for you to be heard, because everyone is someone with a unique past and perspective. I am excited to work with you and learn your stories while we go through the healing journey together. I am equipped and passionate about helping you move through the darker parts of your life, past or present. All of us do our best in any circumstance yet sometimes the tools that helped us through the darker times are the same things holding us back now. You can overcome anything, and I would love to help re-equip you with the tools you need to move forward.
Accepting New Clients ; Email is preferred for inquires : I believe therapy is a space for you to be heard, because everyone is someone with a unique past and perspective. I am excited to work with you and learn your stories while we go through the healing journey together. I am equipped and passionate about helping you move through the darker parts of your life, past or present. All of us do our best in any circumstance yet sometimes the tools that helped us through the darker times are the same things holding us back now. You can overcome anything, and I would love to help re-equip you with the tools you need to move forward.
(281) 916-3466 View (281) 916-3466
Photo of Heather Hazzan, LCSW, Clinical Social Work/Therapist
Heather Hazzan
Clinical Social Work/Therapist, LCSW
Verified Verified
3 Endorsed
Spring, TX 77379  (Online Only)
Are you or a loved one struggling with PTSD, anxiety, depression, borderline personality disorder, or eating disorders? You're not alone. As a Licensed Clinical Social Worker (LCSW) specializing in these areas, I offer compassionate and evidence-based therapy to help you navigate through life's challenges. With a deep understanding of trauma and mental health disorders, I provide a safe and supportive space for healing and growth. Together, we'll work towards building resilience, managing symptoms, and fostering a sense of empowerment. Take the first step towards Knowing Your Worth by reaching out today.
Are you or a loved one struggling with PTSD, anxiety, depression, borderline personality disorder, or eating disorders? You're not alone. As a Licensed Clinical Social Worker (LCSW) specializing in these areas, I offer compassionate and evidence-based therapy to help you navigate through life's challenges. With a deep understanding of trauma and mental health disorders, I provide a safe and supportive space for healing and growth. Together, we'll work towards building resilience, managing symptoms, and fostering a sense of empowerment. Take the first step towards Knowing Your Worth by reaching out today.
(817) 634-5788 View (817) 634-5788
Photo of Alexia Florentin-Ramirez, MEd, LPC, LCDC, Licensed Professional Counselor
Alexia Florentin-Ramirez
Licensed Professional Counselor, MEd, LPC, LCDC
Verified Verified
Spring, TX 77388  (Online Only)
When we get the message growing up that we're "not good enough" - that we're "not worthy enough" - we spend the rest of our lives trying to prove our worth to others. Some of us self-soothe through developing addictions, and some of us cope by feeling the need to have to clean up other people's messes - even when it puts our own mental health at risk. We do this by feeling responsible for other people's problems, by avoiding conflict, and by overcompensating and taking on way more than we should.
When we get the message growing up that we're "not good enough" - that we're "not worthy enough" - we spend the rest of our lives trying to prove our worth to others. Some of us self-soothe through developing addictions, and some of us cope by feeling the need to have to clean up other people's messes - even when it puts our own mental health at risk. We do this by feeling responsible for other people's problems, by avoiding conflict, and by overcompensating and taking on way more than we should.
(346) 525-3618 View (346) 525-3618
Photo of Tawanda Shantell Heim-Jones - Tawanda Heim-Jones - Trauma Therapist, MS, LMFT, Marriage & Family Therapist
Tawanda Heim-Jones - Trauma Therapist
Marriage & Family Therapist, MS, LMFT
Verified Verified
1 Endorsed
Spring, TX 77389  (Online Only)
Just be YOU...I specialize in working with individuals with past/present trauma. Living as a trauma survivor is not easy and can be exhausting. Does anxiety and depression seem to control your life or preventing you from pursuing your goals? Are you struggling with adverse childhood trauma? Are your relationships affected? Trauma is a complex and unique experience for each individual. You are not the same person you once were. I believe everyone deserves a safe and supportive space to work through life's challenges. It is understood that seeking therapy can be a difficult decision, but I am here to support you every step of the way.
Just be YOU...I specialize in working with individuals with past/present trauma. Living as a trauma survivor is not easy and can be exhausting. Does anxiety and depression seem to control your life or preventing you from pursuing your goals? Are you struggling with adverse childhood trauma? Are your relationships affected? Trauma is a complex and unique experience for each individual. You are not the same person you once were. I believe everyone deserves a safe and supportive space to work through life's challenges. It is understood that seeking therapy can be a difficult decision, but I am here to support you every step of the way.
(832) 583-3693 View (832) 583-3693
Photo of Carolina Fuentes - Create Mental Health and Educational Center, LLC, LCSW, MDiv, Clinical Social Work/Therapist
Create Mental Health and Educational Center, LLC
Clinical Social Work/Therapist, LCSW, MDiv
Verified Verified
2 Endorsed
Spring, TX 77388
Mental healthcare can be helpful for many reasons. Sometimes we need professional support from a preventive and early intervention stand point (life transitions, increase resilience, processing experiences) and other times we may need it for treatment (diagnosis, moderate to severe symptoms, significant distress). Either way, it is best to be proactive about our overall health and wellness.
Mental healthcare can be helpful for many reasons. Sometimes we need professional support from a preventive and early intervention stand point (life transitions, increase resilience, processing experiences) and other times we may need it for treatment (diagnosis, moderate to severe symptoms, significant distress). Either way, it is best to be proactive about our overall health and wellness.
(832) 536-6725 View (832) 536-6725
Photo of Dana Hahn - The Woodlands Center For Families, MS, LPC-S, LMFT-S, Marriage & Family Therapist
Dana Hahn - The Woodlands Center For Families
Marriage & Family Therapist, MS, LPC-S, LMFT-S
Verified Verified
Spring, TX 77381
Overwhelmed? Feeling distant from loved ones? Desiring for life to be different? These feelings and experiences are trying to tell you something. Together we will find the answers, and turn these feelings around so that you can get back on track to living the life you want. Individuals, couples and families that participate in a combination of our services such as DBT skills classes or a one day workshop for couples based on "The Seven Principles for Making Marriage Work" by John Gottman, has shown to bring about faster change. Learn more on our website at www.TheWoodlandsCenterForFamilies.com
Overwhelmed? Feeling distant from loved ones? Desiring for life to be different? These feelings and experiences are trying to tell you something. Together we will find the answers, and turn these feelings around so that you can get back on track to living the life you want. Individuals, couples and families that participate in a combination of our services such as DBT skills classes or a one day workshop for couples based on "The Seven Principles for Making Marriage Work" by John Gottman, has shown to bring about faster change. Learn more on our website at www.TheWoodlandsCenterForFamilies.com
(713) 338-9275 View (713) 338-9275
Photo of Jerome Javellana, MA, LPC-A, NCC
Jerome Javellana
Licensed Professional Counselor Associate, MA, LPC-A, NCC
Verified Verified
3 Endorsed
Spring, TX 77379
Are you ready to empower yourself to conquer life's challenges with resilience and confidence? I'm Jerome, a Licensed Professional Counselor Associate specializing in the emotional well-being of parents, children, and young adults. With a focus on understanding the interplay between thoughts, feelings, and behaviors, my approach empowers clients to break free from negative cycles and develop practical strategies. I understand the profound challenges individuals face when navigating the complexities of their difficult emotions. It can be overwhelming, and I am here to guide you through these moments in a safe environment.
Are you ready to empower yourself to conquer life's challenges with resilience and confidence? I'm Jerome, a Licensed Professional Counselor Associate specializing in the emotional well-being of parents, children, and young adults. With a focus on understanding the interplay between thoughts, feelings, and behaviors, my approach empowers clients to break free from negative cycles and develop practical strategies. I understand the profound challenges individuals face when navigating the complexities of their difficult emotions. It can be overwhelming, and I am here to guide you through these moments in a safe environment.
(281) 248-8587 View (281) 248-8587
Photo of Beth A Peck, LCSW, Clinical Social Work/Therapist
Beth A Peck
Clinical Social Work/Therapist, LCSW
Verified Verified
Spring, TX 77389  (Online Only)
Not accepting new clients
Shahs
Shahs
(281) 668-7728 View (281) 668-7728
Photo of Gail Wilson Kakishita, MS, LMFT, CTMH, Marriage & Family Therapist
Gail Wilson Kakishita
Marriage & Family Therapist, MS, LMFT, CTMH
Verified Verified
Spring, TX 77379
You look around and think to yourself, what happened? Each day you feel pulled further and further away from the life you thought was yours. Your morning thoughts go something like this: please let my child have a good day at school; who is this person sitting across the table from me and what happened to the one I said "I do" to? how am I ever going to get through this day? It is so tough to maintain strength, hope, and individuality when your family is in distress, your marriage feels like a failure, your teen is unrecognizable, or you're just completely out of energy. I get it! I'm here! Together we can figure this out.
You look around and think to yourself, what happened? Each day you feel pulled further and further away from the life you thought was yours. Your morning thoughts go something like this: please let my child have a good day at school; who is this person sitting across the table from me and what happened to the one I said "I do" to? how am I ever going to get through this day? It is so tough to maintain strength, hope, and individuality when your family is in distress, your marriage feels like a failure, your teen is unrecognizable, or you're just completely out of energy. I get it! I'm here! Together we can figure this out.
(281) 990-6220 View (281) 990-6220
Photo of Jessica M Smith, MS, LPC-A
Jessica M Smith
LPC Associate, MS, LPC-A
Verified Verified
1 Endorsed
Spring, TX 77388
As a couples counseling therapist, my mission is to guide partners through the complexities of their relationship with empathy, insight, and a deep respect for their unique journey together. I believe that every relationship has the potential for growth and healing, and my role is to provide a supportive environment where couples can explore their dynamics, address their challenges, and reconnect with their shared values and goals.
As a couples counseling therapist, my mission is to guide partners through the complexities of their relationship with empathy, insight, and a deep respect for their unique journey together. I believe that every relationship has the potential for growth and healing, and my role is to provide a supportive environment where couples can explore their dynamics, address their challenges, and reconnect with their shared values and goals.
(346) 590-2958 View (346) 590-2958
Photo of Kadija Moon - Arise Therapy, PLLC, PhD, MEd, LPC, Psychologist
Arise Therapy, PLLC
Psychologist, PhD, MEd, LPC
Verified Verified
2 Endorsed
Spring, TX 77386
Two words: life happens! Therapy helps us live more purposeful, self-aware lives. There is nothing sweeter, to us, than healing trauma and breaking chains. Trauma seeps through many aspects of our lives, and if we're not careful, can drastically alter our response to the world around us. It is important to move toward existing in the world the way we choose to exist, not what's projected onto us. Also, life happens in the context of relationships; therefore, couples therapy sets our soul ablaze. Couples seeking to grow or overcome obstacles is incredibly intimate work. We are honored to walk alongside and help heal your covenant.
Two words: life happens! Therapy helps us live more purposeful, self-aware lives. There is nothing sweeter, to us, than healing trauma and breaking chains. Trauma seeps through many aspects of our lives, and if we're not careful, can drastically alter our response to the world around us. It is important to move toward existing in the world the way we choose to exist, not what's projected onto us. Also, life happens in the context of relationships; therefore, couples therapy sets our soul ablaze. Couples seeking to grow or overcome obstacles is incredibly intimate work. We are honored to walk alongside and help heal your covenant.
(832) 430-1207 View (832) 430-1207
Photo of Debrah Lynn Alsobrook, LPC, MEd, Licensed Professional Counselor
Debrah Lynn Alsobrook
Licensed Professional Counselor, LPC, MEd
Verified Verified
Spring, TX 77379
How many times have you thought about going to counseling only to say to yourself"I'll be fine, there's nothing wrong with me, this will pass"? Me too, until it was obvious I wasn't fine, there was something wrong and it wasn't going to pass. It is a scary proposition to sit down with a complete stranger and tell them your innermost thoughts and emotions. I believe that most of us know where we are and where we want to be, but sometimes understanding what got us where we are and how we are going to get where we want to be are not so clear. I can help you get where you want to be. It isn't always easy, but it is worth it.
How many times have you thought about going to counseling only to say to yourself"I'll be fine, there's nothing wrong with me, this will pass"? Me too, until it was obvious I wasn't fine, there was something wrong and it wasn't going to pass. It is a scary proposition to sit down with a complete stranger and tell them your innermost thoughts and emotions. I believe that most of us know where we are and where we want to be, but sometimes understanding what got us where we are and how we are going to get where we want to be are not so clear. I can help you get where you want to be. It isn't always easy, but it is worth it.
(281) 729-5131 x4 View (281) 729-5131 x4
Photo of Dr. Melissa James, PsyD, LPC, Licensed Professional Counselor
Dr. Melissa James
Licensed Professional Counselor, PsyD, LPC
Verified Verified
2 Endorsed
Spring, TX 77380  (Online Only)
There is no 'right' way through this. There is just 'through.' Families are under tremendous pressure, even more so during these times. Children & teens spent too long without their social support and are now trying to achieve a new normal. This fear and anxiety of the unknown is similar to those experienced by adults recently. I can help adults, teens, & children work through the fear, anxiety, stress and trauma and help you build strong, healthy, resilient individuals and families. I enjoy working with all ages and specialize in family conflict, anxiety/depression, trauma, PTSD, Veterans, First Responders, & child specialties.
There is no 'right' way through this. There is just 'through.' Families are under tremendous pressure, even more so during these times. Children & teens spent too long without their social support and are now trying to achieve a new normal. This fear and anxiety of the unknown is similar to those experienced by adults recently. I can help adults, teens, & children work through the fear, anxiety, stress and trauma and help you build strong, healthy, resilient individuals and families. I enjoy working with all ages and specialize in family conflict, anxiety/depression, trauma, PTSD, Veterans, First Responders, & child specialties.
View
Photo of Debbie Blackmon, MA, LPA-IP, Psychological Associate
Debbie Blackmon
Psychological Associate, MA, LPA-IP
Verified Verified
1 Endorsed
Spring, TX 77373
If you or your child are struggling with issues such as anxiety, depression, relationship problems, anger issues, low energy, attention problems or sleeplessness, you may be experiencing the responses of a nervous system that has become overly sensitized and reactive. Most people who enter therapy with these presenting problems are eager to experience some relief from these symptoms, and to be able to have more choice about their responses to life’s stressors. They also wish to be able to live their best lives-to experience joy, contentment and fulfillment.
If you or your child are struggling with issues such as anxiety, depression, relationship problems, anger issues, low energy, attention problems or sleeplessness, you may be experiencing the responses of a nervous system that has become overly sensitized and reactive. Most people who enter therapy with these presenting problems are eager to experience some relief from these symptoms, and to be able to have more choice about their responses to life’s stressors. They also wish to be able to live their best lives-to experience joy, contentment and fulfillment.
(832) 906-7291 View (832) 906-7291
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How does your Therapist compare?

Number of Therapists in Spring, TX

500+

Average cost per session

$145

Therapists in Spring, TX who prioritize treating:

94% Anxiety
87% Depression
73% Coping Skills
70% Self Esteem
70% Stress
69% Relationship Issues
67% Trauma and PTSD

Average years in practice

10 Years

Top 3 insurances accepted

91% Aetna
81% Cigna and Evernorth
78% UnitedHealthcare UHC | UBH

How Therapists in Spring, TX see their clients

73% In Person and Online
27% Online Only

Gender breakdown

83% Female
16% Male
1% Non-Binary
FAQs - About Therapy and Counseling

How can I find a therapist in Spring?

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.