Therapists in Miami, FL

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Photo of Ashly Huffstatler - Ashly Huffstatler - NOCD, LCSW, Clinical Social Work/Therapist
Ashly Huffstatler - NOCD
Clinical Social Work/Therapist, LCSW
Verified Verified
Miami, FL 33177  (Online Only)
I decided to become a therapist because I believe everyone deserves a healthy and happy life, and good mental health is crucial for that. I struggled with anxiety and social anxiety as a child, which caused difficulties growing up and had a big impact on my life. Mental health has been too long ignored, denied, and neglected. At NOCD, my team and I specialize in providing evidence-based treatment for people with OCD. Our deep understanding of the nuances of OCD enables us to properly diagnose and treat it. We have received intensive training in Exposure Response and Prevention Therapy (ERP)—the gold standard treatment for OCD.
I decided to become a therapist because I believe everyone deserves a healthy and happy life, and good mental health is crucial for that. I struggled with anxiety and social anxiety as a child, which caused difficulties growing up and had a big impact on my life. Mental health has been too long ignored, denied, and neglected. At NOCD, my team and I specialize in providing evidence-based treatment for people with OCD. Our deep understanding of the nuances of OCD enables us to properly diagnose and treat it. We have received intensive training in Exposure Response and Prevention Therapy (ERP)—the gold standard treatment for OCD.
(844) 524-1644 View (844) 524-1644
Photo of Brianna Doran, LMHC, Counselor
Brianna Doran
Counselor, LMHC
Verified Verified
Miami, FL 33133  (Online Only)
Hi! My name is Brianna Doran, and I am a Licensed Mental Health Counselor in the state of Florida! I take a very person-centered, collaborative approach to mental health and focus a lot on the treatment of anxiety, depression, and trauma. Taking a collaborative approach to therapy means that I view us as equals and place a strong emphasis on the therapeutic relationship and your understanding of your own brain and body! My ultimate goal with therapy is to respect the fact that it will be what you need it to be, and I want to help you get to where you'd like to see yourself!
Hi! My name is Brianna Doran, and I am a Licensed Mental Health Counselor in the state of Florida! I take a very person-centered, collaborative approach to mental health and focus a lot on the treatment of anxiety, depression, and trauma. Taking a collaborative approach to therapy means that I view us as equals and place a strong emphasis on the therapeutic relationship and your understanding of your own brain and body! My ultimate goal with therapy is to respect the fact that it will be what you need it to be, and I want to help you get to where you'd like to see yourself!
(323) 643-8569 View (323) 643-8569
Photo of Nerissa Pratt Franklin - Speak Your Peace Inc., MS, LMHC, LPC, NCC
Speak Your Peace Inc.
Licensed Mental Health Counselor, MS, LMHC, LPC, NCC
Verified Verified
Miami, FL 33130  (Online Only)
I provide teletherapy support and skills development to clients that are experiencing relationship issues, LGBTQIA issues, and life transitions (i.e. divorce, grief, career transitions).
I provide teletherapy support and skills development to clients that are experiencing relationship issues, LGBTQIA issues, and life transitions (i.e. divorce, grief, career transitions).
(317) 676-6015 View (317) 676-6015
Photo of Patricia Childress, LCSW, Clinical Social Work/Therapist
Patricia Childress
Clinical Social Work/Therapist, LCSW
Verified Verified
Miami, FL 33130  (Online Only)
Life does not always go according to plan and it sure can be messy sometimes. It is nice when you can be expressive and heard as you share your messiness. My name is Trish, I am a Licensed Clinical Social Worker and I am here to support you and encourage you through the 'messy'. I have been in the field for over 25 years guiding, supporting, and cheering on clients, couples, and families as they make way for change. My background is serving pediatrics to geriatrics.
Life does not always go according to plan and it sure can be messy sometimes. It is nice when you can be expressive and heard as you share your messiness. My name is Trish, I am a Licensed Clinical Social Worker and I am here to support you and encourage you through the 'messy'. I have been in the field for over 25 years guiding, supporting, and cheering on clients, couples, and families as they make way for change. My background is serving pediatrics to geriatrics.
(786) 981-1760 View (786) 981-1760
Photo of Mattie President, PhD, Psychologist
Mattie President
Psychologist, PhD
Verified Verified
Miami, FL 33126  (Online Only)
Are you interested in personal and relationship growth? Or simply need a reset after a trauma? Do you have a question about sexual health that you aren't sure how to ask? I work with individuals, partners, and couples developing their own unique individual identities as well as finding a balance between connection with others and a connection with themselves. A strong sense of self enables us to set appropriate boundaries with those we love.
Are you interested in personal and relationship growth? Or simply need a reset after a trauma? Do you have a question about sexual health that you aren't sure how to ask? I work with individuals, partners, and couples developing their own unique individual identities as well as finding a balance between connection with others and a connection with themselves. A strong sense of self enables us to set appropriate boundaries with those we love.
(352) 706-4217 View (352) 706-4217
Photo of Simone Kerr, LCSW, Clinical Social Work/Therapist
Simone Kerr
Clinical Social Work/Therapist, LCSW
Verified Verified
Miami, FL 33133  (Online Only)
My name is Simone Kerr, LCSW, CCTP and I am a certified clinical trauma professional, licensed clinical social worker, spokesperson, and co-founder of Ashè, a non-profit organization aimed at connecting women through community events targeting mental health issues. I have a Bachelor’s degree in Neuroscience and Behavior and a Master’s in Social Work specializing in trauma-informed care. I have 8 years of experience working with diverse populations including addiction, incarcerated parents, first responders, veterans, women in distress, couples, and dual-diagnosis patients.
My name is Simone Kerr, LCSW, CCTP and I am a certified clinical trauma professional, licensed clinical social worker, spokesperson, and co-founder of Ashè, a non-profit organization aimed at connecting women through community events targeting mental health issues. I have a Bachelor’s degree in Neuroscience and Behavior and a Master’s in Social Work specializing in trauma-informed care. I have 8 years of experience working with diverse populations including addiction, incarcerated parents, first responders, veterans, women in distress, couples, and dual-diagnosis patients.
(323) 643-8569 View (323) 643-8569
Photo of Marie Art, LCSW, Clinical Social Work/Therapist
Marie Art
Clinical Social Work/Therapist, LCSW
Verified Verified
Miami, FL 33130  (Online Only)
I believe that each client is simply trying to find ways to cope with the tough challenges that are thrown at them. These challenges can lead to feeling overwhelmed, depressed, and anxious. It is ok to give yourself permission to seek support. I am a Licensed Clinical Social Worker, practicing in Florida.
I believe that each client is simply trying to find ways to cope with the tough challenges that are thrown at them. These challenges can lead to feeling overwhelmed, depressed, and anxious. It is ok to give yourself permission to seek support. I am a Licensed Clinical Social Worker, practicing in Florida.
(786) 808-2435 View (786) 808-2435
Photo of Dr. Alina Schulhofer, PsyD, Psychologist
Dr. Alina Schulhofer
Psychologist, PsyD
Verified Verified
1 Endorsed
Miami, FL 33131  (Online Only)
My approach to therapy is relational psychodynamic in nature and is founded on the premise that healing occurs within the context of a safe and consistent relationship that allows for the exploration and expression of your true self. The therapeutic process offers the opportunity to gain a better understanding of the repetitive thoughts, feelings, and patterns that prevent you from living a healthier and more fulfilled life. My hope is to help facilitate the experience of creative self-discovery, to help you be and become more fully alive, and more fully yourself.
My approach to therapy is relational psychodynamic in nature and is founded on the premise that healing occurs within the context of a safe and consistent relationship that allows for the exploration and expression of your true self. The therapeutic process offers the opportunity to gain a better understanding of the repetitive thoughts, feelings, and patterns that prevent you from living a healthier and more fulfilled life. My hope is to help facilitate the experience of creative self-discovery, to help you be and become more fully alive, and more fully yourself.
(786) 964-5063 View (786) 964-5063
Photo of Nicole Blank Koles, PsyD, Psychologist
Nicole Blank Koles
Psychologist, PsyD
Verified Verified
Miami, FL 33129
I am a licensed clinical psychologist, and I specialize in Cognitive Behavioral Therapy (CBT) and Dialectical Behavior Therapy (DBT). CBT and DBT are forms of therapy that have been validated by extensive research and are proven to work. I am committed to helping people solve problems, achieve personal growth and make desired changes to enhance their lives. I provide these services in a private and peaceful environment, where I collaborate with my clients to tailor treatment to their specific needs. I am here to help you enhance your daily living through therapy that is grounded in compassion, understanding and empathy.
I am a licensed clinical psychologist, and I specialize in Cognitive Behavioral Therapy (CBT) and Dialectical Behavior Therapy (DBT). CBT and DBT are forms of therapy that have been validated by extensive research and are proven to work. I am committed to helping people solve problems, achieve personal growth and make desired changes to enhance their lives. I provide these services in a private and peaceful environment, where I collaborate with my clients to tailor treatment to their specific needs. I am here to help you enhance your daily living through therapy that is grounded in compassion, understanding and empathy.
(786) 207-1820 View (786) 207-1820
Photo of Howard Weightman, LMHC, Counselor
Howard Weightman
Counselor, LMHC
Verified Verified
Miami, FL 33133  (Online Only)
Hello My Name, is Howard Weightman III Lic. No. MH21609. I was in the United States Navy for 14 years. I realized my greatest success and passion was to help young men and women improve their life. I like to say that I have two eyes to watch you with, two ears to listen to you with, and one mouth. When I do speak, I want it to be in the form of a question so that you can figure out what works best for you in your life. The goal is for you to answer the "why" questions in your life so you can find joy in your personal and professional lives.
Hello My Name, is Howard Weightman III Lic. No. MH21609. I was in the United States Navy for 14 years. I realized my greatest success and passion was to help young men and women improve their life. I like to say that I have two eyes to watch you with, two ears to listen to you with, and one mouth. When I do speak, I want it to be in the form of a question so that you can figure out what works best for you in your life. The goal is for you to answer the "why" questions in your life so you can find joy in your personal and professional lives.
(323) 643-8569 View (323) 643-8569
Photo of Junior Mora-Hammer, LCSW, Clinical Social Work/Therapist
Junior Mora-Hammer
Clinical Social Work/Therapist, LCSW
Verified Verified
1 Endorsed
Miami, FL 33137  (Online Only)
Hi there! Welcome to my page, if you are here looking for psychotherapy for yourself or for someone else you care about, thank you and congratulations on taking the first step into your wellness journey. As a psychotherapist I enjoy assisting individuals achieve their psycho-emotional goals and live fulfilling lives. Whether you suffer from anxiety, depression, trauma, adjustment disorders or any other type of emotional stressors, please know that with dedicated work and compassion you can learn to manage and control the symptoms that interfere with your day to day life.
Hi there! Welcome to my page, if you are here looking for psychotherapy for yourself or for someone else you care about, thank you and congratulations on taking the first step into your wellness journey. As a psychotherapist I enjoy assisting individuals achieve their psycho-emotional goals and live fulfilling lives. Whether you suffer from anxiety, depression, trauma, adjustment disorders or any other type of emotional stressors, please know that with dedicated work and compassion you can learn to manage and control the symptoms that interfere with your day to day life.
(786) 464-5084 View (786) 464-5084
Photo of M Camila Rodriguez, Marriage & Family Therapist
M Camila Rodriguez
Marriage & Family Therapist
Verified Verified
Miami, FL 33133  (Online Only)
Our journey together begins by establishing a secure relationship based on respect, empathy, understanding and active listening. With a trauma informed and culturally sensitive approach, within the first four sessions we establish therapeutic goals based on your needs and preferences. The rest will unfold naturally.
Our journey together begins by establishing a secure relationship based on respect, empathy, understanding and active listening. With a trauma informed and culturally sensitive approach, within the first four sessions we establish therapeutic goals based on your needs and preferences. The rest will unfold naturally.
(786) 671-8602 View (786) 671-8602
Photo of Luminita Heretoiu, MS, LMHC, QS, Counselor
Luminita Heretoiu
Counselor, MS, LMHC, QS
Verified Verified
1 Endorsed
Miami, FL 33137
I share the idea that at our core we all yearn for connection and a sense of meaning. Not having those human needs met is agonizing because, by definition, a need (versus a want) is something we cannot do without. We might not accept we have these needs, or we might not even be aware of them. However, we all occasionally grasp how essential they are to us when we burst into tears during a silly commercial or a benign movie scene, or when a perfect stranger asks precisely that question we dread asking ourselves.
I share the idea that at our core we all yearn for connection and a sense of meaning. Not having those human needs met is agonizing because, by definition, a need (versus a want) is something we cannot do without. We might not accept we have these needs, or we might not even be aware of them. However, we all occasionally grasp how essential they are to us when we burst into tears during a silly commercial or a benign movie scene, or when a perfect stranger asks precisely that question we dread asking ourselves.
(954) 639-9873 View (954) 639-9873
Photo of Monica Arredondo, MA, MHCI
Monica Arredondo
Registered Mental Health Counselor Intern, MA, MHCI
Verified Verified
Miami, FL 33155
I provide an Emotional Support Animal (ESA) and or Air travel Psychiatric Service Dog (PSD) recommendation letters in accordance with the ADA, Fair Housing Act (FHA) and Air Carrier Access Act (49 U.S. 41705 and 14 C.F.R.382) for the owners of dogs and cats. We can discuss the psychological and emotional needs for your ESA and PSD documentation for the HOA, landlords, schools or Airlines. We are HIPAA compliance. No longer worry about the pet deposits or large pet rental fees. You have the right to keep your animal with you when the landlord wants to prevent you from keeping your family together. Save hundreds of dollars. Same day
I provide an Emotional Support Animal (ESA) and or Air travel Psychiatric Service Dog (PSD) recommendation letters in accordance with the ADA, Fair Housing Act (FHA) and Air Carrier Access Act (49 U.S. 41705 and 14 C.F.R.382) for the owners of dogs and cats. We can discuss the psychological and emotional needs for your ESA and PSD documentation for the HOA, landlords, schools or Airlines. We are HIPAA compliance. No longer worry about the pet deposits or large pet rental fees. You have the right to keep your animal with you when the landlord wants to prevent you from keeping your family together. Save hundreds of dollars. Same day
(305) 707-6540 View (305) 707-6540
Photo of Dr. Jeffrey Raemer, PsyD, Pre-Licensed Professional
Dr. Jeffrey Raemer
Pre-Licensed Professional, PsyD
Verified Verified
Miami, FL 33131  (Online Only)
Hello, my name is Dr. Jeff Raemer and I am a postdoctoral fellow passionate about helping you reach your potential. I have my Doctorate of Psychology in Counseling Psychology and work hard to help people reach their goals and identify their values in life. Prior to my graduate education, I earned a BA in Business Administration with emphases in Finance, Economics, and Tax Accounting. I then owned a business for 30 years and was involved in leadership development before transitioning into the field of psychology, and am thereby equipped to assist various professionals to reach their full potential.
Hello, my name is Dr. Jeff Raemer and I am a postdoctoral fellow passionate about helping you reach your potential. I have my Doctorate of Psychology in Counseling Psychology and work hard to help people reach their goals and identify their values in life. Prior to my graduate education, I earned a BA in Business Administration with emphases in Finance, Economics, and Tax Accounting. I then owned a business for 30 years and was involved in leadership development before transitioning into the field of psychology, and am thereby equipped to assist various professionals to reach their full potential.
(347) 768-7029 View (347) 768-7029
Photo of Jeffrey Lees - Jeffrey Lees - NOCD, MS, LMFT, Marriage & Family Therapist
Jeffrey Lees - NOCD
Marriage & Family Therapist, MS, LMFT
Verified Verified
Miami, FL 33177  (Online Only)
As your OCD therapist, I will meet you where you are. I'll push you through your comfort zone to create a new stable environment around your self-talk and behaviors. I'll help you leave unhealthy strategies behind and move into a new and healthy lifestyle. At NOCD, my team and I provide effective treatment for OCD and related conditions, such as BFRBs (including skin-picking, nail-biting, and hair-pulling). Our understanding of these conditions enables us to treat them properly. We have training in evidence-based treatments, including Exposure Response and Prevention (ERP) therapy—the gold standard treatment for OCD.
As your OCD therapist, I will meet you where you are. I'll push you through your comfort zone to create a new stable environment around your self-talk and behaviors. I'll help you leave unhealthy strategies behind and move into a new and healthy lifestyle. At NOCD, my team and I provide effective treatment for OCD and related conditions, such as BFRBs (including skin-picking, nail-biting, and hair-pulling). Our understanding of these conditions enables us to treat them properly. We have training in evidence-based treatments, including Exposure Response and Prevention (ERP) therapy—the gold standard treatment for OCD.
(786) 565-6714 View (786) 565-6714
Photo of Rosana Beatriz Cordovez, MS, LMHC
Rosana Beatriz Cordovez
MS, LMHC
Verified Verified
Miami, FL 33173  (Online Only)
Are you feeling down, worried or overwhelmed by life's pressures? Are you or a loved one struggling with unhealthy habits? You don't have to struggle alone. I can help. I am a Licensed Mental Health Counselor with over ten years of experience in the field and a Professional Coach specializing in women's issues, substance abuse, anxiety, depression, PTSD, compulsive eating, trauma, among others. I have worked successfully helping clients to address a wide variety of life's challenges including grief, divorce, interpersonal relationships, self esteem issues, substance use, codependency, spirituality, trauma, and anger issues.
Are you feeling down, worried or overwhelmed by life's pressures? Are you or a loved one struggling with unhealthy habits? You don't have to struggle alone. I can help. I am a Licensed Mental Health Counselor with over ten years of experience in the field and a Professional Coach specializing in women's issues, substance abuse, anxiety, depression, PTSD, compulsive eating, trauma, among others. I have worked successfully helping clients to address a wide variety of life's challenges including grief, divorce, interpersonal relationships, self esteem issues, substance use, codependency, spirituality, trauma, and anger issues.
(786) 686-0139 View (786) 686-0139
Photo of Teresita Boza-Fernandez, LCSW, Clinical Social Work/Therapist
Teresita Boza-Fernandez
Clinical Social Work/Therapist, LCSW
Verified Verified
Miami, FL 33130  (Online Only)
Hello! I am a licensed clinical social worker in the states of Florida with over 39 years of experience. I believe every individual invested in therapy is seeking to become the best version of themselves while working towards empowering themselves to move forward with whatever challenges they may be facing.
Hello! I am a licensed clinical social worker in the states of Florida with over 39 years of experience. I believe every individual invested in therapy is seeking to become the best version of themselves while working towards empowering themselves to move forward with whatever challenges they may be facing.
(786) 977-4623 View (786) 977-4623
Photo of Isabella Herrera, LMHC, Counselor
Isabella Herrera
Counselor, LMHC
Verified Verified
1 Endorsed
Miami, FL 33131  (Online Only)
I am a licensed mental health counselor with several years of experience providing mental health support to individuals of all backgrounds. I graduated from the University of Florida with a bachelor's degree in Psychology, then went on to pursue my master's in Mental Health Counseling from the University of South Florida. Over the years I've always been more inclined to the helping professions and working closely with people.
I am a licensed mental health counselor with several years of experience providing mental health support to individuals of all backgrounds. I graduated from the University of Florida with a bachelor's degree in Psychology, then went on to pursue my master's in Mental Health Counseling from the University of South Florida. Over the years I've always been more inclined to the helping professions and working closely with people.
(786) 998-4633 View (786) 998-4633
Photo of Beatriz Gonzalez, MA, BA
Beatriz Gonzalez
MA, BA
Verified Verified
Miami, FL 33135
I am specialized in break-ups, self-esteem, codependency, emotional management, communication in relationships, self talk strategies and decision making skills training. Life is too short to constantly be at war with yourself. I have a Bachelor’s and a Master’s degree in Psychology and I have worked in Mental Health for 10 years. Through my career, I have helped more than 350 clients to change the direction of their lives in problems such as: -Break up/Divorce - Low Self-esteem -Communication in their Relationships - Codependency - Self Talk Strategies. I work only online, in English or Spanish.
I am specialized in break-ups, self-esteem, codependency, emotional management, communication in relationships, self talk strategies and decision making skills training. Life is too short to constantly be at war with yourself. I have a Bachelor’s and a Master’s degree in Psychology and I have worked in Mental Health for 10 years. Through my career, I have helped more than 350 clients to change the direction of their lives in problems such as: -Break up/Divorce - Low Self-esteem -Communication in their Relationships - Codependency - Self Talk Strategies. I work only online, in English or Spanish.
(786) 496-1838 View (786) 496-1838
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How does your Therapist compare?

Number of Therapists in Miami, FL

3,000+

Average cost per session

$136

Therapists in Miami, FL who prioritize treating:

91% Anxiety
84% Depression
72% Self Esteem
67% Coping Skills
60% Trauma and PTSD
59% Relationship Issues
58% Stress

Average years in practice

11 Years

Top 3 insurances accepted

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

How Therapists in Miami, FL see their clients

60% Online Only
40% 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 Miami?

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.