Therapists in Houston, TX

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Photo of Caroline Garcia, LMSW, Clinical Social Work/Therapist
Caroline Garcia
Clinical Social Work/Therapist, LMSW
Verified Verified
Houston, TX 77006
Life can be unpredictable and challenging, and oftentimes we struggle feeling heard. My office provides a space where you can feel heard. I can assist in areas such as anxiety, depression, life transitions, relationships, grief, addiction, and trauma history. No matter your challenge, we can work to understand past patterns and find a path to healing.
Life can be unpredictable and challenging, and oftentimes we struggle feeling heard. My office provides a space where you can feel heard. I can assist in areas such as anxiety, depression, life transitions, relationships, grief, addiction, and trauma history. No matter your challenge, we can work to understand past patterns and find a path to healing.
(346) 478-5810 View (346) 478-5810
Photo of Jessica Demby, LPC, Clinical Social Work/Therapist
Jessica Demby
Clinical Social Work/Therapist, LPC
Verified Verified
Houston, TX 77098
Prior to joining the Lifestance team in May 2021, I have enjoyed a rewarding career providing services in the mental health field in multiple capacities working with children and adolescents within the foster care system, community settings, and adults with severe mental illness in their home environment. Treatment modalities I utilize include eye movement desensitization and reprocessing therapy (emdr), cognitive behavioral therapy, cognitive processing therapy, and motivational interviewing. I obtained a Bachelor of Science in Political Science and Psychology from The University of Houston (2009).
Prior to joining the Lifestance team in May 2021, I have enjoyed a rewarding career providing services in the mental health field in multiple capacities working with children and adolescents within the foster care system, community settings, and adults with severe mental illness in their home environment. Treatment modalities I utilize include eye movement desensitization and reprocessing therapy (emdr), cognitive behavioral therapy, cognitive processing therapy, and motivational interviewing. I obtained a Bachelor of Science in Political Science and Psychology from The University of Houston (2009).
(832) 551-1255 View (832) 551-1255
Photo of Susan McBride, LCSW, Clinical Social Work/Therapist
Susan McBride
Clinical Social Work/Therapist, LCSW
Verified Verified
Houston, TX 77070  (Online Only)
Hi! I'm Kathy McBride and I have been a practicing LCSW for 25+ years. I am based in Texas, but have also lived in Ohio and Colorado at different points in my life. I am open to all ages and hope to be your resource for improving your mood and overall outlook on life. I have two children of my own and certainly understand the stress of trying to manage it all!
Hi! I'm Kathy McBride and I have been a practicing LCSW for 25+ years. I am based in Texas, but have also lived in Ohio and Colorado at different points in my life. I am open to all ages and hope to be your resource for improving your mood and overall outlook on life. I have two children of my own and certainly understand the stress of trying to manage it all!
(346) 594-9437 View (346) 594-9437
Photo of Saima Husaini, MEd, C-DBT, LPC-S, Licensed Professional Counselor
Saima Husaini
Licensed Professional Counselor, MEd, C-DBT, LPC-S
Verified Verified
2 Endorsed
Houston, TX 77084
"There are many ways of getting strong, sometimes talking is the best way..." - Andre Agassi ....Individuals from all walks of life, ethnicities, and backgrounds experience feelings of depression, anxiety, frustration, or hopelessness. We sometimes find ourselves unable to communicate the way we would like to or lack the motivation to even try.
"There are many ways of getting strong, sometimes talking is the best way..." - Andre Agassi ....Individuals from all walks of life, ethnicities, and backgrounds experience feelings of depression, anxiety, frustration, or hopelessness. We sometimes find ourselves unable to communicate the way we would like to or lack the motivation to even try.
(281) 916-1541 View (281) 916-1541
Photo of Monica Jerez, MA, LPC, Licensed Professional Counselor
Monica Jerez
Licensed Professional Counselor, MA, LPC
Verified Verified
1 Endorsed
Houston, TX 77079
Finding the right therapist can be difficult. My name is Monica and I am a dedicated therapist located in West Houston. I love working with children, adolescents and adults who need help with relationships, anxiety, self-esteem, trauma, depression, career, and more. As your therapist, I want to help you navigate life’s challenges by providing hope, support and guidance. I want to help you achieve your mental health, wellness, education and career goals!
Finding the right therapist can be difficult. My name is Monica and I am a dedicated therapist located in West Houston. I love working with children, adolescents and adults who need help with relationships, anxiety, self-esteem, trauma, depression, career, and more. As your therapist, I want to help you navigate life’s challenges by providing hope, support and guidance. I want to help you achieve your mental health, wellness, education and career goals!
(713) 903-2631 View (713) 903-2631
Photo of Melissa K. Stewart, MEd, LPC, Licensed Professional Counselor
Melissa K. Stewart
Licensed Professional Counselor, MEd, LPC
Verified Verified
2 Endorsed
Houston, TX 77058
Sometimes life can be a struggle. It may seem like there’s no answer. Hold on, friend, you can make it! We’ll find hope and answers together as you discover the strength that lies within you. Look at the sun rising through the dark bringing light for the day. We’ll find that light in your life together and help you find your way. Call today. I care. !Bienvenido! Lo acceptamos y entiendemos su situation.
Sometimes life can be a struggle. It may seem like there’s no answer. Hold on, friend, you can make it! We’ll find hope and answers together as you discover the strength that lies within you. Look at the sun rising through the dark bringing light for the day. We’ll find that light in your life together and help you find your way. Call today. I care. !Bienvenido! Lo acceptamos y entiendemos su situation.
(979) 553-6935 View (979) 553-6935
Photo of Anna L Curry, MEd, LPC-A
Anna L Curry
Licensed Professional Counselor Associate, MEd, LPC-A
Verified Verified
Houston, TX 77069
I love to help people experience life more deliberately and empower them on their journey to heal and transform their lives. I have experience working with a wide range of people in diverse settings. I provide Spanish and English - speaking services in person or via telehealth. My commitment to your mental wellbeing is unwavering. I work collaboratively with you to achieve your goals and overcome whatever roadblocks are keeping you from living your best life. I emphasize the importance of empathy, trust, and a genuine therapeutic relationship, as they are the cornerstones of effective counseling.
I love to help people experience life more deliberately and empower them on their journey to heal and transform their lives. I have experience working with a wide range of people in diverse settings. I provide Spanish and English - speaking services in person or via telehealth. My commitment to your mental wellbeing is unwavering. I work collaboratively with you to achieve your goals and overcome whatever roadblocks are keeping you from living your best life. I emphasize the importance of empathy, trust, and a genuine therapeutic relationship, as they are the cornerstones of effective counseling.
(346) 460-5848 View (346) 460-5848
Photo of Jennifer Smith, LPC , Licensed Professional Counselor
Jennifer Smith
Licensed Professional Counselor, LPC
Verified Verified
Houston, TX 77009  (Online Only)
Howdy! My name is Jennifer Smith, LPC, & I'm so glad you're here. I use Cognitive Behavioral Approach (figuring out how and why we do the things we do) as well as Trust-Based Relational Approach (building trust, understanding trauma, cultural approach), and Trauma if needed. I do have a wealth of experience thanks to my previous experience working in the education sector as a special needs teacher and school counselor. I'm looking forward to the journey where you blossom into the best version of yourself!
Howdy! My name is Jennifer Smith, LPC, & I'm so glad you're here. I use Cognitive Behavioral Approach (figuring out how and why we do the things we do) as well as Trust-Based Relational Approach (building trust, understanding trauma, cultural approach), and Trauma if needed. I do have a wealth of experience thanks to my previous experience working in the education sector as a special needs teacher and school counselor. I'm looking forward to the journey where you blossom into the best version of yourself!
(346) 588-7166 View (346) 588-7166
Photo of Alexandria V Williams, MS, LPC, LCDC-I, Licensed Professional Counselor
Alexandria V Williams
Licensed Professional Counselor, MS, LPC, LCDC-I
Verified Verified
Houston, TX 77008  (Online Only)
Are you feeling lost, stressed, anxious, or have a child who is in need? If so, I am here to help. As a Licensed Professional Counselor, I seek to improve the overall well being of the client. I work with my clients to help them to develop and apply the skills needed to understand, cope with, and work through life's challenges. "What we achieve inwardly will change our outer reality.” I am a firm believer that change begins from the inside-out. We will work together so that you can be the change you want to see in your life. Remember, you are not alone.
Are you feeling lost, stressed, anxious, or have a child who is in need? If so, I am here to help. As a Licensed Professional Counselor, I seek to improve the overall well being of the client. I work with my clients to help them to develop and apply the skills needed to understand, cope with, and work through life's challenges. "What we achieve inwardly will change our outer reality.” I am a firm believer that change begins from the inside-out. We will work together so that you can be the change you want to see in your life. Remember, you are not alone.
(346) 326-3060 View (346) 326-3060
Photo of Ni Zhang, MSW, Clinical Social Work/Therapist
Ni Zhang
Clinical Social Work/Therapist, MSW
Verified Verified
1 Endorsed
Houston, TX 77008  (Online Only)
Many people who are facing difficulties ask the same question: where do I start? That fear of uncertainty can lead to a lack of confidence along with feelings of anxiety, depression, or self-doubt. I believe that confidence begins with clarity. Hi, my name is Ni Zhang, a bilingual (English/Chinese) Licensed Clinical Social Worker with a master's degree in Social Work from the University of Pennsylvania. Currently practicing in the state of Texas, I have extensive experience working with individuals from diverse backgrounds. I love the idea of helping others overcome mental illness and helping them achieve their life goals.
Many people who are facing difficulties ask the same question: where do I start? That fear of uncertainty can lead to a lack of confidence along with feelings of anxiety, depression, or self-doubt. I believe that confidence begins with clarity. Hi, my name is Ni Zhang, a bilingual (English/Chinese) Licensed Clinical Social Worker with a master's degree in Social Work from the University of Pennsylvania. Currently practicing in the state of Texas, I have extensive experience working with individuals from diverse backgrounds. I love the idea of helping others overcome mental illness and helping them achieve their life goals.
(281) 984-5398 View (281) 984-5398
Photo of Elizabeth R Anderson, MA, LPC , Licensed Professional Counselor
Elizabeth R Anderson
Licensed Professional Counselor, MA, LPC
Verified Verified
Houston, TX 77060
My ideal client is anyone ready to rewrite their story. If you struggle with previous or current trauma, disorders associated with depression, anxiety, ADHD, Grief, or difficulty adjusting to change, I can safely guide you to a place of healing. Looking for the right therapist can be daunting. I have made it a point to establish a warm and welcoming environment. I seek to empower clients who suffer from a myriad of maladaptive behaviors. I work to instill confidence and be an agent of change.
My ideal client is anyone ready to rewrite their story. If you struggle with previous or current trauma, disorders associated with depression, anxiety, ADHD, Grief, or difficulty adjusting to change, I can safely guide you to a place of healing. Looking for the right therapist can be daunting. I have made it a point to establish a warm and welcoming environment. I seek to empower clients who suffer from a myriad of maladaptive behaviors. I work to instill confidence and be an agent of change.
(346) 480-5171 View (346) 480-5171
Photo of Jaimi Maldonado, MA, LMFT-A, Marriage & Family Therapist
Jaimi Maldonado
Marriage & Family Therapist, MA, LMFT-A
Verified Verified
Houston, TX 77084  (Online Only)
I'm Jaimi Maldonado, and I am a Licensed Marriage and Family Therapist, with a master's degree in Marriage, Family, & Child Therapy. I see clients individually, couples, and families. I work with a population with a variety of types of issues, including communication problems, conflict resolution, emotional intimacy, trust issues, parenting challenges, life transitions, mental health concerns, substance abuse, infidelity, and financial stress. I am known by my clients to be an empathetic listener, with a non-judgmental attitude, as well as being dedicated to helping them achieve their goals and improve their overall well-being.
I'm Jaimi Maldonado, and I am a Licensed Marriage and Family Therapist, with a master's degree in Marriage, Family, & Child Therapy. I see clients individually, couples, and families. I work with a population with a variety of types of issues, including communication problems, conflict resolution, emotional intimacy, trust issues, parenting challenges, life transitions, mental health concerns, substance abuse, infidelity, and financial stress. I am known by my clients to be an empathetic listener, with a non-judgmental attitude, as well as being dedicated to helping them achieve their goals and improve their overall well-being.
(254) 232-6090 View (254) 232-6090
Photo of Dr. Annette E. Brissett, PhD, Psychologist
Dr. Annette E. Brissett
Psychologist, PhD
Verified Verified
Houston, TX 77057
Be inspired to transform your life in positive ways. I am a licensed Psychologist in private practice, with expertise in psychotherapy and clinical assessment. I offer a trusting and supportive professional environment, treating such issues as: anxiety, mood, depression, trauma, crisis, relationships, stress, personality issues and chronic health concerns. Having lived internationally and trained broadly, I have a unique perspective on how best to guide individuals, couples and families towards achieving lifelong well being. I view therapy as a supportive partnership, built on trust, professionalism and integrity.
Be inspired to transform your life in positive ways. I am a licensed Psychologist in private practice, with expertise in psychotherapy and clinical assessment. I offer a trusting and supportive professional environment, treating such issues as: anxiety, mood, depression, trauma, crisis, relationships, stress, personality issues and chronic health concerns. Having lived internationally and trained broadly, I have a unique perspective on how best to guide individuals, couples and families towards achieving lifelong well being. I view therapy as a supportive partnership, built on trust, professionalism and integrity.
(281) 612-7949 View (281) 612-7949
Photo of Sharon G Walker, PsyD, Psychologist
Sharon G Walker
Psychologist, PsyD
Verified Verified
Houston, TX 77081
Hi. My name is Dr. Sharon Walker. I am a licensed psychologist with over 30 years of experience in the field. I think of counseling as a team effort that requires a trusting relationship between the client and the therapist. The focus of therapy is on the client and the issues they are confronting. I have helped clients with many different issues through the years and consider myself a generalist with no particular specialty areas.
Hi. My name is Dr. Sharon Walker. I am a licensed psychologist with over 30 years of experience in the field. I think of counseling as a team effort that requires a trusting relationship between the client and the therapist. The focus of therapy is on the client and the issues they are confronting. I have helped clients with many different issues through the years and consider myself a generalist with no particular specialty areas.
(346) 584-3419 View (346) 584-3419
Photo of Cami Rose Beekman Jones, MA, LPC-A, C-DBT
Cami Rose Beekman Jones
LPC Associate, MA, LPC-A, C-DBT
Verified Verified
Houston, TX 77024
Your pursuit of healing and wholeness can start here, today! I will honor your voice and partner with you in your journey. If speaking up a struggle for you, I can help you find your voice and learn how to use it. I know the deep impact the work towards wholeness can have on a person’s life and want you to experience the peace and clarity that you deserve. I am truly passionate about helping you know yourself and build the life you want. My desire is to facilitate an environment that is safe for you to heal and grow. My therapeutic focus is general and includes all ages, genders, races, religions, and abilities.
Your pursuit of healing and wholeness can start here, today! I will honor your voice and partner with you in your journey. If speaking up a struggle for you, I can help you find your voice and learn how to use it. I know the deep impact the work towards wholeness can have on a person’s life and want you to experience the peace and clarity that you deserve. I am truly passionate about helping you know yourself and build the life you want. My desire is to facilitate an environment that is safe for you to heal and grow. My therapeutic focus is general and includes all ages, genders, races, religions, and abilities.
(832) 990-0584 View (832) 990-0584
Photo of Haydee Sierra-Santos, LCSW, Clinical Social Work/Therapist
Haydee Sierra-Santos
Clinical Social Work/Therapist, LCSW
Verified Verified
Houston, TX 77009  (Online Only)
My name is Haydee Sierra-Santos. I am a Licensed Clinical Social Worker (LCSW) with the state of Texas. I obtained my Master's degree in social work (MSW) from the University of Southern California in September 2015. I love my profession because it allows me to work closely with people. I strongly believe in the power of quality relationships, with the most important being the relationship we have with ourselves. I strive to help people realize their worth, potential, and capacity for change when change is needed.
My name is Haydee Sierra-Santos. I am a Licensed Clinical Social Worker (LCSW) with the state of Texas. I obtained my Master's degree in social work (MSW) from the University of Southern California in September 2015. I love my profession because it allows me to work closely with people. I strongly believe in the power of quality relationships, with the most important being the relationship we have with ourselves. I strive to help people realize their worth, potential, and capacity for change when change is needed.
(323) 643-8569 View (323) 643-8569
Photo of Stefanie Mouton, LPC , Counselor
Stefanie Mouton
Counselor, LPC
Verified Verified
Houston, TX 77009  (Online Only)
Hello. My name is Stefanie Bates-Mouton and I am a Texas-Licensed Professional Counselor (LPC) specializing in depression, anxiety, and PTSD. My extensive experience with teen and adult clients in a variety of settings enables me to provide a nurturing, warm, and safe platform for you to uncover barriers to your mental wellness. Whether you are struggling with depression, anxiety, or trauma-related symptoms, I can help you embrace mental wellness through an impactful and transformative process. I offer an accessible, affirming, and safe environment for you to discover the best version of yourself.
Hello. My name is Stefanie Bates-Mouton and I am a Texas-Licensed Professional Counselor (LPC) specializing in depression, anxiety, and PTSD. My extensive experience with teen and adult clients in a variety of settings enables me to provide a nurturing, warm, and safe platform for you to uncover barriers to your mental wellness. Whether you are struggling with depression, anxiety, or trauma-related symptoms, I can help you embrace mental wellness through an impactful and transformative process. I offer an accessible, affirming, and safe environment for you to discover the best version of yourself.
(346) 271-5288 View (346) 271-5288
Photo of Shelley McCaul-Parent, MEd, LPC, Licensed Professional Counselor
Shelley McCaul-Parent
Licensed Professional Counselor, MEd, LPC
Verified Verified
5 Endorsed
Houston, TX 77058
Is your past negatively impacting your life, or holding you back from what you really want? I specialize in trauma healing, overcoming the effects of toxic relationships, and teaching effective methods for coping with triggers, low self-esteem, anxiety, and depression. I’d love to work with you on rediscovering your joy, peace, and passion. I provide a nonjudgmental and relaxing atmosphere allowing clients to safely explore thoughts and feelings, to work through their baggage, and create the life they want.
Is your past negatively impacting your life, or holding you back from what you really want? I specialize in trauma healing, overcoming the effects of toxic relationships, and teaching effective methods for coping with triggers, low self-esteem, anxiety, and depression. I’d love to work with you on rediscovering your joy, peace, and passion. I provide a nonjudgmental and relaxing atmosphere allowing clients to safely explore thoughts and feelings, to work through their baggage, and create the life they want.
(713) 636-5401 View (713) 636-5401
Alma N Flores
Licensed Professional Counselor, M, Ed, LPC-S, NCC, CCTP
Verified Verified
1 Endorsed
Houston, TX 77079
Do you feel overwhelmed, lost, regretful, unhappy, or do you wish someone could help you find a way? Therapeutic counseling offers you the opportunity to recover your life and create healthy relationships. I offer a confidential, trusting therapeutic relationship to help you overcome the difficult challenges you are experiencing. Learn to manage daily stressors with courage, patience and guidance. You are the critical piece in the puzzle to your personal success.
Do you feel overwhelmed, lost, regretful, unhappy, or do you wish someone could help you find a way? Therapeutic counseling offers you the opportunity to recover your life and create healthy relationships. I offer a confidential, trusting therapeutic relationship to help you overcome the difficult challenges you are experiencing. Learn to manage daily stressors with courage, patience and guidance. You are the critical piece in the puzzle to your personal success.
(832) 632-4974 View (832) 632-4974
Photo of Jillian Goldman, MA, LPC-A
Jillian Goldman
Licensed Professional Counselor Associate, MA, LPC-A
Verified Verified
Houston, TX 77058
I enjoy working with individuals, families, and couples. My clients often have a good idea of what "better" would look and feel like, so we work together to make small changes toward that vision. Sometimes, feeling better means processing difficult experiences. Sometimes, it means repairing relationships. Sometimes, feeling better involves cultivating self-compassion and quieting the critic inside. My goal is always to help my clients focus on what they know is important and offer support while they work to make change.
I enjoy working with individuals, families, and couples. My clients often have a good idea of what "better" would look and feel like, so we work together to make small changes toward that vision. Sometimes, feeling better means processing difficult experiences. Sometimes, it means repairing relationships. Sometimes, feeling better involves cultivating self-compassion and quieting the critic inside. My goal is always to help my clients focus on what they know is important and offer support while they work to make change.
(346) 910-8703 x2704 View (346) 910-8703 x2704
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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
64% Trauma and PTSD
64% Stress

Average years in practice

9 Years

Top 3 insurances accepted

87% Aetna
82% Cigna and Evernorth
77% UnitedHealthcare UHC | UBH

How Therapists in Houston, TX see their clients

50% In Person and Online
50% 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.