Therapists in Las Vegas, NV
![Photo of Teri Becchetti Raven, MFT, MBA, Marriage & Family Therapist Intern](https://photos.psychologytoday.com/c2fe9fc8-f1a0-4e68-8f83-88c4159a321e/4/320x400.jpeg)
Teri Becchetti Raven
Marriage & Family Therapist Intern, MFT, MBA
Verified Verified
2 Endorsed
Las Vegas, NV 89144
Thank you for visiting! I work with individuals, couples, and families, with a heartfelt love for working with children. I work with clients experiencing anxiety, depression, relationship issues, divorce, blended families, infidelity, career and academic pressures, and trauma.
Thank you for visiting! I work with individuals, couples, and families, with a heartfelt love for working with children. I work with clients experiencing anxiety, depression, relationship issues, divorce, blended families, infidelity, career and academic pressures, and trauma.
![Photo of Chanda Kelly, MS, LCPC, LPC, Licensed Professional Counselor](https://photos.psychologytoday.com/3d427bfc-46cd-11ea-a6ad-06142c356176/2/320x400.jpeg)
Chanda Kelly
Licensed Professional Counselor, MS, LCPC, LPC
Verified Verified
1 Endorsed
Las Vegas, NV 89134
As a professional counselor, I provide individual counseling & therapy to adolescents & adults. I treat clients the way I want to be treated, with compassion, honesty, warmth, and respect. It is courageous to seek out assistance and resources that can help you as you begin your journey with healing and change. I am here to offer my support. My focus is to empower you to attain your goals and best interests. My theoretical orientation is integrative utilizing CBT, Client-Centered, and Solution-Focused Brief Therapy.
As a professional counselor, I provide individual counseling & therapy to adolescents & adults. I treat clients the way I want to be treated, with compassion, honesty, warmth, and respect. It is courageous to seek out assistance and resources that can help you as you begin your journey with healing and change. I am here to offer my support. My focus is to empower you to attain your goals and best interests. My theoretical orientation is integrative utilizing CBT, Client-Centered, and Solution-Focused Brief Therapy.
![Photo of Aubree Toledo, LMFT-I, Marriage & Family Therapist Intern](https://photos.psychologytoday.com/284b22c2-745f-4c05-99eb-75acf0c65d58/3/320x400.jpeg)
Aubree Toledo
Marriage & Family Therapist Intern, LMFT-I
Verified Verified
1 Endorsed
Las Vegas, NV 89134
You want to start therapy but the thought of sharing your most personal experiences and challenges with a stranger feels... well, strange, right? I get it! Let me start by first commending you on coming this far in your healing; looking for a therapist. You're here because you want things to change, you want to process the experiences that have brought you to who you are today (maybe you aren't particularly proud of some of them), or maybe you just want to explore how to become the best version of yourself possible. Achieving all of those goals began the moment you decided to seek out an outside perspective w/ a professional.
You want to start therapy but the thought of sharing your most personal experiences and challenges with a stranger feels... well, strange, right? I get it! Let me start by first commending you on coming this far in your healing; looking for a therapist. You're here because you want things to change, you want to process the experiences that have brought you to who you are today (maybe you aren't particularly proud of some of them), or maybe you just want to explore how to become the best version of yourself possible. Achieving all of those goals began the moment you decided to seek out an outside perspective w/ a professional.
![Photo of Melanie Bison, PhD, LMHC, LCADC, LCPC, LISAC, Licensed Professional Counselor](https://photos.psychologytoday.com/b5d9936d-864e-462f-9b8f-94cfb1100109/1/320x400.jpeg)
Melanie Bison
Licensed Professional Counselor, PhD, LMHC, LCADC, LCPC, LISAC
Verified Verified
Las Vegas, NV 89118 (Online Only)
"You are a wonderful woman with a wonderful soul"~ LS.,Washington "I just wanted you to know your words of wisdom stay with me daily. You helped me understand so much, and for that I am eternally grateful"~W.J.,Nevada "You helped me in my darkest hour and my that, I will never forget"~ J.K., Nevada. "Melanie is one of the best in her field of cognitive services. She brings a whole new dimension and personalization not normally found in her field. She is one of the best and I highly recommend her for services"~R.C.
"You are a wonderful woman with a wonderful soul"~ LS.,Washington "I just wanted you to know your words of wisdom stay with me daily. You helped me understand so much, and for that I am eternally grateful"~W.J.,Nevada "You helped me in my darkest hour and my that, I will never forget"~ J.K., Nevada. "Melanie is one of the best in her field of cognitive services. She brings a whole new dimension and personalization not normally found in her field. She is one of the best and I highly recommend her for services"~R.C.
![Photo of Celine Chu, MS, ATR-BC, LMFT, Marriage & Family Therapist](https://photos.psychologytoday.com/8d9807dd-aab2-43c0-b439-4c85463bff44/2/320x400.jpeg)
Celine Chu
Marriage & Family Therapist, MS, ATR-BC, LMFT
Verified Verified
1 Endorsed
Las Vegas, NV 89147
Are you or your children having difficulties adjusting to life events, such as divorce, relocation, or death of a love one? Suffering from trauma, stress, anxiety, or self-destructive behaviors? Any changes in behavior, mood, sleep, or performance? You have found the right person. I am here to empower you and your love ones to find the best solutions to current problems. As a national board certified art therapist with 10 + years of experience by using art and play - the most natural ways of communicating and expressing feelings - I know how to work with you and your children.
Are you or your children having difficulties adjusting to life events, such as divorce, relocation, or death of a love one? Suffering from trauma, stress, anxiety, or self-destructive behaviors? Any changes in behavior, mood, sleep, or performance? You have found the right person. I am here to empower you and your love ones to find the best solutions to current problems. As a national board certified art therapist with 10 + years of experience by using art and play - the most natural ways of communicating and expressing feelings - I know how to work with you and your children.
![Photo of Mary Phenix, MS, LMFT, Marriage & Family Therapist](https://photos.psychologytoday.com/e12eb47b-e131-41e5-90bc-ee134f5d1a7d/3/320x400.jpeg)
Accepting New Clients for in-person and virtual sessions. Like the phoenix that rises from the ashes, I aspire to empower you to overcome the obstacles and adversity you have endured in order to establish a life of self-authenticity and growth. It is my passion to provide a collaborative, person-centered approach to individuals, couples, and families throughout the Las Vegas community.
Accepting New Clients for in-person and virtual sessions. Like the phoenix that rises from the ashes, I aspire to empower you to overcome the obstacles and adversity you have endured in order to establish a life of self-authenticity and growth. It is my passion to provide a collaborative, person-centered approach to individuals, couples, and families throughout the Las Vegas community.
![Photo of Deborah Sampson, MS, LMFT, Marriage & Family Therapist](https://photos.psychologytoday.com/0f415cd5-435c-48b9-8494-45fa537a5429/1/320x400.jpeg)
Deborah Sampson
Marriage & Family Therapist, MS, LMFT
Verified Verified
1 Endorsed
Las Vegas, NV 89123
Not accepting new clients
Today you are one step closer to a new you where you feel empowered and on a positive path to growth and well-being.
My goal is to help you uncover your true potential and lead a life that is worth celebrating. While we can't change difficult situations of the past, we can work together to better understand and resolve challenges in your life. By applying complementary therapy approaches and techniques, we will unearth long-standing behavior patterns or negative perceptions that may be holding you back from experiencing a more fulfilling and meaningful life.
Today you are one step closer to a new you where you feel empowered and on a positive path to growth and well-being.
My goal is to help you uncover your true potential and lead a life that is worth celebrating. While we can't change difficult situations of the past, we can work together to better understand and resolve challenges in your life. By applying complementary therapy approaches and techniques, we will unearth long-standing behavior patterns or negative perceptions that may be holding you back from experiencing a more fulfilling and meaningful life.
![Photo of Jessica Browning, PhD, Psychologist](https://photos.psychologytoday.com/60caf445-6e03-422c-90b3-187b4c4d646b/4/320x400.jpeg)
I believe that human beings have an amazing ability to adapt to extremely difficult situations, but sometimes using old coping strategies can encourage toxic situations at home or at work. When the tendency to accommodate others and the desire for approval goes unchecked, we betray our authentic sense of self and undermine our success. This is particularly true with adults suffering from symptoms related to childhood trauma, addiction, and those who have had to "mask" due to neurodivergent experience. Using evidenced based treatment, I work with adults and couples to create their best lives.
I believe that human beings have an amazing ability to adapt to extremely difficult situations, but sometimes using old coping strategies can encourage toxic situations at home or at work. When the tendency to accommodate others and the desire for approval goes unchecked, we betray our authentic sense of self and undermine our success. This is particularly true with adults suffering from symptoms related to childhood trauma, addiction, and those who have had to "mask" due to neurodivergent experience. Using evidenced based treatment, I work with adults and couples to create their best lives.
![Photo of Michelle H Buxton, LMHC, LCPC, Counselor](https://photos.psychologytoday.com/2eb435ac-9af5-4fc6-af03-e6e410e761f0/1/320x400.jpeg)
Michelle H Buxton
Counselor, LMHC, LCPC
Verified Verified
1 Endorsed
Las Vegas, NV 89146 (Online Only)
I have a passion for helping others find their own unique path to happiness. I meet my clients where they are, and am very client centered.
I have a passion for helping others find their own unique path to happiness. I meet my clients where they are, and am very client centered.
![Photo of Gail Lawson, MSW, LSW, CSWI, Clinical Social Work/Therapist](https://photos.psychologytoday.com/4c06e31f-46cd-11ea-a6ad-06142c356176/3/320x400.jpeg)
You do not have to face life's challenges alone. We all need some support in order to navigate life and find solutions to these challenges. Let's figure out together what is keeping you from living your best life. I would like to assist with letting go of people pleasing behaviors that can take away from your self respect, self worth and self esteem. I can help with communicating your needs and look at your strengths. It is a struggle to juggle personal, professional and family life. Lets make a plan together to meet your goals, wants and needs. Schedule a chat for free with me.
You do not have to face life's challenges alone. We all need some support in order to navigate life and find solutions to these challenges. Let's figure out together what is keeping you from living your best life. I would like to assist with letting go of people pleasing behaviors that can take away from your self respect, self worth and self esteem. I can help with communicating your needs and look at your strengths. It is a struggle to juggle personal, professional and family life. Lets make a plan together to meet your goals, wants and needs. Schedule a chat for free with me.
![Photo of Karin Burden, MS, LMFT, LADC, Marriage & Family Therapist](https://photos.psychologytoday.com/5481cf50-94f2-41c3-a17f-b81f793565e8/8/320x400.jpeg)
I've been working with clients since 1997. I have a strong desire to help and assist others. I love meeting with people and helping them generate solutions to their specific life issues. I use a client centered, strength based approach. I strive to have an effective and positive practice.
I've been working with clients since 1997. I have a strong desire to help and assist others. I love meeting with people and helping them generate solutions to their specific life issues. I use a client centered, strength based approach. I strive to have an effective and positive practice.
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![Photo of Sheri Slater, MS, Marriage & Family Therapist Intern](https://photos.psychologytoday.com/61cf1c03-4069-42cc-afb6-900fec4c57a8/1/320x400.jpeg)
Sheri Slater
Marriage & Family Therapist Intern, MS
Verified Verified
1 Endorsed
Las Vegas, NV 89147
I love working with clients who struggle with anxiety, depression and medical issues. I have a lot of knowledge and experience navigating the world when medical trauma and struggles threaten to get in the way of normal functioning. I am passionate about helping people learn how to advocate for themselves through effective communication. I am trained in EMDR (eye movement desensitization and reprocessing) therapy, which has been shown to be highly effective in helping people recovery from trauma.
I love working with clients who struggle with anxiety, depression and medical issues. I have a lot of knowledge and experience navigating the world when medical trauma and struggles threaten to get in the way of normal functioning. I am passionate about helping people learn how to advocate for themselves through effective communication. I am trained in EMDR (eye movement desensitization and reprocessing) therapy, which has been shown to be highly effective in helping people recovery from trauma.
![Photo of Patricia Hanisee, LMFT, MS, EdD, Marriage & Family Therapist](https://photos.psychologytoday.com/3fb650c7-46cd-11ea-a6ad-06142c356176/2/320x400.jpeg)
Thank you for taking the time to read my personal statement. I look forward to working with a diverse group of individuals, couples and families who are in need of a safe place to explore sensitive and challenging issues that are bringing them into therapy. In my opinion, every individual on this website is my ideal client as you have taken the initiative in looking for help. This is a huge first step not only because it shows insight and awareness but motivation for change. I enjoy working with children, adolescents, older adults, couples, LGBTQ+, and complex family structures.
Thank you for taking the time to read my personal statement. I look forward to working with a diverse group of individuals, couples and families who are in need of a safe place to explore sensitive and challenging issues that are bringing them into therapy. In my opinion, every individual on this website is my ideal client as you have taken the initiative in looking for help. This is a huge first step not only because it shows insight and awareness but motivation for change. I enjoy working with children, adolescents, older adults, couples, LGBTQ+, and complex family structures.
![Photo of Kevin Cole, CHT, MNLP](https://photos.psychologytoday.com/507dbf72-46cd-11ea-a6ad-06142c356176/2/320x400.jpeg)
If you're ready to experience fast working & life changing Hypnosis Coaching programs, then you want a hypnotherapist with a track record like Kevin Cole. Whether your goal is to Quit Smoking, Relieve Stress & Anxiety, Relieve Chronic Pain, Overcome a Fear or Phobia, Help Getting Over A Breakup, or one of the many other areas Kevin is highly skilled to help you with, you owe it to yourself to take full advantage of a completely Free Hypnosis Screening to have all of your questions answered about Hypnotherapy & Coaching along with exactly how Kevin can help you. Call (702) 979-7569 for your Free Hypnosis Screening.
If you're ready to experience fast working & life changing Hypnosis Coaching programs, then you want a hypnotherapist with a track record like Kevin Cole. Whether your goal is to Quit Smoking, Relieve Stress & Anxiety, Relieve Chronic Pain, Overcome a Fear or Phobia, Help Getting Over A Breakup, or one of the many other areas Kevin is highly skilled to help you with, you owe it to yourself to take full advantage of a completely Free Hypnosis Screening to have all of your questions answered about Hypnotherapy & Coaching along with exactly how Kevin can help you. Call (702) 979-7569 for your Free Hypnosis Screening.
![Photo of Myrna L Toledo, CPC-I, Pre-Licensed Professional](https://photos.psychologytoday.com/e421728d-e350-4d9b-b68a-6c11bfef977d/4/320x400.png)
As an adult going through the bumps life put on the road for me, I was able to understand and appreciate the importance of a strong and peaceful mindset, which comes with proper mental health. Let me guide you through your roadway to successful and peaceful mental health.
As an adult going through the bumps life put on the road for me, I was able to understand and appreciate the importance of a strong and peaceful mindset, which comes with proper mental health. Let me guide you through your roadway to successful and peaceful mental health.
![Photo of Tiffany Simonetti, LPC, Licensed Professional Counselor](https://photos.psychologytoday.com/67772bb3-742d-4329-8d56-95e80593cfdc/3/320x400.jpeg)
Do you struggle with understanding your emotions and behaviors? Do you feel like things are becoming out of control? Do you wonder how and when will I be able to manage all the stressors in my life? If so I can help you to process what is happening and feel relief so you can live the life you are meant to live. By understanding your emotions, behaviors, why you feel them, and what purpose they serve you can begin understand your needs, wants, and work towards living a more fulfilling life. I work from a client-centered and trauma-focused approach that helps you to understand yourself and figure out where you want to go from here.
Do you struggle with understanding your emotions and behaviors? Do you feel like things are becoming out of control? Do you wonder how and when will I be able to manage all the stressors in my life? If so I can help you to process what is happening and feel relief so you can live the life you are meant to live. By understanding your emotions, behaviors, why you feel them, and what purpose they serve you can begin understand your needs, wants, and work towards living a more fulfilling life. I work from a client-centered and trauma-focused approach that helps you to understand yourself and figure out where you want to go from here.
![Photo of Eli F Sanchez, MHR, LPC, CPCL, Licensed Professional Counselor](https://photos.psychologytoday.com/aec75afa-61ee-4d11-a208-61e1c424b57a/1/320x400.jpeg)
Eli F Sanchez
Licensed Professional Counselor, MHR, LPC, CPCL
Verified Verified
Las Vegas, NV 89102 (Online Only)
Are you often consumed by your thoughts and do they impact your emotions? Do you feel overwhelmed or anxious in social situations? Let me assist you in finding relief and empowerment. I specialize in working with individuals who have ADHD and anxiety, offering a nurturing and secure space for exploration and growth. Together, we will address your challenges, establish coping mechanisms, and foster a sense of empowerment. My tailored approach is designed to cater to your specific needs, amplifying your strengths and guiding you through your journey towards healing.
Are you often consumed by your thoughts and do they impact your emotions? Do you feel overwhelmed or anxious in social situations? Let me assist you in finding relief and empowerment. I specialize in working with individuals who have ADHD and anxiety, offering a nurturing and secure space for exploration and growth. Together, we will address your challenges, establish coping mechanisms, and foster a sense of empowerment. My tailored approach is designed to cater to your specific needs, amplifying your strengths and guiding you through your journey towards healing.
![Photo of Beleli T Dirirssa, LCPC, MA, Counselor](https://photos.psychologytoday.com/5682133a-f276-483e-9d2d-e84814525222/2/320x400.jpeg)
Currently accepting new clients online and face to face at the Sahara office both self-pay and insurance. I am Beleli Dirirssa a Licensed Professional Counselor and I have been practicing counseling for the last 8 years. I use person centered therapy and address different mental health diagnosis and focus on trauma and changing behavior.
Currently accepting new clients online and face to face at the Sahara office both self-pay and insurance. I am Beleli Dirirssa a Licensed Professional Counselor and I have been practicing counseling for the last 8 years. I use person centered therapy and address different mental health diagnosis and focus on trauma and changing behavior.
![Photo of Tyler Rich - Richer Life Recovery, Marriage & Family Therapist](https://photos.psychologytoday.com/4ce66221-46cd-11ea-a6ad-06142c356176/2/320x400.jpeg)
Richer Life Recovery is a process group that helps men with sex addiction and porn addiction. You might think you have an addiction, or you might have been told by your partner you have an addiction. Having relationship issues because of compulsive sexual behavior is just one of many adverse effects of pornography overuse. You might be losing interest in sex with your partner, spending more money and time than you would like in the pursuit of pornography or sex. Having multiple affairs or participating in risk-taking sexual behavior. Our recovery group is led by a Certified Sex Addiction Therapist (CSAT)
Richer Life Recovery is a process group that helps men with sex addiction and porn addiction. You might think you have an addiction, or you might have been told by your partner you have an addiction. Having relationship issues because of compulsive sexual behavior is just one of many adverse effects of pornography overuse. You might be losing interest in sex with your partner, spending more money and time than you would like in the pursuit of pornography or sex. Having multiple affairs or participating in risk-taking sexual behavior. Our recovery group is led by a Certified Sex Addiction Therapist (CSAT)
![Photo of E. Michele Sprole, MA, LCPC, NCC, Counselor](https://photos.psychologytoday.com/3c30945e-46cd-11ea-a6ad-06142c356176/4/320x400.jpeg)
There are times in life that you need someone you can trust to provide a safe and caring space for you to grow. I can help you create a positive future for yourself and help you integrate the experiences from your past into your present. I am a Licensed Clinical Professional Counselor. I use cognitive behavioral and solution focused therapy to help you realize your full potential. At your initial visit we will explore what it is that brings you to therapy and we will determine a path together that will move you forward in your life.
There are times in life that you need someone you can trust to provide a safe and caring space for you to grow. I can help you create a positive future for yourself and help you integrate the experiences from your past into your present. I am a Licensed Clinical Professional Counselor. I use cognitive behavioral and solution focused therapy to help you realize your full potential. At your initial visit we will explore what it is that brings you to therapy and we will determine a path together that will move you forward in your life.
See more therapy options for Las Vegas
How does your Therapist compare?
Number of Therapists in Las Vegas, NV
1,000+
Average cost per session
$130
Therapists in Las Vegas, NV who prioritize treating:
91% | Anxiety |
87% | Depression |
76% | Trauma and PTSD |
76% | Self Esteem |
75% | Relationship Issues |
70% | Coping Skills |
70% | Stress |
Average years in practice
9 Years
Top 3 insurances accepted
73% | Aetna |
64% | Cigna and Evernorth |
58% | UnitedHealthcare UHC | UBH |
How Therapists in Las Vegas, NV see their clients
64% | In Person and Online | |
36% | Online Only |
Gender breakdown
81% | Female | |
18% | Male | |
1% | Non-Binary |
FAQs - About Therapy and Counseling
How can I find a therapist in Las Vegas?
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
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.
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.
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.