Therapists in Houston, TX

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Photo of Ashley Clark, Licensed Professional Counselor in Houston, TX
Ashley Clark
Licensed Professional Counselor, MS, LPC
Verified Verified
Houston, TX 77058  (Online Only)
I'm a Licensed Professional Counselor in Texas. I have received advanced training in the Gottman Method for Couples Therapy and Trauma Therapy. With over 13 years of experience, I've worked with a broad spectrum of clients, including children, teens, adults, families and couples. Currently, I am seeing clients virtually in my private practice. My focus is helping teens, young adults and individuals who are struggling with anxiety, trauma, life transitions and other stressors. I also specialize in couples using the Gottman Method.
I'm a Licensed Professional Counselor in Texas. I have received advanced training in the Gottman Method for Couples Therapy and Trauma Therapy. With over 13 years of experience, I've worked with a broad spectrum of clients, including children, teens, adults, families and couples. Currently, I am seeing clients virtually in my private practice. My focus is helping teens, young adults and individuals who are struggling with anxiety, trauma, life transitions and other stressors. I also specialize in couples using the Gottman Method.
(281) 843-1148 View (281) 843-1148
Photo of Jamesia Smith, Licensed Professional Counselor in Houston, TX
Jamesia Smith
Licensed Professional Counselor, LPC
Verified Verified
Houston, TX 77084
Welcome! My name is Jamesia Smith and I am a Licensed Professional Counselor in the state of Texas. Throughout my career, I have mostly worked with those struggling with communication issues, anger, stress, anxiety, and depression concerns. My approach is to provide support & practical feedback to help you effectively address personal & professional life stressors. With compassion & understanding, I work with each individual to help build on their strengths & attain the personal growth they are committed to accomplishing. I usually use Cognitive behavioral therapy and person-centered therapy.
Welcome! My name is Jamesia Smith and I am a Licensed Professional Counselor in the state of Texas. Throughout my career, I have mostly worked with those struggling with communication issues, anger, stress, anxiety, and depression concerns. My approach is to provide support & practical feedback to help you effectively address personal & professional life stressors. With compassion & understanding, I work with each individual to help build on their strengths & attain the personal growth they are committed to accomplishing. I usually use Cognitive behavioral therapy and person-centered therapy.
(817) 904-8419 View (817) 904-8419
Photo of Tammy Samour, Licensed Professional Counselor in Houston, TX
Tammy Samour
Licensed Professional Counselor, MS, LPC-S, LCDC, CEAP, SAP
Verified Verified
Houston, TX 77058  (Online Only)
Milestones Counseling was established to provide counseling for mental health, relationship, and substance use issues. We provide alcohol & drug evaluations for court, probation, Substance Abuse Professional (SAP) evaluations for the Department of Transportation (DOT) and non-DOT the return to duty rehabilitation process. Texas and out-of-state; Probation/Drug Courts Pre-trial Diversion Cases; Industrial and Petrochemical regulating agencies; DISA; Department of Transportation (DOT); ASAP; First Advantage; NASAP; Workplace Options; Child Protective Services (CPS); Divorce Cases / Attorney / Legal Issues; etc.
Milestones Counseling was established to provide counseling for mental health, relationship, and substance use issues. We provide alcohol & drug evaluations for court, probation, Substance Abuse Professional (SAP) evaluations for the Department of Transportation (DOT) and non-DOT the return to duty rehabilitation process. Texas and out-of-state; Probation/Drug Courts Pre-trial Diversion Cases; Industrial and Petrochemical regulating agencies; DISA; Department of Transportation (DOT); ASAP; First Advantage; NASAP; Workplace Options; Child Protective Services (CPS); Divorce Cases / Attorney / Legal Issues; etc.
(281) 346-9765 View (281) 346-9765
Photo of Evelyn Nunez Therapy, Licensed Professional Counselor in Houston, TX
Evelyn Nunez Therapy
Licensed Professional Counselor, MA, LPC
Verified Verified
Houston, TX 77024
I have provided mental health services for 11 years and my clients have ranged from ages 3-90 years old. It is my joy to work with individuals of any age whose challenges may range from clinical diagnosis to daily life stressors. I believe in change and in the possibility of modifying habits. Individual counseling and couple's counseling are some of the services provided.
I have provided mental health services for 11 years and my clients have ranged from ages 3-90 years old. It is my joy to work with individuals of any age whose challenges may range from clinical diagnosis to daily life stressors. I believe in change and in the possibility of modifying habits. Individual counseling and couple's counseling are some of the services provided.
(956) 436-5976 View (956) 436-5976
Photo of Dove Counseling Services, Drug & Alcohol Counselor in Houston, TX
Dove Counseling Services
Drug & Alcohol Counselor, MEd, LCDC, SAP, ADC, ICADC
Verified Verified
2 Endorsed
Houston, TX 77065  (Online Only)
The Substance Abuse Professional (SAP) is a person who evaluates employees who have violated a DOT drug and alcohol program regulation and makes recommendations concerning education, treatment, follow-up testing, and aftercare. As a SAP I represent the major decision point (and in some cases the only decision point) an employer may have in choosing whether or not to place an employee behind the steering wheel of a school bus, in the cockpit of a plane, at the helm of an oil tanker, at the throttle of a train, in the engineer compartment of a subway car,
The Substance Abuse Professional (SAP) is a person who evaluates employees who have violated a DOT drug and alcohol program regulation and makes recommendations concerning education, treatment, follow-up testing, and aftercare. As a SAP I represent the major decision point (and in some cases the only decision point) an employer may have in choosing whether or not to place an employee behind the steering wheel of a school bus, in the cockpit of a plane, at the helm of an oil tanker, at the throttle of a train, in the engineer compartment of a subway car,
(713) 999-3952 View (713) 999-3952
Photo of Jessica Flores, Licensed Professional Counselor in Houston, TX
Jessica Flores
Licensed Professional Counselor
Verified Verified
Houston, TX 77024
When you come into my office I emphasize the importance that my room is your safe place. I do not want to add to your pain. Let's define your meaning of safety, and how to implement it in your daily life. I want our relationship to model what you aspire your other relationships to look like; setting boundaries, expressing your emotions, and validation of your feelings. I have deliberately seeked a variety of opportunities to shape and hone my abilities to become a licensed counselor.
When you come into my office I emphasize the importance that my room is your safe place. I do not want to add to your pain. Let's define your meaning of safety, and how to implement it in your daily life. I want our relationship to model what you aspire your other relationships to look like; setting boundaries, expressing your emotions, and validation of your feelings. I have deliberately seeked a variety of opportunities to shape and hone my abilities to become a licensed counselor.
(713) 547-5949 View (713) 547-5949
Photo of Lucero Gonzalez Franco Haghenbeck, Clinical Social Work/Therapist in Houston, TX
Lucero Gonzalez Franco Haghenbeck
Clinical Social Work/Therapist, LCSW, PMH-C
Verified Verified
2 Endorsed
Houston, TX 77025  (Online Only)
Women's Reproductive Mental Health deserves special care. There is more to it than just conception and pregnancy. We also face other challenges during our reproductive lifespan that may affect our mental health. If you are struggling with: Hormonal imbalances, Infertility , Perinatal Mood and Anxiety Disorders "PMADs" (previously called Postpartum Depression), Birth trauma, Pregnancy loss, Infant loss, adjusting to motherhood, NICU stay, Peri-menopause , or Menopause . You don't need to go through this alone. You deserve special care!
Women's Reproductive Mental Health deserves special care. There is more to it than just conception and pregnancy. We also face other challenges during our reproductive lifespan that may affect our mental health. If you are struggling with: Hormonal imbalances, Infertility , Perinatal Mood and Anxiety Disorders "PMADs" (previously called Postpartum Depression), Birth trauma, Pregnancy loss, Infant loss, adjusting to motherhood, NICU stay, Peri-menopause , or Menopause . You don't need to go through this alone. You deserve special care!
(832) 346-9511 View (832) 346-9511
Photo of Olivia D McGill, Psychologist in Houston, TX
Olivia D McGill
Psychologist, PhD
Verified Verified
Houston, TX 77098  (Online Only)
"That's just the trouble with me. I give myself very good advice, but I very seldom follow it." -Lewis Carroll, Alice in Wonderland
"That's just the trouble with me. I give myself very good advice, but I very seldom follow it." -Lewis Carroll, Alice in Wonderland
(713) 489-3103 View (713) 489-3103
Photo of Margaret Mayer, Licensed Master Social Worker in Houston, TX
Margaret Mayer
Licensed Master Social Worker, 103441
Verified Verified
1 Endorsed
Houston, TX 77006
Has a significant transition or identity-related challenge caused you to wonder what’s next? Do you feel “stuck” and unable to accept yourself or make decisions with confidence? Do you want to rise above the shame, sadness, anxiety, and trauma that has prevented you from living life to the fullest? Whether you’re seeking therapy to explore internal challenges related to your mental health or to improve your relationships with others, the work we accomplish together can be life-changing. By working through a relational framework, we can enhance your self-understanding and growth so that you can experience a newfound sense of ease.
Has a significant transition or identity-related challenge caused you to wonder what’s next? Do you feel “stuck” and unable to accept yourself or make decisions with confidence? Do you want to rise above the shame, sadness, anxiety, and trauma that has prevented you from living life to the fullest? Whether you’re seeking therapy to explore internal challenges related to your mental health or to improve your relationships with others, the work we accomplish together can be life-changing. By working through a relational framework, we can enhance your self-understanding and growth so that you can experience a newfound sense of ease.
(832) 400-3933 View (832) 400-3933
Photo of Emily Netherton, Clinical Social Work/Therapist in Houston, TX
Emily Netherton
Clinical Social Work/Therapist, LCSW
Verified Verified
7 Endorsed
Houston, TX 77005  (Online Only)
I believe that therapy is a tool of self-examination that helps individuals navigate difficult life experiences and know themselves more deeply. It often takes painful experiences or emotions for someone to seek therapy, and I enjoy helping people find new pathways through which to experience a more fulfilling life. I most often work with people navigating depression, anxiety, perinatal and postpartum depression and/or anxiety, or general life stressors (such as relationship issues or a new job).
I believe that therapy is a tool of self-examination that helps individuals navigate difficult life experiences and know themselves more deeply. It often takes painful experiences or emotions for someone to seek therapy, and I enjoy helping people find new pathways through which to experience a more fulfilling life. I most often work with people navigating depression, anxiety, perinatal and postpartum depression and/or anxiety, or general life stressors (such as relationship issues or a new job).
(713) 597-6779 View (713) 597-6779
Photo of Sarah Scott, Licensed Professional Counselor in Houston, TX
Sarah Scott
Licensed Professional Counselor, LPC
Verified Verified
Houston, TX 77025
Mental health is defined as the ability to love, and the ability to work; to be able to have stable and emotionally fulfilling relationships, to take care of your daily needs, and to be able to use your time creatively and productively. I offer person-centered counseling that focuses on helping clients understand their thoughts and feelings in order to change their behavior. I also specialize in Executive Function Coaching. Young people are often bright and capable, but overwhelmed by frustration, anxiety, or inattention. EFC teaches techniques to stay focused, plan ahead, get organized, make decisions, and follow through.
Mental health is defined as the ability to love, and the ability to work; to be able to have stable and emotionally fulfilling relationships, to take care of your daily needs, and to be able to use your time creatively and productively. I offer person-centered counseling that focuses on helping clients understand their thoughts and feelings in order to change their behavior. I also specialize in Executive Function Coaching. Young people are often bright and capable, but overwhelmed by frustration, anxiety, or inattention. EFC teaches techniques to stay focused, plan ahead, get organized, make decisions, and follow through.
(281) 771-1855 View (281) 771-1855
Photo of Dr. Czarina V. Azzam, Psychologist in Houston, TX
Dr. Czarina V. Azzam
Psychologist, LPC, PhD
Verified Verified
2 Endorsed
Houston, TX 77009
It is my honor and life purpose to work with individuals who are struggling from the aftermath of trauma, who have anxiety, and depression, and who need reminders of who they are inherently. My primary focus is to help individuals find what negative meanings/attachments they are still holding on to that need to be let go of or revised in order to heal. It is possible to regain your power after a codependent relationship and learn to embody yourself after trauma. I utilize somatic and process-based techniques as needed for your optimal growth. Allow me to make the space to support you on your healing journey. You are in control!
It is my honor and life purpose to work with individuals who are struggling from the aftermath of trauma, who have anxiety, and depression, and who need reminders of who they are inherently. My primary focus is to help individuals find what negative meanings/attachments they are still holding on to that need to be let go of or revised in order to heal. It is possible to regain your power after a codependent relationship and learn to embody yourself after trauma. I utilize somatic and process-based techniques as needed for your optimal growth. Allow me to make the space to support you on your healing journey. You are in control!
(281) 688-1180 View (281) 688-1180
Photo of Meredith A Colelli, Pre-Licensed Professional in Houston, TX
Meredith A Colelli
Pre-Licensed Professional
Verified Verified
Houston, TX 77008  (Online Only)
Hello, my name is Meredith Colelli and I am an LPC intern under the supervision of Tia Jennings LPC-S. If you are someone who finds themselves: struggling with anxious thoughts, having difficulty managing their ADHD, or hold negative thoughts and/or beliefs about themselves, we may be a good fit! Life can be really beautiful, but it can also be really overwhelming. Sometimes, all we need is extra support to guide us where we want to be. I specialize in clients struggling with anxiety, depression, ADHD issues, and self-esteem issues in adolescents and young adults.
Hello, my name is Meredith Colelli and I am an LPC intern under the supervision of Tia Jennings LPC-S. If you are someone who finds themselves: struggling with anxious thoughts, having difficulty managing their ADHD, or hold negative thoughts and/or beliefs about themselves, we may be a good fit! Life can be really beautiful, but it can also be really overwhelming. Sometimes, all we need is extra support to guide us where we want to be. I specialize in clients struggling with anxiety, depression, ADHD issues, and self-esteem issues in adolescents and young adults.
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Photo of Grace Okugbere, Licensed Professional Counselor in Houston, TX
Grace Okugbere
Licensed Professional Counselor, LPC
Verified Verified
Houston, TX 77002  (Online Only)
I am a self-motivated and progress-driven Licensed Professional Counselor in Texas with 8 years of professional work experience. With an extensive background in Nursing, Organizational Management, and Small Business management. Over the years, I have been driven by core values to become an essential agent of change.
I am a self-motivated and progress-driven Licensed Professional Counselor in Texas with 8 years of professional work experience. With an extensive background in Nursing, Organizational Management, and Small Business management. Over the years, I have been driven by core values to become an essential agent of change.
(713) 715-7383 View (713) 715-7383
Photo of Kathleen E Church, Clinical Social Work/Therapist in Houston, TX
Kathleen E Church
Clinical Social Work/Therapist, LCSW
Verified Verified
2 Endorsed
Houston, TX 77057
Exploring the difficult and challenging dimensions of our life can lead to greater joy, satisfaction and freedom. I am a psychodynamically oriented therapist. My style is collaborative and relational. I have expertise treating: depression, anxiety, grief, life transitions, and trauma.
Exploring the difficult and challenging dimensions of our life can lead to greater joy, satisfaction and freedom. I am a psychodynamically oriented therapist. My style is collaborative and relational. I have expertise treating: depression, anxiety, grief, life transitions, and trauma.
(646) 798-8344 View (646) 798-8344
Photo of Kara Smith, Clinical Social Work/Therapist in Houston, TX
Kara Smith
Clinical Social Work/Therapist, LCSW
Verified Verified
3 Endorsed
Houston, TX 77098
There are many types of trauma, and trauma is subjective. Trauma can happen to your body, mind, and spirit. It distorts our identity, causes us to doubt our purpose, and influences our sense of meaning. We feel unsafe, alone, unknown, and scared. Some of the most challenging types of trauma to overcome are pre-verbal or early childhood abuse/neglect and relational or attachment trauma. EMDR is a protocol allowing someone to reprocess trauma quickly and with minimal risk of retraumatization. Focus is given to maintaining psychological safety at all times, and you are in complete control of the process.
There are many types of trauma, and trauma is subjective. Trauma can happen to your body, mind, and spirit. It distorts our identity, causes us to doubt our purpose, and influences our sense of meaning. We feel unsafe, alone, unknown, and scared. Some of the most challenging types of trauma to overcome are pre-verbal or early childhood abuse/neglect and relational or attachment trauma. EMDR is a protocol allowing someone to reprocess trauma quickly and with minimal risk of retraumatization. Focus is given to maintaining psychological safety at all times, and you are in complete control of the process.
(281) 549-8677 View (281) 549-8677
Photo of Janel C Wheeler, Licensed Professional Counselor in Houston, TX
Janel C Wheeler
Licensed Professional Counselor, MS, LPC
Verified Verified
Houston, TX 77042  (Online Only)
Deciding to begin therapy can be a difficult choice. I strive to create a place of safety and healing so that each family or individual I work with is able to fully benefit from the therapeutic process. I believe that the relationship between therapist and client is sacred and the foundation for therapy. I am grateful and honored to have the opportunity to assist people when they are experiencing difficult times. We can all feel stuck at times, and it is an honor to be able to assist someone in the process of becoming unstuck.
Deciding to begin therapy can be a difficult choice. I strive to create a place of safety and healing so that each family or individual I work with is able to fully benefit from the therapeutic process. I believe that the relationship between therapist and client is sacred and the foundation for therapy. I am grateful and honored to have the opportunity to assist people when they are experiencing difficult times. We can all feel stuck at times, and it is an honor to be able to assist someone in the process of becoming unstuck.
(346) 423-3133 View (346) 423-3133
Photo of Claudia Sotelo, Licensed Professional Counselor in Houston, TX
Claudia Sotelo
Licensed Professional Counselor, LPC
Verified Verified
Houston, TX 77098  (Online Only)
I consider myself a trauma-informed, mindfulness, cognitive-based, person-centered therapist. I strive to provide a safe space for clients to feel comfortable. Using EMDR Therapy (Eye Movement Desensitization and Reprocessing) the client can identify their negative beliefs and process past traumas. I'm here to help my clients overcome their struggles and better manage their responses to life stressors. Using Mindfulness clients connect to their calm selves. They can tap into being intentional about self-regulating, using grounding, intentional deep breathing, and other self-help tools.
I consider myself a trauma-informed, mindfulness, cognitive-based, person-centered therapist. I strive to provide a safe space for clients to feel comfortable. Using EMDR Therapy (Eye Movement Desensitization and Reprocessing) the client can identify their negative beliefs and process past traumas. I'm here to help my clients overcome their struggles and better manage their responses to life stressors. Using Mindfulness clients connect to their calm selves. They can tap into being intentional about self-regulating, using grounding, intentional deep breathing, and other self-help tools.
(737) 637-5309 View (737) 637-5309
Photo of Penny Herrera, Licensed Professional Counselor in Houston, TX
Penny Herrera
Licensed Professional Counselor, LPC, ART
Verified Verified
Houston, TX 77077  (Online Only)
Hello. I am glad you are here.I am a Licensed Professional Counselor in the state of Texas. Many of us experience life transitions and issues with depression, anxiety, relationship issues, anger, stress, communication, setting boundaries, alcohol and drug dependencies, and navigating in this changing and complex society. I am a compassionate, caring therapist and deeply concerned about every individual and their diverse needs. I have counseled adults, teens and young adults and have more than 20 years of experience. I work with each individual to develop goals and objectives to lead a more positive and productive life.
Hello. I am glad you are here.I am a Licensed Professional Counselor in the state of Texas. Many of us experience life transitions and issues with depression, anxiety, relationship issues, anger, stress, communication, setting boundaries, alcohol and drug dependencies, and navigating in this changing and complex society. I am a compassionate, caring therapist and deeply concerned about every individual and their diverse needs. I have counseled adults, teens and young adults and have more than 20 years of experience. I work with each individual to develop goals and objectives to lead a more positive and productive life.
(832) 606-4807 View (832) 606-4807
Photo of Natasha Crosby, Clinical Social Work/Therapist in Houston, TX
Natasha Crosby
Clinical Social Work/Therapist, LCSW
Verified Verified
Houston, TX 77002  (Online Only)
I'm more than just a Licensed Clinical Social Worker (LCSW) in Texas and Colorado. I'm a compassionate guide dedicated to empowering you on your path to healing. With a decade of experience and a relentless passion for helping others, I'm constantly exploring the latest research and therapeutic approaches to ensure you receive the best care possible.
I'm more than just a Licensed Clinical Social Worker (LCSW) in Texas and Colorado. I'm a compassionate guide dedicated to empowering you on your path to healing. With a decade of experience and a relentless passion for helping others, I'm constantly exploring the latest research and therapeutic approaches to ensure you receive the best care possible.
(832) 862-8433 View (832) 862-8433

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
74% Self Esteem
70% Coping Skills
68% Relationship Issues
66% Stress
64% Trauma and PTSD

Average years in practice

10 Years

Top 3 insurances accepted

85% Aetna
80% Cigna and Evernorth
80% UnitedHealthcare UHC | UBH

How Therapists in Houston, TX see their clients

55% In Person and Online
45% Online Only

Gender breakdown

82% Female
17% 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.