Therapists in Houston, TX

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Photo of Kujachalia Knapper, Clinical Social Work/Therapist in Houston, TX
Kujachalia Knapper
Clinical Social Work/Therapist, LCSW
Verified Verified
Houston, TX 77070
Kujachalia Knapper is a Licensed Clinical Social Worker in Texas who has been practicing since 2008. She has an MSW in Social Work from University of Houston, an MSW in Clinical Psychology from Walden University, and a B.S. in Substance Abuse from Southern University at New Orleans. Kujachalia has 18+ years clinical/therapeutic experience helping individuals with mental health (including substance abuse) challenges who want to get better and stay better. Outside of work, Kujachalia enjoys dancing.
Kujachalia Knapper is a Licensed Clinical Social Worker in Texas who has been practicing since 2008. She has an MSW in Social Work from University of Houston, an MSW in Clinical Psychology from Walden University, and a B.S. in Substance Abuse from Southern University at New Orleans. Kujachalia has 18+ years clinical/therapeutic experience helping individuals with mental health (including substance abuse) challenges who want to get better and stay better. Outside of work, Kujachalia enjoys dancing.
(346) 660-2507 View (346) 660-2507
Photo of Selenos Azzam, LPC Associate in Houston, TX
Selenos Azzam
LPC Associate, MEd, LPC-A
Verified Verified
1 Endorsed
Houston, TX 77082
I am a pre-licensed counselor under the supervision of Elissa Bauer M.Ed., LPC-S. My passion for counseling stems from my cultural background, I’ve witnessed and experienced first hand how difficult it can be to seek mental health help within a minority community. As a first generation Palestinian-American, I realized that counseling and taking care of your mental health was such a foreign topic. It was after my realization that I wanted to dedicate myself to making mental health care more accessible to those in minority communities, because everyone deserves quality mental health care.
I am a pre-licensed counselor under the supervision of Elissa Bauer M.Ed., LPC-S. My passion for counseling stems from my cultural background, I’ve witnessed and experienced first hand how difficult it can be to seek mental health help within a minority community. As a first generation Palestinian-American, I realized that counseling and taking care of your mental health was such a foreign topic. It was after my realization that I wanted to dedicate myself to making mental health care more accessible to those in minority communities, because everyone deserves quality mental health care.
(832) 979-6735 View (832) 979-6735
Photo of Online Support Groups, Marriage & Family Therapist in Houston, TX
Online Support Groups
Marriage & Family Therapist, MA, LMFT
Verified Verified
4 Endorsed
Houston, TX 77269  (Online Only)
If you're experiencing anxiety, depression, grief, trauma, or substance abuse, online support groups can help.
If you're experiencing anxiety, depression, grief, trauma, or substance abuse, online support groups can help.
(281) 559-6212 View (281) 559-6212
Photo of Whitmire Counseling and Supervision, Licensed Professional Counselor in Houston, TX
Whitmire Counseling and Supervision
Licensed Professional Counselor, LPC-S
Verified Verified
Houston, TX 77040
Do you find yourself more anxious and unsure in social situations? Or suddenly lacking the motivation for activities you used to enjoy? Maybe you haven’t felt joy in some time. I started Whitmire Counseling and Supervision to help. No matter what life stage you are in, we are here to help you navigate your path.
Do you find yourself more anxious and unsure in social situations? Or suddenly lacking the motivation for activities you used to enjoy? Maybe you haven’t felt joy in some time. I started Whitmire Counseling and Supervision to help. No matter what life stage you are in, we are here to help you navigate your path.
(346) 521-5949 View (346) 521-5949
Photo of Stacie Maze, Licensed Professional Counselor in Houston, TX
Stacie Maze
Licensed Professional Counselor, LPC
Verified Verified
Houston, TX 77002  (Online Only)
Hi, I am a Licensed Professional Counselor in Texas and Oklahoma. I have a Master is Counseling Psychology and have been practicing for the last 19 years. I have worked with Active Duty Military and their families, Children, Adolescents, Adults in a variety of settings. I have also been a Director at a two outpatients clinics where I mentored and lead therapeutic services.
Hi, I am a Licensed Professional Counselor in Texas and Oklahoma. I have a Master is Counseling Psychology and have been practicing for the last 19 years. I have worked with Active Duty Military and their families, Children, Adolescents, Adults in a variety of settings. I have also been a Director at a two outpatients clinics where I mentored and lead therapeutic services.
(832) 734-9508 View (832) 734-9508
Photo of West Houston Counseling and Psychology, LLC, Clinical Social Work/Therapist in Houston, TX
West Houston Counseling and Psychology, LLC
Clinical Social Work/Therapist
Verified Verified
1 Endorsed
Houston, TX 77079
West Houston Counseling and Psychology (WHCP) offers individual, group, family therapy and provides workshops and presentations in the community. Amy Acosta, PhD and Nickie Haine, LCSW-S co-own WHCP, conveniently situated in the Memorial area of West Houston near the Energy Corridor and surrounding areas (Katy, West Houston, Cypress, Galleria). We are passionate about providing a safe, welcoming space for individuals, teens, children and families to explore their behaviors, thoughts, and feelings to move towards the lives that they imagine.
West Houston Counseling and Psychology (WHCP) offers individual, group, family therapy and provides workshops and presentations in the community. Amy Acosta, PhD and Nickie Haine, LCSW-S co-own WHCP, conveniently situated in the Memorial area of West Houston near the Energy Corridor and surrounding areas (Katy, West Houston, Cypress, Galleria). We are passionate about providing a safe, welcoming space for individuals, teens, children and families to explore their behaviors, thoughts, and feelings to move towards the lives that they imagine.
(281) 644-0789 View (281) 644-0789
Photo of Victoria Strange, Licensed Professional Counselor in Houston, TX
Victoria Strange
Licensed Professional Counselor, MA, LPC-S
Verified Verified
Houston, TX 77025  (Online Only)
Are you anxious, unfocused, struggling to keep up, and overwhelmed in your relationships at work, at school, at home, with friends, with family, and with yourself? Are you questioning your decisions every step of the way? We can sort through your struggles and gain insight into how to reconnect you with yourself and your own MIND.
Are you anxious, unfocused, struggling to keep up, and overwhelmed in your relationships at work, at school, at home, with friends, with family, and with yourself? Are you questioning your decisions every step of the way? We can sort through your struggles and gain insight into how to reconnect you with yourself and your own MIND.
(713) 234-6214 View (713) 234-6214
Photo of Saima Husaini, Licensed Professional Counselor in Houston, TX
Saima Husaini
Licensed Professional Counselor, MEd, 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 McKenna Ziats For Everwell Counseling, LPC Associate in Houston, TX
McKenna Ziats For Everwell Counseling
LPC Associate, MS, LPC-A
Verified Verified
1 Endorsed
Houston, TX 77079
Hello, my name is McKenna Kramer, I am an LPC Associate, supervised by Dana Esposito, LPC-S. I offer individual therapy, for adults and teens. I specialize in anxiety, depression, self esteem building, work related stress and stress management. I value the relationship that I have with my clients by providing a non-judgmental space to allow you to share and express yourself. I have worked with a variety of populations in different settings.
Hello, my name is McKenna Kramer, I am an LPC Associate, supervised by Dana Esposito, LPC-S. I offer individual therapy, for adults and teens. I specialize in anxiety, depression, self esteem building, work related stress and stress management. I value the relationship that I have with my clients by providing a non-judgmental space to allow you to share and express yourself. I have worked with a variety of populations in different settings.
(346) 472-2518 View (346) 472-2518
Photo of Beverly J Rodgers, Clinical Social Work/Therapist in Houston, TX
Beverly J Rodgers
Clinical Social Work/Therapist, JD, MSW, LCSW-S
Verified Verified
1 Endorsed
Houston, TX 77084
Not accepting new clients
I am a Licensed Clinical Social Worker providing therapy to adults virtually throughout the states of Maryland and Texas and in-person at my office in far west Houston, Texas. My approach is collaborative and I provide a safe, supportive, and non-judgmental space for clients to express feelings openly. Sessions are tailored to address each client’s unique needs. I believe each client possesses inner strengths that, when nurtured and encouraged, can lead to healing and improved ability to cope.
I am a Licensed Clinical Social Worker providing therapy to adults virtually throughout the states of Maryland and Texas and in-person at my office in far west Houston, Texas. My approach is collaborative and I provide a safe, supportive, and non-judgmental space for clients to express feelings openly. Sessions are tailored to address each client’s unique needs. I believe each client possesses inner strengths that, when nurtured and encouraged, can lead to healing and improved ability to cope.
(346) 482-0181 View (346) 482-0181
Photo of Kori Joslyn, Licensed Professional Counselor in Houston, TX
Kori Joslyn
Licensed Professional Counselor, LPC
Verified Verified
Houston, TX 77099
I am an LPC with over 8 years of clinical experience who has worked with a multitude of clients ranging in age, generations, and experience within many diverse settings, fostering a well-rounded, practical, and comprehensive approach when it comes to working with clients. I'll meet you right where you are on your journey, provide therapeutic support, and find solutions that enable you to live a healthier, more fulfilling life. Collaboratively, we will work to cultivate new coping skills, identify personal strengths, reshape relationships, and overcome ineffective behavioral patterns in an effort to achieve your personal goals.
I am an LPC with over 8 years of clinical experience who has worked with a multitude of clients ranging in age, generations, and experience within many diverse settings, fostering a well-rounded, practical, and comprehensive approach when it comes to working with clients. I'll meet you right where you are on your journey, provide therapeutic support, and find solutions that enable you to live a healthier, more fulfilling life. Collaboratively, we will work to cultivate new coping skills, identify personal strengths, reshape relationships, and overcome ineffective behavioral patterns in an effort to achieve your personal goals.
(281) 607-4209 View (281) 607-4209
Photo of Growing Boundlessly, Licensed Master Social Worker in Houston, TX
Growing Boundlessly
Licensed Master Social Worker, LMSW
Verified Verified
Houston, TX 77057  (Online Only)
Not accepting new clients
I am so excited to meet YOU. Of course it's understandable if you have some reservations though. I am passionate about therapy because I have personally and professionally seen the benefits of learning new ways to understand and mitigate stress, depression, anxiety, grief, different types of traumas, substance use, personality disorders such as borderline and obsessive-compulsive disorder, etc. Also, in many cases, communication skills and interpersonal relationships improve. In my opinion, trying therapy as an agent for change is a win–win simply because YOU have an hour to just speak about yourself, how is that a negative?
I am so excited to meet YOU. Of course it's understandable if you have some reservations though. I am passionate about therapy because I have personally and professionally seen the benefits of learning new ways to understand and mitigate stress, depression, anxiety, grief, different types of traumas, substance use, personality disorders such as borderline and obsessive-compulsive disorder, etc. Also, in many cases, communication skills and interpersonal relationships improve. In my opinion, trying therapy as an agent for change is a win–win simply because YOU have an hour to just speak about yourself, how is that a negative?
(832) 906-7038 View (832) 906-7038
Photo of Hannah Sommer Garza, Psychologist in Houston, TX
Hannah Sommer Garza
Psychologist, PhD
Verified Verified
2 Endorsed
Houston, TX 77063
I am a licensed psychologist with training in evidence-based treatments for children, adolescents, and adults. I specialize in treating anxiety (generalized anxiety, social anxiety, phobias, panic), trichotillomania (hair-pulling), excoriation (skin-picking), OCD, and tic disorders. I have a special interest in helping individuals navigate the challenges that often come with adolescence and young adulthood. I also provide psychoeducational testing for children (age 5+), adolescents, and adults.
I am a licensed psychologist with training in evidence-based treatments for children, adolescents, and adults. I specialize in treating anxiety (generalized anxiety, social anxiety, phobias, panic), trichotillomania (hair-pulling), excoriation (skin-picking), OCD, and tic disorders. I have a special interest in helping individuals navigate the challenges that often come with adolescence and young adulthood. I also provide psychoeducational testing for children (age 5+), adolescents, and adults.
(281) 920-1854 View (281) 920-1854
Photo of Sarah Myers, Licensed Professional Counselor Associate in Houston, TX
Sarah Myers
Licensed Professional Counselor Associate, MEd, LPCA
Verified Verified
3 Endorsed
Houston, TX 77079
Life isn't a smooth path. Whether you are feeling overwhelmed, stuck, or at a loss on where to go from here, I will help you navigate through your journey in a supportive and safe space. If you feel like you’re just simply going through the motions and surviving, know that it doesn’t have to be this way. Together, we can process what you and/or your child are going through and find the skills needed to lead a more happy and fulfilling life. Your emotional well-being matters, if you are considering therapy for yourself or child please don't hesitate to reach out!
Life isn't a smooth path. Whether you are feeling overwhelmed, stuck, or at a loss on where to go from here, I will help you navigate through your journey in a supportive and safe space. If you feel like you’re just simply going through the motions and surviving, know that it doesn’t have to be this way. Together, we can process what you and/or your child are going through and find the skills needed to lead a more happy and fulfilling life. Your emotional well-being matters, if you are considering therapy for yourself or child please don't hesitate to reach out!
(346) 616-9532 View (346) 616-9532
Photo of Amparo Makridis, Licensed Professional Counselor in Houston, TX
Amparo Makridis
Licensed Professional Counselor, MEd, LPC
Verified Verified
Houston, TX 77077
As a psychotherapist I have enjoyed working with children and adults for over 25 years. I believe that the challenges we had in the past have helped us become who we are today. In the process of becoming, we have the ability to gain understanding and develop a new state of awareness that can lead to healthier self to overcome difficulties related to one's interpersonal relationships, career, physical or emotional health. My goals is to develop a trusting therapeutic relationship to promote growth and understanding.
As a psychotherapist I have enjoyed working with children and adults for over 25 years. I believe that the challenges we had in the past have helped us become who we are today. In the process of becoming, we have the ability to gain understanding and develop a new state of awareness that can lead to healthier self to overcome difficulties related to one's interpersonal relationships, career, physical or emotional health. My goals is to develop a trusting therapeutic relationship to promote growth and understanding.
(346) 289-2704 View (346) 289-2704
Photo of Thalia Puente, Clinical Social Work/Therapist in Houston, TX
Thalia Puente
Clinical Social Work/Therapist, LCSW
Verified Verified
1 Endorsed
Houston, TX 77065  (Online Only)
I am so excited that you have taken the steps to dive into therapy and invest in yourself! I am a bilingual, Licensed Clinical Social Worker and have been working in the mental health field for more than 9 years. I specialize in working with adolescents and their families as well as young adults. I have worked in a variety of settings including outpatient, residential treatment, psychiatric hospitals, and schools which have all prepared me to work with a wide range of mental health problems and diagnosis. I specifically specialize in working with individuals struggling with eating disorders, depression, anxiety, and trauma.
I am so excited that you have taken the steps to dive into therapy and invest in yourself! I am a bilingual, Licensed Clinical Social Worker and have been working in the mental health field for more than 9 years. I specialize in working with adolescents and their families as well as young adults. I have worked in a variety of settings including outpatient, residential treatment, psychiatric hospitals, and schools which have all prepared me to work with a wide range of mental health problems and diagnosis. I specifically specialize in working with individuals struggling with eating disorders, depression, anxiety, and trauma.
(281) 984-5367 View (281) 984-5367
Photo of Judy Warner O'Brien, Licensed Professional Counselor in Houston, TX
Judy Warner O'Brien
Licensed Professional Counselor, MA, LPC, LSOTP
Verified Verified
Houston, TX 77079
I received my MA in Clinical Psychology from SHSU in 1987 and am a Licensed Professional Counselor and an LSOTP. I began my career within the Texas prisons, working in the psychiatric unit. I then worked as a psychotherapist at West Oaks Psychiatric Hospital and Willowbrook Psychological Assoc. In late 1989, I returned to criminal justice arena working with sexual predators and was the first director for the SO treatment program within TDCJ. I now have a private practice, of 30 years, treating a variety of issues including anger management, anxiety, grief counseling, PTSD, secondary trauma, and female hormonal issues.
I received my MA in Clinical Psychology from SHSU in 1987 and am a Licensed Professional Counselor and an LSOTP. I began my career within the Texas prisons, working in the psychiatric unit. I then worked as a psychotherapist at West Oaks Psychiatric Hospital and Willowbrook Psychological Assoc. In late 1989, I returned to criminal justice arena working with sexual predators and was the first director for the SO treatment program within TDCJ. I now have a private practice, of 30 years, treating a variety of issues including anger management, anxiety, grief counseling, PTSD, secondary trauma, and female hormonal issues.
(281) 612-8273 View (281) 612-8273
Photo of Daria Dugar, Licensed Professional Counselor in Houston, TX
Daria Dugar
Licensed Professional Counselor, MS, LPC
Verified Verified
1 Endorsed
Houston, TX 77070  (Online Only)
Struggling with life's issues is hard enough as it is, but going through them on your own is even harder. Dealing with depression, anxiety, stress, grief, trauma, and the like can take a toll on a person mentally, physically, and emotionally. Struggling to find a way through some or even all of the above, can feel like you have no control of what your day, life, or relationships will turn into. Feelings of being sad, overwhelmed, or frustrated, keep thoughts of defeat and negativity lingering. However, counseling can be a powerful asset in helping you reach a point of healing, creating balance, and establishing growth.
Struggling with life's issues is hard enough as it is, but going through them on your own is even harder. Dealing with depression, anxiety, stress, grief, trauma, and the like can take a toll on a person mentally, physically, and emotionally. Struggling to find a way through some or even all of the above, can feel like you have no control of what your day, life, or relationships will turn into. Feelings of being sad, overwhelmed, or frustrated, keep thoughts of defeat and negativity lingering. However, counseling can be a powerful asset in helping you reach a point of healing, creating balance, and establishing growth.
(281) 519-2031 View (281) 519-2031
Photo of Megan N. Hawkins, Licensed Professional Counselor Associate in Houston, TX
Megan N. Hawkins
Licensed Professional Counselor Associate, MA, LPC-A, NCC
Verified Verified
Houston, TX 77007
I'm a Licensed Professional Counselor Associate who has experience working with toxic relationship recovery, substance use, depression, anxiety, boundaries, self-esteem/co-dependency, anger management and communication (and more!) in community and private practice settings. I've worked with adults ranging from young adult to elderly, and I value taking into consideration the cultural identities and experiences of my clients in order to provide the most effective treatment for them as an unique individual. Ultimately, I help clients to live a rich and meaningful life while also developing the ability to cope with life stressors.
I'm a Licensed Professional Counselor Associate who has experience working with toxic relationship recovery, substance use, depression, anxiety, boundaries, self-esteem/co-dependency, anger management and communication (and more!) in community and private practice settings. I've worked with adults ranging from young adult to elderly, and I value taking into consideration the cultural identities and experiences of my clients in order to provide the most effective treatment for them as an unique individual. Ultimately, I help clients to live a rich and meaningful life while also developing the ability to cope with life stressors.
(346) 239-1587 View (346) 239-1587
Photo of Maliha Ahmed, Licensed Professional Counselor Associate in Houston, TX
Maliha Ahmed
Licensed Professional Counselor Associate, MS, LPC-A, NCC
Verified Verified
1 Endorsed
Houston, TX 77069
You feel misunderstood by peers and afraid to move out of your comfort zone. It is hard to fit in and you cannot seem to find your people. You feel alone and abandoned by those who you love and care for. It feels like you can’t ever do anything right. It seems you can’t make anyone happy. Maybe you feel judged by everyone. Maybe you are feeing like nobody can see who the real you is. It is time for you to take control over your life! Time to open yourself up and peel back the layers you have been hiding behind for so long.
You feel misunderstood by peers and afraid to move out of your comfort zone. It is hard to fit in and you cannot seem to find your people. You feel alone and abandoned by those who you love and care for. It feels like you can’t ever do anything right. It seems you can’t make anyone happy. Maybe you feel judged by everyone. Maybe you are feeing like nobody can see who the real you is. It is time for you to take control over your life! Time to open yourself up and peel back the layers you have been hiding behind for so long.
(346) 384-8725 View (346) 384-8725

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
65% 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

54% In Person and Online
46% 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.