Therapists in Greater Heights, Houston, TX

Photo of Dr. Noel C Gonzalez, PhD, LPC-S, Licensed Professional Counselor
Dr. Noel C Gonzalez
Licensed Professional Counselor, PhD, LPC-S
Verified Verified
Greater Heights, Houston, TX 77009
Dr. Gonzalez and his associates treat adults, adolescents, children, and families who have a wide range of presenting problems. We have particular interests in eating disorders, relationship issues, including couples therapy, mood disorders, anxiety, sexual dysfunction and addiction, ADHD, LGBT issues, testing and evaluations for INS. We also have specialized training, experience, and interests in the treatment of children with behavior problems and families disrupted by divorce. All services are available in English or Spanish.
Dr. Gonzalez and his associates treat adults, adolescents, children, and families who have a wide range of presenting problems. We have particular interests in eating disorders, relationship issues, including couples therapy, mood disorders, anxiety, sexual dysfunction and addiction, ADHD, LGBT issues, testing and evaluations for INS. We also have specialized training, experience, and interests in the treatment of children with behavior problems and families disrupted by divorce. All services are available in English or Spanish.
(281) 645-9929 View (281) 645-9929
Photo of Violet Moon, LPC Intern
Violet Moon
LPC Intern
Verified Verified
2 Endorsed
Greater Heights, Houston, TX 77007  (Online Only)
Not accepting new clients
Compounded complex trauma often leaves survivors isolated, where the weight of their experiences becomes an unbearable burden with few places to turn, and even fewer people who truly understand and sit with you in it. From a place of deep and personal knowing, I'm driven to show up with fierce compassion for those who feel terrified and alone. Love, as a daily choice, practice, and unwavering commitment, is my guiding force. And, I believe we can break the cycles of generational, societal, and familial pain to build a home within ourselves we have always deserved.
Compounded complex trauma often leaves survivors isolated, where the weight of their experiences becomes an unbearable burden with few places to turn, and even fewer people who truly understand and sit with you in it. From a place of deep and personal knowing, I'm driven to show up with fierce compassion for those who feel terrified and alone. Love, as a daily choice, practice, and unwavering commitment, is my guiding force. And, I believe we can break the cycles of generational, societal, and familial pain to build a home within ourselves we have always deserved.
(832) 432-0962 View (832) 432-0962
Photo of Elizabeth Wilmot, MS, LPC, Licensed Professional Counselor
Elizabeth Wilmot
Licensed Professional Counselor, MS, LPC
Verified Verified
Greater Heights, Houston, TX 77008
To be known and loved is something we all desire, but it can also be scary to be vulnerable enough to allow others to fully know and love you. In my role as your therapist, I would love to step into that space with you to allow you to understand who you are by unpacking your identity and purpose. My desire is to walk with you and guide you in your journey toward healing where you can begin to allow space and let others in so you can be seen, known, and loved as you are.
To be known and loved is something we all desire, but it can also be scary to be vulnerable enough to allow others to fully know and love you. In my role as your therapist, I would love to step into that space with you to allow you to understand who you are by unpacking your identity and purpose. My desire is to walk with you and guide you in your journey toward healing where you can begin to allow space and let others in so you can be seen, known, and loved as you are.
(346) 570-0164 View (346) 570-0164
Photo of Ty Neely, MS, CST, NCC, Licensed Professional Counselor
Ty Neely
Licensed Professional Counselor, MS, CST, NCC
Verified Verified
2 Endorsed
Greater Heights, Houston, TX 77008
I became a therapist out of a passion and love in walking others through the storms of life. We all experience times in our lives that leave us bruised, battered, and beaten. As a therapist, my goal is to help you find a way out of your storm and become a stronger, more resilient, and more fulfilled person. The basis for my practice is Existential Therapy, where I help clients truly grasp their relationships with themselves and the world around them. I bring in other therapeutic techniques and styles to individualize treatment to what each client needs and wants out of therapy.
I became a therapist out of a passion and love in walking others through the storms of life. We all experience times in our lives that leave us bruised, battered, and beaten. As a therapist, my goal is to help you find a way out of your storm and become a stronger, more resilient, and more fulfilled person. The basis for my practice is Existential Therapy, where I help clients truly grasp their relationships with themselves and the world around them. I bring in other therapeutic techniques and styles to individualize treatment to what each client needs and wants out of therapy.
(281) 502-4490 View (281) 502-4490
Photo of Stephanie A Womack, MA, LPC, LCPC, NCC, Licensed Professional Counselor
Stephanie A Womack
Licensed Professional Counselor, MA, LPC, LCPC, NCC
Verified Verified
5 Endorsed
Greater Heights, Houston, TX 77008
Do you feel unheard? Do you need a non-judgmental ear when making life decisions? Do you wonder how did I get to this place in my life? If you're ready to acknowledge you need help, want assistance to process and heal from the past or current issues then therapy is the path for you.
Do you feel unheard? Do you need a non-judgmental ear when making life decisions? Do you wonder how did I get to this place in my life? If you're ready to acknowledge you need help, want assistance to process and heal from the past or current issues then therapy is the path for you.
(832) 402-7351 View (832) 402-7351
Photo of Alicia Green-Scott, MA, LPC, S, Licensed Professional Counselor
Alicia Green-Scott
Licensed Professional Counselor, MA, LPC, S
Verified Verified
Greater Heights, Houston, TX 77008  (Online Only)
"I always like to look on the optimistic side of life, but I am realistic to know that life is a complex matter." - Walt Disney In life we all experience peaks, valleys, storms, joy and pain - it all can be a crazy ride.
"I always like to look on the optimistic side of life, but I am realistic to know that life is a complex matter." - Walt Disney In life we all experience peaks, valleys, storms, joy and pain - it all can be a crazy ride.
(832) 371-9914 View (832) 371-9914
Photo of James Albert, LPC , Licensed Professional Counselor
James Albert
Licensed Professional Counselor, LPC
Verified Verified
Greater Heights, Houston, TX 77009  (Online Only)
My name is James Albert. I am a Licensed Professional Counselor (LPC). I'm residing in the Dallas Fort Worth area in Texas. I work with clients statewide via telehealth. I work with individuals seeking help with anxiety, depression, self-esteem, assertiveness, or other mental health concerns. I use a variety of modalities in my practice such as Cognitive Behavioral Therapy, Person Centered, and Motivational interviewing to help my clients achieve their mental health goals. I have found that my approach is a good fit for adults as well as mature teens who may be struggling with faulty thinking, low self-esteem, or assertiveness.
My name is James Albert. I am a Licensed Professional Counselor (LPC). I'm residing in the Dallas Fort Worth area in Texas. I work with clients statewide via telehealth. I work with individuals seeking help with anxiety, depression, self-esteem, assertiveness, or other mental health concerns. I use a variety of modalities in my practice such as Cognitive Behavioral Therapy, Person Centered, and Motivational interviewing to help my clients achieve their mental health goals. I have found that my approach is a good fit for adults as well as mature teens who may be struggling with faulty thinking, low self-esteem, or assertiveness.
(323) 643-8569 View (323) 643-8569
Photo of Emily Trof, LCSW, MA, Clinical Social Work/Therapist
Emily Trof
Clinical Social Work/Therapist, LCSW, MA
Verified Verified
Greater Heights, Houston, TX 77008
Are you overthinking instead of enjoying your life? Do you often feel misunderstood or disconnected from friends or loved ones? Does advice from others seem unhelpful or useless? Sometimes we notice we have become too hard on ourselves or others. We may notice an increasing sense of lonliness and begin to lose of sight of what is truly important. Do you ever wish you could just sit down with someone and sort it all out?
Are you overthinking instead of enjoying your life? Do you often feel misunderstood or disconnected from friends or loved ones? Does advice from others seem unhelpful or useless? Sometimes we notice we have become too hard on ourselves or others. We may notice an increasing sense of lonliness and begin to lose of sight of what is truly important. Do you ever wish you could just sit down with someone and sort it all out?
(832) 979-1922 View (832) 979-1922
Photo of Jonathan Schubert, LICSW, Clinical Social Work/Therapist
Jonathan Schubert
Clinical Social Work/Therapist, LICSW
Verified Verified
Greater Heights, Houston, TX 77009  (Online Only)
It wasn't supposed to be like this. You worked hard, you kept your eyes on the prize, you sacrificed, you never complained or made excuses. You had the work ethic, the grit, and the intelligence to overcome every challenge you faced. But for some reason that isn't working any more. You tell yourself to buckle down and power through, but you just...don't. You watch yourself drinking more, gaining weight, missing deadlines, lashing out at the people closest to you. It's all falling apart. You've outworked so many competitors and overcome so much, but now you're in a battle with yourself, and for the first time, you're losing.
It wasn't supposed to be like this. You worked hard, you kept your eyes on the prize, you sacrificed, you never complained or made excuses. You had the work ethic, the grit, and the intelligence to overcome every challenge you faced. But for some reason that isn't working any more. You tell yourself to buckle down and power through, but you just...don't. You watch yourself drinking more, gaining weight, missing deadlines, lashing out at the people closest to you. It's all falling apart. You've outworked so many competitors and overcome so much, but now you're in a battle with yourself, and for the first time, you're losing.
(281) 545-3971 View (281) 545-3971
Photo of Sevren Lab, MA, LMFT-A, Marriage & Family Therapist Associate
Sevren Lab
Marriage & Family Therapist Associate, MA, LMFT-A
Verified Verified
9 Endorsed
Greater Heights, Houston, TX 77008
We all end up dating or even marrying our unfinished business at some point. Defenses you built to protect yourself in early childhood often come back to bite you in your adult relationships, turning simple miscommunications into drawn-out arguments that always end the same. Together, we will work to navigate those tough conversations with grace, learn how to regulate your runaway emotions, and speak your truth without fear. Whether you or your partner has strayed, or you just need help communicating, this is your opportunity to leave your old relationship behind and build it back up even stronger than it was before.
We all end up dating or even marrying our unfinished business at some point. Defenses you built to protect yourself in early childhood often come back to bite you in your adult relationships, turning simple miscommunications into drawn-out arguments that always end the same. Together, we will work to navigate those tough conversations with grace, learn how to regulate your runaway emotions, and speak your truth without fear. Whether you or your partner has strayed, or you just need help communicating, this is your opportunity to leave your old relationship behind and build it back up even stronger than it was before.
(281) 206-0418 View (281) 206-0418
Photo of Nirmeen Valiani, MA, LPC, Licensed Professional Counselor
Nirmeen Valiani
Licensed Professional Counselor, MA, LPC
Verified Verified
3 Endorsed
Greater Heights, Houston, TX 77008
Hi! I am Nirmeen Valiani, Houston's "Mindful Therapist." My practice motto is, "No issue is too small to be heard." I work with highly driven individuals that value growth and are struggling to keep a work-life balance in today's fast paced world. I specialize in high functioning anxiety (perfectionism, social skills, performance anxiety, guilt/shame, parenting challenges, self criticism, loneliness) and tailor each therapy session to fit your needs and values. Many of my clients appreciate my openness about my own therapy process and find my willingness to share my personal struggles refreshing.
Hi! I am Nirmeen Valiani, Houston's "Mindful Therapist." My practice motto is, "No issue is too small to be heard." I work with highly driven individuals that value growth and are struggling to keep a work-life balance in today's fast paced world. I specialize in high functioning anxiety (perfectionism, social skills, performance anxiety, guilt/shame, parenting challenges, self criticism, loneliness) and tailor each therapy session to fit your needs and values. Many of my clients appreciate my openness about my own therapy process and find my willingness to share my personal struggles refreshing.
(713) 597-4846 View (713) 597-4846
Photo of Mackenzie Balderaz, MA, LMFT, Marriage & Family Therapist
Mackenzie Balderaz
Marriage & Family Therapist, MA, LMFT
Verified Verified
Greater Heights, Houston, TX 77008
We all struggle. We all feel as though we aren't achieving our goals. We all go through the motions of day to day life. We all think "something has to change". One of the best (and hardest) things someone can do is recognize when they need a little extra support, and it seems as though you've reached that point. And that is okay! What a wonderful step you are taking to regain control of your life, relationship, or overall well-being. You have the answers to your problems, we just have to dig and work a little to get you that point of realization.
We all struggle. We all feel as though we aren't achieving our goals. We all go through the motions of day to day life. We all think "something has to change". One of the best (and hardest) things someone can do is recognize when they need a little extra support, and it seems as though you've reached that point. And that is okay! What a wonderful step you are taking to regain control of your life, relationship, or overall well-being. You have the answers to your problems, we just have to dig and work a little to get you that point of realization.
(281) 957-8219 View (281) 957-8219
Photo of Mireya Pava, LPC, NCC, Licensed Professional Counselor
Mireya Pava
Licensed Professional Counselor, LPC, NCC
Verified Verified
1 Endorsed
Greater Heights, Houston, TX 77008
Life is an adventure and too many people attempt to journey alone. At times paths are needed with a guide. Counseling provides you with a safe place to process emotions and life experiences. If you feel stuck and do not know how to move forward, I can help you. As your therapist, I will help you on your journey towards self-healing and empowerment. I work with children, teens, and adults who are experiencing an array of different distress from life’s transitions.
Life is an adventure and too many people attempt to journey alone. At times paths are needed with a guide. Counseling provides you with a safe place to process emotions and life experiences. If you feel stuck and do not know how to move forward, I can help you. As your therapist, I will help you on your journey towards self-healing and empowerment. I work with children, teens, and adults who are experiencing an array of different distress from life’s transitions.
(832) 479-2886 View (832) 479-2886
Photo of Laura Spiller - Wellness Collaborative, Ph D, Psychologist
Wellness Collaborative
Psychologist, Ph D
Verified Verified
Greater Heights, Houston, TX 77008
Wellness Collaborative is about helping people live the life they want. We work with individuals and couples who are struggling with issues such as substance use, health problems, anxiety, as well as those who are simply feeling overwhelmed and out-of-balance. We will help you identify what really matters to you and what may be getting in the way of doing those things. We work with you to develop a roadmap to start living the life you want to live, including better relationships with your family, friends, and those around you. Start living that life today.
Wellness Collaborative is about helping people live the life they want. We work with individuals and couples who are struggling with issues such as substance use, health problems, anxiety, as well as those who are simply feeling overwhelmed and out-of-balance. We will help you identify what really matters to you and what may be getting in the way of doing those things. We work with you to develop a roadmap to start living the life you want to live, including better relationships with your family, friends, and those around you. Start living that life today.
(832) 742-7659 View (832) 742-7659
Photo of Melissa Garcia, LMSW, Clinical Social Work/Therapist
Melissa Garcia
Clinical Social Work/Therapist, LMSW
Verified Verified
3 Endorsed
Greater Heights, Houston, TX 77007
Melissa Garcia, a passionate Licensed Master Social Worker, is deeply committed to guiding her clients through their mental health journey. Based in Texas, Melissa combines empathy and compassion in her therapeutic approach, valuing the importance of validating her clients’ feelings and fostering a safe therapeutic environment.
Melissa Garcia, a passionate Licensed Master Social Worker, is deeply committed to guiding her clients through their mental health journey. Based in Texas, Melissa combines empathy and compassion in her therapeutic approach, valuing the importance of validating her clients’ feelings and fostering a safe therapeutic environment.
(713) 804-6552 View (713) 804-6552
Photo of Jessica Haskell - The Flourishing Way, LMFT-S, LPC-S, LPC , Marriage & Family Therapist
The Flourishing Way
Marriage & Family Therapist, LMFT-S, LPC-S, LPC
Verified Verified
3 Endorsed
Greater Heights, Houston, TX 77008
You're busy and anxious. The relationships in your life feel tense. Your child's behavior is concerning you, and your relationship with your partner feels nonexistent. You are so busy balancing everything you don't feel like yourself anymore. You feel like you've tried everything to get the spark back, but the harder you try the more tension builds between your child, partner, and self. You're not sure if you can fulfill all your roles anymore. It feels hard.
You're busy and anxious. The relationships in your life feel tense. Your child's behavior is concerning you, and your relationship with your partner feels nonexistent. You are so busy balancing everything you don't feel like yourself anymore. You feel like you've tried everything to get the spark back, but the harder you try the more tension builds between your child, partner, and self. You're not sure if you can fulfill all your roles anymore. It feels hard.
(832) 551-1094 View (832) 551-1094
Photo of Dr. Ashlie Llorens, PhD, LP, LSSP, Psychologist
Dr. Ashlie Llorens
Psychologist, PhD, LP, LSSP
Verified Verified
1 Endorsed
Greater Heights, Houston, TX 77008  (Online Only)
Dr. Llorens works with adolescents and adults feeling like their current state of mental and emotional well-being isn't where they want it to be, and they're ready to take proactive steps towards improvement. They come to therapy with an understanding that change requires effort, self-reflection, and a willingness to explore their thoughts, feelings, and behaviors. If you're ready to break free from the limitations that anxiety and depression can impose, let's work together to embark on a transformative journey towards healing, self-discovery, and a greater sense of well-being. Schedule a free consultation at www.inceptionpsych.com.
Dr. Llorens works with adolescents and adults feeling like their current state of mental and emotional well-being isn't where they want it to be, and they're ready to take proactive steps towards improvement. They come to therapy with an understanding that change requires effort, self-reflection, and a willingness to explore their thoughts, feelings, and behaviors. If you're ready to break free from the limitations that anxiety and depression can impose, let's work together to embark on a transformative journey towards healing, self-discovery, and a greater sense of well-being. Schedule a free consultation at www.inceptionpsych.com.
(713) 843-7581 View (713) 843-7581
Photo of T'kea McClendon, MA, LPC, Licensed Professional Counselor
T'kea McClendon
Licensed Professional Counselor, MA, LPC
Verified Verified
Greater Heights, Houston, TX 77024  (Online Only)
Life often presents challenges that can be overwhelming, painful, or destabilizing. Whether you're experiencing disappointment, frustration, confusion, or simply feeling lost, know that you are not alone. Together, we can navigate these complexities through a collaborative therapeutic relationship. I am committed to supporting you on your journey towards healing and resilience. As your guide, I support you in navigating your path to a more fulfilling life. Sessions are tailored to your unique needs, providing a confidential space for open and honest self-reflection. Together, we will collaborate on setting and achieving your goals.
Life often presents challenges that can be overwhelming, painful, or destabilizing. Whether you're experiencing disappointment, frustration, confusion, or simply feeling lost, know that you are not alone. Together, we can navigate these complexities through a collaborative therapeutic relationship. I am committed to supporting you on your journey towards healing and resilience. As your guide, I support you in navigating your path to a more fulfilling life. Sessions are tailored to your unique needs, providing a confidential space for open and honest self-reflection. Together, we will collaborate on setting and achieving your goals.
(346) 584-4036 View (346) 584-4036
Photo of Sarah Holliday, MEd, LPC, Licensed Professional Counselor
Sarah Holliday
Licensed Professional Counselor, MEd, LPC
Verified Verified
Greater Heights, Houston, TX 77008  (Online Only)
I have always had a passion for helping people- but it took me a while to find the field I am most passionate about. I discovered counseling as my future career when I was working as an EMT, and witnessing some of the most difficult situations and their simultaneous mental health concerns. This allowed me to have access to vast experiences with different populations, and see and appreciate humanity’s resilience and compassion. I am in the counseling field to make a difference for people- except this time I’m focusing on individual mental health.
I have always had a passion for helping people- but it took me a while to find the field I am most passionate about. I discovered counseling as my future career when I was working as an EMT, and witnessing some of the most difficult situations and their simultaneous mental health concerns. This allowed me to have access to vast experiences with different populations, and see and appreciate humanity’s resilience and compassion. I am in the counseling field to make a difference for people- except this time I’m focusing on individual mental health.
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Photo of Christopher Frier Brown, LCSW, CSW, MBA, Clinical Social Work/Therapist
Christopher Frier Brown
Clinical Social Work/Therapist, LCSW, CSW, MBA
Verified Verified
Greater Heights, Houston, TX 77008  (Online Only)
Not accepting new clients
I work with people who want better relationships. I specialize in working with clients who are facing stay or go decisions in their relationships. The options are to stay and suffer, rebuild together, or say goodbye. I can help with the second and third options. I am LBGTQIA friendly, polyamory friendly, and kink friendly.
I work with people who want better relationships. I specialize in working with clients who are facing stay or go decisions in their relationships. The options are to stay and suffer, rebuild together, or say goodbye. I can help with the second and third options. I am LBGTQIA friendly, polyamory friendly, and kink friendly.
(281) 709-2685 View (281) 709-2685
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How does your Therapist compare?

Number of Therapists in Greater Heights, Houston, TX

400+

Average cost per session

$150

Therapists in Greater Heights, Houston, TX who prioritize treating:

95% Anxiety
89% Depression
76% Self Esteem
75% Relationship Issues
71% Stress
68% Life Transitions
65% Trauma and PTSD

Average years in practice

8 Years

Top 3 insurances accepted

89% Aetna
76% Cigna and Evernorth
75% UnitedHealthcare UHC | UBH

How Therapists in Greater Heights, Houston, TX see their clients

67% In Person and Online
33% Online Only

Gender breakdown

83% Female
16% Male
1% Non-Binary
FAQs - About Therapy and Counseling

How can I find a therapist in Greater Heights, 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.