Therapists in Albuquerque, NM

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Photo of Mindful Counseling LLC, Clinical Social Work/Therapist in Albuquerque, NM
Mindful Counseling LLC
Clinical Social Work/Therapist, MA, LCSW
Verified Verified
Albuquerque, NM 87107
Experience a non-judgmental environment with a therapist who is fully present to what you are going through. We will create a 'therapeutic custom fit' as we work with you. Whether you are experiencing symptoms of depression or anxiety, facing past trauma, or wanting to enhance relationships, we can help you navigate through. Not sure whether working with us is the right decision? We invite you to visit our website to learn more about our therapists and how we can help you. Our website also confirms the appointments we currently have available as well as instructions on how to start therapy.
Experience a non-judgmental environment with a therapist who is fully present to what you are going through. We will create a 'therapeutic custom fit' as we work with you. Whether you are experiencing symptoms of depression or anxiety, facing past trauma, or wanting to enhance relationships, we can help you navigate through. Not sure whether working with us is the right decision? We invite you to visit our website to learn more about our therapists and how we can help you. Our website also confirms the appointments we currently have available as well as instructions on how to start therapy.
(505) 899-9329 View (505) 899-9329
Photo of Roxroy Anthony Reid, Clinical Social Work/Therapist in Albuquerque, NM
Roxroy Anthony Reid
Clinical Social Work/Therapist, PhD, LCSW, MSW, BTh
Verified Verified
Albuquerque, NM 87110  (Online Only)
As a generational therapist, I see clients from ages 12 to 90 in my practice. The majority of my clientele are dealing with the normal but inevitable changes of life as they advance through the various developmental stages of their lives. Their primary needs are to navigate the changes in their lives by applying the tools of CBT and other cognitive restructuring techniques.
As a generational therapist, I see clients from ages 12 to 90 in my practice. The majority of my clientele are dealing with the normal but inevitable changes of life as they advance through the various developmental stages of their lives. Their primary needs are to navigate the changes in their lives by applying the tools of CBT and other cognitive restructuring techniques.
(505) 302-2818 View (505) 302-2818
Photo of Luna X2, LLC, Counselor in Albuquerque, NM
Luna X2, LLC
Counselor, MA, LPCC, NCC
Verified Verified
Albuquerque, NM 87120
Self image, choice, boundaries, and awareness are the building blocks to living the life you want. Increasing awareness about the things that aren't working. Recognizing the things we have control over and what your choices are. Building a positive self image and accepting your whole self, flaws and all. Setting and maintaining healthy boundaries, being aware of where you end and others begin. It is within all of us to create the life we are meant to live even when things get really hard. I work to teach you skills to make life better with empathy, warmth, and compassion. I am not the expert of your life, you are.
Self image, choice, boundaries, and awareness are the building blocks to living the life you want. Increasing awareness about the things that aren't working. Recognizing the things we have control over and what your choices are. Building a positive self image and accepting your whole self, flaws and all. Setting and maintaining healthy boundaries, being aware of where you end and others begin. It is within all of us to create the life we are meant to live even when things get really hard. I work to teach you skills to make life better with empathy, warmth, and compassion. I am not the expert of your life, you are.
(505) 405-8138 View (505) 405-8138
Photo of Leanne Lusko, Counselor in Albuquerque, NM
Leanne Lusko
Counselor, LMHC
Verified Verified
1 Endorsed
Albuquerque, NM 87109
Leanne (she/her) is a Licensed Mental Health Counselor who is certified in Neuro-Linguistic Programming, Time Line Therapy, and Hypnotherapy. She utilizes an evidence-based approach that is grounded in psychoeducation, Cognitive Behavior Therapy, and Dialectical Behavior Therapy. Before focusing on sex therapy, she worked with clients to address issues such as anxiety, depression, domestic violence, infidelity, anger management, and post-traumatic stress disorder (PTSD).
Leanne (she/her) is a Licensed Mental Health Counselor who is certified in Neuro-Linguistic Programming, Time Line Therapy, and Hypnotherapy. She utilizes an evidence-based approach that is grounded in psychoeducation, Cognitive Behavior Therapy, and Dialectical Behavior Therapy. Before focusing on sex therapy, she worked with clients to address issues such as anxiety, depression, domestic violence, infidelity, anger management, and post-traumatic stress disorder (PTSD).
(505) 591-9375 View (505) 591-9375
Photo of Brandi Brussel, Counselor in Albuquerque, NM
Brandi Brussel
Counselor, LPCC, ATR
Verified Verified
1 Endorsed
Albuquerque, NM 87102
I enjoy working with substance abuse recovery and a co-occurring disorder, (including nicotine and process addiction), depression, anxiety, PTSD and trauma, TBI, intellectual and developmental disorders, and LGBTQI+.
I enjoy working with substance abuse recovery and a co-occurring disorder, (including nicotine and process addiction), depression, anxiety, PTSD and trauma, TBI, intellectual and developmental disorders, and LGBTQI+.
(505) 388-0340 View (505) 388-0340
Photo of Linsey Patterson, Clinical Social Work/Therapist in Albuquerque, NM
Linsey Patterson
Clinical Social Work/Therapist, LMSW
Verified Verified
Albuquerque, NM 87113
It can feel often scary and uncertain to reach out and ask for help when we need it. Linsey believes in reducing the stigma towards mental help and improving quality of life through a strengths-based perspective. Each and every person has their own unique resiliency and she seeks to assist in bringing those strengths to the forefront and improving confidence in learning new skills to manage the day-to-day lives.
It can feel often scary and uncertain to reach out and ask for help when we need it. Linsey believes in reducing the stigma towards mental help and improving quality of life through a strengths-based perspective. Each and every person has their own unique resiliency and she seeks to assist in bringing those strengths to the forefront and improving confidence in learning new skills to manage the day-to-day lives.
(505) 392-3695 View (505) 392-3695
Photo of Stacey Maggard, Clinical Social Work/Therapist in Albuquerque, NM
Stacey Maggard
Clinical Social Work/Therapist, LCSW, CASAC
Verified Verified
Albuquerque, NM 87107  (Online Only)
I am a Clinical Social Worker and a Credentialed Alcohol and Substance Abuse Counselor. I do individual, couples, and family therapy. I believe we are each uniquely created and my job as a therapist is to help each person recover who they were meant to be before they became wounded by their life's circumstances. In my practice I have seen healing take place when my clients take responsibility for themselves. I have helped clients come to terms with addiction, relationship problems, codependency and family issues. I am guided by a deep commitment to my faith and my local church.
I am a Clinical Social Worker and a Credentialed Alcohol and Substance Abuse Counselor. I do individual, couples, and family therapy. I believe we are each uniquely created and my job as a therapist is to help each person recover who they were meant to be before they became wounded by their life's circumstances. In my practice I have seen healing take place when my clients take responsibility for themselves. I have helped clients come to terms with addiction, relationship problems, codependency and family issues. I am guided by a deep commitment to my faith and my local church.
(505) 404-0680 View (505) 404-0680
Photo of Anastacia VanOrman, Clinical Social Work/Therapist in Albuquerque, NM
Anastacia VanOrman
Clinical Social Work/Therapist, LMSW
Verified Verified
2 Endorsed
Albuquerque, NM 87110
I have over a decade of experience in helping diverse populations with trauma, adoption, anxiety, and burnout. My passion lies in guiding individuals and families on their personal journey towards healing and growth, providing a supportive, mindful and non judgmental space. I strongly believe in the power of family connections and you as an individual.
I have over a decade of experience in helping diverse populations with trauma, adoption, anxiety, and burnout. My passion lies in guiding individuals and families on their personal journey towards healing and growth, providing a supportive, mindful and non judgmental space. I strongly believe in the power of family connections and you as an individual.
(505) 557-2067 View (505) 557-2067
Photo of Bobbie LaRocque, Clinical Social Work/Therapist in Albuquerque, NM
Bobbie LaRocque
Clinical Social Work/Therapist, LCSW
Verified Verified
Albuquerque, NM 87109
What we think, we become. The more you think and say to yourself one thing, the more you start believing it and then ultimately start acting on it. It can be challenging work, but there are ways we can make this idea work for ourselves. Trained in EMDR.
What we think, we become. The more you think and say to yourself one thing, the more you start believing it and then ultimately start acting on it. It can be challenging work, but there are ways we can make this idea work for ourselves. Trained in EMDR.
(575) 223-4706 View (575) 223-4706
Photo of Lindsey M Trujillo, Marriage & Family Therapist in Albuquerque, NM
Lindsey M Trujillo
Marriage & Family Therapist, LMFT
Verified Verified
Albuquerque, NM 87109  (Online Only)
Currently accepting new clients! The thought of finding a therapist you trust, feel safe, and comfortable with can be overwhelming but so is the alternative: living with fear, frustration, uncertainty, and confusion. I'm always amazed at the courage my clients show as they move from a painful existence to one of hope and joy as they gain the tools necessary to create the life they want. Change is Possible! I utilize a systems-based approach with all of my clients, including individuals, couples, and families.
Currently accepting new clients! The thought of finding a therapist you trust, feel safe, and comfortable with can be overwhelming but so is the alternative: living with fear, frustration, uncertainty, and confusion. I'm always amazed at the courage my clients show as they move from a painful existence to one of hope and joy as they gain the tools necessary to create the life they want. Change is Possible! I utilize a systems-based approach with all of my clients, including individuals, couples, and families.
(505) 337-3841 View (505) 337-3841
Photo of Juan E. (Buck) Sanchez, Marriage & Family Therapist in Albuquerque, NM
Juan E. (Buck) Sanchez
Marriage & Family Therapist, LMFT
Verified Verified
Albuquerque, NM 87114
Let’s talk about what is going on with you, your family, or your organization. Are you feeling more anxious, sad, angry, or afraid than usual? Are you and your spouse/partner struggling with trust, communication, or intimacy? Is your daughter or son having difficulties? Are you noticing changes in behavior/attitude? Are you concerned about substance use? Is there anything else that is upsetting to you or your loved ones? Are there problematic issues in your workplace or business? Are there new opportunities or possibilities you want to explore in your life and relationships?
Let’s talk about what is going on with you, your family, or your organization. Are you feeling more anxious, sad, angry, or afraid than usual? Are you and your spouse/partner struggling with trust, communication, or intimacy? Is your daughter or son having difficulties? Are you noticing changes in behavior/attitude? Are you concerned about substance use? Is there anything else that is upsetting to you or your loved ones? Are there problematic issues in your workplace or business? Are there new opportunities or possibilities you want to explore in your life and relationships?
(505) 658-6864 View (505) 658-6864
Photo of Blue Fox Wellness, Counselor in Albuquerque, NM
Blue Fox Wellness
Counselor, LPCC, EMDR
Verified Verified
3 Endorsed
Albuquerque, NM 87109
Blue Fox Wellness was created in 2021 with the vision to incorporate EMDR, yoga, and therapy under one roof. Our goal is to bridge the gap between physical, mental, and emotion. Whether you are interested in talk therapy, movement, or EMDR, Blue Fox is dedicated to. Blue Fox Wellness is an organization with experienced and certified professionals who are passionate about helping individuals reach their therapeutic goals. We believe in the mind body connection and utilize evidence based approaches (such as EMDR) to aid clients in achieving and maintaining mental health goals.
Blue Fox Wellness was created in 2021 with the vision to incorporate EMDR, yoga, and therapy under one roof. Our goal is to bridge the gap between physical, mental, and emotion. Whether you are interested in talk therapy, movement, or EMDR, Blue Fox is dedicated to. Blue Fox Wellness is an organization with experienced and certified professionals who are passionate about helping individuals reach their therapeutic goals. We believe in the mind body connection and utilize evidence based approaches (such as EMDR) to aid clients in achieving and maintaining mental health goals.
(505) 207-5218 View (505) 207-5218
Photo of John Vigil in Albuquerque, NM
John Vigil
MD, FASAM, DABAM, SAP, MAC
Not Verified Not Verified
Albuquerque, NM 87110
I am a medical doctor and addictionologist who does not just treat addictions. I treat the whole person with an addiction which includes the entire psychosocial, medical, and spiritual needs of the person suffering with addiction. I am also certified as a Master Addiction Counselor (MAC) and by NAADAC as a DOT Substance Abuse Professional (SAP). I am also currently working on my doctorate's degree in clinical psychology (PsyD) at California Southern University.
I am a medical doctor and addictionologist who does not just treat addictions. I treat the whole person with an addiction which includes the entire psychosocial, medical, and spiritual needs of the person suffering with addiction. I am also certified as a Master Addiction Counselor (MAC) and by NAADAC as a DOT Substance Abuse Professional (SAP). I am also currently working on my doctorate's degree in clinical psychology (PsyD) at California Southern University.
(505) 395-5203 View (505) 395-5203
Photo of Monique Rivera, Clinical Social Work/Therapist in Albuquerque, NM
Monique Rivera
Clinical Social Work/Therapist, LCSW
Verified Verified
Albuquerque, NM 87108
The process of finding a therapist can be a difficult journey but this is a great place to begin. I am glad you are here. Here is a little bit about me to see if you feel that I am a good fit to support you. I am a licensed clinical social worker and believe in creating a space in which you can be authentically you with affirming and caring support.
The process of finding a therapist can be a difficult journey but this is a great place to begin. I am glad you are here. Here is a little bit about me to see if you feel that I am a good fit to support you. I am a licensed clinical social worker and believe in creating a space in which you can be authentically you with affirming and caring support.
(505) 605-6786 View (505) 605-6786
Photo of Amanda Gonzales, Clinical Social Work/Therapist in Albuquerque, NM
Amanda Gonzales
Clinical Social Work/Therapist, LCSW
Verified Verified
12 Endorsed
Albuquerque, NM 87110
My focus is on supporting the healing and growth of children. Children are a vulnerable population and do not always have the means to succeed. Clients may come in with anxiety, depression, issues regulating emotions, emotional outbursts. These issues can occur in all environments and impact a child's functioning. Childhood trauma can have a negative impact on development and the ultimate success of a child's future. Not all trauma leaves physical effects but can also leave emotional effects. Children can be left with challenges building relationships, understanding themselves, regulating and functioning overall.
My focus is on supporting the healing and growth of children. Children are a vulnerable population and do not always have the means to succeed. Clients may come in with anxiety, depression, issues regulating emotions, emotional outbursts. These issues can occur in all environments and impact a child's functioning. Childhood trauma can have a negative impact on development and the ultimate success of a child's future. Not all trauma leaves physical effects but can also leave emotional effects. Children can be left with challenges building relationships, understanding themselves, regulating and functioning overall.
(505) 295-2123 View (505) 295-2123
Photo of Innsaei Therapy & Guidance in Albuquerque, NM
Innsaei Therapy & Guidance
LPCC
Verified Verified
Albuquerque, NM 87106
Not accepting new clients
We are currently accepting new clients. Located near the Nob Hill/UNM area, Innsaei Therapy & Guidance is a progressive practice established in 2019. We utilize an integrative approach to counseling, combining a holistic perspective of wellness with evidence-based treatment interventions. Our therapists are trained in a variety of evidenced-based treatment modalities, including: Dialectical Behavior Therapy, Somatic Experiencing, EMDR, Motivational interviewing and Cognitive Behavioral Therapy. In addition to professional credentials and expertise, we believe that the best therapists have lived experience. We take pride in hiring therapists that are authentic, relatable, highly skilled, and provide excellent client care. Our goal is to create a safe space for clients to be seen, talk, share, collaborate, learn and heal.
We are currently accepting new clients. Located near the Nob Hill/UNM area, Innsaei Therapy & Guidance is a progressive practice established in 2019. We utilize an integrative approach to counseling, combining a holistic perspective of wellness with evidence-based treatment interventions. Our therapists are trained in a variety of evidenced-based treatment modalities, including: Dialectical Behavior Therapy, Somatic Experiencing, EMDR, Motivational interviewing and Cognitive Behavioral Therapy. In addition to professional credentials and expertise, we believe that the best therapists have lived experience. We take pride in hiring therapists that are authentic, relatable, highly skilled, and provide excellent client care. Our goal is to create a safe space for clients to be seen, talk, share, collaborate, learn and heal.
(505) 657-5601 View (505) 657-5601
Photo of Sharon Jean Miles, Clinical Social Work/Therapist in Albuquerque, NM
Sharon Jean Miles
Clinical Social Work/Therapist, LCSW, LMSW
Verified Verified
Albuquerque, NM 87120  (Online Only)
Waitlist for new clients
Support and Understanding for Adults 40 +. We provide emotional support and counseling to adults experiencing challenging life transitions. You will have the opportunity to discuss your concerns, gain insight into your feelings and apply concepts of positive aging which improve your overall health, happiness and coping skills. We offer Humanistic Neuro Linguistic Psychology. It is coaching to help you realize you have the ability to change your thoughts, language, values, memories, beliefs and attitudes which then changes your behavior. It can result in meaningful personal shifts that enable you to reach your goals and dreams.
Support and Understanding for Adults 40 +. We provide emotional support and counseling to adults experiencing challenging life transitions. You will have the opportunity to discuss your concerns, gain insight into your feelings and apply concepts of positive aging which improve your overall health, happiness and coping skills. We offer Humanistic Neuro Linguistic Psychology. It is coaching to help you realize you have the ability to change your thoughts, language, values, memories, beliefs and attitudes which then changes your behavior. It can result in meaningful personal shifts that enable you to reach your goals and dreams.
(505) 814-6157 View (505) 814-6157
Photo of Avenidas Nuevas Counseling, Clinical Social Work/Therapist in Albuquerque, NM
Avenidas Nuevas Counseling
Clinical Social Work/Therapist, LCSW, MBA, MSW
Verified Verified
1 Endorsed
Albuquerque, NM 87106
I've been involved in the social service/mental health field since 07. My experience and career of assisting other ranges from working at a homeless shelter to incarcerated youth to Adult Inpatient Psych to One on one/Group General Mental Health concerns. Many of client concerns that I have assisted range from past/present trauma events, distorted view of self, and substance abuse and life transitions and cognitive distortions and depressed/anxious mood and etc. All with the goal of seeking some form of peace and balance in their lives.
I've been involved in the social service/mental health field since 07. My experience and career of assisting other ranges from working at a homeless shelter to incarcerated youth to Adult Inpatient Psych to One on one/Group General Mental Health concerns. Many of client concerns that I have assisted range from past/present trauma events, distorted view of self, and substance abuse and life transitions and cognitive distortions and depressed/anxious mood and etc. All with the goal of seeking some form of peace and balance in their lives.
(505) 240-8938 View (505) 240-8938
Photo of Patricia Allaire, Counselor in Albuquerque, NM
Patricia Allaire
Counselor, MA, LPCC
Verified Verified
Albuquerque, NM 87107
Couples that are stuck in dysfunctional patterns of relating and are perhaps contemplating separation will find time spent working towards solutions is an investment with life-long returns. People struggling with anxiety and or depression will learn mindfulness tools to live a full life. Through acceptance commitment therapy, intensive short-term psychotherapy, and PACT counseling you will find your way to becoming the person you want to be, and the relationships you long to have. Stop never-ending arguments and silent feuding. Learn to welcome differences and enjoy situations that once left you feeling helpless.
Couples that are stuck in dysfunctional patterns of relating and are perhaps contemplating separation will find time spent working towards solutions is an investment with life-long returns. People struggling with anxiety and or depression will learn mindfulness tools to live a full life. Through acceptance commitment therapy, intensive short-term psychotherapy, and PACT counseling you will find your way to becoming the person you want to be, and the relationships you long to have. Stop never-ending arguments and silent feuding. Learn to welcome differences and enjoy situations that once left you feeling helpless.
(505) 421-5304 View (505) 421-5304
Photo of Paul A DeBlassie III, Psychologist in Albuquerque, NM
Paul A DeBlassie III
Psychologist, PhD
Verified Verified
Albuquerque, NM 87110  (Online Only)
I specialize in depth psychotherapy, treating the unconscious mind via emotional processing and dreamwork. Dreams and emotions are royal roads to the unconscious mind. Our growth-oriented consultations unravel the hidden meanings within your dreams and feelings. We tap into practical insight that can help illuminate your path in life. Dreams, in particular, are soul messengers. They carry profound wisdom that, once understood, becomes a powerful tool for facing inner truths and generating practical change.
I specialize in depth psychotherapy, treating the unconscious mind via emotional processing and dreamwork. Dreams and emotions are royal roads to the unconscious mind. Our growth-oriented consultations unravel the hidden meanings within your dreams and feelings. We tap into practical insight that can help illuminate your path in life. Dreams, in particular, are soul messengers. They carry profound wisdom that, once understood, becomes a powerful tool for facing inner truths and generating practical change.
(505) 605-6739 View (505) 605-6739

How does your Therapist compare?

Number of Therapists in Albuquerque, NM

900+

Average cost per session

$129

Therapists in Albuquerque, NM who prioritize treating:

89% Anxiety
85% Depression
78% Trauma and PTSD
74% Self Esteem
73% Relationship Issues
68% Coping Skills
67% Stress

Average years in practice

12 Years

Top 3 insurances accepted

81% Presbyterian
79% BlueCross and BlueShield
73% Medicaid

How Therapists in Albuquerque, NM see their clients

65% In Person and Online
35% Online Only

Gender breakdown

78% Female
21% Male
1% Non-Binary
FAQs - About Therapy and Counseling

How can I find a therapist in Albuquerque?

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.