Therapists in Albuquerque, NM

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Photo of Cheryl Aiken, Counselor in Albuquerque, NM
Cheryl Aiken
Counselor, PsyD, LPCC
Verified Verified
Albuquerque, NM 87112
My Psychotherapist career of 30+ years has consisted of working with Children, Parents, Teens, and Adults to address various mental health issues and help individuals become the best version of themselves. Children learn, grow, and heal best through play. I provide children with the opportunity to engage in this important work through play therapy sessions. Parenting is one of the most important jobs a person can have and at times one of the hardest. I provide parents with the support and encouragement they need to be successful in parenting. Today’s world provides many challenges for teens.
My Psychotherapist career of 30+ years has consisted of working with Children, Parents, Teens, and Adults to address various mental health issues and help individuals become the best version of themselves. Children learn, grow, and heal best through play. I provide children with the opportunity to engage in this important work through play therapy sessions. Parenting is one of the most important jobs a person can have and at times one of the hardest. I provide parents with the support and encouragement they need to be successful in parenting. Today’s world provides many challenges for teens.
(505) 636-1698 View (505) 636-1698
Photo of Sarah Henry, Clinical Social Work/Therapist in Albuquerque, NM
Sarah Henry
Clinical Social Work/Therapist, LMSW
Verified Verified
Albuquerque, NM 87110  (Online Only)
Maybe you feel stuck, uncertain, or unhappy with the way things are going. Maybe each day feels like it’s too much. Maybe the uncertainties of each day are overwhelming. Maybe you just feel like you need a little “tune-up”. Often times recognizing that you want, or need, a little help can be daunting, and taking that first step can be intimidating. Whatever you are experiencing, you are not alone - and you don’t have to do it on your own. I use a strengths-based, person centered, and culturally sensitive approach that incorporates various evidence-based strategies tailored to your beliefs, values, goals, and needs.
Maybe you feel stuck, uncertain, or unhappy with the way things are going. Maybe each day feels like it’s too much. Maybe the uncertainties of each day are overwhelming. Maybe you just feel like you need a little “tune-up”. Often times recognizing that you want, or need, a little help can be daunting, and taking that first step can be intimidating. Whatever you are experiencing, you are not alone - and you don’t have to do it on your own. I use a strengths-based, person centered, and culturally sensitive approach that incorporates various evidence-based strategies tailored to your beliefs, values, goals, and needs.
(505) 587-5148 View (505) 587-5148
Photo of Heather M Parker, Counselor in Albuquerque, NM
Heather M Parker
Counselor, LMHC, MA, MEd
Verified Verified
1 Endorsed
Albuquerque, NM 87110  (Online Only)
Whether you have been in counseling for years, or are reaching out for the first time, finding a counselor and starting therapy can be a daunting process. Dealing with grief, trauma, depression, anxiety, or any other stressors can compound the difficulty of this process. As a team, we can walk through whatever stressors are impacting you and find solutions that will guide you to where you want to be in your life.
Whether you have been in counseling for years, or are reaching out for the first time, finding a counselor and starting therapy can be a daunting process. Dealing with grief, trauma, depression, anxiety, or any other stressors can compound the difficulty of this process. As a team, we can walk through whatever stressors are impacting you and find solutions that will guide you to where you want to be in your life.
(505) 594-3630 View (505) 594-3630
Photo of Nicole Hartson, Counselor in Albuquerque, NM
Nicole Hartson
Counselor, LPCC
Verified Verified
2 Endorsed
Albuquerque, NM 87110
Are you struggling with feelings of sadness, hopelessness or missing direction in your life? Do you battle with feelings of anxiety, guilt, shame or avoidance? Maybe you’ve experienced trauma or loss in your life and you are looking for a way to make changes and find some relief but just do not know how to? If so, then let’s chat. I specialize in a variety of evidence-based modalities such as CBT and EMDR and focus on working with highly motivated individuals with depression, anxiety, trauma and stress. You CAN make the changes that help you move through this difficult time to feel more centered and grounded.
Are you struggling with feelings of sadness, hopelessness or missing direction in your life? Do you battle with feelings of anxiety, guilt, shame or avoidance? Maybe you’ve experienced trauma or loss in your life and you are looking for a way to make changes and find some relief but just do not know how to? If so, then let’s chat. I specialize in a variety of evidence-based modalities such as CBT and EMDR and focus on working with highly motivated individuals with depression, anxiety, trauma and stress. You CAN make the changes that help you move through this difficult time to feel more centered and grounded.
(505) 308-0781 View (505) 308-0781
Photo of Kristen Blandford, Counselor in Albuquerque, NM
Kristen Blandford
Counselor, LPCC
Verified Verified
Albuquerque, NM 87121
Hi! My name is Kristen Blandford. I am a independently licensed counselor (LPCC) in New Mexico. I have a Masters in Marriage Family Therapy and am a LPCC in New Mexico. Throughout my career, I have worked in a College Counseling Center, a Marriage Family Clinic, and at a Community Clinic. For 3 years I worked at a Community Counseling Clinic where my focus was on females ages 16 and older, and now I practice independently through Rula and Headway and am really enjoying that change.
Hi! My name is Kristen Blandford. I am a independently licensed counselor (LPCC) in New Mexico. I have a Masters in Marriage Family Therapy and am a LPCC in New Mexico. Throughout my career, I have worked in a College Counseling Center, a Marriage Family Clinic, and at a Community Clinic. For 3 years I worked at a Community Counseling Clinic where my focus was on females ages 16 and older, and now I practice independently through Rula and Headway and am really enjoying that change.
(505) 871-3636 View (505) 871-3636
Photo of Paper Clay Therapy Institute, Counselor in Albuquerque, NM
Paper Clay Therapy Institute
Counselor, MA, LPCC
Verified Verified
2 Endorsed
Albuquerque, NM 87102
Current immediate openings! The basis of useful therapy is a good working relationship. We work to build that strong, genuine foundation so clients know they have a safe space to work. Our therapeutic approach is grounded in a balanced blend of relational processing and the latest neuroscience. We work first to understand your perspective and therapeutic goals. Together, we create a customized treatment plan using research-based interventions to help you get there.
Current immediate openings! The basis of useful therapy is a good working relationship. We work to build that strong, genuine foundation so clients know they have a safe space to work. Our therapeutic approach is grounded in a balanced blend of relational processing and the latest neuroscience. We work first to understand your perspective and therapeutic goals. Together, we create a customized treatment plan using research-based interventions to help you get there.
(505) 569-6201 View (505) 569-6201
Photo of Steven DeAnda, Clinical Social Work/Therapist in Albuquerque, NM
Steven DeAnda
Clinical Social Work/Therapist, LMSW
Verified Verified
Albuquerque, NM 87110
With a client-centered approach, I provide compassionate support for your personal growth and healing. Creating a safe, non-judgmental space, I prioritize your needs and goals. Through active listening and empathy, we explore underlying causes and develop strategies for positive change. Using evidence-based therapies like CBT and mindfulness, we build insight and resilience. Upholding confidentiality and ethical standards, I am dedicated to your journey towards a brighter future.
With a client-centered approach, I provide compassionate support for your personal growth and healing. Creating a safe, non-judgmental space, I prioritize your needs and goals. Through active listening and empathy, we explore underlying causes and develop strategies for positive change. Using evidence-based therapies like CBT and mindfulness, we build insight and resilience. Upholding confidentiality and ethical standards, I am dedicated to your journey towards a brighter future.
(505) 871-3995 View (505) 871-3995
Photo of Courtney Day-Gierke, Counselor in Albuquerque, NM
Courtney Day-Gierke
Counselor, LPCC
Verified Verified
Albuquerque, NM 87107  (Online Only)
Not accepting new clients
If you are suffering from a trauma, anxiety, depression, substance abuse, intrusive thoughts/memories and/or emotional trauma I can help! Emotional trauma can result from any life event which causes significant physical or emotional injury and distress, in which the person experiences being overwhelmed, helpless, or trapped. Some of these include death of a loved one, divorce, infidelity, physical abuse, neglectful trauma or loss. Being in the midst of a pandemic is also considered traumatic!
If you are suffering from a trauma, anxiety, depression, substance abuse, intrusive thoughts/memories and/or emotional trauma I can help! Emotional trauma can result from any life event which causes significant physical or emotional injury and distress, in which the person experiences being overwhelmed, helpless, or trapped. Some of these include death of a loved one, divorce, infidelity, physical abuse, neglectful trauma or loss. Being in the midst of a pandemic is also considered traumatic!
(505) 388-0283 View (505) 388-0283
Photo of Georgena Felicia, Counselor in Albuquerque, NM
Georgena Felicia
Counselor, LPCC, LMFT
Verified Verified
Albuquerque, NM 87109  (Online Only)
If you’re reaching out we can look at what can change. You need to feel better, and hopefully others around you. Do you speak clearly to express your needs? Are you fair to yourself and others? Feeling depressed, worried, stressed, misunderstood, confused or under-appreciated? Support for integrating skills for self healing and grief recovery is primary. Communication/social skills will open doors. Clients build self-trust and confidence. Together we solidify your emotional stability, and grow your fulfilling and satisfying relationships at home and work. Weekly telemedicine sessions help you create new paths to success.
If you’re reaching out we can look at what can change. You need to feel better, and hopefully others around you. Do you speak clearly to express your needs? Are you fair to yourself and others? Feeling depressed, worried, stressed, misunderstood, confused or under-appreciated? Support for integrating skills for self healing and grief recovery is primary. Communication/social skills will open doors. Clients build self-trust and confidence. Together we solidify your emotional stability, and grow your fulfilling and satisfying relationships at home and work. Weekly telemedicine sessions help you create new paths to success.
(505) 427-2150 View (505) 427-2150
Photo of Nikka Peralta, Clinical Social Work/Therapist in Albuquerque, NM
Nikka Peralta
Clinical Social Work/Therapist, LCSW
Verified Verified
3 Endorsed
Albuquerque, NM 87110
Mending Hearts, LLC is a small behavioral health agency providing a safe and nurturing therapeutic environment for therapy and community support services. My mission is to work with individuals on their unique road to healing. I provide the support needed to embark on a personal journey of understanding, growth, and change.
Mending Hearts, LLC is a small behavioral health agency providing a safe and nurturing therapeutic environment for therapy and community support services. My mission is to work with individuals on their unique road to healing. I provide the support needed to embark on a personal journey of understanding, growth, and change.
(505) 726-4197 View (505) 726-4197
Photo of Amanda Raquel Santiago, Clinical Social Work/Therapist in Albuquerque, NM
Amanda Raquel Santiago
Clinical Social Work/Therapist, LCSW
Verified Verified
Albuquerque, NM 87123
Are you struggling with your relationship? Are you looking to better communicate with your partner, kids, and / or family members? Do you want to build a healthy relationship with yourself? Let's work together on your goals!
Are you struggling with your relationship? Are you looking to better communicate with your partner, kids, and / or family members? Do you want to build a healthy relationship with yourself? Let's work together on your goals!
(505) 337-3511 View (505) 337-3511
Photo of Lori Ortiz, Counselor in Albuquerque, NM
Lori Ortiz
Counselor, LPCC
Verified Verified
Albuquerque, NM 87109
Lori (she/her) is a Licensed Professional Clinical Counselor who specializes in sexual health and wellness. Lori’s compassionate approach helps identify strengths and areas for growth, encouraging straightforward steps toward lasting change. She is pursuing certification in sex therapy and provides a safe space for clients to explore their identity and sexuality challenges. Her unique perspective is informed by being a gay woman in a same-sex marriage.
Lori (she/her) is a Licensed Professional Clinical Counselor who specializes in sexual health and wellness. Lori’s compassionate approach helps identify strengths and areas for growth, encouraging straightforward steps toward lasting change. She is pursuing certification in sex therapy and provides a safe space for clients to explore their identity and sexuality challenges. Her unique perspective is informed by being a gay woman in a same-sex marriage.
(505) 594-2181 View (505) 594-2181
Photo of Lisa Daughters, Counselor in Albuquerque, NM
Lisa Daughters
Counselor, LPCC
Verified Verified
Albuquerque, NM 87109  (Online Only)
Waitlist for new clients
I'm a HAES-aligned, fat-positive, LGBTQIA+ allied, social justice informed Expressive Arts Therapist. I work with fat folx, LGBTQIA+ community, grief/loss, fertility struggles and pregnancy loss, relationship challenges, family dynamics - these are all near and dear to me. I'm a great fit for people who've been to therapy before (maybe many times) but feel the need to dig deeper. I work from a person-centered approach, using humor, mindfulness, and acceptance as tools of healing and transformation. I approach counseling as a co-creation, and I consider my role to be an insightful companion through the process.
I'm a HAES-aligned, fat-positive, LGBTQIA+ allied, social justice informed Expressive Arts Therapist. I work with fat folx, LGBTQIA+ community, grief/loss, fertility struggles and pregnancy loss, relationship challenges, family dynamics - these are all near and dear to me. I'm a great fit for people who've been to therapy before (maybe many times) but feel the need to dig deeper. I work from a person-centered approach, using humor, mindfulness, and acceptance as tools of healing and transformation. I approach counseling as a co-creation, and I consider my role to be an insightful companion through the process.
(505) 393-2110 View (505) 393-2110
Photo of Love Is Healing, Clinical Social Work/Therapist in Albuquerque, NM
Love Is Healing
Clinical Social Work/Therapist, MSW, LCSW, SRMT
Verified Verified
1 Endorsed
Albuquerque, NM 87106
We specialize in treating complex PTSD through a holistic and integrative health approach. All providers are trained in DBT. Some of our providers provide EMDR. Our ideal client is eager and completely motivated to do the inner-work to face their inner "shadows," to move into deeper healing. With our specialized trauma and shamanic healing training, we are eager to help, as holistically as possible. Providers are trained in an integrative health approach to complex trauma treatment. We will actively mirror your pace and effort. Love Is Healing also offer Comprehensive Community Support Services. Online only for Texas clients.
We specialize in treating complex PTSD through a holistic and integrative health approach. All providers are trained in DBT. Some of our providers provide EMDR. Our ideal client is eager and completely motivated to do the inner-work to face their inner "shadows," to move into deeper healing. With our specialized trauma and shamanic healing training, we are eager to help, as holistically as possible. Providers are trained in an integrative health approach to complex trauma treatment. We will actively mirror your pace and effort. Love Is Healing also offer Comprehensive Community Support Services. Online only for Texas clients.
(505) 560-8854 View (505) 560-8854
Photo of Ione Lima, Clinical Social Work/Therapist in Albuquerque, NM
Ione Lima
Clinical Social Work/Therapist, LICSW, CMHS
Verified Verified
Albuquerque, NM 87112
I work with families and individuals. I'll help you address issues such as Parent-Child Relationship Problems; Difficulty in functioning due to ADD; History of Relational/Family Trauma; Adult Trauma; Grief and Loss; Work and Career issues; Difficulty managing everyday stress; Depression and Anxiety.
I work with families and individuals. I'll help you address issues such as Parent-Child Relationship Problems; Difficulty in functioning due to ADD; History of Relational/Family Trauma; Adult Trauma; Grief and Loss; Work and Career issues; Difficulty managing everyday stress; Depression and Anxiety.
(425) 780-7903 View (425) 780-7903
Photo of Wisdom Ways of Being, LLC in Albuquerque, NM
Wisdom Ways of Being, LLC
BSW, MDiv, MA
Not Verified Not Verified
Albuquerque, NM 87108  (Online Only)
If you are at an intersection or wilderness in your life due to illness, conflict, grief, depression, vocational or family changes, personal or cultural change, and desire discernment and guidance for next steps, my goal is to accompany you with a compassionate presence. Our work together is to cultivate a deeper sense of peace and the ability to be a loving presence in your family and community. With over 30 years as a practitioner, my work is to be a compassionate listener and assist in finding what is most important for you at this time in your life as you tend your soul and attend to your responsibilities.
If you are at an intersection or wilderness in your life due to illness, conflict, grief, depression, vocational or family changes, personal or cultural change, and desire discernment and guidance for next steps, my goal is to accompany you with a compassionate presence. Our work together is to cultivate a deeper sense of peace and the ability to be a loving presence in your family and community. With over 30 years as a practitioner, my work is to be a compassionate listener and assist in finding what is most important for you at this time in your life as you tend your soul and attend to your responsibilities.
(505) 636-5150 View (505) 636-5150
Photo of Jan Schroeder, Counselor in Albuquerque, NM
Jan Schroeder
Counselor, MS, LPCC
Verified Verified
Albuquerque, NM 87120
Waitlist for new clients
Are you experiencing anxious thoughts or feeling down? I invite you to share your experience in a safe, welcoming, and accepting environment. I treat all conditions, including anxiety, panic, depression, grief, and PTSD. This practice employs a mindfulness- and spirituality-based approach, offering sensitive yet powerful strategies to explore and treat those issues that impact your daily life and activities. Thank you for your courage in seeking help. I am an EMDR-trained trauma specialist treating PTSD and other trauma-related experience.
Are you experiencing anxious thoughts or feeling down? I invite you to share your experience in a safe, welcoming, and accepting environment. I treat all conditions, including anxiety, panic, depression, grief, and PTSD. This practice employs a mindfulness- and spirituality-based approach, offering sensitive yet powerful strategies to explore and treat those issues that impact your daily life and activities. Thank you for your courage in seeking help. I am an EMDR-trained trauma specialist treating PTSD and other trauma-related experience.
View
Photo of Amberlyne Noel, Counselor in Albuquerque, NM
Amberlyne Noel
Counselor, MA, LMHC
Verified Verified
Albuquerque, NM 87107  (Online Only)
Currently taking new clients. Flexible w/ schedules if needed. The majority of my clients range from the age of 5 to 13 years of age. Many of them come to me with high anxiety, lots of pressure from school and home, depression, lack of self control and sense of self. At the end of the day, they ultimately need someone who will listen to them and try to guide them in a positive direction. The ultimate goal for these clients is to provide tools to guide them to build themselves up, encourage them to create and use the coping skills that they identify as well as remind them to be gentle with themselves and to always try their best.
Currently taking new clients. Flexible w/ schedules if needed. The majority of my clients range from the age of 5 to 13 years of age. Many of them come to me with high anxiety, lots of pressure from school and home, depression, lack of self control and sense of self. At the end of the day, they ultimately need someone who will listen to them and try to guide them in a positive direction. The ultimate goal for these clients is to provide tools to guide them to build themselves up, encourage them to create and use the coping skills that they identify as well as remind them to be gentle with themselves and to always try their best.
(505) 395-7816 View (505) 395-7816
Photo of Mimi Levine, Clinical Social Work/Therapist in Albuquerque, NM
Mimi Levine
Clinical Social Work/Therapist, LCSW
Verified Verified
Albuquerque, NM 87111
Not accepting new clients
The WORLD is changing and so are YOU! Imagine new POSSIBILITIES and re-align YOURSELF. Revisit parts of you that have been hidden away! Let out the full/new you! Healing happens partly when there is CHANGE in PERSPECTIVE (thoughts, patterns, behaviors). Let's EXPLORE whatever is not bringing joy and ease! Every person is multifaceted and unique. Through therapy and the therapeutic relationship, you CAN alter your thinking, feelings, behavior patterns and choices- (the ones that no longer serve you). .... learn to love yourself! Think..... "I am open to seeing this differently!" "There is more to me than meets the eye."
The WORLD is changing and so are YOU! Imagine new POSSIBILITIES and re-align YOURSELF. Revisit parts of you that have been hidden away! Let out the full/new you! Healing happens partly when there is CHANGE in PERSPECTIVE (thoughts, patterns, behaviors). Let's EXPLORE whatever is not bringing joy and ease! Every person is multifaceted and unique. Through therapy and the therapeutic relationship, you CAN alter your thinking, feelings, behavior patterns and choices- (the ones that no longer serve you). .... learn to love yourself! Think..... "I am open to seeing this differently!" "There is more to me than meets the eye."
(505) 273-2424 View (505) 273-2424
Photo of Christine Siegrist, Counselor in Albuquerque, NM
Christine Siegrist
Counselor, LCSW
Verified Verified
Albuquerque, NM 87109  (Online Only)
I am originally from Houma, Louisiana and moved to New Mexico in 2003. Since 2005, I have worked in the counseling and mediation fields, specializing in issues related to anxiety and depression in youth; parent/child relationships; adolescent development; and school-based support. I guide my clients to consider their strengths in order to design individual solutions for meaningful change.
I am originally from Houma, Louisiana and moved to New Mexico in 2003. Since 2005, I have worked in the counseling and mediation fields, specializing in issues related to anxiety and depression in youth; parent/child relationships; adolescent development; and school-based support. I guide my clients to consider their strengths in order to design individual solutions for meaningful change.
(505) 557-3561 View (505) 557-3561

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
66% Stress

Average years in practice

13 Years

Top 3 insurances accepted

81% Presbyterian
79% BlueCross and BlueShield
74% 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.