Therapists in Las Vegas, NV

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Photo of Leonard A Means, Drug & Alcohol Counselor in Las Vegas, NV
Leonard A Means
Drug & Alcohol Counselor, MHS, LADC
Verified Verified
Las Vegas, NV 89102
I am the product of an inner-city upbringing. While I have been formally educated and trained to be a master's level clinician, I also have a PhD in street knowledge from my lived experience. This combination of knowledge and experience has allowed me to be effective in dealing with issues and the needs of many who have walked a similar path. I welcome the opportunity to assist you in understanding the cause of some of your issues. I also want to help you develop appropriate coping skills aimed at reaching your goals.
I am the product of an inner-city upbringing. While I have been formally educated and trained to be a master's level clinician, I also have a PhD in street knowledge from my lived experience. This combination of knowledge and experience has allowed me to be effective in dealing with issues and the needs of many who have walked a similar path. I welcome the opportunity to assist you in understanding the cause of some of your issues. I also want to help you develop appropriate coping skills aimed at reaching your goals.
(702) 901-0793 View (702) 901-0793
Photo of Kelsey Milam, Clinical Social Work/Therapist in Las Vegas, NV
Kelsey Milam
Clinical Social Work/Therapist, MSW, LCSW, CCTP
Verified Verified
Las Vegas, NV 89135  (Online Only)
Waitlist for new clients
I am a 100% telehealth therapist, providing care across the state of Nevada. No matter the person or concern, I provide a passionate and caring approach for clients to work through all of life’s challenges, whether that be chronic illness, major life transitions, relationship issues, trauma, or a sexual and gender identity journey. As a counselor, I am here to listen, partner with you, and offer support for you to overcome obstacles, meet your goals, and ultimately live your best life possible.
I am a 100% telehealth therapist, providing care across the state of Nevada. No matter the person or concern, I provide a passionate and caring approach for clients to work through all of life’s challenges, whether that be chronic illness, major life transitions, relationship issues, trauma, or a sexual and gender identity journey. As a counselor, I am here to listen, partner with you, and offer support for you to overcome obstacles, meet your goals, and ultimately live your best life possible.
(702) 842-9410 View (702) 842-9410
Photo of Isabelle Parker, Marriage & Family Therapist in Las Vegas, NV
Isabelle Parker
Marriage & Family Therapist, MFT, MA, EMDR
Verified Verified
Las Vegas, NV 89129
I love working with clients who value a holistic approach. I believe the greatest hope to heal our brains and therefore heal our mental health is to work on our mind, body and spirit. I integrate this to create hope with my individual clients, families and couples. It is imperative to me that hope, grace, and positivity is used to help clients heal. I enjoy working with conflicted couples, and individuals looking to heal and become empowered to be the best version of themselves.
I love working with clients who value a holistic approach. I believe the greatest hope to heal our brains and therefore heal our mental health is to work on our mind, body and spirit. I integrate this to create hope with my individual clients, families and couples. It is imperative to me that hope, grace, and positivity is used to help clients heal. I enjoy working with conflicted couples, and individuals looking to heal and become empowered to be the best version of themselves.
(702) 840-5193 View (702) 840-5193
Photo of Anita Saldana in Las Vegas, NV
Anita Saldana
MCNLP, TNLP, THT, TTLT
Verified Verified
Las Vegas, NV 89120
I am a complementary health care provider specialized in trauma release from the past.I do not accept any insurance. I am a Master Time Line Therapy®, Neuro Linguistic Programming and Hypnosis Trainer. I discover the internal process of HOW you create the problem and resolve it. Because my focus is on the structure of your problem not on the content, I can have the problems disappear very quickly. I may cut you short on your answers and even talk about your problem in ways that you have never considered.
I am a complementary health care provider specialized in trauma release from the past.I do not accept any insurance. I am a Master Time Line Therapy®, Neuro Linguistic Programming and Hypnosis Trainer. I discover the internal process of HOW you create the problem and resolve it. Because my focus is on the structure of your problem not on the content, I can have the problems disappear very quickly. I may cut you short on your answers and even talk about your problem in ways that you have never considered.
(702) 728-4310 View (702) 728-4310
Photo of Julia M-Lopez Winkel, Clinical Social Work/Therapist in Las Vegas, NV
Julia M-Lopez Winkel
Clinical Social Work/Therapist, LCSW
Verified Verified
Las Vegas, NV 89101
Feeling lost in the intricate labyrinth of anxiety, depression, or grief? I know it can be an overwhelming journey but believe me, there's a way out. I am Julia and I can be your dedicated ally on this transformative journey back to your best self. I am driven by an unwavering passion to enhance mental health and wellbeing, and I am committed to guiding you through the challenges associated with significant life changes.
Feeling lost in the intricate labyrinth of anxiety, depression, or grief? I know it can be an overwhelming journey but believe me, there's a way out. I am Julia and I can be your dedicated ally on this transformative journey back to your best self. I am driven by an unwavering passion to enhance mental health and wellbeing, and I am committed to guiding you through the challenges associated with significant life changes.
(725) 217-4068 View (725) 217-4068
Photo of Kaydian Woolery, Counselor in Las Vegas, NV
Kaydian Woolery
Counselor, MHC, NCC, LCPC
Verified Verified
Las Vegas, NV 89148
We all have the potential to grow and to achieve happiness and fulfillment in our lives. Sometimes this is not always an easy process. Life is full of challenges and some of them can be debilitating, impairing our ability to function. Regardless of whether you are experiencing a crisis (traumatic experience, relationship distress, divorce, grief) or desperately trying to change an old pattern of behavior, I am here to listen. I want to help you succeed and break free of whatever it may be causing you pain and suffering. Pain is inevitable suffering is not! Using evidence-based techniques I assist clients in achieving their goals.
We all have the potential to grow and to achieve happiness and fulfillment in our lives. Sometimes this is not always an easy process. Life is full of challenges and some of them can be debilitating, impairing our ability to function. Regardless of whether you are experiencing a crisis (traumatic experience, relationship distress, divorce, grief) or desperately trying to change an old pattern of behavior, I am here to listen. I want to help you succeed and break free of whatever it may be causing you pain and suffering. Pain is inevitable suffering is not! Using evidence-based techniques I assist clients in achieving their goals.
(702) 840-5372 View (702) 840-5372
Photo of Kendra Meza, Marriage & Family Therapist in Las Vegas, NV
Kendra Meza
Marriage & Family Therapist, LMFT
Verified Verified
2 Endorsed
Las Vegas, NV 89118
I offer evening and weekend appointments. The way we feel affects our families, relationships, jobs, and school. Therapy can be a private space to process your experiences free from the judgment and opinions of others with a unbiased professional. Whether you are a parent looking for a new way to be heard and respected by your child, a teen frustrated by not being understood, or a woman who is in a new life transition such as motherhood, navigating early adulthood, changes in close relationships. I can offer skills, a new perspective, and empower you to take control of your life again.
I offer evening and weekend appointments. The way we feel affects our families, relationships, jobs, and school. Therapy can be a private space to process your experiences free from the judgment and opinions of others with a unbiased professional. Whether you are a parent looking for a new way to be heard and respected by your child, a teen frustrated by not being understood, or a woman who is in a new life transition such as motherhood, navigating early adulthood, changes in close relationships. I can offer skills, a new perspective, and empower you to take control of your life again.
(702) 608-6618 View (702) 608-6618
Photo of Daphinee Austin, Licensed Professional Counselor in Las Vegas, NV
Daphinee Austin
Licensed Professional Counselor, MA, CPC
Verified Verified
Las Vegas, NV 89118  (Online Only)
I am a New Jersey native, who migrated to Las Vegas 5 years ago, specializing in individual therapy. I work with adults, adolescents, and children via telehealth. My goal is to collaborate with you in a safe, caring environment where genuine self-expression is encouraged and appreciated without judgement. I value the importance of the therapeutic alliance and believe it is a crucial part of the journey toward change. I will help you discover and utilize your natural strengths as you move toward lasting change, happiness and peace you desire.
I am a New Jersey native, who migrated to Las Vegas 5 years ago, specializing in individual therapy. I work with adults, adolescents, and children via telehealth. My goal is to collaborate with you in a safe, caring environment where genuine self-expression is encouraged and appreciated without judgement. I value the importance of the therapeutic alliance and believe it is a crucial part of the journey toward change. I will help you discover and utilize your natural strengths as you move toward lasting change, happiness and peace you desire.
(725) 217-5152 View (725) 217-5152
Photo of Melissa Hildebrand, Counselor in Las Vegas, NV
Melissa Hildebrand
Counselor, CPC, CADC-I
Verified Verified
Las Vegas, NV 89129  (Online Only)
My passion is healing and am blessed to share this with others. I believe in client focused therapy, as this is your personal journey; I am here for support and to provide the necessary tools need to heal and thrive. Unfortunately, most of us have only been taught to survive but through inner child healing and the development of essential skills, you too can thrive. I believe in you. Healthy feels good, no one should have to suffer, you have the power to heal within yourself, lets unlock it together.
My passion is healing and am blessed to share this with others. I believe in client focused therapy, as this is your personal journey; I am here for support and to provide the necessary tools need to heal and thrive. Unfortunately, most of us have only been taught to survive but through inner child healing and the development of essential skills, you too can thrive. I believe in you. Healthy feels good, no one should have to suffer, you have the power to heal within yourself, lets unlock it together.
(725) 527-6042 View (725) 527-6042
Photo of Jean Marie Vignola, LPC Intern in Las Vegas, NV
Jean Marie Vignola
LPC Intern, MS
Verified Verified
2 Endorsed
Las Vegas, NV 89146
People need a safe and supportive space to confront sadness, anxiety, trauma, and everything in between. My work focuses on children, teens, and adults from all walks of life. I really enjoy my time with children and teens because I like showing them ways to better understand their emotions.
People need a safe and supportive space to confront sadness, anxiety, trauma, and everything in between. My work focuses on children, teens, and adults from all walks of life. I really enjoy my time with children and teens because I like showing them ways to better understand their emotions.
(702) 904-9812 View (702) 904-9812
Photo of Gail Lawson, Clinical Social Work/Therapist in Las Vegas, NV
Gail Lawson
Clinical Social Work/Therapist, MSW, LSW, CSWI
Verified Verified
Las Vegas, NV 89108
You do not have to face life's challenges alone. We all need some support in order to navigate life and find solutions to these challenges. Let's figure out together what is keeping you from living your best life. I would like to assist with letting go of people pleasing behaviors that can take away from your self respect, self worth and self esteem. I can help with communicating your needs and look at your strengths. It is a struggle to juggle personal, professional and family life. Lets make a plan together to meet your goals, wants and needs. Schedule a chat for free with me.
You do not have to face life's challenges alone. We all need some support in order to navigate life and find solutions to these challenges. Let's figure out together what is keeping you from living your best life. I would like to assist with letting go of people pleasing behaviors that can take away from your self respect, self worth and self esteem. I can help with communicating your needs and look at your strengths. It is a struggle to juggle personal, professional and family life. Lets make a plan together to meet your goals, wants and needs. Schedule a chat for free with me.
(725) 999-0010 View (725) 999-0010
Photo of Nicole Anders, Psychologist in Las Vegas, NV
Nicole Anders
Psychologist, PsyD
Verified Verified
Las Vegas, NV 89103
I truly believe that our emotional world needs to be witnessed. I meet my patients with compassion and non-judgment, sitting with them as we collaboratively explore their relationships, emotions, thoughts, and behaviors. I believe that even your most difficult, painful, challenging, embarrassing, or shameful experiences should be held in a safe environment and processed. I aim to meet my patients with unconditional positive regard.
I truly believe that our emotional world needs to be witnessed. I meet my patients with compassion and non-judgment, sitting with them as we collaboratively explore their relationships, emotions, thoughts, and behaviors. I believe that even your most difficult, painful, challenging, embarrassing, or shameful experiences should be held in a safe environment and processed. I aim to meet my patients with unconditional positive regard.
(702) 827-0062 View (702) 827-0062
Photo of Eagle Quest in Las Vegas, NV
Eagle Quest
LCSW, MFT-I
Verified Verified
Las Vegas, NV 89130
Are you seeking a safe haven to navigate life's challenges and discover a path toward mental well-being? Look no further! At Eagle Quest, we are dedicated to providing compassionate and professional support to empower you on your journey. Our team of therapists understand the complexities of the human mind and are committed to tailoring personalized treatment plans and evidenced-based interventions to meet your unique needs. We will empower you with coping strategies to manage stress, anxiety, depression, trauma, and other challenges. Eagle Quest provides a safe and non-judgmental environment, where you can freely express yourself.
Are you seeking a safe haven to navigate life's challenges and discover a path toward mental well-being? Look no further! At Eagle Quest, we are dedicated to providing compassionate and professional support to empower you on your journey. Our team of therapists understand the complexities of the human mind and are committed to tailoring personalized treatment plans and evidenced-based interventions to meet your unique needs. We will empower you with coping strategies to manage stress, anxiety, depression, trauma, and other challenges. Eagle Quest provides a safe and non-judgmental environment, where you can freely express yourself.
(702) 487-9272 View (702) 487-9272
Photo of Shelby Armstrong, Pre-Licensed Professional in Las Vegas, NV
Shelby Armstrong
Pre-Licensed Professional, Student
Verified Verified
3 Endorsed
Las Vegas, NV 89144
Life is hard! As a dedicated and compassionate graduate-level student in Marriage and Family Therapy, I am passionate about helping individuals and families navigate the complexities of life and modern relationships. I focus on the unique dynamics of blended families, inter-racial relationships, alternative lifestyles, life transitions and neuro-divergency. I empower individuals with the tools to create change and build a strong foundation for success; resulting in positive relationships and harmonious environments.
Life is hard! As a dedicated and compassionate graduate-level student in Marriage and Family Therapy, I am passionate about helping individuals and families navigate the complexities of life and modern relationships. I focus on the unique dynamics of blended families, inter-racial relationships, alternative lifestyles, life transitions and neuro-divergency. I empower individuals with the tools to create change and build a strong foundation for success; resulting in positive relationships and harmonious environments.
(702) 620-5825 View (702) 620-5825
Photo of Nicholas Lawrence Neubauer, Clinical Social Work/Therapist in Las Vegas, NV
Nicholas Lawrence Neubauer
Clinical Social Work/Therapist, LCSW, ACSW, ACS
Verified Verified
Las Vegas, NV 89108
Can we fix you? You’re not broken. I understand that at times we may very well feel that way. It is most certainly not easy out there, in our heads, in our hearts. The experiences that life can bring, the experiences that we can choose for ourselves. It is in compassionate confidence that I would like to support you wherever you may be. To support you in whatever it is that brings you to this page. Please know, you can feel better! You can feel better, you can think better, you can choose better! Things can change and they do. People can change and they do.
Can we fix you? You’re not broken. I understand that at times we may very well feel that way. It is most certainly not easy out there, in our heads, in our hearts. The experiences that life can bring, the experiences that we can choose for ourselves. It is in compassionate confidence that I would like to support you wherever you may be. To support you in whatever it is that brings you to this page. Please know, you can feel better! You can feel better, you can think better, you can choose better! Things can change and they do. People can change and they do.
(702) 291-7990 View (702) 291-7990
Jay Cassidy
Licensed Professional Counselor, CPC, LADC, LADC-S, EMDR
Verified Verified
1 Endorsed
Las Vegas, NV 89120
I pride myself on maintaining a professional, albeit laid-back environment for my patients. From day one I am very clear that therapy should be a comfortable place one wants to be as opposed to place they must be. I love what I do and work very hard to be the best support I can be for everyone who comes into my office. I have extensive experience over the last 11 years at all levels of mental health including inpatient psych, residential treatment, intensive outpatient, supervising post-grad interns towards licensure, and private practice working with adults, teens, couples, and first responders (Police, Fire, EMT, & Military).
I pride myself on maintaining a professional, albeit laid-back environment for my patients. From day one I am very clear that therapy should be a comfortable place one wants to be as opposed to place they must be. I love what I do and work very hard to be the best support I can be for everyone who comes into my office. I have extensive experience over the last 11 years at all levels of mental health including inpatient psych, residential treatment, intensive outpatient, supervising post-grad interns towards licensure, and private practice working with adults, teens, couples, and first responders (Police, Fire, EMT, & Military).
(702) 297-5434 View (702) 297-5434
Photo of Steph Guice, LPC Intern in Las Vegas, NV
Steph Guice
LPC Intern, MA, CPC-I
Verified Verified
Las Vegas, NV 89128
Hi there! Working with a therapist can be scary and overwhelming. You may wonder what therapy will look like, how you should act, and what you should say. In our time together, I will strive to help you feel comfortable to be yourself and ease those worries. As an attachment-based therapist, I believe it is the relationship between you and I that matters the most. My goal is to create an environment that will suit your personality and the goals you have for yourself.
Hi there! Working with a therapist can be scary and overwhelming. You may wonder what therapy will look like, how you should act, and what you should say. In our time together, I will strive to help you feel comfortable to be yourself and ease those worries. As an attachment-based therapist, I believe it is the relationship between you and I that matters the most. My goal is to create an environment that will suit your personality and the goals you have for yourself.
(702) 299-6502 View (702) 299-6502
Photo of Blum Therapy, PLLC, Clinical Social Work/Therapist in Las Vegas, NV
Blum Therapy, PLLC
Clinical Social Work/Therapist, LCSW
Verified Verified
Las Vegas, NV 89135  (Online Only)
Over the past 15 years, I have had the honor of supporting clients of all ages, from all walks of life as they build the life they have always dreamed about. I am a licensed clinical social worker (LCSW) and I’m passionate about providing a non-judgmental, supportive environment where you can feel safe to free yourself from anything that has been holding you back from reaching your full potential. I have been licensed by the state of Nevada since 2009. I provide a diverse range of treatments because each client is unique in their needs. Learn more: martineblum.com
Over the past 15 years, I have had the honor of supporting clients of all ages, from all walks of life as they build the life they have always dreamed about. I am a licensed clinical social worker (LCSW) and I’m passionate about providing a non-judgmental, supportive environment where you can feel safe to free yourself from anything that has been holding you back from reaching your full potential. I have been licensed by the state of Nevada since 2009. I provide a diverse range of treatments because each client is unique in their needs. Learn more: martineblum.com
(702) 840-4927 View (702) 840-4927
Photo of Mimi Samayoa, Pre-Licensed Professional in Las Vegas, NV
Mimi Samayoa
Pre-Licensed Professional
Verified Verified
1 Endorsed
Las Vegas, NV 89144
Hello! I am a proud first-generation Latina and have a passion for helping promote and educate our community about mental wellness. I truly believe that my clients have the capacity to create beautiful, long-lasting change. I pay close attention to patterns and look to understand a person’s full story. I listen to understand and use a collaborative approach so that my clients and I can explore, discuss, challenge thoughts and feelings, and create goals. I specialize in working with teenagers, individuals, and couples to manage anxiety, depression, trauma, stress, and challenging life situations.
Hello! I am a proud first-generation Latina and have a passion for helping promote and educate our community about mental wellness. I truly believe that my clients have the capacity to create beautiful, long-lasting change. I pay close attention to patterns and look to understand a person’s full story. I listen to understand and use a collaborative approach so that my clients and I can explore, discuss, challenge thoughts and feelings, and create goals. I specialize in working with teenagers, individuals, and couples to manage anxiety, depression, trauma, stress, and challenging life situations.
(702) 466-1702 View (702) 466-1702
Photo of Sara Hernandez-Moya, Clinical Social Work/Therapist in Las Vegas, NV
Sara Hernandez-Moya
Clinical Social Work/Therapist, MS, LCSW
Verified Verified
Las Vegas, NV 89123
I help anxious humans feel less anxious and perform better in their lives. My ideal clients are working professionals and those with high-stress or high-risk careers who are struggling to find a healthy work/life balance, individuals who feel overwhelmed, and those who are experiencing unhealthy relationships due to past abuse. Do you feel like you’re carrying the weight of the world on your shoulders? You might need specialized care to support you through it. Feeling burnt out and overwhelmed? Then I can help you recharge and find a more harmonious balance; whether you’ve lost it or feel like you’ve never had it.
I help anxious humans feel less anxious and perform better in their lives. My ideal clients are working professionals and those with high-stress or high-risk careers who are struggling to find a healthy work/life balance, individuals who feel overwhelmed, and those who are experiencing unhealthy relationships due to past abuse. Do you feel like you’re carrying the weight of the world on your shoulders? You might need specialized care to support you through it. Feeling burnt out and overwhelmed? Then I can help you recharge and find a more harmonious balance; whether you’ve lost it or feel like you’ve never had it.
(702) 956-9035 View (702) 956-9035

How does your Therapist compare?

Number of Therapists in Las Vegas, NV

1,000+

Average cost per session

$130

Therapists in Las Vegas, NV who prioritize treating:

91% Anxiety
88% Depression
76% Trauma and PTSD
76% Self Esteem
75% Relationship Issues
70% Coping Skills
70% Stress

Average years in practice

10 Years

Top 3 insurances accepted

71% Aetna
61% Cigna and Evernorth
59% UnitedHealthcare UHC | UBH

How Therapists in Las Vegas, NV see their clients

66% In Person and Online
34% Online Only

Gender breakdown

81% Female
18% Male
1% Non-Binary
FAQs - About Therapy and Counseling

How can I find a therapist in Las Vegas?

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.