Therapists in Las Vegas, NV

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Photo of Maikel H Salgado, Licensed Professional Counselor in Las Vegas, NV
Maikel H Salgado
Licensed Professional Counselor, MS, CPC, CCTP
Verified Verified
Las Vegas, NV 89146
SE HABLA ESPANOL! Are you or a loved one suffering from symptoms associated with depression, anxiety, or symptoms related to a traumatic event?
SE HABLA ESPANOL! Are you or a loved one suffering from symptoms associated with depression, anxiety, or symptoms related to a traumatic event?
(702) 983-2807 View (702) 983-2807
Photo of Christine Vacin, Clinical Social Work/Therapist in Las Vegas, NV
Christine Vacin
Clinical Social Work/Therapist, LCSW
Verified Verified
Las Vegas, NV 89144
For over 15 years of providing therapy, Christine enjoys helping individuals recover from issues concerning self-esteem, anxiety, addiction, trauma, codependency, adjustments to motherhood, life transitions, self-identity, and relationship dynamics. She also enjoys teaching clients successful tools to help conquer difficult life challenges and gain a sense of empowerment. Additionally, she is fully trained in Eye Movement Desensitization Reprocessing (EMDR) therapy, which helps to process trauma and unresolved emotions.
For over 15 years of providing therapy, Christine enjoys helping individuals recover from issues concerning self-esteem, anxiety, addiction, trauma, codependency, adjustments to motherhood, life transitions, self-identity, and relationship dynamics. She also enjoys teaching clients successful tools to help conquer difficult life challenges and gain a sense of empowerment. Additionally, she is fully trained in Eye Movement Desensitization Reprocessing (EMDR) therapy, which helps to process trauma and unresolved emotions.
(702) 500-1252 View (702) 500-1252
Photo of Anna Cuffee, LPC Intern in Las Vegas, NV
Anna Cuffee
LPC Intern, CPC-I, MA Ed
Verified Verified
2 Endorsed
Las Vegas, NV 89148
Do you struggle with “feeling like yourself” again since having kids? Do you and your partner or spouse have trouble seeing eye-to-eye? Has intimacy changed since becoming parents? Have you experienced a recent traumatic birth experience? Many women (and men) choose not to seek the help that they need because these issues are not talked about enough in our society. Issues in the perinatal period can also look like rage or increased irritability, low motivation, feeling "stuck", not feeling connected to your partner/spouse, kids, or even yourself.
Do you struggle with “feeling like yourself” again since having kids? Do you and your partner or spouse have trouble seeing eye-to-eye? Has intimacy changed since becoming parents? Have you experienced a recent traumatic birth experience? Many women (and men) choose not to seek the help that they need because these issues are not talked about enough in our society. Issues in the perinatal period can also look like rage or increased irritability, low motivation, feeling "stuck", not feeling connected to your partner/spouse, kids, or even yourself.
(725) 208-5951 View (725) 208-5951
Phil Anastasia
Marriage & Family Therapist Intern, MACP, CHT, PhD
Verified Verified
Las Vegas, NV 89148  (Online Only)
ACCEPTING NEW CLIENTS. If you need to talk, I'm here to listen. I believe that everyone should be empowered to live their lives to the fullest and accomplish whatever goals they desire. I help and guide my clients through a process of self-discovery that will allow them to improve their lives, reach their goals and thrive. I consider all aspects of the client’s life, i.e. mental, physical, social, emotional and sexual. I help my clients discover the root causes of their distress and eliminate them. I believe in finding and eliminating the causes, not just the symptoms.
ACCEPTING NEW CLIENTS. If you need to talk, I'm here to listen. I believe that everyone should be empowered to live their lives to the fullest and accomplish whatever goals they desire. I help and guide my clients through a process of self-discovery that will allow them to improve their lives, reach their goals and thrive. I consider all aspects of the client’s life, i.e. mental, physical, social, emotional and sexual. I help my clients discover the root causes of their distress and eliminate them. I believe in finding and eliminating the causes, not just the symptoms.
(725) 234-6029 View (725) 234-6029
Photo of Kelly A Evans, Marriage & Family Therapist Intern in Las Vegas, NV
Kelly A Evans
Marriage & Family Therapist Intern, MA, MFT-I
Verified Verified
Las Vegas, NV 89129
Not accepting new clients
Maybe for the first time in your life you are struggling with anxiety? Or perhaps during this time, you have decided to prioritize your healing and mental health? I love counseling individuals, couples and families that need help relationally as well as individuals looking to optimize their mental health. Many times we normalize our "issues" and let life just happen, but what if you could be present and the best version of yourself? I'd love to help you break cycles, love fiercely and create the life you have hoped for.
Maybe for the first time in your life you are struggling with anxiety? Or perhaps during this time, you have decided to prioritize your healing and mental health? I love counseling individuals, couples and families that need help relationally as well as individuals looking to optimize their mental health. Many times we normalize our "issues" and let life just happen, but what if you could be present and the best version of yourself? I'd love to help you break cycles, love fiercely and create the life you have hoped for.
(855) 961-3317 View (855) 961-3317
Photo of Evolve Life Center and Dream Kids , Clinical Social Work/Therapist in Las Vegas, NV
Evolve Life Center and Dream Kids
Clinical Social Work/Therapist, MSW, LCSW
Verified Verified
2 Endorsed
Las Vegas, NV 89123
Allow me to be your new partner in the epic adventure we call life. Ever feel like you've lost your way in life's unique challenges? Ever feel like you've lost your way in a forest of worries and stress? No worries, Priscilla's got the compass! Using an eclectic therapy style, I can help you find your path and redefine your narrative. Ready to swap "I'm stuck" for "I'm soaring"? Let's craft your future chapters together. So, if you find yourself standing at life's crossroads, remember, you're not alone. I acknowledge the pain - the despair that gnaws deep. The power to rewrite your story is within you.
Allow me to be your new partner in the epic adventure we call life. Ever feel like you've lost your way in life's unique challenges? Ever feel like you've lost your way in a forest of worries and stress? No worries, Priscilla's got the compass! Using an eclectic therapy style, I can help you find your path and redefine your narrative. Ready to swap "I'm stuck" for "I'm soaring"? Let's craft your future chapters together. So, if you find yourself standing at life's crossroads, remember, you're not alone. I acknowledge the pain - the despair that gnaws deep. The power to rewrite your story is within you.
(702) 919-5244 View (702) 919-5244
Photo of Victoria Enriquez, Marriage & Family Therapist Intern in Las Vegas, NV
Victoria Enriquez
Marriage & Family Therapist Intern, MS, MFT-I
Verified Verified
Las Vegas, NV 89129
Not accepting new clients
Hello, my name is Victoria Enriquez, and I am a marriage and family therapist intern here in Nevada. My goal as a therapist is to provide a safe space for you to share your thoughts, feelings, and life experiences, and at the same time, we will work to reach your therapeutic goals. I have worked with adults, teens, couples, and families. Some of the modalities I use are attachment-based, cognitive, experiential, and solution-focused. I would be honored to be your therapist.
Hello, my name is Victoria Enriquez, and I am a marriage and family therapist intern here in Nevada. My goal as a therapist is to provide a safe space for you to share your thoughts, feelings, and life experiences, and at the same time, we will work to reach your therapeutic goals. I have worked with adults, teens, couples, and families. Some of the modalities I use are attachment-based, cognitive, experiential, and solution-focused. I would be honored to be your therapist.
(702) 819-7964 View (702) 819-7964
Photo of Aubree Toledo, Marriage & Family Therapist Intern in Las Vegas, NV
Aubree Toledo
Marriage & Family Therapist Intern, LMFT-I
Verified Verified
1 Endorsed
Las Vegas, NV 89134
You want to start therapy but the thought of sharing your most personal experiences and challenges with a stranger feels... well, strange, right? I get it! Let me start by first commending you on coming this far in your healing; looking for a therapist. You're here because you want things to change, you want to process the experiences that have brought you to who you are today (maybe you aren't particularly proud of some of them), or maybe you just want to explore how to become the best version of yourself possible. Achieving all of those goals began the moment you decided to seek out an outside perspective w/ a professional.
You want to start therapy but the thought of sharing your most personal experiences and challenges with a stranger feels... well, strange, right? I get it! Let me start by first commending you on coming this far in your healing; looking for a therapist. You're here because you want things to change, you want to process the experiences that have brought you to who you are today (maybe you aren't particularly proud of some of them), or maybe you just want to explore how to become the best version of yourself possible. Achieving all of those goals began the moment you decided to seek out an outside perspective w/ a professional.
(702) 744-9194 View (702) 744-9194
Photo of Laura Deitsch, Counselor in Las Vegas, NV
Laura Deitsch
Counselor, DHS, MS, NCC
Verified Verified
Las Vegas, NV 89117
My clients seek to gain interpersonal skills, relationship strategies, insight into harmful behaviors and improved communication habits. I work well with individuals grappling with identity crises, sexuality issues and unstable moods. My philosophy empowers clients to seek and implement their own solutions, with guidance and encouragement from me. I will help you set goals, devise strategies to be successful and then work to steer the course of your efforts. I have worked with individuals struggling with identity, trauma, anxiety, grief and loss, as well as several other mental health issues.
My clients seek to gain interpersonal skills, relationship strategies, insight into harmful behaviors and improved communication habits. I work well with individuals grappling with identity crises, sexuality issues and unstable moods. My philosophy empowers clients to seek and implement their own solutions, with guidance and encouragement from me. I will help you set goals, devise strategies to be successful and then work to steer the course of your efforts. I have worked with individuals struggling with identity, trauma, anxiety, grief and loss, as well as several other mental health issues.
(702) 789-6482 View (702) 789-6482
Photo of Alexa S Elkington, Marriage & Family Therapist in Las Vegas, NV
Alexa S Elkington
Marriage & Family Therapist, LMFT
Verified Verified
Las Vegas, NV 89128
Do any of these behaviors apply to your relationship? We seldom have any sex or intimacy. We only talk about the kids or work, just daily stuff, nothing important. I feel lonely in this marriage. If it weren't for the kids we would be done. Sometimes I think about having an affair, I never thought that would be me. I love my partner but I just don't feel like I am In Love with him/her. I think marriage can get boring, It's just we can't communicate. We either don't talk or we argue.
Do any of these behaviors apply to your relationship? We seldom have any sex or intimacy. We only talk about the kids or work, just daily stuff, nothing important. I feel lonely in this marriage. If it weren't for the kids we would be done. Sometimes I think about having an affair, I never thought that would be me. I love my partner but I just don't feel like I am In Love with him/her. I think marriage can get boring, It's just we can't communicate. We either don't talk or we argue.
(702) 608-8275 View (702) 608-8275
Photo of Mindful Utopia , Counselor in Las Vegas, NV
Mindful Utopia
Counselor, LCPC
Verified Verified
Las Vegas, NV 89102
If you're grappling with the heavy burdens of anxiety, depression, and the haunting specter of past trauma, you're not alone in these battles. I understand the profound impact that these struggles can have on your life, often leaving you feeling isolated and unsure if anyone truly comprehends the depth of your pain. However, I'm here for you. With a compassionate heart and the knowledge to help you heal, I am prepared to be your companion on a transformative journey.
If you're grappling with the heavy burdens of anxiety, depression, and the haunting specter of past trauma, you're not alone in these battles. I understand the profound impact that these struggles can have on your life, often leaving you feeling isolated and unsure if anyone truly comprehends the depth of your pain. However, I'm here for you. With a compassionate heart and the knowledge to help you heal, I am prepared to be your companion on a transformative journey.
(725) 444-7986 View (725) 444-7986
Photo of Dominic Perry, Clinical Social Work/Therapist in Las Vegas, NV
Dominic Perry
Clinical Social Work/Therapist, LCSW, LCADC
Verified Verified
Las Vegas, NV 89118  (Online Only)
As a licensed clinician, I am committed to helping people navigate the complex landscape of their emotions, thoughts, and behaviors. Guided by a profound belief in the power of human resilience and the potential for growth and healing, I am dedicated to providing compassionate and effective therapeutic support. I firmly believe that every person has the capacity for change and has the right to live a fulfilling and authentic life.
As a licensed clinician, I am committed to helping people navigate the complex landscape of their emotions, thoughts, and behaviors. Guided by a profound belief in the power of human resilience and the potential for growth and healing, I am dedicated to providing compassionate and effective therapeutic support. I firmly believe that every person has the capacity for change and has the right to live a fulfilling and authentic life.
(702) 745-9410 View (702) 745-9410
Photo of Elena Angelkova, Marriage & Family Therapist Intern in Las Vegas, NV
Elena Angelkova
Marriage & Family Therapist Intern, MS, MFT-I
Verified Verified
Las Vegas, NV 89129
I am a licensed Couple and Family Therapist Intern at Beyond Therapy. I chose this career because I love helping people with their mental health struggles, and love being part of their healing journey. I view people from a holistic perspective. I also acknowledge and appreciate the client’s cultural and ethnic background, because I believe understanding this is important. I am extremely passionate about helping people process grief(dying of a loved one, life transitions, etc.) and helping individuals, couples, and families from diverse cultural backgrounds who suffer from chronic and/or terminal illnesses.
I am a licensed Couple and Family Therapist Intern at Beyond Therapy. I chose this career because I love helping people with their mental health struggles, and love being part of their healing journey. I view people from a holistic perspective. I also acknowledge and appreciate the client’s cultural and ethnic background, because I believe understanding this is important. I am extremely passionate about helping people process grief(dying of a loved one, life transitions, etc.) and helping individuals, couples, and families from diverse cultural backgrounds who suffer from chronic and/or terminal illnesses.
(725) 234-6894 View (725) 234-6894
Photo of Amy Ekins, Clinical Social Work/Therapist in Las Vegas, NV
Amy Ekins
Clinical Social Work/Therapist, LCSW
Verified Verified
1 Endorsed
Las Vegas, NV 89101
Are you seeking changes in your life that will help you to feel more whole? Sometimes people feel that they are in places of crisis, hopelessness, or simply feeling "stuck." These are common experiences where you have found the courage to reach out for help. I look forward to working with you in this journey. While maintaining strict confidentiality, it is vital that your healing be purposeful and meaningful, with specific therapeutic goals. SE HABLA ESPANOL
Are you seeking changes in your life that will help you to feel more whole? Sometimes people feel that they are in places of crisis, hopelessness, or simply feeling "stuck." These are common experiences where you have found the courage to reach out for help. I look forward to working with you in this journey. While maintaining strict confidentiality, it is vital that your healing be purposeful and meaningful, with specific therapeutic goals. SE HABLA ESPANOL
(702) 712-4261 View (702) 712-4261
Photo of Ryan Wynder, Marriage & Family Therapist in Las Vegas, NV
Ryan Wynder
Marriage & Family Therapist, MS, LMFT
Verified Verified
1 Endorsed
Las Vegas, NV 89134
The process of change can be a difficult one. There are many obstacles you can expect to encounter in trying to change. Finding the right therapist to help guide you through this process and having a good therapeutic relationship is one of the most key components to change. I am devoted to creating a very genuine, safe, comfortable, empathetic and understanding environment for my clients.
The process of change can be a difficult one. There are many obstacles you can expect to encounter in trying to change. Finding the right therapist to help guide you through this process and having a good therapeutic relationship is one of the most key components to change. I am devoted to creating a very genuine, safe, comfortable, empathetic and understanding environment for my clients.
(702) 570-1147 View (702) 570-1147
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 Lacey Campbell, Licensed Professional Counselor in Las Vegas, NV
Lacey Campbell
Licensed Professional Counselor, CPC
Verified Verified
1 Endorsed
Las Vegas, NV 89107
If you are ready to balance the difficulties in your life with curiosity and feeling the need to calm your emotions, you are my ideal client. At times, it can seem as though we cannot achieve happiness. Sometimes are thoughts, feelings or our behaviors get in the way and we need someone to offer skills and techniques to help us manage. Let’s move through, instead of around, emotional pain. Let me help you address underlying issues that influence current self-sabotaging or unhelpful behaviors.
If you are ready to balance the difficulties in your life with curiosity and feeling the need to calm your emotions, you are my ideal client. At times, it can seem as though we cannot achieve happiness. Sometimes are thoughts, feelings or our behaviors get in the way and we need someone to offer skills and techniques to help us manage. Let’s move through, instead of around, emotional pain. Let me help you address underlying issues that influence current self-sabotaging or unhelpful behaviors.
(702) 710-6279 View (702) 710-6279
Photo of Angel Parker, Pre-Licensed Professional in Las Vegas, NV
Angel Parker
Pre-Licensed Professional, Student
Verified Verified
2 Endorsed
Las Vegas, NV 89144
It is so important to allow yourself to be vulnerable and transparent to reach the core of who you are. I want to work with my clients identifying their true self in an environment where they are comfortable expressing who they truly are and begin their healing process. Every individual has their own story that deserves to be heard, so I will work with my clients to express not only what their story has consisted of but what their story can consist of in the future. Creating a safe place where you can release any inner feeling is an important part of healing. Asking for help is a strength so let’s walk through this journey together.
It is so important to allow yourself to be vulnerable and transparent to reach the core of who you are. I want to work with my clients identifying their true self in an environment where they are comfortable expressing who they truly are and begin their healing process. Every individual has their own story that deserves to be heard, so I will work with my clients to express not only what their story has consisted of but what their story can consist of in the future. Creating a safe place where you can release any inner feeling is an important part of healing. Asking for help is a strength so let’s walk through this journey together.
(702) 710-7625 View (702) 710-7625
Photo of Steven Herbert, Marriage & Family Therapist in Las Vegas, NV
Steven Herbert
Marriage & Family Therapist, MS, LMFT
Verified Verified
1 Endorsed
Las Vegas, NV 89117
COUPLES: You love each other but your communication is often hurtful. PARENTS: You love your children but everything is a power struggle. INDIVIDUALS: You feel worse than you should and don't know how to help yourself. Therapy offers relief, hope, and a path forward when life challenges arise. I have received specialized training in couple's therapy, parent coaching (all ages), and Depression/Anxiety. You want improved relationships and personal growth - and my 15+ years experience is a powerful force in getting you there!
COUPLES: You love each other but your communication is often hurtful. PARENTS: You love your children but everything is a power struggle. INDIVIDUALS: You feel worse than you should and don't know how to help yourself. Therapy offers relief, hope, and a path forward when life challenges arise. I have received specialized training in couple's therapy, parent coaching (all ages), and Depression/Anxiety. You want improved relationships and personal growth - and my 15+ years experience is a powerful force in getting you there!
(702) 745-3306 View (702) 745-3306
Photo of Winter Tempest, LPC Intern in Las Vegas, NV
Winter Tempest
LPC Intern
Verified Verified
1 Endorsed
Las Vegas, NV 89119  (Online Only)
Hi, I’m Winter. I specialize in men's mental health, relationships, sex and porn addiction, anxiety, depression, self-esteem, and supporting sex workers and the LGBTQ+ community. Offering a safe, inclusive space for individuals facing personal and relational challenges, my therapy aims to foster healing, growth, and stronger connections. Committed to each individual through their unique journey, I work with clients to navigate life's complexities, embracing resilience and fulfillment in their personal and relational lives. Together, we'll work towards meaningful change and improved well-being.
Hi, I’m Winter. I specialize in men's mental health, relationships, sex and porn addiction, anxiety, depression, self-esteem, and supporting sex workers and the LGBTQ+ community. Offering a safe, inclusive space for individuals facing personal and relational challenges, my therapy aims to foster healing, growth, and stronger connections. Committed to each individual through their unique journey, I work with clients to navigate life's complexities, embracing resilience and fulfillment in their personal and relational lives. Together, we'll work towards meaningful change and improved well-being.
(702) 842-0619 View (702) 842-0619

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

70% Aetna
60% 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.