Therapists in Fort Worth, TX

View neighborhoods in Fort Worth
Photo of Megan Foreman, Clinical Social Work/Therapist in Fort Worth, TX
Megan Foreman
Clinical Social Work/Therapist, LCSW, LICSW, MA, MSW
Verified Verified
2 Endorsed
Fort Worth, TX 76107
I specialize in work with the LGBTQIA+ community, those seeking secular (non-faith based) therapy and people facing interpersonal conflicts. That said, I put a high value on diversity and do not limit my practice to specific communities amongst the age 18+ population. I have also worked extensively with clients in rural Appalachia and Veterans. I work with clients experiencing a range of issues including interpersonal problems, sexuality conflict, stress, social anxiety, gender dysphoria, infidelity, divorce/breakups, transitional life events and women’s empowerment.
I specialize in work with the LGBTQIA+ community, those seeking secular (non-faith based) therapy and people facing interpersonal conflicts. That said, I put a high value on diversity and do not limit my practice to specific communities amongst the age 18+ population. I have also worked extensively with clients in rural Appalachia and Veterans. I work with clients experiencing a range of issues including interpersonal problems, sexuality conflict, stress, social anxiety, gender dysphoria, infidelity, divorce/breakups, transitional life events and women’s empowerment.
(817) 442-2173 View (817) 442-2173
Photo of Arika Pickle, Licensed Professional Counselor in Fort Worth, TX
Arika Pickle
Licensed Professional Counselor, MA
Verified Verified
3 Endorsed
Fort Worth, TX 76107
Are you pregnant and experiencing some overwhelming anxiety? Have you just had a baby and can’t figure out why you feel so sad? Maybe you’re feeing isolated or struggling to find the balance between being “mom” and who you were before becoming mom. I’m here to help and want you to know you are NOT alone! I am here to come alongside you to learn what issues may be weighing you down and how we can work together to have you experiencing the joy you desire in your life.
Are you pregnant and experiencing some overwhelming anxiety? Have you just had a baby and can’t figure out why you feel so sad? Maybe you’re feeing isolated or struggling to find the balance between being “mom” and who you were before becoming mom. I’m here to help and want you to know you are NOT alone! I am here to come alongside you to learn what issues may be weighing you down and how we can work together to have you experiencing the joy you desire in your life.
(682) 452-7680 View (682) 452-7680
Photo of Tanya Alexander, Licensed Professional Counselor in Fort Worth, TX
Tanya Alexander
Licensed Professional Counselor, LPC, NCC
Verified Verified
Fort Worth, TX 76177
I understand that often the most difficult step in getting help is reaching out for the first time. I want you to know that I can empathize. I became a professional counselor and have a true passion for what I do because I know evidence-based counseling works. There is HOPE. I want my clients to know they have found a safe place and someone to walk with them through their healing journeys. My specialties are trauma, depression, anxiety, and attachment-related issues. I primarily use EMDR and CBT evidence-based counseling techniques.
I understand that often the most difficult step in getting help is reaching out for the first time. I want you to know that I can empathize. I became a professional counselor and have a true passion for what I do because I know evidence-based counseling works. There is HOPE. I want my clients to know they have found a safe place and someone to walk with them through their healing journeys. My specialties are trauma, depression, anxiety, and attachment-related issues. I primarily use EMDR and CBT evidence-based counseling techniques.
(817) 631-5301 View (817) 631-5301
Photo of Morgan Williams, Licensed Professional Counselor in Fort Worth, TX
Morgan Williams
Licensed Professional Counselor, MA
Verified Verified
4 Endorsed
Fort Worth, TX 76116
Waitlist for new clients
Imagine a house is on fire, but the fire is only in one bedroom. What would you do? I think most people would call for help to extinguish the fire before it spreads. Now, imagine the house is you and the fire is whatever you're facing: depression, anxiety, trauma, grief, low self-esteem, big life changes. Do you tell yourself "it's not that bad" or "people have it worse than me"? I want you to know that you don't have to wait till that fire spreads to all the other rooms. You don't have to wait to get help. What you are walking through and what you're feeling is valid. You deserve to feel whole.
Imagine a house is on fire, but the fire is only in one bedroom. What would you do? I think most people would call for help to extinguish the fire before it spreads. Now, imagine the house is you and the fire is whatever you're facing: depression, anxiety, trauma, grief, low self-esteem, big life changes. Do you tell yourself "it's not that bad" or "people have it worse than me"? I want you to know that you don't have to wait till that fire spreads to all the other rooms. You don't have to wait to get help. What you are walking through and what you're feeling is valid. You deserve to feel whole.
(817) 904-9782 View (817) 904-9782
Photo of Susan J. Bramlette, Marriage & Family Therapist in Fort Worth, TX
Susan J. Bramlette
Marriage & Family Therapist, LMFT
Verified Verified
1 Endorsed
Fort Worth, TX 76107  (Online Only)
I am a Bowen family systems therapist working with clients from the standpoint of your internal and external connections (partner, family, coworkers, and community). Because no one functions entirely alone, relationship problems can produce distressing symptoms that can often be alleviated by addressing the roles, rules, and goals we may be defining quite differently. Communication brings understanding. Faith in ourselves, in safe others, and in a benevolent Source that gives meaning to our experience are vital resources for the growing seasons of life that come to all. Phone me to discuss your situation; I'd like to be of help.
I am a Bowen family systems therapist working with clients from the standpoint of your internal and external connections (partner, family, coworkers, and community). Because no one functions entirely alone, relationship problems can produce distressing symptoms that can often be alleviated by addressing the roles, rules, and goals we may be defining quite differently. Communication brings understanding. Faith in ourselves, in safe others, and in a benevolent Source that gives meaning to our experience are vital resources for the growing seasons of life that come to all. Phone me to discuss your situation; I'd like to be of help.
(817) 631-5768 View (817) 631-5768
Photo of Emily Watson Counseling, Marriage & Family Therapist in Fort Worth, TX
Emily Watson Counseling
Marriage & Family Therapist, LMFT
Verified Verified
Fort Worth, TX 76107  (Online Only)
Not accepting new clients
Life is fragile and sometimes unpredictable. Unexpected or painful experiences can alter your life in profound ways. The cord of hope that connects you to your life and dreams can become strained or broken. You may feel anxious, sad, or angry. Perhaps some time has passed and you realize that time alone does not heal all wounds. Whether your wound is new or old, counseling can help. You don’t have to go through it alone. It would be my honor to join with you as you move through your struggles and experience more self-acceptance, peace, fulfillment, connection, and healing.
Life is fragile and sometimes unpredictable. Unexpected or painful experiences can alter your life in profound ways. The cord of hope that connects you to your life and dreams can become strained or broken. You may feel anxious, sad, or angry. Perhaps some time has passed and you realize that time alone does not heal all wounds. Whether your wound is new or old, counseling can help. You don’t have to go through it alone. It would be my honor to join with you as you move through your struggles and experience more self-acceptance, peace, fulfillment, connection, and healing.
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Photo of Tiffany Curry, Licensed Professional Counselor in Fort Worth, TX
Tiffany Curry
Licensed Professional Counselor, LPC
Verified Verified
Fort Worth, TX 76244  (Online Only)
Each of us has the right and responsibility to assess the roads which lie ahead and those over which we have traveled, and if the future road looms ominous or unpromising and the road back uninviting then we need to gather our resolve and carry only the necessary baggage into another direction- Maya Angelou
Each of us has the right and responsibility to assess the roads which lie ahead and those over which we have traveled, and if the future road looms ominous or unpromising and the road back uninviting then we need to gather our resolve and carry only the necessary baggage into another direction- Maya Angelou
(817) 646-9521 View (817) 646-9521
Photo of Christian Counseling of Texas, Licensed Professional Counselor in Fort Worth, TX
Christian Counseling of Texas
Licensed Professional Counselor, LPC-S, BCPCC, LCDC
Verified Verified
Fort Worth, TX 76116
At Christian Counseling of Texas we are psychologically trained mental health professionals who integrate our knowledge, skills, and abilities with our Christian faith. We think blending scientific counseling and Christian counseling is a wonderful specialization because it's a match made in heaven. We provide professional counseling from a Christian perspective to address spiritual, psychological, emotional and mental health issues. Rest assured that your fundamental Christian beliefs are valued.
At Christian Counseling of Texas we are psychologically trained mental health professionals who integrate our knowledge, skills, and abilities with our Christian faith. We think blending scientific counseling and Christian counseling is a wonderful specialization because it's a match made in heaven. We provide professional counseling from a Christian perspective to address spiritual, psychological, emotional and mental health issues. Rest assured that your fundamental Christian beliefs are valued.
(817) 718-7100 View (817) 718-7100
Photo of Mary Carlson, Clinical Social Work/Therapist in Fort Worth, TX
Mary Carlson
Clinical Social Work/Therapist, LPC
Verified Verified
Fort Worth, TX 76107
Mary L. Carlson is a Licensed Professional Counselor in Texas who started practicing in 2014. She has a Bachelor of Science in Social Psychology from Park University and a Master of Science in Counseling Psychology from Avila University. Mary believes in a treatment philosophy that includes client-centered, Rogerian, psychoeducation, CBT, holistic, and strengths-based methods. In her spare time, Mary enjoys working on arts and crafts, attending craft fairs, baking, and spending time with family.
Mary L. Carlson is a Licensed Professional Counselor in Texas who started practicing in 2014. She has a Bachelor of Science in Social Psychology from Park University and a Master of Science in Counseling Psychology from Avila University. Mary believes in a treatment philosophy that includes client-centered, Rogerian, psychoeducation, CBT, holistic, and strengths-based methods. In her spare time, Mary enjoys working on arts and crafts, attending craft fairs, baking, and spending time with family.
(817) 203-2860 View (817) 203-2860
Photo of Kathryn Fulghum, Marriage & Family Therapist Associate in Fort Worth, TX
Kathryn Fulghum
Marriage & Family Therapist Associate, MS
Verified Verified
Fort Worth, TX 76107
Not accepting new clients
While life ebbs and flows through times of serenity and times of darkness, we often find ourselves questioning our abilities to cope, think, and even function. Frustration and feelings of inadequacy rush in, which can quickly break down our self-esteem and feelings of worth. People may begin to think, "Why can't I just relax? I used to not be like this. What's wrong with me?". These mood and anxiety obstacles, while disheartening, are common conditions that can be relieved through counseling, where we challenge cognitive distortions and biases we have towards other people, our environment, and ourselves.
While life ebbs and flows through times of serenity and times of darkness, we often find ourselves questioning our abilities to cope, think, and even function. Frustration and feelings of inadequacy rush in, which can quickly break down our self-esteem and feelings of worth. People may begin to think, "Why can't I just relax? I used to not be like this. What's wrong with me?". These mood and anxiety obstacles, while disheartening, are common conditions that can be relieved through counseling, where we challenge cognitive distortions and biases we have towards other people, our environment, and ourselves.
(682) 255-2441 View (682) 255-2441
Photo of Terra Therapies, PLLC, Licensed Professional Counselor in Fort Worth, TX
Terra Therapies, PLLC
Licensed Professional Counselor, MEd, LPC-S, RPT-S, NCC, EMDR
Verified Verified
3 Endorsed
Fort Worth, TX 76107
Welcome! Terra Therapies, PLLC is a group private practice in the heart of Fort Worth, Texas. Our mission is to provide professional, ethical and compassionate counseling. We offer multiple therapies including Cognitive Behavior Therapy, EMDR, Dialectic Behavior Therapy, Solution Focused Therapy, Play Therapy, and Positive Discipline Parenting support and education in counseling to tailor therapy to each individual's needs and goals. Focusing on solutions, resources and strengths, we work with adults, adolescents, children and families to find possible solutions and positive outcomes in life. Visit our website!
Welcome! Terra Therapies, PLLC is a group private practice in the heart of Fort Worth, Texas. Our mission is to provide professional, ethical and compassionate counseling. We offer multiple therapies including Cognitive Behavior Therapy, EMDR, Dialectic Behavior Therapy, Solution Focused Therapy, Play Therapy, and Positive Discipline Parenting support and education in counseling to tailor therapy to each individual's needs and goals. Focusing on solutions, resources and strengths, we work with adults, adolescents, children and families to find possible solutions and positive outcomes in life. Visit our website!
(817) 381-5891 View (817) 381-5891
Photo of Sarah Wellborn, Clinical Social Work/Therapist in Fort Worth, TX
Sarah Wellborn
Clinical Social Work/Therapist, LCSW
Verified Verified
2 Endorsed
Fort Worth, TX 76109
You are here, so you must be looking to get some help for yourself or someone you care about! Congratulations! You are already through the worst of it – deciding to seek out help. Now, onto the next step – living a more free, happy, and fulfilling life! I am here to help and serve as your guide. Imagine less depression, less anxiety, and less self-doubt. Let’s explore new ways of coping with life’s obstacles. In learning new ways to cope and manage life, you will evolve and become more self-aware. You will be ready take charge of your life!
You are here, so you must be looking to get some help for yourself or someone you care about! Congratulations! You are already through the worst of it – deciding to seek out help. Now, onto the next step – living a more free, happy, and fulfilling life! I am here to help and serve as your guide. Imagine less depression, less anxiety, and less self-doubt. Let’s explore new ways of coping with life’s obstacles. In learning new ways to cope and manage life, you will evolve and become more self-aware. You will be ready take charge of your life!
(817) 752-9940 x101 View (817) 752-9940 x101
Photo of Barbara J Moore, Counselor in Fort Worth, TX
Barbara J Moore
Counselor, EdD, LPC, LMFT, CEAP, CPCC
Verified Verified
Fort Worth, TX 76102
Today you are one step closer to a new you where you feel empowered and on a positive path to growth and well-being. As a eclectic therapist, my goal is to help you uncover your true potential and lead a life that is worth celebrating. While we can't change difficult situations of the past, we can work together to better understand and resolve challenges in your life. By applying complementary therapy approaches and techniques, we will unearth long-standing behavior patterns or negative perceptions that may be holding you back from experiencing a more fulfilling and meaningful life.
Today you are one step closer to a new you where you feel empowered and on a positive path to growth and well-being. As a eclectic therapist, my goal is to help you uncover your true potential and lead a life that is worth celebrating. While we can't change difficult situations of the past, we can work together to better understand and resolve challenges in your life. By applying complementary therapy approaches and techniques, we will unearth long-standing behavior patterns or negative perceptions that may be holding you back from experiencing a more fulfilling and meaningful life.
(817) 870-1985 View (817) 870-1985
Photo of Melissa Marks, Licensed Professional Counselor in Fort Worth, TX
Melissa Marks
Licensed Professional Counselor, LPC, ATR-BC
Verified Verified
Fort Worth, TX 76102  (Online Only)
You are unique, and I am here to hold a space for you to have the journey you need to have. Your ultimate happiness is what I am here to support. I offer a wide range of tools and have worked with a very diverse group of clients. I have over 20 years' experience in the mental health field. I am a Licensed Professional Counselor, Board Certified Art Therapist, Certified Yoga and Meditation teacher and coach.
You are unique, and I am here to hold a space for you to have the journey you need to have. Your ultimate happiness is what I am here to support. I offer a wide range of tools and have worked with a very diverse group of clients. I have over 20 years' experience in the mental health field. I am a Licensed Professional Counselor, Board Certified Art Therapist, Certified Yoga and Meditation teacher and coach.
(817) 725-7722 View (817) 725-7722
Photo of Tyra Nimmons, Clinical Social Work/Therapist in Fort Worth, TX
Tyra Nimmons
Clinical Social Work/Therapist, LCSW
Verified Verified
1 Endorsed
Fort Worth, TX 76104  (Online Only)
First, EXHALE. You have taken the first step in your journey to healing, congratulations. Life does not come with instructions, it’s okay to have support along the way.
First, EXHALE. You have taken the first step in your journey to healing, congratulations. Life does not come with instructions, it’s okay to have support along the way.
(817) 993-5809 View (817) 993-5809
Photo of Joyce M. Lahue, Clinical Social Work/Therapist in Fort Worth, TX
Joyce M. Lahue
Clinical Social Work/Therapist, LCSW-S, MAC
Verified Verified
2 Endorsed
Fort Worth, TX 76107
A new perspective around trauma responses that are based in negative core beliefs can change lives. Changing reactions to thoughts, changes thoughts. Unconditional self-love: living life without judgment of self and others. Eighteen years experience, person centered, trauma informed approach. EMDR Certified for trauma. Certified in CBT, MET, and COPSD. Masters Addiction Counselor. Combine Acceptance and Commitment Therapy and EMDR for holistic approach to trauma and negative core beliefs. Experienced PTSD therapist, including military. Utilize Acceptance and Commitment Therapy to address unhelpful thoughts.
A new perspective around trauma responses that are based in negative core beliefs can change lives. Changing reactions to thoughts, changes thoughts. Unconditional self-love: living life without judgment of self and others. Eighteen years experience, person centered, trauma informed approach. EMDR Certified for trauma. Certified in CBT, MET, and COPSD. Masters Addiction Counselor. Combine Acceptance and Commitment Therapy and EMDR for holistic approach to trauma and negative core beliefs. Experienced PTSD therapist, including military. Utilize Acceptance and Commitment Therapy to address unhelpful thoughts.
(817) 993-4831 View (817) 993-4831
Photo of Christine Sommer Robinson, Licensed Professional Counselor in Fort Worth, TX
Christine Sommer Robinson
Licensed Professional Counselor, MS, CRC, LPC
Verified Verified
Fort Worth, TX 76110  (Online Only)
Hello! My name is Sommer Robinson and I am a LPC currently practicing in Fort Worth, Texas. We all live busy lives with various commitments that often limits access to mental health services that are typically offered during regular business hours. I offer evening appointments only and accept several insurance plans.
Hello! My name is Sommer Robinson and I am a LPC currently practicing in Fort Worth, Texas. We all live busy lives with various commitments that often limits access to mental health services that are typically offered during regular business hours. I offer evening appointments only and accept several insurance plans.
(682) 217-1788 View (682) 217-1788
Photo of Erica Little, Licensed Professional Counselor in Fort Worth, TX
Erica Little
Licensed Professional Counselor, LPC
Verified Verified
1 Endorsed
Fort Worth, TX 76107  (Online Only)
Are you ready for some peace of mind? If you're struggling with stress, life transitions, anxiety, depression, grief, or feeling stuck, I'm committed to helping my clients lean into hope and feel empowered to rewrite their stories through building self-awareness, healthy boundaries, and coping skills.
Are you ready for some peace of mind? If you're struggling with stress, life transitions, anxiety, depression, grief, or feeling stuck, I'm committed to helping my clients lean into hope and feel empowered to rewrite their stories through building self-awareness, healthy boundaries, and coping skills.
(817) 587-8031 View (817) 587-8031
Photo of Dr. Edna Chism Nicholas, Clinical Social Work/Therapist in Fort Worth, TX
Dr. Edna Chism Nicholas
Clinical Social Work/Therapist, LCSW-S, LCDC, CPC, PhD
Verified Verified
12 Endorsed
Fort Worth, TX 76107
Congratulations!! You have reached the next step on your new journey in life! We know it is difficult to come to counseling and even harder to choose a counselor that works for you. We are in such difficult times and our ACCC family wants to work with you!! Working with ACCC means that we believe that every individual has the key to successful outcomes within themselves. Ultimately we believe that you are the expert in your life. Our motto is "Authentically Inspiring Real Hope to Real People". This motto is representative of what restoration of hope can mean in healing everyday relationships among everyday people.
Congratulations!! You have reached the next step on your new journey in life! We know it is difficult to come to counseling and even harder to choose a counselor that works for you. We are in such difficult times and our ACCC family wants to work with you!! Working with ACCC means that we believe that every individual has the key to successful outcomes within themselves. Ultimately we believe that you are the expert in your life. Our motto is "Authentically Inspiring Real Hope to Real People". This motto is representative of what restoration of hope can mean in healing everyday relationships among everyday people.
(817) 203-2991 View (817) 203-2991
Photo of Morgan Taylor Richardson, Licensed Master Social Worker in Fort Worth, TX
Morgan Taylor Richardson
Licensed Master Social Worker, LMSW
Verified Verified
2 Endorsed
Fort Worth, TX 76107
Now accepting new clients! Healing is not for the weak and by you being here today shows your strength. My goal is to provide a safe, comfortable, and consistent environment where you feel free to come as you are, struggles and all. Healing/growing is a journey and it would be an honor if you picked me to be a part your journey!
Now accepting new clients! Healing is not for the weak and by you being here today shows your strength. My goal is to provide a safe, comfortable, and consistent environment where you feel free to come as you are, struggles and all. Healing/growing is a journey and it would be an honor if you picked me to be a part your journey!
(817) 482-5631 View (817) 482-5631

How does your Therapist compare?

Number of Therapists in Fort Worth, TX

1,000+

Average cost per session

$125

Therapists in Fort Worth, TX who prioritize treating:

92% Anxiety
88% Depression
77% Self Esteem
74% Coping Skills
69% Relationship Issues
67% Trauma and PTSD
65% Stress

Average years in practice

9 Years

Top 3 insurances accepted

88% Aetna
83% Cigna and Evernorth
82% UnitedHealthcare UHC | UBH

How Therapists in Fort Worth, TX see their clients

60% In Person and Online
40% Online Only

Gender breakdown

82% Female
17% Male
1% Non-Binary
FAQs - About Therapy and Counseling

How can I find a therapist in Fort Worth?

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.