Therapists in Austin, TX

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Photo of Emily Geist, Clinical Social Work/Therapist in Austin, TX
Emily Geist
Clinical Social Work/Therapist, LCSW
Verified Verified
Austin, TX 78759
Waitlist for new clients
We all need a safe space to come exactly as we are and to process tough feelings and emotions. My desire is to provide that space in some of life’s most difficult moments. Whether you’re facing conflict in the relationships with those you care for most, going through a big life change, or feeling stuck, I would love to connect with you and work towards healing and freedom.
We all need a safe space to come exactly as we are and to process tough feelings and emotions. My desire is to provide that space in some of life’s most difficult moments. Whether you’re facing conflict in the relationships with those you care for most, going through a big life change, or feeling stuck, I would love to connect with you and work towards healing and freedom.
(512) 548-4286 View (512) 548-4286
Photo of M Karen Hampton, Clinical Social Work/Therapist in Austin, TX
M Karen Hampton
Clinical Social Work/Therapist, LCSW
Verified Verified
1 Endorsed
Austin, TX 78759
Finding a sense of peace and fostering intimate relationships are lifelong goals. Whether these goals seem permanently elusive or temporarily unattainable, I help adults travel forward on this journey. Along with my client, I strive to create a safe place in which to explore thoughts, feelings, and behaviors; increase self-awareness; and develop a more satisfying life. While the leap of faith to engage in therapy can be enormous, I believe that the power of therapy to enrich our lives to be even greater. You may wish to check out my videos on my website.
Finding a sense of peace and fostering intimate relationships are lifelong goals. Whether these goals seem permanently elusive or temporarily unattainable, I help adults travel forward on this journey. Along with my client, I strive to create a safe place in which to explore thoughts, feelings, and behaviors; increase self-awareness; and develop a more satisfying life. While the leap of faith to engage in therapy can be enormous, I believe that the power of therapy to enrich our lives to be even greater. You may wish to check out my videos on my website.
(512) 649-2224 View (512) 649-2224
Photo of Kristen McMath, Licensed Professional Counselor Associate in Austin, TX
Kristen McMath
Licensed Professional Counselor Associate, MA, LPC-A, EMDR-t
Verified Verified
2 Endorsed
Austin, TX 78751
I prioritize and deeply value the bonds I form with clients, considering them not only vital but also integral to the therapeutic process. At the heart of my work is helping clients in harnessing their natural capacity for growth and healing, enabling them to establish a more meaningful and joyful connection with life.
I prioritize and deeply value the bonds I form with clients, considering them not only vital but also integral to the therapeutic process. At the heart of my work is helping clients in harnessing their natural capacity for growth and healing, enabling them to establish a more meaningful and joyful connection with life.
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Photo of Michelle Hawn, Licensed Professional Counselor in Austin, TX
Michelle Hawn
Licensed Professional Counselor, MA, LPC-S
Verified Verified
9 Endorsed
Austin, TX 78748
Feeling Stuck? AnxiousAngrySadLonelyNumbHelpless? You've tried everything else. It's time for a gentle revolution. Give me a call. You and I will work together to loosen and sort this snarly knot of feelings and find calmness and clarity. Together, we will start you on your journey towards what you really want and who you really want to be. If you are looking to deeply explore the roots of any distress, need extra support and guidance through a challenging situation, or you are just ready to move in a new direction in your life, I'm here to help you
Feeling Stuck? AnxiousAngrySadLonelyNumbHelpless? You've tried everything else. It's time for a gentle revolution. Give me a call. You and I will work together to loosen and sort this snarly knot of feelings and find calmness and clarity. Together, we will start you on your journey towards what you really want and who you really want to be. If you are looking to deeply explore the roots of any distress, need extra support and guidance through a challenging situation, or you are just ready to move in a new direction in your life, I'm here to help you
(512) 270-7065 View (512) 270-7065
Photo of Jessica Kilpatrick, Licensed Professional Counselor in Austin, TX
Jessica Kilpatrick
Licensed Professional Counselor, MA, LPC-S
Verified Verified
1 Endorsed
Austin, TX 78701
Waitlist for new clients
Are you worried about your child's mental health or overall well-being? Has your child recently gone through something difficult and you feel they may need some extra support? I would love to help you navigate these challenges. I am a Licensed Professional Counselor Supervisor who specializes in working with children, teens, and families. I believe that healthy connections and safe relationships can create healing opportunities. I would be honored to help your family understand anxiety, face relationship difficulties, or navigate uncertain and challenging situations.
Are you worried about your child's mental health or overall well-being? Has your child recently gone through something difficult and you feel they may need some extra support? I would love to help you navigate these challenges. I am a Licensed Professional Counselor Supervisor who specializes in working with children, teens, and families. I believe that healthy connections and safe relationships can create healing opportunities. I would be honored to help your family understand anxiety, face relationship difficulties, or navigate uncertain and challenging situations.
(512) 980-9575 View (512) 980-9575
Photo of Adrienne Diaz, Licensed Master Social Worker in Austin, TX
Adrienne Diaz
Licensed Master Social Worker, LMSW
Verified Verified
1 Endorsed
Austin, TX 78759
I am currently accepting new clients in both English and Spanish. I work with adults, couples and families who are experiencing anxiety, depression, grief and loss, relationship issues, and life transitions. I have experience working with individuals dealing with trauma, death and dying and mental illness.
I am currently accepting new clients in both English and Spanish. I work with adults, couples and families who are experiencing anxiety, depression, grief and loss, relationship issues, and life transitions. I have experience working with individuals dealing with trauma, death and dying and mental illness.
(512) 714-3165 View (512) 714-3165
Photo of Firoozeh Tuller, Clinical Social Work/Therapist in Austin, TX
Firoozeh Tuller
Clinical Social Work/Therapist, LCSW
Verified Verified
Austin, TX 78746
I view treatment as a safe space where healing can occur through the process of unpeeling multiple layers of mental and emotional patterns (conscious and unconscious), leading individuals to discover their strengths, true potential and authentic self. In this process, one can feel empowered and inspired to integrate all parts of self, even those hidden from the conscious mind. This delicate work is only possible when trust and alliance are established between therapist and client. The principles guiding this work are unconditional acceptance, compassion and non-judgment.
I view treatment as a safe space where healing can occur through the process of unpeeling multiple layers of mental and emotional patterns (conscious and unconscious), leading individuals to discover their strengths, true potential and authentic self. In this process, one can feel empowered and inspired to integrate all parts of self, even those hidden from the conscious mind. This delicate work is only possible when trust and alliance are established between therapist and client. The principles guiding this work are unconditional acceptance, compassion and non-judgment.
(512) 675-1395 View (512) 675-1395
Photo of Nathan Reeder, Licensed Professional Counselor in Austin, TX
Nathan Reeder
Licensed Professional Counselor, LPC
Verified Verified
3 Endorsed
Austin, TX 78704
I help people recover from traumatic events and hurtful relationships. I enjoy working with adolescents to adults figure out what they want out of life, and remove the things that are holding them back. If you come from a messed up family, you will find that I offer unwavering support in an environment where you are deeply valued and exceptionally safe. I enjoy working with couples and individuals in nontraditional homes and relationships, parents at the end of their wits, couples about to call it quits, people recovering from religious abuse or neglect, and artists, musicians, and creatives.
I help people recover from traumatic events and hurtful relationships. I enjoy working with adolescents to adults figure out what they want out of life, and remove the things that are holding them back. If you come from a messed up family, you will find that I offer unwavering support in an environment where you are deeply valued and exceptionally safe. I enjoy working with couples and individuals in nontraditional homes and relationships, parents at the end of their wits, couples about to call it quits, people recovering from religious abuse or neglect, and artists, musicians, and creatives.
(512) 309-7063 View (512) 309-7063
Photo of Jeanice Pantier-Mullen, Marriage & Family Therapist in Austin, TX
Jeanice Pantier-Mullen
Marriage & Family Therapist, MA, LMFT
Verified Verified
1 Endorsed
Austin, TX 78731
Life and relationship challenges usually need more than talk to get through successfully. This is why I specialize in approaches where mind and body work together. Providing healing experiences in therapy, I work collaboratively with you to find ways to change and grow that work for your unique situation. I am a Licensed Marriage and Family Therapist, which means I've had the master's level training of individual counselors, in addition to training focused on the 'systems' of relationships. I am also PACT and EMDR trained therapist; I have additional training in sexual issues, chronic illness and infertility.
Life and relationship challenges usually need more than talk to get through successfully. This is why I specialize in approaches where mind and body work together. Providing healing experiences in therapy, I work collaboratively with you to find ways to change and grow that work for your unique situation. I am a Licensed Marriage and Family Therapist, which means I've had the master's level training of individual counselors, in addition to training focused on the 'systems' of relationships. I am also PACT and EMDR trained therapist; I have additional training in sexual issues, chronic illness and infertility.
(512) 412-3248 View (512) 412-3248
Photo of Hugh Simmons, LCSW, Clinical Social Work/Therapist in Austin, TX
Hugh Simmons, LCSW
Clinical Social Work/Therapist, LCSW
Verified Verified
Austin, TX 78754
I celebrate diversity, which means I welcome you. I offer a safe place for you to talk at your own pace about issues that may feel impossible to discuss anywhere else. Focus areas include interpersonal/relationship challenges, LGBTQ+/queer concerns, stress, parenting, anxiety, depression, a general sense of feeling unhappy, and more.
I celebrate diversity, which means I welcome you. I offer a safe place for you to talk at your own pace about issues that may feel impossible to discuss anywhere else. Focus areas include interpersonal/relationship challenges, LGBTQ+/queer concerns, stress, parenting, anxiety, depression, a general sense of feeling unhappy, and more.
(347) 706-4604 View (347) 706-4604
Photo of Patricia Stuart, Psychologist in Austin, TX
Patricia Stuart
Psychologist, PhD
Verified Verified
1 Endorsed
Austin, TX 78746
Not accepting new clients
I am a licensed clinical psychologist in Austin, Texas where I have been in practice for over 25 years. I work with adults of all ages on difficulties such as anxiety, self-defeating behaviors, depression and problems in relationships. I also have expertise in helping people through loss and adjusting to stress or life transitions. While my work is currently focused within my private practice and for non-profit organizations, I have also treated an array of psychological problems in diverse settings such as hospitals, universities and community centers. Finally, I provide clinical supervision for psychologists in training.
I am a licensed clinical psychologist in Austin, Texas where I have been in practice for over 25 years. I work with adults of all ages on difficulties such as anxiety, self-defeating behaviors, depression and problems in relationships. I also have expertise in helping people through loss and adjusting to stress or life transitions. While my work is currently focused within my private practice and for non-profit organizations, I have also treated an array of psychological problems in diverse settings such as hospitals, universities and community centers. Finally, I provide clinical supervision for psychologists in training.
(512) 308-6069 View (512) 308-6069
Photo of Brett Brightwell, Marriage & Family Therapist in Austin, TX
Brett Brightwell
Marriage & Family Therapist, MA, LMFT
Verified Verified
1 Endorsed
Austin, TX 78731
I believe that therapy involves a collaboration between the client/s and the therapist. If a client is not part of the decisions, the ideas, the relationship, and the motivation, achieving the desired change is much more difficult. I understand that being in a relationship of any kind can be difficult and I believe that everyone needs help navigating the obstacles that we are bound to encounter in love, family, friends & life. I love being a part of that process. My role as a therapist is to collaborate with, empathize with, support, understand, and encourage my clients. I do this through face to face as well as tele/video therapy.
I believe that therapy involves a collaboration between the client/s and the therapist. If a client is not part of the decisions, the ideas, the relationship, and the motivation, achieving the desired change is much more difficult. I understand that being in a relationship of any kind can be difficult and I believe that everyone needs help navigating the obstacles that we are bound to encounter in love, family, friends & life. I love being a part of that process. My role as a therapist is to collaborate with, empathize with, support, understand, and encourage my clients. I do this through face to face as well as tele/video therapy.
(512) 843-8718 View (512) 843-8718
Photo of Tari Dempsey, Licensed Professional Counselor in Austin, TX
Tari Dempsey
Licensed Professional Counselor, LPC
Verified Verified
Austin, TX 78745
Hi, I'm Tari Dempsey! I am a Licensed Professional Counselor (LPC) who is passionate about supporting all of my clients through challenges to experience haling and growth in their lives. I focus on cultivating relationships within families while navigating identified challenges. I believe in working collaboratively with clients while identifying goals of therapy. I work with teens to older adults. I specialize in symptoms of depression, anxiety, relationship issues ie. I believe in mindfulness and positive approach to client related issues.
Hi, I'm Tari Dempsey! I am a Licensed Professional Counselor (LPC) who is passionate about supporting all of my clients through challenges to experience haling and growth in their lives. I focus on cultivating relationships within families while navigating identified challenges. I believe in working collaboratively with clients while identifying goals of therapy. I work with teens to older adults. I specialize in symptoms of depression, anxiety, relationship issues ie. I believe in mindfulness and positive approach to client related issues.
(737) 201-9436 View (737) 201-9436
Photo of Stephen Kolar, Psychologist in Austin, TX
Stephen Kolar
Psychologist, PhD
Verified Verified
Austin, TX 78759  (Online Only)
I have openings as of April 1, 2024. Are you feeling anxious, depressed, or upset over conflict that you may have with others in your life? Are you unsure of what to do to improve your situation, boost your mood, and feel comfortable with your life? Maybe you're facing challenges at school, with peers, or with other family members. Let's work together to find solutions to the difficulties that you are facing.
I have openings as of April 1, 2024. Are you feeling anxious, depressed, or upset over conflict that you may have with others in your life? Are you unsure of what to do to improve your situation, boost your mood, and feel comfortable with your life? Maybe you're facing challenges at school, with peers, or with other family members. Let's work together to find solutions to the difficulties that you are facing.
(737) 204-8647 View (737) 204-8647
Photo of Erik Maye, Marriage & Family Therapist in Austin, TX
Erik Maye
Marriage & Family Therapist, LMFT
Verified Verified
8 Endorsed
Austin, TX 78730
Let's face it - maybe you’ve attempted to fix your problems on your own, but just can’t. You’re still trying to figure what to do and need some help, so you chose to seek out support. I specialize in working with men and recognize that being a man in our society presents a unique set of challenges and issues. Common issues I work with clients on include relationship/intimacy struggles, depression, anxiety, ADHD, shame, anger/rage, sexual issues, feelings of numbness and addiction. I can assure you a level of comfort and understanding as well as specialized training when dealing with these issues.
Let's face it - maybe you’ve attempted to fix your problems on your own, but just can’t. You’re still trying to figure what to do and need some help, so you chose to seek out support. I specialize in working with men and recognize that being a man in our society presents a unique set of challenges and issues. Common issues I work with clients on include relationship/intimacy struggles, depression, anxiety, ADHD, shame, anger/rage, sexual issues, feelings of numbness and addiction. I can assure you a level of comfort and understanding as well as specialized training when dealing with these issues.
(512) 309-7087 View (512) 309-7087
Photo of Laura B DeAngelo, Clinical Social Work/Therapist in Austin, TX
Laura B DeAngelo
Clinical Social Work/Therapist, LCSW
Verified Verified
Austin, TX 78749  (Online Only)
Are you facing challenges coping with life stressors or relationships? Do you need help learning to manage your thoughts, emotions, and behaviors in order to lead a productive and happy life? Are you a parent trying your best to parent a challenging child but still feel stuck? I offer compassionate, collaborative, results-oriented therapy and training for individuals and families who would like to improve the quality of life for themselves and/or their children. I use a warm and nonjudgmental approach to help you feel safe and comfortable. I want you to leave each session feeling hopeful, insightful, and empowered.
Are you facing challenges coping with life stressors or relationships? Do you need help learning to manage your thoughts, emotions, and behaviors in order to lead a productive and happy life? Are you a parent trying your best to parent a challenging child but still feel stuck? I offer compassionate, collaborative, results-oriented therapy and training for individuals and families who would like to improve the quality of life for themselves and/or their children. I use a warm and nonjudgmental approach to help you feel safe and comfortable. I want you to leave each session feeling hopeful, insightful, and empowered.
(512) 645-1518 View (512) 645-1518
Photo of Ashley Whittaker, Licensed Professional Counselor in Austin, TX
Ashley Whittaker
Licensed Professional Counselor, MEd, LPC
Verified Verified
1 Endorsed
Austin, TX 78704  (Online Only)
Now accepting new clients for teletherapy. You have taken a courageous first step by considering psychotherapy. Whether you are struggling with anxiety, experiencing difficulty in relationships, going through a life transition, or just wanting to make a change, I am here for you. I believe that therapy is an opportunity to invest in and explore our true selves, and that true change happens only once a person feels seen and understood. My priority is ensuring that you feel safe and comfortable so that we can work together to reach your goals; we all need a safe space to process our emotions and work toward our full potential.
Now accepting new clients for teletherapy. You have taken a courageous first step by considering psychotherapy. Whether you are struggling with anxiety, experiencing difficulty in relationships, going through a life transition, or just wanting to make a change, I am here for you. I believe that therapy is an opportunity to invest in and explore our true selves, and that true change happens only once a person feels seen and understood. My priority is ensuring that you feel safe and comfortable so that we can work together to reach your goals; we all need a safe space to process our emotions and work toward our full potential.
(512) 360-9855 View (512) 360-9855
Photo of Amah Aziamoah, Clinical Social Work/Therapist in Austin, TX
Amah Aziamoah
Clinical Social Work/Therapist, LCSW, EMDR
Verified Verified
1 Endorsed
Austin, TX 78751  (Online Only)
Hello & welcome! Asking for help is not easy, but there’s a part of you that’s wishing something was different and that same part of you has led you here. I have gratitude for that courageous part of you. I am a trauma-informed therapist with 11 years of experience working in organizations that serve children and adults. My experience as a Clinical Social Worker/Therapist in schools, treatment centers, and medical settings have equipped me to work with a variety of mental health needs. I am honored that my work history has granted me the opportunity to work with people of various racial, cultural, and ethnic backgrounds.
Hello & welcome! Asking for help is not easy, but there’s a part of you that’s wishing something was different and that same part of you has led you here. I have gratitude for that courageous part of you. I am a trauma-informed therapist with 11 years of experience working in organizations that serve children and adults. My experience as a Clinical Social Worker/Therapist in schools, treatment centers, and medical settings have equipped me to work with a variety of mental health needs. I am honored that my work history has granted me the opportunity to work with people of various racial, cultural, and ethnic backgrounds.
(512) 549-8031 View (512) 549-8031
Photo of Mary B Mattis, Clinical Social Work/Therapist in Austin, TX
Mary B Mattis
Clinical Social Work/Therapist, LCSW-S, LCDC
Verified Verified
18 Endorsed
Austin, TX 78745
To be fully alive in the 21st century, each of us has to make a conscious choice. Barriers can arise, challenging our ability to maintain personal values, stay mentally and emotionally stable, and live a life of our choosing. Mary works to help clients realize their version of a rich and balanced life. She provides a safe, supportive, judgment-free space to help you work through barriers that lie between where you are and where you want to be. What would you do if you knew you would not fail? Let's work together to find out. Mary B. Mattis at SoCo offers Clinical Supervision to LMSWs working toward LCSW status.
To be fully alive in the 21st century, each of us has to make a conscious choice. Barriers can arise, challenging our ability to maintain personal values, stay mentally and emotionally stable, and live a life of our choosing. Mary works to help clients realize their version of a rich and balanced life. She provides a safe, supportive, judgment-free space to help you work through barriers that lie between where you are and where you want to be. What would you do if you knew you would not fail? Let's work together to find out. Mary B. Mattis at SoCo offers Clinical Supervision to LMSWs working toward LCSW status.
(512) 605-0862 View (512) 605-0862
Photo of Kelsey Blahnik, Clinical Social Work/Therapist in Austin, TX
Kelsey Blahnik
Clinical Social Work/Therapist, LCSW-S
Verified Verified
Austin, TX 78701  (Online Only)
Kelsey Blahnik is a Qualified Supervisor in multiple states available for individual or group supervision and the executive director of The And Way Therapy. Kelsey and her team provide individual (ages 6+) and couples therapy via Telehealth. She primarily utilizes a fusion of EMDR and IFS. Due to her passion for making high quality, affordable Mental Health
Kelsey Blahnik is a Qualified Supervisor in multiple states available for individual or group supervision and the executive director of The And Way Therapy. Kelsey and her team provide individual (ages 6+) and couples therapy via Telehealth. She primarily utilizes a fusion of EMDR and IFS. Due to her passion for making high quality, affordable Mental Health
(737) 299-7394 View (737) 299-7394

How does your Therapist compare?

Number of Therapists in Austin, TX

3,000+

Average cost per session

$150

Therapists in Austin, TX who prioritize treating:

93% Anxiety
88% Depression
76% Relationship Issues
76% Self Esteem
70% Trauma and PTSD
69% Stress
68% Coping Skills

Average years in practice

10 Years

Top 3 insurances accepted

78% Aetna
74% UnitedHealthcare UHC | UBH
64% BlueCross and BlueShield

How Therapists in Austin, TX see their clients

55% In Person and Online
45% Online Only

Gender breakdown

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

How can I find a therapist in Austin?

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.