Therapists in Austin, TX

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Photo of Esther Kwak, Clinical Social Work/Therapist in Austin, TX
Esther Kwak
Clinical Social Work/Therapist, LCSW
Verified Verified
Austin, TX 78759  (Online Only)
Imagine you are the writer. You have all the pieces of your story within you already. Think of your thoughts, feelings, and behaviors as those pieces. Sometimes, they don’t make any sense, it’s overwhelming, and you don’t know where to begin. That’s where I come in. While I cannot write your story for you, I can be there with you to guide you through the process as you explore and learn more about yourself, reach clarity and understanding, and experience a renewed sense of hope.
Imagine you are the writer. You have all the pieces of your story within you already. Think of your thoughts, feelings, and behaviors as those pieces. Sometimes, they don’t make any sense, it’s overwhelming, and you don’t know where to begin. That’s where I come in. While I cannot write your story for you, I can be there with you to guide you through the process as you explore and learn more about yourself, reach clarity and understanding, and experience a renewed sense of hope.
(512) 561-0014 View (512) 561-0014
Photo of Katie Watson, Clinical Social Work/Therapist in Austin, TX
Katie Watson
Clinical Social Work/Therapist, LCSW, MPA, RYT
Verified Verified
Austin, TX 78703  (Online Only)
We often put significant effort into changing our lives all on our own before reaching out for support. It's not easy to ask for help, so I want to thank you for entrusting me to walk alongside you in this journey. My goal is to create a space where you feel safe to be yourself as we work together to navigate your path towards healing. It's important for me that you know that you're not alone.
We often put significant effort into changing our lives all on our own before reaching out for support. It's not easy to ask for help, so I want to thank you for entrusting me to walk alongside you in this journey. My goal is to create a space where you feel safe to be yourself as we work together to navigate your path towards healing. It's important for me that you know that you're not alone.
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Photo of Katie Bloodworth, Licensed Professional Counselor Associate in Austin, TX
Katie Bloodworth
Licensed Professional Counselor Associate, MA
Verified Verified
6 Endorsed
Austin, TX 78759  (Online Only)
Supervised by Sarah Arnold, LPC-S. I'm looking to work with clients who are struggling with life transitions and looking to make meaning out of their circumstances. I often work with couples who are navigating a relationship breach and trying to rebuild their foundation. I also work with individuals who are trying to repair or understand relationships in their lives: partners/spouses, family of origin, friendships, etc. I also work with individuals trying to process their trauma(s) and offer tools for healing.
Supervised by Sarah Arnold, LPC-S. I'm looking to work with clients who are struggling with life transitions and looking to make meaning out of their circumstances. I often work with couples who are navigating a relationship breach and trying to rebuild their foundation. I also work with individuals who are trying to repair or understand relationships in their lives: partners/spouses, family of origin, friendships, etc. I also work with individuals trying to process their trauma(s) and offer tools for healing.
(512) 489-9237 View (512) 489-9237
Photo of Dr. Holly McFarland, Psychologist in Austin, TX
Dr. Holly McFarland
Psychologist, PsyD
Verified Verified
Austin, TX 78756  (Online Only)
It is time to heal the split. Red vs Blue. Autonomy vs Community. Masculine vs Feminine. Mind vs Body. Earth vs. Human. Rationality vs Intuition. Science vs Spirit. All of these divisions have created monstrous cracks in our collective and inner landscapes, which have been making us sick psychologically, physically, and spiritually. However, for those who are willing to slow down and step into these cracks, therein lies the space and possibility for something new and more beautiful to emerge. We have become fractured and fragmented by a misunderstood myth of separation.
It is time to heal the split. Red vs Blue. Autonomy vs Community. Masculine vs Feminine. Mind vs Body. Earth vs. Human. Rationality vs Intuition. Science vs Spirit. All of these divisions have created monstrous cracks in our collective and inner landscapes, which have been making us sick psychologically, physically, and spiritually. However, for those who are willing to slow down and step into these cracks, therein lies the space and possibility for something new and more beautiful to emerge. We have become fractured and fragmented by a misunderstood myth of separation.
(512) 643-7977 View (512) 643-7977
Photo of Katy Adams, Licensed Professional Counselor in Austin, TX
Katy Adams
Licensed Professional Counselor, LMFT-S, LPC, SEP, CCTP, RYT-200
Verified Verified
2 Endorsed
Austin, TX 78746
I offer somatic psychotherapy (touch and tablework) for people who are working on trauma, relationship and attachment issues. This work may also bring up family of origin issues that may also be unresolved. I combine somatic, IFS, and attachment modalities. My somatic training also provides expertise in helping those with chronic illness or pain and how this is related to mental health. Somatic work also is for those with after-effects of surgeries or accidents.
I offer somatic psychotherapy (touch and tablework) for people who are working on trauma, relationship and attachment issues. This work may also bring up family of origin issues that may also be unresolved. I combine somatic, IFS, and attachment modalities. My somatic training also provides expertise in helping those with chronic illness or pain and how this is related to mental health. Somatic work also is for those with after-effects of surgeries or accidents.
(512) 900-7267 View (512) 900-7267
Photo of Maggie Weisenberger, Clinical Social Work/Therapist in Austin, TX
Maggie Weisenberger
Clinical Social Work/Therapist, LCSW-S, RYT
Verified Verified
4 Endorsed
Austin, TX 78746
Not accepting new clients
Updated 7/14 Not accepting new clients. My primary focus is working with trauma and anxiety. I utilize a solution-focused, client-centered CBT approach to address the root cause of any client issue and collaboratively discover ways to improve the client's situation. In December of 2017 I completed the intro level 200 hour of Yoga Therapy. I recently completed a 500hr Foundations in Viniyoga certification and will be going on to complete another 500hr training for yoga therapy. I may suggest mindfulness, yoga, meditation and breathing exercises. I hope to partner with you on your journey into self-care and holisitic healing.
Updated 7/14 Not accepting new clients. My primary focus is working with trauma and anxiety. I utilize a solution-focused, client-centered CBT approach to address the root cause of any client issue and collaboratively discover ways to improve the client's situation. In December of 2017 I completed the intro level 200 hour of Yoga Therapy. I recently completed a 500hr Foundations in Viniyoga certification and will be going on to complete another 500hr training for yoga therapy. I may suggest mindfulness, yoga, meditation and breathing exercises. I hope to partner with you on your journey into self-care and holisitic healing.
(512) 580-9828 View (512) 580-9828
Photo of Hannah Joy de Vries Lpc - Associate Supervised By Lacey Fisher Lpc-S, LPC Intern in Austin, TX
Hannah Joy de Vries Lpc - Associate Supervised By Lacey Fisher Lpc-S
LPC Intern, MA
Verified Verified
1 Endorsed
Austin, TX 78735
Not accepting new clients
Welcome! I enjoy working with people of all cultures and backgrounds. I have experience working with adults through childhood trauma, sexual trauma, grief and loss, depression, anxiety, cultural identity, perfectionism, and shame. I love working with folks to reduce shame, symptoms of anxiety and depression, process trauma, and anything else that keeps you from experiencing life the way you want. Additionally, I have a special place in my heart for working with folks during their perinatal journey through infertility, pregnancy, perinatal loss, and post-partum struggles.
Welcome! I enjoy working with people of all cultures and backgrounds. I have experience working with adults through childhood trauma, sexual trauma, grief and loss, depression, anxiety, cultural identity, perfectionism, and shame. I love working with folks to reduce shame, symptoms of anxiety and depression, process trauma, and anything else that keeps you from experiencing life the way you want. Additionally, I have a special place in my heart for working with folks during their perinatal journey through infertility, pregnancy, perinatal loss, and post-partum struggles.
(512) 969-2243 View (512) 969-2243
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 Nicole Galvez, Clinical Social Work/Therapist in Austin, TX
Nicole Galvez
Clinical Social Work/Therapist, LMSW
Verified Verified
Austin, TX 78704  (Online Only)
Not accepting new clients
Hello! I specialize in helping my clients overcome trauma–whether it was recent or in childhood–so they can once again live meaningful and joy-filled lives. I also serve individuals experiencing anxiety, depression, ADHD, perinatal mental health concerns, life transitions, and more.
Hello! I specialize in helping my clients overcome trauma–whether it was recent or in childhood–so they can once again live meaningful and joy-filled lives. I also serve individuals experiencing anxiety, depression, ADHD, perinatal mental health concerns, life transitions, and more.
(737) 520-3887 View (737) 520-3887
Photo of Mimi Lugo, Licensed Professional Counselor in Austin, TX
Mimi Lugo
Licensed Professional Counselor, LPC-S, CCTP
Verified Verified
1 Endorsed
Austin, TX 78758  (Online Only)
Telehealth/Virtual only- I believe everyone deserves to have mental and emotional health, as well as feel safe and happy. There will be times when we feel stuck, helpless, and like we are the only one who is experiencing what we are. I do not want you to give up. I want you to know there is help available. "There's a light at the end of the tunnel" if you truly want it and work for it. I would like to virtually facilitate your journey toward healing. If this is also your desire, you may reach me via email or call and leave a message please. You may also go directly to my website.
Telehealth/Virtual only- I believe everyone deserves to have mental and emotional health, as well as feel safe and happy. There will be times when we feel stuck, helpless, and like we are the only one who is experiencing what we are. I do not want you to give up. I want you to know there is help available. "There's a light at the end of the tunnel" if you truly want it and work for it. I would like to virtually facilitate your journey toward healing. If this is also your desire, you may reach me via email or call and leave a message please. You may also go directly to my website.
(254) 978-7534 View (254) 978-7534
Photo of Ashley Ridlehoover, Counselor in Austin, TX
Ashley Ridlehoover
Counselor, LPC-A, MA
Verified Verified
2 Endorsed
Austin, TX 78751
Deciding to pursue therapy can be a daunting task, and I work with many clients who have mixed feelings about being in counseling. For some, coming to counseling is a welcomed relief and having a space that is all your own can bring comfort. Others find that it feels scary and overwhelming to seek help, and they may not know where to begin. Whatever your feelings about therapy may be and at whatever point you may be in your process, I’m here to help.
Deciding to pursue therapy can be a daunting task, and I work with many clients who have mixed feelings about being in counseling. For some, coming to counseling is a welcomed relief and having a space that is all your own can bring comfort. Others find that it feels scary and overwhelming to seek help, and they may not know where to begin. Whatever your feelings about therapy may be and at whatever point you may be in your process, I’m here to help.
(737) 234-8193 View (737) 234-8193
Photo of Kerry Mecusker, Clinical Social Work/Therapist in Austin, TX
Kerry Mecusker
Clinical Social Work/Therapist, LCSW
Verified Verified
Austin, TX 78723  (Online Only)
EMDR and DBT trained. Currently training in somatic experiencing. Whether you are looking to make an important decision or become free of unwanted habits, then I am here to partner with you in this process. You have the answers inside and, together, we will find the next step forward. It will take deliberate actions, such as looking honestly at oneself, and a safe space to do so. Regardless of any manifestation of trauma, grief, or mental health dis-ease, you can and will create a life you love by first looking inward. "What we achieve inwardly will change outer reality." -Plutarch, ancient Greek philosopher.
EMDR and DBT trained. Currently training in somatic experiencing. Whether you are looking to make an important decision or become free of unwanted habits, then I am here to partner with you in this process. You have the answers inside and, together, we will find the next step forward. It will take deliberate actions, such as looking honestly at oneself, and a safe space to do so. Regardless of any manifestation of trauma, grief, or mental health dis-ease, you can and will create a life you love by first looking inward. "What we achieve inwardly will change outer reality." -Plutarch, ancient Greek philosopher.
(737) 258-7476 View (737) 258-7476
Photo of Melissa Klein, Clinical Social Work/Therapist in Austin, TX
Melissa Klein
Clinical Social Work/Therapist, LMSW
Verified Verified
1 Endorsed
Austin, TX 78745
I am supervised by Michelle Zadrozny, LCSW-S. Are you feeling disconnected from your life purpose? Are you struggling with low self esteem, the impacts of trauma, challenging relationships, lack of motivation, or debilitating thoughts, fears, or emotional pain? As your therapist, I will be a gentle and supportive presence to guide you into deeper self knowledge and healing, so that you can thrive. My therapeutic approach is influenced by my perspective as a musician and creative person, and I utilize techniques such as cognitive behavioral therapy, motivational interviewing, meditation, mindfulness, art, and narrative therapy.
I am supervised by Michelle Zadrozny, LCSW-S. Are you feeling disconnected from your life purpose? Are you struggling with low self esteem, the impacts of trauma, challenging relationships, lack of motivation, or debilitating thoughts, fears, or emotional pain? As your therapist, I will be a gentle and supportive presence to guide you into deeper self knowledge and healing, so that you can thrive. My therapeutic approach is influenced by my perspective as a musician and creative person, and I utilize techniques such as cognitive behavioral therapy, motivational interviewing, meditation, mindfulness, art, and narrative therapy.
(512) 559-1866 View (512) 559-1866
Photo of Lee Andrew Edwards, Psychologist in Austin, TX
Lee Andrew Edwards
Psychologist, PhD
Verified Verified
Austin, TX 78742  (Online Only)
Please note that all my sessions are now via video. I think therapy is about change. Sometimes the change is simply accepting yourself more. Sometimes it's changing your situation. A lot of times it's changing how you work with your situation, such as relationships, finances, or your own emotions. I love to work with clients who are hungry for change. Together we can figure out HOW to get you that change. Like most therapists, I enjoy working on relationship issues. I probably enjoy more than most working on how to deal with your emotions (how can I best handle my anger? vulnerability?) and on self-acceptance.
Please note that all my sessions are now via video. I think therapy is about change. Sometimes the change is simply accepting yourself more. Sometimes it's changing your situation. A lot of times it's changing how you work with your situation, such as relationships, finances, or your own emotions. I love to work with clients who are hungry for change. Together we can figure out HOW to get you that change. Like most therapists, I enjoy working on relationship issues. I probably enjoy more than most working on how to deal with your emotions (how can I best handle my anger? vulnerability?) and on self-acceptance.
(512) 337-4651 View (512) 337-4651
Photo of Jessica Hinojosa, Licensed Professional Counselor in Austin, TX
Jessica Hinojosa
Licensed Professional Counselor, LPC
Verified Verified
Austin, TX 78749
When working with clients I use an integrative approach that combines cognitive behavioral, mindfulness, and humanistic forms of therapy. I believe the foundation of growth and healing starts with an empathetic and present therapeutic rapport. I strive to meet my clients where they are and at the same time help facilitate further exploration of self.
When working with clients I use an integrative approach that combines cognitive behavioral, mindfulness, and humanistic forms of therapy. I believe the foundation of growth and healing starts with an empathetic and present therapeutic rapport. I strive to meet my clients where they are and at the same time help facilitate further exploration of self.
(512) 559-8671 View (512) 559-8671
Photo of Ayesha E Anthony, Licensed Professional Counselor in Austin, TX
Ayesha E Anthony
Licensed Professional Counselor
Verified Verified
Austin, TX 78746  (Online Only)
Waitlist for new clients
I provide therapy in a supportive, authentic and normalizing environment. I work to help others feel empowered as they work toward their goals and recognize how much they are able to shape their own lives when provided with effective tools and insight. I believe that the appropriate use of humor is extremely helpful and I strongly believe that it is not my place to judge you or to impose my values on you during the therapeutic process. I view counseling as a team effort where the counselor and client work together.
I provide therapy in a supportive, authentic and normalizing environment. I work to help others feel empowered as they work toward their goals and recognize how much they are able to shape their own lives when provided with effective tools and insight. I believe that the appropriate use of humor is extremely helpful and I strongly believe that it is not my place to judge you or to impose my values on you during the therapeutic process. I view counseling as a team effort where the counselor and client work together.
(512) 942-2634 View (512) 942-2634
Photo of Landon Cotton, Licensed Professional Counselor in Austin, TX
Landon Cotton
Licensed Professional Counselor, LPC
Verified Verified
5 Endorsed
Austin, TX 78745  (Online Only)
Anyone who has ever experienced a challenging life event knows how difficult it can be to talk to someone about it. Healing from these experiences is a process. If you're reading this, then you are already taking one of the most challenging steps in that process: reaching out. I am a Licensed Professional Counselor located in Austin, Texas. I specialize in working with LGBTQ+ experiences, anxiety, depression, men's issues, and relationship challenges.
Anyone who has ever experienced a challenging life event knows how difficult it can be to talk to someone about it. Healing from these experiences is a process. If you're reading this, then you are already taking one of the most challenging steps in that process: reaching out. I am a Licensed Professional Counselor located in Austin, Texas. I specialize in working with LGBTQ+ experiences, anxiety, depression, men's issues, and relationship challenges.
(512) 843-7449 View (512) 843-7449
Photo of Lauren Masciarelli, Marriage & Family Therapist in Austin, TX
Lauren Masciarelli
Marriage & Family Therapist, MA, LPC-S, LMFT-S
Verified Verified
3 Endorsed
Austin, TX 78746
I am dedicated to providing quality mental health care to every client that I serve. Because I believe that each person's experience of the world is truly unique, my approach to therapy is collaborative and integrative to aid clients in reaching their goals for healing and personal growth. I enjoy working with clients of ages 10 and up with a wide range of presenting concerns, but hold a special interest in working with adolescents and young adults experiencing difficulty navigating aspects of daily life including relationships with others, academic/work stress, personal identity, and difficulty managing emotions.
I am dedicated to providing quality mental health care to every client that I serve. Because I believe that each person's experience of the world is truly unique, my approach to therapy is collaborative and integrative to aid clients in reaching their goals for healing and personal growth. I enjoy working with clients of ages 10 and up with a wide range of presenting concerns, but hold a special interest in working with adolescents and young adults experiencing difficulty navigating aspects of daily life including relationships with others, academic/work stress, personal identity, and difficulty managing emotions.
(512) 270-2238 View (512) 270-2238
Photo of Jessica Rose Guajardo, LPC-Associate in Austin, TX
Jessica Rose Guajardo
LPC-Associate, LPC-A
Verified Verified
1 Endorsed
Austin, TX 78731
There are times where life can feel overwhelming, uncertain, and hopeless. No matter what you believe about yourself or your life at this moment, change is possible. Whether you are struggling with anxiety, depression, grief, trauma, relational issues, or immense stress, change and growth can occur. My hope is that you and I can work together to help relieve whatever it is that is burdening you. To free you of whatever may be standing in the way of creating your most rich, full, and meaningful life.
There are times where life can feel overwhelming, uncertain, and hopeless. No matter what you believe about yourself or your life at this moment, change is possible. Whether you are struggling with anxiety, depression, grief, trauma, relational issues, or immense stress, change and growth can occur. My hope is that you and I can work together to help relieve whatever it is that is burdening you. To free you of whatever may be standing in the way of creating your most rich, full, and meaningful life.
(512) 898-7772 View (512) 898-7772
Photo of Stephanie Guerra, Licensed Professional Counselor Associate in Austin, TX
Stephanie Guerra
Licensed Professional Counselor Associate, MA, LPC-A
Verified Verified
1 Endorsed
Austin, TX 78746
Do you need help to build confidence, pursue your passions, or create meaning in your life? Do you want to look at ways you can move past the stuck places and repetitive patterns that prevent you from experiencing more intimate and fulfilling relationships with yourself and others? Does anxiety/depression prevent you from trying? I specialize in helping people move through the parts of their lives that are not working and build new ways of thinking. I am rooted in mindfulness that helps guide my clients to be more self empowered and self actualized.
Do you need help to build confidence, pursue your passions, or create meaning in your life? Do you want to look at ways you can move past the stuck places and repetitive patterns that prevent you from experiencing more intimate and fulfilling relationships with yourself and others? Does anxiety/depression prevent you from trying? I specialize in helping people move through the parts of their lives that are not working and build new ways of thinking. I am rooted in mindfulness that helps guide my clients to be more self empowered and self actualized.
(512) 881-6461 View (512) 881-6461

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.