Therapists in Austin, TX

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Photo of Em Bridge, Clinical Social Work/Therapist in Austin, TX
Em Bridge
Clinical Social Work/Therapist, MSSW, LCSW-S
Verified Verified
3 Endorsed
Austin, TX 78746
I want to help each of my clients find a sense of health - emotionally, physically, and sexually. Let's work together to sort through the things causing disruption in your everyday life including intimate relationships, sexuality, or general life transitions (starting or ending a relationship, coming out, exploring non-traditional relationships, etc.) I am committed to helping you move through anxiety, depression, family of origin issues, and shame in order to help you increase connections with yourself and your community.
I want to help each of my clients find a sense of health - emotionally, physically, and sexually. Let's work together to sort through the things causing disruption in your everyday life including intimate relationships, sexuality, or general life transitions (starting or ending a relationship, coming out, exploring non-traditional relationships, etc.) I am committed to helping you move through anxiety, depression, family of origin issues, and shame in order to help you increase connections with yourself and your community.
(512) 920-6238 View (512) 920-6238
Photo of Manuel J. Cantu, LPC-Associate in Austin, TX
Manuel J. Cantu
LPC-Associate, MA
Verified Verified
2 Endorsed
Austin, TX 78731
I specialize in helping people deal with the natural ups and downs of life, as well as overwhelming experiences that leave a more lasting impact. Whether you're moving through grief or healing from trauma, I empower clients to create lasting change through self-discovery and skill building. I am also trained in eye-movement desensitization and reprocessing (EMDR) for individuals who have found they need more than talk therapy alone.
I specialize in helping people deal with the natural ups and downs of life, as well as overwhelming experiences that leave a more lasting impact. Whether you're moving through grief or healing from trauma, I empower clients to create lasting change through self-discovery and skill building. I am also trained in eye-movement desensitization and reprocessing (EMDR) for individuals who have found they need more than talk therapy alone.
(512) 881-9868 View (512) 881-9868
Photo of From Spark to Fire Counseling and Supervision PLLC, Licensed Professional Counselor in Austin, TX
From Spark to Fire Counseling and Supervision PLLC
Licensed Professional Counselor, PhD, LPC-S, NCC
Verified Verified
5 Endorsed
Austin, TX 78752
Sometimes all it takes to make a change is the courage to take the first step. We offer Individual and Couples Therapy in and around the Austin area. Each session is provided in a safe and secure environment to share on a long or short-term basis depending on the client. We value and demonstrate open-mindedness for all walks of life and possess vast experience with many different issues and diagnoses. We believe that together we can design a step-by-step, cost-effective plan for you to achieve optimum ongoing happiness, satisfaction, and productivity in life.
Sometimes all it takes to make a change is the courage to take the first step. We offer Individual and Couples Therapy in and around the Austin area. Each session is provided in a safe and secure environment to share on a long or short-term basis depending on the client. We value and demonstrate open-mindedness for all walks of life and possess vast experience with many different issues and diagnoses. We believe that together we can design a step-by-step, cost-effective plan for you to achieve optimum ongoing happiness, satisfaction, and productivity in life.
(737) 204-8658 View (737) 204-8658
Liliana Valenzuela Lewis
Licensed Professional Counselor, MS, LPC, NCC, LCDC
Verified Verified
Austin, TX 78746
As someone who can identify with the aftermath of trauma, bullying, and grief at a young age, I too can understand the mental and emotional stress; and the need to find peace. Through psychotherapy, I learned self-compassion and how to allow myself to embark on new adventures. I gained hope and a new worldview.
As someone who can identify with the aftermath of trauma, bullying, and grief at a young age, I too can understand the mental and emotional stress; and the need to find peace. Through psychotherapy, I learned self-compassion and how to allow myself to embark on new adventures. I gained hope and a new worldview.
(512) 387-6940 View (512) 387-6940
Photo of Vanessa Rodriguez, Psychologist in Austin, TX
Vanessa Rodriguez
Psychologist, PhD
Verified Verified
Austin, TX 78759
Coping with stress, transitions, and life's challenges can be difficult, but it is not one that you have to face alone. My goal is to provide the support and tools that are needed to manage the emotional distress that come with unsettling times. I work with individuals all along the lifespan using a person-centered and integrative approach to meet a client's needs. While I work with clients of all ages, I also specialize in working in infant/toddler mental health and with those who have experienced trauma and violence.
Coping with stress, transitions, and life's challenges can be difficult, but it is not one that you have to face alone. My goal is to provide the support and tools that are needed to manage the emotional distress that come with unsettling times. I work with individuals all along the lifespan using a person-centered and integrative approach to meet a client's needs. While I work with clients of all ages, I also specialize in working in infant/toddler mental health and with those who have experienced trauma and violence.
(512) 764-0555 View (512) 764-0555
Photo of Jill Jagmin in Austin, TX
Jill Jagmin
MA
Verified Verified
Austin, TX 78723
It is my honor and privilege to accompany clients on their inward journey toward growth, healing, and self-compassion. I firmly believe in the fundamental connection between the mind, body, and spirit. Neglecting any aspect of our holistic self means overlooking the abundant wisdom within each of us. We will delve into the intricate interplay between thoughts and emotions throughout our time together, drawing from mindfulness-based techniques, somatic experiencing, Person-Centered therapy, EMDR, and Internal Family Systems principles.
It is my honor and privilege to accompany clients on their inward journey toward growth, healing, and self-compassion. I firmly believe in the fundamental connection between the mind, body, and spirit. Neglecting any aspect of our holistic self means overlooking the abundant wisdom within each of us. We will delve into the intricate interplay between thoughts and emotions throughout our time together, drawing from mindfulness-based techniques, somatic experiencing, Person-Centered therapy, EMDR, and Internal Family Systems principles.
(512) 601-5831 View (512) 601-5831
Photo of Jason Shestok, Psychologist in Austin, TX
Jason Shestok
Psychologist, PsyD
Verified Verified
Austin, TX 78731
I consider my role as psychologist as one who strives to focus on the personal strengths, abilities, and vulnerabilities of a person through empathic support and optimism for positive change. To create a safe place where immediate issues, or chronic problems and patterns, can be identified and explored. To appreciate the whole person as a means to make sense of their experiences and behaviors.
I consider my role as psychologist as one who strives to focus on the personal strengths, abilities, and vulnerabilities of a person through empathic support and optimism for positive change. To create a safe place where immediate issues, or chronic problems and patterns, can be identified and explored. To appreciate the whole person as a means to make sense of their experiences and behaviors.
(512) 998-9806 View (512) 998-9806
Photo of Katherine Velasquez, Pre-Licensed Professional in Austin, TX
Katherine Velasquez
Pre-Licensed Professional, LPC-A
Verified Verified
1 Endorsed
Austin, TX 78746
My ideal client seeks positive change and growth, grappling with challenges that hinder well-being. They yearn for effective coping mechanisms and greater self-awareness, aiming for a more fulfilling life. Their goals are rooted in achieving a harmonious balance, and they understand the transformative power of therapy. Motivated by a desire for purpose and understanding, they seek a safe, empathetic space to explore their unique journey. I aim to guide them towards lasting positive change, fostering resilience and a renewed sense of purpose in their lives.
My ideal client seeks positive change and growth, grappling with challenges that hinder well-being. They yearn for effective coping mechanisms and greater self-awareness, aiming for a more fulfilling life. Their goals are rooted in achieving a harmonious balance, and they understand the transformative power of therapy. Motivated by a desire for purpose and understanding, they seek a safe, empathetic space to explore their unique journey. I aim to guide them towards lasting positive change, fostering resilience and a renewed sense of purpose in their lives.
(512) 399-3453 View (512) 399-3453
Photo of Arturo Reyes, LCSW, Clinical Social Work/Therapist in Austin, TX
Arturo Reyes, LCSW
Clinical Social Work/Therapist, LCSW
Verified Verified
Austin, TX 78731  (Online Only)
My unwavering passion lies in the pursuit of healing for individuals who have undergone traumatic or life-altering experiences. I am deeply committed to guiding my clients, spanning across all age groups including children, adults, and families, towards cultivating positive self-perceptions and fortifying their interpersonal connections, thereby fostering a sense of tranquility, wholeness, and security within themselves. Recognizing the unique needs of each individual, I acknowledge that there is no one-size-fits-all approach to healing. As such, I have undergone comprehensive training in various therapeutic modalities.
My unwavering passion lies in the pursuit of healing for individuals who have undergone traumatic or life-altering experiences. I am deeply committed to guiding my clients, spanning across all age groups including children, adults, and families, towards cultivating positive self-perceptions and fortifying their interpersonal connections, thereby fostering a sense of tranquility, wholeness, and security within themselves. Recognizing the unique needs of each individual, I acknowledge that there is no one-size-fits-all approach to healing. As such, I have undergone comprehensive training in various therapeutic modalities.
(737) 302-5886 View (737) 302-5886
Photo of Ann Gilbert, Clinical Social Work/Therapist in Austin, TX
Ann Gilbert
Clinical Social Work/Therapist, LMSW
Verified Verified
1 Endorsed
Austin, TX 78701
Hi, and welcome! My name is Ann and I'm a Licensed Master of Social Work or LMSW. I support children, teens, couples, and pregnant and postpartum people in navigating through life transitions. Therapy is a creative process that empowers us to be the authors of our stories. I collaborate with my clients to write new narratives as we explore overwhelming thoughts and feelings, conflict and relationships, and grief and traumatic loss. You are the expert of your experiences. We'll work together to discover what works best for you and your family.
Hi, and welcome! My name is Ann and I'm a Licensed Master of Social Work or LMSW. I support children, teens, couples, and pregnant and postpartum people in navigating through life transitions. Therapy is a creative process that empowers us to be the authors of our stories. I collaborate with my clients to write new narratives as we explore overwhelming thoughts and feelings, conflict and relationships, and grief and traumatic loss. You are the expert of your experiences. We'll work together to discover what works best for you and your family.
(737) 258-7961 View (737) 258-7961
Photo of Meghan Burgess, Clinical Social Work/Therapist in Austin, TX
Meghan Burgess
Clinical Social Work/Therapist, LCSW, LCDC
Verified Verified
Austin, TX 78704
I come to this profession with a drive to bring forth honesty, self-discovery, and self-compassion with each person I work with. At my core, I see therapy as a transformational process that helps people to become empowered and unburdened. Through a process of safely unearthing, re-wiring, and re-writing our lived experience, therapy can bring about a shift of perspective that can have a ripple effect of positive changes in someone's life. As your therapist, I use a psychodynamic, strengths based approach in our work together. I take this process and your time very seriously, as it can be a life changing investment in yourself.
I come to this profession with a drive to bring forth honesty, self-discovery, and self-compassion with each person I work with. At my core, I see therapy as a transformational process that helps people to become empowered and unburdened. Through a process of safely unearthing, re-wiring, and re-writing our lived experience, therapy can bring about a shift of perspective that can have a ripple effect of positive changes in someone's life. As your therapist, I use a psychodynamic, strengths based approach in our work together. I take this process and your time very seriously, as it can be a life changing investment in yourself.
(512) 229-9267 View (512) 229-9267
Photo of Insight Counseling & Therapy Solutions, PLLC, Marriage & Family Therapist in Austin, TX
Insight Counseling & Therapy Solutions, PLLC
Marriage & Family Therapist, LMFT
Verified Verified
2 Endorsed
Austin, TX 78750
I am a Licensed Marriage and Family Therapist in Texas and New Mexico, offering a personable approach to psychotherapy for Couples & Individuals. I have experience working with all types of mental health disorders in various settings (individual, group, couples, family). My focus is on personal wellness for the individual and the family system. My goal is to work on the issues at hand using the most up to date research proven methods. I am passionate about empowering clients to find their voice & gain insight in a supportive & non-judgmental environment.
I am a Licensed Marriage and Family Therapist in Texas and New Mexico, offering a personable approach to psychotherapy for Couples & Individuals. I have experience working with all types of mental health disorders in various settings (individual, group, couples, family). My focus is on personal wellness for the individual and the family system. My goal is to work on the issues at hand using the most up to date research proven methods. I am passionate about empowering clients to find their voice & gain insight in a supportive & non-judgmental environment.
(512) 271-4761 View (512) 271-4761
Photo of Mayra Sigala-Ramon, Licensed Professional Counselor in Austin, TX
Mayra Sigala-Ramon
Licensed Professional Counselor, MEd, LPC-S
Verified Verified
Austin, TX 78748  (Online Only)
Now Accepting New Clients - We all experience challenges, stresses and obstacles in life that leave us feeling stuck, confused or lost. Your mental health is important. How you experience your world and cope with your feelings, influences every part of you. Lately, you’ve noticed it’s difficult to concentrate or struggle to find the energy to begin tasks. You've come to the realization that you put on a mask everyday and it’s exhausting. I see you, I hear you, you don’t have to do this alone.
Now Accepting New Clients - We all experience challenges, stresses and obstacles in life that leave us feeling stuck, confused or lost. Your mental health is important. How you experience your world and cope with your feelings, influences every part of you. Lately, you’ve noticed it’s difficult to concentrate or struggle to find the energy to begin tasks. You've come to the realization that you put on a mask everyday and it’s exhausting. I see you, I hear you, you don’t have to do this alone.
(737) 345-4764 View (737) 345-4764
Photo of Karey Scheyd, Licensed Professional Counselor in Austin, TX
Karey Scheyd
Licensed Professional Counselor, MA, LPC
Verified Verified
7 Endorsed
Austin, TX 78751
You deserve a counselor who makes you feel safe enough to be brave: to share openly, take risks, face fears, and rise to challenges. It takes motivation to look inward, honesty to build awareness, and courage to make change. Whether this is your first counseling experience or you’ve been in therapy before, you’re likely sensing that something’s not quite right, and you're seeking something bigger, bolder, or brighter than what you’re experiencing in your life now. I believe that longing is a sign of the inherent well-being available to you, and with a good therapist you can reconnect to your most authentic, radiant self.
You deserve a counselor who makes you feel safe enough to be brave: to share openly, take risks, face fears, and rise to challenges. It takes motivation to look inward, honesty to build awareness, and courage to make change. Whether this is your first counseling experience or you’ve been in therapy before, you’re likely sensing that something’s not quite right, and you're seeking something bigger, bolder, or brighter than what you’re experiencing in your life now. I believe that longing is a sign of the inherent well-being available to you, and with a good therapist you can reconnect to your most authentic, radiant self.
(512) 543-1496 View (512) 543-1496
Photo of Dalila Garcia, Pre-Licensed Professional in Austin, TX
Dalila Garcia
Pre-Licensed Professional
Verified Verified
Austin, TX 78731  (Online Only)
My ideal client seeks support for various challenges, including relationship issues, self-esteem struggles, and life transitions. They desire a safe, non-judgmental space to explore & address these concerns. Empathy, active listening, and evidence-based techniques are essential in your counseling approach. Clients aim for self-discovery, empowerment, and practical strategies for positive change. They seek guidance, support, and encouragement on their journey toward personal growth and fulfillment. Your dedication to their well-being and commitment to collaborative work resonates deeply with them as they navigate life's complexities.
My ideal client seeks support for various challenges, including relationship issues, self-esteem struggles, and life transitions. They desire a safe, non-judgmental space to explore & address these concerns. Empathy, active listening, and evidence-based techniques are essential in your counseling approach. Clients aim for self-discovery, empowerment, and practical strategies for positive change. They seek guidance, support, and encouragement on their journey toward personal growth and fulfillment. Your dedication to their well-being and commitment to collaborative work resonates deeply with them as they navigate life's complexities.
(512) 668-7692 View (512) 668-7692
Photo of Heather Thiel, Clinical Social Work/Therapist in Austin, TX
Heather Thiel
Clinical Social Work/Therapist, LCSW
Verified Verified
Austin, TX 78739  (Online Only)
I love working with both individuals and couples! I believe everyone deserves to be happy and comfortable in mind, body, and relationships. Unfortunately, anxiety, stress, self-doubt, depression, and misunderstandings can knock you out of life’s driver’s seat. In my couples counseling work, I use EFT and the Gottman method to assist partners in healing patterns of miscommunication and disconnection. Couples learn to express their deepest feelings, respond rather than react, and make successful bids for connection.
I love working with both individuals and couples! I believe everyone deserves to be happy and comfortable in mind, body, and relationships. Unfortunately, anxiety, stress, self-doubt, depression, and misunderstandings can knock you out of life’s driver’s seat. In my couples counseling work, I use EFT and the Gottman method to assist partners in healing patterns of miscommunication and disconnection. Couples learn to express their deepest feelings, respond rather than react, and make successful bids for connection.
(737) 637-4516 View (737) 637-4516
Photo of Gregory Mark Spayd, Licensed Professional Counselor in Austin, TX
Gregory Mark Spayd
Licensed Professional Counselor, MS, LPC
Verified Verified
Austin, TX 78751  (Online Only)
Not accepting new clients
We all walk this earth together, and I consider it a great gift each time I have the privilege of walking beside a fellow human being as they reach out to someone to assist along the way. Many people are unaware that they already possess formidable personal strengths, which may, when thoughtfully paired with self-awareness, event processing, and healing, yield lives of skilled resilience. I offer you my presence, empathy, skills, and unconditional positive regard as we, together, gain clarity about your situation and build a path forward for you.
We all walk this earth together, and I consider it a great gift each time I have the privilege of walking beside a fellow human being as they reach out to someone to assist along the way. Many people are unaware that they already possess formidable personal strengths, which may, when thoughtfully paired with self-awareness, event processing, and healing, yield lives of skilled resilience. I offer you my presence, empathy, skills, and unconditional positive regard as we, together, gain clarity about your situation and build a path forward for you.
(737) 204-5597 View (737) 204-5597
Photo of Sprouting Branch Psychotherapy Inc, Psychologist in Austin, TX
Sprouting Branch Psychotherapy Inc
Psychologist
Verified Verified
Austin, TX 78756
Life seems harder for your child than others. Just getting through each day is a challenge. As you see your child struggle, you feel frustrated and drained. Maybe your family is stuck together in your child's hard place. The energy seems to flow to dealing with sadness, worry, or acting out. Once the situation seemed a passing phase, but more and more it feels like it will always be like this. You worry about where this is headed. It's time to find help for your child and your family.
Life seems harder for your child than others. Just getting through each day is a challenge. As you see your child struggle, you feel frustrated and drained. Maybe your family is stuck together in your child's hard place. The energy seems to flow to dealing with sadness, worry, or acting out. Once the situation seemed a passing phase, but more and more it feels like it will always be like this. You worry about where this is headed. It's time to find help for your child and your family.
(512) 271-4397 View (512) 271-4397
Photo of Flourish Psychotherapy, Clinical Social Work/Therapist in Austin, TX
Flourish Psychotherapy
Clinical Social Work/Therapist, LCSW
Verified Verified
Austin, TX 78745
At Flourish! we recognize that it is hard to be a human navigating our current modern challenges - and even harder to do it alone. Our holistic, mindful and somatic approach to mental health is especially helpful for people feeling overwhelmed, exhausted, unfulfilled, anxious, hopeless, or who have experienced recent or past trauma(s).
At Flourish! we recognize that it is hard to be a human navigating our current modern challenges - and even harder to do it alone. Our holistic, mindful and somatic approach to mental health is especially helpful for people feeling overwhelmed, exhausted, unfulfilled, anxious, hopeless, or who have experienced recent or past trauma(s).
(512) 865-4955 View (512) 865-4955
Photo of Maria Wesley Pinion, Clinical Social Work/Therapist in Austin, TX
Maria Wesley Pinion
Clinical Social Work/Therapist, LCSW, CSAT, CCBRT-c
Verified Verified
Austin, TX 78746
Are you struggling with sexual behaviors you've promised yourself you'll stop? Is your spouse's porn use or sexual betrayal threatening your marriage? I offer Individual and Couples counseling for those whose relationship is struggling due to Porn or Sex Addiction as well as counseling for Partners of Betrayal Trauma. Many couples struggling with Sex Addiction or Infidelity want to heal their relationship and learn how to return to connection and intimacy. As a Certified Sex Addiction Therapist and a specialist in Couples Betrayal Recovery therapy, I will help you navigate the waters of recovering from infidelity.
Are you struggling with sexual behaviors you've promised yourself you'll stop? Is your spouse's porn use or sexual betrayal threatening your marriage? I offer Individual and Couples counseling for those whose relationship is struggling due to Porn or Sex Addiction as well as counseling for Partners of Betrayal Trauma. Many couples struggling with Sex Addiction or Infidelity want to heal their relationship and learn how to return to connection and intimacy. As a Certified Sex Addiction Therapist and a specialist in Couples Betrayal Recovery therapy, I will help you navigate the waters of recovering from infidelity.
(512) 229-9767 View (512) 229-9767

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.