Therapists in Frisco, TX

Photo of Chaise Edwards-Hager, Psychological Associate in Frisco, TX
Chaise Edwards-Hager
Psychological Associate, LPA
Verified Verified
1 Endorsed
Frisco, TX 75034
Chaise Edwards-Hager is a Licensed Psychological Associate under the supervision of Dr. Micholyn Gayoso, PsyD., LP. She received a Masters of Arts in Clinical Psychology from Sam Houston State University. She is trained in Dialectical Behavior Therapy (DBT) and comprehensive neuropsychological evaluations. She has a wide array of experiences, including working with adolescents and adults from all backgrounds, each with a unique history. Chaise has worked with a variety of clients who struggle with anxiety, depression, suicidal ideation, self-harm, substance abuse, trauma and relationship, familial, and self-confidence issues.
Chaise Edwards-Hager is a Licensed Psychological Associate under the supervision of Dr. Micholyn Gayoso, PsyD., LP. She received a Masters of Arts in Clinical Psychology from Sam Houston State University. She is trained in Dialectical Behavior Therapy (DBT) and comprehensive neuropsychological evaluations. She has a wide array of experiences, including working with adolescents and adults from all backgrounds, each with a unique history. Chaise has worked with a variety of clients who struggle with anxiety, depression, suicidal ideation, self-harm, substance abuse, trauma and relationship, familial, and self-confidence issues.
(214) 225-2576 View (214) 225-2576
Photo of Katy Branchflower, Licensed Professional Counselor in Frisco, TX
Katy Branchflower
Licensed Professional Counselor, MS
Verified Verified
1 Endorsed
Frisco, TX 75034
Feeling frustrated, stuck, and unhappy can often be normal reactions to the current state of our lives. But who wants to continue to feel that way? Having a safe place to process desires and disappointments, while able to learn new ways to approach current challenges, allows you the ability to make the changes necessary to live more according to the life you desire. Your concerns and experiences are unique to you and together we will set achievable goals.
Feeling frustrated, stuck, and unhappy can often be normal reactions to the current state of our lives. But who wants to continue to feel that way? Having a safe place to process desires and disappointments, while able to learn new ways to approach current challenges, allows you the ability to make the changes necessary to live more according to the life you desire. Your concerns and experiences are unique to you and together we will set achievable goals.
(214) 972-0599 View (214) 972-0599
Photo of Ryuji Yoneyama, Marriage & Family Therapist in Frisco, TX
Ryuji Yoneyama
Marriage & Family Therapist, LMFT, MS
Verified Verified
1 Endorsed
Frisco, TX 75035
Therapy has powerful tools with the potential to give you some relief and to dial down the negative moods and challenges that you face. My experience and training help to introduce healthy coping skills to handle the difficult things that you are struggling to change on your own, and the additional skill of helping you to learn not just how, but when to use those skills most effectively.
Therapy has powerful tools with the potential to give you some relief and to dial down the negative moods and challenges that you face. My experience and training help to introduce healthy coping skills to handle the difficult things that you are struggling to change on your own, and the additional skill of helping you to learn not just how, but when to use those skills most effectively.
(214) 937-9120 View (214) 937-9120
Photo of Tiffany McAnarney, Licensed Professional Counselor in Frisco, TX
Tiffany McAnarney
Licensed Professional Counselor, MA, LPC
Verified Verified
Frisco, TX 75034  (Online Only)
Waitlist for new clients
In a hectic and unpredictable world, finding space to pause and submerge into one’s inner existence is a rarity. It can be difficult to allow ourselves this space until happenstances like grief, trauma, anxiety, depression, and burnout pull the rug out from under us. All living things on this planet, humans included, are conditioned by their environment and genetics. Years of our life are spent implicitly being influenced by others and life experiences. Processing through how these influences and experiences have impacted us explicitly bring them to awareness.
In a hectic and unpredictable world, finding space to pause and submerge into one’s inner existence is a rarity. It can be difficult to allow ourselves this space until happenstances like grief, trauma, anxiety, depression, and burnout pull the rug out from under us. All living things on this planet, humans included, are conditioned by their environment and genetics. Years of our life are spent implicitly being influenced by others and life experiences. Processing through how these influences and experiences have impacted us explicitly bring them to awareness.
(817) 477-6670 View (817) 477-6670
Photo of Melissa Endicott, Licensed Professional Counselor in Frisco, TX
Melissa Endicott
Licensed Professional Counselor, MS, LPC
Verified Verified
Frisco, TX 75034
My clients may find that they are struggling with trusting themselves or others in relationships, have difficulty feeling safe or confident in their own body, and/or some have past difficult/confusing/traumatic events that can make them feel stuck. I specialize in helping teens, adults, and families with Anxiety, Panic Disorder, OCD, Trauma, Eating Disorders, Depression, Adjustments, Life Stressors, and Grief and Loss. I am a gentle and empathic listener, and also will provide direct skills to help you with these issues. I believe you're the expert of your life, and I have training and tools to help you achieve your goals.
My clients may find that they are struggling with trusting themselves or others in relationships, have difficulty feeling safe or confident in their own body, and/or some have past difficult/confusing/traumatic events that can make them feel stuck. I specialize in helping teens, adults, and families with Anxiety, Panic Disorder, OCD, Trauma, Eating Disorders, Depression, Adjustments, Life Stressors, and Grief and Loss. I am a gentle and empathic listener, and also will provide direct skills to help you with these issues. I believe you're the expert of your life, and I have training and tools to help you achieve your goals.
(214) 428-6802 View (214) 428-6802
Photo of Tiffany L. Owen, Licensed Professional Counselor in Frisco, TX
Tiffany L. Owen
Licensed Professional Counselor, LPC
Verified Verified
Frisco, TX 75034
Tiffany L. Owen is a Licensed Professional Counselor in Texas who has been practicing since 2021. Tiffany offers a relaxed, non-judgmental atmosphere. She listens and guides her clients to help them come to healthy, positive conclusions to the issues that are negatively impacting their lives. Tiffany guides by teaching behavior techniques and coping skills to her clients so that they are more apt to manage the negative issues in their lives. Tiffany is an active, avid listener and gives a lot of feedback. Outside of work, Tiffany is an avid movie and TV watcher and quotes many lines from movies and shows.
Tiffany L. Owen is a Licensed Professional Counselor in Texas who has been practicing since 2021. Tiffany offers a relaxed, non-judgmental atmosphere. She listens and guides her clients to help them come to healthy, positive conclusions to the issues that are negatively impacting their lives. Tiffany guides by teaching behavior techniques and coping skills to her clients so that they are more apt to manage the negative issues in their lives. Tiffany is an active, avid listener and gives a lot of feedback. Outside of work, Tiffany is an avid movie and TV watcher and quotes many lines from movies and shows.
(469) 202-9016 View (469) 202-9016
Photo of Jeannie Barnes, Licensed Professional Counselor in Frisco, TX
Jeannie Barnes
Licensed Professional Counselor, MA, LPC
Verified Verified
1 Endorsed
Frisco, TX 75034
Most of us can easily think of the obvious benefits to counseling but a mental/emotional investment is required to reap those benefits. Unfortunately there is no magic wand or magic pill and as a therapist I cannot "fix" anyone. But...I can teach you how to use your thoughts for your success rather than your destruction. I can show you how your thoughts can be used as the steering wheel of your emotions and behavior. I can help you acquire and employ cognitive and behavioral strategies that will facilitate better communication and improve the relationship with yourself and others.
Most of us can easily think of the obvious benefits to counseling but a mental/emotional investment is required to reap those benefits. Unfortunately there is no magic wand or magic pill and as a therapist I cannot "fix" anyone. But...I can teach you how to use your thoughts for your success rather than your destruction. I can show you how your thoughts can be used as the steering wheel of your emotions and behavior. I can help you acquire and employ cognitive and behavioral strategies that will facilitate better communication and improve the relationship with yourself and others.
(817) 886-4419 View (817) 886-4419
Photo of Lena Mekdad, Licensed Professional Counselor in Frisco, TX
Lena Mekdad
Licensed Professional Counselor, LPC, MSc, MS, NBCC
Verified Verified
Frisco, TX 75034
I am an EMDR and Neurofeedback trained Licensed Professional Counselor. I have experience working with individuals, families, teens and adolescents. I am bi-lingual in English and Arabic. My approach in therapy is existential and person center oriented. I like to take my time to listen and challenge a client’s thoughts so that we can expand on self-awareness.
I am an EMDR and Neurofeedback trained Licensed Professional Counselor. I have experience working with individuals, families, teens and adolescents. I am bi-lingual in English and Arabic. My approach in therapy is existential and person center oriented. I like to take my time to listen and challenge a client’s thoughts so that we can expand on self-awareness.
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Photo of Donielle Jenkins, Licensed Professional Counselor in Frisco, TX
Donielle Jenkins
Licensed Professional Counselor, MS, LPC
Verified Verified
1 Endorsed
Frisco, TX 75034
Video Teletherapy + In Person and Weekend Appointments available to meet your needs! There are times in our lives when it's helpful to speak with someone objective and who will listen with an empathetic ear. I am a Licensed Professional Counselor with eighteen years of diverse clinical experience. My practice is in Frisco and consists of individual, adolescent, couples, and group therapy. I provide a safe and confidential place to explore my clients strengths and support them in gaining a more positive life experience. Life changes can be stressful for all of us, however you don't have to move through it alone.
Video Teletherapy + In Person and Weekend Appointments available to meet your needs! There are times in our lives when it's helpful to speak with someone objective and who will listen with an empathetic ear. I am a Licensed Professional Counselor with eighteen years of diverse clinical experience. My practice is in Frisco and consists of individual, adolescent, couples, and group therapy. I provide a safe and confidential place to explore my clients strengths and support them in gaining a more positive life experience. Life changes can be stressful for all of us, however you don't have to move through it alone.
(214) 444-6083 View (214) 444-6083
Photo of Meghan Skelton, Clinical Social Work/Therapist in Frisco, TX
Meghan Skelton
Clinical Social Work/Therapist, LCSW
Verified Verified
1 Endorsed
Frisco, TX 75034
Waitlist for new clients
My clients often come to me with life transition issues (teens, parenting challenges, relationship issues, major life events, trauma) and are experiencing a loss of identity, lack of direction and symptoms of pervasive anxiety . Together we explore with compassion for the journey to this point, identifying the life worth living and develop a cohesive treatment plan to meet those goals. Through peeling back layers of an onion, we tackle areas of trauma, hurt, shame as we grow empathy for self and tools to start actively changing the cycle of pain. My proudest moment is when a client is able to step down in treatment as goals are met.
My clients often come to me with life transition issues (teens, parenting challenges, relationship issues, major life events, trauma) and are experiencing a loss of identity, lack of direction and symptoms of pervasive anxiety . Together we explore with compassion for the journey to this point, identifying the life worth living and develop a cohesive treatment plan to meet those goals. Through peeling back layers of an onion, we tackle areas of trauma, hurt, shame as we grow empathy for self and tools to start actively changing the cycle of pain. My proudest moment is when a client is able to step down in treatment as goals are met.
(972) 440-1229 View (972) 440-1229
Photo of Gina R Carter, Licensed Professional Counselor in Frisco, TX
Gina R Carter
Licensed Professional Counselor, LPC, MAMF, MARE
Verified Verified
2 Endorsed
Frisco, TX 75034
Looking for relief and overwhelmed with where to even begin? Take the first step in unraveling the chaos as we develop a plan that helps restore your hope once again. My passion centers around working with adults who have experienced loss, trauma, mood disorders, and relationship difficulties. Together we develop strategies that equip you to move through the pain in your life, so you can face the future with renewed confidence.
Looking for relief and overwhelmed with where to even begin? Take the first step in unraveling the chaos as we develop a plan that helps restore your hope once again. My passion centers around working with adults who have experienced loss, trauma, mood disorders, and relationship difficulties. Together we develop strategies that equip you to move through the pain in your life, so you can face the future with renewed confidence.
(469) 224-0123 View (469) 224-0123
Photo of Dr. Yemi Lekuti, Licensed Professional Counselor in Frisco, TX
Dr. Yemi Lekuti
Licensed Professional Counselor, PhD, LPC, CGP
Verified Verified
Frisco, TX 75034  (Online Only)
Clients want to understand their relationships, feel equipped to handle life's stressors and learn how to gain the tools they need to live a functional life. The ideal client is the one who is trying to make amends with past decisions, understand the ebb and flow of setting boundaries, sit through the heavy emotions of grief and loss, and manage the invasive thoughts of doubt, insecurities, fear, or uncertainties. They want to overcome shame, guilt, and despair. Parents want to relate with others who struggle with parenting. Couples want to know if their relationship is repairable.
Clients want to understand their relationships, feel equipped to handle life's stressors and learn how to gain the tools they need to live a functional life. The ideal client is the one who is trying to make amends with past decisions, understand the ebb and flow of setting boundaries, sit through the heavy emotions of grief and loss, and manage the invasive thoughts of doubt, insecurities, fear, or uncertainties. They want to overcome shame, guilt, and despair. Parents want to relate with others who struggle with parenting. Couples want to know if their relationship is repairable.
(214) 265-7183 View (214) 265-7183
Photo of Teresa Vazquez, Licensed Master Social Worker in Frisco, TX
Teresa Vazquez
Licensed Master Social Worker, LMSW
Verified Verified
1 Endorsed
Frisco, TX 75034  (Online Only)
Consumed by the mistakes of the past and fears of the future? Feel like you could use some support from someone outside of your inner-circle? If you find yourself in need of someone to support you along your journey who is non-judgmental, honest, and has a sense of humor, you have come to the right place! I will work with you on identifying your strengths and empowering you to seek solutions that are realistic and attainable. If change is something you are truly seeking, and are willing to put in the work it requires, I would love to be part of your journey.
Consumed by the mistakes of the past and fears of the future? Feel like you could use some support from someone outside of your inner-circle? If you find yourself in need of someone to support you along your journey who is non-judgmental, honest, and has a sense of humor, you have come to the right place! I will work with you on identifying your strengths and empowering you to seek solutions that are realistic and attainable. If change is something you are truly seeking, and are willing to put in the work it requires, I would love to be part of your journey.
(469) 960-3521 View (469) 960-3521
Photo of Tara Trimble Lpc Associate Supervised By Brittany Lashua Lpc-S, Licensed Professional Counselor Associate in Frisco, TX
Tara Trimble Lpc Associate Supervised By Brittany Lashua Lpc-S
Licensed Professional Counselor Associate, MS, LPC-A
Verified Verified
Frisco, TX 75034
Every person has a unique perspective and lived experience when coming into therapy. In understanding just how different each individual situation can be, I use a variety of treatment protocols to tailor a treatment plan that best fits your situation. My goal is to provide a compassionate and non-judgmental space for clients to explore and navigate their challenges. I believe that relief can often be found in processing your thoughts & by understanding what keeps you bound in unhealthy cycles.
Every person has a unique perspective and lived experience when coming into therapy. In understanding just how different each individual situation can be, I use a variety of treatment protocols to tailor a treatment plan that best fits your situation. My goal is to provide a compassionate and non-judgmental space for clients to explore and navigate their challenges. I believe that relief can often be found in processing your thoughts & by understanding what keeps you bound in unhealthy cycles.
(469) 949-1235 View (469) 949-1235
Photo of Sarah Garrison, Clinical Social Work/Therapist in Frisco, TX
Sarah Garrison
Clinical Social Work/Therapist, LCSW
Verified Verified
2 Endorsed
Frisco, TX 75034  (Online Only)
I have a passion for working with adult clients to identify strengths and use them to improve well-being in all areas of life. I believe that therapy must be a partnership between the client and the therapist, and I will help you set and achieve your goals for wellness. I have worked with many different populations in both inpatient and outpatient settings, including those dually diagnosed with mental health and addiction issues. I approach counseling from a positive, non-judgmental and respectful place. I love to help clients grow in their understanding and ability to cope!
I have a passion for working with adult clients to identify strengths and use them to improve well-being in all areas of life. I believe that therapy must be a partnership between the client and the therapist, and I will help you set and achieve your goals for wellness. I have worked with many different populations in both inpatient and outpatient settings, including those dually diagnosed with mental health and addiction issues. I approach counseling from a positive, non-judgmental and respectful place. I love to help clients grow in their understanding and ability to cope!
(469) 708-9380 View (469) 708-9380
Photo of Kelly Hoxsey, Licensed Professional Counselor in Frisco, TX
Kelly Hoxsey
Licensed Professional Counselor, MS, LPC
Verified Verified
Frisco, TX 75035
My goal is to assist you in realizing the highest level of self-fulfillment and well-being by replacing negative thoughts, feelings and self-limiting behaviors with confidence, healthy coping skills, and a high level of personal satisfaction for yourself and your relationships. I specialize in assisting clients who are struggling with anxiety, depression, grief, and complex relationship difficulties.
My goal is to assist you in realizing the highest level of self-fulfillment and well-being by replacing negative thoughts, feelings and self-limiting behaviors with confidence, healthy coping skills, and a high level of personal satisfaction for yourself and your relationships. I specialize in assisting clients who are struggling with anxiety, depression, grief, and complex relationship difficulties.
(972) 433-5534 View (972) 433-5534
Photo of Kelsey Hollis, Licensed Professional Counselor in Frisco, TX
Kelsey Hollis
Licensed Professional Counselor, LPC
Verified Verified
Frisco, TX 75034
I am committed to working hard alongside my clients to provide professional, insightful counsel that is rooted in a biblical worldview. Many of the people I work with struggle against persistent anxiety, regularly fight off dark thoughts, or suffer as a result of trauma. Often, those individual experiences are even deeply interwoven with one another. Amidst our suffering and pain, I believe the Lord is faithful to bring freedom and healing.
I am committed to working hard alongside my clients to provide professional, insightful counsel that is rooted in a biblical worldview. Many of the people I work with struggle against persistent anxiety, regularly fight off dark thoughts, or suffer as a result of trauma. Often, those individual experiences are even deeply interwoven with one another. Amidst our suffering and pain, I believe the Lord is faithful to bring freedom and healing.
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Photo of Kim Tanuvasa, Licensed Professional Counselor in Frisco, TX
Kim Tanuvasa
Licensed Professional Counselor, MA, LPC, EMDR
Verified Verified
1 Endorsed
Frisco, TX 75035
The "get over it" advice is not always helpful. I'm here to help get you unstuck and find relief from impairing panic attacks, suicidal depression, and traumatic memories. Those who seek help face a better outcome. Replace sadness, worry and anger with self-acceptance, inner peace and empowerment.
The "get over it" advice is not always helpful. I'm here to help get you unstuck and find relief from impairing panic attacks, suicidal depression, and traumatic memories. Those who seek help face a better outcome. Replace sadness, worry and anger with self-acceptance, inner peace and empowerment.
(469) 203-4014 View (469) 203-4014
Photo of Stacy Davis, LPC Associate in Frisco, TX
Stacy Davis
LPC Associate, LPC-A, MS
Verified Verified
Frisco, TX 75034  (Online Only)
Stacy understands that we all struggle at times, and is passionate about working with those from all walks of life. She facilitates a nonjudgmental, welcoming environment and offers experience working with a broad spectrum of children, teens, adult individuals and couples. Stacy specializes in working with issues such as depression, anxiety, domestic violence, trauma, relationship concerns, ADHD, life transitions, stress, women’s issues, body image, family conflict, parenting, life transitions, separation/ divorce, perfectionism, behavioral concerns, self-esteem, grief/loss and more.
Stacy understands that we all struggle at times, and is passionate about working with those from all walks of life. She facilitates a nonjudgmental, welcoming environment and offers experience working with a broad spectrum of children, teens, adult individuals and couples. Stacy specializes in working with issues such as depression, anxiety, domestic violence, trauma, relationship concerns, ADHD, life transitions, stress, women’s issues, body image, family conflict, parenting, life transitions, separation/ divorce, perfectionism, behavioral concerns, self-esteem, grief/loss and more.
(469) 933-1181 View (469) 933-1181
Photo of Carol Pavlik, Licensed Professional Counselor in Frisco, TX
Carol Pavlik
Licensed Professional Counselor, Carol Pavlik, MA, LPC, LMFT
Verified Verified
Frisco, TX 75034
My goal in counseling is to encourage and motivate my clients as we work together through the process of healing. I help clients work through life's challenges, establish and accomplish their goals, and ultimately change their lives in more healthy and positive ways.
My goal in counseling is to encourage and motivate my clients as we work together through the process of healing. I help clients work through life's challenges, establish and accomplish their goals, and ultimately change their lives in more healthy and positive ways.
(972) 471-9134 View (972) 471-9134

How does your Therapist compare?

Number of Therapists in Frisco, TX

1,000+

Average cost per session

$150

Therapists in Frisco, TX who prioritize treating:

94% Anxiety
88% Depression
79% Self Esteem
75% Relationship Issues
75% Coping Skills
68% Stress
67% Trauma and PTSD

Average years in practice

11 Years

Top 3 insurances accepted

79% Aetna
79% UnitedHealthcare UHC | UBH
75% BlueCross and BlueShield

How Therapists in Frisco, TX see their clients

73% In Person and Online
27% Online Only

Gender breakdown

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

How can I find a therapist in Frisco?

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.