Therapists in Austin, TX

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Photo of Marilyn Gabrielle Ramirez, Clinical Social Work/Therapist in Austin, TX
Marilyn Gabrielle Ramirez
Clinical Social Work/Therapist, LCSW
Verified Verified
Austin, TX 78759
Please email for scheduling requests- Hello, I'm glad that you're here and are open to exploring your process for healing as an individual or couple. You're showing yourself a form of care by taking the steps to gain insight in to how your past experiences may be affecting your current thought patterns, behavior, and the relationship that you have with yourself and others. You are taking an active role in honoring your experience, and are giving yourself the opportunity and space to understand what you have been carrying.
Please email for scheduling requests- Hello, I'm glad that you're here and are open to exploring your process for healing as an individual or couple. You're showing yourself a form of care by taking the steps to gain insight in to how your past experiences may be affecting your current thought patterns, behavior, and the relationship that you have with yourself and others. You are taking an active role in honoring your experience, and are giving yourself the opportunity and space to understand what you have been carrying.
(737) 258-7686 View (737) 258-7686
Photo of Jeanne Schillaci, Psychologist in Austin, TX
Jeanne Schillaci
Psychologist, PhD
Verified Verified
1 Endorsed
Austin, TX 78704
Not accepting new clients
You keep up with your responsibilities, but just barely. The weight of anxiety, depression or panic attacks is dragging you down. You may continue to be bothered by issues from your childhood. You see yourself as competent, professional and put together. It feels hard to be struggling. You think, "This isn't me" and "Why can't I snap out of it?" You've finally decided to seek help.
You keep up with your responsibilities, but just barely. The weight of anxiety, depression or panic attacks is dragging you down. You may continue to be bothered by issues from your childhood. You see yourself as competent, professional and put together. It feels hard to be struggling. You think, "This isn't me" and "Why can't I snap out of it?" You've finally decided to seek help.
(361) 277-1927 View (361) 277-1927
Photo of Healing Branches, Licensed Professional Counselor in Austin, TX
Healing Branches
Licensed Professional Counselor
Verified Verified
Austin, TX 78759
There are those days when just getting out of bed is difficult. Having someone help manage struggles and figuring life out is important. The twist and turns of life can leave one feeling drained, exhausted, and in a mental fog, or a loss of wanting to or even knowing how to move forward. This is where I come in, helping those who are stuck, lost, hopeless and who cannot figure out what’s going on inside, feeling there is no way out, or even making unhelpful choices in life. Possibly a teenager or young adult scared about life or the future and managing stress. This is why I am here.
There are those days when just getting out of bed is difficult. Having someone help manage struggles and figuring life out is important. The twist and turns of life can leave one feeling drained, exhausted, and in a mental fog, or a loss of wanting to or even knowing how to move forward. This is where I come in, helping those who are stuck, lost, hopeless and who cannot figure out what’s going on inside, feeling there is no way out, or even making unhelpful choices in life. Possibly a teenager or young adult scared about life or the future and managing stress. This is why I am here.
(512) 842-6111 View (512) 842-6111
Photo of Sandra Cano Cormier, Psychologist in Austin, TX
Sandra Cano Cormier
Psychologist, PhD, LSSP
Verified Verified
2 Endorsed
Austin, TX 78748
I am a licensed psychologist and licensed specialist in school psychology. My practice serves adults, adolescents, children, and families. I use a problem-solving, collaborative, pragmatic approach which is helpful in achieving positive results quickly. My specialities include treating youth and adults with anxiety, depression, and trauma histories, as well as child and adolescent concerns such as ADHD and defiance. I am available to support veterans who are experiencing PTSD and adjustment issues related to returning to civilian life. Additionally, I work with older adults who might be experiencing depression, adjustment difficulties, or other mental health concerns.
I am a licensed psychologist and licensed specialist in school psychology. My practice serves adults, adolescents, children, and families. I use a problem-solving, collaborative, pragmatic approach which is helpful in achieving positive results quickly. My specialities include treating youth and adults with anxiety, depression, and trauma histories, as well as child and adolescent concerns such as ADHD and defiance. I am available to support veterans who are experiencing PTSD and adjustment issues related to returning to civilian life. Additionally, I work with older adults who might be experiencing depression, adjustment difficulties, or other mental health concerns.
(512) 262-9712 View (512) 262-9712
Photo of Darbi Armstrong Peterson, Licensed Professional Counselor in Austin, TX
Darbi Armstrong Peterson
Licensed Professional Counselor, MS, LPC, NCC
Verified Verified
1 Endorsed
Austin, TX 78731  (Online Only)
Bloom Mental Health is dedicated to improving the lives of our clients through compassionate and effective psychotherapy services. Our team of therapists are carefully selected based on their ability to connect with clients on a deep level and help them find healing and transformation. We're excited to welcome new therapists to the team soon!
Bloom Mental Health is dedicated to improving the lives of our clients through compassionate and effective psychotherapy services. Our team of therapists are carefully selected based on their ability to connect with clients on a deep level and help them find healing and transformation. We're excited to welcome new therapists to the team soon!
(512) 859-5798 View (512) 859-5798
Photo of Carl Funk, Licensed Professional Counselor in Austin, TX
Carl Funk
Licensed Professional Counselor, LPC
Verified Verified
Austin, TX 78759
We learn how to think about our thinking, and know about our knowing. We can learn how to be aware of our awareness, and explore our wiring and making a motion to rewire, if needed. I believe that we must learn to be vulnerable. Practicing vulnerability isn't about doing something for others. You're creating a soil, rich soil for you and your growth. You are raising your potential. You are positioning yourself. You are building a better, stronger you. I also believe that it is important in therapy that the client begin to look inward of themselves.
We learn how to think about our thinking, and know about our knowing. We can learn how to be aware of our awareness, and explore our wiring and making a motion to rewire, if needed. I believe that we must learn to be vulnerable. Practicing vulnerability isn't about doing something for others. You're creating a soil, rich soil for you and your growth. You are raising your potential. You are positioning yourself. You are building a better, stronger you. I also believe that it is important in therapy that the client begin to look inward of themselves.
(737) 264-7806 View (737) 264-7806
Photo of Sydney Paver, Psychologist in Austin, TX
Sydney Paver
Psychologist, PhD
Verified Verified
2 Endorsed
Austin, TX 78746
Not accepting new clients
I am a licensed psychologist in Austin, Texas, providing psychotherapy for individuals and couples who present with a broad range of issues including anxiety, depression, relationship problems, chronic illness, and grief. Most people seek psychotherapy when they are in emotional distress. Therapy is a helpful and supportive path to self-understanding and self-acceptance. Through the therapeutic process, hurtful and confusing feelings are identified and resolved through safe, guided discussions.
I am a licensed psychologist in Austin, Texas, providing psychotherapy for individuals and couples who present with a broad range of issues including anxiety, depression, relationship problems, chronic illness, and grief. Most people seek psychotherapy when they are in emotional distress. Therapy is a helpful and supportive path to self-understanding and self-acceptance. Through the therapeutic process, hurtful and confusing feelings are identified and resolved through safe, guided discussions.
(361) 444-2469 View (361) 444-2469
Photo of Joshua Shifrin, Licensed Professional Counselor Associate in Austin, TX
Joshua Shifrin
Licensed Professional Counselor Associate, MA, LPC-A
Verified Verified
1 Endorsed
Austin, TX 78749  (Online Only)
Are you seeking a compassionate guide on your journey to emotional well-being and personal growth? Imagine a safe, non-judgmental space where you can freely express concerns about anxiety, depression, relationships, or self-esteem. You desire to overcome life's challenges and unleash your full potential. Together, we'll navigate these hurdles and cultivate resilience, empowering you to lead a fulfilling and balanced life.
Are you seeking a compassionate guide on your journey to emotional well-being and personal growth? Imagine a safe, non-judgmental space where you can freely express concerns about anxiety, depression, relationships, or self-esteem. You desire to overcome life's challenges and unleash your full potential. Together, we'll navigate these hurdles and cultivate resilience, empowering you to lead a fulfilling and balanced life.
(737) 295-9491 View (737) 295-9491
Photo of Brandie Conrad, Licensed Professional Counselor in Austin, TX
Brandie Conrad
Licensed Professional Counselor, MA, LPC, NCC
Verified Verified
2 Endorsed
Austin, TX 78748
Waitlist for new clients
Are you feeling overwhelmed, unfulfilled, or kind of lost? You don't have to deal with your struggles alone. I would love to hear your story and walk beside you on your journey to change and personal growth. I consider it a great privilege to be a part of the uniqueness of your inner world. I believe you are the expert in your own life and are already equipped with the capacity to heal. My goal is to provide you with a safe, compassionate, and accepting environment for you to comfortably share your thoughts and feelings.
Are you feeling overwhelmed, unfulfilled, or kind of lost? You don't have to deal with your struggles alone. I would love to hear your story and walk beside you on your journey to change and personal growth. I consider it a great privilege to be a part of the uniqueness of your inner world. I believe you are the expert in your own life and are already equipped with the capacity to heal. My goal is to provide you with a safe, compassionate, and accepting environment for you to comfortably share your thoughts and feelings.
(512) 960-1485 View (512) 960-1485
Photo of Matthew Y. Wong, Psychologist in Austin, TX
Matthew Y. Wong
Psychologist, PhD
Verified Verified
Austin, TX 78731
Not accepting new clients
Every crisis is an opportunity for growth and development. It is by taking risks and surmounting challenges through which real and lasting transformation can occur. Although one of my therapist roles is to provide support, I also challenge my clients to think, feel, and behave differently. As a therapist, I prioritize developing and maintaining an open, nonjudgmental, and trusting relationship with my clients. I strive to be authentic and encourage the same of my clients. I help clients identify and meet their therapeutic goals through the development of insight and new skills.
Every crisis is an opportunity for growth and development. It is by taking risks and surmounting challenges through which real and lasting transformation can occur. Although one of my therapist roles is to provide support, I also challenge my clients to think, feel, and behave differently. As a therapist, I prioritize developing and maintaining an open, nonjudgmental, and trusting relationship with my clients. I strive to be authentic and encourage the same of my clients. I help clients identify and meet their therapeutic goals through the development of insight and new skills.
(512) 540-5936 View (512) 540-5936
Photo of Dr. Tricia Blewitt, Licensed Professional Counselor in Austin, TX
Dr. Tricia Blewitt
Licensed Professional Counselor, PhD, LPC, CST
Verified Verified
5 Endorsed
Austin, TX 78726  (Online Only)
Are you looking to improve your sex life and/or relationship? I recently graduated with my Ph.D in sexology, becoming the most advanced in the sex therapy field to offer my clients the most up-to-date practices and information in regards to sex, sex/porn addiction, low libido, sexual abuse, sexual traumas, sexual dysfunctions, desire differences in partnerships, identity issues, kink and polyamory. I am sex positive and welcome all sexual orientations. I am a Certified Sex Therapist who uses a direct, compassionate approach to help you and your sex life. I work on goals, meaning, and clarity to help you best help yourself.
Are you looking to improve your sex life and/or relationship? I recently graduated with my Ph.D in sexology, becoming the most advanced in the sex therapy field to offer my clients the most up-to-date practices and information in regards to sex, sex/porn addiction, low libido, sexual abuse, sexual traumas, sexual dysfunctions, desire differences in partnerships, identity issues, kink and polyamory. I am sex positive and welcome all sexual orientations. I am a Certified Sex Therapist who uses a direct, compassionate approach to help you and your sex life. I work on goals, meaning, and clarity to help you best help yourself.
(512) 605-1627 View (512) 605-1627
Photo of Dr. Marina Caldwell and Associates, PLLC, Psychologist in Austin, TX
Dr. Marina Caldwell and Associates, PLLC
Psychologist, PsyD
Verified Verified
Austin, TX 78731
Time is our most valuable commodity. I work with individuals and couples to support them in making growth choices. This enhances their time wherever it is spent, such as in relationships, career, with family, or enjoying hobbies and recreation. I offer psychotherapy or executive coaching. My career and personal development services take into account the changes ahead for most industries as they incorporate new technologies such as A.I and robotics, and the effects of this on the individual’s career path and decisions. I also offer career testing for ages 14 and up. Email is the fastest way to reach me.
Time is our most valuable commodity. I work with individuals and couples to support them in making growth choices. This enhances their time wherever it is spent, such as in relationships, career, with family, or enjoying hobbies and recreation. I offer psychotherapy or executive coaching. My career and personal development services take into account the changes ahead for most industries as they incorporate new technologies such as A.I and robotics, and the effects of this on the individual’s career path and decisions. I also offer career testing for ages 14 and up. Email is the fastest way to reach me.
(512) 887-5304 View (512) 887-5304
Photo of Amy Palmer, Licensed Professional Counselor Associate in Austin, TX
Amy Palmer
Licensed Professional Counselor Associate
Verified Verified
1 Endorsed
Austin, TX 78756
Are you struggling to find a sex positive therapist that helps you feel comfortable discussing your relationship and sexuality? If so, you're in the right place! I strive to create a safe, open environment for you to discuss your feelings, thoughts and experiences. I specialize in all forms of open/poly and kink lifestyles. Clients come to me when they are looking to navigate a new dynamic or are feeling stuck in their current relationship style. Other issues include communication, desire differences, sexual dissatisfaction or dysfunction, infidelity, low libido, and “porn/sex addiction”. I welcome the LGBTQ+ and kink communities.
Are you struggling to find a sex positive therapist that helps you feel comfortable discussing your relationship and sexuality? If so, you're in the right place! I strive to create a safe, open environment for you to discuss your feelings, thoughts and experiences. I specialize in all forms of open/poly and kink lifestyles. Clients come to me when they are looking to navigate a new dynamic or are feeling stuck in their current relationship style. Other issues include communication, desire differences, sexual dissatisfaction or dysfunction, infidelity, low libido, and “porn/sex addiction”. I welcome the LGBTQ+ and kink communities.
(512) 399-0593 View (512) 399-0593
Photo of Brianna 'bri' Hamlyn, Licensed Professional Counselor in Austin, TX
Brianna 'bri' Hamlyn
Licensed Professional Counselor, MA
Verified Verified
Austin, TX 78704  (Online Only)
Things kind of suck right now, don't they? At the time of writing this, the word feels like it's a dumpster fire. If you're like me though, things have always felt rough internally and connection has never been easy. I hope to offer connection and unconditional positive regard for anyone whose ever felt like they're on the outside looking in. The vision I hold for all clients is to know they are worthy and valid exactly as they are in this moment, and my role is to hold that belief for you until you can hold it yourself. I practice from an anti-racist, relational cultural, fat-positive, and generally affirming lens.
Things kind of suck right now, don't they? At the time of writing this, the word feels like it's a dumpster fire. If you're like me though, things have always felt rough internally and connection has never been easy. I hope to offer connection and unconditional positive regard for anyone whose ever felt like they're on the outside looking in. The vision I hold for all clients is to know they are worthy and valid exactly as they are in this moment, and my role is to hold that belief for you until you can hold it yourself. I practice from an anti-racist, relational cultural, fat-positive, and generally affirming lens.
(512) 859-6502 View (512) 859-6502
Photo of Pam B Tokaz, Marriage & Family Therapist in Austin, TX
Pam B Tokaz
Marriage & Family Therapist, LMFT, LPC, MSN
Verified Verified
1 Endorsed
Austin, TX 78746
Life is complex and at various transitional times life can become confusing. In counseling, the integration of our conflicting emotions is at the heart of who we are and how we struggle. It is equally important that you feel safe, valued and respected as we develop our therapeutic relationship. Together we will explore and validate your true authentic self; develop skills to confront life's challenges and embrace the joys; delve into your feelings and emotions with understanding and acceptance. Finding your voice, understanding your emotions and choosing behaviors that reflect yourself at best will weave our therapeutic relationship together.
Life is complex and at various transitional times life can become confusing. In counseling, the integration of our conflicting emotions is at the heart of who we are and how we struggle. It is equally important that you feel safe, valued and respected as we develop our therapeutic relationship. Together we will explore and validate your true authentic self; develop skills to confront life's challenges and embrace the joys; delve into your feelings and emotions with understanding and acceptance. Finding your voice, understanding your emotions and choosing behaviors that reflect yourself at best will weave our therapeutic relationship together.
(512) 906-9029 View (512) 906-9029
Photo of Cindy Austin, Licensed Professional Counselor in Austin, TX
Cindy Austin
Licensed Professional Counselor, MS, LPC
Verified Verified
2 Endorsed
Austin, TX 78759
I support people as they go through some of life's tougher times. I do not "fix" anyone. I help people remember the truth about their worth and value and guide them as they practice living from that truth whether it's for the first time or not. When we get afraid and empty, it is almost impossible to remember this by ourselves, and we need an experienced, knowledgable and loving ally to shine the light for us through the dark and confusing times.
I support people as they go through some of life's tougher times. I do not "fix" anyone. I help people remember the truth about their worth and value and guide them as they practice living from that truth whether it's for the first time or not. When we get afraid and empty, it is almost impossible to remember this by ourselves, and we need an experienced, knowledgable and loving ally to shine the light for us through the dark and confusing times.
(512) 960-3775 View (512) 960-3775
Photo of Jennifer Kirk Schriever, Licensed Professional Counselor in Austin, TX
Jennifer Kirk Schriever
Licensed Professional Counselor, LPC, BCN, BCB
Verified Verified
Austin, TX 78731
30+ years of direct clinical experience using Q-EEG guided Neurofeedback and Biofeedback to help children, teens, and adults with goals ranging from optimal performance for sports, the performing arts, and business, to clients who seek help with trauma, PTSD, ADHD, anxiety and depression, sleep issues, and more. I consider myself to be a "Mind Body Detective" and I enjoy sleuthing through a client's history, presenting issues, and goals to help create a truly customized training plan for success.
30+ years of direct clinical experience using Q-EEG guided Neurofeedback and Biofeedback to help children, teens, and adults with goals ranging from optimal performance for sports, the performing arts, and business, to clients who seek help with trauma, PTSD, ADHD, anxiety and depression, sleep issues, and more. I consider myself to be a "Mind Body Detective" and I enjoy sleuthing through a client's history, presenting issues, and goals to help create a truly customized training plan for success.
(737) 520-3647 View (737) 520-3647
Photo of Michel Scott, Licensed Professional Counselor Associate in Austin, TX
Michel Scott
Licensed Professional Counselor Associate, LPC-A
Verified Verified
2 Endorsed
Austin, TX 78746
My sessions are focused on collaborative exploration - to help clients integrate an understanding of the past with the present, and to show up in the moment with self-compassion and clarity. Turning judgment and shame into curiosity opens the door for opportunity and growth.
My sessions are focused on collaborative exploration - to help clients integrate an understanding of the past with the present, and to show up in the moment with self-compassion and clarity. Turning judgment and shame into curiosity opens the door for opportunity and growth.
(512) 883-4649 View (512) 883-4649
Photo of Tyler Willis, Clinical Social Work/Therapist in Austin, TX
Tyler Willis
Clinical Social Work/Therapist, LCSW
Verified Verified
Austin, TX 78701  (Online Only)
You're in your 20s or 30s, wrestling with relentless pressure from all sides: a persisting sense of anxiety that just won't let up, a challenging job, and complicated relationships. You're seeking a way to dial down the constant worry, gain confidence in your career, and cultivate healthier relationships. You're longing for less stress and more instances of genuine happiness. If you relate to this, maybe it's time for a new strategy.
You're in your 20s or 30s, wrestling with relentless pressure from all sides: a persisting sense of anxiety that just won't let up, a challenging job, and complicated relationships. You're seeking a way to dial down the constant worry, gain confidence in your career, and cultivate healthier relationships. You're longing for less stress and more instances of genuine happiness. If you relate to this, maybe it's time for a new strategy.
(737) 520-4920 View (737) 520-4920
Photo of Eleny Guerrero Pena Lpc Lcdc - Courage 2 Overcome Counseling, Licensed Professional Counselor in Austin, TX
Eleny Guerrero Pena Lpc Lcdc - Courage 2 Overcome Counseling
Licensed Professional Counselor, MS, LPC, LCDC, EMDR, trained
Verified Verified
3 Endorsed
Austin, TX 78746
Do anxiety, trauma and insecurity run your life more than your values and dreams? Do you relive the past as if it were happening right now? Your head knows better, but it fails to convince your heart otherwise. As challenging as those experiences were for the past, they continue to zap away your joy and confidence today. You might even avoid situations that trigger the feelings.
Do anxiety, trauma and insecurity run your life more than your values and dreams? Do you relive the past as if it were happening right now? Your head knows better, but it fails to convince your heart otherwise. As challenging as those experiences were for the past, they continue to zap away your joy and confidence today. You might even avoid situations that trigger the feelings.
(512) 890-2730 View (512) 890-2730

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.