Therapists in Austin, TX
Christina M Holyoak
Marriage & Family Therapist, LMFT, MS
Verified Verified
1 Endorsed
Austin, TX 78749 (Online Only)
You deserve to feel connected and safe in your closest relationships. It is lonely, painful, and frustrating when those relationships aren't going as you'd like. You may be confused about how to help a child who is struggling. You might wonder if you're making the right choices for your child and you may even worry that you're a bad parent. Or, maybe you feel disconnected from a partner. You long to feel close to the person you care about, but years of hurt and bottled up emotion make it difficult to know where to start.
You deserve to feel connected and safe in your closest relationships. It is lonely, painful, and frustrating when those relationships aren't going as you'd like. You may be confused about how to help a child who is struggling. You might wonder if you're making the right choices for your child and you may even worry that you're a bad parent. Or, maybe you feel disconnected from a partner. You long to feel close to the person you care about, but years of hurt and bottled up emotion make it difficult to know where to start.
Bella J. Rockman Neuropsychotherapist
Licensed Professional Counselor, MA, LPC, LCDC-i
Verified Verified
3 Endorsed
Austin, TX 78701 (Online Only)
Scheduling: https://bella-rockman.clientsecure.me/ Social Scientist, Neuropsychotherapist & Mental Health Media Correspondent, Bella J. Rockman ("J-Rock"), uses her time spent in law school, experience working in newsrooms & Clinical Brain-Based training, to better understand clients’ perspectives. She integrates EMDR, CBT, & Trauma Recovery models into her work. Her experiences studying abroad in over 17 countries, offers her widely recognized inter-cultural, global, compassionate, yet direct approach. IG: jrocktherapy. |Nueuropsychology|Inter-generational Healing|Trauma Recovery|PTSD|
Scheduling: https://bella-rockman.clientsecure.me/ Social Scientist, Neuropsychotherapist & Mental Health Media Correspondent, Bella J. Rockman ("J-Rock"), uses her time spent in law school, experience working in newsrooms & Clinical Brain-Based training, to better understand clients’ perspectives. She integrates EMDR, CBT, & Trauma Recovery models into her work. Her experiences studying abroad in over 17 countries, offers her widely recognized inter-cultural, global, compassionate, yet direct approach. IG: jrocktherapy. |Nueuropsychology|Inter-generational Healing|Trauma Recovery|PTSD|
Dr. Michael Johnson
Psychologist, PhD, SPSB
Verified Verified
3 Endorsed
Austin, TX 78746
I specialize in the treatment individuals and couples dealing with sexual addiction (Problematic Sexual Behavior - PSB) and have for 20 years, treating hundreds of addicts and their partners. I am certified in treating sex addiction (S-PSB). PSBs reflect underlying problems in relationships, emotional attachment, affect management, and impulse control. Treatment engages the whole person, not merely suppression of problem behaviors. Therapy requires compassion, acceptance, and respect. I combine knowledge and wisdom with understanding, creativity, and humor in a down-to-earth, practical approach.
I specialize in the treatment individuals and couples dealing with sexual addiction (Problematic Sexual Behavior - PSB) and have for 20 years, treating hundreds of addicts and their partners. I am certified in treating sex addiction (S-PSB). PSBs reflect underlying problems in relationships, emotional attachment, affect management, and impulse control. Treatment engages the whole person, not merely suppression of problem behaviors. Therapy requires compassion, acceptance, and respect. I combine knowledge and wisdom with understanding, creativity, and humor in a down-to-earth, practical approach.
Sara Wakefield
Clinical Social Work/Therapist, LCSW-S
Verified Verified
1 Endorsed
Austin, TX 78704
Not accepting new clients
Your child or teen may be struggling in their relationships, having difficulty making friends or getting along with others. They may be withdrawn, unwilling to try new things or are constantly weighed down by self-critical thoughts. They may seem angry, reacting strongly to seemingly minor frustrations. Your child may have experienced a stressor or loss and is figuring out how to understand that experience. I specialize in providing therapy to children, teens and their families, with 10 years of experience in an outpatient mental health center, schools and a residential treatment center.
Your child or teen may be struggling in their relationships, having difficulty making friends or getting along with others. They may be withdrawn, unwilling to try new things or are constantly weighed down by self-critical thoughts. They may seem angry, reacting strongly to seemingly minor frustrations. Your child may have experienced a stressor or loss and is figuring out how to understand that experience. I specialize in providing therapy to children, teens and their families, with 10 years of experience in an outpatient mental health center, schools and a residential treatment center.
Austin Weber
Marriage & Family Therapist Associate, LMFT-A, MFT-IT, LCDC
Verified Verified
1 Endorsed
Austin, TX 78759
My specialty is working with couples who have been impacted by substance abuse, along with those that have stopped believing in themselves. I believe in working with the whole family system focusing on healing the internal conflict that lies within the system. I do this by using several therapeutic approaches such as Internal Family Systems, Structural Family Therapy, Emotional Focused Couples Therapy, Narrative Therapy, and Motivational Interviewing. I work with my clients on addressing attachment injuries, internal conflict, finding internal balance, and increasing individuals' confidence in themselves.
My specialty is working with couples who have been impacted by substance abuse, along with those that have stopped believing in themselves. I believe in working with the whole family system focusing on healing the internal conflict that lies within the system. I do this by using several therapeutic approaches such as Internal Family Systems, Structural Family Therapy, Emotional Focused Couples Therapy, Narrative Therapy, and Motivational Interviewing. I work with my clients on addressing attachment injuries, internal conflict, finding internal balance, and increasing individuals' confidence in themselves.
Stephanie Howard Askins
Clinical Social Work/Therapist, LCSW
Verified Verified
Austin, TX 78746
As a therapist who helps others explore barriers and spark change, I am a fit for individuals seeking tools to move toward emotional healing and bolstered inner strength. With two decades of experience in behavioral health, I support a variety of populations, including individuals impacted by brain injury, medical complexities, trauma, grief/loss, low mood, anxiety and those desiring to move forward through large life transitions. I also remain passionate about opportunities to work with clients in the creative community.
As a therapist who helps others explore barriers and spark change, I am a fit for individuals seeking tools to move toward emotional healing and bolstered inner strength. With two decades of experience in behavioral health, I support a variety of populations, including individuals impacted by brain injury, medical complexities, trauma, grief/loss, low mood, anxiety and those desiring to move forward through large life transitions. I also remain passionate about opportunities to work with clients in the creative community.
Kristina Durene
Counselor, LMHC
Verified Verified
Austin, TX 78701
My ideal client seeks self-exploration & understanding, facing issues like anxiety, depression, or relationship difficulties. They need a supportive space for personal growth, aiming to gain insight, develop coping strategies, improve communication, & foster healthy relationships. They aspire to enhance mental well-being, achieve a better life quality, & unlock their full potential.
My ideal client seeks self-exploration & understanding, facing issues like anxiety, depression, or relationship difficulties. They need a supportive space for personal growth, aiming to gain insight, develop coping strategies, improve communication, & foster healthy relationships. They aspire to enhance mental well-being, achieve a better life quality, & unlock their full potential.
Melanie Cephas
Clinical Social Work/Therapist, LCSW
Verified Verified
Austin, TX 78741
Hi! My name is Melanie Cephas, and I am a Licensed Clinical Social Worker (LCSW) in the state of Texas working with clients via Telehealth. I am a therapist who specializes in working with individuals between the ages of 12-30 that struggle with anxiety, depression, anger management, unresolved past trauma, stress, grief/loss, relationship issues, and lack of social and communication skills. I use a variety of various interventions, such as EMDR, Dialectical Behavioral Therapy, Motivational Interviewing, Solution-Focused Therapy, CBT, and multiple other therapies and techniques to meet each client's individual needs.
Hi! My name is Melanie Cephas, and I am a Licensed Clinical Social Worker (LCSW) in the state of Texas working with clients via Telehealth. I am a therapist who specializes in working with individuals between the ages of 12-30 that struggle with anxiety, depression, anger management, unresolved past trauma, stress, grief/loss, relationship issues, and lack of social and communication skills. I use a variety of various interventions, such as EMDR, Dialectical Behavioral Therapy, Motivational Interviewing, Solution-Focused Therapy, CBT, and multiple other therapies and techniques to meet each client's individual needs.
Dulci Sánchez Valdez
Marriage & Family Therapist, MA, LMFT
Verified Verified
3 Endorsed
Austin, TX 78735 (Online Only)
Many people seek out therapy for different reasons sometimes for loss, trauma, life transitions, anxiety and depression, feeling stuck in life, and sometimes for help adding coping skills for day to day life. My approach to therapy is mainly rooted in CBT and Mindfulness, working with you to examine how thoughts, feelings, and behaviors are connected and how by navigating through changes in our lives with a more present and focus lens we can minimize anxiety and add to our coping skills toolbox. By taking a mindfulness approach, we will find ways to navigate through past experiences and the curve balls life throws at us.
Many people seek out therapy for different reasons sometimes for loss, trauma, life transitions, anxiety and depression, feeling stuck in life, and sometimes for help adding coping skills for day to day life. My approach to therapy is mainly rooted in CBT and Mindfulness, working with you to examine how thoughts, feelings, and behaviors are connected and how by navigating through changes in our lives with a more present and focus lens we can minimize anxiety and add to our coping skills toolbox. By taking a mindfulness approach, we will find ways to navigate through past experiences and the curve balls life throws at us.
Michele Flores
Licensed Professional Counselor, LPC, LCAT, R-DMT
Verified Verified
2 Endorsed
Austin, TX 78704 (Online Only)
Our struggles are hard. Have you been trying to hold all the pieces together, while also feeling constant worry and overwhelm? Have you experienced a traumatic event or childhood, and find yourself stuck in self-defeating behaviors or relationships? Are you going through a life transition and feel unsettled about the next step forward? Our struggles also shape us. Let’s journey inward to explore how these experiences are shaping your relationship with yourself and others, and reconnect with your self-trust and inner wisdom to live life with more ease and joy.
Our struggles are hard. Have you been trying to hold all the pieces together, while also feeling constant worry and overwhelm? Have you experienced a traumatic event or childhood, and find yourself stuck in self-defeating behaviors or relationships? Are you going through a life transition and feel unsettled about the next step forward? Our struggles also shape us. Let’s journey inward to explore how these experiences are shaping your relationship with yourself and others, and reconnect with your self-trust and inner wisdom to live life with more ease and joy.
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.
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Psychologist, PhD
Verified Verified
5 Endorsed
Austin, TX 78759
My therapeutic approach is holistic, relaxed, and informed by values of empowerment, collaboration, and cultural humility. I value affirming care that emphasizes safety and creativity. I use an eclectic, strengths-based approach that draws from Cognitive Behavioral Therapy (CBT), Acceptance and Commitment Therapy (ACT), Exposure and Response Prevention (ERP), and Interpersonal Process Therapy (IPT).
My therapeutic approach is holistic, relaxed, and informed by values of empowerment, collaboration, and cultural humility. I value affirming care that emphasizes safety and creativity. I use an eclectic, strengths-based approach that draws from Cognitive Behavioral Therapy (CBT), Acceptance and Commitment Therapy (ACT), Exposure and Response Prevention (ERP), and Interpersonal Process Therapy (IPT).
Crissy E Henderson
LPC Associate, MA, LPC-A
Verified Verified
1 Endorsed
Austin, TX 78751
In meeting individuals and families, my focus is to gain insight into the complex history of each person. After building a therapeutic relationship, I assess what modality would align with their specific needs. I like to set realistic and attainable goals with each client that I work with. Much of my past and current clientele has consisted of teens and college aged students working through transitions. I gather much of my experience from working as a recruiter for more than 15 years.
In meeting individuals and families, my focus is to gain insight into the complex history of each person. After building a therapeutic relationship, I assess what modality would align with their specific needs. I like to set realistic and attainable goals with each client that I work with. Much of my past and current clientele has consisted of teens and college aged students working through transitions. I gather much of my experience from working as a recruiter for more than 15 years.
Seanna Crosbie
Clinical Social Work/Therapist, LCSW-S
Verified Verified
4 Endorsed
Austin, TX 78731
You are doing your best to hold it together, but worry or sadness weigh you down. You try to navigate through your day, but often feel anxious and exhausted. Maybe you’ve experienced grief or trauma. You want to improve, but wonder how to get things “unstuck”. You long for more focus and less worry, better relationships or more meaning in your life. As a therapist and Clinical Director of 25 yrs, I've helped many people during challenging situations and transitions of life. My approach is personable and holistic, blending a strong foundation of therapy knowledge, support, challenge and a dose of humor.
You are doing your best to hold it together, but worry or sadness weigh you down. You try to navigate through your day, but often feel anxious and exhausted. Maybe you’ve experienced grief or trauma. You want to improve, but wonder how to get things “unstuck”. You long for more focus and less worry, better relationships or more meaning in your life. As a therapist and Clinical Director of 25 yrs, I've helped many people during challenging situations and transitions of life. My approach is personable and holistic, blending a strong foundation of therapy knowledge, support, challenge and a dose of humor.
Teresa Gross
Licensed Professional Counselor, MA, LPC
Verified Verified
1 Endorsed
Austin, TX 78759
Deep breath. Are you ready to try something different? Struggling in a relationship? Challenged by a major transition? Burdened by anxiety? Derailed by depression? Craving a career pivot? Devastated by a loss? Or, do you have a desire to spark your creativity or follow your heart? I've been there too. Whether you aspire to learn, heal, or grow, I can offer a safe, comforting place along with gentle guidance using what I have learned from my own life lessons and experiences to help you pause, reflect, and engage your strengths, wisdom, and deep-rooted resilience in the pursuit of positive change, inner peace, and passionate living.
Deep breath. Are you ready to try something different? Struggling in a relationship? Challenged by a major transition? Burdened by anxiety? Derailed by depression? Craving a career pivot? Devastated by a loss? Or, do you have a desire to spark your creativity or follow your heart? I've been there too. Whether you aspire to learn, heal, or grow, I can offer a safe, comforting place along with gentle guidance using what I have learned from my own life lessons and experiences to help you pause, reflect, and engage your strengths, wisdom, and deep-rooted resilience in the pursuit of positive change, inner peace, and passionate living.
Marcella Musgrave
Clinical Social Work/Therapist, LMSW
Verified Verified
Austin, TX 78759
Marcy Musgrave is a Licensed Master Social Worker supervised by Dana Jones, LCSW-S. She received her Bachelor’s degree in Sociology from Texas A & M University and her Master’s in Social Work from Texas State University. She is a native Texan and has lived in Austin since 2003. She is honored to work at Austin DBT Associates and looks forward to assisting clients with living their fullest lives. Marcy has experience working with homeless adolescents, transgender youth, the geriatric community, and has served as a behavior intervention specialist in the public school setting.
Marcy Musgrave is a Licensed Master Social Worker supervised by Dana Jones, LCSW-S. She received her Bachelor’s degree in Sociology from Texas A & M University and her Master’s in Social Work from Texas State University. She is a native Texan and has lived in Austin since 2003. She is honored to work at Austin DBT Associates and looks forward to assisting clients with living their fullest lives. Marcy has experience working with homeless adolescents, transgender youth, the geriatric community, and has served as a behavior intervention specialist in the public school setting.
Paige Bartholomew
Marriage & Family Therapist, MA
Verified Verified
Austin, TX 78746 (Online Only)
Individual Counseling and Couples. Have you spent years in 'talk therapy', without seeing much real change? It’s probably time to try something new. Psychologists are learning there is a more successful way to heal. Deeper wounds can't be reached through talk-therapy alone. We must heal in a multidimensional way. It's about taking a gentle, deep look at the sub-conscious imprints in the body, mind, heart and soul levels to find out exactly where the pain lies. You and I will gently pave the way to clear them. Sessions are 65 minutes long, with free text check-ins 24/7. Insurance is accepted!
Individual Counseling and Couples. Have you spent years in 'talk therapy', without seeing much real change? It’s probably time to try something new. Psychologists are learning there is a more successful way to heal. Deeper wounds can't be reached through talk-therapy alone. We must heal in a multidimensional way. It's about taking a gentle, deep look at the sub-conscious imprints in the body, mind, heart and soul levels to find out exactly where the pain lies. You and I will gently pave the way to clear them. Sessions are 65 minutes long, with free text check-ins 24/7. Insurance is accepted!
Jessie Lewis
Clinical Social Work/Therapist, LCSW
Verified Verified
Austin, TX 78703
I naturally work from a strengths-based, client-centered perspective and feel that collaboration and rapport are key components in the therapeutic process. My goal is to help clients heal and flourish in their lives. Through deeper emotional exploration, things that seem to keep getting us "stuck" can be examined and worked through, resulting in true healing and change. In our sessions, I work with my clients in exploring thoughts, emotions, experiences, relationships, behaviors, etc. and together we work towards a healthier and happier life.
I naturally work from a strengths-based, client-centered perspective and feel that collaboration and rapport are key components in the therapeutic process. My goal is to help clients heal and flourish in their lives. Through deeper emotional exploration, things that seem to keep getting us "stuck" can be examined and worked through, resulting in true healing and change. In our sessions, I work with my clients in exploring thoughts, emotions, experiences, relationships, behaviors, etc. and together we work towards a healthier and happier life.
Deep Eddy Doctoral Practicum Therapists Master's Graduate Interns
Pre-Licensed Professional
Verified Verified
Austin, TX 78703
Meet the talented and compassionate Master's Graduate Interns and Doctoral Practicum Therapists at Deep Eddy Psychotherapy! Leah McMahon, Hedwig Gavino, Louann Fang Lucas, Daniel Williamson, and Justine Hughes are committed to providing high-quality therapy to creating meaningful, lasting change. Rooted in our mission to enhance mental and emotional health within our community, our interns bring a wealth of knowledge, compassion, and expertise to our practice.
Meet the talented and compassionate Master's Graduate Interns and Doctoral Practicum Therapists at Deep Eddy Psychotherapy! Leah McMahon, Hedwig Gavino, Louann Fang Lucas, Daniel Williamson, and Justine Hughes are committed to providing high-quality therapy to creating meaningful, lasting change. Rooted in our mission to enhance mental and emotional health within our community, our interns bring a wealth of knowledge, compassion, and expertise to our practice.
Deborah Vanko
Licensed Professional Counselor, LPC, LMFT
Verified Verified
Austin, TX 78748 (Online Only)
For 30 years I have helped couples and individuals to create a satisfying, loving, conflict-free life by overcoming past or present obstacles. Everyone deserves to be happy and free of emotional pain. I believe empowering people to take charge of their life is liberating. I use a wide variety of counseling approaches customized to fit the individual. These include expressing emotion, identifying helpful and dysfunctional thinking/beliefs and changing behavior or developing strategies to create success. I am an open-minded therapist accepting the diversity of client lifestyle and gender.
For 30 years I have helped couples and individuals to create a satisfying, loving, conflict-free life by overcoming past or present obstacles. Everyone deserves to be happy and free of emotional pain. I believe empowering people to take charge of their life is liberating. I use a wide variety of counseling approaches customized to fit the individual. These include expressing emotion, identifying helpful and dysfunctional thinking/beliefs and changing behavior or developing strategies to create success. I am an open-minded therapist accepting the diversity of client lifestyle and gender.
See more therapy options for Austin
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 |
75% | Relationship Issues |
74% | Self Esteem |
70% | Trauma and PTSD |
70% | Stress |
67% | Coping Skills |
Average years in practice
10 Years
Top 3 insurances accepted
79% | Aetna |
74% | UnitedHealthcare UHC | UBH |
65% | BlueCross and BlueShield |
How Therapists in Austin, TX see their clients
54% | In Person and Online | |
46% | 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
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.
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.
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.