Therapists in Dallas, TX

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Photo of John Williamson, Licensed Professional Counselor in Dallas, TX
John Williamson
Licensed Professional Counselor, MS, LPC, NCC, LCDC
Verified Verified
Dallas, TX 75230
People enjoy daily routines in life. Going to work, spending time with family and friends, and hobbies that they love to pursue. Sometimes, unhealthy habits intertwine with such routines, such substance use or non-communication with family members. These habits can interrupt our daily routines and turn into an obsession. Instead of looking forward to the weekend to spend time with healthy endeavors, the weekends could be a time to escape or isolate
People enjoy daily routines in life. Going to work, spending time with family and friends, and hobbies that they love to pursue. Sometimes, unhealthy habits intertwine with such routines, such substance use or non-communication with family members. These habits can interrupt our daily routines and turn into an obsession. Instead of looking forward to the weekend to spend time with healthy endeavors, the weekends could be a time to escape or isolate
(469) 382-4047 View (469) 382-4047
Photo of Kaymie Spangler, Licensed Professional Counselor in Dallas, TX
Kaymie Spangler
Licensed Professional Counselor, MS, LPC
Verified Verified
4 Endorsed
Dallas, TX 75231
You deserve to be loved and to feel like you belong. No matter your age, you need and deserve emotional and physical safety and security. When your needs are not met you may feel anxious, depressed, hopeless and dis-empowered. You may act out in self-destructive or unhelpful ways or may find yourself in unfulfilling relationships. Your needs matter. You are worthy of love, belonging, safety, security and success. If it doesn't feel that way to you, I want to help you discover your inherent value and worth.
You deserve to be loved and to feel like you belong. No matter your age, you need and deserve emotional and physical safety and security. When your needs are not met you may feel anxious, depressed, hopeless and dis-empowered. You may act out in self-destructive or unhelpful ways or may find yourself in unfulfilling relationships. Your needs matter. You are worthy of love, belonging, safety, security and success. If it doesn't feel that way to you, I want to help you discover your inherent value and worth.
(469) 833-3754 View (469) 833-3754
Photo of NeuroCognitive Fitness LLC, Licensed Professional Counselor in Dallas, TX
NeuroCognitive Fitness LLC
Licensed Professional Counselor, MS, LPC, BCN
Verified Verified
Dallas, TX 75218
Want to better understand how your brain works, and how to make it work better? How to not only manage, but possibly harness stress and anxiety? Happy to do one on one counseling or offer workshops on brain fitness via Klatch platform, inquire to join a session!
Want to better understand how your brain works, and how to make it work better? How to not only manage, but possibly harness stress and anxiety? Happy to do one on one counseling or offer workshops on brain fitness via Klatch platform, inquire to join a session!
(469) 414-5041 View (469) 414-5041
Photo of Rosamaria Espinosa, Clinical Social Work/Therapist in Dallas, TX
Rosamaria Espinosa
Clinical Social Work/Therapist, LCSW
Verified Verified
Dallas, TX 75202  (Online Only)
Hello my name is Rosamaria Espinosa, I am a Licensed Clinical Social Worker in Texas (LCSW). I have a Bachelor of Science degree in Psychology and Masters degree in Social Work. My background has been primarily in medical social work both inpatient and outpatient. I have experience working in a Trauma 1 hospital as well as all inclusive medical care in a geriatric outpatient clinic. I have worked with multiple populations to include from newborn to geriatric in the medical setting.
Hello my name is Rosamaria Espinosa, I am a Licensed Clinical Social Worker in Texas (LCSW). I have a Bachelor of Science degree in Psychology and Masters degree in Social Work. My background has been primarily in medical social work both inpatient and outpatient. I have experience working in a Trauma 1 hospital as well as all inclusive medical care in a geriatric outpatient clinic. I have worked with multiple populations to include from newborn to geriatric in the medical setting.
(214) 241-4038 View (214) 241-4038
Photo of Diana Chavez, Clinical Social Work/Therapist in Dallas, TX
Diana Chavez
Clinical Social Work/Therapist, LCSW
Verified Verified
Dallas, TX 75204  (Online Only)
Listening, empowering, and being present with my clients is what I am passionate about. I have about 7 years of counseling and clinical experience. I received my Masters in Social Work in 2014 from Hunter College in NYC. My clinical experience includes working with children, adolescents, and individuals all ages including geriatrics. I will help guide you and assist you in coming up with strategies to help conquer your life goals and overcome challenges. Creating a safe space and being non-judgmental is extremely important to me when working with my clients.
Listening, empowering, and being present with my clients is what I am passionate about. I have about 7 years of counseling and clinical experience. I received my Masters in Social Work in 2014 from Hunter College in NYC. My clinical experience includes working with children, adolescents, and individuals all ages including geriatrics. I will help guide you and assist you in coming up with strategies to help conquer your life goals and overcome challenges. Creating a safe space and being non-judgmental is extremely important to me when working with my clients.
(469) 382-4229 View (469) 382-4229
Photo of Fran Ferguson in Dallas, TX
Fran Ferguson
CGRS, Coach, Mentor
Verified Verified
Dallas, TX 75248
Moving Beyond Loss is a compelling step-by-step program for adults who have endured painful events, personally or professionally, and been unable to regain a sense of well-being. Whether a loss occurred recently or long ago... is tangible, such as a death, partnership or job... or intangible, such as loss of Trust, Purpose or Health ... in 8 private sessions you can gain a new perspective on your present circumstances and a solid framework for resolving the competing thoughts and feelings that are impacting your ability to participate fully and freely in your life, your work, and your relationships.
Moving Beyond Loss is a compelling step-by-step program for adults who have endured painful events, personally or professionally, and been unable to regain a sense of well-being. Whether a loss occurred recently or long ago... is tangible, such as a death, partnership or job... or intangible, such as loss of Trust, Purpose or Health ... in 8 private sessions you can gain a new perspective on your present circumstances and a solid framework for resolving the competing thoughts and feelings that are impacting your ability to participate fully and freely in your life, your work, and your relationships.
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Photo of Lou Walleck, Licensed Professional Counselor in Dallas, TX
Lou Walleck
Licensed Professional Counselor, MAMFT, TBRI, LPC, LMHC
Verified Verified
1 Endorsed
Dallas, TX 75205  (Online Only)
*Lou is offering Telehealth Appointments for women across Texas & Florida.* I am a wife, mom of three, executive director of a nonprofit, beach lover, avid reader, aspiring runner, and amateur paddle boarder. I treat anxiety, depression and a variety of other issues that steal your joy. I learned early on that I love working with women. I believe that no matter where you're at, hope is not lost. My faith in Jesus shapes my counseling practice. I have lived long enough to see God turn terrible tragedies into something meaningful and even beautiful. My therapeutic style is warm, compassionate, and present.
*Lou is offering Telehealth Appointments for women across Texas & Florida.* I am a wife, mom of three, executive director of a nonprofit, beach lover, avid reader, aspiring runner, and amateur paddle boarder. I treat anxiety, depression and a variety of other issues that steal your joy. I learned early on that I love working with women. I believe that no matter where you're at, hope is not lost. My faith in Jesus shapes my counseling practice. I have lived long enough to see God turn terrible tragedies into something meaningful and even beautiful. My therapeutic style is warm, compassionate, and present.
(850) 854-8623 View (850) 854-8623
Photo of Teresa L. Jackson, Psychologist in Dallas, TX
Teresa L. Jackson
Psychologist, PsyD, ATR-BC
Verified Verified
Dallas, TX 75206
Making the decision to seek support can be a difficult task and shows courage. Opening up and sharing your private thoughts, emotions, fears, and experiences with a therapist can be frightening. However within a trusting, confidential, and healthy therapeutic relationship it can also be rewarding and a great benefit. I make it a point to never take for granted the gift clients give in revealing their personal history in the context of therapy. I endeavor to assist you in gaining insight, use new approaches to aid in making positive adjustments in your interpersonal, family, social, and work life.
Making the decision to seek support can be a difficult task and shows courage. Opening up and sharing your private thoughts, emotions, fears, and experiences with a therapist can be frightening. However within a trusting, confidential, and healthy therapeutic relationship it can also be rewarding and a great benefit. I make it a point to never take for granted the gift clients give in revealing their personal history in the context of therapy. I endeavor to assist you in gaining insight, use new approaches to aid in making positive adjustments in your interpersonal, family, social, and work life.
(469) 649-7165 View (469) 649-7165
Photo of Angela Harris, Clinical Social Work/Therapist in Dallas, TX
Angela Harris
Clinical Social Work/Therapist, LCSW, CEDS, EMDR
Verified Verified
4 Endorsed
Dallas, TX 75254
My clinical focus is in the areas of eating disorders, PTSD, and dissociative disorders. I work with eating disorders including anorexia, bulimia, binge eating disorder, orthorexia, avoidant restrictive food intake disorder (ARFID), other specified feeding or eating disorder (OSFED), disordered eating, compulsive exercise and body image concerns. I also work with dissociative disorders (DID, OSDD), depression, anxiety, infertility issues, coping skills, trauma, and PTSD. I specialize in treating adults. My goal is to empower you to write the next chapter of your life.
My clinical focus is in the areas of eating disorders, PTSD, and dissociative disorders. I work with eating disorders including anorexia, bulimia, binge eating disorder, orthorexia, avoidant restrictive food intake disorder (ARFID), other specified feeding or eating disorder (OSFED), disordered eating, compulsive exercise and body image concerns. I also work with dissociative disorders (DID, OSDD), depression, anxiety, infertility issues, coping skills, trauma, and PTSD. I specialize in treating adults. My goal is to empower you to write the next chapter of your life.
(214) 617-0731 View (214) 617-0731
Photo of Dr. Jada Jackson Hill, Licensed Professional Counselor in Dallas, TX
Dr. Jada Jackson Hill
Licensed Professional Counselor, LPC-S, LMHC, MS, MA, EdD
Verified Verified
2 Endorsed
Dallas, TX 75201
Are you struggling with feelings of low self-esteem? Do you feel unworthy? Are you battling an addiction or gender identity issue? Often times we find ourselves faced with unwanted situations and circumstances that get the best of us. My goal is to help those that feel stuck and unable to find the right path to healing.
Are you struggling with feelings of low self-esteem? Do you feel unworthy? Are you battling an addiction or gender identity issue? Often times we find ourselves faced with unwanted situations and circumstances that get the best of us. My goal is to help those that feel stuck and unable to find the right path to healing.
(214) 238-9501 View (214) 238-9501
Photo of Melissa Ann Roush, Licensed Professional Counselor in Dallas, TX
Melissa Ann Roush
Licensed Professional Counselor, MS, LPC
Verified Verified
Dallas, TX 75254  (Online Only)
You are aching to live a more authentic, fulfilling and empowered life, yet you are struggling to know how to proceed. I get it. I have been there. We build lives on foundations based in old programs, expectations, and beliefs and then when we feel the call for something more, we can feel stuck, anxious, or guilt. The life we built no longer suits us and we need help navigating change as we rebuild. Perhaps a relationship, a career, a midlife awakening (or pandemic) has triggered a longing for something more meaningful or fulfilling. Or maybe, something less- less drama, less stress, less anxiety, less soul sucking.
You are aching to live a more authentic, fulfilling and empowered life, yet you are struggling to know how to proceed. I get it. I have been there. We build lives on foundations based in old programs, expectations, and beliefs and then when we feel the call for something more, we can feel stuck, anxious, or guilt. The life we built no longer suits us and we need help navigating change as we rebuild. Perhaps a relationship, a career, a midlife awakening (or pandemic) has triggered a longing for something more meaningful or fulfilling. Or maybe, something less- less drama, less stress, less anxiety, less soul sucking.
(972) 362-9981 View (972) 362-9981
Photo of M.I.M Counseling & Associates LLC. Alicia Muhammad, Licensed Professional Counselor in Dallas, TX
M.I.M Counseling & Associates LLC. Alicia Muhammad
Licensed Professional Counselor, MS, LPC, LCDC
Verified Verified
Dallas, TX 75228
Let the Healing begin, mind, body and spirit with M.I.M Counseling & Associates. Life is a journey and sometimes on that journey there are difficulties. Are you, a loved one or your teen, struggling with depression, anxiety, substance dependence, domestic violence, relationship issues or other life challenging concerns? You do not have to be alone. I have over 20 years of experience helping others to navigate the challenges in their lives. My approach to therapy is to meet you at your current situation and work together to develop a treatment plan that will foster healing and well being, utilizing a holistic approach.
Let the Healing begin, mind, body and spirit with M.I.M Counseling & Associates. Life is a journey and sometimes on that journey there are difficulties. Are you, a loved one or your teen, struggling with depression, anxiety, substance dependence, domestic violence, relationship issues or other life challenging concerns? You do not have to be alone. I have over 20 years of experience helping others to navigate the challenges in their lives. My approach to therapy is to meet you at your current situation and work together to develop a treatment plan that will foster healing and well being, utilizing a holistic approach.
(469) 754-9859 View (469) 754-9859
Photo of Thorin Holley, Licensed Professional Counselor in Dallas, TX
Thorin Holley
Licensed Professional Counselor, LPC
Verified Verified
Dallas, TX 75224
I believe that our struggles with mental health can often make us think we are outside looking in. Different. Broken. The Black Sheep. When we learn how to change our view of our unique challenges or experiences, they can become strengths and lose their power over us. I have experience working with clients who struggle with multiple mental health concerns ranging from depression, anxiety, substance, and trauma to figuring out who and what their identity and purpose are as they make changes in their lives.
I believe that our struggles with mental health can often make us think we are outside looking in. Different. Broken. The Black Sheep. When we learn how to change our view of our unique challenges or experiences, they can become strengths and lose their power over us. I have experience working with clients who struggle with multiple mental health concerns ranging from depression, anxiety, substance, and trauma to figuring out who and what their identity and purpose are as they make changes in their lives.
(972) 441-7507 View (972) 441-7507
Photo of Morenike Olorunnisomo, Licensed Professional Counselor in Dallas, TX
Morenike Olorunnisomo
Licensed Professional Counselor, LPC, SEP, RYT200
Verified Verified
8 Endorsed
Dallas, TX 75230
Are you grappling with the complexities of trauma, emotional turbulence, and the weight of familial expectations? Do you find yourself navigating through a maze of difficult emotions, struggling with setting healthy boundaries, or feeling the suffocating pressure of perfectionism? If so, you're not alone, and I'd like to offer you a safe space to embark on your healing journey.
Are you grappling with the complexities of trauma, emotional turbulence, and the weight of familial expectations? Do you find yourself navigating through a maze of difficult emotions, struggling with setting healthy boundaries, or feeling the suffocating pressure of perfectionism? If so, you're not alone, and I'd like to offer you a safe space to embark on your healing journey.
(469) 813-8036 View (469) 813-8036
Photo of Justin Ellis, LPC Associate in Dallas, TX
Justin Ellis
LPC Associate, MS
Verified Verified
Dallas, TX 75240  (Online Only)
I am a Licensed Professional Counselor Associate under the supervision of Erin James, MA, LPC-S. I am the owner of Determined Legacy Counseling LLC. Do you feel stuck, stressed about life issues, or have relational conflicts with family or friends? It is important to verbalize your thoughts with another person as it can alleviate the pressure one may be under in life's journey. As a trauma-informed mental health therapist, I desire to provide a safe environment to meet individuals where they are and collaborate with them to build upon their innate strengths.
I am a Licensed Professional Counselor Associate under the supervision of Erin James, MA, LPC-S. I am the owner of Determined Legacy Counseling LLC. Do you feel stuck, stressed about life issues, or have relational conflicts with family or friends? It is important to verbalize your thoughts with another person as it can alleviate the pressure one may be under in life's journey. As a trauma-informed mental health therapist, I desire to provide a safe environment to meet individuals where they are and collaborate with them to build upon their innate strengths.
(214) 393-5516 View (214) 393-5516
Photo of Claire Simpson, Psychologist in Dallas, TX
Claire Simpson
Psychologist, PhD
Verified Verified
Dallas, TX 75230
Thank you for your interest in my practice. My passion is helping those with learning, cognitive, psychological, and social skill difficulties navigate the complex evaluation and treatment process. I am licensed and trained to practice psychology in the state of Texas. I received my Doctoral degree in Clinical Psychology from Southern Methodist University and an additional master’s degree in Applied Cognition and Neuroscience with a specialization in Neurological Diagnosis from the University of Texas at Dallas.
Thank you for your interest in my practice. My passion is helping those with learning, cognitive, psychological, and social skill difficulties navigate the complex evaluation and treatment process. I am licensed and trained to practice psychology in the state of Texas. I received my Doctoral degree in Clinical Psychology from Southern Methodist University and an additional master’s degree in Applied Cognition and Neuroscience with a specialization in Neurological Diagnosis from the University of Texas at Dallas.
(469) 620-8565 View (469) 620-8565
Photo of Tim Shreve, Clinical Social Work/Therapist in Dallas, TX
Tim Shreve
Clinical Social Work/Therapist, LCSW
Verified Verified
Dallas, TX 75206  (Online Only)
Now accepting NEW clients! Hi! My name is Tim Shreve and I'm a Licensed Clinical Social Worker (LCSW). I have over 15 years of experience working with children and families from the child welfare system, to the hospital/clinical setting, and recently providing teletherapy services to local schools and residences. During those varied experiences I have worked with people with anxiety, depression, suicidal ideation, trauma, self-esteem issues, bullying, chronic illness, failure to cope with a diagnosis, peer pressure, substance abuse, gender identity issues, and more!
Now accepting NEW clients! Hi! My name is Tim Shreve and I'm a Licensed Clinical Social Worker (LCSW). I have over 15 years of experience working with children and families from the child welfare system, to the hospital/clinical setting, and recently providing teletherapy services to local schools and residences. During those varied experiences I have worked with people with anxiety, depression, suicidal ideation, trauma, self-esteem issues, bullying, chronic illness, failure to cope with a diagnosis, peer pressure, substance abuse, gender identity issues, and more!
(214) 833-5705 View (214) 833-5705
Photo of The Well Therapy Group, Licensed Professional Counselor in Dallas, TX
The Well Therapy Group
Licensed Professional Counselor, LPC
Verified Verified
Dallas, TX 75204
There is no greater freedom than living in your true self, a self authentically and lovingly connected to others. It’s how we are built. It’s how our children are built. Living the kind of balance many of us aspire to looks a heck of lot easier in print than it is in action. It takes work to integrate it all, but it is so worth it.
There is no greater freedom than living in your true self, a self authentically and lovingly connected to others. It’s how we are built. It’s how our children are built. Living the kind of balance many of us aspire to looks a heck of lot easier in print than it is in action. It takes work to integrate it all, but it is so worth it.
(469) 772-5689 View (469) 772-5689
Photo of Nora Hollas, Licensed Professional Counselor in Dallas, TX
Nora Hollas
Licensed Professional Counselor, MEd, LPC
Verified Verified
1 Endorsed
Dallas, TX 75243  (Online Only)
Taking care of your mental health is so important. As a mental health counselor I have seen firsthand how life- changing therapy services can be. If you are dealing with depression, anxiety, stress, trauma, low self-esteem or anger, you do not have to suffer alone, therapy can help you! Therapy not only help you process difficult situations, it provides you with a safe place to share your feelings, challenges, and your goals.
Taking care of your mental health is so important. As a mental health counselor I have seen firsthand how life- changing therapy services can be. If you are dealing with depression, anxiety, stress, trauma, low self-esteem or anger, you do not have to suffer alone, therapy can help you! Therapy not only help you process difficult situations, it provides you with a safe place to share your feelings, challenges, and your goals.
(469) 529-5616 View (469) 529-5616
Photo of David Horn, Licensed Professional Counselor in Dallas, TX
David Horn
Licensed Professional Counselor, LPC
Verified Verified
Dallas, TX 75254  (Online Only)
I am a Licensed Professional Counselor in the state of Texas, USA. This means that I am licensed by the state of Texas to practice professional counseling. I have an Associates Degree in Missions from Sunset International Bible Institute, a Bachelors of Art in Psychology from Lubbock Christian University, and a Masters of Education in Counselor Education from Texas Tech University Graduate School. I also receive consultation as needed. I have lived in France and New Zealand as a missionary. My counseling practice primarily includes children, adolescents, families, and groups.
I am a Licensed Professional Counselor in the state of Texas, USA. This means that I am licensed by the state of Texas to practice professional counseling. I have an Associates Degree in Missions from Sunset International Bible Institute, a Bachelors of Art in Psychology from Lubbock Christian University, and a Masters of Education in Counselor Education from Texas Tech University Graduate School. I also receive consultation as needed. I have lived in France and New Zealand as a missionary. My counseling practice primarily includes children, adolescents, families, and groups.
(214) 972-3623 View (214) 972-3623

How does your Therapist compare?

Number of Therapists in Dallas, TX

3,000+

Average cost per session

$140

Therapists in Dallas, TX who prioritize treating:

92% Anxiety
88% Depression
75% Self Esteem
71% Relationship Issues
70% Coping Skills
67% Trauma and PTSD
67% Stress

Average years in practice

10 Years

Top 3 insurances accepted

81% Aetna
77% UnitedHealthcare UHC | UBH
73% BlueCross and BlueShield

How Therapists in Dallas, TX see their clients

53% In Person and Online
47% Online Only

Gender breakdown

80% Female
19% Male
1% Non-Binary
FAQs - About Therapy and Counseling

How can I find a therapist in Dallas?

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.