Therapists in San Marcos, TX

Photo of Madison Short Conteh, Licensed Professional Counselor in San Marcos, TX
Madison Short Conteh
Licensed Professional Counselor, LPC, RPT, MA
Verified Verified
San Marcos, TX 78666
Whether you had more ups or downs in 2020, it was a trying year for everyone. Perhaps it brought new behaviors out of your children or yourself. Maybe it reminded you of past traumas. Many of us have "big T" Traumas like abuse or near death experiences. All of us have some "little t" traumas like feeling repeatedly rejected by others. Part of us gets stuck back when the no-good-dirty-rotten-thing happened, but you don't have to stay there. You can be free of the grip of both big T and little t traumas. These no longer have to affect you, your child, the way you parent, or a myriad of other things like weight management.
Whether you had more ups or downs in 2020, it was a trying year for everyone. Perhaps it brought new behaviors out of your children or yourself. Maybe it reminded you of past traumas. Many of us have "big T" Traumas like abuse or near death experiences. All of us have some "little t" traumas like feeling repeatedly rejected by others. Part of us gets stuck back when the no-good-dirty-rotten-thing happened, but you don't have to stay there. You can be free of the grip of both big T and little t traumas. These no longer have to affect you, your child, the way you parent, or a myriad of other things like weight management.
(737) 232-4277 View (737) 232-4277
Photo of Ashley Richey, Clinical Social Work/Therapist in San Marcos, TX
Ashley Richey
Clinical Social Work/Therapist, LCSW-S, EMDR, PLLC
Verified Verified
1 Endorsed
San Marcos, TX 78666  (Online Only)
I believe that our most basic human instinct is to feel connected to others and to ourselves, and I will use evidence-based practices to help you improve these connections. I understand that fear, anxiety, grief, and pain can all block our paths towards connection and healing, and I realize how broken relationships can turn into life-long regret and hurt. My goal is to individualize each treatment plan to your personal needs and areas of growth by emphasizing strengths, unlearning negative beliefs, overcoming fears, and inspiring you to create new paths towards healing. I am fully trained in EMDR and ERP to better meet your needs.
I believe that our most basic human instinct is to feel connected to others and to ourselves, and I will use evidence-based practices to help you improve these connections. I understand that fear, anxiety, grief, and pain can all block our paths towards connection and healing, and I realize how broken relationships can turn into life-long regret and hurt. My goal is to individualize each treatment plan to your personal needs and areas of growth by emphasizing strengths, unlearning negative beliefs, overcoming fears, and inspiring you to create new paths towards healing. I am fully trained in EMDR and ERP to better meet your needs.
(512) 764-1585 View (512) 764-1585
Photo of Mayra Aguilar, LPC Associate in San Marcos, TX
Mayra Aguilar
LPC Associate, MEd
Verified Verified
1 Endorsed
San Marcos, TX 78666  (Online Only)
Is managing stress, anxiety, or depression overshadowing important parts of your life? Mayra Aguilar is a bilingual LPC-Associate, supervised by Maureena Benavides, LPC-S, working with individuals to improve mental wellness. Her purpose is to be a support in the journey of change by fostering a safe and honest environment for. clients ¿El manejo del estrés, ansiedad o depresión está eclipsando partes importantes de su vida? Mayra Aguilar es una LPC-Associate bilingue, y trabaja con personas para mejorar el bienestar mental. Su propósito es ser un apoyo en el camino del cambio fomentando un ambiente seguro y honesto para clientes.
Is managing stress, anxiety, or depression overshadowing important parts of your life? Mayra Aguilar is a bilingual LPC-Associate, supervised by Maureena Benavides, LPC-S, working with individuals to improve mental wellness. Her purpose is to be a support in the journey of change by fostering a safe and honest environment for. clients ¿El manejo del estrés, ansiedad o depresión está eclipsando partes importantes de su vida? Mayra Aguilar es una LPC-Associate bilingue, y trabaja con personas para mejorar el bienestar mental. Su propósito es ser un apoyo en el camino del cambio fomentando un ambiente seguro y honesto para clientes.
(830) 268-0307 View (830) 268-0307
Photo of Katherine Ewing, Clinical Social Work/Therapist in San Marcos, TX
Katherine Ewing
Clinical Social Work/Therapist, LCSW
Verified Verified
San Marcos, TX 78666  (Online Only)
Hello! I am a Licensed Clinical Social Worker and I have been providing counseling to children, teens, and adults for 7 years. I have experience helping clients finding success in school, assisting parents in supporting their children in the best way possible, building lasting social connections with others, and creating confidence/ self love for my clients to continue practicing in their lives.
Hello! I am a Licensed Clinical Social Worker and I have been providing counseling to children, teens, and adults for 7 years. I have experience helping clients finding success in school, assisting parents in supporting their children in the best way possible, building lasting social connections with others, and creating confidence/ self love for my clients to continue practicing in their lives.
(512) 881-7509 View (512) 881-7509
Photo of Alessa Smyth, Licensed Professional Counselor in San Marcos, TX
Alessa Smyth
Licensed Professional Counselor, LPC
Verified Verified
San Marcos, TX 78666  (Online Only)
Hello, and welcome! The decision to seek professional help can be a difficult one, and I am happy you had the courage to do so. Through empathy and compassion, I create a safe space where clients feel comfortable sharing their innermost selves. That vulnerability allows for healing, which is the catalyst towards creating real and lasting change in your life.
Hello, and welcome! The decision to seek professional help can be a difficult one, and I am happy you had the courage to do so. Through empathy and compassion, I create a safe space where clients feel comfortable sharing their innermost selves. That vulnerability allows for healing, which is the catalyst towards creating real and lasting change in your life.
(737) 637-3293 View (737) 637-3293
Photo of Kimberly Cross, Clinical Social Work/Therapist in San Marcos, TX
Kimberly Cross
Clinical Social Work/Therapist, LCSW, MHR
Verified Verified
1 Endorsed
San Marcos, TX 78666
I am an EMDR trained, trauma-informed, warrior therapist who has had to face difficult situations myself, have learned from my own trauma, have grown in ways I never thought possible. As a Licensed Clinical Social Worker and Psychotherapist not only do I use my educational background, but also life lessons to assist other women who are in the midst of their journey, no matter what that journey is; depression, anxiety or fear. Fear comes in many forms. Trauma comes in many forms. Micro-aggressions leveled at you from work and home all can play a role in how you have navigated life; how you have lost your way at times.
I am an EMDR trained, trauma-informed, warrior therapist who has had to face difficult situations myself, have learned from my own trauma, have grown in ways I never thought possible. As a Licensed Clinical Social Worker and Psychotherapist not only do I use my educational background, but also life lessons to assist other women who are in the midst of their journey, no matter what that journey is; depression, anxiety or fear. Fear comes in many forms. Trauma comes in many forms. Micro-aggressions leveled at you from work and home all can play a role in how you have navigated life; how you have lost your way at times.
(830) 283-5383 View (830) 283-5383
Photo of San Marcos Counseling, Licensed Professional Counselor in San Marcos, TX
San Marcos Counseling
Licensed Professional Counselor, MA, LPC-S
Verified Verified
3 Endorsed
San Marcos, TX 78666  (Online Only)
I have been a therapist since 2001, and I truly love what I do. My hope for you is that you will find a safe and comfortable environment in my office, where you are able to speak your mind, face your fears, and achieve your personal goals. I am only doing virtual sessions at this time.
I have been a therapist since 2001, and I truly love what I do. My hope for you is that you will find a safe and comfortable environment in my office, where you are able to speak your mind, face your fears, and achieve your personal goals. I am only doing virtual sessions at this time.
(512) 271-5175 View (512) 271-5175
Photo of Shirley Oliver in San Marcos, TX
Shirley Oliver
LPC-S
Verified Verified
1 Endorsed
San Marcos, TX 78666
Shan is a Licensed Professional Counselor Supervisor. She obtained her Masters degree form University of Houston Clear Lake in Counseling. Shan is a person-centered therapist who works with adults and families. She has a background CBT/DBT, EMDR and Internal Family Systems. She has experience in treating Trauma and Post Traumatic Stress Disorder.
Shan is a Licensed Professional Counselor Supervisor. She obtained her Masters degree form University of Houston Clear Lake in Counseling. Shan is a person-centered therapist who works with adults and families. She has a background CBT/DBT, EMDR and Internal Family Systems. She has experience in treating Trauma and Post Traumatic Stress Disorder.
(512) 883-5499 View (512) 883-5499
Photo of Greater Texas DBT, Licensed Professional Counselor in San Marcos, TX
Greater Texas DBT
Licensed Professional Counselor, MA, LPC
Verified Verified
San Marcos, TX 78666
Waitlist for new clients
As a DBT therapist at Greater Texas DBT, I specialize in working with clients whose emotional experiencing interferes with achieving and/or maintaining goals. I celebrate the unique qualities of emotionally sensitive individuals and am passionate about collaborating with clients to "build lives worth living" by capitalizing on strengths while systematically addressing areas in which living with emotional intensity or detachment has become problematic. I offer services to clients of all ages with a focus on early identification and intervention with adolescents and young adults, and in providing support to their loved ones.
As a DBT therapist at Greater Texas DBT, I specialize in working with clients whose emotional experiencing interferes with achieving and/or maintaining goals. I celebrate the unique qualities of emotionally sensitive individuals and am passionate about collaborating with clients to "build lives worth living" by capitalizing on strengths while systematically addressing areas in which living with emotional intensity or detachment has become problematic. I offer services to clients of all ages with a focus on early identification and intervention with adolescents and young adults, and in providing support to their loved ones.
(512) 572-9407 View (512) 572-9407
Photo of Elizabeth Barnard, Licensed Professional Counselor in San Marcos, TX
Elizabeth Barnard
Licensed Professional Counselor, MA, LPC, RPT
Verified Verified
1 Endorsed
San Marcos, TX 78666
It’s hard to be vulnerable. Especially with someone you don’t know. I work hard to establish a therapeutic relationship built on trust. I provide a holistic approach exploring all parts of a person’s past and current circumstances so that the process can help in giving insight for healing and growth.
It’s hard to be vulnerable. Especially with someone you don’t know. I work hard to establish a therapeutic relationship built on trust. I provide a holistic approach exploring all parts of a person’s past and current circumstances so that the process can help in giving insight for healing and growth.
(830) 500-5618 View (830) 500-5618
Photo of Julie M Norman, Licensed Professional Counselor Associate in San Marcos, TX
Julie M Norman
Licensed Professional Counselor Associate , NCC, CSAT-C, RMHCI, LPC-A
Verified Verified
3 Endorsed
San Marcos, TX 78666
I offer support to those experiencing anxiety, trauma, betrayal, unwanted sexual behaviors and a few other concerns. My clients are professionals and parents, and sometimes teens. I employ EMDR, Sandtray, Talk therapy, mindfulness, outdoor therapy, and VR exposures to tailor treatment. My current personal passion is to encourage anyone that (despite their best efforts) is not living the life that they desire, to exclude ADHD from possible concerns with the objective QbCheck. Is isn't hyperbole to say that treating ADHD can save a life.
I offer support to those experiencing anxiety, trauma, betrayal, unwanted sexual behaviors and a few other concerns. My clients are professionals and parents, and sometimes teens. I employ EMDR, Sandtray, Talk therapy, mindfulness, outdoor therapy, and VR exposures to tailor treatment. My current personal passion is to encourage anyone that (despite their best efforts) is not living the life that they desire, to exclude ADHD from possible concerns with the objective QbCheck. Is isn't hyperbole to say that treating ADHD can save a life.
(210) 972-3595 View (210) 972-3595
Photo of Susan Allem, Licensed Professional Counselor in San Marcos, TX
Susan Allem
Licensed Professional Counselor, MA, LPC
Verified Verified
1 Endorsed
San Marcos, TX 78666  (Online Only)
Everyone needs someone in their life to help validate their feelings and experiences. We have a tendency to focus more on our physical body than of our thoughts. Sometimes we may feel depressed or anxious without knowing the reason. Sometimes everything can be perfect in your life yet you still feel this sadness. This is not uncommon and talking to a therapist can help. I use a holistic approach when working with my clients. I provide a safe space with acceptance of who you are. I help my clients create goals for themselves and then we work on accomplishing them together.
Everyone needs someone in their life to help validate their feelings and experiences. We have a tendency to focus more on our physical body than of our thoughts. Sometimes we may feel depressed or anxious without knowing the reason. Sometimes everything can be perfect in your life yet you still feel this sadness. This is not uncommon and talking to a therapist can help. I use a holistic approach when working with my clients. I provide a safe space with acceptance of who you are. I help my clients create goals for themselves and then we work on accomplishing them together.
(512) 729-3506 View (512) 729-3506
Photo of Eric A Schmidt, Licensed Professional Counselor in San Marcos, TX
Eric A Schmidt
Licensed Professional Counselor, PhD, LPCS
Verified Verified
San Marcos, TX 78666
You're probably reading this because you're considering counseling. I think that's a great first step. No matter who you choose, I hope you meet with someone. Here's a litte about me; I hope this makes your job of selecting someone a little easier.
You're probably reading this because you're considering counseling. I think that's a great first step. No matter who you choose, I hope you meet with someone. Here's a litte about me; I hope this makes your job of selecting someone a little easier.
(512) 522-5850 View (512) 522-5850
Photo of Grace L Davis, Clinical Social Work/Therapist in San Marcos, TX
Grace L Davis
Clinical Social Work/Therapist, LCSW-S
Verified Verified
1 Endorsed
San Marcos, TX 78666
Waitlist for new clients
Life is a Journey with many ups and downs. We never know what will happen even though we spend time trying to plan away our pain and control everything and everyone around us. If you find that your life's Journey is not where you want it to be or, you are experiencing stress and facing the pain of past traumas, I am here to help. If you want to work toward a life that brings you joy and fulfillment, I can assist you in finding your inner peace.
Life is a Journey with many ups and downs. We never know what will happen even though we spend time trying to plan away our pain and control everything and everyone around us. If you find that your life's Journey is not where you want it to be or, you are experiencing stress and facing the pain of past traumas, I am here to help. If you want to work toward a life that brings you joy and fulfillment, I can assist you in finding your inner peace.
(512) 489-9345 View (512) 489-9345
Photo of Mary Katherine Kaiser, Licensed Professional Counselor in San Marcos, TX
Mary Katherine Kaiser
Licensed Professional Counselor, MA, LPC-S
Verified Verified
San Marcos, TX 78666  (Online Only)
Warm regards to you! You may be at a place where challenges in life just seem to be too much for you to handle alone. Many people come to counseling and find help to deal more powerfully with the challenges of life. Many situations, emotions and patterns of self-defeating behavior prevent people from living a happy, productive, and satisfying life. Some of these behaviors are in our awareness; while others are not obvious to us. The goal of counseling is to help increase self-awareness, for you to find your best way to function and thrive!
Warm regards to you! You may be at a place where challenges in life just seem to be too much for you to handle alone. Many people come to counseling and find help to deal more powerfully with the challenges of life. Many situations, emotions and patterns of self-defeating behavior prevent people from living a happy, productive, and satisfying life. Some of these behaviors are in our awareness; while others are not obvious to us. The goal of counseling is to help increase self-awareness, for you to find your best way to function and thrive!
(512) 456-9145 View (512) 456-9145
Photo of Cherise Miles, Licensed Professional Counselor Associate in San Marcos, TX
Cherise Miles
Licensed Professional Counselor Associate, LPC-A
Verified Verified
San Marcos, TX 78666
How are you today? Really, how are you? Browsing these pages can be overwhelming – the unfamiliar words, the multitude of smiling faces. Those smiles can seem insulting in the face of overwhelming depression. Who do you pick? It’s okay to have questions and doubts; it’s okay to pick someone and change your mind once you meet them. My name is Cherise (she/her) and I am an LPC-Associate. This means that I have the education and experience to have a provisional license to counsel, but must do so under supervision. You not only have a qualified therapist, you also have a second, more experienced therapist behind the scenes.
How are you today? Really, how are you? Browsing these pages can be overwhelming – the unfamiliar words, the multitude of smiling faces. Those smiles can seem insulting in the face of overwhelming depression. Who do you pick? It’s okay to have questions and doubts; it’s okay to pick someone and change your mind once you meet them. My name is Cherise (she/her) and I am an LPC-Associate. This means that I have the education and experience to have a provisional license to counsel, but must do so under supervision. You not only have a qualified therapist, you also have a second, more experienced therapist behind the scenes.
(512) 598-8770 View (512) 598-8770
Photo of Karen Pace Poland, Licensed Professional Counselor in San Marcos, TX
Karen Pace Poland
Licensed Professional Counselor, MA, LPC
Verified Verified
San Marcos, TX 78666  (Online Only)
Hi, I am Karen Pace Poland, Texas Licensed Professional Counselor. I have been a counselor for 15 years in the Houston area and recently moved to San Marcos. I enjoy working with clients in the areas of trauma, anxiety, depression, and relationship issues. I also have interest in life transitions and how changes cause us to reevaluate areas such as relationships, faith, or personal boundaries.
Hi, I am Karen Pace Poland, Texas Licensed Professional Counselor. I have been a counselor for 15 years in the Houston area and recently moved to San Marcos. I enjoy working with clients in the areas of trauma, anxiety, depression, and relationship issues. I also have interest in life transitions and how changes cause us to reevaluate areas such as relationships, faith, or personal boundaries.
(512) 982-6291 View (512) 982-6291
Photo of Macie Romaguera, Pre-Licensed Professional in San Marcos, TX
Macie Romaguera
Pre-Licensed Professional, BA
Verified Verified
1 Endorsed
San Marcos, TX 78666
Do you feel as if you have lost a part of yourself? Do you feel isolated or  disconnected? I would like to help you create space for you to find your voice (either again, or a new voice), discover who you are or who you want to be, and build meaningful connections again. My approach is to meet you where you are by building on and working from YOUR values and belief system. The bulk of my experience is lived experience in women's issues and perinatal/ post-partum support.
Do you feel as if you have lost a part of yourself? Do you feel isolated or  disconnected? I would like to help you create space for you to find your voice (either again, or a new voice), discover who you are or who you want to be, and build meaningful connections again. My approach is to meet you where you are by building on and working from YOUR values and belief system. The bulk of my experience is lived experience in women's issues and perinatal/ post-partum support.
(512) 859-5890 View (512) 859-5890
Photo of Rozana Yousef, Licensed Professional Counselor Associate in San Marcos, TX
Rozana Yousef
Licensed Professional Counselor Associate, LPC-A
Verified Verified
1 Endorsed
San Marcos, TX 78666  (Online Only)
My name is Rozana Yousef, and I’m a Licensed Professional Counselor-Associate practicing in Texas, USA. I offer telehealth counseling to adolescents and adults, and have experience working with individuals from multiple cultural and socioeconomic backgrounds. I offer counseling in both English and Arabic to individuals and couples. My main therapeutic modality is cognitive behavioral therapy, but I tend to employ techniques from other modalities including dialectical behavior therapy, existentialism, narrative therapy, and others. I am also trained in EMDR and am able to use it in telehealth sessions.
My name is Rozana Yousef, and I’m a Licensed Professional Counselor-Associate practicing in Texas, USA. I offer telehealth counseling to adolescents and adults, and have experience working with individuals from multiple cultural and socioeconomic backgrounds. I offer counseling in both English and Arabic to individuals and couples. My main therapeutic modality is cognitive behavioral therapy, but I tend to employ techniques from other modalities including dialectical behavior therapy, existentialism, narrative therapy, and others. I am also trained in EMDR and am able to use it in telehealth sessions.
(737) 345-4459 View (737) 345-4459
Photo of Addie Wieland, Clinical Social Work/Therapist in San Marcos, TX
Addie Wieland
Clinical Social Work/Therapist, LCSW
Verified Verified
5 Endorsed
San Marcos, TX 78666  (Online Only)
Calling all resilient GenZ & Millennials who carry the heavy burden of unresolved trauma & are so ready to lighten the load. Does your life look normal on the outside but, on the inside you feel constant anxiety, crushing perfectionism, and you’re always overthinking or going to the worst case scenario? How about that mean loud voice in your head constantly hurling insults & reminding you of all your faults. Here are some other things you hate: being vulnerable, disappointing others, and putting yourself first. Not to mention the self-doubt, always questioning your decisions, and having the hardest time trusting yourself.
Calling all resilient GenZ & Millennials who carry the heavy burden of unresolved trauma & are so ready to lighten the load. Does your life look normal on the outside but, on the inside you feel constant anxiety, crushing perfectionism, and you’re always overthinking or going to the worst case scenario? How about that mean loud voice in your head constantly hurling insults & reminding you of all your faults. Here are some other things you hate: being vulnerable, disappointing others, and putting yourself first. Not to mention the self-doubt, always questioning your decisions, and having the hardest time trusting yourself.
(956) 374-2338 View (956) 374-2338

How does your Therapist compare?

Number of Therapists in San Marcos, TX

200+

Average cost per session

$130

Therapists in San Marcos, TX who prioritize treating:

92% Anxiety
88% Depression
78% Relationship Issues
78% Self Esteem
76% Coping Skills
73% Trauma and PTSD
69% Stress

Average years in practice

10 Years

Top 3 insurances accepted

75% UnitedHealthcare UHC | UBH
71% Aetna
71% BlueCross and BlueShield

How Therapists in San Marcos, TX see their clients

67% In Person and Online
33% Online Only

Gender breakdown

83% Female
16% Male
1% Non-Binary
FAQs - About Therapy and Counseling

How can I find a therapist in San Marcos?

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.