Therapists in McKinney, TX

Photo of Anna Vaught, Clinical Social Work/Therapist in McKinney, TX
Anna Vaught
Clinical Social Work/Therapist, MSW, LCSW
Verified Verified
McKinney, TX 75070
I'm Anna, a Licensed Clinical Social Worker. I consider it an honor and privilege to walk with clients as they choose a healing path to a better life. My overall approach is client-centered, creating a safe space to explore and challenge what is holding you back or impeding a healthy mind and body.
I'm Anna, a Licensed Clinical Social Worker. I consider it an honor and privilege to walk with clients as they choose a healing path to a better life. My overall approach is client-centered, creating a safe space to explore and challenge what is holding you back or impeding a healthy mind and body.
(469) 707-8568 View (469) 707-8568
Photo of Katherine Bell (Tx Lic# 71390), Licensed Professional Counselor in McKinney, TX
Katherine Bell (Tx Lic# 71390)
Licensed Professional Counselor, MA, LPC, NCC
Verified Verified
1 Endorsed
McKinney, TX 75072
Healing can mean diving deep into your past. Those depths can be a scary, painful place, but there’s treasure, too. You're created in God’s image, uniquely wired to be like no one else, with gifts and strengths to discover. I welcome you to a safe space to explore yourself. You’re free to be completely, unashamedly YOU... w/out the masks that hide what's beneath the surface. I'll listen, offer validation, show acceptance/grace, & encourage you to take those first steps towards becoming the YOU God intended. Learn to extend grace to yourself as you discover the life you’ve always wanted. Saturday appts available, BCBS accepted.
Healing can mean diving deep into your past. Those depths can be a scary, painful place, but there’s treasure, too. You're created in God’s image, uniquely wired to be like no one else, with gifts and strengths to discover. I welcome you to a safe space to explore yourself. You’re free to be completely, unashamedly YOU... w/out the masks that hide what's beneath the surface. I'll listen, offer validation, show acceptance/grace, & encourage you to take those first steps towards becoming the YOU God intended. Learn to extend grace to yourself as you discover the life you’ve always wanted. Saturday appts available, BCBS accepted.
(972) 441-7374 View (972) 441-7374
Photo of Brandy Porche, Licensed Professional Counselor in McKinney, TX
Brandy Porche
Licensed Professional Counselor, LPC, MA, CAMS-I
Verified Verified
1 Endorsed
McKinney, TX 75070
Licensed in Texas and Illinois. As we navigate our unique journey in life, sometimes additional support is needed along the way. My interactions with clients are grounded in compassion, respect, empathy, and an understanding of cultural impacts. My role as a therapist is to help educate and empower clients so that they develop the insight and skills necessary to overcome their own personal and situational challenges. Examining the core of your presenting symptoms can be challenging but you are worth the life changing experience. I work with couples, families, & individuals including adults and adolescents ages 14+.
Licensed in Texas and Illinois. As we navigate our unique journey in life, sometimes additional support is needed along the way. My interactions with clients are grounded in compassion, respect, empathy, and an understanding of cultural impacts. My role as a therapist is to help educate and empower clients so that they develop the insight and skills necessary to overcome their own personal and situational challenges. Examining the core of your presenting symptoms can be challenging but you are worth the life changing experience. I work with couples, families, & individuals including adults and adolescents ages 14+.
(469) 436-9298 View (469) 436-9298
Photo of Jessica Pirzadeh, Licensed Professional Counselor in McKinney, TX
Jessica Pirzadeh
Licensed Professional Counselor, MA, LPC-S
Verified Verified
McKinney, TX 75070
I believe that our past experiences shape how we think about things. If we heal old wounds, we improve our chances to feel more successful in all areas of life. I believe the ability to learn is a necessary tool for all individuals to maintain throughout life; whether you are a student in school or the CEO of a global corporation, it is essential to continue learning about yourself. When we have a solid understanding of why we think, act, and feel the way we do, then we set ourselves up to improve our relationships, especially the one with ourselves.
I believe that our past experiences shape how we think about things. If we heal old wounds, we improve our chances to feel more successful in all areas of life. I believe the ability to learn is a necessary tool for all individuals to maintain throughout life; whether you are a student in school or the CEO of a global corporation, it is essential to continue learning about yourself. When we have a solid understanding of why we think, act, and feel the way we do, then we set ourselves up to improve our relationships, especially the one with ourselves.
(972) 829-0936 View (972) 829-0936
Photo of Sarahbeth Holman, Licensed Professional Counselor in McKinney, TX
Sarahbeth Holman
Licensed Professional Counselor, LPC, MEd
Verified Verified
1 Endorsed
McKinney, TX 75070
I am a professional counselor offering in person and tele-therapy. I am licensed to work in Texas and Colorado. If you are in Colorado and want to work with me via tele-therapy please reach out. If you are in the midst of struggle, counseling can help. Change is possible and I am here to support you every step of the way. If you find yourself dealing with anxiety, depression or overwhelm, and can no longer cope alone please reach out. Don't suffer alone! I work with children, adolescents and adults to to support them as they find their way to peace.
I am a professional counselor offering in person and tele-therapy. I am licensed to work in Texas and Colorado. If you are in Colorado and want to work with me via tele-therapy please reach out. If you are in the midst of struggle, counseling can help. Change is possible and I am here to support you every step of the way. If you find yourself dealing with anxiety, depression or overwhelm, and can no longer cope alone please reach out. Don't suffer alone! I work with children, adolescents and adults to to support them as they find their way to peace.
(469) 425-7014 View (469) 425-7014
Photo of Tereza Sampululu, Psychological Associate in McKinney, TX
Tereza Sampululu
Psychological Associate, MC, LPA
Verified Verified
1 Endorsed
McKinney, TX 75070
Now Accepting NEW Clients! I think of myself as solution-oriented and I feel privileged to be able to support and witness clients grow and overcome challenges they face in their day-to-day lives. I work with individuals and families, and have a special interest in working with couples as they work through and navigate relationship challenges, transitional periods and working towards creating stronger bonds. My educational and professional background has afforded me the experience of supporting clients with various concerns such as anxiety, depression, anger, self-esteem, grief & loss, and relationship issues–to name a few.
Now Accepting NEW Clients! I think of myself as solution-oriented and I feel privileged to be able to support and witness clients grow and overcome challenges they face in their day-to-day lives. I work with individuals and families, and have a special interest in working with couples as they work through and navigate relationship challenges, transitional periods and working towards creating stronger bonds. My educational and professional background has afforded me the experience of supporting clients with various concerns such as anxiety, depression, anger, self-esteem, grief & loss, and relationship issues–to name a few.
(972) 299-3748 View (972) 299-3748
Photo of Dr. Desiree L. Stephens, Licensed Professional Counselor in McKinney, TX
Dr. Desiree L. Stephens
Licensed Professional Counselor, PhD, LPC-S, NCC, TH LMHC
Verified Verified
12 Endorsed
McKinney, TX 75069
Children often do not have the words to express what they are thinking or feeling. Traditional talk therapy alone is rarely successful in helping children process difficult life situations. I help children overcome anxiety, depression, and other challenges. I also assist parents in building strong, open relationships with their children. If your child is going through anxiety, sadness, behavior problems, social issues, or life changes (divorce, loss of a loved one, etc.) I am happy to walk along side them in their journey. In addition to working with children, I also see teens and adults.
Children often do not have the words to express what they are thinking or feeling. Traditional talk therapy alone is rarely successful in helping children process difficult life situations. I help children overcome anxiety, depression, and other challenges. I also assist parents in building strong, open relationships with their children. If your child is going through anxiety, sadness, behavior problems, social issues, or life changes (divorce, loss of a loved one, etc.) I am happy to walk along side them in their journey. In addition to working with children, I also see teens and adults.
(469) 904-1439 View (469) 904-1439
Photo of Trent Davis - Supervised By Karina Streitenberger, LPC Associate in McKinney, TX
Trent Davis - Supervised By Karina Streitenberger
LPC Associate, MA, LPC-A
Verified Verified
McKinney, TX 75070
As a first responder for over 26 years, Trent has had a front-row seat to witnessing the effects of the trauma and struggles that many people in the community face every day. He also experienced the mental and physical strain the career takes on those committed to the profession. As a counselor, he has transformed his unique experience to help others through therapy. Trent believes that therapy is about meeting the client where they are and working with individuals collaboratively in a non-judgmental space. It is about becoming self-aware and working hard to create the best version of yourself.
As a first responder for over 26 years, Trent has had a front-row seat to witnessing the effects of the trauma and struggles that many people in the community face every day. He also experienced the mental and physical strain the career takes on those committed to the profession. As a counselor, he has transformed his unique experience to help others through therapy. Trent believes that therapy is about meeting the client where they are and working with individuals collaboratively in a non-judgmental space. It is about becoming self-aware and working hard to create the best version of yourself.
(469) 457-2281 View (469) 457-2281
Photo of Lindsey Smith, Licensed Professional Counselor in McKinney, TX
Lindsey Smith
Licensed Professional Counselor, LPC
Verified Verified
1 Endorsed
McKinney, TX 75071
I am a Licensed Professional Counselor in the state of Texas, and I received my Master’s degree in Rehabilitation Counseling from UT Southwestern, graduating in 2016. I have experience as a crisis counselor for the community helping children, teens, and adults experiencing suicidal/homicidal ideation. In private practice, I assist individuals suffering from a variety of mental health concerns including depression, anxiety, PTSD, life adjustment issues, personality disorders, and various family issues.
I am a Licensed Professional Counselor in the state of Texas, and I received my Master’s degree in Rehabilitation Counseling from UT Southwestern, graduating in 2016. I have experience as a crisis counselor for the community helping children, teens, and adults experiencing suicidal/homicidal ideation. In private practice, I assist individuals suffering from a variety of mental health concerns including depression, anxiety, PTSD, life adjustment issues, personality disorders, and various family issues.
(214) 278-6496 View (214) 278-6496
Photo of Montana Squires, LPC-Associate in McKinney, TX
Montana Squires
LPC-Associate, LPC-A
Verified Verified
1 Endorsed
McKinney, TX 75070  (Online Only)
You feel like there is something wrong. You don’t feel like yourself anymore, and fitting in just takes so much. All your friends and family give their best advice, but it just doesn’t sit right. Nothing seems to be working. Since that last big change in your life (the breakup, the career change, the loss, etc.), you feel lost and overwhelmed. You need help! Hi, I'm Montana. I will guide you through the tough changes that we all face in life’s journey.
You feel like there is something wrong. You don’t feel like yourself anymore, and fitting in just takes so much. All your friends and family give their best advice, but it just doesn’t sit right. Nothing seems to be working. Since that last big change in your life (the breakup, the career change, the loss, etc.), you feel lost and overwhelmed. You need help! Hi, I'm Montana. I will guide you through the tough changes that we all face in life’s journey.
(817) 835-6990 View (817) 835-6990
Photo of Traci Leann Munden, Clinical Social Work/Therapist in McKinney, TX
Traci Leann Munden
Clinical Social Work/Therapist, MSW, LCSW-S, CTTP, LCDC-I
Verified Verified
McKinney, TX 75070  (Online Only)
We all hit a point in our lives where we could use a little support. I am honored to assist as one makes those life transitions. We can take a team approach to finding solutions to obstacles in your way. I have a passion for helping those with addictions. Those can be substance abuse or process addictions such as gambling or sex or love. This experience has allowed me to work with co-morbidities with depression and anxiety. We can evaluate the reality of where you are and where you would like to be. I am also trained in complex trauma. I am currently accepting new patients via telehealth only.
We all hit a point in our lives where we could use a little support. I am honored to assist as one makes those life transitions. We can take a team approach to finding solutions to obstacles in your way. I have a passion for helping those with addictions. Those can be substance abuse or process addictions such as gambling or sex or love. This experience has allowed me to work with co-morbidities with depression and anxiety. We can evaluate the reality of where you are and where you would like to be. I am also trained in complex trauma. I am currently accepting new patients via telehealth only.
(972) 845-5638 View (972) 845-5638
Photo of Coach Wooden in McKinney, TX
Coach Wooden
Verified Verified
McKinney, TX 75072
My primary focus is to assist you in discovering the best way to deal with the challenges you face in your life. I want to help you discover healthier ways to relate and process the challenges of life. I want to create a safe place for you to release old ideas and help open doorways to new opportunities and growth. My practice is shaped by my experiences as a father, former husband, educator/ counselor, and entrepreneur. My varied background allows me to examine life from many angles. I have no predetermined outcomes, but I seek to assist you in finding healthier behaviors and attitudes that fit who you are.
My primary focus is to assist you in discovering the best way to deal with the challenges you face in your life. I want to help you discover healthier ways to relate and process the challenges of life. I want to create a safe place for you to release old ideas and help open doorways to new opportunities and growth. My practice is shaped by my experiences as a father, former husband, educator/ counselor, and entrepreneur. My varied background allows me to examine life from many angles. I have no predetermined outcomes, but I seek to assist you in finding healthier behaviors and attitudes that fit who you are.
(972) 945-1708 View (972) 945-1708
Photo of Anna Doroshuk, Licensed Professional Counselor in McKinney, TX
Anna Doroshuk
Licensed Professional Counselor, MS, LPC, EMDR
Verified Verified
3 Endorsed
McKinney, TX 75070
There is always hope; in every situation, in every relationship, through every hardship. Each one of us is a lot more equipped to face, overcome and thrive through adversity than we realize. A great place to start on this journey of self-discovery is in therapy; a space that's safe emotionally, mentally and physically.
There is always hope; in every situation, in every relationship, through every hardship. Each one of us is a lot more equipped to face, overcome and thrive through adversity than we realize. A great place to start on this journey of self-discovery is in therapy; a space that's safe emotionally, mentally and physically.
(214) 624-7627 View (214) 624-7627
Photo of Toneisha Baker, Clinical Social Work/Therapist in McKinney, TX
Toneisha Baker
Clinical Social Work/Therapist, LCSWS
Verified Verified
McKinney, TX 75070
Toneisha is a Licensed Clinical Social Worker and supervisor with over 15 years of experience working with preteens, teens, adults, and older adults. Toneisha has a warm and friendly personality which makes you feel welcomed and at ease when you enter the therapy room. She is eager to help clients develop problem solving abilities and coping skills and assist them in finding and utilizing resources available to them.
Toneisha is a Licensed Clinical Social Worker and supervisor with over 15 years of experience working with preteens, teens, adults, and older adults. Toneisha has a warm and friendly personality which makes you feel welcomed and at ease when you enter the therapy room. She is eager to help clients develop problem solving abilities and coping skills and assist them in finding and utilizing resources available to them.
(214) 571-7759 View (214) 571-7759
Photo of Angelene Crump, LPC-Associate in McKinney, TX
Angelene Crump
LPC-Associate, MS, LPC-A
Verified Verified
6 Endorsed
McKinney, TX 75070
As your therapist I will provide a safe and nonjudgmental space - a necessity for effective progression. We will work together to develop effective skills to help in growing your confidence, establishing/maintaining boundaries, coping skills and support your healing journey. Navigating the high’s and low of life can be challenging. It requires an empowering and encouraging space to be heard and validated in. If you desire to make improvements but may not have ALL of the tools, I’m here and eager to assist.
As your therapist I will provide a safe and nonjudgmental space - a necessity for effective progression. We will work together to develop effective skills to help in growing your confidence, establishing/maintaining boundaries, coping skills and support your healing journey. Navigating the high’s and low of life can be challenging. It requires an empowering and encouraging space to be heard and validated in. If you desire to make improvements but may not have ALL of the tools, I’m here and eager to assist.
(817) 502-2189 View (817) 502-2189
Photo of Jen McDonald, Clinical Social Work/Therapist in McKinney, TX
Jen McDonald
Clinical Social Work/Therapist, LCSW
Verified Verified
McKinney, TX 75070
I have a passion for working with women experiencing hard life events. From singleness to partnership and beginning the process of building a family or experiencing motherhood, I recognize that there are different struggles within each of the seasons. I specialize in perinatal mental health, specifically postpartum mood and anxiety disorders, fertility struggles and/or birth trauma. My hope is to help normalize that motherhood is HARD and you are not alone. I also work with individuals who have experienced traumatic events throughout their lives and are currently struggling with depression and anxiety.
I have a passion for working with women experiencing hard life events. From singleness to partnership and beginning the process of building a family or experiencing motherhood, I recognize that there are different struggles within each of the seasons. I specialize in perinatal mental health, specifically postpartum mood and anxiety disorders, fertility struggles and/or birth trauma. My hope is to help normalize that motherhood is HARD and you are not alone. I also work with individuals who have experienced traumatic events throughout their lives and are currently struggling with depression and anxiety.
(469) 457-3884 View (469) 457-3884
Photo of Deborah Utterback, Clinical Social Work/Therapist in McKinney, TX
Deborah Utterback
Clinical Social Work/Therapist, LCSW-S, ESMHL
Verified Verified
McKinney, TX 75070
Welcome to therapy—whatever brings you here, I'm glad you're here. In my practice, I employ brief therapy, Cognitive Behavioral Therapy (CBT), and trauma-focused CBT across individual, family, and group settings. Currently, I'm a part-time therapist at Equest Therapeutic Horsemanship and run a private practice in McKinney. I bring extensive experience in individual and family therapy. Holding an Equine Specialist for Mental Health Learning (ESMHL) certification from PATH Intl, I specialize in Counseling using Equines. Horses authentically respond to us, guiding us toward a healthier existence by connecting and interacting with us.
Welcome to therapy—whatever brings you here, I'm glad you're here. In my practice, I employ brief therapy, Cognitive Behavioral Therapy (CBT), and trauma-focused CBT across individual, family, and group settings. Currently, I'm a part-time therapist at Equest Therapeutic Horsemanship and run a private practice in McKinney. I bring extensive experience in individual and family therapy. Holding an Equine Specialist for Mental Health Learning (ESMHL) certification from PATH Intl, I specialize in Counseling using Equines. Horses authentically respond to us, guiding us toward a healthier existence by connecting and interacting with us.
(972) 299-3828 View (972) 299-3828
Photo of Scott D Altamirano, Marriage & Family Therapist in McKinney, TX
Scott D Altamirano
Marriage & Family Therapist, LMFT, MA
Verified Verified
McKinney, TX 75072  (Online Only)
Accepting clients Apr 2024. I help couples work their way through crisis events by helping them find their feet amist the chaos. My role is to help couples have difficult conversations. With my background is in probation/parole therapy, I bring strong elements of fairness, repair, and rehabilitation to couples who have faced injuries. Some topics I have strong experience in are: infidelity, bisexuality, addiction, codependency, anger management, emotional availability, parenting approach, and lack of sexual intimacy.
Accepting clients Apr 2024. I help couples work their way through crisis events by helping them find their feet amist the chaos. My role is to help couples have difficult conversations. With my background is in probation/parole therapy, I bring strong elements of fairness, repair, and rehabilitation to couples who have faced injuries. Some topics I have strong experience in are: infidelity, bisexuality, addiction, codependency, anger management, emotional availability, parenting approach, and lack of sexual intimacy.
(469) 472-5167 View (469) 472-5167
Photo of Erin Johnston, Licensed Professional Counselor in McKinney, TX
Erin Johnston
Licensed Professional Counselor, MS, LPC-S, RPT
Verified Verified
4 Endorsed
McKinney, TX 75069
Erin loves to work with children, teens and adults as she utilizes a variety of therapeutic modalities such as talk therapy, play therapy, art therapy, EMDR and sand tray.
Erin loves to work with children, teens and adults as she utilizes a variety of therapeutic modalities such as talk therapy, play therapy, art therapy, EMDR and sand tray.
(214) 609-1443 View (214) 609-1443
Photo of Jennifer Bolton, Licensed Professional Counselor Associate in McKinney, TX
Jennifer Bolton
Licensed Professional Counselor Associate, MA, LPC-A
Verified Verified
1 Endorsed
McKinney, TX 75071  (Online Only)
I am enthusiastic about working with clients navigating the various challenges in their lives. I am passionate about working with individuals aged 16+ who struggle with anxiety, depression, trauma, relational issues, or life transitions. My specific interests include, transitioning into motherhood/Motherhood challenges, building bridges between parents and their children, aiding families with transitioning elderly loved ones outside of the home, relational difficulties, communication skills, establishing boundaries, depression, anxiety, trauma, and life Transitions over age 18.
I am enthusiastic about working with clients navigating the various challenges in their lives. I am passionate about working with individuals aged 16+ who struggle with anxiety, depression, trauma, relational issues, or life transitions. My specific interests include, transitioning into motherhood/Motherhood challenges, building bridges between parents and their children, aiding families with transitioning elderly loved ones outside of the home, relational difficulties, communication skills, establishing boundaries, depression, anxiety, trauma, and life Transitions over age 18.
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How does your Therapist compare?

Number of Therapists in McKinney, TX

600+

Average cost per session

$145

Therapists in McKinney, TX who prioritize treating:

93% Anxiety
89% Depression
79% Self Esteem
77% Relationship Issues
73% Coping Skills
72% Stress
67% Trauma and PTSD

Average years in practice

11 Years

Top 3 insurances accepted

79% Aetna
75% BlueCross and BlueShield
71% Cigna and Evernorth

How Therapists in McKinney, TX see their clients

79% In Person and Online
21% Online Only

Gender breakdown

82% Female
17% Male
1% Non-Binary
FAQs - About Therapy and Counseling

How can I find a therapist in McKinney?

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.