Therapists in Austin, TX

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Photo of Jessie Lewis, Clinical Social Work/Therapist in Austin, TX
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.
(512) 270-2469 View (512) 270-2469
Photo of Laura Wahlstrom, Psychologist in Austin, TX
Laura Wahlstrom
Psychologist, PhD
Verified Verified
Austin, TX 78746
I work with high achievers/professionals who are struggling with life stressors, mental health issues, or both. Some reasons individuals commonly seek therapy with me are relationship issues, work stress/burnout, difficulties balancing work and parenting, loneliness, lack of fulfillment, alcohol abuse, mood issues, and anxiety. Together we will identify clear goals, and implement skills and practical steps to help you move forward. My practice is structured for extra privacy and flexibility with treatment.
I work with high achievers/professionals who are struggling with life stressors, mental health issues, or both. Some reasons individuals commonly seek therapy with me are relationship issues, work stress/burnout, difficulties balancing work and parenting, loneliness, lack of fulfillment, alcohol abuse, mood issues, and anxiety. Together we will identify clear goals, and implement skills and practical steps to help you move forward. My practice is structured for extra privacy and flexibility with treatment.
(512) 521-1531 View (512) 521-1531
Photo of Lee Ann Cameron, Licensed Professional Counselor in Austin, TX
Lee Ann Cameron
Licensed Professional Counselor, LPC, SEP
Verified Verified
Austin, TX 78757  (Online Only)
A strong sense of self and well-being. Healthy connection in relationships. Positive, vibrant sexuality. Most of us want a meaningful life infused with these qualities, yet many struggle with the impact of grief, trauma, and troubled relationships. Through integration of Somatic Experiencing, a body-centered psychotherapy, with psychodynamic, relational counseling, I support clients to find their own innate ability to grow, to change and to find their unique path to healing. Whether you are seeking support to make a few changes in your life, or a partner and ally on your journey of transformation, let's talk and see whether we might work together.
A strong sense of self and well-being. Healthy connection in relationships. Positive, vibrant sexuality. Most of us want a meaningful life infused with these qualities, yet many struggle with the impact of grief, trauma, and troubled relationships. Through integration of Somatic Experiencing, a body-centered psychotherapy, with psychodynamic, relational counseling, I support clients to find their own innate ability to grow, to change and to find their unique path to healing. Whether you are seeking support to make a few changes in your life, or a partner and ally on your journey of transformation, let's talk and see whether we might work together.
(512) 686-2528 View (512) 686-2528
Photo of Alexis Lucas in Austin, TX
Alexis Lucas
PA
Verified Verified
1 Endorsed
Austin, TX 78731
I am a board-certified psychiatric physician assistant with prescribing authority. I offer medication management, alone or in combination with psychotherapy, to adults. We schedule new patient appointments through a secure form on our website. Please provide the requested information, and a member of our staff will respond promptly! www.pondworkspsychiatry.com
I am a board-certified psychiatric physician assistant with prescribing authority. I offer medication management, alone or in combination with psychotherapy, to adults. We schedule new patient appointments through a secure form on our website. Please provide the requested information, and a member of our staff will respond promptly! www.pondworkspsychiatry.com
(512) 399-0964 View (512) 399-0964
Photo of Firefly Therapy Austin, PLLC, Licensed Professional Counselor in Austin, TX
Firefly Therapy Austin, PLLC
Licensed Professional Counselor, LPC
Verified Verified
Austin, TX 78746
Are you feeling stuck in the same old patterns in your life and ready for a change? Maybe you're feeling the weight of anxiety, depression, grief, or trauma and could use a hand in healing the past to experience freedom from it in the future. Have you noticed you keep getting into the same types of relationship challenges? It is normal for people to feel conflicted and get in our own way - it's part of being human! And we often need someone outside ourselves, friends, and family to help sort through the nitty-gritty thoughts, feelings, and fears. You don't have to face these issues alone.
Are you feeling stuck in the same old patterns in your life and ready for a change? Maybe you're feeling the weight of anxiety, depression, grief, or trauma and could use a hand in healing the past to experience freedom from it in the future. Have you noticed you keep getting into the same types of relationship challenges? It is normal for people to feel conflicted and get in our own way - it's part of being human! And we often need someone outside ourselves, friends, and family to help sort through the nitty-gritty thoughts, feelings, and fears. You don't have to face these issues alone.
(737) 210-3441 View (737) 210-3441
Photo of Ann Marie Glick, Marriage & Family Therapist in Austin, TX
Ann Marie Glick
Marriage & Family Therapist, MA , LMFT-S, LPC-S
Verified Verified
Austin, TX 78746
Today we have 6 generations of people looking for Love and Emotional Connection. I love working with couples. With 12 years experience at Psychiatric hospitals and 20 yrs in private practice, I am excited to teach couples creative skills and resources to change and grow healthy relationships. We take inventory of relationship needs, learn and practice effective communication skills to manage stress with intimacy, family, career and parenting. I Teach the Tools to forgive resentments and negotiate effectively. I use Research based tx modalities, Gottman, Genogram, Imago Tx, Mindfulness, Meditation, CBT and DBT. Spanish Speaking.
Today we have 6 generations of people looking for Love and Emotional Connection. I love working with couples. With 12 years experience at Psychiatric hospitals and 20 yrs in private practice, I am excited to teach couples creative skills and resources to change and grow healthy relationships. We take inventory of relationship needs, learn and practice effective communication skills to manage stress with intimacy, family, career and parenting. I Teach the Tools to forgive resentments and negotiate effectively. I use Research based tx modalities, Gottman, Genogram, Imago Tx, Mindfulness, Meditation, CBT and DBT. Spanish Speaking.
(512) 790-6930 View (512) 790-6930
Photo of Betterleave in Austin, TX
Betterleave
Verified Verified
Austin, TX 78702  (Online Only)
When you need help but don't know where to start, you don't have to figure it out alone. At Betterleave, we work with a diverse variety of clientele to provide affordable counseling services. We want to work with you to help you overcome obstacles that you are facing, improve your current life situation, and provide a sense of strength and hope during times that you may feel lost. Our team of therapists and coaches are ready to help you.
When you need help but don't know where to start, you don't have to figure it out alone. At Betterleave, we work with a diverse variety of clientele to provide affordable counseling services. We want to work with you to help you overcome obstacles that you are facing, improve your current life situation, and provide a sense of strength and hope during times that you may feel lost. Our team of therapists and coaches are ready to help you.
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Photo of Mycah Miller, Marriage & Family Therapist Associate in Austin, TX
Mycah Miller
Marriage & Family Therapist Associate, MA
Verified Verified
4 Endorsed
Austin, TX 78705
The desire to feel understood, seen, and connected is universal, yet we live in a time where satisfying, intimate relationships seem rare. Specializing in relationship issues and trauma, I utilize attachment theory, positive psychology, and systems theories (IFS, RLT, EFT) to address your concerns. I can empower you with tools that help you foster strong and trusting relationships - not only with others, but also with yourself. Having a background in physical health, I like to incorporate mindfulness and somatic exercises into therapy, emphasizing the mind-body connection.
The desire to feel understood, seen, and connected is universal, yet we live in a time where satisfying, intimate relationships seem rare. Specializing in relationship issues and trauma, I utilize attachment theory, positive psychology, and systems theories (IFS, RLT, EFT) to address your concerns. I can empower you with tools that help you foster strong and trusting relationships - not only with others, but also with yourself. Having a background in physical health, I like to incorporate mindfulness and somatic exercises into therapy, emphasizing the mind-body connection.
(512) 729-3018 View (512) 729-3018
Photo of Keri Cooper, Licensed Professional Counselor in Austin, TX
Keri Cooper
Licensed Professional Counselor, LPC
Verified Verified
1 Endorsed
Austin, TX 78759
My name is Keri Cooper, and I'm a Licensed Professional Counselor (LPC) and LPC Supervisor with over 21 years of clinical experience working with older teens and adults who suffer from Anxiety, Stress, Coping Skills, Self Esteem, and Life Coaching issues. I use a mix of Cognitive Behavioral (CBT), Positive Psychology, Client-Centered Therapy, Strength-Based, and Solution-Focused Brief (SFBT) during treatments with my clients. I believe everyone should have the opportunity to make positive changes and live their best life. It's a privilege to be a part of that journey.
My name is Keri Cooper, and I'm a Licensed Professional Counselor (LPC) and LPC Supervisor with over 21 years of clinical experience working with older teens and adults who suffer from Anxiety, Stress, Coping Skills, Self Esteem, and Life Coaching issues. I use a mix of Cognitive Behavioral (CBT), Positive Psychology, Client-Centered Therapy, Strength-Based, and Solution-Focused Brief (SFBT) during treatments with my clients. I believe everyone should have the opportunity to make positive changes and live their best life. It's a privilege to be a part of that journey.
(512) 359-8787 View (512) 359-8787
Photo of Elizabeth Devine, Licensed Professional Counselor in Austin, TX
Elizabeth Devine
Licensed Professional Counselor, MEd, LPC-S
Verified Verified
1 Endorsed
Austin, TX 78701
Have you tried everything to understand or fix a problem, but it just keeps showing up? I believe complicated problems require complex understanding. I aim to help every client gain greater insight into themselves and the dynamics at play in their life, relationships, and experience. Insight alone can have a powerful and significant impact on progress and is at the heart of my work. However, lasting change often also requires learning and trying new ways of interacting with the world. I offer information, suggestions, and encouragement to assist you in feeling, thinking, and, ultimately, living better.
Have you tried everything to understand or fix a problem, but it just keeps showing up? I believe complicated problems require complex understanding. I aim to help every client gain greater insight into themselves and the dynamics at play in their life, relationships, and experience. Insight alone can have a powerful and significant impact on progress and is at the heart of my work. However, lasting change often also requires learning and trying new ways of interacting with the world. I offer information, suggestions, and encouragement to assist you in feeling, thinking, and, ultimately, living better.
(512) 598-4392 View (512) 598-4392
Photo of Sarah Kelton, LPC Associate in Austin, TX
Sarah Kelton
LPC Associate, LPC-A, MEd
Verified Verified
Austin, TX 78759
I specialize working with children and young teens who are looking for guidance in coping strategies, regulation, and developing a positive self concept in order to face everyday stressors with confidence. I believe showing unconditional acceptance and positive regard in a safe and supportive way allows a child to feel confident and empowered to make their own decisions and gives them the pathway to become healthy and confident adults.
I specialize working with children and young teens who are looking for guidance in coping strategies, regulation, and developing a positive self concept in order to face everyday stressors with confidence. I believe showing unconditional acceptance and positive regard in a safe and supportive way allows a child to feel confident and empowered to make their own decisions and gives them the pathway to become healthy and confident adults.
(512) 967-6580 View (512) 967-6580
Photo of Anne Dailey, Licensed Professional Counselor in Austin, TX
Anne Dailey
Licensed Professional Counselor, MA
Verified Verified
2 Endorsed
Austin, TX 78702
Life can be hard and full of challenges. I believe every person deserves the revelatory experience of therapy to make the journey a little easier. My passion is helping clients strengthen and nurture their most important relationship - the one with themselves. I want you to know and like yourself so that you may foster deeper and more meaningful relationships with those who are important to you and, ultimately, lead a more fulfilling life. During our time together you will feel understood, cared for and respectfully challenged. My native Austin roots come through in my style: chill, real, and occasionally funny.
Life can be hard and full of challenges. I believe every person deserves the revelatory experience of therapy to make the journey a little easier. My passion is helping clients strengthen and nurture their most important relationship - the one with themselves. I want you to know and like yourself so that you may foster deeper and more meaningful relationships with those who are important to you and, ultimately, lead a more fulfilling life. During our time together you will feel understood, cared for and respectfully challenged. My native Austin roots come through in my style: chill, real, and occasionally funny.
(512) 831-7427 View (512) 831-7427
Photo of Anne Delisle Dorman, Licensed Professional Counselor in Austin, TX
Anne Delisle Dorman
Licensed Professional Counselor, LPC-S
Verified Verified
1 Endorsed
Austin, TX 78746
Over the years I have come to enjoy working with a variety of clients. I work with children ages 2 through adolescence utilizing play therapy as one of my modalities. I also see adults for individual issues including anxiety, depression, parenting, and relationship issues. My practice includes working with couples assisting them in recognizing the problem cycles that get created and hopefully learning to build intimacy and connection. Since I work with children, families are a part of my practice as well-I see each individual as an integral part of the whole.
Over the years I have come to enjoy working with a variety of clients. I work with children ages 2 through adolescence utilizing play therapy as one of my modalities. I also see adults for individual issues including anxiety, depression, parenting, and relationship issues. My practice includes working with couples assisting them in recognizing the problem cycles that get created and hopefully learning to build intimacy and connection. Since I work with children, families are a part of my practice as well-I see each individual as an integral part of the whole.
(512) 309-0915 View (512) 309-0915
Photo of Amber Baldwin, Clinical Social Work/Therapist in Austin, TX
Amber Baldwin
Clinical Social Work/Therapist, LCSW-S
Verified Verified
5 Endorsed
Austin, TX 78751
As a psychotherapist, my role is to help facilitate and support you, the client, in discovering, processing, and most importantly, deciding if changing some strategies you have needed to implement in negotiating your life is a next step in your treatment. It can take time to identify influencing factors in the problems experienced in life. Through the development of a safe and trusting therapeutic relationship, we will identify issues, if not already clear to you, and take action in the therapeutic relationship itself to develop the relational, emotional, and or behavioral skills you determine need to be the focus of your treatment.
As a psychotherapist, my role is to help facilitate and support you, the client, in discovering, processing, and most importantly, deciding if changing some strategies you have needed to implement in negotiating your life is a next step in your treatment. It can take time to identify influencing factors in the problems experienced in life. Through the development of a safe and trusting therapeutic relationship, we will identify issues, if not already clear to you, and take action in the therapeutic relationship itself to develop the relational, emotional, and or behavioral skills you determine need to be the focus of your treatment.
(512) 872-2446 View (512) 872-2446
Photo of Tara Roper, Marriage & Family Therapist in Austin, TX
Tara Roper
Marriage & Family Therapist, LMFT
Verified Verified
Austin, TX 78727  (Online Only)
It's important to find a space where your feelings are not just heard, but deeply understood and empathetically acknowledged. I am both naturally empathetic and curious; these two qualities create a strong desire to understand the inner workings of every person I meet. In therapy, I work adolescents (14 +), individuals (18+), families, and couples seeking help with anxiety, depression, ADHD, self-esteem, people- pleasing, life transitions, college issues, parenting concerns, interpersonal issues, young adult concerns, and relationship concerns to achieve overall wellness and wholeness.
It's important to find a space where your feelings are not just heard, but deeply understood and empathetically acknowledged. I am both naturally empathetic and curious; these two qualities create a strong desire to understand the inner workings of every person I meet. In therapy, I work adolescents (14 +), individuals (18+), families, and couples seeking help with anxiety, depression, ADHD, self-esteem, people- pleasing, life transitions, college issues, parenting concerns, interpersonal issues, young adult concerns, and relationship concerns to achieve overall wellness and wholeness.
(512) 270-2442 View (512) 270-2442
Photo of Drew Dubcak, Licensed Professional Counselor in Austin, TX
Drew Dubcak
Licensed Professional Counselor, MEd, LPC, LCDC
Verified Verified
Austin, TX 78705  (Online Only)
Waitlist for new clients
I’m so excited that you’re here and making the decision to take charge of your life and work towards overall healing! It’s okay if you’re unsure about counseling or where to start because I’ll walk beside you and help you navigate it all--wherever you are in your journey. I guide adults, young adults, and teens through struggles such as eating disorders, life transitions, anxiety, social or work stress, depression, chronic illness, family of origin issues, exploring identity, and healing from trauma.
I’m so excited that you’re here and making the decision to take charge of your life and work towards overall healing! It’s okay if you’re unsure about counseling or where to start because I’ll walk beside you and help you navigate it all--wherever you are in your journey. I guide adults, young adults, and teens through struggles such as eating disorders, life transitions, anxiety, social or work stress, depression, chronic illness, family of origin issues, exploring identity, and healing from trauma.
(737) 204-6424 View (737) 204-6424
Photo of Stephanie L Ritcherson, Licensed Professional Counselor in Austin, TX
Stephanie L Ritcherson
Licensed Professional Counselor, LPC
Verified Verified
1 Endorsed
Austin, TX 78754  (Online Only)
I am a Bilingual woman of color with over 20 years of experience working with individuals, groups, and families. I have worked with clients who are survivors of intimate partner violence, sexual assault, human trafficking, as well as individuals who have varied concerns regarding depression, anxiety, relationship issues, intimacy issues, family concerns, sexual difficulties, work/life balance struggles, career challenges, and parenting issues. My approach combines cognitive-behavioral, humanistic, psychodynamic and trauma-focused counseling. and I will tailor our dialog and treatment plan to meet your unique and specific needs.
I am a Bilingual woman of color with over 20 years of experience working with individuals, groups, and families. I have worked with clients who are survivors of intimate partner violence, sexual assault, human trafficking, as well as individuals who have varied concerns regarding depression, anxiety, relationship issues, intimacy issues, family concerns, sexual difficulties, work/life balance struggles, career challenges, and parenting issues. My approach combines cognitive-behavioral, humanistic, psychodynamic and trauma-focused counseling. and I will tailor our dialog and treatment plan to meet your unique and specific needs.
(512) 778-0725 View (512) 778-0725
Photo of Emilio Anguiano, Drug & Alcohol Counselor in Austin, TX
Emilio Anguiano
Drug & Alcohol Counselor, CGP, CIRT, LCDC
Verified Verified
Austin, TX 78757
I am a fluent bilingual Counselor (EN/SP) capable of helping those challenged by addiction issues to address or recover from them while also managing your relationships with friends, families, and loved ones.
I am a fluent bilingual Counselor (EN/SP) capable of helping those challenged by addiction issues to address or recover from them while also managing your relationships with friends, families, and loved ones.
(512) 645-2404 View (512) 645-2404
Photo of Melissa Miller García, Clinical Social Work/Therapist in Austin, TX
Melissa Miller García
Clinical Social Work/Therapist, LCSW
Verified Verified
1 Endorsed
Austin, TX 78712  (Online Only)
Are you terrified of starting therapy because of judgment of a "non-traditional" lifestyle, relationship, or job? Are you exhausted by the demands of a system that never seems to give you a break? Are you experiencing feelings of guilt and shame of starting this journey because growing up your concerns were minimized or taking care of yourself was viewed as selfish?
Are you terrified of starting therapy because of judgment of a "non-traditional" lifestyle, relationship, or job? Are you exhausted by the demands of a system that never seems to give you a break? Are you experiencing feelings of guilt and shame of starting this journey because growing up your concerns were minimized or taking care of yourself was viewed as selfish?
(737) 252-4430 View (737) 252-4430
Photo of Stormy Cloud, LPC Associate in Austin, TX
Stormy Cloud
LPC Associate, MA, LPC-A
Verified Verified
1 Endorsed
Austin, TX 78744  (Online Only)
My priority is providing a safe and non-judgmental space that fits your unique needs and goals. I have experience working with families and individuals, who were struggling/experiencing various life adjustments, grief and loss, processing trauma, stress and anxiety, depression, personal exploration related to spirituality and relationship conflicts. I’d love to support you in processing trauma, seeking personal development, and navigating life stressors.
My priority is providing a safe and non-judgmental space that fits your unique needs and goals. I have experience working with families and individuals, who were struggling/experiencing various life adjustments, grief and loss, processing trauma, stress and anxiety, depression, personal exploration related to spirituality and relationship conflicts. I’d love to support you in processing trauma, seeking personal development, and navigating life stressors.
(737) 200-5387 View (737) 200-5387

How does your Therapist compare?

Number of Therapists in Austin, TX

3,000+

Average cost per session

$150

Therapists in Austin, TX who prioritize treating:

93% Anxiety
88% Depression
76% Relationship Issues
76% Self Esteem
70% Trauma and PTSD
69% Stress
68% Coping Skills

Average years in practice

10 Years

Top 3 insurances accepted

78% Aetna
74% UnitedHealthcare UHC | UBH
64% BlueCross and BlueShield

How Therapists in Austin, TX see their clients

55% In Person and Online
45% Online Only

Gender breakdown

81% Female
18% Male
1% Non-Binary
FAQs - About Therapy and Counseling

How can I find a therapist in Austin?

Search for nearby therapists or counselors by inputting your city, town, or suburb; or zip code; or a provider’s name into the search bar. From there, you can filter providers by the issues they treat, cost, insurance, gender, and other factors to find providers who are well-suited to your needs. To navigate between locations within the same country, enter a new city or zip code into the search bar.

Learn more about how to find a therapist

Is everyone in the Psychology Today Therapy Directory a licensed therapist?

The Psychology Today directory lists providers who offer legitimate mental health services to the public, including psychologists, psychiatrists, social workers, and counselors.

Many have been licensed by the country or state where they practice; providers whose license or primary credential has been verified by Psychology Today are signified by a “Verified” symbol. Some clinicians or organizations provide services for which their state or country does not offer licenses, such as pastoral counseling. They may be selectively included without the “Verified” seal.

What’s the difference between a psychologist, a therapist, and a counselor?

Therapists, psychologists, and counselors are all licensed mental health professionals. In the US, psychologists have earned a doctoral degree. The terms “therapist” and “counselor” are used somewhat interchangeably, but generally therapists offer longer-term, mental health care, while counselors offer shorter-term care that may focus on one domain, such as marriage, career, or academic challenges.

Clients should consider factors such as insurance coverage and their primary reason(s) for seeking therapy to determine the type of professional best suited to their needs. Someone struggling with mental health challenges such as depression or anxiety, for example, may wish to seek out a clinical psychologist or therapist, while someone navigating career obstacles or marital upheaval may benefit from seeing a counselor who can offer short-term, targeted support.

What type of therapy is right for me?

The type of therapy best suited to a particular individual depends on several factors, including their primary reason for seeking therapy, their preferred timeline (some therapy types last for a set number of sessions, while others are open-ended), and their personality and preferences—some may prefer a more structured approach. For many individuals, multiple types of therapy could provide a good fit.

How much does therapy cost?

The cost of therapy depends on a number of variables, including location and the therapist’s experience and training. On average, a therapy session in the United States could cost between $100 and $200 or more. If you have insurance, the expense of mental health care is typically lower, but it varies based on your insurance plan details and whether you choose an in-network or out-of-network mental healthcare provider.

What are more affordable or low cost therapy solutions?

Many therapists offer sliding scale payments, usually on a limited number of slots, which consists in an agreement between the therapist and a client to pay a reduced rate. Therapists who provide such arrangements often consider the client's income or ability to pay, but the extent of the discount is ultimately at the therapist's discretion. Furthermore, while group therapy may have different goals and benefits compared to individual therapy, it can be a more affordable solution to address certain types of issues.

Is online therapy cheaper than in-person therapy?

Many therapists charge the same amount for online therapy as they do for in-person therapy—though clients may still find this cost-effective if it cuts down on their transportation costs. Health insurance plans often offer equivalent coverage for online and in-person therapy; indeed, in many places, they are legally required to do so. Text-based or on-demand therapy apps may be cheaper than traditional one-on-one psychotherapy; however, the practice may be less effective and is not likely to be covered by insurance.

Is online therapy a good option?

Therapy conducted online can be just as effective as in-person therapy, as long as there is a strong alliance between the client and the therapist. To find a therapist who provides telehealth services to clients in your area, click “Online Therapy” on the directory homepage and search by your city or town or your zip code.

Are therapy sessions confidential?

Confidentiality is a crucial part of the therapeutic relationship. Therapists in the United States are bound by the regulations set out by the Health Insurance Portability and Accountability Act of 1996 (HIPAA), which aims to protect sensitive health information. With very few exceptions, a therapist will only discuss their client with others when the client has given their written permission. The instances in which a therapist would be required to disclose personal information are: if a client poses a danger to themselves or others, if the therapist suspects the abuse of a child or an elderly or otherwise dependent adult, or if they are legally forced to by court order. These exceptions to the confidentiality agreement are usually discussed with a client before their first session.