Therapists in Austin, TX

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Photo of Collin Speciale, Licensed Professional Counselor in Austin, TX
Collin Speciale
Licensed Professional Counselor, M Ed, LPC
Verified Verified
2 Endorsed
Austin, TX 78705  (Online Only)
It takes a lot of courage to seek out mental health services, I'm glad you found my page! I'm eager to help individuals, couples, or families seeking support for Substance Use Disorders, Anxiety and Depression, ADHD, Bipolar, Personality Disorders, Simple or Complex Traumas, or any type of Relationship Issues. Additionally, our work could include improving self-esteem, self-worth, communication and boundaries in relationships, grief and loss, direction in school, career, or difficult life decisions that you'd like to work on, work through, or resolve.
It takes a lot of courage to seek out mental health services, I'm glad you found my page! I'm eager to help individuals, couples, or families seeking support for Substance Use Disorders, Anxiety and Depression, ADHD, Bipolar, Personality Disorders, Simple or Complex Traumas, or any type of Relationship Issues. Additionally, our work could include improving self-esteem, self-worth, communication and boundaries in relationships, grief and loss, direction in school, career, or difficult life decisions that you'd like to work on, work through, or resolve.
(512) 234-4849 View (512) 234-4849
Photo of Ariel Cross, Counselor in Austin, TX
Ariel Cross
Counselor, MA, LPC, NCC
Verified Verified
Austin, TX 78701  (Online Only)
I’m Ariel Cross, a Licensed Professional Counselor in Oklahoma. My goal is to help individuals who struggle with OCD, anxiety, and other difficulties so they can live a healthier, happier life. I work well with individuals who are stressed out, burned out, and have been told they’re “Overthinkers.” My approach meshes well with people who identify as highly anxious but have difficulties with managing their symptoms. I work to create a sense of safety and comfort within session. It’s my goal to be as genuine and understanding as possible to create an area where a person feels comfortable talking about difficult problems.
I’m Ariel Cross, a Licensed Professional Counselor in Oklahoma. My goal is to help individuals who struggle with OCD, anxiety, and other difficulties so they can live a healthier, happier life. I work well with individuals who are stressed out, burned out, and have been told they’re “Overthinkers.” My approach meshes well with people who identify as highly anxious but have difficulties with managing their symptoms. I work to create a sense of safety and comfort within session. It’s my goal to be as genuine and understanding as possible to create an area where a person feels comfortable talking about difficult problems.
(430) 213-3106 View (430) 213-3106
Photo of Noel Cho, Licensed Professional Counselor in Austin, TX
Noel Cho
Licensed Professional Counselor, MA, LPC, LMFT
Verified Verified
Austin, TX 78759
Not accepting new clients
Life can be hard. Especially when we feel disconnected from the people that we should feel the closest to. Sometimes difficult life circumstances stand in the way of us experiencing better connection. Sometimes it can feel like being stuck in a cycle that just continues to pull us back in no matter how hard we try to break free. Sometimes we are in the cycle so long that it feels helpless and hopeless.
Life can be hard. Especially when we feel disconnected from the people that we should feel the closest to. Sometimes difficult life circumstances stand in the way of us experiencing better connection. Sometimes it can feel like being stuck in a cycle that just continues to pull us back in no matter how hard we try to break free. Sometimes we are in the cycle so long that it feels helpless and hopeless.
(737) 204-6213 View (737) 204-6213
Photo of Tita Machado, Licensed Professional Counselor in Austin, TX
Tita Machado
Licensed Professional Counselor, MA, LPC
Verified Verified
2 Endorsed
Austin, TX 78756
My counseling approach centers on my belief in the radical power of connection and the miracle of human potential. I've witnessed transformations that occur when embodying a heart-centered connection with my clients. In session, I will reflect your inner experience with skill, curiosity, and compassion and we'll shine a light on any shadows ready to be witnessed on the path to your authentic self. Your experience will be honored every step of the way as we lean into you and all of your parts. Through the embodiment of experience and self-awareness we will embark on your healing journey to a place of self-love and acceptance.
My counseling approach centers on my belief in the radical power of connection and the miracle of human potential. I've witnessed transformations that occur when embodying a heart-centered connection with my clients. In session, I will reflect your inner experience with skill, curiosity, and compassion and we'll shine a light on any shadows ready to be witnessed on the path to your authentic self. Your experience will be honored every step of the way as we lean into you and all of your parts. Through the embodiment of experience and self-awareness we will embark on your healing journey to a place of self-love and acceptance.
(512) 648-4506 View (512) 648-4506
Photo of Dyan Haspel-Johnson, Psychologist in Austin, TX
Dyan Haspel-Johnson
Psychologist, PSY
Verified Verified
Austin, TX 78745  (Online Only)
Waitlist for new clients
Are you looking for greater balance and harmony in your life? I am aware of the interaction between mind, body, and spirit and how challenges to these components can be opportunities for growth, strength, and wisdom. We are all unique individuals so my approach to each person varies to suit each particular issue and patient. By focusing on your core values, I will actively help you to reach your potential. I see therapy as a collaborative process with myself here to facilitate the building of your resources and strengths to empower you.
Are you looking for greater balance and harmony in your life? I am aware of the interaction between mind, body, and spirit and how challenges to these components can be opportunities for growth, strength, and wisdom. We are all unique individuals so my approach to each person varies to suit each particular issue and patient. By focusing on your core values, I will actively help you to reach your potential. I see therapy as a collaborative process with myself here to facilitate the building of your resources and strengths to empower you.
(424) 294-8970 View (424) 294-8970
Photo of Miri Himes, Counselor in Austin, TX
Miri Himes
Counselor, LPC
Verified Verified
Austin, TX 78752  (Online Only)
I work with individuals age10 and up who are dealing with anxiety, depression, addiction, relationship issues, trauma and life transitions. I also specialize in working with Veterans and first responders.
I work with individuals age10 and up who are dealing with anxiety, depression, addiction, relationship issues, trauma and life transitions. I also specialize in working with Veterans and first responders.
(737) 758-2345 View (737) 758-2345
Photo of Thad Martin Cox, Licensed Professional Counselor in Austin, TX
Thad Martin Cox
Licensed Professional Counselor, PhD, LPC-S
Verified Verified
3 Endorsed
Austin, TX 78703
Whether one seeks relief from anxiety, trauma, relational impasses, or life disillusionment, therapy can help. It is unfortunate that insufficiently engaged approaches to therapy, prohibitive rates, and the unconscionable reluctance of most clinicians to accept insurance fail so many clients, who in good faith seek to discover a healing of heart and mind. As a psychodynamic therapist, I view my role as an empathic change agent employed to help bring about a fuller knowledge of self and a more liberated experience of life and relationship. I also supervise highly promising interns from NWU available for as low as $15-30 per session.
Whether one seeks relief from anxiety, trauma, relational impasses, or life disillusionment, therapy can help. It is unfortunate that insufficiently engaged approaches to therapy, prohibitive rates, and the unconscionable reluctance of most clinicians to accept insurance fail so many clients, who in good faith seek to discover a healing of heart and mind. As a psychodynamic therapist, I view my role as an empathic change agent employed to help bring about a fuller knowledge of self and a more liberated experience of life and relationship. I also supervise highly promising interns from NWU available for as low as $15-30 per session.
Photo of Diana Zwang, Clinical Social Work/Therapist in Austin, TX
Diana Zwang
Clinical Social Work/Therapist, LCSW
Verified Verified
Austin, TX 78745  (Online Only)
My mission is to help clients find inner peace and mental clarity. I will assist you gently through the healing process as you develop new awareness and discover inner strengths that will lead you to inner peace and mental clarity. I see the whole person and will encourage you to assess various aspects of your life and implement small but vital routines within your control and pace. Service is my core value. I divide my work schedule between seeing patients at a hospital setting and in private practice.
My mission is to help clients find inner peace and mental clarity. I will assist you gently through the healing process as you develop new awareness and discover inner strengths that will lead you to inner peace and mental clarity. I see the whole person and will encourage you to assess various aspects of your life and implement small but vital routines within your control and pace. Service is my core value. I divide my work schedule between seeing patients at a hospital setting and in private practice.
(737) 888-5474 View (737) 888-5474
Photo of Jane Armstrong, Clinical Social Work/Therapist in Austin, TX
Jane Armstrong
Clinical Social Work/Therapist, LCSW-S, PMH-C
Verified Verified
Austin, TX 78731  (Online Only)
If you have ended a wanted pregnancy, you are welcome & deserving of compassion, healing, & community. Termination for medical reasons (TFMR), or ending a wanted pregnancy due to the health of the baby or the pregnant person, is uniquely complex & results in the devastating loss of a much loved baby & future. You may feel much of the same pain & silencing that other pregnancy & infant loss parents do. You may also feel additional layers of shame, fear, & judgment due to the politicized nature of the loss, the idea that you had to make a “choice,” & the lack of safe & inclusive communities & resources available to support you.
If you have ended a wanted pregnancy, you are welcome & deserving of compassion, healing, & community. Termination for medical reasons (TFMR), or ending a wanted pregnancy due to the health of the baby or the pregnant person, is uniquely complex & results in the devastating loss of a much loved baby & future. You may feel much of the same pain & silencing that other pregnancy & infant loss parents do. You may also feel additional layers of shame, fear, & judgment due to the politicized nature of the loss, the idea that you had to make a “choice,” & the lack of safe & inclusive communities & resources available to support you.
(512) 881-8714 View (512) 881-8714
Photo of Destany Schadder Supervised By Alice Green Lpc-S, Licensed Professional Counselor Associate in Austin, TX
Destany Schadder Supervised By Alice Green Lpc-S
Licensed Professional Counselor Associate, LPC-A, RC-DMT, MS, NCC
Verified Verified
1 Endorsed
Austin, TX 78704
Do you struggle in your personal relationships? Have you been in multiple relationships that went a little too quickly? Are you looking for external gratification instead of working from within? Have you experienced a car accident, being domestically abused, and or anything that was traumatic for YOU? If any of these questions resonated with you give me a call. I specialize in anxiety, borderline personality disorder, and trauma. We live in a world full of invalidation and sometimes all it takes to feel better is to be validated. Giving yourself one hour per week or per month will give you the ability to look within.
Do you struggle in your personal relationships? Have you been in multiple relationships that went a little too quickly? Are you looking for external gratification instead of working from within? Have you experienced a car accident, being domestically abused, and or anything that was traumatic for YOU? If any of these questions resonated with you give me a call. I specialize in anxiety, borderline personality disorder, and trauma. We live in a world full of invalidation and sometimes all it takes to feel better is to be validated. Giving yourself one hour per week or per month will give you the ability to look within.
(512) 675-6485 View (512) 675-6485
Photo of Brandee Smith, Licensed Professional Counselor in Austin, TX
Brandee Smith
Licensed Professional Counselor, MS, LPC-S, LCDC
Verified Verified
Austin, TX 78701  (Online Only)
Trauma? Infidelity? Desire personal growth? Letting go of unhealthy or destructive ways of thinking - even when we know they aren't working - can be difficult and hurtful. With support, however, even the most challenging issues can be explored and addressed to help create a clearer path to the life/relationship you choose. Every person comes to therapy with a beautifully unique cultural background and personal history. I celebrate these individual differences. Ask about my specialized training for treating trauma! I am also a Board approved Licensed Professional Counselor Supervisor in Texas.
Trauma? Infidelity? Desire personal growth? Letting go of unhealthy or destructive ways of thinking - even when we know they aren't working - can be difficult and hurtful. With support, however, even the most challenging issues can be explored and addressed to help create a clearer path to the life/relationship you choose. Every person comes to therapy with a beautifully unique cultural background and personal history. I celebrate these individual differences. Ask about my specialized training for treating trauma! I am also a Board approved Licensed Professional Counselor Supervisor in Texas.
(512) 882-0402 View (512) 882-0402
Photo of Angela Modzelewski, Pre-Licensed Professional in Austin, TX
Angela Modzelewski
Pre-Licensed Professional
Verified Verified
Austin, TX 78731  (Online Only)
Angela Modzelewski's ideal client seeks therapy for personal growth and healing, valuing creative expression through art. Open to diverse backgrounds, they may have experienced trauma or crisis, desiring a strengths-based, person-centered approach. Motivated for positive change, they appreciate Angela's LGBTQIA+ allyship and sex-positive perspective, seeking a therapist who celebrates individual rights and dignity.
Angela Modzelewski's ideal client seeks therapy for personal growth and healing, valuing creative expression through art. Open to diverse backgrounds, they may have experienced trauma or crisis, desiring a strengths-based, person-centered approach. Motivated for positive change, they appreciate Angela's LGBTQIA+ allyship and sex-positive perspective, seeking a therapist who celebrates individual rights and dignity.
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Photo of Leila McKay, Licensed Professional Counselor in Austin, TX
Leila McKay
Licensed Professional Counselor, MA, LPC
Verified Verified
Austin, TX 78759  (Online Only)
My approach to working with people goes beyond traditional talk therapy to apply the discoveries of new brain science, using methods of EMDR, Mindfulness-Based Psychotherapies, and Cognitive Behavioral Therapy. Much of the work I do with people is short term. My intent is to help you recover from past traumas; make the changes you want in your life now; and learn tools you can apply to any challenges that may arise in your future. My experience of working with people for 20 years is that we all have within us what is needed to live life fully and create happiness for ourselves and others.
My approach to working with people goes beyond traditional talk therapy to apply the discoveries of new brain science, using methods of EMDR, Mindfulness-Based Psychotherapies, and Cognitive Behavioral Therapy. Much of the work I do with people is short term. My intent is to help you recover from past traumas; make the changes you want in your life now; and learn tools you can apply to any challenges that may arise in your future. My experience of working with people for 20 years is that we all have within us what is needed to live life fully and create happiness for ourselves and others.
(432) 216-4781 View (432) 216-4781
Photo of Mindfull Therapies, Licensed Professional Counselor in Austin, TX
Mindfull Therapies
Licensed Professional Counselor, MEd, LPC-S
Verified Verified
Austin, TX 78748  (Online Only)
Life will become difficult! Jessie Ann is an eclectic bilingual therapist who understands the chaos in life that difficulties can bring. She has extensive experience working with children, adolescents, and parents. She has worked within the public school system for over 20 years and understands the difficulties and maladaptive behaviors that are acquired during these formative years.
Life will become difficult! Jessie Ann is an eclectic bilingual therapist who understands the chaos in life that difficulties can bring. She has extensive experience working with children, adolescents, and parents. She has worked within the public school system for over 20 years and understands the difficulties and maladaptive behaviors that are acquired during these formative years.
(512) 270-6318 View (512) 270-6318
Photo of Adam Holden, Pre-Licensed Professional in Austin, TX
Adam Holden
Pre-Licensed Professional
Verified Verified
1 Endorsed
Austin, TX 78731  (Online Only)
Hi, my name is Adam. I am a second year MSW student with a clinical mental health focus. Every person is the expert of their own lived experience, so my aim is to understand and meet clients where they are at. I believe in the power of here-and-now and hope to encourage clients with a judgement-free, goal-oriented approach.
Hi, my name is Adam. I am a second year MSW student with a clinical mental health focus. Every person is the expert of their own lived experience, so my aim is to understand and meet clients where they are at. I believe in the power of here-and-now and hope to encourage clients with a judgement-free, goal-oriented approach.
(512) 551-1634 View (512) 551-1634
Photo of Morgun Custer, Psychologist in Austin, TX
Morgun Custer
Psychologist, PhD
Verified Verified
1 Endorsed
Austin, TX 78704  (Online Only)
Finding the right therapist can be a daunting task - when you are suffering, it can be especially difficult to make this decision. To find relief, you need to be able to connect with your provider, build trust, and explore who you are and your issues in a safe and understanding space. We might be a good fit if you are curious about yourself and want to learn more about how your mind and emotions work, particularly if your thoughts and feelings are interfering with your quality of life, or you are struggling with anxiety, depression, relationship issues or have a history of trauma.
Finding the right therapist can be a daunting task - when you are suffering, it can be especially difficult to make this decision. To find relief, you need to be able to connect with your provider, build trust, and explore who you are and your issues in a safe and understanding space. We might be a good fit if you are curious about yourself and want to learn more about how your mind and emotions work, particularly if your thoughts and feelings are interfering with your quality of life, or you are struggling with anxiety, depression, relationship issues or have a history of trauma.
(512) 234-4719 View (512) 234-4719
Photo of Madalyn Ruble, Clinical Social Work/Therapist in Austin, TX
Madalyn Ruble
Clinical Social Work/Therapist, LCSW
Verified Verified
1 Endorsed
Austin, TX 78705  (Online Only)
Hi there! I am so grateful you're here! I am a Licensed Clinical Social Worker with experience in primarily medical & mental health settings. I enjoy working with teens, adults, & everyone in between! I strive to curate a safe space where you can feel both seen & heard. I specialize in working with stress management, anxiety, chronic illness, relationship issues, & those who may be going through a period of adjustment - whether that be a new diagnosis, a recent move or a breakup, we will move through it together. Looking forward to chatting with you soon!
Hi there! I am so grateful you're here! I am a Licensed Clinical Social Worker with experience in primarily medical & mental health settings. I enjoy working with teens, adults, & everyone in between! I strive to curate a safe space where you can feel both seen & heard. I specialize in working with stress management, anxiety, chronic illness, relationship issues, & those who may be going through a period of adjustment - whether that be a new diagnosis, a recent move or a breakup, we will move through it together. Looking forward to chatting with you soon!
(346) 421-0666 View (346) 421-0666
Photo of Tishna Rollo, Licensed Professional Counselor in Austin, TX
Tishna Rollo
Licensed Professional Counselor, LPC
Verified Verified
9 Endorsed
Austin, TX 78731  (Online Only)
Life often presents us with challenges that impact our emotional well-being. Sometimes, these challenges arise from our early experiences, shaping how we interact with ourselves and others. We may have learned to disconnect from our needs, emotions, or even from those around us. While these coping mechanisms may have helped us in the past, they can become limiting patterns that no longer align with our present desires and goals. Through therapy, we have the opportunity to update our inner templates and work through struggles, freeing us up to connect with our lives in the ways we want to.
Life often presents us with challenges that impact our emotional well-being. Sometimes, these challenges arise from our early experiences, shaping how we interact with ourselves and others. We may have learned to disconnect from our needs, emotions, or even from those around us. While these coping mechanisms may have helped us in the past, they can become limiting patterns that no longer align with our present desires and goals. Through therapy, we have the opportunity to update our inner templates and work through struggles, freeing us up to connect with our lives in the ways we want to.
(512) 710-9781 View (512) 710-9781
Photo of Geeti Shirazi Mahajan, Clinical Social Work/Therapist in Austin, TX
Geeti Shirazi Mahajan
Clinical Social Work/Therapist, LCSW-S, MPH
Verified Verified
6 Endorsed
Austin, TX 78704
Using an integrative and holistic approach, I will help you identify and achieve goals, cultivate internal resources to help navigate challenging emotions, and gain insight and self-awareness. I specialize in working with highly sensitive people from diverse backgrounds.
Using an integrative and holistic approach, I will help you identify and achieve goals, cultivate internal resources to help navigate challenging emotions, and gain insight and self-awareness. I specialize in working with highly sensitive people from diverse backgrounds.
(512) 309-7450 View (512) 309-7450
Photo of Wanda Montemayor, Licensed Professional Counselor in Austin, TX
Wanda Montemayor
Licensed Professional Counselor, LPC-S, ATCS, ATR-BC, RPT-S, EMDR
Verified Verified
1 Endorsed
Austin, TX 78748
Clinical Supervisor Wanda Montemayor is a Licensed Professional Counselor Supervisor (LPC-S-AT), a Registered Art Therapist (ATR-BC, ATCS) , a Registered Play Therapy Supervisor ( RPT-S) with a specialty in EMDR and animal-assisted therapy. In addition to her traditional counseling and therapy (talk therapy) methods, she integrates art therapy for her clients, as well as in community art projects throughout her community. Her unique background and experience, along with her diverse toolset, allow her to help clients overcome obstacles, grow, and heal. Wanda is offering in person therapy and teletherapy.
Clinical Supervisor Wanda Montemayor is a Licensed Professional Counselor Supervisor (LPC-S-AT), a Registered Art Therapist (ATR-BC, ATCS) , a Registered Play Therapy Supervisor ( RPT-S) with a specialty in EMDR and animal-assisted therapy. In addition to her traditional counseling and therapy (talk therapy) methods, she integrates art therapy for her clients, as well as in community art projects throughout her community. Her unique background and experience, along with her diverse toolset, allow her to help clients overcome obstacles, grow, and heal. Wanda is offering in person therapy and teletherapy.
(737) 204-3260 View (737) 204-3260

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.