Therapists in Austin, TX

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Photo of Katelyn Wilkinson, Clinical Social Work/Therapist, LCSW
Katelyn Wilkinson
Clinical Social Work/Therapist, LCSW
3 Endorsed
Austin, TX 78701
Hello and welcome! As a therapist, I use a psychodynamic relational approach valuing the unique needs and desires of each client. I strive to foster a safe, nonjudgmental space for clients to share their own perspectives and emotions surrounding their past and present life experiences while also identifying, exploring, and challenging self-defeating beliefs. I strive to meet clients where they are in whatever season of life they are in. I also consider how multiple systems of oppression and structural inequalities impact my clients' wellbeing and the concerns they bring forth.
Hello and welcome! As a therapist, I use a psychodynamic relational approach valuing the unique needs and desires of each client. I strive to foster a safe, nonjudgmental space for clients to share their own perspectives and emotions surrounding their past and present life experiences while also identifying, exploring, and challenging self-defeating beliefs. I strive to meet clients where they are in whatever season of life they are in. I also consider how multiple systems of oppression and structural inequalities impact my clients' wellbeing and the concerns they bring forth.
(512) 714-3672 View (512) 714-3672
Photo of Dr. Miguel Angel Soto, Clinical Social Work/Therapist, DSW, LCSW-S, LCDC
Dr. Miguel Angel Soto
Clinical Social Work/Therapist, DSW, LCSW-S, LCDC
2 Endorsed
Online Only
A strong therapeutic alliance is often discussed but not always achieved. In today's fast-paced and ever-evolving world, some individuals struggle to connect with others and openly discuss difficult issues. That is why I approach every client with the utmost respect and humility. You are the expert of your own life, and by working with me, you are inviting me on a journey where I will utilize my clinical expertise to provide the support your need to face and overcome life's challenges. As we build a foundational bond through our therapeutic relationship, you will come to realize that this alliance can be the catalyst for healing.
A strong therapeutic alliance is often discussed but not always achieved. In today's fast-paced and ever-evolving world, some individuals struggle to connect with others and openly discuss difficult issues. That is why I approach every client with the utmost respect and humility. You are the expert of your own life, and by working with me, you are inviting me on a journey where I will utilize my clinical expertise to provide the support your need to face and overcome life's challenges. As we build a foundational bond through our therapeutic relationship, you will come to realize that this alliance can be the catalyst for healing.
(737) 258-8285 View (737) 258-8285
Photo of Lysle Shaw, Clinical Social Work/Therapist, LCSW
Lysle Shaw
Clinical Social Work/Therapist, LCSW
Online Only
Are you struggling to break free from old patterns and ways of thinking that no longer serve you? I specialize in helping individuals conquer life's roadblocks and find lasting joy and change. Many of my clients have experienced trauma and feel stuck, while others are navigating life transitions or seeking more meaning and purpose. My approach focuses on helping you gain agency and autonomy to live the life you truly want. If you're seeking authentic self-expression, deeper connections, and a more joyous life, you might resonate with my approach.
Are you struggling to break free from old patterns and ways of thinking that no longer serve you? I specialize in helping individuals conquer life's roadblocks and find lasting joy and change. Many of my clients have experienced trauma and feel stuck, while others are navigating life transitions or seeking more meaning and purpose. My approach focuses on helping you gain agency and autonomy to live the life you truly want. If you're seeking authentic self-expression, deeper connections, and a more joyous life, you might resonate with my approach.
(512) 843-8012 View (512) 843-8012
Photo of Tyler Sanders - Genesys : A New Peace of Mind, Clinical Social Work/Therapist, LCSW
Genesys : A New Peace of Mind
Clinical Social Work/Therapist, LCSW
Online Only
I am originally from Las Vegas and have resided in Texas for the past three years. My practice focuses on presenting a new perspective to finding peace within self. I became a therapist to help those when they are in their darkest hour and to provide a safe therapeutic space to work through these inner conflicts. My clients describe me as a therapist that is open, accepting, and challenges them to take effective action towards change.
I am originally from Las Vegas and have resided in Texas for the past three years. My practice focuses on presenting a new perspective to finding peace within self. I became a therapist to help those when they are in their darkest hour and to provide a safe therapeutic space to work through these inner conflicts. My clients describe me as a therapist that is open, accepting, and challenges them to take effective action towards change.
(512) 337-4226 View (512) 337-4226
Photo of Debbie Webb, Clinical Social Work/Therapist, PhD, LCSW, LPC, LCDC
Debbie Webb
Clinical Social Work/Therapist, PhD, LCSW, LPC, LCDC
Online Only
Greetings! In over 40 years of practice, I've found people feel better with proper therapy and support. Whether you are working through a tough situation like a chronic illness, depression, anxiety, addiction, a possible divorce, or cancer, the caregiver of a person with one or multiple illnesses, or simply wanting to improve your life and enhance your happiness, send me a text to (512) 799-9358. I'm creative and resourceful, often "thinking outside the proverbial box." So, if you want help and need to make changes while receiving caring, non-judgmental support, I'm ready to meet with you virtually via smart phone or computer.
Greetings! In over 40 years of practice, I've found people feel better with proper therapy and support. Whether you are working through a tough situation like a chronic illness, depression, anxiety, addiction, a possible divorce, or cancer, the caregiver of a person with one or multiple illnesses, or simply wanting to improve your life and enhance your happiness, send me a text to (512) 799-9358. I'm creative and resourceful, often "thinking outside the proverbial box." So, if you want help and need to make changes while receiving caring, non-judgmental support, I'm ready to meet with you virtually via smart phone or computer.
(512) 201-2840 View (512) 201-2840
Photo of Kate Anna Rodriguez-Keklak, Licensed Professional Counselor Associate, M.S., LPC-A, NCC
Kate Anna Rodriguez-Keklak
Licensed Professional Counselor Associate, M.S., LPC-A, NCC
1 Endorsed
Online Only
Not accepting new clients
I am not currently accepting new clients. Are you carrying experiences that still feel unresolved? Do you struggle with trust, even when you want to let your guard down? Does it feel hard to feel truly safe or settled? Do you miss feeling close, understood, or emotionally safe in your relationship? I work with adults experiencing trauma, depression, anxiety, and relationship concerns. I also work with couples who are wanting to rebuild connection and improve communication. I provide a warm, authentic, and collaborative space where clients can gain insight, process openly, and move toward healthier relationships and greater clarity.
I am not currently accepting new clients. Are you carrying experiences that still feel unresolved? Do you struggle with trust, even when you want to let your guard down? Does it feel hard to feel truly safe or settled? Do you miss feeling close, understood, or emotionally safe in your relationship? I work with adults experiencing trauma, depression, anxiety, and relationship concerns. I also work with couples who are wanting to rebuild connection and improve communication. I provide a warm, authentic, and collaborative space where clients can gain insight, process openly, and move toward healthier relationships and greater clarity.
(737) 258-2615 View (737) 258-2615
Photo of Courtney Bourlon, Clinical Social Work/Therapist, LCSW-S
Courtney Bourlon
Clinical Social Work/Therapist, LCSW-S
1 Endorsed
Austin, TX 78703
I have the belief that people have the ability within themselves to recognize maladaptive patterns in their lives and with a little help, become able to set attainable goals to change those patterns into something more functional for their lives. I believe that motivation to change is a key component in what makes counseling successful for most people. My goal is to provide a safe, welcoming environment for you to help you meet your goals. My hope is that you will be better able to cope with the underlying issues giving you trouble and to help you learn more about yourself and your behavior.
I have the belief that people have the ability within themselves to recognize maladaptive patterns in their lives and with a little help, become able to set attainable goals to change those patterns into something more functional for their lives. I believe that motivation to change is a key component in what makes counseling successful for most people. My goal is to provide a safe, welcoming environment for you to help you meet your goals. My hope is that you will be better able to cope with the underlying issues giving you trouble and to help you learn more about yourself and your behavior.
(512) 400-3892 View (512) 400-3892
Photo of Nichole Henderson, Marriage & Family Therapist, MS, LMFT
Nichole Henderson
Marriage & Family Therapist, MS, LMFT
12 Endorsed
Online Only
What you focus on GROWS. Do you feel seen or heard? Isaiah 58:11. Where do you go to fill your emotional and spiritual tank? What you focus on GROWS. I provide faith-based therapy to help individuals and families build a victorious identity through meaningful, two-way discussions. My specialized approach supports clients in overcoming fear, pain, grief, and other barriers to a Christ-centered life. Offering virtual services in Nevada, Arizona, Utah, Washington, Texas, and Virginia, I create a safe space for emotional and spiritual renewal, guiding you toward healing and transformation.
What you focus on GROWS. Do you feel seen or heard? Isaiah 58:11. Where do you go to fill your emotional and spiritual tank? What you focus on GROWS. I provide faith-based therapy to help individuals and families build a victorious identity through meaningful, two-way discussions. My specialized approach supports clients in overcoming fear, pain, grief, and other barriers to a Christ-centered life. Offering virtual services in Nevada, Arizona, Utah, Washington, Texas, and Virginia, I create a safe space for emotional and spiritual renewal, guiding you toward healing and transformation.
(512) 877-4463 View (512) 877-4463
Photo of Stacy Reynolds, Licensed Professional Counselor
Stacy Reynolds
Licensed Professional Counselor
Online Only
Hello, I'm Stacy. When life gives you lemons, let's make lemonade together. I believe that reaching out for help is a sign of strength and courage, and I'm here to support you on your journey to well-being. With a Master of Arts Degree in Rehabilitation Counseling and a Bachelor of Arts in Criminal Justice with an emphasis on Sociology and Psychology from Michigan State University, I am a Licensed Professional Counselor (LPC) in the State of Texas and a Certified Rehabilitation Counselor (CRC). I bring over two years of counseling experience working with diverse populations facing various mental health and physical disabilities.
Hello, I'm Stacy. When life gives you lemons, let's make lemonade together. I believe that reaching out for help is a sign of strength and courage, and I'm here to support you on your journey to well-being. With a Master of Arts Degree in Rehabilitation Counseling and a Bachelor of Arts in Criminal Justice with an emphasis on Sociology and Psychology from Michigan State University, I am a Licensed Professional Counselor (LPC) in the State of Texas and a Certified Rehabilitation Counselor (CRC). I bring over two years of counseling experience working with diverse populations facing various mental health and physical disabilities.
(737) 276-0090 View (737) 276-0090
Photo of Sigal Govrin, Licensed Professional Counselor, MA, LPC, ATR-BC
Sigal Govrin
Licensed Professional Counselor, MA, LPC, ATR-BC
2 Endorsed
Online Only
Not accepting new clients
***not accepting new clients*** Clients with Anxiety, Trauma, stress, frustration, worries and social anxiety will feel at peace in my office. Many people with depression, relationship conflict, decision-making, or grief become my clients. Changing of jobs, schools, lovers or locations are often discussed. My clients trust me enough to discuss issues they would never dream of talking about with friends and family. Together we can make change happen.
***not accepting new clients*** Clients with Anxiety, Trauma, stress, frustration, worries and social anxiety will feel at peace in my office. Many people with depression, relationship conflict, decision-making, or grief become my clients. Changing of jobs, schools, lovers or locations are often discussed. My clients trust me enough to discuss issues they would never dream of talking about with friends and family. Together we can make change happen.
(512) 456-9021 View (512) 456-9021
Photo of Dr. Jeremy Capello, Psychologist, PhD
Dr. Jeremy Capello
Psychologist, PhD
2 Endorsed
Austin, TX 78746
Not accepting new clients
My name is Jeremy Capello and I am a licensed Clinical Psychologist. I received my PhD. in Counseling Psychology from the University of Texas at Austin in 2008. I help people find ways to successfully manage life's obstacles. These may include dealing with medical/health concerns, daily stressors, life transitions, grief and loss and exposure to traumatic life experiences. By acknowledging and examining the impact of your life events we can work together to re-frame perspective, honor experiences and find a voice that will give you the courage to build strength and resilience in the midst of change.
My name is Jeremy Capello and I am a licensed Clinical Psychologist. I received my PhD. in Counseling Psychology from the University of Texas at Austin in 2008. I help people find ways to successfully manage life's obstacles. These may include dealing with medical/health concerns, daily stressors, life transitions, grief and loss and exposure to traumatic life experiences. By acknowledging and examining the impact of your life events we can work together to re-frame perspective, honor experiences and find a voice that will give you the courage to build strength and resilience in the midst of change.
(512) 772-5397 View (512) 772-5397
Photo of Erin Dryden, Clinical Social Work/Therapist, LCSW
Erin Dryden
Clinical Social Work/Therapist, LCSW
1 Endorsed
Online Only
Not accepting new clients
I offer virtual therapy for adults throughout Texas. If you're someone who's really good at showing up for everyone else but has spent less time turning that attention inward, you might be in the right place. Things may look fine from the outside, but something feels off, stuck, or quietly exhausting. Maybe you're moving through a life transition, sitting with grief, or starting to notice patterns in your relationships you'd like to understand better. Whatever brought you here, I'm glad you're taking this moment for yourself.
I offer virtual therapy for adults throughout Texas. If you're someone who's really good at showing up for everyone else but has spent less time turning that attention inward, you might be in the right place. Things may look fine from the outside, but something feels off, stuck, or quietly exhausting. Maybe you're moving through a life transition, sitting with grief, or starting to notice patterns in your relationships you'd like to understand better. Whatever brought you here, I'm glad you're taking this moment for yourself.
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Photo of Tamra Weber Zehner, Clinical Social Work/Therapist, LCSW-S, SEP, EMDR
Tamra Weber Zehner
Clinical Social Work/Therapist, LCSW-S, SEP, EMDR
Austin, TX 78759
I help my clients understand and manage relationships and anxiety -- in both their personal and professional life. ​Many of those I work with find that my down to earth manner and focus on finding solutions is just what they need to move forward. Individuals (children, adolescents and adults), couples, and families often feel relieved to know they can learn the skills to be successful and improve their relationships.
I help my clients understand and manage relationships and anxiety -- in both their personal and professional life. ​Many of those I work with find that my down to earth manner and focus on finding solutions is just what they need to move forward. Individuals (children, adolescents and adults), couples, and families often feel relieved to know they can learn the skills to be successful and improve their relationships.
(512) 523-5922 View (512) 523-5922
Photo of India Gardner, Licensed Professional Counselor, MA, LPC
India Gardner
Licensed Professional Counselor, MA, LPC
1 Endorsed
Online Only
I'm India, Founder and Therapist of Couch Conversations.! Thank you for taking the first step on your therapeutic journey with me, one conversation at a time. I'm a Licensed Professional Counselor who shows up with authenticity, compassion, and a genuine understanding of what it means to rebuild your life. Several years ago, I experienced a traumatic brain injury that left me with invisible disabilities. Therapy helped me find my footing again, discover new strengths, and move forward with purpose. That healing experience inspired me to become a therapist so I could support others on their own journeys.
I'm India, Founder and Therapist of Couch Conversations.! Thank you for taking the first step on your therapeutic journey with me, one conversation at a time. I'm a Licensed Professional Counselor who shows up with authenticity, compassion, and a genuine understanding of what it means to rebuild your life. Several years ago, I experienced a traumatic brain injury that left me with invisible disabilities. Therapy helped me find my footing again, discover new strengths, and move forward with purpose. That healing experience inspired me to become a therapist so I could support others on their own journeys.
(737) 232-4769 View (737) 232-4769
Photo of Kari A. Burrowes, Clinical Social Work/Therapist, LCSW
Kari A. Burrowes
Clinical Social Work/Therapist, LCSW
4 Endorsed
Austin, TX 78746
Waitlist for new clients
There are times along our journey where having support can make all the difference. Living in our fast paced world, internal and external challenges can lead us to feel stuck and confused about how to move forward in our lives. We can feel a loss of connection to ourselves. These feelings can serve as a way of getting our attention that signal the need for growth, new understanding or a shift in perspective.
There are times along our journey where having support can make all the difference. Living in our fast paced world, internal and external challenges can lead us to feel stuck and confused about how to move forward in our lives. We can feel a loss of connection to ourselves. These feelings can serve as a way of getting our attention that signal the need for growth, new understanding or a shift in perspective.
(512) 948-3921 View (512) 948-3921
Photo of Janie Lopez, Licensed Professional Counselor
Janie Lopez
Licensed Professional Counselor
Online Only
Hello, I'm Janie. I'm a Licensed Professional Counselor with a passion for helping individuals navigate through life's challenges. I graduated from the University of Texas and have been dedicated to the mental health field since 2005. My journey has been enriched by numerous recognitions and active participation in organizations such as the Texas Counseling Association, where I've served as both a member and committee member. My therapeutic approach is centered around being a supportive part of your journey to a better life. I believe in creating a safe and nurturing environment where you can explore your thoughts and feelings.
Hello, I'm Janie. I'm a Licensed Professional Counselor with a passion for helping individuals navigate through life's challenges. I graduated from the University of Texas and have been dedicated to the mental health field since 2005. My journey has been enriched by numerous recognitions and active participation in organizations such as the Texas Counseling Association, where I've served as both a member and committee member. My therapeutic approach is centered around being a supportive part of your journey to a better life. I believe in creating a safe and nurturing environment where you can explore your thoughts and feelings.
(737) 355-7727 View (737) 355-7727
Photo of Christina R. Landeros, Clinical Social Work/Therapist, LCSW-S
Christina R. Landeros
Clinical Social Work/Therapist, LCSW-S
1 Endorsed
Online Only
Are you feeling overwhelmed, disconnected from yourself, burdened by guilt and shame you can’t quite explain? You may appear “high functioning” on the outside, yet feel exhausted, anxious, or emotionally stuck inside. Trauma—especially when it has been chronic, relational, or early in life—can quietly shape how safe the world feels and how you relate to yourself and others.
Are you feeling overwhelmed, disconnected from yourself, burdened by guilt and shame you can’t quite explain? You may appear “high functioning” on the outside, yet feel exhausted, anxious, or emotionally stuck inside. Trauma—especially when it has been chronic, relational, or early in life—can quietly shape how safe the world feels and how you relate to yourself and others.
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Photo of Peggy Kruger Tietz, Psychologist, PhD
Peggy Kruger Tietz
Psychologist, PhD
Austin, TX 78746
Not accepting new clients
I believe that therapy is a journey of discovery and growth. Therapy can reverse negative beliefs, disabling emotions and stuck patterns, as well as restoring natural resilience, courage, and confidence.
I believe that therapy is a journey of discovery and growth. Therapy can reverse negative beliefs, disabling emotions and stuck patterns, as well as restoring natural resilience, courage, and confidence.
(512) 400-3264 View (512) 400-3264
Photo of Charity G Vizcaino, Licensed Professional Counselor, LPC
Charity G Vizcaino
Licensed Professional Counselor, LPC
3 Endorsed
Online Only
In our fast-paced, busy world it can be difficult to find or make the time to take care of ourselves, and yet, here you are. Whatever circumstance is bringing you here, congratulations on taking this step of healing and self-discovery. I’m so glad you are here. My practice specializes working with women dealing with anxiety, people pleasing, life transitions, perfectionism, history of trauma, and depression. Ladies, you deserve support, it would be my honor to walk with you on your journey.
In our fast-paced, busy world it can be difficult to find or make the time to take care of ourselves, and yet, here you are. Whatever circumstance is bringing you here, congratulations on taking this step of healing and self-discovery. I’m so glad you are here. My practice specializes working with women dealing with anxiety, people pleasing, life transitions, perfectionism, history of trauma, and depression. Ladies, you deserve support, it would be my honor to walk with you on your journey.
(737) 205-1193 View (737) 205-1193
Photo of Mary Eberlein, Clinical Social Work/Therapist, LCSW
Mary Eberlein
Clinical Social Work/Therapist, LCSW
2 Endorsed
Austin, TX 78756
Are you feeling stuck, looking for meaning, or seeking alignment with your values in life? You may know what’s holding you back, or you may be wrestling with painful feelings and are unsure why. Perhaps you’ve experienced or are anticipating a significant loss and need support navigating grief and this new reality. As your therapist, I want to help you live a meaningful, rich life and overcome what is getting in your way. I can help you explore your values in order to unblock what is holding you back.
Are you feeling stuck, looking for meaning, or seeking alignment with your values in life? You may know what’s holding you back, or you may be wrestling with painful feelings and are unsure why. Perhaps you’ve experienced or are anticipating a significant loss and need support navigating grief and this new reality. As your therapist, I want to help you live a meaningful, rich life and overcome what is getting in your way. I can help you explore your values in order to unblock what is holding you back.
(737) 325-8846 View (737) 325-8846

See more therapy options for Austin

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
93% Social Anxiety
93% Health Anxiety
93% Driving Anxiety
86% Depression
75% Relationship Issues
73% Self Esteem

Average years in practice

10 Years

Top 3 insurances accepted

91% Aetna
72% BlueCross and BlueShield
72% Cigna and Evernorth

How Therapists in Austin, TX see their clients

51% In Person and Online
49% Online Only

Gender breakdown

80% Female
18% Male
2% 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.