Therapists in Austin, TX

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Photo of Beth Thomas, Clinical Social Work/Therapist, LCSW
Beth Thomas
Clinical Social Work/Therapist, LCSW
Verified Verified
1 Endorsed
Austin, TX 78729
Not accepting new clients
Are you a new mom, dad, or partner, struggling with anxiety/depression or scary thoughts? Perhaps you have just been given a new health diagnosis and are struggling to come to terms with it? Or maybe you are a caregiver of someone who is sick or dying. My clients are looking for a deeply compassionate person to help them learn new ways to cope with life's big curveballs.
Are you a new mom, dad, or partner, struggling with anxiety/depression or scary thoughts? Perhaps you have just been given a new health diagnosis and are struggling to come to terms with it? Or maybe you are a caregiver of someone who is sick or dying. My clients are looking for a deeply compassionate person to help them learn new ways to cope with life's big curveballs.
(512) 489-9408 View (512) 489-9408
Photo of Laurel Crawford, MS, BC-DMT
Laurel Crawford
MS, BC-DMT
Verified Verified
3 Endorsed
Austin, TX 78704
I am passionate about helping people deepen their mind/body connection and accessing creativity for healing and growth. The people I support are interested in building trust in themselves, feeling more connected with themselves and others, processing individual loss and collective grief, and cultivating joy and pleasure in their bodies. I am currently offering individual therapy in-person and virtually, and leading group therapy sessions.
I am passionate about helping people deepen their mind/body connection and accessing creativity for healing and growth. The people I support are interested in building trust in themselves, feeling more connected with themselves and others, processing individual loss and collective grief, and cultivating joy and pleasure in their bodies. I am currently offering individual therapy in-person and virtually, and leading group therapy sessions.
(512) 648-5383 View (512) 648-5383
Photo of Glory A Cassagnol, Licensed Professional Counselor, LPC
Glory A Cassagnol
Licensed Professional Counselor, LPC
Verified Verified
Online Only
Perhaps you’re on the verge of burnout and have been overwhelmed by the never-ending alterations of life. Or you find yourself floating between fear and focus, constantly feeling like you aren’t enough and recognize the effects showing up in your relationships. Maybe you’ve discovered that you’re ready to step into your role as the lead of your life and require additional support and guidance to do so. In my 10 years of helping relationships, I immediately recognized the satisfaction I felt in supporting clients mental and emotional healing while also fulfilling the high demand for diverse and inclusive counselors in all sectors.
Perhaps you’re on the verge of burnout and have been overwhelmed by the never-ending alterations of life. Or you find yourself floating between fear and focus, constantly feeling like you aren’t enough and recognize the effects showing up in your relationships. Maybe you’ve discovered that you’re ready to step into your role as the lead of your life and require additional support and guidance to do so. In my 10 years of helping relationships, I immediately recognized the satisfaction I felt in supporting clients mental and emotional healing while also fulfilling the high demand for diverse and inclusive counselors in all sectors.
(512) 798-0964 View (512) 798-0964
Photo of Melody Marin - Melody Marin Psychological Services, Psychologist, PsyD
Melody Marin Psychological Services
Psychologist, PsyD
Verified Verified
Online Only
Do you suspect that you may be neurodivergent in some way but are worried that a neuropsychological assessment may miss something about your unique situation? Or have you been invalidated by other professionals who brushed off your concerns or didn't truly listen to you? I provide Neurodiversity-Affirming Adult Autism, ADHD, and General Neurotype Assessments as an alternative to the pathologizing and deficit-based approach used in most neuropsychological assessments. My process is designed to be supportive and collaborative, and to look closely at your unique history and presentation to get to the root of what is going on.
Do you suspect that you may be neurodivergent in some way but are worried that a neuropsychological assessment may miss something about your unique situation? Or have you been invalidated by other professionals who brushed off your concerns or didn't truly listen to you? I provide Neurodiversity-Affirming Adult Autism, ADHD, and General Neurotype Assessments as an alternative to the pathologizing and deficit-based approach used in most neuropsychological assessments. My process is designed to be supportive and collaborative, and to look closely at your unique history and presentation to get to the root of what is going on.
(737) 520-7685 View (737) 520-7685
Photo of Aaron D. Bandy, Clinical Social Work/Therapist, LCSW, NBCT
Aaron D. Bandy
Clinical Social Work/Therapist, LCSW, NBCT
Verified Verified
1 Endorsed
Austin, TX 78705
If you feel like you are expected to “do it all” and carry more responsibilities than others in your life, and feel like you need a break, I may be able to help. Some people find that their personal relationships, either with friends, family, or co-workers, seem shallow, one-dimensional, or unequal. If you would like to improve your relationship with yourself and others, this may be something we can work on together. People may find themselves noticing that they keep engaging in relationships that wound them and wonder “is there something wrong with me?” We can answer that question together.
If you feel like you are expected to “do it all” and carry more responsibilities than others in your life, and feel like you need a break, I may be able to help. Some people find that their personal relationships, either with friends, family, or co-workers, seem shallow, one-dimensional, or unequal. If you would like to improve your relationship with yourself and others, this may be something we can work on together. People may find themselves noticing that they keep engaging in relationships that wound them and wonder “is there something wrong with me?” We can answer that question together.
(512) 856-6820 View (512) 856-6820
Photo of Amanda C Smith, Licensed Professional Counselor, MA, LPC-S
Amanda C Smith
Licensed Professional Counselor, MA, LPC-S
Verified Verified
Austin, TX 78746
Therapy is a special relationship that fosters behavioral and thought changes while increasing personal growth through the creation of a secure environment. Through effective communication, therapeutic techniques, and positive support together we can work on the difficulties and struggles in your and your family's lives. I enjoy working with individuals and families struggling with a variety of issues. I specialize in anxiety, depression, PTSD, ADHD, self-esteem and trauma. I have been working with children, adolescents and adults for the past 10 years in a variety of therapeutic settings.
Therapy is a special relationship that fosters behavioral and thought changes while increasing personal growth through the creation of a secure environment. Through effective communication, therapeutic techniques, and positive support together we can work on the difficulties and struggles in your and your family's lives. I enjoy working with individuals and families struggling with a variety of issues. I specialize in anxiety, depression, PTSD, ADHD, self-esteem and trauma. I have been working with children, adolescents and adults for the past 10 years in a variety of therapeutic settings.
(512) 489-6792 View (512) 489-6792
Photo of Amie Reed Skwiat, Licensed Professional Counselor, MA, LPC
Amie Reed Skwiat
Licensed Professional Counselor, MA, LPC
Verified Verified
5 Endorsed
Austin, TX 78738
Not accepting new clients
***Unable to take on new clients at this time.*** If you are having a hard time finding your identity, you struggle with feelings of anxiety or depression, and/or you find yourself addicted to something that may not be very healthy... I completely understand the feeling...I've been there too. Those who have not been on "that side of the line" have a hard time understanding what it feels like. I am here to help.
***Unable to take on new clients at this time.*** If you are having a hard time finding your identity, you struggle with feelings of anxiety or depression, and/or you find yourself addicted to something that may not be very healthy... I completely understand the feeling...I've been there too. Those who have not been on "that side of the line" have a hard time understanding what it feels like. I am here to help.
(512) 549-6152 View (512) 549-6152
Photo of Daniel Stober, Licensed Professional Counselor, MA, LCPC
Daniel Stober
Licensed Professional Counselor, MA, LCPC
Verified Verified
Online Only
Are you struggling to make things better but keep running into barriers? I work with individuals to help identify what is standing in the way of their goals.
Are you struggling to make things better but keep running into barriers? I work with individuals to help identify what is standing in the way of their goals.
(737) 313-1329 View (737) 313-1329
Photo of Joy Cannon, Licensed Professional Counselor, MA, LPC-S, RPT-S
Joy Cannon
Licensed Professional Counselor, MA, LPC-S, RPT-S
Verified Verified
5 Endorsed
Austin, TX 78748
Does your 3-7 year old child have aggressive behavior, nightmares, unhappy relationships, say scary things or seem to get in trouble a lot? I can help you understand their inner experience, respond to behavior, & feel reconnected. This big world confuses little kids who are helplessly adjusting to major life events like death, accidents, relocations, hospitalization, crime, divorce and more. And parenting is exhausting work. You wonder how to teach them or what to ignore. I believe behavior is communication & kids who feel good, do good. I embrace paradoxes: facilitating change, but not fixing people. Structure and freedom.
Does your 3-7 year old child have aggressive behavior, nightmares, unhappy relationships, say scary things or seem to get in trouble a lot? I can help you understand their inner experience, respond to behavior, & feel reconnected. This big world confuses little kids who are helplessly adjusting to major life events like death, accidents, relocations, hospitalization, crime, divorce and more. And parenting is exhausting work. You wonder how to teach them or what to ignore. I believe behavior is communication & kids who feel good, do good. I embrace paradoxes: facilitating change, but not fixing people. Structure and freedom.
(512) 886-7211 View (512) 886-7211
Photo of Rachael Cayton Barden, Clinical Social Work/Therapist, LCSW-S
Rachael Cayton Barden
Clinical Social Work/Therapist, LCSW-S
Verified Verified
11 Endorsed
Austin, TX 78757
To others, you seem to have it all together, but the pain of your past and future colliding keeps you up at night. Past injuries have a continual hold on you and influence your most important relationships. Acting in line with your heart does not seem possible when you're caught in these patterns. You are stuck, but things can change. Loving yourself and appreciating each moment is an attainable goal, and one that I can help you reach. Through our conversations, you will gain a better understanding of yourself and your beginnings and start to feel more peace within your life and relationships.
To others, you seem to have it all together, but the pain of your past and future colliding keeps you up at night. Past injuries have a continual hold on you and influence your most important relationships. Acting in line with your heart does not seem possible when you're caught in these patterns. You are stuck, but things can change. Loving yourself and appreciating each moment is an attainable goal, and one that I can help you reach. Through our conversations, you will gain a better understanding of yourself and your beginnings and start to feel more peace within your life and relationships.
(512) 865-5061 View (512) 865-5061
Photo of Faviola Diaz, Marriage & Family Therapist, LMFT
Faviola Diaz
Marriage & Family Therapist, LMFT
Verified Verified
Austin, TX 78759
I am a Licensed Marriage and Family Therapist with 4 years of experience working with individuals, families, and groups of all ages. I specialize in treating depression, anxiety, family issues, life transitions, and relationship concerns. I have spent time as a social worker in the legal system and enjoy empowering others to better understand their thoughts and feelings.
I am a Licensed Marriage and Family Therapist with 4 years of experience working with individuals, families, and groups of all ages. I specialize in treating depression, anxiety, family issues, life transitions, and relationship concerns. I have spent time as a social worker in the legal system and enjoy empowering others to better understand their thoughts and feelings.
(737) 367-0874 View (737) 367-0874
Photo of Leticia Adams, Licensed Professional Counselor, MA, LPC
Leticia Adams
Licensed Professional Counselor, MA, LPC
Verified Verified
Online Only
Hi there, My name is Leticia, Do you feel lost or stressed? Are you struggling with identity or self esteem? Do you feel out of step with society? I want to work with you to help you to become more aligned with your true identity so you can create a clearer path that is more conducive to you being able to live more in line with your core beliefs. Together we will utilize a holistic approach taking everything into account including your current situation, your hopes and your core values so we do not miss any gaps.
Hi there, My name is Leticia, Do you feel lost or stressed? Are you struggling with identity or self esteem? Do you feel out of step with society? I want to work with you to help you to become more aligned with your true identity so you can create a clearer path that is more conducive to you being able to live more in line with your core beliefs. Together we will utilize a holistic approach taking everything into account including your current situation, your hopes and your core values so we do not miss any gaps.
(210) 942-7870 View (210) 942-7870
Photo of Laura Squiers, Licensed Professional Counselor, LPC
Laura Squiers
Licensed Professional Counselor, LPC
Verified Verified
1 Endorsed
Austin, TX 78759
As a Highly Sensitive Person (HSP) and LGBTQ-identified therapist, I understand the unique challenges that come with navigating the complexities of self-experience and the world around us. I recognize that accessing inclusive, affirming mental health care can often feel difficult, and I am committed to providing a safe, supportive, and empowering space for all individuals. I work closely with my clients, helping them navigate issues such as self-esteem, life transitions, stress, relationship challenges, anxiety, and those who identify as highly sensitive or LGBTQ.
As a Highly Sensitive Person (HSP) and LGBTQ-identified therapist, I understand the unique challenges that come with navigating the complexities of self-experience and the world around us. I recognize that accessing inclusive, affirming mental health care can often feel difficult, and I am committed to providing a safe, supportive, and empowering space for all individuals. I work closely with my clients, helping them navigate issues such as self-esteem, life transitions, stress, relationship challenges, anxiety, and those who identify as highly sensitive or LGBTQ.
(737) 373-4682 View (737) 373-4682
Photo of Lina Navar - Holistic Counseling & Coaching - Lina Navar, Licensed Professional Counselor, MA, MEd, RSME/T , CERT LC, RYT
Holistic Counseling & Coaching - Lina Navar
Licensed Professional Counselor, MA, MEd, RSME/T , CERT LC, RYT
Verified Verified
3 Endorsed
Austin, TX 78759
Want the choice to be grounded to become your default, and successfully move through your day with ease in the midst of a new reality? Then this may be the perfect time to heal trauma fear responses that perpetuate isolation. I invite you to reconnect to yourself and others by tapping into the innate intelligence of your gut, heart, and mind centers; YOU CAN access your inner guidance system which already contains everything you need to thrive in the midst of uncertainty. Consider creating a sacred space in your life that involves integrating body intelligence using breath, spatial awareness, movement, sensation, and imagery.
Want the choice to be grounded to become your default, and successfully move through your day with ease in the midst of a new reality? Then this may be the perfect time to heal trauma fear responses that perpetuate isolation. I invite you to reconnect to yourself and others by tapping into the innate intelligence of your gut, heart, and mind centers; YOU CAN access your inner guidance system which already contains everything you need to thrive in the midst of uncertainty. Consider creating a sacred space in your life that involves integrating body intelligence using breath, spatial awareness, movement, sensation, and imagery.
(512) 866-7982 View (512) 866-7982
Photo of Victoria G Wing - Victoria Wing, LPC, Licensed Professional Counselor, MA, LPC
Victoria Wing, LPC
Licensed Professional Counselor, MA, LPC
Verified Verified
Austin, TX 78759
Feeling Stuck? You're not alone. Life can throw curveballs: anxiety, depression, relationship struggles, feeling lost... These challenges can leave you feeling overwhelmed and unsure of how to move forward. I can help. Helping you understand yourself is key. By exploring your thoughts, feelings, and behaviors, we can identify the patterns that are holding you back and create lasting change. We'll work together to understand your needs and develop a plan that's right for you. We'll explore your values, explore your strengths, build on existing coping skills and find new ones.
Feeling Stuck? You're not alone. Life can throw curveballs: anxiety, depression, relationship struggles, feeling lost... These challenges can leave you feeling overwhelmed and unsure of how to move forward. I can help. Helping you understand yourself is key. By exploring your thoughts, feelings, and behaviors, we can identify the patterns that are holding you back and create lasting change. We'll work together to understand your needs and develop a plan that's right for you. We'll explore your values, explore your strengths, build on existing coping skills and find new ones.
(512) 648-4456 View (512) 648-4456
Photo of Sabina Klein, Licensed Professional Counselor, EdM, LCMHC
Sabina Klein
Licensed Professional Counselor, EdM, LCMHC
Verified Verified
2 Endorsed
Online Only
Waitlist for new clients
When we experience trauma, we are often left feeling alone, misunderstood, invisible, and unsafe, even within ourselves. Through the process of therapy, we can regain hope, connection, safety, and understanding of ourselves and others. I use wide-range of evidenced-based modalities, from psychodynamic and CBT to EMDR and somatic therapies to decrease the emotional reactivity, tension, and isolation that trauma can create. Regardless of our trauma histories, our modern world can contribute to feelings of disconnection, dissatisfaction, and uncertainty about our worth and our purpose.
When we experience trauma, we are often left feeling alone, misunderstood, invisible, and unsafe, even within ourselves. Through the process of therapy, we can regain hope, connection, safety, and understanding of ourselves and others. I use wide-range of evidenced-based modalities, from psychodynamic and CBT to EMDR and somatic therapies to decrease the emotional reactivity, tension, and isolation that trauma can create. Regardless of our trauma histories, our modern world can contribute to feelings of disconnection, dissatisfaction, and uncertainty about our worth and our purpose.
(737) 277-5123 View (737) 277-5123
Photo of Christie Mokry, Drug & Alcohol Counselor, LCDC
Christie Mokry
Drug & Alcohol Counselor, LCDC
Verified Verified
1 Endorsed
Austin, TX 78731
As of 04/14/25, I am accepting new clients. You're exhausted. Stuck. Tried it all, but feel lost. Anxiety, doubt, substances—they pull you back. You crave relief, clarity. Want freedom from old patterns, to trust yourself again. You need a new path, a guide to help you find your strength, to feel seen, to live authentically. You want to surrender, but don't know how. You want to feel empowered.
As of 04/14/25, I am accepting new clients. You're exhausted. Stuck. Tried it all, but feel lost. Anxiety, doubt, substances—they pull you back. You crave relief, clarity. Want freedom from old patterns, to trust yourself again. You need a new path, a guide to help you find your strength, to feel seen, to live authentically. You want to surrender, but don't know how. You want to feel empowered.
(512) 675-5810 View (512) 675-5810
Photo of Sarah McElvain, Licensed Master Social Worker, LMSW
Sarah McElvain
Licensed Master Social Worker, LMSW
Verified Verified
Online Only
Looking to better understand your neurotype? If you're searching for a supportive clinician who offers informal exploration sessions or formal identification through therapeutic assessment to uncover your wiring, identify resources, & provide authentic support, let’s connect. As a late identified adult & parent to neurodivergent children, I understand the challenge of finding a provider who gets it. I'm passionate about offering affirming, collaborative, and strengths-based counseling and assessment for Autism and ADHD (children ages 5+ & adults). Therapeutic identification and integration can bring much clarity.
Looking to better understand your neurotype? If you're searching for a supportive clinician who offers informal exploration sessions or formal identification through therapeutic assessment to uncover your wiring, identify resources, & provide authentic support, let’s connect. As a late identified adult & parent to neurodivergent children, I understand the challenge of finding a provider who gets it. I'm passionate about offering affirming, collaborative, and strengths-based counseling and assessment for Autism and ADHD (children ages 5+ & adults). Therapeutic identification and integration can bring much clarity.
(210) 585-2773 View (210) 585-2773
Photo of Giselle Otamendi, Clinical Social Work/Therapist, LCSW
Giselle Otamendi
Clinical Social Work/Therapist, LCSW
Verified Verified
Austin, TX 78735
You're here! Be so proud of yourself for taking that most difficult initiative; for now, the excitement of your journey begins. If you or your child needs help with Anxiety, Depression, Grief, Neurodivergence, Parenting, PTSD, Stress, or Trauma, I will be honored to be your guide & support you as you lead the way. I will meet you where you are through a holistic approach, open-mindedness, & some light-heartedness. I welcome you enthusiastically to begin this journey of self-discovery together.
You're here! Be so proud of yourself for taking that most difficult initiative; for now, the excitement of your journey begins. If you or your child needs help with Anxiety, Depression, Grief, Neurodivergence, Parenting, PTSD, Stress, or Trauma, I will be honored to be your guide & support you as you lead the way. I will meet you where you are through a holistic approach, open-mindedness, & some light-heartedness. I welcome you enthusiastically to begin this journey of self-discovery together.
(737) 250-7281 View (737) 250-7281
Photo of Pamela Monday, Marriage & Family Therapist, PhD, LMFT
Pamela Monday
Marriage & Family Therapist, PhD, LMFT
Verified Verified
1 Endorsed
Online Only
I have a passion for teaching individuals, couples and families how to improve their relationships, build confidence and self-esteem, and find greater happiness and satisfaction in life. I work with clients to help them develop strategies and learn specific skills to reach the goals they desire, while also understanding how their changes will impact the people around them. Therapy should feel hopeful and productive, and I love seeing people grow and change and feel more empowered, peaceful and happy with their lives as they learn new things and experience the satisfaction of seeing rapid change.
I have a passion for teaching individuals, couples and families how to improve their relationships, build confidence and self-esteem, and find greater happiness and satisfaction in life. I work with clients to help them develop strategies and learn specific skills to reach the goals they desire, while also understanding how their changes will impact the people around them. Therapy should feel hopeful and productive, and I love seeing people grow and change and feel more empowered, peaceful and happy with their lives as they learn new things and experience the satisfaction of seeing rapid change.
(512) 549-8072 View (512) 549-8072
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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
87% Depression
75% Relationship Issues
75% Self Esteem
70% Trauma and PTSD
69% Stress
68% Coping Skills

Average years in practice

10 Years

Top 3 insurances accepted

87% Aetna
70% Cigna and Evernorth
67% BlueCross and BlueShield

How Therapists in Austin, TX see their clients

51% In Person and Online
49% Online Only

Gender breakdown

82% Female
17% 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.