Therapists in Cibolo, TX

Photo of Monica Randolph-Graham, LPC, Licensed Professional Counselor
Monica Randolph-Graham
Licensed Professional Counselor, LPC
Verified Verified
Cibolo, TX 78108
My approach to therapy is based on each individual’s inner strength and resources, and resiliency to every day stress and adversities that life tends to present. I focus on practical applications drawn from various theories as a means to provide each individual the most meaningful treatment for healing and change. One of the most empowering and healing methods I use in my psychotherapy is creating a caring, collaborative relationship built on mutual trust and respect, providing a safe environment free from judgment, and support through active listening and empathy.
My approach to therapy is based on each individual’s inner strength and resources, and resiliency to every day stress and adversities that life tends to present. I focus on practical applications drawn from various theories as a means to provide each individual the most meaningful treatment for healing and change. One of the most empowering and healing methods I use in my psychotherapy is creating a caring, collaborative relationship built on mutual trust and respect, providing a safe environment free from judgment, and support through active listening and empathy.
(832) 610-2088 View (832) 610-2088
Photo of Kassandra Thompson - Kassandra Thompson Double T Counseling, PLLC , MS, LPC, NCC, Licensed Professional Counselor
Kassandra Thompson Double T Counseling, PLLC
Licensed Professional Counselor, MS, LPC, NCC
Verified Verified
Cibolo, TX 78108
Please email if you are interested in services, I am better able to reply - I provide counseling to individuals, teens, and families in many areas, such as: depression, anxiety, anger, PTSD and trauma, self-esteem, and teen identity, as well as a variety of other life issues and disorders. I further have a passion for assisting with divorce and positive co-parenting relationships. If you need guidance through past or present, I can assist you in gaining insight and awareness, mindfulness, communication, and boundaries, among many other tools that help you navigate through challenging times.
Please email if you are interested in services, I am better able to reply - I provide counseling to individuals, teens, and families in many areas, such as: depression, anxiety, anger, PTSD and trauma, self-esteem, and teen identity, as well as a variety of other life issues and disorders. I further have a passion for assisting with divorce and positive co-parenting relationships. If you need guidance through past or present, I can assist you in gaining insight and awareness, mindfulness, communication, and boundaries, among many other tools that help you navigate through challenging times.
(210) 796-7680 View (210) 796-7680
Photo of Vicky O Tovar, MA, LPC, Licensed Professional Counselor
Vicky O Tovar
Licensed Professional Counselor, MA, LPC
Verified Verified
Cibolo, TX 78108  (Online Only)
Hello, and welcome! I am a bilingual licensed professional counselor in Texas with over 10 years experience. I've worked with a variety of clients such as children, teens, college students, and adults. I like to focus on identifying your strengths and helping you to maximize them to overcome your obstacles. I’m here to help you sort through the things that are difficult right now, and offer you a safe place to be open and honest without fear of judgment.
Hello, and welcome! I am a bilingual licensed professional counselor in Texas with over 10 years experience. I've worked with a variety of clients such as children, teens, college students, and adults. I like to focus on identifying your strengths and helping you to maximize them to overcome your obstacles. I’m here to help you sort through the things that are difficult right now, and offer you a safe place to be open and honest without fear of judgment.
(830) 476-7037 View (830) 476-7037
Photo of Betsy Walker, PhD, LPC, Licensed Professional Counselor
Betsy Walker
Licensed Professional Counselor, PhD, LPC
Verified Verified
Cibolo, TX 78108
An ideal client is one who is at an age that she or he is ready to settle the haunting torments of childhood abuse. She or he has enough memories to begin to work with and has enough faith to believe healing is possible. She needs a companion, a counselor, on the path to healing. She needs someone who is caring and will allow her or his to move at her or his own pace—who is motivational but not pushy. The client’s goal is to normalize important relationships in his or her current life. The client also wants peace with his or her past, as well as a balanced life in the future.
An ideal client is one who is at an age that she or he is ready to settle the haunting torments of childhood abuse. She or he has enough memories to begin to work with and has enough faith to believe healing is possible. She needs a companion, a counselor, on the path to healing. She needs someone who is caring and will allow her or his to move at her or his own pace—who is motivational but not pushy. The client’s goal is to normalize important relationships in his or her current life. The client also wants peace with his or her past, as well as a balanced life in the future.
(361) 203-7459 View (361) 203-7459
Photo of Bernadette Puente-Renteria, MMFT, LMFT-A, Marriage & Family Therapist Associate
Bernadette Puente-Renteria
Marriage & Family Therapist Associate, MMFT, LMFT-A
Verified Verified
Cibolo, TX 78108
Life can be challenging filled with uncertainty and a feeling of confusion or even loss. However, together we can create a treatment plan that is personalized to your individual needs and goals. Giving you an empowering and positive outlook to create the life you want.
Life can be challenging filled with uncertainty and a feeling of confusion or even loss. However, together we can create a treatment plan that is personalized to your individual needs and goals. Giving you an empowering and positive outlook to create the life you want.
(210) 899-6587 View (210) 899-6587
Photo of Ashton Jaramillo, LCSW, MSW, Clinical Social Work/Therapist
Ashton Jaramillo
Clinical Social Work/Therapist, LCSW, MSW
Verified Verified
1 Endorsed
Cibolo, TX 78108
Not accepting new clients
Life is full of challenges, concerns, &/or situations which may seem overwhelming, overbearing, and out of your control. Reaching out and asking for help to navigate these challenges is the first step! It takes courage, so I commend you for seeking out counseling as an avenue for getting the answers, assistance, and healing you deserve. My goal is to not only provide counseling, but to empower you to get through whatever it is in life you are facing via various modalities of talk therapy, providing you with individualized information and tools, and give you confidence back to face said challenges and achieve your desired goals.
Life is full of challenges, concerns, &/or situations which may seem overwhelming, overbearing, and out of your control. Reaching out and asking for help to navigate these challenges is the first step! It takes courage, so I commend you for seeking out counseling as an avenue for getting the answers, assistance, and healing you deserve. My goal is to not only provide counseling, but to empower you to get through whatever it is in life you are facing via various modalities of talk therapy, providing you with individualized information and tools, and give you confidence back to face said challenges and achieve your desired goals.
(830) 402-6218 View (830) 402-6218
Photo of Gloria Sanchez, MA,  LPC, LCDC-I, Licensed Professional Counselor
Gloria Sanchez
Licensed Professional Counselor, MA, LPC, LCDC-I
Verified Verified
Cibolo, TX 78108  (Online Only)
Are you searching for a sense of self-satisfaction? Whether you find yourself having made choices you aren’t happy with, feeling hurt from a past trauma, or are struggling to find your way, therapy can be a powerful catalyst for personal growth. Therapy is a deeply personal journey, and I would be delighted to help you find a fresh perspective and provide a supportive and non-judgmental space to explore your thoughts, emotions, behaviors, and experiences.
Are you searching for a sense of self-satisfaction? Whether you find yourself having made choices you aren’t happy with, feeling hurt from a past trauma, or are struggling to find your way, therapy can be a powerful catalyst for personal growth. Therapy is a deeply personal journey, and I would be delighted to help you find a fresh perspective and provide a supportive and non-judgmental space to explore your thoughts, emotions, behaviors, and experiences.
(210) 899-7939 View (210) 899-7939
Photo of Amber Allard, LCSW, Clinical Social Work/Therapist
Amber Allard
Clinical Social Work/Therapist, LCSW
Verified Verified
1 Endorsed
Cibolo, TX 78108
I’m so glad that you’ve chosen to connect with me. I specialize in working with adults, teens and couples who are experiencing a wide variety of complex issues. Whether you're navigating life changes, relationship challenges, or personal growth, I'm here to walk alongside you. Your unique story is valued, and I look forward to helping you create a more balanced and fulfilling life.
I’m so glad that you’ve chosen to connect with me. I specialize in working with adults, teens and couples who are experiencing a wide variety of complex issues. Whether you're navigating life changes, relationship challenges, or personal growth, I'm here to walk alongside you. Your unique story is valued, and I look forward to helping you create a more balanced and fulfilling life.
(830) 461-6576 View (830) 461-6576
Photo of Jade Glover, LPCA, Marriage & Family Therapist Associate
Jade Glover
Marriage & Family Therapist Associate, LPCA
Verified Verified
1 Endorsed
Cibolo, TX 78108
Are you tired of feeling unheard? Feeling as if life just won't let up & looking to discover or even rediscover who you are? I know exactly what you are felling. The anxiety & worry are beginning to pile up, your perception of "you" is starting to fade & life is "lifing". Don't get me started on losing site of friends, family, & loved ones. You don't have to do this alone anymore! Let's work together on finding your voice, getting back to self-love, healthy connections, and family.
Are you tired of feeling unheard? Feeling as if life just won't let up & looking to discover or even rediscover who you are? I know exactly what you are felling. The anxiety & worry are beginning to pile up, your perception of "you" is starting to fade & life is "lifing". Don't get me started on losing site of friends, family, & loved ones. You don't have to do this alone anymore! Let's work together on finding your voice, getting back to self-love, healthy connections, and family.
(726) 227-3539 View (726) 227-3539
Photo of Breeann Carleton, MS, LPC, Licensed Professional Counselor
Breeann Carleton
Licensed Professional Counselor, MS, LPC
Verified Verified
Cibolo, TX 78108
I am a trauma therapist who utilizes effective trauma treatment therapies. I practice using EMDR, Somatic Experiencing Therapy, and now Safe and Sound Protocal . All approaches work with the mind, body, and emotions to help support the movement through trauma. Our bodies are holding containers that will hold onto trauma until there is a pathway for release. If you are finding yourself stuck without movement, traditional therapies not working, maybe this is a new path to check into. I am ready to work alongside you to help you get to where you would like to be.
I am a trauma therapist who utilizes effective trauma treatment therapies. I practice using EMDR, Somatic Experiencing Therapy, and now Safe and Sound Protocal . All approaches work with the mind, body, and emotions to help support the movement through trauma. Our bodies are holding containers that will hold onto trauma until there is a pathway for release. If you are finding yourself stuck without movement, traditional therapies not working, maybe this is a new path to check into. I am ready to work alongside you to help you get to where you would like to be.
(210) 405-5582 View (210) 405-5582
Photo of Dr. Amanda Strivings; Striving Onward Counseling Services, PhD, LPC, NCC, Licensed Professional Counselor
Dr. Amanda Strivings; Striving Onward Counseling Services
Licensed Professional Counselor, PhD, LPC, NCC
Verified Verified
Cibolo, TX 78108  (Online Only)
Accepting clients! Striving Onward Counseling Services offers therapy for adult individuals and couples. Equipped to serve clients struggling with PTSD, depression, anxiety, low self-esteem, complex trauma, military-related issues, assertiveness issues, marriage issues, bipolar disorder and more. I am committed to ethical practice, confidentiality, and respect for diversity. I aim to create a safe, non-judgmental space to explore challenges and foster personal growth to help you begin your journey of Striving Onward toward meaning and purpose in your life!
Accepting clients! Striving Onward Counseling Services offers therapy for adult individuals and couples. Equipped to serve clients struggling with PTSD, depression, anxiety, low self-esteem, complex trauma, military-related issues, assertiveness issues, marriage issues, bipolar disorder and more. I am committed to ethical practice, confidentiality, and respect for diversity. I aim to create a safe, non-judgmental space to explore challenges and foster personal growth to help you begin your journey of Striving Onward toward meaning and purpose in your life!
(830) 218-1929 View (830) 218-1929
Photo of Cara Cole, LCSW-C, LCSW, Clinical Social Work/Therapist
Cara Cole
Clinical Social Work/Therapist, LCSW-C, LCSW
Verified Verified
1 Endorsed
Cibolo, TX 78108  (Online Only)
Cara Cole, LCSW, LCSW-C (Texas, New York & Maryland) is a kind and empathetic therapist who believes in supporting families during life's transitional periods. Cara specializes in individual & couples therapy for blended family dynamics, parenthood, pregnancy, postpartum, intimacy and the ever changing relationship one has with themselves and their bodies post shift in identity from self to parent/ partner and ideally reclaiming of the self again. Cara also has a special place in her heart and a special understanding for military families as this has been part of her own personal identity story.
Cara Cole, LCSW, LCSW-C (Texas, New York & Maryland) is a kind and empathetic therapist who believes in supporting families during life's transitional periods. Cara specializes in individual & couples therapy for blended family dynamics, parenthood, pregnancy, postpartum, intimacy and the ever changing relationship one has with themselves and their bodies post shift in identity from self to parent/ partner and ideally reclaiming of the self again. Cara also has a special place in her heart and a special understanding for military families as this has been part of her own personal identity story.
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Photo of Tynisha Skinnell - Rooted and Resilient Counseling Services PLLC, MA, LPC- A, NCC
Rooted and Resilient Counseling Services PLLC
LPC Associate, MA, LPC- A, NCC
Verified Verified
1 Endorsed
Cibolo, TX 78108  (Online Only)
Are you feeling overwhelmed or stressed? Do you struggle to find balance in your life? Are your relationships suffering, leaving you feeling unsettled and lacking confidence? You’re not alone. I'm here to help you cultivate resilience and find your footing. Together, we can navigate these challenges and work toward a more balanced, fulfilling life. As a Christian, I also offer faith-based counseling upon request, incorporating spiritual guidance into our sessions. Let’s embark on this journey together!
Are you feeling overwhelmed or stressed? Do you struggle to find balance in your life? Are your relationships suffering, leaving you feeling unsettled and lacking confidence? You’re not alone. I'm here to help you cultivate resilience and find your footing. Together, we can navigate these challenges and work toward a more balanced, fulfilling life. As a Christian, I also offer faith-based counseling upon request, incorporating spiritual guidance into our sessions. Let’s embark on this journey together!
(830) 229-1240 View (830) 229-1240
Photo of La'Constica Smith, LPC, Licensed Professional Counselor
La'Constica Smith
Licensed Professional Counselor, LPC
Verified Verified
Cibolo, TX 78108  (Online Only)
My name is La’Constica Smith. I am a Licensed Professional Counselor. I approach therapy as a 2-way partnership with open communication in a safe environment. I treat a variety of mental health diagnoses including but not limited to depression, anxiety, trauma, divorce, ADHD, and odd. My goal is to create a safe and supportive empathetic and collaborative environment. My goal is to make the environment comfortable enough to promote healthy expressions of thoughts emotions and concerns without judgment.
My name is La’Constica Smith. I am a Licensed Professional Counselor. I approach therapy as a 2-way partnership with open communication in a safe environment. I treat a variety of mental health diagnoses including but not limited to depression, anxiety, trauma, divorce, ADHD, and odd. My goal is to create a safe and supportive empathetic and collaborative environment. My goal is to make the environment comfortable enough to promote healthy expressions of thoughts emotions and concerns without judgment.
(346) 485-6475 View (346) 485-6475
Photo of Jamaica D Bates - Prestige Guidance Counseling, PLLC, MA, LPC, NCC, Licensed Professional Counselor
Prestige Guidance Counseling, PLLC
Licensed Professional Counselor, MA, LPC, NCC
Verified Verified
1 Endorsed
Cibolo, TX 78108  (Online Only)
My name is Jamaica and I am a mobile therapist. (I come to you!) I became a therapist because... I realized the beauty behind my pain and the purpose behind my passion; which is to uplift, encourage and motivate every person I encounter, help others find their voice, and guide them out of darkness. Happiness exists underneath your hopelessness, so let's together walk the path of enlightenment. I assist with life coaching, anxiety, depression, adolescent therapy, and career counseling just to name a few areas. Contact me anytime even by text! (Currently only accepting VIRTUAL clients)
My name is Jamaica and I am a mobile therapist. (I come to you!) I became a therapist because... I realized the beauty behind my pain and the purpose behind my passion; which is to uplift, encourage and motivate every person I encounter, help others find their voice, and guide them out of darkness. Happiness exists underneath your hopelessness, so let's together walk the path of enlightenment. I assist with life coaching, anxiety, depression, adolescent therapy, and career counseling just to name a few areas. Contact me anytime even by text! (Currently only accepting VIRTUAL clients)
(512) 412-3685 View (512) 412-3685
Photo of Kimberley Kern, LCSW, Clinical Social Work/Therapist
Kimberley Kern
Clinical Social Work/Therapist, LCSW
Verified Verified
Cibolo, TX 78108  (Online Only)
Struggling with ADHD, anxiety, depression or the pressures of life transitions? Whether you're burned out in parenting, going through a divorce or feeling like you haven't been quite yourself lately, I'm here to guide you toward finding meaning and living a fulfilling life. How amazing will it feel when you're navigating challenges with confidence and ease? I specialize in providing compassionate, expert support tailored to your needs - YOU are the expert on your own life, after all. Together, let’s explore how you can be the best you there is and create the life you want to be living, on your terms.
Struggling with ADHD, anxiety, depression or the pressures of life transitions? Whether you're burned out in parenting, going through a divorce or feeling like you haven't been quite yourself lately, I'm here to guide you toward finding meaning and living a fulfilling life. How amazing will it feel when you're navigating challenges with confidence and ease? I specialize in providing compassionate, expert support tailored to your needs - YOU are the expert on your own life, after all. Together, let’s explore how you can be the best you there is and create the life you want to be living, on your terms.
(480) 725-8117 View (480) 725-8117
Photo of Kelly Martin, MA, LPC-S, Licensed Professional Counselor
Kelly Martin
Licensed Professional Counselor, MA, LPC-S
Verified Verified
Cibolo, TX 78108
I specialize in using Cognitive Behavior Therapy to help adolescents and adults achieve their goals. Through goal setting, challenging negative thinking patterns, and learning new skills to practice outside of session, clients work to improve their symptoms and take control of their life. I also specialize in the treatment of trauma by using a structured approach to overcome negative life events. Part of KM Counseling Services, PLLC offering services for children, adolescents, adults, couples and families. Telehealth and In Person Services Offered.
I specialize in using Cognitive Behavior Therapy to help adolescents and adults achieve their goals. Through goal setting, challenging negative thinking patterns, and learning new skills to practice outside of session, clients work to improve their symptoms and take control of their life. I also specialize in the treatment of trauma by using a structured approach to overcome negative life events. Part of KM Counseling Services, PLLC offering services for children, adolescents, adults, couples and families. Telehealth and In Person Services Offered.
(210) 756-3313 View (210) 756-3313
Photo of Patricia Carrillo Barnes, MS, LPC, LMFT, Marriage & Family Therapist
Patricia Carrillo Barnes
Marriage & Family Therapist, MS, LPC, LMFT
Verified Verified
Cibolo, TX 78108
Life is a constant process of change. At times, the process can be difficult and painful. Other times, you can feel that you are at an impasse and don't know where to turn or what to do next. I can provide a private and safe place to talk. I am a spiritual person and I respect the spiritual orientation of my clieints. I utiilize brief, systemic (family or relationship), cognitive behavioral approaches. I strongly encourage you to see and believe in your goals, so that you can acheive them.
Life is a constant process of change. At times, the process can be difficult and painful. Other times, you can feel that you are at an impasse and don't know where to turn or what to do next. I can provide a private and safe place to talk. I am a spiritual person and I respect the spiritual orientation of my clieints. I utiilize brief, systemic (family or relationship), cognitive behavioral approaches. I strongly encourage you to see and believe in your goals, so that you can acheive them.
(210) 255-2010 View (210) 255-2010
Kelly S Zentner
Licensed Professional Counselor, MA, LPC-S
Verified Verified
Cibolo, TX 78108
I do not consider myself the average therapist because I do not sit around and say "hmm, tell me more." Instead, I take a very assertive style and want to make changes in your life as quickly and effectively as possible. You need to want to make changes in your life before I can truly help you.
I do not consider myself the average therapist because I do not sit around and say "hmm, tell me more." Instead, I take a very assertive style and want to make changes in your life as quickly and effectively as possible. You need to want to make changes in your life before I can truly help you.
(830) 445-2776 View (830) 445-2776
Photo of Eric Dreyer Smith, MA, LPC, PhD, Licensed Professional Counselor
Eric Dreyer Smith
Licensed Professional Counselor, MA, LPC, PhD
Verified Verified
Cibolo, TX 78108
I offer person-centered and cognitive approaches that take into account your unique personal history, strengths and challenges. We work on emotional wounds, relating, overcoming anxieties, and building confidence. I do work with individuals, couples and families. Telephone and FaceTime sessions available.
I offer person-centered and cognitive approaches that take into account your unique personal history, strengths and challenges. We work on emotional wounds, relating, overcoming anxieties, and building confidence. I do work with individuals, couples and families. Telephone and FaceTime sessions available.
(210) 796-0732 View (210) 796-0732
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How does your Therapist compare?

Number of Therapists in Cibolo, TX

50+

Average cost per session

$125

Therapists in Cibolo, TX who prioritize treating:

93% Anxiety
84% Depression
76% Self Esteem
75% Relationship Issues
73% Coping Skills
67% Family Conflict
67% Stress

Average years in practice

9 Years

Top 3 insurances accepted

84% BlueCross and BlueShield
77% Aetna
77% UnitedHealthcare UHC | UBH

How Therapists in Cibolo, TX see their clients

70% In Person and Online
30% Online Only

Gender breakdown

93% Female
7% Male
FAQs - About Therapy and Counseling

How can I find a therapist in Cibolo?

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.