Therapists in Little Elm, TX

Photo of Christi Perez, Clinical Social Work/Therapist in Little Elm, TX
Christi Perez
Clinical Social Work/Therapist, LCSW
Verified
2 Endorsed
Little Elm, TX 75068  (Online Only)
Life is hard and full of challenges, we all need some outside supports at different stages in our life. It is not always easy to be open and vulnerable to those people within our inner circle and that can feel lonely and isolating. A trusting therapeutic relationship can provide you the space and freedom many people need to be their true authentic self, to say what they have been holding in, and know they will be accepted through it all. I strive to create an atmosphere where each client can feel seen, heard, validated and celebrated for who they are. We are all worthy of this. Your story makes you uniquely you.
Life is hard and full of challenges, we all need some outside supports at different stages in our life. It is not always easy to be open and vulnerable to those people within our inner circle and that can feel lonely and isolating. A trusting therapeutic relationship can provide you the space and freedom many people need to be their true authentic self, to say what they have been holding in, and know they will be accepted through it all. I strive to create an atmosphere where each client can feel seen, heard, validated and celebrated for who they are. We are all worthy of this. Your story makes you uniquely you.
(214) 427-0098 View (214) 427-0098
Photo of Shannon LaDawn McGaugh, Pre-Licensed Professional in Little Elm, TX
Shannon LaDawn McGaugh
Pre-Licensed Professional, MA, LMFT
Verified
1 Endorsed
Little Elm, TX 75068
Namaste.. I acknowledge the divine in me and I look forward to meeting the divine in you. I have been in this field for over 13 years and enjoy every new pathway that you may bring to my life. We can research new pathways together.. Life is a very difficult challenge for all of us..may we take haste in exploring the more pleasant aspects that life offers to each of us. No matter what you maybe facing in life believe that within you is the power to overcome or make changes .. I am trained in many lines of counseling and will not turn anyone away who is willing to seek deeper in their soul with direction to transform their life.
Namaste.. I acknowledge the divine in me and I look forward to meeting the divine in you. I have been in this field for over 13 years and enjoy every new pathway that you may bring to my life. We can research new pathways together.. Life is a very difficult challenge for all of us..may we take haste in exploring the more pleasant aspects that life offers to each of us. No matter what you maybe facing in life believe that within you is the power to overcome or make changes .. I am trained in many lines of counseling and will not turn anyone away who is willing to seek deeper in their soul with direction to transform their life.
(469) 871-8082 View (469) 871-8082
Photo of Breathe Wellness and Counseling, LLC, Clinical Social Work/Therapist in Little Elm, TX
Breathe Wellness and Counseling, LLC
Clinical Social Work/Therapist, LCSW
Verified
Little Elm, TX 75068
I have a passion to help others create the best version of themselves. I have been a social worker for 15 years and have worked with multiple diverse populations in non profit settings, medical and behavioral health hospitals and private clinics. Life can be overwhelming so I utilize a holistic approach to view many aspects of life and their impact.
I have a passion to help others create the best version of themselves. I have been a social worker for 15 years and have worked with multiple diverse populations in non profit settings, medical and behavioral health hospitals and private clinics. Life can be overwhelming so I utilize a holistic approach to view many aspects of life and their impact.
(469) 970-5895 View (469) 970-5895
Honor Sankey
Clinical Social Work/Therapist, LCSW
Verified
Little Elm, TX 75068  (Online Only)
I am an LCSW with approx. 7 years of experience. I have worked with clients of all different ages, ethnicities, and backgrounds and in many different settings. My therapeutic style is integrative, but I tend to pull mostly from CBT, DBT, EMDR, and SFBT. I believe that interventions are unique to client needs and it is my opinion that the therapeutic relationship is the most important part of treatment therefore I work hard to connect to my clients. I pride myself on being openminded, understanding, and relatable and push my clients to work hard towards the change they desire.
I am an LCSW with approx. 7 years of experience. I have worked with clients of all different ages, ethnicities, and backgrounds and in many different settings. My therapeutic style is integrative, but I tend to pull mostly from CBT, DBT, EMDR, and SFBT. I believe that interventions are unique to client needs and it is my opinion that the therapeutic relationship is the most important part of treatment therefore I work hard to connect to my clients. I pride myself on being openminded, understanding, and relatable and push my clients to work hard towards the change they desire.
(469) 472-5109 View (469) 472-5109
Photo of Sarah Brown, Licensed Professional Counselor in Little Elm, TX
Sarah Brown
Licensed Professional Counselor, MA, LPC
Verified
1 Endorsed
Little Elm, TX 75068  (Online Only)
I specialize in working with young adults and teens. I have always enjoyed working with this age group. Being a teenager is such an important time of one’s life and there are so many decisions to made. I have worked with young men and women for the last seven years and love the opportunity to walk along their journey with them. During your teen and young adult years there are so many pressures: relationships, friendships, school, parents, your future, social pressures at school, exposure to substances, and figuring out who you want to be. I truly enjoy being part of the process when a young person finds themself.
I specialize in working with young adults and teens. I have always enjoyed working with this age group. Being a teenager is such an important time of one’s life and there are so many decisions to made. I have worked with young men and women for the last seven years and love the opportunity to walk along their journey with them. During your teen and young adult years there are so many pressures: relationships, friendships, school, parents, your future, social pressures at school, exposure to substances, and figuring out who you want to be. I truly enjoy being part of the process when a young person finds themself.
(972) 947-5804 View (972) 947-5804
Photo of Ariadne Pereira, Licensed Professional Counselor in Little Elm, TX
Ariadne Pereira
Licensed Professional Counselor, MEd, LPC
Verified
1 Endorsed
Little Elm, TX 75068
I am passionate about helping individuals, couples and families develop healthy solutions to better navigate life's challenges, so they can find true, meaningful happiness and fulfill their dreams. My goal is to provide my clients with a nonjudgmental, trauma-informed, multicultural competent therapeutic environment where they can feel accepted, understood, supported, valued, empowered, and loved. My approach to counseling includes using evidence-based therapeutic techniques designed to support clients construct solutions and finding answers for their own unique challenges while respecting their individuality and personal beliefs.
I am passionate about helping individuals, couples and families develop healthy solutions to better navigate life's challenges, so they can find true, meaningful happiness and fulfill their dreams. My goal is to provide my clients with a nonjudgmental, trauma-informed, multicultural competent therapeutic environment where they can feel accepted, understood, supported, valued, empowered, and loved. My approach to counseling includes using evidence-based therapeutic techniques designed to support clients construct solutions and finding answers for their own unique challenges while respecting their individuality and personal beliefs.
(469) 284-0019 View (469) 284-0019
Photo of Jaclyn Smith, Licensed Professional Counselor in Little Elm, TX
Jaclyn Smith
Licensed Professional Counselor, LPC-S
Verified
Little Elm, TX 75068
Jaclyn Smith is a Licensed Professional Counselor Supervisor with 12 years of experience in mental health. She is passionate about helping children, adolescents, and young adults address unique challenges and live more fulfilled lives. Jaclyn specializes in trauma, sexual and physical abuse, anxiety, ADHD, grief, parenting issues, behavioral issues, life transitions, and stress. She has a wealth of experience working with clients in inpatient and outpatient settings.
Jaclyn Smith is a Licensed Professional Counselor Supervisor with 12 years of experience in mental health. She is passionate about helping children, adolescents, and young adults address unique challenges and live more fulfilled lives. Jaclyn specializes in trauma, sexual and physical abuse, anxiety, ADHD, grief, parenting issues, behavioral issues, life transitions, and stress. She has a wealth of experience working with clients in inpatient and outpatient settings.
(214) 698-2715 View (214) 698-2715
Photo of Stephanie Crowe, LPC-Associate in Little Elm, TX
Stephanie Crowe
LPC-Associate, MA
Verified
Little Elm, TX 75068  (Online Only)
Each person is unique so why shouldn't their treatment be also? Welcome, you have taken the first step in your journey to a better you. My approach to therapy is nonjudgmental, empathetic and focused on your treatment. By tailoring your needs in session I can help you learn coping skills and strategies to help you become a better version of yourself.
Each person is unique so why shouldn't their treatment be also? Welcome, you have taken the first step in your journey to a better you. My approach to therapy is nonjudgmental, empathetic and focused on your treatment. By tailoring your needs in session I can help you learn coping skills and strategies to help you become a better version of yourself.
(469) 658-0766 View (469) 658-0766
Photo of Uzma Janjua, Licensed Professional Counselor in Little Elm, TX
Uzma Janjua
Licensed Professional Counselor, BSc , LPC, YT200
Verified
Little Elm, TX 75068
Uzma Janjua is a child play and adolescent psychotherapist trained at the University of North Texas, USA. As a child-centered play therapist and adolescent psychotherapist, she has 10 years of experience in working with young children and families. She has always passionately worked in learning new tools to be able to serve the children and the families she helps. She is a huge believer of using many different expressive interventions in therapy, which include art, movement, yoga and mindfulness. Talk therapy or even, at times, play therapy alone are not enough to promote healing and growth and, more importantly, awareness.
Uzma Janjua is a child play and adolescent psychotherapist trained at the University of North Texas, USA. As a child-centered play therapist and adolescent psychotherapist, she has 10 years of experience in working with young children and families. She has always passionately worked in learning new tools to be able to serve the children and the families she helps. She is a huge believer of using many different expressive interventions in therapy, which include art, movement, yoga and mindfulness. Talk therapy or even, at times, play therapy alone are not enough to promote healing and growth and, more importantly, awareness.
(972) 736-9410 View (972) 736-9410
Photo of LaRhonda Burks, Licensed Professional Counselor in Little Elm, TX
LaRhonda Burks
Licensed Professional Counselor, MS, LPC
Verified
Little Elm, TX 75068  (Online Only)
Are you experiencing a season in your life where past trauma continues to get in the way of your present and future? Are you dealing with outward acceptance of your true self? Are you struggling to cut ties from toxic relationships? If so, Seasons of Life Counseling, PLLC, is the place for you; we are committed in helping you tackle life challenges like these. We work with a diverse group of individuals from different racial, cultural, religious, sexual orientation/identity, and socioeconomic backgrounds, so there’s no need to feel as if you won’t be understood.
Are you experiencing a season in your life where past trauma continues to get in the way of your present and future? Are you dealing with outward acceptance of your true self? Are you struggling to cut ties from toxic relationships? If so, Seasons of Life Counseling, PLLC, is the place for you; we are committed in helping you tackle life challenges like these. We work with a diverse group of individuals from different racial, cultural, religious, sexual orientation/identity, and socioeconomic backgrounds, so there’s no need to feel as if you won’t be understood.
(972) 846-8410 View (972) 846-8410
Photo of Alicia Kwande, Clinical Social Work/Therapist in Little Elm, TX
Alicia Kwande
Clinical Social Work/Therapist, LCSW
Verified
1 Endorsed
Little Elm, TX 75068  (Online Only)
Do you have relationships in your life that just push your buttons? You leave conversations with this person feeling frustrated, inadequate, and upset. A parent or partner does not see you for who you are, they seem to make everything about themselves. And you are feeling the effects; you're tired, always hearing their voice telling you that you don't measure up. Fortunately, this doesn't have to be where that relationship stays. Counseling with me will help you uncover and recover from unhelpful patterns, beliefs, and behaviors. You will discover your confidence and find that you can be enough.
Do you have relationships in your life that just push your buttons? You leave conversations with this person feeling frustrated, inadequate, and upset. A parent or partner does not see you for who you are, they seem to make everything about themselves. And you are feeling the effects; you're tired, always hearing their voice telling you that you don't measure up. Fortunately, this doesn't have to be where that relationship stays. Counseling with me will help you uncover and recover from unhelpful patterns, beliefs, and behaviors. You will discover your confidence and find that you can be enough.
(469) 871-8217 View (469) 871-8217
Photo of Mandalin D Wright, Marriage & Family Therapist Associate in Little Elm, TX
Mandalin D Wright
Marriage & Family Therapist Associate, LMFT-A
Verified
1 Endorsed
Little Elm, TX 75068
Are you focused on growth and healing? Are you struggling to make relationships in your life work? I believe one of the bravest things you could ever do is begin to understand your own story. Do you need help with managing life changes, and managing stress?
Are you focused on growth and healing? Are you struggling to make relationships in your life work? I believe one of the bravest things you could ever do is begin to understand your own story. Do you need help with managing life changes, and managing stress?
(214) 380-1641 View (214) 380-1641
Photo of Brittani's Counseling Services, PLLC, Licensed Professional Counselor Associate in Little Elm, TX
Brittani's Counseling Services, PLLC
Licensed Professional Counselor Associate
Verified
Little Elm, TX 75068
I am a LPC-Associate. I am currently under Nevart Willborn, M.Ed, LPC-S for supervision. I do not have a current office space at the moment. In person meet ups will be in a public setting (ex. park). Location will be determined during initial evaluation. I aim to help identify and process trauma, build self-esteem, create and maintain healthy interpersonal relationships, establish safe and functional boundaries, manage stress, depression and anxiety caused by major life changes. My goal is to provide a non-judgmental environment and a safe space for you to be your true authentic self.
I am a LPC-Associate. I am currently under Nevart Willborn, M.Ed, LPC-S for supervision. I do not have a current office space at the moment. In person meet ups will be in a public setting (ex. park). Location will be determined during initial evaluation. I aim to help identify and process trauma, build self-esteem, create and maintain healthy interpersonal relationships, establish safe and functional boundaries, manage stress, depression and anxiety caused by major life changes. My goal is to provide a non-judgmental environment and a safe space for you to be your true authentic self.
(214) 949-8054 View (214) 949-8054
Photo of Mackenzie Threadgill, Licensed Professional Counselor in Little Elm, TX
Mackenzie Threadgill
Licensed Professional Counselor, LPC
Verified
Little Elm, TX 75068
Mackenzie Threadgill is a Licensed Professional Counselor (LPC) with over 7 years of experience in the counseling field. She is passionate about helping adolescents and adults identify challenges, heal, and grow to live with more authenticity and happiness. Mackenzie has a specialized focus in trauma studies and PTSD as well as stress, anxiety, addictions, anger management, depression, abuse, anger management, and depression. Mackenzie completed her Master's degree in Clinical and Counseling Psychology with a focus in Trauma work from Chestnut Hill College in Philadelphia, Pennsylvania.
Mackenzie Threadgill is a Licensed Professional Counselor (LPC) with over 7 years of experience in the counseling field. She is passionate about helping adolescents and adults identify challenges, heal, and grow to live with more authenticity and happiness. Mackenzie has a specialized focus in trauma studies and PTSD as well as stress, anxiety, addictions, anger management, depression, abuse, anger management, and depression. Mackenzie completed her Master's degree in Clinical and Counseling Psychology with a focus in Trauma work from Chestnut Hill College in Philadelphia, Pennsylvania.
(214) 856-7891 View (214) 856-7891
Photo of Shahidrah R Cowgill, Licensed Professional Counselor in Little Elm, TX
Shahidrah R Cowgill
Licensed Professional Counselor, PhD(c), LPC-S, NCC
Verified
1 Endorsed
Little Elm, TX 75068
Learn how you can get reconnected and stop feeling angry, alone, inadequate, broken and misunderstood. There is HOPE! I strive to create a genuine, nonjudgmental, safe, and collaborative relationship with my clients. In a comfortable environment, I offer intensive and concierge support to help each client navigate the terrain of their recuperation and recovery journey. Within the therapeutic relationship, clients learn ways to improve their interpersonal relationships, increase emotional health and, well-being and effectively address personal life challenges.
Learn how you can get reconnected and stop feeling angry, alone, inadequate, broken and misunderstood. There is HOPE! I strive to create a genuine, nonjudgmental, safe, and collaborative relationship with my clients. In a comfortable environment, I offer intensive and concierge support to help each client navigate the terrain of their recuperation and recovery journey. Within the therapeutic relationship, clients learn ways to improve their interpersonal relationships, increase emotional health and, well-being and effectively address personal life challenges.
(214) 326-0556 x102 View (214) 326-0556 x102
Photo of Dr. Susana Elena Mendez, Drug & Alcohol Counselor in Little Elm, TX
Dr. Susana Elena Mendez
Drug & Alcohol Counselor, OMD, MBA, LCDC, CAS, ABMPP
Verified
1 Endorsed
Little Elm, TX 75068
Professional with more than 39 years in clinical, research and administration experience with extensive, highly skilled background in the field of dual disorders (Addictions and Psychiatry). I have been providing support as SUD and MH therapist as well as guidance as Integrative Health coach provider based on my dual doctorate ( MD in Argentina and Spain and OMD in USA - SouthAmerica and Europe). As much as I believe medications are very important my desire is to help people gaining homeostasis in every part of their life exploring the root of the emerged issues. Two locations are available: Dallas and Frisco.
Professional with more than 39 years in clinical, research and administration experience with extensive, highly skilled background in the field of dual disorders (Addictions and Psychiatry). I have been providing support as SUD and MH therapist as well as guidance as Integrative Health coach provider based on my dual doctorate ( MD in Argentina and Spain and OMD in USA - SouthAmerica and Europe). As much as I believe medications are very important my desire is to help people gaining homeostasis in every part of their life exploring the root of the emerged issues. Two locations are available: Dallas and Frisco.
(903) 270-3432 View (903) 270-3432
Photo of Ashley Whitney Smith, Licensed Professional Counselor in Little Elm, TX
Ashley Whitney Smith
Licensed Professional Counselor, MS, LPC
Verified
Little Elm, TX 75068
I'm a compassionate, concerned and empathetic therapist who wants to provide you "armor to go out and fight your life battles." More times than not, life and its stressors cause depression, anxiety, relationship issues, etc., that can make it difficult to function in everyday settings such as work and with family during interactions. I strive to provide counseling to help you move closer towards your goals and decrease/eliminate the severity of your symptoms.
I'm a compassionate, concerned and empathetic therapist who wants to provide you "armor to go out and fight your life battles." More times than not, life and its stressors cause depression, anxiety, relationship issues, etc., that can make it difficult to function in everyday settings such as work and with family during interactions. I strive to provide counseling to help you move closer towards your goals and decrease/eliminate the severity of your symptoms.
(469) 291-9143 View (469) 291-9143
Photo of Dr. Kimberly Dawn Sawyer, Marriage & Family Therapist in Little Elm, TX
Dr. Kimberly Dawn Sawyer
Marriage & Family Therapist, PhD, LMFT
Verified
1 Endorsed
Little Elm, TX 75068  (Online Only)
Waitlist for new clients
I provide services through tele-health only. I work with individuals of all ages, couples, and families. I am here to work through the hard stuff and the everyday stuff!
I provide services through tele-health only. I work with individuals of all ages, couples, and families. I am here to work through the hard stuff and the everyday stuff!
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Photo of Sandra Farahani, Licensed Professional Counselor in Little Elm, TX
Sandra Farahani
Licensed Professional Counselor, LPC, LCDC
Verified
1 Endorsed
Little Elm, TX 75068
Whether you are working through past trauma, recent trauma, getting through rough patches, seeking greater self-satisfaction, or looking for encouragement on a spiritual awakening, I can provide support. Exploring these life issues begins with a relationship built on trust, respect, warmth, and humor. Therapy, at its core, is an exchange of energy between therapist and client, an energetic reciprocation to begin the healing process, which is paramount to guiding a client to embrace their authentic self. This is my approach to assisting others to move through and into a better version of themselves.
Whether you are working through past trauma, recent trauma, getting through rough patches, seeking greater self-satisfaction, or looking for encouragement on a spiritual awakening, I can provide support. Exploring these life issues begins with a relationship built on trust, respect, warmth, and humor. Therapy, at its core, is an exchange of energy between therapist and client, an energetic reciprocation to begin the healing process, which is paramount to guiding a client to embrace their authentic self. This is my approach to assisting others to move through and into a better version of themselves.
(972) 734-3912 View (972) 734-3912
Photo of Ashlee Howard, Licensed Professional Counselor in Little Elm, TX
Ashlee Howard
Licensed Professional Counselor, MS, LPC, NCC
Verified
Little Elm, TX 75068  (Online Only)
Life is stressful. Sometimes we just need to talk with someone who understands our fears and anxieties and who can give us another perspective. In therapy, you and I will work to build a relationship where you feel support and encouragement to explore the areas you desire to change. We will look at the meaning you have placed on certain areas of your life, as well as your strengths and abilities to address life situations.
Life is stressful. Sometimes we just need to talk with someone who understands our fears and anxieties and who can give us another perspective. In therapy, you and I will work to build a relationship where you feel support and encouragement to explore the areas you desire to change. We will look at the meaning you have placed on certain areas of your life, as well as your strengths and abilities to address life situations.
(214) 919-5483 View (214) 919-5483

See more therapy options for Little Elm

How does your Therapist compare?

Number of Therapists in Little Elm, TX

80+

Average cost per session

$130

Therapists in Little Elm, TX who prioritize treating:

94% Anxiety
91% Depression
77% Relationship Issues
77% Trauma and PTSD
68% Stress
67% Coping Skills
67% Self Esteem

Average years in practice

10 Years

Top 3 insurances accepted

84% BlueCross and BlueShield
83% UnitedHealthcare UHC | UBH
78% Cigna and Evernorth

How Therapists in Little Elm, TX see their clients

79% In Person and Online
21% Online Only

Gender breakdown

85% Female
15% Male

FAQs - About Therapy and Counseling

How can I find a therapist in Little Elm?

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.