Therapists in Little Elm, TX

Photo of Belinda Gale Hartschuh, Marriage & Family Therapist, MS, LPC-S, LMFT-S
Belinda Gale Hartschuh
Marriage & Family Therapist, MS, LPC-S, LMFT-S
1 Endorsed
Online Only
Are you feeling overwhelmed by problems, stress, or family issues? Are you feeling depressed, anxious, or angry? Stop the fighting and arguing. I have helped hundreds of people just like you to raise their self-esteem, find happiness and fulfillment, and learn how to "do" life better. Discover how to communicate with your family in a way where everyone feels heard and understood. Learn how to parent your kids without nagging or constantly reminding. Overcome the issues and baggage of your past so that you aren't "triggered" in the present day.
Are you feeling overwhelmed by problems, stress, or family issues? Are you feeling depressed, anxious, or angry? Stop the fighting and arguing. I have helped hundreds of people just like you to raise their self-esteem, find happiness and fulfillment, and learn how to "do" life better. Discover how to communicate with your family in a way where everyone feels heard and understood. Learn how to parent your kids without nagging or constantly reminding. Overcome the issues and baggage of your past so that you aren't "triggered" in the present day.
(972) 362-6559 View (972) 362-6559
Photo of Kristine Cross, Licensed Professional Counselor, LPC
Kristine Cross
Licensed Professional Counselor, LPC
Online Only
Kristine Cross, TX LPC 64150. My approach to therapy is a combination of Cognitive Behavioral Therapy and Mindfulness. The heart of your struggle is most likely relationship- with yourself or with others. I am a welcoming and warm, open-minded, encouraging, non-judgmental, but direct therapist, I combine my education, years of experience, creativity, and down-to-earth sense of humor to tailor a realistic approach to counseling. I combine cognitive behavioral therapy and mindfulness in order to assist clients in reducing stress and employing positive coping skills. I enjoy traveling, playing the piano, reading, pets and knitting.
Kristine Cross, TX LPC 64150. My approach to therapy is a combination of Cognitive Behavioral Therapy and Mindfulness. The heart of your struggle is most likely relationship- with yourself or with others. I am a welcoming and warm, open-minded, encouraging, non-judgmental, but direct therapist, I combine my education, years of experience, creativity, and down-to-earth sense of humor to tailor a realistic approach to counseling. I combine cognitive behavioral therapy and mindfulness in order to assist clients in reducing stress and employing positive coping skills. I enjoy traveling, playing the piano, reading, pets and knitting.
(281) 377-8463 View (281) 377-8463
Photo of Chuck Rogers, Pre-Licensed Professional, MA, LPC-A
Chuck Rogers
Pre-Licensed Professional, MA, LPC-A
Little Elm, TX 75068
I don't know your story, but I know how to help you write your next chapter. With 15 years of experience working as a consultant/subject-matter expert for the Veterans Health Administration, Department of Labor, and the US Forest Service in counseling related services, consider me an extra brain out on loan. Use me as a new set of lenses to gain different perspectives so that you can change behavior, manage anxiety, and restore your relationships. I am an LPC-Associate (TX Lic. No. 95442) clinically supervised by Lindsey Grela, LPC-S (TX Lic. No. 73967).
I don't know your story, but I know how to help you write your next chapter. With 15 years of experience working as a consultant/subject-matter expert for the Veterans Health Administration, Department of Labor, and the US Forest Service in counseling related services, consider me an extra brain out on loan. Use me as a new set of lenses to gain different perspectives so that you can change behavior, manage anxiety, and restore your relationships. I am an LPC-Associate (TX Lic. No. 95442) clinically supervised by Lindsey Grela, LPC-S (TX Lic. No. 73967).
(469) 797-0593 View (469) 797-0593
Photo of Briana Rayford, Clinical Social Work/Therapist, LCSW
Briana Rayford
Clinical Social Work/Therapist, LCSW
Online Only
I'm a Licensed Clinical Social Worker (LCSW) and Licensed Chemical Dependency Counselor (LCDC) with 9 years of experience in the mental health field. Currently licensed to practice in the state of Texas. What drives my work is a simple yet profound truth: in times of darkness, there is always the potential for growth, healing, and transformation. I am humbled and honored to be a part of this journey with my clients, and I look forward to helping you find the light in your own darkness.
I'm a Licensed Clinical Social Worker (LCSW) and Licensed Chemical Dependency Counselor (LCDC) with 9 years of experience in the mental health field. Currently licensed to practice in the state of Texas. What drives my work is a simple yet profound truth: in times of darkness, there is always the potential for growth, healing, and transformation. I am humbled and honored to be a part of this journey with my clients, and I look forward to helping you find the light in your own darkness.
(737) 282-7590 View (737) 282-7590
Photo of Tyler Andrew Dews, Licensed Professional Counselor Associate 100212, M. Ed., LPC-A
Tyler Andrew Dews
Licensed Professional Counselor Associate 100212, M. Ed., LPC-A
Little Elm, TX 75068
Have you ever felt like the world around you wasn’t made for you? Like you’re living a life that doesn’t quite fit who you are? Maybe you’ve experienced trauma that feels out of place in your current situation, making you question whether you even have a right to your pain. Perhaps you’ve always felt the need for someone to help translate the world for you because it seems like others speak a different language. Or maybe the way you experience life feels so different from how your loved ones do that it creates a profound sense of isolation. If any of this resonates with you, it might be time to work through these feelings together.
Have you ever felt like the world around you wasn’t made for you? Like you’re living a life that doesn’t quite fit who you are? Maybe you’ve experienced trauma that feels out of place in your current situation, making you question whether you even have a right to your pain. Perhaps you’ve always felt the need for someone to help translate the world for you because it seems like others speak a different language. Or maybe the way you experience life feels so different from how your loved ones do that it creates a profound sense of isolation. If any of this resonates with you, it might be time to work through these feelings together.
(214) 247-1394 View (214) 247-1394
Davine Mogaka
Licensed Professional Counselor, LPC
Online Only
I am a licensed professional counselor with over 8 years of experience in the mental health field. I am passionate about supporting clients on their journey to emotional wellness. I am passionate about supporting adults and young adults as they navigate life challenges. Therapy is a collaborative journey, and I am here to walk alongside you, offering guidance and encouragement. In our first session, my goal is to create a welcoming and supportive space where you feel comfortable sharing. We’ll start by talking about what brought you to therapy, your current challenges, and any goals you might have.
I am a licensed professional counselor with over 8 years of experience in the mental health field. I am passionate about supporting clients on their journey to emotional wellness. I am passionate about supporting adults and young adults as they navigate life challenges. Therapy is a collaborative journey, and I am here to walk alongside you, offering guidance and encouragement. In our first session, my goal is to create a welcoming and supportive space where you feel comfortable sharing. We’ll start by talking about what brought you to therapy, your current challenges, and any goals you might have.
(469) 829-6208 View (469) 829-6208
Photo of Joy Lee, Licensed Professional Counselor, LPC
Joy Lee
Licensed Professional Counselor, LPC
1 Endorsed
Little Elm, TX 75068
I am passionate about working with children, adolescents, couples, and families to help them grow mentally, emotionally, and spiritually. Throughout my counseling practice, I have worked with different populations on topics including stress, trauma, depression, anxiety, shame, guilt, grief, self-esteem, values, identity, anger management, emotions, relationships, and communication skills. My greatest interest lies in the individual’s well-being. As a counselor, I facilitate a safe environment for exploration, support, and discovering internal and external strengths and resources to overcome challenges.
I am passionate about working with children, adolescents, couples, and families to help them grow mentally, emotionally, and spiritually. Throughout my counseling practice, I have worked with different populations on topics including stress, trauma, depression, anxiety, shame, guilt, grief, self-esteem, values, identity, anger management, emotions, relationships, and communication skills. My greatest interest lies in the individual’s well-being. As a counselor, I facilitate a safe environment for exploration, support, and discovering internal and external strengths and resources to overcome challenges.
(346) 440-1800 View (346) 440-1800
Photo of Ariel Burns - Thriveworks Counseling & Psychiatry Little Elm, Licensed Professional Counselor
Thriveworks Counseling & Psychiatry Little Elm
Licensed Professional Counselor
Little Elm, TX 75068
At Thriveworks, we're dedicated to providing top-tier mental health services that are easily accessible to everyone. With over 340 locations nationwide and flexible online therapy options, our professional therapists are equipped to assist you through any stress, life transitions, or ongoing mental health concerns. We prioritize your convenience and needs by offering flexible scheduling, including evening and weekend appointments, ensuring that you can start your therapy journey as early as this week. Plus, we accept most major insurance plans, making your path to mental health support smoother and more affordable.
At Thriveworks, we're dedicated to providing top-tier mental health services that are easily accessible to everyone. With over 340 locations nationwide and flexible online therapy options, our professional therapists are equipped to assist you through any stress, life transitions, or ongoing mental health concerns. We prioritize your convenience and needs by offering flexible scheduling, including evening and weekend appointments, ensuring that you can start your therapy journey as early as this week. Plus, we accept most major insurance plans, making your path to mental health support smoother and more affordable.
(855) 524-5193 View (855) 524-5193
Photo of Heather Hollinsworth, Licensed Professional Counselor, LPC
Heather Hollinsworth
Licensed Professional Counselor, LPC
Little Elm, TX 75068
I am a Licensed Professional Counselor with 10 years of experience supporting individuals navigating trauma, depression, anxiety, life transitions, grief, mood and personality disorders, and identity concerns. I help clients build emotional resilience and regulation through holistic, person-centered care. I bring a warm, eclectic style that integrates both traditional and alternative healing approaches tailored to meet clients where they are on their unique journey.
I am a Licensed Professional Counselor with 10 years of experience supporting individuals navigating trauma, depression, anxiety, life transitions, grief, mood and personality disorders, and identity concerns. I help clients build emotional resilience and regulation through holistic, person-centered care. I bring a warm, eclectic style that integrates both traditional and alternative healing approaches tailored to meet clients where they are on their unique journey.
(855) 303-0225 View (855) 303-0225
Photo of Shelby Webb, Pre-Licensed Professional
Shelby Webb
Pre-Licensed Professional
Little Elm, TX 75068
I am supervised by Lindsey Grela, LPC-S. I love to support clients through life’s many challenges. This could include navigating major transitions, managing anxiety, coping with stress, or improving communication in relationships. I enjoy working with individuals, couples, families, and adolescents who want to feel more connected, understood, and empowered. Many people seek therapy to find practical tools for managing stress, improving relationships, and building confidence through life’s changes. My clients are looking for a safe, supportive space to share openly and work toward meaningful growth. That’s what I strive to provide.
I am supervised by Lindsey Grela, LPC-S. I love to support clients through life’s many challenges. This could include navigating major transitions, managing anxiety, coping with stress, or improving communication in relationships. I enjoy working with individuals, couples, families, and adolescents who want to feel more connected, understood, and empowered. Many people seek therapy to find practical tools for managing stress, improving relationships, and building confidence through life’s changes. My clients are looking for a safe, supportive space to share openly and work toward meaningful growth. That’s what I strive to provide.
(940) 312-1589 View (940) 312-1589
Photo of Darbi Peterson, Licensed Professional Counselor, LPC
Darbi Peterson
Licensed Professional Counselor, LPC
Online Only
Hi! I am a Licensed Professional Counselor (LPC) in Texas. I received both my bachelor's and master's degrees from Texas Woman's University in Texas. I have been incredibly lucky to have worked with a diverse population of clients in the 11 years that I have been a therapist. I began my career working with children in foster care, spent some time as a mobile crisis counselor doing suicide/homicide assessments, and then moved into working with children on the autism spectrum and their families. For the past five years, I have been in private practice focusing on individuals, couples, and families.
Hi! I am a Licensed Professional Counselor (LPC) in Texas. I received both my bachelor's and master's degrees from Texas Woman's University in Texas. I have been incredibly lucky to have worked with a diverse population of clients in the 11 years that I have been a therapist. I began my career working with children in foster care, spent some time as a mobile crisis counselor doing suicide/homicide assessments, and then moved into working with children on the autism spectrum and their families. For the past five years, I have been in private practice focusing on individuals, couples, and families.
(940) 289-7363 View (940) 289-7363
Photo of Rocky Van Nguyen, Licensed Professional Counselor Associate, MS, NCC
Rocky Van Nguyen
Licensed Professional Counselor Associate, MS, NCC
3 Endorsed
Little Elm, TX 75068
I enjoy working with and welcome all individuals who wish to learn more about themselves! I enjoy helping clients learn more about their childhood experiences and how those experiences can influence their current behavioral, cognitive, and communication patterns which can impact their relationships. I aim to emphasize the emotional vulnerability, comfortability, and nonjudgmental aspect of the therapeutic alliance as well as the safety provided during the counseling session. I believe that doing so will allow the individual to grow and become their most authentic self.
I enjoy working with and welcome all individuals who wish to learn more about themselves! I enjoy helping clients learn more about their childhood experiences and how those experiences can influence their current behavioral, cognitive, and communication patterns which can impact their relationships. I aim to emphasize the emotional vulnerability, comfortability, and nonjudgmental aspect of the therapeutic alliance as well as the safety provided during the counseling session. I believe that doing so will allow the individual to grow and become their most authentic self.
(469) 871-8449 View (469) 871-8449
Photo of Lindsey Grela, Licensed Professional Counselor, MA, LPC-S
Lindsey Grela
Licensed Professional Counselor, MA, LPC-S
1 Endorsed
Little Elm, TX 75068
Lindsey has experience working in a domestic violence outreach center, a community health crisis center, and a behavioral day treatment program for children and adolescents. As a part of her experience, Lindsey has worked with children and adults struggling with a variety of concerns, including, but not limited to: Post-Traumatic Stress Disorder (PTSD), Abuse, Trauma, Anxiety, Depression, Grief, and Personal Identity.
Lindsey has experience working in a domestic violence outreach center, a community health crisis center, and a behavioral day treatment program for children and adolescents. As a part of her experience, Lindsey has worked with children and adults struggling with a variety of concerns, including, but not limited to: Post-Traumatic Stress Disorder (PTSD), Abuse, Trauma, Anxiety, Depression, Grief, and Personal Identity.
(214) 225-2751 View (214) 225-2751
Photo of Dennis Patrick Smith, Licensed Professional Counselor, LPC
Dennis Patrick Smith
Licensed Professional Counselor, LPC
Online Only
Dennis is a Licensed Professional Counselor (LPC). The ideal client for Dennis, is an adult currently experiencing one or more of the following: anxiety, depressed mood, trauma (including PTSD), relationship challenges, or struggling with life's situational or transitional challenges.
Dennis is a Licensed Professional Counselor (LPC). The ideal client for Dennis, is an adult currently experiencing one or more of the following: anxiety, depressed mood, trauma (including PTSD), relationship challenges, or struggling with life's situational or transitional challenges.
(214) 838-7008 View (214) 838-7008
Photo of Dennis Patrick Smith, Licensed Professional Counselor, LPC
Dennis Patrick Smith
Licensed Professional Counselor, LPC
Online Only
Dennis is a certified trauma professional (PESI), serving clients Online within the great State of Texas, as an experienced Licensed Professional Counselor (LPC). Mr. Dennis Patrick Smith's greatest passion is in helping others with any unresolved trauma, including post-traumatic stress disorder (PTSD); helping those of you with the underlying causes of addictions; and helping you and yours with relationship issues.
Dennis is a certified trauma professional (PESI), serving clients Online within the great State of Texas, as an experienced Licensed Professional Counselor (LPC). Mr. Dennis Patrick Smith's greatest passion is in helping others with any unresolved trauma, including post-traumatic stress disorder (PTSD); helping those of you with the underlying causes of addictions; and helping you and yours with relationship issues.
(940) 202-7352 View (940) 202-7352
Photo of Hannah Dvoracek, Licensed Master Social Worker, LMSW
Hannah Dvoracek
Licensed Master Social Worker, LMSW
2 Endorsed
Little Elm, TX 75068
Hi! My name is Hannah Dvoracek, and I am a Licensed Master Social Worker (LMSW), supervised by Stephanie Books, LCSW-S. I have had the pleasure of working in women's shelters with survivors of assault and domestic violence, intensive outpatient programs, and conducting group therapy. My expertise includes Post-traumatic Stress Disorder (PTSD), Trauma, Anxiety, Depression, Grief, and Self-Esteem. I want to walk alongside you no matter what you're going through.
Hi! My name is Hannah Dvoracek, and I am a Licensed Master Social Worker (LMSW), supervised by Stephanie Books, LCSW-S. I have had the pleasure of working in women's shelters with survivors of assault and domestic violence, intensive outpatient programs, and conducting group therapy. My expertise includes Post-traumatic Stress Disorder (PTSD), Trauma, Anxiety, Depression, Grief, and Self-Esteem. I want to walk alongside you no matter what you're going through.
(469) 963-3995 View (469) 963-3995
Photo of Ariel Burns, Licensed Professional Counselor, LPC
Ariel Burns
Licensed Professional Counselor, LPC
Little Elm, TX 75068
I am a Licensed Professional Counselor with 4 years of experience specializing in treating adolescents (ages 12+), adults, and couples. I work with a wide range of concerns, including anxiety, mood and personality disorders, relationship issues, trauma, stress management, and self-harm. I also support parents, minorities, and members of the LGBTQIA+ community to address issues that uniquely affect these populations. I believe in tailoring therapy styles and resources to each client’s individual needs. My background also includes experience in crisis intervention and substance use treatment.
I am a Licensed Professional Counselor with 4 years of experience specializing in treating adolescents (ages 12+), adults, and couples. I work with a wide range of concerns, including anxiety, mood and personality disorders, relationship issues, trauma, stress management, and self-harm. I also support parents, minorities, and members of the LGBTQIA+ community to address issues that uniquely affect these populations. I believe in tailoring therapy styles and resources to each client’s individual needs. My background also includes experience in crisis intervention and substance use treatment.
(855) 303-0225 View (855) 303-0225
Photo of Uzma Janjua - Kids Belong Counseling LLC , Licensed Professional Counselor, BSc , LPC-S, YT200
Kids Belong Counseling LLC
Licensed Professional Counselor, BSc , LPC-S, YT200
Little Elm, TX 75068
Kids Belong Counseling help clients of all ages from children (3 yrs- teenagers) to adults. We also help couples, families and marriage counseling. Our therapist have over 20 years of experience helping our clients. We believe in using many different expressive interventions in therapy, which include art, movement, yoga and mindfulness. Talk therapy alone at times is not enough to promote healing and growth and, more importantly; self-awareness. We respond to all request within 48 hours if not sooner. Please reach out to us, we welcome you!
Kids Belong Counseling help clients of all ages from children (3 yrs- teenagers) to adults. We also help couples, families and marriage counseling. Our therapist have over 20 years of experience helping our clients. We believe in using many different expressive interventions in therapy, which include art, movement, yoga and mindfulness. Talk therapy alone at times is not enough to promote healing and growth and, more importantly; self-awareness. We respond to all request within 48 hours if not sooner. Please reach out to us, we welcome you!
(972) 736-9410 View (972) 736-9410
Photo of Linda Farias, Clinical Social Work/Therapist, LCSW
Linda Farias
Clinical Social Work/Therapist, LCSW
Little Elm, TX 75068
I am a Licensed Clinical Social Worker with 20 years of experience working in behavioral health units and providing group therapy and individual counseling. I specialize in helping adults and seniors struggling with mental stress, bipolar disorder, life transitions, depression, anxiety, grief, and trauma.
I am a Licensed Clinical Social Worker with 20 years of experience working in behavioral health units and providing group therapy and individual counseling. I specialize in helping adults and seniors struggling with mental stress, bipolar disorder, life transitions, depression, anxiety, grief, and trauma.
(855) 303-0225 View (855) 303-0225
Photo of Sep Eisapour, Marriage & Family Therapist Associate, MS, LMFT-A
Sep Eisapour
Marriage & Family Therapist Associate, MS, LMFT-A
4 Endorsed
Online Only
I work with men, women, and couples who are stuck in painful patterns such as porn, infidelity, emotional shutdowns, or deep shame that started long before adulthood. Many clients come to me after years of carrying relationship wounds, sexual trauma, or never feeling “good enough.” I specialize in helping men reclaim emotional access, couples rebuild trust after betrayal, and women heal from narcissistic abuse and low self-worth. Therapy here is deep, focused, and not about quick fixes.
I work with men, women, and couples who are stuck in painful patterns such as porn, infidelity, emotional shutdowns, or deep shame that started long before adulthood. Many clients come to me after years of carrying relationship wounds, sexual trauma, or never feeling “good enough.” I specialize in helping men reclaim emotional access, couples rebuild trust after betrayal, and women heal from narcissistic abuse and low self-worth. Therapy here is deep, focused, and not about quick fixes.
(469) 942-0229 View (469) 942-0229

See more therapy options for Little Elm

How does your Therapist compare?

Number of Therapists in Little Elm, TX

100+

Average cost per session

$148

Therapists in Little Elm, TX who prioritize treating:

90% Anxiety
84% Depression
70% Relationship Issues
70% Coping Skills
70% Self Esteem
70% Stress
64% Grief

Average years in practice

10 Years

Top 3 insurances accepted

89% Aetna
85% Cigna and Evernorth
81% BlueCross and BlueShield

How Therapists in Little Elm, TX see their clients

66% In Person and Online
34% Online Only

Gender breakdown

80% Female
19% Male
1% Non-Binary
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.