Therapists in Tyler, TX

Photo of Nicole M Grant, LPC-S, Licensed Professional Counselor
Nicole M Grant
Licensed Professional Counselor, LPC-S
Verified Verified
4 Endorsed
Tyler, TX 75703
Waitlist for new clients
Life has its challenges. I am here to help you if you are feeling stuck. Whether you are struggling with grief, loss, depression, anxiety, marital problems, ADD, or other issues, I can help you. I can be an extra set of ears for you and I believe that therapy can be just the right thing for many people for a season. I am here to help you become the person you want to be. You don't have to be stuck any more. I encourage you to make the first step toward a better life. I am here for you.
Life has its challenges. I am here to help you if you are feeling stuck. Whether you are struggling with grief, loss, depression, anxiety, marital problems, ADD, or other issues, I can help you. I can be an extra set of ears for you and I believe that therapy can be just the right thing for many people for a season. I am here to help you become the person you want to be. You don't have to be stuck any more. I encourage you to make the first step toward a better life. I am here for you.
(903) 742-4019 View (903) 742-4019
Photo of Denise Hazen, MA, LPC, NCC, Licensed Professional Counselor
Denise Hazen
Licensed Professional Counselor, MA, LPC, NCC
Verified Verified
1 Endorsed
Tyler, TX 75701
Welcome! I’m so happy that you have taken this step to create change in your life. Due to negative experiences, many times we learn unhelpful behaviors and beliefs over time. I believe that healing takes place when you have someone to walk alongside to create space where you can safely deal with what concerns you without shame and without judgement. My goal is to create that space and to be that person who will walk with you as you confront what is no longer serving you and develop lasting change.
Welcome! I’m so happy that you have taken this step to create change in your life. Due to negative experiences, many times we learn unhelpful behaviors and beliefs over time. I believe that healing takes place when you have someone to walk alongside to create space where you can safely deal with what concerns you without shame and without judgement. My goal is to create that space and to be that person who will walk with you as you confront what is no longer serving you and develop lasting change.
(903) 730-6289 View (903) 730-6289
Photo of Nancy Mayer, MA, NCC, LPC-S, Licensed Professional Counselor
Nancy Mayer
Licensed Professional Counselor, MA, NCC, LPC-S
Verified Verified
Tyler, TX 75701
Today our complicated and fast-paced lives are full of pressures that challenge us in countless ways. "How can I find happiness in my marriage?", "How do I cope with...?", and "Why do I feel so out of control?" are some of the questions I hear from clients seeking to understand their life journey and questioning what they can do to reach their true potential - individually, as a couple, or as a family. Soul searching is rarely an easy path to take, yet wanting to achieve an emotionally healthy life is usually the motivator which begins the process.
Today our complicated and fast-paced lives are full of pressures that challenge us in countless ways. "How can I find happiness in my marriage?", "How do I cope with...?", and "Why do I feel so out of control?" are some of the questions I hear from clients seeking to understand their life journey and questioning what they can do to reach their true potential - individually, as a couple, or as a family. Soul searching is rarely an easy path to take, yet wanting to achieve an emotionally healthy life is usually the motivator which begins the process.
(903) 347-0518 View (903) 347-0518
Photo of Kristina Marie Henry, MA, LPC, Licensed Professional Counselor
Kristina Marie Henry
Licensed Professional Counselor, MA, LPC
Verified Verified
1 Endorsed
Tyler, TX 75703
Throughout my years in education as a teacher, and then a counselor I discovered a passion for helping not only children but families and individuals through the struggles and ups and downs of life. Whether it be the difficulty of managing behaviors and emotions, or the everyday stressors of life that we all experience, I want to help you learn new ways to cope and realize you're not alone in how you're feeling. Taking the first step in finding someone who is there just for you, with no judgement, just to listen and help you through, is a huge first step!
Throughout my years in education as a teacher, and then a counselor I discovered a passion for helping not only children but families and individuals through the struggles and ups and downs of life. Whether it be the difficulty of managing behaviors and emotions, or the everyday stressors of life that we all experience, I want to help you learn new ways to cope and realize you're not alone in how you're feeling. Taking the first step in finding someone who is there just for you, with no judgement, just to listen and help you through, is a huge first step!
(903) 488-7333 View (903) 488-7333
Photo of Larissa Smith, LCSW, Clinical Social Work/Therapist
Larissa Smith
Clinical Social Work/Therapist, LCSW
Verified Verified
Tyler, TX 75703  (Online Only)
Are you overwhelmed by anxiety that you're doing everything wrong? Do shame, self-blame and self-doubt feel automatic, so you can't act on your best intentions? Your relationship status isn't satisfying to you, your emotions feel overwhelming despite your efforts to keep it all under control, and your complicated history with your parents doesn't help. You're an expert at google, trying to understand yourself to move forward, but how you feel underneath it all hasn't changed. My therapy superpower is helping women truly heal attachment wounds so you can be comfortable in your own skin and develop relationships that feel good.
Are you overwhelmed by anxiety that you're doing everything wrong? Do shame, self-blame and self-doubt feel automatic, so you can't act on your best intentions? Your relationship status isn't satisfying to you, your emotions feel overwhelming despite your efforts to keep it all under control, and your complicated history with your parents doesn't help. You're an expert at google, trying to understand yourself to move forward, but how you feel underneath it all hasn't changed. My therapy superpower is helping women truly heal attachment wounds so you can be comfortable in your own skin and develop relationships that feel good.
(903) 707-3187 View (903) 707-3187
Photo of Allison Cooper, MA, LPC-S, Licensed Professional Counselor
Allison Cooper
Licensed Professional Counselor, MA, LPC-S
Verified Verified
1 Endorsed
Tyler, TX 75703
In my practice I enjoy working with adolescents and adults on a variety of different situations and challenges. I have a special interest in helping clients who are experiencing anxiety, excessive worry, OCD and phobias. Treatment areas include: Anxiety Disorders (Social anxiety, Separation Anxiety, Generalized Anxiety), Phobias, Depression, Parenting Support, Grief Counseling, Adjustments and transitions, Stress Management, Conflict Resolution. I enjoy working with adolescents, teens and adults in a variety of different therapeutic areas. I strive to create a comfortable and safe atmosphere for clients.
In my practice I enjoy working with adolescents and adults on a variety of different situations and challenges. I have a special interest in helping clients who are experiencing anxiety, excessive worry, OCD and phobias. Treatment areas include: Anxiety Disorders (Social anxiety, Separation Anxiety, Generalized Anxiety), Phobias, Depression, Parenting Support, Grief Counseling, Adjustments and transitions, Stress Management, Conflict Resolution. I enjoy working with adolescents, teens and adults in a variety of different therapeutic areas. I strive to create a comfortable and safe atmosphere for clients.
(903) 730-6513 View (903) 730-6513
Photo of Jasmine Cobb, LCSW-S, Clinical Social Work/Therapist
Jasmine Cobb
Clinical Social Work/Therapist, LCSW-S
Verified Verified
6 Endorsed
Tyler, TX 75701  (Online Only)
I specialize in providing compassionate psychotherapy services for individuals aged 23 and older who are navigating complex grief experiences. As a grief specialist, l offer tailored support for those facing both death-related losses and other forms of non-death loss transitions. My therapeutic approach focuses on guiding clients from short-term coping strategies to long-term adaptation that is future-oriented and empowering. I am dedicated to creating a safe and nurturing space where clients can explore their emotions, process their grief, and build resilience as they move towards a more hopeful and fulfilling future.
I specialize in providing compassionate psychotherapy services for individuals aged 23 and older who are navigating complex grief experiences. As a grief specialist, l offer tailored support for those facing both death-related losses and other forms of non-death loss transitions. My therapeutic approach focuses on guiding clients from short-term coping strategies to long-term adaptation that is future-oriented and empowering. I am dedicated to creating a safe and nurturing space where clients can explore their emotions, process their grief, and build resilience as they move towards a more hopeful and fulfilling future.
(903) 294-4639 View (903) 294-4639
Photo of Jaime D Cornelius - GraceWorks- Green Acres Counseling, MA, LPC, Licensed Professional Counselor
GraceWorks- Green Acres Counseling
Licensed Professional Counselor, MA, LPC
Verified Verified
Tyler, TX 75703
Jaime received her master's in clinical mental health counseling from Liberty University. Jaime has experience working with children, adolescents, and adults. She uses a client- centered biblical- approach and incorporates several modalities including family- systems, play therapy, ACT and Cognitive Behavioral Therapy. Jaime is trained in Eye Movement Desensitization and Reprocessing (EMDR). She has experience working with anxiety, depression, grief, trauma, premarital/marriage counseling, parenting, and adjustments/transitions. Jaime believes in a wholistic view of counseling.
Jaime received her master's in clinical mental health counseling from Liberty University. Jaime has experience working with children, adolescents, and adults. She uses a client- centered biblical- approach and incorporates several modalities including family- systems, play therapy, ACT and Cognitive Behavioral Therapy. Jaime is trained in Eye Movement Desensitization and Reprocessing (EMDR). She has experience working with anxiety, depression, grief, trauma, premarital/marriage counseling, parenting, and adjustments/transitions. Jaime believes in a wholistic view of counseling.
(430) 245-5101 View (430) 245-5101
Photo of Nathan (Nate) J Edmundson, PsyD, Psychologist
Nathan (Nate) J Edmundson
Psychologist, PsyD
Verified Verified
Tyler, TX 75703
Are you looking for psychological testing? Christian counseling? Therapy sessions during convenient hours? Is your marriage in trouble? Are you discouraged, depressed, or stressed? Many people are struggling to know what is wrong with them. If they do know, they don’t know what to do about it. Many want a therapist or psychologist who shares their Christian faith and provides them with guidance that aligns with their values. For more than a decade in a variety of settings and treating a wide range of needs, I have been helping people overcome challenges using psychotherapy, Christian counseling, and psychological evaluations.
Are you looking for psychological testing? Christian counseling? Therapy sessions during convenient hours? Is your marriage in trouble? Are you discouraged, depressed, or stressed? Many people are struggling to know what is wrong with them. If they do know, they don’t know what to do about it. Many want a therapist or psychologist who shares their Christian faith and provides them with guidance that aligns with their values. For more than a decade in a variety of settings and treating a wide range of needs, I have been helping people overcome challenges using psychotherapy, Christian counseling, and psychological evaluations.
(430) 233-7873 View (430) 233-7873
Photo of Deborah Renneker, MSW, LCSW, Clinical Social Work/Therapist
Deborah Renneker
Clinical Social Work/Therapist, MSW, LCSW
Verified Verified
1 Endorsed
Tyler, TX 75701
I see clients both virtually and in person; and in our work together, you will create or reconnect with a life worth living. You will come to see emotions - even the painful emotions of anger, sadness and guilt - as signals that something needs your attention rather than something to be avoided. You will gain an understanding of who you are and how you are, which will facilitate personal changes you may want to make or help you navigate challenges you are facing. And maybe, most importantly, you will strengthen your relationship with yourself and with others.
I see clients both virtually and in person; and in our work together, you will create or reconnect with a life worth living. You will come to see emotions - even the painful emotions of anger, sadness and guilt - as signals that something needs your attention rather than something to be avoided. You will gain an understanding of who you are and how you are, which will facilitate personal changes you may want to make or help you navigate challenges you are facing. And maybe, most importantly, you will strengthen your relationship with yourself and with others.
(430) 222-5300 View (430) 222-5300
Photo of April West, LPC, Licensed Professional Counselor
April West
Licensed Professional Counselor, LPC
Verified Verified
Tyler, TX 75701
My career started as a classroom teacher and school counselor. I currently have over 20 years of experience working with students and families. In addition to my school counseling career, I am a crisis clinician in a major hospital in the DFW metroplex and work in over 32 emergency rooms providing on-call patient care. We all face unexpected challenges which sometimes leave us feeling hopeless and powerless. I believe that we have the ability to make healthy and appropriate choices regardless of the circumstances in which we may find ourselves.
My career started as a classroom teacher and school counselor. I currently have over 20 years of experience working with students and families. In addition to my school counseling career, I am a crisis clinician in a major hospital in the DFW metroplex and work in over 32 emergency rooms providing on-call patient care. We all face unexpected challenges which sometimes leave us feeling hopeless and powerless. I believe that we have the ability to make healthy and appropriate choices regardless of the circumstances in which we may find ourselves.
(469) 599-4023 View (469) 599-4023
Photo of Tammie Anderson, LPC, Counselor
Tammie Anderson
Counselor, LPC
Verified Verified
1 Endorsed
Tyler, TX 75701  (Online Only)
We have interactions with others, and with ourselves (internally) everyday. When there is a lack of connection on any level we can become distressed or any number of things. From discouraged to depressed or anxious or just withdrawn. I love working with clients who are seeking to find a balanced and healthy daily interaction within themselves and hopefully with others. It is my heartfelt belief that we are all unique and created to connect with those around us on a level that both brings peace for ourselves and gives back to others in our relationships.
We have interactions with others, and with ourselves (internally) everyday. When there is a lack of connection on any level we can become distressed or any number of things. From discouraged to depressed or anxious or just withdrawn. I love working with clients who are seeking to find a balanced and healthy daily interaction within themselves and hopefully with others. It is my heartfelt belief that we are all unique and created to connect with those around us on a level that both brings peace for ourselves and gives back to others in our relationships.
(786) 244-7347 View (786) 244-7347
Photo of Courtney Gordon, MA, LMFT, Marriage & Family Therapist
Courtney Gordon
Marriage & Family Therapist, MA, LMFT
Verified Verified
Tyler, TX 75703
I specialize in helping couples improve their relationship by assisting them to identify the places that keep them stuck. Through our work, couples go from fighting to enjoying each other.
I specialize in helping couples improve their relationship by assisting them to identify the places that keep them stuck. Through our work, couples go from fighting to enjoying each other.
(430) 243-5903 View (430) 243-5903
Photo of Lauren Burgess, MA, LPC-S, Licensed Professional Counselor
Lauren Burgess
Licensed Professional Counselor, MA, LPC-S
Verified Verified
Tyler, TX 75703
Hi! I am Lauren, Licensed Professional Counselor. I Love what I do. I count it one of my many blessings to walk beside those at their perceived worst... and at their very best. I am so glad you reached out, looking forward to the journey!
Hi! I am Lauren, Licensed Professional Counselor. I Love what I do. I count it one of my many blessings to walk beside those at their perceived worst... and at their very best. I am so glad you reached out, looking forward to the journey!
(430) 243-3487 View (430) 243-3487
Photo of Evelyn S Dillman - Evelyn Dillman Counseling/True Path LLC, MS, LPC, LMFT, Marriage & Family Therapist
Evelyn Dillman Counseling/True Path LLC
Marriage & Family Therapist, MS, LPC, LMFT
Verified Verified
1 Endorsed
Tyler, TX 75703
Everyone experiences life differently and from their experiences, gain strengths. My goal is to help build on your strengths along your mental wellness journey . I work with high-conflict couples, individuals, adolescents, and families. The focus of my practice is relational wellness, anger management issues, couple conflict, affair recovery/infidelity, PTSD, anxiety, depression, spiritual issues, OCD and addictions. I have an integrative therapeutic approach that includes Client Centered, Solution Focused, Emotionally Focused and Cognitive Behavioral Therapies, as well as Dialectical Behavioral Therapy with high conflict issues.
Everyone experiences life differently and from their experiences, gain strengths. My goal is to help build on your strengths along your mental wellness journey . I work with high-conflict couples, individuals, adolescents, and families. The focus of my practice is relational wellness, anger management issues, couple conflict, affair recovery/infidelity, PTSD, anxiety, depression, spiritual issues, OCD and addictions. I have an integrative therapeutic approach that includes Client Centered, Solution Focused, Emotionally Focused and Cognitive Behavioral Therapies, as well as Dialectical Behavioral Therapy with high conflict issues.
(903) 201-1283 View (903) 201-1283
Photo of Charla R Killian, MA, LPC, Licensed Professional Counselor
Charla R Killian
Licensed Professional Counselor, MA, LPC
Verified Verified
Tyler, TX 75701
Is your child struggling with his/her relationships? Does he/she exhibit negative behaviors in school and/or home? Is your child experiencing depression, anxiety, low self-esteem, and personality changes? Do you hear your child complaining of feeling overwhelmed? Has your child experienced trauma? I work with children/adolescents/teenagers/young adults every day and my goal is to utilize strong relationships centered on nurture and trust between the child and family to help the child reach their highest potential.
Is your child struggling with his/her relationships? Does he/she exhibit negative behaviors in school and/or home? Is your child experiencing depression, anxiety, low self-esteem, and personality changes? Do you hear your child complaining of feeling overwhelmed? Has your child experienced trauma? I work with children/adolescents/teenagers/young adults every day and my goal is to utilize strong relationships centered on nurture and trust between the child and family to help the child reach their highest potential.
(903) 623-6303 View (903) 623-6303
Photo of Rebekah Walker - Tyler Family Counseling, LPC-S, RPTS, Licensed Professional Counselor
Tyler Family Counseling
Licensed Professional Counselor, LPC-S, RPTS
Verified Verified
5 Endorsed
Tyler, TX 75701
You're tired, frustrated and just want peace at home! What works for one of your children doesn't work for the other and that's frustrating. Wish your teen girl came with an instruction manual? Your teen seems lonely, withdrawn, struggling with social issues, or can't control their anger and you feel hopeless because you don't know what to do to help. As parents we want our children to be healthy and happy yet sometimes we can't fix the situation for them and that makes us feel a failure as a parent.
You're tired, frustrated and just want peace at home! What works for one of your children doesn't work for the other and that's frustrating. Wish your teen girl came with an instruction manual? Your teen seems lonely, withdrawn, struggling with social issues, or can't control their anger and you feel hopeless because you don't know what to do to help. As parents we want our children to be healthy and happy yet sometimes we can't fix the situation for them and that makes us feel a failure as a parent.
(903) 206-2664 View (903) 206-2664
Photo of Shaunda Petty, LPC-A
Shaunda Petty
Licensed Professional Counselor Associate, LPC-A
Verified Verified
3 Endorsed
Tyler, TX 75702
I have been in the helping field for over 20 years. I have experience helping individuals and families meet their goals. My passion is working with persons from all walks of life struggling with a wide variety of concerns. My goal is to empower children, adolescents, couples, and families through holistic/integrative therapies. I truly believe with the right assistance one can have positive change and live a productive life.
I have been in the helping field for over 20 years. I have experience helping individuals and families meet their goals. My passion is working with persons from all walks of life struggling with a wide variety of concerns. My goal is to empower children, adolescents, couples, and families through holistic/integrative therapies. I truly believe with the right assistance one can have positive change and live a productive life.
(430) 209-2165 View (430) 209-2165
Photo of 'christy' Kimberly Fowler - Love & Laughter Counseling, LPC-S, Licensed Professional Counselor
Love & Laughter Counseling
Licensed Professional Counselor, LPC-S
Verified Verified
Tyler, TX 75703
To say "things aren't always easy" is often an understatement. Sometimes things are more than hard, and may have been piling up for a while. Whether you're battling depression, anxiety, grief, or changes in life, I'm here to help. I've worked with children, teens and adults in an inpatient psychiatric hospital, where they work to sort out their struggles. I have seen the damage trauma can do to relationships, but have also seen the power in connecting with others.
To say "things aren't always easy" is often an understatement. Sometimes things are more than hard, and may have been piling up for a while. Whether you're battling depression, anxiety, grief, or changes in life, I'm here to help. I've worked with children, teens and adults in an inpatient psychiatric hospital, where they work to sort out their struggles. I have seen the damage trauma can do to relationships, but have also seen the power in connecting with others.
(903) 705-7595 View (903) 705-7595
Photo of Julie Nicole Kraus, MS, LPC, Licensed Professional Counselor
Julie Nicole Kraus
Licensed Professional Counselor, MS, LPC
Verified Verified
Tyler, TX 75703
Not accepting new clients
Greetings! My name is Julie Kraus and I am a Licensed Professional Counselor in Texas. I have experience working with children, teenagers and adults. My background is in public education and I obtained my Masters of Science in Counseling from Texas A&M-Commerce. I have experience in helping people with anxiety, depression, relationship and parenting issues, divorce, and self esteem. My goal with all clients is to provide the support and guidance needed to overcome life’s challenges.
Greetings! My name is Julie Kraus and I am a Licensed Professional Counselor in Texas. I have experience working with children, teenagers and adults. My background is in public education and I obtained my Masters of Science in Counseling from Texas A&M-Commerce. I have experience in helping people with anxiety, depression, relationship and parenting issues, divorce, and self esteem. My goal with all clients is to provide the support and guidance needed to overcome life’s challenges.
(430) 220-1570 View (430) 220-1570
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How does your Therapist compare?

Number of Therapists in Tyler, TX

200+

Average cost per session

$120

Therapists in Tyler, TX who prioritize treating:

89% Anxiety
87% Depression
72% Coping Skills
72% Self Esteem
70% Trauma and PTSD
66% Relationship Issues
65% Stress

Average years in practice

9 Years

Top 3 insurances accepted

85% BlueCross and BlueShield
82% Aetna
76% Cigna and Evernorth

How Therapists in Tyler, TX see their clients

69% In Person and Online
31% Online Only

Gender breakdown

82% Female
17% Male
1% Non-Binary
FAQs - About Therapy and Counseling

How can I find a therapist in Tyler?

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.