Therapists in Round Rock, TX

Photo of Teresa Franz, Clinical Social Work/Therapist in Round Rock, TX
Teresa Franz
Clinical Social Work/Therapist, LCSW, MSSW
Verified Verified
Round Rock, TX 78665  (Online Only)
I get it! On the outside, you seem fine. You’re balancing everything life throws at you...but there are times when you’re overwhelmed. You feel like whatever you do, it doesn’t seem to be “enough." It doesn't have to be this way. I help people struggling with anxiety, people pleasing, perfectionism, and indecision learn healthy patterns of coping and boundaries so they feel confident, joyful, and ready to enjoy life again. Often talk therapy consists of clients venting to their therapists week after week, and gets you nowhere. Instead I offer clear guidance to help you understand yourself and change old patterns into healthy living.
I get it! On the outside, you seem fine. You’re balancing everything life throws at you...but there are times when you’re overwhelmed. You feel like whatever you do, it doesn’t seem to be “enough." It doesn't have to be this way. I help people struggling with anxiety, people pleasing, perfectionism, and indecision learn healthy patterns of coping and boundaries so they feel confident, joyful, and ready to enjoy life again. Often talk therapy consists of clients venting to their therapists week after week, and gets you nowhere. Instead I offer clear guidance to help you understand yourself and change old patterns into healthy living.
(833) 578-0733 View (833) 578-0733
Photo of Alex Greagrey, Clinical Social Work/Therapist in Round Rock, TX
Alex Greagrey
Clinical Social Work/Therapist, LCSW
Verified Verified
1 Endorsed
Round Rock, TX 78664  (Online Only)
Sometimes it feels like life has given us more than we can handle. You might be struggling with anxiety, depression, discouragement, hurt, hopelessness, or an unhealthy relationship. If this resonates with you, you are not alone. My name is Alex Greagrey and I am a licensed clinical social worker (LCSW) in the state of Texas. I have worked with children, adolescents, adults, and families since 2010 and am experienced in working with a diverse range of ethnic and socioeconomic groups, religions, ages, and sexual identities/orientations.
Sometimes it feels like life has given us more than we can handle. You might be struggling with anxiety, depression, discouragement, hurt, hopelessness, or an unhealthy relationship. If this resonates with you, you are not alone. My name is Alex Greagrey and I am a licensed clinical social worker (LCSW) in the state of Texas. I have worked with children, adolescents, adults, and families since 2010 and am experienced in working with a diverse range of ethnic and socioeconomic groups, religions, ages, and sexual identities/orientations.
(737) 232-4039 View (737) 232-4039
Photo of Kyle Dickerson, Marriage & Family Therapist in Round Rock, TX
Kyle Dickerson
Marriage & Family Therapist, LMFT
Verified Verified
1 Endorsed
Round Rock, TX 78665
Not accepting new clients
My goal as a therapist is to help you develop the right methods to feel competent, confident, and hopeful. Some of my main areas of focus are: life adjustments, relationship issues, emotional regulation, anxiety, PTSD, and depression.
My goal as a therapist is to help you develop the right methods to feel competent, confident, and hopeful. Some of my main areas of focus are: life adjustments, relationship issues, emotional regulation, anxiety, PTSD, and depression.
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Photo of Jovita Gutierrez, Clinical Social Work/Therapist in Round Rock, TX
Jovita Gutierrez
Clinical Social Work/Therapist, LCSW
Verified Verified
Round Rock, TX 78681
We all encounter moments in our lives when circumstances may seem overwhelming or difficult to work through on our own. These roadblocks can lead us to experiences cycles of thoughts and emotions that are difficult to manage. I strive to help clients work through these challenges, gain life balance, and feel empowered to be the best version of themselves.
We all encounter moments in our lives when circumstances may seem overwhelming or difficult to work through on our own. These roadblocks can lead us to experiences cycles of thoughts and emotions that are difficult to manage. I strive to help clients work through these challenges, gain life balance, and feel empowered to be the best version of themselves.
(512) 714-3403 View (512) 714-3403
Photo of Barbara Fountain, Licensed Professional Counselor in Round Rock, TX
Barbara Fountain
Licensed Professional Counselor, MAHS, LPC
Verified Verified
Round Rock, TX 78681
Greetings! I am Barbara Fountain a Licensed Professional Counselor-Supervisor with 15 years of counseling experience. I have a passion: for providing counseling to adults, children/adolescents, & families.Successful therapeutic outcomes depend on a good working relationship! A collaborative approach that includes therapist and client working together to reach the client's identified goals. My approach is an integrated psychotherapy style where I attempt to meet the unique individual treatment needs of each client In a warm, positive environment. I provide culturally appropriate services that empower & equip clients with skills necessary to succeed! My motto is:" Strengthening Families to Succeed."
Greetings! I am Barbara Fountain a Licensed Professional Counselor-Supervisor with 15 years of counseling experience. I have a passion: for providing counseling to adults, children/adolescents, & families.Successful therapeutic outcomes depend on a good working relationship! A collaborative approach that includes therapist and client working together to reach the client's identified goals. My approach is an integrated psychotherapy style where I attempt to meet the unique individual treatment needs of each client In a warm, positive environment. I provide culturally appropriate services that empower & equip clients with skills necessary to succeed! My motto is:" Strengthening Families to Succeed."
(512) 598-9793 View (512) 598-9793
Photo of Lauren McKay, Licensed Professional Counselor in Round Rock, TX
Lauren McKay
Licensed Professional Counselor, MA, LPC
Verified Verified
1 Endorsed
Round Rock, TX 78664
Trauma, abuse, & grief can greatly impact how we function on a day to day basis. Everyone's experiences are unique and individual. There may be times where you cannot explain why this or that happened and that can feel both confusing and frustrating. Has something like this ever happened to you before? Through counseling and with my training in EMDR, IFS, TBRI, & the Gottman method, we can explore these different modalities & evidenced based research to locate the roots of this confusion and frustration.
Trauma, abuse, & grief can greatly impact how we function on a day to day basis. Everyone's experiences are unique and individual. There may be times where you cannot explain why this or that happened and that can feel both confusing and frustrating. Has something like this ever happened to you before? Through counseling and with my training in EMDR, IFS, TBRI, & the Gottman method, we can explore these different modalities & evidenced based research to locate the roots of this confusion and frustration.
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Photo of Marlene Luna, Clinical Social Work/Therapist in Round Rock, TX
Marlene Luna
Clinical Social Work/Therapist, LCSW
Verified Verified
Round Rock, TX 78664
My name is Marlene Luna; I am a Licensed Clinical Social Worker in Texas. I have been practicing social work for over ten years. In my ten years of experience, I have worked with individuals with intellectual disabilities, individuals with chronic illnesses both physical and mental, individuals in crisis, caregivers adult children or spouses, Neurodivergent individuals, and veterans. Do you ever feel like you are messing up, struggling to get it right? I am here to share with you that there is no life manual the world has agreed to follow.
My name is Marlene Luna; I am a Licensed Clinical Social Worker in Texas. I have been practicing social work for over ten years. In my ten years of experience, I have worked with individuals with intellectual disabilities, individuals with chronic illnesses both physical and mental, individuals in crisis, caregivers adult children or spouses, Neurodivergent individuals, and veterans. Do you ever feel like you are messing up, struggling to get it right? I am here to share with you that there is no life manual the world has agreed to follow.
(512) 886-7452 View (512) 886-7452
Photo of Cameron Clay Juroff, Licensed Professional Counselor Associate in Round Rock, TX
Cameron Clay Juroff
Licensed Professional Counselor Associate, LPC-A
Verified Verified
1 Endorsed
Round Rock, TX 78681
Something that I have experienced personally is the fact that looking for a counseling provider can be one of the most difficult and vulnerable things a person can do. The therapeutic relationship is a collaborative one between client and professional, so finding a provider who is the best fit for you is of the utmost importance. I believe in using empathy and a non-judgmental, non-directive approach to help my clients to alleviate their presenting problems and existential distress.
Something that I have experienced personally is the fact that looking for a counseling provider can be one of the most difficult and vulnerable things a person can do. The therapeutic relationship is a collaborative one between client and professional, so finding a provider who is the best fit for you is of the utmost importance. I believe in using empathy and a non-judgmental, non-directive approach to help my clients to alleviate their presenting problems and existential distress.
(512) 778-0907 View (512) 778-0907
Photo of Integrity Psychology of Austin, Psychologist in Round Rock, TX
Integrity Psychology of Austin
Psychologist, PhD
Verified Verified
Round Rock, TX 78664
Are you feeling depressed, unmotivated, worried, or stressed? Are you not living the life you desire. Can't seem to get on track? Do you want to create greater balance in your life and live more fully and freely? I would like to help. I am a clinical psychologist and work with individuals to promote healing, change, and personal growth. I provide guidance through careful listening, compassionate support, and enthusiasm. I consider you an active partner in creating the changes you desire. My treatment approach is genuine, positive, and non-judgmental and works to promote active curiosity, discovery, and growth.
Are you feeling depressed, unmotivated, worried, or stressed? Are you not living the life you desire. Can't seem to get on track? Do you want to create greater balance in your life and live more fully and freely? I would like to help. I am a clinical psychologist and work with individuals to promote healing, change, and personal growth. I provide guidance through careful listening, compassionate support, and enthusiasm. I consider you an active partner in creating the changes you desire. My treatment approach is genuine, positive, and non-judgmental and works to promote active curiosity, discovery, and growth.
(512) 456-3196 View (512) 456-3196
Photo of Sarah Key, Clinical Social Work/Therapist in Round Rock, TX
Sarah Key
Clinical Social Work/Therapist, LCSW-S
Verified Verified
1 Endorsed
Round Rock, TX 78665
I specialize in providing therapy to children, tweens, and teens and their families, with 20 years of experience as a school social worker.
I specialize in providing therapy to children, tweens, and teens and their families, with 20 years of experience as a school social worker.
(737) 250-7363 View (737) 250-7363
Photo of David J Schlosz, Licensed Professional Counselor in Round Rock, TX
David J Schlosz
Licensed Professional Counselor, PhD, NCC, LPC
Verified Verified
1 Endorsed
Round Rock, TX 78665
Note: Only taking new Clients in January, Waitlist Available. Are you a high-level executive seeking to excel in both your personal and professional life? I'm Dr. David Schlosz, and my mission is to empower high-level executives to unlock their full potential by understanding that the personal is indeed professional, and the professional is equally personal. Don't settle for a life where your personal and professional worlds are in conflict. Embrace the idea that they are interconnected, and together, we can create a harmony that will elevate your executive performances. Your personal success is the key to your professional success.
Note: Only taking new Clients in January, Waitlist Available. Are you a high-level executive seeking to excel in both your personal and professional life? I'm Dr. David Schlosz, and my mission is to empower high-level executives to unlock their full potential by understanding that the personal is indeed professional, and the professional is equally personal. Don't settle for a life where your personal and professional worlds are in conflict. Embrace the idea that they are interconnected, and together, we can create a harmony that will elevate your executive performances. Your personal success is the key to your professional success.
(512) 960-1674 View (512) 960-1674
Photo of Aimee Corona, Clinical Social Work/Therapist in Round Rock, TX
Aimee Corona
Clinical Social Work/Therapist, LCSW
Verified Verified
Round Rock, TX 78664
I understand how difficulty it can be to find the right therapist. It is important that you feel safe and empowered while working with me. I provide a non-judgmental, empathic but real approach with all of my clients to create an environment where you are able to heal and become the best version of yourself.
I understand how difficulty it can be to find the right therapist. It is important that you feel safe and empowered while working with me. I provide a non-judgmental, empathic but real approach with all of my clients to create an environment where you are able to heal and become the best version of yourself.
(512) 881-0212 View (512) 881-0212
Photo of Amanda Kathleen Gerdes, Licensed Professional Counselor in Round Rock, TX
Amanda Kathleen Gerdes
Licensed Professional Counselor, MA , LPC
Verified Verified
1 Endorsed
Round Rock, TX 78681  (Online Only)
Not accepting new clients
As a Licensed Professional Counselor, I work with adolescents, ages 16 and up as well as adults and families. I see clients who are dealing with a multitude of issues and who are from various backgrounds. I strive to create an environment of comfort and acceptance where you or your loved one can feel safe talking about difficult issues. I specialize in working with issues related to trauma, life transitions, anxiety, depression, self-esteem, abuse/neglect, ADHD and stress management.
As a Licensed Professional Counselor, I work with adolescents, ages 16 and up as well as adults and families. I see clients who are dealing with a multitude of issues and who are from various backgrounds. I strive to create an environment of comfort and acceptance where you or your loved one can feel safe talking about difficult issues. I specialize in working with issues related to trauma, life transitions, anxiety, depression, self-esteem, abuse/neglect, ADHD and stress management.
(512) 764-9159 View (512) 764-9159
Photo of Michelle Quayle., Licensed Professional Counselor Associate in Round Rock, TX
Michelle Quayle.
Licensed Professional Counselor Associate, LPC-A
Verified Verified
3 Endorsed
Round Rock, TX 78681
Maybe you are struggling with anxiety, or unhappy in your relationships. Maybe you have just been diagnosed with ADHD and feeling overwhelmed. I provide a calm, safe place for you to explore your world and heal from the inside out, a place where you are deeply heard, seen, and understood.
Maybe you are struggling with anxiety, or unhappy in your relationships. Maybe you have just been diagnosed with ADHD and feeling overwhelmed. I provide a calm, safe place for you to explore your world and heal from the inside out, a place where you are deeply heard, seen, and understood.
(512) 399-8951 View (512) 399-8951
Photo of Nancy Basoah-Scott, Marriage & Family Therapist Associate in Round Rock, TX
Nancy Basoah-Scott
Marriage & Family Therapist Associate, MA, LMFT-A
Verified Verified
Round Rock, TX 78681
As a Ghanaian & a veteran of the United States Army, I understand the stigma that is placed on mental health. It can be difficult to reach out for support when you need it. If that is you, then know that I will go slow & not push you too quickly. I am a trauma-informed therapist who is also currently a Level 2 Gottman Method Couples Therapist. Currently, I am working towards my Certification in Sex Therapy. When working with me, you will get a therapist who is not only sincere, empathetic, & non-judgmental, but also someone who will be direct. Know that the directness is coming from a caring place!
As a Ghanaian & a veteran of the United States Army, I understand the stigma that is placed on mental health. It can be difficult to reach out for support when you need it. If that is you, then know that I will go slow & not push you too quickly. I am a trauma-informed therapist who is also currently a Level 2 Gottman Method Couples Therapist. Currently, I am working towards my Certification in Sex Therapy. When working with me, you will get a therapist who is not only sincere, empathetic, & non-judgmental, but also someone who will be direct. Know that the directness is coming from a caring place!
(254) 268-4620 View (254) 268-4620
Photo of Kayla Adams (Voorhees), Clinical Social Work/Therapist in Round Rock, TX
Kayla Adams (Voorhees)
Clinical Social Work/Therapist, MSSW, LCSW
Verified Verified
Round Rock, TX 78664
As a trauma-informed therapist with training in CBT, CPT, DBT, TF-CBT, and mindfulness, I use an eclectic approach to better assist each client and their personal needs and challenges. I come to therapy with the view that every person is created in the image of God and with great purpose. Regardless of your beliefs, I create a safe therapeutic space to process whatever you need. Together, we'll explore your unique needs, uncover strengths, and work toward your therapy goals. Whether it's past trauma, ADHD, autism, anxiety, depression, foster care, adoption, grief or end of life concerns, I count it an honor to come alongside you.
As a trauma-informed therapist with training in CBT, CPT, DBT, TF-CBT, and mindfulness, I use an eclectic approach to better assist each client and their personal needs and challenges. I come to therapy with the view that every person is created in the image of God and with great purpose. Regardless of your beliefs, I create a safe therapeutic space to process whatever you need. Together, we'll explore your unique needs, uncover strengths, and work toward your therapy goals. Whether it's past trauma, ADHD, autism, anxiety, depression, foster care, adoption, grief or end of life concerns, I count it an honor to come alongside you.
(325) 241-2335 View (325) 241-2335
Photo of Lindsay Clegg, LPC Associate in Round Rock, TX
Lindsay Clegg
LPC Associate, NCC, MA
Verified Verified
Round Rock, TX 78681
I help clients increase self-understanding, manage healthy relationships, & navigate career/societal challenges. I believe it’s important to feel proud of the things that make you unique & unlearn ideas that these traits are flaws. Self-acceptance begins when we take time to really notice who we are, the way we function most naturally, & how our identities have been infused with negative messages over time. Self-acceptance & self-compassion address issues at their root. With permission to be imperfect & by sustaining self-validating beliefs, we can relax.
I help clients increase self-understanding, manage healthy relationships, & navigate career/societal challenges. I believe it’s important to feel proud of the things that make you unique & unlearn ideas that these traits are flaws. Self-acceptance begins when we take time to really notice who we are, the way we function most naturally, & how our identities have been infused with negative messages over time. Self-acceptance & self-compassion address issues at their root. With permission to be imperfect & by sustaining self-validating beliefs, we can relax.
(737) 250-0347 View (737) 250-0347
Photo of Deissy Rosenbaum, Marriage & Family Therapist in Round Rock, TX
Deissy Rosenbaum
Marriage & Family Therapist, LMFT-S
Verified Verified
1 Endorsed
Round Rock, TX 78665  (Online Only)
Deissy Rosenbaum is a Licensed Marriage and Family Therapist in the states of Nevada and Texas and Supervisor in the State of Texas, as well as an AAMFT Supervisor candidate. She is fluent in English and Spanish. She was born and raised in Colombia, South America. Deissy has experience working in mental health for more than 10 years and have lived in three continents North, South America and Asia. She enjoys working with immigrants, expats, released Hostages and multiracial/multicultural clients, supervisees, and consultees.
Deissy Rosenbaum is a Licensed Marriage and Family Therapist in the states of Nevada and Texas and Supervisor in the State of Texas, as well as an AAMFT Supervisor candidate. She is fluent in English and Spanish. She was born and raised in Colombia, South America. Deissy has experience working in mental health for more than 10 years and have lived in three continents North, South America and Asia. She enjoys working with immigrants, expats, released Hostages and multiracial/multicultural clients, supervisees, and consultees.
(512) 798-4844 View (512) 798-4844
Photo of Dr. Ashley Blu Staats, Marriage & Family Therapist in Round Rock, TX
Dr. Ashley Blu Staats
Marriage & Family Therapist, PhD, LMFT-S, CST-S
Verified Verified
5 Endorsed
Round Rock, TX 78681
I specialize in working with people who are concerned about their sex life and/or relationships. I've helped many clients dealing with a difficult breakup or struggling to stay together find hope and strength in a time of pain. If you feel your relationship is stuck in a rut or perhaps you'd like to find and keep a great partner, I can help. A reluctant partner doesn't have to be a barrier to change. I am happy to work with all who want to improve their quality of life and foster fulfilling relationships. When reaching out, please specify if you are private pay or plan to use insurance and if so, which one!
I specialize in working with people who are concerned about their sex life and/or relationships. I've helped many clients dealing with a difficult breakup or struggling to stay together find hope and strength in a time of pain. If you feel your relationship is stuck in a rut or perhaps you'd like to find and keep a great partner, I can help. A reluctant partner doesn't have to be a barrier to change. I am happy to work with all who want to improve their quality of life and foster fulfilling relationships. When reaching out, please specify if you are private pay or plan to use insurance and if so, which one!
(512) 886-6127 View (512) 886-6127
Photo of Christiana Silva, Psychologist in Round Rock, TX
Christiana Silva
Psychologist, PhD
Verified Verified
Round Rock, TX 78681
Waitlist for new clients
Dr. Silva is the Chief Behavior Health Officer for mental healthcare provider Fusion Care Group. Fusion Care Group is changing the way people think about and receive mental health service and support. We offer a welcoming and accepting environment where you can feel calm and comfortable while in our care. Our relaxed, modern atmosphere and our amazing, highly trained Psychologists, Psychiatrists and therapists are here for you. Our hope is to provide a place to help our clients achieve their life goals, explore life-circumstances, move through difficult life transitions.
Dr. Silva is the Chief Behavior Health Officer for mental healthcare provider Fusion Care Group. Fusion Care Group is changing the way people think about and receive mental health service and support. We offer a welcoming and accepting environment where you can feel calm and comfortable while in our care. Our relaxed, modern atmosphere and our amazing, highly trained Psychologists, Psychiatrists and therapists are here for you. Our hope is to provide a place to help our clients achieve their life goals, explore life-circumstances, move through difficult life transitions.
(442) 200-2135 View (442) 200-2135

How does your Therapist compare?

Number of Therapists in Round Rock, TX

700+

Average cost per session

$145

Therapists in Round Rock, TX who prioritize treating:

95% Anxiety
90% Depression
74% Self Esteem
70% Relationship Issues
69% Trauma and PTSD
67% Coping Skills
64% Grief

Average years in practice

11 Years

Top 3 insurances accepted

79% UnitedHealthcare UHC | UBH
76% Aetna
69% BlueCross and BlueShield

How Therapists in Round Rock, TX see their clients

71% In Person and Online
29% Online Only

Gender breakdown

81% Female
18% Male
1% Non-Binary
FAQs - About Therapy and Counseling

How can I find a therapist in Round Rock?

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.