Therapists in Austin, TX

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Photo of Stella Masterson, Licensed Professional Counselor in Austin, TX
Stella Masterson
Licensed Professional Counselor, MA, LPC
Verified Verified
2 Endorsed
Austin, TX 78727  (Online Only)
Currently Accepting New Clients! Hello, I'm Stella and I'm a Licensed Professional Counselor (LPC) in Austin, Texas. I also see clients throughout the state via telehealth therapy. I believe that we all go through struggles and, at times, feel at a loss, alone, and overwhelmed. I am here to help you through those struggles.
Currently Accepting New Clients! Hello, I'm Stella and I'm a Licensed Professional Counselor (LPC) in Austin, Texas. I also see clients throughout the state via telehealth therapy. I believe that we all go through struggles and, at times, feel at a loss, alone, and overwhelmed. I am here to help you through those struggles.
(737) 727-3614 View (737) 727-3614
Photo of Melissa Lambert, Psychologist in Austin, TX
Melissa Lambert
Psychologist, PsyD
Verified Verified
Austin, TX 78759
Are you tired of feeling misunderstood and disconnected? Sometimes it feels like the world will only accept you if you fit in a neat little box. I can help you reconnect with the parts of your identity that have been overshadowed by outside expectations. As a biracial tri-cultural woman of color, I am uniquely qualified to provide a compassionate, non-judgmental space to explore your identity and create the life you want and the relationships you desire. I work with people of all racial and ethnic backgrounds and spiritual orientations.
Are you tired of feeling misunderstood and disconnected? Sometimes it feels like the world will only accept you if you fit in a neat little box. I can help you reconnect with the parts of your identity that have been overshadowed by outside expectations. As a biracial tri-cultural woman of color, I am uniquely qualified to provide a compassionate, non-judgmental space to explore your identity and create the life you want and the relationships you desire. I work with people of all racial and ethnic backgrounds and spiritual orientations.
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Photo of Carol Dodgen, Clinical Social Work/Therapist in Austin, TX
Carol Dodgen
Clinical Social Work/Therapist, LCSW
Verified Verified
Austin, TX 78751  (Online Only)
The purpose of therapy is generally straight forward. Individuals seek professional help when conflict in their world causes pain. In the counseling session, clients share their concerns and therapists share their training and professional experience . I believe that it is my responsibility to provide a safe place where clients can talk about their thoughts, feelings and experiences in a non-judgmental atmosphere. My approach is interactive, validating, compassionate and collaborative. Depending on the client and/or the specific situation, I work from a variety of perspectives.
The purpose of therapy is generally straight forward. Individuals seek professional help when conflict in their world causes pain. In the counseling session, clients share their concerns and therapists share their training and professional experience . I believe that it is my responsibility to provide a safe place where clients can talk about their thoughts, feelings and experiences in a non-judgmental atmosphere. My approach is interactive, validating, compassionate and collaborative. Depending on the client and/or the specific situation, I work from a variety of perspectives.
(361) 444-2301 View (361) 444-2301
Photo of Craig Kern, Licensed Professional Counselor in Austin, TX
Craig Kern
Licensed Professional Counselor, LPC, LMFT, LMHC
Verified Verified
Austin, TX 78746  (Online Only)
Not accepting new clients
For those who are seeking a compassionate therapeutic relationship as they move through their lifespan. Clients age 10 and up. Individuals, Couples and Families. LGBQT+. Experiential therapy with collaboration and guidance with an intention towards growth, healing, and wholesomeness. Provides Internal Family Systems Therapy, EMDR, Nonviolent Communication. Accepting Insurance: BlueCross BlueShield, Aetna, Humana, United HealthCare, Beacon Health. Office hours are M-F 11am-5pm and evening appts. available Wednesdays and Thursdays until 9pm. Video conferencing available.
For those who are seeking a compassionate therapeutic relationship as they move through their lifespan. Clients age 10 and up. Individuals, Couples and Families. LGBQT+. Experiential therapy with collaboration and guidance with an intention towards growth, healing, and wholesomeness. Provides Internal Family Systems Therapy, EMDR, Nonviolent Communication. Accepting Insurance: BlueCross BlueShield, Aetna, Humana, United HealthCare, Beacon Health. Office hours are M-F 11am-5pm and evening appts. available Wednesdays and Thursdays until 9pm. Video conferencing available.
(737) 204-1953 View (737) 204-1953
Photo of Stephanie R Garcia, Licensed Professional Counselor in Austin, TX
Stephanie R Garcia
Licensed Professional Counselor, LPC
Verified Verified
2 Endorsed
Austin, TX 78703
Welcome! In my work I hope to share my passion for our connections to the natural world, our bodies, and our community in the healing process. This knowledge that has been shared with me has illuminated my path and expanded my perspective of my training in traditional western psychology. I believe that some of the most fruitful healing happens in relationship & in community and that when given a safe environment, we naturally move towards healing and growth.
Welcome! In my work I hope to share my passion for our connections to the natural world, our bodies, and our community in the healing process. This knowledge that has been shared with me has illuminated my path and expanded my perspective of my training in traditional western psychology. I believe that some of the most fruitful healing happens in relationship & in community and that when given a safe environment, we naturally move towards healing and growth.
(512) 862-1738 View (512) 862-1738
Photo of Anne Richmond Wakefield, Clinical Social Work/Therapist in Austin, TX
Anne Richmond Wakefield
Clinical Social Work/Therapist, MSW, LCSW
Verified Verified
Austin, TX 78738  (Online Only)
Waitlist for new clients
You're exhausted from riding the restrict/binge roller coaster, obsessing about food, or hating your body. Each new lifestyle change, 30-day reset, and juice cleanse leaves you feeling more defeated than the last. Your negative thoughts and anxiety keep you from thoroughly enjoying life. You want to stop fighting and make peace with your body. Research suggests that looking at your thought patterns is a great place to start if you are interested in making changes in your life. To easily book a session using accepted insurance, visit https://headway.co/providers/anne-wakefield.
You're exhausted from riding the restrict/binge roller coaster, obsessing about food, or hating your body. Each new lifestyle change, 30-day reset, and juice cleanse leaves you feeling more defeated than the last. Your negative thoughts and anxiety keep you from thoroughly enjoying life. You want to stop fighting and make peace with your body. Research suggests that looking at your thought patterns is a great place to start if you are interested in making changes in your life. To easily book a session using accepted insurance, visit https://headway.co/providers/anne-wakefield.
(844) 968-3131 View (844) 968-3131
Photo of Susan Bullock Zohn, Licensed Professional Counselor in Austin, TX
Susan Bullock Zohn
Licensed Professional Counselor, MA, LPC, CCTP
Verified Verified
3 Endorsed
Austin, TX 78759  (Online Only)
I am a native Texan who has lived and worked in the Houston area most of my career. I have a background in mental health providing services to individuals struggling with trauma, anxiety, depression, grief any issues which cause distress.
I am a native Texan who has lived and worked in the Houston area most of my career. I have a background in mental health providing services to individuals struggling with trauma, anxiety, depression, grief any issues which cause distress.
(281) 377-0756 View (281) 377-0756
Photo of Eugene Harvie, Clinical Social Work/Therapist in Austin, TX
Eugene Harvie
Clinical Social Work/Therapist, LCSW
Verified Verified
Austin, TX 78744
Throughout my 25 years of experience as a psychotherapist, I have found that everybody struggles with difficult challenges at some point in their lives. Unfortunately, life did not come with an instructional manual to guide us through these various struggles. Psychotherapy is a journey that can help support you, provide you with insight and clarity, and assist you in making positive steps towards your preferred future. Equipped with extensive training in various therapeutic modalities, I bring these tools to each session with my clients.
Throughout my 25 years of experience as a psychotherapist, I have found that everybody struggles with difficult challenges at some point in their lives. Unfortunately, life did not come with an instructional manual to guide us through these various struggles. Psychotherapy is a journey that can help support you, provide you with insight and clarity, and assist you in making positive steps towards your preferred future. Equipped with extensive training in various therapeutic modalities, I bring these tools to each session with my clients.
(512) 890-3763 View (512) 890-3763
Photo of Celia Lugo, Licensed Professional Counselor in Austin, TX
Celia Lugo
Licensed Professional Counselor, MA, LPC
Verified Verified
5 Endorsed
Austin, TX 78723
Waitlist for new clients
You might be dealing with some intense circumstances, feeling overwhelmed, anxious, or depressed. Having a nonjudgmental guide help sort through current and past pain can help make that process more manageable. As that guide, I am excited to help you turn down the volume of life's busyness, tune in to your inner self, and uncover unmet emotional needs. As you enter the safe haven of therapy each week, you will gain a freedom to be authentically you, learn how to better handle distress, and find ways to heal from past wounds that bog you down in current relationships.
You might be dealing with some intense circumstances, feeling overwhelmed, anxious, or depressed. Having a nonjudgmental guide help sort through current and past pain can help make that process more manageable. As that guide, I am excited to help you turn down the volume of life's busyness, tune in to your inner self, and uncover unmet emotional needs. As you enter the safe haven of therapy each week, you will gain a freedom to be authentically you, learn how to better handle distress, and find ways to heal from past wounds that bog you down in current relationships.
(512) 961-1526 View (512) 961-1526
Photo of Lyn Pierce, Licensed Professional Counselor in Austin, TX
Lyn Pierce
Licensed Professional Counselor, LPC
Verified Verified
1 Endorsed
Austin, TX 78759
I work primarily with adults and couples, both on and off the autism spectrum. My practice emphasizes humanistic and client-centered counseling, but I also draw techniques from cognitive behavioral therapy and mindfulness practices. As my background includes experience both in the arts and in the computer tech field, I am drawn to both "left-brained" (analytical) and "right-brained" (intuitive/emotional) thinking patterns, and I enjoy working with both. My particular areas of interest include adult autism, anxiety, depression, anger and stress management, and relationship issues.
I work primarily with adults and couples, both on and off the autism spectrum. My practice emphasizes humanistic and client-centered counseling, but I also draw techniques from cognitive behavioral therapy and mindfulness practices. As my background includes experience both in the arts and in the computer tech field, I am drawn to both "left-brained" (analytical) and "right-brained" (intuitive/emotional) thinking patterns, and I enjoy working with both. My particular areas of interest include adult autism, anxiety, depression, anger and stress management, and relationship issues.
(512) 572-5542 View (512) 572-5542
Photo of Andrea B Henderson, Licensed Professional Counselor in Austin, TX
Andrea B Henderson
Licensed Professional Counselor, MA, LPC-S
Verified Verified
1 Endorsed
Austin, TX 78759
The beginning of healing for your anxiety, depression, trauma, or difficult relationship is willingness to seek help. When a problem seems bigger than you, I'd like to help you understand your own story and find your way back to wholeness. I have experience working with anxiety, depression, trauma, childhood pain, life transitions, and helping others grow toward healthier relationships. I believe you are the expert in your life, and I want to help you make sense of your past and present so you can have a fulfilling future.
The beginning of healing for your anxiety, depression, trauma, or difficult relationship is willingness to seek help. When a problem seems bigger than you, I'd like to help you understand your own story and find your way back to wholeness. I have experience working with anxiety, depression, trauma, childhood pain, life transitions, and helping others grow toward healthier relationships. I believe you are the expert in your life, and I want to help you make sense of your past and present so you can have a fulfilling future.
(512) 812-9596 View (512) 812-9596
Photo of Erika Esquivel, Licensed Professional Counselor in Austin, TX
Erika Esquivel
Licensed Professional Counselor, MA, LPC
Verified Verified
5 Endorsed
Austin, TX 78754  (Online Only)
Counseling is a space where you don’t have to pretend everything is okay or hide what you’re going through. You do that enough in other areas of your life. You do not have to repeat those patterns here. In counseling, all parts of you are welcome and all the things you have gone through can be talked about. My goal is to work together to reclaim your life through talk and connection by affirming your needs, identity and beliefs while urging you to make informed decisions about therapy.
Counseling is a space where you don’t have to pretend everything is okay or hide what you’re going through. You do that enough in other areas of your life. You do not have to repeat those patterns here. In counseling, all parts of you are welcome and all the things you have gone through can be talked about. My goal is to work together to reclaim your life through talk and connection by affirming your needs, identity and beliefs while urging you to make informed decisions about therapy.
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Photo of Aisha N. Charles, Clinical Social Work/Therapist in Austin, TX
Aisha N. Charles
Clinical Social Work/Therapist, JD, LCSW
Verified Verified
Austin, TX 78731  (Online Only)
Do you find yourself feeling anxious, unmotivated, sad? Have you been experiencing uncertainty, sadness, nightmares or flashbacks as a result of trauma or difficult life experiences? If you are trying to heal from a difficult childhood, past traumas, postpartum or your fertility journey, or perimenopause/menopause, now is the time to reach out to a therapist that can help. Let us work together to help you navigate these life's challenges and hurts.
Do you find yourself feeling anxious, unmotivated, sad? Have you been experiencing uncertainty, sadness, nightmares or flashbacks as a result of trauma or difficult life experiences? If you are trying to heal from a difficult childhood, past traumas, postpartum or your fertility journey, or perimenopause/menopause, now is the time to reach out to a therapist that can help. Let us work together to help you navigate these life's challenges and hurts.
(512) 872-2459 View (512) 872-2459
Photo of Terry Rauschuber - Anew Era TMS & Psychiatry, Clinical Social Work/Therapist in Austin, TX
Terry Rauschuber - Anew Era TMS & Psychiatry
Clinical Social Work/Therapist, LCSW
Verified Verified
Austin, TX 78759
Not accepting new clients
Terry Rauschuber is a Licensed Certified Social Worker with a master’s degree from The University of Texas at Austin. She is a mental health therapist with over 20 years of successful experience working with adults and seniors with depression and anxiety. She applies techniques to develop skills to learn how to manage negative thought processes and develop alternative thinking patterns. Terry’s experience in hospitals and psychiatric hospitals provides a wealth of knowledge of treatment modalities as well as maneuvering through the maze of healthcare. EMDR Trained
Terry Rauschuber is a Licensed Certified Social Worker with a master’s degree from The University of Texas at Austin. She is a mental health therapist with over 20 years of successful experience working with adults and seniors with depression and anxiety. She applies techniques to develop skills to learn how to manage negative thought processes and develop alternative thinking patterns. Terry’s experience in hospitals and psychiatric hospitals provides a wealth of knowledge of treatment modalities as well as maneuvering through the maze of healthcare. EMDR Trained
(512) 640-2161 View (512) 640-2161
Photo of Louise McDermott, Licensed Professional Counselor, Licensed Professional Counselor in Austin, TX
Louise McDermott, Licensed Professional Counselor
Licensed Professional Counselor, MA, LPC
Verified Verified
4 Endorsed
Austin, TX 78759  (Online Only)
Waitlist for new clients
Do you need to talk to a professional about specific or reoccurring problems? Do you have some insight into your situation but don't know how to move forward? I will help you gain clarity and choose which actions you can take to improve your life. I enjoy helping you choose a creative or strategic plan of action to address your problems. Together we will identify the thoughts, beliefs, and behaviors that are keeping you stuck and feeling unfulfilled. If you are ready to gain a new perspective that enables you to move forward, then contact me today.
Do you need to talk to a professional about specific or reoccurring problems? Do you have some insight into your situation but don't know how to move forward? I will help you gain clarity and choose which actions you can take to improve your life. I enjoy helping you choose a creative or strategic plan of action to address your problems. Together we will identify the thoughts, beliefs, and behaviors that are keeping you stuck and feeling unfulfilled. If you are ready to gain a new perspective that enables you to move forward, then contact me today.
(512) 642-5733 View (512) 642-5733
Photo of Sonia Torres, Clinical Social Work/Therapist in Austin, TX
Sonia Torres
Clinical Social Work/Therapist, LCSW-S
Verified Verified
Austin, TX 78750  (Online Only)
Hello, I am Sonia. I am an Austin based psychotherapist. The best part of my work day is listening to peoples’ life stories! I feel incredibly lucky to be in a profession where I get to know peoples’ lives, fears, hardships, etc. As your therapist it is my responsibility to provide a safe space free of judgement to you and anyone that seeks therapy with me. I work hard to continue my own growth as an individual and therapist in order to provide you with the best care.
Hello, I am Sonia. I am an Austin based psychotherapist. The best part of my work day is listening to peoples’ life stories! I feel incredibly lucky to be in a profession where I get to know peoples’ lives, fears, hardships, etc. As your therapist it is my responsibility to provide a safe space free of judgement to you and anyone that seeks therapy with me. I work hard to continue my own growth as an individual and therapist in order to provide you with the best care.
(512) 598-6761 View (512) 598-6761
Photo of Amelia Canally, Clinical Social Work/Therapist in Austin, TX
Amelia Canally
Clinical Social Work/Therapist, LCSW, CGP
Verified Verified
1 Endorsed
Austin, TX 78746
Hi and welcome! Therapy is a powerful and life changing force and the therapist client fit is the most important element in making therapy worthwhile and effective. Most clients who seek therapy with me are working through relationship issues (either old wounds from family of origin or current relationship issues), loneliness, parenting adjustments or struggles, loss, divorce or separation, connection challenges or relationship betrayal.
Hi and welcome! Therapy is a powerful and life changing force and the therapist client fit is the most important element in making therapy worthwhile and effective. Most clients who seek therapy with me are working through relationship issues (either old wounds from family of origin or current relationship issues), loneliness, parenting adjustments or struggles, loss, divorce or separation, connection challenges or relationship betrayal.
(512) 271-5368 View (512) 271-5368
Photo of Elizabeth (Lizz) Hoover, Licensed Professional Counselor in Austin, TX
Elizabeth (Lizz) Hoover
Licensed Professional Counselor, MEd, LPC, NCC
Verified Verified
Austin, TX 78745  (Online Only)
I believe we all can benefit from taking space and time to make sense of our life journeys, experiences, relationships, and needs- whether it be to feel better on our current path or learn new skills for a detour if needed! Though it can feel like it at times, we are never truly alone, and we don’t have to do it all alone! I am enthusiastic and committed to supporting people in counseling with attention, acceptance, appreciation, allowing, and affection, to help explore their experiences and needs guided with therapeutic resources and information!
I believe we all can benefit from taking space and time to make sense of our life journeys, experiences, relationships, and needs- whether it be to feel better on our current path or learn new skills for a detour if needed! Though it can feel like it at times, we are never truly alone, and we don’t have to do it all alone! I am enthusiastic and committed to supporting people in counseling with attention, acceptance, appreciation, allowing, and affection, to help explore their experiences and needs guided with therapeutic resources and information!
(512) 881-9022 View (512) 881-9022
Photo of Quinn K Smelser, Licensed Clinical Professional Counselor in Austin, TX
Quinn K Smelser
Licensed Clinical Professional Counselor, PhD, LCPC, RPT
Verified Verified
Austin, TX 78745  (Online Only)
Not accepting new clients
You have taken a very courageous step in seeking therapy. I have counseled children, families, and individuals at all stages of life. Over the course of my career, I have worked in urban, rural, and suburban communities, under government-funded grants, and through private funding in homes, schools, and residential treatment. Using an integrative approach that is trauma-informed, evidence-based, and family systems oriented, I draw from attachment theory, neurobiology research, systems theory, cognitive-behavioral theory, and existentialism. I also am an approved clinical supervisor in Maryland.
You have taken a very courageous step in seeking therapy. I have counseled children, families, and individuals at all stages of life. Over the course of my career, I have worked in urban, rural, and suburban communities, under government-funded grants, and through private funding in homes, schools, and residential treatment. Using an integrative approach that is trauma-informed, evidence-based, and family systems oriented, I draw from attachment theory, neurobiology research, systems theory, cognitive-behavioral theory, and existentialism. I also am an approved clinical supervisor in Maryland.
(240) 213-7314 View (240) 213-7314
Photo of Beth Bishop, Clinical Social Work/Therapist in Austin, TX
Beth Bishop
Clinical Social Work/Therapist, LCSW, PMH-C
Verified Verified
Austin, TX 78704
Life is beautiful and life is also difficult. I support people who are experiencing perinatal mood disorders; processing a traumatic birth, NICU stay, infant medical complexity, pregnancy loss, infant loss; and/or infertility. My clients are diverse in race and ethnicity, spiritual practices, and socioeconomic levels.
Life is beautiful and life is also difficult. I support people who are experiencing perinatal mood disorders; processing a traumatic birth, NICU stay, infant medical complexity, pregnancy loss, infant loss; and/or infertility. My clients are diverse in race and ethnicity, spiritual practices, and socioeconomic levels.
(512) 982-4116 View (512) 982-4116

How does your Therapist compare?

Number of Therapists in Austin, TX

3,000+

Average cost per session

$150

Therapists in Austin, TX who prioritize treating:

92% Anxiety
87% Depression
75% Relationship Issues
75% Self Esteem
70% Stress
69% Trauma and PTSD
67% Coping Skills

Average years in practice

10 Years

Top 3 insurances accepted

79% Aetna
74% UnitedHealthcare UHC | UBH
65% BlueCross and BlueShield

How Therapists in Austin, TX see their clients

54% In Person and Online
46% Online Only

Gender breakdown

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

How can I find a therapist in Austin?

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.