Therapists in Fort Worth, TX

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Photo of Elizabeth R Bowen, LCSW
Elizabeth R Bowen
Licensed Master Social Worker, LCSW
Verified Verified
Fort Worth, TX 76137  (Online Only)
I am a Licensed Clinical Social Worker providing therapy to all ages! My main therapy focus is in Trauma, Anxiety, Depression, ADHD, Family, Relationship and Sexual Issues. My goal is to help you find healing, growth and goals that fit your life and what you want out of it!
I am a Licensed Clinical Social Worker providing therapy to all ages! My main therapy focus is in Trauma, Anxiety, Depression, ADHD, Family, Relationship and Sexual Issues. My goal is to help you find healing, growth and goals that fit your life and what you want out of it!
(682) 564-0862 View (682) 564-0862
Photo of Ryan Moore
Ryan Moore
LPC Associate
Verified Verified
Fort Worth, TX 76107
Now Accepting New Clients (Evening & Weekend Appointments Available). I'm thrilled to introduce myself as your therapist in Fort Worth. If you're feeling hopeless and ready for a change, you've already taken the first courageous step toward better mental health. I know finding the right therapist can be daunting, but it's essential to connect with someone who truly understands you and makes you feel comfortable.
Now Accepting New Clients (Evening & Weekend Appointments Available). I'm thrilled to introduce myself as your therapist in Fort Worth. If you're feeling hopeless and ready for a change, you've already taken the first courageous step toward better mental health. I know finding the right therapist can be daunting, but it's essential to connect with someone who truly understands you and makes you feel comfortable.
(817) 646-2983 View (817) 646-2983
Photo of Janice Arvin, MA, LPC, Licensed Professional Counselor
Janice Arvin
Licensed Professional Counselor, MA, LPC
Verified Verified
Fort Worth, TX 76110
I offer caring, candid, empathic and effective help for clients struggling with relationships, all forms of grief and loss, PTSD, rape, childhood abuse, combat experiences and other trauma recovery. I counsel patients diagnosed with cancer, neurological illness, infertility and various sexual difficulties. I offer experienced help for those aiding elderly loved ones, Veterans and their families. Working with all kinds of relationships - marriage, family, work, friends - I'll help you clarify your needs, choices, and responsibilities to find YOUR answers. Whether you are looking for occasional consultations for specific issues or indepth work on longstanding struggles, I am delighted to help.
I offer caring, candid, empathic and effective help for clients struggling with relationships, all forms of grief and loss, PTSD, rape, childhood abuse, combat experiences and other trauma recovery. I counsel patients diagnosed with cancer, neurological illness, infertility and various sexual difficulties. I offer experienced help for those aiding elderly loved ones, Veterans and their families. Working with all kinds of relationships - marriage, family, work, friends - I'll help you clarify your needs, choices, and responsibilities to find YOUR answers. Whether you are looking for occasional consultations for specific issues or indepth work on longstanding struggles, I am delighted to help.
(817) 381-4864 View (817) 381-4864
Photo of Dericka L Young, MS, LPC, Licensed Professional Counselor
Dericka L Young
Licensed Professional Counselor, MS, LPC
Verified Verified
Fort Worth, TX 76131  (Online Only)
Are you tired of feeling like you're constantly struggling to keep up with the demands of daily life? Do you find it challenging to stay focused and organized, no matter how hard you try? Do you find your frustration tolerance gets lower and lower with each day? Let's talk about it! Navigating the day-to-day stressors can be daunting! Understanding the unique characteristics of your brain and how it functions is crucial in navigating various aspects of your life. Through education, self-awareness, and professional guidance, you can learn to work with your brain's intricacies and develop coping strategies that suit your needs.
Are you tired of feeling like you're constantly struggling to keep up with the demands of daily life? Do you find it challenging to stay focused and organized, no matter how hard you try? Do you find your frustration tolerance gets lower and lower with each day? Let's talk about it! Navigating the day-to-day stressors can be daunting! Understanding the unique characteristics of your brain and how it functions is crucial in navigating various aspects of your life. Through education, self-awareness, and professional guidance, you can learn to work with your brain's intricacies and develop coping strategies that suit your needs.
(817) 993-4142 View (817) 993-4142
Photo of Bobbie Anne Brown, MEd, LPC, Licensed Professional Counselor
Bobbie Anne Brown
Licensed Professional Counselor, MEd, LPC
Verified Verified
Fort Worth, TX 76107
I am passionate about helping people discover hope, develop resilience and increase self-awareness to promote healing. I emphasize Cognitive Behavior Therapy and Solution Focused Therapy but integrate interventions from a variety of therapeutic approaches to allow for a treatment plan that will meet the unique needs of each specific client and help restore balance with a positive mindset for overall improved mental health and emotional well-being.
I am passionate about helping people discover hope, develop resilience and increase self-awareness to promote healing. I emphasize Cognitive Behavior Therapy and Solution Focused Therapy but integrate interventions from a variety of therapeutic approaches to allow for a treatment plan that will meet the unique needs of each specific client and help restore balance with a positive mindset for overall improved mental health and emotional well-being.
(817) 646-7158 View (817) 646-7158
Photo of Jacob A Corona, M MFT, LMFT-A, Marriage & Family Therapist Associate
Jacob A Corona
Marriage & Family Therapist Associate, M MFT, LMFT-A
Verified Verified
2 Endorsed
Fort Worth, TX 76107
Feeling overwhelmed by stress, sadness, or communication issues? Life changes can be tough on relationships. I can help! I provide therapy for individuals, couples, and families (ages 12+) to improve emotional well-being, communication, and relationships. Therapy can help you develop healthier beliefs and understand yourself better. Let's work together to achieve your goals. Reach out today!
Feeling overwhelmed by stress, sadness, or communication issues? Life changes can be tough on relationships. I can help! I provide therapy for individuals, couples, and families (ages 12+) to improve emotional well-being, communication, and relationships. Therapy can help you develop healthier beliefs and understand yourself better. Let's work together to achieve your goals. Reach out today!
(817) 383-9179 View (817) 383-9179
Photo of Madison Villanueva, MS, NCC, Licensed Professional Counselor
Madison Villanueva
Licensed Professional Counselor, MS, NCC
Verified Verified
Fort Worth, TX 76109
How often do you find yourself thinking of what could have been? Perhaps it's not what could have been but something you should have done differently? Or maybe it's more about the future for you, all the what ifs? Do these journeys into the past and future leave you feeling guilty, frustrated or filled with fear? I work to ground my clients in the here and now, accepting what is as opposed to what could be. I aim to help individuals reach their goals by building self-awareness and self-compassion.
How often do you find yourself thinking of what could have been? Perhaps it's not what could have been but something you should have done differently? Or maybe it's more about the future for you, all the what ifs? Do these journeys into the past and future leave you feeling guilty, frustrated or filled with fear? I work to ground my clients in the here and now, accepting what is as opposed to what could be. I aim to help individuals reach their goals by building self-awareness and self-compassion.
(817) 241-5354 View (817) 241-5354
Photo of Dana Lee, LPC, LCDC, Licensed Professional Counselor
Dana Lee
Licensed Professional Counselor, LPC, LCDC
Verified Verified
Fort Worth, TX 76147  (Online Only)
I have been counseling individuals in Texas for 8 years. Some of the areas I provide counseling for are those struggling with anxiety, depression, life transitions, life stressors, work stressors, divorce and separation, anger management, impulse control, substance abuse and relapse prevention. Together with the use of Cognitive Behavioral Therapy we work on setting attainable goals and developing appropriate coping skills for triggers of those unwanted symptoms. Working together to eliminate these symptoms and develop a relapse prevention plan to prevent them from returning.
I have been counseling individuals in Texas for 8 years. Some of the areas I provide counseling for are those struggling with anxiety, depression, life transitions, life stressors, work stressors, divorce and separation, anger management, impulse control, substance abuse and relapse prevention. Together with the use of Cognitive Behavioral Therapy we work on setting attainable goals and developing appropriate coping skills for triggers of those unwanted symptoms. Working together to eliminate these symptoms and develop a relapse prevention plan to prevent them from returning.
(817) 482-0367 View (817) 482-0367
Photo of Randall Storey, MS, LPC, Licensed Professional Counselor
Randall Storey
Licensed Professional Counselor, MS, LPC
Verified Verified
Fort Worth, TX 76102
LGBTQ+ people experience many different situations and circumstances that are unique to the LGBT community. Your gender and orientation doesn't define you, but it does play a large role in your life and impacts many different other issues that you may face. You deserve a counselor who not only understands this, but also knows how to incorporate a person's whole self into counseling and addresses the specific challenges unique to the LGBTQ+ Community.
LGBTQ+ people experience many different situations and circumstances that are unique to the LGBT community. Your gender and orientation doesn't define you, but it does play a large role in your life and impacts many different other issues that you may face. You deserve a counselor who not only understands this, but also knows how to incorporate a person's whole self into counseling and addresses the specific challenges unique to the LGBTQ+ Community.
(682) 204-1082 View (682) 204-1082
Photo of Olivia Sanchez, LPC, Licensed Professional Counselor
Olivia Sanchez
Licensed Professional Counselor, LPC
Verified Verified
Fort Worth, TX 76106
Hi, My name is Olivia! I'm a Licensed Professional Counselor-Supervisor whose interest is in providing empathy and understanding to my clients in order to promote healing, happiness, and a state of calmness and peace. I am trained in Eye Movement Desensitization and Reprocessing (EMDR) which is a trauma-based treatment to address more intense traumatic events that may have caused Post Traumatic Stress Disorder PTSD) or other various psychological conditions promoted by traumatic events.
Hi, My name is Olivia! I'm a Licensed Professional Counselor-Supervisor whose interest is in providing empathy and understanding to my clients in order to promote healing, happiness, and a state of calmness and peace. I am trained in Eye Movement Desensitization and Reprocessing (EMDR) which is a trauma-based treatment to address more intense traumatic events that may have caused Post Traumatic Stress Disorder PTSD) or other various psychological conditions promoted by traumatic events.
(832) 281-4015 View (832) 281-4015
Photo of Sally Densk, MEd, LPC, NCC, Licensed Professional Counselor
Sally Densk
Licensed Professional Counselor, MEd, LPC, NCC
Verified Verified
3 Endorsed
Fort Worth, TX 76177  (Online Only)
Currently accepting new clients through teletherapy only! I believe that we all have the inner strength to become the best version of ourselves. My approach to counseling places you in the driver's seat, while walking alongside you throughout your therapeutic journey towards healing and self-discovery. I am committed to creating a supportive, empathetic, collaborative environment, so that you feel safe to explore, reflect, and experiment with different solutions to life challenges.
Currently accepting new clients through teletherapy only! I believe that we all have the inner strength to become the best version of ourselves. My approach to counseling places you in the driver's seat, while walking alongside you throughout your therapeutic journey towards healing and self-discovery. I am committed to creating a supportive, empathetic, collaborative environment, so that you feel safe to explore, reflect, and experiment with different solutions to life challenges.
(940) 236-0229 View (940) 236-0229
Photo of Olivia Tidwell, MS, CTP, CGP, CCTCP
Olivia Tidwell
Licensed Professional Counselor Associate, MS, CTP, CGP, CCTCP
Verified Verified
9 Endorsed
Fort Worth, TX 76131  (Online Only)
I provide online/ virtual counseling and therapy for adult men and women navigating grief, anxiety, depression, trauma, relationship issues, and life transitions. I offer a safe, encouraging, and nonjudgemental space to talk about what is going on in your life. I provide education and skill building when needed, so you can be empowered to make the changes you want. I am confident I can help you work toward the growth and healing that is most meaningful and important to you! For clients wanting faith based or Christian counseling, I can integrate that into our work together.
I provide online/ virtual counseling and therapy for adult men and women navigating grief, anxiety, depression, trauma, relationship issues, and life transitions. I offer a safe, encouraging, and nonjudgemental space to talk about what is going on in your life. I provide education and skill building when needed, so you can be empowered to make the changes you want. I am confident I can help you work toward the growth and healing that is most meaningful and important to you! For clients wanting faith based or Christian counseling, I can integrate that into our work together.
(682) 297-4399 View (682) 297-4399
Rachelle Pritchard
Pre-Licensed Professional, Intern
Verified Verified
1 Endorsed
Fort Worth, TX 76104
Rachelle is a Master Level Intern currently completing her Master’s, with a concentration in clinical practice and a specialty in trauma-informed practice. She primarily works with adolescents and adults experiencing anxiety, stress, depression, grief, trauma, parenting, and foster/adoption issues. Her expertise spans family dynamics, marriage, parenting, and young adult development. Rachelle is committed to making a difference in the lives of others. She recognizes the need for culturally sensitive interventions and the significance of religion, spirituality, and philosophical perspectives in patient care.
Rachelle is a Master Level Intern currently completing her Master’s, with a concentration in clinical practice and a specialty in trauma-informed practice. She primarily works with adolescents and adults experiencing anxiety, stress, depression, grief, trauma, parenting, and foster/adoption issues. Her expertise spans family dynamics, marriage, parenting, and young adult development. Rachelle is committed to making a difference in the lives of others. She recognizes the need for culturally sensitive interventions and the significance of religion, spirituality, and philosophical perspectives in patient care.
(817) 381-7686 View (817) 381-7686
Photo of Mark Chaney, LPC, Licensed Professional Counselor
Mark Chaney
Licensed Professional Counselor, LPC
Verified Verified
1 Endorsed
Fort Worth, TX 76110  (Online Only)
My name is Mark Chaney. I provide counseling and counseling-related services for children, adolescents, adults, and families together. I have 15 + years of accumulative training and experience in the fields of mental health, trauma, domestic violence, foster care and adoption. Some clients I see are experiencing short-term stressors while others are experiencing longer-term mental health disturbances. For individual therapy, I generally treat adults and adolescents ages 12 and older.
My name is Mark Chaney. I provide counseling and counseling-related services for children, adolescents, adults, and families together. I have 15 + years of accumulative training and experience in the fields of mental health, trauma, domestic violence, foster care and adoption. Some clients I see are experiencing short-term stressors while others are experiencing longer-term mental health disturbances. For individual therapy, I generally treat adults and adolescents ages 12 and older.
(817) 790-9194 View (817) 790-9194
Photo of Kendrica Roberts, MA, LPC-A, LCDC, LPC Intern
Kendrica Roberts
LPC Intern, MA, LPC-A, LCDC
Verified Verified
1 Endorsed
Fort Worth, TX 76179  (Online Only)
I am founder and owner of KEEP Thriving PLLC which focuses on helping individuals become more knowledgeable, engaged and empowered people striving to overcome adversity regarding the stigma and preconceptions of their mental health. I have 6+ years of experience in the behavioral and mental health field working with individuals, couples and families using a variety of therapeutic modalities helping them understand and resolve internal and external conflict so that they can live a more meaningful life and work towards reaching self-actualization.
I am founder and owner of KEEP Thriving PLLC which focuses on helping individuals become more knowledgeable, engaged and empowered people striving to overcome adversity regarding the stigma and preconceptions of their mental health. I have 6+ years of experience in the behavioral and mental health field working with individuals, couples and families using a variety of therapeutic modalities helping them understand and resolve internal and external conflict so that they can live a more meaningful life and work towards reaching self-actualization.
(682) 900-6403 View (682) 900-6403
LaDonna Covington
Licensed Professional Counselor, MA, LPC
Verified Verified
Fort Worth, TX 76122  (Online Only)
I am a License Professional Counselor with 23 yrs experience in the medical and Behavioral Health field. I specialized in adults who struggle with depression, trauma, women issues, chronic pain, chronic medical issues, life transitions and crisis stabilization. I have served diverse populations such as: deaf and hard of hearing, homeless population, juvenile inmates, and severe mental illness. My desire is to foster a safe environment where individuals can feel that their experiences are value and work towards healing. My goal is to empower and support clients throughout their healing process.
I am a License Professional Counselor with 23 yrs experience in the medical and Behavioral Health field. I specialized in adults who struggle with depression, trauma, women issues, chronic pain, chronic medical issues, life transitions and crisis stabilization. I have served diverse populations such as: deaf and hard of hearing, homeless population, juvenile inmates, and severe mental illness. My desire is to foster a safe environment where individuals can feel that their experiences are value and work towards healing. My goal is to empower and support clients throughout their healing process.
(817) 754-4717 View (817) 754-4717
Photo of Leticia Acosta, LPC, Licensed Professional Counselor
Leticia Acosta
Licensed Professional Counselor, LPC
Verified Verified
Fort Worth, TX 76244  (Online Only)
My name is Letty, and I feel privileged to be regarded as a potential companion on your path to healing. As a professional counselor based in Texas, I bring six years of experience in supporting individuals with various concerns, including anxiety, depression, trauma, life transitions, grief, stress, work-life balance, and navigating relationship difficulties. I am genuinely grateful for the opportunity to collaborate with you and provide guidance throughout this transformative journey.
My name is Letty, and I feel privileged to be regarded as a potential companion on your path to healing. As a professional counselor based in Texas, I bring six years of experience in supporting individuals with various concerns, including anxiety, depression, trauma, life transitions, grief, stress, work-life balance, and navigating relationship difficulties. I am genuinely grateful for the opportunity to collaborate with you and provide guidance throughout this transformative journey.
(817) 623-5762 View (817) 623-5762
Photo of Tim Harris, MA, LPC, Licensed Professional Counselor
Tim Harris
Licensed Professional Counselor, MA, LPC
Verified Verified
Fort Worth, TX 76107
Life can be so hard to maneuver sometimes. No one is immuned from difficulty, setbacks and hard times. Sometimes it's good to talk to someone that will listen and sit with you during such difficulties. I'd like to be that person. I've been married for 33 years. I have a 26 year old son and a 22 year old daughter. I'm a Desert Storm Vet. I also spent many years in the software sales industry before becoming a therapist. I feel this gives me some credibility in many situations so I'm not coming to the table with a lack of experience. In my spare time, I like to hunt, fish, golf, hike and most anything outdoors.
Life can be so hard to maneuver sometimes. No one is immuned from difficulty, setbacks and hard times. Sometimes it's good to talk to someone that will listen and sit with you during such difficulties. I'd like to be that person. I've been married for 33 years. I have a 26 year old son and a 22 year old daughter. I'm a Desert Storm Vet. I also spent many years in the software sales industry before becoming a therapist. I feel this gives me some credibility in many situations so I'm not coming to the table with a lack of experience. In my spare time, I like to hunt, fish, golf, hike and most anything outdoors.
(817) 904-3662 View (817) 904-3662
Photo of Lilian S Ochoa, MS, LMFT-A, Marriage & Family Therapist Associate
Lilian S Ochoa
Marriage & Family Therapist Associate, MS, LMFT-A
Verified Verified
Fort Worth, TX 76107
Are you feeling a disconnect between your partner and you? After a while couples might find themselves struggling with issues that can slowly start to hurt the trust and connection in the relationship. We may find ourselves overwhelmed and not knowing how to move forward after a problem arises. Oftentimes, you could also be struggling with reconnecting with a parent or other important person in your life. We might be stuck in unhealthy cycles and not know how to take the first step to make change happen.
Are you feeling a disconnect between your partner and you? After a while couples might find themselves struggling with issues that can slowly start to hurt the trust and connection in the relationship. We may find ourselves overwhelmed and not knowing how to move forward after a problem arises. Oftentimes, you could also be struggling with reconnecting with a parent or other important person in your life. We might be stuck in unhealthy cycles and not know how to take the first step to make change happen.
(817) 396-7810 View (817) 396-7810
Photo of Amanda Campbell, LCSW, LCDC-I, Clinical Social Work/Therapist
Amanda Campbell
Clinical Social Work/Therapist, LCSW, LCDC-I
Verified Verified
2 Endorsed
Fort Worth, TX 76107
We all experience hard things. Bad things happen and we create ways to cope with that, some good and some not so good. Each person can grow and repair from simple issues to complex traumas and hurts. I utilize trauma-informed and attachment-based approaches like Brainspotting, Somatic Processing and Trust-Based Relational Intervention, to tackle the root cause of the problem, not just the symptom. I utilize a strengths-based approach with all clients and families and believe you should be able to have fun along the way to healing.
We all experience hard things. Bad things happen and we create ways to cope with that, some good and some not so good. Each person can grow and repair from simple issues to complex traumas and hurts. I utilize trauma-informed and attachment-based approaches like Brainspotting, Somatic Processing and Trust-Based Relational Intervention, to tackle the root cause of the problem, not just the symptom. I utilize a strengths-based approach with all clients and families and believe you should be able to have fun along the way to healing.
(817) 241-3458 View (817) 241-3458
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How does your Therapist compare?

Number of Therapists in Fort Worth, TX

1,000+

Average cost per session

$125

Therapists in Fort Worth, TX who prioritize treating:

92% Anxiety
88% Depression
75% Self Esteem
73% Coping Skills
67% Trauma and PTSD
66% Relationship Issues
65% Stress

Average years in practice

9 Years

Top 3 insurances accepted

89% Aetna
84% Cigna and Evernorth
82% UnitedHealthcare UHC | UBH

How Therapists in Fort Worth, TX see their clients

57% In Person and Online
43% Online Only

Gender breakdown

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

How can I find a therapist in Fort Worth?

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.