Therapists in Marble Falls, TX

Photo of Sara Bushey-Reyes, MA, LPC, Licensed Professional Counselor
Sara Bushey-Reyes
Licensed Professional Counselor, MA, LPC
Verified Verified
1 Endorsed
Marble Falls, TX 78654
As people, we all continue to grow and learn throughout our lifetime. Counseling is just that, growing and learning more about yourself and how you relate to others and the world. If you don't know who you are, I would love to explore that with you. I am a strong believer in equality and in affirming who you are; your values and beliefs. I believe in celebrating and honoring our differences. Everyone struggles from time to time and my passion is to walk along side you and offer you the support you need.
As people, we all continue to grow and learn throughout our lifetime. Counseling is just that, growing and learning more about yourself and how you relate to others and the world. If you don't know who you are, I would love to explore that with you. I am a strong believer in equality and in affirming who you are; your values and beliefs. I believe in celebrating and honoring our differences. Everyone struggles from time to time and my passion is to walk along side you and offer you the support you need.
(512) 234-4551 View (512) 234-4551
Photo of Tiffany Chanelle Alexander, MACLP, LPC-A
Tiffany Chanelle Alexander
Licensed Professional Counselor Associate, MACLP, LPC-A
Verified Verified
1 Endorsed
Marble Falls, TX 78654  (Online Only)
Welcome! I’m so glad you’ve taken the first step toward your well-being by seeking counseling. My name is Tiffany, and I am a Licensed Professional Counselor Associate. I aim to work with you to explore and address your challenges and help you build a path toward a more fulfilling life. I will provide a safe and supportive environment where your mental and emotional health is my top priority. Whether you’re here for individual therapy or any other form of support, this is a place where your concerns will be heard with empathy and respect.
Welcome! I’m so glad you’ve taken the first step toward your well-being by seeking counseling. My name is Tiffany, and I am a Licensed Professional Counselor Associate. I aim to work with you to explore and address your challenges and help you build a path toward a more fulfilling life. I will provide a safe and supportive environment where your mental and emotional health is my top priority. Whether you’re here for individual therapy or any other form of support, this is a place where your concerns will be heard with empathy and respect.
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Photo of Heather Hanlin - Ghost Paint Therapy, MA, LPC A, Licensed Professional Counselor
Ghost Paint Therapy
Licensed Professional Counselor, MA, LPC A
Verified Verified
2 Endorsed
Marble Falls, TX 78654
Do you ask yourself “I’m smart, why is this so difficult?” Or find yourself repeating patterns where you think, “I should know better?” Maybe you were identified as Gifted as a child (or your teen is gifted) and wonder why they call it "gifted" when things are hard? Do you feel you lost your giftedness when you entered high school and gifted "support" became AP classes? Then maybe you could use a guide to help you uncover and understand those things you feel you “should know” or be able to do but might not have ever been taught. Bringing yourself in line with who you want to be is one of the things therapy can do for you.
Do you ask yourself “I’m smart, why is this so difficult?” Or find yourself repeating patterns where you think, “I should know better?” Maybe you were identified as Gifted as a child (or your teen is gifted) and wonder why they call it "gifted" when things are hard? Do you feel you lost your giftedness when you entered high school and gifted "support" became AP classes? Then maybe you could use a guide to help you uncover and understand those things you feel you “should know” or be able to do but might not have ever been taught. Bringing yourself in line with who you want to be is one of the things therapy can do for you.
(830) 469-3350 View (830) 469-3350
Photo of Ellen Nessner, MS, MA, LPC, Licensed Professional Counselor
Ellen Nessner
Licensed Professional Counselor, MS, MA, LPC
Verified Verified
1 Endorsed
Marble Falls, TX 78654
It takes personal courage to seek help of any type. Please congratulate yourself for reaching out to a professional to assist you in sorting life’s difficulties into positive change. While change is difficult and takes courage, with support and compassion, it can be part of anyone’s life. I would be honored to be a part of that change with you.
It takes personal courage to seek help of any type. Please congratulate yourself for reaching out to a professional to assist you in sorting life’s difficulties into positive change. While change is difficult and takes courage, with support and compassion, it can be part of anyone’s life. I would be honored to be a part of that change with you.
(737) 339-8323 View (737) 339-8323
Photo of Meredith Burdett, MS, LMFT-A, Marriage & Family Therapist Associate
Meredith Burdett
Marriage & Family Therapist Associate, MS, LMFT-A
Verified Verified
4 Endorsed
Marble Falls, TX 78654
Hello and welcome! My ideal client is someone who is open to engaging in the therapeutic process. Regardless of their presenting concern, they are motivated to make positive changes and are willing to collaborate in developing strategies and solutions. They value a safe and empathetic space where they can express themselves honestly and feel supported without judgment. This client is open to reflecting on their experiences and is committed to self-discovery and growth!
Hello and welcome! My ideal client is someone who is open to engaging in the therapeutic process. Regardless of their presenting concern, they are motivated to make positive changes and are willing to collaborate in developing strategies and solutions. They value a safe and empathetic space where they can express themselves honestly and feel supported without judgment. This client is open to reflecting on their experiences and is committed to self-discovery and growth!
(830) 745-6481 View (830) 745-6481
Photo of Lauren Taylor, MS, LMFT, CST, Marriage & Family Therapist
Lauren Taylor
Marriage & Family Therapist, MS, LMFT, CST
Verified Verified
1 Endorsed
Marble Falls, TX 78654
Relationships are hard. Family relationships, romantic relationships, friendships, nobody knows how to do it perfectly. However, these relationships impact us daily and change the way we relate to the world around us and live our day to day lives. Taking care of these relationships and ourselves is imperative to our wellbeing and I consider it a privilege to walk alongside as you work toward your goals. I am honored provide a subjective space and promote intentional conversation with people who are navigating their emotions/reactions, personal goals, relationship dynamics, sexual dysfunction/issues and gender/sexuality exploration.
Relationships are hard. Family relationships, romantic relationships, friendships, nobody knows how to do it perfectly. However, these relationships impact us daily and change the way we relate to the world around us and live our day to day lives. Taking care of these relationships and ourselves is imperative to our wellbeing and I consider it a privilege to walk alongside as you work toward your goals. I am honored provide a subjective space and promote intentional conversation with people who are navigating their emotions/reactions, personal goals, relationship dynamics, sexual dysfunction/issues and gender/sexuality exploration.
(830) 201-3454 View (830) 201-3454
Photo of Julianna Cotton, MSW, LCSW, Clinical Social Work/Therapist
Julianna Cotton
Clinical Social Work/Therapist, MSW, LCSW
Verified Verified
1 Endorsed
Marble Falls, TX 78654
Not accepting new clients
We all have times in our lives where we hit a rough patch and need someone to talk to... a neutral figure who can provide you with insight and ideas to help you find your own solutions to effectively cope/resolve the challenges in your life. I can be that person for you. We can also have times in our lives where we may have experienced a traumatic event and perhaps, we swept our feelings under the rug for many years even, but now, we need to work through it because those unresolved thoughts and feelings are starting to have a negative impact in our lives and in our significant relationships. I can help you do just that!
We all have times in our lives where we hit a rough patch and need someone to talk to... a neutral figure who can provide you with insight and ideas to help you find your own solutions to effectively cope/resolve the challenges in your life. I can be that person for you. We can also have times in our lives where we may have experienced a traumatic event and perhaps, we swept our feelings under the rug for many years even, but now, we need to work through it because those unresolved thoughts and feelings are starting to have a negative impact in our lives and in our significant relationships. I can help you do just that!
(830) 445-2324 View (830) 445-2324
Photo of Ali Corona, LCSW, Clinical Social Work/Therapist
Ali Corona
Clinical Social Work/Therapist, LCSW
Verified Verified
Marble Falls, TX 78654
Waitlist for new clients
No one should feel alone when experiencing pain. I am passionate about walking alongside people on their healing journey. I meet you where you are, create a personalized care plan, and encourage you every step of the way as you develop skills that can be used in many seasons of life.
No one should feel alone when experiencing pain. I am passionate about walking alongside people on their healing journey. I meet you where you are, create a personalized care plan, and encourage you every step of the way as you develop skills that can be used in many seasons of life.
(830) 365-0762 View (830) 365-0762
Photo of Victoria Marie Ambrus - New Roads Psychological & Wellness Svcs Texas PLLC, PhD , LP, LPC, Psychologist
New Roads Psychological & Wellness Svcs Texas PLLC
Psychologist, PhD , LP, LPC
Verified Verified
Marble Falls, TX 78654
Waitlist for new clients
Private psychology practice focusing on individual and family counseling for depression, anxiety, trauma, women’s issues, and neurodevelopmental disorders. Parent training and consultation offered for parents of children with behavioral health concerns.
Private psychology practice focusing on individual and family counseling for depression, anxiety, trauma, women’s issues, and neurodevelopmental disorders. Parent training and consultation offered for parents of children with behavioral health concerns.
(830) 251-4246 View (830) 251-4246
Photo of Tommy Thomas, Psychologist
Tommy Thomas
Psychologist
Verified Verified
Marble Falls, TX 78654  (Online Only)
If you're unsure about who you are and what your strengths are, I can help you find yourself and discover all your strengths. The next step is to learn how to be flexible and use not only the strengths you prefer but all your strengths. The third step is to become psychologically agile. That means that you can access all the strengths that you need to succeed in specific situations. I am most helpful to people who want to achieve the next level of their success (in their personal and business lives) and strengthen their relationships with other people.
If you're unsure about who you are and what your strengths are, I can help you find yourself and discover all your strengths. The next step is to learn how to be flexible and use not only the strengths you prefer but all your strengths. The third step is to become psychologically agile. That means that you can access all the strengths that you need to succeed in specific situations. I am most helpful to people who want to achieve the next level of their success (in their personal and business lives) and strengthen their relationships with other people.
(512) 861-8904 View (512) 861-8904
Photo of Mary Mercedes Richards - Spirit of Serene Healing Counseling LLC, MS, LPC-S, NCC, CART, Licensed Professional Counselor
Spirit of Serene Healing Counseling LLC
Licensed Professional Counselor, MS, LPC-S, NCC, CART
Verified Verified
Marble Falls, TX 78654
Everyone is unique in their own way with their own needs and purpose to fulfill. With life having many challenges, so we begin with a goal to live each moment with sincere and serene grace, to laugh about at least one thing every day, and to love with passion and compassion. There is always hope for renewal and a bright future so long as we focus on our goals.
Everyone is unique in their own way with their own needs and purpose to fulfill. With life having many challenges, so we begin with a goal to live each moment with sincere and serene grace, to laugh about at least one thing every day, and to love with passion and compassion. There is always hope for renewal and a bright future so long as we focus on our goals.
(830) 798-1443 x300 View (830) 798-1443 x300
Photo of Randall L Parsons - Christian Counseling Infinite Agape Ministries, RN, DMin, Pastoral Counselor
Christian Counseling Infinite Agape Ministries
Pastoral Counselor, RN, DMin
Verified Verified
Marble Falls, TX 78654
"We provide a "safe place" by remaining strictly confidential and non-judgemental." We genuinely love and care for you. Our pastoral/discipleship counselors provide you with the tools, education and training to help you understand and appropriate the fact that peace comes from the inside regardless of your circumstances. Everyone comes into this world with the God given need to feel secure, be loved, feel adequate, accepted and valued (self-worth). Member of Grace Life Institute/International, Network220, Exchanged Life Ministries and the National Christian Counselors Association.
"We provide a "safe place" by remaining strictly confidential and non-judgemental." We genuinely love and care for you. Our pastoral/discipleship counselors provide you with the tools, education and training to help you understand and appropriate the fact that peace comes from the inside regardless of your circumstances. Everyone comes into this world with the God given need to feel secure, be loved, feel adequate, accepted and valued (self-worth). Member of Grace Life Institute/International, Network220, Exchanged Life Ministries and the National Christian Counselors Association.
(830) 215-8778 View (830) 215-8778
Photo of Sandra Galyon, LCSW, Clinical Social Work/Therapist
Sandra Galyon
Clinical Social Work/Therapist, LCSW
Verified Verified
1 Endorsed
Marble Falls, TX 78654
Life can be rough, and sometimes we need a little help getting by and coping. I have always been led to help people, and have found my calling in counseling people through their trials. I have worked with individuals of various ages and issues. My goal is to help you build coping skills to get you over the challenges in your daily life and return to a sense of balance and serenity.
Life can be rough, and sometimes we need a little help getting by and coping. I have always been led to help people, and have found my calling in counseling people through their trials. I have worked with individuals of various ages and issues. My goal is to help you build coping skills to get you over the challenges in your daily life and return to a sense of balance and serenity.
(830) 201-3028 View (830) 201-3028
Photo of Kristine S. Miller, MA, LMFT, Marriage & Family Therapist
Kristine S. Miller
Marriage & Family Therapist, MA, LMFT
Verified Verified
3 Endorsed
Marble Falls, TX 78654
Pssst! Hey there! Yes, YOU! The one feeling stressed, exhausted and beyond overwhelmed! Your life may have been in balance before, with time for family, friends, and a successful career, but now everything has become so chaotic. Your fights are intensifying, infidelity may be present, your workload is insane, and loneliness pervades your days. You are on edge or shut down most of the time. And you're worried because no matter how hard you try, nothing seems to work. You just want it all to stop. This could be a sign of unresolved trauma - I get it, and I'm here to help. Don't give up, I'm here to listen and guide you through.
Pssst! Hey there! Yes, YOU! The one feeling stressed, exhausted and beyond overwhelmed! Your life may have been in balance before, with time for family, friends, and a successful career, but now everything has become so chaotic. Your fights are intensifying, infidelity may be present, your workload is insane, and loneliness pervades your days. You are on edge or shut down most of the time. And you're worried because no matter how hard you try, nothing seems to work. You just want it all to stop. This could be a sign of unresolved trauma - I get it, and I'm here to help. Don't give up, I'm here to listen and guide you through.
(830) 219-4377 View (830) 219-4377
Photo of Denise Butler-Owen, LCSW, Clinical Social Work/Therapist
Denise Butler-Owen
Clinical Social Work/Therapist, LCSW
Verified Verified
Marble Falls, TX 78654  (Online Only)
Are you feeling anxious or stuck in life situations? With 20+ years of experience, together we can discover new coping skills and solutions for todays life struggles and unexpected events. I offer individual and couples counseling within a therapeutic environment that can assist in anxiety, depression, emotional healing and other traumatic situations. Additionally, I offer Life Coaching that helps you focus on setting and achieving goals. Counseling and Life Coaching will make “the difference" you need in your life.
Are you feeling anxious or stuck in life situations? With 20+ years of experience, together we can discover new coping skills and solutions for todays life struggles and unexpected events. I offer individual and couples counseling within a therapeutic environment that can assist in anxiety, depression, emotional healing and other traumatic situations. Additionally, I offer Life Coaching that helps you focus on setting and achieving goals. Counseling and Life Coaching will make “the difference" you need in your life.
(409) 673-0391 View (409) 673-0391
Photo of Martin Patrick Noel, MA, LMFT-A, Marriage & Family Therapist Associate
Martin Patrick Noel
Marriage & Family Therapist Associate, MA, LMFT-A
Verified Verified
Marble Falls, TX 78654
People have always been my passion. They fascinate me...what makes them tick, what makes them happy, how they fit together. People are defined by their culture, their beliefs, their relationships, connections, communications, structure, and family. All people are connected. Everyone affects everyone they know. When one person has problems, everyone in the family is affected. Sometimes the relationships themselves need work; but everyone needs to tell their story, to feel heard and validated. Everyone deserves to declare their voice, their identity. And sometimes, we all need a little help with telling others our needs and feelings.
People have always been my passion. They fascinate me...what makes them tick, what makes them happy, how they fit together. People are defined by their culture, their beliefs, their relationships, connections, communications, structure, and family. All people are connected. Everyone affects everyone they know. When one person has problems, everyone in the family is affected. Sometimes the relationships themselves need work; but everyone needs to tell their story, to feel heard and validated. Everyone deserves to declare their voice, their identity. And sometimes, we all need a little help with telling others our needs and feelings.
(512) 567-4269 View (512) 567-4269
Photo of Khandyce Pitner, LPC, Licensed Professional Counselor
Khandyce Pitner
Licensed Professional Counselor, LPC
Verified Verified
1 Endorsed
Marble Falls, TX 78654
My name is Khandyce Pitner, and I am a Licensed Professional Counselor with over seven years of experience counseling children, adolescents, adults, couples, and groups. I have worked with many individuals suffering from Anxiety, Depression, Trauma and PTSD, Coping Skills, Life Transitions, Substance Use, Low-SES, Women’s issues, and more. I use a mix of Acceptance and Commitment (ACT), Client-Centered Therapy, Cognitive Behavioral (CBT), Eclectic, and Trauma Focused therapies. I believe that my passion is to guide, assist, and support you in recognizing and utilizing your most significant potential for change.
My name is Khandyce Pitner, and I am a Licensed Professional Counselor with over seven years of experience counseling children, adolescents, adults, couples, and groups. I have worked with many individuals suffering from Anxiety, Depression, Trauma and PTSD, Coping Skills, Life Transitions, Substance Use, Low-SES, Women’s issues, and more. I use a mix of Acceptance and Commitment (ACT), Client-Centered Therapy, Cognitive Behavioral (CBT), Eclectic, and Trauma Focused therapies. I believe that my passion is to guide, assist, and support you in recognizing and utilizing your most significant potential for change.
(682) 297-5732 View (682) 297-5732
Photo of Pamela Morales Garcia, PhD, LPC, Licensed Professional Counselor
Pamela Morales Garcia
Licensed Professional Counselor, PhD, LPC
Verified Verified
Marble Falls, TX 78654
My therapeutic approach focuses on assisting you to explore, understand, and develop effective strategies to change life situations that cause trauma, stress, anxiety, depression, and addictions. I assist clients to be heard in safe, emotionally secure setting with a personal therapeutic connection. Improving your quality of Life is the goal. I specialize in identifying the inappropriate stress coping techniques we use in dealing with daily life stress. Understanding and changing these behaviors results in a healthier, positive, and growth oriented life.
My therapeutic approach focuses on assisting you to explore, understand, and develop effective strategies to change life situations that cause trauma, stress, anxiety, depression, and addictions. I assist clients to be heard in safe, emotionally secure setting with a personal therapeutic connection. Improving your quality of Life is the goal. I specialize in identifying the inappropriate stress coping techniques we use in dealing with daily life stress. Understanding and changing these behaviors results in a healthier, positive, and growth oriented life.
(361) 386-2601 View (361) 386-2601
Photo of Camilla Bolch, LCSW, Clinical Social Work/Therapist
Camilla Bolch
Clinical Social Work/Therapist, LCSW
Verified Verified
Marble Falls, TX 78654  (Online Only)
I am passionate about helping children and their parents experience "less stress and more success" in their daily lives. My client-centered approach includes play-based activities, CBT, stress-management and mindfulness training. I offer therapeutic parenting support to help families reach their goals. With over 25 years of experience, I still delight in helping my clients recognize and affirm their unique strengths and find positive, creative solutions to overcome the challenges they face.
I am passionate about helping children and their parents experience "less stress and more success" in their daily lives. My client-centered approach includes play-based activities, CBT, stress-management and mindfulness training. I offer therapeutic parenting support to help families reach their goals. With over 25 years of experience, I still delight in helping my clients recognize and affirm their unique strengths and find positive, creative solutions to overcome the challenges they face.
(512) 861-8711 View (512) 861-8711
Photo of Amanda Spencer, LCSW, Clinical Social Work/Therapist
Amanda Spencer
Clinical Social Work/Therapist, LCSW
Verified Verified
Marble Falls, TX 78657  (Online Only)
Amanda Spencer, Psy.D, LCSW is Doctor of Psychology and a Licensed Clinical Social Worker with a concentration in Clinical Psychology which focuses on Rurality and Communities. Because of Dr. Amanda Spencer’s love for people, she has a diverse background and experience with Cognitive Behavioral Therapy (CBT), Trauma and Crisis Intervention, Solution Focused, Stress Management, Mood Management, Empowerment, increasing self-worth, Mind/body and connection, and Work life/balance integration.
Amanda Spencer, Psy.D, LCSW is Doctor of Psychology and a Licensed Clinical Social Worker with a concentration in Clinical Psychology which focuses on Rurality and Communities. Because of Dr. Amanda Spencer’s love for people, she has a diverse background and experience with Cognitive Behavioral Therapy (CBT), Trauma and Crisis Intervention, Solution Focused, Stress Management, Mood Management, Empowerment, increasing self-worth, Mind/body and connection, and Work life/balance integration.
(855) 612-7757 View (855) 612-7757
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How does your Therapist compare?

Number of Therapists in Marble Falls, TX

20+

Average cost per session

$125

Therapists in Marble Falls, TX who prioritize treating:

86% Anxiety
72% Relationship Issues
69% Depression
69% Trauma and PTSD
69% Stress
66% Grief
66% Coping Skills

Average years in practice

11 Years

Top 3 insurances accepted

68% BlueCross and BlueShield
68% Cigna and Evernorth
63% UnitedHealthcare UHC | UBH

How Therapists in Marble Falls, TX see their clients

69% In Person and Online
31% Online Only

Gender breakdown

86% Female
14% Male
FAQs - About Therapy and Counseling

How can I find a therapist in Marble Falls?

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.