Therapists in Fort Worth, TX

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Photo of Arika Pickle, MA, Licensed Professional Counselor
Arika Pickle
Licensed Professional Counselor, MA
Verified Verified
4 Endorsed
Fort Worth, TX 76107
Are you pregnant and experiencing some overwhelming anxiety? Have you just had a baby and can’t figure out why you feel so sad? Maybe you’re feeing isolated or struggling to find the balance between being “mom” and who you were before becoming mom. I’m here to help and want you to know you are NOT alone! I am here to come alongside you to learn what issues may be weighing you down and how we can work together to have you experiencing the joy you desire in your life.
Are you pregnant and experiencing some overwhelming anxiety? Have you just had a baby and can’t figure out why you feel so sad? Maybe you’re feeing isolated or struggling to find the balance between being “mom” and who you were before becoming mom. I’m here to help and want you to know you are NOT alone! I am here to come alongside you to learn what issues may be weighing you down and how we can work together to have you experiencing the joy you desire in your life.
(682) 452-7680 View (682) 452-7680
Photo of Mary E Miller, MS, LMFT, Marriage & Family Therapist
Mary E Miller
Marriage & Family Therapist, MS, LMFT
Verified Verified
3 Endorsed
Fort Worth, TX 76107  (Online Only)
I specialize in individuals struggling with relationship problems, infidelity, areas related to sexuality and sexual functioning, family of origin issues, and individuals who are struggling with transition to empty nest. I welcome all individuals, including LGBTQIA communities and non-monogamy communities.
I specialize in individuals struggling with relationship problems, infidelity, areas related to sexuality and sexual functioning, family of origin issues, and individuals who are struggling with transition to empty nest. I welcome all individuals, including LGBTQIA communities and non-monogamy communities.
(817) 952-5216 View (817) 952-5216
Photo of Katie Fleming-Thomas, LPC, LPC-S, Licensed Professional Counselor
Katie Fleming-Thomas
Licensed Professional Counselor, LPC, LPC-S
Verified Verified
Fort Worth, TX 76116
Waitlist for new clients
Whether you're struggling with mood concerns, old patterns, relationship issues, major life changes, or simply need a supportive space to explore what matters most to you, I'm here to help. My goal is to support those seeking more peace, balance, and a sense of purpose in their lives. As a therapist with 15+ years of experience, my specialty lies in working with adult individuals challenged by mood issues, anxiety, attention difficulties, stress, grief, relationships, transitions & past trauma. Our sessions will utilize practical & supportive tools to help you feel grounded, gain insight & create positive changes for yourself.
Whether you're struggling with mood concerns, old patterns, relationship issues, major life changes, or simply need a supportive space to explore what matters most to you, I'm here to help. My goal is to support those seeking more peace, balance, and a sense of purpose in their lives. As a therapist with 15+ years of experience, my specialty lies in working with adult individuals challenged by mood issues, anxiety, attention difficulties, stress, grief, relationships, transitions & past trauma. Our sessions will utilize practical & supportive tools to help you feel grounded, gain insight & create positive changes for yourself.
(817) 761-1863 View (817) 761-1863
Photo of LaToya C Smith, LPC-S, Licensed Professional Counselor
LaToya C Smith
Licensed Professional Counselor, LPC-S
Verified Verified
1 Endorsed
Fort Worth, TX 76107
Self improvement and personal achievement are extremely important to you. You are driven and passionate about becoming the best version of you that you can be. However, unforeseen life circumstances have knocked you off course and lately you can't seem to find the traction to move forward. You still have hope, but don't know how to navigate out of this space. You do not have to remain stuck forever.
Self improvement and personal achievement are extremely important to you. You are driven and passionate about becoming the best version of you that you can be. However, unforeseen life circumstances have knocked you off course and lately you can't seem to find the traction to move forward. You still have hope, but don't know how to navigate out of this space. You do not have to remain stuck forever.
(682) 990-2866 View (682) 990-2866
Photo of Deisy Ybarra, MS, LPC-S, RPT-S, EMDR CT, Licensed Professional Counselor
Deisy Ybarra
Licensed Professional Counselor, MS, LPC-S, RPT-S, EMDR CT
Verified Verified
2 Endorsed
Fort Worth, TX 76135
Parents, what is you relationship with your children/teen like? Is it stressful? Parenting stress is something we don't often talk about. We might feel guilty for not always enjoying every aspect of parenting. I work with families who might be struggling with family stressors. Parents seek me out to help their child or teens who struggle with anxiety, depression, behavioral changes. My approach is different than other child therapist because I involve the parents in every step of the process and encourage them to be the parents that they want to be. It is hard to see your child suffer. I'm here to help.
Parents, what is you relationship with your children/teen like? Is it stressful? Parenting stress is something we don't often talk about. We might feel guilty for not always enjoying every aspect of parenting. I work with families who might be struggling with family stressors. Parents seek me out to help their child or teens who struggle with anxiety, depression, behavioral changes. My approach is different than other child therapist because I involve the parents in every step of the process and encourage them to be the parents that they want to be. It is hard to see your child suffer. I'm here to help.
(817) 242-5591 View (817) 242-5591
Photo of Maximino (Max) Crespo-Deynes, MM/MBA, NCC, LPC, LCPC, Licensed Professional Counselor
Maximino (Max) Crespo-Deynes
Licensed Professional Counselor, MM/MBA, NCC, LPC, LCPC
Verified Verified
1 Endorsed
Fort Worth, TX 76177  (Online Only)
Agradezco esta oportunidad para servirle. Primero que nada, es importante que sepa que tengo un gran respeto por cada persona, así como por sus circunstancias e historia. Yo me esfuerzo por alcanzar un nivel excepcional en nuestra relación terapéutica. Para esto, trato a cada cliente como único/a. Por ejemplo: Yo me enfoco en sus metas y presto muchísima atención a los métodos o técnicas de terapia con los cuales se sienta más cómodo/a (en otras palabras, mi tratamiento es personalizado y no genérico o “cookie cutter”). Como puede ver, soy completamente bilingüe (español e inglés). También tengo muchos años de experiencia.
Agradezco esta oportunidad para servirle. Primero que nada, es importante que sepa que tengo un gran respeto por cada persona, así como por sus circunstancias e historia. Yo me esfuerzo por alcanzar un nivel excepcional en nuestra relación terapéutica. Para esto, trato a cada cliente como único/a. Por ejemplo: Yo me enfoco en sus metas y presto muchísima atención a los métodos o técnicas de terapia con los cuales se sienta más cómodo/a (en otras palabras, mi tratamiento es personalizado y no genérico o “cookie cutter”). Como puede ver, soy completamente bilingüe (español e inglés). También tengo muchos años de experiencia.
(630) 509-7924 View (630) 509-7924
Photo of Robin Henderson, LMSW
Robin Henderson
Licensed Master Social Worker, LMSW
Verified Verified
1 Endorsed
Fort Worth, TX 76107
Being heard is a fundamental human need and holds tremendous power for growth and well-being. Helping people learn to recognize and use their strengths and available resources to build resilience and experience positive change is my overall goal for therapy. My priority is to meet you where you are and proceed in the direction that makes you most comfortable. Working together to map out a personalize plan focused on healing and positive change is essential to the therapeutic process. The challenges faced today by youth and adults alike can be overwhelming and all-consuming. I can help navigate through these difficulties.
Being heard is a fundamental human need and holds tremendous power for growth and well-being. Helping people learn to recognize and use their strengths and available resources to build resilience and experience positive change is my overall goal for therapy. My priority is to meet you where you are and proceed in the direction that makes you most comfortable. Working together to map out a personalize plan focused on healing and positive change is essential to the therapeutic process. The challenges faced today by youth and adults alike can be overwhelming and all-consuming. I can help navigate through these difficulties.
(817) 934-7340 View (817) 934-7340
Photo of Sharlene Horak, MSW, LCSW, Clinical Social Work/Therapist
Sharlene Horak
Clinical Social Work/Therapist, MSW, LCSW
Verified Verified
Fort Worth, TX 76104
I am very interested in all that has been gained in the area of the brain and trauma research in the last decade and the new ways we have of approaching trauma as well as those troublesome unconscious patterns that drive us. These patterns very often leave us stuck without us even knowing it! Each person has huge untapped potential in reservoirs of which they are sometimes simply unaware. A situation that seems impossible can be infused with new creativity and that produces a very different type of response. Even telling the story is healing - a relief in itself.
I am very interested in all that has been gained in the area of the brain and trauma research in the last decade and the new ways we have of approaching trauma as well as those troublesome unconscious patterns that drive us. These patterns very often leave us stuck without us even knowing it! Each person has huge untapped potential in reservoirs of which they are sometimes simply unaware. A situation that seems impossible can be infused with new creativity and that produces a very different type of response. Even telling the story is healing - a relief in itself.
(817) 479-9367 View (817) 479-9367
Photo of Zully Schultz - Reconnecting Relationships Therapy, MS, LMFT, Marriage & Family Therapist
Reconnecting Relationships Therapy
Marriage & Family Therapist, MS, LMFT
Verified Verified
Fort Worth, TX 76107
Struggling with a relationship? Feeling down? Don’t know what direction you’re going anymore? We understand life and relationships can be challenging. But, we also know there can be solutions and easier ways to handle difficult things. You don’t have to keep going around in circles. We can help guide you through the process so you can get back on track and feel good again.
Struggling with a relationship? Feeling down? Don’t know what direction you’re going anymore? We understand life and relationships can be challenging. But, we also know there can be solutions and easier ways to handle difficult things. You don’t have to keep going around in circles. We can help guide you through the process so you can get back on track and feel good again.
(817) 854-2071 View (817) 854-2071
Brighter Possibilities Family Counseling
Licensed Professional Counselor, MA, LPC
Verified Verified
Fort Worth, TX 76102
Greetings from Brighter Possibilities. Brighter Possibilities is a counseling facility located in Fort Worth, Texas. Our goal is to assist the community by providing counseling services for children, adolescents, families, couples and individuals. We want to ensure our clients find the assistance they are seeking so we give our clients the opportunity to collaborate with their therapist and choose which therapist they feel will be most helpful in achieving their desired goals. We offer services in Spanish and English and we accept most major insurances. We look forward to assisting you in discovering your Brighter Possibilities.
Greetings from Brighter Possibilities. Brighter Possibilities is a counseling facility located in Fort Worth, Texas. Our goal is to assist the community by providing counseling services for children, adolescents, families, couples and individuals. We want to ensure our clients find the assistance they are seeking so we give our clients the opportunity to collaborate with their therapist and choose which therapist they feel will be most helpful in achieving their desired goals. We offer services in Spanish and English and we accept most major insurances. We look forward to assisting you in discovering your Brighter Possibilities.
(817) 310-8412 View (817) 310-8412
Photo of Jami D. Irons, LCSW, Clinical Social Work/Therapist
Jami D. Irons
Clinical Social Work/Therapist, LCSW
Verified Verified
Fort Worth, TX 76244
Sometimes we all need help navigating life's biggest challenges. It takes courage to reach out and ask for help. I'm happy you chose counseling as a way to find balance and strength. I have been serving children, teens, adults and families for over 20 years. I am looking forward to walking alongside as you discover your resilience and strength.
Sometimes we all need help navigating life's biggest challenges. It takes courage to reach out and ask for help. I'm happy you chose counseling as a way to find balance and strength. I have been serving children, teens, adults and families for over 20 years. I am looking forward to walking alongside as you discover your resilience and strength.
(817) 318-7811 View (817) 318-7811
Photo of Ryan Moore, MS, LPC-A
Ryan Moore
LPC Associate, MS, LPC-A
Verified Verified
Fort Worth, TX 76107
Welcome Fort Worth! Now accepting New Clients (Evening & Weekend Appointments Now Available). I am excited to introduce myself as your therapist. If you are feeling hopeless and ready to make a change, you have already taken the first courageous step towards improving your mental health. I understand that finding the right therapist can be a daunting task, but it is crucial to find someone who truly understands you and who you feel comfortable talking to.
Welcome Fort Worth! Now accepting New Clients (Evening & Weekend Appointments Now Available). I am excited to introduce myself as your therapist. If you are feeling hopeless and ready to make a change, you have already taken the first courageous step towards improving your mental health. I understand that finding the right therapist can be a daunting task, but it is crucial to find someone who truly understands you and who you feel comfortable talking to.
(817) 934-1661 View (817) 934-1661
Photo of Kiara M. Williams, MS, LPC, CCTP, PMH-C, Licensed Professional Counselor
Kiara M. Williams
Licensed Professional Counselor, MS, LPC, CCTP, PMH-C
Verified Verified
4 Endorsed
Fort Worth, TX 76107  (Online Only)
I believe a strong relationship between the counselor and the client fosters an environment for positive change. A person’s faith is a foundational piece that aides in the healing of physical, mental and emotional issues or trauma. As we begin to delicately restructure each piece of your life, clients can begin their journey of self-exploration and work toward their desired change. Let me help you learn and develop meaningful ways to handle the issues that are standing in the way of your goals.
I believe a strong relationship between the counselor and the client fosters an environment for positive change. A person’s faith is a foundational piece that aides in the healing of physical, mental and emotional issues or trauma. As we begin to delicately restructure each piece of your life, clients can begin their journey of self-exploration and work toward their desired change. Let me help you learn and develop meaningful ways to handle the issues that are standing in the way of your goals.
(469) 754-8443 View (469) 754-8443
Photo of Erica Soto, LPC, Licensed Professional Counselor
Erica Soto
Licensed Professional Counselor, LPC
Verified Verified
Fort Worth, TX 76109
I specialize in working with depression, anxiety, maladaptive behaviors such as self-harming and suicidal ideation, low self-esteem, behavioral issues, life transitions, all by implementing healthy coping skills, insight and creating a safe space for an individual to address their struggles.
I specialize in working with depression, anxiety, maladaptive behaviors such as self-harming and suicidal ideation, low self-esteem, behavioral issues, life transitions, all by implementing healthy coping skills, insight and creating a safe space for an individual to address their struggles.
(682) 297-5602 View (682) 297-5602
Photo of Steven Kopor - Christian Counseling of Texas, LPC-S, BCPCC, LCDC, Licensed Professional Counselor
Christian Counseling of Texas
Licensed Professional Counselor, LPC-S, BCPCC, LCDC
Verified Verified
Fort Worth, TX 76116
At Christian Counseling of Texas we are psychologically trained mental health professionals who integrate our knowledge, skills, and abilities with our Christian faith. We think blending scientific counseling and Christian counseling is a wonderful specialization because it's a match made in heaven. We provide professional counseling from a Christian perspective to address spiritual, psychological, emotional and mental health issues. Rest assured that your fundamental Christian beliefs are valued.
At Christian Counseling of Texas we are psychologically trained mental health professionals who integrate our knowledge, skills, and abilities with our Christian faith. We think blending scientific counseling and Christian counseling is a wonderful specialization because it's a match made in heaven. We provide professional counseling from a Christian perspective to address spiritual, psychological, emotional and mental health issues. Rest assured that your fundamental Christian beliefs are valued.
(817) 718-7100 View (817) 718-7100
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 Robert Peacock, LCSW-S, EMDR, Clinical Social Work/Therapist
Robert Peacock
Clinical Social Work/Therapist, LCSW-S, EMDR
Verified Verified
15 Endorsed
Fort Worth, TX 76107
Do you find that you experience emotions like fear, sadness, guilt, shame, or anger but do not know the source of it? Does it seem that you can be going about your day in a routine way, and suddenly your partner, boss, family member, etc. says or does something, and your emotions take over to the point you don't think straight? As an EMDR Certified Therapist, I can help you get to the root of what causes these seemingly uncontrollable reactions, so that you can live the life you want.
Do you find that you experience emotions like fear, sadness, guilt, shame, or anger but do not know the source of it? Does it seem that you can be going about your day in a routine way, and suddenly your partner, boss, family member, etc. says or does something, and your emotions take over to the point you don't think straight? As an EMDR Certified Therapist, I can help you get to the root of what causes these seemingly uncontrollable reactions, so that you can live the life you want.
(682) 478-2667 View (682) 478-2667
Photo of Gabrielle M Rendon, LPC-S, Licensed Professional Counselor
Gabrielle M Rendon
Licensed Professional Counselor, LPC-S
Verified Verified
1 Endorsed
Fort Worth, TX 76179
I am a licensed professional counselor supervisor, with over a decade of experience working with adolescents and adults dealing with anxiety, depression, Autism, ADHD, stress, marriage and familial struggles. I utilize modalities such as: solution focus, Gottman method for marital issues, and cognitive behavioral approach . I can assist with developing healthy cognitions/behaviors, and skills in a non-judgmental, empathic and safe environment. I specialize in parenting education and support, Christian counseling, marriage conflict, family difficulties, learning to work with your mental health, and school related issues.
I am a licensed professional counselor supervisor, with over a decade of experience working with adolescents and adults dealing with anxiety, depression, Autism, ADHD, stress, marriage and familial struggles. I utilize modalities such as: solution focus, Gottman method for marital issues, and cognitive behavioral approach . I can assist with developing healthy cognitions/behaviors, and skills in a non-judgmental, empathic and safe environment. I specialize in parenting education and support, Christian counseling, marriage conflict, family difficulties, learning to work with your mental health, and school related issues.
(817) 826-9712 View (817) 826-9712
Photo of Samantha Hunt, MA, LPC, C-DBT, Licensed Professional Counselor
Samantha Hunt
Licensed Professional Counselor, MA, LPC, C-DBT
Verified Verified
1 Endorsed
Fort Worth, TX 76135
Have you been struggling to connect within your current relationships? Have you experienced significant anxiety and depression within social and work environments? Do you feel like your emotions overwhelm you? Sometimes building and maintaining relationships is challenging. When struggling to find connection we can begin to doubt our own self, which can lead to anxiety, depression, and a negative view of ourself. My name is Samantha Hunt, and I want to help you rediscover yourself and build healthy connections.
Have you been struggling to connect within your current relationships? Have you experienced significant anxiety and depression within social and work environments? Do you feel like your emotions overwhelm you? Sometimes building and maintaining relationships is challenging. When struggling to find connection we can begin to doubt our own self, which can lead to anxiety, depression, and a negative view of ourself. My name is Samantha Hunt, and I want to help you rediscover yourself and build healthy connections.
(682) 255-1453 View (682) 255-1453
Photo of Dr. Bree Ajayi, PhD, LPC, CST, Licensed Professional Counselor
Dr. Bree Ajayi
Licensed Professional Counselor, PhD, LPC, CST
Verified Verified
Fort Worth, TX 76137  (Online Only)
Are you facing challenges in your relationships? Do you find communication difficult with your partner? Are issues surrounding sex and intimacy causing distress? Finding a mental health professional who genuinely respects your experiences and identity can be challenging. I understand the struggle of finding the right therapist for you. My approach focuses on guiding individuals and couples towards a deeper understanding of their sexual and relational well-being. I provide compassionate support to help you navigate the complexities of your experiences and address the emotional impact they may have.
Are you facing challenges in your relationships? Do you find communication difficult with your partner? Are issues surrounding sex and intimacy causing distress? Finding a mental health professional who genuinely respects your experiences and identity can be challenging. I understand the struggle of finding the right therapist for you. My approach focuses on guiding individuals and couples towards a deeper understanding of their sexual and relational well-being. I provide compassionate support to help you navigate the complexities of your experiences and address the emotional impact they may have.
(682) 281-5126 View (682) 281-5126
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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
74% Self Esteem
72% Coping Skills
67% Trauma and PTSD
65% 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

83% Female
16% 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.