Therapists in Georgetown, TX

Photo of Vienna Michaelsen, MA, LPC
Vienna Michaelsen
MA, LPC
Verified Verified
1 Endorsed
Georgetown, TX 78626
As a therapist, I approach each individual with a trauma-informed and holistic perspective, recognizing the interconnectedness of mind, body, and spirit in the healing process. My practice is grounded in compassion, empathy, and cultural humility, creating a safe and non-judgmental space for clients to explore their past experiences and present challenges. By integrating evidence-based modalities with mindfulness techniques and somatic awareness, I support clients in processing trauma, regulating emotions, and restoring a sense of safety and empowerment.
As a therapist, I approach each individual with a trauma-informed and holistic perspective, recognizing the interconnectedness of mind, body, and spirit in the healing process. My practice is grounded in compassion, empathy, and cultural humility, creating a safe and non-judgmental space for clients to explore their past experiences and present challenges. By integrating evidence-based modalities with mindfulness techniques and somatic awareness, I support clients in processing trauma, regulating emotions, and restoring a sense of safety and empowerment.
(512) 890-0610 View (512) 890-0610
Photo of Robert Gallegos, LPC-S, Licensed Professional Counselor
Robert Gallegos
Licensed Professional Counselor, LPC-S
Verified Verified
2 Endorsed
Georgetown, TX 78628
Hi. My name is Robert and I am a Licensed Professional Counselor Supervisor (LPC-S). I earned my Bachelor of Arts degree in Psychology from Texas A&M International University in 1999 and a Master of Arts degree in Community Counseling from Texas State University in 2013. Since 1999, I have been working with many different populations and all ages in the mental health field, honing my skills as a clinician. It can be difficult to ask for support sometimes. I get that and strive to limit barriers to accessing therapy. Call me and let's chat.
Hi. My name is Robert and I am a Licensed Professional Counselor Supervisor (LPC-S). I earned my Bachelor of Arts degree in Psychology from Texas A&M International University in 1999 and a Master of Arts degree in Community Counseling from Texas State University in 2013. Since 1999, I have been working with many different populations and all ages in the mental health field, honing my skills as a clinician. It can be difficult to ask for support sometimes. I get that and strive to limit barriers to accessing therapy. Call me and let's chat.
(512) 883-2587 View (512) 883-2587
Photo of Janet Tuohy, MSW, LCSW-S, Clinical Social Work/Therapist
Janet Tuohy
Clinical Social Work/Therapist, MSW, LCSW-S
Verified Verified
9 Endorsed
Georgetown, TX 78627  (Online Only)
Are you ready to make a change? Are you tired of doing the same thing over and over with the same results? My clients find my insightful, holistic, honest approach to be calming and helpful. It is important to have someone you trust by your side. I embrace diversity and spirituality, but also find laughter and humor to be very healing. Some of my specialities include: PTSD/trauma, performance enhancement, relationship issues, mood disorders, family and parenting issues, DID, abuse issues, military, work issues, sexuality issues, and more. For additional helpful resources, go to my website: www.zenhart.com.
Are you ready to make a change? Are you tired of doing the same thing over and over with the same results? My clients find my insightful, holistic, honest approach to be calming and helpful. It is important to have someone you trust by your side. I embrace diversity and spirituality, but also find laughter and humor to be very healing. Some of my specialities include: PTSD/trauma, performance enhancement, relationship issues, mood disorders, family and parenting issues, DID, abuse issues, military, work issues, sexuality issues, and more. For additional helpful resources, go to my website: www.zenhart.com.
(512) 270-3885 View (512) 270-3885
Photo of Nancy Robinson-Berry, LCSW, Clinical Social Work/Therapist
Nancy Robinson-Berry
Clinical Social Work/Therapist, LCSW
Verified Verified
Georgetown, TX 78626  (Online Only)
We all reach points in our lives when we need to talk with someone who is trained in how to listen, someone who can help us make sense of what may feel like a whirling mix of thoughts and emotions. Anxiety or depression can be triggered by life stressors like ongoing work stress or relationship issues. You may be grieving a painful loss of someone you loved deeply. You might be struggling with a traumatic experience or history, or you could simply feel a nagging urge to make a change in your life. You may need support as you go through a breakup or divorce, health crisis, graduate from school, or have aging or end-of-life issues.
We all reach points in our lives when we need to talk with someone who is trained in how to listen, someone who can help us make sense of what may feel like a whirling mix of thoughts and emotions. Anxiety or depression can be triggered by life stressors like ongoing work stress or relationship issues. You may be grieving a painful loss of someone you loved deeply. You might be struggling with a traumatic experience or history, or you could simply feel a nagging urge to make a change in your life. You may need support as you go through a breakup or divorce, health crisis, graduate from school, or have aging or end-of-life issues.
(737) 215-4983 View (737) 215-4983
Photo of Stacey K Ulry, LPCA
Stacey K Ulry
Licensed Professional Counselor Associate, LPCA
Verified Verified
Georgetown, TX 78628
Life can be incredibly challenging, and I understand the hardships that come with it. If you've ever felt overwhelmed by stress, battled anxiety and depression, or felt like an outsider in social situations, you're not alone. I'm here to provide support and understanding, especially if you identify as a member of the Neurodiverse/neurospicy community, align with the LGBTQIA+ community, consider yourself a highly sensitive person (HSP), or simply find solace in parties spent hanging out with the furbabies, I can relate!
Life can be incredibly challenging, and I understand the hardships that come with it. If you've ever felt overwhelmed by stress, battled anxiety and depression, or felt like an outsider in social situations, you're not alone. I'm here to provide support and understanding, especially if you identify as a member of the Neurodiverse/neurospicy community, align with the LGBTQIA+ community, consider yourself a highly sensitive person (HSP), or simply find solace in parties spent hanging out with the furbabies, I can relate!
(737) 250-6274 View (737) 250-6274
Photo of Tiffany Otting - Revolutionary Wellness, PhD, LPC-S, RPT, Licensed Professional Counselor
Revolutionary Wellness
Licensed Professional Counselor, PhD, LPC-S, RPT
Verified Verified
Georgetown, TX 78628
Are you looking for an evidence-based counseling or supervision experience that integrates animals, nature, and expressive arts? We might be a good fit!
Are you looking for an evidence-based counseling or supervision experience that integrates animals, nature, and expressive arts? We might be a good fit!
(737) 215-4767 View (737) 215-4767
Andrew Byala
Pre-Licensed Professional
Verified Verified
Georgetown, TX 78626
We all go through times in our lives when things become a bit overwhelming. Sometimes there are issues on the outside, like our jobs, schools, or relationships, that are tough to navigate. Other times we struggle on the inside in ways that our friends and families may not see or understand. Returning to a place of joy and self-acceptance isn't always easy, and asking for help takes tremendous strength and courage.
We all go through times in our lives when things become a bit overwhelming. Sometimes there are issues on the outside, like our jobs, schools, or relationships, that are tough to navigate. Other times we struggle on the inside in ways that our friends and families may not see or understand. Returning to a place of joy and self-acceptance isn't always easy, and asking for help takes tremendous strength and courage.
(737) 201-9369 View (737) 201-9369
Photo of Pamela Horton - Pamela Horton, Ph.D., P.C., PhD, FPPR, Psychologist
Pamela Horton, Ph.D., P.C.
Psychologist, PhD, FPPR
Verified Verified
Georgetown, TX 78628
Your concerns are very important. When you choose me as your psychologist, you receive the benefit of 39 years of experience in the fields of public school education and psychology. Do you seek a compassionate, no-nonsense , "actively-seeking-solutions" therapist? You will enjoy working with me. Do you seek a good coach to help you play the game of life more effectively and productively? You will enjoy working with me. Do you struggle with depression, anxiety, anger, relationships, trauma, life changes, life-threatening or chronic illness? You will appreciate the speed of improvement as you work with me.
Your concerns are very important. When you choose me as your psychologist, you receive the benefit of 39 years of experience in the fields of public school education and psychology. Do you seek a compassionate, no-nonsense , "actively-seeking-solutions" therapist? You will enjoy working with me. Do you seek a good coach to help you play the game of life more effectively and productively? You will enjoy working with me. Do you struggle with depression, anxiety, anger, relationships, trauma, life changes, life-threatening or chronic illness? You will appreciate the speed of improvement as you work with me.
(512) 523-5283 View (512) 523-5283
Photo of Maria Pinkard, MS, LPC, Licensed Professional Counselor
Maria Pinkard
Licensed Professional Counselor, MS, LPC
Verified Verified
Georgetown, TX 78633
I am passionate about helping people overcome daily struggles that are holding them back from living the quality of life they deserve to live. I strive to build a rapport built on respect and trust, meeting each client where they are by using client-centered, solution-focused and CBT approaches. I work to foster a safe and supportive environment where the we can effectively work together to resolve problems. My primary goal is to help you find positive changes by identifying sources of distress, uncovering your own personal strengths, and empowering you to ultimately reach your life goals.
I am passionate about helping people overcome daily struggles that are holding them back from living the quality of life they deserve to live. I strive to build a rapport built on respect and trust, meeting each client where they are by using client-centered, solution-focused and CBT approaches. I work to foster a safe and supportive environment where the we can effectively work together to resolve problems. My primary goal is to help you find positive changes by identifying sources of distress, uncovering your own personal strengths, and empowering you to ultimately reach your life goals.
(737) 264-6999 View (737) 264-6999
Photo of Jerry Shipp, MA, LMFT, Marriage & Family Therapist
Jerry Shipp
Marriage & Family Therapist, MA, LMFT
Verified Verified
Georgetown, TX 78628
Whether you are experiencing marital issues, emotional, social, or psychological issues, or having trouble getting your own brain to function properly, you are likely feeling pain and distress. If you are longing to save your marriage in spite of infidelity, if you are wondering whether or not life is worth it, if you believe that the last thing you ever want to do is trust anyone, and if your husband/wife is driving you crazy, there is still hope for you. I have been a therapist for 40 years and believe that it is always too soon to give up, especially on yourself.
Whether you are experiencing marital issues, emotional, social, or psychological issues, or having trouble getting your own brain to function properly, you are likely feeling pain and distress. If you are longing to save your marriage in spite of infidelity, if you are wondering whether or not life is worth it, if you believe that the last thing you ever want to do is trust anyone, and if your husband/wife is driving you crazy, there is still hope for you. I have been a therapist for 40 years and believe that it is always too soon to give up, especially on yourself.
(512) 540-3573 View (512) 540-3573
Photo of Shelly Moreno, MA, LPC, Licensed Professional Counselor
Shelly Moreno
Licensed Professional Counselor, MA, LPC
Verified Verified
2 Endorsed
Georgetown, TX 78633
Are you tired of feeling overwhelmed by life's demands? Are you worn out being a parent of a child with behavior that you don't understand? Do you have a traumatic past that keeps causing issues for you today? I can help. Haven Acres Counseling is set on a private farm utilizing the calming and restorative power of nature to enhance mental and emotional well-being. Animals can be included in your therapy experience if you choose. We are dedicated to creating a safe, supportive environment where all clients can explore their emotions, overcome challenges, and build fulfilling lives.
Are you tired of feeling overwhelmed by life's demands? Are you worn out being a parent of a child with behavior that you don't understand? Do you have a traumatic past that keeps causing issues for you today? I can help. Haven Acres Counseling is set on a private farm utilizing the calming and restorative power of nature to enhance mental and emotional well-being. Animals can be included in your therapy experience if you choose. We are dedicated to creating a safe, supportive environment where all clients can explore their emotions, overcome challenges, and build fulfilling lives.
(737) 214-6243 View (737) 214-6243
Photo of Kelly Michelle McCabe, MA, LPC-S, LMFT-S, Marriage & Family Therapist
Kelly Michelle McCabe
Marriage & Family Therapist, MA, LPC-S, LMFT-S
Verified Verified
Georgetown, TX 78628
Waitlist for new clients
Should you ever encounter a therapist that tells you they have the answers for you . . . Run Away!!! Therapy is a deeply personal process that is not about fixing an issue, but rather creating a safe place for growth, insight, and healing. I will never claim to have answers or magical solutions to another's unique story or experience. What I can offer is years of experience with creating safety and warmth for those who have difficulty finding those environments. I have a genuine affection, curiosity, and appreciation for the rich and inspiring life stories that clients share with me.
Should you ever encounter a therapist that tells you they have the answers for you . . . Run Away!!! Therapy is a deeply personal process that is not about fixing an issue, but rather creating a safe place for growth, insight, and healing. I will never claim to have answers or magical solutions to another's unique story or experience. What I can offer is years of experience with creating safety and warmth for those who have difficulty finding those environments. I have a genuine affection, curiosity, and appreciation for the rich and inspiring life stories that clients share with me.
(512) 982-9872 View (512) 982-9872
Photo of Kitty Ferguson-Mappus, MSSW, LCSW, CIEC, EMDR, Clinical Social Work/Therapist
Kitty Ferguson-Mappus
Clinical Social Work/Therapist, MSSW, LCSW, CIEC, EMDR
Verified Verified
2 Endorsed
Georgetown, TX 78626
Are you tired of therapy with blank stares, simple repeating of what you just said, and head nodding while you don't make any progress on your goals? That is not what you will get at Unbroken Abundance. We are a practice of engaged therapists who are all trained in EMDR and a variety of other trauma modalities like Internal Family Systems, CBT, DBT, SFBT, and many more. You will get dedicated and focused sessions with conversation, challenge, and a clear treatment plan as well as regular check ins with how you're progressing. We laugh, we swear, we cry and find belonging in our work together.
Are you tired of therapy with blank stares, simple repeating of what you just said, and head nodding while you don't make any progress on your goals? That is not what you will get at Unbroken Abundance. We are a practice of engaged therapists who are all trained in EMDR and a variety of other trauma modalities like Internal Family Systems, CBT, DBT, SFBT, and many more. You will get dedicated and focused sessions with conversation, challenge, and a clear treatment plan as well as regular check ins with how you're progressing. We laugh, we swear, we cry and find belonging in our work together.
(737) 367-3040 View (737) 367-3040
Photo of Jermaine Rogalski, MS, NCC, LPC, Licensed Professional Counselor
Jermaine Rogalski
Licensed Professional Counselor, MS, NCC, LPC
Verified Verified
1 Endorsed
Georgetown, TX 78628
You know yourself best. I am here to help you on your journey and overcome challenges to become who you want to be. I work with all walks of life ranging from kids to adults using a Client Centered approach in providing services tailored to the individual and their specific needs and goals.
You know yourself best. I am here to help you on your journey and overcome challenges to become who you want to be. I work with all walks of life ranging from kids to adults using a Client Centered approach in providing services tailored to the individual and their specific needs and goals.
(512) 842-4203 View (512) 842-4203
Photo of Maggie Bradford, LPC, Licensed Professional Counselor
Maggie Bradford
Licensed Professional Counselor, LPC
Verified Verified
Georgetown, TX 78626
I value compassion, honesty, and emotional safety both in and out of the therapy room and always aim to be genuine and authentic for my clients. I have worked in various settings over my career including inpatient, community outreach, and private practice. I attempt to bring skills and tools from all these experiences to assist my clients with their therapeutic journey no matter where they are at in the process.
I value compassion, honesty, and emotional safety both in and out of the therapy room and always aim to be genuine and authentic for my clients. I have worked in various settings over my career including inpatient, community outreach, and private practice. I attempt to bring skills and tools from all these experiences to assist my clients with their therapeutic journey no matter where they are at in the process.
(737) 250-7325 View (737) 250-7325
Photo of Starr Burgess, MA, NCC, LPC, Licensed Professional Counselor
Starr Burgess
Licensed Professional Counselor, MA, NCC, LPC
Verified Verified
2 Endorsed
Georgetown, TX 78626
My clients are individuals who have experienced hardships in their personal, family, social or work life. My approach in working with individuals is based on an Adlerian perspective which means that we will collaboratively identify how your thoughts and beliefs impact your behavior and how those behaviors stem from your early childhood experiences and family of origin and are connected to your relationships with others.
My clients are individuals who have experienced hardships in their personal, family, social or work life. My approach in working with individuals is based on an Adlerian perspective which means that we will collaboratively identify how your thoughts and beliefs impact your behavior and how those behaviors stem from your early childhood experiences and family of origin and are connected to your relationships with others.
(512) 308-6066 View (512) 308-6066
Photo of Sandie Hinton-Owens, LMSW, Clinical Social Work/Therapist
Sandie Hinton-Owens
Clinical Social Work/Therapist, LMSW
Verified Verified
Georgetown, TX 78628
Sandie has a passion for helping people from all walks of life, in all stages of life. She believes by creating a safe, welcoming environment, and building trusting relationships change is possible. Her goal is to help people become aware of their own skill sets and resiliency from within through the use of strengths based and solutions focused therapy in addition to CBT and a hit of DBT skills. Sandie has experience working with a variety of mental health diagnoses including anxiety, depression, bipolar, borderline personality, and ASD. She is also rostered with Hackett Center for trauma and grief in adolescents.
Sandie has a passion for helping people from all walks of life, in all stages of life. She believes by creating a safe, welcoming environment, and building trusting relationships change is possible. Her goal is to help people become aware of their own skill sets and resiliency from within through the use of strengths based and solutions focused therapy in addition to CBT and a hit of DBT skills. Sandie has experience working with a variety of mental health diagnoses including anxiety, depression, bipolar, borderline personality, and ASD. She is also rostered with Hackett Center for trauma and grief in adolescents.
(512) 729-1488 View (512) 729-1488
Photo of Molly Crenshaw, MA, LPC, Licensed Professional Counselor
Molly Crenshaw
Licensed Professional Counselor, MA, LPC
Verified Verified
2 Endorsed
Georgetown, TX 78633  (Online Only)
Moms who feel like they can't catch a break, who feel hopeless or overwhelmed with a giant knot in their stomach, sleeplessness, postpartum and beyond. Whether you're going through life transitions, anxiety, depression, trauma, grief and loss, or feelings of disconnection and loneliness, I will help you reconnect to your inherent strengths. I create a container to hold space for intentional change. Together, we can help you feel supported, and whole.
Moms who feel like they can't catch a break, who feel hopeless or overwhelmed with a giant knot in their stomach, sleeplessness, postpartum and beyond. Whether you're going through life transitions, anxiety, depression, trauma, grief and loss, or feelings of disconnection and loneliness, I will help you reconnect to your inherent strengths. I create a container to hold space for intentional change. Together, we can help you feel supported, and whole.
(512) 601-4515 View (512) 601-4515
Photo of Cathie Walling, LCPC, MA, Counselor
Cathie Walling
Counselor, LCPC, MA
Verified Verified
Georgetown, TX 78626
Marriage is my client focus. You are tired of the on-going conflict and distance you and your spouse experience, right? I've been highly successful in moving couples toward emotional bonding experiences that last. Let's uncover the hidden challenges with trust, communication, emotional and sexual intimacy, passion and motivation. Every day i watch couples overcome differences with financial, in-laws, parenting and communication styles. Every day I see couples learn to stay connected through addiction, depression, anxiety, anger,traumatic loss and extra-marital, experiences.
Marriage is my client focus. You are tired of the on-going conflict and distance you and your spouse experience, right? I've been highly successful in moving couples toward emotional bonding experiences that last. Let's uncover the hidden challenges with trust, communication, emotional and sexual intimacy, passion and motivation. Every day i watch couples overcome differences with financial, in-laws, parenting and communication styles. Every day I see couples learn to stay connected through addiction, depression, anxiety, anger,traumatic loss and extra-marital, experiences.
(737) 215-4844 View (737) 215-4844
Photo of Jacqueline Grace Mascari, NCC, MS , NCC, LPC, RPT, Licensed Professional Counselor
Jacqueline Grace Mascari
Licensed Professional Counselor, NCC, MS , NCC, LPC, RPT
Verified Verified
Georgetown, TX 78628  (Online Only)
Therapy can be deeply personal and the most important thing is that a client feels safety within the therapeutic relationship to express themselves. My desire is to help my clients have a deep understanding of their importance, their self worth, and their impact on this world and those around them. I love working with women, children, teens, mothers, and those going through heartache and uncertainty. If you feel loneliness, grief, or are processing trauma, walking through your parenting journey, or are struggling with illnesses including autoimmunity, or the loss of a loved one, please reach out.
Therapy can be deeply personal and the most important thing is that a client feels safety within the therapeutic relationship to express themselves. My desire is to help my clients have a deep understanding of their importance, their self worth, and their impact on this world and those around them. I love working with women, children, teens, mothers, and those going through heartache and uncertainty. If you feel loneliness, grief, or are processing trauma, walking through your parenting journey, or are struggling with illnesses including autoimmunity, or the loss of a loved one, please reach out.
(817) 697-7846 View (817) 697-7846
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How does your Therapist compare?

Number of Therapists in Georgetown, TX

300+

Average cost per session

$145

Therapists in Georgetown, TX who prioritize treating:

92% Anxiety
87% Depression
76% Self Esteem
72% Relationship Issues
69% Stress
68% Trauma and PTSD
66% Coping Skills

Average years in practice

10 Years

Top 3 insurances accepted

84% Aetna
77% UnitedHealthcare UHC | UBH
72% BlueCross and BlueShield

How Therapists in Georgetown, TX see their clients

77% In Person and Online
23% Online Only

Gender breakdown

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

How can I find a therapist in Georgetown?

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.