Therapists in Panola County, TX

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Photo of Dana M Spade - Hands of Hope Counseling LLC, MA, LPC, CADC-II, Licensed Professional Counselor
Hands of Hope Counseling LLC
Licensed Professional Counselor, MA, LPC, CADC-II
Verified Verified
Carthage, TX 75633  (Online Only)
I am looking forward to taking part in your journey. I hold the belief that everyone is valuable and unique and has the ability to change. The foundation of my work is based on the idea people are fully Bio-psycho-social-spiritual beings and all areas suffer when one area suffers. As a counselor, I will collaborate with you with respect and empathy in a practical and supportive manner, as you learn to find better-coping skills and work towards change. I operate from a Christian worldview, and I am willing to integrate this into therapy as the client wishes.
I am looking forward to taking part in your journey. I hold the belief that everyone is valuable and unique and has the ability to change. The foundation of my work is based on the idea people are fully Bio-psycho-social-spiritual beings and all areas suffer when one area suffers. As a counselor, I will collaborate with you with respect and empathy in a practical and supportive manner, as you learn to find better-coping skills and work towards change. I operate from a Christian worldview, and I am willing to integrate this into therapy as the client wishes.
(903) 300-1693 View (903) 300-1693
Photo of Maryehdiah Giah, LPC, Licensed Professional Counselor
Maryehdiah Giah
Licensed Professional Counselor, LPC
Verified Verified
Carthage, TX 75633
Maryehdiah Giah is a Licensed Professional Counselor in the state of Texas. She has over 20 years of experience in the mental health field, and she also has experience working with children (+10) and adolescents to adults aged 65 and above. Maryehdiah is passionate about assisting her patients and, as such, is very attentive to her patients while in sessions. Maryehdiah believes that everyone who wants to express their feelings to a professional deserves the professional’s undivided attention. Maryehdiah obtained her Master of Arts in Counseling at Prairie View A&M University.
Maryehdiah Giah is a Licensed Professional Counselor in the state of Texas. She has over 20 years of experience in the mental health field, and she also has experience working with children (+10) and adolescents to adults aged 65 and above. Maryehdiah is passionate about assisting her patients and, as such, is very attentive to her patients while in sessions. Maryehdiah believes that everyone who wants to express their feelings to a professional deserves the professional’s undivided attention. Maryehdiah obtained her Master of Arts in Counseling at Prairie View A&M University.
(817) 985-4758 View (817) 985-4758
Photo of Laura Beth Shires - Empowerment Counseling and Wellness, Laura Shires, MA, LPC, CSC, Licensed Professional Counselor
Empowerment Counseling and Wellness, Laura Shires
Licensed Professional Counselor, MA, LPC, CSC
Verified Verified
1 Endorsed
Carthage, TX 75633
Do you find yourself wishing for better days? Have you lost interest in the things that once brought you joy? Are your basic responsibilities weighing you down? Life doesn't have to be about exhaustion and overwhelm day in and day out. We can work together to improve your current circumstances. I love listening to my client's stories and helping them put the pieces together. At times we may mix conversation with psychoeducation in coping skills, mindfulness, and meditation. Bravely sharing your story in counseling allows you a rare opportunity to be heard without judgment. This is a priceless opportunity to process your experience.
Do you find yourself wishing for better days? Have you lost interest in the things that once brought you joy? Are your basic responsibilities weighing you down? Life doesn't have to be about exhaustion and overwhelm day in and day out. We can work together to improve your current circumstances. I love listening to my client's stories and helping them put the pieces together. At times we may mix conversation with psychoeducation in coping skills, mindfulness, and meditation. Bravely sharing your story in counseling allows you a rare opportunity to be heard without judgment. This is a priceless opportunity to process your experience.
(936) 427-3017 View (936) 427-3017
Photo of Yolanda Lowery, LPC, Licensed Professional Counselor
Yolanda Lowery
Licensed Professional Counselor, LPC
Verified Verified
Gary, TX 75643
Hello, I'm Yolanda Lowery. I am a Licensed Professional Counselor and National Certified Counselor in the state of Texas with over 11 years of experience. My specialties include, but are not limited to, the treatment of anxiety, depression, mood disorder, and ADHD. My theoretical approach in my practice includes cognitive-behavioral therapy and solution-focused. I like to inspire others through their difficult moments, and also to act as a point of reflection to offer continued personal development for my clients.
Hello, I'm Yolanda Lowery. I am a Licensed Professional Counselor and National Certified Counselor in the state of Texas with over 11 years of experience. My specialties include, but are not limited to, the treatment of anxiety, depression, mood disorder, and ADHD. My theoretical approach in my practice includes cognitive-behavioral therapy and solution-focused. I like to inspire others through their difficult moments, and also to act as a point of reflection to offer continued personal development for my clients.
(512) 764-1164 View (512) 764-1164
Photo of Delora Evans, LPC , Licensed Professional Counselor
Delora Evans
Licensed Professional Counselor, LPC
Verified Verified
Beckville, TX 75631
Hello, my name is Delora Evans LPC-S, LCDC. I have been in the therapy/counseling field for over 20 years. I believe that people may sometimes need help in many areas of their lives, therefore I treat them with a person-centered, wholistic approach, with a person-centered approach, the therapist treats the whole person and is instrumental to the changes of the client but is not directly responsible for any change. One of my biggest strengths is that I have an enthusiastic and motivating personality. I am empathetic, compassionate, and humanistic in my approach to helping.
Hello, my name is Delora Evans LPC-S, LCDC. I have been in the therapy/counseling field for over 20 years. I believe that people may sometimes need help in many areas of their lives, therefore I treat them with a person-centered, wholistic approach, with a person-centered approach, the therapist treats the whole person and is instrumental to the changes of the client but is not directly responsible for any change. One of my biggest strengths is that I have an enthusiastic and motivating personality. I am empathetic, compassionate, and humanistic in my approach to helping.
(832) 761-4527 View (832) 761-4527
Photo of Shonda Harris, LPC, Licensed Professional Counselor
Shonda Harris
Licensed Professional Counselor, LPC
Verified Verified
Beckville, TX 75631  (Online Only)
I am an LPC-S, trained in Cognitive Behavioral Therapy with a wide range of experience. I have many years of experience working with those with mental health issues such as depression, bipolar disorder, anxiety, and ADHD. I will help you to understand your diagnosis and how to build coping skills. I also work with individuals experiencing relationship problems, struggling to reach goals, or seeking behavioral changes. I enjoy working with diverse populations and have a non-judgmental approach. It is essential that you feel safe and free to express yourself.
I am an LPC-S, trained in Cognitive Behavioral Therapy with a wide range of experience. I have many years of experience working with those with mental health issues such as depression, bipolar disorder, anxiety, and ADHD. I will help you to understand your diagnosis and how to build coping skills. I also work with individuals experiencing relationship problems, struggling to reach goals, or seeking behavioral changes. I enjoy working with diverse populations and have a non-judgmental approach. It is essential that you feel safe and free to express yourself.
(346) 594-9187 View (346) 594-9187
Photo of Anna Gomez, LPC, Licensed Professional Counselor
Anna Gomez
Licensed Professional Counselor, LPC
Verified Verified
De Berry, TX 75639  (Online Only)
Hello, my name is Anna G. Gomez and I am currently a Licensed Professional Counselor in the State of Texas. I obtained my bachelor’s degree in Psychology in 2014 from the University of Texas-Pan American and a Master’s Degree in Clinical Rehabilitation Counseling in 2018 from the University of Texas Rio Grande Valley. My counseling services address concerns including, but not limited to depression, anxiety, PTSD, grief, substance use disorders, and anger management. I am bilingual and able to provide services in both English and Spanish.​
Hello, my name is Anna G. Gomez and I am currently a Licensed Professional Counselor in the State of Texas. I obtained my bachelor’s degree in Psychology in 2014 from the University of Texas-Pan American and a Master’s Degree in Clinical Rehabilitation Counseling in 2018 from the University of Texas Rio Grande Valley. My counseling services address concerns including, but not limited to depression, anxiety, PTSD, grief, substance use disorders, and anger management. I am bilingual and able to provide services in both English and Spanish.​
(346) 450-7390 View (346) 450-7390
Photo of Tari Dempsey, LPC, Licensed Professional Counselor
Tari Dempsey
Licensed Professional Counselor, LPC
Verified Verified
De Berry, TX 75639
Hi, I'm Tari Dempsey! I am a Licensed Professional Counselor (LPC) who is passionate about supporting all of my clients through challenges to experience haling and growth in their lives. I focus on cultivating relationships within families while navigating identified challenges. I believe in working collaboratively with clients while identifying goals of therapy. I work with teens to older adults. I specialize in symptoms of depression, anxiety, relationship issues ie. I believe in mindfulness and positive approach to client related issues.
Hi, I'm Tari Dempsey! I am a Licensed Professional Counselor (LPC) who is passionate about supporting all of my clients through challenges to experience haling and growth in their lives. I focus on cultivating relationships within families while navigating identified challenges. I believe in working collaboratively with clients while identifying goals of therapy. I work with teens to older adults. I specialize in symptoms of depression, anxiety, relationship issues ie. I believe in mindfulness and positive approach to client related issues.
(737) 201-9436 View (737) 201-9436
Photo of Nathaniel Morgan, LPC, Licensed Professional Counselor
Nathaniel Morgan
Licensed Professional Counselor, LPC
Verified Verified
Gary, TX 75643  (Online Only)
My name is Nathaniel Morgan, and I have been working as a Licensed Professional Counselor in Texas since 2009. In those 14 years as a therapist, I’ve been fortunate to work with people from all walks of life. I try to learn about people’s different experiences and to help them find their own unique ways to bring about growth, change, and healing, and then to work on the level that best suits them. We can keep it practical or get deep, depending on how it is feeling to you. Therapy can often be just as challenging as it is rewarding, so I do my best to make it enjoyable but respectful, serious but fun.
My name is Nathaniel Morgan, and I have been working as a Licensed Professional Counselor in Texas since 2009. In those 14 years as a therapist, I’ve been fortunate to work with people from all walks of life. I try to learn about people’s different experiences and to help them find their own unique ways to bring about growth, change, and healing, and then to work on the level that best suits them. We can keep it practical or get deep, depending on how it is feeling to you. Therapy can often be just as challenging as it is rewarding, so I do my best to make it enjoyable but respectful, serious but fun.
(817) 670-5789 View (817) 670-5789
Photo of Brooke Butler, MMFT, LMFT-A, Marriage & Family Therapist Associate
Brooke Butler
Marriage & Family Therapist Associate, MMFT, LMFT-A
Verified Verified
Carthage, TX 75633
Life can present us with a multitude of seasons—some joyous and others challenging. As your therapist, I am committed to providing a supportive and empathetic space where we can explore these seasons together. Whether you're facing transitions, grief, relationship issues, or difficult past experiences, I am here to walk alongside you as you navigate these challenges. Acknowledging the need for help and reaching out can be intimidating; however, my goal is to provide the space needed for clients to explore the parts of themselves that facilitate healing.
Life can present us with a multitude of seasons—some joyous and others challenging. As your therapist, I am committed to providing a supportive and empathetic space where we can explore these seasons together. Whether you're facing transitions, grief, relationship issues, or difficult past experiences, I am here to walk alongside you as you navigate these challenges. Acknowledging the need for help and reaching out can be intimidating; however, my goal is to provide the space needed for clients to explore the parts of themselves that facilitate healing.
(430) 243-4440 View (430) 243-4440

Online Therapists

Photo of Brandi Cerda, MA
Brandi Cerda
Licensed Professional Counselor Associate, MA
Verified Verified
1 Endorsed
Mineola, TX 75773
Brandi is a loving and charismatic counselor who uses her knowledge and experiences to help you identify the underlying emotion. This combined with her understanding of family systems and couple relationships allows her to walk with you step by step on the journey toward healing. Being understood is more than about being heard, its a way to dig deeper and explore the root causes of our pain. Brandi is passionate about helping you connect with the most valuable person in your life as well as yourself. Life is tricky and it's hard to see the beauty of it when you're drowning in pain.
Brandi is a loving and charismatic counselor who uses her knowledge and experiences to help you identify the underlying emotion. This combined with her understanding of family systems and couple relationships allows her to walk with you step by step on the journey toward healing. Being understood is more than about being heard, its a way to dig deeper and explore the root causes of our pain. Brandi is passionate about helping you connect with the most valuable person in your life as well as yourself. Life is tricky and it's hard to see the beauty of it when you're drowning in pain.
(903) 638-0071 View (903) 638-0071
Photo of Tiffany Carpenter, MA, LPC, Licensed Professional Counselor
Tiffany Carpenter
Licensed Professional Counselor, MA, LPC
Verified Verified
1 Endorsed
Tyler, TX 75711  (Online Only)
Have you been stressing & thinking…I don't know if I can ever forgive him/her for what they did... They'll never forgive me so what's the point? I'm tired and this is the last resort for us! Does this sound like some of the negative tapes that stay on repeat in your tired, stressed mind and/or relationship? Maybe you struggle with finding any bit of happiness out of life these days, or struggle with feeling alone? No matter what you are struggling with, what matters in this moment is that you are making progress by trying something different and seeking help. Together we can explore how to revive some happiness back into life.
Have you been stressing & thinking…I don't know if I can ever forgive him/her for what they did... They'll never forgive me so what's the point? I'm tired and this is the last resort for us! Does this sound like some of the negative tapes that stay on repeat in your tired, stressed mind and/or relationship? Maybe you struggle with finding any bit of happiness out of life these days, or struggle with feeling alone? No matter what you are struggling with, what matters in this moment is that you are making progress by trying something different and seeking help. Together we can explore how to revive some happiness back into life.
(430) 213-4078 View (430) 213-4078
Photo of Jennifer Gregory, LCSW-S, EMDR, TBRI, RPE, Clinical Social Work/Therapist
Jennifer Gregory
Clinical Social Work/Therapist, LCSW-S, EMDR, TBRI, RPE
Verified Verified
Tyler, TX 75701
My goal is to help my clients find health and healing through introspection and understanding of their history and making active change in their lives.
My goal is to help my clients find health and healing through introspection and understanding of their history and making active change in their lives.
(903) 459-5100 View (903) 459-5100
Photo of Wade McDonald, MA, DMin, LPC, Licensed Professional Counselor
Wade McDonald
Licensed Professional Counselor, MA, DMin, LPC
Verified Verified
Tyler, TX 75703
I believe a good counselor works their way out of a job...one client at a time. We all get "stuck" in life from time to time. My goal is to provide you with knowledge, tools, guidance, and support so that you can get "unstuck" and move on. Therapy is not magic...but it works. If you are struggling with emotional, behavioral, or relational problems I would like the opportunity to visit with you to see if I can help.
I believe a good counselor works their way out of a job...one client at a time. We all get "stuck" in life from time to time. My goal is to provide you with knowledge, tools, guidance, and support so that you can get "unstuck" and move on. Therapy is not magic...but it works. If you are struggling with emotional, behavioral, or relational problems I would like the opportunity to visit with you to see if I can help.
(903) 689-0341 View (903) 689-0341
Photo of Nancy J Davis - Mind & Body Wellness Center, LMFT, BCN, Marriage & Family Therapist
Mind & Body Wellness Center
Marriage & Family Therapist, LMFT, BCN
Verified Verified
1 Endorsed
Lufkin, TX 75904
NEW! Now offering monthly rates for talk therapy to make your healing and growth journey a little more affordable. For only $292 per month, you get weekly 30-minute sessions along with unlimited messaging support between sessions via a secure app. Whether you're struggling with anxiety, ADHD, relationship issues, or simply seeking personal growth, my custom-tailored approach to therapy can help you gain insight, develop coping strategies, and ultimately lead a more fulfilling life. I am here to provide you with the support, guidance, and tools you need to navigate life's ups and downs.
NEW! Now offering monthly rates for talk therapy to make your healing and growth journey a little more affordable. For only $292 per month, you get weekly 30-minute sessions along with unlimited messaging support between sessions via a secure app. Whether you're struggling with anxiety, ADHD, relationship issues, or simply seeking personal growth, my custom-tailored approach to therapy can help you gain insight, develop coping strategies, and ultimately lead a more fulfilling life. I am here to provide you with the support, guidance, and tools you need to navigate life's ups and downs.
(936) 209-7578 View (936) 209-7578
Photo of Troy Thomason, MA, NCC, LPC, Licensed Professional Counselor
Troy Thomason
Licensed Professional Counselor, MA, NCC, LPC
Verified Verified
1 Endorsed
Tyler, TX 75701
What's up! I'm Troy Thomason and I'm one of the top providers of mental health counseling for veterans in east TX, though I also work with just about every community out there. I've had success working with nearly every type of person, with mild diagnoses all the way to severe clinical diagnoses. Each person is unique, so the support I provide is specifically tailored to each individual. Some clients just need someone to talk to, while others would really benefit from learning psychological life hacks or need better coping skills. Whatever your problem is, I'll do what I can to help!
What's up! I'm Troy Thomason and I'm one of the top providers of mental health counseling for veterans in east TX, though I also work with just about every community out there. I've had success working with nearly every type of person, with mild diagnoses all the way to severe clinical diagnoses. Each person is unique, so the support I provide is specifically tailored to each individual. Some clients just need someone to talk to, while others would really benefit from learning psychological life hacks or need better coping skills. Whatever your problem is, I'll do what I can to help!
(903) 622-9082 View (903) 622-9082
Photo of Michaela Watson, Licensed Professional Counselor
Michaela Watson
Licensed Professional Counselor
Verified Verified
Texarkana, TX 75501  (Online Only)
Waitlist for new clients
My focus is to help individuals heal, energize, and become aware of their inner strengths. I achieve this by providing a neutral safe space, listening to your concerns, and customizing a treatment plan. I will be there for you through out your journey. My goal is to help you grow from your struggles, heal from your pain, and move forward to where you want to be in your life.
My focus is to help individuals heal, energize, and become aware of their inner strengths. I achieve this by providing a neutral safe space, listening to your concerns, and customizing a treatment plan. I will be there for you through out your journey. My goal is to help you grow from your struggles, heal from your pain, and move forward to where you want to be in your life.
(903) 354-8515 View (903) 354-8515
Photo of Chenite Tyus, LPC, Licensed Professional Counselor
Chenite Tyus
Licensed Professional Counselor, LPC
Verified Verified
Marshall, TX 75670  (Online Only)
I am a Licensed Professional Counselor who earned my Master of Science in Clinical Mental Health Counseling from Capella University in 2020, along with my Bachelor of Science in Psychology in 2013. Currently, I am seeking a doctorate in Clinical Psychology from Walden University. During my internships and employment experiences I worked with the youth population that experienced trauma and struggle with substance addiction. In my career development, I worked with diverse populations, including the IDD and corrections populations.
I am a Licensed Professional Counselor who earned my Master of Science in Clinical Mental Health Counseling from Capella University in 2020, along with my Bachelor of Science in Psychology in 2013. Currently, I am seeking a doctorate in Clinical Psychology from Walden University. During my internships and employment experiences I worked with the youth population that experienced trauma and struggle with substance addiction. In my career development, I worked with diverse populations, including the IDD and corrections populations.
(346) 483-8010 View (346) 483-8010
Photo of Lily McBryde, MRC, LPC, Licensed Professional Counselor
Lily McBryde
Licensed Professional Counselor, MRC, LPC
Verified Verified
Texarkana, TX 75501  (Online Only)
If you are finding anxiety, depression, substance use, or other mental health issues are playing a larger role in your life than you would like, it may be time to connect with a professional. As an LPC, I am always building upon my training and experience. I provide a boutique style private counseling practice that aims to assist individuals with self-exploration and living thriving lives. I take an individualized approach with each client I see - we all come from different backgrounds and have different family dynamics, and my counseling style reflects that.
If you are finding anxiety, depression, substance use, or other mental health issues are playing a larger role in your life than you would like, it may be time to connect with a professional. As an LPC, I am always building upon my training and experience. I provide a boutique style private counseling practice that aims to assist individuals with self-exploration and living thriving lives. I take an individualized approach with each client I see - we all come from different backgrounds and have different family dynamics, and my counseling style reflects that.
(903) 648-7709 View (903) 648-7709
Photo of Tamara S Lawson, LPC, Licensed Professional Counselor
Tamara S Lawson
Licensed Professional Counselor, LPC
Verified Verified
Rusk, TX 75785
I love helping people who are struggling with issues that feel overwhelming. I can't solve your problems, but I work to help you find your way through them and to try to help you find your strength when you feel like it is gone.
I love helping people who are struggling with issues that feel overwhelming. I can't solve your problems, but I work to help you find your way through them and to try to help you find your strength when you feel like it is gone.
(430) 300-3022 View (430) 300-3022

See more therapy options for Panola County

How does your Therapist compare?

Number of Therapists in Panola County, TX

10+

Average cost per session

$80

Therapists in Panola County, TX who prioritize treating:

90% Depression
90% Anxiety
70% Relationship Issues
70% Coping Skills
60% Anger Management
50% Grief
50% Trauma and PTSD

Average years in practice

8 Years

Top 3 insurances accepted

100% Aetna
100% Cigna and Evernorth
100% UnitedHealthcare UHC | UBH

How Therapists in Panola County, TX see their clients

60% In Person and Online
40% Online Only

Gender breakdown

90% Female
10% Male
FAQs - About Therapy and Counseling

How can I find a therapist in Panola County?

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.