Therapists in Zavala County, TX

View cities in Zavala County
Photo of Rosa Carmina Guzman - RC Meier Specialty Service, BAAS, LCDC, Drug & Alcohol Counselor
RC Meier Specialty Service
Drug & Alcohol Counselor, BAAS, LCDC
Verified Verified
Crystal City, TX 78839
I have worked as a substance use disorder counselor for the last 15 years with individuals who have had substance use disorder problems with alcohol or drugs. I use evidence based therapies such as Motivational Therapy, Cognitive-Behavioral Therapy and Anger Management Therapy.
I have worked as a substance use disorder counselor for the last 15 years with individuals who have had substance use disorder problems with alcohol or drugs. I use evidence based therapies such as Motivational Therapy, Cognitive-Behavioral Therapy and Anger Management Therapy.
(830) 854-3166 View (830) 854-3166
Photo of Thorin Holley, LPC, Licensed Professional Counselor
Thorin Holley
Licensed Professional Counselor, LPC
Verified Verified
Crystal City, TX 78839
I believe that our struggles with mental health can often make us think we are outside looking in. Different. Broken. The Black Sheep. When we learn how to change our view of our unique challenges or experiences, they can become strengths and lose their power over us. I have experience working with clients who struggle with multiple mental health concerns ranging from depression, anxiety, substance, and trauma to figuring out who and what their identity and purpose are as they make changes in their lives.
I believe that our struggles with mental health can often make us think we are outside looking in. Different. Broken. The Black Sheep. When we learn how to change our view of our unique challenges or experiences, they can become strengths and lose their power over us. I have experience working with clients who struggle with multiple mental health concerns ranging from depression, anxiety, substance, and trauma to figuring out who and what their identity and purpose are as they make changes in their lives.
(972) 441-7507 View (972) 441-7507
Photo of Laura Klueppel, LPC, Licensed Professional Counselor
Laura Klueppel
Licensed Professional Counselor, LPC
Verified Verified
Crystal City, TX 78839  (Online Only)
Welcome, all. My name is Laura and I am a Licensed Professional Counselor in the state of Texas. I work with clients of all ages and a broad range of mental health concerns, but focus on anxiety and depression, LGBTQ clients, and relationship concerns. My holistic approach utilizes cognitive-behavioral therapy: I focus on changing thoughts, behaviors, and emotions. I get to know what works for each individual, because there is no one-size-fits all approach to therapy! I'm passionate about helping people solve their problems, and I look forward to working with you.
Welcome, all. My name is Laura and I am a Licensed Professional Counselor in the state of Texas. I work with clients of all ages and a broad range of mental health concerns, but focus on anxiety and depression, LGBTQ clients, and relationship concerns. My holistic approach utilizes cognitive-behavioral therapy: I focus on changing thoughts, behaviors, and emotions. I get to know what works for each individual, because there is no one-size-fits all approach to therapy! I'm passionate about helping people solve their problems, and I look forward to working with you.
(346) 633-2944 View (346) 633-2944
Photo of Mary Toups, LPC, Licensed Professional Counselor
Mary Toups
Licensed Professional Counselor, LPC
Verified Verified
Batesville, TX 78829
Hello, I’m Mary Toups. I am a Licensed Professional Counselor in the state of Texas with over 23 years of clinical experience. I specialize in the treatment of trauma, depression and anxiety. I utilize Accelerated Resolution Therapy, Cognitive-Behavioral Therapy, Reality Therapy, and Brief Solution focused therapy.
Hello, I’m Mary Toups. I am a Licensed Professional Counselor in the state of Texas with over 23 years of clinical experience. I specialize in the treatment of trauma, depression and anxiety. I utilize Accelerated Resolution Therapy, Cognitive-Behavioral Therapy, Reality Therapy, and Brief Solution focused therapy.
(512) 648-4938 View (512) 648-4938
Photo of Kim Williams, LCSW, Clinical Social Work/Therapist
Kim Williams
Clinical Social Work/Therapist, LCSW
Verified Verified
Batesville, TX 78829  (Online Only)
Hi, I'm Kim! I'm a Licensed Clinical Social Worker with over 14 years of clinical experience providing psychotherapy & counseling for highly-motivated adults and clients experiencing stress, life transitions, relationship difficulties, depression, anxiety, and grief & loss. I often use CBT, Mindfulness-Based CBT, Solution-Focused therapy, and Humanistic therapy in my work. I believe that it is my pleasure to support clients in overcoming obstacles to living happier and more satisfying lives.
Hi, I'm Kim! I'm a Licensed Clinical Social Worker with over 14 years of clinical experience providing psychotherapy & counseling for highly-motivated adults and clients experiencing stress, life transitions, relationship difficulties, depression, anxiety, and grief & loss. I often use CBT, Mindfulness-Based CBT, Solution-Focused therapy, and Humanistic therapy in my work. I believe that it is my pleasure to support clients in overcoming obstacles to living happier and more satisfying lives.
(940) 398-5421 View (940) 398-5421
Photo of Shiri Kaczur - Shiri Kaczur, MA, LPC - Whole Body Psychotherapy, MA, LPC, Licensed Professional Counselor
Shiri Kaczur, MA, LPC - Whole Body Psychotherapy
Licensed Professional Counselor, MA, LPC
Verified Verified
Batesville, TX 78829  (Online Only)
I specialize in healing from deeply-rooted trauma. If you've been in therapy before and still struggle with problematic thoughts, feelings, and behaviors which interfere in day-to-day life, a more comprehensive approach may help. Research has shown that present day mental health challenges which originate from earlier life experiences often require intervention with the parts of our system which hold verbal and pre-verbal conditioning. Using both cognitive (brain-focused) AND somatic (body-focused) interventions ensures that all parts of our body are integrated into the healing process.
I specialize in healing from deeply-rooted trauma. If you've been in therapy before and still struggle with problematic thoughts, feelings, and behaviors which interfere in day-to-day life, a more comprehensive approach may help. Research has shown that present day mental health challenges which originate from earlier life experiences often require intervention with the parts of our system which hold verbal and pre-verbal conditioning. Using both cognitive (brain-focused) AND somatic (body-focused) interventions ensures that all parts of our body are integrated into the healing process.
(512) 764-1426 View (512) 764-1426

Online Therapists

Photo of Priscilla Perez - Grit & Grace Counseling, PLLC, Licensed Professional Counselor
Grit & Grace Counseling, PLLC
Licensed Professional Counselor
Verified Verified
2 Endorsed
San Antonio, TX 78254
Life can throw many challenges our way that may be in or out of our control. Many times we can feel stuck with our emotions and the problems that surround us. Navigating the difficulties of these realities is possible without feeling overwhelmed or helpless. At Grit & Grace Counseling we believe that clients have the power and ability to create more peace and happiness for themselves, their families, and their community. We strive to instill hope, perseverance and guidance, to help clients reach their goals in their therapeutic journey. We have several therapists in our practice that we can help match with your needs.
Life can throw many challenges our way that may be in or out of our control. Many times we can feel stuck with our emotions and the problems that surround us. Navigating the difficulties of these realities is possible without feeling overwhelmed or helpless. At Grit & Grace Counseling we believe that clients have the power and ability to create more peace and happiness for themselves, their families, and their community. We strive to instill hope, perseverance and guidance, to help clients reach their goals in their therapeutic journey. We have several therapists in our practice that we can help match with your needs.
(210) 934-0060 View (210) 934-0060
Photo of Laquetta Wright, LPC, Licensed Professional Counselor
Laquetta Wright
Licensed Professional Counselor, LPC
Verified Verified
Pleasanton, TX 78064  (Online Only)
I decided to pursue a professional career in the sciences requiring the ability to treat and explore human beings. After careful consideration, I discovered Counseling/ Psychology to be a perfect avenue. Completing my education and mastering the professional licensure examinations has led to a fulfilling occupational advancement. Current therapy focuses on rural and urban areas. Experienced diagnoses difficulties including but not limited to autism, attention deficit disorder, conduct disorder, bipolar, learning disabilities, oppositional defiant disorder, mood disorder, adjustment disorder, and post-traumatic stress disorder.
I decided to pursue a professional career in the sciences requiring the ability to treat and explore human beings. After careful consideration, I discovered Counseling/ Psychology to be a perfect avenue. Completing my education and mastering the professional licensure examinations has led to a fulfilling occupational advancement. Current therapy focuses on rural and urban areas. Experienced diagnoses difficulties including but not limited to autism, attention deficit disorder, conduct disorder, bipolar, learning disabilities, oppositional defiant disorder, mood disorder, adjustment disorder, and post-traumatic stress disorder.
(346) 536-8752 View (346) 536-8752
Photo of Usawa Wellness Services - Usawa Wellness Services, Licensed Professional Counselor
Usawa Wellness Services
Licensed Professional Counselor
Verified Verified
5 Endorsed
Live Oak, TX 78233
Do you find yourself bottling things up and believe others would not understand? Do you become so stressed at times that you cannot concentrate at work or school, even to point of avoiding loved ones? Periods of uncertainty and trials come into our lives, but its how we choose to deal with that change that impacts our quality of life. If you're feeling confused, overwhelmed, depressed, anxious or lacking a sense of direction, therapy can help you build the strength you need to get through it and be prepared for whatever life throws your way.
Do you find yourself bottling things up and believe others would not understand? Do you become so stressed at times that you cannot concentrate at work or school, even to point of avoiding loved ones? Periods of uncertainty and trials come into our lives, but its how we choose to deal with that change that impacts our quality of life. If you're feeling confused, overwhelmed, depressed, anxious or lacking a sense of direction, therapy can help you build the strength you need to get through it and be prepared for whatever life throws your way.
(210) 864-8739 View (210) 864-8739
Photo of Juan Arreche, MS, LPC, Licensed Professional Counselor
Juan Arreche
Licensed Professional Counselor, MS, LPC
Verified Verified
1 Endorsed
San Antonio, TX 78230  (Online Only)
Waitlist for new clients
Going through difficult times in life does not have to be done alone. Change does not happen overnight. Sometimes, when we bring our concerns to others, they might be minimized and it can be hard to find someone to talk to. Having a safe space to openly communicate about our problems, learn about them, and overcome them can help. I am here to help you learn about you, what your needs are, what you want in your life, and empower you on your journey. I specialize in LGBTQIA+ issues, couples/relationships, depression, anxiety, grief, ADHD, and others.
Going through difficult times in life does not have to be done alone. Change does not happen overnight. Sometimes, when we bring our concerns to others, they might be minimized and it can be hard to find someone to talk to. Having a safe space to openly communicate about our problems, learn about them, and overcome them can help. I am here to help you learn about you, what your needs are, what you want in your life, and empower you on your journey. I specialize in LGBTQIA+ issues, couples/relationships, depression, anxiety, grief, ADHD, and others.
(210) 985-8457 View (210) 985-8457
Photo of Melissa Rodriguez, MA, LPC, Licensed Professional Counselor
Melissa Rodriguez
Licensed Professional Counselor, MA, LPC
Verified Verified
4 Endorsed
San Antonio, TX 78248  (Online Only)
If you or someone you love is seeking therapy services, I can help by guiding you or your loved one to identify the issue(s) and find the inner strengths to start your journey to heal and thrive.
If you or someone you love is seeking therapy services, I can help by guiding you or your loved one to identify the issue(s) and find the inner strengths to start your journey to heal and thrive.
(210) 864-1570 View (210) 864-1570
Photo of Pricilla St John, MA, LPC, LCDC, Licensed Professional Counselor
Pricilla St John
Licensed Professional Counselor, MA, LPC, LCDC
Verified Verified
San Antonio, TX 78229
I am a Licensed Professional Counselor and Licensed Chemical Dependency Counselor in Karnes, Wilson, and Bexar County with over 10 years of experience working with adults, adolescents, and children in both the mental health and juvenile settings. I am certified in Trauma-Focused CBT as well as EMDR therapy and have a large amount of experience working with children who have experienced trauma in their lives. Through therapy and play therapy we are able to help overcome these obstacles.
I am a Licensed Professional Counselor and Licensed Chemical Dependency Counselor in Karnes, Wilson, and Bexar County with over 10 years of experience working with adults, adolescents, and children in both the mental health and juvenile settings. I am certified in Trauma-Focused CBT as well as EMDR therapy and have a large amount of experience working with children who have experienced trauma in their lives. Through therapy and play therapy we are able to help overcome these obstacles.
(210) 741-9727 View (210) 741-9727
Photo of Rebecca H. Villa, LCSW, CCATP, Clinical Social Work/Therapist
Rebecca H. Villa
Clinical Social Work/Therapist, LCSW, CCATP
Verified Verified
Mico, TX 78056  (Online Only)
Rebecca Villa has over 15 years of experience in mental health, specializing in trauma, anxiety, and mood disorders. She uses a holistic approach, with interventions such as trauma-focused cognitive behavioral therapy, exposure and response prevention, and acceptance and commitment therapy. She is a TF-CBT certified therapist and a certified clinical anxiety treatment professional.
Rebecca Villa has over 15 years of experience in mental health, specializing in trauma, anxiety, and mood disorders. She uses a holistic approach, with interventions such as trauma-focused cognitive behavioral therapy, exposure and response prevention, and acceptance and commitment therapy. She is a TF-CBT certified therapist and a certified clinical anxiety treatment professional.
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Photo of Tamika Maria Davis, MA, LPC, NCC, CCTP, Licensed Professional Counselor
Tamika Maria Davis
Licensed Professional Counselor, MA, LPC, NCC, CCTP
Verified Verified
1 Endorsed
San Antonio, TX 78257  (Online Only)
It is my privilege and gift to empower couples and individuals as they navigate life. My background as a school counselor, substance abuse, drug court and corrections counselor along with community behavioral health counseling and assessing lends to a full service therapeutic process with me. Considering marriage? Married and feeling stuck/frustrated? Do you have a child with behavioral/emotional challenges? Want to boost your self-esteem and become the most empowered version of self? Together we can create realistic and attainable treatment goals to unlock your desires.
It is my privilege and gift to empower couples and individuals as they navigate life. My background as a school counselor, substance abuse, drug court and corrections counselor along with community behavioral health counseling and assessing lends to a full service therapeutic process with me. Considering marriage? Married and feeling stuck/frustrated? Do you have a child with behavioral/emotional challenges? Want to boost your self-esteem and become the most empowered version of self? Together we can create realistic and attainable treatment goals to unlock your desires.
(830) 971-0124 View (830) 971-0124
Photo of Stefanie Malone, LPC-S, Licensed Professional Counselor
Stefanie Malone
Licensed Professional Counselor, LPC-S
Verified Verified
San Antonio, TX 78257  (Online Only)
Dr. Stefanie Malone is a Licensed Professional Counselor and Supervisor and is certified in Dialectical Behavior Therapy. She has over 10 years of experience in the mental health field working with addiction, women's issues, mood disorders, anxiety disorders, children and adolescents, and trauma. Dr. Malone completed her doctorate in Counselor Education and Supervision at the University of Texas at San Antonio and her master of education in Community Counseling at the University of Missouri - St. Louis.
Dr. Stefanie Malone is a Licensed Professional Counselor and Supervisor and is certified in Dialectical Behavior Therapy. She has over 10 years of experience in the mental health field working with addiction, women's issues, mood disorders, anxiety disorders, children and adolescents, and trauma. Dr. Malone completed her doctorate in Counselor Education and Supervision at the University of Texas at San Antonio and her master of education in Community Counseling at the University of Missouri - St. Louis.
(210) 702-2704 View (210) 702-2704
Photo of Tyrone Samuel Charles Jr., MA, LPC, NCC, LCDC, Licensed Professional Counselor
Tyrone Samuel Charles Jr.
Licensed Professional Counselor, MA, LPC, NCC, LCDC
Verified Verified
San Antonio, TX 78238  (Online Only)
My name is Tyrone Charles Jr. I am a Licensed Professional Counselor (LPC) and a Licensed Chemical Dependency Counselor (LCDC) in Texas with over 5 years of experience. I have worked with clients with a wide range of concerns including drug and alcohol addiction, anxiety, depression, parenting issues, relationship issues, life transition, and veteran-related services.
My name is Tyrone Charles Jr. I am a Licensed Professional Counselor (LPC) and a Licensed Chemical Dependency Counselor (LCDC) in Texas with over 5 years of experience. I have worked with clients with a wide range of concerns including drug and alcohol addiction, anxiety, depression, parenting issues, relationship issues, life transition, and veteran-related services.
(210) 405-2448 View (210) 405-2448
Photo of Jessica Rutowski, MA, LPCA
Jessica Rutowski
Licensed Professional Counselor Associate, MA, LPCA
Verified Verified
1 Endorsed
San Antonio, TX 78201  (Online Only)
I work with clients with diverse backgrounds and a wide range of mental health conditions. Some of these include, schizophrenia, anxiety, depression, and addiction. Additionally, I have worked with individuals facing homelessness, multicultural backgrounds, experiencing prejudice, and supported LGBT+ individuals.
I work with clients with diverse backgrounds and a wide range of mental health conditions. Some of these include, schizophrenia, anxiety, depression, and addiction. Additionally, I have worked with individuals facing homelessness, multicultural backgrounds, experiencing prejudice, and supported LGBT+ individuals.
(726) 336-2696 View (726) 336-2696
Photo of Dr. Monte Christopher Miller - Dr. Monte Miller - Christian Psychologist, PsyD, Psychologist
Dr. Monte Miller - Christian Psychologist
Psychologist, PsyD
Verified Verified
22 Endorsed
San Antonio, TX 78209  (Online Only)
Infidelity &/or porn addiction (other sexual issues-performance anxiety, depression, anxiety) can be crushing to you and your family. I know all the steps needed to rebuild trust and intimacy. Have repaired many marriages. Am a full psychologist & sex therapist. No shaming, judging. I offer direct & tough, but compassionate, Biblically-based Christian care. I also deal with relationship problems, especially for men who haven't been in therapy before, but for women as well. I work with Performance Anxiety, & PTSD Abuse/Trauma recovery. Have both my Masters & Doctoral degrees. I use CBT. No psychobabble BS. 20 yrs of experience.
Infidelity &/or porn addiction (other sexual issues-performance anxiety, depression, anxiety) can be crushing to you and your family. I know all the steps needed to rebuild trust and intimacy. Have repaired many marriages. Am a full psychologist & sex therapist. No shaming, judging. I offer direct & tough, but compassionate, Biblically-based Christian care. I also deal with relationship problems, especially for men who haven't been in therapy before, but for women as well. I work with Performance Anxiety, & PTSD Abuse/Trauma recovery. Have both my Masters & Doctoral degrees. I use CBT. No psychobabble BS. 20 yrs of experience.
(210) 361-3354 View (210) 361-3354
Photo of Tina Sustaeta, MS, LPC-S, Licensed Professional Counselor
Tina Sustaeta
Licensed Professional Counselor, MS, LPC-S
Verified Verified
San Antonio, TX 78230
My ideal client is someone that is willing to look at the big picture of life and is open to collaborating with me leverging my expertise as well as, with my help, learning to use their own instinct. When it comes to children my approach is to collaborate with parents to best identify what coping tools and skillset are needed. When appropriate I follow a family systems approach and incorporate working with multiple family members at once, such as in family conflict or sibling rivalry.
My ideal client is someone that is willing to look at the big picture of life and is open to collaborating with me leverging my expertise as well as, with my help, learning to use their own instinct. When it comes to children my approach is to collaborate with parents to best identify what coping tools and skillset are needed. When appropriate I follow a family systems approach and incorporate working with multiple family members at once, such as in family conflict or sibling rivalry.
(210) 880-2487 View (210) 880-2487
Photo of Lisa Sells, MA, LPC, Licensed Professional Counselor
Lisa Sells
Licensed Professional Counselor, MA, LPC
Verified Verified
8 Endorsed
San Antonio, TX 78248  (Online Only)
You are anxious and stressed. You feel like no matter how hard you try, it’s just not good enough. You’re feeling overwhelmed by life; thinking that others’ problems are more serious and you don’t want to bring anyone down by sharing your struggles and challenges in relationships, parenting, work stress, and juggling the demands of life. Your best never feels quite good enough and you don’t know who to turn to. Whether it’s challenging relationships, coping with a loss, struggling through a transition, or work stress--you just don’t feel like you’re managing and definitely not thriving in your life.
You are anxious and stressed. You feel like no matter how hard you try, it’s just not good enough. You’re feeling overwhelmed by life; thinking that others’ problems are more serious and you don’t want to bring anyone down by sharing your struggles and challenges in relationships, parenting, work stress, and juggling the demands of life. Your best never feels quite good enough and you don’t know who to turn to. Whether it’s challenging relationships, coping with a loss, struggling through a transition, or work stress--you just don’t feel like you’re managing and definitely not thriving in your life.
(726) 204-2109 View (726) 204-2109

How does your Therapist compare?

Number of Therapists in Zavala County, TX

< 10

Therapists in Zavala County, TX who prioritize treating:

83% Depression
83% Anxiety
83% Anger Management
83% Coping Skills
67% Grief
67% Family Conflict
67% Self Esteem

Average years in practice

18 Years

Top 3 insurances accepted

100% Aetna
100% BlueCross and BlueShield
100% Cigna and Evernorth

How Therapists in Zavala County, TX see their clients

50% In Person and Online
50% Online Only

Gender breakdown

84% Female
16% Male
FAQs - About Therapy and Counseling

How can I find a therapist in Zavala 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.