Therapists in San Marcos, TX

Photo of Kathryn Tucker, LCSW, Clinical Social Work/Therapist
Kathryn Tucker
Clinical Social Work/Therapist, LCSW
Verified Verified
2 Endorsed
San Marcos, TX 78666  (Online Only)
Not accepting new clients
"Be kind, for everyone you meet is fighting a hard battle." I believe we are all at the forefront of our own inner battles. Maybe you're struggling in relationships or with anxiety and you want deeper, healthier and more authentic life experiences. Or maybe you're on the healing path from past abusive relationships, trauma, and/or sexual assault/abuse and you want to feel confidence and empowerment.
"Be kind, for everyone you meet is fighting a hard battle." I believe we are all at the forefront of our own inner battles. Maybe you're struggling in relationships or with anxiety and you want deeper, healthier and more authentic life experiences. Or maybe you're on the healing path from past abusive relationships, trauma, and/or sexual assault/abuse and you want to feel confidence and empowerment.
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Photo of Kristina Aiello, MS, LPC, LCDC, NCC, Licensed Professional Counselor
Kristina Aiello
Licensed Professional Counselor, MS, LPC, LCDC, NCC
Verified Verified
1 Endorsed
San Marcos, TX 78666  (Online Only)
Do you feel overwhelmed by negative thoughts and constant worry? Are you struggling to keep up with life's many demands? Do you need help processing complex emotions, working through grief or trauma, or just need someone to listen objectively? Healing from the pain of trauma and overcoming life's many hurdles is very much a part of my story. It is my own journey with counseling that helps lend to my passion for helping others. I believe we all have more power than we know. Helping people identify their barriers and grow beyond them is the best part of my work.
Do you feel overwhelmed by negative thoughts and constant worry? Are you struggling to keep up with life's many demands? Do you need help processing complex emotions, working through grief or trauma, or just need someone to listen objectively? Healing from the pain of trauma and overcoming life's many hurdles is very much a part of my story. It is my own journey with counseling that helps lend to my passion for helping others. I believe we all have more power than we know. Helping people identify their barriers and grow beyond them is the best part of my work.
(512) 575-8653 View (512) 575-8653
Photo of Gerri Flores, LPC, Licensed Professional Counselor
Gerri Flores
Licensed Professional Counselor, LPC
Verified Verified
San Marcos, TX 78666
Gerri Flores is a Licensed Professional Counselor in Texas who has been practicing since 2023. She has a Bachelor of Psychology and Master of Counseling. At times life can be difficult to handle and it can take you in directions you never been before. Life can certainly become overwhelming and confusing. Changes can be positive or negative and still cause a tremendous number of challenges. Discovering your new purpose can have its own adversities. Gerri's goal is to assist you in exploring and developing healthier ways to look at life, overcome challenges and discover emotional health.
Gerri Flores is a Licensed Professional Counselor in Texas who has been practicing since 2023. She has a Bachelor of Psychology and Master of Counseling. At times life can be difficult to handle and it can take you in directions you never been before. Life can certainly become overwhelming and confusing. Changes can be positive or negative and still cause a tremendous number of challenges. Discovering your new purpose can have its own adversities. Gerri's goal is to assist you in exploring and developing healthier ways to look at life, overcome challenges and discover emotional health.
(737) 232-7308 View (737) 232-7308
Photo of Angela Tierney, LPC, Licensed Professional Counselor
Angela Tierney
Licensed Professional Counselor, LPC
Verified Verified
San Marcos, TX 78666
I have been working with Young Adults (age 18 and older), predominantly female or gender queer, for about 19 years now and I love it. My goal in therapy is to help you get through the difficulties life brings your way. By providing a nurturing, comfortable environment, it allows you to relax and trust me and the counseling process. My positive, strength-building style of counseling means that I listen to you, understand what you are going through, see the strengths and positive parts, and set goals for what is not working. We will work together to figure it out.
I have been working with Young Adults (age 18 and older), predominantly female or gender queer, for about 19 years now and I love it. My goal in therapy is to help you get through the difficulties life brings your way. By providing a nurturing, comfortable environment, it allows you to relax and trust me and the counseling process. My positive, strength-building style of counseling means that I listen to you, understand what you are going through, see the strengths and positive parts, and set goals for what is not working. We will work together to figure it out.
(512) 553-8902 View (512) 553-8902
Photo of Lisa Hanusch - Lisa Hanusch PhD, PhD, Psychologist
Lisa Hanusch PhD
Psychologist, PhD
Verified Verified
2 Endorsed
San Marcos, TX 78666  (Online Only)
I work with couples, women, and young adults (18+). I enjoy helping couples enhance their connection by identifying barriers and teaching skills. I have special training and experience helping couples recover from the trauma of infidelity. I work also with women (of all ages) with a variety of issues including self-esteem, boundaries, codependency, parenting, relationships, trauma, depression, anxiety, and grief - to name a few. I desire to see women fulfilled, whole, and empowered.
I work with couples, women, and young adults (18+). I enjoy helping couples enhance their connection by identifying barriers and teaching skills. I have special training and experience helping couples recover from the trauma of infidelity. I work also with women (of all ages) with a variety of issues including self-esteem, boundaries, codependency, parenting, relationships, trauma, depression, anxiety, and grief - to name a few. I desire to see women fulfilled, whole, and empowered.
(512) 354-1591 View (512) 354-1591
Photo of Nan Otoupal, LCSW, Clinical Social Work/Therapist
Nan Otoupal
Clinical Social Work/Therapist, LCSW
Verified Verified
San Marcos, TX 78666  (Online Only)
Therapy shouldn't be an added stressor. I use humor and support along with cognitive and reality therapy. I focus primarily on depression, bipolar disorder and major mental illness.
Therapy shouldn't be an added stressor. I use humor and support along with cognitive and reality therapy. I focus primarily on depression, bipolar disorder and major mental illness.
(737) 373-4304 View (737) 373-4304
Photo of Aryn Thompson, LCSW-S, Clinical Social Work/Therapist
Aryn Thompson
Clinical Social Work/Therapist, LCSW-S
Verified Verified
1 Endorsed
San Marcos, TX 78666
I specialize in gender and sexuality, with over 7 years experience serving my LGBTQIA+ community. I feel strongly that shared experience helps people feel safe and seen in the therapy room. Using a relational approach, I believe that majority of therapeutic healing happens with human connection. This means I show up as human with my clients. You can expect accountability as well as empathy. I engage in the therapy conversation to allow reflection of your emotions. My specialization in queer matters is combined with treatment of complex trauma, mood, and personality disorders.
I specialize in gender and sexuality, with over 7 years experience serving my LGBTQIA+ community. I feel strongly that shared experience helps people feel safe and seen in the therapy room. Using a relational approach, I believe that majority of therapeutic healing happens with human connection. This means I show up as human with my clients. You can expect accountability as well as empathy. I engage in the therapy conversation to allow reflection of your emotions. My specialization in queer matters is combined with treatment of complex trauma, mood, and personality disorders.
(682) 307-4367 View (682) 307-4367
Photo of Kathleen Loisel, MA, LPC-S, BSN, RYT-200
Kathleen Loisel
MA, LPC-S, BSN, RYT-200
Verified Verified
San Marcos, TX 78666
Waitlist for new clients
In my experience, I've found that people come to therapy when they are in a crisis situation or encounter something that seems too overwhelming to face on their own. I approach my work in a collaborative way that promotes self-awareness, understanding, support and discovery, promoting safety and understanding. By focusing strengths, I hope to assist my clients in finding healthy ways to cope with stressors, achieve desired changes, better understand how they relate to others and the world, develop personal potential and empower in a gentle, purposeful manner.
In my experience, I've found that people come to therapy when they are in a crisis situation or encounter something that seems too overwhelming to face on their own. I approach my work in a collaborative way that promotes self-awareness, understanding, support and discovery, promoting safety and understanding. By focusing strengths, I hope to assist my clients in finding healthy ways to cope with stressors, achieve desired changes, better understand how they relate to others and the world, develop personal potential and empower in a gentle, purposeful manner.
(512) 601-4480 View (512) 601-4480
Photo of Christine Brown, LMFT, Marriage & Family Therapist
Christine Brown
Marriage & Family Therapist, LMFT
Verified Verified
3 Endorsed
San Marcos, TX 78666  (Online Only)
Relationships can be complicated! All of us need help navigating the rough waters of our relationships. Whether in marriage or parenting, with extended family, or friends and loved ones, we find ourselves hurt by the people we care about the most. And sometimes we hurt them back. That isn't who we really want to be, but we don't know another way. We're stuck in a cycle of anger and distancing. Conflict is inevitable. Thankfully, resolution of conflict is possible. We are created to have meaningful relationships and my aim in therapy is to help you learn how to have them.
Relationships can be complicated! All of us need help navigating the rough waters of our relationships. Whether in marriage or parenting, with extended family, or friends and loved ones, we find ourselves hurt by the people we care about the most. And sometimes we hurt them back. That isn't who we really want to be, but we don't know another way. We're stuck in a cycle of anger and distancing. Conflict is inevitable. Thankfully, resolution of conflict is possible. We are created to have meaningful relationships and my aim in therapy is to help you learn how to have them.
(512) 746-1333 View (512) 746-1333
Photo of Mary Katherine Kaiser, MA, LPC-S, Licensed Professional Counselor
Mary Katherine Kaiser
Licensed Professional Counselor, MA, LPC-S
Verified Verified
San Marcos, TX 78666  (Online Only)
Warm regards to you! You may be at a place where challenges in life just seem to be too much for you to handle alone. Many people come to counseling and find help to deal more powerfully with the challenges of life. Many situations, emotions and patterns of self-defeating behavior prevent people from living a happy, productive, and satisfying life. Some of these behaviors are in our awareness; while others are not obvious to us. The goal of counseling is to help increase self-awareness, for you to find your best way to function and thrive!
Warm regards to you! You may be at a place where challenges in life just seem to be too much for you to handle alone. Many people come to counseling and find help to deal more powerfully with the challenges of life. Many situations, emotions and patterns of self-defeating behavior prevent people from living a happy, productive, and satisfying life. Some of these behaviors are in our awareness; while others are not obvious to us. The goal of counseling is to help increase self-awareness, for you to find your best way to function and thrive!
(512) 456-9145 View (512) 456-9145
Photo of Naomi Coleman Medina, PhD, LPC-S, Licensed Professional Counselor
Naomi Coleman Medina
Licensed Professional Counselor, PhD, LPC-S
Verified Verified
1 Endorsed
San Marcos, TX 78666
I believe that we are influenced by social and biological forces, but our life is not fixed because of them. Together we will explore and discover skills and a mindset to cope, resolve, and/or transition into the new chapter that waits. Through our work together, my hope is that you will find meaning and grow from there, not allowing fences that others – or ones you have placed around yourself - to hold you back.
I believe that we are influenced by social and biological forces, but our life is not fixed because of them. Together we will explore and discover skills and a mindset to cope, resolve, and/or transition into the new chapter that waits. Through our work together, my hope is that you will find meaning and grow from there, not allowing fences that others – or ones you have placed around yourself - to hold you back.
(512) 960-2099 View (512) 960-2099
Photo of Leta A Young - Leta A Young,     Uzima Counseling Services, PLLC, MA, LPC, Licensed Professional Counselor
Leta A Young, Uzima Counseling Services, PLLC
Licensed Professional Counselor, MA, LPC
Verified Verified
2 Endorsed
San Marcos, TX 78666  (Online Only)
Are you asking yourself? “Do I really need therapy?” Can I tell this stranger my thoughts? Will this person judge me? Next, you tell yourself, “I don’t need help!” If you can identify with any of these questions, you may be ready to take the next step and start therapy. You can share your thoughts and feelings in a safe space without judgment.
Are you asking yourself? “Do I really need therapy?” Can I tell this stranger my thoughts? Will this person judge me? Next, you tell yourself, “I don’t need help!” If you can identify with any of these questions, you may be ready to take the next step and start therapy. You can share your thoughts and feelings in a safe space without judgment.
(210) 879-1556 View (210) 879-1556
Photo of Katie Lacenere, MSS, LCSW, CET1, Clinical Social Work/Therapist
Katie Lacenere
Clinical Social Work/Therapist, MSS, LCSW, CET1
Verified Verified
San Marcos, TX 78666  (Online Only)
Have you already tried traditional talk therapy in the past? Has it been somewhat helpful, but now you're searching for other therapy modalities that can help you heal the root-cause of your issues? I’m a Licensed Clinical Social Worker (LCSW), Reiki Master, Certified Experiential Therapist, and Founder of Divine Light Sanctuary. I currently offer virtual therapy sessions for clients throughout the state of Texas. I’m also a highly sensitive person (HSP), oracle card reader, and spiritual guide. I believe that healing from trauma is about co-creating change that YOU choose.
Have you already tried traditional talk therapy in the past? Has it been somewhat helpful, but now you're searching for other therapy modalities that can help you heal the root-cause of your issues? I’m a Licensed Clinical Social Worker (LCSW), Reiki Master, Certified Experiential Therapist, and Founder of Divine Light Sanctuary. I currently offer virtual therapy sessions for clients throughout the state of Texas. I’m also a highly sensitive person (HSP), oracle card reader, and spiritual guide. I believe that healing from trauma is about co-creating change that YOU choose.
(512) 881-8320 View (512) 881-8320
Photo of MJ Denis, LPC, LMFT, Licensed Professional Counselor
MJ Denis
Licensed Professional Counselor, LPC, LMFT
Verified Verified
1 Endorsed
San Marcos, TX 78666
Not accepting new clients
MJ's path has led her to specialize in areas involving sexual dysfunction, sexual betrayal, intimacy discrepancies and desire disorders. Her experience includes working as a mental health counselor at Hope Alliance, a domestic and sexual violence crisis center; counseling patients experiencing sexual dysfunction at the North Austin Urology Clinic, and helping individuals and couples work through the pain of betrayal, infidelity, and sex addiction for Affair Recovery. MJ specializes in using Emotional Transformation Therapy (ETT) to help her clients reduce and sometimes eliminate the effects of trauma, grief, anxiety, and depression.
MJ's path has led her to specialize in areas involving sexual dysfunction, sexual betrayal, intimacy discrepancies and desire disorders. Her experience includes working as a mental health counselor at Hope Alliance, a domestic and sexual violence crisis center; counseling patients experiencing sexual dysfunction at the North Austin Urology Clinic, and helping individuals and couples work through the pain of betrayal, infidelity, and sex addiction for Affair Recovery. MJ specializes in using Emotional Transformation Therapy (ETT) to help her clients reduce and sometimes eliminate the effects of trauma, grief, anxiety, and depression.
(512) 623-7463 View (512) 623-7463
Photo of Nichole Mueller-McMorris, LCSW, Clinical Social Work/Therapist
Nichole Mueller-McMorris
Clinical Social Work/Therapist, LCSW
Verified Verified
1 Endorsed
San Marcos, TX 78666
Have you ever felt that your life is out of control and hopeless? How do you get to a place where you feel that you are living a life worth living? I have years of experience working with a widespread of mental health diagnosis where I am seeing people on their worst day. The pain from the past and present is surfacing in the moment I am meeting with them.
Have you ever felt that your life is out of control and hopeless? How do you get to a place where you feel that you are living a life worth living? I have years of experience working with a widespread of mental health diagnosis where I am seeing people on their worst day. The pain from the past and present is surfacing in the moment I am meeting with them.
(512) 648-4189 View (512) 648-4189
Photo of Gary Springer - Springer Counseling, LPC, PhD, MEd, Licensed Professional Counselor
Springer Counseling
Licensed Professional Counselor, LPC, PhD, MEd
Verified Verified
San Marcos, TX 78666
At Springer Counseling, each client is unique. You are the real expert about you. Our work together will reflect your individuality, your unique life experience, and the self-knowledge you already possess. Sessions are accessible and convenient at my office in San Marcos, Texas.
At Springer Counseling, each client is unique. You are the real expert about you. Our work together will reflect your individuality, your unique life experience, and the self-knowledge you already possess. Sessions are accessible and convenient at my office in San Marcos, Texas.
(737) 387-5067 View (737) 387-5067
Photo of Jennifer Jones - Private Couple Retreat Program, LMFT, MEd, MA, Marriage & Family Therapist
Private Couple Retreat Program
Marriage & Family Therapist, LMFT, MEd, MA
Verified Verified
San Marcos, TX 78666
Deepen, reignite/repair or decide? You, your partner and therapist, no groups. Did you historically have to rely on yourself? Are you tired of suffering, ready to resolve core issues? Affairs, conflict, fears with intimacy, abandonment, narcissistic abuse recovery, performance anxiety, sexual "baggage," infertility and adoption, chronic health issues, long distance, inter-racial, separation/divorce, parental alienation, co-parenting, dating post divorce, identity and healing intergenerational trauma. lovesextrustproductions.com.
Deepen, reignite/repair or decide? You, your partner and therapist, no groups. Did you historically have to rely on yourself? Are you tired of suffering, ready to resolve core issues? Affairs, conflict, fears with intimacy, abandonment, narcissistic abuse recovery, performance anxiety, sexual "baggage," infertility and adoption, chronic health issues, long distance, inter-racial, separation/divorce, parental alienation, co-parenting, dating post divorce, identity and healing intergenerational trauma. lovesextrustproductions.com.
(512) 337-4259 View (512) 337-4259
Photo of Scarlett Black, LPC, Licensed Professional Counselor
Scarlett Black
Licensed Professional Counselor, LPC
Verified Verified
San Marcos, TX 78666
Welcome, my name is Scarlett Black and I am a Licensed Professional Counselor and Registered Play Therapist with over 15 years of experience. I have a wide range of experience providing evidence based practices for children and adults addressing complex trauma, grief and loss, mood disorders, and anger management. My approach is client centered and solution focused with the most common theoretical approach I incorporate being Cognitive Behavioral Therapy but also utilizing Motivational Interviewing and Play Therapy.
Welcome, my name is Scarlett Black and I am a Licensed Professional Counselor and Registered Play Therapist with over 15 years of experience. I have a wide range of experience providing evidence based practices for children and adults addressing complex trauma, grief and loss, mood disorders, and anger management. My approach is client centered and solution focused with the most common theoretical approach I incorporate being Cognitive Behavioral Therapy but also utilizing Motivational Interviewing and Play Therapy.
(214) 206-4980 View (214) 206-4980
Photo of Candace McArthur - The Sparrows Collective, LCSW-S, Clinical Social Work/Therapist
The Sparrows Collective
Clinical Social Work/Therapist, LCSW-S
Verified Verified
San Marcos, TX 78666
You have tried the discipline, the goal setting, the "fake it til you make it," the busyness, the books, the podcasts, the rigidity, the perfection, the formulas, the positivity, and yet you still feel stuck and without hope. ‘Is this really what life is going to be like forever?” you ask quietly to yourself. Dear soul, it is time to return home. To learn to breath, rest, and attune all in the safety of your own body. Together we will make room for the thinking, feeling, and sensing body to emerge. It's time to plant roots in the goodness of your body, your "youness" and the wisdom already blooming within you.
You have tried the discipline, the goal setting, the "fake it til you make it," the busyness, the books, the podcasts, the rigidity, the perfection, the formulas, the positivity, and yet you still feel stuck and without hope. ‘Is this really what life is going to be like forever?” you ask quietly to yourself. Dear soul, it is time to return home. To learn to breath, rest, and attune all in the safety of your own body. Together we will make room for the thinking, feeling, and sensing body to emerge. It's time to plant roots in the goodness of your body, your "youness" and the wisdom already blooming within you.
(512) 548-4227 View (512) 548-4227
Photo of Adriana Veronica Inmon - Yellow Couch Therapy, LCSW, Clinical Social Work/Therapist
Yellow Couch Therapy
Clinical Social Work/Therapist, LCSW
Verified Verified
San Marcos, TX 78666
Waitlist for new clients
As a Licensed Clinical Social Worker, I specialize in addressing the unique challenges faced by young adults and women. From dealing with trauma and anxiety to navigating life transitions and struggles with body image, I have the expertise to guide you through these complex issues. I believe in the power of empathy and genuine care, and I’m dedicated to helping you reconnect with your authentic self. Together, we can work on fostering self-compassion and breaking free from the shackles of perfectionism.
As a Licensed Clinical Social Worker, I specialize in addressing the unique challenges faced by young adults and women. From dealing with trauma and anxiety to navigating life transitions and struggles with body image, I have the expertise to guide you through these complex issues. I believe in the power of empathy and genuine care, and I’m dedicated to helping you reconnect with your authentic self. Together, we can work on fostering self-compassion and breaking free from the shackles of perfectionism.
(512) 213-1038 View (512) 213-1038
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How does your Therapist compare?

Number of Therapists in San Marcos, TX

200+

Average cost per session

$135

Therapists in San Marcos, TX who prioritize treating:

92% Anxiety
88% Depression
80% Self Esteem
78% Relationship Issues
75% Coping Skills
73% Trauma and PTSD
69% Stress

Average years in practice

10 Years

Top 3 insurances accepted

76% Aetna
75% UnitedHealthcare UHC | UBH
71% BlueCross and BlueShield

How Therapists in San Marcos, TX see their clients

68% In Person and Online
32% Online Only

Gender breakdown

83% Female
16% Male
1% Non-Binary
FAQs - About Therapy and Counseling

How can I find a therapist in San Marcos?

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.