Therapists in McKinney, TX

Photo of Shelly Smith Cavin, Ph.D., Licensed Professional Counselor in McKinney, TX
Shelly Smith Cavin, Ph.D.
Licensed Professional Counselor, LPC, PhD
Verified Verified
McKinney, TX 75069
I'll provide a safe place for you to explore the challenges that you are facing. Together we will focus on meeting your goals for a fulfilling and healthy life. We will look at the patterns and beliefs that are causing you anxiety and holding back.
I'll provide a safe place for you to explore the challenges that you are facing. Together we will focus on meeting your goals for a fulfilling and healthy life. We will look at the patterns and beliefs that are causing you anxiety and holding back.
(469) 765-3791 View (469) 765-3791
Photo of Anna Vaught, Clinical Social Work/Therapist in McKinney, TX
Anna Vaught
Clinical Social Work/Therapist, MSW, LCSW
Verified Verified
McKinney, TX 75070
I'm Anna, a Licensed Clinical Social Worker. I consider it an honor and privilege to walk with clients as they choose a healing path to a better life. My overall approach is client-centered, creating a safe space to explore and challenge what is holding you back or impeding a healthy mind and body.
I'm Anna, a Licensed Clinical Social Worker. I consider it an honor and privilege to walk with clients as they choose a healing path to a better life. My overall approach is client-centered, creating a safe space to explore and challenge what is holding you back or impeding a healthy mind and body.
(469) 707-8568 View (469) 707-8568
Photo of Tiffany Damewood, Clinical Social Work/Therapist in McKinney, TX
Tiffany Damewood
Clinical Social Work/Therapist, LCSW, LCDC
Verified Verified
McKinney, TX 75070
I am a Licensed Clinical Social Worker (LCSW) and a Licensed Chemical Dependency Counselor (LCDC). I have a bachelor’s degree in psychology from the University of Texas at Dallas and a master’s degree in social work from the University of Texas at Arlington. As a neurodivergent individual and a parent to my neurodivergent children, I have a unique understanding and lived experience regarding neurodivergence (particularly related to autism and ADHD). I am passionate about working with other neurodivergent individuals of all ages and identities from a neurodiversity-affirming approach.
I am a Licensed Clinical Social Worker (LCSW) and a Licensed Chemical Dependency Counselor (LCDC). I have a bachelor’s degree in psychology from the University of Texas at Dallas and a master’s degree in social work from the University of Texas at Arlington. As a neurodivergent individual and a parent to my neurodivergent children, I have a unique understanding and lived experience regarding neurodivergence (particularly related to autism and ADHD). I am passionate about working with other neurodivergent individuals of all ages and identities from a neurodiversity-affirming approach.
(469) 634-3033 View (469) 634-3033
Photo of Farina Tahir, Pre-Licensed Professional in McKinney, TX
Farina Tahir
Pre-Licensed Professional, MS, LPC-A, NCC
Verified Verified
2 Endorsed
McKinney, TX 75070
Navigating life can be difficult, with lots of twists and unexpected turns. Finding the blocks in your life and discovering constructive ways to heal can lead to deeper connections and healthier relationships.
Navigating life can be difficult, with lots of twists and unexpected turns. Finding the blocks in your life and discovering constructive ways to heal can lead to deeper connections and healthier relationships.
(469) 557-5218 View (469) 557-5218
Photo of Marc Kitano, Marriage & Family Therapist in McKinney, TX
Marc Kitano
Marriage & Family Therapist, LMFT
Verified Verified
McKinney, TX 75071
I specialize in treating children, adolescents and adults with mood disorders, anxiety and depression. I pride myself in providing a warm, safe and caring environment while sharing insight as appropriate. My training as a family therapist has given me skills to provide support in building healthy relationships, restoring hope and finding resilience.
I specialize in treating children, adolescents and adults with mood disorders, anxiety and depression. I pride myself in providing a warm, safe and caring environment while sharing insight as appropriate. My training as a family therapist has given me skills to provide support in building healthy relationships, restoring hope and finding resilience.
(469) 535-7770 View (469) 535-7770
Photo of Calen Hawkins, Licensed Professional Counselor in McKinney, TX
Calen Hawkins
Licensed Professional Counselor, MA, LPC
Verified Verified
McKinney, TX 75070
My name is Calen, and I am honored to hear your story and walk with you through the chapter of your life that you are in. Perhaps you are seeking to understand the root cause of your depression, anxiety, habits, feeling dissatisfied in life altogether, and want to feel healing, balance, and peace within your life. If you have felt numb, lost, detached, or more afraid of the future than hopeful, there is a way to find confidence and hope again.
My name is Calen, and I am honored to hear your story and walk with you through the chapter of your life that you are in. Perhaps you are seeking to understand the root cause of your depression, anxiety, habits, feeling dissatisfied in life altogether, and want to feel healing, balance, and peace within your life. If you have felt numb, lost, detached, or more afraid of the future than hopeful, there is a way to find confidence and hope again.
(469) 833-2247 View (469) 833-2247
Photo of Chassidy Mayo, Pre-Licensed Professional in McKinney, TX
Chassidy Mayo
Pre-Licensed Professional, MPH
Verified Verified
1 Endorsed
McKinney, TX 75070
Hey Y'all! Welcome NEW Clients! I'm a counseling student merging academic knowledge with unwavering faith. My journey spans psychology and public health, culminating in a focus on Marriage, Family, and Couple Counseling. My background equips me with a deep understanding of human behavior and societal factors affecting well-being. As your therapist, I walk beside you, offering insight and support while you rediscover your innate truth and align with your a divine calling led me to specialize in offering unwavering support to those navigating isolation and trauma, drawing from my personal experience with the challenges of loneliness.
Hey Y'all! Welcome NEW Clients! I'm a counseling student merging academic knowledge with unwavering faith. My journey spans psychology and public health, culminating in a focus on Marriage, Family, and Couple Counseling. My background equips me with a deep understanding of human behavior and societal factors affecting well-being. As your therapist, I walk beside you, offering insight and support while you rediscover your innate truth and align with your a divine calling led me to specialize in offering unwavering support to those navigating isolation and trauma, drawing from my personal experience with the challenges of loneliness.
(469) 908-4142 View (469) 908-4142
Photo of Janelle Jackson, Licensed Professional Counselor in McKinney, TX
Janelle Jackson
Licensed Professional Counselor, MS, LPC
Verified Verified
McKinney, TX 75070
Janelle is a Licensed Professional Counselor, specializing in adolescents, children (4 and up), adult individuals and families with presenting concerns such as anxiety, depression, PTSD, ADHD, family conflict, relationship concerns, self-harm, and more. Janelle brings a genuine sense of compassion for the difficulties her clients face, placing great emphasis on building meaningful relationships, transparency, and authenticity. She is flexible, person-centered and strengths based in her therapeutic approach, allowing her to address the unique needs of you and your family.
Janelle is a Licensed Professional Counselor, specializing in adolescents, children (4 and up), adult individuals and families with presenting concerns such as anxiety, depression, PTSD, ADHD, family conflict, relationship concerns, self-harm, and more. Janelle brings a genuine sense of compassion for the difficulties her clients face, placing great emphasis on building meaningful relationships, transparency, and authenticity. She is flexible, person-centered and strengths based in her therapeutic approach, allowing her to address the unique needs of you and your family.
(469) 813-8159 View (469) 813-8159
Photo of Scott D Altamirano, Marriage & Family Therapist in McKinney, TX
Scott D Altamirano
Marriage & Family Therapist, MA, LMFT
Verified Verified
McKinney, TX 75072  (Online Only)
Accepting clients May 2024. I help gay men - from the newly gay to the seasoned queen - navigate and understand topics related to dating monogamously, polyamory, sexual anxiety, fetishes, understanding Grindr, Sniffies, and bathhouses, drugs/alcohol/food/sex as coping, body insecurities, masculinity, developing self esteem, hobbies, and the most importantly - the friends we made along the way.
Accepting clients May 2024. I help gay men - from the newly gay to the seasoned queen - navigate and understand topics related to dating monogamously, polyamory, sexual anxiety, fetishes, understanding Grindr, Sniffies, and bathhouses, drugs/alcohol/food/sex as coping, body insecurities, masculinity, developing self esteem, hobbies, and the most importantly - the friends we made along the way.
(281) 915-2147 View (281) 915-2147
Photo of Meredith Kriz, Licensed Professional Counselor in McKinney, TX
Meredith Kriz
Licensed Professional Counselor, MA, MDiv, LPC-S
Verified Verified
2 Endorsed
McKinney, TX 75070
No matter what your struggles may be, my goal is to meet you where you are, help identify your strengths and build on those as we work toward the change you desire. My clients feel heard, and they are equipped with tools to find balance in their daily lives. Whether people come because they are depressed or overwhelmed with anxiety, their marriage is in trouble or they want to strengthen a strong relationship, my goal is the same: we manage immediate challenges while developing a plan to confront the deeper issues that prevent them from leading a balanced life.
No matter what your struggles may be, my goal is to meet you where you are, help identify your strengths and build on those as we work toward the change you desire. My clients feel heard, and they are equipped with tools to find balance in their daily lives. Whether people come because they are depressed or overwhelmed with anxiety, their marriage is in trouble or they want to strengthen a strong relationship, my goal is the same: we manage immediate challenges while developing a plan to confront the deeper issues that prevent them from leading a balanced life.
(469) 518-7249 View (469) 518-7249
Photo of Sharon Scott-Lifeskills For Positive Living, Licensed Professional Counselor in McKinney, TX
Sharon Scott-Lifeskills For Positive Living
Licensed Professional Counselor, LPC, LMFT
Verified Verified
McKinney, TX 75069  (Online Only)
Need life skills from an experienced counselor? Sharon Scott has been making a difference in peoples' lives for 40 years through her private counseling practice, 9 award-winning books & workshops presented in 42 U.S. states and in Australia, Switzerland, South Africa, Malaysia, Spain, Turkey, the Philippines, Canada & Micronesia. Besides her private counseling practice, she is a much sought after speaker w/appearances on CNN and Good Morning Australia & quoted by 20/20, the BBC, The Washington Post, Redbook etc. Her teen guide, "How to Say No and Keep Your Friends, 2nd Ed.," became a best-seller (www.hrdpress.com/sharonscott).
Need life skills from an experienced counselor? Sharon Scott has been making a difference in peoples' lives for 40 years through her private counseling practice, 9 award-winning books & workshops presented in 42 U.S. states and in Australia, Switzerland, South Africa, Malaysia, Spain, Turkey, the Philippines, Canada & Micronesia. Besides her private counseling practice, she is a much sought after speaker w/appearances on CNN and Good Morning Australia & quoted by 20/20, the BBC, The Washington Post, Redbook etc. Her teen guide, "How to Say No and Keep Your Friends, 2nd Ed.," became a best-seller (www.hrdpress.com/sharonscott).
(972) 752-6042 View (972) 752-6042
Photo of Forrest Timmons, Licensed Professional Counselor in McKinney, TX
Forrest Timmons
Licensed Professional Counselor, MA, LPC
Verified Verified
2 Endorsed
McKinney, TX 75071  (Online Only)
I am experienced in working with adolescents and adults struggling with anxiety, depression, and adjustment issues, as well as those with limitations associated with communication and social skills. I enjoy helping clients navigate personal challenges, emotional growth, relationships, occupational issues, and the stressors that seem to follow us from day-to-day. It is truly rewarding to help clients explore their identity and self-efficacy to uncover the cognitive and behavioral patterns keeping them from their personal goals.
I am experienced in working with adolescents and adults struggling with anxiety, depression, and adjustment issues, as well as those with limitations associated with communication and social skills. I enjoy helping clients navigate personal challenges, emotional growth, relationships, occupational issues, and the stressors that seem to follow us from day-to-day. It is truly rewarding to help clients explore their identity and self-efficacy to uncover the cognitive and behavioral patterns keeping them from their personal goals.
(972) 544-5293 View (972) 544-5293
Photo of Mary Jane Walker, Licensed Professional Counselor in McKinney, TX
Mary Jane Walker
Licensed Professional Counselor, MS, NCC, LPC
Verified Verified
McKinney, TX 75071  (Online Only)
NOTICE: Upcoming In-Person Gottman Seven Principles Couples Workshop, April 3. Contact Mary Jane to register. Mary Jane is a Gottman-trained therapist whose practice has moved away from recurring appointments toward an online accelerated approach to help couples manage conflict and deepen intimacy. The approach facilitates access to the online Gottman Relationship Assessment ($39 payable to Gottman) followed by a one-time, intensive online two-hour teleconference with Mary Jane (non-insurance affordable fee) to discuss the results and treatment plan to be implemented at home. She can incorporate Biblical principles if desired.
NOTICE: Upcoming In-Person Gottman Seven Principles Couples Workshop, April 3. Contact Mary Jane to register. Mary Jane is a Gottman-trained therapist whose practice has moved away from recurring appointments toward an online accelerated approach to help couples manage conflict and deepen intimacy. The approach facilitates access to the online Gottman Relationship Assessment ($39 payable to Gottman) followed by a one-time, intensive online two-hour teleconference with Mary Jane (non-insurance affordable fee) to discuss the results and treatment plan to be implemented at home. She can incorporate Biblical principles if desired.
(972) 364-7059 View (972) 364-7059
Photo of Sarah Khan, Licensed Professional Counselor in McKinney, TX
Sarah Khan
Licensed Professional Counselor, LPC
Verified Verified
McKinney, TX 75069
Sarah has years of experience providing psychotherapy in a wide variety of settings, working primarily with adults and adolescents. She has been effective at helping teens and their parents find common ground in order to work together and rebuild fractured relationships. Sarah works to unlock unhealthy patterns that are often learned in childhood, in order for her clients to gain a sense of control and build a brighter future. Sarah primarily practices Cognitive Behavioral Therapy (CBT) and Rational Emotive Behavior Therapy (REBT) and is trained in Eye Movement Desensitization and Reprocessing (EMDR).
Sarah has years of experience providing psychotherapy in a wide variety of settings, working primarily with adults and adolescents. She has been effective at helping teens and their parents find common ground in order to work together and rebuild fractured relationships. Sarah works to unlock unhealthy patterns that are often learned in childhood, in order for her clients to gain a sense of control and build a brighter future. Sarah primarily practices Cognitive Behavioral Therapy (CBT) and Rational Emotive Behavior Therapy (REBT) and is trained in Eye Movement Desensitization and Reprocessing (EMDR).
(469) 772-4644 View (469) 772-4644
Photo of Julie Tillerson - JourneyLife Counseling, Licensed Professional Counselor in McKinney, TX
Julie Tillerson - JourneyLife Counseling
Licensed Professional Counselor, MA, LPC
Verified Verified
2 Endorsed
McKinney, TX 75071
Hello! Are you feeling stuck, experiencing painful or challenging life changes, facing deep wounds or traumatic experiences, finding yourself in repeated relationship or experience cycles or need help processing and figuring out next steps? While you cannot change the past, if you are ready to work through the healing process, you can experience wholeness and freedom on the other side through managing and reducing anxiety and depression, developing healthy identity, gaining freedom from hurtful relationships and thinking patterns, healing from trauma and developing positive self-worth.
Hello! Are you feeling stuck, experiencing painful or challenging life changes, facing deep wounds or traumatic experiences, finding yourself in repeated relationship or experience cycles or need help processing and figuring out next steps? While you cannot change the past, if you are ready to work through the healing process, you can experience wholeness and freedom on the other side through managing and reducing anxiety and depression, developing healthy identity, gaining freedom from hurtful relationships and thinking patterns, healing from trauma and developing positive self-worth.
(972) 645-2104 View (972) 645-2104
Photo of Sheaneh Sattari, Psychologist in McKinney, TX
Sheaneh Sattari
Psychologist, PhD, LP
Verified Verified
1 Endorsed
McKinney, TX 75069
I am fascinated by the intricacies of human behavior and the workings of the mind, which led me to pursue a career in psychology rooted in my background in neuroscience. My journey in this field has been driven by an insatiable curiosity to understand what shapes us into who we are. Throughout my career, I’ve had the privilege of working with a diverse array of patients, guiding them through their challenges and helping them find answers and solutions. I firmly believe that psychology holds the key to raising awareness about our thought processes, leading to greater self-understanding and personal growth.
I am fascinated by the intricacies of human behavior and the workings of the mind, which led me to pursue a career in psychology rooted in my background in neuroscience. My journey in this field has been driven by an insatiable curiosity to understand what shapes us into who we are. Throughout my career, I’ve had the privilege of working with a diverse array of patients, guiding them through their challenges and helping them find answers and solutions. I firmly believe that psychology holds the key to raising awareness about our thought processes, leading to greater self-understanding and personal growth.
(469) 457-4109 View (469) 457-4109
Photo of Shea Stevens, Licensed Professional Counselor Associate in McKinney, TX
Shea Stevens
Licensed Professional Counselor Associate, MS
Verified Verified
1 Endorsed
McKinney, TX 75071  (Online Only)
I am secular (non-religious) and affirming of LGBTQ+ clients, and I often work with adults wanting to process their family of origin issues, or faith transition/ deconstruction. I also offer space to process things like anxiety, stress and relationships. I believe in the power of the therapist-client relationship and the importance of having a safe, supportive space that allows you to sort through your thoughts and feelings. Clients who want to grow in mindful awareness of their patterns and choices in life will be good fits.
I am secular (non-religious) and affirming of LGBTQ+ clients, and I often work with adults wanting to process their family of origin issues, or faith transition/ deconstruction. I also offer space to process things like anxiety, stress and relationships. I believe in the power of the therapist-client relationship and the importance of having a safe, supportive space that allows you to sort through your thoughts and feelings. Clients who want to grow in mindful awareness of their patterns and choices in life will be good fits.
(972) 210-0353 View (972) 210-0353
Photo of Janice Caudill, Psychologist in McKinney, TX
Janice Caudill
Psychologist, PhD, CSAT-S, CCPS-S, CPTT-S, SEP
Verified Verified
1 Endorsed
McKinney, TX 75070
Is pornography, sexual compulsivity, or infidelity destroying your marriage? Feeling hurt, angry, betrayed? Want things to change but not sure how? You might try to deny that there really is a problem, but the worries that wake you in the middle of the night tell a different story. If you're tired of fighting the same battles and no longer believe the promises that next time will be different, the task ahead of you may seem overwhelming - but hope and help are available.
Is pornography, sexual compulsivity, or infidelity destroying your marriage? Feeling hurt, angry, betrayed? Want things to change but not sure how? You might try to deny that there really is a problem, but the worries that wake you in the middle of the night tell a different story. If you're tired of fighting the same battles and no longer believe the promises that next time will be different, the task ahead of you may seem overwhelming - but hope and help are available.
(972) 540-9996 View (972) 540-9996
Photo of Nicole Lee, Clinical Social Work/Therapist in McKinney, TX
Nicole Lee
Clinical Social Work/Therapist, LCSW-S
Verified Verified
McKinney, TX 75070
HABLO ESPANOL! My story is a bit unique as to how I became a psychotherapist. I studied abroad in Costa Rica during college where I learned the Spanish language and where my love of adventure and exploration began. After moving to Los Angeles for several years, I decided to then move to New York City to pursue a career in music which is my first love. I was living in NYC and working for Sony Music on September 11, 2001 which changed my life dramatically. I decided to return to The University of Texas in Austin and obtained my Masters in Social Work in an effort to pursue a career in helping others which is my second love.
HABLO ESPANOL! My story is a bit unique as to how I became a psychotherapist. I studied abroad in Costa Rica during college where I learned the Spanish language and where my love of adventure and exploration began. After moving to Los Angeles for several years, I decided to then move to New York City to pursue a career in music which is my first love. I was living in NYC and working for Sony Music on September 11, 2001 which changed my life dramatically. I decided to return to The University of Texas in Austin and obtained my Masters in Social Work in an effort to pursue a career in helping others which is my second love.
(469) 617-5068 View (469) 617-5068
Photo of Derek Atkins, Licensed Professional Counselor in McKinney, TX
Derek Atkins
Licensed Professional Counselor, MA, LPC
Verified Verified
McKinney, TX 75070
Derek has worked in the field of counseling for over 15 years helping clients work through concerns including depression, anxiety, and even self image. He has worked with military personnel, law enforcement, and the foster care system. Derek has significant experience in working with individuals and families struggling with addiction and utilizes a safe and warm environment to engage his clients in developing healthy strategies to work through their recovery and engage families in adapting to changes in the family dynamic.
Derek has worked in the field of counseling for over 15 years helping clients work through concerns including depression, anxiety, and even self image. He has worked with military personnel, law enforcement, and the foster care system. Derek has significant experience in working with individuals and families struggling with addiction and utilizes a safe and warm environment to engage his clients in developing healthy strategies to work through their recovery and engage families in adapting to changes in the family dynamic.
(972) 945-3177 View (972) 945-3177

How does your Therapist compare?

Number of Therapists in McKinney, TX

600+

Average cost per session

$142

Therapists in McKinney, TX who prioritize treating:

93% Anxiety
89% Depression
79% Self Esteem
77% Relationship Issues
73% Coping Skills
73% Stress
67% Trauma and PTSD

Average years in practice

11 Years

Top 3 insurances accepted

81% Aetna
74% BlueCross and BlueShield
71% Cigna and Evernorth

How Therapists in McKinney, TX see their clients

79% In Person and Online
21% Online Only

Gender breakdown

82% Female
17% Male
1% Non-Binary
FAQs - About Therapy and Counseling

How can I find a therapist in McKinney?

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.