Therapists in 37920

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Photo of Barrett G Wilson, Marriage & Family Therapist in 37920, TN
Barrett G Wilson
Marriage & Family Therapist, LMFT
Verified
3 Endorsed
Knoxville, TN 37920
Ascending Self is a safe place where we will utilize the most effective, science-based, and relationally sound approaches to helping you heal while gaining understanding of self, communication, and relationships. If you're looking for a safe place to make meaningful changes in relationships with your self or loved ones, this is the place. Barrett offers his clients the best professional help with a balance of connection, support, and efficacy.
Ascending Self is a safe place where we will utilize the most effective, science-based, and relationally sound approaches to helping you heal while gaining understanding of self, communication, and relationships. If you're looking for a safe place to make meaningful changes in relationships with your self or loved ones, this is the place. Barrett offers his clients the best professional help with a balance of connection, support, and efficacy.
(865) 234-9370 View (865) 234-9370
Photo of Hannah Keefer, Clinical Social Work/Therapist in 37920, TN
Hannah Keefer
Clinical Social Work/Therapist, LMSW
Verified
Knoxville, TN 37920  (Online Only)
I enjoy working with a wide range of people and have a special interest in working with adults struggling with big changes in their lives or learning how to start and maintain healthy relationships. I love working with people who want to learn new ways of managing their emotions instead of relying on numbing or avoidance. Life is hard, and it's even more difficult when you don't allow yourself to feel the full range of your emotions or express them in a healthy way.
I enjoy working with a wide range of people and have a special interest in working with adults struggling with big changes in their lives or learning how to start and maintain healthy relationships. I love working with people who want to learn new ways of managing their emotions instead of relying on numbing or avoidance. Life is hard, and it's even more difficult when you don't allow yourself to feel the full range of your emotions or express them in a healthy way.
(865) 761-8693 View (865) 761-8693
Photo of Maddison Park, Clinical Social Work/Therapist in 37920, TN
Maddison Park
Clinical Social Work/Therapist, MSW, LCSW
Verified
Knoxville, TN 37920  (Online Only)
Life is a journey filled with twists, turns, and unexpected detours. Amidst these transitions, it's normal to feel lost, overwhelmed, or unsure of which path to take. That's where I come in. I'm Maddison Park, a Licensed Clinical Social Worker (LCSW) dedicated to providing compassionate support and guidance to individuals navigating life's most challenging transitions. Having worked in crisis intervention, residential treatment, and community-based counseling, I have had the privilege of supporting adults, children, and families through a wide range of challenges and transitions.
Life is a journey filled with twists, turns, and unexpected detours. Amidst these transitions, it's normal to feel lost, overwhelmed, or unsure of which path to take. That's where I come in. I'm Maddison Park, a Licensed Clinical Social Worker (LCSW) dedicated to providing compassionate support and guidance to individuals navigating life's most challenging transitions. Having worked in crisis intervention, residential treatment, and community-based counseling, I have had the privilege of supporting adults, children, and families through a wide range of challenges and transitions.
(865) 424-6237 View (865) 424-6237
Photo of Isaac Wilson, Clinical Social Work/Therapist in 37920, TN
Isaac Wilson
Clinical Social Work/Therapist, LCSW
Verified
1 Endorsed
Knoxville, TN 37920  (Online Only)
Welcome. I am a Licensed Clinical Social Worker practicing in Knoxville, TN. Over the past 12 years I have worked with teens and adults, individuals, groups and families, in wilderness-based programs, schools, and in community agencies. It is my belief that all people possess within themselves the ability to make positive changes in their lives; sometimes they just need help to discover how to do so. My goal is to work alongside you to uncover ways to improve and maintain your mental health, sense of self, and overall well-being. I believe in meeting clients “Where They Are At,” and value and respect the uniqueness of each person.
Welcome. I am a Licensed Clinical Social Worker practicing in Knoxville, TN. Over the past 12 years I have worked with teens and adults, individuals, groups and families, in wilderness-based programs, schools, and in community agencies. It is my belief that all people possess within themselves the ability to make positive changes in their lives; sometimes they just need help to discover how to do so. My goal is to work alongside you to uncover ways to improve and maintain your mental health, sense of self, and overall well-being. I believe in meeting clients “Where They Are At,” and value and respect the uniqueness of each person.
(865) 535-7075 View (865) 535-7075
Photo of Chiara Marrapodi in 37920, TN
Chiara Marrapodi
CCHt, HTI, HMI, BSc, MA
Knoxville, TN 37920  (Online Only)
Do you feel stuck and don’t know how to move forward? Does it feel like you have tried many things but you have made little progress? Do you feel like you are not good enough? Are you looking for connection and have difficulty finding it and feeling it? My goal is to support you to discover a deeper and richer connection to yourself, the life you create and in your relationships. I specialize in reframing and releasing old traumas and patterns to find your authentic self and an aliveness and curiosity about life.
Do you feel stuck and don’t know how to move forward? Does it feel like you have tried many things but you have made little progress? Do you feel like you are not good enough? Are you looking for connection and have difficulty finding it and feeling it? My goal is to support you to discover a deeper and richer connection to yourself, the life you create and in your relationships. I specialize in reframing and releasing old traumas and patterns to find your authentic self and an aliveness and curiosity about life.
(760) 621-7925 View (760) 621-7925
Photo of Lauren Wiest Barbian, Licensed Professional Counselor in 37920, TN
Lauren Wiest Barbian
Licensed Professional Counselor, MA, LPC
Verified
Knoxville, TN 37920
I help Christian women who feel like life just isn't working out. Maybe you give constantly to others, but your relationships are still not satisfying. You work really hard to make things ok, but hard things keep happening, you aren't sure who you are, and you can't shake a sense of general disappointment with God, other people, and life in general. I'll work with you to overcome those hard things and disappointments in a way that lets you move toward healthy and connected relationships with God and other people.
I help Christian women who feel like life just isn't working out. Maybe you give constantly to others, but your relationships are still not satisfying. You work really hard to make things ok, but hard things keep happening, you aren't sure who you are, and you can't shake a sense of general disappointment with God, other people, and life in general. I'll work with you to overcome those hard things and disappointments in a way that lets you move toward healthy and connected relationships with God and other people.
(865) 234-3376 View (865) 234-3376
Photo of Michele Aguilar, Pre-Licensed Professional in 37920, TN
Michele Aguilar
Pre-Licensed Professional, MSW
Verified
1 Endorsed
Knoxville, TN 37920  (Online Only)
Are you feeling burnt out or having issues struggling with all of life’s obstacles? I get that. Let’s work through it together. I hope to help assist and support you in gaining the skills needed to successfully overcome the obstacles that you are facing as we are on this healing journey together. I currently only offer virtual sessions. I understand that virtual sessions are not everyone's cup of tea, therefore starting Spring 2024 I will be offering walk and talk therapy at three different parks in Knoxville.
Are you feeling burnt out or having issues struggling with all of life’s obstacles? I get that. Let’s work through it together. I hope to help assist and support you in gaining the skills needed to successfully overcome the obstacles that you are facing as we are on this healing journey together. I currently only offer virtual sessions. I understand that virtual sessions are not everyone's cup of tea, therefore starting Spring 2024 I will be offering walk and talk therapy at three different parks in Knoxville.
(865) 346-3857 View (865) 346-3857
Photo of Stina Nesbit, Licensed Professional Counselor in 37920, TN
Stina Nesbit
Licensed Professional Counselor, MS, RYT, NCC, LPCMHSP
Verified
2 Endorsed
Knoxville, TN 37920
Waitlist for new clients
I am a big nerd about humans. I get excited and curious with my clients in order to better understand them. My aim is to be very real with my clients. I try to be upfront and direct, admit when I'm wrong or don't know something, and bring in humor and self-disclosure when I believe it will be helpful.
I am a big nerd about humans. I get excited and curious with my clients in order to better understand them. My aim is to be very real with my clients. I try to be upfront and direct, admit when I'm wrong or don't know something, and bring in humor and self-disclosure when I believe it will be helpful.
(865) 448-4204 View (865) 448-4204
Photo of Darden Wilson in 37920, TN
Darden Wilson
MMFT
1 Endorsed
Knoxville, TN 37920
I love helping clients with boundary work, adult ADHD, intimacy issues, attachment wounds, unlearning fatphobia, and practicing health at every size. I strive to empower clients and give context while assisting them to reach their long and short-term goals. I support any gender, sexual orientation, or kink; however you choose to identify, everyone deserves therapy and a safe place to heal.
I love helping clients with boundary work, adult ADHD, intimacy issues, attachment wounds, unlearning fatphobia, and practicing health at every size. I strive to empower clients and give context while assisting them to reach their long and short-term goals. I support any gender, sexual orientation, or kink; however you choose to identify, everyone deserves therapy and a safe place to heal.
(615) 282-5304 View (615) 282-5304
Photo of Kate Kleinfelter, Psychologist in 37920, TN
Kate Kleinfelter
Psychologist, PhD
Verified
Knoxville, TN 37920  (Online Only)
Hi – my name is Dr. Kleinfelter (or “Dr. K.”). I am a clinical psychologist who has worked with teenagers and families for over 30 years. I mainly serve ages 11 to 25 (and their families) )who struggle w/ depression, anxiety, trauma, & school avoidance. But I also see adults with identity or phase of life concerns, including senior citizens. My primary specialty areas are Autism Level 1 (Neuro-divergent), LGBTQI+ and gender affirming care (including letters if needed). I stay updated on research & use "what works," so that you can feel better as soon as possible. References upon request.
Hi – my name is Dr. Kleinfelter (or “Dr. K.”). I am a clinical psychologist who has worked with teenagers and families for over 30 years. I mainly serve ages 11 to 25 (and their families) )who struggle w/ depression, anxiety, trauma, & school avoidance. But I also see adults with identity or phase of life concerns, including senior citizens. My primary specialty areas are Autism Level 1 (Neuro-divergent), LGBTQI+ and gender affirming care (including letters if needed). I stay updated on research & use "what works," so that you can feel better as soon as possible. References upon request.
(803) 882-2482 View (803) 882-2482
Photo of Hanley T. Roach, Marriage & Family Therapist in 37920, TN
Hanley T. Roach
Marriage & Family Therapist, MA, LMFT
Verified
Knoxville, TN 37920
I have the schooling and credentialing required to be a good therapist. More importantly I have been married for 37 years and raised three children. I understand how difficult it is to make marriage work. Through supportive friends, involvement in my church community and a life-time of raising a family I have gained wisdom helpful in addressing relationship problems. I have treated people with depression, anxiety, grief, loss, couples struggling to hold their marriage together. When appropriate I integrate a Christian perspective into counseling. I believe that understanding hidden emotions helps couples care for each other. I work at listening and developing solutions.
I have the schooling and credentialing required to be a good therapist. More importantly I have been married for 37 years and raised three children. I understand how difficult it is to make marriage work. Through supportive friends, involvement in my church community and a life-time of raising a family I have gained wisdom helpful in addressing relationship problems. I have treated people with depression, anxiety, grief, loss, couples struggling to hold their marriage together. When appropriate I integrate a Christian perspective into counseling. I believe that understanding hidden emotions helps couples care for each other. I work at listening and developing solutions.
(865) 276-7017 View (865) 276-7017
Photo of Carrie Fair, Clinical Social Work/Therapist in 37920, TN
Carrie Fair
Clinical Social Work/Therapist, LCSW
Verified
Knoxville, TN 37920
Many of us are private people, who could use a little extra support and direction to overcome life's challenges. Acceptance and Confidentiality are two important aspects of Fairhaven Counseling & Consulting. Throughout my career I have learned that clients progress most effectively with an honest, non-judgmental, compassionate, but direct approach. I love watching clients rediscover their inner strength and begin to experience the joys life has to offer. I offer both personal & professional perspectives to overcoming trauma and rebuilding a life worth living.
Many of us are private people, who could use a little extra support and direction to overcome life's challenges. Acceptance and Confidentiality are two important aspects of Fairhaven Counseling & Consulting. Throughout my career I have learned that clients progress most effectively with an honest, non-judgmental, compassionate, but direct approach. I love watching clients rediscover their inner strength and begin to experience the joys life has to offer. I offer both personal & professional perspectives to overcoming trauma and rebuilding a life worth living.
(865) 408-7198 View (865) 408-7198
Photo of Sarah Rimer Moss, Clinical Social Work/Therapist in 37920, TN
Sarah Rimer Moss
Clinical Social Work/Therapist, LCSW
Verified
Knoxville, TN 37920
Not accepting new clients
I work with individuals and families seeking to improve the ways they cope with the challenges they face, which may include problems in relationships, substance abuse, trauma, depression and anxiety (and other mental illnesses), difficulties in career, lifestyle dissatisfaction, and other personal issues. I practice with an emphasis on collaboration and relationship, meaning that I view my patients as the experts on their own lives. By offering a respectful, caring, and supportive environment to explore the patient's concerns, thoughts and feelings, I facilitate the patient's arrival at a deeper and more honest understanding of him or herself.
I work with individuals and families seeking to improve the ways they cope with the challenges they face, which may include problems in relationships, substance abuse, trauma, depression and anxiety (and other mental illnesses), difficulties in career, lifestyle dissatisfaction, and other personal issues. I practice with an emphasis on collaboration and relationship, meaning that I view my patients as the experts on their own lives. By offering a respectful, caring, and supportive environment to explore the patient's concerns, thoughts and feelings, I facilitate the patient's arrival at a deeper and more honest understanding of him or herself.
(865) 622-6635 View (865) 622-6635
Photo of Melanie S Norton, Clinical Social Work/Therapist in 37920, TN
Melanie S Norton
Clinical Social Work/Therapist, LCSW
Verified
Knoxville, TN 37920
I began my career working in inpatient substance abuse facilities attached to hospitals. I am well-versed in groups for addiction and prefer individual counseling for issues in later recovery or dual diagnosis. I see adults and motivated adolescents in my practice. Both men and women are welcome as are couples and families. Other specialty areas are sexual abuse and mood disorders.
I began my career working in inpatient substance abuse facilities attached to hospitals. I am well-versed in groups for addiction and prefer individual counseling for issues in later recovery or dual diagnosis. I see adults and motivated adolescents in my practice. Both men and women are welcome as are couples and families. Other specialty areas are sexual abuse and mood disorders.
(865) 409-0837 View (865) 409-0837
Photo of Wendy Pitts Reeves, Clinical Social Work/Therapist in 37920, TN
Wendy Pitts Reeves
Clinical Social Work/Therapist, LCSW
Verified
2 Endorsed
Knoxville, TN 37920
Hello! I'm glad you're here. I think it was John Lennon who said, "Life is what happens while we're making other plans." As a woman leader at mid-life, you may be coping with transitions that are harder than expected. A challenging career. A big move. Getting used to an empty nest or helping aging parents. Even managing success can be pretty tough - right? Sometimes, it gets to the best of us. We find ourselves overwhelmed, burned out or just a little lost. But know this: you can get help. You will find your footing again. And this is a good place to start.
Hello! I'm glad you're here. I think it was John Lennon who said, "Life is what happens while we're making other plans." As a woman leader at mid-life, you may be coping with transitions that are harder than expected. A challenging career. A big move. Getting used to an empty nest or helping aging parents. Even managing success can be pretty tough - right? Sometimes, it gets to the best of us. We find ourselves overwhelmed, burned out or just a little lost. But know this: you can get help. You will find your footing again. And this is a good place to start.
(865) 518-2692 View (865) 518-2692
Photo of Steve Brown, Clinical Social Work/Therapist in 37920, TN
Steve Brown
Clinical Social Work/Therapist, MSSW, LCSW
Verified
Knoxville, TN 37920
I enjoy working with children, adolescents, and adults in individual, couples, family and group therapy. I work with most private and group insurance plans as well employee assistance programs and private paying individuals. I recieved a Masters of Social Work degree from the University of Tennessee in 1996 and the Licensed Clinical Social Work certification in 1999. I have been an adjunct instructor for the masters program at the UT College of Social Work, having taught courses in family therapy, group therapy, clinical social work with children and adolescents, and foundation courses.
I enjoy working with children, adolescents, and adults in individual, couples, family and group therapy. I work with most private and group insurance plans as well employee assistance programs and private paying individuals. I recieved a Masters of Social Work degree from the University of Tennessee in 1996 and the Licensed Clinical Social Work certification in 1999. I have been an adjunct instructor for the masters program at the UT College of Social Work, having taught courses in family therapy, group therapy, clinical social work with children and adolescents, and foundation courses.
(865) 630-4218 View (865) 630-4218
Photo of Robert Gregory, Counselor in 37920, TN
Robert Gregory
Counselor, LPC, MHSP, NCC
Verified
Knoxville, TN 37920
I am an independent and board certified provider of counseling services. I have worked in mental health since 1997 and received his Masters of Mental Health Counseling from the University of Tennessee in 2000. Prior to my time in private practice I was fortunate to work with a diverse population facing a broad spectrum of clinical issues in the community and area mental health centers. I have done extensive work as a counselor with children and families. I enjoy assisting children, couples, and families find success within themselves while facing mental health issues.
I am an independent and board certified provider of counseling services. I have worked in mental health since 1997 and received his Masters of Mental Health Counseling from the University of Tennessee in 2000. Prior to my time in private practice I was fortunate to work with a diverse population facing a broad spectrum of clinical issues in the community and area mental health centers. I have done extensive work as a counselor with children and families. I enjoy assisting children, couples, and families find success within themselves while facing mental health issues.
(865) 366-4818 View (865) 366-4818
Photo of Doug Tyler, Psychologist in 37920, TN
Doug Tyler
Psychologist, PhD
1 Endorsed
Knoxville, TN 37920
Not accepting new clients
I welcome your interest in psychotherapy or psychoanalysis. In addition to being a psychologist, I am also a Jungian Psychoanalyst. I address a wide variety of issues and problems with adults. This range includes: relationships, job stress, and issues of more depth such as depression, anxiety, anger, and conflicts around spirituality and/or trauma. I imagine you are considering or seeking someone to talk with because of some dissatisfaction in your life. We begin by exploring the problem(s) you currently experience. This inevitably leads us to uncovering and exploring the hidden maladaptive patterns in your life.
I welcome your interest in psychotherapy or psychoanalysis. In addition to being a psychologist, I am also a Jungian Psychoanalyst. I address a wide variety of issues and problems with adults. This range includes: relationships, job stress, and issues of more depth such as depression, anxiety, anger, and conflicts around spirituality and/or trauma. I imagine you are considering or seeking someone to talk with because of some dissatisfaction in your life. We begin by exploring the problem(s) you currently experience. This inevitably leads us to uncovering and exploring the hidden maladaptive patterns in your life.
(865) 630-4866 View (865) 630-4866
Photo of Vicki Miller, Clinical Social Work/Therapist in 37920, TN
Vicki Miller
Clinical Social Work/Therapist, LMSW
Verified
1 Endorsed
Knoxville, TN 37920
After retiring from the military with over 21 years in service, I completed my undergraduate and graduate degrees in Social Work at the University of Tennessee Knoxville. I wanted to help others discover their own potential in living a fulfilling, joyful life. I believe in empowering the whole person through Acceptance Commitment Therapy (ACT) and the connection of mind, body, and spirit.
After retiring from the military with over 21 years in service, I completed my undergraduate and graduate degrees in Social Work at the University of Tennessee Knoxville. I wanted to help others discover their own potential in living a fulfilling, joyful life. I believe in empowering the whole person through Acceptance Commitment Therapy (ACT) and the connection of mind, body, and spirit.
(865) 407-2323 View (865) 407-2323
Photo of Meirav Matityahou, Licensed Professional Counselor in 37920, TN
Meirav Matityahou
Licensed Professional Counselor, PhD, LPC
Verified
Knoxville, TN 37920
We all differ in meaningful ways, and therefore, therapy is different with each person. With careful, non-judgmental, and respectful listening, I hope you will feel deeply understood and hopeful, and we will be able to work together in a genuine, collaborative way. I work with adults with different difficulties and emotional struggles like depression, anxiety, trauma, identity, relationship issues, LGBT, cancer, life transitions and losses. Being of an international background and past military service, I value diversity and am deeply attuned to your unique background (cultural, ethnic, gender, sexual orientation) and its effect on your individuality.
We all differ in meaningful ways, and therefore, therapy is different with each person. With careful, non-judgmental, and respectful listening, I hope you will feel deeply understood and hopeful, and we will be able to work together in a genuine, collaborative way. I work with adults with different difficulties and emotional struggles like depression, anxiety, trauma, identity, relationship issues, LGBT, cancer, life transitions and losses. Being of an international background and past military service, I value diversity and am deeply attuned to your unique background (cultural, ethnic, gender, sexual orientation) and its effect on your individuality.
(865) 622-9450 View (865) 622-9450

See more therapy options for 37920

How does your Therapist compare?

Number of Therapists in 37920

50+

Average cost per session

$125

Therapists in 37920 who prioritize treating:

89% Anxiety
85% Depression
79% Relationship Issues
79% Self Esteem
70% Trauma and PTSD
66% Grief
62% Coping Skills

Average years in practice

13 Years

Top 3 insurances accepted

81% Aetna
71% Cigna and Evernorth
71% Optum

How Therapists in 37920 see their clients

82% In Person and Online
18% Online Only

Gender breakdown

74% Female
26% Male

FAQs - About Therapy and Counseling

How can I find a therapist in 37920?

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.