Therapists in 47918

Photo of Keeli Lamie, Clinical Social Work/Therapist, LCSW, LLC
Keeli Lamie
Clinical Social Work/Therapist, LCSW, LLC
Attica, IN 47918
Email is the best form of communication for the quickest response! Hello! Since obtaining my Masters in Social Work from IUPUI, I have been an individual, family and school-based therapist working with clients of all ages ranging from 3-years-old and up. I now focus on teenagers and adults dealing with school, work and life stressors, relationship issues, anxiety, depression and trauma related struggles.
Email is the best form of communication for the quickest response! Hello! Since obtaining my Masters in Social Work from IUPUI, I have been an individual, family and school-based therapist working with clients of all ages ranging from 3-years-old and up. I now focus on teenagers and adults dealing with school, work and life stressors, relationship issues, anxiety, depression and trauma related struggles.
(765) 204-8584 View (765) 204-8584
Photo of Cali O'Connor, Clinical Social Work/Therapist, MSW, LCSW
Cali O'Connor
Clinical Social Work/Therapist, MSW, LCSW
4 Endorsed
Online Only
I'm so glad you're here. How can I help? I am a Licensed Clinical Social Worker, dog mom, proud plant lady and crafting enthusiast with a specialty in treating trauma. Whether that be childhood trauma, "big-T trauma", or "little-t trauma", I provide a gentle, flexible and judgment-free approach. I'm committed to empowering and helping individuals navigate all the ways that trauma shows up in daily life.
I'm so glad you're here. How can I help? I am a Licensed Clinical Social Worker, dog mom, proud plant lady and crafting enthusiast with a specialty in treating trauma. Whether that be childhood trauma, "big-T trauma", or "little-t trauma", I provide a gentle, flexible and judgment-free approach. I'm committed to empowering and helping individuals navigate all the ways that trauma shows up in daily life.
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Photo of Keeli Lamie, Clinical Social Work/Therapist, LCSW
Keeli Lamie
Clinical Social Work/Therapist, LCSW
Online Only
Hi my name is Keeli! I'm a licensed clinical social worker with a background in mental health case management, school-based services, community mental health and private practice. I believe in meeting people where they are and feel one of my best strengths is the connection I have built with so many clients throughout my years. My goal is to work in collaboration to determine your needs and what you want to get out of therapy so we can make a plan that fits best with you. I want to be an unbiased, but honest support as you work towards your goals and healing!
Hi my name is Keeli! I'm a licensed clinical social worker with a background in mental health case management, school-based services, community mental health and private practice. I believe in meeting people where they are and feel one of my best strengths is the connection I have built with so many clients throughout my years. My goal is to work in collaboration to determine your needs and what you want to get out of therapy so we can make a plan that fits best with you. I want to be an unbiased, but honest support as you work towards your goals and healing!
(765) 534-2142 View (765) 534-2142

More Therapists Nearby

Photo of Jessica Whitesell, Clinical Social Work/Therapist, MSW, LCSW
Jessica Whitesell
Clinical Social Work/Therapist, MSW, LCSW
Lafayette, IN 47905
I understand how hard it is to reach out for help when you are struggling; and am motivated to help you on your journey of healing, overcoming hardships, and connecting with your authentic self! Whether your focus is mental health or addiction recovery, I am here to offer a judgement-free, nurturing environment . You are ready for a change, and I am dedicated to providing you the right support, tools and resources! I am passionate about helping all individuals, of any age and background, to overcome challenges and meet their recovery goals.
I understand how hard it is to reach out for help when you are struggling; and am motivated to help you on your journey of healing, overcoming hardships, and connecting with your authentic self! Whether your focus is mental health or addiction recovery, I am here to offer a judgement-free, nurturing environment . You are ready for a change, and I am dedicated to providing you the right support, tools and resources! I am passionate about helping all individuals, of any age and background, to overcome challenges and meet their recovery goals.
(765) 562-8603 View (765) 562-8603
Photo of Christle Smith, Pre-Licensed Professional, Intern
Christle Smith
Pre-Licensed Professional, Intern
1 Endorsed
West Lafayette, IN 47906
Sometimes clients feel trapped by internal barriers that prevent them from living out their ideal values.
Sometimes clients feel trapped by internal barriers that prevent them from living out their ideal values.
(765) 637-4884 View (765) 637-4884
Photo of Amber Loewenstein, Counselor, MS, LCPC, LMHC
Amber Loewenstein
Counselor, MS, LCPC, LMHC
Lafayette, IN 47905
Life can be very complicated. You may feel like you are doing everything possible to make things better for yourself or for someone you love, but have run out of energy, ideas, or both. You may have a relationship with someone you love but just can't seem to get along. You may be a parent trying to best figure out how to help a child or teen who is having problems. You may feel burdened by sadness, fear, or stress. Or perhaps you have old wounds that seem to keep interfering with your ability to create the life you desire.
Life can be very complicated. You may feel like you are doing everything possible to make things better for yourself or for someone you love, but have run out of energy, ideas, or both. You may have a relationship with someone you love but just can't seem to get along. You may be a parent trying to best figure out how to help a child or teen who is having problems. You may feel burdened by sadness, fear, or stress. Or perhaps you have old wounds that seem to keep interfering with your ability to create the life you desire.
(765) 479-7970 View (765) 479-7970
Photo of Audrey Goddard - Thriveworks Counseling & Child Therapy Lafayette, Licensed Mental Health Counselor
Thriveworks Counseling & Child Therapy Lafayette
Licensed Mental Health Counselor
Lafayette, IN 47901
At Thriveworks, we're dedicated to providing top-tier mental health services that are easily accessible to everyone. With over 340 locations nationwide and flexible online therapy options, our professional therapists are equipped to assist you through any stress, life transitions, or ongoing mental health concerns. We prioritize your convenience and needs by offering flexible scheduling, including evening and weekend appointments, ensuring that you can start your therapy journey as early as this week. Plus, we accept most major insurance plans, making your path to mental health support smoother and more affordable.
At Thriveworks, we're dedicated to providing top-tier mental health services that are easily accessible to everyone. With over 340 locations nationwide and flexible online therapy options, our professional therapists are equipped to assist you through any stress, life transitions, or ongoing mental health concerns. We prioritize your convenience and needs by offering flexible scheduling, including evening and weekend appointments, ensuring that you can start your therapy journey as early as this week. Plus, we accept most major insurance plans, making your path to mental health support smoother and more affordable.
(765) 275-1804 View (765) 275-1804
Photo of Lindsey Millburg - Hearthspring Therapy Intensives, Clinical Social Work/Therapist, LCSW
Hearthspring Therapy Intensives
Clinical Social Work/Therapist, LCSW
1 Endorsed
Serves Area
You made the decision to seek therapy, and you also realized you don't want it to take weeks, months, or years. Welcome to Hearthspring Therapy Intensives, where we utilize Brainspotting and a focused, intentional space to process trauma in a matter of days instead of weeks. Trauma doesn’t live in neat, 50-minute segments. It lives in the body, in relationships, in the nervous system. An intensive allows us to move beyond surface-level coping into meaningful processing, stay with the work long enough for real integration, and creates measurable progress in a short, contained period of time.
You made the decision to seek therapy, and you also realized you don't want it to take weeks, months, or years. Welcome to Hearthspring Therapy Intensives, where we utilize Brainspotting and a focused, intentional space to process trauma in a matter of days instead of weeks. Trauma doesn’t live in neat, 50-minute segments. It lives in the body, in relationships, in the nervous system. An intensive allows us to move beyond surface-level coping into meaningful processing, stay with the work long enough for real integration, and creates measurable progress in a short, contained period of time.
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Photo of Dr. Vicki D. Coleman, Licensed Clinical Professional Counselor, EdD, LMFT, CCMHC, MAC/DAC, SAP/BCC
Dr. Vicki D. Coleman
Licensed Clinical Professional Counselor, EdD, LMFT, CCMHC, MAC/DAC, SAP/BCC
Serves Area
Why Are You So ANGRY? Anger is a major challenge! Although a valid emotion, anger can lead to stress, anxiety, inappropriate behavior, and violence. A former Tenured Professor at Purdue University in West Lafayette, IN, I earned a Doctorate in Psychology from Rutgers University, New Brunswick, NJ. Publications include books (Amazon Bestsellers), 15 chapters, & refereed journal articles. With 6 Full Clinical Licenses in 5 Jurisdictions, I am an Approved Primary & Secondary Supervisor for State of Nevada Marriage & Family Therapy and Clinical Professional Counselor Interns. I am the CEO of The Coleman Group PLLC, a Consulting Firm.
Why Are You So ANGRY? Anger is a major challenge! Although a valid emotion, anger can lead to stress, anxiety, inappropriate behavior, and violence. A former Tenured Professor at Purdue University in West Lafayette, IN, I earned a Doctorate in Psychology from Rutgers University, New Brunswick, NJ. Publications include books (Amazon Bestsellers), 15 chapters, & refereed journal articles. With 6 Full Clinical Licenses in 5 Jurisdictions, I am an Approved Primary & Secondary Supervisor for State of Nevada Marriage & Family Therapy and Clinical Professional Counselor Interns. I am the CEO of The Coleman Group PLLC, a Consulting Firm.
(702) 830-7337 View (702) 830-7337
Photo of Tammy (Tj) Lesher, Psychologist, PsyD, HSPP
Tammy (Tj) Lesher
Psychologist, PsyD, HSPP
1 Endorsed
Lafayette, IN 47904
I am not currently accepting therapy clients, but my practice is. I specialize in comprehensive psychological assessments related to diagnostic clarification and treatment recommendations, including educational, ADHD, and emotional, behavioral, and personality functioning assessments. I also conduct pain pump evaluations. I have a passion for working with adolescents (16+) and adults struggling with addiction. I also enjoy working with adolescents and adults presenting with anxiety, depression, ADHD, OCD, and personality disorders.
I am not currently accepting therapy clients, but my practice is. I specialize in comprehensive psychological assessments related to diagnostic clarification and treatment recommendations, including educational, ADHD, and emotional, behavioral, and personality functioning assessments. I also conduct pain pump evaluations. I have a passion for working with adolescents (16+) and adults struggling with addiction. I also enjoy working with adolescents and adults presenting with anxiety, depression, ADHD, OCD, and personality disorders.
(317) 597-6501 View (317) 597-6501
Photo of Lauren Starkey, Pre-Licensed Professional, MS, LMHCA
Lauren Starkey
Pre-Licensed Professional, MS, LMHCA
Covington, IN 47932
Hello, I'm Lauren! Having witnessed the struggles of mental health in those close to me and having navigated my own mental health journey, I understand the difficulties that can arise, particularly when we feel alone. I aim to provide a safe haven for you to freely explore your experiences. I am deeply passionate about aiding you in addressing your concerns and guiding you towards improving your life and becoming the person you aspire to be.
Hello, I'm Lauren! Having witnessed the struggles of mental health in those close to me and having navigated my own mental health journey, I understand the difficulties that can arise, particularly when we feel alone. I aim to provide a safe haven for you to freely explore your experiences. I am deeply passionate about aiding you in addressing your concerns and guiding you towards improving your life and becoming the person you aspire to be.
(765) 300-3206 View (765) 300-3206
Photo of Charity Tabol, Psychologist, PhD
Charity Tabol
Psychologist, PhD
Lafayette, IN 47901
Welcome! It has been my privilege to provide psychotherapy services to a wide range of clients since my graduate training began over twenty years ago. I strive to provide care that is thoughtful, client-centered, trauma-informed, and evidence-based. I look forward to hearing from you.
Welcome! It has been my privilege to provide psychotherapy services to a wide range of clients since my graduate training began over twenty years ago. I strive to provide care that is thoughtful, client-centered, trauma-informed, and evidence-based. I look forward to hearing from you.
(765) 577-6417 View (765) 577-6417
Photo of Maria C Guarraci, Clinical Social Work/Therapist, LCSW
Maria C Guarraci
Clinical Social Work/Therapist, LCSW
Serves Area
Accepting new clients, in-person in South Bend or via telehealth anywhere in the state of Indiana. January 2026 availability. Online scheduling is available through my website. I offer a unique blend of Solution-Focused Brief Therapy (SFBT) and EMDR (Eye Movement Desensitization and Reprocessing.) EMDR is not a traditional "talk therapy." It is a highly effective and efficient "brain" therapy that will get you lasting results in a fraction of the time, and often with less "talking." Together, we will develop a plan to process "old stuff" that has been keeping you stuck and blocking your ability to live fully and confidently.
Accepting new clients, in-person in South Bend or via telehealth anywhere in the state of Indiana. January 2026 availability. Online scheduling is available through my website. I offer a unique blend of Solution-Focused Brief Therapy (SFBT) and EMDR (Eye Movement Desensitization and Reprocessing.) EMDR is not a traditional "talk therapy." It is a highly effective and efficient "brain" therapy that will get you lasting results in a fraction of the time, and often with less "talking." Together, we will develop a plan to process "old stuff" that has been keeping you stuck and blocking your ability to live fully and confidently.
(574) 807-6624 View (574) 807-6624
Photo of Sonata Miles, Counselor, MS, LMHCA, NCC
Sonata Miles
Counselor, MS, LMHCA, NCC
6 Endorsed
Serves Area
You don’t need to have it all figured out to start therapy. Many of the clients I’ve worked with have felt overwhelmed by the demands of others struggling with anxiety, burnout, or a sense of disconnection from themselves. In our work together, we focus on building boundaries, gaining clarity, and reconnecting with your sense of self. My goal is to help you feel empowered to prioritize your well-being and begin living in alignment with your own values. This is your life, and you deserve to feel at home in it.
You don’t need to have it all figured out to start therapy. Many of the clients I’ve worked with have felt overwhelmed by the demands of others struggling with anxiety, burnout, or a sense of disconnection from themselves. In our work together, we focus on building boundaries, gaining clarity, and reconnecting with your sense of self. My goal is to help you feel empowered to prioritize your well-being and begin living in alignment with your own values. This is your life, and you deserve to feel at home in it.
(463) 275-2372 View (463) 275-2372
Photo of Kirby Bott, Clinical Social Work/Therapist, MSW, LSW
Kirby Bott
Clinical Social Work/Therapist, MSW, LSW
12 Endorsed
West Lafayette, IN 47906
Embarking on the journey of therapy can often feel overwhelming for many individuals. It’s not uncommon to experience uncertainty about the process, question its potential benefits, or feel as though you need to be further along in your personal growth before seeking assistance. I recognize these challenges and am committed to creating a compassionate and nurturing environment where clients can safely explore their thoughts and emotions. My objective is to help clients understand that each step, no matter how small, is a vital part of the journey toward healing and personal development.
Embarking on the journey of therapy can often feel overwhelming for many individuals. It’s not uncommon to experience uncertainty about the process, question its potential benefits, or feel as though you need to be further along in your personal growth before seeking assistance. I recognize these challenges and am committed to creating a compassionate and nurturing environment where clients can safely explore their thoughts and emotions. My objective is to help clients understand that each step, no matter how small, is a vital part of the journey toward healing and personal development.
(765) 637-4884 View (765) 637-4884
Photo of Dashae Brown - Anxiety, Disconnected, Relationship Issues, Pre-Licensed Professional, Pre-Lic
Anxiety, Disconnected, Relationship Issues
Pre-Licensed Professional, Pre-Lic
1 Endorsed
Serves Area
If you’re feeling overwhelmed by anxiety, stuck in cycles of sadness, or navigating big life changes, you’re not alone. Maybe you sense a disconnect from yourself or others and crave deeper emotional connection and clarity. You want to live more intentionally, with peace of mind and stronger relationships. Even if you’re unsure where to start, you feel a quiet nudge toward change and hope to find healing and understanding in a safe, compassionate space. Let me introduce myself, Hi, my name is Dashae Brown and I'm here to walk with you. Let's connect!
If you’re feeling overwhelmed by anxiety, stuck in cycles of sadness, or navigating big life changes, you’re not alone. Maybe you sense a disconnect from yourself or others and crave deeper emotional connection and clarity. You want to live more intentionally, with peace of mind and stronger relationships. Even if you’re unsure where to start, you feel a quiet nudge toward change and hope to find healing and understanding in a safe, compassionate space. Let me introduce myself, Hi, my name is Dashae Brown and I'm here to walk with you. Let's connect!
(708) 627-9166 View (708) 627-9166
Photo of Tiffanie Desmangles, Clinical Social Work/Therapist, MSW, LCSW
Tiffanie Desmangles
Clinical Social Work/Therapist, MSW, LCSW
1 Endorsed
Lafayette, IN 47905
Are you tired of feeling stressed out? Do you need someone who truly understands what you’re going through? I'm a Licensed Clinical Social Worker with over 20 years of experience in the mental health field who enjoys helping others make positive changes. I offer a safe space in which you can freely express your concerns without fear of judgement. I've worked extensively with adults who are facing anxiety, depression, grief, and life transitions. It can be overwhelming to be dealing with these issues on your own. But please know that you don't have to do this alone and that you can feel better and start to enjoy your life again.
Are you tired of feeling stressed out? Do you need someone who truly understands what you’re going through? I'm a Licensed Clinical Social Worker with over 20 years of experience in the mental health field who enjoys helping others make positive changes. I offer a safe space in which you can freely express your concerns without fear of judgement. I've worked extensively with adults who are facing anxiety, depression, grief, and life transitions. It can be overwhelming to be dealing with these issues on your own. But please know that you don't have to do this alone and that you can feel better and start to enjoy your life again.
(765) 565-5314 View (765) 565-5314
Photo of Maggie Myers, Clinical Social Work/Therapist, LCSW
Maggie Myers
Clinical Social Work/Therapist, LCSW
Serves Area
I believe that therapy is a space for self-exploration and healing, where you uncover strengths and develop tools to navigate life’s challenges. My space is a safe and non-judgmental environment where clients can explore their feelings, build resilience, and work toward meaningful change. My goal is to support you in finding clarity, improving your emotional well-being and helping you to find healing.
I believe that therapy is a space for self-exploration and healing, where you uncover strengths and develop tools to navigate life’s challenges. My space is a safe and non-judgmental environment where clients can explore their feelings, build resilience, and work toward meaningful change. My goal is to support you in finding clarity, improving your emotional well-being and helping you to find healing.
(463) 842-1020 View (463) 842-1020
Photo of Patricia Thorn Kish, Clinical Social Work/Therapist, MSW, LCSW
Patricia Thorn Kish
Clinical Social Work/Therapist, MSW, LCSW
3 Endorsed
Lafayette, IN 47905
Coming to therapy is a big step! New clients welcome. I am proud of you for starting your healing journey. You may be feeling angry, anxious, sad, or lonely. Your relationship may be causing you frustration. You may struggle with school or work performance and feel overwhelmed and burnt out. You may be ready to lead a more meaningful life. Therapy is a chance to grow, heal, and give yourself space to work on your needs. Clients come looking for someone who “gets them” and their situation. Together, we will work to understand your feelings, find ways to focus on you, and help you feel lighter, hopeful, and happier. Please reach out.
Coming to therapy is a big step! New clients welcome. I am proud of you for starting your healing journey. You may be feeling angry, anxious, sad, or lonely. Your relationship may be causing you frustration. You may struggle with school or work performance and feel overwhelmed and burnt out. You may be ready to lead a more meaningful life. Therapy is a chance to grow, heal, and give yourself space to work on your needs. Clients come looking for someone who “gets them” and their situation. Together, we will work to understand your feelings, find ways to focus on you, and help you feel lighter, hopeful, and happier. Please reach out.
(765) 200-6141 View (765) 200-6141
Photo of Keith D Luebcke, Clinical Social Work/Therapist, MSW, LSW
Keith D Luebcke
Clinical Social Work/Therapist, MSW, LSW
Lafayette, IN 47905
You are the leading expert on your own life, but lately, it might feel like the plot has moved in a direction you didn't choose or feel like it is out of your control. Therapy is a space to look back at previous chapters with compassion and look forward to the next ones with intention. We will work together to: Deconstruct old narratives- Identify the stories you were told about yourself that no longer serve you, Navigate transitions- Manage the "plot twists" of life—grief, career shifts, or relationship changes. Edit the internal dialogue- Transform self-criticism into a voice that supports your growth.
You are the leading expert on your own life, but lately, it might feel like the plot has moved in a direction you didn't choose or feel like it is out of your control. Therapy is a space to look back at previous chapters with compassion and look forward to the next ones with intention. We will work together to: Deconstruct old narratives- Identify the stories you were told about yourself that no longer serve you, Navigate transitions- Manage the "plot twists" of life—grief, career shifts, or relationship changes. Edit the internal dialogue- Transform self-criticism into a voice that supports your growth.
(765) 548-4267 View (765) 548-4267

How does your Therapist compare?

Number of Therapists in 47918

< 10

Therapists in 47918 who prioritize treating:

100% Depression
100% Anxiety
100% Parenting
67% Relationship Issues
67% Trauma and PTSD
67% Self Esteem

Average years in practice

11 Years

Top 3 insurances accepted

67% BlueCross and BlueShield
67% Cigna and Evernorth
67% UnitedHealthcare UHC | UBH

How Therapists in 47918 see their clients

67% Online Only
33% In Person and Online

Gender breakdown

100% Female
FAQs - About Therapy and Counseling

How can I find a therapist in 47918?

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.